PROVIDENCE SAINT JOHNS HEALTH CENTER: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE SAINT JOHNS HEALTH CENTER (EIN 95-1684082)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201643209349315354
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T16:43:59-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911194016 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Clark Nuber PS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4th Suite 1700 | AddressLine1Txt |
| City | Bellevue | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951684082 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE SAINT JOHN'S HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROV | BusinessNameControlTxt |
| Phone | 3108295511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 LIND AVE SW No 9016 | AddressLine1Txt |
| City | RENTON | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 980579016 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Todd Hofheins | PersonNm |
| Person Title | EVP/CFO | PersonTitleTxt |
| Phone | 4255253985 | PhoneNum |
| Signature | 2016-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Sara Elizabeth J Hyre CPA | PreparerPersonNm |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Marcel Loh | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 LIND AVE SW No 9016 | AddressLine1Txt |
| City | RENTON | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 980579016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $354,303,164 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | california.providence.org/saint-johns/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1942 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | Healthcare with special concern for the poor & vulnerable in Santa Monica & West L.A. County. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 1964 | TotalEmployeeCnt |
| Total Volunteers | 385 | TotalVolunteersCnt |
| Total Gross UBI | $4,812,697 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $262,758 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,258,651 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,747,697 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $317,291,884 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $331,348,635 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,475,208 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,391,375 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,031,393 | PYOtherRevenueAmt |
| CY Other Revenue | $4,311,098 | CYOtherRevenueAmt |
| PY Total Revenue | $332,057,136 | PYTotalRevenueAmt |
| CY Total Revenue | $350,798,805 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $918,082 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,832,144 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $120,678,181 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $125,716,779 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $145,366,871 | PYOtherExpensesAmt |
| CY Other Expenses | $181,959,807 | CYOtherExpensesAmt |
| PY Total Expenses | $266,963,134 | PYTotalExpensesAmt |
| CY Total Expenses | $309,508,730 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $65,094,002 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $41,290,075 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $721,781,765 | TotalAssetsBOYAmt |
| Total Assets EOY | $772,982,759 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $452,839,990 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $464,271,718 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $268,941,775 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $308,711,041 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | As People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service. Healthcare with special concern for the poor & vulnerable in Santa Monica and westside L.A. County communities. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $189,403,371 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $236,436,538 | RevenueAmt |
| Desc | Acute - InpatientProvidence Saint John's Health Center has been serving the Santa Monica and Westside Los Angeles county communities since 1942, and since that time has earned a reputation for clinical excellence and award-winning care in a compassionate and tranquil healing environment.Today, Providence Saint John's is a nationally renowned 266-bed hospital with physicians, nurses, volunteers and support staff who work as a team to provide the best possible medical care to its patients and the community. Providence Saint John's provides the latest in diagnostic technology and specialty care with a strong commitment to its core service lines: heart and vascular care, oncology, orthopedics and women's health. Saint John's also is home to the world-renowned John Wayne Cancer Institute, dedicated to clinical research and medical advancements in cancer care.Providence Saint John's reputation for academically-based care guided by research and evidence-based medicine is due to the commitment to excellence by our physicians, nurses and caregivers. Our cancer surgeons care for patients in the Cancer Center and hold faculty positions at the John Wayne Cancer Institute and other teaching institutions in the community. Nearly every core service line at Providence Saint John's participates in research or clinical trials.Founded by the Sisters of Charity of Leavenworth, who in 2014 passed its sponsorship to Providence Health & Services, Providence Saint John's is rooted in the Catholic health care tradition, which is devoted to providing leading-edge medicine with unwavering compassion and personalized care. In line with both its Catholic Mission and its responsibilities as a non-profit health care provider, Providence Saint John's seeks to create healthier communities by investing in community benefit programs, with an emphasis on the poor and vulnerable.Providence Saint John's continually has achieved top ratings and distinguished hospital awards for clinical excellence and patient safety by the nation's leading accreditation organizations, such asHealthgrades, the Joint Commission and Leapfrog Group. Within the past decade, Providence Saint John's has received multiple acclamations by these organizations for a variety of services including cardiac care, coronary intervention, critical care, orthopedics, pulmonary care, joint replacement, neurosurgery, and women's health.Through the dedication and collaborative efforts of the community, friends, patrons, physicians, nurses, staff and volunteers, Providence Saint John's continues its world-class tradition established more than 70 years ago by providing breakthrough medicine in an environment of inspired healing.Year after year, Providence Saint John's Health Center along with its staff, physicians and nurses are recognized by the nation's leading healthcare rating organizations, the medical community and the media for clinical excellence and exceptional patient care. This comes naturally, given Providence Saint John's mission towards providing cutting-edge medicine with unwavering compassion and personalized care.The following are a few of the most recent honors and awards that have been presented to Providence Saint John's:-Overall Clinical Performance and Quality, and Providence Saint John's is the only hospital in California to be named one of Healthgrades America's 50 Best Hospitals for 9 years in a row;-Distinguished Hospital for Clinical Excellence for 13 years in a row-Patient Safety Excellence Award for 6 years in a row;-One of America's 50 Best Hospitals for Cardiac Care Award for 3 years in a row-One of America's 100 Best Hospitals for Joint Replacement for 4 years in a row;-Named among the Top 10% in the Nation for Overall Cardiac Services for6 years in a row;-Five-Star Recipient for Coronary Interventional Procedures for 7 years in a row;-Five-Star Recipient for Treatment of Heart Attack for 13 years in a row;-Named among the Top 5% in the Nation for Joint Replacement for 4 years in a row;-Five-Star Recipient for Total Knee Replacement for 5 years in a row;-Five-Star Recipient for Total Hip Replacement for 4 years in a row;-Named among the Top 10% in the Nation for GI Medical Treatment for 2 years in a row;-Five-Star Recipient for Esophageal/Stomach Surgeries for 3 years in a row-Five-Star Recipient for Treatment of GI Bleed for 2 years in a row;-Five-Star Recipient for Treatment of Sepsis for 13 years in a row.Statistics:Licensed beds - 266Births - 2,146Admissions - 12,688ED Visits - 30,578Inpatient Surgeries - 4,889Outpatient Surgeries - 4,016 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $70,207,208 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $87,641,255 | RevenueAmt |
| Desc | Acute - Outpatient -See Line 4a Narrative. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,039,933 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $7,539,787 | RevenueAmt |
| Desc | Primary Care See Line 4a Narrative. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $1,832,144 | $1,832,144 | $0 | Grants & Allocations - Saint John's motto, "...and the greatest of these is charity...," reminds us that love and charity are the same.Caritas is the Latin word for both "love and "charity." Caritas Benefits are the focus and priority for the Providence Saint John's community benefit program. These benefits are the goods, services and financial resources that Saint John's provides, manages or coordinates for those living in poverty in our community.Our community is fortunate to have many outstanding organizations and agencies delivering vital services for those living in poverty. OPCC, Saint Joseph Center, Venice Family Clinic, and Westside Family Health Center are just a few examples of these partners. Providence Saint John's commitment to care for the poor and underserved is a commitment to their work.Our care of those living in poverty is built on yet another partnership. The dedicated physicians who provide professional services in Providence Saint John's Laboratory, Imaging Department, and Heart Institute are our essential partners in caring for patients referred to Saint John's for diagnostic and other services by community agencies. These physicians volunteer their time and professional skills, as Providence Saint John's volunteers its staff, resources and facilities, to provide these services at no charge to those living in poverty.Providence Saint John's has been blessed by many extraordinary partners, such as Santa Monica-Malibu Unified School District (SMMUSD) and St. Anne's School. Providence Saint John's supports SMMUSD's School Nurse Program in order to enhance the health status of our community's school age children. Saint John's partners with St. Anne's School by funding a school nurse and providing a school counseling program, thereby extending its community health mission into local parochial schools.Providence Saint John's is a major employer and a not-for-profit corporate citizen on the Westside. As such, we support community organizations such as the Venice Family Clinic, the Santa Monica-Malibu Unified School District, the Westside Family Health Center, OPCC, Saint Joseph's Center, the Saint John's Child and Family Development Center, WISE & Healthy Aging, Step Up on Second, Upward Bound House, St. Anne's School, Pico Youth & Family Center, The City of Santa Monica, Westside Shelter & Hunger Coalition, the Santa Monica Chamber of Commerce, the Santa Monica Firefighters Association, and the American Red Cross. |
| $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,832,144 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,832,144 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $267,482,656 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 314 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1964 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Karl E Fritschel CPA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4255253339 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 Lind Avenue SW 9016 | AddressLine1Txt |
| City | Renton | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 980579016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (48 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Michael Holcomb | ||||||||||
| Chair of the Board | 0.10 | 7.60 | Yes (X) | Yes (X) | $0 | $60,360 | $0 | |||
| Chauncey Boyle SP | ||||||||||
| Director | 0.10 | 5.50 | Yes (X) | $0 | $0 | $0 | ||||
| Marian Schubert CSJ | ||||||||||
| Director | 0.10 | 4.30 | Yes (X) | $0 | $0 | $0 | ||||
| Phyllis Hughes RSM | ||||||||||
| Director | 0.10 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| Carolina Reyes MD | ||||||||||
| Director | 0.10 | 4.60 | Yes (X) | $0 | $15,360 | $0 | ||||
| Michael A Stein | ||||||||||
| Director | 0.10 | 6.00 | Yes (X) | $0 | $15,360 | $0 | ||||
| Eugene Al Parrish | ||||||||||
| Director | 0.10 | 5.00 | Yes (X) | $0 | $15,360 | $0 | ||||
| Bob Wilson | ||||||||||
| Director | 0.10 | 5.00 | Yes (X) | $0 | $18,360 | $0 | ||||
| Sallye Liner | ||||||||||
| Director | 0.10 | 4.30 | Yes (X) | $0 | $15,360 | $0 | ||||
| Isiaah Crawford | ||||||||||
| Director | 0.10 | 4.10 | Yes (X) | $0 | $18,360 | $0 | ||||
| Martha Diaz Aszkenazy | ||||||||||
| Director | 0.10 | 7.70 | Yes (X) | $0 | $18,360 | $0 | ||||
| Kirby McDonald | ||||||||||
| Director | 0.10 | 4.60 | Yes (X) | $0 | $15,360 | $0 | ||||
| Dave Olsen | ||||||||||
| Director | 0.10 | 5.50 | Yes (X) | $0 | $17,860 | $0 | ||||
| Charles Chuck Watts | ||||||||||
| Director | 0.10 | 4.60 | Yes (X) | $0 | $18,360 | $0 | ||||
| Rod F Hochman MD | ||||||||||
| President / CEO | 1.50 | 63.50 | Yes (X) | $0 | $5,102,809 | $74,417 | ||||
| Todd Hofheins | ||||||||||
| EVP/CFO | 1.50 | 63.50 | Yes (X) | $0 | $970,092 | $295,713 | ||||
| Cindy Strauss | ||||||||||
| EVP/Chief Legal Officer | 1.50 | 58.50 | Yes (X) | $0 | $1,526,357 | $64,699 | ||||
| Marcel Loh | ||||||||||
| CEO/St. John's | 45.00 | 5.00 | Yes (X) | $0 | $1,525,547 | $51,540 | ||||
| Barry Harding Thru 515 | ||||||||||
| CFO/St. John's | 48.00 | 2.00 | Yes (X) | $165,000 | $0 | $7,425 | ||||
| James Uli Eff 615 | ||||||||||
| CFO/St. John's | 48.00 | 2.00 | Yes (X) | $231,724 | $0 | $6,804 | ||||
| Randy Axelrod MD Thru 315 | ||||||||||
| EVP/Clinical & Patient Services | 1.50 | 58.50 | $0 | $1,416,580 | $35,750 | Yes (X) | ||||
| Mike Butler | ||||||||||
| President/Operations & Services | 1.50 | 58.50 | $0 | $1,572,348 | $740,248 | Yes (X) | ||||
| Debbie Burton | ||||||||||
| SVP/ Chief Nrsg. Officer | 1.50 | 58.50 | $0 | $683,302 | $55,602 | Yes (X) | ||||
| Debra Canales | ||||||||||
| EVP/Chief People & Experience Ofc. | 1.50 | 58.50 | $0 | $1,650,655 | $458,130 | Yes (X) | ||||
| Gary Flaming | ||||||||||
| SVP/Chief Risk Officer | 1.50 | 53.50 | $0 | $518,559 | $91,255 | Yes (X) | ||||
| Jack Friedman Thru 615 | ||||||||||
| SVP/Accountable Care & Payor Rel. | 1.00 | 49.00 | $0 | $770,782 | $117,919 | Yes (X) | ||||
| Mark Gargett | ||||||||||
| VP/Digital Integration | 1.00 | 49.00 | $0 | $632,716 | $82,292 | Yes (X) | ||||
| Joel Gilbertson | ||||||||||
| SVP, Comm. Partnrshp. & Ext. Affairs | 1.50 | 58.50 | $0 | $566,699 | $203,896 | Yes (X) | ||||
| Aaron Martin | ||||||||||
| SVP/Strategy & Innovation | 1.50 | 63.50 | $0 | $681,696 | $189,399 | Yes (X) | ||||
| Rhonda Medows MD | ||||||||||
| EVP/Population Health | 1.50 | 58.50 | $0 | $667,975 | $188,508 | Yes (X) | ||||
| Jack Mudd | ||||||||||
| SVP/Mission Leadership | 1.50 | 53.50 | $0 | $632,418 | $88,850 | Yes (X) | ||||
| Janice Newell | ||||||||||
| SVP/Chief Information Officer | 1.50 | 58.50 | $0 | $1,535,323 | $37,767 | Yes (X) | ||||
| Steve Mohr | ||||||||||
| VP/Finance Ops. CA | 1.00 | 49.00 | $0 | $578,652 | $117,294 | Yes (X) | ||||
| Harvey Smith | ||||||||||
| SVP/Chief Customer Svc. Officer | 1.00 | 49.00 | $0 | $844,548 | $41,905 | Yes (X) | ||||
| Teresa Spalding | ||||||||||
| VP/Revenue Cycle | 1.50 | 58.50 | $0 | $691,899 | $45,132 | Yes (X) | ||||
| Greg Till | ||||||||||
| VP/Chief Talent Officer | 1.50 | 58.50 | $0 | $534,186 | $99,744 | Yes (X) | ||||
| Sharon Toncray | ||||||||||
| SVP/HR Strat. Partners | 1.50 | 53.50 | $0 | $563,982 | $196,084 | Yes (X) | ||||
| Lisa Vance | ||||||||||
| SVP/Clinical Program Services | 1.50 | 63.50 | $0 | $786,086 | $51,186 | Yes (X) | ||||
| Mike Waters | ||||||||||
| VP,CAO/Physician Services | 1.50 | 63.50 | $0 | $517,949 | $126,125 | Yes (X) | ||||
| Craig Wright MD | ||||||||||
| SVP/Physician Services | 1.50 | 58.50 | $0 | $2,795,040 | $125,380 | Yes (X) | ||||
| Robert O Klein | ||||||||||
| President/CEO Foundation | 1.00 | 40.00 | $514,715 | $0 | $26,246 | Yes (X) | ||||
| Dawna Hendel | ||||||||||
| CNO | 40.00 | 1.00 | $287,317 | $0 | $21,166 | Yes (X) | ||||
| Dorothy Balley | ||||||||||
| Clinical Nurse | 40.00 | 0.00 | $282,942 | $0 | $3,761 | Yes (X) | ||||
| Jaleh Akhavan | ||||||||||
| Admin Dir. Surgical | 40.00 | 1.00 | $264,231 | $0 | $21,118 | Yes (X) | ||||
| Stella Nichols | ||||||||||
| CFO/Foundation | 1.00 | 40.00 | $262,798 | $0 | $24,339 | Yes (X) | ||||
| Michael Hunn | ||||||||||
| Former /CE / CA. Region | 0.00 | 0.00 | $0 | $584,681 | $67,660 | Yes (X) | ||||
| John Fletcher | ||||||||||
| Former VP/Operations Support | 0.00 | 0.00 | $0 | $583,850 | $18,778 | Yes (X) | ||||
| Jan Jones | ||||||||||
| Former SVP/CAO | 0.00 | 0.00 | $0 | $759,461 | $33,986 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,008,727 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $29,922,652 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,810,118 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 418 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Rightsourcing Inc | |||||
| 1328 Twenty-Second Street | Santa Monica | CA | 90404 | Agency Services | $9,979,720 |
| Saint John's Multispecialty | |||||
| 2121 Santa Monica Blvd | Santa Monica | CA | 90404 | Physician Services | $6,801,434 |
| Medi Dyn Inc | |||||
| 13028 Collections Center Drive | Chicago | IL | 60693 | Housekeeping Services | $3,371,488 |
| Aramark Uniform and Career App | |||||
| 141 Longwater Dr | Nowell | MA | 020611683 | Dietary Outsource Services | $2,790,888 |
| US Nursing Corp | |||||
| 6399 S Fiddlers Green Circle Suit | Greenwood Village | CO | 80111 | Agency Services | $1,574,350 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 68 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $8,919,735 | RelatedOrganizationsAmt |
| Government Grants | $2,661,503 | GovernmentGrantsAmt |
| All Other Contributions | $1,166,459 | AllOtherContributionsAmt |
| Total Contributions | $12,747,697 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Acute Care/Inpatient | 900099 | $236,645,119 | $236,645,119 | |
| Acute Care/Outpatient | 621400 | $87,718,571 | $82,905,874 | $4,812,697 |
| Primary Care | 621110 | $7,546,438 | $7,546,438 | |
| HealthCare JVs | 900099 | -$561,493 | -$561,493 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $331,348,635 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,740,565 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,261,188 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $479,377 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $479,377 | TotalRevenueColumnAmt |
| Exclusion | $479,377 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,194 | SecuritiesAmt |
| Other | $2,390,181 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,194 | SecuritiesAmt |
| Other | $2,390,181 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,391,375 | TotalRevenueColumnAmt |
| Exclusion | $2,391,375 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $214,972 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $243,171 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$28,199 | TotalRevenueColumnAmt |
| Exclusion | -$28,199 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria | 722410 | $1,170,352 | $1,170,352 | |
| Parking Revenue | 812930 | $508,253 | $508,253 | |
| Educational Programs | 900099 | $98,581 | $98,581 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,082,734 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $170,364 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,912,370 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,859,920 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $350,798,805 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $326,804,883 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,812,697 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,433,528 | 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 | $1,827,794 | TotalAmt |
| Program Services | $1,827,794 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,350 | TotalAmt |
| Program Services | $4,350 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,964,588 | TotalAmt |
| Management And General | $1,964,588 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,416,527 | TotalAmt |
| Program Services | $96,249,348 | ProgramServicesAmt |
| Management And General | $15,167,179 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,650,484 | TotalAmt |
| Program Services | $3,150,883 | ProgramServicesAmt |
| Management And General | $499,601 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $656,769 | TotalAmt |
| Program Services | $565,350 | ProgramServicesAmt |
| Management And General | $91,419 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,028,411 | TotalAmt |
| Program Services | $6,910,892 | ProgramServicesAmt |
| Management And General | $1,117,519 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285,538 | TotalAmt |
| Management And General | $285,538 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,750,386 | TotalAmt |
| Program Services | $45,261,670 | ProgramServicesAmt |
| Management And General | $7,488,716 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,307 | TotalAmt |
| Management And General | $93,307 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,012,474 | TotalAmt |
| Program Services | $3,445,276 | ProgramServicesAmt |
| Management And General | $2,567,198 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,963 | TotalAmt |
| Program Services | $255,622 | ProgramServicesAmt |
| Management And General | $56,341 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,404,651 | TotalAmt |
| Program Services | $4,579,864 | ProgramServicesAmt |
| Management And General | $2,824,787 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,343 | TotalAmt |
| Program Services | $42,659 | ProgramServicesAmt |
| Management And General | $89,684 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,296 | TotalAmt |
| Program Services | $36,992 | ProgramServicesAmt |
| Management And General | $109,304 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,476,897 | TotalAmt |
| Program Services | $5,476,224 | ProgramServicesAmt |
| Management And General | $673 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,220,852 | TotalAmt |
| Program Services | $25,609,774 | ProgramServicesAmt |
| Management And General | $2,611,078 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,778,688 | TotalAmt |
| Program Services | $8,930,495 | ProgramServicesAmt |
| Management And General | $1,848,193 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $485,622 | TotalAmt |
| Program Services | $425,441 | ProgramServicesAmt |
| Management And General | $60,181 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $57,075,611 | $57,075,611 | |
| Bad Debts | $6,994,164 | $6,994,164 | |
| Parking | $2,508,922 | $2,508,922 | |
| UBI Taxes | $100,000 | $100,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,182,093 | TotalAmt |
| Program Services | $640,247 | ProgramServicesAmt |
| Management And General | $2,541,846 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $309,508,730 | TotalAmt |
| Program Services | $267,482,656 | ProgramServicesAmt |
| Management And General | $42,026,074 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$55,148 | BOYAmt |
| EOY | $3,600 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $105,400 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,107,554 | BOYAmt |
| EOY | $44,468,308 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,793,898 | BOYAmt |
| EOY | $6,289,375 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,071,944 | BOYAmt |
| EOY | $2,028,634 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $303,601,241 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $22,670,419 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $285,768,203 | BOYAmt |
| EOY | $280,930,822 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,035,613 | BOYAmt |
| EOY | $110,254,043 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,000 | BOYAmt |
| EOY | $462,466 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,759,701 | BOYAmt |
| EOY | $328,440,111 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $721,781,765 | BOYAmt |
| EOY | $772,982,759 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,073,674 | BOYAmt |
| EOY | $29,102,419 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,602,314 | BOYAmt |
| EOY | $4,323,483 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,740,000 | BOYAmt |
| EOY | $118,740,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,424,002 | BOYAmt |
| EOY | $312,105,816 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $452,839,990 | BOYAmt |
| EOY | $464,271,718 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $213,523,005 | BOYAmt |
| EOY | $250,502,150 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,789,080 | BOYAmt |
| EOY | $43,553,560 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,629,690 | BOYAmt |
| EOY | $14,655,331 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,941,775 | BOYAmt |
| EOY | $308,711,041 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $721,781,765 | BOYAmt |
| EOY | $772,982,759 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $41,290,075 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,520,809 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $150,000,000 | OtherCostOrOtherBasisAmt |
| Book Value | $150,000,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $99,598,559 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,185,451 | DepreciationAmt |
| Book Value | $94,413,108 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,670,647 | OtherCostOrOtherBasisAmt |
| Depreciation | $552,769 | DepreciationAmt |
| Book Value | $3,117,878 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,847,909 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,932,199 | DepreciationAmt |
| Book Value | $21,915,710 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,484,126 | OtherCostOrOtherBasisAmt |
| Book Value | $11,484,126 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $280,930,822 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Investment in Foundation | $110,240,043 | C |
| Investment in PPH | $14,000 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $110,254,043 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivable | $927,173 |
| Due from Affiliates | $326,028,181 |
| Unamortized Bond Financing Costs | $1,367,132 |
| Third Party Settlements | $117,625 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $328,440,111 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $120,000 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Third Party Settlements | $1,336,865 |
| Other payables | $24,926,334 |
| Due To Affiliates | $278,389,462 |
| Bond Premium Discount | $7,333,155 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $312,105,816 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Health System (Providence Health & Services) recognizes the effect of income tax positions only if those positions are more likely than not of being sustained upon an audit by the taxing authority. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,771,764 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,771,764 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00590 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,794,098 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | -$19,122,421 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,916,519 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10880 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,565,862 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | -$19,122,421 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,688,283 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11470 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $733,915 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $733,915 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,249,227 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,876 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,238,351 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,535,122 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,040,609 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,494,513 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01490 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,866,076 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,866,076 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00620 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,384,340 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,051,485 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,332,855 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02760 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,950,202 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | -$15,070,936 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $43,021,138 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14230 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,297,717 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,297,717 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,297,717 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,297,717 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,994,164 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $126,971,551 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $160,250,076 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$33,278,525 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 SM Wilshire Imaging | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Outpatient imaging center | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.50000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint John's Health Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2121 Santa Monica Blvd | AddressLine1Txt |
| City | Santa Monica | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90404 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | california.providence.org/saint-johns/ | WebsiteAddressTxt |
| State License | 930000158 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint John's Health Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | communitybenefit.providence.org/community-health-needs-assessments/ | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 350.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www2.providence.org/obp/states/ca/financial-assistance.html | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www2.providence.org/obp/states/ca/financial-assistance.html | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www2.providence.org/obp/states/ca/financial-assistance.html | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Saint John's Health Center | Part V, Section B, Line 5: The needs assessment is validated by Saint John's Community Advisory Committee, composed of members of local community based organizations, and local governmental agencies. |
| Saint John's Health Center | Part V, Section B, Line 11: In the 2013 CHNA, there were four priority needs/issues identified from this assessment. Saint John's chose these areas because they were the most frequently mentioned by survey respondents, responses can be targeted to the areas of greatest need, and because in each of these areas there is a structured collaboration in place that can facilitate effective action.The first need was affordable and accessible mental health services. Providence Saint John's Health Center operates the Child and Family Development Center (CFDC). This program offers free and low cost mental health services to children and youth at the facility in Santa Monica and through partnerships with area schools and nonprofit organizations. The CFDC also offers a therapeutic preschool to assist children that might be dealing with learning and behavioral issues.The second priority need was assistance for homeless patients using the emergency department at the hospital. PSJHC is working closely with several homeless organizations in the area to better address the needs of these patients. PSJHC helps to fund some of the projects at two of the area's homeless organizations. The organization also funds homeless health care services through a program operated by Venice Family Clinic. Also, the hospital will be initiating a Homeless Care Navigator Program in the emergency department in the fourth quarter of 2015. This person will work closely with hospital staff, physicians, and the community to ensure that the patients are getting connected with the resources and services that they need.The third priority need was improved access to affordable and convenient primary and specialty care. PSJHC is working in partnership with UCLA Health System, Venice Family Clinic, Westside Family Health Center, Kaiser Permanente and Cedars-Sinai Health System to look at ways to expand medical access on the Westside. The organizations serve on a collaborative committee and the group is focusing on ways to contract with Medi-Cal managed care to improve specialty access. The group has also identified the top medical specialties that are in demand in the area, and work is underway to try and improve access in these areas including gastroenterology and dermatology.The fourth priority need was expanded health education and wellness programs for the community. PSJHC offers a very robust health education program for the community. Four health education symposia are offered each year for the community that focus on various health and wellness topics (e.g. nutrition, cancer prevention, chronic disease, women's health, etc.). Staff and physicians from PSJHC participate as expert speakers at these educational events that are very well received by the community with 70+ people attending on average.Not selected at this time were dental care and assistance in enrollment in the new insurance programs - Saint John's does not have the resources to respond to the need at this time. |
| Saint John's Health Center | Part V, Section B, Line 22d: The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family. |
| Part V, Section B, Line 7a | communitybenefit.providence.org/community-health-needs-assessments/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 13 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Santa Monica Wilshire Imaging | ||||
| 2200-2202 Wilshire Blvd | Santa Monica | CA | 90404 | Outpatient/Imaging Ctr |
| 2 - Family and Obesity Medicine | ||||
| 12304 Santa Monica Blvd Suite 101 | Los Angeles | CA | 90025 | Primary Care |
| 3 - Pediatrics KIDDOX | ||||
| 1245 16th St Suite 305 | Santa Monica | CA | 90404 | Primary Care |
| 4 - Family Medicine | ||||
| 1811 Wilshire Blvd Suite 201 | Santa Monica | CA | 90403 | Primary Care |
| 5 - Family Medicine | ||||
| 1821 Wilshire Blvd Suite 301 | Santa Monica | CA | 90403 | Primary Care |
| 6 - Pediatrics | ||||
| 2021 Santa Monica Blvd Suite 245E | Santa Monica | CA | 90404 | Primary Care |
| 7 - Pediatrics | ||||
| 2021 Santa Monica Blvd Suite 421E | Santa Monica | CA | 90404 | Primary Care |
| 8 - Family Medicine PEAK | ||||
| 2143 S Sepulveda Bl 300 | Los Angeles | CA | 90025 | Primary Care |
| 9 - Internal Medicine | ||||
| 1301 20th St Suite 110 | Santa Monica | CA | 90404 | Specialty Clinic |
| 10 - Nephrology & Internal Medicine | ||||
| 1301 20th St Suite 290 | Santa Monica | CA | 90404 | Specialty Clinic |
| 11 - Rheumatology | ||||
| 2021 Santa Monica Blvd Suite 335E | Santa Monica | CA | 90404 | Specialty Clinic |
| 12 - Hospital Medicine | ||||
| 2121 Santa Monica Blvd | Santa Monica | CA | 90404 | Specialty Clinic |
| 13 - Rheumatology | ||||
| 2336 Santa Monica Bl 207 | Santa Monica | CA | 90404 | Specialty Clinic |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Eligibility for Charity is determined by an inability to pay defined in the policy based on one or more of the following criteria: Presumptive Charity and Charity. Presumptive Charity determines that financial Assistance Application is not required if a patient is either homeless, or is enrolled in some sort of Medicaid Program, or is verified to be unable to pay under income/asset test. Charity requires completion of Financial Assistance Application and validation that a patient's gross income is less than 350% of FPG. |
| Part I, Ln 7 Col(f): | The Bad Debt expense included on Form 990, Part IX, Line 25(A), but subtracted for purposes of calculating the percentage in this column is $ 6,994,164. |
| Part I, Line 7b, Column d | 2015 Direct Offsetting Revenue was calculated as a result of correcting provider tax allocation reported in prior years. |
| Part II, Community Building Activities: | We extend our care beyond our hospital's walls in order to improve the health of our community. Our community building activities demonstrate this commitment. During this year, our community building activities included environmental stewardship, presentations to educational professional by child & family development center mental health providers, participation in the faith committee of the Westside Shelter & Hunger Coalition. We are an important part of our community and serve in many ways, from delivering core health care to preventive care to support of other civic groups. Our executives serve on the boards of many local nonprofit agencies throughout the community and our board of directors represents medical and business professionals, and all provide hours of service in support of our hospital. They are deeply involved in our needs assessment process, building programs and services, and community outreach to ensure that people know about services available to them through our hospital. When Saint John's has excess revenue over operating expenses, we use those funds to obtain current health care technologies and equipment, improve patient care, provide medical training education and research, and to expand access to points of care. These investments ensure we'll be here to care for future generations.We have an open medical staff, we provide several educational events designed to promote healthy behaviors, and access to medical care, and continue to donate unused supplies to nonprofit corporations in the community and those that serve international needs. We also support our employees in volunteering for community organizations, including serving on community boards, and provide opportunities for them to support causes through hospital events such as:Autism Advisory Board California Professional Society on the Abuse of Children (CAPSAC) California State College, Los Angeles Child Abuse Professional Providers Association (CAPPA) Clare Foundation Hospital Association of Southern California Interagency Council on Abuse and Neglect (ICAN) Institute of Contemporary Psychology John Adams Middle School Student Success Team Meetings Los Angeles Unified School District (LAUSD) Los Angeles Service Area 5 Provider Advisory Committee Los Angeles County Department of Mental Health Networking Meetings Los Angeles United School District Fair for Parents of Deaf and Hard of Hearing Children Los Angeles Chapter of the Hearing Loss Association Lifelong Learning Community Partnership Lincoln School Counselor Meetings McKinley Elementary School English Language Advisory Committee OPCC* (formerly Ocean Park Community Center) Organization of Community Human Service Agencies Pico Neighborhood Project and Pico Youth and Family Center Rand Corporation Meetings (as invited)Rideshare Santa Monica Chamber of Commerce Santa Monica Child Care Task ForceSanta Monica College - Child Development Department Santa Monica Early Childhood Task Force Santa Monica Rotary Club Santa Monica Malibu Unified School District Santa Monica College Foundation Search to Involve Pilipino Americans Southern California Bioethics Consortium St Joseph Center Unity Fair at Virginia Ave Park Upward Bound House Venice Family Clinic West Service Planning Area Westside Child Trauma Council Westside Children's Center Westside Diabetes Task Force Westside Directors (UCLA/Connections for Children) Westside Domestic Violence Coalition Westside Family Health Center Westside Meals on Wheels West Los Angeles Department of Mental Health Child Mental Health Providers Group Westside Health Coalition Westside Transportation Collaborative Wise & Healthy Aging Youth Resource Team of Virginia Avenue Park YWCA of Santa Monica We are good citizens and partner with other organizations and agencies to support a thriving community, including: Santa Monica Chamber of Commerce Santa Monica College Foundation Santa Monica Police Activities League Santa Monica Fire Department Westside YMCA and YWCA Westside Domestic Violence Network Prior to 3/1/2014, Saint John's Health Center was part of the Sisters of Charity of Leavenworth Health System (SCLHS). As part of SCLHS, we promote the shared mission that "we will, in the spirit of the sisters of charity, reveal God's healing love by improving the health of the individuals and communities we serve, especially those who are poor or vulnerable". We are committed to living and demonstrating our core values of excellence, respect, response to need, stewardship and wholeness. SCLHS supports its hospitals by providing guidance, oversight, and resources to help them accomplish initiatives that improve health in all our communities. This includes coordinating community benefit processes, providing guidance with community needs assessments, and establishing consistent financial assistance and charity care policies and procedures. Other ways SCLHS benefits its hospitals include quality improvement and performance excellence initiatives, system-wide IT implementation and infrastructure, strategic and operations direction and oversight, supply chain management and purchasing, benefits administration (including a wellness program free for employees that promotes their health and well-being), risk management, disaster planning and crisis assistance. By sharing the work across our system we are able to lighten the burden for all in order to fulfill our mission of improving health in our communities. SCLHS improves overall health in our communities by providing infrastructure to support and sustain four clinics for the uninsured in Kansas and Colorado. The SCLHS clinics for the uninsured are often the only safety net clinic in their community and provide valuable services for those who are most vulnerable. Each hospital is supported by a foundation to access and optimize local philanthropic organizations and individuals. These foundations raise funds through outreach, special events, and building donor relations throughout their community to support the needs of the hospital.In March of 2014, Saint John's Health Center affiliated with Providence Health & Services. As a not-for-profit Catholic health care ministry, Providence Health & Services embraces its responsibility to provide for the needs of the communities it serves - especially the poor and vulnerable. Providence's not-for-profit, tax-exempt status enables Providence to serve its communities, to solicit donations through its foundations and to access capital to respond to community needs that otherwise would go unmet. |
| Part III, Line 2: | Bad debt expense represents the amount of gross charges for patients who do not have insurance and which Providence Saint John's Health Center was unable to qualify for assistance under either government programs or our internal charity care policy. |
| Part III, Line 4: | The Health System provides for an allowance against patient accounts receivable for amounts that could become uncollectible. The Health System estimates this allowance based on the aging of accounts receivable, historical collection experience by payor, and other relevant factors. There are various factors that can impact the collection trends, such as changes in the economy, which in turn have an impact on unemployment rates and the number of uninsured and underinsured patients, the increased burden of copayments to be made by patients with insurance coverage and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the estimation process used by the Health System. The Health System records a provision for bad debts in the period of services on the basis of past experience, which has historically indicated that many patients are unresponsive or are otherwise unwilling to pay the portion of their bill for which they are financially responsible. |
| Part III, Line 8: | It is the organization's policy to exclude any Medicare shortfall from Community Benefit information.The amount reported on Part III, Section B, line 6, was determined by applying the Cost-to-Charge Ratio to the Medicare revenue. |
| Part III, Line 9b: | Saint John's Health Center has billing and collection practices in place that take into account each patient's ability to pay, and that demonstrate our core value of respect. We work with each patient to help them understand their financial responsibility for care received, financial assistance available to them, and to establish payment programs. An integral component of our mission is to be good financial stewards. This requires us to determine which patients are in need of charity care and which are able to contribute some payment for care received. This balance enables us to continue to provide charity care to those who need it most, and to ensure that we will be here when people need us. Saint John's Health Center notifies patients of financial assistance policy upon admission, discharge and in communication regarding patient bills. Patients are contacted multiple times about unpaid balances prior to initiating any collection action. If a patient is determined to be eligible for financial assistance at any time during the collection process, the account is reclassified as financial assistance and debt collection efforts are ceased. |
| Part VI, Line 2: | Process and Methods:A variety of demographic and health information was gathered from both primary and secondary sources. Secondary data for Saint John's community health needs assessment involved collection and analysis of demographic and health status information for SPA5 (Service Planning Area 5). The following types of information were used: local health department indicators of health status, city reports of health and development assessment, homeless counts, population, death statistics, designated Health Professional Shortage Areas, large scale telephone surveys designed to measure health access, utilization of health services and health behaviors.The second phase of the needs assessment was qualitative primary research. Telephone, online and in-person surveys with representatives from public and private community organizations were conducted. Respondents were asked to indicate how they wanted to provide feedback. This was selected as an efficient, convenient and cost effective way to gain understanding of important health issues and potential opportunities to collaborate. Sources of Data and Dates:Los Angeles County Department of Public Health - Key Indicators of Health, 2013; Health Survey, 2011; Reportable Diseases, 2012California Department of Public Health - Office of Statewide Health and Development Market Service Study Areas, 2012Los Angeles Economic Roundtable - Hospital to Home: Triage Tool II for Identifying Homeless Patients in Crisis, 2012The City of Santa Monica - Youth Wellbeing Report Card, 2013Los Angeles Homeless Services Authority - Greater Los Angeles Homeless Count, 2013Truven Health Analytics, 2013UCLA Center for Policy Research, 2011United States Department of Health and Human Services - Health Information Exchange, 2013Centers for Disease Control, 2011US Department of Commerce, Census - Quick Facts 2013Secondary Sources of Data:Health Indicator CategoriesLos Angeles County published a report entitled Key Determinants of Health, in March of 2013. This report uses widely accepted observations of the disparities in health, and their effect on individuals, their health status and even the length of their lives.An explanation of the use of these key determinants can be found on Healthy People 2020's website:"Powerful, complex relationships exist between health and biology, genetics, and individual behavior, and between health and health services, socioeconomic status, the physical environment, discrimination, racism, literacy levels, and legislative policies. These factors, which influence an individual's or population's health, are known as determinants of health.For all Americans, other influences on health include the availability of and access to: A high-quality education; Nutritious food; Decent and safe housing; Affordable, reliable public transportation; Culturally sensitive health care providers; Health insurance; and Clean water and nonpolluted air". Source:http://healthypeople.gov/2020/about/disparitiesAbout.aspxSaint John's used the key determinants of health in SPA5 and compared them with those of the County of Los Angeles, the state of California and/or the USA. Those determinants are:DemographicsSocial DeterminantsPhysical DeterminantsParenting PracticesHealth StatusAccess to CarePreventive ServicesHealth BehaviorsHealth Outcomes |
| Part VI, Line 3: | COMMUNICATION TO THE PUBLIC:Saint John Health Center posts notices regarding the availability of financial assistance to low-income uninsured patients. These notices are posted in visible locations throughout the hospital such as admitting/registration, billing office, emergency department and other outpatient settings.Every posted notice regarding financial assistance policies contains brief instructions on how to apply for financial assistance or a discounted payment. The notices also include a contact telephone number that a patient or family member can call to obtain more information.At the time of registration, patients receive a packet that includes information on charity care and financial assistance. If patients have any questions, Saint John has financial counselors that will educate them on any financial assistance through the hospital or any government program that the patient may qualify for.Saint John 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, Saint John 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.Saint John shares their financial assistance policies with appropriate community health and human services agencies and other organizations that assist such patients. |
| Part VI, Line 4: | Saint John's Health Center determined our community by reviewing the addresses reported by our patients. 78% used a zip code within the Service Planning Area (SPA) 5.A Service Planning Area, or SPA, is a specific geographic region within Los Angeles County. Due to the large size of LA County (4,300 square miles), it has been divided into 8 geographic areas. These distinct regions allow the Department of Public Health to develop and provide more relevant public health and clinical services targeted to the specific health needs of the residents in these different areas.Below are the zip codes in SPA 5:90272 Pacific Palisades; 90049 Los Angeles (Brentwood/Bel Air); 90403 Santa Monica - central; 90066 Los Angeles (Mar vista); 90025 Los Angeles (West LA/Sawtelle); 90405 Santa Monica - south; 90404 Santa Monica - central; 90064 Los Angeles (Cheviot Hills/Rancho Park); 90402 Santa Monica - north; 90291 Venice; 90292 Marina Del Rey; 90265 Malibu; 90230 Culver City; 90024 Los Angeles (Westwood); 90034 Los Angeles (Palms); 90045 Los Angeles (Westchester); 90401 Santa Monica - west; 90210 Beverly Hills; 90232 Culver City; 90293 Playa Del Rey; 90077 Los Angeles (Bel Air/Beverly Glen); 90035 Los Angeles (West Fairfax); 90245 El Segundo; 90290 Topanga; 90094 Los Angeles (Playa Vista); 90212 Beverly Hills; 90067 Los Angeles (Century City); 90056 Los Angeles (Ladera Heights); 90211 Beverly Hills; 90263 MalibuFollowing are the hospitals physically located in SPA 5:Brotman Medical Center 90231; Kaiser Foundation Hospital 90034; Miracle Mile Medical Center 90036; Olympia Medical Center 90036; Kindred Hospital 90056; Century City Doctor's Hospital 90067; Ronald Reagan UCLA Medical Center 90095; UCLA Medical Center 90095; Marina Del Rey hospital 90291; Santa Monica UCLA Medical Center & Orthopedic Hospital 90404.Saint John's Health Center is located in zip code 90404, in the city of Santa Monica. Based on Los Angeles Department of Public Health key Indicators of Health, March 2013, the total population in SPA 5 is 637,129. Additional information on Service Planning Area 5 is summarized as following:-The majority of residents are white (65.4%). Approximately 15.7% of residents are Hispanic, 13.0% are Asian/Pacific Islander, 5.8% are black, and 0.1% are of other races or two or more races.-Among persons age 5 years and older in the service area, 83.4% speak English at home, 6.9% speak Spanish, 3.3% an Asian or Pacific Island language, and 6.4% other languages.-Among persons 25 years and older living in the Service Area, 6.7% have less than a high school education (no high school diploma), 11.9% are high school graduates, 25% have completed some college (no degree), and 56.4% have college, graduate or professional degrees.-33.5% reported excellent health status, 32.2% reported very good, 10.2% fair and 1.1% poor.-Children ages 0-17 years 3.0% who are uninsured, 28.4% who do not have dental insurance, 4.5% who have difficulty accessing medical care. Adults ages 18-64 years 12.7% who are uninsured, 39.4% who do not have dental insurance, 17.0% who have difficulty accessing medical care.-8.5% of children ages 3-17 years who did not obtain dental care (including check-ups) in the past year because they could not afford it. 19.4% of adults who did not obtain dental care (including check-ups) in the past year because they could not afford it. 7.8% of children ages 3-17 years who tried to get mental or behavioral health care in the past year. 10.6% of adults who tried to get mental health care in the past year. 9.8% of adults who did not obtain needed prescription medication in the past year because they could not afford it.-35.8% of men ages 45 or older and women 55 years or older who take aspirin daily or every other day for their heart. 74.6% of women 65 years or older who have ever been screened for osteoporosis. -85.2% of all live births where mother received prenatal care during the 1st trimester. 83.5% of women ages 18-65 years who had a pap smear within the past 3 years. 82.5% of women ages 50-74 years who had a mammogram within the past 2 years. -72.3% of adults ages 50-74 years who have been screened for colon cancer (blood in stool in past year or sigmoidoscopy in the past 5 years or colonoscopy in the past 10 years). -61.5% of girls ages 13-17 years vaccinated (at least one dose) for Human Papillomavirus (HPV). 31.0% of adults 18-64 years or older vaccinated for influenza in the past year. 70.1% of adults 65 years or older vaccinated for influenza in the past year. 64.1% of adults ages 65 years or older ever vaccinated for pneumonia.-16.5% of adults who binge drink (men who had 5 or more alcoholic drinks, women 4 or more, on at least one occasion in the past 30 days). 3.5 % of adults who misused prescription drugs in the past year.-88.4% of children ages 2-17 years who eat breakfast daily. 22.1% of adults who consume five or more servings of fruits and vegetables a day. 27.8% of adults who eat fast food at least once a week. 31.6% of children who eat fast food at least once a week. 21.9% of children who drink at least one soda or sweetened drink a day. 9.7% of adults who smoke cigarettes.-15.3% of children in grades 5, 7, & 9 who are obese (BMI above the 95th percentile). 9.8% of adults who are obese (BMI > 30.0). 33.5% of adults who are overweight (25 < BMI < 30.0). 55% of adults ever diagnosed with diabetes. Diabetes death rate (age-adjusted per 100,000 population) is 9.3%. 17.1% of adults ever diagnosed with hypertension. 24.8% of adults ever diagnosed with high cholesterol.-Rate of births (per 1,000 live births) to teens ages 15-19 years is 6%. Rate of low weight (2,500 grams) births (per 1,000 live births) is 6.8% of low weight (<2,500 grams) African-American births (per 100 live births) is 9.4. Infant death rate (per 1,000 live births) is 3.2.-17.7% of adults diagnosed with arthritis, 24.9% of women 65 years or older diagnosed with osteoporosis -Suicide rate (age-adjusted per 100,000 population) is 10.6%. Rate of unintentional drug-related (includes alcohol) death crashes (age-adjusted per 100,000 population) is 5.7%. 13.4% of adults ever diagnosed with depression. 10.3% of adults with current depression. 7.6% of adults with current anxiety. Alzheimer's disease death rate (age-adjusted per 100,000 population) is 24%.(Continued) |
| Part VI, Line 5: | No additional information is available at the current time. |
| Part VI, Line 6: | In March of 2014, Saint John's Health Center affiliated with Providence Health & Services. The Health System owns or operates 34 general acute care hospitals, three ambulatory care centers, six medical groups, six long term care facilities, seven homecare and hospice entities, five assisted living facilities, a high school, a university, 13 low income housing projects, the Health Plan, a health services contractor, two programs of all inclusive care for the elderly, and 23 controlled fundraising foundations. The Health System provides inpatient, outpatient, primary care, and home care services in Alaska, Washington, Montana, Oregon, and Southern California. The Health System operates these businesses primarily in the greater metropolitan areas of Anchorage, Alaska; Seattle, Spokane, Kennewick, and Olympia, Washington; Missoula, Montana; Portland and Medford, Oregon; and Los Angeles, California. The charitable purpose of Providence Health & Services and each of its ministries is guided by one Mission and set of core values based on Catholic health care and guided by the legacy of the Sisters of Providence. As one system committed to caring for the poor and vulnerable, Providence Health & Services has developed a single framework for consistently reporting charity care and community benefit. Our responsibility to stewardship drives us to a standardized approach to supply chain so that we can deliver excellent patient care while reducing the cost of delivered supplies. Our commitment to respect and fairness means Providence has a system-wide compensation policy. Locally, Providence ministries are empowered to apply these policies to meet the local needs of their community. Additionally, Providence ministries conduct local assessments to make sure the needs of the community are met. |
| Part VI, Line 7, Reports Filed With States | AK,CA,MT,OR,WA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Venice Family Clinic | |||||||
| 604 Rose Ave | Venice | CA | 90291 | 952769432 | 501 (c )(3) | $809,598 | Clinic expansion |
| Westside Family Health Center | |||||||
| 1711 Ocean Park Blvd | Santa Monica | CA | 90405 | 952931931 | 501 (c )(3) | $300,000 | Support Blooming Babies |
| Ocean Park Community Center | |||||||
| 1453 16th St | Santa Monica | CA | 90404 | 956143865 | 501 (c )(3) | $300,000 | Assist homeless outreach |
| Santa Monica Malibu Unified School District | |||||||
| 1651 16th St | Santa Monica | CA | 90401 | 956002855 | Government | $50,000 | Community education |
| Saint Anne School | |||||||
| 2015 Colorado Blvd | Santa Monica | CA | 90404 | 951690538 | 501 (c )(3) | $50,000 | Community education |
| St Joseph Center | |||||||
| 204 Hampton | Venice | CA | 90291 | 953874381 | 501 (c )(3) | $50,000 | Program support |
| Palisades Will Rogers 5 and 10K Run Foundation | |||||||
| P O Box 601 | Pacific Palisades | CA | 90272 | 463944524 | 501 (c )(3) | $35,000 | Sponsorship |
| Community Partners | |||||||
| P O Box 7411 | Santa Monica | CA | 90406 | 954302067 | 501 (c )(3) | $31,625 | Sponsorship |
| Wise and Healthy Aging | |||||||
| 1527 4th Street | Santa Monica | CA | 90401 | 952788014 | 501 (c )(3) | $30,000 | Program support |
| Upward Bound House | |||||||
| 12841 W Washington | Los Angeles | CA | 90066 | 954288926 | 501 (c )(3) | $30,000 | Program support |
| Step up on Second | |||||||
| 1328 Second St | Santa Monica | CA | 90401 | 954109386 | 501 (c )(3) | $30,000 | Program support |
| Boys and Girls Clubs of Santa Monica | |||||||
| 1238 Lincoln Blvd | Santa Monica | CA | 90401 | 951890706 | 501 (c )(3) | $25,000 | Program support |
| Meals on Wheels | |||||||
| 1823 Michigan Ave | Santa Monica | CA | 90404 | 954613280 | 501 (c )(3) | $22,500 | Program support |
| Catholic Big Brothers and Big Sisters Los Angeles | |||||||
| 1530 James M Wood Blvd | Los Angeles | CA | 90015 | 951690972 | 501 (c )(3) | $20,000 | Program support |
| Pico Youth and Family Center | |||||||
| 715 Pico Blvd | Santa Monica | CA | 90405 | 481269398 | 501 (c )(3) | $15,000 | Program support |
| Santa Monica College | |||||||
| 1900 Pico Blvd | Santa Monica | CA | 90405 | 952767537 | Government | $15,000 | Program support |
| John Wayne Cancer Institute Auxiliary | |||||||
| 5670 Wilshire Blvd Suite 830 | Los Angeles | CA | 90036 | 953987691 | 501 (c )(3) | $5,000 | Sponsorship |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 17 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Saint John's monitors the use of grant funds through regular meetings with agency representatives to discuss programs. Additionally, Saint John's receives an annual report of fund usage on the number of individuals served for certain programs. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (34 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rod F Hochman MD | ||||||||||||||
| President / CEO | $0 | $1,562,459 | $0 | $3,522,350 | $0 | $18,000 | $0 | $49,002 | $0 | $25,415 | $0 | $5,177,226 | $0 | $1,152,963 |
| Todd Hofheins | ||||||||||||||
| EVP/CFO | $0 | $704,452 | $0 | $247,640 | $0 | $18,000 | $0 | $269,139 | $0 | $26,574 | $0 | $1,265,805 | $0 | $0 |
| Cindy Strauss | ||||||||||||||
| EVP/Chief Legal Officer | $0 | $526,875 | $0 | $981,482 | $0 | $18,000 | $0 | $40,075 | $0 | $24,624 | $0 | $1,591,056 | $0 | $524,784 |
| Marcel Loh | ||||||||||||||
| CEO/St. John's | $0 | $508,130 | $0 | $912,909 | $0 | $104,508 | $0 | $32,408 | $0 | $19,132 | $0 | $1,577,087 | $0 | $287,484 |
| Barry Harding Thru 515 | ||||||||||||||
| CFO/St. John's | $165,000 | $0 | $0 | $0 | $0 | $0 | $7,425 | $0 | $0 | $0 | $172,425 | $0 | $0 | $0 |
| James Uli Eff 615 | ||||||||||||||
| CFO/St. John's | $156,960 | $0 | $15,000 | $0 | $59,764 | $0 | $2,484 | $0 | $4,320 | $0 | $238,528 | $0 | $0 | $0 |
| Randy Axelrod MD Thru 315 | ||||||||||||||
| EVP/Clinical & Patient Services | $0 | $190,509 | $0 | $679,339 | $0 | $546,732 | $0 | $11,925 | $0 | $23,825 | $0 | $1,452,330 | $0 | $0 |
| Mike Butler | ||||||||||||||
| President/Operations & Services | $0 | $1,151,688 | $0 | $402,660 | $0 | $18,000 | $0 | $710,959 | $0 | $29,289 | $0 | $2,312,596 | $0 | $0 |
| Debbie Burton | ||||||||||||||
| SVP/ Chief Nrsg. Officer | $0 | $365,287 | $0 | $300,015 | $0 | $18,000 | $0 | $31,695 | $0 | $23,907 | $0 | $738,904 | $0 | $0 |
| Debra Canales | ||||||||||||||
| EVP/Chief People & Experience Ofc. | $0 | $772,941 | $0 | $715,960 | $0 | $161,754 | $0 | $444,164 | $0 | $13,966 | $0 | $2,108,785 | $0 | $0 |
| Gary Flaming | ||||||||||||||
| SVP/Chief Risk Officer | $0 | $294,399 | $0 | $206,160 | $0 | $18,000 | $0 | $72,712 | $0 | $18,543 | $0 | $609,814 | $0 | $0 |
| Jack Friedman Thru 615 | ||||||||||||||
| SVP/Accountable Care & Payor Rel. | $0 | $364,689 | $0 | $388,093 | $0 | $18,000 | $0 | $103,565 | $0 | $14,354 | $0 | $888,701 | $0 | $0 |
| Mark Gargett | ||||||||||||||
| VP/Digital Integration | $0 | $387,625 | $0 | $245,091 | $0 | $0 | $0 | $58,688 | $0 | $23,604 | $0 | $715,008 | $0 | $0 |
| Joel Gilbertson | ||||||||||||||
| SVP, Comm. Partnrshp. & Ext. Affairs | $0 | $421,859 | $0 | $126,840 | $0 | $18,000 | $0 | $181,114 | $0 | $22,782 | $0 | $770,595 | $0 | $0 |
| Aaron Martin | ||||||||||||||
| SVP/Strategy & Innovation | $0 | $512,696 | $0 | $151,000 | $0 | $18,000 | $0 | $182,349 | $0 | $7,050 | $0 | $871,095 | $0 | $0 |
| Rhonda Medows MD | ||||||||||||||
| EVP/Population Health | $0 | $524,152 | $0 | $100,000 | $0 | $43,823 | $0 | $176,410 | $0 | $12,098 | $0 | $856,483 | $0 | $0 |
| Jack Mudd | ||||||||||||||
| SVP/Mission Leadership | $0 | $394,530 | $0 | $220,747 | $0 | $17,141 | $0 | $70,632 | $0 | $18,218 | $0 | $721,268 | $0 | $0 |
| Janice Newell | ||||||||||||||
| SVP/Chief Information Officer | $0 | $578,517 | $0 | $938,806 | $0 | $18,000 | $0 | $23,307 | $0 | $14,460 | $0 | $1,573,090 | $0 | $185,427 |
| Steve Mohr | ||||||||||||||
| VP/Finance Ops. CA | $0 | $471,142 | $0 | $107,510 | $0 | $0 | $0 | $92,366 | $0 | $24,928 | $0 | $695,946 | $0 | $0 |
| Harvey Smith | ||||||||||||||
| SVP/Chief Customer Svc. Officer | $0 | $591,345 | $0 | $235,203 | $0 | $18,000 | $0 | $23,818 | $0 | $18,087 | $0 | $886,453 | $0 | $0 |
| Teresa Spalding | ||||||||||||||
| VP/Revenue Cycle | $0 | $328,808 | $0 | $345,091 | $0 | $18,000 | $0 | $32,190 | $0 | $12,942 | $0 | $737,031 | $0 | $0 |
| Greg Till | ||||||||||||||
| VP/Chief Talent Officer | $0 | $374,064 | $0 | $159,900 | $0 | $222 | $0 | $77,595 | $0 | $22,149 | $0 | $633,930 | $0 | $0 |
| Sharon Toncray | ||||||||||||||
| SVP/HR Strat. Partners | $0 | $413,272 | $0 | $132,710 | $0 | $18,000 | $0 | $173,585 | $0 | $22,499 | $0 | $760,066 | $0 | $0 |
| Lisa Vance | ||||||||||||||
| SVP/Clinical Program Services | $0 | $479,541 | $0 | $203,545 | $0 | $103,000 | $0 | $37,359 | $0 | $13,827 | $0 | $837,272 | $0 | $0 |
| Mike Waters | ||||||||||||||
| VP,CAO/Physician Services | $0 | $398,289 | $0 | $119,660 | $0 | $0 | $0 | $114,645 | $0 | $11,480 | $0 | $644,074 | $0 | $0 |
| Craig Wright MD | ||||||||||||||
| SVP/Physician Services | $0 | $552,895 | $0 | $2,237,145 | $0 | $5,000 | $0 | $105,811 | $0 | $19,569 | $0 | $2,920,420 | $0 | $835,177 |
| Robert O Klein | ||||||||||||||
| President/CEO Foundation | $407,313 | $0 | $74,594 | $0 | $32,808 | $0 | $9,542 | $0 | $16,704 | $0 | $540,961 | $0 | $0 | $0 |
| Dawna Hendel | ||||||||||||||
| CNO | $255,057 | $0 | $14,260 | $0 | $18,000 | $0 | $11,657 | $0 | $9,509 | $0 | $308,483 | $0 | $0 | $0 |
| Dorothy Balley | ||||||||||||||
| Clinical Nurse | $282,942 | $0 | $0 | $0 | $0 | $0 | $3,761 | $0 | $0 | $0 | $286,703 | $0 | $0 | $0 |
| Jaleh Akhavan | ||||||||||||||
| Admin Dir. Surgical | $240,561 | $0 | $15,372 | $0 | $8,298 | $0 | $11,925 | $0 | $9,193 | $0 | $285,349 | $0 | $0 | $0 |
| Stella Nichols | ||||||||||||||
| CFO/Foundation | $254,220 | $0 | $0 | $0 | $8,578 | $0 | $11,861 | $0 | $12,478 | $0 | $287,137 | $0 | $0 | $0 |
| Michael Hunn | ||||||||||||||
| Former /CE / CA. Region | $0 | $100 | $0 | $0 | $0 | $584,581 | $0 | $45,635 | $0 | $22,025 | $0 | $652,341 | $0 | $0 |
| John Fletcher | ||||||||||||||
| Former VP/Operations Support | $0 | $0 | $0 | $102,560 | $0 | $481,290 | $0 | $773 | $0 | $18,005 | $0 | $602,628 | $0 | $0 |
| Jan Jones | ||||||||||||||
| Former SVP/CAO | $0 | $0 | $0 | $106,169 | $0 | $653,292 | $0 | $8,197 | $0 | $25,789 | $0 | $793,447 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Providence Health & Services Expense Reimbursement Procedures include the following policies: First Class Travel or Charter Travel or Travel of Companions Air travel is reimbursable for tourist or economy class and should be at the least expensive airfare; which permits departures and arrivals at reasonable times and reasonable distance traveled. Employees are encouraged to plan in advance to get available discounts. Airline frequent flyer upgrades will never be reimbursed. First class air travel will only be reimbursed when tourist or economy class air travel is not available and business travel is mandated by a supervisor. In the rare circumstance that an executive must fly on a first class full fare ticket, their senior level supervisor must approve this expense. Companion travel will only be reimbursed by the organization for travel related to relocation, and should not exceed two relocation-related visits, unless approved by the Executive Vice President/Chief People and Experience Officer. Spouse or Companion Travel. Travel expenses incurred by a PH&S employee's spouse or companion will not be reimbursed by PH&S unless the spouse or companion is required to, or invited to attend a PH&S System-sponsored meeting. These expenses may be considered a taxable benefit by the IRS and if so, will be included on the employee's W- 2. During 2015, there were 13 First Class tickets utilized by Officers, Directors or Key Employees listed on Form 990, Part VII. Tax Indemnifications or Gross-Up Payments Providence Health & Services follows the federal and state taxation laws related to relocation expenses paid to the employee or to a third party on the employee's behalf. They are considered income and are therefore subject to payroll taxes. Based on the way Providence has chosen to pay the relocation expenses, Providence reports reimbursements and payments to vendors as income and these expense payments are reflected on the executive's Form W-2. Providence will gross-up the relocation benefits to offset the personal tax burden to the employee for IRS allowable expenses. During 2015, the following Listed Persons received gross-up payments: Marcel Loh James Uli Debra Canales Rhonda Medows, MD Greg Till The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. Housing Allowance or Residence for Personal Use Providence Health & Services provides housing allowances for purposes of relocation assistance only. Providence may pay temporary living expenses for the employee up to a maximum of 90 calendar days. Covered expenses are rent (excluding "rent" which may be paid in order to occupy a new permanent residence until the title clears) and utilities, including heat, electricity, gas, water, local internet and local telephone and garbage services. The Executive Vice President/Chief People and Experience Officer may approve temporary housing assistance for up to six months when family relocation is delayed to accommodate the school year or equivalent circumstances. Only in extenuating circumstances is housing extended beyond this six month period. During 2015, the following Listed Persons received relocation/housing program payments: Marcel Loh James Uli Debra Canales Rhonda Medows, MD Greg Till The amounts reported for these relocation/housing payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. |
| Part I, Lines 4a-b | NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) CBRP = Cash Balance Restoration Plan 1) Rod Hochman, MD a) SERP Vested but not Paid - $1,918,360 b) SERP Interest Credit - $32,014 2) Todd Hofheins a) SERP Earned but not Vested - $244,283 3) Cindy Strauss a) SERP Vested but not Paid - $796,632 b) SERP Interest Credit - $20,200 4) Craig Wright, MD a) SERP Vested but not Paid - $2,047,185 b) SERP Interest Credit - $75,356 5) Debra Canales a) SERP Earned but not Vested - $432,239 6) Michael Butler a) SERP Earned but not Vested - $590,423 b) SERP Interest Credit - $84,804 7) Janice Newell a) SERP Vested but not Paid - $772,706 b) SERP Interest Credit - $4,758 8) Lisa Vance a) SERP Earned but not Paid - $22,291 b) SERP Interest Credit - $5,164 c) Taxable CBRP Earned - $63 d) Non-Taxable CBRP Earned - $2 9) Jack Friedman a) Taxable SERP Earned but not Paid - $69,453 b) SERP Interest Credit - $54,261 10) Teresa Spalding a) Taxable SERP Earned but not Paid - $245,180 b) Taxable CBRP Paid - $2 11) Debbie Burton a) SERP Earned but not Paid - $191,285 b) SERP Interest Credit - $5,020 12) Aaron Martin a) SERP Earned but not Vested - $170,424 13) Rhonda Medows a) SERP Earned but not Vested - $164,484 14) Mark Gargett a) Taxable SERP Earned but not Paid - $136,029 b) Taxable CBRP Paid - $42 c) SERP Interest Credit - $22,957 15) Jack Mudd a) SERP Earned but not Paid - $67,957 b) SERP Interest Credit - $42,960 16) Joel Gilbertson a) SERP Earned but not Vested - $143,438 b) SERP Interest Credit - $13,113 17) Sharon Toncray a) SERP Earned but not Vested- $135,371 b) SERP Interest Credit - $11,848 18) Greg Till a) SERP Earned but not Vested - $65,670 19) Gary Flaming a) SERP Earned but not Paid - $118,151 b) Non-Taxable SERP Earned - $32 c) Taxable CBRP Paid - $118 b) SERP Interest Credit - $1,640 20) Mike Waters a) SERP Earned but not Vested - $95,852 b) SERP Interest Credit - $243 21) Marcel Loh a) Taxable SERP Earned - $681,609 b) SERP Interest Credit - $12,533 22) Steve Mohr a) SERP Earned but Not Vested - $80,441 23) Michael Hunn a) SERP Interest Credit - $43,082 24) John Fletcher a) Taxable SERP Paid - $102,560 b) Non-Taxable SERP Paid - $773 25) Jan Jones a) Taxable SERP Paid - $106,169 b) SERP Interest Credit - $8,197 |
| Part I, Lines 4a-b | SEVERANCE 1) Randy Axelrod - $ 515,897 2) Michael Hunn - $ 578,167 3) John Fletcher - $ 476,515 4) Jan Jones - $ 653,292 |
| FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARD PROGRAM | The Providence Executive Incentive Program provides a lump sum award annually as a percent of the executive's base pay. Percent opportunities are aligned with our total compensation philosophy as outlined in Part VI, Section B, Line 15 (Process for determining compensation of top management, officers & key employees). The performance award is based on the level of accomplishment of annual system objectives, in combination with personal goals for top executives. In 2015, 50 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's six strategic priorities of: creating healthier communities together, inspire and develop our people, building enduring relationships with consumers, create alignment with clinicians & care teams, develop and thrive under new care delivery & economic models, and grow by optimizing expert-to-expert capabilities. The remaining 50% was based on a robust set of personal goals designed to align critical mission and business drivers, executive team talent development (deepening talent pipeline for top 200+leaders) and professional development. In 2015 the percent allocation for each of these strategic priorities was as outlined below: * Success Measures - System Goals : 50% Community Benefit - 5% Caregiver (Employee) Engagement - 7.5% MyChart Activations - 5% Patient Loyalty Index - 5% Clinical Excellence Index - 7.5% Free Cash Flow - 5% Salary Expense / Net Operating Revenue - 2.5% Primary Care Panel Size - 5% Total Growth in Operating Revenue - 7.5% * Success Measures - Personal Goals : 50% Mission/Business Driver - 15% Exec Talent Development - 20% Professional Development - 15% TOTAL ALLOCATION: 100% |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | California Health Financing Authority | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 521643828 | BondIssuerEIN |
| CUSIP | 13033L4N4 | CUSIPNum |
| Bond Issued | 2014-08-06 | BondIssuedDt |
| Issue Price | $126,434,498 | IssuePriceAmt |
| Purpose | Acquisition of Saint John's Health Center | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $126,434,498 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $1,434,498 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $125,000,000 | CapitalExpendituresAmt |
| Substantial Completion | 2014 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | Yes (1) | AnyResearchAgreementsInd |
| Engage Bond Counsel Research | Yes (1) | EngageBondCounselResearchInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The sole Corporate Member is Providence Health System - Southern California, a California nonprofit religious corporation. |
| Form 990, Part VI, Section A, line 7a | The Corporate Member has the power to: 1) Appoint or remove, with or without cause, after consultation with the Corporation's Board of Directors, any member of the Board of Directors. 2) Appoint or remove, with or without cause, after consultation with the Corporation's Board of Directors and the President/CEO of the Corporate Member, the President/CEO of this Corporation. |
| Form 990, Part VI, Section A, line 7b | Powers of the Corporate Member include the power to: 1) Change the Mission and Philosophy. 2) Adopt, amend or repeal the Articles of Incorporation or Bylaws. 3) Implement corporate goals, policies and procedures. 4) Approve the acquisition of assets, incurrence of indebtedness or the lease, sale, transfer, assumption, or encumbering of assets. 5) Approve the merger, dissolution or corporate restructuring. 6) Approve all long-range and strategic plans and operating and capital budgets and deviations thereto. 7) Appoint the auditors. |
| Form 990, Part VI, Section B, line 11 | The Form 990 is prepared internally by experienced Providence Health & Services staff and reviewed by the internal PH&S Director of Taxes and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict. |
| Form 990, Part VI, Section B, line 15 | It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are reviewed by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Each year, the Board Chair conducts a formal performance evaluation of the President/CEO that considers input from the other directors and senior leaders reporting to the President. The evaluation is discussed with the Human Resources Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Human Resources Committee also meet with an independent consultant to develop a salary recommendation; which is reviewed and approved first by the committee and then by the Board of Directors. Additionally, the President/CEO utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for other senior executives. This process includes a rigorous analysis of those recommendations with the Human Resources Committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering Providence operating commitments and strategic objectives - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated patient satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector. |
| Form 990, Part VI, Section C, line 19 | Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon written request. The consolidated financial statements are available on our public Internet site www2.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site. |
| Form 990, Part VII | Marcel Loh - 2121 Santa Monica Blvd, Santa Monica, CA 90503. Barry Harding ( Thru 5/15) - 2121 Santa Monica Blvd, Santa Monica, CA 90503. James Uli ( Eff. 6/15) - 2121 Santa Monica Blvd, Santa Monica, CA 90503. Robert O. Klein - 2121 Santa Monica Blvd, Santa Monica, CA 90503. Dawna Hendel - 2121 Santa Monica Blvd, Santa Monica, CA 90503. Dorothy Balley - 2121 Santa Monica Blvd, Santa Monica, CA 90503. Jaleh Akhavan - 2121 Santa Monica Blvd, Santa Monica, CA 90503. Stella Nichols - 2121 Santa Monica Blvd, Santa Monica, CA 90503. Michael Hunn - 501 S. Buena Vista Street, Burbank, CA 91505. |
| Form 990, Part IX, line 11g | Medical Director/Medical Physicians Fees: Program service expenses 12,028,439. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,028,439. Agency Contract: Program service expenses 15,104,768. Management and general expenses 1,003,691. Fundraising expenses 0. Total expenses 16,108,459. Transcription: Program service expenses 16,985. Management and general expenses 0. Fundraising expenses 0. Total expenses 16,985. General Consulting Fees: Program service expenses 83,286. Management and general expenses 955,009. Fundraising expenses 0. Total expenses 1,038,295. Repairs & Maintenance: Program service expenses 2,907,416. Management and general expenses 1,192,458. Fundraising expenses 0. Total expenses 4,099,874. Other Administrative Services: Program service expenses 2,960,971. Management and general expenses 2,279,615. Fundraising expenses 0. Total expenses 5,240,586. Billing & Collection: Program service expenses 0. Management and general expenses 35,000. Fundraising expenses 0. Total expenses 35,000. Other Patient Services: Program service expenses 11,070,528. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,070,528. Dietary: Program service expenses 1,089,277. Management and general expenses 2,022,943. Fundraising expenses 0. Total expenses 3,112,220. |
| Form 990, Part XI, line 9: | FAS 136 Reclass -2,082,303. Rounding 1. Book/Tax Difference - Joint Venture Income 561,493. |
| FORM 990, PART I, LINE 6 - VOLUNTEERS | Volunteers helped in the following ways: * Providing clerical support in various areas * Rounding on patients and providing non-medical patient assistance on nursing units and in the Emergency Department * Directing and escorting patients and visitors at Information Desks * Making handmade gifts for patients (quilts, caps and booties, etc.) * Visiting with patients, staff and visitors in our Pawsitive Pet Program * Playing music in our dining court * Supporting family and visitors in our Surgery Waiting Room * Running errands, stocking supplies and assisting with discharges from nursing units * Assisting teachers in the Child and Family Development Center * Sitting with end of life patients |
| FORM 990, PART XII, LINE 2C - AUDIT & COMPLIANCE | The Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (73 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence Health & Services - Washington | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216586 | Healthcare System | WA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Providence Health & Services - Oregon | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216587 | Healthcare System | OR | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Providence Health System - So California | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216589 | Healthcare System | CA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Everett Transitional Care Services | |||||||||||
| PO Box 5128 | Everett | WA | 982065128 | 943264605 | Transitional Care | WA | 501( c)(3) | Line 9 | 0 | N/A | |
| Providence Oregon Management Corporation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 930813977 | Shell Corporation | OR | 501( c)(3) | Line 1 | PH & S - Oregon | 0 | |
| Providence Plan Partners | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 911861964 | Healthcare Services | WA | 501( c)(4) | N/A | PH & S - Oregon | 0 | |
| Providence Health Plan | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 930863097 | Health Service Contractor | OR | 501( c)(4) | N/A | Providence Plan Partners | 0 | |
| Providence Health Assurance | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 550828701 | Medicaid Healthcare Provider | OR | 501( c)(4) | N/A | Providence Health Plan | 0 | |
| Providence Medical Institute | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330283773 | Healthcare | CA | 501( c)(3) | Line 11/Type I | PHS - So California | 0 | |
| Little Company of Mary Ancillary Services Corporation | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330844408 | Imaging Services | CA | 501( c)(3) | Line 9 | PHS - So California | 0 | |
| Providence TrinityCare Hospice | |||||||||||
| 5315 Torrance Blvd Suite B1 | Torrance | CA | 90503 | 953264139 | Hospice | CA | 501( c)(3) | Line 9 | PHS - So California | 0 | |
| Providence Blanchet Association | |||||||||||
| 1700 Providence Pl | Centralia | WA | 98531 | 911789266 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| St Luke Association | |||||||||||
| 350 Washington Ave SE | Chehalis | WA | 98352 | 943176618 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Rossi Association | |||||||||||
| 1700 Providence Pl | Centralia | WA | 98531 | 311584166 | Supportive Housing | WA | 501( c)(3) | Line 9 | PH & S - Washington | 0 | |
| Lundberg Association | |||||||||||
| 5921 E Burnside | Portland | OR | 97215 | 911562797 | Supportive Housing | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence St Francis Association | |||||||||||
| 3415 12th Avenue NE | Olympia | WA | 98506 | 943244854 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Peter Claver Association | |||||||||||
| 7101 38th Avenue South | Seattle | WA | 98118 | 311629656 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence St Elizabeth House Association | |||||||||||
| 3201 SW Graham St | Seattle | WA | 98126 | 912171539 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Gamelin House Association | |||||||||||
| 4515 MLK Jr Way S Ste 200 | Seattle | WA | 98108 | 311744654 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| The Gamelin Association | |||||||||||
| 312 North Fourth St | Yakima | WA | 98901 | 911180824 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| The Gamelin Oregon Association | |||||||||||
| 5520 NE Glisan | Portland | OR | 97213 | 911214491 | Supportive Housing | OR | 501( c)(3) | Line 9 | PH & S - Oregon | 0 | |
| The Gamelin California Association | |||||||||||
| 540 23rd St | Oakland | CA | 94612 | 911293869 | Supportive Housing | CA | 501( c)(3) | Line 9 | PHS - So California | 0 | |
| Gamelin Washington Association | |||||||||||
| 1423 First Avenue | Seattle | WA | 98101 | 201910170 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Dethman House | |||||||||||
| 1205 Montello Ave | Hood River | OR | 97031 | 473385506 | Supportive Housing | WA | 501( c)(3) | Pending | 0 | N/A | |
| Providence Foundation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 943078543 | Support PH&S Institutions | WA | 501( c)(3) | Line 11/Type II | PH & S - Washington | 0 | |
| Providence Alaska Foundation | |||||||||||
| 3300 Providence Drive - B Tower2 | Anchorage | AK | 99508 | 920093565 | Support PHS-Alaska | AK | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence St Peter Foundation | |||||||||||
| 413 Lilly Road NE | Olympia | WA | 985065166 | 911097056 | Support Affiliated Tax-Exempt Organization | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Health Care Foundation (Centralia) | |||||||||||
| 914 S Scheuber Road | Centralia | WA | 98531 | 911433382 | Support Providence Centralia Hospital | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Mount St Vincent Foundation | |||||||||||
| 4831 - 35th Avenue SW | Seattle | WA | 981262799 | 911188119 | Support Providence Mount St.Vincent | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Marianwood Foundation | |||||||||||
| 3725 Providence Point Drive SE | Issaquah | WA | 980297219 | 931554288 | Support Providence Marianwood | WA | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence Newberg Health Foundation | |||||||||||
| 1001 Providence Drive | Newberg | OR | 97132 | 930889144 | Support Providence Newberg Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Seaside Hospital Foundation | |||||||||||
| 725 S Wahanna Rd | Seaside | OR | 97138 | 930927320 | Support Providence Seaside Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Community Health Foundation | |||||||||||
| 1111 Crater Lake Ave | Medford | OR | 97504 | 930692907 | Support Providence Medford Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Benedictine Nursing Center Foundation | |||||||||||
| 540 South Main St | Mt Angel | OR | 973629532 | 911940286 | Support Providence Benedictine Nursing Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Portland Medical Foundation | |||||||||||
| 4805 NE Glisan St | Portland | OR | 972132967 | 931231494 | Support Providence Portland Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence St Vincent Medical Foundation | |||||||||||
| 9205 SW Barnes Rd | Portland | OR | 97225 | 930575982 | Support Providence St. Vincent Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Milwaukie Foundation | |||||||||||
| 10150 SE 32nd | Milwaukie | OR | 97222 | 943079515 | Support Providence Milwaukie Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Child Center Foundation | |||||||||||
| 830 NE 47th | Portland | OR | 97213 | 930800140 | Support Providence Child Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence TrinityCare Hospice Foundation | |||||||||||
| 5315 Torrance Blvd Suite B1 | Torrance | CA | 90503 | 330261016 | Support TrinityCare Hospice | CA | 501( c)(3) | Line 7 | Providence TrinityCare Hospice | 0 | |
| Providence Little Company of Mary Foundation | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 510224944 | Support Little Company of Mary Service Area | CA | 501( c)(3) | Line 7 | PHS - So California | 0 | |
| PH&S FoundationSFVSA & SCVSA | |||||||||||
| 501 S Buena Vista Street | Burbank | CA | 91505 | 953544877 | Support Program & Activities of SFVSA & SCVSA | CA | 501( c)(3) | Line 7 | PHS - So California | 0 | |
| Providence Hospice of Seattle Foundation | |||||||||||
| 425 Pontius Avenue North 300 | Seattle | WA | 981095452 | 912077378 | Support Hospice of Seattle | WA | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence Health & Services - Western Washington | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911303277 | Healthcare | WA | 501( c)(3) | Line 3 | Providence MinistriesWHC | 0 | |
| Providence Health & Services | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911549796 | Shell Corporation | WA | 501( c)(3) | Line 11/Type II | Providence Ministries | 0 | |
| Providence Health & Services - Montana | |||||||||||
| 500 W Broadway PO Box 4587 | Missoula | MT | 598064587 | 810231793 | Healthcare | MT | 501( c)(3) | Line 3 | PH & S - Washington | 0 | |
| Providence St Joseph Medical Center | |||||||||||
| PO Box 1010 | Polson | MT | 598601010 | 810463482 | Healthcare | MT | 501( c)(3) | Line 3 | PH & S - Washington | 0 | |
| St Thomas Child and Family Center | |||||||||||
| 1710 Benefis Court | Great Falls | MT | 59405 | 810233495 | Early Childhood Education | MT | 501( c)(3) | Line 9 | PH & S - Washington | 0 | |
| Sisters of Providence of Montana Corporation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 262612415 | Shell Corporation | MT | 501( c)(3) | Line 1 | PH & S - Washington | 0 | |
| Providence Health Care Foundation - Eastern Washington | |||||||||||
| 101 W 8th Ave | Spokane | WA | 99204 | 320014330 | Support PH&S-WA. Ministries in E. WA. | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| St Patrick Hospital Foundation | |||||||||||
| 500 West Broadway PO Box 4587 | Missoula | MT | 598064587 | 237056976 | Support Healthcare in W. Montana | MT | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| University of Great Falls | |||||||||||
| 1301 20th Street South | Great Falls | MT | 59405 | 810231777 | Post Secondary Education | MT | 501( c)(3) | Line 2 | Providence Health & Services | 0 | |
| E WA & MT Unemployment Compensation Insurance Trust | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911082119 | Unemployment Benefits | WA | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence Willamette Falls Medical Foundation | |||||||||||
| 1500 Division Street | Oregon City | OR | 97045 | 931003750 | Support Willamette Falls Hospital | OR | 501( c)(3) | Line 11/Type I | PH & S - Oregon | 0 | |
| Providence Hood River Memorial Hospital Foundation Inc | |||||||||||
| 811 13th St | Hood River | OR | 97031 | 930921990 | Support Providence Hood River Memorial Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Hospice and Home Care Foundation | |||||||||||
| 2731 Wetmore Avenue Suite 500 | Everett | WA | 98201 | 272552749 | Support Program & Ministries of PHHC | WA | 501(c )(3) | Line 7 | PH & S - Washington | 0 | |
| Providence St Mary Foundation | |||||||||||
| 401 W Poplar St | Walla Walla | WA | 99362 | 452841492 | Support Program & Ministries of SMMC | WA | 501(c )(3) | Line 7 | PH & S - Washington | 0 | |
| Facey Medical Foundation | |||||||||||
| 15451 San Fernando Mission Blvd 200 | Mission Hills | CA | 913451420 | 954322584 | Support Facey Medical Group | CA | 501(c )(3) | Line 7 | PHS - So California | 0 | |
| Swedish Health Services | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 910433740 | Healthcare | WA | 501(c )(3) | Line 3 | Western HealthConnect | 0 | |
| Swedish Edmonds | |||||||||||
| 21601 76th Ave W | Edmonds | WA | 98026 | 272305304 | Healthcare | WA | 501(c )(3) | Line 3 | Western HealthConnect | 0 | |
| Swedish Medical Center Foundation | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 910983214 | Support Swedish Health Services | WA | 501(c )(3) | Line 7 | Swedish Health Services | 0 | |
| Global To Local Health Initiative | |||||||||||
| 2800 South 192nd St 104 | SeaTac | WA | 98188 | 273133200 | Healthcare | WA | 501(c )(3) | Line 7 | Swedish Health Services | 0 | |
| Swedish MJM Holdings | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 273139262 | Holding Company | WA | 501(c )(3) | Line 11/Type I | Swedish Health Services | 0 | |
| Marsha Rivkin Center for Ovarian Cancer Research | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 912054035 | Ovarian Cancer Research | WA | 501(c )(3) | Line 7 | Swedish Health Services | 0 | |
| Western HealthConnect | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 454171900 | Shell Corporation | WA | 501(c )(3) | Line 11/Type II | PH&S Western Washington | 0 | |
| Inland Northwest Health Services | |||||||||||
| 601 W 1st Avenue | Spokane | WA | 99201 | 911307555 | Healthcare | WA | 501( c)(3) | Line 3 | PH&S - Washington | 0 | |
| Kadlec Regional Medical Center | |||||||||||
| 888 Swift Blvd | Richland | WA | 99352 | 910655392 | Healthcare | WA | 501(c )(3) | Line 3 | Western HealthConnect | 0 | |
| Kadlec Neurological Resource Center | |||||||||||
| 1268 Lee Blvd | Richland | WA | 99352 | 911266345 | Healthcare | WA | 501(c )(3) | Line 9 | Western HealthConnect | 0 | |
| Kadlec Foundation | |||||||||||
| 888 Swift Blvd | Richland | WA | 99352 | 237005501 | Support Kadlec Regional Medical Center | WA | 501(c )(3) | Line 11/Type I | Kadlec Regional Medical Center | 0 | |
| PacMed Clinics | |||||||||||
| 1200 12th Ave S | Seattle | WA | 98144 | 562290878 | Healthcare | WA | 501(c )(3) | Line 9 | Western HealthConnect | 0 | |
| Seattle Science Foundation | |||||||||||
| 550 17th Ave | Seattle | WA | 98122 | 611502822 | Physician Collaboration | WA | 501(c )(3) | Line 7 | Western HealthConnect | 0 | |
| John Wayne Cancer Institute | |||||||||||
| 2200 Santa Monica Blvd | Santa Monica | CA | 90404 | 954291515 | Cancer Treatment | CA | 501(c )(3) | Line 4 | Providence Saint John's Health Center | Yes (1) | |
| Saint John's Health Center Foundation | |||||||||||
| 2121 Santa Monica Blvd | Santa Monica | CA | 90404 | 956100079 | Support Saint John Health Center & JWCI | CA | 501(c )(3) | Line 7 | Providence Saint John's Health Center | Yes (1) | |
| Providence St Joseph Health | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 98057 | 811244422 | Shell Corporation | WA | 501(c )(3) | Pending | 0 | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (26 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Providence Imaging Center | |||||||
| 3340 Providence Drive | Anchorage | AK | 99508 | 920118807 | Medical Imaging | AK | N/A |
| California Laboratory Associates LLC | |||||||
| 501 Buena Vista | Burbank | CA | 91505 | 273888692 | Outpatient Lab | CA | N/A |
| Broadway Imaging LLC | |||||||
| 500 W Broadway | Missoula | MT | 59802 | 522405971 | Medical Imaging | MT | N/A |
| Ctr for Med Imaging-Bridgeport LLC | |||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 260796953 | Imaging - Diagnostics | OR | N/A |
| Ctr for Med Imaging-Tanasbourne LLC | |||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 200477972 | Imaging - Diagnostics | OR | N/A |
| Pathology Associates Medical Laboratories LLC | |||||||
| 611 N Perry | Spokane | WA | 99202 | 270943279 | Outpatient Lab | WA | N/A |
| Portland Medical Imaging LLC | |||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 201054971 | Imaging - Diagnostics | OR | N/A |
| Oregon Advanced Imaging LLC | |||||||
| 881 OHare Parkway | Medford | OR | 97504 | 450471748 | Medical Imaging | OR | N/A |
| Minor & James Medical PLLC | |||||||
| 515 Minor Avenue 200 | Seattle | WA | 98104 | 911340223 | Physician Clinic | WA | N/A |
| Providence Surgery Center LLC | |||||||
| 902 N Orange St | Missoula | MT | 59802 | 841401625 | Ambulatory Surgery Center | MT | N/A |
| Clackamas Radiation Oncology Center LLC | |||||||
| 4400 NE Halsey St Bldg II 495 | Portland | OR | 97213 | 260381897 | Radiation Oncology | OR | N/A |
| PETCT Imaging at Swedish Cancer Institute LLC | |||||||
| 1221 Madison Street | Seattle | WA | 98104 | 203132044 | Medical Imaging | WA | N/A |
| PacLab LLC | |||||||
| 611 N Perry | Spokane | WA | 99202 | 911743952 | Outpatient Lab | WA | N/A |
| The Madison Spokane Inn LLC | |||||||
| 15 West Rockwood Blvd | Spokane | WA | 99204 | 841606484 | Hotel Services | WA | N/A |
| Center for Specialty Surgery LLC | |||||||
| 11782 SW Barnes Rd | Portland | OR | 97225 | 263638838 | Ambulatory Surgery Center | OR | N/A |
| Oregon Outpatient Surgery Center | |||||||
| 7300 SW Childs Rd | Tigard | OR | 97224 | 223883387 | Ambulatory Surgery Center | OR | N/A |
| ProvidenceUSP Santa Clarita GP LLC | |||||||
| 11550 Indian Hills Road 160 | Mission Hills | CA | 91345 | 202829660 | Ambulatory Surgery Center | CA | N/A |
| ProvidenceUSP Surgery Ctrs LLC | |||||||
| 11550 Indian Hills Road 160 | Mission Hills | CA | 91345 | 200905938 | Ambulatory Surgery Center | CA | N/A |
| Alpha Medical Laboratory LLC | |||||||
| 611 N Perry | Spokane | WA | 99202 | 912017347 | Outpatient Lab | ID | N/A |
| Greater Valley Medical Building LP | |||||||
| 501 S Buena Vista St | Burbank | CA | 91505 | 954570858 | Real Estate - MOB | CA | N/A |
| Prov Radiation Oncology Develop Assn LLC | |||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 260682491 | Real Estate - MOB | OR | N/A |
| Providence Partners for Health LLC | |||||||
| 501 S Buena Vista St | Burbank | CA | 91505 | 454041798 | Clinical Quality & Integration | CA | N/A |
| ProvidenceSilverton Rehab LLC | |||||||
| 4400 NE Halsey 425 | Portland | OR | 97213 | 481287267 | Rehab Services | OR | N/A |
| Southern Idaho Regional Laboratory LLC | |||||||
| 611 N Perry | Spokane | WA | 99202 | 820511819 | Outpatient Lab | ID | N/A |
| Mountainstar Clinical Laboratories LLC | |||||||
| 611 N Perry | Spokane | WA | 99202 | 261345983 | Outpatient Lab | MT | N/A |
| Tri-Cities Laboratory LLC | |||||||
| 611 N Perry | Spokane | WA | 99202 | 911773986 | Outpatient Lab | WA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Providence Health Ventures Inc | |||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330122216 | Investment | CA | N/A | C | 0 |
| Caron Health Corporation | |||||||||
| 510 W Front St | Missoula | MT | 59802 | 810486082 | Medical Physician Service | MT | N/A | C | 0 |
| Providence Health Care Ventures Inc | |||||||||
| 101 W 8th Ave TAF C-9 | Spokane | WA | 99204 | 900155714 | Clinical/Medical Lab | WA | N/A | C | 0 |
| Providence Physician Services Co | |||||||||
| 101 W 8th Ave TAF C-9 | Spokane | WA | 99204 | 911216033 | Clinical/Medical Lab | WA | N/A | C | 0 |
| Yakima Medical Arts Inc | |||||||||
| 611 N Perry 100 | Spokane | WA | 99202 | 910787963 | Rental Real Estate | WA | N/A | C | 0 |
| Bourget Health Services Inc | |||||||||
| PO Box 2687 | Spokane | WA | 99220 | 911354431 | Clinical/Medical Lab | WA | N/A | C | 0 |
| 1221 Madison Street Owners Assoc | |||||||||
| 747 Broadway | Seattle | WA | 98122 | 201954319 | Owners' Association | WA | N/A | C | 0 |
| Western HealthConnect Ventures Inc | |||||||||
| 1801 Lind Ave SW 9016 | Renton | WA | 98057 | 800953654 | Investment | WA | N/A | C | 0 |
| PHN Holdings | |||||||||
| 20555 Earl Street | Torrance | CA | 90503 | 461814184 | Strategic Planning Services | CA | N/A | C | 0 |
| Providence Health Network | |||||||||
| 20555 Earl Street | Torrance | CA | 90503 | 800886966 | Prepaid Healthcare | CA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| John Wayne Cancer Institute | |
| A | $1,280,100 |
| John Wayne Cancer Institute | |
| B | $5,000 |
| Saint John's Hospital Health Center Foundation | |
| C | $8,919,736 |