PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA (EIN 51-0216589)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-07
- IRS object ID
- 201803119349303075
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-07T18:29:26-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 560 MISSION STREET SUITE 1600 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510216589 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE HEALTH SYSTEM - SO | BusinessNameLine1Txt |
| Business Name Line2 | CALIFORNIA | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROV | BusinessNameControlTxt |
| Phone | 4255253985 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 LIND AVENUE SW No 9016 | AddressLine1Txt |
| City | RENTON | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 980579016 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JO ANN ESCASA-HAIGH | PersonNm |
| Person Title | EVP/ASSISTANT TREASURER | PersonTitleTxt |
| Phone | 4255253985 | PhoneNum |
| Signature | 2018-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EVA NITTA | PreparerPersonNm |
| PTIN | P01286320 | PTIN |
| Phone | 4158948000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 198.134.52.71 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-07 | IPDt |
| IP Tm | 18:27:42 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 70E26FBB7EA2D814E861DB84AB2FB653C21E7C9A | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MIKE BUTLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 LIND AVENUE SW No 9016 | AddressLine1Txt |
| City | RENTON | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 980579016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,185,267,603 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://CALIFORNIA.PROVIDENCE.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1903 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 12858 | TotalEmployeeCnt |
| Total Volunteers | 3547 | TotalVolunteersCnt |
| Total Gross UBI | $590,750 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $456,121 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $29,101,286 | PYContributionsGrantsAmt |
| CY Contributions Grants | $20,510,830 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,888,981,195 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,891,044,043 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$4,025,822 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,120,842 | CYInvestmentIncomeAmt |
| PY Other Revenue | $36,167,300 | PYOtherRevenueAmt |
| CY Other Revenue | $24,693,041 | CYOtherRevenueAmt |
| PY Total Revenue | $1,950,223,959 | PYTotalRevenueAmt |
| CY Total Revenue | $1,943,368,756 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $47,295,225 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,217,035 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $736,521,512 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $752,691,486 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $408,354 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,416,085,319 | PYOtherExpensesAmt |
| CY Other Expenses | $794,587,534 | CYOtherExpensesAmt |
| PY Total Expenses | $2,199,902,056 | PYTotalExpensesAmt |
| CY Total Expenses | $1,551,496,055 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$249,678,097 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $391,872,701 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,438,713,618 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,835,400,603 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,103,918,595 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,847,205,200 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $334,795,023 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$11,804,597 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,297,914,218 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,789,701,911 | RevenueAmt |
| Desc | SEE 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 50 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.ACUTE CARE - INPATIENT PATIENT DAYS - 300,224ADMISSIONS - 70,437ACUTE CARE - OUTPATIENT - INCLUDING SURGERIES & PROCEDURES/EMERGENCY/TRAUMA SERVICES. PATIENT VISITS - 1,495,521OUR CORE VALUES - RESPECT, COMPASSION, JUSTICE, EXCELLENCE, AND STEWARDSHIPOUR COMMITMENT - AS A NOT-FOR-PROFIT HEALTH CARE MINISTRY, PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA EMBRACES OUR RESPONSIBILITY TO RESPOND TO THE NEEDS OF PEOPLE IN OUR COMMUNITIES, ESPECIALLY THE POOR AND VULNERABLE. THIS COMMITMENT, THIS MISSION ROOTED IN GOD'S LOVE FOR ALL, BEGAN WITH THE SISTERS OF PROVIDENCE MORE THAN 150 YEARS AGO.THE HEART OF OUR MISSION WE FOCUS OUR COMMUNITY BENEFIT OUTREACH ON FOUR SPECIFIC POPULATIONS. THESE ARE LOW-INCOME AND UNINSURED PEOPLE, DIVERSE POPULATIONS, OLDER CITIZENS, AND PEOPLE WITH BEHAVIORAL NEEDS. OUR OUTREACH CAN RANGE FROM COVERING THE MEDICAL BILLS OF A HUSBAND AND FATHER DISABLED BY DIABETES, TO FINANCIALLY SUPPORTING A NONPROFIT THAT EMBRACES OLDER REFUGEES AND IMMIGRANTS. DURING THESE HARD ECONOMIC TIMES IN OUR NEIGHBORHOODS AND OUR NATION, WE REINFORCE OUR COMMITMENTS TO CARING FOR THE POOR AND VULNERABLE. THIS COMPASSIONATE CARING IS, AND ALWAYS HAS BEEN, THE HEART OF OUR MISSION.FROM THE SAN FERNANDO VALLEY TO THE WESTSIDE AND THE SOUTH BAY, SIX EXCEPTIONAL HOSPITALS AND OUR AFFILIATED MEDICAL GROUPS ARE REDEFINING HEALTH CARE IN THE 21ST CENTURY. EVERY DAY, THE MEDICAL CENTERS OF PROVIDENCE HEALTH & SERVICES, SOUTHERN CALIFORNIA, ARE PROVING IT IS POSSIBLE TO PROVIDE LEADING-EDGE CARE WHILE STAYING TRUE TO A MORE THAN 150-YEAR-OLD MISSION TO SERVE THE POOR AND VULNERABLE.EXCEPTIONAL PROGRAMS AND SERVICES THROUGHOUT LOS ANGELES COUNTY AND BEYOND, WE'RE KNOWN FOR OUR OUTSTANDING PROGRAMS IN CANCER, CARDIOLOGY, NEUROSCIENCES, ORTHOPEDICS, WOMEN'S SERVICES, HOSPICE AND PALLIATIVE CARE, AND MANY OTHER SPECIALTIES. WE CONTINUE TO ADD SERVICES AND TECHNOLOGY TO MEET THE NEEDS OF OUR EVER CHANGING COMMUNITIES. THE ROY AND PATRICIA DISNEY FAMILY CANCER CENTER AT PROVIDENCE SAINT JOSEPH MEDICAL CENTER, IS THE LARGEST, MOST COMPREHENSIVE CANCER CENTER IN THE SAN FERNANDO AND SURROUNDING VALLEYS. PROVIDENCE CONTINUOUSLY INVESTS IN THE LATEST TECHNOLOGY AND SEEKS NEW EVIDENCE-BASED WAYS TO IMPROVE DIAGNOSES, TREATMENTS AND PATIENT SAFETY, ALL IN AN ENVIRONMENT OF COMPASSIONATE CARE. PROVIDENCE PROVIDES CARE ACROSS THE SPECTRUM FROM OUR FAMILY-CENTERED NEONATAL ICUS FOR THE MOST FRAGILE OF INFANTS TO NATIONALLY RECOGNIZE PEDIATRIC, CARDIAC AND CANCER SERVICES TO SPECIALIZED TEAM-BASED CARE FOR THE ELDERLY. THE PRACTICE OF EXPERT-TO-EXPERT COLLABORATION PROVIDES A WEALTH OF EXPERIENCE AND KNOWLEDGE IN MANAGING COMPLEX ILLNESSES BY BRINGING IN A RANGE OF SPECIALISTS TO HELP ENSURE THE BEST POSSIBLE OUTCOMES FOR OUR PATIENTS. PROVIDENCE MEDICAL CENTERS ARE DEDICATED TO IMPROVING UPON EXCELLENCE, AFFILIATING WITH SOME OF THE BEST PHYSICIANS IN SOUTHERN CALIFORNIA, ENCOURAGING NURSES TO SEEK INNOVATION IN PATIENT CARE AND PROVIDING A SHARED ELECTRONIC MEDICAL RECORD TO HELP ENSURE THE BEST CARE FOR EVERY PATIENT, EVERY TIME. FIVE STARS FOR EXCELLENCE PROVIDENCE SOUTHERN CALIFORNIA IS THE FIRST AND ONLY HEALTH SYSTEM IN THE STATE TO HAVE ALL OUR ELIGIBLE HOSPITALS RECOGNIZED WITH THE HEALTHGRADES' DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE . OUR PROVIDENCE MEDICAL CENTERS HAVE WON NATIONAL AWARDS FOR EXCELLENCE AND SAFETY IN NEUROSCIENCES, ORTHOPEDICS, CRITICAL AND CORONARY CARE, WOMEN'S SERVICES, MATERNITY SERVICES, BARIATRICS AND GASTROINTESTINAL TREATMENT. THESE NATIONAL AWARDS RECOGNIZE THE HIGH LEVEL OF CARE AND DEDICATION TO PATIENT SAFETY AND IMPROVED OUTCOMES. GOLD-STANDARD STROKE CARESTROKE IS THE THIRD LEADING CAUSE OF DEATH AND THE LEADING CAUSE OF DISABILITY FOR ALL AMERICANS. WHEN AND WHERE YOU SEEK TREATMENT CAN MAKE A WORLD OF DIFFERENCE. FIVE OF OUR MEDICAL CENTERS ARE CERTIFIED AS ADVANCED PRIMARY STROKE CENTERS, WHERE THE STROKE CARE PROGRAM FOLLOWS NATIONAL STANDARDS AND GUIDELINES THAT CAN SIGNIFICANTLY IMPROVE OUTCOMES FOR STROKE PATIENTS, EARNING THEM THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR ADVANCED PRIMARY STROKE CENTERS AND TOP AWARDS FROM THE AMERICAN HEART/AMERICAN STROKE ASSOCIATIONS. IN ADDITION, PROVIDENCE SAINT JOSEPH MEDICAL CENTER RECEIVED THE HEALTHGRADES STROKE CARE EXCELLENCE AWARD . LEADERS IN HEART ATTACK CARE AND FOR PATIENTS SUFFERING THE MOST SEVERE TYPE OF HEART ATTACK, ALL OF OUR HOSPITALS ARE DESIGNATED STEMI-RECEIVING CENTERS, RECOGNIZED BY LOS ANGELES COUNTY FOR THEIR DEMONSTRATED ABILITIES TO PROVIDE RAPID AND EFFECTIVE CARE FOR THE MOST SERIOUS HEART ATTACKS TO HELP REDUCE LONG-TERM HEART DAMAGE. DIAGNOSIS BEGINS UPON ARRIVAL IN OUR EMERGENCY DEPARTMENTS AND TREATMENT FOLLOWS IMMEDIATELY, WITH A FULL STAFF OF SPECIALISTS, NURSES AND THERAPISTS HIGHLY TRAINED IN CRITICAL CARE. LONG TRADITION OF COMMUNITY SERVICE OUR ROOTS DATE BACK MORE THAN 150 YEARS, WHEN THE SISTERS OF PROVIDENCE AND THE SISTERS OF THE LITTLE COMPANY OF MARY ARRIVED IN THE WEST TO SUPPORT COMMUNITIES IN NEED. TODAY, COMMUNITY SERVICE IS STILL ONE OF OUR HIGHEST PRIORITIES. WE OFFER A WIDE ARRAY OF FREE OR LOW-COST OUTREACH PROGRAMS FOR THOSE IN NEED, FROM PRIMARY CARE CLINICS AND HEALTH SCREENINGS, TO EXERCISE AND HEALTH EDUCATION CLASSES, TO MENTAL HEALTH COUNSELING AND TELEPHONE VISITS FOR SENIORS. IN ALL, PROVIDENCE'S COMMUNITY BENEFIT PROGRAMS TOUCH THE LIVES OF NEARLY A QUARTER MILLION PEOPLE EACH YEAR. FROM SCHOOL CHILDREN TO THE ELDERLY, OUR COMMUNITIES ARE SERVED BY PROGRAMS THAT PROMOTE GOOD HEALTH FOR THE MIND, BODY AND SPIRIT. OUR MISSION TO SERVE IS THE CORNERSTONE OF PROVIDENCE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):* PROVIDENCE TARZANA MEDICAL CENTER RECEIVED RECOGNITION AS A DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE RANKING IT AMONG THE TOP 5 PERCENT IN THE NATION FOR PERFORMANCE ON 27 OF THE MOST COMMON DIAGNOSIS AND PROCEDURES. DESIGNATED AS A PEDIATRIC MEDICAL CENTER, PROVIDENCE TARZANA IS CERTIFIED TO INCLUDE TREATING CRITICALLY ILL CHILDREN TRANSPORTED BY THE 9-1-1 EMERGENCY MEDICAL SERVICES SYSTEM. IT HAS ONE OF THE LARGEST AND MOST RENOWNED NEONATAL INTENSIVE CARE UNITS IN THE AREA.* THE AWARD-WINNING PROVIDENCE SAINT JOSEPH MEDICAL CENTER IN BURBANK IS KNOWN FOR ADVANCED TECHNOLOGY, INCLUDING THE USE OF ROBOTICS, TO BOLSTER A TRADITION OF QUALITY CARE. PROVIDENCE SAINT JOSEPH HAS RECEIVED RECOGNITION FOR ORTHOPEDICS, NEUROLOGY, BARIATRICS AND CARDIAC SERVICES.* PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE HAS A REPUTATION FOR CLINICAL EXCELLENCE AND SOPHISTICATED TECHNOLOGY WITH A PERSONAL TOUCH. WINNER OF TRUVEN HEALTH ANALYTICS' 100 TOP HOSPITALS AWARD THREE YEARS IN A ROW.* FOR MORE THAN 86 YEARS, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO HAS PROVIDED THE SOUTH BAY COMMUNITY WITH CLINICALLY EXCELLENT AND COMPASSIONATE HEALTHCARE AND THE SOUTH BAY'S FIRST CERTIFIED PRIMARY STROKE CENTER.* NATIONALLY RECOGNIZED FOR CLINICAL PERFORMANCE AND TRAUMA CARE, PROVIDENCE HOLY CROSS MEDICAL CENTER IN MISSION HILLS ALSO IS THE ONLY COMMUNITY HOSPITAL IN THE SAN FERNANDO VALLEY TO RECEIVE MAGNET STATUS FOR NURSING EXCELLENCE. IT IS ONE OF ONLY TWO 24/7 TRAUMA CENTERS IN THE SAN FERNANDO VALLEY.HEALTH CARE CAPITATION - SEE LINE 4A NARRATIVE | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $70,337,441 | ExpenseAmt |
| Revenue | $100,214,625 | RevenueAmt |
| Desc | SEE SCHEDULE OLONG-TERM CARE, SUBACUTE SKILLED NURSING & HOME HEALTH PROGRAMS. LONG-TERM CARE DAYS - 96,865; HOME HEALTH VISITS - 76,559.PROVIDENCE ST. ELIZABETH CARE CENTER IS A 52-BED SKILLED NURSING FACILITY. EVERY RESIDENT WHO LIVES AT THE CENTER EXPERIENCES A COMPASSIONATE, CARING AND COMFORTABLE ATMOSPHERE. EACH RESIDENT IS TREATED AS A SPECIAL PERSON, GIVING CAREFUL ATTENTION TO HIS OR HER TOTAL WELL-BEING. WE OFFER AN ARRAY OF HEALTH CARE SERVICES FOR RESIDENTS TO ENJOY THEMSELVES WITH FAMILY AND FRIENDS. TO COMPLEMENT OUR REPUTATION FOR CARING, OUR SPECIALLY TRAINED STAFF WORKS IN PARTNERSHIP WITH RESIDENTS, FAMILIES, DOCTORS, REFERRING HOSPITALS, AND HEALTH PROFESSIONALS TO MAKE SURE RESIDENTS' NEEDS ARE MET. WE ALSO PROVIDE FOR RESPIRATORY SERVICES, AS NEEDED.PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL CARE CENTER, A SKILLED NURSING FACILITY IN TORRANCE, EARNED FIVE STARS FOR THE FOURTH STRAIGHT YEAR IN THE WEEK'S U.S. NEWS AND WORLD REPORT FEATURE LISTING THE NATION'S TOP NURSING HOMES.THE MAGAZINE'S PRESTIGIOUS RANKINGS WERE BASED ON U.S. CENTERS FOR MEDICARE AND MEDICAID SURVEYS THAT RATED THE 115-BED TRANSITIONAL CARE CENTER AMONG THE BEST CARE HOMES IN THE NATION BASED ON HEALTH INSPECTIONS, NURSE STAFFING, QUALITY MEASURES AND SAFETY. THE CARE CENTER IS AFFILIATED WITH PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE, A 436-BED ACUTE CARE HOSPITAL.PROVIDENCE LITTLE COMPANY OF MARY STANDS OUT AMONG SKILLED NURSING FACILITIES BECAUSE ITS PATIENTS TYPICALLY ARE NOT LONG-TERM. THE AVERAGE LENGTH-OF-STAY IS ABOUT TWO WEEKS, TIME FOR PATIENTS TO REHABILITATE FROM ACUTE-CARE HOSPITAL STAYS BEFORE HEADING HOME. U.S. NEWS EVALUATED MORE THAN 15,000 NURSING HOMES NATIONWIDE AND OVER 2,000 EARNED THE FIVE-STAR RATING. THE STAFF INCLUDES NURSES, PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, SPEECH THERAPISTS, RESPIRATORY THERAPISTS, DIETITIANS AND ADMINISTRATIVE SUPPORT AND THEIR FOCUS IS ALWAYS ON QUALITY CENTERED IN PROVIDENCE CORE VALUES AND OUR MISSION OF COMPASSIONATE SERVICE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc | GrantGrantAmt |
|---|---|---|---|
| $6,078,967 | $7,833,855 | PROVIDENCE HIGH SCHOOL FOR CHILDREN OF THE NORTHERN SAN FERNANDO VALLEY AND SURROUNDING AREA. SCHOOL DAYS - 178 STUDENTS - 434.PROVIDENCE HIGH SCHOOL WAS FOUNDED IN 1955 BY THE SISTERS OF PROVIDENCE. THIS IS A PRIVATE, CO-EDUCATIONAL, INDEPENDENT, COLLEGE PREPARATORY CATHOLIC HIGH SCHOOL. PROVIDENCE HIGH SCHOOL IS ACCREDITED BY THE WESTERN CATHOLIC EDUCATION ASSOCIATION (WCEA) AND THE WESTERN ASSOCIATION OF SCHOOLS AND COLLEGES (WASC), A MEMBER OF THE CALIFORNIA ASSOCIATION OF INDEPENDENT SCHOOLS (CAIS), AND IT IS A NATIONALLY RECOGNIZED BLUE RIBBON HIGH SCHOOL. PROVIDENCE HIGH SCHOOL INITIALLY STARTED AS AN ALL-GIRLS SCHOOL, BUT IN 1974 THE CAMPUS BECAME CO-EDUCATIONAL. TODAY THE 400+ STUDENTS ENJOY A FULL COLLEGE PREP CURRICULUM AS WELL AS ACCESS TO THREE FOCUS PROGRAMS; MEDICAL, CINEMA ARTS, AND TECHNOLOGY. PROVIDENCE HIGH SCHOOL ALSO OFFER AWARD WINNING PERFORMING ARTS, REWARDING CHRISTIAN SERVICE AND CAMPUS MINISTRY OPPORTUNITIES, COMPETITIVE ATHLETICS AND NUMEROUS CLUBS AND ACTIVITIES. | |
| $6,832 | HEALTHCARE JOINT VENTURES | ||
| $4,217,035 | GRANT & ALLOCATIONS - SEE SCHEDULE I. | $4,217,035 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $10,296,002 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $4,217,035 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $7,840,687 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,378,547,661 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 921 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 12858 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JO ANN ESCASA-HAIGH | PersonNm |
| Phone | 9493814000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3345 MICHELSON DRIVE SUITE 100 | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (49 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD BLAIR | ||||||||||
| CHAIR | 0.10 | 7.70 | Yes (X) | $0 | $60,360 | $0 | ||||
| DAVE OLSEN | ||||||||||
| VICE CHAIR | 0.10 | 7.00 | Yes (X) | $0 | $30,360 | $0 | ||||
| DICK P ALLEN | ||||||||||
| DIRECTOR | 0.10 | 5.00 | Yes (X) | $0 | $30,360 | $0 | ||||
| ISIAAH CRAWFORD PHD | ||||||||||
| DIRECTOR | 0.10 | 4.10 | Yes (X) | $0 | $30,360 | $0 | ||||
| LUCILLE DEAN SP | ||||||||||
| DIRECTOR | 0.10 | 5.50 | Yes (X) | $0 | $0 | $0 | ||||
| SR DIANE HEJNA CSJ RN | ||||||||||
| DIRECTOR | 0.10 | 5.30 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL HOLCOMB | ||||||||||
| DIRECTOR | 0.10 | 5.50 | Yes (X) | $0 | $30,360 | $0 | ||||
| SR PHYLLIS HUGHES RSM | ||||||||||
| DIRECTOR | 0.10 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| SALLYE LINER MSN RN | ||||||||||
| DIRECTOR | 0.10 | 5.00 | Yes (X) | $0 | $25,360 | $0 | ||||
| MARY LYONS PHD | ||||||||||
| DIRECTOR | 0.10 | 4.60 | Yes (X) | $0 | $30,360 | $0 | ||||
| WALTER NOCE JR | ||||||||||
| DIRECTOR | 0.10 | 5.50 | Yes (X) | $0 | $30,360 | $0 | ||||
| CAROLINA REYES MD | ||||||||||
| DIRECTOR | 0.10 | 6.00 | Yes (X) | $0 | $30,360 | $0 | ||||
| PHOEBE YANG | ||||||||||
| DIRECTOR | 0.10 | 5.50 | Yes (X) | $0 | $25,360 | $0 | ||||
| MIKE BUTLER | ||||||||||
| PRESIDENT | 7.00 | 53.00 | $0 | $2,529,152 | $2,095,457 | Yes (X) | ||||
| VENKAT BHAMIDIPATI | ||||||||||
| EVP/TREASURER | 7.00 | 53.00 | $0 | $638,309 | $847,978 | Yes (X) | ||||
| JO ANN ESCASA-HAIGH | ||||||||||
| EVP/ASSISTANT TREASURER | 6.00 | 54.00 | $0 | $1,372,090 | $667,685 | Yes (X) | ||||
| CINDY STRAUSS | ||||||||||
| SECRETARY | 7.00 | 53.00 | $0 | $1,743,082 | $1,020,214 | Yes (X) | ||||
| TAMMY TEODOSIO | ||||||||||
| ASSISTANT SECRETARY | 7.00 | 53.00 | $0 | $117,493 | $23,110 | Yes (X) | ||||
| JOHN WHIPPLE | ||||||||||
| ASSISTANT SECRETARY | 7.00 | 53.00 | $0 | $754,800 | $485,048 | Yes (X) | ||||
| DONALD ANDERSON JR | ||||||||||
| ASSISTANT SECRETARY FOR ENROLLMENT | 7.00 | 53.00 | $0 | $248,186 | $20,012 | Yes (X) | ||||
| STEVEN MOHR | ||||||||||
| CFO/CA REGION | 6.00 | 43.90 | $0 | $728,712 | $447,391 | Yes (X) | ||||
| ERIK WEXLER | ||||||||||
| CE/CA REGION | 8.00 | 57.00 | $0 | $1,324,542 | $1,156,330 | Yes (X) | ||||
| DALE SUROWITZ | ||||||||||
| CE/TARZANA | 59.00 | 0.00 | $0 | $840,229 | $619,143 | Yes (X) | ||||
| BERNIE KLEIN MD | ||||||||||
| CE/HCMC | 50.00 | 0.00 | $0 | $864,051 | $645,531 | Yes (X) | ||||
| MARY KINGSTON | ||||||||||
| CE/LCM | 50.00 | 0.00 | $0 | $842,671 | $552,039 | Yes (X) | ||||
| ELIZABETH COCHRAN | ||||||||||
| COO PSJMC | 50.00 | 0.00 | $458,497 | $0 | $42,799 | Yes (X) | ||||
| HOWARD DAVIS | ||||||||||
| CMO TARZANA | 50.00 | 0.00 | $525,096 | $0 | $49,468 | Yes (X) | ||||
| SUSAN DOLBERT | ||||||||||
| PRESIDENT/CDO HCMC | 40.00 | 15.00 | $557,378 | $0 | $53,686 | Yes (X) | ||||
| RICHARD GLIMP | ||||||||||
| CMO TORRANCE | 50.00 | 0.00 | $593,550 | $0 | $53,353 | Yes (X) | ||||
| GARRY OLNEY | ||||||||||
| COO SOUTH BAY | 50.00 | 0.00 | $539,388 | $0 | $53,111 | Yes (X) | ||||
| ROD F HOCHMAN MD | ||||||||||
| FORMER - PRESIDENT/CEO | 0.00 | 60.00 | $0 | $5,269,096 | $6,313,965 | Yes (X) | ||||
| TODD HOFHEINS | ||||||||||
| FORMER - EVP/CFO/TREAS. | 0.00 | 60.00 | $0 | $2,139,114 | $45,475 | Yes (X) | ||||
| JACK MUDD | ||||||||||
| FORMER - SVP/MISSION LEADERSHIP | 0.00 | 29.00 | $0 | $439,799 | $277,760 | Yes (X) | ||||
| DEBRA CANALES | ||||||||||
| FORMER - EVP/CAO | 0.00 | 60.00 | $0 | $1,674,402 | $1,236,264 | Yes (X) | ||||
| JANICE NEWELL | ||||||||||
| FORMER - SVP/CHIEF INFORMATION OFFCR | 0.00 | 60.00 | $0 | $1,396,825 | $738,630 | Yes (X) | ||||
| JOEL GILBERTSON | ||||||||||
| FORMER - SVP/COMMUNITY PARTNERSHIPS | 0.00 | 60.00 | $0 | $856,314 | $552,384 | Yes (X) | ||||
| OREST HOLUBEC | ||||||||||
| FORMER - SVP/CHIEF COMM/EXT AFF OFF | 0.00 | 55.00 | $0 | $788,870 | $484,008 | Yes (X) | ||||
| GREG TILL | ||||||||||
| FORMER - VP/CHIEF TALENT OFFICER | 0.00 | 61.00 | $0 | $713,560 | $491,592 | Yes (X) | ||||
| SHARON TONCRAY | ||||||||||
| FORMER - SVP/CHIEF LABOR EE COUNSEL | 0.00 | 60.00 | $0 | $766,530 | $557,321 | Yes (X) | ||||
| AARON MARTIN | ||||||||||
| FORMER - SVP/STRATEGY & INNOVATION | 0.00 | 70.00 | $0 | $900,371 | $716,019 | Yes (X) | ||||
| TOM MCDONAGH | ||||||||||
| FORMER - VP/CHIEF INVESTMENT OFFICER | 0.00 | 58.00 | $0 | $830,621 | $546,487 | Yes (X) | ||||
| RHONDA MEDOWS MD | ||||||||||
| FORMER - EVP/POPULATION HEALTH | 0.00 | 60.00 | $0 | $1,582,404 | $1,126,342 | Yes (X) | ||||
| HARVEY SMITH | ||||||||||
| FORMER - SVP/CHIEF CUSTOMER SVC. OFF | 0.00 | 50.00 | $0 | $1,048,182 | $47,496 | Yes (X) | ||||
| LISA VANCE | ||||||||||
| FORMER - SVP/CLINICAL PROGRAM SRVCS | 0.00 | 60.00 | $0 | $1,691,102 | $682,325 | Yes (X) | ||||
| MIKE WATERS | ||||||||||
| FORMER - VP,CAO/PHYSICIAN SERVICES | 0.00 | 65.00 | $0 | $642,910 | $463,750 | Yes (X) | ||||
| AMY COMPTON-PHILLIPS | ||||||||||
| FORMER - EVP/CHIEF CLINICAL OFFICER | 0.00 | 55.00 | $0 | $1,491,216 | $1,024,801 | Yes (X) | ||||
| DAVID BROWN | ||||||||||
| FORMER - VP/STRATEGY & BIZ DVLPMT | 0.00 | 55.00 | $0 | $700,285 | $457,360 | Yes (X) | ||||
| DEBBIE BURTON | ||||||||||
| FORMER - SVP/CHIEF NURSING OFFICER | 0.00 | 60.00 | $0 | $776,449 | $387,202 | Yes (X) | ||||
| CRAIG WRIGHT MD | ||||||||||
| FORMER - SVP/PHYSICIAN SERVICES | 0.00 | 0.00 | $0 | $245,590 | $10,916 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,673,909 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $36,280,557 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $24,992,452 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2038 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SNYDER LANGSTON LP | |||||
| 17962 COWAN | IRVINE | CA | 92614 | CONSTRUCTION | $19,895,183 |
| AMN HEALTHCARE | |||||
| PO BOX 56157 | LOS ANGELES | CA | 90074 | STAFFING | $19,432,704 |
| PERKINS WILL | |||||
| PO BOX 71181 | CHICAGO | IL | 60694 | STAFFING | $18,406,709 |
| PROVIDENCE MEDICAL ASSOCIATES | |||||
| 5315 TORRANCE BLVD STE A | TORRANCE | CA | 90503 | STAFFING | $14,717,874 |
| HOUSE EAR CLINIC INC | |||||
| 2100 WEST 3RD ST | LOS ANGELES | CA | 90057 | CONSTRUCTION | $10,314,002 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 742 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $6,417 | MembershipDuesAmt |
| Fundraising | $74,415 | FundraisingAmt |
| Related Organizations | $19,539,441 | RelatedOrganizationsAmt |
| Government Grants | $402,757 | GovernmentGrantsAmt |
| All Other Contributions | $487,800 | AllOtherContributionsAmt |
| Total Contributions | $20,510,830 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ACUTE CARE | 900099 | $1,647,224,958 | $1,647,224,958 |
| CAPITATION REVENUE | 900099 | $132,897,392 | $132,897,392 |
| LTC/HOMECARE/HOSPICE | 623000 | $99,831,727 | $99,831,727 |
| TUITION & FEES | 611600 | $7,833,855 | $7,833,855 |
| PHARMACY | 900099 | $3,041,061 | $3,041,061 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $215,050 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $215,050 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,891,044,043 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $174,359 | TotalRevenueColumnAmt |
| Exclusion | $174,359 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $24,659,286 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $21,006,440 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,652,846 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,652,846 | TotalRevenueColumnAmt |
| Exclusion | $3,652,846 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $218,755,131 | SecuritiesAmt |
| Other | $7,271,338 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $218,685,468 | SecuritiesAmt |
| Other | $394,518 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $69,663 | SecuritiesAmt |
| Other | $6,876,820 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,946,483 | TotalRevenueColumnAmt |
| Exclusion | $6,946,483 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $73,762 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $74,415 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $53,992 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,770 | TotalRevenueColumnAmt |
| Exclusion | $19,770 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $9,510 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $389 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,121 | TotalRevenueColumnAmt |
| Exclusion | $9,121 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,667,824 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,758,040 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$90,216 | TotalRevenueColumnAmt |
| Exclusion | -$90,216 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA REVENUE | 722210 | $6,604,066 | $6,604,066 | |
| COST RECOVERY - CLA | 621500 | $4,004,556 | $4,004,556 | |
| PARKING REVENUE | 812930 | $3,968,345 | $3,968,345 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,524,553 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,708,624 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $590,750 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,225,179 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $21,101,520 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,943,368,756 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,897,757,223 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $590,750 | UnrelatedBusinessRevenueAmt |
| Exclusion | $24,509,953 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,354,457 | TotalAmt |
| Program Services | $2,354,457 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,862,578 | TotalAmt |
| Program Services | $1,862,578 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,714,422 | TotalAmt |
| Management And General | $5,714,422 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $680,860,254 | TotalAmt |
| Program Services | $621,233,396 | ProgramServicesAmt |
| Management And General | $59,419,848 | ManagementAndGeneralAmt |
| Fundraising | $207,010 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,755,527 | TotalAmt |
| Program Services | $11,439,511 | ProgramServicesAmt |
| Management And General | $313,233 | ManagementAndGeneralAmt |
| Fundraising | $2,783 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,903,974 | TotalAmt |
| Program Services | $2,897,009 | ProgramServicesAmt |
| Management And General | $974,072 | ManagementAndGeneralAmt |
| Fundraising | $32,893 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,457,309 | TotalAmt |
| Program Services | $45,660,978 | ProgramServicesAmt |
| Management And General | $4,781,669 | ManagementAndGeneralAmt |
| Fundraising | $14,662 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,711,382 | TotalAmt |
| Program Services | $30,700 | ProgramServicesAmt |
| Management And General | $3,680,682 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,300 | TotalAmt |
| Management And General | $20,300 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,000 | TotalAmt |
| Management And General | $95,000 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,708 | TotalAmt |
| Management And General | $12,708 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,484,348 | TotalAmt |
| Program Services | $162,953,921 | ProgramServicesAmt |
| Management And General | $34,510,396 | ManagementAndGeneralAmt |
| Fundraising | $20,031 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,120,001 | TotalAmt |
| Program Services | $5,131 | ProgramServicesAmt |
| Management And General | $1,093,815 | ManagementAndGeneralAmt |
| Fundraising | $21,055 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,017,723 | TotalAmt |
| Program Services | $29,520,560 | ProgramServicesAmt |
| Management And General | $11,414,528 | ManagementAndGeneralAmt |
| Fundraising | $82,635 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,167,102 | TotalAmt |
| Program Services | $515,173 | ProgramServicesAmt |
| Management And General | $1,651,929 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,327,346 | TotalAmt |
| Program Services | $26,000,261 | ProgramServicesAmt |
| Management And General | $13,327,085 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,251,520 | TotalAmt |
| Program Services | $888,381 | ProgramServicesAmt |
| Management And General | $363,139 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,635,132 | TotalAmt |
| Program Services | $700,641 | ProgramServicesAmt |
| Management And General | $931,589 | ManagementAndGeneralAmt |
| Fundraising | $2,902 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,582,112 | TotalAmt |
| Program Services | $17,582,112 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,237,627 | TotalAmt |
| Program Services | $33,308,172 | ProgramServicesAmt |
| Management And General | $16,929,455 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,194 | TotalAmt |
| Program Services | $80,194 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $225,586,005 | $225,586,005 | |
| COST CLAIMS EXPENSE | $102,261,598 | $102,261,598 | |
| PROVIDER TAX EXPENSE | $76,873,510 | $76,873,510 | |
| INTANGIBLE IMPAIRMENT | $14,416,244 | $14,416,244 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,707,682 | TotalAmt |
| Program Services | $16,793,373 | ProgramServicesAmt |
| Management And General | $2,889,926 | ManagementAndGeneralAmt |
| Fundraising | $24,383 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,551,496,055 | TotalAmt |
| Program Services | $1,378,547,661 | ProgramServicesAmt |
| Management And General | $172,540,040 | ManagementAndGeneralAmt |
| Fundraising | $408,354 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,730,647 | BOYAmt |
| EOY | $4,679,659 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $204,934,270 | BOYAmt |
| EOY | $405,919 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,698 | BOYAmt |
| EOY | $87,222 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,602,842 | BOYAmt |
| EOY | $212,583,624 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,219,877 | BOYAmt |
| EOY | $1,867,443 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,154,284 | BOYAmt |
| EOY | $19,831,715 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,807,715 | BOYAmt |
| EOY | $30,595,468 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,029,802,822 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,210,501,089 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $760,481,617 | BOYAmt |
| EOY | $819,301,733 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,024,747 | BOYAmt |
| EOY | $6,489,463 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,843,739 | BOYAmt |
| EOY | $198,999,965 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,084,706,182 | BOYAmt |
| EOY | $540,558,392 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,438,713,618 | BOYAmt |
| EOY | $1,835,400,603 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $874,238,472 | BOYAmt |
| EOY | $984,650,140 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,746 | BOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,190,287 | BOYAmt |
| EOY | $86,498,501 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $434,835,000 | BOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,440 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,286,705 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $706,325,945 | BOYAmt |
| EOY | $776,056,559 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,103,918,595 | BOYAmt |
| EOY | $1,847,205,200 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $251,283,702 | BOYAmt |
| EOY | -$120,739,282 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,431,382 | BOYAmt |
| EOY | $85,103,712 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,079,939 | BOYAmt |
| EOY | $23,830,973 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $334,795,023 | BOYAmt |
| EOY | -$11,804,597 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,438,713,618 | BOYAmt |
| EOY | $1,835,400,603 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $391,872,701 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $523,341 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$738,995,662 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $65,698 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $207,867 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $273,565 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | LOBBYING ACTIVITIES, WITH THE EXCEPTION OF ADVOCACY, ARE LIMITED TO DIRECT CONTACT WITH GOVERNMENT OFFICIALS AND MAILINGS TO THE GENERAL PUBLIC AND LEGISLATORS FOR THE PURPOSE OF EXPRESSING OPINIONS ON LEGISLATIVE MATTERS. EXPENSES INCLUDE EMPLOYEE SALARIES, POSTAGE AND INCIDENTAL TRAVELING EXPENDITURES. THE OTHER LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES PAID TO THE CALIFORNIA HOSPITAL ASSOCIATION ($112,867) AND PROFESSIONAL FEES FOR LOBBYING SERVICES ($95,000). | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $386,035 | BeginningYearBalanceAmt |
| Contributions | $108,955 | ContributionsAmt |
| Investment Earnings Or Losses | $2,839 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $497,829 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $386,224 | BeginningYearBalanceAmt |
| Contributions | $120 | ContributionsAmt |
| Investment Earnings Or Losses | -$309 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $386,035 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $380,469 | BeginningYearBalanceAmt |
| Contributions | $178 | ContributionsAmt |
| Investment Earnings Or Losses | $32,206 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $26,629 | GrantsOrScholarshipsAmt |
| End Year Balance | $386,224 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $377,479 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $17,213 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $14,223 | GrantsOrScholarshipsAmt |
| End Year Balance | $380,469 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $373,802 | BeginningYearBalanceAmt |
| Contributions | $312 | ContributionsAmt |
| Investment Earnings Or Losses | $19,914 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $16,549 | GrantsOrScholarshipsAmt |
| End Year Balance | $377,479 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $103,284,045 | OtherCostOrOtherBasisAmt |
| Book Value | $103,284,045 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $951,071,738 | OtherCostOrOtherBasisAmt |
| Depreciation | $474,228,133 | DepreciationAmt |
| Book Value | $476,843,605 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,767,520 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,979,844 | DepreciationAmt |
| Book Value | $3,787,676 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $845,673,099 | OtherCostOrOtherBasisAmt |
| Depreciation | $721,962,746 | DepreciationAmt |
| Book Value | $123,710,353 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $112,006,420 | OtherCostOrOtherBasisAmt |
| Depreciation | $330,366 | DepreciationAmt |
| Book Value | $111,676,054 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $819,301,733 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| HEALTHCARE JOINT VENTURES | $18,458,501 | F |
| BENEFICIAL INTEREST IN FOUNDATION | $180,541,464 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $198,999,965 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (8 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $358,469,774 |
| MISCELLANEOUS RECEIVABLES | $54,408,370 |
| LIBRARY INVENTORY | $13,000 |
| THIRD PARTY SETTLEMENTS | $73,462,804 |
| RESIDENT TRUST FUNDS | $62,701 |
| OTHER LT REC. - PERPETUAL TRUST | $1,349,658 |
| AR PROVIDER TAX | $50,817,919 |
| RISK SHARING RECEIVABLE | $1,974,166 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $540,558,392 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $335,617,920 |
| I/C - TAX-EXEMPT BOND LIABILITIES | $420,639,985 |
| CAPITALIZED LEASE OBLIGATION | $86,870 |
| LT ASSET RETIREMENT OBLIGATION - FIN 47 | $6,160,090 |
| IBNR PAYABLE | $1,546,625 |
| THIRD PARTY SETTLEMENTS | $6,639,585 |
| LIABILITY FOR UNPAID CLAIMS | $3,303,718 |
| BOND PREMIUM DISCOUNT | $1,996,276 |
| SECURITY DEPOSIT PAYABLE | $65,490 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $776,056,559 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: | FormAndLineReferenceDesc |
| Explanation | THE HIGH SCHOOL HAS TWO ENDOWMENT FUNDS ESTABLISHED FOR SCHOLARSHIP PURPOSES AND IS DONOR-RESTRICTED. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $148,177 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $74,415 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $73,762 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $37,834 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $16,158 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $148,177 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $74,415 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $73,762 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $37,834 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $16,158 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $53,992 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $19,770 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,563,644 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $31,563,644 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02050 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $396,441,398 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $289,903,095 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $106,538,303 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06920 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $428,005,042 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $289,903,095 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $138,101,947 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08970 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,397,266 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,897,417 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,499,849 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00680 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,896,607 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,896,607 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,666,265 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,551,580 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,114,685 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00720 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $704,554 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $704,554 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,664,692 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,448,997 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,215,695 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02030 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $466,669,734 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $297,352,092 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $169,317,642 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $12,345,904 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $621,949,088 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $783,735,322 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$161,786,234 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 5 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (5 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PROVIDENCE ST JOSEPH MEDICAL CENTER | |||||||||||
| 1 | 501 S BUENA VISTA ST | BURBANK | CA | 91505 | CALIFORNIA.PROVIDENCE.ORG | 930000159 | Yes (X) | Yes (X) | Yes (X) | A | |
| PROVIDENCE LCM MED CTR - TORRANCE | |||||||||||
| 2 | 4101 TORRANCE BOULEVARD | TORRANCE | CA | 90505 | CALIFORNIA.PROVIDENCE.ORG | 930000089 | Yes (X) | Yes (X) | Yes (X) | B | |
| PROVIDENCE HOLY CROSS MEDICAL CENTER | |||||||||||
| 3 | 15031 RINALDI ST | MISSION HILLS | CA | 91345 | CALIFORNIA.PROVIDENCE.ORG | 930000404 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) |
| PROVIDENCE TARZANA MEDICAL CENTER | |||||||||||
| 4 | 18321 CLARK STREET | TARZANA | CA | 91356 | CALIFORNIA.PROVIDENCE.ORG | 930000097 | Yes (X) | Yes (X) | Yes (X) | A | |
| PROVIDENCE LCM MED CTR - SAN PEDRO | |||||||||||
| 5 | 1300 WEST SEVENTH STREET | SAN PEDRO | CA | 90732 | CALIFORNIA.PROVIDENCE.ORG | 930000142 | Yes (X) | Yes (X) | Yes (X) | B | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Prospective Medicare MedicaidProspectiveMedicareMedicaidInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHS - SOUTHERN CALIFORNIA ( GROUP A) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | SEE LINE 10A URL BELOW | Yes (X) | HTTPS://OSHPD.CA.GOV/HID/COMMUNITY-BENEFIT-PLANS.HTML | Yes (X) | Yes (1) | 17 | Yes (1) | PSJHEALTH.ORG/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS | 0 | Yes (1) | Yes (X) | 300.000000000000 | 350.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE | Yes (X) | PROVIDENCE.ORG/OBP/FINANCIAL-ASSISTANCE-APPLICATION | Yes (X) | PROVIDENCE.ORG/OBP/PLAIN-LANGUAGE-SUMMARY | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| PHS - SOUTHERN CALIFORNIA ( GROUP B) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | SEE LINE 10A URL BELOW | Yes (X) | HTTPS://OSHPD.CA.GOV/HID/COMMUNITY-BENEFIT-PLANS.HTML | Yes (X) | Yes (1) | 17 | Yes (1) | PSJHEALTH.ORG/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS | 0 | Yes (1) | Yes (X) | 300.000000000000 | 350.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE | Yes (X) | PROVIDENCE.ORG/OBP/FINANCIAL-ASSISTANCE-APPLICATION | Yes (X) | PROVIDENCE.ORG/OBP/PLAIN-LANGUAGE-SUMMARY | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section B | Facility Reporting Group A |
| Facility Reporting Group A consists of: | - Facility 3: PROVIDENCE HOLY CROSS MEDICAL CENTER, - Facility 1: PROVIDENCE ST. JOSEPH MEDICAL CENTER, - Facility 4: PROVIDENCE TARZANA MEDICAL CENTER |
| PHS - SOUTHERN CALIFORNIA ( GROUP A) Part V, Section B, line 3j: | PART V, SECTION B, LINE 3EAFTER ALL THE PRIMARY AND SECONDARY DATA WAS COLLECTED AND SUMMARIZED, A GROUP OF 18 COMMUNITY STAKEHOLDERS, NINE FROM PROVIDENCE AND NINE FROM DIFFERENT COMMUNITY SECTORS (PUBLIC SCHOOLS, PUBLIC HEALTH, FEDERAL QUALIFIED HEALTH CENTERS (FQHC'S), AND COMMUNITY BASED ORGANIZATIONS) MET ON TWO SEPARATE OCCASIONS TO REVIEW THE FINDINGS. AFTER FACILITATED DISCUSSION, THE GROUP REACHED A CONSENSUS ON THE TOP FIVE HEALTH NEEDS:- ACCESS TO HEALTHCARE AND RESOURCES, - PREVENTION AND MANAGEMENT OF CHRONIC DISEASES, - SENIOR CARE AND RESOURCES,- MENTAL HEALTH SERVICES (INCLUDING SUBSTANCE ABUSE), AND- POVERTY AND FOOD INSECURITY |
| PHS - SOUTHERN CALIFORNIA ( GROUP A) Part V, Section B, line 5: | THE ORGANIZATIONS LISTED BELOW REPRESENT THE KEY INFORMANTS THAT CONTRIBUTED TO THIS CHNA. THESE INDIVIDUALS REPRESENT A VARIETY OF LOW-INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS THROUGHOUT THE SAN FERNANDO VALLEY REGION.KIMBERLY WYARD, CEO - NORTHEAST VALLEY HEALTH CORPORATIONMARINE DZHGALYAN, CEO - ALL-INCLUSIVE COMMUNITY HEALTH CENTERPATRICIA OCHOA, EXECUTIVE DIRECTOR - VALLEY CARE COMMUNITY CONSORTIUMMARIANNE HAVER HILL, PRESIDENT/CEO - MEET EACH NEED WITH DIGNITY (MEND)BARBARA HOWELL, CEO - BURBANK TEMPORARY AID CENTERSANDRA YANEZ, REGIONAL DIRECTOR - CATHOLIC CHARITIES, SAN FERNANDO REGIONROGER WILLIAMS - FAMILY RESCUE CENTERARLENE BROWN, MD, PHD - UCLA GEFFEN SCHOOL OF MEDICINEMATTHEW HORVATH, INSTRUCTIONAL DIRECTOR - LA UNIFIED SCHOOL DISTRICT, NWROSEMARY VENIEGAS, SENIOR PROGRAM OFFICER - CA COMMUNITY FOUNDATIONJENNA HAUSS, DIRECTOR - ONEGENERATIONMARCUS HONG, CHIEF ADMINISTRATIVE OFFICER - HOPE OF THE VALLEY RESCUE MISSION |
| PHS - SOUTHERN CALIFORNIA ( GROUP A) Part V, Section B, line 6a: | PROVIDENCE HOLY CROSS, PROVIDENCE SAINT JOSEPH AND PROVIDENCE TARZANA MEDICAL CENTERS COLLABORATED TOGETHER TO COMPLETE THEIR COMMUNITY HEALTH NEEDS ASSESSMENT. |
| PHS - SOUTHERN CALIFORNIA ( GROUP A) Part V, Section B, line 11: | IN DEVELOPING THE LIST OF PRIORITY NEEDS/ISSUES, PROVIDENCE LOOKED AT BRINGING ITS EXPERTISE AND RESOURCES TO THOSE ISSUES WHERE IT CAN MAKE POSITIVE CHANGE. AFTER CONSIDERABLE DISCUSSION, THE BOARD COMMITTEE ON COMMUNITY BENEFITS CAME TO A CONSENSUS THAT THE THREE YEAR COMMUNITY HEALTH IMPROVEMENT PLAN WOULD ADDRESS FIVE OF THE TOP EIGHT IDENTIFIED HEALTH NEEDS:(1) ACCESS TO HEALTHCARE AND RESOURCES(2) PREVENTION AND MANAGEMENT OF CHRONIC DISEASES(3) SENIOR CARE AND RESOURCES(4) MENTAL HEALTH SERVICES (INCLUDING SUBSTANCE ABUSE)(5) POVERTY AND FOOD INSECURITY(6) LOW EDUCATIONAL ATTAINMENT AND UNEMPLOYMENT(7) CRIME AND COMMUNITY SAFETY(8) AFFORDABLE HOUSING AND HOMELESSNESSTHE FIVE IDENTIFIED HEALTH NEEDS WILL BE ADDRESSED WITHIN THE CONTEXT OF FOUR STRATEGIES THAT MAKE UP THE 2017-19 IMPLEMENTATION STRATEGY:1) IMPROVE ACCESS TO HEALTH CARE SERVICESOUR GOAL IS TO IMPROVE ACCESS TO QUALITY HEALTH CARE SERVICES FOR VULNERABLE POPULATIONS. WE WILL DO THIS BY COLLABORATING WITH COMMUNITY PARTNERS TO PROVIDE SERVICES THAT INCREASE ENROLLMENT IN AND UTILIZATION OF HEALTH INSURANCE, INCREASE THE NUMBER OF PEOPLE WITH ACCESS TO PRIMARY CARE, AND INCREASE THE NUMBER OF CHILDREN WHO RECEIVE THEIR RECOMMENDED IMMUNIZATIONS.2) IMPLEMENT PREVENTION INTERVENTIONS TO REDUCE THE PREVALENCE OR PROGRESSION OF CHRONIC DISEASEOUR GOAL IS TO REDUCE THE PREVALENCE OF DIABETES AND OBESITY. WE WILL DO THIS BY PARTNERING WITH ORGANIZATIONS TO INCREASE PHYSICAL ACTIVITY, PROMOTE HEALTHY NUTRITION, AND EDUCATE INDIVIDUALS WITH DIABETES OR AT-RISK OF DEVELOPING DIABETES ON HOW TO MANAGE THE DISEASE.3) STRENGTHEN COMMUNITY BASED MENTAL HEALTH INFRASTRUCTURE TO BETTER ALIGN WITH HOSPITAL-BASED MENTAL HEALTH SERVICESOUR GOAL IS TO IMPROVE ACCESS TO THE MENTAL HEALTH CONTINUUM OF CARE IN THE SAN FERNANDO VALLEY. WE WILL DO THIS BY IMPROVING INTEGRATION OF MENTAL HEALTH IN PRIMARY CARE SETTINGS, TEACHING COMMUNITY CLASSES AND WORKSHOPS THAT BUILD RESILIENCE IN AND REDUCE THE STIGMA OF MENTAL ILLNESS, AND COORDINATE ACCESS TO COMMUNITY MENTAL HEALTH RESOURCES FOR PATIENTS DISCHARGED FROM OUR MINISTRIES.4) ALIGN COMMUNITY BENEFIT PROGRAMS WITH SAN FERNANDO VALLEY MEDICAL CENTERSOUR GOAL IS TO IMPROVE THE ALIGNMENT OF COMMUNITY HEALTH PROGRAMS TO EACH OF THE PROVIDENCE MEDICAL CENTERS IN THE SAN FERNANDO VALLEY. WE WILL DO THIS BY RAISING THE VISIBILITY OF COMMUNITY HEALTH PROGRAMS WITHIN EACH MEDICAL CENTER BY OFFERING OPPORTUNITIES FOR CAREGIVERS TO VOLUNTEER IN LOCAL COMMUNITIES, COMMUNICATING INTERNALLY ABOUT THE PROGRESS WE ARE MAKING IN HIGH-NEED COMMUNITIES WITHIN EACH MEDICAL CENTER'S SERVICE AREA AND DEVELOPING PILOT PROGRAMS FOR VULNERABLE PATIENTS BEING DISCHARGED FROM MEDICAL CENTERS OR PILOT PROGRAMS THAT ADDRESS SPECIFIC POPULATIONS PRIORITIZED BY THE 2016 CHNA.THE REMAINING TWO IDENTIFIED HEALTH NEEDS: 1) LOW EDUCATIONAL ATTAINMENT AND UNEMPLOYMENT AND 2) CRIME AND COMMUNITY SAFETY WILL NOT BE PART OF THE CHIP DUE TO FINANCIAL BARRIERS TO ENTRY AND THE LACK OF PROVIDENCE EXPERTISE IN THE TOPIC AREA. IN BALANCING THE EXISTING INFRASTRUCTURE AVAILABLE TO ADDRESS THESE TWO IDENTIFIED NEEDS AND THE RESOURCES AVAILABLE TO ADDRESS THE FIVE AREAS IDENTIFIED ABOVE, THE CONSENSUS OF THE GROUP THAT IT WAS UNLIKELY FOR SUBSTANTIAL PROGRESS TO BE MADE OVER THE NEXT THREE YEARS IN ADDRESSING THESE TWO NEEDS AND THAT THE GREATER GOOD FOR THE COMMUNITY WAS TO MAXIMIZE THE AVAILABLE RESOURCES FOR THE HEALTH NEEDS THAT WERE PRIORITIZED. |
| Part V, Section B | Facility Reporting Group B |
| Facility Reporting Group B consists of: | - Facility 2: PROVIDENCE LCM MED. CTR. - TORRANCE, - Facility 5: PROVIDENCE LCM MED. CTR. - SAN PEDRO |
| PHS - SOUTHERN CALIFORNIA ( GROUP B) Part V, Section B, line 3j: | PART V, SECTION B, LINE 3EAFTER ALL THE PRIMARY AND SECONDARY DATA WAS COLLECTED AND SUMMARIZED, A GROUP OF 14 COMMUNITY STAKEHOLDERS, INCLUDING SEVEN AFFILIATED WITH PROVIDENCE AND SEVEN FROM DIFFERENT COMMUNITY SECTORS (PUBLIC SCHOOLS, PUBLIC HEALTH, FEDERAL QUALIFIED HEALTH CENTERS (FQHC'S), AND COMMUNITY BASED ORGANIZATIONS) MET ON TWO SEPARATE OCCASIONS TO REVIEW THE FINDINGS. AFTER FACILITATED DISCUSSION, THE GROUP REACHED A CONSENSUS ON THE TOP SIX HEALTH NEEDS:- ACCESS TO HEALTHCARE AND RESOURCES, - PREVENTION AND MANAGEMENT OF CHRONIC DISEASES, - MENTAL HEALTH SERVICES (INCLUDING SUBSTANCE ABUSE),- VIOLENCE,- AFFORDABLE HOUSING AND HOMELESSNESS, AND- FOOD INSECURITY |
| PHS - SOUTHERN CALIFORNIA ( GROUP B) Part V, Section B, line 5: | THE ORGANIZATIONS LISTED BELOW REPRESENT THE KEY INFORMANTS THAT CONTRIBUTED TO THIS CHNA. THESE INDIVIDUALS REPRESENT A VARIETY OF LOW-INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS THROUGHOUT SOUTH BAY.BARBARA ANDRADE DUBRANSKY, DIR OF PROGRAM DEVELOPMENT - FIRST 5 LABEN SCHIRMER, EXECUTIVE DIRECTOR - HARBOR COMMUNITY BENEFIT FOUNDATIONBRIAN COLE, DR.PH - UCLA FIELDING SCHOOL OF PUBLIC HEALTHBRIAN MARKARIAN, ASSISTANT SUPERINTENDENT - HAWTHORNE SCHOOL DISTRICTJANN HAMILTON LEE, CEO - SOUTH BAY FAMILY HEALTHCARELINDA ARAGON, ACTING DIRECTOR - DIVISION OF MATERNAL, CHILD, AND ADOLESCENT HEALTH; LA COUNTY DEPT OF PUBLIC HEALTHMICHAEL BALLUE, CHIEF STRATEGY OFFICER - BEHAVIORAL HEALTH SERVICESROSEMARY VENIEGAS, SENIOR PROGRAM OFFICER - CA COMMUNITY FOUNDATIONSANDRA GONZALEZ, ED D, EXECUTIVE DIRECTOR - TRAINING AND RESEARCH FOUNDATIONSILVIA PRIETO, MD, - AREA HEALTH OFFICER, SPA 7 AND 8; LA COUNTY DEPT OF PUBLIC HEALTHTAHIA HAYSLET, ED - HARBOR INTERFAITH SERVICESTAMRA KING, ED - HARBOR COMMUNITY CLINICYOLANDA BECERRA, CHAIR, HEALTH COMMITTEE - ST. JOSEPH CATHOLIC CHURCHYOLANDA VERA, SR DEPUTY FOR HEALTH AND ADVOCACY AND CHIEF COUNSEL OFFICE OF SUPERVISOR MARK RIDLEY-THOMAS - BOARD SUPERVISORS, COUNTY OF LA, OFFICE OF SUPERVISOR |
| PHS - SOUTHERN CALIFORNIA ( GROUP B) Part V, Section B, line 6a: | PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO AND PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE COLLABORATED TOGETHER TO COMPLETE THEIR COMMUNITY HEALTH NEEDS ASSESSMENT. |
| PHS - SOUTHERN CALIFORNIA ( GROUP B) Part V, Section B, line 11: | IN DEVELOPING THE LIST OF PRIORITY NEEDS/ISSUES, PROVIDENCE LOOKED AT BRINGING ITS EXPERTISE AND RESOURCES TO THOSE ISSUES WHERE IT CAN MAKE POSITIVE CHANGE. AFTER CONSIDERABLE DISCUSSION, THE BOARD COMMITTEE ON COMMUNITY BENEFITS CAME TO A CONSENSUS THAT THE THREE YEAR COMMUNITY HEALTH IMPROVEMENT PLAN WOULD ADDRESS FIVE OF THE TOP SEVEN IDENTIFIED HEALTH NEEDS:1) ACCESS TO HEALTHCARE AND RESOURCES2) PREVENTION AND MANAGEMENT OF CHRONIC DISEASES3) MENTAL HEALTH SERVICES (INCLUDING SUBSTANCE ABUSE TREATMENT)4) VIOLENCE5) AFFORDABLE HOUSING AND HOMELESSNESSTHE FIVE PRIORITIZED HEALTH NEEDS WILL BE ADDRESSED WITHIN FOUR STRATEGIES, AS FOLLOWS:1) IMPROVE ACCESS TO HEALTH CARE SERVICESOUR GOAL IS TO IMPROVE ACCESS TO QUALITY HEALTH CARE SERVICES FOR VULNERABLE POPULATIONS. WE WILL DO THIS BY COLLABORATING WITH COMMUNITY PARTNERS TO PROVIDE SERVICES THAT INCREASE ENROLLMENT IN AND UTILIZATION OF HEALTH INSURANCE, INCREASE THE NUMBER OF PEOPLE WITH ACCESS TO PRIMARY CARE, AND INCREASE THE NUMBER OF CHILDREN WHO RECEIVE THEIR RECOMMENDED IMMUNIZATIONS.2) IMPLEMENT PREVENTION INTERVENTIONS TO REDUCE THE PREVALENCE OR PROGRESSION OF CHRONIC DISEASEOUR GOAL IS TO REDUCE THE PREVALENCE OF DIABETES AND OBESITY. WE WILL DO THIS BY PARTNERING WITH ORGANIZATIONS TO INCREASE PHYSICAL ACTIVITY, PROMOTE HEALTHY NUTRITION, AND EDUCATE INDIVIDUALS WITH DIABETES OR AT-RISK OF DEVELOPING DIABETES ON HOW TO MANAGE THE DISEASE.3) STRENGTHEN COMMUNITY BASED MENTAL HEALTH INFRASTRUCTURE TO BETTER ALIGN WITH HOSPITAL-BASED MENTAL HEALTH SERVICESOUR GOAL IS TO IMPROVE ACCESS TO THE MENTAL HEALTH CONTINUUM OF CARE IN THE SOUTH BAY. WE WILL DO THIS BY IMPROVING INTEGRATION OF MENTAL HEALTH IN PRIMARY CARE SETTINGS, TEACHING COMMUNITY CLASSES AND WORKSHOPS THAT BUILD RESILIENCE IN AND REDUCE THE STIGMA OF MENTAL ILLNESS, AND COORDINATE ACCESS TO COMMUNITY MENTAL HEALTH RESOURCES FOR PATIENTS DISCHARGED FROM OUR MINISTRIES.4) DEVELOP PARTNERSHIPS THAT ADDRESS SOCIAL DETERMINANTS OF HEALTH OUR GOAL IS TO COLLABORATE WITH LIKE-MINDED PARTNERS TO CREATE SOCIAL AND PHYSICAL ENVIRONMENTS THAT PROMOTE GOOD HEALTH FOR LOCAL COMMUNITIES. WE WILL PARTICULARLY FOCUS ON THE SOCIAL DETERMINANTS THAT WERE PRIORITIZED IDENTIFIED COMMUNITY NEEDS, NAMELY: VIOLENCE, AFFORDABLE HOUSING AND HOMELESSNESS, AND POVERTY AND FOOD INSECURITY. WE WILL DO THIS BY SUSTAINING AND EXPANDING SERVICES AT THE PROVIDENCE WELLNESS AND ACTIVITY CENTER IN WILMINGTON, STRENGTHENING COLLABORATIVE PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS THAT FOCUS ON THE PRIORITIZED SOCIAL DETERMINANTS OF HEALTH, AND PROVIDING SERVICES THAT IMPROVE ACCESS TO HEALTHY FOOD IN UNDERSERVED COMMUNITIES.THE REMAINING TWO IDENTIFIED HEALTH NEEDS: 1) LOW EDUCATIONAL ATTAINMENT AND UNEMPLOYMENT AND 2) SENIOR CARE AND RESOURCES WILL NOT BE PART OF THE CHIP DUE TO FINANCIAL BARRIERS TO ENTRY AND THE LACK OF PLCM EXPERTISE IN THE TOPIC AREA. IN BALANCING THE EXISTING INFRASTRUCTURE AVAILABLE TO ADDRESS THESE TWO IDENTIFIED NEEDS AND THE RESOURCES AVAILABLE TO ADDRESS THE FIVE AREAS IDENTIFIED ABOVE, THE CONSENSUS OF THE GROUP THAT IT WAS UNLIKELY FOR SUBSTANTIAL PROGRESS TO BE MADE OVER THE NEXT THREE YEARS IN ADDRESSING THESE TWO NEEDS AND THAT THE GREATER GOOD FOR THE COMMUNITY WAS TO MAXIMIZE THE AVAILABLE RESOURCES FOR THE HEALTH NEEDS THAT WERE PRIORITIZED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 43 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (43 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - AMBULATORY SURGERY CENTER | |||||
| 2020 SANTA MONICA BLVD STE 140 | SANTA MONICA | CA | 90404 | OUTPATIENT SERVICES | |
| 2 - BRAIN TUMOR CENTER | |||||
| 2121 SANTA MONICA BOULEVARD | SANTA MONICA | CA | 90404 | OUTPATIENT SERVICES | |
| 3 - CARDIAC AND PULMONARY REHAB | |||||
| 20929 HAWTHORNE BOULEVARD | TORRANCE | CA | 90503 | OUTPATIENT SERVICES | |
| 4 - CARSON PRIMARY CARE NORTH | |||||
| 20401 AVALON BOULEVARD STE B | CARSON | CA | 90746 | OUTPATIENT SERVICES | |
| 5 - CHILD AND FAMILY DEVELOPMENT CENTER | |||||
| 1339 20TH STREET | SANTA MONICA | CA | 90404 | OUTPATIENT SERVICES | |
| 6 - CLEFT PALATE CENTER | |||||
| 2121 SANTA MONICA BOULEVARD | SANTA MONICA | CA | 90404 | OUTPATIENT SERVICES | |
| 7 - COMMUNITY HEALTH | |||||
| 2601 AIRPORT DRIVE STE 220 | TORRANCE | CA | 90505 | OUTPATIENT SERVICES | |
| 8 - CONCUSSION MANAGEMENT | |||||
| 501 S BUENA VISTA STREET | BURBANK | CA | 91505 | OUTPATIENT SERVICES | |
| 9 - DERMATOLOGICAL CENTER FOR SKIN HEALTH | |||||
| 2121 SANTA MONICA BOULEVARD | SANTA MONICA | CA | 90404 | OUTPATIENT SERVICES | |
| 10 - HIP AND PELVIS INSTITUTE | |||||
| 2001 SANTA MONICA BLVD STE 760 | SANTA MONICA | CA | 90404 | OUTPATIENT SERVICES | |
| 11 - HOME HEALTH | |||||
| 2601 AIRPORT DRIVE STE 230 | TORRANCE | CA | 90505 | OUTPATIENT SERVICES | |
| 12 - HOWARD AND HYCY HILL NEUROSCIENCE CENTER | |||||
| 501 S BUENA VISTA STREET | BURBANK | CA | 91505 | OUTPATIENT SERVICES | |
| 13 - IMAGING AND BREAST CENTER | |||||
| 1360 W 6TH STREET SUITE 100 | SAN PEDRO | CA | 90731 | OUTPATIENT SERVICES | |
| 14 - MARGIE PETERSON BREAST CENTER | |||||
| 2121 SANTA MONICA BOULEVARD GARDEN | SANTA MONICA | CA | 90404 | OUTPATIENT SERVICES | LEVE |
| 15 - NUTRITION AND DIABETES EDUCATION DEPARTM | |||||
| 2121 SANTA MONICA BOULEVARD | SANTA MONICA | CA | 90404 | OUTPATIENT SERVICES | |
| 16 - OUTPATIENT DIAGNOSTIC CENTER | |||||
| 11570 INDIAN HILLS ROAD | MISSION HILLS | CA | 91345 | OUTPATIENT SERVICES | |
| 17 - OUTPATIENT REHAB CENTER | |||||
| 21135 HAWTHORNE BOULEVARD | TORRANCE | CA | 90503 | OUTPATIENT SERVICES | |
| 18 - PERFORMANCE THERAPY | |||||
| 2020 SANTA MONICA BLVD STE 401 | SANTA MONICA | CA | 90404 | OUTPATIENT SERVICES | |
| 19 - PROVIDENCE CENTER FOR COMMUNITY IMPROVEM | |||||
| 6801 COLDWATER CANYON AVE | NORTH HOLLYWOOD | CA | 91605 | OUTPATIENT SERVICES | |
| 20 - PROVIDENCE FAMILY MEDICAL CENTER | |||||
| 520 N PROSPECT AVE STE 103 | REDONDO BEACH | CA | 90277 | OUTPATIENT SERVICES | |
| 21 - PROVIDENCE HOLY CROSS CANCER CENTER | |||||
| 15031 RINALDI STREET | MISSION HILLS | CA | 91345 | OUTPATIENT SERVICES | |
| 22 - PROVIDENCE HOLY CROSS HEALTH CENTER AT P | |||||
| 19950 RINALDI STREET | PORTER RANCH | CA | 91326 | OUTPATIENT SERVICES | |
| 23 - PROVIDENCE HOLY CROSS HEALTH CENTER AT S | |||||
| 26357 MCBEAN PARKWAY | SANTA CLARITA | CA | 91355 | OUTPATIENT SERVICES | |
| 24 - PROVIDENCE HOLY CROSS SURGERY CENTER | |||||
| 11550 INDIAN HILLS ROAD | MISSION HILLS | CA | 91345 | OUTPATIENT SERVICES | |
| 25 - PROVIDENCE PLAYA VISTA MEDICAL CENTER | |||||
| 6020 SEA BLUFF DRIVE STE 1 | PLAYA VISTA | CA | 90094 | OUTPATIENT SERVICES | |
| 26 - PROVIDENCE SAINT JOSEPH BREAST HEALTH CE | |||||
| 181 S BUENA VISTA STREET STE 300 | BURBANK | CA | 91505 | OUTPATIENT SERVICES | |
| 27 - PROVIDENCE SAINT JOSEPH DIAGNOSTIC CENTE | |||||
| 201 S BUENA VISTA STREET STE 125 | BURBANK | CA | 91505 | OUTPATIENT SERVICES | |
| 28 - PROVIDENCE SAINT JOSEPH HEALTH CENTER | |||||
| 3413 W PACIFIC AVENUE | BURBANK | CA | 91505 | OUTPATIENT SERVICES | |
| 29 - PROVIDENCE ST ELIZABETH CARE CENTER | |||||
| 10425 MAGNOLIA BLVD | NORTH HOLLYWOOD | CA | 91601 | OUTPATIENT SERVICES | |
| 30 - PROVIDENCE TARZANA MRI CENTER | |||||
| 18321 CLARK STREET | TARZANA | CA | 91356 | OUTPATIENT SERVICES | |
| 31 - PROVIDENCE TARZANA OUTPATIENT IMAGING CE | |||||
| 18344 CLARK STREET STE 101 | TARZANA | CA | 91356 | OUTPATIENT SERVICES | |
| 32 - PROVIDENCE TARZANA OUTPATIENT THERAPY CE | |||||
| 5359 BALBOA BLVD | ENCINO | CA | 91316 | OUTPATIENT SERVICES | |
| 33 - PROVIDENCE TARZANA WOMENS CENTER | |||||
| 18344 CLARK STREET STE 110 | TARZANA | CA | 91356 | OUTPATIENT SERVICES | |
| 34 - PROVIDENCE TARZANA WOUND CARE CENTER | |||||
| 18411 CLARK STREET STE 301 | TARZANA | CA | 91356 | OUTPATIENT SERVICES | |
| 35 - RADIATION ONCOLOGY | |||||
| 3531 FASHION WAY | TORRANCE | CA | 90503 | OUTPATIENT SERVICES | |
| 36 - RECOVERY CENTER | |||||
| 1386 W 7TH STREET | SAN PEDRO | CA | 90732 | OUTPATIENT SERVICES | |
| 37 - ROY AND PATRICIA DISNEY FAMILY CANCER CE | |||||
| 181 S BUENA VISTA STREET | BURBANK | CA | 91505 | OUTPATIENT SERVICES | |
| 38 - SAN FERNANDO VALLEY HEART INSTITUTE | |||||
| 18321 CLARK STREET | TARZANA | CA | 91356 | OUTPATIENT SERVICES | |
| 39 - SOUTH BAY OPHTHALMOLOGY CENTER | |||||
| 4825 TORRANCE BOULEVARD STE 100 | TORRANCE | CA | 90503 | OUTPATIENT SERVICES | |
| 40 - SUB ACUTE CARE CENTER | |||||
| 1322 W 6TH STREET | SAN PEDRO | CA | 90732 | OUTPATIENT SERVICES | |
| 41 - TRANSITIONAL CARE CENTER | |||||
| 4320 MARICOPA STREET | TORRANCE | CA | 90505 | OUTPATIENT SERVICES | |
| 42 - VASEK POLAK HEALTH CLINIC | |||||
| 13355 HAWTHORNE BLVD | HAWTHORNE | CA | 90250 | OUTPATIENT SERVICES | |
| 43 - WOMEN'S IMAGING CENTER | |||||
| 20929 HAWTHORNE BOULEVARD | TORRANCE | CA | 90503 | OUTPATIENT SERVICES | |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 HEALTH SYSTEM - SOUTHERN CALIFORNIA PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTP://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. |
| Part I, Line 7g: | IN 2017, $900,644 WAS ATTRIBUTABLE TO PHYSICIAN CLINICS. |
| 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:REPORTING GROUP AEVERY THREE YEARS, PROVIDENCE HOLY CROSS, PROVIDENCE SAINT JOSEPH AND PROVIDENCE TARZANA MEDICAL CENTERS CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE COMMUNITIES IN THE SAN FERNANDO VALLEY. PRIOR TO BEGINNING THE PROCESS, THE COMMUNITY HEALTH DEPARTMENT STAFF MAKES A PRESENTATION TO THE SAN FERNANDO VALLEY COMMUNITY MINISTRY BOARD OUTLINING THE FRAMEWORK OF THE CHNA PROCESS AND REQUEST AUTHORITY FROM THE GOVERNING BOARD TO FORM A BOARD COMMITTEE ON COMMUNITY BENEFIT TO OVERSEE THE CHNA PROCESS. THE COMMITTEE IS COMPOSED OF NINE INTERNAL PROVIDENCE STAFF, AND NINE COMMUNITY STAKEHOLDERS (I.E. FROM LOCAL SCHOOLS, FQHC'S, CHURCHES, COMMUNITY BASED ORGANIZATION, PUBLIC HEALTH, AND A LOCAL GOVERNMENT REPRESENTATIVE). THIS GROUP IS CHARGED WITH REVIEWING THE FINDINGS FROM THE PRIMARY AND SECONDARY DATA COLLECTED AND PRIORITIZING THE IDENTIFIED COMMUNITY NEEDS. THE PRIORITIZED NEEDS IDENTIFIED IN THE 2016 CHNA ARE LISTED ABOVE IN PART V, SECTION B. THESE PRIORITIZED NEEDS BECOME THE BASIS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN/IMPLEMENTATION STRATEGY THAT SETS FORTH OBJECTIVE TO BE ACCOMPLISHED OVER THREE YEARS, UNTIL THE NEXT CHNA IS CONDUCTED.NEEDS ASSESSMENT:REPORTING GROUP BEVERY THREE YEARS, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTERS, SAN PEDRO AND TORRANCE CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE COMMUNITIES IN THE SOUTH BAY. PRIOR TO BEGINNING THE PROCESS, THE COMMUNITY HEALTH DEPARTMENT STAFF MAKES A PRESENTATION TO THE SOUTH BAY COMMUNITY MINISTRY BOARD OUTLINING THE FRAMEWORK OF THE CHNA PROCESS AND REQUEST AUTHORITY FROM THE GOVERNING BOARD TO FORM A BOARD COMMITTEE ON COMMUNITY BENEFIT TO OVERSEE THE CHNA PROCESS. THE COMMITTEE IS COMPOSED OF SEVEN INTERNAL PROVIDENCE STAFF, AND SEVEN COMMUNITY STAKEHOLDERS (I.E. FROM LOCAL SCHOOLS, FQHC'S, CHURCHES, COMMUNITY BASED ORGANIZATION, PUBLIC HEALTH, AND A LOCAL GOVERNMENT REPRESENTATIVE). THIS GROUP IS CHARGED WITH REVIEWING THE FINDINGS FROM THE PRIMARY AND SECONDARY DATA COLLECTED AND PRIORITIZING THE IDENTIFIED COMMUNITY NEEDS. THE PRIORITIZED NEEDS IDENTIFIED IN THE 2016 CHNA ARE LISTED ABOVE IN PART V, SECTION B. THESE PRIORITIZED NEEDS BECOME THE BASIS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN/IMPLEMENTATION STRATEGY THAT SETS FORTH OBJECTIVE TO BE ACCOMPLISHED OVER THREE YEARS, UNTIL THE NEXT CHNA IS CONDUCTED. |
| Part VI, Line 3: | COMMUNICATION TO THE PUBLIC:REPORTING GROUPS A & BPROVIDENCE HOLY CROSS, PROVIDENCE SAINT JOSEPH AND PROVIDENCE TARZANA MEDICAL CENTERS AS WELL AS PROVIDENCE LITTLE COMPANY OF MARY, SAN PEDRO AND PROVIDENCE LITTLE COMPANY OF MARY, TORRANCE 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: | COMMUNITY INFORMATION:REPORTING GROUP ATHE SERVICE AREA OF PROVIDENCE HOLY CROSS, PROVIDENCE SAINT JOSEPH AND PROVIDENCE TARZANA MEDICAL CENTERS ENCOMPASSES THE SAN FERNANDO/SANTA CLARITA VALLEY REGION OF SOUTHERN CALIFORNIA. THE SAN FERNANDO VALLEY IS A DYNAMIC AND DIVERSE AREA WITH A POPULATION THAT SPANS THE SOCIOECONOMIC SPECTRUM. NEIGHBORHOODS INCLUDE THE MORE RESOURCE RICH AND AFFLUENT AREAS SUCH AS PORTER RANCH, CALABASAS, AND STUDIO CITY AND OTHER AREAS EXPERIENCING VARIOUS BARRIERS, INCLUDING BUT NOT LIMITED TO, THE NEIGHBORHOODS AND SURROUNDING AREAS OF SAN FERNANDO, PACOIMA, NORTH HILLS, CANOGA PARK, RESEDA, NORTH HOLLYWOOD AND SUN VALLEY. THERE ARE 21 HOSPITALS SERVING THESE COMMUNITIES.ACCORDING TO THE LATEST US CENSUS BUREAU ESTIMATES, THE TOTAL POPULATION FOR THE TOTAL SERVICE AREA IS 2,220,756, WITH AN AVERAGE ANNUAL GROWTH RATE OF ABOUT 0.7% PERCENT IN 2016. AGE DEMOGRAPHICS ARE 78 PERCENT OF THE POPULATION ARE AGE 18 OR OLDER, AND THE MEDIAN AGE IS 37.2, COMPARED TO A U.S. MEDIAN AGE OF 38. IN 2016, THE POPULATION COMPRISED:-18.3 PERCENT YOUTH (0-14 YEARS)-13.6 PERCENT ADOLESCENT AND YOUNG ADULTS (15-24)-28.9 PERCENT ADULTS (25-44 YEARS)-26.1 PERCENT OLDER ADULTS (45-64 YEARS)-13 PERCENT SENIORS (65 YEARS AND OLDER)AMONG TOTAL SERVICE AREA RESIDENTS IN 2016, 60.4 PERCENT WERE WHITE, 12.1 PERCENT ASIAN, 41 PERCENT WERE HISPANIC OR LATINO, 0.6 PERCENT WERE ALASKA NATIVE OR AMERICAN INDIAN, 3.6 PERCENT WERE AFRICAN AMERICAN OR BLACK, 0.1 PERCENT WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, AND 5 PERCENT WERE OF TWO OR MORE RACES.IN 2016, THE MEDIAN HOUSEHOLD INCOME FOR THE TOTAL SERVICE AREA WAS $65,976. COMPARATIVELY, THE MEDIAN HOUSEHOLD INCOME ACROSS THE THREE COMMUNITY BENEFIT SERVICE AREAS WAS $50,710 AND $85,121 FOR THE BROADER SERVICE AREAS. IN CONDUCTING THE CHNA, A NATIONAL DATABASE KNOWN AS THE COMMUNITY NEEDS INDEX WAS UTILIZED TO DEFINE, WITHIN THE TOTAL SERVICE AREA, WHICH COMMUNITIES HAD THE GREATEST NEEDS. USING THIS TOOL, WHICH IS A MIX OF ACCESS AND POVERTY MEASURES, ANY COMMUNITY WITH A RATING OF 4.0 OR GREATER, ON A SCALE OF 1-5, WAS DETERMINED TO BE HIGH NEED. OF THE 65 COMMUNITIES THAT MAKE UP THE TOTAL SERVICE AREA, 25 OF THE COMMUNITIES COULD BE CONSIDERED LOW-INCOME, WITH 50 PERCENT OF HOUSEHOLDS EARNING $50,000 OR LESS PER YEAR. COMPARATIVELY, 32 PERCENT OF HOUSEHOLDS IN THE BROADER SERVICE AREA HAVE A HOUSEHOLD INCOME OF $50,000 OR LESS AND 40 PERCENT EARN $100,000 OR MORE PER YEAR. SECONDARY DATA FOR THESE 25 COMMUNITIES WAS GROUPED TOGETHER AND IDENTIFIED AS THE COMMUNITY BENEFIT SERVICE AREA. WE THEN REQUESTED A CUSTOMIZED REPORT FROM LOS ANGELES COUNTY, DEPARTMENT OF PUBLIC HEALTH FOR THE 65 CORE MEASURES THAT THEY TRACK. BY BREAKING THE DATA OUT IN THIS MANNER, WE WERE ABLE TO IDENTIFY WHERE THERE ARE DISPARITIES BETWEEN THE COMMUNITY BENEFIT SERVICE AREA AND THE BROADER COMMUNITY (THE REMAINING 40 COMMUNITIES THAT ARE PART OF THE TOTAL SERVICE AREA). THE IDENTIFIED COMMUNITIES THAT MAKE UP THE COMMUNITY BENEFIT SERVICE AREA FOR EACH HOSPITAL BECOME THE LOCATIONS WHERE WE CONCENTRATE OUR COMMUNITY BENEFIT ACTIVITY.REPORTING GROUP BTHE TOTAL SERVICE AREA OF THE TWO PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTERS ENCOMPASSES THE SOUTH BAY REGION OF LOS ANGELES COUNTY. THE SOUTH BAY IS A DEMOGRAPHICALLY AND GEOGRAPHICALLY DIVERSE AREA STRETCHING FROM EL SEGUNDO AND INGLEWOOD IN THE NORTH, CARSON TO THE EAST, THE LOS ANGELES PORT TO THE SOUTH, AND THE PACIFIC OCEAN IN THE WEST. THERE ARE 8 HOSPITALS SERVING THESE COMMUNITIES.TOTAL POPULATION IS 1,028,238, WITH AN ANNUAL GROWTH RATE OF ABOUT 0.46 PERCENT. AGE DEMOGRAPHICS REVEAL THAT 77 PERCENT OF THE POPULATION IS AGED 18 YEARS OR OLDER. THE MEDIAN AGE IN THIS AREA IS 37.8, COMPARED TO U.S. MEDIAN AGE OF 38.0. IN 2016, THE POPULATION COMPRISED: 19 PERCENT YOUTH (0-14 YEARS) 13.6 PERCENT ADOLESCENT AND YOUNG ADULTS (15-24) 27.1 PERCENT ADULTS (25-44 YEARS) 26.4 PERCENT OLDER ADULTS (45-64 YEARS) 14 PERCENT SENIORS (65 YEARS AND OLDER)AMONG RESIDENTS IN THE TOTAL SERVICE AREA IN 2016, 45.1 PERCENT WERE WHITE, 16.8 PERCENT ASIAN, 39.5 PERCENT WERE HISPANIC OR LATINO, 0.6 PERCENT WERE ALASKA NATIVE OR AMERICAN INDIAN, 13.2 PERCENT WERE AFRICAN AMERICAN OR BLACK, 0.7 PERCENT WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, AND 5.4 PERCENT WERE OF TWO OR MORE RACES.IN 2016, THE MEDIAN HOUSEHOLD INCOME IN THE TOTAL SERVICE AREA WAS $65,240, COMPARED TO $54,149 FOR ALL U.S. HOUSEHOLDS. MEDIAN HOUSEHOLD INCOME IS PROJECTED TO BE $75,368 IN FIVE YEARS, COMPARED TO $59,476 FOR ALL U.S. HOUSEHOLDS. 47 PERCENT OF THE 375,048 HOUSING UNITS IN THE AREA ARE OWNER OCCUPIED; 47.9 PERCENT, RENTER OCCUPIED; AND 5.1 PERCENT ARE VACANT. COMPARATIVELY, IN THE U.S., 55.4 PERCENT OF THE HOUSING UNITS IN THE AREA ARE OWNER OCCUPIED; 32.9 PERCENT ARE RENTER OCCUPIED; AND 11.7 PERCENT ARE VACANT. IN CONDUCTING THE CHNA, A NATIONAL DATABASE KNOWN AS THE COMMUNITY NEEDS INDEX WAS UTILIZED TO DEFINE, WITHIN THE TOTAL SERVICE AREA, WHICH COMMUNITIES HAD THE GREATEST NEEDS. USING THIS TOOL, WHICH IS A MIX OF ACCESS AND POVERTY MEASURES, ANY COMMUNITY WITH A RATING OF 4.0 OR GREATER, ON A SCALE OF 1-5, WAS DETERMINED TO BE HIGH NEED. OF THE 14 COMMUNITIES THAT MAKE UP THE SOUTH BAY REGION OF LOS ANGELES COUNTY, HALF OF THE COMMUNITIES COULD BE CONSIDERED LOW-INCOME, WITH 50 PERCENT OF HOUSEHOLDS EARNING $50,000 OR LESS PER YEAR. COMPARATIVELY, 27 PERCENT OF HOUSEHOLDS IN THE BROADER SOUTH BAY SERVICE AREA HAVE A HOUSEHOLD INCOME OF $50,000 OR LESS AND 47 PERCENT EARN $100,000 OR MORE PER YEAR. SECONDARY DATA FOR THESE 7 COMMUNITIES WAS GROUPED TOGETHER AND IDENTIFIED AS THE COMMUNITY BENEFIT SERVICE AREA. WE THEN REQUESTED A CUSTOMIZED REPORT FROM LOS ANGELES COUNTY, DEPARTMENT OF PUBLIC HEALTH FOR THE 65 CORE MEASURES THAT THEY TRACK. BY BREAKING THE DATA OUT IN THIS MANNER, WE WERE ABLE TO IDENTIFY WHERE THERE ARE DISPARITIES BETWEEN THE COMMUNITY BENEFIT SERVICE AREA AND THE BROADER COMMUNITY (THE REMAINING SEVEN COMMUNITIES THAT ARE PART OF THE TOTAL SERVICE AREA). THE IDENTIFIED COMMUNITIES THAT MAKE UP THE COMMUNITY BENEFIT SERVICE AREA FOR EACH HOSPITAL BECOME THE LOCATIONS WHERE WE CONCENTRATE OUR COMMUNITY BENEFIT ACTIVITY. |
| Part VI, Line 5: | PROMOTION OF COMMUNITY HEALTH:REPORTING GROUPS A & B PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 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 HEALTH SYSTEM - SO. CALIFORNIA 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: | AFFILIATED HEALTH CARE SYSTEM:ON 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 50 HOSPITALS AND 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. |
| Part VI, Line 7, Reports Filed With States | CA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| FACEY MEDICAL FOUNDATION | |||||||
| 15451 SAN FERNANDO MISSION BLVD | MISSION HILLS | CA | 91346 | 954322584 | 501 (c )(3) | $750,000 | SUPPORT OPERATIONS |
| PROVIDENCE MEDICAL INSTITUTE | |||||||
| 3460 TORRANCE BLVD STE 310 | TORRANCE | CA | 90503 | 330283773 | 501 (c )(3) | $550,000 | SUPPORT OPERATIONS |
| LOS ANGELES FIRE DEPARTMENT FOUNDATION | |||||||
| 1875 CENTURY PARK EAST STE 299 | LOS ANGELES | CA | 90067 | 272007326 | 501 (c )(3) | $320,000 | SUPPORT OPERATIONS |
| PROVIDENCE HEALTH & SERVICES FOUNDATION VSA | |||||||
| 501 S BUENA VISTA ST | BURBANK | CA | 91505 | 953544877 | 501 (c )(3) | $217,519 | SUPPORT OPERATIONS |
| WILMINGTON COMMUNITY CLINIC | |||||||
| 1009 N AVALON BLVD | WILMINGTON | CA | 90744 | 953137803 | 501 (c )(3) | $100,975 | SUPPORT OPERATIONS |
| HARBOR COMMUNITY CLINIC | |||||||
| 593 W 6TH STREET | SAN PEDRO | CA | 90731 | 237103245 | 501 (c )(3) | $100,000 | SUPPORT OPERATIONS |
| PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION | |||||||
| 4101 TORRANCE BLVD | TORRANCE | CA | 90503 | 510224944 | 501 (c )(3) | $91,750 | SUPPORT OPERATIONS |
| VERBUM DEI HIGH SCHOOL | |||||||
| 11100 S CENTRAL AVE | LOS ANGELES | CA | 90059 | 952225787 | GOVT | $60,600 | SUPPORT WORK STUDY PROGRAM |
| MEET EACH NEED WITH DIGNITY | |||||||
| 10641 N SAN FERNANDO RD | PACOIMA | CA | 91331 | 237306337 | 501 (c )(3) | $50,000 | SUPPORT OPERATIONS |
| NORTHEAST VALLEY HEALTH CORPORATION | |||||||
| 1172 N MACLAY AVE | SAN FERNANDO | CA | 91340 | 237120632 | 501 (c )(3) | $50,000 | SUPPORT OPERATIONS |
| PALOS VERDES PENINSULA VILLAGE | |||||||
| 916 SILVER SPUR RD STE 302 | ROLLING HILLS ESTATES | CA | 90274 | 471928681 | 501 (c )(3) | $10,000 | SPONSOR STAFF |
| BURBANK CHAMBER OF COMMERCE | |||||||
| 200 W MAGNOLIA BLVD | BURBANK | CA | 91502 | 950583680 | 501 (c )(6) | $7,000 | SPONSOR GALA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 11 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| EDUCATIONAL ASSISTANCE | 295 | $1,281,227 | |||
| TUITION FOR NURSING PROGRAMS | 62 | $510,771 | |||
| TOY DRIVE FOR NETWORK FOR GOOD | 1673 | $0 | $66,930 | COST | TOYS FOR NEEDY CHILDREN |
| HIGH SCHOOL SCHOLARSHIPS | 4 | $2,000 | |||
| LEADERSHIP BURBANK SPONSOR STUDENT | 1 | $1,650 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | IN THE APPLICATION FOR SUPPORT/FINANCIAL AID, 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (35 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MIKE BUTLER | ||||||||||||||
| PRESIDENT | $0 | $1,294,695 | $0 | $1,189,568 | $0 | $44,889 | $0 | $2,065,833 | $0 | $29,624 | $0 | $4,624,609 | $0 | $0 |
| VENKAT BHAMIDIPATI | ||||||||||||||
| EVP/TREASURER | $0 | $318,745 | $0 | $300,000 | $0 | $19,564 | $0 | $832,107 | $0 | $15,871 | $0 | $1,486,287 | $0 | $0 |
| JO ANN ESCASA-HAIGH | ||||||||||||||
| EVP/ASSISTANT TREASURER | $0 | $623,838 | $0 | $711,543 | $0 | $36,709 | $0 | $647,363 | $0 | $20,322 | $0 | $2,039,775 | $0 | $0 |
| CINDY STRAUSS | ||||||||||||||
| SECRETARY | $0 | $697,944 | $0 | $624,379 | $0 | $420,759 | $0 | $988,958 | $0 | $31,256 | $0 | $2,763,296 | $0 | $386,962 |
| JOHN WHIPPLE | ||||||||||||||
| ASSISTANT SECRETARY | $0 | $415,579 | $0 | $303,904 | $0 | $35,317 | $0 | $459,620 | $0 | $25,428 | $0 | $1,239,848 | $0 | $0 |
| DONALD ANDERSON JR | ||||||||||||||
| ASSISTANT SECRETARY FOR ENROLLMENT | $0 | $192,673 | $0 | $44,659 | $0 | $10,854 | $0 | $11,200 | $0 | $8,812 | $0 | $268,198 | $0 | $0 |
| STEVEN MOHR | ||||||||||||||
| CFO/CA REGION | $0 | $452,096 | $0 | $274,227 | $0 | $2,389 | $0 | $418,068 | $0 | $29,323 | $0 | $1,176,103 | $0 | $0 |
| ERIK WEXLER | ||||||||||||||
| CE/CA REGION | $0 | $802,883 | $0 | $474,585 | $0 | $47,074 | $0 | $1,134,710 | $0 | $21,620 | $0 | $2,480,872 | $0 | $0 |
| DALE SUROWITZ | ||||||||||||||
| CE/TARZANA | $0 | $556,705 | $0 | $260,636 | $0 | $22,888 | $0 | $597,130 | $0 | $22,013 | $0 | $1,459,372 | $0 | $0 |
| BERNIE KLEIN MD | ||||||||||||||
| CE/HCMC | $0 | $598,392 | $0 | $260,770 | $0 | $4,889 | $0 | $618,957 | $0 | $26,574 | $0 | $1,509,582 | $0 | $0 |
| MARY KINGSTON | ||||||||||||||
| CE/LCM | $0 | $492,809 | $0 | $156,348 | $0 | $193,514 | $0 | $523,789 | $0 | $28,250 | $0 | $1,394,710 | $0 | $168,011 |
| ELIZABETH COCHRAN | ||||||||||||||
| COO PSJMC | $317,802 | $0 | $101,140 | $0 | $39,555 | $0 | $25,118 | $0 | $17,681 | $0 | $501,296 | $0 | $6,275 | $0 |
| HOWARD DAVIS | ||||||||||||||
| CMO TARZANA | $393,354 | $0 | $76,854 | $0 | $54,888 | $0 | $29,467 | $0 | $20,001 | $0 | $574,564 | $0 | $12,682 | $0 |
| SUSAN DOLBERT | ||||||||||||||
| PRESIDENT/CDO HCMC | $427,600 | $0 | $75,845 | $0 | $53,933 | $0 | $32,679 | $0 | $21,007 | $0 | $611,064 | $0 | $0 | $0 |
| RICHARD GLIMP | ||||||||||||||
| CMO TORRANCE | $428,084 | $0 | $85,881 | $0 | $79,585 | $0 | $35,804 | $0 | $17,549 | $0 | $646,903 | $0 | $15,661 | $0 |
| GARRY OLNEY | ||||||||||||||
| COO SOUTH BAY | $379,726 | $0 | $109,878 | $0 | $49,784 | $0 | $31,199 | $0 | $21,912 | $0 | $592,499 | $0 | $0 | $0 |
| ROD F HOCHMAN MD | ||||||||||||||
| FORMER - PRESIDENT/CEO | $0 | $1,974,688 | $0 | $2,203,431 | $0 | $1,090,977 | $0 | $6,285,602 | $0 | $28,363 | $0 | $11,583,061 | $0 | $1,049,676 |
| TODD HOFHEINS | ||||||||||||||
| FORMER - EVP/CFO/TREAS. | $0 | $15,196 | $0 | $527,139 | $0 | $1,596,779 | $0 | $10,544 | $0 | $34,931 | $0 | $2,184,589 | $0 | $777,867 |
| JACK MUDD | ||||||||||||||
| FORMER - SVP/MISSION LEADERSHIP | $0 | $183,227 | $0 | $160,613 | $0 | $95,959 | $0 | $260,329 | $0 | $17,431 | $0 | $717,559 | $0 | $59,649 |
| DEBRA CANALES | ||||||||||||||
| FORMER - EVP/CAO | $0 | $835,135 | $0 | $795,839 | $0 | $43,428 | $0 | $1,213,992 | $0 | $22,272 | $0 | $2,910,666 | $0 | $0 |
| JANICE NEWELL | ||||||||||||||
| FORMER - SVP/CHIEF INFORMATION OFFCR | $0 | $599,228 | $0 | $478,973 | $0 | $318,624 | $0 | $721,041 | $0 | $17,589 | $0 | $2,135,455 | $0 | $286,030 |
| JOEL GILBERTSON | ||||||||||||||
| FORMER - SVP/COMMUNITY PARTNERSHIPS | $0 | $470,184 | $0 | $351,171 | $0 | $34,959 | $0 | $523,643 | $0 | $28,741 | $0 | $1,408,698 | $0 | $0 |
| OREST HOLUBEC | ||||||||||||||
| FORMER - SVP/CHIEF COMM/EXT AFF OFF | $0 | $415,423 | $0 | $338,118 | $0 | $35,329 | $0 | $455,947 | $0 | $28,061 | $0 | $1,272,878 | $0 | $0 |
| GREG TILL | ||||||||||||||
| FORMER - VP/CHIEF TALENT OFFICER | $0 | $396,535 | $0 | $297,987 | $0 | $19,038 | $0 | $461,102 | $0 | $30,490 | $0 | $1,205,152 | $0 | $0 |
| SHARON TONCRAY | ||||||||||||||
| FORMER - SVP/CHIEF LABOR EE COUNSEL | $0 | $416,606 | $0 | $321,829 | $0 | $28,095 | $0 | $526,958 | $0 | $30,363 | $0 | $1,323,851 | $0 | $0 |
| AARON MARTIN | ||||||||||||||
| FORMER - SVP/STRATEGY & INNOVATION | $0 | $564,005 | $0 | $316,363 | $0 | $20,003 | $0 | $707,371 | $0 | $8,648 | $0 | $1,616,390 | $0 | $0 |
| TOM MCDONAGH | ||||||||||||||
| FORMER - VP/CHIEF INVESTMENT OFFICER | $0 | $467,734 | $0 | $324,164 | $0 | $38,723 | $0 | $516,307 | $0 | $30,180 | $0 | $1,377,108 | $0 | $0 |
| RHONDA MEDOWS MD | ||||||||||||||
| FORMER - EVP/POPULATION HEALTH | $0 | $858,356 | $0 | $681,403 | $0 | $42,645 | $0 | $1,101,998 | $0 | $24,344 | $0 | $2,708,746 | $0 | $0 |
| HARVEY SMITH | ||||||||||||||
| FORMER - SVP/CHIEF CUSTOMER SVC. OFF | $0 | $48,492 | $0 | $372,926 | $0 | $626,764 | $0 | $34,353 | $0 | $13,143 | $0 | $1,095,678 | $0 | $86,922 |
| LISA VANCE | ||||||||||||||
| FORMER - SVP/CLINICAL PROGRAM SRVCS | $0 | $562,680 | $0 | $510,329 | $0 | $618,093 | $0 | $654,509 | $0 | $27,816 | $0 | $2,373,427 | $0 | $579,369 |
| MIKE WATERS | ||||||||||||||
| FORMER - VP,CAO/PHYSICIAN SERVICES | $0 | $431,525 | $0 | $194,089 | $0 | $17,296 | $0 | $451,441 | $0 | $12,309 | $0 | $1,106,660 | $0 | $0 |
| AMY COMPTON-PHILLIPS | ||||||||||||||
| FORMER - EVP/CHIEF CLINICAL OFFICER | $0 | $745,415 | $0 | $499,341 | $0 | $246,460 | $0 | $992,391 | $0 | $32,410 | $0 | $2,516,017 | $0 | $0 |
| DAVID BROWN | ||||||||||||||
| FORMER - VP/STRATEGY & BIZ DVLPMT | $0 | $373,180 | $0 | $325,150 | $0 | $1,955 | $0 | $429,702 | $0 | $27,658 | $0 | $1,157,645 | $0 | $0 |
| DEBBIE BURTON | ||||||||||||||
| FORMER - SVP/CHIEF NURSING OFFICER | $0 | $353,784 | $0 | $266,872 | $0 | $155,793 | $0 | $356,594 | $0 | $30,608 | $0 | $1,163,651 | $0 | $118,981 |
| CRAIG WRIGHT MD | ||||||||||||||
| FORMER - SVP/PHYSICIAN SERVICES | $0 | $0 | $0 | $0 | $0 | $245,590 | $0 | $3,661 | $0 | $7,255 | $0 | $256,506 | $0 | $100,000 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE ST. JOSEPH HEALTH, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE ST. JOSEPH HEALTH. |
| Part I, Lines 4a-b | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: HARVEY SMITH - $519,285 TODD HOFHEINS - $793,260 CRAIG WRIGHT, MD - $144,200 BEGINNING IN JULY 2015, NEW EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PLAN PROVIDES FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND ARE SUBJECT TO A FIVE YEAR OR AGE 65 VESTING SCHEDULE. THE AMOUNTS SHOWN IN COLUMN F OF PART II REFLECT THE CURRENT YEAR PAYOUTS FROM THESE PLANS. |
| FORM 990, SCHEDULE J, PART II - EXECUTIVE INCENTIVE PROGRAM | THE PROVIDENCE EXECUTIVE INCENTIVE PROGRAM PROVIDES A LUMP SUM AWARD ANNUALLY AS A PERCENT OF THE EXECUTIVE'S BASE PAY. PERCENT OPPORTUNITIES ARE ALIGNED WITH OUR TOTAL COMPENSATION PHILOSOPHY AS OUTLINED IN PART VI, SECTION B, LINE 15 (PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT, OFFICERS & KEY EMPLOYEES). FOR PROVIDENCE LEADERS, THE PERFORMANCE AWARD IS BASED ON THE LEVEL OF ACCOMPLISHMENT OF ANNUAL SYSTEM AND FUNCTIONAL (OR MARKET) OBJECTIVES. IN 2017, 60 PERCENT OF THE PARTICIPANT AWARDS WERE BASED ON PRE-DETERMINED ORGANIZATIONAL GOALS CONSISTENT WITH PROVIDENCE'S STRATEGIC PRIORITIES. IN 2017 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 L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUBSTANTIAL CONTRIBUTOR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SUBSTANTIAL CONTRIBUTOR | RelationshipDescriptionTxt |
| Transaction | $574,581 | TransactionAmt |
| Transaction | CONSTRUCTION SERVICES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA. |
| Form 990, Part VI, Section A, line 7a | DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA BOARD. |
| Form 990, Part VI, Section A, line 7b | THE FOLLOWING POWERS ARE RESERVED EXCLUSIVELY TO THE CORPORATE MEMBER: A) TO ADOPT AND AMEND THE ARTICLES OF INCORPORATION AND THE BYLAWS OF THE FOUNDATION AFTER CONSULTATION WITH THE FOUNDATION'S BOARD OF DIRECTORS. B) TO APPROVE THE MERGER, CONSOLIDATION, OR AFFILIATION OF THE FOUNDATION WITH ANOTHER CORPORATION, ORGANIZATION OR PROGRAM, OR THE DISSOLUTION OF THE FOUNDATION. C) TO APPROVE ANY STRATEGIC PLAN OF THE FOUNDATION. D) TO APPROVE THE ANNUAL FUNDRAISING PLAN INCLUDING SPECIAL EVENTS, ANNUAL, CAPITAL AND PLANNED GIVING ACTIVITIES. E) TO APPROVE THE ACCEPTANCE OF ANY GIFT THAT CARRIES CONDITIONS OR LIMITATIONS OR ANY GIFT RESTRICTED TO SERVICES, PROGRAMS OR FACILITIES NOT CURRENTLY OFFERED OR APPROVED TO BE OFFERED BY THE CORPORATE MEMBER'S BOARD OF DIRECTORS. |
| Form 990, Part VI, Section B, line 11b | THE FORM 990 WAS PREPARED BY THE TAX 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. DURING THE AUDIT COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE AUDIT COMMITTEE CHAIR THEN PROVIDED A SUMMARY AT THE FULL BOARD MEETING. |
| Form 990, Part VI, Section B, line 12c | BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY REAL OR POTENTIAL CONFLICT OF INTEREST 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 15 | PROCESS USED TO DETERMINE COMPENSATION THE 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 IN MARCH 2018. |
| Form 990, Part VI, Section C, line 19 | THE 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 11g | Agency/Contract Labor: Program service expenses 21,837,536. Management and general expenses 1,812,520. Fundraising expenses 15,034. Total expenses 23,665,090. Medical Director & Med Physician Fees: Program service expenses 40,073,541. Management and general expenses 0. Fundraising expenses 0. Total expenses 40,073,541. Repairs & Maintenance: Program service expenses 14,909,365. Management and general expenses 3,985,026. Fundraising expenses 0. Total expenses 18,894,391. Billing & Collections: Program service expenses 0. Management and general expenses 1,009,314. Fundraising expenses 0. Total expenses 1,009,314. Records Management: Program service expenses 392,702. Management and general expenses 13,890. Fundraising expenses 0. Total expenses 406,592. Transcription & Translation Services: Program service expenses 36,803. Management and general expenses 0. Fundraising expenses 0. Total expenses 36,803. Dietary: Program service expenses 604,806. Management and general expenses 600,611. Fundraising expenses 0. Total expenses 1,205,417. Other Patient Services: Program service expenses 77,020,918. Management and general expenses 0. Fundraising expenses 0. Total expenses 77,020,918. Other Administrative Services: Program service expenses 7,922,046. Management and general expenses 25,065,741. Fundraising expenses 4,997. Total expenses 32,992,784. General Consulting Fees: Program service expenses 156,204. Management and general expenses 2,023,294. Fundraising expenses 0. Total expenses 2,179,498. |
| Form 990, Part XI, line 9: | NET ASSET TRANSFER - HIGH SCHOOL 114,000. RECLASS FIN 47 RELEASE FROM EXPENSE TO CHANGE IN NET ASSETS 5,071,453. NET CLA CLOSING ENTRIES 2,294,184. PR CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 52,076. INVENTORY TRANSFER - INDEPENDENT AND OTHER ENTITIES 32,371. ROUNDING 13. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT 48,185,973. NET ASSET TRANSFERS TO AFFILIATES -794,745,732. |
| FORM 990, PART VII - RELIGIOUS COMMUNITY MEMBERS | AS MEMBERS OF THE RELIGIOUS COMMUNITY, EACH SISTER HAS TAKEN A VOW OF POVERTY AS A COMPULSORY PART OF HER RELIGIOUS LIFE. ANY COMPENSATION FOR SERVICES OF A SISTER INURES ONLY FOR THE BENEFIT OF THE COMMUNITY, NOT THE INDIVIDUAL MEMBERS. ALL PAYMENTS FOR SERVICES ARE MADE DIRECTLY TO THE RELIGIOUS COMMUNITY. |
| FORM 990, PART X, LINE 20 | THE TAX-EXEMPT BOND LIABILITIES WERE TRANSFERRED FROM PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA TO ITS TAX-EXEMPT PARENT, PROVIDENCE ST. JOSEPH HEALTH, DURING THE YEAR ENDED 12/31/17. THE TAX-EXEMPT BOND LIABILITY IN PART X, LINE 20 HAS BEEN RECLASSED AS AN INTERCOMPANY LIABILITY FOR TAX-EXEMPT BONDS IN PART X, LINE 25. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| BELL RIVER LLC | |||||||||
| 20555 EARL ST | TORRANCE | CA | 90503 | 510216589 | RENTAL | CA | $0 | $77,646 | PHS - SO CALIFORNIA |
| CALIFORNIA LABORATORY ASSOCIATES LLC | |||||||||
| 501 BUENA VISTA | BURBANK | CA | 91505 | 273888692 | OUTPATIENT LAB | CA | -$2,439,272 | $0 | PHS - SO CALIFORNIA |
| PROVIDENCE PARTNERS FOR HEALTH LLC | |||||||||
| 20555 EARL ST | TORRANCE | CA | 90503 | 454041798 | CLIN QUALITY/INT | CA | $0 | $0 | PHS - SO CALIFORNIA |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (110 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COVENANT ACO | |||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 611573313 | HEALTHCARE | TX | 501(c)(3) | 12,I | CHS | Yes (1) | |
| COVENANT HEALTH NETWORK INC | |||||||||||
| 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 461259908 | HEALTHCARE | CA | 501(c)(3) | 12,III | SJHS | Yes (1) | |
| COVENANT HEALTH PARTNERS | |||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 463516417 | HEALTHCARE | TX | 501(c)(3) | 12,I | CHS | Yes (1) | |
| COVENANT HEALTH SYSTEM | |||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 752765566 | HEALTHCARE | TX | 501(c)(3) | 3 | SJHS | Yes (1) | |
| COVENANT HEALTH SYSTEM FOUNDATION | |||||||||||
| 3623 22ND PLACE | LUBBOCK | TX | 79410 | 752897026 | HEALTHCARE | TX | 501(c)(3) | 7 | CHS | Yes (1) | |
| COVENANT MEDICAL GROUP | |||||||||||
| 3420 22ND PLACE | LUBBOCK | TX | 79410 | 752743883 | HEALTHCARE | TX | 501(c)(3) | 3 | CHS | Yes (1) | |
| E WA & MT UNEMPLOYMENT COMPENSATION INSURANCE TRUST | |||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 980579016 | 911082119 | UNEMPLOYMENT | WA | 501(c)(3) | 12,I | PHS WA | Yes (1) | |
| EVERETT TRANSITIONAL CARE SERVICES | |||||||||||
| PO BOX 5128 | EVERETT | WA | 982065128 | 943264605 | TRANS. CARE | WA | 501(c)(3) | 10 | 0 | N/A | |
| FACEY MEDICAL FOUNDATION | |||||||||||
| 15451 SAN FERNANDO MISSION BLVD 200 | MISSION HILLS | CA | 913451420 | 954322584 | SUPPORT | CA | 501(c)(3) | 7 | PHS SOCAL | Yes (1) | |
| GAMELIN WASHINGTON ASSOCIATION | |||||||||||
| 1423 FIRST AVENUE | SEATTLE | WA | 98101 | 201910170 | SUPPORT | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| GLOBAL TO LOCAL HEALTH INITIATIVE | |||||||||||
| 2800 SOUTH 192ND ST 104 | SEATAC | WA | 98188 | 273133200 | HEALTHCARE | WA | 501(c)(3) | 7 | SHS | Yes (1) | |
| HMTS INC | |||||||||||
| 1 HOAG DRIVE | NEWPORT BEACH | CA | 92658 | 453583707 | HEALTHCARE | CA | 501(c)(3) | 12,I | HMHP | Yes (1) | |
| HOAG CHARITY SPORTS | |||||||||||
| 330 PLACENTIA AVE | NEWPORT BEACH | CA | 92663 | 452982422 | SUPPORT | CA | 501(c)(3) | 7 | HHF | Yes (1) | |
| HOAG HOSPITAL FOUNDATION | |||||||||||
| 330 PLACENTIA AVE | NEWPORT BEACH | CA | 92663 | 953222343 | FUNDRAISING | CA | 501(c)(3) | 7 | HMHP | Yes (1) | |
| HOAG MEMORIAL HOSPITAL PRESBYTERIAN | |||||||||||
| 1 HOAG ROAD BOX 6100 | NEWPORT BEACH | CA | 92663 | 951643327 | HEALTHCARE | CA | 501(c)(3) | 3 | CHN | Yes (1) | |
| HOSPICE OF LUBBOCK | |||||||||||
| 3702 21ST STREET | LUBBOCK | TX | 79410 | 752133781 | HEALTHCARE | TX | 501(c)(3) | 10 | CHS | Yes (1) | |
| INLAND NORTHWEST HEALTH SERVICES | |||||||||||
| 601 W 1ST AVENUE | SPOKANE | WA | 99201 | 911307555 | HEALTHCARE | WA | 501(c)(3) | 3 | PHS WA | Yes (1) | |
| INSTITUTE FOR MENTAL HEALTH & WELLNESS | |||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 814260130 | HEALTHCARE | WA | 501(c)(3) | 7 | PHS SJHS | Yes (1) | |
| INSTITUTE FOR SYSTEMS BIOLOGY | |||||||||||
| 401 TERRY AVE N | SEATTLE | WA | 98109 | 912003593 | HEALTHCARE | WA | 501(c)(3) | 7 | WHC | Yes (1) | |
| JOHN WAYNE CANCER INSTITUTE | |||||||||||
| 2200 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 954291515 | HEALTHCARE | CA | 501(c)(3) | 4 | PSJHC | Yes (1) | |
| KADLEC AUXILIARY INC | |||||||||||
| 888 SWIFT BLVD | RICHLAND | WA | 99352 | 916033089 | SUPPORT | WA | 501(c)(3) | 12,III | KRMC | Yes (1) | |
| KADLEC FOUNDATION | |||||||||||
| 888 SWIFT BLVD | RICHLAND | WA | 99352 | 237005501 | SUPPORT | WA | 501(c)(3) | 12,I | KRMC | Yes (1) | |
| KADLEC NEUROLOGICAL RESOURCE CENTER | |||||||||||
| 1268 LEE BLVD | RICHLAND | WA | 99352 | 911266345 | HEALTHCARE | WA | 501(c)(3) | 10 | WHC | Yes (1) | |
| KADLEC REGIONAL MEDICAL CENTER | |||||||||||
| 888 SWIFT BLVD | RICHLAND | WA | 99352 | 910655392 | HEALTHCARE | WA | 501(c)(3) | 3 | WHC | Yes (1) | |
| LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION | |||||||||||
| 4101 TORRANCE BLVD | TORRANCE | CA | 90503 | 330844408 | IMAGING SVCS | CA | 501(c)(3) | 10 | PHS SOCAL | Yes (1) | |
| LUBBOCK METHODIST HOSPITAL FOUNDATION | |||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 752220963 | HEALTHCARE | TX | 501(c)(3) | 7 | CHS | Yes (1) | |
| LUNDBERG ASSOCIATION | |||||||||||
| 5921 E BURNSIDE | PORTLAND | OR | 97215 | 911562797 | SUPPORT | OR | 501(c)(3) | 7 | PHS OR | Yes (1) | |
| MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH | |||||||||||
| 747 BROADWAY | SEATTLE | WA | 98122 | 912054035 | RESEARCH | WA | 501(c)(3) | 7 | SHS | Yes (1) | |
| METHODIST CHILDREN'S HOSPITAL | |||||||||||
| 3610 21ST STREET | LUBBOCK | TX | 79410 | 752428911 | HEALTHCARE | TX | 501(c)(3) | 3 | CHS | Yes (1) | |
| METHODIST HOSPITAL LEVELLAND | |||||||||||
| 1900 COLLEGE AVENUE | LEVELLAND | TX | 79336 | 752246348 | HEALTHCARE | TX | 501(c)(3) | 3 | CHS | Yes (1) | |
| METHODIST HOSPITAL PLAINVIEW | |||||||||||
| 2601 DIMMITT ROAD | PLAINVIEW | TX | 79072 | 752426010 | HEALTHCARE | TX | 501(c)(3) | 3 | CHS | Yes (1) | |
| MISSION HOSPITAL REGIONAL MEDICAL CTR | |||||||||||
| 27700 MEDICAL CENTER ROAD | MISSION VIEJO | CA | 92691 | 951643360 | HEALTHCARE | CA | 501(c)(3) | 3 | CHN | Yes (1) | |
| PACMED CLINICS | |||||||||||
| 1200 12TH AVE S | SEATTLE | WA | 98144 | 562290878 | HEALTHCARE | WA | 501(c)(3) | 10 | WHC | Yes (1) | |
| PH&S FOUNDATIONSFVSA & SCVSA | |||||||||||
| 501 S BUENA VISTA STREET | BURBANK | CA | 91505 | 953544877 | HEALTHCARE | CA | 501(c)(3) | 7 | PHS SOCAL | Yes (1) | |
| PROVIDENCE ALASKA FOUNDATION | |||||||||||
| 3300 PROVIDENCE DRIVE - B TOWER2 | ANCHORAGE | AK | 99508 | 920093565 | HEALTHCARE | AK | 501(c)(3) | 12,I | PHS WA | Yes (1) | |
| PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION | |||||||||||
| 540 SOUTH MAIN ST | MT ANGEL | OR | 973629532 | 911940286 | HEALTHCARE | OR | 501(c)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE BLANCHET ASSOCIATION | |||||||||||
| 1700 PROVIDENCE PL | CENTRALIA | WA | 98531 | 911789266 | SUPPORT | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE CHILD CENTER FOUNDATION | |||||||||||
| 830 NE 47TH | PORTLAND | OR | 97213 | 930800140 | SUPPORT | OR | 501(c)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE COMMUNITY HEALTH FOUNDATION | |||||||||||
| 1111 CRATER LAKE AVE | MEDFORD | OR | 97504 | 930692907 | HEALTHCARE | OR | 501(c)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE DETHMAN HOUSE | |||||||||||
| 1205 MONTELLO AVE | HOOD RIVER | OR | 97031 | 473385506 | SUPPORT | WA | 501(c)(3) | 7 | 0 | N/A | |
| PROVIDENCE FOUNDATION | |||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 980579016 | 943078543 | HEALTHCARE | WA | 501(c)(3) | 12,I | PHS WA | Yes (1) | |
| PROVIDENCE GAMELIN HOUSE ASSOCIATION | |||||||||||
| 4515 MLK JR WAY S STE 200 | SEATTLE | WA | 98108 | 311744654 | SUPPORT | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES | |||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 980579016 | 911549796 | HEALTHCARE | WA | 501(c)(3) | 12,II | PSJH | 0 | |
| PROVIDENCE HEALTH & SERVICES - MONTANA | |||||||||||
| 500 W BROADWAY PO BOX 4587 | MISSOULA | MT | 598064587 | 810231793 | HEALTHCARE | MT | 501(c)(3) | 3 | PHS WA | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES - OREGON | |||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 980579016 | 510216587 | HEALTHCARE | OR | 501(c)(3) | 3 | PHS | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | |||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 980579016 | 510216586 | HEALTHCARE | WA | 501(c)(3) | 3 | PHS | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON | |||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 980579016 | 911303277 | HEALTHCARE | WA | 501(c)(3) | 3 | PMWHC | Yes (1) | |
| PROVIDENCE HEALTH ASSURANCE | |||||||||||
| 4400 NE HALSEY BLDG 2 | PORTLAND | OR | 97213 | 550828701 | MEDICAID | OR | 501(c)(4) | N/A | PHP | Yes (1) | |
| PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON | |||||||||||
| 101 W 8TH AVE | SPOKANE | WA | 99204 | 320014330 | HEALTHCARE | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA) | |||||||||||
| 914 S SCHEUBER ROAD | CENTRALIA | WA | 98531 | 911433382 | HEALTHCARE | WA | 501(c)(3) | 7 | PHS W WA | Yes (1) | |
| PROVIDENCE HEALTH PLAN | |||||||||||
| 4400 NE HALSEY BLDG 2 | PORTLAND | OR | 97213 | 930863097 | HEALTHCARE | OR | 501(c)(4) | N/A | PPP | Yes (1) | |
| PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 811 13TH ST | HOOD RIVER | OR | 97031 | 930921990 | HEALTHCARE | OR | 501(c)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE HOSPICE AND HOME CARE FOUNDATION | |||||||||||
| 2731 WETMORE AVENUE SUITE 500 | EVERETT | WA | 98201 | 272552749 | HEALTHCARE | WA | 501(c)(3) | 7 | PHS W WA | Yes (1) | |
| PROVIDENCE HOSPICE OF SEATTLE FOUNDATION | |||||||||||
| 425 PONTIUS AVENUE NORTH 300 | SEATTLE | WA | 981095452 | 912077378 | HEALTHCARE | WA | 501(c)(3) | 12,I | PHS W WA | Yes (1) | |
| PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION | |||||||||||
| 4101 TORRANCE BLVD | TORRANCE | CA | 90503 | 510224944 | HEALTHCARE | CA | 501(c)(3) | 7 | PHS SOCAL | Yes (1) | |
| PROVIDENCE MARIANWOOD FOUNDATION | |||||||||||
| 3725 PROVIDENCE POINT DRIVE SE | ISSAQUAH | WA | 980297219 | 931554288 | HEALTHCARE | WA | 501(c)(3) | 12,I | PHS W WA | Yes (1) | |
| PROVIDENCE MEDICAL INSTITUTE | |||||||||||
| 4101 TORRANCE BLVD | TORRANCE | CA | 90503 | 330283773 | HEALTHCARE | CA | 501(c)(3) | 12,I | PHS SOCAL | Yes (1) | |
| PROVIDENCE MILWAUKIE FOUNDATION | |||||||||||
| 10150 SE 32ND | MILWAUKIE | OR | 97222 | 943079515 | HEALTHCARE | OR | 501(c)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE MINISTRIES | |||||||||||
| 1801 LIND AVENUE SW SUITE 9016 | RENTON | WA | 980579016 | RELIGIOUS ORG | WA | 501(c)(3) | 1 | 0 | N/A | ||
| PROVIDENCE MOUNT ST VINCENT FOUNDATION | |||||||||||
| 4831 - 35TH AVENUE SW | SEATTLE | WA | 981262799 | 911188119 | HEALTHCARE | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE NEWBERG HEALTH FOUNDATION | |||||||||||
| 1001 PROVIDENCE DRIVE | NEWBERG | OR | 97132 | 930889144 | HEALTHCARE | OR | 501(c)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE PETER CLAVER ASSOCIATION | |||||||||||
| 7101 38TH AVENUE SOUTH | SEATTLE | WA | 98118 | 311629656 | SUPPORT | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE PLAN PARTNERS | |||||||||||
| 4400 NE HALSEY BLDG 2 | PORTLAND | OR | 97213 | 911861964 | HEALTHCARE | WA | 501(c)(4) | N/A | PHS OR | Yes (1) | |
| PROVIDENCE PORTLAND MEDICAL FOUNDATION | |||||||||||
| 4805 NE GLISAN ST | PORTLAND | OR | 972132967 | 931231494 | HEALTHCARE | OR | 501(c)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE ROSSI ASSOCIATION | |||||||||||
| 1700 PROVIDENCE PL | CENTRALIA | WA | 98531 | 311584166 | SUPPORT | WA | 501(c)(3) | 10 | PHS WA | Yes (1) | |
| PROVIDENCE SAINT JOHN'S HEALTH CENTER | |||||||||||
| 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 951684082 | HEALTHCARE | CA | 501(c)(3) | 3 | PHS SOCAL | Yes (1) | |
| PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION | |||||||||||
| 20555 EARL ST | TORRANCE | CA | 90503 | 814542216 | HEALTHCARE | CA | 501(c)(3) | PENDING | PHS SOCAL | Yes (1) | |
| PROVIDENCE SEASIDE HOSPITAL FOUNDATION | |||||||||||
| 725 S WAHANNA RD | SEASIDE | OR | 97138 | 930927320 | HEALTHCARE | OR | 501(c)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION | |||||||||||
| 3201 SW GRAHAM ST | SEATTLE | WA | 98126 | 912171539 | SUPPORT | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE ST FRANCIS ASSOCIATION | |||||||||||
| 3415 12TH AVENUE NE | OLYMPIA | WA | 98506 | 943244854 | SUPPORT | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE ST JOSEPH HEALTH | |||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 811244422 | HEALTHCARE | WA | 501(c)(3) | 12,III | 0 | N/A | |
| PROVIDENCE ST JOSEPH MEDICAL CENTER | |||||||||||
| PO BOX 1010 | POLSON | MT | 598601010 | 810463482 | HEALTHCARE | MT | 501(c)(3) | 3 | PHS WA | Yes (1) | |
| PROVIDENCE ST MARY FOUNDATION | |||||||||||
| 401 W POPLAR ST | WALLA WALLA | WA | 99362 | 452841492 | HEALTHCARE | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE ST PETER FOUNDATION | |||||||||||
| 413 LILLY ROAD NE | OLYMPIA | WA | 985065166 | 911097056 | SUPPORT | WA | 501(c)(3) | 7 | PHS W WA | Yes (1) | |
| PROVIDENCE ST VINCENT MEDICAL FOUNDATION | |||||||||||
| 9205 SW BARNES RD | PORTLAND | OR | 97225 | 930575982 | HEALTHCARE | OR | 501(c)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE TRINITYCARE HOSPICE | |||||||||||
| 5315 TORRANCE BLVD SUITE B1 | TORRANCE | CA | 90503 | 953264139 | HEALTHCARE | CA | 501(c)(3) | 10 | PHS SOCAL | Yes (1) | |
| PROVIDENCE TRINITYCARE HOSPICE FOUNDATION | |||||||||||
| 5315 TORRANCE BLVD SUITE B1 | TORRANCE | CA | 90503 | 330261016 | HEALTHCARE | CA | 501(c)(3) | 7 | PTCH | Yes (1) | |
| PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION | |||||||||||
| 1500 DIVISION STREET | OREGON CITY | OR | 97045 | 931003750 | HEALTHCARE | OR | 501(c)(3) | 12, I | PHS OR | Yes (1) | |
| QUEEN OF THE VALLEY MEDICAL CENTER | |||||||||||
| 1000 TRANCAS STREET | NAPA | CA | 94558 | 941243669 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS | Yes (1) | |
| REDWOOD MEMORIAL FOUNDATION | |||||||||||
| 3300 RENNER DRIVE | FORTUNA | CA | 95540 | 942779313 | HEALTHCARE | CA | 501(c)(3) | 7 | RMH | Yes (1) | |
| REDWOOD MEMORIAL HOSPITAL | |||||||||||
| 3300 RENNER DRIVE | FORTUNA | CA | 95540 | 941384665 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS | Yes (1) | |
| SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION | |||||||||||
| 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 956100079 | SUPPORT | CA | 501(c)(3) | 7 | PSJHC | Yes (1) | |
| SANTA ROSA MEMORIAL HOSPITAL | |||||||||||
| 1165 MONTGOMERY DR | SANTA ROSA | CA | 95405 | 941231005 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS | Yes (1) | |
| SEATTLE SCIENCE FOUNDATION | |||||||||||
| 550 17TH AVE | SEATTLE | WA | 98122 | 611502822 | PHYSN COLLAB | WA | 501(c)(3) | 7 | WHC | Yes (1) | |
| SISTERS OF PROVIDENCE OF MONTANA CORPORATION | |||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 980579016 | 262612415 | SHELL CORP | MT | 501(c)(3) | 1 | PHS WA | Yes (1) | |
| SISTERS OF ST JOSEPH OF ORANGE | |||||||||||
| 480 S BATAVIA | ORANGE | CA | 92868 | 951643383 | RELIGIOUS ORG | CA | 501(c)(3) | 1 | 0 | N/A | |
| SRM ALLIANCE HOSPITAL SERVICES (PVH) | |||||||||||
| 400 NORTH MCDOWELL BLVD | PETALUMA | CA | 94954 | 680395200 | HEALTHCARE | CA | 501(c)(3) | 3 | SRMH | Yes (1) | |
| ST JOSEPH HEALTH MINISTRY | |||||||||||
| 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 271666576 | RELIGIOUS ORG | CA | 501(c)(3) | 1 | SSJO | 0 | |
| ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC | |||||||||||
| 3345 MICHELSON DRIVE | IRVINE | CA | 92612 | 814791043 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS | Yes (1) | |
| ST JOSEPH HEALTH SYSTEM | |||||||||||
| 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 953589356 | HEALTHCARE | CA | 501(c)(3) | 12,I | PSJH | 0 | |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | |||||||||||
| 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 330143024 | HEALTHCARE | CA | 501(c)(3) | 7 | SJHS | Yes (1) | |
| ST JOSEPH HERITAGE HEALTHCARE | |||||||||||
| 200 WEST CENTER ST PROMENADE | ANAHEIM | CA | 92805 | 330185031 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS | Yes (1) | |
| ST JOSEPH HOME CARE NETWORK | |||||||||||
| 1111 SONOMA STE 308 | SANTA ROSA | CA | 95405 | 680331084 | HEALTHCARE | CA | 501(c)(3) | 10 | SJHS | Yes (1) | |
| ST JOSEPH HOSPITAL OF EUREKA | |||||||||||
| 2700 DOLBEER STREET | EUREKA | CA | 95501 | 941156596 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS | Yes (1) | |
| ST JOSEPH HOSPITAL OF ORANGE | |||||||||||
| 1100 WEST STEWART DRIVE | ORANGE | CA | 92868 | 951643359 | HEALTHCARE | CA | 501(c)(3) | 3 | CHN | Yes (1) | |
| ST JUDE HOSPITAL INC | |||||||||||
| 101 EAST VALENCIA MESA DRIVE | FULLERTON | CA | 92635 | 951643324 | HEALTHCARE | CA | 501(c)(3) | 3 | CHN | Yes (1) | |
| ST LUKE ASSOCIATION | |||||||||||
| 350 WASHINGTON AVE SE | CHEHALIS | WA | 98352 | 943176618 | SUPPORT | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| ST MARY MEDICAL CENTER | |||||||||||
| 18300 HIGHWAY 18 | APPLE VALLEY | CA | 92307 | 951914489 | HEALTHCARE | CA | 501(c)(3) | 3 | CHN | Yes (1) | |
| ST MARY OF THE PLAINS HOSPITAL FDN | |||||||||||
| 4000 24TH STREET | LUBBOCK | TX | 79410 | 751653181 | HEALTHCARE | TX | 501(c)(3) | 7 | CHS | Yes (1) | |
| ST PATRICK HOSPITAL FOUNDATION | |||||||||||
| 500 WEST BROADWAY PO BOX 4587 | MISSOULA | MT | 598064587 | 237056976 | HEALTHCARE | MT | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| ST THOMAS CHILD AND FAMILY CENTER | |||||||||||
| 1710 BENEFIS COURT | GREAT FALLS | MT | 59405 | 810233495 | EDUCATION | MT | 501(c)(3) | 10 | PHS WA | Yes (1) | |
| SWEDISH EDMONDS | |||||||||||
| 21601 76TH AVE W | EDMONDS | WA | 98026 | 272305304 | HEALTHCARE | WA | 501(c)(3) | 3 | WHC | Yes (1) | |
| SWEDISH HEALTH SERVICES | |||||||||||
| 747 BROADWAY | SEATTLE | WA | 98122 | 910433740 | HEALTHCARE | WA | 501(c)(3) | 3 | WHC | Yes (1) | |
| SWEDISH MEDICAL CENTER FOUNDATION | |||||||||||
| 747 BROADWAY | SEATTLE | WA | 98122 | 910983214 | HEALTHCARE | WA | 501(c)(3) | 7 | SHS | Yes (1) | |
| SWEDISH MJM HOLDINGS | |||||||||||
| 747 BROADWAY | SEATTLE | WA | 98122 | 273139262 | HOLDING CO | WA | 501(c)(3) | 12,I | SHS | Yes (1) | |
| THE GAMELIN ASSOCIATION | |||||||||||
| 312 NORTH FOURTH ST | YAKIMA | WA | 98901 | 911180824 | SUPPORT | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| THE GAMELIN CALIFORNIA ASSOCIATION | |||||||||||
| 540 23RD ST | OAKLAND | CA | 94612 | 911293869 | SUPPORT | CA | 501(c)(3) | 10 | PHS SOCAL | Yes (1) | |
| THE GAMELIN OREGON ASSOCIATION | |||||||||||
| 5520 NE GLISAN | PORTLAND | OR | 97213 | 911214491 | SUPPORT | OR | 501(c)(3) | 10 | PHS OR | Yes (1) | |
| UNIVERSITY OF PROVIDENCE | |||||||||||
| 1301 20TH STREET SOUTH | GREAT FALLS | MT | 59405 | 810231777 | EDUCATION | MT | 501(c)(3) | 2 | PHS | Yes (1) | |
| WESTERN HEALTHCONNECT | |||||||||||
| 747 BROADWAY | SEATTLE | WA | 98122 | 454171900 | SHELL CORPORATION | WA | 501(c)(3) | 12,II | PHS W WA | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (61 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Share Of EOY AssetsShareOfEOYAssetsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALPHA MEDICAL LABORATORY LLC | ||||||||||||||
| 611 N PERRY | SPOKANE | WA | 99202 | 912017347 | OUTPATIENT LAB | ID | N/A | |||||||
| BROADWAY IMAGING LLC | ||||||||||||||
| 500 W BROADWAY | MISSOULA | MT | 59802 | 522405971 | MEDICAL IMAGING | MT | N/A | |||||||
| CALIFORNIA LABORATORY ASSOCIATES LLC | ||||||||||||||
| 501 BUENA VISTA | BURBANK | CA | 91505 | 273888692 | OUTPATIENT LAB | CA | PHS SOCAL | RELATED | -$139,976 | 0 | 0 | 0.85900 | ||
| CALIFORNIA SPECIALTY SURGERY CENTER LP | ||||||||||||||
| 26371 CROWN VALLEY PARKWAY | MISSION VIEJO | CA | 92691 | 330939003 | HEALTHCARE | CA | N/A | |||||||
| CENTER FOR SPECIALTY SURGERY LLC | ||||||||||||||
| 11782 SW BARNES RD | PORTLAND | OR | 97225 | 263638838 | AMBULATORY SURG | OR | N/A | |||||||
| CLACKAMAS RADIATION ONCOLOGY CENTER LLC | ||||||||||||||
| 4400 NE HALSEY ST BLDG II 495 | PORTLAND | OR | 97213 | 260381897 | RADIATION ONCOL | OR | N/A | |||||||
| COASTAL ASC HOLDINGS LLC | ||||||||||||||
| ONE HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 810986844 | HEALTHCARE | CA | N/A | |||||||
| COVENANT LONG-TERM CARE LP | ||||||||||||||
| 4000 24TH STREET | LUBBOCK | TX | 79410 | 205033419 | HEALTHCARE | TX | N/A | |||||||
| CTR FOR MED IMAGING-BRIDGEPORT LLC | ||||||||||||||
| 4400 NE HALSEY 495 | PORTLAND | OR | 97213 | 260796953 | IMAGING DIAG. | OR | N/A | |||||||
| CTR FOR MED IMAGING-TANASBOURNE LLC | ||||||||||||||
| 4400 NE HALSEY 495 | PORTLAND | OR | 97213 | 200477972 | IMAGING DIAG. | OR | N/A | |||||||
| GREATER VALLEY MEDICAL BUILDING LP | ||||||||||||||
| 501 S BUENA VISTA ST | BURBANK | CA | 91505 | 954570858 | REAL ESTATE - MOB | CA | PHS SOCAL | INVESTMENT | $608,255 | 0 | Yes (1) | 0.50000 | $4,175,790 | |
| HCSA PROPERTIES LLC | ||||||||||||||
| 1600 M STREET NW | AUBURN | WA | 98001 | 460620892 | REAL ESTATE RENT | WA | N/A | |||||||
| HERITAGE INVESTMENT GROUP I LLC | ||||||||||||||
| 500 S MAIN STREET STE 1000 | ORANGE | CA | 92868 | 271000061 | INVESTMENTS | CA | N/A | |||||||
| HOAG ORTHOPEDIC INSTITUTE | ||||||||||||||
| ONE HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 611588294 | HEALTHCARE | CA | N/A | |||||||
| LSC REAL PROPERTY LLC | ||||||||||||||
| 2301 QUAKER AVENUE | LUBBOCK | TX | 79410 | 474646059 | REAL ESTATE | TX | N/A | |||||||
| METHODIST DIAGNOSTIC IMAGING | ||||||||||||||
| 4005 24TH STREET | LUBBOCK | TX | 79410 | 752343261 | HEALTHCARE | TX | N/A | |||||||
| MOUNTAINSTAR CLINICAL LABORATORIES LLC | ||||||||||||||
| 611 N PERRY | SPOKANE | WA | 99202 | 261345983 | OUTPATIENT LAB | MT | N/A | |||||||
| NEWPORT IMAGING CENTER | ||||||||||||||
| 360 SAN MIGUEL | NEWPORT BEACH | CA | 92660 | 330191776 | HEALTHCARE | CA | N/A | |||||||
| NORTH BAY ENDOSCOPY CENTER | ||||||||||||||
| 1383 N MCDOWELL BLVD STE 110 | PETALUMA | CA | 94954 | 611559876 | HEALTHCARE | CA | N/A | |||||||
| OREGON ADVANCED IMAGING LLC | ||||||||||||||
| 881 OHARE PARKWAY | MEDFORD | OR | 97504 | 450471748 | MEDICAL IMAGING | OR | N/A | |||||||
| OREGON OUTPATIENT SURGERY CENTER | ||||||||||||||
| 7300 SW CHILDS RD | TIGARD | OR | 97224 | 223883387 | AMBULATORY SURG | OR | N/A | |||||||
| PACLAB LLC | ||||||||||||||
| 611 N PERRY SPOKANE | SPOKANE | WA | 99202 | 911743952 | OUTPATIENT LAB | WA | N/A | |||||||
| PATHOLOGY ASSOCIATES MEDICAL LABORATORIES LLC | ||||||||||||||
| 611 N PERRY SPOKANE | SPOKANE | WA | 99202 | 270943279 | OUTPATIENT LAB | WA | N/A | |||||||
| PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC | ||||||||||||||
| 1221 MADISON STREET | SEATTLE | WA | 98104 | 203132044 | MEDICAL IMAGING | WA | N/A | |||||||
| PHS INVESTMENT TRANSITION PORTFOLIO | ||||||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 472279711 | INVESTMENTS | WA | N/A | |||||||
| PHS INVESTMENT TRUST 2015 PRIVATE ASSETS PORTFOLIO | ||||||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 473393740 | INVESTMENTS | WA | N/A | |||||||
| PHS INVESTMENT TRUST 2016 PRIVATE ASSETS PORTFOLIO | ||||||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 811532735 | INVESTMENTS | WA | N/A | |||||||
| PHS INVESTMENT TRUST 2016 PRIVATE RE PORTFOLIO | ||||||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 812960145 | INVESTMENTS | WA | N/A | |||||||
| PHS INVESTMENT TRUST BANK LOANS PORTFOLIO | ||||||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 472357735 | INVESTMENTS | WA | N/A | |||||||
| PHS INVESTMENT TRUST COMMODITIES PORTFOLIO | ||||||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 472269004 | INVESTMENTS | WA | N/A | |||||||
| PHS INVESTMENT TRUST HEDGE FUND PORTFOLIO | ||||||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 472293255 | INVESTMENTS | WA | N/A | |||||||
| PHS INVESTMENT TRUST LDI PORTFOLIO | ||||||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 472392060 | INVESTMENTS | WA | N/A | |||||||
| PHS INVESTMENT TRUST LONG TREASURIES PORTFOLIO | ||||||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 472385238 | INVESTMENTS | WA | N/A | |||||||
| PHS INVESTMENT TRUST MLP PORTFOLIO | ||||||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 472367538 | INVESTMENTS | WA | N/A | |||||||
| PHS INVESTMENT TRUST PUBLIC DEBT PORTFOLIO | ||||||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 472353569 | INVESTMENTS | WA | N/A | |||||||
| PHS INVESTMENT TRUST PUBLIC EQUITY PORTFOLIO | ||||||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 472283974 | INVESTMENTS | WA | N/A | |||||||
| PHS INVESTMENT TRUST RELATIVE VALUE PORTFOLIO | ||||||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 472314743 | INVESTMENTS | WA | N/A | |||||||
| PHS INVESTMENT TRUST RISK PARITY PORTFOLIO | ||||||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 472336377 | INVESTMENTS | WA | N/A | |||||||
| PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO | ||||||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 812701056 | INVESTMENTS | WA | N/A | |||||||
| PHS INVESTMENT TRUST TACTICAL TRADING PORTFOLIO | ||||||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 472327491 | INVESTMENTS | WA | N/A | |||||||
| PHS INVESTMENT TRUST TIPS PORTFOLIO | ||||||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 472402609 | INVESTMENTS | WA | N/A | |||||||
| PORTLAND MEDICAL IMAGING LLC | ||||||||||||||
| 4400 NE HALSEY 495 | PORTLAND | OR | 97213 | 201054971 | IMAGING DIAGNOSTI | OR | N/A | |||||||
| PROV RADIATION ONCOLOGY DEVELOP ASSN | ||||||||||||||
| 4400 NE HALSEY 495 | PORTLAND | OR | 97213 | 260682491 | REAL ESTATE - MOB | OR | N/A | |||||||
| PROVIDENCE IMAGING CENTER | ||||||||||||||
| 3340 PROVIDENCE DRIVE | ANCHORAGE | AK | 99508 | 920118807 | MEDICAL IMAGING | AK | N/A | |||||||
| PROVIDENCE PARTNERS FOR HEALTH LLC | ||||||||||||||
| 501 S BUENA VISTA ST | BURBANK | CA | 91505 | 454041798 | CLIN QUALITY/INT | CA | PHS SOCAL | RELATED | -$14,548 | 0 | Yes (1) | 0.50000 | ||
| PROVIDENCE SURGERY CENTER LLC | ||||||||||||||
| 902 N ORANGE ST | MISSOULA | MT | 59802 | 841401625 | AMBULATORY SURG | MT | N/A | |||||||
| PROVIDENCESILVERTON REHAB LLC | ||||||||||||||
| 4400 NE HALSEY 425 | PORTLAND | OR | 97213 | 481287267 | REHAB SERVICES | OR | N/A | |||||||
| PROVIDENCEUSP SANTA CLARITA GP LLC | ||||||||||||||
| 11550 INDIAN HILLS ROAD 160 | MISSION HILLS | CA | 91345 | 202829660 | AMBULATORY SURG | CA | PHS SOCAL | RELATED | $44,528 | 0 | 0 | 0.76500 | $1,706,032 | |
| PROVIDENCEUSP SURGERY CENTERS LLC | ||||||||||||||
| 11550 INDIAN HILLS ROAD 160 | MISSION HILLS | CA | 91345 | 200905938 | AMBULATORY SURG | CA | PHS SOCAL | RELATED | $55,644 | 0 | 0 | 0.56500 | $2,520,111 | |
| SHA LLC | ||||||||||||||
| 12940 NORTH HIGHWAY 183 | AUSTIN | TX | 78750 | 752569094 | HEALTHCARE | TX | N/A | |||||||
| SOUTHERN CALIFORNIA SURGERY CENTER LLC | ||||||||||||||
| 18321 VENTURA BLVD STE 740 | TARZANA | CA | 91356 | 330939000 | HEALTHCARE | CA | N/A | |||||||
| SOUTHERN IDAHO REGIONAL LABORATORY LLC | ||||||||||||||
| 611 N PERRY SPOKANE | SPOKANE | WA | 99202 | 820511819 | OUTPATIENT LAB | ID | N/A | |||||||
| ST JOSEPH PHYSICIAN VENTURES I LLC | ||||||||||||||
| 1100 WEST STEWART DRIVE | ORANGE | CA | 92868 | 454521884 | REAL ESTATE | CA | N/A | |||||||
| ST JOSEPHSATELLITE DIALYSIS CENTERS LLC | ||||||||||||||
| 300 SANTANA ROW STE 300 | SAN JOSE | CA | 95128 | 814657391 | HEALTHCARE | CA | N/A | |||||||
| THE MADISON SPOKANE INN LLC | ||||||||||||||
| 15 WEST ROCKWOOD BLVD | SPOKANE | WA | 99204 | 841606484 | HOTEL SERVICES | WA | N/A | |||||||
| TRI-CITIES LABORATORY LLC | ||||||||||||||
| 611 N PERRY | SPOKANE | WA | 99202 | 911773986 | OUTPATIENT LAB | WA | N/A | |||||||
| SJO ASC HOLDINGS LLC | ||||||||||||||
| 1140 W LA VETA AVE | ORANGE | CA | 92868 | 821655501 | HEALTHCARE | CA | N/A | |||||||
| HOAG OUTPATIENT CENTERS LLC | ||||||||||||||
| 27271 LAS RAMBLAS 350 | MISSION VIEJO | CA | 92691 | 453587572 | HEALTHCARE | CA | N/A | |||||||
| NEWPORT BAY SURGERY CENTER LLC | ||||||||||||||
| 3333 W PACIFIC COAST HWY 100 | NEWPORT BEACH | CA | 92663 | 562518360 | HEALTHCARE | CA | N/A | |||||||
| NEWPORT BEACH ENDOSCOPY CENTER LLC | ||||||||||||||
| 27271 LAS RAMBLAS 350 | MISSION VIEJO | CA | 92691 | 770368744 | HEALTHCARE | CA | N/A | |||||||
| NEWPORT SURGICAL PARTNERS LLC | ||||||||||||||
| 27271 LAS RAMBLAS 350 | MISSION VIEJO | CA | 92691 | 392060266 | HEALTHCARE | CA | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (23 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Share Of Total IncomeShareOfTotalIncomeAmt | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1221 MADISON STREET OWNERS ASSOC | |||||||||||||||||
| 747 BROADWAY | SEATTLE | WA | 98122 | 201954319 | OWNERS' ASSOC. | WA | N/A | C | 0 | ||||||||
| BOURGET HEALTH SERVICES INC | |||||||||||||||||
| PO BOX 2687 | SPOKANE | WA | 99220 | 911354431 | CLIN/MED LAB | WA | N/A | C | 0 | ||||||||
| CARON HEALTH CORPORATION | |||||||||||||||||
| 510 W FRONT ST | MISSOULA | MT | 59802 | 810486082 | MED PHYS SVCS | MT | N/A | C | 0 | ||||||||
| HOAG CLINIC | |||||||||||||||||
| 1 HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 330676831 | HEALTHCARE | CA | N/A | C | 0 | ||||||||
| DATU HEALTH INC AND SUBSIDIARIES | |||||||||||||||||
| 16150 MAIN CIRCLE DR SUITE 250 | CHESTERFIELD | MO | 63017 | 463070062 | IT SVCS | DE | N/A | C | 0 | ||||||||
| HOAG MANAGEMENT SERVICES INC | |||||||||||||||||
| 1 HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 330731587 | HEALTHCARE | CA | N/A | C | 0 | ||||||||
| LUBBOCK METHODIST HOSP PRACTICE MGMT | |||||||||||||||||
| 2107 OXFORD STREET STE 300 | LUBBOCK | TX | 79410 | 752578995 | INACTIVE | TX | N/A | C | 0 | ||||||||
| LUBBOCK METHODIST HOSPITAL SVCS | |||||||||||||||||
| PO BOX 1201 | LUBBOCK | TX | 79410 | 752118585 | HEALTHCARE | TX | N/A | C | 0 | ||||||||
| MISSION VIEJO MEDICAL VENTURES | |||||||||||||||||
| 27800 MEDICAL CENTER RD | MISSION VIEJO | CA | 92691 | 330212905 | HEALTHCARE | CA | N/A | C | 0 | ||||||||
| OPHIE HEALTHCARE SERVICES INC | |||||||||||||||||
| 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 271002825 | HEALTHCARE | CA | N/A | C | 0 | ||||||||
| PHN HOLDINGS | |||||||||||||||||
| 20555 EARL STREET | TORRANCE | CA | 90503 | 461814184 | STRAT PLAN SVCS | CA | C | Yes (1) | PHS SOCAL | $21,309,667 | 1.00000 | ||||||
| PIONEER INNOVATIONS INC | |||||||||||||||||
| 800 5TH AVE 10TH FLOOR | SEATTLE | WA | 98104 | 364818191 | HEALTH INNOVATNS | WA | N/A | C | 0 | ||||||||
| PROVIDENCE HEALTH CARE VENTURES INC | |||||||||||||||||
| 101 W 8TH AVE TAF C-9 | SPOKANE | WA | 99204 | 900155714 | CLIN/MED LAB | WA | N/A | C | 0 | ||||||||
| PROVIDENCE HEALTH NETWORK | |||||||||||||||||
| 20555 EARL STREET | TORRANCE | CA | 90503 | 800886966 | PREPAID HEALTH | CA | C | Yes (1) | PHS SOCAL | $14,285,561 | 1.00000 | $104,819,950 | |||||
| PROVIDENCE HEALTH VENTURES INC | |||||||||||||||||
| 4101 TORRANCE BLVD | TORRANCE | CA | 90503 | 330122216 | INVESTMENT | CA | C | Yes (1) | PHS SOCAL | $2,824,924 | 1.00000 | $298,416 | |||||
| ST JOSEPH HEALTH SOURCE INC | |||||||||||||||||
| 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 461900168 | HEALTHCARE | CA | N/A | C | 0 | ||||||||
| ST JOSEPH HEALTH | |||||||||||||||||
| 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 462340232 | HOLDING COMPANY | CA | N/A | C | 0 | ||||||||
| ST JOSEPH PROF SVCS ENTERPRSES INC | |||||||||||||||||
| 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 330155323 | HEALTHCARE | CA | N/A | C | 0 | ||||||||
| VINSERRA INC | |||||||||||||||||
| 1328 22ND STREET | SANTA MONICA | CA | 90403 | 953943315 | INVESTMENTS | CA | N/A | C | 0 | ||||||||
| WESTERN HEALTHCONNECT VENTURES INC | |||||||||||||||||
| 1801 LIND AVE SW 9016 | RENTON | WA | 98057 | 800953654 | INVESTMENTS | WA | N/A | C | 0 | ||||||||
| YAKIMA MEDICAL ARTS INC | |||||||||||||||||
| 611 N PERRY 100 | SPOKANE | WA | 99202 | 910787963 | RENT REAL ESTATE | WA | N/A | C | 0 | ||||||||
| AMERICAN UNITY GROUP LTD | |||||||||||||||||
| CAPTIVE INSURANCE | N/A | C | 0 | 90 PITTS BAY ROAD PEMBROKE | BERMUDA | BD | BD | ||||||||||
| PROVIDENCE ASSURANCE INC | |||||||||||||||||
| 3131 CAMELBACK ROAD STE 400 | PHOENIX | AZ | 85016 | 208194071 | CAPTIVE INSURANCE | AZ | N/A | C | 0 | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FACEY MEDICAL FOUNDATION | ||
| B | $750,000 | Cost |
| FACEY MEDICAL FOUNDATION | ||
| C | $211,519 | Cost |
| PROVIDENCE HEALTH & SERVICES FOUNDATION VSA | ||
| C | $8,822,038 | Cost |
| PROVIDENCE HEALTH & SERVICES FOUNDATION VSA | ||
| B | $217,519 | Cost |
| PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION | ||
| B | $91,750 | Cost |
| PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION | ||
| C | $8,270,768 | Cost |
| PROVIDENCE MEDICAL INSTITUTE | ||
| B | $550,000 | Cost |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | ||
| C | $1,455,470 | Cost |
| INSTITUTE FOR MENTAL HEALTH & WELLNESS | ||
| C | $779,646 | Cost |
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