PROVIDENCE HEALTH & SERVICES FOUNDATION: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE HEALTH & SERVICES FOUNDATION (EIN 95-3544877)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-05
- IRS object ID
- 201813099349302851
- 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 D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-05T19:47:17-06:00 | 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 | 953544877 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE HEALTH & SERVICES FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | SAN FERNANDO & SANTA CLARITA VALLEYS SA | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROV | BusinessNameControlTxt |
| Phone | 8188473024 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 SOUTH BUENA VISTA STREET | AddressLine1Txt |
| City | BURBANK | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 915054809 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SUSAN DOLBERT | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8188473024 | PhoneNum |
| Signature | 2018-11-05 | 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 | 198.134.51.41 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-05 | IPDt |
| IP Tm | 19:45:39 | 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 | SUSAN DOLBERT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 SOUTH BUENA VISTA STREET | AddressLine1Txt |
| City | BURBANK | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 915054809 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $48,563,229 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://CALIFORNIA.PROVIDENCE.ORG/GIVING/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1980 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE OAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 300 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $17,504,833 | PYContributionsGrantsAmt |
| CY Contributions Grants | $34,281,495 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,552,539 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,913,406 | CYInvestmentIncomeAmt |
| PY Other Revenue | $102,172 | PYOtherRevenueAmt |
| CY Other Revenue | $236,035 | CYOtherRevenueAmt |
| PY Total Revenue | $19,159,544 | PYTotalRevenueAmt |
| CY Total Revenue | $36,430,936 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $8,265,181 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $10,273,635 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,501,531 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,768,507 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $188,001 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $140,031 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $4,635,240 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,357,546 | PYOtherExpensesAmt |
| CY Other Expenses | $1,465,143 | CYOtherExpensesAmt |
| PY Total Expenses | $14,312,259 | PYTotalExpensesAmt |
| CY Total Expenses | $15,647,316 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,847,285 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $20,783,620 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $87,952,182 | TotalAssetsBOYAmt |
| Total Assets EOY | $109,624,230 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,854,492 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,353,767 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $86,097,690 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $108,270,463 | 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 | $9,768,290 | ExpenseAmt |
| Grant | $9,768,290 | GrantAmt |
| Revenue | $0 | 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.REALIZING OUR MISSION - THE PURPOSE OF PROVIDENCE HEALTH & SERVICES FOUNDATION SF&SCV SA IS TO RAISE FUNDS PRIMARILY FOR PROVIDENCE SAINT JOSEPH MEDICAL CENTER, PROVIDENCE HOLY CROSS MEDICAL CENTER, AND PROVIDENCE TARZANA MEDICAL CENTER. THE MEDICAL CENTERS ARE COMMITTED TO THEIR MISSIONS OF CONTINUING THE HEALING MINISTRY OF JESUS IN THE WORLD OF TODAY, WITH SPECIAL CONCERN FOR THOSE WHO ARE POOR AND VULNERABLE. THE MEDICAL CENTERS WORK IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS TO REACH OUT TO THOSE IN NEED. THROUGH THESE COLLABORATIVE EFFORTS, THEY IMPROVE ACCESS TO HEALTH CARE AND PROVIDE HEALTH EDUCATION RESOURCES IN THE SURROUNDING COMMUNITIES. DURING 2017, SOME OF THE LARGER GRANTS PAID TO THE MEDICAL CENTERS WERE USED FOR THE WELCOME BABY PROGRAM ($1,417,448), GENETICS SUITE DESIGN AND CONSTRUCTION ($1,361,429), RADIOLOGY SUITE UPGRADE ($1,000,000), NEUROLOGY DEPARTMENT UPGRADE ($650,000), A DAVINCI XI ROBOT ($500,000), NEW NICU EQUIPMENT ($375,000) AND INSTALLATION OF A MOBILE X-RAY THERAPY SYSTEM ($349,430). | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $360,000 | ExpenseAmt |
| Grant | $360,000 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | THE FOUNDATION MAKES DIRECT PAYMENTS TO SEVERAL COMMUNITY BENEFIT ORGANIZATIONS EACH YEAR. SOME OF THE LARGER CONTRIBUTIONS MADE DURING 2017 WERE TO OLIVE VIEW / UCLA CHAGAS PROGRAM ($43,800), CHILD DEVELOPMENT INSTITUTE ($40,000), CATHOLIC CHARITIES OF LOS ANGELES ($35,000), AND MEET EVERY NEED WITH DIGNITY ($35,000). | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $145,345 | ExpenseAmt |
| Grant | $145,345 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | THE FOUNDATION SUPPORTS CLINICS THAT PROVIDE MEDICAL SERVICES FOR THOSE WHO ARE UNABLE TO PAY FOR THE SERVICES. DURING 2017, TOTAL PAYMENTS OF $125,345 WERE MADE TO THIS PROGRAM TO PAY FOR LAB WORK, X-RAYS AND OTHER MEDICAL SERVICES FOR 924 PATIENTS. IN ADDITION, THE FOUNDATION SUPPORTED A TOY DRIVE WHICH SUPPLIED TOYS FOR ABOUT 800 CHILDREN ($20,000). | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $10,273,635 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | Yes (1) | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | Yes (1) | 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 | 0 | 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 | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| 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 | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | 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 | 1 | IRPDocumentCnt |
| IRP Document W2 G | 1 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | 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 | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JO ANN ESCASA-HAIGH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| POURIA ABBASSI | ||||||||
| DIRECTOR - EFF. 6/17 | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SISTER SHEILA BROWNE | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS BRUEHL | ||||||||
| VICE CHAIR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| NORMAN COULSON | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES DAL POZZO | ||||||||
| DIRECTOR - EFF. 2/17 | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SUSAN DOLBERT | ||||||||
| PRESIDENT | 58.00 | 6.00 | Yes (X) | $0 | $557,378 | $53,686 | Yes (X) | |
| STEVEN DUTKA | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES EINZIGER | ||||||||
| DIRECTOR - EFF. 2/17 | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| HONORABLE MITCH ENGLANDER | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ALBERT J GHIRARDELLI ESQ | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARCIA HAYNES | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BRADLEY D HOWARD | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SARAH KARZEL | ||||||||
| DIRECTOR - EFF. 2/17 | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PETER J LYNCH | ||||||||
| CHAIR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MICHAEL J MADDEN | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL S OVERING ESQ | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GERALD S PUCHLIK | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| EDWARD A ROMANO | ||||||||
| TREASURER | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DAVID SATO | ||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARIA O URIBE | ||||||||
| SECRETARY | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ERIK WEXLER | ||||||||
| DIRECTOR | 3.00 | 62.00 | Yes (X) | $0 | $1,324,542 | $1,156,330 | ||
| PATRICIA E MODRZEJEWSKI | ||||||||
| FORMER PRESIDENT | 0.00 | 0.00 | $0 | $626,334 | $157,636 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,508,254 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,367,652 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | 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
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARTS & LUNDY | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 WALL ST WEST 5TH FLOOR | AddressLine1Txt |
| City | LYNDHURST | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07071 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | FUNDRAISING CONSULTATION | ServicesDesc |
| Compensation | $140,031 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $208 | FederatedCampaignsAmt |
| Fundraising | $436,355 | FundraisingAmt |
| Related Organizations | $5,434,014 | RelatedOrganizationsAmt |
| Government Grants | $1,421,252 | GovernmentGrantsAmt |
| All Other Contributions | $26,989,666 | AllOtherContributionsAmt |
| Noncash Contributions | $5,842,847 | NoncashContributionsAmt |
| Total Contributions | $34,281,495 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,563,743 | TotalRevenueColumnAmt |
| Exclusion | $1,563,743 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,281 | TotalRevenueColumnAmt |
| Exclusion | $53,281 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $46,344 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $857 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $45,487 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,487 | TotalRevenueColumnAmt |
| Exclusion | $45,487 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,284,290 | SecuritiesAmt |
| Other | $4,875,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,381,197 | SecuritiesAmt |
| Other | $5,428,430 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $903,093 | SecuritiesAmt |
| Other | -$553,430 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $349,663 | TotalRevenueColumnAmt |
| Exclusion | $349,663 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $405,056 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $436,355 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $321,491 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $83,565 | TotalRevenueColumnAmt |
| Exclusion | $83,565 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $54,020 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $318 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,702 | TotalRevenueColumnAmt |
| Exclusion | $53,702 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,430,936 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,149,441 | 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 | $10,128,290 | TotalAmt |
| Program Services | $10,128,290 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,345 | TotalAmt |
| Program Services | $145,345 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $578,385 | TotalAmt |
| Management And General | $86,758 | ManagementAndGeneralAmt |
| Fundraising | $491,627 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,544,514 | TotalAmt |
| Management And General | $381,677 | ManagementAndGeneralAmt |
| Fundraising | $2,162,837 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $437,808 | TotalAmt |
| Management And General | $65,671 | ManagementAndGeneralAmt |
| Fundraising | $372,137 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,800 | TotalAmt |
| Management And General | $31,170 | ManagementAndGeneralAmt |
| Fundraising | $176,630 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,457 | TotalAmt |
| Fundraising | $18,457 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,031 | TotalAmt |
| Fundraising | $140,031 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,470 | TotalAmt |
| Management And General | $94,470 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,185 | TotalAmt |
| Management And General | $27,288 | ManagementAndGeneralAmt |
| Fundraising | $266,897 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,754 | TotalAmt |
| Fundraising | $93,754 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,898 | TotalAmt |
| Management And General | $20,497 | ManagementAndGeneralAmt |
| Fundraising | $97,401 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,170 | TotalAmt |
| Fundraising | $89,170 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,964 | TotalAmt |
| Management And General | $7,045 | ManagementAndGeneralAmt |
| Fundraising | $39,919 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,848 | TotalAmt |
| Management And General | $20,977 | ManagementAndGeneralAmt |
| Fundraising | $118,871 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,250 | TotalAmt |
| Management And General | $1,837 | ManagementAndGeneralAmt |
| Fundraising | $10,413 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt |
|---|---|---|
| DONOR CULTIVATION/RECOG | $226,125 | $226,125 |
| OTHER COSTS-ESCROW | $192,573 | $192,573 |
| TAX EXPENSE | $73,771 | $73,771 |
| BAD DEBTS | $58,670 | $58,670 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,008 | TotalAmt |
| Management And General | $1,051 | ManagementAndGeneralAmt |
| Fundraising | $5,957 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,647,316 | TotalAmt |
| Program Services | $10,273,635 | ProgramServicesAmt |
| Management And General | $738,441 | ManagementAndGeneralAmt |
| Fundraising | $4,635,240 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,021,000 | BOYAmt |
| EOY | $857,418 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $750,948 | BOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,999,025 | BOYAmt |
| EOY | $11,555,259 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,046 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,139 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,000 | BOYAmt |
| EOY | $14,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,745,803 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $321,829 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,041,787 | BOYAmt |
| EOY | $2,423,974 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,368,202 | BOYAmt |
| EOY | $83,446,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,651,035 | BOYAmt |
| EOY | $11,327,579 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,952,182 | BOYAmt |
| EOY | $109,624,230 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $407,419 | BOYAmt |
| EOY | $160,730 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,447,073 | BOYAmt |
| EOY | $1,193,037 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,854,492 | BOYAmt |
| EOY | $1,353,767 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,600,437 | BOYAmt |
| EOY | $46,130,341 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,861,855 | BOYAmt |
| EOY | $57,636,702 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,635,398 | BOYAmt |
| EOY | $4,503,420 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,097,690 | BOYAmt |
| EOY | $108,270,463 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,952,182 | BOYAmt |
| EOY | $109,624,230 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $20,783,620 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,434,638 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$45,485 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,472,969 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,124,483 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,449,820 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,504,833 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $34,281,495 | CurrentTaxYearAmt |
| Total | $113,833,600 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,472,969 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,124,483 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,449,820 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,504,833 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $34,281,495 | CurrentTaxYearAmt |
| Total | $113,833,600 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $23,062,953 | SubstantialContributorsTotAmt |
| Public Support Total170 | $90,770,647 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $716,665 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $864,004 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,211,374 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $95,645 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,617,024 | CurrentTaxYearAmt |
| Total | $4,504,712 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,127 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $115,745 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $100,623 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $137,267 | CurrentTaxYearAmt |
| Total | $388,762 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $118,727,074 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $2,413,880 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.76450 | PublicSupportCY170Pct |
| Public Support PY170 | 0.76480 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Funds And Other Accounts Held | 1 | FundsAndOtherAccountsHeldCnt |
| Funds And Other Accounts Contri | $10,480 | FundsAndOtherAccountsContriAmt |
| Funds And Other Accounts Vl EOY | $3,107,782 | FundsAndOtherAccountsVlEOYAmt |
| Disclosed Org Leg Ctrl | Yes (1) | DisclosedOrgLegCtrlInd |
| Disclosed For Charitable Prps | Yes (1) | DisclosedForCharitablePrpsInd |
Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Included | $185,094 | AssetsIncludedAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used Pub Exhibition | Yes (X) | CollectionUsedPubExhibitionInd |
| Solicited Assets Sale | 0 | SolicitedAssetsSaleInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,919,973 | BeginningYearBalanceAmt |
| Contributions | $48,905 | ContributionsAmt |
| Investment Earnings Or Losses | $138,541 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $34,939 | GrantsOrScholarshipsAmt |
| End Year Balance | $7,072,480 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,714,000 | BeginningYearBalanceAmt |
| Contributions | $10,800 | ContributionsAmt |
| Investment Earnings Or Losses | $223,042 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $27,869 | GrantsOrScholarshipsAmt |
| End Year Balance | $6,919,973 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,782,000 | BeginningYearBalanceAmt |
| Contributions | $785,000 | ContributionsAmt |
| Investment Earnings Or Losses | $177,000 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $30,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $6,714,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,489,000 | BeginningYearBalanceAmt |
| Contributions | $3,153,000 | ContributionsAmt |
| Investment Earnings Or Losses | $140,000 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,782,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,261,000 | BeginningYearBalanceAmt |
| Contributions | $265,000 | ContributionsAmt |
| Investment Earnings Or Losses | $60,000 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $97,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $2,489,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.43940 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.52470 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.03590 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,365,329 | InvestmentCostOrOtherBasisAmt |
| Book Value | $1,365,329 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,050,000 | InvestmentCostOrOtherBasisAmt |
| Book Value | $1,050,000 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $330,474 | OtherCostOrOtherBasisAmt |
| Depreciation | $321,829 | DepreciationAmt |
| Book Value | $8,645 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,423,974 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ARTWORK, BOOKS | $185,094 |
| GIFT ANNUITIES | $1,361,207 |
| CHARITABLE REMAINDER TRUSTS | $9,764,504 |
| LIFE INSURANCE | $16,774 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $11,327,579 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| RESERVE-CHARITABLE GIFT ANNUITIES | $611,866 |
| DUE TO AFFILIATES | $581,171 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,193,037 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part III, Line 4: | ARTWORK RECEIVED THROUGH THE FOUNDATION IS DISPLAYED THROUGHOUT THE HOSPITALS TO ENHANCE THE ENVIRONMENT FOR THE PATIENTS AND THEIR FAMILIES. |
| Part V, Line 4: | THERE ARE THREE MAIN ENDOWMENTS. THERE IS A NURSING EXCELLENCE ENDOWMENT FOR THE BENEFIT OF PROVIDENCE HOLY CROSS MEDICAL CENTER. THE INVESTMENT INCOME FROM THIS ENDOWMENT SUPPORTS NURSING EDUCATION AND EXCELLENCE. THERE IS A PATIENT CARE ENDOWMENT FOR THE BENEFIT OF PROVIDENCE SAINT JOSEPH MEDICAL CENTER. THE INVESTMENT INCOME FROM THIS ENDOWMENT SUPPORTS PATIENT CARE TECHNOLOGY. THE THIRD ENDOWMENT IS A CANCER CENTER ENDOWMENT. THE INVESTMENT INCOME FROM THIS IS USED TO FUND OPERATING AND CAPITAL COSTS FOR THE CANCER CENTER. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARTS LUNDY | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 WALL ST WEST 5TH FLOOR | AddressLine1Txt |
| City | LYNDHURST | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07071 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | CAMPAIGN CONSULTING | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $0 | GrossReceiptsAmt |
| Retained By Contractor | $140,031 | RetainedByContractorAmt |
| Net To Organization | $0 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $140,031 | TotalRetainedByContractorsAmt |
| Licensed States | CA | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF EVENT | Event1Nm |
| Gross Receipts Event1 | $373,416 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $192,345 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $181,071 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $1,475 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $63,940 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $38,962 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $12,447 | OtherDirectExpensesEvent1Amt |
| Event2 | GALA | Event2Nm |
| Gross Receipts Event2 | $316,711 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $233,895 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $82,816 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $850 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $3,752 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $69,696 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $6,500 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $22,158 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $151,284 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $10,115 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $141,169 | GrossRevenueOtherEventsAmt |
| Non Cash Prizes Other Events | $17,575 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $33,913 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $2,075 | FoodAndBeverageOtherEventsAmt |
| Oth Direct Expnss Other Events | $48,148 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $841,411 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $436,355 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $405,056 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $19,900 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $101,605 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $110,733 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $6,500 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $82,753 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $321,491 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $83,565 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $54,020 | GrossRevenueOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $318 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | Yes (1) | VolunteerLaborOtherGamingInd |
| Volunteer Labor Other Gaming | 0.95000 | VolunteerLaborOtherGamingPct |
| Gross Revenue Total Gaming | $54,020 | GrossRevenueTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $318 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $318 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $53,702 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | CA | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | 0 | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Other Facility | 1.00000 | GamingOtherFacilityPct |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GERTIE MCDEVITT | BusinessNameLine1Txt |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 S BUENA VISTA ST | AddressLine1Txt |
| City | BURBANK | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91505 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Gaming Manager Person | JAN MARIE PERRY | GamingManagerPersonNm |
| Gaming Manager Compensation | $0 | GamingManagerCompensationAmt |
| Gaming Manager Services Prov | OVERSEE THE PROCEDURES TO ORGANIZE AND EXECUTE THE RAFFLES AND AWARDS. | GamingManagerServicesProvTxt |
| Gaming Manager Is Employee | Yes (X) | GamingManagerIsEmployeeInd |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2B, COLUMN (V) | FormAndLineReferenceDesc |
| Explanation | CONSULTATION - BOARD, VISIONING. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA | |||||||
| 501 S BUENA VISTA ST | BURBANK | CA | 91505 | 510216586 | 501(C)(3) | $8,822,038 | SUPPORT OPERATIONS |
| PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION | |||||||
| 4101 TORRANCE BLVD | TORRANCE | CA | 90503 | 510224944 | 501(C)(3) | $463,166 | SUPPORT OPERATIONS |
| PROVIDENCE TRINITYCARE HOSPICE | |||||||
| 5315 TORRANCE BLVD | TORRANCE | CA | 90503 | 953264139 | 501(C)(3) | $274,385 | SUPPORT OPERATIONS |
| PROVIDENCE TRINITYCARE HOSPICE FOUNDATION | |||||||
| 5315 TORRANCE BLVD | TORRANCE | CA | 90503 | 330261016 | 501(C)(3) | $183,173 | SUPPORT OPERATIONS |
| OLIVE VIEW - UCLA EDUCATION AND RESEARCH INSTITUTE | |||||||
| 14445 OLIVE VIEW DR ADMIN BUILDING | SYLMAR | CA | 91342 | 952249539 | 501(C)(3) | $43,800 | SUPPORT RESEARCH / EDUCATION |
| CHILD DEVELOPMENT INSTITUTE | |||||||
| 6340 VARIEL SUITE A | WOODLAND HILLS | CA | 91367 | 954545540 | 501(C)(3) | $40,000 | SUPPORT MENTAL HEALTH SERVICES |
| CATHOLIC CHARITIES OF LOS ANGELES INC | |||||||
| 1531 JAMS M WOOD BLVD | LOS ANGELES | CA | 90015 | 951690973 | 501(C)(3) | $35,000 | SUPPORT PROGRAMS TO ADDRESS HUNGER, HEALTHCARE NEEDS, LITERACY, AMONG OTHERS. |
| MEND - MEET EVERY NEED WITH DIGNITY | |||||||
| 10641 SAN FERNANDO RD | PACOIMA | CA | 91331 | 237306337 | 501(C)(3) | $35,000 | SUPPORT SERVICES FOR THE HOMELESS AND NEEDY |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | |||||||
| 1801 LIND AVE SW | RENTON | CA | 98057 | 510216586 | 501(C)(3) | $25,528 | SUPPORT OPERATIONS |
| ALLIANCE FOR HOUSING AND HEALING | |||||||
| 825 COLORADO BLVD 100 | LOS ANGELES | CA | 90041 | 954147364 | 501(C)(3) | $25,000 | SUPPORT LOW-INCOME HOUSING |
| KIDS COMMUNITY DENTAL CLNIC OF BURBANK | |||||||
| 27200 TOURNEY ROAD SUITE 475 | VALENCIA | CA | 91355 | 954791296 | 501(C)(3) | $25,000 | SUPPORT YOUTH DENTAL SERVICES |
| NEW HORIZONS | |||||||
| 15725 PARTHENIA ST | NORTH HILLS | CA | 91343 | 951862084 | 501(C)(3) | $25,000 | SUPPORT PROGRAM FOR THOSE WITH SPECIAL NEEDS |
| FAMILY PROMISE OF THE VERDUGOS | |||||||
| P O BOX 1307 | BURBANK | CA | 91503 | 262458342 | 501(C)(3) | $25,000 | ASSISTANCE TO HOMELESS FAMILIES |
| FAMILY SERVICE AGENCY OF BURBANK | |||||||
| 2721 WEST BURBANK BLVD | BURBANK | CA | 91505 | 956118623 | 501(C)(3) | $25,000 | SUPPORT SERVICES FOR FAMILIES |
| THERAPEUTIC LIVING CENTERS FOR THE BLIND | |||||||
| 7915 LINDLEY AVE | RESEDA | CA | 91335 | 510143029 | 501(C)(3) | $25,000 | EARLY INTERVENTION PROGRAM FOR THE BLIND |
| GUARDIAN ANGEL SCHOOL | |||||||
| 10919 NORRIS AVE | PACOIMA | CA | 91331 | 956005762 | 501(C)(3) | $15,000 | SUPPORT SCHOOL COUNSELING PROGRAM |
| A BETTER LIVING PERMANENT HOUSING AND SUPPORT | |||||||
| 9733 COLUMBUS AVE | NORTH HILLS | CA | 91343 | 463857021 | 501(C)(3) | $10,000 | HOUSING AND SUPPORTIVE SERVICES FOR THE HOMELESS |
| BOYS AND GIRLS CLUB OF BURBANK AND GREATER EAST VALLEY | |||||||
| 2244 N BUENA VISTA ST | BURBANK | CA | 91504 | 954485745 | 501(C)(3) | $10,000 | SUPPORT ENRICHMENT PROGRAMS |
| COVENANT HOUSE CALIFORNIA INC | |||||||
| 1325 N WESTERN AVE | LOS ANGELES | CA | 90027 | 133391210 | 501(C)(3) | $10,000 | SUPPORT YOUTH HOMELESS SHELTER |
| ONEGENERATION | |||||||
| 17400 VICTORY BLVD | VAN NUYS | CA | 91406 | 954066979 | 501(C)(3) | $10,000 | SUPPORT SERVICES FOR SENIORS AND CAREGIVERS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 20 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| SUPPORT OF CLINICS THAT PROVIDE MEDICAL SERVICES FOR THOSE UNABLE TO PAY | 924 | $125,345 | |||
| TOY DISTRIBUTION TO NEEDY FAMILIES | 800 | $20,000 | COST | TOYS FOR NEEDY CHILDREN |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | SINCE THE VAST MAJORITY OF GRANTS GO TO AFFILIATED COMPANIES, THE FOUNDATION HAS DIRECT ACCESS TO THE FINANCIAL REPORTS OF THE FUNDED ORGANIZATIONS AND REVIEWS THEM FOR APPROPRIATE USE OF THE FUNDS. SMALLER GRANTS TO OUTSIDE ORGANIZATIONS ARE APPROVED BASED ON APPLICATIONS RECEIVED AND ARE ALSO MONITORED BY THE MOTHER JOSEPH FUND, WHICH IS A COMMUNITY OUTREACH INITIATIVE UNDER THE DIRECTION OF THE CALIFORNIA REGION MISSION INTEGRATION OFFICER AND A COMMITTEE COMPRISED OF COMMUNITY MINISTRY BOARD MEMBERS AND MISSION LEADERS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | 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 (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUSAN DOLBERT | ||||||||||||||
| PRESIDENT | $0 | $427,600 | $0 | $75,845 | $0 | $53,933 | $0 | $32,679 | $0 | $21,007 | $0 | $611,064 | $0 | $0 |
| ERIK WEXLER | ||||||||||||||
| DIRECTOR | $0 | $802,883 | $0 | $474,585 | $0 | $47,074 | $0 | $1,134,710 | $0 | $21,620 | $0 | $2,480,872 | $0 | $0 |
| PATRICIA E MODRZEJEWSKI | ||||||||||||||
| FORMER PRESIDENT | $0 | $374,978 | $0 | $121,276 | $0 | $130,080 | $0 | $138,120 | $0 | $19,516 | $0 | $783,970 | $0 | $60,720 |
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 HEALTH SYSTEM - SOUTHERN CALIFORNIA, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA. |
| Part I, Line 4b | 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 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 M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 20 | ContributionCnt |
| Noncash Contributions Rpt F990 | $567,847 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Real Estate Commercial RealEstateCommercialGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $5,275,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 2 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 30b: | FormAndLineReferenceDesc |
| Explanation | SCHEDULE M, PART I, COLUMN (B): THE AMOUNTS SHOWN ON PART I, COL. B REFLECT THE NUMBER OF DONATIONS RECEIVED OF THE SPECIFIC TYPE OF ITEM. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH & SERVICES FOUNDATION SAN FERNANDO & SANTA CLARITA VALLEYS SA. |
| Form 990, Part VI, Section A, line 7a | DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH & SERVICES FOUNDATION SAN FERNANDO & SANTA CLARITA VALLEYS SA HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE PROVIDENCE HEALTH & SERVICES FOUNDATION SAN FERNANDO & SANTA CLARITA VALLEYS SA 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 THE ANNUAL FUNDRAISING PLAN AND STRATEGIC PLAN OF THE FOUNDATION. |
| 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 | THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE ST. JOSEPH HEALTH'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ST. JOSEPH HEALTH ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE ST. JOSEPH HEALTH HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE ST. JOSEPH HEALTH MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE ST. JOSEPH HEALTH'S LEGAL ENTITIES. PROVIDENCE ST. JOSEPH HEALTH ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE ST. JOSEPH HEALTH HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS OFFICERS, INCLUDING OUR SENIOR EXECUTIVES. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED BY THE PROVIDENCE ST. JOSEPH HEALTH COMMITTEE. THE BOARD RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE ST. JOSEPH HEALTH IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS WHOSE REVENUE IS SIMILAR TO THAT OF PROVIDENCE ST. JOSEPH HEALTH. ADDITIONALLY, PROVIDENCE ST. JOSEPH HEALTH'S LABOR MARKET CONTINUES TO SPREAD ACROSS HEALTH CARE AND INTO GENERAL INDUSTRY. BECAUSE OF THIS, PROVIDENCE ST. JOSEPH HEALTH ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY FOR-PROFIT MARKET DATA, WHERE APPLICABLE. BASE SALARIES FOR PROVIDENCE ST. JOSEPH HEALTH EXECUTIVES ARE GENERALLY TARGETED TO THE MEDIAN LEVEL OF THE MARKET, AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY ACHIEVE SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE ST. JOSEPH HEALTH OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS AND MIRRORS BEST PRACTICES. THE PROCESS TO REVIEW COMPENSATION WAS LAST COMPLETED MARCH 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. |
| Form 990, Part IX, line 24e | DUES & SUBSCRIPTIONS: Program service expenses 0. Management and general expenses 1,051. Fundraising expenses 5,957. Total expenses 7,008. |
| Form 990, Part XI, line 9: | FINANCIAL ACTIVITY OF PHSF REALTY -45,487. ROUNDING 2. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHSF REALTY LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 S BUENA VISTA ST | AddressLine1Txt |
| City | BURBANK | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91505 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273652988 | EIN |
| Primary Activities | INVESTMENT | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Total Income | $46,344 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE HEALTH & SERVICES FOUNDATION | BusinessNameLine1Txt |
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) | |
| 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 HEALTH SYSTEM - SO CALIFORNIA | |||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 980579016 | 510216589 | HEALTHCARE | CA | 501(c)(3) | 3 | PHS | 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 |
|---|---|---|---|---|---|---|---|
| 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 | N/A |
| 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 | N/A |
| 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 | N/A |
| 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 | N/A |
| PROVIDENCEUSP SURGERY CENTERS LLC | |||||||
| 11550 INDIAN HILLS ROAD 160 | MISSION HILLS | CA | 91345 | 200905938 | AMBULATORY SURG | CA | N/A |
| SHA LLC | |||||||
| 12940 NORTH HIGHWAY 183 | AUSTIN | TX | 78750 | 752569094 | HEALTHCARE | TX | N/A |
| SJO ASC HOLDINGS LLC | |||||||
| 1140 W LA VETA AVE | ORANGE | CA | 92868 | 821655501 | HEALTHCARE | CA | 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 |
| 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 | 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 | ||||
| AMERICAN UNITY GROUP LTD | |||||||||||||
| CAPTIVE INSURANCE | N/A | C | 0 | 90 PITTS BAY ROAD PEMBROKE | BERMUDA | BD | BD | ||||||
| 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 | N/A | C | 0 | ||||
| PIONEER INNOVATIONS INC | |||||||||||||
| 800 5TH AVE 10TH FLOOR | SEATTLE | WA | 98104 | 364818191 | HEALTH INNOVATNS | WA | N/A | C | 0 | ||||
| PROVIDENCE ASSURANCE INC | |||||||||||||
| 3131 CAMELBACK ROAD STE 400 | PHOENIX | AZ | 85016 | 208194071 | CAPTIVE INSURANCE | AZ | 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 | N/A | C | 0 | ||||
| PROVIDENCE HEALTH VENTURES INC | |||||||||||||
| 4101 TORRANCE BLVD | TORRANCE | CA | 90503 | 330122216 | INVESTMENT | CA | N/A | C | 0 | ||||
| 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 | ||||
| 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 | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA | |
| B | $8,822,038 |
| PROVIDENCE TRINITYCARE HOSPICE | |
| B | $274,385 |
| PROVIDENCE TRINITYCARE HOSPICE FOUNDATION | |
| B | $183,173 |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | |
| C | $416,616 |
| PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA | |
| C | $5,017,398 |
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