2022-11-14T11:53:29-06:00 2021-12-31 ERNST & YOUNG US LLP 18101 VON KARMAN AVE SUITE 1700 IRVINE CA 92612 990 2021-01-01 953222343 Hoag Hospital Foundation % FLYNN ANDRIZZI HOAG 9497647219 330 PLACENTIA AVE NEWPORT BEACH CA 92663 FLYNN ANDRIZZI PRESIDENT 9497647219 2022-11-11 true FLYNN ANDRIZZI XXX-XX-XXXX KARA ADAMS P00023315 9497942300 2 2021 2022-09-23 18:48:47Z FLYNN ANDRIZZI 330 PLACENTIA AVE NEWPORT BEACH CA 92663 185875645 false X WWW.HOAGHOSPITALFOUNDATION.ORG X 1977 CA THE MISSION OF HOAG HOSPITAL FOUNDATION IS ADVANCING THE MISSION OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN THROUGH MEANINGFUL AND INSPIRATIONAL PHILANTHROPIC PARTNERSHIPS. 24 22 0 166 -114442 0 97847499 152380415 0 0 9452620 33609672 -1297803 -225155 106002316 185764932 28075515 29406620 0 0 9728004 10287783 0 0 10709135 3267363 5062101 41070882 44756504 64931434 141008428 435559489 584715727 17884796 18007275 417674693 566708452 HOAG HOSPITAL FOUNDATION'S PRIMARY EXEMPT PURPOSE IS TO RAISE FUNDS FOR HOAG MEMORIAL HOSPITAL PRESBYTERIAN. false false 29406620 29406620 0 PROVIDE SUPPORT TO HOAG MEMORIAL HOSPITAL PRESBYTERIAN FOR EXPANSION, EQUIPMENT, PROGRAMS, NURSING SCHOLARSHIPS AND VARIOUS OPERATING EXPENSES. 29406620 true true false false false false false false false true true true false false true true false true false false true false false false true false false true false true false false false false false false false false true false false false false true true true false false true X 36 0 true 0 true true false false false false true true true false false false false false X 24 22 false false false false true true true true true false false true true true true true true true true false CA X FLYNN ANDRIZZI 9497647219 330 PLACENTIA AVE NEWPORT BEACH CA 92663 ROBERT BRAITHWAITE BD MBR/CEO-PRES. HMHP/PRES HC 2.0 57.0 X 0 1744587 218833 FLYNN ANDRIZZI PRESIDENT/SVP HMHP/BD MBR HCS 50.0 4.0 X X 0 950393 79416 GREG GISSENDANNER VP DEVELOPMENT 50.0 0.0 X 0 857886 20895 KENYA BECKMANN FORMER KEY EMPLOYEE 0.0 50.0 X 0 644878 112340 NICOLE M BALSAMO FDN VP DEVELOPMENT 50.0 0.0 X 0 583597 48599 CHRISTIAN WARD VP MAJOR GIFTS (THRU 5/5/21) 50.0 0.0 X 0 428154 4447 DANNA C GRANT FDN VP DONOR RELATIONS 50.0 0.0 X 0 381164 30979 ADAM DE LA PENA-GAFKE FDN VP DEVELOP OPS & CAMPAIGNS 50.0 0.0 X 0 347746 45971 GWEN RITTER EXEC DIR DEVELOPMENT 50.0 0.0 X 0 258787 51211 JULIE HEGGENESS EXEC DIR PLANNED GIVING 50.0 0.0 X 0 251511 24332 DEBRA MCCUNE EXEC DIR STEWARDSHIP/DEVELOP 50.0 0.0 X 0 249241 25339 STACY C SKWARLO EXEC DIR DEVELOPMENT 50.0 0.0 X 0 237834 34666 ANGELINA MORANO SR DIR MAJOR GIFTS 50.0 0.0 X 0 219763 24152 ANTHONY ALLEN BOARD MEMBER 2.0 0.0 X 0 0 0 KATHLEEN M ARMSTRONG CHAIR/BD MBR HMHP 5.0 2.0 X X 0 0 0 JEREMY JONES TREASURER 4.0 0.0 X X 0 0 0 PATRICIA BERCHTOLD SECRETARY 2.0 0.0 X 0 0 0 JAMES BUCKINGHAM BOARD MEMBER 2.0 0.0 X 0 0 0 BENJAMIN DU BOARD MEMBER 2.0 0.0 X 0 0 0 ANDREW A FIMIANO BOARD MEMBER 2.0 0.0 X 0 0 0 MARK HARDTKE BOARD MEMBER 2.0 0.0 X 0 0 0 SHANAZ LANGSON BOARD MEMBER 2.0 0.0 X 0 0 0 DEBORAH MARGOLIS BOARD MEMBER 4.0 0.0 X 0 0 0 STEPHEN MUZZY BOARD MEMBER 2.0 0.0 X 0 0 0 ROBERT ROTH BOARD MEMBER 2.0 0.0 X 0 0 0 SANDRA SIMON BOARD MEMBER 2.0 0.0 X 0 0 0 DIANA SUN BOARD MEMBER 2.0 0.0 X 0 0 0 RICHARD TAKETA VICE CHAIR 4.0 0.0 X 0 0 0 GARY FUDGE BOARD MEMBER 2.0 0.0 X 0 0 0 CAROLYN MCKITTERICK BOARD MEMBER 2.0 0.0 X 0 0 0 KYLE WESCOAT BOARD MEMBER 2.0 0.0 X 0 0 0 DANIEL YOUNG BOARD MEMBER/HOSPITAL CHAIR 2.0 5.0 X 0 0 0 DR AIDAN RANEY BOARD MEMBER 2.0 0.0 X 0 0 0 KATHERINE SHEN BOARD MEMBERBOARD MEMBER 2.0 0.0 X 0 0 0 PHILIP BELLING BOARD MEMBER 2.0 0.0 X 0 0 0 0 7155541 721180 0 true true false CREATIVE SHOEBOX 205 AVIENA DEL MAR SAN CLEMENTE CA 92674 ARTWORK/DESIGN 142860 NADINE FRANCIS 777 N LAUREL AVE UPLAND CA 91786 CONSULTING 103350 2 3880 1110935 151265600 2371773 152380415 0 33609672 33609672 0 0 0 0 0 0 0 1110935 110713 -110713 -110713 0 0 0 0 0 0 UBI FROM PARTNERSHIPS/LLCS 901101 -114442 -114442 -114442 185764932 -114442 33498959 29406620 29406620 0 0 0 3435675 687135 2748540 0 4942308 988462 3953846 1042316 208463 833853 544296 108859 435437 323188 64638 258550 383900 76780 307120 18251 3650 14601 180912 180912 0 0 1782555 1782555 0 508662 101732 406930 774610 154922 619688 90356 18071 72285 0 234482 46896 187586 7131 1426 5705 0 0 0 0 0 0 PURCHASED SERVICES 1081242 216248 864994 44756504 29406620 4640749 10709135 27499772 34761853 3199571 6656483 132731845 144641590 208460 199612 0 0 0 0 0 0 0 0 340124 268348 888535 309593 497321 578942 28564435 132458204 242517961 265150195 0 0 0 0 0 500 435559489 584715727 15421706 13643882 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2463090 4363393 17884796 18007275 X 51585303 146973230 366089390 419735222 417674693 566708452 435559489 584715727 X 141008428 -2988180 11013511 X false true X true false X 34109635 39597944 60580496 97847499 152380415 384515989 0 0 34109635 39597944 60580496 97847499 152380415 384515989 52665398 331850591 10288834 7341768 10275043 9452620 33609672 70967937 50119 50119 0 455534045 49674 0.72849 0.80310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 164655908 3030230 23223391 6879769 184029760 143701793 5819236 21695599 6560720 164655908 130966595 6011242 13990511 7266555 143701793 136620451 894423 1598221 8146500 130966595 126638880 2373258 7539150 -69163 136620451 0.03600 0.44900 0.51500 true false 888535 309593 578942 578942 EQUITY COMMINGLED FUNDS 144028354 F HEDGE FUNDS 75972837 F EQUITY 29192012 F REAL ASSETS 15956992 F 265150195 0 DUE TO HOAG MEMORIAL HOSPITAL 4209665 DUE TO HOAG CLINIC 153728 4363393 X SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS HOAG HOSPITAL FOUNDATIONS ENDOWMENT FUNDS ARE INTENDED TO PROVIDE FINANCIAL SUPPORT FOR BOTH CURRENT AND FUTURE NEEDS OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN. Schedule D, Part X, Line 2 UNCERTAIN TAX POSITION UNDER ASC 740 FOOTNOTE FROM THE HMHP CONSOLIDATED AUDITED FINANCIAL STATEMENTS: ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. ASC TOPIC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST, OR PENALTIES WAS ACCRUED AT DECEMBER 31, 2021 AND 2020. Central America and the Caribbean 0 Investments 84171247 Europe (Including Iceland and Greenland) 0 Investments 3716436 0 0 87887683 87887683 true false true true true false SCHEDULE F, PART I, LINE 3, COLUMN F ACCOUNTING METHOD THE AMOUNTS REPORTED IN PART I, LINE 3, COLUMN F REPRESENT THE MARKET VALUE OF THE INVESTMENTS IN THE IDENTIFIED REGIONS AS OF THE ORGANIZATION'S FISCAL YEAR ENDED DECEMBER 31, 2021. C1000 VIRTUAL E 1110935 1110935 17500 93213 0 1110935 1110935 17500 93213 110713 -110713 true HOAG CLINIC 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 92663 330676831 501(c)(3) 1534403 PROGRAMS PROGRAM SUPPORT TEEN BRAIN PROGRAM SUPPORT RESEARCH ORTHOPEDIC CARE HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG DIRVE PO BOX 6100 NEWPORT BEACH CA 92663 951643327 501(c)(3) 26329091 PROGRAM SUPPORT JW PSYCHOLOGICAL SERVICES LLC 3900 W COST HWY 380 NEWPORT BEACH CA 92663 271355820 90000 TEEN BRAIN PROGRAM SUPPORT HOAG ORTHOPEDIC EDUCATION AND RESEARCH INSTIT 280 SOUTH MAIN STREET ORANGE CA 92868 753076627 501(c)(3) 1453126 RESEARCH ORTHOPEDIC CARE 3 1 SCHEDULE I, PART I, LINE 2 GRANTS ARE SENT TO HOAG MEMORIAL HOSPITAL PRESBYTERIAN TO OFFSET EXPENDITURES THAT HAVE BEEN INCURRED. ALL DOCUMENTATION IS OBTAINED TO SUPPORT THE USE OF GRANTS. RECIPIENTS OF THE GRANTS ARE REVIEWED AT THE TIME THE GRANTS ARE GIVEN. true true false false false false false false false ADAM DE LA PENA-GAFKE FDN VP DEVELOP OPS & CAMPAIGNS 0 216678 0 130250 0 818 0 34000 0 11971 0 393717 0 0 JULIE HEGGENESS EXEC DIR PLANNED GIVING 0 195352 0 52630 0 3529 0 16472 0 7860 0 275843 0 0 GREG GISSENDANNER VP DEVELOPMENT 0 179658 0 218579 0 459649 0 20408 0 487 0 878781 0 0 DANNA C GRANT FDN VP DONOR RELATIONS 0 236830 0 143687 0 647 0 14500 0 16479 0 412143 0 0 ROBERT BRAITHWAITE BD MBR/CEO-PRES. HMHP/PRES HC 0 930787 0 806400 0 7400 0 201752 0 17081 0 1963420 0 180000 NICOLE M BALSAMO FDN VP DEVELOPMENT 0 187086 0 146875 0 249636 0 34000 0 14599 0 632196 0 0 GWEN RITTER EXEC DIR DEVELOPMENT 0 196170 0 49607 0 13010 0 32306 0 18905 0 309998 0 0 FLYNN ANDRIZZI PRESIDENT/SVP HMHP/BD MBR HCS 0 481213 0 435777 0 33403 0 57682 0 21734 0 1029809 0 22232 CHRISTIAN WARD VP MAJOR GIFTS (THRU 5/5/21) 0 29081 0 140673 0 258400 0 2539 0 1908 0 432601 0 0 DEBRA MCCUNE EXEC DIR STEWARDSHIP/DEVELOP 0 193575 0 50456 0 5210 0 13422 0 11917 0 274580 0 0 ANGELINA MORANO SR DIR MAJOR GIFTS 0 177958 0 39627 0 2178 0 11967 0 12185 0 243915 0 0 STACY C SKWARLO EXEC DIR DEVELOPMENT 0 198159 0 39189 0 486 0 18332 0 16334 0 272500 0 0 KENYA BECKMANN FORMER KEY EMPLOYEE 0 439275 0 184499 0 21104 0 83278 0 29062 0 757218 0 0 SCHEDULE J, PART I, LINE 1A WRITTEN POLICY REGARDING PAYMENT OF EXPENSES WHILE THE FORM W-2S ARE ISSUED BY HOAG MEMORIAL HOSPITAL PRESBYTERIAN (HMHP), THE TAX-EXEMPT PARENT OF HOAG HOSPITAL FOUNDATION, THE FOUNDATION REIMBURSES HMHP AND PROVIDES THE BENEFIT. SCHEDULE J, PART I, LINE 3 METHODS USED TO DETERMINE EXECUTIVE DIRECTOR/PRESIDENT COMPENSATION THE ORGANIZATION'S PRESIDENT IS PAID BY ITS TAX-EXEMPT PARENT, HOAG MEMORIAL HOSPITAL PRESBYTERIAN (HMHP), AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY HMHP TO REVIEW AND DETERMINE COMPENSATION. SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS DURING CY 2021, WITH PAYMENT AMOUNTS INCLUDED IN OTHER REPORTABLE COMPENSATION UNDER SCHEDULE J, PART II, COLUMN (B)(III): VP DEVELOPMENT - SCHEDULE J, PART II, LINE 3 VP FDN DEVELOPMENT - SCHEDULE J, PART II, LINE 6 VP MAJOR GIFTS - SCHEDULE J, PART II, LINE 9 SCHEDULE J, PART I, LINE 4B PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE ORGANIZATION'S TAX-EXEMPT PARENT, HOAG MEMORIAL HOSPITAL PRESBYTERIAN (HMHP), MAKES ANNUAL CONTRIBUTIONS TO A SERP PLAN ON BEHALF OF CERTAIN MEMBERS OF SENIOR MANAGEMENT IN ACCORDANCE WITH PLAN DOCUMENTS. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: ROBERT BRAITHWAITE - $180,000 FLYNN ANDRIZZI - $22,232 X 21 416773 COST/SELLING PRICE X 2 1955000 APPRAISED AMOUNT 0 false true true PART I, COLUMN B THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. PART I, LINE 32A THE DONATED REAL ESTATE WAS SOLD THROUGH A THIRD-PARTY REALTOR. FORM 990, PART V, LINE 2A W-2S HOAG MEMORIAL HOSPITAL PRESBYTERIAN (HMHP) PAYS ALL EMPLOYEES OF HOAG HOSPITAL FOUNDATION (HHF) AND THEREFORE ISSUES ALL W-2S. HHF REIMBURSES HMHP FOR ALL EMPLOYEE COMPENSATION. FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS HOAG MEMORIAL HOSPITAL PRESBYTERIAN, A RELATED TAX-EXEMPT ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF HOAG HOSPITAL FOUNDATION. FORM 990, PART VI, LINE 7A POWER TO ELECT OR APPOINT MEMBERS THE ORGANIZATION'S MEMBERS ELECT THE DIRECTORS OF HOAG HOSPITAL FOUNDATION. FORM 990, PART VI, LINE 7B DECISIONS RESERVED FOR MEMBERS OR STOCKHOLDERS THE ORGANIZATION'S MEMBERS MUST APPROVE THE FOLLOWING: A) CHANGES TO THE ARTICLES OF INCORPORATION; B) CHANGES OR AMENDMENTS TO THE BYLAWS; C) APPOINTMENT AND REMOVAL OF DIRECTORS; D) REMOVAL OF OFFICERS; E) ANY CHANGE IN THE FUNDAMENTAL NATURE OF THE FOUNDATION; F) DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE FOUNDATION'S ASSETS; G) ANY MERGER, CONSOLIDATION OR SIMILAR REORGANIZATION OF THE CORPORATE STRUCTURE, OR DISSOLUTION, OF THE FOUNDATION; AND H) CHANGES TO THE INVESTMENT POLICY STATEMENT AND/OR CHANGE IN THE PRIMARY INVESTMENT CONSULTANT RECOMMENDED BY THE INVESTMENT COMMITTEE. FORM 990, PART VI, LINE 11B PROCESS USED TO REVIEW THE 990 THE ORGANIZATION'S BOARD OF DIRECTORS HAS DELEGATED TO THE AUDIT COMMITTEE OF THE BOARD THE REVIEW OF FORM 990 PRIOR TO ISSUANCE. THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE ACCOUNTING TEAM, HUMAN RESOURCES, CORPORATE COMPLIANCE AND GOVERNANCE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY MANAGEMENT, INCLUDING AN OFFICER OF THE ORGANIZATION. THE AUDIT COMMITTEE IS PROVIDED WITH A DRAFT OF THE FORM 990 AND IS PROVIDED AMPLE TIME TO READ THE DOCUMENT AND DEVELOP QUESTIONS. THE AUDIT COMMITTEE THEN CONVENES PRIOR TO ISSUANCE OF THE FORM 990 TO REVIEW AND DISCUSS THE DRAFT FORM 990 WITH MANAGEMENT AND EXTERNAL EXPERTS HIRED BY MANAGEMENT. AN ELECTRONIC VERSION OF THE FORM 990 IS POSTED TO A SECURE WEBSITE AVAILABLE TO ALL OF THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, LINE 12C MONITORING & ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY THE ORGANIZATION HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY. OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT IN CONNECTION WITH THAT INDIVIDUAL SATISFYING THEIR FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE CONSUMMATION OF ANY CONTRACT OR TRANSACTION. OFFICERS, DIRECTORS, NON-DIRECTOR MEMBERS OF BOARD COMMITTEES, AND SENIOR EXECUTIVES ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. INDIVIDUAL TRANSACTIONS THAT OCCUR BETWEEN THE ANNUAL QUESTIONNAIRES ARE REVIEWED BY THE CORPORATION'S LEGAL AND COMPLIANCE OFFICERS FOR POTENTIAL CONFLICT OF INTEREST. ANY DIRECTOR WHO HAS A CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT SHALL REFRAIN FROM VOTING ON ANY MATTER RELATING TO THE CONTRACT, TRANSACTION OR ARRANGEMENT, OR BE EXCUSED FROM ANY MEETING WHERE THE PROPOSED CONTRACT IS DISCUSSED. FORM 990, PART VI, LINES 15A & 15B PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S PRESIDENT IS PAID BY ITS TAX-EXEMPT PARENT, HOAG MEMORIAL HOSPITAL PRESBYTERIAN (HMHP) AND THE ORGANIZATION REIMBURSES HMHP FOR THE COMPENSATION. PLEASE SEE BELOW FOR THE PROCESS COMPLETED BY HMHP TO REVIEW AND DETERMINE COMPENSATION. THE COMPENSATION OF THE PRESIDENT AND ALL VICE PRESIDENTS (KEY EMPLOYEES) IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE HHF BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE RECEIVES A STUDY PERFORMED BY AN INDEPENDENT CONSULTING FIRM THAT REVIEWS LEVELS OF COMPENSATION AT COMPARABLE ORGANIZATIONS FOR COMPARABLE POSITIONS WHEN SETTING COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES. THIS PROCESS OF USING COMPARABLE DATA TO ESTABLISH LEVELS OF COMPENSATION HAS BEEN IN PLACE IN EXCESS OF SEVEN YEARS. THE COMPENSATION COMMITTEE DOCUMENTS THAT THE COMPENSATION IS REASONABLE IN ITS BOARD MINUTES DURING EXECUTIVE SESSION. THIS PROCESS WAS LAST COMPLETED IN APRIL 2019. IN ADDITION, THE INDEPENDENT CONSULTING FIRM PROVIDES THE BOARD WITH AN OPINION LETTER EACH YEAR CERTIFYING THAT THE COMPENSATION PROGRAM AND ALL PAY ELEMENTS (TOTAL REMUNERATION) APPROVED BY THE BOARD ARE DEEMED REASONABLE IN COMPLIANCE WITH IRC SECTION 4958. FORM 990, PART VI, LINE 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE POSTED ON THE FOUNDATION WEBSITE. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES UBI FROM PARTNERSHIPS/LLCS $ 114,442 CHANGE IN SPLIT INTEREST AGREEMENTS $ 10,899,069 ------------ TOTAL $ 11,013,511 COVENANT ACO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501(C)(3) 12, I CHS true COVENANT HEALTH NETWORK INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 461259908 HEALTHCARE CA 501(C)(3) 12, III SJHS true COVENANT HEALTH PARTNERS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 463516417 HEALTHCARE TX 501(C)(3) 12, I CHS true COVENANT HEALTH SYSTEM 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS true COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS true COVENANT MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 822913146 HEALTHCARE TX 501(C)(3) 3 CHS true COVENANT MEDICAL GROUP 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752743883 HEALTHCARE TX 501(C)(3) 3 CHS true EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 98206 943264605 TRANS. CARE WA 501(C)(3) 10 NA false GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 201910170 SUPPORT WA 501(C)(3) 7 PHS WA true GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC WA 98188 273133200 HEALTHCARE WA 501(C)(3) 7 SHS true HMTS INC 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 92658 453583707 HEALTHCARE CA 501(C)(3) 12, I HMHP true HOAG CHARITY SPORTS 2081 BUSINESS CTR DR STE 195 IRVINE CA 92612 452982422 SUPPORT CA 501(C)(3) 7 HHF true HOAG CLINIC 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 92658 330676831 HEALTHCARE CA 501(C)(3) 10 HMHP true HOAG MEMORIAL HOSPITAL PRESBYTERIAN ONE HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 92658 951643327 HEALTHCARE CA 501(C)(3) 3 CHN true HOSPICE OF LUBBOCK 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752133781 HEALTHCARE TX 501(C)(3) 10 CHS true INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 814260130 HEALTHCARE WA 501(C)(3) PF PHSSJHS true INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 912003593 HEALTHCARE WA 501(C)(3) 7 WHC true SAINT JOHN'S CANCER INSTITUTE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 954291515 HEALTHCARE CA 501(C)(3) 4 PSJHC true KADLEC AUXILIARY INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 916033089 SUPPORT WA 501(C)(3) 12, III KRMC true KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND WA 99352 237005501 SUPPORT WA 501(C)(3) 7 KRMC true KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 910655392 HEALTHCARE WA 501(C)(3) 3 WHC true LITTLE COMPANY OF MARY ANCILLARY SVCS CO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 330844408 IMAGING SVCS CA 501(C)(3) 10 PHS SOCAL true LUBBOCK HERITAGE HOSPITAL LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 264021016 HEALTHCARE TX 501(C)(3) 3 CHS true LUNDBERG ASSOCIATIONPROVIDENCE HOUSE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911562797 SUPPORT OR 501(C)(3) 7 PHS OR true METHODIST CHILDREN'S HOSPITAL 1801 LIND AVE SW 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IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP 20TH STREET SURGERY LLC EIN: 73-1735618 ADDRESS: 1301 20TH STREET, STE 140, SANTA MONICA, CA 90404 BRIDGEPORT MEDICAL IMAGING (BMI) EIN: 26-0796953 ADDRESS: 4400 NE HALSEY, #495 PORTLAND, OR 97213 BROADWAY IMAGING, LLC EIN: 52-2405971 ADDRESS: PO Box 4587, MISSOULA, MT 59806-4587 CANBY MEDICAL CENTER I, LLC EIN: 20-5470937 ADDRESS: 4800 SW MACADAM AVE., STE 120, PORTLAND, 97239 CENTER FOR MATERNAL, NEWBORN AND CHILD EIN: 81-3526875 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 CENTER FOR MEDICAL IMAGING (CMI) EIN: 20-0477972 ADDRESS: 4400 NE HALSEY ST., BLDG. II, #495 PORTLAND, OR 97213 CLACKAMAS RADIATION ONCOLOGY CENTER, LLC EIN: 26-0381897 ADDRESS: 4400 NE HALSEY ST., BLDG. II, #495 PORTLAND, OR 97213 COASTAL ASC HOLDINGS LLC EIN: 81-0986844 ADDRESS: ONE HOAG DRIVE, PO BOX 6100, NEWPORT BEACH, CA 92658 COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY EIN: 26-4591502 ADDRESS: ONE CITY BLVD W STE 100, ORANGE, CA 92868 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 CSS JV, LLC EIN: 26-3638838 ADDRESS: 11782 SW BARNES ROAD, STE 200 BLDG C, PORTLAND, OR, 97225 FIRST HILL SURGERY CENTER, LLC EIN: 47-2066485 ADDRESS: 1101 MADISON STREET STE 200, SEATTLE, WA, 98104 FULLERTON SURGICAL CENTER LP EIN: 47-0927394 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 GREATER VALLEY MEDICAL BUILDING, L.P. EIN: 95-4570858 ADDRESS: 501 S. BUENA VISTA ST. BURBANK, CA 91505 HCSA PROPERTIES LLC EIN: 46-0620892 ADDRESS: 1600 M STREET NW AUBURN, WA 98001 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 500 S. MAIN STREET, STE 1000, ORANGE, CA 92868 HOAG ORTHOPEDIC INSTITUTE EIN: 61-1588294 ADDRESS: 1 HOAG DRIVE, PO BOX 6100, NEWPORT BEACH, CA 92658 IMAGING ASSOCIATES LLC EIN: 20-3906048 ADDRESS: 3650 PIPER STREET, STE A, ANCHORAGE, AK 99508 INLAND IMAGING, LLC EIN: 91-1855796 ADDRESS: 801 S. STEVENS ST., SPOKANE, WA 99204 LSC REAL PROPERTY, LLC EIN: 47-4646059 ADDRESS: 2301 QUAKER AVENUE, LUBBOCK, TX, 79410 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET, LUBBOCK, TX 79410 MISSION VIEJO PARTNERS II, LLC EIN: 82-3943675 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SN MIGUEL, NEWPORT BEACH, CA 92660 NORTH OC IMAGING JV HOLDINGS, LLC EIN: 85-2444305 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA, 98057 OREGON ADVANCED IMAGING, LLC EIN: 45-0471748 ADDRESS: 881 O'HARE PARKWAY, MEDFORD, OR 97504 OREGON OUTPATIENT SURGERY CENTER EIN: 22-3883387 ADDRESS: 7300 SW CHILDS ROAD, TIGARD, OR 97224 PET/CT IMAGING AT SWEDISH CANCER INSTITUTE, LLC EIN: 20-3132044 ADDRESS: 1221 MADISON STREET SEATTLE, WA 98104 PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES, LLC EIN: 45-2901632 ADDRESS: 19625 62ND AVENUE SOUTH, SUITE 101, KENT, WASHINGTON 98032 PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO EIN: 81-2701056 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 PROV. RADIATION ONCOLOGY DEVELOP. ASSN., LLC EIN: 26-0682491 ADDRESS: 4400 NE HALSEY, #495 PORTLAND, OR 97213 PROVIDENCE & SCA OFF-CAMPUS HOLDINGS, LLC EIN: 82-3765555 569 BROCKWOOD VILLAGE, SUITE 901, BIRMINGHAM, AL 35209 PROVIDENCE & SCA ON-CAMPUS HOLDINGS, LLC EIN: 82-3270499 569 BROCKWOOD VILLAGE, SUITE 901, BIRMINGHAM, AL 35209 PROVIDENCE CHILDREN'S NEONATAL SERVICES EIN: 47-0918549 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 PROVIDENCE IMAGING CENTER JOINT VENTURE EIN: 92-0118807 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 PROVIDENCE ST. JOSEPH HEALTH LONG TERM PORTFOLIO EIN: 82-3190634 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 PROVIDENCE SURGERY CENTER, LLC EIN: 84-1401625 ADDRESS: 902 N. ORANGE ST MISSOULA, MT 59802 PROVIDENCE UCLA USP SURGERY CENTER JV EIN: 32-0503030 14201 DALLAS PARKWAY, DALLAS, TX 75254 PROVIDENCE/USP SOUTH BAY SURGERY CENTERS EIN: 47-5064486 ADDRESS: 15305 DALLAS PKWY, STE 1600, LB 28, ADDISON, TX 75001 PROVIDENCE/USP SURGERY CENTERS, LLC EIN: 20-0684116 ADDRESS: 11550 INDIAN HILLS ROAD #160, MISSION HILLS, CA 91345 RADIATION THERAPY INNOVATIONS, LLC EIN: 30-0553035 ADDRESS: 1221 MADISON STREET, 1ST FL, SEATTLE, WA 98104 SANTA ANA MOB, LLC EIN: 75-3205306 ADDRESS: 1800 QUAIL STREET, STE 100, NEWPORT BEACH, CA 92660 SJO ASC HOLDINGS LLC EIN: 82-1655501 ADDRESS: 1140 W. LA VETA AVE ORANGE, CA 92868 ST JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE, ORANGE, CA 92868 ST. JOSEPH/SATELLITE DIALYSIS CENTERS, LLC EIN: 81-4657391 ADDRESS: 300 SANTANA ROW, SUITE 300 SAN JOSE, CA 95128 ST. JUDE SURGICAL CENTERS, LLC EIN: 82-3352570 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 ST. PETER-SOUTH SOUND REGIONAL MRI CENTER EIN: 91-1455338 ADDRESS: 3417 ENSIGN RD NE, OLYMPIA, WA, 98506 SURGERY CENTER AT TANASBOURNE, LLC EIN: 20-8187971 ADDRESS: 11221 ROE AVE., STE 300, LEAWOOD, KS 66211 TARZANA PEDIATRIC VENTURES LLC EIN: 82-1308306 ADDRESS: 18321 CLARK ST, TARZANA, CA 91356 THE MADISON SPOKANE INN, LLC EIN: 84-1606484 ADDRESS: 15 WEST ROCKWOOD BLVD. SPOKANE, WA 99204 WON-ONC, LLC EIN: 26-2181194 ADDRESS: 1900 COOKS HILL RD, CENTRALIA, WA, 98531