PROVIDENCE SAINT JOHNS HEALTH CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
PROVIDENCE SAINT JOHNS HEALTH CENTER (EIN 95-1684082)
Tax period
2018-01-01 to 2018-12-31
Filed
2021-09-21
IRS object ID
202122649349301147
Schema version
2018v3.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-09-21T19:15:16-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14365 EXECUTIVE DRIVE SUITE 1600AddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92121ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951684082EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJO ANN ESCASA-HAIGHPersonNm
Person TitleEVP/ASSISTANT TREASURERPersonTitleTxt
Phone4255253985PhoneNum
Signature2021-09-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRYAN MAYORPreparerPersonNm
PTINP01650740PTIN
Phone8585357200PhoneNum
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnYes (X)AmendedReturnInd
Principal OfficerGREG HOFFMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$413,502,158GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressCALIFORNIA.PROVIDENCE.ORG/SAINT-JOHNS/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1942FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee1916TotalEmployeeCnt
Total Volunteers330TotalVolunteersCnt
Total Gross UBI$5,785,908TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$81,719NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,280,236PYContributionsGrantsAmt
CY Contributions Grants$7,656,242CYContributionsGrantsAmt
PY Program Service Revenue$386,932,647PYProgramServiceRevenueAmt
CY Program Service Revenue$399,028,101CYProgramServiceRevenueAmt
PY Investment Income$650,499PYInvestmentIncomeAmt
CY Investment Income$640,182CYInvestmentIncomeAmt
PY Other Revenue$6,163,116PYOtherRevenueAmt
CY Other Revenue$5,939,442CYOtherRevenueAmt
PY Total Revenue$403,026,498PYTotalRevenueAmt
CY Total Revenue$413,263,967CYTotalRevenueAmt
PY Grants And Similar Paid$807,987PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$996,228CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$146,157,253PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$140,083,710CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$319,784,647PYOtherExpensesAmt
CY Other Expenses$323,939,572CYOtherExpensesAmt
PY Total Expenses$466,749,887PYTotalExpensesAmt
CY Total Expenses$465,019,510CYTotalExpensesAmt
PY Revenues Less Expenses-$63,723,389PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$51,755,543CYRevenuesLessExpensesAmt
Total Assets BOY$534,303,984TotalAssetsBOYAmt
Total Assets EOY$499,429,553TotalAssetsEOYAmt
Total Liabilities BOY$234,314,941TotalLiabilitiesBOYAmt
Total Liabilities EOY$208,192,008TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$299,989,043NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$291,237,545NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$413,667,265ExpenseAmt
Grant$0GrantAmt
Revenue$400,109,771RevenueAmt
DescSEE SCHEDULE OPROVIDENCE ST. JOSEPH HEALTH SYSTEMON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS, 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.THE FOUNDERS OF BOTH ORGANIZATIONS WERE COURAGEOUS WOMEN AHEAD OF THEIR TIME. THE SISTERS OF PROVIDENCE AND THE SISTERS OF ST. JOSEPH OF ORANGE BROUGHT HEALTH CARE AND OTHER SOCIAL SERVICES TO THE AMERICAN WEST WHEN IT WAS STILL A RUGGED, UNTAMED FRONTIER. NOW, AS WE FACE A DIFFERENT LANDSCAPE - A CHANGING HEALTH CARE ENVIRONMENT - WE DRAW UPON THEIR PIONEERING AND COMPASSIONATE SPIRIT TO PLAN FOR THE NEXT CENTURY OF HEALTH CARE.PROVIDENCE HEALTH & SERVICESIN 1856, MOTHER JOSEPH AND FOUR SISTERS OF PROVIDENCE ESTABLISHED HOSPITALS, SCHOOLS AND ORPHANAGES ACROSS THE NORTHWEST. OVER THE YEARS, OTHER CATHOLIC SISTERS TRANSFERRED SPONSORSHIP OF THEIR MINISTRIES TO PROVIDENCE, INCLUDING THE LITTLE COMPANY OF MARY, DOMINICANS AND CHARITY OF LEAVENWORTH. RECENTLY, SWEDISH HEALTH SERVICES, KADLEC REGIONAL MEDICAL CENTER AND PACIFIC MEDICAL CENTERS HAVE JOINED PROVIDENCE AS SECULAR PARTNERS WITH A COMMON COMMITMENT TO SERVING ALL MEMBERS OF THE COMMUNITY. TODAY, PROVIDENCE SERVES ALASKA, CALIFORNIA, MONTANA, OREGON AND WASHINGTON.ST. JOSEPH HEALTH SYSTEMIN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIFORNIA TO PROVIDE EDUCATION AND HEALTH CARE. THEY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA.PROVIDENCE 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 AS HEALTHGRADES, 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.STATISTICS:LICENSED BEDS - 266BIRTHS - 2,001ADMISSIONS - 12,439ED VISITS - 29,578INPATIENT SURGERIES - 4,383OUTPATIENT SURGERIES - 4,834Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$996,228ExpenseAmt
Grant$996,228GrantAmt
Revenue$0RevenueAmt
DescSEE SCHEDULE OAS STATED IN THE MISSION OF PROVIDENCE SAINT JOHN'S HEALTH CENTER, "AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE," IT HIGHLIGHTS THE ORGANIZATION'S COMMITMENT TO SERVING THOSE MOST IN NEED. THE MAJORITY OF THE COMMUNITY BENEFITS PROVIDED BY PROVIDENCE SAINT JOHN'S (INCLUDING GOODS, SERVICES AND FINANCIAL RESOURCES) ARE FOCUSED ON 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. THE PEOPLE CONCERN, 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 INCLUDES PARTNERSHIPS WITH DEDICATED ORGANIZATIONS SUCH AS THESE.OUR CARE OF THOSE LIVING IN POVERTY IS BUILT ON YET ANOTHER ESSENTIAL PARTNERSHIP. THE DEDICATED PHYSICIANS WHO PROVIDE PROFESSIONAL DIAGNOSTIC AND THERAPEUTIC SERVICES TO THE PATIENTS REFERRED FROM AREA CLINICS. THESE PHYSICIANS VOLUNTEER THEIR TIME AND PROFESSIONAL SKILLS, AS PROVIDENCE SAINT JOHN'S PROVIDES THE STAFF, RESOURCES AND FACILITIES TO OFFER THESE SERVICES AT NO CHARGE TO THOSE PATIENTS LIVING IN POVERTY.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 VENICE FAMILY CLINIC, WESTSIDE FAMILY HEALTH CENTER, THE PEOPLE CONCERN, ST. JOSEPH CENTER, SAINT JOHN'S CHILD AND FAMILY DEVELOPMENT CENTER.PROVIDENCE SAINT JOHN'S HEALTH CENTER HAS BEEN FORTUNATE TO COLLABORATE WITH MANY EXTRAORDINARY PARTNERS, SUCH AS VENICE FAMILY CLINIC, SAINT JOSEPH CENTER AND THE PEOPLE CONCERN TO SERVE THE NEEDS OF THE COMMUNITY. THE HEALTH CENTER WORKS WITH SAINT JOSEPH CENTER AND THE PEOPLE CONCERN TO ADDRESS THE NEEDS OF THOSE WHO ARE HOMELESS AND LIVING IN THE AREA. THROUGH THE PARTNERSHIP WITH VENICE FAMILY CLINIC, THOSE PERSONS WHO ARE UNINSURED ARE ABLE TO GET THE MEDICAL CARE AND HELP THAT THEY NEED. IN ADDITION TO PARTNERING WITH AND SUPPORTING LOCAL ORGANIZATIONS IN THE COMMUNITY, PSJHC ALSO PROVIDES COMMUNITY OUTREACH PROGRAMS TO ADDRESS SOME OF THE PRIORITY HEALTH NEEDS IN THE AREA. THESE PROGRAMS INCLUDE THE CHILD AND FAMILY DEVELOPMENT CENTER PROVIDING OUTPATIENT MENTAL HEALTH SERVICES TO LOW INCOME CHILDREN AND THEIR FAMILIES. THE HOMELESS CARE COORDINATION PROGRAM SERVES PATIENTS WHO ARE HOMELESS SEEKING CARE AT THE HOSPITAL BY TRYING TO LINK THEM WITH SHELTER AND OTHER SERVICES. THE COMMUNITY HEALTH PARTNERSHIP PROGRAM FOCUSES ON DISEASE PREVENTION AND HEALTH PROMOTION BY BRINGING EDUCATION, ACTIVITIES, AND SCREENING PROGRAMS TO THE LOCAL RESIDENTS. THE COMMUNITY HEALTH EDUCATION PROGRAM OFFERS A SERIES OF FREE HEALTH FORUMS FOR THE WESTSIDE RESIDENTS FOCUSED ON DIFFERENT HEALTH TOPICS OF INTEREST TO THE COMMUNITY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$414,663,493TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document315IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1916EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JO ANN ESCASA-HAIGHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9493814000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13345 MICHELSON DRIVE SUITE 100AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (47 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CAROLINA REYES MD
DIRECTOR0.106.00Yes (X)$0$30,360$0
DAVE OLSEN
BOARD VICE CHAIR0.107.00Yes (X)$0$30,360$0
DICK P ALLEN
DIRECTOR0.105.00Yes (X)$0$30,360$0
ISIAAH CRAWFORD PHD
DIRECTOR0.104.10Yes (X)$0$30,360$0
MARY LYONS PHD
DIRECTOR0.104.60Yes (X)$0$30,360$0
MICHAEL HOLCOMB
DIRECTOR0.105.50Yes (X)$0$30,360$0
PHOEBE YANG
DIRECTOR0.105.50Yes (X)$0$25,360$0
RICHARD BLAIR
BOARD CHAIR0.107.70Yes (X)$0$60,360$0
SALLYE LINER MSN RN
DIRECTOR0.105.00Yes (X)$0$25,360$0
SR DIANE HEJNA CSJ RN
DIRECTOR0.105.30Yes (X)$0$0$0
SR LUCILLE DEAN SP
DIRECTOR0.105.50Yes (X)$0$0$0
SR PHYLLIS HUGHES RSM DRPH
DIRECTOR0.105.00Yes (X)$0$0$0
WALTER NOCE JR
DIRECTOR0.105.50Yes (X)$0$30,360$0
CINDY STRAUSS
SECRETARY1.0059.00$0$1,884,790$690,548Yes (X)
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT1.0059.00$0$210,649$37,871Yes (X)
JIM WATSON ESQ
ASSISTANT SECRETARY1.0059.00$0$576,188$65,143Yes (X)
JO ANN ESCASA-HAIGH
EVP/ASSISTANT TREASURER1.0059.00$0$1,110,835$527,424Yes (X)
JOHN WHIPPLE
ASSISTANT SECRETARY1.0059.00$0$1,029,547$345,689Yes (X)
MIKE BUTLER
PRESIDENT1.0059.00$0$4,583,366$968,461Yes (X)
VENKAT BHAMIDIPATI
EVP/TREASURER1.0059.00$0$1,227,009$673,841Yes (X)
ERIK WEXLER
CE/CA REGION8.0057.00$0$1,565,185$733,023Yes (X)
MARCEL LOH
CEO/ST. JOHN'S45.005.00$0$1,390,629$496,627Yes (X)
DAVID TAM
COO40.000.00$503,002$0$126,897Yes (X)
DEBORAH LYNNE VOSKAMP
CHIEF NURSING OFFICER40.000.00$325,350$0$72,929Yes (X)
DONALD LARSEN JR
CMO40.000.00$458,432$0$97,221Yes (X)
ROBERT KLEIN
PRESIDENT/CEO FOUNDATION1.0040.00$583,554$0$65,279Yes (X)
STELLA NICHOLS
CFO/FOUNDATION1.0040.00$314,395$0$33,824Yes (X)
ROD F HOCHMAN MD
FORMER PRESIDENT/CEO0.0060.00$0$6,569,155$4,266,266Yes (X)
TAMMY TEODOSIO
FORMER ASSISTANT SECRETARY1.0059.00$0$122,692$24,264Yes (X)
TODD HOFHEINS
FORMER EVP/CFO/TREAS.0.0060.00$0$820,571$35,946Yes (X)
AARON MARTIN
FORMER SVP/STRATEGY & INNOVATION0.0070.00$0$1,196,074$435,284Yes (X)
AMY COMPTON-PHILLIPS
FORMER EVP/CHIEF CLINICAL OFFICER0.0055.00$0$1,654,073$667,254Yes (X)
DAVID BROWN
FORMER VP/STRATEGY & BUSINESS DEV0.0055.00$0$1,450,101$280,369Yes (X)
DEBBIE BURTON
FORMER SVP/CHIEF NRSG. OFFICER0.0060.00$0$752,349$219,917Yes (X)
DEBRA CANALES
FORMER EVP/CAO0.0060.00$0$2,732,103$724,111Yes (X)
GREG TILL
FORMER VP/CHIEF TALENT OFFICER0.0065.00$0$963,974$295,508Yes (X)
HARVEY SMITH
FORMER SVP/CHIEF COSTUMER SVC. OFF0.000.00$0$583,049$16,156Yes (X)
JACK MUDD
FORMER SVP/MISSION LEADERSHIP0.0029.00$0$477,056$124,468Yes (X)
JANICE NEWELL
FORMER SVP/CHIEF INFORMATION OFFCR0.0060.00$0$1,512,913$154,123Yes (X)
JOEL GILBERTSON
FORMER SVP/COMMUNITY PARTNERSHIPS0.0060.00$0$1,606,496$361,983Yes (X)
LISA VANCE
FORMER SVP/CLINICAL PROGRAM SRVCS0.0060.00$0$1,375,835$351,382Yes (X)
MARY CRANSTOUN
FORMER VP/TOTAL REWARDS0.0060.00$0$874,811$290,673Yes (X)
MIKE WATERS
FORMER VP, CAO/PHYSICIAN SERVICES0.0065.00$0$863,546$295,528Yes (X)
OREST HOLUBEC
FORMER SVP/CHIEF COMM/EXT AFF OFF0.0055.00$0$1,111,242$274,690Yes (X)
RHONDA MEDOWS MD
FORMER EVP/POPULATION HEALTH0.0060.00$0$2,024,470$605,869Yes (X)
SHARON TONCRAY
FORMER SVP/CHIEF LABOR EE COUNSEL0.0060.00$0$1,423,352$178,439Yes (X)
TOM MCDONAGH
FORMER VP/CHIEF INVESTMENT OFFICER0.0058.00$0$1,103,684$122,850Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,184,733TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$43,119,344TotReportableCompRltdOrgAmt
Total Other Compensation$14,659,857TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$6,150,494RelatedOrganizationsAmt
Government Grants$1,489,897GovernmentGrantsAmt
All Other Contributions$15,851AllOtherContributionsAmt
Total Contributions$7,656,242TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
ACUTE CARE900099$342,000,547$336,214,639$5,785,908
PRIMARY CARE621110$53,224,273$53,224,273
CAPITATION REVENUE621110$3,803,281$3,803,281
FieldValueIRS element (for citing)
Total Program Service Revenue$399,028,101TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,594,151RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$573RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,593,578RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,593,578TotalRevenueColumnAmt
Exclusion$1,593,578ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$640,182OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$640,182OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$640,182TotalRevenueColumnAmt
Exclusion$640,182ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$161,694GrossSalesOfInventoryAmt
Cost Of Goods Sold$237,618CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$75,924TotalRevenueColumnAmt
Exclusion-$75,924ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PARKING REVENUE812930$1,160,324$1,160,324
CONCIERGE REVENUE621110$958,922$958,922
BAD DEBT RECOVERIES900099$776,685$776,685

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,525,857TotalRevenueColumnAmt
Related Or Exempt Func Income$122,748RelatedOrExemptFuncIncomeAmt
Exclusion$1,403,109ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,421,788OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$413,263,967TotalRevenueColumnAmt
Related Or Exempt Func Income$394,323,863RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,785,908UnrelatedBusinessRevenueAmt
Exclusion$5,497,954ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$953,475TotalAmt
Program Services$953,475ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$42,753TotalAmt
Program Services$42,753ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$128,121,108TotalAmt
Program Services$115,854,166ProgramServicesAmt
Management And General$12,266,942ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,974,811TotalAmt
Program Services$1,785,733ProgramServicesAmt
Management And General$189,078ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$95,918TotalAmt
Program Services$86,734ProgramServicesAmt
Management And General$9,184ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,891,873TotalAmt
Program Services$8,944,777ProgramServicesAmt
Management And General$947,096ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$807,997TotalAmt
Management And General$807,997ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,224TotalAmt
Management And General$27,224ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$22,826TotalAmt
Management And General$22,826ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$98,176,023TotalAmt
Program Services$83,962,307ProgramServicesAmt
Management And General$14,213,716ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$371,476TotalAmt
Management And General$371,476ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,100,544TotalAmt
Program Services$4,333,610ProgramServicesAmt
Management And General$766,934ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$649,806TotalAmt
Program Services$542,010ProgramServicesAmt
Management And General$107,796ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,658,957TotalAmt
Program Services$9,746,617ProgramServicesAmt
Management And General$4,912,340ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$585,034TotalAmt
Program Services$273,838ProgramServicesAmt
Management And General$311,196ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$433,767TotalAmt
Program Services$173,489ProgramServicesAmt
Management And General$260,278ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,044,144TotalAmt
Program Services$5,044,144ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,837,152TotalAmt
Program Services$6,184,578ProgramServicesAmt
Management And General$3,652,574ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$735,767TotalAmt
Program Services$620,715ProgramServicesAmt
Management And General$115,052ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$83,790,268$83,790,268
SYSTEM COST ALLOCATION$78,175,047$69,709,630$8,465,417
PROVIDER TAX$19,311,602$19,311,602
PARKING$2,734,348$2,734,348

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,477,590TotalAmt
Program Services$3,303,047ProgramServicesAmt
Management And General$174,543ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$465,019,510TotalAmt
Program Services$414,663,493ProgramServicesAmt
Management And General$50,356,017ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$19,207BOYAmt
EOY$5,600EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$94,968BOYAmt
EOY$93,026EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$53,433,639BOYAmt
EOY$41,617,156EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,756,759BOYAmt
EOY$6,970,326EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,871,017BOYAmt
EOY$910,958EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$338,405,252LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$49,643,390LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$296,128,151BOYAmt
EOY$288,761,862EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$145,474,015BOYAmt
EOY$147,461,962EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$8,181,359BOYAmt
EOY$50,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$16,344,869BOYAmt
EOY$13,558,663EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$534,303,984BOYAmt
EOY$499,429,553EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$50,643,175BOYAmt
EOY$33,994,770EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,237,190BOYAmt
EOY$748,643EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$181,434,576BOYAmt
EOY$173,448,595EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$234,314,941BOYAmt
EOY$208,192,008EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$205,030,816BOYAmt
EOY$199,798,316EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$80,022,400BOYAmt
EOY$75,654,001EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,935,827BOYAmt
EOY$15,785,228EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$299,989,043BOYAmt
EOY$291,237,545EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$534,303,984BOYAmt
EOY$499,429,553EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$51,755,543ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$43,004,045OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$150,000,000OtherCostOrOtherBasisAmt
Book Value$150,000,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$103,664,626OtherCostOrOtherBasisAmt
Depreciation$13,818,657DepreciationAmt
Book Value$89,845,969BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,273,964OtherCostOrOtherBasisAmt
Depreciation$438,103DepreciationAmt
Book Value$835,861BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,642,597OtherCostOrOtherBasisAmt
Depreciation$35,386,630DepreciationAmt
Book Value$24,255,967BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,824,065OtherCostOrOtherBasisAmt
Book Value$23,824,065BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$288,761,862TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescBENEFICIAL INTEREST IN FOUNDATIONDesc
Book Value$147,461,962BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$147,461,962TotalBookValueProgramRltdAmt
Federal Income Tax Liability$120,000FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
THIRD PARTY SETTLEMENTS$78,841
OTHER PAYABLES$22,976,582
DUE TO AFFILIATES$150,273,172
FieldValueIRS element (for citing)
Total Liability$173,448,595TotalLiabilityAmt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,470,567TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,470,567NetCommunityBenefitExpnsAmt
Total Expense0.00750TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,213,409TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue-$3,224,540DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,437,949NetCommunityBenefitExpnsAmt
Total Expense0.06580TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,683,976TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue-$3,224,540DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,908,516NetCommunityBenefitExpnsAmt
Total Expense0.07330TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,430,433TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$571,809DirectOffsettingRevenueAmt
Net Community Benefit Expns$858,624NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$307,324TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$307,324NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,336,663TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,981,662DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,355,001NetCommunityBenefitExpnsAmt
Total Expense0.01160TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$543,667TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$543,667NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,618,087TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,553,471DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,064,616NetCommunityBenefitExpnsAmt
Total Expense0.01540TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,302,063TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,328,931DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,973,132NetCommunityBenefitExpnsAmt
Total Expense0.08870TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,919,855TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$601,959DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,317,896NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,919,855TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$601,959DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,317,896NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$2,430,056BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$147,669,816ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$223,774,258CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$76,104,442MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SAINT JOHN'S HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE LINE 10A URL BELOWOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.PSJHEALTH.ORG/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/FINANCIAL-ASSISTANCE-APPLICATIONFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.PROVIDENCE.ORG/OBP/PLAIN-LANGUAGE-SUMMARYFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SAINT JOHN'S HEALTH CENTERPART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
SAINT JOHN'S HEALTH CENTERPART V, SECTION B, LINE 5: PROVIDENCE SAINT JOHN'S SOUGHT THE INPUT FROM KEY LEADERS IN THE FOLLOWING ORGANIZATIONS IN CONDUCTING THE LAST COMMUNITY HEALTH NEEDS ASSESSMENT IN 2017.-HEALTH DEPUTIES FROM SPAS 2 AND 3 FOR THE L.A. COUNTY BOARD OF SUPERVISORS (LOCAL COUNTY GOVERNMENT REPRESENTATIVE SERVING ALL RESIDENTS OF THE TWO SPAS)-CALIFORNIA COMMUNITY FOUNDATION (LOCAL PHILANTHROPY PROVIDING GRANTS TO SERVE LOW-INCOME, UNDERSERVED, MARGINALIZED, DIFFERENT ETHNIC GROUPS AND OTHERS IN L.A.)- VENICE FAMILY CLINIC (ORGANIZATION SERVES THE LOCAL INCOME AND UNINSURED BY PROVIDING MEDICAL CARE SERVICES)-DIDI HIRSCH MENTAL HEALTH CENTER (PROVIDES MENTAL HEALTH SERVICES TO THOSE WHO ARE LOW INCOME ON THE WESTSIDE OF L.A.)-SOUTHSIDE COALITION OF COMMUNITY HEALTH CENTERS (ORGANIZATION REPRESENTS COMMUNITY CLINICS SERVING THE LOW INCOME AND UNINSURED)-SANTA MONICA CHAMBER OF COMMERCE (REPRESENTS BUSINESSES IN THE SANTA MONICA COMMUNITY)-UNIHEALTH FOUNDATION (PHILANTHROPIC FOUNDATION PROVIDING FUNDS FOR PROJECTS THAT SERVE THOSE IN POVERTY, UNINSURED, MARGINALIZED, ETHNIC MINORITIES AND OTHERS IN THE SOUTHERN CALIFORNIA AREA)-WESTSIDE FAMILY HEALTH CENTER (COMMUNITY CLINIC PROVIDING PRIMARY MEDICAL CARE TO THOSE LIVING IN POVERTY AND THE UNINSURED RESIDING ON THE WESTSIDE)-SABAN CLINIC (COMMUNITY CLINIC PROVIDING PRIMARY MEDICAL CARE TO THOSE LIVING IN POVERTY AND THE UNINSURED ON THE WESTSIDE OF L.A.)-LOS ANGELES CITY DEPARTMENT OF PARKS AND RECREATION (GOVERNMENT DEPARTMENT OVERSEEING PARKS AND RECREATION PROGRAMS WITHIN THE CITY OF L.A.)-L.A. GAY AND LESBIAN CENTER (NONPROFIT THAT PROVIDES FREE AND DISCOUNTED SERVICES SUCH AS CLASSES, SUPPORT GROUPS, MEDICAL CARE AND MENTAL HEALTH SERVICES TO LGBTQ PERSONS RESIDING IN LOS ANGELES)-MAR VISTA FAMILY CENTER (COMMUNITY CENTER PROVIDING CLASSES, COUNSELING, INFORMATION AND OTHER SERVICES TO LOW INCOME RESIDENTS LIVING IN MAR VISTA)-U.S. VETERAN'S INITIATIVE (NONPROFIT PROVIDING SERVICES TO VETERANS LIVING IN L.A.)-THE L.A. TRUST FOR CHILDREN'S HEALTH (NONPROFIT SERVING LOW INCOME AND VULNERABLE CHILDREN AND THEIR FAMILIES)-CRENSHAW CHAMBER OF COMMERCE (ORGANIZATION REPRESENTING BUSINESSES IN THE CRENSHAW AREA)-L.A. COUNTY DEPARTMENT OF PLANNING (COUNTY DEPARTMENT OVERSEEING URBAN PLANNING FOR LOS ANGELES COUNTY)-LOS ANGELES URBAN LEAGUE(NONPROFIT THAT HELPS THE UNDERSERVED COMMUNITIES IN L.A. TO PARTICIPATE TO THE FULLEST EXTENT IN AMERICAN LIFE BY HELPING TO CHANGE SOCIAL AND ECONOMIC CONDITIONS)-JEWISH FAMILY SERVICES (NONPROFIT PROVIDING SOCIAL SERVICES, INFORMATION AND REFERRAL TO MEMBERS OF THE JEWISH COMMUNITY AND OTHERS LIVING ON THE WESTSIDE)-KOREAN AMERICAN FAMILY SERVICES (NONPROFIT PROVIDING SOCIAL SERVICES, INFORMATION AND REFERRAL TO MEMBERS OF THE KOREAN COMMUNITY AND OTHERS)-SOUTH L.A. WOMEN, INFANTS AND CHILDREN (NONPROFIT PROVIDING INFORMATION AND OTHER SERVICES TO LOW INCOME WOMEN, INFANTS AND CHILDREN LIVING IN THE SOUTHERN PART OF L.A. COUNTY)-CITY OF WEST HOLLYWOOD (CITY GOVERNMENT REPRESENTING THE RESIDENTS OF WEST HOLLYWOOD)-HEALTHY AFRICAN AMERICAN FAMILIES (NONPROFIT FOCUSED ON IMPROVING THE HEALTH OUTCOMES FOR LOW INCOME AFRICAN AMERICANS, LATINOS AND KOREANS LIVING IN L.A.)-SANTA MONICA-MALIBU UNIFIED SCHOOL DISTRICT (LOCAL SCHOOL DISTRICT SERVING THE CITIES OF SANTA MONICA AND MALIBU)-UCLA KAISER PERMANENTE CENTER FOR HEALTH EQUITY (ACADEMIC RESEARCH CENTER ADDRESSING HEALTH DISPARITIES AMONG DIFFERENT ETHNIC GROUPS, GENDERS, AND INCOME LEVELS WITHIN L.A. COUNTY)-CHARLES R. DREW UNIVERSITY OF MEDICINE AND SCIENCE (MEDICAL COLLEGE LOCATED IN AN UNDERSERVED AND LOW INCOME AREA OF L.A. COUNTY AND TRAINING A LARGE PROPORTION OF ETHNIC MINORITIES)-CITY OF L.A. HOUSING AUTHORITY (CITY GOVERNMENT AGENCY OVERSEEING AFFORDABLE, PUBLIC AND SECTION 8 HOUSING WITHIN THE CITY OF L.A.)-HOMELESS OUTREACH PROGRAM INTEGRATED CARE SYSTEM (NONPROFIT ORGANIZATION HELPING TO COORDINATE HOMELESS SERVICES AND RESOURCES FOR PERSONS WITHOUT PERMANENT HOUSING)-FIRST AFRICAN AMERICAN EPISCOPAL CHURCH OF L.A. (EPISCOPAL CHURCH IN L.A. PROVIDING OUTREACH SERVICES TO LOW INCOME PERSONS LIVING IN THE SOUTHERN AREA OF L.A. COUNTY)-WEST LOS ANGELES COMMUNITY DEVELOPMENT CORP. (NONPROFIT ORGANIZATION FOCUSED ON INCREASING ECONOMIC AND SOCIAL JUSTICE AND TO ALLEVIATE POVERTY AMONG THOSE WHO ARE CONSIDERED LOW INCOME IN LOS ANGELES)-OPCC/THE PEOPLE CONCERN (NONPROFIT ORGANIZATION PROVIDING TEMPORARY SHELTER, PERMANENT HOUSING AND OTHER SERVICES TO HOMELESS INDIVIDUALS LIVING ON THE WESTSIDE OF L.A.)-LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH (COUNTY AGENCY OVERSEEING MENTAL HEALTH SERVICES IN L.A. AND PROVIDING COUNSELING AND OTHER MENTAL HEALTH SERVICES TO THE LOW INCOME AND UNINSURED POPULATIONS)-WISE AND HEALTHY AGING (NONPROFIT PROVIDING SOCIAL, MENTAL HEALTH, EDUCATIONAL, AND OTHER SERVICES TO SENIORS LIVING ON THE WESTSIDE OF L.A.)-STEP UP ON SECOND (NONPROFIT SERVING HOMELESS INDIVIDUALS BY PROVIDING SHELTER, HOUSING AND OTHER SERVICES LOCATED ON THE WESTSIDE OF L.A.)-LOS ANGELES UNIFIED SCHOOL DISTRICT (SCHOOL DISTRICT ADMINISTERING ELEMENTARY, MIDDLE, HIGH AND ADULT SCHOOLS WITHIN THE CITY OF L.A.)-UCLA DAVID GEFFEN SCHOOL OF MEDICINE (MAJOR MEDICAL SCHOOL LOCATED ON THE WESTSIDE)-SANTA MONICA COLLEGE (COMMUNITY COLLEGE SERVING STUDENTS OF ALL ETHNICITIES, GENDERS, AND INCOME LEVELS SERVING THE WESTSIDE OF L.A.)-ST. MONICA CHURCH (CATHOLIC CHURCH PROVIDING VARIOUS OUTREACH PROGRAMS TO SERVE THOSE WHO ARE LOW INCOME AND LIVING IN THE SANTA MONICA AREA)-MEALS ON WHEELS WEST (NONPROFIT PROVIDING FREE AND LOW COST MEALS TO SENIORS AND THOSE ARE LOW INCOME LIVING ON THE WESTSIDE OF L.A.)-L.A. CARE HEALTH PLAN (INSURANCE COMPANY PROVIDING COVERAGE TO THOSE WHO ARE LOW INCOME LIVING IN L.A. COUNTY)-LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH AREA HEALTH OFFICER (LOCAL COUNTY PUBLIC HEALTH DEPARTMENT OFFICE SERVING RESIDENTS OF THE WESTSIDE AND SOUTHSIDE OF L.A. COUNTY)
SAINT JOHN'S HEALTH CENTERPART V, SECTION B, LINE 6A: PROVIDENCE SAINT JOHN'S HEALTH CENTER CONDUCTED PART OF THE PRIMARY DATA COLLECTION FOR THE CHNA IN PARTNERSHIP WITH THE OTHER HOSPITALS IN THE AREA INCLUDING:-CEDARS-SINAI MEDICAL CENTER-KAISER PERMANENTE MEDICAL CENTER WEST LOS ANGELES-UCLA MEDICAL CENTER, RONALD REAGAN AND SANTA MONICA CAMPUSES
SAINT JOHN'S HEALTH CENTERPART V, SECTION B, LINE 11: PROVIDENCE SAINT JOHN'S SOLICITED INPUT FROM KEY COMMUNITY STAKEHOLDERS, MEMBERS OF THE COMMUNITY ADVISORY COMMITTEE AND LOCAL RESIDENTS TO HELP IDENTIFY THE PRIORITY NEEDS. THESE TOP FIVE PRIORITY NEEDS IDENTIFIED IN THE 2016 CHNA INCLUDED:-ACCESS TO AFFORDABLE PRIMARY AND SPECIALTY CARE.-BETTER MANAGEMENT AND PREVENTION OF CHRONIC ILLNESSES.-THE NEED FOR MORE PREVENTION PROGRAMS FOCUSED ON REDUCING OBESITY AND IMPROVING NUTRITION.-IMPROVE ACCESS TO AFFORDABLE MENTAL HEALTH AND SUBSTANCE ABUSE PROGRAMS.-GROWING NUMBER OF HOMELESS PERSONS LIVING IN THE AREA.PROVIDENCE SAINT JOHN'S DEVELOPED IMPLEMENTATION STRATEGIES AROUND EACH OF THESE FIVE PRIORITY NEEDS THAT INCLUDED SPECIFIC METRICS TO ACHIEVE THE STRATEGIES. A COPY OF THE COMMUNITY HEALTH IMPROVEMENT PLAN IS INCLUDED AS AN APPENDIX WITHIN THE COMMUNITY HEALTH NEEDS ASSESSMENT. WITH SOME STRATEGIES THE ORGANIZATION IS DEVELOPING SPECIFIC PROGRAMS TO ADDRESS THE NEEDS, SUCH AS THE IMPLEMENTATION OF THE HOMELESS CARE COORDINATION PROGRAM. WITH OTHER STRATEGIES PROVIDENCE SAINT JOHN'S IS PARTNERING WITH OTHER ORGANIZATIONS TO WORK ON ADDRESSING THE NEEDS COLLABORATIVELY THROUGH JOINT PROJECTS OR GRANT FUNDING. PROVIDENCE SAINT JOHN'S HEALTH CENTER SEEKS TO GROW A HEALTHIER COMMUNITY BY PARTNERING AND COLLABORATING WITH RESIDENTS AND ORGANIZATIONS IN OUR COMMUNITY. PROGRAMS AND SERVICES PROVIDED BY THE HEALTH CENTER IN CALENDAR YEAR 2018 TO ADDRESS COMMUNITY HEALTH NEEDS INCLUDE THE FOLLOWING: CHARITY CARE FOR PATIENTS WITHOUT THE ABILITY TO PAY FOR NECESSARY TREATMENT. FINANCIAL AND IN-KIND SUPPORT OF LOCAL NONPROFIT ORGANIZATIONS FOCUSED ON SERVING VULNERABLE PERSONS. CHILD AND FAMILY DEVELOPMENT CENTER PROGRAMS, PROVIDING OUTPATIENT MENTAL HEALTH SERVICES FOR CHILDREN AND FAMILIES, PERSONS WHO ARE DEAF AND/OR HARD OF HEARING, PERSONS WITH DEVELOPMENTAL DISABILITIES, INDIVIDUALS AND FAMILIES AFFECTED BY CHILD ABUSE; THERAPEUTIC PRESCHOOL, SCHOOL-BASED MENTAL HEALTH OUTREACH TO AT-RISK YOUTH, COMMUNITY-BASED THERAPY SERVICES FOR YOUTH, AND COMMUNITY OUTREACH. DEDICATED PROGRAM PROVIDING TEMPORARY SUPPORTIVE CARE AND SHELTER TO HOMELESS PERSONS DISCHARGED FROM THE HOSPITAL. COLLABORATION IN INCREASING THE ACCESS TO CARE FOR LOW AND MODERATE INCOME WESTSIDE AREA INDIVIDUALS AND FAMILIES, INCLUDING MUST NEEDED SERVICES LIKE OBSTETRICAL CARE. COMMUNITY EDUCATION PROGRAMS ON TOPICS OF INTEREST. PARTNERSHIPS WITH LOCAL FAITH COMMUNITIES AND NONPROFITS TO ADDRESS GROWING HEALTH ISSUES AND CONCERNS IN THE COMMUNITY. EDUCATION AND INTERNSHIP PROGRAMS FOR NURSES, PHYSICIANS, PSYCHOLOGISTS, SOCIAL WORKERS, AND ALLIED HEALTH PROFESSIONALS. SUPPORT FOR MEDICAL AND COMMUNITY HEALTH RESEARCH.FOR NEEDS THAT PROVIDENCE SAINT JOHN'S IS UNABLE TO FOCUS ON AT THIS TIME (DUE TO LACK OF EXPERTISE IN THIS AREA AND THE AVAILABILITY OF FUNDING) SUCH AS HAVING MORE AFFORDABLE HOUSING TO ADDRESS HOMELESSNESS OR PROVIDING MORE ECONOMIC OPPORTUNITIES, THE HOSPITAL IS FUNDING ORGANIZATIONS IN THE COMMUNITY THROUGH GRANTS TO SUPPORT THEIR EFFORTS. THESE INCLUDE GRANTS TO ORGANIZATIONS SUCH AS UPWARD BOUND HOUSE, STEP UP ON SECOND, AND SAFE PLACE FOR YOUTH.
SAINT JOHN'S HEALTH CENTERPART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES, A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
FieldValueIRS element (for citing)
Facility13FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - SANTA MONICA WILSHIRE IMAGING
2200-2202 WILSHIRE BLVDSANTA MONICACA90404OUTPATIENT/IMAGING CTR
2 - FAMILY AND OBESITY MEDICINE
12304 SANTA MONICA BLVD SUITE 101LOS ANGELESCA90025PRIMARY CARE
3 - PEDIATRICS KIDDOX
1245 16TH ST SUITE 305SANTA MONICACA90404PRIMARY CARE
4 - FAMILY MEDICINE
1811 WILSHIRE BLVD SUITE 201SANTA MONICACA90403PRIMARY CARE
5 - FAMILY MEDICINE
1821 WILSHIRE BLVD SUITE 301SANTA MONICACA90403PRIMARY CARE
6 - PEDIATRICS
2021 SANTA MONICA BLVD SUITE 245ESANTA MONICACA90404PRIMARY CARE
7 - PEDIATRICS
2021 SANTA MONICA BLVD SUITE 421ESANTA MONICACA90404PRIMARY CARE
8 - FAMILY MEDICINE PEAK
2143 S SEPULVEDA BL 300LOS ANGELESCA90025PRIMARY CARE
9 - INTERNAL MEDICINE
1301 20TH ST SUITE 110SANTA MONICACA90404SPECIALTY CLINIC
10 - NEPHROLOGY & INTERNAL MEDICINE
1301 20TH ST SUITE 290SANTA MONICACA90404SPECIALTY CLINIC
11 - RHEUMATOLOGY
2021 SANTA MONICA BLVD SUITE 335ESANTA MONICACA90404SPECIALTY CLINIC
12 - HOSPITAL MEDICINE
2121 SANTA MONICA BLVDSANTA MONICACA90404SPECIALTY CLINIC
13 - RHEUMATOLOGY
2336 SANTA MONICA BL 207SANTA MONICACA90404SPECIALTY CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
PART I, LINE 6A:PROVIDENCE SAINT JOHN'S HEALTH CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PSJHEALTH.ORG/COMMUNITY-BENEFIT/SOUTHERN-CALIFORNIA/.
PART I, LINE 7:THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS.
PART I, LINE 7G:NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.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 $2,430,056.
PART II, COMMUNITY BUILDING ACTIVITIES:PROVIDENCE SAINT JOHN'S EXTENDS CARE BEYOND THE HOSPITAL'S WALLS TO IMPROVE THE HEALTH OF THE COMMUNITY. THROUGH COMMUNITY BUILDING ACTIVITIES THE ORGANIZATION FOCUSES ON ISSUES SUCH AS HOMELESSNESS, POVERTY, ENVIRONMENTAL STEWARDSHIP AND IMPROVEMENTS IN EDUCATION.PROVIDENCE SAINT JOHN'S LEADERS SERVE ON THE BOARDS OF LOCAL NONPROFIT ORGANIZATIONS SUCH AS MEALS ON WHEELS WEST AND WISE AND HEALTHY AGING. MANY OF THE EMPLOYEES AT THE HOSPITAL DONATE THEIR TIME THROUGH VOLUNTEER ACTIVITIES WITH NONPROFITS IN THE AREA. PROVIDENCE ST. JOSEPH HEALTH (THE PARENT COMPANY OF PROVIDENCE SAINT JOHN'S HEALTH CENTER) ENCOURAGES VOLUNTEERISM AMONG THE EMPLOYEES THROUGH THE VOLUNTEERS IN PARTNERSHIP PROGRAM. IN ADDITION, PROVIDENCE SAINT JOHN'S DOES COLLECTIONS OF GOODS THROUGHOUT THE YEAR TO HELP ORGANIZATIONS SERVING THOSE MOST IN NEED. EXAMPLES OF THESE DONATION DRIVES INCLUDE A SHOE COLLECTION, SCHOOL SUPPLY COLLECTION, SOCKS AND UNDERWEAR FOR THE HOMELESS SHELTER, AND GIFTS FOR LOW INCOME FAMILIES AT THE HOLIDAYS.
PART III, LINE 2:THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE.
PART III, LINE 3:THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION, THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE 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:THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
PART III, LINE 9B:PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE.
PART VI, LINE 2:NEEDS ASSESSMENT:IN ADDITION TO COMPLETING A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT, PROVIDENCE SAINT JOHN'S SEEKS FEEDBACK ON EMERGING NEEDS AND ISSUES IN THE COMMUNITY. THIS IS ACCOMPLISHED THROUGH A NUMBER OF WAYS:-THE HOSPITAL PARTICIPATES ON THE WESTSIDE COALITION WHICH IS A MULTI-SECTORAL GROUP OF ORGANIZATIONS ADDRESSING ISSUES OF HEALTH, MENTAL HEALTH, SOCIAL ISSUES AND HOUSING WITHIN SERVICE PLANNING AREA 5.-PROVIDENCE SAINT JOHN'S MAINTAINS ONGOING COMMUNICATION WITH KEY COLLABORATORS IN THE COMMUNITY TO IDENTIFY KEY NEEDS AND ISSUES FACING THE AREA. THESE ORGANIZATIONS INCLUDE VENICE FAMILY CLINIC, THE PEOPLE CONCERN, SAFE PLACE FOR YOUTH, CITY OF SANTA MONICA, ST. MONICA CHURCH, KAISER PERMANENTE WEST LOS ANGELES, UCLA MEDICAL CENTER, CEDARS SINAI MEDICAL CENTER AND WISE AND HEALTHY AGING.-PROVIDENCE SAINT JOHN'S HOLDS AN ANNUAL MEETING WITH LOCAL RESIDENTS TO SEEK THEIR INPUT ON ISSUES THEY FEEL ARE FACING THE COMMUNITY.
PART VI, LINE 3:COMMUNICATION TO THE PUBLIC:PROVIDENCE HOSPITALS POST NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS ADMITTING/REGISTRATION, BILLING OFFICE, EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS.EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE POLICIES CONTAINS BRIEF INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR A DISCOUNTED PAYMENT. THE NOTICES ALSO INCLUDE A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION.AT THE TIME OF REGISTRATION, PATIENTS RECEIVE A PACKET THAT INCLUDES INFORMATION ON CHARITY CARE AND FINANCIAL ASSISTANCE. IF PATIENTS HAVE ANY QUESTIONS, PROVIDENCE HAS FINANCIAL COUNSELORS THAT WILL EDUCATE THEM ON ANY FINANCIAL ASSISTANCE THROUGH THE HOSPITAL OR ANY GOVERNMENT PROGRAM THAT THE PATIENT MAY QUALIFY FOR.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS.WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS.
PART VI, LINE 4:THE COMMUNITY SERVED BY PROVIDENCE SAINT JOHN'S HEALTH CENTER INCLUDES THE AREA THAT REPRESENTS SERVICE PLANNING AREA 5 OF LOS ANGELES COUNTY. THIS AREA INCLUDES THE WESTERN PORTION OF LOS ANGELES COUNTY STRETCHING FROM THE SANTA MONICA MOUNTAINS TO THE COAST. THE AREA INCLUDES 20 DISTINCT COMMUNITIES AND 30 ZIP CODES AND INCLUDES A POPULATION OF OVER 674,700 PERSONS. A BREAKDOWN OF THE DEMOGRAPHICS OF THE AREA SHOWS:-68.5% OF THE POPULATION IS WHITE, 13.4% ASIAN, AND 6.0% AFRICAN AMERICAN. LATINOS REPRESENT APPROXIMATELY 15.4% OF THE AREA POPULATION.-APPROXIMATELY 24% OF THE POPULATION IN THE AREA HAS ANNUAL INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL.-THE AREA INCLUDES COMMUNITIES WITH SIGNIFICANT INCOME SUCH AS BEL AIR AND PACIFIC PALISADES AND AREAS WITH A MIX OF LOWER INCOME HOUSEHOLDS SUCH AS MAR VISTA.-THOSE PERSONS OVER 25 YEARS OF AGE WHO HAVE NOT GRADUATED FROM HIGH SCHOOLS REPRESENT 6% OF THE POPULATION.-SENIORS, AGE 65+, REPRESENT 16.3% OF THE POPULATION WHILE CHILDREN/YOUTH, AGE 0-17 REPRESENT 15.9% OF THE POPULATION.-THE AREA IS EVENLY SPLIT BETWEEN MALES AND FEMALES.-THE NUMBER OF HOUSING UNITS IN THE AREA IS 330,749.-APPROXIMATELY 5.3% OF THE RESIDENTS IN THE AREA ARE UNINSURED.-OF THE POPULATION AGE 5 AND OLDER, APPROXIMATELY 10.8% HAVE LIMITED ENGLISH PROFICIENCY.THERE ARE SIX OTHER HOSPITALS SERVING THE PROVIDENCE SAINT JOHN'S HEALTH CENTER COMMUNITY.
PART VI, LINE 5:PROVIDENCE SAINT JOHN'S HEALTH CENTER PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERSINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE SAINT JOHN'S HEALTH CENTER IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) OPEN MEDICAL STAFF 2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.
PART VI, LINE 6:ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (LEGACY PHS) AND ST. JOSEPH HEALTH SYSTEM (LEGACY SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS AND OVER 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
THE PEOPLE CONCERN
2116 ARLINGTON AVE NO 100LOS ANGELESCA90018956143865501(C)(3)$529,557SUPPORT PROGRAMS TO PROVIDE HOUSING, SOCIAL, AND SUPPORTIVE SERVICES FOR HOMELESS AND LOW INCOME PERSONS.
VENICE FAMILY CLINIC
604 ROSE AVENUEVENICECA90291952769432501(C)(3)$175,000SUPPORT PROGRAM TO CARE FOR LOW INCOME AND HOMELESS PERSONS.
ST JOSEPH CENTER
204 HAMPTON DRIVEVENICECA90291953874381501(C)(3)$148,418SUPPORT PROGRAMS FOR WORKING POOR FAMILIES, AS WELL AS HOMELESS PERSONS.
WESTSIDE FAMILY HEALTH CENTER
1711 OCEAN PARK BLVDSANTA MONICACA90405952931931501(C)(3)$50,000SUPPORT PROGRAMS OF MEDICAL, SOCIAL, PSYCHOLOGICAL AND EDUCATIONAL SERVICES FOR FAMILIES.
PALISADES WILL ROGERS 5 & 10K RUN FOUNDATION
552 ALMAR AVEPACIFIC PALISADESCA90272463944524501(C)(3)$35,000SUPPORT 5 AND 10K RUN.
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
PROVISION OF SUPPLIES240$31,103COSTSUPPLIES SUCH AS THROWS, CLOTHING, HYGIENE KITS, BUS TOKENS, AND ORTHODONTIC SERVICES FOR HOMELESS PERSONS AND NEEDY FAMILIES.
GROCERY GIFT CARDS1165$11,650COSTGROCERY GIFT CARDS FOR NEEDY FAMILIES.

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (34 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CINDY STRAUSS
SECRETARY$0$769,625$0$724,144$0$391,021$0$664,452$0$26,096$0$2,575,338$0$356,681
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT$0$195,960$0$14,071$0$618$0$29,366$0$8,505$0$248,520$0$0
JIM WATSON ESQ
ASSISTANT SECRETARY$0$449,476$0$64,532$0$62,180$0$24,750$0$40,393$0$641,331$0$0
JO ANN ESCASA-HAIGH
EVP/ASSISTANT TREASURER$0$676,469$0$396,611$0$37,755$0$503,453$0$23,971$0$1,638,259$0$0
JOHN WHIPPLE
ASSISTANT SECRETARY$0$420,678$0$357,576$0$251,293$0$321,644$0$24,045$0$1,375,236$0$218,336
MIKE BUTLER
PRESIDENT$0$1,320,076$0$2,525,154$0$738,136$0$942,095$0$26,366$0$5,551,827$0$692,718
VENKAT BHAMIDIPATI
EVP/TREASURER$0$903,927$0$282,772$0$40,310$0$649,292$0$24,549$0$1,900,850$0$0
ERIK WEXLER
CE/CA REGION$0$886,410$0$569,874$0$108,901$0$716,756$0$16,267$0$2,298,208$0$0
MARCEL LOH
CEO/ST. JOHN'S$0$553,298$0$227,054$0$610,277$0$470,473$0$26,154$0$1,887,256$0$338,406
DAVID TAM
COO$462,774$0$35,624$0$4,604$0$99,157$0$27,740$0$629,899$0$0$0
DEBORAH LYNNE VOSKAMP
CHIEF NURSING OFFICER$299,903$0$0$0$25,447$0$61,225$0$11,704$0$398,279$0$0$0
DONALD LARSEN JR
CMO$376,831$0$30,173$0$51,428$0$83,750$0$13,471$0$555,653$0$29,064$0
ROBERT KLEIN
PRESIDENT/CEO FOUNDATION$423,166$0$104,962$0$55,426$0$49,586$0$15,693$0$648,833$0$24,103$0
STELLA NICHOLS
CFO/FOUNDATION$278,648$0$5,217$0$30,530$0$24,921$0$8,903$0$348,219$0$0$0
ROD F HOCHMAN MD
FORMER PRESIDENT/CEO$0$2,026,331$0$3,370,808$0$1,172,016$0$4,239,838$0$26,428$0$10,835,421$0$1,130,152
TAMMY TEODOSIO
FORMER ASSISTANT SECRETARY$0$113,095$0$8,184$0$1,413$0$12,754$0$11,510$0$146,956$0$0
TODD HOFHEINS
FORMER EVP/CFO/TREAS.$0$0$0$0$0$820,571$0$4,960$0$30,986$0$856,517$0$0
AARON MARTIN
FORMER SVP/STRATEGY & INNOVATION$0$619,482$0$299,538$0$277,054$0$429,276$0$6,008$0$1,631,358$0$256,355
AMY COMPTON-PHILLIPS
FORMER EVP/CHIEF CLINICAL OFFICER$0$775,101$0$744,687$0$134,285$0$638,301$0$28,953$0$2,321,327$0$90,925
DAVID BROWN
FORMER VP/STRATEGY & BUSINESS DEV$0$378,024$0$330,500$0$741,577$0$253,902$0$26,467$0$1,730,470$0$739,590
DEBBIE BURTON
FORMER SVP/CHIEF NRSG. OFFICER$0$355,841$0$311,439$0$85,069$0$190,913$0$29,004$0$972,266$0$60,891
DEBRA CANALES
FORMER EVP/CAO$0$857,075$0$881,587$0$993,441$0$706,123$0$17,988$0$3,456,214$0$949,253
GREG TILL
FORMER VP/CHIEF TALENT OFFICER$0$413,001$0$366,609$0$184,364$0$266,034$0$29,474$0$1,259,482$0$149,031
HARVEY SMITH
FORMER SVP/CHIEF COSTUMER SVC. OFF$0$0$0$0$0$583,049$0$0$0$16,156$0$599,205$0$0
JACK MUDD
FORMER SVP/MISSION LEADERSHIP$0$181,444$0$246,198$0$49,414$0$110,334$0$14,134$0$601,524$0$25,651
JANICE NEWELL
FORMER SVP/CHIEF INFORMATION OFFCR$0$605,657$0$593,967$0$313,289$0$140,906$0$13,217$0$1,667,036$0$280,351
JOEL GILBERTSON
FORMER SVP/COMMUNITY PARTNERSHIPS$0$482,510$0$421,153$0$702,833$0$334,483$0$27,500$0$1,968,479$0$666,795
LISA VANCE
FORMER SVP/CLINICAL PROGRAM SRVCS$0$620,962$0$612,077$0$142,796$0$327,116$0$24,266$0$1,727,217$0$100,938
MARY CRANSTOUN
FORMER VP/TOTAL REWARDS$0$403,975$0$354,347$0$116,489$0$262,286$0$28,387$0$1,165,484$0$79,913
MIKE WATERS
FORMER VP, CAO/PHYSICIAN SERVICES$0$449,557$0$227,731$0$186,258$0$284,611$0$10,917$0$1,159,074$0$150,340
OREST HOLUBEC
FORMER SVP/CHIEF COMM/EXT AFF OFF$0$414,903$0$376,200$0$320,139$0$248,009$0$26,681$0$1,385,932$0$284,306
RHONDA MEDOWS MD
FORMER EVP/POPULATION HEALTH$0$892,539$0$881,144$0$250,787$0$585,104$0$20,765$0$2,630,339$0$207,264
SHARON TONCRAY
FORMER SVP/CHIEF LABOR EE COUNSEL$0$415,487$0$390,622$0$617,243$0$148,032$0$30,407$0$1,601,791$0$578,583
TOM MCDONAGH
FORMER VP/CHIEF INVESTMENT OFFICER$0$479,100$0$424,836$0$199,748$0$94,395$0$28,455$0$1,226,534$0$160,512

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE ST. JOSEPH HEALTH (PSJH), AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PSJH.
PART I, LINES 4A-BTHE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: TODD HOFHEINS - $824,990 HARVEY SMITH - $587,018 ENTITIES WITHIN THE PSJH SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. CERTAIN EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY. THE AMOUNTS SHOWN IN COLUMN F OF PART II REFLECT CURRENT YEAR PAYOUTS FROM THESE PLANS.
FORM 990, SCHEDULE J, PART II - EXECUTIVE INCENTIVE PROGRAMTHE PROVIDENCE EXECUTIVE INCENTIVE PROGRAM PROVIDES A LUMP SUM AWARD ANNUALLY AS A PERCENT OF THE EXECUTIVE'S BASE PAY. PERCENT OPPORTUNITIES ARE ALIGNED WITH OUR TOTAL COMPENSATION PHILOSOPHY AS OUTLINED IN PART VI, SECTION B, LINE 15 (PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT, OFFICERS & KEY EMPLOYEES). FOR PROVIDENCE LEADERS, THE PERFORMANCE AWARD IS BASED ON THE LEVEL OF ACCOMPLISHMENT OF ANNUAL SYSTEM AND FUNCTIONAL (OR MARKET) OBJECTIVES. IN 2018, 60 PERCENT OF THE PARTICIPANT AWARDS WERE BASED ON PRE-DETERMINED ORGANIZATIONAL GOALS CONSISTENT WITH PROVIDENCE'S STRATEGIC PRIORITIES. IN 2018 THE PERCENT ALLOCATION FOR EACH OF THESE STRATEGIC PRIORITIES WAS AS OUTLINED BELOW: SYSTEM GOALS: FIRST-YEAR TURNOVER - 10% INPATIENT EXPERIENCE - 5% PATIENT EXPERIENCE - 5% MEDICAL GROUP PATIENT EXPERIENCE - 5% COMMUNITY BENEFIT - 10% CLINICAL EXCELLENCE - 15% FREE CASH FLOW - 10% THE REMAINING 40% WAS BASED ON A ROBUST SET OF FUNCTION SPECIFIC GOALS DESIGNED TO ALIGN CRITICAL MISSION AND BUSINESS DRIVERS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA IS THE SOLE CORPORATE MEMBER OF PROVIDENCE SAINT JOHN'S HEALTH CENTER.
FORM 990, PART VI, SECTION A, LINE 7APROVIDENCE SAINT JOHN'S HEALTH CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE PROVIDENCE SAINT JOHN'S HEALTH CENTER BOARD. ALL TRUSTEE NOMINATIONS THAT COME FROM THE PROVIDENCE SAINT JOHN'S HEALTH CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA, AS THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY REAL OR POTENTIAL CONFLICT OF INTEREST (COI) IN ACCORDANCE WITH THE PSJH COI POLICY AND IN CONNECTION WITH THAT INDIVIDUAL SATISFYING HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY AND/OR IF AT ANY TIME AN ACTUAL, REAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PSJH CHIEF LEGAL OFFICER AND/OR THE PSJH CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR CONSIDER MATTERS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER. PSJH CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING WHEN ACTION IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE PLAN TO MANAGE CONFLICTS. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF COI DISCLOSURES IS RETAINED PER ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE ST. JOSEPH HEALTH, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE ST. JOSEPH HEALTH'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ST. JOSEPH HEALTH 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 ST. JOSEPH HEALTH HAS A SINGLE FIDUCIARY BOARD WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE ST. JOSEPH HEALTH MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE ST. JOSEPH HEALTH'S LEGAL ENTITIES. PROVIDENCE ST. JOSEPH HEALTH ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE ST. JOSEPH HEALTH HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS OFFICERS, INCLUDING OUR SENIOR EXECUTIVES. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED BY THE PROVIDENCE ST. JOSEPH HEALTH COMMITTEE. 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 ST. JOSEPH HEALTH 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 ST. JOSEPH HEALTH. ADDITIONALLY, PROVIDENCE ST. JOSEPH HEALTH'S LABOR MARKET CONTINUES TO SPREAD ACROSS HEALTH CARE AND INTO GENERAL INDUSTRY. BECAUSE OF THIS, PROVIDENCE ST. JOSEPH HEALTH ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY FOR-PROFIT MARKET DATA, WHERE APPLICABLE. BASE SALARIES FOR PROVIDENCE ST. JOSEPH HEALTH EXECUTIVES ARE GENERALLY TARGETED TO THE MEDIAN LEVEL OF THE MARKET, AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY ACHIEVE SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE ST. JOSEPH HEALTH OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS AND MIRRORS BEST PRACTICES. THE PROCESS TO REVIEW COMPENSATION WAS LAST COMPLETED MARCH 5, 2019.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE PSJH COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PSJH INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
FORM 990, PART IX, LINE 11GAGENCY CONTRACT: PROGRAM SERVICE EXPENSES 12,542,507. MANAGEMENT AND GENERAL EXPENSES 1,560,937. TOTAL EXPENSES 14,103,444. MEDICAL DIRECTOR/MEDICAL PHYSICIANS FEES: PROGRAM SERVICE EXPENSES 47,939,445. TOTAL EXPENSES 47,939,445. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 3,805,532. MANAGEMENT AND GENERAL EXPENSES 3,929,344. TOTAL EXPENSES 7,734,876. TRANSCRIPTION: PROGRAM SERVICE EXPENSES 8,923. TOTAL EXPENSES 8,923. DIETARY: PROGRAM SERVICE EXPENSES 1,945,649. MANAGEMENT AND GENERAL EXPENSES 2,882,265. TOTAL EXPENSES 4,827,914. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 14,199,048. TOTAL EXPENSES 14,199,048. OTHER ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 2,937,949. MANAGEMENT AND GENERAL EXPENSES 5,298,912. TOTAL EXPENSES 8,236,861. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 522,958. MANAGEMENT AND GENERAL EXPENSES 463,784. TOTAL EXPENSES 986,742. BILLING AND COLLECTIONS: MANAGEMENT AND GENERAL EXPENSES 78,474. TOTAL EXPENSES 78,474. RECORDS MANAGMENT: PROGRAM SERVICE EXPENSES 60,296. TOTAL EXPENSES 60,296.
FORM 990, PART XI, LINE 9:FAS 136 RECLASSED FROM REVENUE TO CHANGE IN NET ASSETS 5,506,945. FAS 136 IN NET ASSETS -3,518,997. EQUITY TRANSFERS IN NET ASSETS - INDEPENDENT ENTITIES 9,676,554. EQUITY TRANSFERS IN NET ASSETS - CONSOLIDATING ENTITIES 35,752,660. RECLASS FROM CONSTRUCTION IN PROGRESS -4,388,104. RECLASS UNPAID ACCRUED BENEFITS TO CHANGE IN NET ASSETS -25,011. ROUNDING -2.
EXPLANATION OF AMENDED CHANGESTHE RETURN IS BEING AMENDED TO REPORT PROVIDENCE SYSTEM ALLOCATION EXPENSES FOR SHARED SERVICES PROVIDED TO THE FILING ORGANIZATION. INCLUDED BELOW IS A DETAIL OF THE CHANGES MADE: PART IX, LINE 24 - ADDED $78,175,047 OF SYSTEM COST ALLOCATION EXPENSES PART III, LINE 4A - ADDED $69,709,630 OF SYSTEM COST ALLOCATION EXPENSES PART XI, LINE 9 - ADDED $78,175,047 OF SYSTEM COST ALLOCATION EXPENSES

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (113 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
COVENANT ACO
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016611573313HEALTHCARETX501(C)(3)12,ICHSYes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016461259908HEALTHCARECA501(C)(3)12,IIISJHSYes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016463516417HEALTHCARETX501(C)(3)12,ICHSYes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752765566HEALTHCARETX501(C)(3)3SJHSYes (1)
COVENANT HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752897026HEALTHCARETX501(C)(3)7CHSYes (1)
COVENANT MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016822913146HEALTHCARETX501(C)(3)3CHSYes (1)
COVENANT MEDICAL GROUP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752743883HEALTHCARETX501(C)(3)3CHSYes (1)
E WA & MT UNEMPLOYMENT COMPENSATION INSURANCE TRUST
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911082119UNEMPLOYMENTWA501(C)(3)12,IPHS WAYes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128EVERETTWA982065128943264605TRANS. CAREWA501(C)(3)100N/A
FACEY MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016954322584SUPPORTCA501(C)(3)7PHS SOCALYes (1)
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016201910170SUPPORTWA501(C)(3)7PHS WAYes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104SEATACWA98188273133200HEALTHCAREWA501(C)(3)7SHSYes (1)
HMTS INC
1 HOAG DRIVE PO BOX 6100NEWPORT BEACHCA926586100453583707HEALTHCARECA501(C)(3)12,IHMHPYes (1)
HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195IRVINECA92612452982422SUPPORTCA501(C)(3)7HHFYes (1)
HOAG CLINIC
1 HOAG DRIVE PO BOX 6100NEWPORT BEACHCA926586100330676831HEALTHCARECA501(C)(3)10HMHPYes (1)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVENEWPORT BEACHCA92663953222343FUNDRAISINGCA501(C)(3)7HMHPYes (1)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG DRIVE PO BOX 6100NEWPORT BEACHCA926586100951643327HEALTHCARECA501(C)(3)3CHNYes (1)
HOSPICE OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752133781HEALTHCARETX501(C)(3)10CHSYes (1)
INLAND NORTHWEST HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911307555HEALTHCAREWA501(C)(3)3PHS WAYes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016814260130HEALTHCAREWA501(C)(3)7PHS SJHSYes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016912003593HEALTHCAREWA501(C)(3)7WHCYes (1)
JOHN WAYNE CANCER INSTITUTE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016954291515HEALTHCARECA501(C)(3)4PSJHCYes (1)
KADLEC AUXILIARY INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016916033089SUPPORTWA501(C)(3)12,IIIKRMCYes (1)
KADLEC FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016237005501SUPPORTWA501(C)(3)12,IKRMCYes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016910655392HEALTHCAREWA501(C)(3)3WHCYes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016330844408IMAGING SVCSCA501(C)(3)10PHS SOCALYes (1)
LUBBOCK METHODIST HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752220963HEALTHCARETX501(C)(3)7CHSYes (1)
LUNDBERG ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911562797SUPPORTOR501(C)(3)7PHS ORYes (1)
MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016912054035RESEARCHWA501(C)(3)7SHSYes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752428911HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752246348HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752426010HEALTHCARETX501(C)(3)3CHSYes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016951643360HEALTHCARECA501(C)(3)3CHNYes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069SEATTLEWA98116200799737SUPPORTWA501(C)(3)12,ISHSYes (1)
PACMED CLINICS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016562290878HEALTHCAREWA501(C)(3)10WHCYes (1)
PH&S FOUNDATIONSFVSA & SCVSA
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016953544877HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE ALASKA FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016920093565HEALTHCAREAK501(C)(3)12,IPHS WAYes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911940286HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911789266SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016930800140SUPPORTOR501(C)(3)7PHS ORYes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016930692907HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016473385506SUPPORTWA501(C)(3)70N/A
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016311744654SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911549796HEALTHCAREWA501(C)(3)12,IIPSJH0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016810231793HEALTHCAREMT501(C)(3)3PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016510216587HEALTHCAREOR501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016510216586HEALTHCAREWA501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911303277HEALTHCAREWA501(C)(3)3PMWHCYes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016550828701MEDICAIDOR501(C)(4)N/APHPYes (1)
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016320014330HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911433382HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016930863097HEALTHCAREOR501(C)(4)N/APPPYes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016510216589HEALTHCARECA501(C)(3)3PHSYes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016930921990HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016272552749HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016912077378HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016510224944HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE MARIANWOOD FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016931554288HEALTHCAREWA501(C)(3)12,IPHS W WAYes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016330283773HEALTHCARECA501(C)(3)12,IPHS SOCALYes (1)
PROVIDENCE MILWAUKIE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016943079515HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE MINISTRIES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016RELIGIOUS ORGWA501(C)(3)10N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911188119HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016930889144HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016311629656SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911861964HEALTHCAREWA501(C)(4)N/APHS ORYes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016931231494HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016311584166SUPPORTWA501(C)(3)10PHS WAYes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016951684082HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016814542216HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016930927320HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016912171539SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016943244854SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016811244422HEALTHCAREWA501(C)(3)12,III0N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016943078543HEALTHCAREWA501(C)(3)12,IPHS WAYes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016810463482HEALTHCAREMT501(C)(3)3PHS WAYes (1)
PROVIDENCE ST MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016452841492HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST PETER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911097056SUPPORTWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016930575982HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016953264139HEALTHCARECA501(C)(3)10PHS SOCALYes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016330261016HEALTHCARECA501(C)(3)7PTCHYes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016931003750HEALTHCAREOR501(C)(3)12, IPHS ORYes (1)
QUEEN OF THE VALLEY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016941243669HEALTHCARECA501(C)(3)3SJHSYes (1)
REDWOOD MEMORIAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016942779313HEALTHCARECA501(C)(3)7RMHYes (1)
REDWOOD MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016941384665HEALTHCARECA501(C)(3)3SJHSYes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016956100079SUPPORTCA501(C)(3)7PSJHCYes (1)
SANTA ROSA MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016941231005HEALTHCARECA501(C)(3)3SJHSYes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016611502822PHYSN COLLABWA501(C)(3)7WHCYes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016262612415SHELL CORPMT501(C)(3)1PHS WA0
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIAORANGECA92868951643383RELIGIOUS ORGCA501(C)(3)10N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016680395200HEALTHCARECA501(C)(3)3SRMHYes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016271666576RELIGIOUS ORGCA501(C)(3)1SSJO0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016814791043HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016953589356HEALTHCARECA501(C)(3)12,IPSJH0
ST JOSEPH HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016330143024HEALTHCARECA501(C)(3)7SJHSYes (1)
ST JOSEPH HERITAGE HEALTHCARE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016330185031HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016680331084HEALTHCARECA501(C)(3)10SJHSYes (1)
ST JOSEPH HOSPITAL OF EUREKA
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016941156596HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016951643359HEALTHCARECA501(C)(3)3CHNYes (1)
ST JUDE HOSPITAL INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016951643324HEALTHCARECA501(C)(3)3CHNYes (1)
ST LUKE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016943176618SUPPORTWA501(C)(3)7PHS WAYes (1)
ST MARY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016951914489HEALTHCARECA501(C)(3)3CHNYes (1)
ST MARY OF THE PLAINS HOSPITAL FDN
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016751653181HEALTHCARETX501(C)(3)7CHSYes (1)
ST PATRICK HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016237056976HEALTHCAREMT501(C)(3)7PHS WAYes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016810233495EDUCATIONMT501(C)(3)10PHS WAYes (1)
SWEDISH EDMONDS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016272305304HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016910433740HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH MEDICAL CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016910983214HEALTHCAREWA501(C)(3)7SHSYes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016273139262HOLDING COWA501(C)(3)12,ISHSYes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911180824SUPPORTWA501(C)(3)7PHS WAYes (1)
THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911293869SUPPORTCA501(C)(3)10PHS SOCALYes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911214491SUPPORTOR501(C)(3)10PHS ORYes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016810231777EDUCATIONMT501(C)(3)2PHSYes (1)
WESTERN HEALTHCONNECT
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016454171900SHELL CORPORATIONWA501(C)(3)12,IIPHS W WAYes (1)

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15 WEST ROCKWOOD BLVDSPOKANEWA99204841606484HOTEL SERVICESWAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
1221 MADISON STREET OWNERS ASSOC
747 BROADWAYSEATTLEWA98122201954319OWNERS' ASSOC.WAN/AC0
AMERICAN UNITY GROUP LTD
CAPTIVE INSURANCEN/AC090 PITTS BAY ROAD HM08PEMBROKEBDBD
AYIN HEALTH SOLUTIONS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016833037172HEALTHCAREDEN/AC0
BOURGET HEALTH SERVICES INC
PO BOX 2687SPOKANEWA99223911354431CLIN/MED LABWAN/AC0
CARON HEALTH CORPORATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016810486082MED PHYS SVCSMTN/AC0
HOAG CLINIC
1 HOAG DRIVE PO BOX 6100NEWPORT BEACHCA926586100330676831HEALTHCARECAN/AC0
DATU HEALTH INC AND SUBSIDIARIES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016463070062IT SVCSDEN/AC0
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH STREET STE 280SANTA MONICACA90404952880495HEALTHCARECAN/AS0
GRACE CLINIC OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016203856995HEALTHCARECAN/AC0
GRACE CLINIC SERVICES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016203857067HEALTHCARETXN/AC0
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE PO BOX 6100NEWPORT BEACHCA926586100330731587HEALTHCARECAN/AC0
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752578995INACTIVETXN/AC0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752118585HEALTHCARETXN/AC0
LUMEDIC ACQUISITION CO INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016833881097HEALTHCAREWAN/AC0
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330212905HEALTHCARECAN/AC0
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016461814184STRAT PLAN SVCSCAN/AC0
PIONEER INNOVATIONS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016364818191HEALTH INNOVATNSWAN/AC0
PROVIDENCE ASSURANCE INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016208194071CAPTIVE INSURANCEAZN/AC0
PROVIDENCE HEALTH CARE VENTURES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016900155714CLIN/MED LABWAN/AC0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016800886966PREPAID HEALTHCAN/AC0
PROVIDENCE HEALTH VENTURES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016330122216INVESTMENTCAN/AC0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016461900168HEALTHCARECAN/AC0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016462340232HOLDING COMPANYCAN/AC0
ST JOSEPH PROF SVCS ENTERPRSES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016330155323HEALTHCARECAN/AC0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016953943315INVESTMENTSCAN/AC0
WESTERN HEALTHCONNECT VENTURES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016800953654INVESTMENTSWAN/AC0
YAKIMA MEDICAL ARTS INC
611 N PERRY 100SPOKANEWA99202910787963RENT REAL ESTATEWAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SAINT JOHN'S HOSPITAL AND HEALTH CENTER FOUNDATION
C$6,087,056COST
INSTITUTE FOR MENTAL HEALTH - WELL BEING TRUST
C$63,438COST

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