SWEDISH MEDICAL CENTER FOUNDATION: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SWEDISH MEDICAL CENTER FOUNDATION (EIN 91-0983214)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201723199349314092
- Schema version
- 2016v3.0
- 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 F
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T16:55:14-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911194016 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Clark Nuber PS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4th Suite 1400 | AddressLine1Txt |
| City | Bellevue | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910983214 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SWEDISH MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SWED | BusinessNameControlTxt |
| Phone | 2062155967 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 747 Broadway | AddressLine1Txt |
| City | Seattle | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98122 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jay Vogelsang | PersonNm |
| Person Title | President/CDO | PersonTitleTxt |
| Phone | 2062155967 | PhoneNum |
| Signature | 2017-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Sara Elizabeth J Hyre CPA | PreparerPersonNm |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 170.173.0.16 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-15 | IPDt |
| IP Tm | 14:55:01 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Jay Vogelsang | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 747 Broadway | AddressLine1Txt |
| City | Seattle | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,516,536 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.swedishfoundation.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | Swedish Medical Center Foundation is the fundraising arm of Swedish Health Services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 28 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 25 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 473 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $26,169,062 | PYContributionsGrantsAmt |
| CY Contributions Grants | $18,684,650 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,301,551 | PYInvestmentIncomeAmt |
| CY Investment Income | $353,093 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$299,874 | PYOtherRevenueAmt |
| CY Other Revenue | -$314,586 | CYOtherRevenueAmt |
| PY Total Revenue | $33,170,739 | PYTotalRevenueAmt |
| CY Total Revenue | $18,723,157 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,589,401 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $7,630,743 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,327,397 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,093,579 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,561,066 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,099,735 | PYOtherExpensesAmt |
| CY Other Expenses | $1,100,726 | CYOtherExpensesAmt |
| PY Total Expenses | $11,016,533 | PYTotalExpensesAmt |
| CY Total Expenses | $11,825,048 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $22,154,206 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,898,109 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $81,762,757 | TotalAssetsBOYAmt |
| Total Assets EOY | $92,631,603 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,751,300 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,109,616 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $77,011,457 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $86,521,987 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The Foundation is committed to supporting the efforts of Swedish Health Services in advancing health care in the region and meeting the health care needs of the community. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,921,365 | ExpenseAmt |
| Grant | $4,387,718 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Community Support/ Swedish Support: Donations enhance Swedish's ability to care for the most vulnerable in our community through programs like the Swedish Community Specialty Clinic, which provides specialized medical and dental services at no cost to low-income underinsured and uninsured patients. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,674,513 | ExpenseAmt |
| Grant | $2,384,503 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | The Swedish Cancer Institute: Thanks to the generous support of our community, among our most significant accomplishments of 2016 was the opening of the Robert and Jean Reid Family Innovative Therapeutics and Research Unit which allowed us to greatly expand our clinical trials and research programs, giving our patients access to more groundbreaking treatments and technologies to better treat their cancer. We were also able to open the Michelle Sloan Family Kitchen, which provides a soothing space where patients, families and caregivers can access nutritious meals and snacks and consult with an on-site dietitian. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $563,685 | ExpenseAmt |
| Grant | $502,562 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Swedish Neuroscience Institute. Thanks to the support of our community, we were able to advance initiatives in four major programs. In the Swedish Multiple Sclerosis Center, the support of our community helped us conduct research and provide supportive care services for patients with multiple sclerosis including fitness and wellness classes, support groups, educational events and adventure and recreation programs. Most notably, donations in 2016 allowed us to launch our first Adventure Program, which helps patients with MS experience activities like skiing, kayaking and cycling. In the Ivy Center for Advanced Brain Tumor Treatment, donations helped to advance the Ivy Center's research to improve care, and ultimately extend lives for patients with brain cancer. With the Swedish Spinal Cord Research Platform, support of our community helped us launch a program to accelerate research and the pace of innovation so we can offer better treatment options to patients with paralysis. And finally, because of the support of the community, we were the first institution in the Northwest able to offer focused ultrasound to patients living with essential tremor. Because of these clinical trials, we are now able to offer this non-invasive treatment that dramatically improves the quality of life for patients with this common neurological disorder. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $399,253 | ExpenseAmt |
| Grant | $355,960 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Swedish Heart and Vascular Institute: Because of the support of our community we were able to continue expanding the Swedish Navigation Program for Advanced Cardiovascular Care, which brought "nurse navigators" -specialized nurses who work to improve patient outcomes by helping patients navigate complex treatment and testing protocols - to five specialty areas. The Navigation program also allowed Swedish to develop new patient education materials so that patients can better understand their treatment plan and supported clinical trials to test new treatment options for advanced cardiovascular disease. Finally, thanks to the support of the community, the Heart and Vascular Institute was able to install new high-tech monitors in our exam rooms to display calming animated artwork by local artist Catherine Mayer. In addition to providing a calming environment, these monitors also allow patients to review their health information with their physician to help them better understand their condition and empower them to take charge of their care. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $399,253 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $355,960 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $8,558,816 | 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 | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | 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 | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | 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 | Yes (1) | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| 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 | 28 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 25 | 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 | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Karl E Fritschel CPA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4255253339 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Avenue SW 9016 | AddressLine1Txt |
| City | Renton | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 980579016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 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 |
|---|---|---|---|---|---|---|---|
| Armada Anthony | |||||||
| Board Member | 5.00 | 60.00 | Yes (X) | $0 | $1,314,860 | $353,757 | |
| Auer Nancy | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Braker Anita | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Buchman Barbara | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Buckner Lida | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Everitt Sarah | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Gores Tom | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Gossman Cheryl | |||||||
| Board Member | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Harrison Scott | |||||||
| Board Chair | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Hughes Jessica | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Karr Annika | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Krippaehne Bill | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Lembersky Rae | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Lytle Chuck | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| McDonald Kirby | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Melancon Michael | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Millage Carla | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Morris Tracy | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Otter Molly | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Parks Annette | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Peters Mike MD | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Petersen John L MD | |||||||
| Board Member | 1.00 | 49.00 | Yes (X) | $0 | $676,442 | $41,241 | |
| Richte Kim | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Root Brad | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Sabey Diane | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| True Janet | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Viereck Jean | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Vogelsang Jay Harold | |||||||
| President/CDO | 50.00 | 20.00 | Yes (X) | $0 | $419,155 | $43,065 | Yes (X) |
| Harris Dan | |||||||
| Treasurer - Thru 11/16 | 1.00 | 39.00 | $0 | $778,023 | $77,489 | Yes (X) | |
| Vo Betsy | |||||||
| Secretary | 2.00 | 53.00 | $0 | $244,218 | $26,112 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,432,698 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $541,664 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $17,834 | FederatedCampaignsAmt |
| Fundraising | $1,657,953 | FundraisingAmt |
| Related Organizations | $4,640,736 | RelatedOrganizationsAmt |
| Government Grants | $780,474 | GovernmentGrantsAmt |
| All Other Contributions | $11,587,653 | AllOtherContributionsAmt |
| Noncash Contributions | $417,717 | NoncashContributionsAmt |
| Total Contributions | $18,684,650 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $251,066 | TotalRevenueColumnAmt |
| Exclusion | $251,066 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $242 | TotalRevenueColumnAmt |
| Exclusion | $242 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,131,261 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,029,234 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $102,027 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $102,027 | TotalRevenueColumnAmt |
| Exclusion | $102,027 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $445,817 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $1,657,953 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $764,145 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$318,328 | TotalRevenueColumnAmt |
| Exclusion | -$318,328 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Display Fees | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $3,500 | TotalRevenueColumnAmt |
| Exclusion | $3,500 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,500 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,723,157 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $38,507 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,630,743 | TotalAmt |
| Program Services | $7,630,743 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $437,705 | TotalAmt |
| Program Services | $131,311 | ProgramServicesAmt |
| Management And General | $43,771 | ManagementAndGeneralAmt |
| Fundraising | $262,623 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,302,663 | TotalAmt |
| Program Services | $690,799 | ProgramServicesAmt |
| Management And General | $230,266 | ManagementAndGeneralAmt |
| Fundraising | $1,381,598 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,593 | TotalAmt |
| Program Services | $24,478 | ProgramServicesAmt |
| Management And General | $8,159 | ManagementAndGeneralAmt |
| Fundraising | $48,956 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $271,618 | TotalAmt |
| Program Services | $81,485 | ProgramServicesAmt |
| Management And General | $27,162 | ManagementAndGeneralAmt |
| Fundraising | $162,971 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,968 | TotalAmt |
| Management And General | $79,968 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,029 | TotalAmt |
| Management And General | $74,306 | ManagementAndGeneralAmt |
| Fundraising | $143,723 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,494 | TotalAmt |
| Fundraising | $9,494 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $413,939 | TotalAmt |
| Management And General | $167,671 | ManagementAndGeneralAmt |
| Fundraising | $246,268 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,968 | TotalAmt |
| Management And General | $22,495 | ManagementAndGeneralAmt |
| Fundraising | $19,473 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,491 | TotalAmt |
| Management And General | $2,219 | ManagementAndGeneralAmt |
| Fundraising | $29,272 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,016 | TotalAmt |
| Management And General | $2,504 | ManagementAndGeneralAmt |
| Fundraising | $7,512 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Donor Events | $184,304 | $184,304 | |
| Relocation | $39,283 | $39,283 | |
| Bad Debt | $12,500 | $12,500 | |
| Dues & Subscriptions | $12,016 | $12,016 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,718 | TotalAmt |
| Management And General | $7,362 | ManagementAndGeneralAmt |
| Fundraising | $40,356 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,825,048 | TotalAmt |
| Program Services | $8,558,816 | ProgramServicesAmt |
| Management And General | $705,166 | ManagementAndGeneralAmt |
| Fundraising | $2,561,066 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,780,382 | BOYAmt |
| EOY | $30,517,742 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,329,562 | BOYAmt |
| EOY | $4,211,753 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,119 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $433,200 | LandBldgEquipCostOrOtherBssAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $564,500 | BOYAmt |
| EOY | $433,200 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,000,674 | BOYAmt |
| EOY | $22,473,956 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $21,652,362 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,075,520 | BOYAmt |
| EOY | $13,342,590 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,762,757 | BOYAmt |
| EOY | $92,631,603 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,252 | BOYAmt |
| EOY | $7,527 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,745,048 | BOYAmt |
| EOY | $6,102,089 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,751,300 | BOYAmt |
| EOY | $6,109,616 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,520,438 | BOYAmt |
| EOY | $18,171,312 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,894,722 | BOYAmt |
| EOY | $47,125,850 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,596,297 | BOYAmt |
| EOY | $21,224,825 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,011,457 | BOYAmt |
| EOY | $86,521,987 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,762,757 | BOYAmt |
| EOY | $92,631,603 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,898,109 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,964,997 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$352,576 | 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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 | $15,915,093 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,477,156 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,684,904 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,169,062 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,684,650 | CurrentTaxYearAmt |
| Total | $89,930,865 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,915,093 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,477,156 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,684,904 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,169,062 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,684,650 | CurrentTaxYearAmt |
| Total | $89,930,865 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $20,032,830 | SubstantialContributorsTotAmt |
| Public Support Total170 | $69,898,035 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $142,969 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $29,816 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $112,936 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $482,539 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $251,308 | CurrentTaxYearAmt |
| Total | $1,019,568 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $8,240 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,500 | CurrentTaxYearAmt |
| Total | $11,740 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $90,962,173 | TotalSupportAmt |
| Public Support CY170 | 0.76840 | PublicSupportCY170Pct |
| Public Support PY170 | 0.84440 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10, Explanation of Other Income: | FormAndLineReferenceDesc |
| Explanation | Service Agreement Fee - 2015 Amount: $ 7,500. Cost Recovery - 2015 Amount: $ 740. Display Fees - 2016 Amount: $ 3,500. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenues Included | $160,650 | RevenuesIncludedAmt |
| Assets Included | $0 | AssetsIncludedAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used Pub Exhibition | Yes (X) | CollectionUsedPubExhibitionInd |
| Solicited Assets Sale | Yes (1) | SolicitedAssetsSaleInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,628,379 | BeginningYearBalanceAmt |
| Contributions | $356,319 | ContributionsAmt |
| Investment Earnings Or Losses | $819,690 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $573,724 | GrantsOrScholarshipsAmt |
| End Year Balance | $15,230,664 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,069,359 | BeginningYearBalanceAmt |
| Contributions | -$80,936 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,219,267 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $140,777 | GrantsOrScholarshipsAmt |
| End Year Balance | $14,628,379 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,968,627 | BeginningYearBalanceAmt |
| Contributions | $514,229 | ContributionsAmt |
| Investment Earnings Or Losses | $702,016 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $115,513 | GrantsOrScholarshipsAmt |
| End Year Balance | $16,069,359 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,609,074 | BeginningYearBalanceAmt |
| Contributions | $3,166,557 | ContributionsAmt |
| Investment Earnings Or Losses | $2,194,253 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,257 | GrantsOrScholarshipsAmt |
| End Year Balance | $14,968,627 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,966,789 | BeginningYearBalanceAmt |
| Contributions | $156,109 | ContributionsAmt |
| Investment Earnings Or Losses | $3,518,612 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $32,436 | GrantsOrScholarshipsAmt |
| End Year Balance | $9,609,074 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.26430 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.63880 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.09690 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $433,200 | InvestmentCostOrOtherBasisAmt |
| Book Value | $433,200 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $433,200 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $21,652,362 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $21,652,362 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Charitable Gift Annuity | $1,263,686 |
| Beneficial Interest in Charitable Remainder Unitrust | $591,824 |
| Perpetual Trust held by Third Party | $11,487,080 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $13,342,590 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $5,189,981 |
| Gift Annuity Obligation | $912,108 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,102,089 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $21,446,806 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $2,964,997 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $401,271 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | -$365,077 | OtherRevenueAmt |
| Revenue Not Reported | $3,001,191 | RevenueNotReportedAmt |
| Revenue Subtotal | $18,445,615 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $79,968 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $197,574 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $277,542 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $18,723,157 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,936,275 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $401,271 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | -$197,573 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $203,698 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,732,577 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $79,968 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $12,503 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $92,471 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,825,048 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part III, Line 4: | Art for public exhibition in hospital facilities |
| Part V, Line 4: | Swedish Medical Center Foundation's Endowment Funds consist of individual funds established for a variety of purposes including Uncompensated Care, Research, Pediatrics, Neurosciences, Cancer, Heart and Vascular and Women's Health and Childbirth Services. The majority of these funds are donor-restricted endowment funds. Net Assets associated with endowment funds are classified and reported based on the existence of donor-imposed restrictions. 2016 distributions were used for education, research, art exhibit, and capital projects. |
| Part XI, Line 2d - Other Adjustments: | 2016 Bad Debt reported as Expense -12,500. Adjustment for Pledges made prior to 2016 -352,577. |
| Part XI, Line 4b - Other Adjustments: | Additional related contributions recorded in expense category 778,548. Fundraising Event Expenses -580,975. Rounding 1. |
| Part XII, Line 2d - Other Adjustments: | Additional related contributions recorded in expense category -778,548. Fundraising Event Expenses 580,975. |
| Part XII, Line 4b - Other Adjustments: | Rounding 3. 2016 Bad Debt 12,500. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $21,652,362 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $21,652,362 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $21,652,362 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Investments in foreign funds. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Celebrate Swedish | Event1Nm |
| Gross Receipts Event1 | $1,225,798 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $926,667 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $299,131 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $9,924 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $259,857 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $4,350 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $306,102 | OtherDirectExpensesEvent1Amt |
| Event2 | SummeRun | Event2Nm |
| Gross Receipts Event2 | $461,886 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $383,826 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $78,060 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $62,672 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $416,086 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $347,460 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $68,626 | GrossRevenueOtherEventsAmt |
| Rent Fclty Costs Other Events | $8,100 | RentFcltyCostsOtherEventsAmt |
| Oth Direct Expnss Other Events | $113,140 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $2,103,770 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $1,657,953 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $445,817 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $18,024 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $259,857 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $4,350 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $481,914 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $764,145 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$318,328 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Swedish Health Services | |||||||
| 747 Broadway | Seattle | WA | 98122 | 910433740 | 501(C)(3) | $4,828,925 | Support for Swedish Operations |
| Swedish Health Services | |||||||
| 747 Broadway | Seattle | WA | 98122 | 910433740 | 501(C)(3) | $2,759,718 | Support for Swedish Capital Projects |
| PH&S-WA | |||||||
| 1801 Lind Ave SW | Renton | WA | 98057 | 510216586 | 501(C)(3) | $25,189 | Employee Emergency Support/Community Support |
| Swedish Edmonds | |||||||
| 21601 76th Avenue W | Edmonds | WA | 98026 | 272305304 | 501(C)(3) | $6,080 | Support for Swedish Edmonds Facilities and Programs |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Swedish Foundation's mission is to support Swedish Health Services. In the event that a grant is to be made outside of Swedish and its affiliates, the original donor agreement/gift in question is reviewed. The grant may be made if the original gift agreement allows for a change of purpose or to transfer to another organization if the original intent can no longer be met by Swedish. The Foundation will reach out to the donor (or surviving spouse if the donor is deceased) to inform them of our intention to re-direct a gift. Any payment to an outside organization will be accompanied by a letter from the Foundation President explaining the reason for the transfer along with the original intent of the gift. | 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Armada Anthony | ||||||||||||||
| Board Member | $0 | $759,105 | $0 | $537,755 | $0 | $18,000 | $0 | $328,401 | $0 | $25,356 | $0 | $1,668,617 | $0 | $0 |
| Petersen John L MD | ||||||||||||||
| Board Member | $0 | $330,799 | $0 | $95,643 | $0 | $250,000 | $0 | $18,550 | $0 | $22,691 | $0 | $717,683 | $0 | $0 |
| Vogelsang Jay Harold | ||||||||||||||
| President/CDO | $0 | $388,922 | $0 | $0 | $0 | $30,233 | $0 | $18,550 | $0 | $24,515 | $0 | $462,220 | $0 | $0 |
| Harris Dan | ||||||||||||||
| Treasurer - Thru 11/16 | $0 | $447,127 | $0 | $330,896 | $0 | $0 | $0 | $64,100 | $0 | $13,389 | $0 | $855,512 | $0 | $0 |
| Vo Betsy | ||||||||||||||
| Secretary | $0 | $211,244 | $0 | $32,974 | $0 | $0 | $0 | $13,241 | $0 | $12,871 | $0 | $270,330 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | The reporting organization did not provide any of the benefits listed in Part I, Line 1a. However, as part of the related organization's philosophy of transparency, the narrative that follows relates to the compensation and benefits provided by the related organization. Swedish executives adhere to the Providence Expense Reimbursement Procedures which include the following policies. Tax Indemnifications or Gross-Up Payments - Relocation Swedish follows the federal and state taxation laws related to relocation expenses paid to the employee or to a third party on the employee's behalf. They are considered income and are therefore subject to payroll taxes. Based on the way Swedish has chosen to pay the relocation expenses, Swedish reports reimbursements and payments to vendors as income and these expense payments are reflected on the executive's Form W-2. Swedish will gross-up the relocation benefits to offset the personal tax burden to the employee for IRS allowable expenses. During 2016, there was 1 Officer receiving gross-up payments. The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation on the Form 990. Housing Allowance or Residence for Personal Use Swedish provides housing allowances for purposes of relocation assistance only. Swedish may pay temporary living expenses for the employee up to a maximum of 90 calendar days. Covered expenses are rent (excluding "rent" which may be paid in order to occupy a new permanent residence until the title clears) and utilities, including heat, electricity, gas, water, local internet and local telephone and garbage services. The EVP, CAO PSJH may approve temporary housing assistance for up to six months when family relocation is delayed to accommodate the school year or equivalent circumstances. Only in extenuating circumstances is housing extended beyond this six month period. During 2016, there was 1 Officer receiving relocation/housing program payments. The amounts reported for these relocation/housing payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation on the Form 990. |
| Part I, Line 4b | NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan 1) Anthony Armada a) SERP Earned but not Vested- $285,866 b) SERP Interest Credit - $30,610 2) Dan Harris a) SERP Interest Credit - $38,182 |
| Part II - COMPENSATION OF INDIVIDUALS | John L. Petersen, Betsy Vo, Dan Harris and Anthony Armada are paid employees of a related organization. They are not compensated for serving as trustees or officers by the Foundation. |
| FORM 990, SCHEDULE J, PART II - EXECUTIVE INCENTIVE PROGRAM | Swedish executives participate in the Providence Executive Incentive Program which 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). The performance award is based on the level of accomplishment of annual system and functional (or regional) objectives. In 2016, 60 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's strategic priorities. The remaining 40% was based on a robust set of function specific goals designed to align critical mission and business drivers. In 2016 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% |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 9 | ContributionCnt |
| Noncash Contributions Rpt F990 | $160,650 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 9 | ContributionCnt |
| Noncash Contributions Rpt F990 | $61,898 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | Auction Items | 167 | $183,169 | FMV |
| Yes (X) | Piano | 1 | $12,000 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 1 | 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, Column (b): | FormAndLineReferenceDesc |
| Explanation | 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 (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Swedish Health Services is the sole member of Swedish Medical Center Foundation. |
| Form 990, Part VI, Section A, line 7a | Election of members of the Board of governors is subject to the approval of Swedish Health Services. |
| Form 990, Part VI, Section A, line 7b | The following decisions by the governing body are subject to approval by Swedish Health Services, the sole member Swedish Medical Center Foundation: A. Appointment of the Chair and Vice-Chair. B. Delegation of the power or duties of an officer or administrator to any other officer or any director or other person. C. The filling of vacancies in the office of Chair or Vice-Chair. D. The appointment of other officers or agents appointed to exercise powers and duties on behalf of the Board of governors. E. The Chair or Vice-Chair may be removed at any time, with or without cause, by the affirmative vote of a majority of the whole board of governors or by the member. F. The bank or banks, trust company or trust companies holding the moneys of the corporation. G. The process for withdrawal of the moneys of the corporation. H. Additions, alterations, amendment, repeal of bylaws. |
| Form 990, Part VI, Section B, line 11b | The Form 990 is prepared internally by experienced Providence Health & Services staff and reviewed by the PH&S Director of Taxes and external tax advisors. The Foundation President reviewed the Form 990 in detail. Once approved, an electronic copy of the Form 990 is emailed to the Board prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | The Swedish Medical Center Foundation is subject to the conflict of interest policy of Swedish Health Services, its sole member. Management employees are covered by the Swedish Health Services conflict of interest policy. Board members and covered persons are required to complete a conflict of interest questionnaire annually and disclose any affiliations, interest or relationships and/or any transactions the individual and/or his or her family members have engaged in that might give rise to an actual, apparent or potential conflict of interest. The policy defines family members and describes what constitutes conflicts of interest. It requires individuals to report to the appropriate committee chair any further financial interest, situation, activity, interest or conduct that may develop before completion of the next annual questionnaire. Potential conflicts of interest with physician board members with financial interests in businesses that compete with the foundation are addressed, as well as appropriate disclosures, evaluation and resolution of said conflicts. The conflict of interest questionnaire includes an annual statement that board members and covered persons (a) have received a copy of the policy, (b) have read and understood the policy, (c) agree to comply with the policy, (d) understand that the policy applies to committees and subcommittees, (e) understand that the organization is a charitable organization that must engage primarily in exempt activities, (f) agree to report to the appropriate manager or committee chair any change to matters previously disclosed on the conflict of interest questionnaire, (g) state that the information provided in the conflict of interest questionnaire is true and accurate to the best of his or her knowledge and belief. The purpose of the policy is to ensure board members and covered persons are independent and able to perform their duties in an impartial manner, free from any bias created by personal interests, to protect the interests of the foundation, to clarify the duties and obligations of the board members and covered persons in the context of a potential conflict (and to provide a method for disclosing and resolving said conflict) and to supplement (not replace) any applicable state laws governing conflicts of interest applicable to charitable, non-profit corporations. Swedish Medical Center Foundation will not engage in any contract, transaction or arrangement involving a potential conflict of interest unless it is determined that appropriate safeguards protect the charitable mission of the Foundation have been implemented. The Executive Committee of Swedish Health Services will review all conflict of interest questionnaires for board members. The Executive committee will make a finding as to whether an actual, apparent or potential conflict of interest exists and will take actions as it deems appropriate. The conflict of interest committee governs the policy and questionnaire related to all other covered persons. The minutes of meetings will identify any person attending the meeting who has a conflict of interest with respect to any matter before the board or committee and the action taken to address the conflict of interest (e.g., the individual left the room during the discussion of the matter giving rise to the conflict of interest and the individual did not vote on such matter). |
| Form 990, Part VI, Section B, line 15 | It is Swedish's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Swedish 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 has a single fiduciary Board, which also covers Swedish officers and key employees, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence and Swedish also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its officers, including our senior Swedish executives. Salaries for senior executives are reviewed by the Providence St. Joseph Health Committee and approved by the full Board of Directors, none of whom is a Providence or Swedish employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence 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. Additionally, Providence's labor market continues to spread across health care and into general industry. Because of this, Providence also takes into consideration general industry for-profit market data, where applicable. Base salaries for Providence executives are generally targeted to the median level of the market, as identified by the independent consultant and reviewed with the Executive Compensation Committee. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering Providence operating commitments and strategic objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate market practices. The Board's process for executive compensation fully complies with IRS standards and mirrors best practices. The Foundation President/Chief Development officer is compensated by a related organization which uses a market based compensation program utilizing several independent third party compensation market surveys to establish pay ranges for the position. The related organization then establishes the individual rate of pay within the range based on relevant experience, skills and competencies. The rate offered to the President/Chief Development Officer at the time of hire was determined through discussion between the Regional CEO, Regional Director of HR and the Administrative Director of HR. The ranges and rate of pay are reviewed on an annual basis by Regional HR. |
| Form 990, Part VI, Section C, line 19 | Copies of the Swedish Medical Center Foundation's governing documents, conflict of interest policy and financial statements are available upon request. |
| Form 990, Part XI, line 9: | Rounding 1. Adjustment for Pledges made prior to 2016 -352,577. |
| Form 990, Part VI, Section B, Line 13 | The Swedish Medical Center Foundation is subject to the written whistleblower policy of its sole member, Swedish Health Services. |
| Form 990, Part VI, Section B, Line 14 | The Swedish Medical Center Foundation is subject to the written document retention and destruction policy of its sole member, Swedish Health Services. |
| FORM 990, PART XII, LINE 2c - AUDIT & COMPLIANCE | The Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. |
| FORM 990, PART VII, SECTION A - COMPENSATION | Employees working at the Foundation are compensated by related organizations. Therefore, no W-2s are issued by the reporting organization. Physicians serving on the Board are compensated by the related organization for their services to the medical facilities and not for their role as a trustee on the Foundation Board. With the exception of Jay Vogelsang, the President, the persons listed on Part VII are not compensated for serving as trustees or officers of the Swedish Medical Center Foundation. |
| FORM 990, PART I, LINE 6 - VOLUNTEERS | Planned Giving Council - 10 volunteers The Planned Giving Council works to increase the quality and quantity of charitable planned gifts to Swedish. The Art Committee - 9 volunteers The Art Committee provides curatorial management of the Swedish Health Services (SHS) art collection, implements SHS policies regarding art, coordinates the orderly distribution of art resources throughout SHS, seeks donations of art, and acts as the final arbiter on issues regarding art. Swedish Cancer Institute Development Council - 14 volunteers Provides guidance in the development of meaningful programs and services at Swedish Cancer Institute which the community can support. Swedish Brain Cancer Walk (SBCW) Planning Committee - 30 volunteers The SBCW Planning Committee consists of members responsible for the following Walk activities; fundraising, Tent of Honor, Patient & Survivor Tent and Walk Day Entertainment. The committee meets monthly for 6 months prior to the Walk. Celebrate Swedish Planning Committee - 18 volunteers The CS Planning Committee assists with auction procurement, in-kind donations and event production for the 2016 Celebrate Swedish Gala. The committee meets monthly for eight months prior to the event. Office Help - 2 volunteers The office volunteers at the Foundation work on a variety of administrative tasks and special projects for the Foundation. Day of Event Volunteers (help on the day of the event only) * Seattle Brain Cancer Walk: 170 * SummeRun & Walk: 150 * Celebrate Swedish: 70 |
| FORM 990, SCHEDULE R - RELATED ORGANIZATIONS | AFFILIATION AGREEMENTS Effective April 1, 2016, the Health System (Providence Health & Services) entered into a business combination agreement with the Institute for Systems Biology (ISB). The transaction was accounted for as an acquisition under ASC 958-805. On July 1, 2016, Providence Health & Services (PHS) and St. Joseph Health System (SJHS) entered into a business combination agreement, the purpose of which was to better serve both organizations' communities, maintain strong traditions of Catholic healthcare, and provide greater affordability and access to healthcare services. As part of the business combination, PHS and SJHS aligned under a single parent corporation, Providence St. Joseph Health, with a consolidated board of directors and cosponsorship from the public juridic persons Providence Ministries and St. Joseph Health Ministry. SJHS provides a full range of care facilities including 16 acute care hospitals, home health agencies, hospice care, outpatient services, skilled nursing facilities, community clinics, and physician groups spanning California, west Texas, and eastern New Mexico. The results of operations of these entities have been included in the combined statements of operations of the Health System since July 1, 2016, the effective date of the business combination. |
Schedule R IRS990ScheduleR
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence Health & Services - Washington | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216586 | Healthcare System | WA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Providence Health & Services - Oregon | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216587 | Healthcare System | OR | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Providence Health System - So California | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216589 | Healthcare System | CA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Everett Transitional Care Services | |||||||||||
| PO Box 5128 | Everett | WA | 982065128 | 943264605 | Transitional Care | WA | 501( c)(3) | Line 10 | 0 | N/A | |
| Providence Plan Partners | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 911861964 | Healthcare Services | WA | 501( c)(4) | N/A | PH & S - Oregon | 0 | |
| Providence Health Plan | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 930863097 | Health Service Contractor | OR | 501( c)(4) | N/A | Providence Plan Partners | 0 | |
| Providence Health Assurance | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 550828701 | Medicaid Healthcare Provider | OR | 501( c)(4) | N/A | Providence Health Plan | 0 | |
| Providence Medical Institute | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330283773 | Healthcare | CA | 501( c)(3) | Line 12/Type I | PHS - So California | 0 | |
| Little Company of Mary Ancillary Services Corporation | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330844408 | Imaging Services | CA | 501( c)(3) | Line 10 | PHS - So California | 0 | |
| Providence TrinityCare Hospice | |||||||||||
| 5315 Torrance Blvd Suite B1 | Torrance | CA | 90503 | 953264139 | Hospice | CA | 501( c)(3) | Line 10 | PHS - So California | 0 | |
| Providence Blanchet Association | |||||||||||
| 1700 Providence Pl | Centralia | WA | 98531 | 911789266 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| St Luke Association | |||||||||||
| 350 Washington Ave SE | Chehalis | WA | 98352 | 943176618 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Rossi Association | |||||||||||
| 1700 Providence Pl | Centralia | WA | 98531 | 311584166 | Supportive Housing | WA | 501( c)(3) | Line 10 | PH & S - Washington | 0 | |
| Lundberg Association | |||||||||||
| 5921 E Burnside | Portland | OR | 97215 | 911562797 | Supportive Housing | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence St Francis Association | |||||||||||
| 3415 12th Avenue NE | Olympia | WA | 98506 | 943244854 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Peter Claver Association | |||||||||||
| 7101 38th Avenue South | Seattle | WA | 98118 | 311629656 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence St Elizabeth House Association | |||||||||||
| 3201 SW Graham St | Seattle | WA | 98126 | 912171539 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Gamelin House Association | |||||||||||
| 4515 MLK Jr Way S Ste 200 | Seattle | WA | 98108 | 311744654 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| The Gamelin Association | |||||||||||
| 312 North Fourth St | Yakima | WA | 98901 | 911180824 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| The Gamelin Oregon Association | |||||||||||
| 5520 NE Glisan | Portland | OR | 97213 | 911214491 | Supportive Housing | OR | 501( c)(3) | Line 10 | PH & S - Oregon | 0 | |
| The Gamelin California Association | |||||||||||
| 540 23rd St | Oakland | CA | 94612 | 911293869 | Supportive Housing | CA | 501( c)(3) | Line 10 | PHS - So California | 0 | |
| Gamelin Washington Association | |||||||||||
| 1423 First Avenue | Seattle | WA | 98101 | 201910170 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Dethman House | |||||||||||
| 1205 Montello Ave | Hood River | OR | 97031 | 473385506 | Supportive Housing | WA | 501( c)(3) | Line 7 | 0 | N/A | |
| Providence Foundation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 943078543 | Support PH&S and W. HealthConnect | WA | 501( c)(3) | Line 12/Type I | PH & S - Washington | 0 | |
| Providence Alaska Foundation | |||||||||||
| 3300 Providence Drive - B Tower2 | Anchorage | AK | 99508 | 920093565 | Support PHS-Alaska | AK | 501( c)(3) | Line 12/Type I | PH & S - Washington | 0 | |
| Providence St Peter Foundation | |||||||||||
| 413 Lilly Road NE | Olympia | WA | 985065166 | 911097056 | Support Affiliated Tax-Exempt Organization | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Health Care Foundation (Centralia) | |||||||||||
| 914 S Scheuber Road | Centralia | WA | 98531 | 911433382 | Support Providence Centralia Hospital | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Mount St Vincent Foundation | |||||||||||
| 4831 - 35th Avenue SW | Seattle | WA | 981262799 | 911188119 | Support Providence Mount St.Vincent | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Marianwood Foundation | |||||||||||
| 3725 Providence Point Drive SE | Issaquah | WA | 980297219 | 931554288 | Support Providence Marianwood | WA | 501( c)(3) | Line 12/Type I | PH & S - Washington | 0 | |
| Providence Newberg Health Foundation | |||||||||||
| 1001 Providence Drive | Newberg | OR | 97132 | 930889144 | Support Providence Newberg Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Seaside Hospital Foundation | |||||||||||
| 725 S Wahanna Rd | Seaside | OR | 97138 | 930927320 | Support Providence Seaside Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Community Health Foundation | |||||||||||
| 1111 Crater Lake Ave | Medford | OR | 97504 | 930692907 | Support Providence Medford Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Benedictine Nursing Center Foundation | |||||||||||
| 540 South Main St | Mt Angel | OR | 973629532 | 911940286 | Support Providence Benedictine Nursing Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Portland Medical Foundation | |||||||||||
| 4805 NE Glisan St | Portland | OR | 972132967 | 931231494 | Support Providence Portland Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence St Vincent Medical Foundation | |||||||||||
| 9205 SW Barnes Rd | Portland | OR | 97225 | 930575982 | Support Providence St. Vincent Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Milwaukie Foundation | |||||||||||
| 10150 SE 32nd | Milwaukie | OR | 97222 | 943079515 | Support Providence Milwaukie Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Child Center Foundation | |||||||||||
| 830 NE 47th | Portland | OR | 97213 | 930800140 | Support Providence Child Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence TrinityCare Hospice Foundation | |||||||||||
| 5315 Torrance Blvd Suite B1 | Torrance | CA | 90503 | 330261016 | Support TrinityCare Hospice | CA | 501( c)(3) | Line 7 | Providence TrinityCare Hospice | 0 | |
| Providence Little Company of Mary Foundation | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 510224944 | Support Little Company of Mary Service Area | CA | 501( c)(3) | Line 7 | PHS - So California | 0 | |
| PH&S FoundationSFVSA & SCVSA | |||||||||||
| 501 S Buena Vista Street | Burbank | CA | 91505 | 953544877 | Support Program & Activities of SFVSA & SCVSA | CA | 501( c)(3) | Line 7 | PHS - So California | 0 | |
| Providence Hospice of Seattle Foundation | |||||||||||
| 425 Pontius Avenue North 300 | Seattle | WA | 981095452 | 912077378 | Support Hospice of Seattle | WA | 501( c)(3) | Line 12/Type I | PH & S - Washington | 0 | |
| Providence Health & Services - Western Washington | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911303277 | Healthcare | WA | 501( c)(3) | Line 3 | Providence MinistriesWHC | 0 | |
| Providence Health & Services | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911549796 | Support Providence Institutions | WA | 501( c)(3) | Line 12/Type II | Providence St Joseph Health | 0 | |
| Providence Health & Services - Montana | |||||||||||
| 500 W Broadway PO Box 4587 | Missoula | MT | 598064587 | 810231793 | Healthcare | MT | 501( c)(3) | Line 3 | PH & S - Washington | 0 | |
| Providence St Joseph Medical Center | |||||||||||
| PO Box 1010 | Polson | MT | 598601010 | 810463482 | Healthcare | MT | 501( c)(3) | Line 3 | PH & S - Washington | 0 | |
| St Thomas Child and Family Center | |||||||||||
| 1710 Benefis Court | Great Falls | MT | 59405 | 810233495 | Early Childhood Education | MT | 501( c)(3) | Line 10 | PH & S - Washington | 0 | |
| Sisters of Providence of Montana Corporation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 262612415 | Shell Corporation | MT | 501( c)(3) | Line 1 | PH & S - Washington | 0 | |
| Providence Health Care Foundation - Eastern Washington | |||||||||||
| 101 W 8th Ave | Spokane | WA | 99204 | 320014330 | Support PH&S-WA. Ministries in E. WA. | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| St Patrick Hospital Foundation | |||||||||||
| 500 West Broadway PO Box 4587 | Missoula | MT | 598064587 | 237056976 | Support Healthcare in W. Montana | MT | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| University of Great Falls | |||||||||||
| 1301 20th Street South | Great Falls | MT | 59405 | 810231777 | Post Secondary Education | MT | 501( c)(3) | Line 2 | Providence Health & Services | 0 | |
| E WA & MT Unemployment Compensation Insurance Trust | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911082119 | Unemployment Benefits | WA | 501( c)(3) | Line 12/Type I | PH & S - Washington | 0 | |
| Providence Willamette Falls Medical Foundation | |||||||||||
| 1500 Division Street | Oregon City | OR | 97045 | 931003750 | Support Willamette Falls Hospital | OR | 501( c)(3) | Line 12/Type I | PH & S - Oregon | 0 | |
| Providence Hood River Memorial Hospital Foundation Inc | |||||||||||
| 811 13th St | Hood River | OR | 97031 | 930921990 | Support Providence Hood River Memorial Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Hospice and Home Care Foundation | |||||||||||
| 2731 Wetmore Avenue Suite 500 | Everett | WA | 98201 | 272552749 | Support Program & Ministries of PHHC | WA | 501(c )(3) | Line 7 | PH & S - Washington | 0 | |
| Providence St Mary Foundation | |||||||||||
| 401 W Poplar St | Walla Walla | WA | 99362 | 452841492 | Support Program & Ministries of SMMC | WA | 501(c )(3) | Line 7 | PH & S - Washington | 0 | |
| Facey Medical Foundation | |||||||||||
| 15451 San Fernando Mission Blvd 200 | Mission Hills | CA | 913451420 | 954322584 | Support Facey Medical Group | CA | 501(c )(3) | Line 7 | PHS - So California | 0 | |
| Swedish Health Services | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 910433740 | Healthcare | WA | 501(c )(3) | Line 3 | Western HealthConnect | 0 | |
| Swedish Edmonds | |||||||||||
| 21601 76th Ave W | Edmonds | WA | 98026 | 272305304 | Healthcare | WA | 501(c )(3) | Line 3 | Western HealthConnect | 0 | |
| Global To Local Health Initiative | |||||||||||
| 2800 South 192nd St 104 | SeaTac | WA | 98188 | 273133200 | Healthcare | WA | 501(c )(3) | Line 7 | Swedish Health Services | 0 | |
| Swedish MJM Holdings | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 273139262 | Holding Company | WA | 501(c )(3) | Line 12/Type I | Swedish Health Services | 0 | |
| Marsha Rivkin Center for Ovarian Cancer Research | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 912054035 | Ovarian Cancer Research | WA | 501(c )(3) | Line 7 | Swedish Health Services | 0 | |
| Western HealthConnect | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 454171900 | Shell Corporation | WA | 501(c )(3) | Line 12/Type II | PH&S Western Washington | 0 | |
| Inland Northwest Health Services | |||||||||||
| 601 W 1st Avenue | Spokane | WA | 99201 | 911307555 | Healthcare | WA | 501( c)(3) | Line 3 | PH&S - Washington | 0 | |
| Kadlec Regional Medical Center | |||||||||||
| 888 Swift Blvd | Richland | WA | 99352 | 910655392 | Healthcare | WA | 501(c )(3) | Line 3 | Western HealthConnect | 0 | |
| Kadlec Neurological Resource Center | |||||||||||
| 1268 Lee Blvd | Richland | WA | 99352 | 911266345 | Healthcare | WA | 501(c )(3) | Line 10 | Western HealthConnect | 0 | |
| Kadlec Foundation | |||||||||||
| 888 Swift Blvd | Richland | WA | 99352 | 237005501 | Support Kadlec Regional Medical Center | WA | 501(c )(3) | Line 12/Type I | Kadlec Regional Medical Center | 0 | |
| PacMed Clinics | |||||||||||
| 1200 12th Ave S | Seattle | WA | 98144 | 562290878 | Healthcare | WA | 501(c )(3) | Line 10 | Western HealthConnect | 0 | |
| Seattle Science Foundation | |||||||||||
| 550 17th Ave | Seattle | WA | 98122 | 611502822 | Physician Collaboration | WA | 501(c )(3) | Line 7 | Western HealthConnect | 0 | |
| Providence Saint John's Health Center | |||||||||||
| 2121 Santa Monica Blvd | Santa Monica | CA | 90404 | 951684082 | Healthcare | CA | 501(c )(3) | Line 3 | PHS - So California | 0 | |
| John Wayne Cancer Institute | |||||||||||
| 2200 Santa Monica Blvd | Santa Monica | CA | 90404 | 954291515 | Cancer Treatment | CA | 501(c )(3) | Line 4 | Providence Saint John's Health Center | 0 | |
| Saint John's HospitalHealth Center Foundation | |||||||||||
| 2121 Santa Monica Blvd | Santa Monica | CA | 90404 | 956100079 | Support Saint John Health Center & JWCI | CA | 501(c )(3) | Line 7 | Providence Saint John's Health Center | 0 | |
| Providence St Joseph Health | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 98057 | 811244422 | Support PH&S and St. Joseph Health System | WA | 501(c )(3) | Line 12, Type III | 0 | N/A | |
| Institute for Systems Biology | |||||||||||
| 401 Terry Ave N | Seattle | WA | 98109 | 912003593 | Predict, prevent & cure disease | WA | 501(c )(3) | Line 7 | Western HealthConnect | 0 | |
| Providence Saint John's Medical Foundation | |||||||||||
| 20555 Earl St | Torrance | CA | 90503 | 814542216 | Healthcare | CA | 501(c )(3) | Pending | PHS - So California | 0 | |
| Institute for Mental Health & Wellness | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 98057 | 814260130 | Mental Healthcare | WA | 501(c )(3) | Line 7 | PH&SSt Joseph Health System | 0 | |
| Covenant Health Network Inc | |||||||||||
| 3345 Michelson Drive Suite 100 | Irvine | CA | 92612 | 461259908 | Healthcare | CA | 501 (C )(3) | Line 12, Type III | St Joseph Health System | 0 | |
| Covenant ACO | |||||||||||
| 3615 19th Street | Lubbock | TX | 79410 | 611573313 | Healthcare | TX | 501 (C )(3) | Line 12, Type I | Covenant Health System | 0 | |
| Covenant Health System | |||||||||||
| 3615 19th Street | Lubbock | TX | 79410 | 752765566 | Healthcare | TX | 501 (C )(3) | Line 3 | St Joseph Health System | 0 | |
| Covenant Health System Foundation | |||||||||||
| 3623 22nd Place | Lubbock | TX | 79410 | 752897026 | Healthcare | TX | 501 (C )(3) | Line 7 | Covenant Health System | 0 | |
| Covenant Medical Group | |||||||||||
| 3420 22nd Place | Lubbock | TX | 79410 | 752743883 | Healthcare | TX | 501 (C )(3) | Line 3 | Covenant Health System | 0 | |
| Covenant Health Partners | |||||||||||
| 3615 19Th Street | Lubbock | TX | 79410 | 463516417 | Healthcare | TX | 501 (C )(3) | Line 12, Type I | Covenant Health System | 0 | |
| HMTS Inc | |||||||||||
| 1 Hoag Drive | Newport Beach | CA | 92658 | 453583707 | Healthcare | CA | 501 (C )(3) | Line 12, Type I | Hoag Memorial Hospital Presbyterian | 0 | |
| Hoag Charity Sports | |||||||||||
| 330 Placentia Ave | Newport Beach | CA | 92663 | 452982422 | Support | CA | 501 (C )(3) | Line 7 | Hoag Hospital Foundation | 0 | |
| Hoag Hospital Foundation | |||||||||||
| 330 Placentia Ave | Newport Beach | CA | 92663 | 953222343 | Fundraising | CA | 501 (C )(3) | Line 7 | Hoag Memorial Hospital Presbyterian | 0 | |
| Hoag Memorial Hospital Presbyterian | |||||||||||
| 1 Hoag Road Box 6100 | Newport Beach | CA | 92663 | 951643327 | Healthcare | CA | 501 (C )(3) | Line 3 | Covenant Health Network | 0 | |
| Home Care Partners | |||||||||||
| 1165 Montgomery Dr | Santa Rosa | CA | 95405 | 680318656 | Inactive | CA | 501 (C )(3) | Line 3 | Santa Rosa Memorial Hospital | 0 | |
| Hospice Of Lubbock | |||||||||||
| 3702 21st Street | Lubbock | TX | 79410 | 752133781 | Healthcare | TX | 501 (C )(3) | Line 10 | Covenant Health System | 0 | |
| Lubbock Methodist Hospital Foundation | |||||||||||
| 3615 19th Street | Lubbock | TX | 79410 | 752220963 | Healthcare | TX | 501 (C )(3) | Line 7 | Covenant Health System | 0 | |
| Methodist Children's Hospital | |||||||||||
| 3610 21st Street | Lubbock | TX | 79410 | 752428911 | Healthcare | TX | 501 (C )(3) | Line 3 | Covenant Health System | 0 | |
| Methodist Hospital Levelland | |||||||||||
| 1900 College Avenue | Levelland | TX | 79336 | 752246348 | Healthcare | TX | 501 (C )(3) | Line 3 | Covenant Health System | 0 | |
| Methodist Hospital Plainview | |||||||||||
| 2601 Dimmitt Road | Plainview | TX | 79072 | 752426010 | Healthcare | TX | 501 (C )(3) | Line 3 | Covenant Health System | 0 | |
| Mission Hospital Regional Medical Ctr | |||||||||||
| 27700 Medical Center Road | Mission Viejo | CA | 92691 | 951643360 | Healthcare | CA | 501 (C )(3) | Line 3 | Covenant Health Network | 0 | |
| Queen Of The Valley Medical Center | |||||||||||
| 1000 Trancas Street | Napa | CA | 94558 | 941243669 | Healthcare | CA | 501 (C )(3) | Line 3 | St Joseph Health System | 0 | |
| Redwood Memorial Foundation | |||||||||||
| 3300 Renner Drive | Fortuna | CA | 95540 | 942779313 | Healthcare | CA | 501 (C )(3) | Line 7 | Redwood Memorial Hospital | 0 | |
| Redwood Memorial Hospital | |||||||||||
| 3300 Renner Drive | Fortuna | CA | 95540 | 941384665 | Healthcare | CA | 501 (C )(3) | Line 3 | St Joseph Health System | 0 | |
| Santa Rosa Memorial Hospital | |||||||||||
| 1165 Montgomery Dr | Santa Rosa | CA | 95405 | 941231005 | Healthcare | CA | 501 (C )(3) | Line 3 | St Joseph Health System | 0 | |
| SRM Alliance Hospital Services (Pvh) | |||||||||||
| 400 North McDowell Blvd | Petaluma | CA | 94954 | 680395200 | Healthcare | CA | 501 (C )(3) | Line 3 | Santa Rosa Memorial Hospital | 0 | |
| St Joseph Health System | |||||||||||
| 3345 Michelson Drive Suite 100 | Irvine | CA | 92612 | 953589356 | Healthcare | CA | 501 (C )(3) | Line 12, Type I | Providence St Joseph Health | 0 | |
| St Joseph Health System Foundation | |||||||||||
| 3345 Michelson Drive Suite 100 | Irvine | CA | 92612 | 330143024 | Healthcare | CA | 501 (C )(3) | Line 7 | St Joseph Health System | 0 | |
| St Joseph Home Care Network | |||||||||||
| 1111 Sonoma Ste 308 | Santa Rosa | CA | 95405 | 680331084 | Healthcare | CA | 501 (C )(3) | Line 10 | St Joseph Health System | 0 | |
| St Joseph Hospital Of Eureka | |||||||||||
| 2700 Dolbeer Street | Eureka | CA | 95501 | 941156596 | Healthcare | CA | 501 (C )(3) | Line 3 | St Joseph Health System | 0 | |
| St Joseph Hospital Of Orange | |||||||||||
| 1100 West Stewart Drive | Orange | CA | 92868 | 951643359 | Healthcare | CA | 501 (C )(3) | Line 3 | Covenant Health Network | 0 | |
| St Jude Hospital Yorba Linda | |||||||||||
| 200 West Center St Promenade | Anaheim | CA | 92805 | 330185031 | Healthcare | CA | 501 (C )(3) | Line 3 | St Joseph Health System | 0 | |
| St Jude Hospital Inc | |||||||||||
| 101 East Valencia Mesa Drive | Fullerton | CA | 92635 | 951643324 | Healthcare | CA | 501 (C )(3) | Line 3 | Covenant Health Network | 0 | |
| St Mary Medical Center | |||||||||||
| 18300 Highway 18 | Apple Valley | CA | 92307 | 951914489 | Healthcare | CA | 501 (C )(3) | Line 3 | Covenant Health Network | 0 | |
| St Mary Of The Plains Hospital Fdn | |||||||||||
| 4000 24th Street | Lubbock | TX | 79410 | 751653181 | Healthcare | TX | 501 (C )(3) | Line 7 | Covenant Health System | 0 | |
| St Joseph Health Northern California LLC | |||||||||||
| 3345 Michelson Drive | Irvine | CA | 92612 | 814791043 | Healthcare | CA | 501 (C )(3) | Line 3 | St Joseph Health System | 0 | |
| Sisters Of St Joseph Of Orange | |||||||||||
| 480 S Batavia | Orange | CA | 92868 | 951643383 | Religious Org | CA | 501 (C )(3) | Line 1 | 0 | N/A | |
| St Joseph Health Ministry | |||||||||||
| 3345 Michelson Drive Suite 100 | Irvine | CA | 92612 | 271666576 | Religious Org | CA | 501 (C )(3) | Line 1 | Sisters of St Joseph of Orange | 0 | |
| Kadlec Auxiliary Inc | |||||||||||
| 888 Swift Blvd | Richland | WA | 99352 | 916033089 | Support Kadlec Regional Medical Center | WA | 501 (C )(3) | Line 12, Type III | Kadlec Regional Medical Center | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (40 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 |
| Center for Specialty Surgery LLC | |||||||
| 11782 SW Barnes Rd | Portland | OR | 97225 | 263638838 | Ambulatory Surgery Center | OR | N/A |
| Clackamas Radiation Oncology Center LLC | |||||||
| 4400 NE Halsey St Bldg II 495 | Portland | OR | 97213 | 260381897 | Radiation Oncology | OR | N/A |
| Ctr for Med Imaging-Bridgeport LLC | |||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 260796953 | Imaging - Diagnostics | OR | N/A |
| Ctr for Med Imaging-Tanasbourne LLC | |||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 200477972 | Imaging - Diagnostics | OR | N/A |
| Greater Valley Medical Building LP | |||||||
| 501 S Buena Vista St | Burbank | CA | 91505 | 954570858 | Real Estate - MOB | CA | N/A |
| Minor & James Medical PLLC | |||||||
| 515 Minor Avenue 200 | Seattle | WA | 98104 | 911340223 | Physician Clinic | WA | N/A |
| Mountainstar Clinical Laboratories LLC | |||||||
| 611 N Perry | Spokane | WA | 99202 | 261345983 | Outpatient Lab | MT | 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 Surgery Center | OR | N/A |
| PacLab LLC | |||||||
| 611 N Perry | Spokane | WA | 99202 | 911743952 | Outpatient Lab | WA | N/A |
| Pathology Associates Medical Laboratories LLC | |||||||
| 611 N Perry | 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 |
| Portland Medical Imaging LLC | |||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 201054971 | Imaging - Diagnostics | OR | N/A |
| Prov Radiation Oncology Develop Assn LLC | |||||||
| 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 | Clinical Quality & Integration | CA | N/A |
| Providence Surgery Center LLC | |||||||
| 902 N Orange St | Missoula | MT | 59802 | 841401625 | Ambulatory Surgery Center | 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 Surgery Center | CA | N/A |
| ProvidenceUSP Surgery Ctrs LLC | |||||||
| 11550 Indian Hills Road 160 | Mission Hills | CA | 91345 | 200905938 | Ambulatory Surgery Center | CA | N/A |
| Southern Idaho Regional Laboratory LLC | |||||||
| 611 N Perry | Spokane | WA | 99202 | 820511819 | Outpatient Lab | ID | 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 |
| HCSA Properties LLC | |||||||
| 1600 M Street NW | Auburn | WA | 98001 | 460620892 | Real estate rental | WA | N/A |
| Covenant Long-Term Care LP | |||||||
| 4000 24th Street | Lubbock | TX | 79410 | 205033419 | Healthcare | TX | N/A |
| Heritage Investment Group I LLC | |||||||
| 500 S Main Street Ste 1000 | Orange | CA | 92868 | 271000061 | Investments | CA | N/A |
| Hoag Orthopedic Institute | |||||||
| 1 Hoag Drive Box 6100 | Newport Beach | CA | 92658 | 611588294 | Healthcare | CA | N/A |
| Lubbock Surgery Center Ltd | |||||||
| 4000 24th Street | Lubbock | TX | 79410 | 752177401 | Healthcare | TX | N/A |
| Methodist Diagnostic Imaging | |||||||
| 4000 24th Street | Lubbock | TX | 79410 | 752343261 | Healthcare | TX | N/A |
| Mission Ambulatory Surgicenter Ltd | |||||||
| 27800 Medical Center Road Ste 362 | Mission Viejo | CA | 92691 | 330355575 | Healthcare | CA | N/A |
| Newport Imaging Center | |||||||
| 360 San Miguel | Newport Beach | CA | 92660 | 330191776 | Healthcare | CA | N/A |
| SHA LLC | |||||||
| 12940 North Highway 183 | Austin | TX | 78750 | 752569094 | Healthcare | TX | N/A |
| St Joseph Physician Ventures I LLC | |||||||
| 1100 West Stewart Drive | Orange | CA | 92868 | 454521884 | Real Estate | CA | N/A |
| North Bay Endoscopy Center | |||||||
| 1383 N McDowell Blvd Suite 110 | Petaluma | CA | 94954 | 611559876 | Healthcare | CA | N/A |
| Southern California Surgery Center LLC | |||||||
| 18321 Ventura Blvd Ste 740 | Tarzana | CA | 91356 | 330939000 | Healthcare | CA | N/A |
| Mission Viejo Physician Partners I LLC | |||||||
| 27700 Medical Center Road | Mission Viejo | CA | 92691 | 471559873 | Healthcare | CA | N/A |
| Advanced Surgery Institute LLC | |||||||
| 1739 4th Street | Santa Rosa | CA | 95404 | 262299255 | Healthcare | CA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (24 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 | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence Health Ventures Inc | |||||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330122216 | Investment | CA | N/A | C | 0 | ||||
| Caron Health Corporation | |||||||||||||
| 510 W Front St | Missoula | MT | 59802 | 810486082 | Medical Physician Service | MT | N/A | C | 0 | ||||
| Providence Health Care Ventures Inc | |||||||||||||
| 101 W 8th Ave TAF C-9 | Spokane | WA | 99204 | 900155714 | Clinical/Medical Lab | WA | N/A | C | 0 | ||||
| Providence Physician Services Co | |||||||||||||
| 101 W 8th Ave TAF C-9 | Spokane | WA | 99204 | 911216033 | Clinical/Medical Lab | WA | N/A | C | 0 | ||||
| Yakima Medical Arts Inc | |||||||||||||
| 611 N Perry 100 | Spokane | WA | 99202 | 910787963 | Rental Real Estate | WA | N/A | C | 0 | ||||
| Bourget Health Services Inc | |||||||||||||
| PO Box 2687 | Spokane | WA | 99220 | 911354431 | Clinical/Medical Lab | WA | N/A | C | 0 | ||||
| 1221 Madison Street Owners Assoc | |||||||||||||
| 747 Broadway | Seattle | WA | 98122 | 201954319 | Owners' Association | WA | N/A | C | 0 | ||||
| Western HealthConnect Ventures Inc | |||||||||||||
| 1801 Lind Ave SW 9016 | Renton | WA | 98057 | 800953654 | Investment | WA | N/A | C | 0 | ||||
| PHN Holdings | |||||||||||||
| 20555 Earl Street | Torrance | CA | 90503 | 461814184 | Strategic Planning Services | CA | N/A | C | 0 | ||||
| Providence Health Network | |||||||||||||
| 20555 Earl Street | Torrance | CA | 90503 | 800886966 | Prepaid Healthcare | CA | N/A | C | 0 | ||||
| Pioneer Innovations Inc | |||||||||||||
| 800 5th Ave 10th Floor | Seattle | WA | 98104 | 364818191 | Healthcare Innovations | WA | N/A | C | 0 | ||||
| Vinserra Inc | |||||||||||||
| 1328 22nd Street | Santa Monica | CA | 90404 | 953943315 | Investment | CA | N/A | C | 0 | ||||
| American Unity Group Ltd | |||||||||||||
| Captive Insurance | N/A | C | 0 | 90 Pitts Bay Road HM08 Pembroke | BD | BD | |||||||
| Coastal Management Services Organization | |||||||||||||
| 1 Hoag Drive Box 6100 | Newport Beach | CA | 92658 | 330676831 | Healthcare | CA | N/A | C | 0 | ||||
| Datu Health Inc | |||||||||||||
| 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 120 | Lubbock | TX | 79410 | 752118585 | Healthcare | TX | N/A | C | 0 | ||||
| Mission Viejo Medical Ventures | |||||||||||||
| 27800 Medical Center Rd 354 | Mission Viejo | CA | 92691 | 330212905 | 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 Health Source Inc | |||||||||||||
| 3345 Michelson Drive Suite 100 | Irvine | CA | 92612 | 461900168 | Healthcare | 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 | ||||
| Ophie Healthcare Services Inc | |||||||||||||
| 3345 Michelson Drive Suite 100 | Irvine | CA | 92612 | 271002825 | Healthcare | CA | N/A | C | 0 | ||||
| Charitable Remainder Unitrust (1) | |||||||||||||
| Investment | WA | Yes (1) | Swedish Medical Center Foundation | ||||||||||
| 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 | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments