REDWOOD MEMORIAL FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
REDWOOD MEMORIAL FOUNDATION (EIN 94-2779313)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-14
IRS object ID
201811349349310556
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-14T18:20:15-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118101 VON KARMAN AVE STE 1700AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942779313EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REDWOOD MEMORIAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JONI MURPHYInCareOfNm
Business Name ControlREDWBusinessNameControlTxt
Phone7072694259PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 RENNER DRIVEAddressLine1Txt
CityFORTUNACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95540ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERTA LUSKIN-HAWK MDPersonNm
Person TitleCHIEF EXECUTIVEPersonTitleTxt
Signature2018-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKARA ADAMSPreparerPersonNm
PTINP00023315PTIN
Phone9497942300PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN MONTGOMERY MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 RENNER DRIVEAddressLine1Txt
CityFORTUNACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95540ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$357,255GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.REDWOODMEMORIAL.ORG/FOUNDATIONS/RMFWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers29TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$203,218PYContributionsGrantsAmt
CY Contributions Grants$203,381CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$26,704PYInvestmentIncomeAmt
CY Investment Income$150CYInvestmentIncomeAmt
PY Other Revenue$176,588PYOtherRevenueAmt
CY Other Revenue$111,199CYOtherRevenueAmt
PY Total Revenue$406,510PYTotalRevenueAmt
CY Total Revenue$314,730CYTotalRevenueAmt
PY Grants And Similar Paid$1,418,548PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$657,900CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,909CYTotalFundraisingExpenseAmt
PY Other Expenses$0PYOtherExpensesAmt
CY Other Expenses$13,704CYOtherExpensesAmt
PY Total Expenses$1,418,548PYTotalExpensesAmt
CY Total Expenses$671,604CYTotalExpensesAmt
PY Revenues Less Expenses-$1,012,038PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$356,874CYRevenuesLessExpensesAmt
Total Assets BOY$2,441,665TotalAssetsBOYAmt
Total Assets EOY$2,152,919TotalAssetsEOYAmt
Total Liabilities BOY$85,417TotalLiabilitiesBOYAmt
Total Liabilities EOY$34,725TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,356,248NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,118,194NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$657,900ExpenseAmt
Grant$657,900GrantAmt
Revenue$0RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$657,900TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionYes (true)DeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJONI MURPHYPersonNm
Phone7074458121PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12700 DOLBEER STAddressLine1Txt
CityEUREKACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95501ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ERIN DUNN
BOARD MEMBER2.00.0Yes (X)$0$0$0
ERIN FLYER
BOARD MEMBER2.00.0Yes (X)$0$0$0
DAVID MORRIS
BOARD MEMBER2.00.0Yes (X)$0$0$0
JOSHUA ALLEE
BM/VP Miss Integ SJHE/RMH (PY)2.050.0Yes (X)$0$269,051$17,330
STEPHANIE DITTMER MD
BOARD MEMBER2.00.0Yes (X)$0$0$0
KEITH BORGES
BOARD MEMBER2.00.0Yes (X)$0$0$0
MAILE FEUERMAN
BOARD MEMBER/SECRETARY2.00.0Yes (X)$0$0$0Yes (X)
BECKY GIACOMINI
BOARD MEMBER2.00.0Yes (X)$0$0$0
LAURIE GARRISON
BOARD MEMBER2.040.0Yes (X)$0$179,559$23,885
MARY JOHNSON
BOARD MEMBER2.00.0Yes (X)$0$0$0
DENNIS LEONARDI
BOARD MEMBER2.08.0Yes (X)$0$0$0
BEN MCWHORTER
BOARD MEMBER/VICE PRESIDENT2.00.0Yes (X)$0$0$0Yes (X)
CHRISTOPHER WALTER DO
BOARD MEMBER2.00.0Yes (X)$0$0$0
PAMELA MURPHY
BOARD MEMBER2.00.0Yes (X)$0$0$0
SAM SULLIVAN
BOARD MEMBER2.00.0Yes (X)$0$0$0
TOM ROSS
BOARD MEMBER2.00.0Yes (X)$0$0$0
JENNIFER RENNER
BOARD MEMBER2.00.0Yes (X)$0$0$0
KAREN PARLATO
BOARD MEMBER2.00.0Yes (X)$0$0$0
DAVID O'BRIEN MD
Bd Mbr/CEO SJHE/RMH (Prt Year)7.050.0Yes (X)$0$874,136$44,573
JULIE MALVEY
BM/VP Mission Integ. SJHE/RMH2.050.0Yes (X)$0$144,038$33,673
DAVID SOUTHERLAND
Board Member/VP, COO SJHE/RMH7.050.0Yes (X)$0$374,583$19,394
RICHARD CENTER
BOARD MEMBER2.02.0Yes (X)$0$0$0
JOHN MONTGOMERY MD
BOARD PRESIDENT2.00.0Yes (X)$0$0$0Yes (X)
LISA HUMMEL
BOARD MEMBER/TREASURER2.00.0Yes (X)$0$0$0Yes (X)
PAUL MCGINTY
EXECUTIVE DIRECTOR40.00.0$0$203,431$33,236Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,044,798TotReportableCompRltdOrgAmt
Total Other Compensation$172,091TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonNONEPersonNm
FieldValueIRS element (for citing)
Contractor AddressContractorAddress
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$26,766FundraisingAmt
All Other Contributions$176,615AllOtherContributionsAmt
Noncash Contributions$26,766NoncashContributionsAmt
Total Contributions$203,381TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$150TotalRevenueColumnAmt
Exclusion$150ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$153,724FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$26,766ContriRptFundraisingEventAmt
Fundraising Direct Expenses$42,525FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$111,199TotalRevenueColumnAmt
Exclusion$111,199ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$314,730TotalRevenueColumnAmt
Exclusion$111,349ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$652,450TotalAmt
Program Services$652,450ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$5,450TotalAmt
Program Services$5,450ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,795TotalAmt
Program Services$0ProgramServicesAmt
Management And General$11,795ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,909TotalAmt
Program Services$0ProgramServicesAmt
Fundraising$1,909FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
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Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$671,604TotalAmt
Program Services$657,900ProgramServicesAmt
Management And General$11,795ManagementAndGeneralAmt
Fundraising$1,909FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$477,600BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$116,045LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$116,045BOYAmt
EOY$116,045EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,848,020BOYAmt
EOY$2,036,874EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,441,665BOYAmt
EOY$2,152,919EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$85,417BOYAmt
EOY$34,725EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$85,417BOYAmt
EOY$34,725EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$874,450BOYAmt
EOY$114,220EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,481,798BOYAmt
EOY$2,003,974EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,356,248BOYAmt
EOY$2,118,194EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,441,665BOYAmt
EOY$2,152,919EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$356,874ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$140,775NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$5,645DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$27,600OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$579,550CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$130,107CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$134,647CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$203,218CurrentTaxYearMinus1YearAmt
Current Tax Year$203,381CurrentTaxYearAmt
Total$1,250,903TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$579,550CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$130,107CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$134,647CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$203,218CurrentTaxYearMinus1YearAmt
Current Tax Year$203,381CurrentTaxYearAmt
Total$1,250,903TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$592,867SubstantialContributorsTotAmt
Public Support Total170$658,036PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$143,869CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$64,791CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$69,524CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,704CurrentTaxYearMinus1YearAmt
Current Tax Year$150CurrentTaxYearAmt
Total$305,038TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$113,643CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$196,743CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$310,053CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$176,588CurrentTaxYearMinus1YearAmt
Current Tax Year$111,199CurrentTaxYearAmt
Total$908,226TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$2,464,167TotalSupportAmt
Public Support CY1700.26704PublicSupportCY170Pct
Public Support PY1700.26472PublicSupportPY170Pct
Ten Pct Facts Crcmstncs Test CYYes (X)TenPctFactsCrcmstncsTestCYInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, SECTION C, LINE 17AFormAndLineReferenceDesc
ExplanationREDWOOD MEMORIAL FOUNDATION HAS A CALCULATED PUBLIC SUPPORT PERCENTAGE FOR TAX YEAR 2016 OF 26.59 PERCENT, WHICH IS BELOW THE 33 1/3 PERCENTAGE REQUIRED UNDER THE PUBLIC SUPPORT TEST. REDWOOD MEMORIAL FOUNDATION MEETS THE 10 PERCENT FACTS AND CIRCUMSTANCES TEST AS THE RESULT OF THE FACT THAT THE TOTAL AMOUNT OF GOVERNMENTAL AND PUBLIC SUPPORT NORMALLY RECEIVED BY REDWOOD MEMORIAL FOUNDATION IS GREATER THAN 10 PERCENT OF THE TOTAL SUPPORT IT NORMALLY RECEIVES (26.59% FOR THE CURRENT TAX YEAR AND 26.47% FOR THE PRIOR TAX YEAR). REDWOOD MEMORIAL FOUNDATION HAS A CONTINUOUS AND WELL DEVELOPED PROGRAM FOR SOLICITATION OF CHARITABLE CONTRIBUTIONS FROM THE GENERAL PUBLIC AND PUBLIC CHARITIES. THE ORGANIZATION RECEIVES DONATIONS FROM HUNDREDS OF ITS COMMUNITY RESIDENTS ALONG WITH OTHER MEMBERS OF THE GENERAL PUBLIC AND PUBLIC CHARITIES. AT THE CORE OF ITS PROGRAM IS DEDICATED FUNDRAISING STAFF FOCUSED ON DEVELOPING INITIATIVES AND PROGRAMS TO ATTRACT POTENTIAL DONORS TO REDWOOD MEMORIAL FOUNDATION. EACH YEAR, SPECIAL FUNDRAISING EVENTS ARE HELD WITHIN THE COMMUNITY. EVENTS HELD DURING THE CURRENT YEAR INCLUDE A BENEFIT BALL AND ALSO A GOLF OUTING. IN ADDITION TO THE SPECIAL EVENTS, THE ORGANIZATION HAS SET UP A SITE WHICH ALLOWS SECURE ONLINE DONATIONS. THE SECURE ONLINE SITE ALLOWS REDWOOD MEMORIAL FOUNDATION TO REACH A BROADER BASE OF SUPPORTERS. REDWOOD MEMORIAL FOUNDATION RECEIVES CONTRIBUTIONS FROM A WIDE-BASE OF SUPPORTERS AS EVIDENCED BY THE TOTAL AMOUNT OF CONTRIBUTIONS RECEIVED DURING THE YEAR. REDWOOD MEMORIAL FOUNDATION IS GOVERNED BY A DIVERSE BOARD WITH KNOWLEDGE AND EXPERTISE IN AREAS IMPORTANT TO REDWOOD MEMORIAL FOUNDATION'S MISSION AND OPERATIONS AND WHICH REPRESENTS THE BROADER INTERESTS OF THE GENERAL PUBLIC. THE BOARD OF DIRECTORS CONSISTS OF RESIDENTS WITHIN THE EEL RIVER VALLEY WHO SHARE THE COMMON GOAL TO DO ALL THEY CAN TO HELP, SUPPORT, AND IMPROVE THE COMMUNITY.ExplanationTxt

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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$116,045InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$116,045BookValueAmt
FieldValueIRS element (for citing)
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$116,045TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$34,725Amt
FieldValueIRS element (for citing)
Total Liability$34,725TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1BENEFIT BALLEvent1Nm
Gross Receipts Event1$139,506GrossReceiptsEvent1Amt
Charitable Contri Event1$26,766CharitableContriEvent1Amt
Gross Revenue Event1$112,740GrossRevenueEvent1Amt
Rent Facility Costs Event1$2,006RentFacilityCostsEvent1Amt
Food And Beverage Event1$9,808FoodAndBeverageEvent1Amt
Entertainment Event1$900EntertainmentEvent1Amt
Other Direct Expenses Event1$14,770OtherDirectExpensesEvent1Amt
Event2GOLFEvent2Nm
Gross Receipts Event2$40,984GrossReceiptsEvent2Amt
Charitable Contri Event2$0CharitableContriEvent2Amt
Gross Revenue Event2$40,984GrossRevenueEvent2Amt
Rent Facility Costs Event2$11,211RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$3,830OtherDirectExpensesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$180,490GrossReceiptsTotalAmt
Charitable Contributions Tot$26,766CharitableContributionsTotAmt
Gross Revenue Total Events$153,724GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$13,217RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$9,808FoodAndBeverageTotalEventsAmt
Entertainment Total Events$900EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$18,600OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$42,525DirectExpenseSummaryEventsAmt
Net Income Summary$111,199NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1REDWOOD MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 RENNER DRIVEAddressLine1Txt
CityFORTUNACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95540ZIPCd
FieldValueIRS element (for citing)
Recipient EIN941384665RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$652,450CashGrantAmt
Purpose Of GrantPROGRAM SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient12RecipientCnt
Cash Grant$5,450CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationDESCRIPTION OF PROCEDURES FOR MONITORING USE OF GRANTS DONATIONS TO OTHER ORGANIZATIONS ARE APPROVED BY MANAGEMENT TO ENSURE THEY SUPPORT THE MISSION OF REDWOOD MEMORIAL FOUNDATION. WE DO NOT MONITOR DONATIONS MADE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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
JOSHUA ALLEE
BM/VP Miss Integ SJHE/RMH (PY)$0$179,890$0$72,760$0$16,401$0$7,860$0$9,470$0$286,381$0$0
LAURIE GARRISON
BOARD MEMBER$0$169,323$0$5,530$0$4,706$0$14,976$0$8,909$0$203,444$0$0
DAVID O'BRIEN MD
Bd Mbr/CEO SJHE/RMH (Prt Year)$0$432,098$0$371,997$0$70,041$0$18,550$0$26,023$0$918,709$0$0
JULIE MALVEY
BM/VP Mission Integ. SJHE/RMH$0$120,652$0$18,879$0$4,507$0$11,279$0$22,394$0$177,711$0$0
DAVID SOUTHERLAND
Board Member/VP, COO SJHE/RMH$0$263,857$0$85,744$0$24,982$0$10,355$0$9,039$0$393,977$0$0
PAUL MCGINTY
EXECUTIVE DIRECTOR$0$145,486$0$42,400$0$15,545$0$7,259$0$25,977$0$236,667$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3THE ORGANIZATION'S EXECUTIVE DIRECTOR IS PAID BY ST. JOSEPH HOSPITAL OF EUREKA, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY ST JOSEPH HOSPITAL OF EUREKA.
SCHEDULE J, PART I, LINE 4BBEGINNING IN JULY 2016, NEW EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PLAN PROVIDES FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND ARE SUBJECT TO A FIVE YEAR OR AGE 65 VESTING SCHEDULE. EXECUTIVES PREVIOUSLY PARTICIPATED IN ANOTHER NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT WAS FROZEN EFFECTIVE DECEMBER 2007, AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED. THIS FROZEN PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. NO EMPLOYEES RECEIVED PAYMENTS FROM THESE PLANS DURING THE YEAR.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)GENERAL MERCHANDISE74$24,956COST/SELLING PRICE
Yes (X)MEALS1$1,600COST/SELLING PRICE
Yes (X)JEWELRY3$210COST/SELLING PRICE
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I, COLUMN (B)FormAndLineReferenceDesc
ExplanationTHE AMOUNTS IN THIS COLUMN REPRESENT THE NUMBER OF CONTRIBUTIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1ORGANIZATION'S MISSION THE MISSION OF REDWOOD MEMORIAL FOUNDATION IS TO DEVELOP AND MANAGE ALL RESOURCES AND ASSETS OF THE FOUNDATION IN SUPPORT OF REDWOOD MEMORIAL HOSPITAL'S HEALTH CARE MISSION AND GOALS. THE FOUNDATION PROMOTES PARTICIPATION IN DEVELOPING AND MAINTAINING A POSITIVE RELATIONSHIP BETWEEN OUR COMMUNITY, HEALTH CARE PROVIDERS AND REDWOOD MEMORIAL HOSPITAL.
FORM 990, PART III, LINE 4AST. JOSEPH HEALTH SYSTEM THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR NEIGHBORSMINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912 A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBLITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. PROVIDENCE ST. JOSEPH HEALTH ON JULY 1, 2016, PROVIDENCE HEALTH SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT, THE PURPOSE OF WHICH WAS TO BETTER SERVE BOTH ORGANIZATION'S COMMUNITIES, MAINTAIN STRONG TRADITIONS OF CATHOLIC HEALTHCARE, AND PROVIDE GREATER AFFORDABILITY AND ACCESS TO HEALTHCARE SERVICES. AS PART OF THE BUSINESS COMBINATION, PHS AND SJHS ALIGNED UNDER A SINGLE PARENT CORPORATION, PROVIDENCE ST. JOSEPH HEALTH, WITH A CONSOLIDATED BOARD OF DIRECTORS AND COSPONSORSHIP FROM THE PUBLIC JURIDIC PERSONS PROVIDENCE MINISTRIES AND ST. JOSEPH HEALTH MINISTRY. REALIZING OUR MISSION A PART OF ST. JOSPEH HEALTH, REDWOOD MEMORIAL FOUNDATION HAS BEEN DIRECTLY SUPPORTING REDWOOD MEMORIAL HOSPITAL IN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 35 YEARS. SERVING THE COMMUNITIES OF EUREKA, FORTUNA, FERNDALE, LOLETA RIO DELL AND THROUGHOUT THE EEL RIVER VALLEY AND INTO SOUTHERN HUMBOLDT COUNTY, REDWOOD MEMORIAL HOSPITAL IS A CRITICAL CARE ACCESS HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF EMERGENCY MEDICINE, HOLISTIC AND PATIENT CENTERED CARE, DIAGNOSTIC IMAGING, CANCER PROGRAM AND OBSTETRICS AS WELL AS COMMUNITY-BASED PROGRAMS AND RESOURCE CENTERS FOCUSED ON PREVENTION, HEALTH PROMOTION, OUTREACH, CARE COORDINATION AND COMMUNITY BUILDING. WITH OVER 210 EMPLOYEES COMMITTED TO REALIZING THE MISSION, REDWOOD MEMORIAL HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE HUMBOLDT REGION. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, REDWOOD MEMORIAL FOUNDATION IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. REDWOOD MEMORIAL FOUNDATION SUPPORTS REDWOOD MEMORIAL HOSPITAL: REDWOOD MEMORIAL FOUNDATION CONTRIBUTED $1,150,308 TO REDWOOD MEMORIAL HOSPITAL IN FY17. REDWOOD MEMORIAL HOSPITAL BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY REDWOOD MEMORIAL HOSPITAL HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY17, REDWOOD MEMORIAL HOSPITAL PROVIDED $567,489 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM REDWOOD MEMORIAL HOSPITAL PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY17, REDWOOD MEMORIAL HOSPITAL PROVIDED $1,869,295 IN MEDICAID SHORTFALL. PROGRAM SERVICE ACCOMPLISHMENTS IN ADDITION TO PROGRAMS HIGHLIGHTED ABOVE, REDWOOD MEMORIAL HOPSITAL, WITH THE SUPPORT OF REDWOOD MEMORIAL FOUNDATION, OFFERS THE FOLLOWING THREE PROGAMS: COMMUNITY RESOURCE CENTERS (CRCS) THE COMMUNITY RESOURCE CENTERS (CRC) ARE A COMMUNITY BENEFIT PROGRAM OF REDWOOD MEMORIAL HOSPITAL AND PROVIDE RESOURCE AND REFERRAL SERVICES COUNTY-WIDE THROUGH FIVE PLACE-BASED COMMUNITY CENTERS IN DIFFERENT PARTS OF HUMBOLDT COUNTY (WILLOW CREEK, BLUE LAKE, EUREKA, LOLETA AND RIO DELL). THEIR FOCUS IS ON PROVIDING SERVICES FOR LOW-INCOME FAMILIES AND INDIVIDUALS SUCH AS EMERGENCY FOOD PANTRIES, TRANSPORTATION ASSISTANCE, EMPLOYMENT INFORMATION AND ASSISTANCE APPLYING FOR CALFRESH, MEDI-CAL, AND WOMEN, INFANT AND CHILDRENS (WIC) AMONG OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THEY ALSO WORK TO BUILD COMMUNITY AND PREVENT SOCIAL ISOLATION IN OUR RURAL SERVICE AREA BY HOSTING COMMUNITY DINNERS AND WELLNESS AND SAFETY EVENTS SUCH AS BICYCLE RODEOS, PLAYGROUPS FOR KIDS AGE 0-5 YEARS OLD AND THEIR CAREGIVERS, AND MENTAL ILLNESS STIGMA REDUCTION SUPPORT GROUPS. EACH RESOURCE CENTER IS SIMILAR IN PURPOSE AND SCOPE, BUT TAILORED TO MEET THE SPECIFIC NEEDS OF THE COMMUNITY IT SERVES. CARE TRANSITIONS PROGRAM THE CARE TRANSITIONS PROGRAM AT REDWOOD MEMORIAL HOSPITAL, HOUSED WITHIN THE REDWOOD MEMORIAL HOSPITAL COMMUNITY BENEFIT DEPARTMENT, FOCUSES ON COMMUNITY-BASED INTERVENTIONS FOR HIGH-RISK PATIENTS RECENTLY DISCHARGED FROM AN IN-PATIENT SETTING. THE EMERGENCY DEPARTMENT IS NOT A SETTING TO REECEIVE TIMELY AND EFFECTIVE PRIMARY MEDICAL CARE AND/OR SOCIAL SERVICES. THE MULTI-DISCIPLINARY TEAM OF NURSE, SOCIAL WORKER AND HEALTH COACH PROVIDE TRANSITIONAL SUPPORT TO HOMELESS PATIENTS RECOVERING IN ONE OF OUR RESPITE BEDS AT HEALING RING, A CLEAN AND SOBER HOUSE. A SECOND NURSE WORKS WITH FREQUENT UTILIZERS OF THE EMERGENCY DEPARTMENT TO CONNECT THEM WITH PRIMARY CARE AND THE SUPPORT SERVICES THEY NEED WHILE TRYING TO DETERMINE THE ROOT CAUSE OF THEIR EMERGENCY DEPARTMENT OVERUSE. IN FY17 TEN ADDITIONAL BEDS BECAME AVAILABLE TO HOMELESS PATIENTS NEEDING EXTRA TIME TO RECOVER AFTER A HOSPITAL STAY. CASH DONATIONS OR SPONSORSHIP FOR THE POOR THROUGHOUT FY17, REDWOOD MEMORIAL HOSPITAL, MADE SEVERAL CASH DONATIONS TO BENEFIT NON-PROFIT ORGANIZATIONS, PROGRAMS OR ACTIVITIES TARGETED FOR POOR AND VULNERABLE PERSONS LIVING IN HUMBOLDT AND THE SURROUNDING COUNTIES. A FEW EXAMPLES OF DONATIONS MADE INCLUDE: SUPPORTING FOOD FOR PEOPLE, THE AREAS LARGEST FOOD BANK THAT HAS 16 PANTRY SITES THROUGHOUT THE COUNTY AND SERVES MORE THAN 12,000 PEOPLE PER MONTH; SUPPORTING THE HUMBOLDT SENIOR RESOURCE CENTER FOR THEIR HOME DELIVERED MEAL PROGRAMS TO LOW-INCOME, HOMEBOUND SENIORS. THIS PROGRAM DELIVERS FROZEN MEALS FOR THE WEEK AND PROVIDES A MUCH NEED SOCIAL CHECK BY THE DRIVER. ANOTHER DONATION WAS MADE TO OPEN DOOR COMMUNITY HEALTH CENTERS TO HELP THEM EXPAND ACCESS TO CARE IN THE EEL RIVER VALLEY AND TO INTEGRATE MENTAL HEALTH SERVICES WITH PRIMARY CARE. WE MADE SEVERAL SMALLER DONATIONS TO SUPPORT THE PURCHASE OF DENTAL SUPPLIES FOR KIDS, TO PREVENT ADVERSE CHILDHOOD EXPERIENCES, TO PROVIDE BASIC NEEDS TO THE HOMELESS AND TO SUPPORT OUR GOVERNMENT PARTNERS WITH THE POINT IN TIME COUNT. WE ALSO MADE A CASH DONATION TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT GRANT INITIATIVES TARGETED AT IMPROVING THE HEALTH CONDITION OF LOW-INCOME AND UNDER SERVED RESIDENTS LIVING IN THE COMMUNITIES WE SERVE. FOR MORE INFORMATION ABOUT REDWOOD MEMORIAL FOUNDATION, PLEASE VISIT WWW.REDWOODMEMORIAL.ORG/FOUNDATIONS/RMF. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG. FOR MORE INFORMATION ABOUT PROVIDENCE ST. JOSEPH HEALTH, PLEASE VISIT www.psjhealth.org.
FORM 990, PART IV, LINES 11F AND 12B & PART XII, LINE 2BREDWOOD MEMORIAL FOUNDATION WAS INCLUDED IN CONSOLIDATED, INDEPENDENT AUDITED FINANCIAL STATEMENTS FOR PROVIDENCE ST. JOSEPH HEALTH FOR THE PERIOD ENDED DECEMBER 31, 2017. AS SUCH, AUDITED FINANCIAL STATEMENTS WERE NOT PREPARED FOR THE TAX YEAR ENDED JUNE 30, 2017. THE REPORTING ORGANIZATION WILL CHANGE ITS TAX YEAR END TO DECEMBER 31 FOR 2017. FORM 990, PART VI, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS Redwood Memorial Hospital IS THE SOLE CORPORATE MEMBER OF REDWOOD MEMORIAL FOUNDATION.
FORM 990, PART VI, LINE 7ADESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS REDWOOD MEMORIAL FOUNDATION HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE REDWOOD MEMORIAL FOUNDATION BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE REDWOOD MEMORIAL FOUNDATION BOARD AS NOMINATIONS MUST BE APPROVED BY THE Redwood Memorial Hospital, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR.
FORM 990, PART VI, LINE 7BDESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
FORM 990, PART VI, LINE 11BPROCESS USED TO REVIEW THE FORM 990 THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AND WAS REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD AT THE APRIL 2018 MEETING. DURING THE FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE COMMITTEE CHAIR THEN PROVIDED A SUMMARY AT THE FULL BOARD MEETING.
FORM 990, PART VI, LINE 12CMONITORING ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT IN CONNECTION WITH THAT INDIVIDUAL SATISFYING THEIR FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WITH GUIDANCE FROM THE ST. JOSEPH HEALTH SYSTEM CHIEF COMPLIANCE OFFICER (CCO), THE CHIEF EXECUTIVE AND/OR THE GOVERNING BOARD CHAIRPERSON, AS APPROPRIATE, CONSIDERS THE MATTER INITIALLY. IF THE MATTER CANNOT BE RESOLVED AT THAT LEVEL, THE MATTER IS ESCALATED TO THE CCO. THE CCO, IN CONSULTATION WITH THE ST. JOSEPH HEALTH SYSTEM GENERAL COUNSEL, REVIEWS THE MATTER AND PRESENTS RECOMMENDATIONS TO THE GOVERNING BOARD AND/OR BOARD COMMITTEE, AS APPROPRIATE, FOR DISCUSSION AND VOTE. THE INDIVIDUAL WHOSE POTENTIAL CONFLICT IS BEING REVIEWED MAY BE REQUESTED TO BE PRESENT DURING ANY MEETING IN WHICH THE BOARD OR BOARD COMMITTEE CONDUCTS ITS EVALUATION BUT SHALL BE EXCUSED FOR ANY DISCUSSION OR VOTE. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH SJHS GENERAL COUNSEL, WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES, AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE.
FORM 990, PART VI, LINES 15A & 15BIt is St. Joseph Health System's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how St. Joseph Health System 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. St. Joseph Health System has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the St. Joseph Health System Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of St. Joseph Health System's legal entities. St. Joseph Health System also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. St. Joseph Health System 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 and approved by the full Board of Directors, none of whom is a St. Joseph Health System employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. St. Joseph Health System 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 St. Joseph Health System. Additionally, St. Joseph Health Systems labor market continues to spread across health care and into general industry. Because of this, St. Joseph Health System also takes into consideration general industry for-profit market data, where applicable. Base salaries for St. Joseph Health System 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 St. Joseph Health System operating commitments and strategic objectives. The Board of Directors conducts a thorough 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. THIS PROCESS WAS LAST COMPLETED IN SEPTEMBER 2016.
FORM 990, PART VI, LINE 19AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. REDWOOD MEMORIAL FOUNDATION AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS UNCOLLECTIBLE PLEDGES $27,600

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (110 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
COVENANT HEALTH NETWORK INC
3345 MICHELSON DRIVE STE 100IRVINECA92612461259908HEALTHCARECA501(C)(3)12,IIISJHSYes (true)
COVENANT ACO
3615 19TH STREETLUBBOCKTX79410611573313HEALTHCARETX501(C)(3)12,ICHSYes (true)
COVENANT HEALTH SYSTEM
3615 19TH STREETLUBBOCKTX79410752765566HEALTHCARETX501(C)(3)3SJHSYes (true)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACELUBBOCKTX79410752897026HEALTHCARETX501(C)(3)7CHSYes (true)
COVENANT MEDICAL GROUP
3420 22ND PLACELUBBOCKTX79410752743883HEALTHCARETX501(C)(3)3CHSYes (true)
COVENANT HEALTH PARTNERS
3615 19TH STREETLUBBOCKTX79410463516417HEALTHCARETX501(C)(3)12,ICHSYes (true)
HMTS INC
1 HOAG DRIVENEWPORT BEACHCA92658453583707HEALTHCARECA501(C)(3)12,IHMHPYes (true)
HOAG CHARITY SPORTS
330 PLACENTIA AVENEWPORT BEACHCA92663452982422SUPPORTCA501(C)(3)7HHFYes (true)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVENEWPORT BEACHCA92663953222343FUNDRAISINGCA501(C)(3)7HMHPYes (true)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100NEWPORT BEACHCA92663951643327HEALTHCARECA501(C)(3)3CHNYes (true)
HOSPICE OF LUBBOCK
3702 21ST STREETLUBBOCKTX79410752133781HEALTHCARETX501(C)(3)10CHSYes (true)
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREETLUBBOCKTX79410752220963HEALTHCARETX501(C)(3)7CHSYes (true)
METHODIST CHILDREN'S HOSPITAL
3610 21ST STREETLUBBOCKTX79410752428911HEALTHCARETX501(C)(3)3CHSYes (true)
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUELEVELLANDTX79336752246348HEALTHCARETX501(C)(3)3CHSYes (true)
METHODIST HOSPITAL PLAINVIEW
2601 DIMMITT ROADPLAINVIEWTX79072752426010HEALTHCARETX501(C)(3)3CHSYes (true)
MISSION HOSPITAL REGIONAL MEDICAL CTR
27700 MEDICAL CENTER ROADMISSION VIEJOCA92691951643360HEALTHCARECA501(C)(3)3CHNYes (true)
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREETNAPACA94558941243669HEALTHCARECA501(C)(3)3SJHSYes (true)
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVEFORTUNACA95540941384665HEALTHCARECA501(C)(3)3SJHSYes (true)
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRIVESANTA ROSACA95405941231005HEALTHCARECA501(C)(3)3SJHSYes (true)
SRM ALLIANCE HOSPITAL SERVICES (PVH)
400 NORTH MCDOWELL BLVDPETALUMACA94954680395200HEALTHCARECA501(C)(3)3SRMHYes (true)
ST JOSEPH HEALTH SYSTEM
3345 MICHELSON DRIVEIRVINECA92612953589356HEALTHCARECA501(C)(3)12,IPSJHfalse
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE STE 100IRVINECA92612330143024HEALTHCARECA501(C)(3)7SJHSYes (true)
ST JOSEPH HOME CARE NETWORK
1111 SONOMA STE 308SANTA ROSACA95405680331084HEALTHCARECA501(C)(3)10SJHSYes (true)
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREETEUREKACA95501941156596HEALTHCARECA501(C)(3)3SJHSYes (true)
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVEORANGECA92868951643359HEALTHCARECA501(C)(3)3CHNYes (true)
ST JOSEPH HERITAGE HEALTHCARE
200 WEST CENTER ST PROMENADEANAHEIMCA92805330185031HEALTHCARECA501(C)(3)3SJHSYes (true)
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVEFULLERTONCA92635951643324HEALTHCARECA501(C)(3)3CHNYes (true)
ST MARY MEDICAL CENTER
18300 HIGHWAY 18APPLE VALLEYCA92307951914489HEALTHCARECA501(C)(3)3CHNYes (true)
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREETLUBBOCKTX79410751653181HEALTHCARETX501(C)(3)7CHSYes (true)
ST JOSEPH HEALTH NOR CAL LLC
3345 MICHELSON DRIVE STE 100IRVINECA92612814791043HEALTHCARECA501(C)(3)3SJHSYes (true)
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIAORANGECA92868951643383RELIGIOUS ORGCA501(C)(3)1NAfalse
ST JOSEPH HEALTH MINISTRY
3345 MICHELSON DRIVE STE 100IRVINECA92612271666576RELIGIOUS ORGCA501(C)(3)1SSJOfalse
E WA & MT UNEMPLOYMENT COMP INSR TRUST
1801 LIND AVENUE SW 9016RENTONWA980579016911082119UNEMPLOYMENTWA501(C)(3)12,IPHS WAYes (true)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128EVERETTWA982065128943264605TRANS. CAREWA501(C)(3)10NAfalse
FACEY MEDICAL FOUNDATION
15451 SAN FERNANDO MISSION BLVD 2MISSION HILLSCA91345954322584SUPPORTCA501(C)(3)7PHS SOCALYes (true)
GAMELIN WASHINGTON ASSOCIATION
1423 FIRST AVENUESEATTLEWA98101201910170SUPPORTWA501(C)(3)7PHS WAYes (true)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104SEATACWA98188273133200HEALTHCAREWA501(C)(3)7SHSYes (true)
INLAND NORTHWEST HEALTH SERVICES
601 W 1ST AVENUESPOKANEWA99201911307555HEALTHCAREWA501(C)(3)3PHS WAYes (true)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVENUE SW 9016RENTONWA98057814260130HEALTHCAREWA501(C)(3)7PHS SJHSYes (true)
INSTITUTE FOR SYSTEMS BIOLOGY
401 TERRY AVE NSEATTLEWA98109912003593HEALTHCAREWA501(C)(3)7WHCYes (true)
JOHN WAYNE CANCER INSTITUTE
2200 SANTA MONICA BLVDSANTA MONICACA90404954291515HEALTHCARECA501(C)(3)4PSJHCYes (true)
KADLEC AUXILIARY INC
888 SWIFT BLVDRICHLANDWA99352916033089SUPPORTWA501(C)(3)12,IIIKRMCYes (true)
KADLEC FOUNDATION
888 SWIFT BLVDRICHLANDWA99352237005501SUPPORTWA501(C)(3)12,IKRMCYes (true)
KADLEC NEUROLOGICAL RESOURCE CENTER
1268 LEE BLVDRICHLANDWA99352911266345HEALTHCAREWA501(C)(3)10WHCYes (true)
KADLEC REGIONAL MEDICAL CENTER
888 SWIFT BLVDRICHLANDWA99352910655392HEALTHCAREWA501(C)(3)3WHCYes (true)
LITTLE COMPANY OF MARY ANCILLARY SVCS CO
4101 TORRANCE BLVDTORRANCECA90503330844408IMAGING SVCSCA501(C)(3)10PHS SOCALYes (true)
LUNDBERG ASSOCIATIONPROVIDENCE HOUSE
5921 E BURNSIDEPORTLANDOR97215911562797SUPPORTOR501(C)(3)7PHS ORYes (true)
MARSHA RIVKIN CENTER FOR OVARIAN CANCER
747 BROADWAYSEATTLEWA98122912054035RESEARCHWA501(C)(3)7SHSYes (true)
PACMED CLINICS
1200 12TH AVENUE SSEATTLEWA98144562290878HEALTHCAREWA501(C)(3)10WHCYes (true)
PH&S FOUNDATIONSFVSA & SCVSA
501 S BUENA VISTA STREETBURBANKCA91505953544877HEALTHCARECA501(C)(3)7PHS SOCALYes (true)
PROVIDENCE ALASKA FOUNDATION
3300 PROVIDENCE DR TOWER 2ANCHORAGEAK99508920093565HEALTHCAREAK501(C)(3)12,IPHS WAYes (true)
PROVIDENCE BENEDICTINE NURSING CTR FNDN
540 SOUTH MAIN STREETMT ANGELOR973629532911940286HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE BLANCHET ASSOCIATION
1700 PROVIDENCE PLCENTRALIAWA98531911789266SUPPORTWA501(C)(3)7PHS WAYes (true)
PROVIDENCE CHILD CENTER FOUNDATION
830 NE 47THPORTLANDOR97213930800140SUPPORTOR501(C)(3)7PHS ORYes (true)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
1111 CRATER LAKE AVEMEDFORDOR97504930692907HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE DETHMAN HOUSE
1205 MONTELLO AVEHOOD RIVEROR97031473385506SUPPORTWA501(C)(3)7NAfalse
PROVIDENCE FOUNDATION
1801 LIND AVENUE SW 9016RENTONWA980579016943078543HEALTHCAREWA501(C)(3)12,IPHS WAYes (true)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
4515 MLK JR WAY S STE 200SEATTLEWA98108311744654SUPPORTWA501(C)(3)7PHS WAYes (true)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW 9016RENTONWA980579016911549796HEALTHCAREWA501(C)(3)12,IIPSJHfalse
PROVIDENCE HEALTH & SERVICES - MONTANA
500 W BROADWAY PO BOX 4587MISSOULAMT598064587810231793HEALTHCAREMT501(C)(3)3PHS WAYes (true)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW 9016RENTONWA980579016510216587HEALTHCAREOR501(C)(3)3PHSYes (true)
PROVIDENCE HEALTH & SERVICES - WA
1801 LIND AVENUE SW 9016RENTONWA980579016510216586HEALTHCAREWA501(C)(3)3PHSYes (true)
PROVIDENCE HEALTH & SERVICES - WEST WA
1801 LIND AVENUE SW 9016RENTONWA980579016911303277HEALTHCAREWA501(C)(3)3PMWHCYes (true)
PROVIDENCE HEALTH ASSURANCE
4400 NE HALSEY BLDG 2PORTLANDOR97213550828701MEDICAIDOR501(C)(4)N/APHPYes (true)
PROVIDENCE HEALTH CARE FNDN - E WA
101 W 8TH AVENUESPOKANEWA99204320014330HEALTHCAREWA501(C)(3)7PHS WAYes (true)
PROVIDENCE HEALTH CARE FNDN (CENTRALIA)
914 S SCHEUBER ROADCENTRALIAWA98531911433382HEALTHCAREWA501(C)(3)7PHS WAYes (true)
PROVIDENCE HEALTH PLAN
4400 NE HALSEY BLDG 2PORTLANDOR97213930863097HEALTHCAREOR501(C)(4)N/APPPYes (true)
PROVIDENCE HEALTH SYSTEM - SO CAL
1801 LIND AVENUE SW 9016RENTONWA980579016510216589HEALTHCARECA501(C)(3)3PHSYes (true)
PROVIDENCE HOOD RIVER MEM HOSP FDN
811 13TH STHOOD RIVEROR97031930921990HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE HOSPICE AND HOME CARE FNDN
2731 WETMORE AVENUE STE 500EVERETTWA98201272552749HEALTHCAREWA501(C)(3)7PHS WAYes (true)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
425 PONTIUS AVENUE NORTH 300SEATTLEWA980195452912077378HEALTHCAREWA501(C)(3)12,IPHS WAYes (true)
PROVIDENCE LITTLE COMPANY OF MARY FNDN
4101 TORRANCE BLVDTORRANCECA90503510224944HEALTHCARECA501(C)(3)7PHS SOCALYes (true)
PROVIDENCE MARIANWOOD FOUNDATION
3725 PROVIDENCE POINT DRIVE SEISSAQUAHWA980297219931554288HEALTHCAREWA501(C)(3)12,IPHS WAYes (true)
PROVIDENCE MEDICAL INSTITUTE
4101 TORRANCE BLVDTORRANCECA90503330283773HEALTHCARECA501(C)(3)12,IPHS SOCALYes (true)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32NDMILWAUKIEOR97222943079515HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVENUE SWSEATTLEWA981262799911188119HEALTHCAREWA501(C)(3)7PHS WAYes (true)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVENEWBERGOR97132930889144HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE PETER CLAVER ASSOCIATION
7101 38TH AVENUE SOUTHSEATTLEWA98118311629656SUPPORTWA501(C)(3)7PHS WAYes (true)
PROVIDENCE PLAN PARTNERS
4400 NE HALSEY BLDG 2PORTLANDOR97213911861964HEALTHCAREWA501(C)(4)N/APHS ORYes (true)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN STREETPORTLANDOR972132967931231494HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE ROSSI ASSOCIATION
1700 PROVIDENCE PLACECENTRALIAWA98531311584166SUPPORTWA501(C)(3)10PHS WAYes (true)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
2121 SANTA MONICA BLVDSANTA MONICACA90404951684082HEALTHCARECA501(C)(3)3PHS SOCALYes (true)
PROVIDENCE SAINT JOHN'S MEDICAL FNDN
20555 EARL STTORRANCECA90503814542216HEALTHCARECA501(C)(3)PendingPHS SOCALYes (true)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA RDSEASIDEOR97138930927320HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE ST ELIZABETH HOUSE ASSOC
3201 SW GRAHAM STSEATTLEWA98126912171539SUPPORTWA501(C)(3)7PHS WAYes (true)
PROVIDENCE ST FRANCIS ASSOCIATION
3415 12TH AVENUE NEOLYMPIAWA98506943244854SUPPORTWA501(C)(3)7PHS WAYes (true)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVENUE SW 9016RENTONWA98057811244422HEALTHCAREWA501(C)(3)12,IIINAfalse
PROVIDENCE ST JOSEPH MEDICAL CENTER
PO BOX 1010POLSONMT598601010810463482HEALTHCAREMT501(C)(3)3PHS WAYes (true)
PROVIDENCE ST MARY FOUNDATION
401 W POPLAR STREETWALLA WALLAWA99362452841492HEALTHCAREWA501(C)(3)7PHS WAYes (true)
PROVIDENCE ST PETER FOUNDATION
413 LILLY ROAD NEOLYMPIAWA985065166911097056SUPPORTWA501(C)(3)7PHS WAYes (true)
PROVIDENCE ST VINCENT MEDICAL FNDN
9205 SW BARNES ROADPORTLANDOR97225930575982HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE TRINITYCARE HOSPICE
5315 TORRANCE BLVD STE B1TORRANCECA90503953264139HEALTHCARECA501(C)(3)10PHS SOCALYes (true)
PROVIDENCE TRINITYCARE HOSPICE FNDN
5315 TORRANCE BLVD STE B1TORRANCECA90503330261016HEALTHCARECA501(C)(3)7PTCHYes (true)
PROVIDENCE WILLAMETTE FALLS MEDICAL FNDN
1500 DIVISION STREETOREGON CITYOR97045931003750HEALTHCAREOR501(C)(3)12, IPHS ORYes (true)
SAINT JOHN'S HOSPITALHEALTH CENTER FNDN
2121 SANTA MONICA BLVDSANTA MONICACA90404956100079SUPPORTCA501(C)(3)7PSJHCYes (true)
SEATTLE SCIENCE FOUNDATION
550 17TH AVENUESEATTLEWA98122611502822PHYSN COLLABWA501(C)(3)7WHCYes (true)
SISTERS OF PROVIDENCE OF MONTANA CORP
1801 LIND AVENUE SW 9016RENTONWA980579016262612415SHELL CORPMT501(C)(3)1PHS WA
ST LUKE ASSOCIATION
350 WASHINGTON AVE SECHEHALISWA98352943176618SUPPORTWA501(C)(3)7PHS WAYes (true)
ST PATRICK HOSPITAL FOUNDATION
500 WEST BROADWAY PO BOX 4587MISSOULAMT598064587237056976HEALTHCAREMT501(C)(3)7PHS WAYes (true)
ST THOMAS CHILD AND FAMILY CENTER
1710 BENEFIS COURTGREAT FALLSMT59405810233495EDUCATIONMT501(C)(3)10PHS WAYes (true)
SWEDISH EDMONDS
21601 76TH AVENUEEDMONDSWA98026272305304HEALTHCAREWA501(C)(3)3WHCYes (true)
SWEDISH HEALTH SERVICES
747 BROADWAYSEATTLEWA98122910433740HEALTHCAREWA501(C)(3)3WHCYes (true)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAYSEATTLEWA98122910983214HEALTHCAREWA501(C)(3)7SHSYes (true)
SWEDISH MJM HOLDINGS
747 BROADWAYSEATTLEWA98122273139262HOLDING COWA501(C)(3)12,ISHSYes (true)
THE GAMELIN ASSOCIATION
312 NORTH FOURTH STREETYAKIMAWA98901911180824SUPPORTWA501(C)(3)7PHS WAYes (true)
THE GAMELIN CALIFORNIA ASSOCIATION
540 23RD STREETOAKLANDCA94612911293869SUPPORTCA501(C)(3)10PHS SOCALYes (true)
THE GAMELIN OREGON ASSOCIATION
5520 NE GLISANPORTLANDOR97213911214491SUPPORTOR501(C)(3)10PHS ORYes (true)
UNIVERSITY OF GREAT FALLS
1301 20TH STREET SOUTHGREAT FALLSMT59405810231777EDUCATIONMT501(C)(3)2PHSYes (true)
WESTERN HEALTHCONNECT
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PROVIDENCE MINISTRIES
1801 LIND AVENUE SW 9016RENTONWA980579016RELIGIOUS ORGWA501(C)(3)1NAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (58 entries)

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ADVANCED SURGERY INSTITUTE LLC
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COVENANT LONG-TERM CARE LP
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HOAG ORTHOPEDIC INSTITUTE
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METHODIST DIAGNOSTIC IMAGING
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SHA LLC
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1100 WEST STEWART DRIVEORANGECA92868454521884REAL ESTATECANAN/A
NORTH BAY ENDOSCOPY CENTER
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SOUTHERN CALIFORNIA SURGERY CENTER LLC
18321 VENTURA BLVD STE 740TARZANACA91356330939000HEALTHCARECANAN/A
COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE BOX 6100NEWPORT BEACHCA92664810986844HEALTHCARECANAN/A
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300 SANTANA ROW SUITE 300SAN JOSECA95128814657391HEALTHCARECANAN/A
ALPHA MEDICAL LABORATORY LLC
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BROADWAY IMAGING LLC
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CENTER FOR SPECIALTY SURGERY LLC
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OREGON ADVANCED IMAGING LLC
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7300 SW CHILDS RDTIGARDOR97224223883387AMBULATORY SURGORNAN/A
PACLAB LLC
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PATHOLOGY ASSOCIATES MEDICAL LABORATORIE
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PETCT IMAGING AT SWEDISH CANCER INSTITU
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PORTLAND MEDICAL IMAGING LLC
4400 NE HALSEYPORTLANDOR97213201054971IMAGING DIAGNOSTIORNAN/A
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4400 NE HALSEYPORTLANDOR97213260682491REAL ESTATE - MOBORNAN/A
PROVIDENCE IMAGING CENTER
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PROVIDENCE PARTNERS FOR HEALTH LLC
501 S BUENA VISTA STBURBANKCA91505454041798CLIN QUALITY/INTCANAN/A
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE STMISSOULAMT59802841401625AMBULATORY SURGMTNAN/A
PROVIDENCESILVERTON REHAB LLC
4400 NE HALSEY 425PORTLANDOR97213481287267REHAB SERVICESORNAN/A
PROVIDENCEUSP SANTA CLARITA GP LLC
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PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROADMISSION HILLSCA91345200905938AMBULATORY SURGCANAN/A
SOUTHERN IDAHO REGIONAL LABORATORY LLC
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THE MADISON SPOKANE INN LLC
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TRI-CITIES LABORATORY LLC
611 N PERRYSPOKANEWA99202911773986OUTPATIENT LABWANAN/A
HCSA PROPERTIES LLC
1600 M STREET NWAUBURNWA98001460620892REAL ESTATE RENTWANAN/A
PHS INVESTMENT TRUST HEDGE FUND PORTFOLI
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PHS INVESTMENT TRUST LONG TREASURIES POR
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PHS INVESTMENT TRUST RELATIVE VALUE PORT
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PHS INVESTMENT TRUST TIPS PORTFOLIO
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PHS INVESTMENT TRUST PUBLIC EQUITY PORTF
1801 Lind Avenue SW No 9016RentonWA98057472283974INVESTMENTSWANAN/A
PHS INVESTMENT TRUST LDI PORTFOLIO
1801 Lind Avenue SW No 9016RentonWA98057472392060INVESTMENTSWANAN/A
PHS INVESTMENT TRUST PUBLIC DEBT PORTFOL
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PHS INVESTMENT TRUST TACTICAL TRADING PO
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PHS INVESTMENT TRUST COMMODITIES PORTFOL
1801 Lind Avenue SW No 9016RentonWA98057472269004INVESTMENTSWANAN/A
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1801 Lind Avenue SW No 9016RentonWA98057473393740INVESTMENTSWANAN/A
PHS INVESTMENT TRUST SHORT TERM INVESTME
1801 Lind Avenue SW No 9016RentonWA98057812701056INVESTMENTSWANAN/A
PHS INVESTMENT TRUST 2016 PRIVATE ASSETS
1801 Lind Avenue SW No 9016RentonWA98057811532735INVESTMENTSWANAN/A
PHS INVESTMENT TRUST 2016 PRIVATE REAL E
1801 Lind Avenue SW No 9016RentonWA98057812960145INVESTMENTSWANAN/A
LSC REAL PROPERTY LLC
2301 QUAKER AVENUELUBBOCKTX79410474646059REAL ESTATETXNAN/A
CALIFORNIA SPECIALTY SURGERY CENTER LP
26371 CROWN VALLEY PARKWAYMISSION VIEJOCA92691330939003HEALTHCARECANAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (23 entries)

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AMERICAN UNITY GROUP LTD
90 PITTS BAY ROADPEMBROKEBDHM08CAPTIVE INSURANCEBDNAC-CORP
COASTAL MANAGEMENT SERVICES ORGANIZATION
HEALTHCARENAC-CORP1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658330676831CA
DATU HEALTH INC AND SUBSIDIARIES
IT SVCSNAC-CORP16150 MAIN CIRCLE DR SUITE 250CHESTERFIELDMO63017463070062DE
HOAG MANAGEMENT SERVICES INC
HEALTHCARENAC-CORP1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658330731587CA
LUBBOCK METHODIST HOSP PRACTICE MGMT
INACTIVENAC-CORP2107 OXFORD STREET STE 300LUBBOCKTX79410752578995TX
LUBBOCK METHODIST HOSPITAL SVCS
HEALTHCARENAC-CORPPO BOX 1201LUBBOCKTX79410752118585TX
MISSION VIEJO MEDICAL VENTURES
HEALTHCARENAC-CORP27800 MEDICAL CENTER RDMISSION VIEJOCA92691330212905CA
ST JOSEPH HEALTH
HOLDING COMPANYNAC-CORP3345 MICHELSON DRIVE SUITE 100IRVINECA92612462340232CA
ST JOSEPH HEALTH SOURCE INC
HEALTHCARENAC-CORP3345 MICHELSON DRIVE SUITE 100IRVINECA92612461900168CA
ST JOSEPH PROF SVCS ENTERPRSES INC
HEALTHCARENAC-CORP3345 MICHELSON DRIVE SUITE 100IRVINECA92612330155323CA
OPHIE HEALTHCARE SERVICES INC
HEALTHCARENAC-CORP3345 MICHELSON DRIVE SUITE 100IRVINECA92612271002825CA
PROVIDENCE HEALTH VENTURES INC
INVESTMENTNAC-CORP4101 TORRANCE BLVDTORRANCECA90503330122216CA
CARON HEALTH CORPORATION
MED PHYS SVCSNAC-CORP510 W FRONT STMISSOULAMT59802810486082MT
PROVIDENCE HEALTH CARE VENTURES INC
CLIN/MED LABNAC-CORP101 W 8TH AVE TAF C-9SPOKANEWA99204900155714WA
PROVIDENCE PHYSICIAN SERVICES CO
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YAKIMA MEDICAL ARTS INC
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BOURGET HEALTH SERVICES INC
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1221 MADISON STREET OWNERS ASSOC
OWNERS' ASSOC.NAC-CORP747 BROADWAYSEATTLEWA98122201954319WA
WESTERN HEALTHCONNECT VENTURES INC
INVESTMENTSNAC-CORP1801 LIND AVE SW 9016RENTONWA98057800953654WA
PHN HOLDINGS
STRAT PLAN SVCSNAC-CORP20555 EARL STREETTORRANCECA90503461814184CA
PROVIDENCE HEALTH NETWORK
PREPAID HEALTHNAC-CORP20555 EARL STREETTORRANCECA90503800886966CA
PIONEER INNOVATIONS INC
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VINSERRA INC
INVESTMENTSNAC-CORP1328 22ND STREETSANTA MONICACA90403953943315CA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Redwood Memorial Hospital
B$652,450Accrual
Redwood Memorial Hospital
O$310,240Accrual

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART IIIFormAndLineReferenceDesc
ExplanationIDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP ADVANCED SURGERY INSTITUTE, LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 500 S. MAIN STREET, STE 1000, ORANGE, CA 92868 HOAG ORTHOPEDIC INSTITUTE EIN: 61-1588294 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET, LUBBOCK, TX 79410 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SAN MIGUEL, NEWPORT BEACH, CA 92660 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183, AUSTIN, TX 78750 ST. JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE, ORANGE, CA 92868 NORTH BAY ENDOSCOPY CENTER, LLC EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD, STE 110, PETALUMA, CA 94954 SOUTHERN CALIFORNIA SURGERY CENTER, LLC EIN: 33-0939000 ADDRESS: 18321 VENTURA BLVD, STE 740, TARZANA, CA 91356 COASTAL ASC HOLDINGS LLC EIN: 81-0986844 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92664 ST. JOSEPH/SATELLITE DIALYSIS CENTERS, LLC EIN: 81-4657391 ADDRESS: 300 SANTANA ROW, STE 300, SAN JOSE, CA 95128 ALPHA MEDICAL LABORATORY, LLC EIN: 91-2017347 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 BROADWAY IMAGING, LLC EIN: 52-2405971 ADDRESS: 500 W. BROADWAY, MISSOULA, MT 59802 CALIFORNIA LABORATORY ASSOCIATES, LLC EIN: 27-3888692 ADDRESS: 501 BUENA VISTA, BURBANK, CA 91505 CENTER FOR SPECIALTY SURGERY, LLC EIN: 26-3638838 ADDRESS: 11782 SW BARNES ROAD, PORTLAND, OR 97225 CLACKAMAS RADIATION ONCOLOGY CENTER, LLC EIN: 26-0381897 ADDRESS: 4400 NE HALSEY ST., BLDG. II #495, PORTLAND, OR 97213 CENTER FOR MEDICAL IMAGING-BRIDGEPORT, LLC EIN: 26-0796953 ADDRESS: 4400 NE HALSEY #495, PORTLAND, OR 97213 CENTER FOR MEDICAL IMAGING-TANASBOURNE, LLC EIN: 20-0477972 ADDRESS: 4400 NE HALSEY #495, PORTLAND, OR 97213 GREATER VALLEY MEDICAL BUILDING, LP EIN: 95-4570858 ADDRESS: 501 S. BUENA VISTA STREET, BURBANK, CA 91505 MINOR & JAMES MEDICAL, PLLC EIN: 91-1340223 ADDRESS: 515 MINOR AVENUE #200, SEATTLE, WA 98104 MOUNTAINSTAR CLINICAL LABORATORIES, LLC EIN: 26-1345983 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 OREGON ADVANCED IMAGING, LLC EIN: 45-0471748 ADDRESS: 881 O'HARE PARKWAY, MEDFORD, OR 97504 OREGON OUTPATIENT SURGERY CENTER EIN: 22-3883387 ADDRESS: 7300 SW CHILDS ROAD, TIGARD, OR 97224 PACLAB, LLC EIN: 91-1743952 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 PATHOLOGY ASSOCIATES MEDICAL LABORATORIES, LLC EIN: 27-0943279 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 PET/CT IMAGING AT SWEDISH CANCER INSTITUTE, LLC EIN: 20-3132044 ADDRESS: 1221 MADISON STREET, SEATTLE, WA 98104 PORTLAND MEDICAL IMAGING, LLC EIN: 20-1054971 ADDRESS: 4400 NE HALSEY #495, PORTLAND, OR 97213 PROVIDENCE RADIATION ONCOLOGY DEVELOPMENT ASSOCIATION, LLC EIN: 26-0682491 ADDRESS: 4400 NE HALSEY #495, PORTLAND, OR 97213 PROVIDENCE IMAGING CENTER EIN: 92-0118807 ADDRESS: 3340 PROVIDENCE DRIVE, ANCHORAGE, AK 99508 PROVIDENCE PARTNERS FOR HEALTH, LLC EIN: 45-4041798 ADDRESS: 501 S. BUENA VISTA STREET, BURBANK, CA 91505 PROVIDENCE SURGERY CENTER, LLC EIN: 84-1401625 ADDRESS: 902 N. ORANGE STREET, MISSOULA, MT 59802 PROVIDENCE/SILVERTON REHAB, LLC EIN: 48-1287267 ADDRESS: 4400 NE HALSEY #425, PORTLAND, OR 97213 PROVIDENCE/USP SANTA CLARITA GP LLC EIN: 20-2829660 ADDRESS: 11550 INDIAN HILLS ROAD #160, MISSION HILLS, CA 91345 PROVIDENCE/USP SURGERY CENTERS., LLC EIN: 20-0905938 ADDRESS: 11550 INDIAN HILLS ROAD #160, MISSION HILLS, CA 91345 SOUTHERN IDAHO REGIONAL LABORATORY, LLC EIN: 82-0511819 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 THE MADISON SPOKANE INN, LLC EIN: 84-1606484 ADDRESS: 15 WEST ROCKWOOD BLVD, SPOKANE, WA 99204 TRI-CITIES LABORATORY, LLC EIN: 91-1773986 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 HCSA PROPERTIES LLC EIN: 46-0620892 ADDRESS: 1600 M STREET NW, AUBURN, WA 98001 PHS INVESTMENT TRUST HEDGE FUND PORTFOLIO EIN: 47-2293255 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST BANK LOANS PORTFOLIO EIN: 47-2357735 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRANSITION PORTFOLIO EIN: 47-2279711 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST RISK PARITY PORTFOLIO EIN: 47-2336377 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST LONG TREASURIES PORTFOLIO EIN: 47-2385238 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST MLP PORTFOLIO EIN: 47-2367538 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST RELATIVE VALUE PORTFOLIO EIN: 47-2314743 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST TIPS PORTFOLIO EIN: 47-2402609 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST PUBLIC EQUITY PORTFOLIO EIN: 47-2283974 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST LDI PORTFOLIO EIN: 47-2392060 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST PUBLIC DEBT PORTFOLIO EIN: 47-2353569 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST TACTICAL TRADING PORTFOLIO EIN: 47-2327491 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST COMMODITIES PORTFOLIO EIN: 47-2269004 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST 2015 PRIVATE ASSETS PORTFOLIO EIN: 47-3393740 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO EIN: 81-2701056 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST 2016 PRIVATE ASSETS PORTFOLIO EIN: 81-1532735 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST 2016 PRIVATE REAL ESTATE PORTFOLIO EIN: 81-2960145 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 LSC REAL PROPERTY, LLC EIN: 47-4646059 ADDRESS: 2301 QUAKER AVE, LUBBOCK, TX 79410 CALIFORNIA SPECIALTY SURGERY CENTER, LP EIN: 33-0939003 ADDRESS: 26371 CROWN VALLEY PARKWAY, MISSION VIEJO, CA 92691ExplanationTxt

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