FURP.ORG / PUBLIC DATA EXPLORER

PROVIDENCE ST JOSEPH HEALTH: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
PROVIDENCE ST JOSEPH HEALTH (EIN 81-1244422)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-12
IRS object ID
202523169349306307
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-12T13:43:13-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1560 MISSION STREET SUITE 1600AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN811244422EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE ST JOSEPH HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPROVBusinessNameControlTxt
Phone4255253985PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJIM MARTINPersonNm
Person TitleCHIEF ACCOUNTING OFFICERPersonTitleTxt
Phone4255253985PhoneNum
Signature2025-11-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEVA NITTAPreparerPersonNm
PTINP01286320PTIN
Phone4158948000PhoneNum
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROD F HOCHMAN MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$23,956,871GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.PROVIDENCE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE O.AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee8TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$38,993,403PYProgramServiceRevenueAmt
CY Program Service Revenue$23,956,871CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$38,993,403PYTotalRevenueAmt
CY Total Revenue$23,956,871CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$36,505,839PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,493,404CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,487,564PYOtherExpensesAmt
CY Other Expenses$7,463,467CYOtherExpensesAmt
PY Total Expenses$38,993,403PYTotalExpensesAmt
CY Total Expenses$23,956,871CYTotalExpensesAmt
PY Revenues Less Expenses$0PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$0CYRevenuesLessExpensesAmt
Total Assets BOY$2,715,864,737TotalAssetsBOYAmt
Total Assets EOY$2,543,992,809TotalAssetsEOYAmt
Total Liabilities BOY$2,668,219,540TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,496,824,255TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$47,645,197NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$47,168,554NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$16,769,810ExpenseAmt
Grant$0GrantAmt
Revenue$23,956,871RevenueAmt
DescSEE SCHEDULE O.AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE HEALTH CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 125,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,014 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE AFFILIATE FAMILY INCLUDES:-PROVIDENCE ACROSS FIVE WESTERN STATES-COVENANT HEALTH IN WEST TEXAS AND NEW MEXICO-FACEY MEDICAL GROUP IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA IN 2024, PROVIDENCE MINISTRIES AND AFFILIATES PROVIDED $1.9 BILLION IN COMMUNITY BENEFIT PROGRAMS. THIS INCLUDES FREE AND DISCOUNTED CARE, UNCOMPENSATED AND SUBSIDIZED CARE, AND OTHER COMMUNITY HEALTH ACTIVITIES.ONE OF THESE VITAL PROGRAMS, MEDICAID, IS A LIFELINE FOR MILLIONS OF INDIVIDUALS, INCLUDING SENIORS, CHILDREN, PREGNANT PATIENTS, THOSE WITH DISABILITIES AND VETERANS. WE ARE GRATEFUL TO EVERYONE IN OUR COMMUNITIES WHO HAS JOINED US IN ADVOCATING FOR CONTINUED FUNDING AND EXPANSION OF THIS PROGRAM. TOGETHER, WE ARE HELPING TO ENSURE MORE PEOPLE HAVE ACCESS TO NEEDED CARE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT THROUGH OUR COMMUNITY BENEFIT PROGRAMS, WE FOCUS ON MEETING THE DIVERSE NEEDS OF THE PEOPLE WE SERVE BY WORKING TO ENSURE BASIC HEALTH NEEDS ARE MET, REMOVING BARRIERS TO CARE, BUILDING COMMUNITY RESILIENCE AND INNOVATING FOR THE FUTURE. PROVIDENCE CONTINUES TO WORK TOWARDS CARBON NEGATIVE AND IN 2024 DECREASED EMISSIONS BY 19 PERCENT COMPARED TO OUR 2019 BASELINE. OUR EFFORTS EARNED US A SYSTEM RECORD 55 ENVIRONMENTAL EXCELLENCE AWARDS FROM PRACTICE GREENHEALTH AND MADE US THE FIRST LARGE SYSTEM TO RECEIVE THE JOINT COMMISSION'S SUSTAINABLE HEALTHCARE CERTIFICATION IN 2024 FOR EACH OF OUR HOSPITALS.Desc
Total Program Service Expenses$16,769,810TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee8EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCAForeignCountryCd
Foreign CountryINForeignCountryCd
Foreign CountrySNForeignCountryCd
Foreign CountryTWForeignCountryCd
Foreign CountryUKForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JIM MARTINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4255253985PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SWAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ROD F HOCHMAN MD
PRESIDENT/CEO65.000.00Yes (X)Yes (X)$11,180,086$0$1,077,550
GREG HOFFMAN
EVP & CFO/TREASURER0.5064.50Yes (X)$0$3,880,224$390,705
DEBRA CANALES
EVP CAO PSJH - THRU 1/2455.000.00$3,841,755$0$30,386Yes (X)
ANNA NEWSOM
EVP & CHIEF LEGAL OFFICER/SECRETARY0.5064.50Yes (X)$0$2,610,531$285,144
BJ MOORE
EVP/CHIEF INF. OFFICER - THRU 9/2465.000.00$2,774,516$0$32,443Yes (X)
DOUGAL HEWITT
EVP CHIEF MISSION OFFICER PSJH64.500.50$2,303,958$0$225,053Yes (X)
OREST HOLUBEC
EVP CHIEF COMMUNICATION OFCR65.000.00$1,531,339$0$215,024Yes (X)
RHONDA MEDOWS MD
FRMR PRESIDENT POP HEALTH / AYIN0.003.00$1,213,701$0$0Yes (X)
JIM WATSON ESQ
ASSISTANT SECRETARY0.5054.50Yes (X)$0$955,923$128,530
JIM MARTIN
ASSISTANT TREASURER0.5054.50Yes (X)$0$820,365$96,888
JO ANN ESCASA-HAIGH
FRMR ASSISTANT TREASURER0.000.00$879,466$0$0Yes (X)
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT0.5054.50Yes (X)$0$316,554$18,932
AMY COMPTON-PHILLIPS MD
FRMR EVP/CHF CLIN. OFC.0.000.50$231,120$0$0Yes (X)
MARY LYONS PHD
DIRECTOR0.5013.00Yes (X)$0$100,944$0
MICHAEL MURPHY
BOARD CHAIR0.5013.00Yes (X)$0$75,168$0
RICHARD BLAIR
DIRECTOR0.5013.00Yes (X)$0$51,379$0
CHARLES SORENSON MD
DIRECTOR0.5013.00Yes (X)$0$50,000$0
ISIAAH CRAWFORD PHD
DIRECTOR0.5014.50Yes (X)$0$50,000$0
MARVIN O'QUINN
DIRECTOR0.5012.50Yes (X)$0$42,989$0
ERIC SPRUNK
DIRECTOR0.5013.00Yes (X)$0$40,000$0
MARY BETH KINGSTON
DIRECTOR0.5013.00Yes (X)$0$40,000$0
SISTER CAROL PACINI LCM
DIRECTOR0.5013.00Yes (X)$0$0$0
SISTER DIANE HEJNA CSJ RN
DIRECTOR0.5013.00Yes (X)$0$0$0
SISTER DONNA MARKHAM
DIRECTOR0.5012.50Yes (X)$0$0$0
SISTER PHYLLIS HUGHES RSM DRPH
DIRECTOR0.5013.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$23,955,941TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,034,077TotReportableCompRltdOrgAmt
Total Other Compensation$2,500,655TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1K&L GATES LLPBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1925 4TH AVE STE 2900AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98104ZIPCd
FieldValueIRS element (for citing)
ServicesLEGAL SERVICESServicesDesc
Compensation$3,958,148CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RELATED EO MGMT FEES561000$21,286,340$21,286,340
JV INCOME900099$2,670,531$2,670,531
FieldValueIRS element (for citing)
Total Program Service Revenue$23,956,871TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,956,871TotalRevenueColumnAmt
Related Or Exempt Func Income$23,956,871RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$16,493,404TotalAmt
Program Services$11,545,383ProgramServicesAmt
Management And General$4,948,021ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,958,147TotalAmt
Program Services$2,770,703ProgramServicesAmt
Management And General$1,187,444ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,753TotalAmt
Program Services$1,927ProgramServicesAmt
Management And General$826ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,266TotalAmt
Program Services$886ProgramServicesAmt
Management And General$380ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,327TotalAmt
Program Services$3,029ProgramServicesAmt
Management And General$1,298ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$253,191TotalAmt
Program Services$177,234ProgramServicesAmt
Management And General$75,957ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
LICENSES AND TAXES$2,999,601$2,099,721$899,880
SPECIAL EVENTS$234,603$164,222$70,381
DUES & SUBSCRIPTIONS$9,140$6,398$2,742
OTHER DIRECT EXPENSES$439$307$132

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$23,956,871TotalAmt
Program Services$16,769,810ProgramServicesAmt
Management And General$7,187,061ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$11,000,000BOYAmt
EOY$16,000,000EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$33,159,737BOYAmt
EOY$28,832,809EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,671,705,000BOYAmt
EOY$2,499,160,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,715,864,737BOYAmt
EOY$2,543,992,809EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,154,382BOYAmt
EOY$4,155,393EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,657,705,000BOYAmt
EOY$2,485,160,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,360,158BOYAmt
EOY$7,508,862EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,668,219,540BOYAmt
EOY$2,496,824,255EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$47,645,197BOYAmt
EOY$47,168,554EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$47,645,197BOYAmt
EOY$47,168,554EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,715,864,737BOYAmt
EOY$2,543,992,809EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$0ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$476,643OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations11SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (11 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
PROVIDENCE HEALTH & SERVICES - WASHINGTON
5102165863Yes (1)$0$0
PROVIDENCE HEALTH & SERVICES - OREGON
5102165873Yes (1)$0$0
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
5102165893Yes (1)$0$0
PROVIDENCE HEALTH & SERVICES - MONTANA
8102317933Yes (1)$0$0
MISSION HOSPITAL REGIONAL MEDICAL CENTER
9516433603Yes (1)$0$0
ST JOSEPH HOSPITAL OF ORANGE
9516433593Yes (1)$0$0
ST JUDE HOSPITAL
9516433253Yes (1)$0$0
ST MARY MEDICAL CENTER
9519144893Yes (1)$0$0
PROVIDENCE MEDICAL FOUNDATION
3301850313Yes (1)$0$0
PROVIDENCE SAINT JOHN'S HEALTH CENTER
9516840823Yes (1)$0$0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
8147910433Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total11SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationYes (1)SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported OrgYes (1)SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (1)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (1)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (1)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Parent Supported OrgYes (X)ParentSupportedOrgInd
Appoint Elect Majority OfficerYes (1)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (1)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 12G COLUMN VIPROVIDENCE ST. JOSEPH HEALTH (PSJH) PROVIDES SUPPORT TO ITS SUPPORTED ORGANIZATIONS THROUGH VARIOUS ADMINISTRATIVE AND GOVERNANCE ACTIVITIES INCLUDING: * MAINTAINING THE RELATIONSHIPS PSJH AND THE SUPPORTED ORGANIZATIONS HAVE ESTABLISHED WITH LIKE-MINDED FAITH-BASED AND SECULAR ORGANIZATIONS, AND IN SUCH CAPACITY PROVIDE OVERALL MISSION, VISION, STRATEGIC, FINANCIAL AND OPERATIONAL DIRECTION FOR SUCH MINISTRIES AND ORGANIZATIONS; * FACILITATING THE ESTABLISHMENT, OPERATION AND MAINTENANCE OF THE CHARITABLE AND EDUCATIONAL ACTIVITIES AND FACILITIES OF THE SUPPORTED ORGANIZATIONS INCLUDING HOSPITALS, NURSING HOMES AND OTHER FACILITIES DESIGNED TO MEET THE HEALTH, EDUCATIONAL AND SOCIAL NEEDS OF THE COMMUNITIES SERVED BY THE SUPPORTED ORGANIZATIONS; * FACILITATING THE ESTABLISHMENT, OPERATION AND MAINTENANCE OF A VARIETY OF PROGRAMS CONDUCTED BY THE SUPPORTED ORGANIZATIONS THAT PROVIDE HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE AND RELATED SERVICES WITH PARTICULAR CONSIDERATION FOR THE SPECIAL NEEDS OF THE POOR AND VULNERABLE IN THE COMMUNITIES SERVED BY THE SUPPORTED ORGANIZATIONS; * FACILITATING THE PROVISION OF SCIENTIFIC RESEARCH, EDUCATIONAL, CHARITABLE AND SUCH OTHER ACTIVITIES, SERVICES AND PROGRAMS CONDUCTED BY THE SUPPORTED ORGANIZATIONS; * ENGAGING, AS APPROPRIATE, IN OTHER CHARITABLE WORKS WHICH ARE CONSISTENT WITH THE OBJECTIVES OF THE SUPPORTED ORGANIZATIONS AND THE MISSION AND VALUES OF THE CO-SPONSORS. PSJH HAS SEVERAL COMMITTEES DEVOTED TO VARIOUS SUPPORT FUNCTIONS FOR THE SUPPORTED ORGANIZATIONS. THEY INCLUDE THE AUDIT AND COMPLIANCE COMMITTEE, GOVERNANCE COMMITTEE, WORKLIFE COMMITTEE, FINANCE COMMITTEE, NOMINATING COMMITTEE, EXECUTIVE COMPENSATION COMMITTEE, AND QUALITY AND PATIENT SAFETY COMMITTEE. THESE COMMITTEES OF THE PSJH BOARD, IN THE PERFORMANCE OF THEIR RESPECTIVE DUTIES, PROVIDE OVERALL MANAGEMENT AND COORDINATION SERVICES FOR THE SUPPORTED ORGANIZATIONS. THE AUDIT & COMPLIANCE COMMITTEE PROVIDES ALL SYSTEM SUPPORTED ORGANIZATIONS WITH ACCOUNTING AND FINANCIAL REPORTING PROCESSES, INTERNAL CONTROL SYSTEMS, INCLUDING INFORMATION SECURITY, SYSTEM-WIDE INTEGRITY AND COMPLIANCE PROGRAM, ENTERPRISE RISK MANAGEMENT PROGRAM, AND THE ALIGNMENT OF PSJH'S BUSINESS PRACTICES WITH ITS MISSION AND CORE VALUES. THE WORKLIFE COMMITTEE PROVIDES HUMAN RESOURCES STRATEGIES, PLANS, AND POLICIES THAT HAVE SIGNIFICANT IMPLICATIONS FOR THE ATTAINMENT OF ITS STRATEGIC GOALS, AND ALIGNMENT OF PSJH STRATEGIES AND OBJECTIVES FOR ALL SUPPORTED ORGANIZATIONS OF THE SYSTEM. THE FINANCE COMMITTEE APPROVES FINANCIAL POLICIES, GOALS, AND BUDGETS THAT SUPPORT THE MISSION, VALUES, AND STRATEGIC GOALS OF THE SUPPORTED ORGANIZATIONS. THE QUALITY AND PATIENT SAFETY COMMITTEE REVIEWS AND SEEKS TO CONTINUOUSLY IMPROVE MATTERS CONCERNING OR RELATING TO THE QUALITY OF MEDICAL CARE DELIVERED TO PATIENTS, INCLUDING PATIENT SAFETY, CARE EFFECTIVENESS, COMPASSIONATE SERVICE, SEAMLESSNESS, PERSONALIZATION, EXPERIENCE, AND VALUE OF CARE OF ALL SUPPORTED ORGANIZATIONS IN ACCORDANCE WITH THE MISSION, VALUES, AND PHILOSOPHY OF THE PSJH AND ALL THE SUPPORTED ORGANIZATIONS. * CONDUCTING THEIR RESPONSIBILITIES, THE MEMBERS OF THE STANDING COMMITTEES OF PSJH BOARD ARE EXPECTED TO SUPPORT THE EFFORTS OF PSJH AND THE PSJH BOARD IN WORKING CLOSELY AND CONTINUOUSLY WITH, AND BEING RESPONSIVE TO THE NEEDS OF, THE SUPPORTED ORGANIZATIONS AND THEIR RESPECTIVE GOVERNING BODIES.
PART IV, SECTION A, LINE 2THE FOLLOWING SUPPORTED ORGANIZATIONS ARE EXEMPT UNDER GROUP EXEMPTION #0928 AND ARE LISTED IN THE OFFICIAL CATHOLIC DIRECTORY FOR 2024: PROVIDENCE HEALTH & SERVICES - MONTANA DBA PROVIDENCE ST. PATRICK HOSPITAL MISSION HOSPITAL REGIONAL MEDICAL CENTER DBA PROVIDENCE MISSION HOSPITAL ST. JOSEPH HOSPITAL OF ORANGE DBA PROVIDENCE ST. JOSEPH HOSPITAL ST. JUDE HOSPITAL DBA PROVIDENCE ST. JUDE MEDICAL CENTER ST. MARY MEDICAL CENTER DBA PROVIDENCE ST. MARY MEDICAL CENTER THE ABOVE SUPPORTED ORGANIZATIONS ARE PUBLICLY SUPPORTED HOSPITAL ORGANIZATIONS DESCRIBED IN IRC SECTION 170(B)(1)(A)(III).
PART IV, SECTION A, LINE 6IN ADDITION TO THE ENTITIES SPECIFICALLY INDICATED AS SUPPORTING ORGANIZATIONS IN ITS GOVERNING DOCUMENTS, PSJH ALSO SUPPORTS OTHER ORGANIZATIONS WITHIN THE PSJH SYSTEM THAT ARE DESCRIBED IN IRC SECTION 501(C)(3) AND ARE OPERATED, SUPERVISED, OR CONTROLLED DIRECTLY BY OR IN CONNECTION WITH SUCH PUBLICLY SUPPORTED ORGANIZATIONS IN ACCORDANCE WITH TREASURY REGULATIONS 1.509(A)-4(E)(1).
PART IV, SECTION D, LINE 3THE OFFICERS AND DIRECTORS OF PROVIDENCE ST. JOSEPH HEALTH (PSJH) WORK CLOSELY WITH ITS SUPPORTED ORGANIZATIONS. THROUGH THESE RELATIONSHIPS AND BOARD AND OFFICER OVERLAP, THE SUPPORTED ORGANIZATIONS MEET THE "SIGNIFICANT VOICE" TEST. * THE SENIOR EXECUTIVES OF PSJH CONTROL AND MANAGE EACH SUPPORTED ORGANIZATION BY PROVIDING OVERALL SENIOR MANAGEMENT AND COORDINATION FOR THE PSJH SYSTEM. THIS SENIOR LEADERSHIP ENSURES COORDINATED INTERACTION WITH THE SUPPORTED ORGANIZATIONS, INCLUDING 20 DESIGN PLANS THAT COORDINATE FUNCTIONS THROUGHOUT THE COMBINED SYSTEM. THE PLANS INCLUDE VISION AND GUIDING PRINCIPLES OF EACH SYSTEM OFFICE FUNCTIONS (I.E. ENTERPRISE RISK MANAGEMENT, MARKETING, FINANCE, LEGAL, ETC.); DESIGN PLANS FOR EACH FUNCTION THAT INCLUDES PROCESS AND WORK DESIGN, ORGANIZATIONAL STRUCTURE, AND KEY PERFORMANCE METRICS; AND IMPLEMENTATION PLANS WHICH INCLUDE A 6 MONTH, 12 MONTH AND GREATER THAN 2 YEAR ROAD MAP TO IMPLEMENT THE DESIGN PLANS. * THE OFFICERS (INCLUDING THE CORPORATE EXECUTIVES AND DIRECTORS) OF THE SUPPORTED ORGANIZATIONS WORK IN AN INTEGRATED, DAY-TO-DAY MANNER ON A BROAD RANGE OF STRATEGIC AND OPERATIONAL ISSUES WITH THE OFFICERS AND DIRECTORS OF PSJH IN ORDER TO ACCOMPLISH THE OVERARCHING CHARITABLE GOALS AND OBJECTIVES OF THE PSJH SYSTEM. THERE ARE REGULAR OPERATIONS MEETINGS/CALLS WITH THE HOSPITAL CHIEF EXECUTIVES OF THE SUPPORTED ORGANIZATIONS AND THE PSJH PRESIDENT, OPERATIONS AND SERVICES, OFFICERS AND OTHER PSJH EXECUTIVES. * THE DIRECTORS OF THE SUPPORTED ORGANIZATIONS CONDUCT THEIR DUTIES IN AN INTEGRATED, DAY-TO-DAY MANNER ON A BROAD RANGE OF STRATEGIC AND OPERATIONAL ISSUES WITH THE OFFICERS AND DIRECTORS OF PSJH IN ORDER TO ACCOMPLISH THE OVERARCHING CHARITABLE GOALS AND OBJECTIVES OF THE PSJH SYSTEM. BOTH THE PH&S SHARED GOVERNANCE AND THE SJHS TIERED GOVERNANCE MODELS COORDINATE GOVERNANCE APPROVALS IN FURTHERANCE OF THE CHARITABLE PURPOSES AND GOALS OF ALL ENTITIES. * MULTIPLE FORUMS, COUNCILS, OPERATIONAL COMMITTEES AND OTHER ORGANIZATIONAL MANAGEMENT VEHICLES WILL EXIST WITHIN THE PSJH SYSTEM THROUGH WHICH THE CORPORATE GOVERNANCE, EXECUTIVE LEADERSHIP AND MEDICAL STAFF LEADERSHIP OF THE SUPPORTED ORGANIZATIONS WILL INTERACT IN THE ORDINARY COURSE OF PSJH'S ACTIVITIES. IN ADDITION, THE CALIFORNIA ATTORNEY GENERAL REQUIREMENTS INCLUDE THE EXPANSION OF PROVIDENCE CLINICAL INSTITUTES ACROSS THE COMBINED SYSTEM. THIS WILL REQUIRE THE PARTICIPATION OF PHYSICIANS AT ALL OF THE SUPPORTED ORGANIZATIONS. * THE EVALUATION OF THE PERFORMANCE OF EACH OF THE PSJH TRUSTEES, COMMITTEE MEMBERS AND CORPORATE EXECUTIVES IS BASED IN PART ON THE EXTENT TO WHICH THEY ARE, IN THEIR DUTIES, ATTENTIVE TO THE NEEDS AND INTERESTS OF THE SUPPORTED ORGANIZATIONS. THE PSJH BOARD ENGAGES IN AN ASSESSMENT PROCESS TO EVALUATE ITS PERFORMANCE AND FULFILLMENT OF FIDUCIARY DUTIES, INCLUDING OVERSIGHT (GOVERNANCE, COMPLIANCE) OF THE SUPPORTED ORGANIZATION'S LOCAL MINISTRY AND COMMUNITY MINISTRY BOARDS. PERFORMANCE OF PSJH EXECUTIVES WILL BE BASED IN PART ON THEIR LEADERSHIP/SERVICE TO THE SUPPORTED ORGANIZATIONS. IN SOME CASES, SATISFACTION SURVEYS RELATED TO SYSTEM SERVICES ARE CONDUCTED TO SOLICIT FEEDBACK FROM THE SUPPORTED ORGANIZATIONS. * IN THE PERFORMANCE OF EACH PSJH EXECUTIVE'S DUTIES, THE EXECUTIVE IS EXPECTED TO WORK CLOSELY AND CONTINUOUSLY WITH, AND BE RESPONSIVE TO THE NEEDS OF, THE SUPPORTED ORGANIZATIONS (AS THEY RELATE TO THE SCOPE OF THAT EXECUTIVE'S PARTICULAR DUTIES AND RESPONSIBILITIES). PSJH EXECUTIVES ARE EXPECTED TO WORK CLOSELY AND REGULARLY WITH LEADERSHIP AT THE SUPPORTED ORGANIZATIONS TO ENSURE ACHIEVEMENT OF STRATEGIC PLANS AND OBJECTIVES IN FURTHERANCE OF THE MISSION AND CHARITABLE PURPOSES OF THE ORGANIZATION(S). * THE COMMITTEES OF THE PSJH BOARD REQUIRE THE COMMITTEES, IN THE PERFORMANCE OF THEIR RESPECTIVE DUTIES, TO BE SUPPORTIVE OF, AND ACT CONSISTENT WITH THE RESPONSIBILITIES OF THE PSJH BOARD IN THE IMPLEMENTATION OF PSJHS' CHARITABLE MISSION OF PROVIDING OVERALL MANAGEMENT AND COORDINATION SERVICES FOR THE PSJH SYSTEM. * CERTAIN CRITICAL DECISIONS WITH RESPECT TO (A) CORPORATE STRATEGY; (B) CONSOLIDATED BUDGETING AND ACCOUNTING; (C) CORPORATE GOVERNANCE; (D) MATERIAL TRANSACTIONS; AND (E) AMENDMENT OF BYLAWS AND ARTICLES OF INCORPORATION, MUST BE INITIATED AT THE SUPPORTED ORGANIZATION LEVEL AND PSJH CANNOT IMPLEMENT OR INITIATE ANY DECISIONS WITH RESPECT TO THOSE MATTERS WITHOUT PRIOR ACTION BY THE SUPPORTED ORGANIZATIONS. STRATEGY AND BUDGETS ARE ESTABLISHED THROUGH A COLLABORATIVE PROCESS REFERRED TO AS THE INTEGRATED STRATEGIC AND FINANCIAL PLANNING PROCESS THAT INCLUDES THE SUPPORTED ORGANIZATION (LEADERSHIP AND GOVERNANCE).
PART IV, SECTION E, LINE 3APROVIDENCE ST. JOSEPH HEALTH (PSJH) IS THE SOLE MEMBER OF PROVIDENCE HEALTH & SERVICES (PH&S) AND ST. JOSEPH HEALTH SYSTEM (SJHS). PSJH HAS THE POWER TO ELECT THE DIRECTORS OF ITS SUPPORTED ORGANIZATIONS. IN SOME CASES, THE DIRECTORS OF THE SUPPORTED ORGANIZATIONS ARE THE SAME AS PSJH'S BOARD AND IN OTHER CASES, PSJH ELECTS DIRECTORS OF THE SUPPORTED ORGANIZATION'S BOARDS THROUGH SJHS.
PART IV, SECTION E, LINE 3BPSJH HAS DIRECTION AND CONTROL OVER THE SUPPORTED ORGANIZATIONS. * IN PERFORMING THEIR DUTIES, THE SENIOR EXECUTIVES OF PSJH ARE EXPECTED TO CONTROL AND MANAGE EACH SUPPORTED ORGANIZATION BY PROVIDING OVERALL SENIOR MANAGEMENT AND COORDINATION FOR THE PSJH SYSTEM. THIS SENIOR LEADERSHIP ENSURES COORDINATED INTERACTION WITH THE SUPPORTED ORGANIZATIONS, INCLUDING 20 DESIGN PLANS THAT COORDINATE FUNCTIONS THROUGHOUT THE COMBINED SYSTEM. THE PLANS INCLUDE: 1) VISION AND GUIDING PRINCIPLES OF EACH SYSTEM OFFICE FUNCTIONS (I.E. ENTERPRISE RISK MANAGEMENT, MARKETING, FINANCE, LEGAL, ETC.). 2) DESIGN PLANS FOR EACH FUNCTION THAT INCLUDES PROCESS AND WORK DESIGN, ORGANIZATIONAL STRUCTURE, AND KEY PERFORMANCE METRICS. 3) IMPLEMENTATION PLANS WHICH INCLUDES A 6 MONTH, 12 MONTH AND GREATER THAN 2 YEAR ROAD MAP TO IMPLEMENT THE DESIGN PLANS. * THE OFFICERS (INCLUDING THE CORPORATE EXECUTIVES) OF THE SUPPORTED ORGANIZATIONS WORK IN AN INTEGRATED, DAY-TO-DAY MANNER ON A BROAD RANGE OF STRATEGIC AND OPERATIONAL ISSUES WITH THE OFFICERS AND DIRECTORS OF PSJH IN ORDER TO ACCOMPLISH THE OVERARCHING CHARITABLE GOALS AND OBJECTIVES OF THE PSJH SYSTEM. THERE ARE REGULAR OPERATIONS MEETINGS/CALLS WITH THE HOSPITAL CHIEF EXECUTIVES OF THE SUPPORTED ORGANIZATIONS AND PSJH PRESIDENT, OPERATIONS AND SERVICES, OFFICERS AND OTHER PSJH EXECUTIVES.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
I/C - TAX-EXEMPT BOND RECEIVABLES$2,485,160,000
OTHER RECEIVABLES$14,000,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,499,160,000TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$7,508,862Amt
FieldValueIRS element (for citing)
Total Liability$7,508,862TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (5 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmtSpecific Services ProvidedSpecificServicesProvidedTxt
SOUTH ASIA00INVESTMENTS$509,497
CENTRAL AMERICA AND THE CARIBBEAN00PROGRAM SERVICES$2,367FOREIGN TRAVEL
EUROPE (INCLUDING ICELAND & GREENLAND)00PROGRAM SERVICES$17,910FOREIGN TRAVEL
NORTH AMERICA00PROGRAM SERVICES$3,818FOREIGN TRAVEL
SOUTH ASIA00PROGRAM SERVICES$32,709FOREIGN TRAVEL
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$566,301SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$566,301TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3, COLUMN (F)FormAndLineReferenceDesc
ExplanationTHE AMOUNTS REPORTED IN COLUMN F WERE REPORTED USING THE ACCRUAL METHOD OF ACCOUNTING.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$387TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$387NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,181TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,873DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,308NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,568TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,873DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,695NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,568TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,873DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,695NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 HOAG ORTHOPEDIC INSTITUTE LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesSPECIALTY HOSPITALPrimaryActivitiesTxt
Org Profit Or Ownership0.05000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.44000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOAG ORTHOPEDIC INSTITUTEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line116520 SAND CANYON AVENUEAddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92618ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.HOAGORTHOPEDICINSTITUTE.COMWebsiteAddressTxt
State License200835010044StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
OtherORTHOPEDIC HOSPITALOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HOAG ORTHOPEDIC INSTITUTEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, SECTION COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 3E:THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PART V, SECTION B, LINE 5:INPUT FROM COMMUNITY REPRESENTATIVES TARGETED INTERVIEWS, SURVEY TOOLS, AND FOCUS GROUPS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY HOAG. HOAG UTILIZED A MIXED-METHODS APPROACH TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING DATA SOURCES INFORMED THIS REPORT:- KEY STAKEHOLDER INTERVIEWS: SEMI-STRUCTURED INTERVIEWS WERE CONDUCTED WITH 18 INDIVIDUALS. INTERVIEWEES WERE SELECTED IN COLLABORATION WITH HOAG HOSPITAL COMMUNITY BENEFIT STAFF. INTERVIEWS WERE CONDUCTED TO OBTAIN INFORMATION ABOUT THE HEALTH NEEDS OF ORANGE COUNTY RESIDENTS FROM A SYSTEMS-LEVEL PERSPECTIVE. PARTICIPATING INTERVIEWEES REPRESENTED THE FOLLOWING: HEALTH EDUCATORS/SERVICE PROVIDERS, MEDICAL RESEARCH, EXECUTIVE DIRECTORS/CEO'S OF COMMUNITY ORGANIZATIONS, LOCAL FUNDING AGENCIES, HEALTH SERVICES COORDINATORS, COUNTY HEALTH OFFICER, COUNTY PUBLIC HEALTH NURSE, MENTAL HEALTH SPECIALISTS, AND CITY OFFICIALS. - PROVIDER SURVEY: THE PROVIDER SURVEY WAS DEVELOPED AND ADMINISTERED ONLINE TO INDIVIDUALS AT ORGANIZATIONS/DEPARTMENTS THAT PROVIDE HEALTH SERVICES TO COMMUNITY MEMBERS. THE SURVEY WAS DISTRIBUTED TO A WIDE RANGE OF COUNTY, PRIVATE, AND NON-PROFIT AGENCIES WHO SERVE RESIDENTSOF ORANGE COUNTY. THE SURVEY WAS AVAILABLE IN 6 LANGUAGES. DURING THE TWO-MONTH SURVEY ADMINISTRATION TIMEFRAME, A TOTAL OF 210 RESPONSES WERE COLLECTED AND USED FOR ANALYSIS. THE PURPOSE OF THE SURVEY WAS TO OBTAIN PROVIDERS' PERSPECTIVES AND EXPERIENCES REGARDING PRIORITYHEALTH NEEDS, AND THE AVAILABILITY AND PROVISION OF HEALTH SERVICES THROUGHOUT ORANGE COUNTY.- COMMUNITY MEMBER SURVEY: THE COMMUNITY SURVEY WAS DEVELOPED BY ADVANCEOC AND DISTRIBUTED ONLINE. THE SURVEY WAS TRANSLATED INTO 10 LANGUAGES AND ADMINISTERD TO COMMUNITY MEMBERS THROUGH DIRECT OUTREACH AT COMMUNITY EVENTS, CANVASSING, EMAIL, AND SOCIAL MEDIA. THE SURVEYWAS DISTRIBUTED THROUGH A WIDE RANGE OF COUNTY, PRIVATE, AND NON-PROFIT AGENCIES WHO SERVE RESIDENTS OF ORANGE COUNTY. A TOTAL OF 806 RESPONSES WERE COLLECTED. - FOCUS GROUPS: THE STUDY TEAM CONDUCTED NINE FOCUS GROUPS IN ORANGE COUNTY IN AUGUST 2022 WITH 98 PARTICIPANTS. EACH SESSION LASTED APPROXIMATELY 1 HOUR AND WAS RECORDED AND TRANSCRIBED USING IN-LANGUAGE NOTE TAKING. THREE FOCUS GROUPS WERE CONDUCTED IN SPANISH, 1 IN CHINESE (MANDARIN) AND 1 IN FARSI (PERSIAN).
PART V, SECTION B, LINE 6A:HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND HOAG ORTHOPEDIC INSTITUTE CONDUCTED A JOINT CHNA.PART V, SECTION B, LINE 7B:CHNA WEBSITEHTTPS://WWW.HOAG.ORG/ABOUT-HOAG/DEPARTMENT-OF-COMMUNITY-HEALTH/REPORTS/
PART V, SECTION B, LINE 10A:IMPLEMENTATION STRATEGY WEBSITEHTTPS://WWW.HOAG.ORG/ABOUT-HOAG/DEPARTMENT-OF-COMMUNITY-HEALTH/REPORTS/
PART V, SECTION B, LINE 11:THE 2022 CHNA IDENTIFIED THE FOLLOWING AS HOAG'S PRIORITIZED SIGNIFICANT NEEDS TO BE ADDRESSED: MENTAL HEALTH AND BEHAVIORAL HEALTH, ACCESS TO CARE, AND CANCER/CHRONIC DISEASE. FOR EACH HEALTH NEED THE HOSPITALS PLAN TO ADDRESS, THE STRATEGIES BELOW OUTLINE THE ACTIONS THEHOSPITALS INTEND TO TAKE, INCLUDING PROGRAMS AND RESOURCES IT PLANS TO COMMIT AND PLANNED COLLABORATION WITH OTHER ORGANIZATIONS.MENTAL HEALTH AND BEHAVIORAL HEALTH STRATEGIES:1) PROVIDE MENTAL HEALTH CARE SERVICES THROUGH HOAG'S MENTAL HEALTH CENTER PRIMARILY FOCUSED ON THE LOW-INCOME POPULATION. THIS INCLUDES PARTNERSHIPS WITH LOCAL FQHCS AND BE WELL OC.2) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY NONPROFIT ORGANIZATIONS THAT FOCUS ON MENTAL HEALTH THAT GOES BEYOND OUR SCOPE OF CARE. 3) PROVIDE WORKFORCE DEVELOPMENT OPPORTUNITIES (INTERNSHIPS, INTERNAL AND EXTERNAL PROFESSIONAL DEVELOPMENT) FOR THE MENTAL HEALTH PROFESSION.4) USE EXISTING PATHWAYS TO EXPAND OUR CONTINUUM OF CARE FOR MENTAL HEALTH.ACCESS TO CARE STRATEGIES:1) PROVIDE FINANCIAL ASSISTANCE THROUGH FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.2) OFFER INFORMATION AND ENROLLMENT ASSISTANCE FOR NO COST AND LOW-COST INSURANCE PROGRAMS.3) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY CLINICS.4) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY NONPROFIT ORGANIZATIONS THAT REDUCE BARRIERS TO ACCESSING CARE. 5) PROVIDE PARTNERS WITH SPACE AND RESOURCES AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING. 6) PROVIDE TRANSPORTATION SUPPORT FOR SENIORS TO INCREASE ACCESS TO HEALTH CARE SERVICES.CANCER AND CHRONIC DISEASE STRATEGIES: 1) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY CLINICS. 2) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY NONPROFITORGANIZATIONS THAT FOCUS ON CANCER/CHRONIC DISEASE PREVENTION ANDMANAGEMENT. 3) PROVIDE PARTNERS WITH SPACE AND RESOURCES AT THE MELINDA HOAG SMITHCENTER FOR HEALTHY LIVING. 4) OFFER CHRONIC DISEASE PREVENTION, MANAGEMENT, EDUCATION, CARENAVIGATION, SCREENINGS AND SUPPORT GROUPS. 5) CONTINUE TO PROVIDE WELLNESS AND PREVENTION PROGRAMS TO VULNERABLECOMMUNITIES.TO ACCOMPLISH SOME OF THESE STRATEGIES HOAG WILL ALSO COLLABORATE WITH COMMUNITY PARTNERS, SHARING RESOURCES AND ENHANCING THE CAPACITY OF PARTNER ORGANIZATIONS TO SUPPORT THE ACHIEVEMENTS OF OUR GOALS. POTENTIAL COLLABORATIVE PARTNERS INCLUDE, BUT ARE NOT LIMITED TO:- FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) - OC PUBLICLY FUNDED HEALTH INSURANCE PLAN - CAL OPTIMA - BE WELL OC - ORANGE COUNTY HEALTH CARE AGENCY - COMMUNITY HEALTH CENTERS AND COMMUNITY CLINICS - COMMUNITY-BASED ORGANIZATIONS - FAITH BASED ORGANIZATIONS - FAMILY RESOURCE CENTERS - LOCAL MUNICIPALITIES - MENTAL HEALTH ASSOCIATIONS - SCHOOL DISTRICTS AND SCHOOLS- LOCAL FOOD BANKS - SENIOR CENTERS AND ADULT DAY CENTERS - ADVOCACY GROUPS KNOWING THAT THERE ARE NOT SUFFICIENT RESOURCES TO ADDRESS ALL THE IDENTIFIED COMMUNITY HEALTH NEEDS, HOAG CHOSE TO CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN BE ADDRESSED EFFECTIVELY GIVEN THE FACILITIES' AREAS OF FOCUS AND EXPERTISE. THE FOLLOWING COMMUNITY HEALTH NEEDSIDENTIFIED IN THE 2022 CHNA WILL NOT BE PRIORITIZED, HOWEVER AN EXPLANATION IS PROVIDED BELOW ON VARIOUS EFFORTS THAT ADDRESS THESE NEEDS:- COMMUNITY AND FAMILY SAFETY: OTHER ORGANIZATIONS IN THE COMMUNITY HAVE THE EXPERTISE AND COMPETENCY TO EFFECTIVELY ADDRESS THESE NEEDS. HOAG PARTNERS WITH HUMAN OPTIONS IN PROVIDING SUPPORT GROUPS AND WORKSHOPS AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING FOCUSED ON DOMESTIC VIOLENCE PREVENTION AND PARENTING CLASSES.- COVID-19/CONTAGIOUS AND INFECTIOUS DISEASES: WHILE HOAG IS NOT PRIORITIZING COVID-19 IN THE IMPLEMENTATION PLAN AT THIS POINT IN THE PANDEMIC, HOAG WILL CONTINUE TO DELIVER VACCINES, TESTING, AND MEDICALCARE TO ADDRESS COVID-19 IN THE COMMUNITY. HOAG WILL ALSO CONNECT WITH LOCAL CLINICS AND THE ORANGE COUNTY HEALTH CARE AGENCY TO REFER OUT SERVICES TO ADDRESS THESE UNMET NEEDS.- ECONOMIC INSECURITY: HOAG PARTNERS WITH THE SECOND HARVEST FOOD BANK TO PROVIDE FRESH PRODUCE AND GROCERIES TWICE A MONTH TO THOSE IN NEED. HOAG WILL PARTNER WITH CAL OPTIMA HEALTH PLAN TO LAUNCH THE MEDICALLY TAILORED MEAL PROGRAM FOR ELIGIBLE PATIENTS UPON HOSPITAL DISCHARGE. IN ADDITION, HOAG HOSTS A DIAPER DISTRIBUTION IN PARTNERSHIP WITH COMMUNITY ACTION PARTNERSHIP OC TO PROVIDE DIAPERS TO THOSE FAMILIES IN NEED. HOAG ALSO PARTNERS WITH CIELO, A NONPROFIT ORGANIZATION THAT PROVIDES EDUCATIONAL WORKSHOPS RELATED TO WORKFORCE DEVELOPMENT, BUSINESS AND ENTREPRENEURIAL SKILLS, AND FINANCIAL AND COMPUTER LITERACY. PROJECT SELF SUFFICIENCY IS ANOTHER COLLABORATIVE PARTNER THAT PROVIDES SUPPORT AND RESOURCES FOR SINGLE PARENTS ENROLLED IN COLLEGE. HOAG IS ALSO STARTING A NEW PARTNERSHIP WITH UNITED WAY'SSPARK POINT PROGRAM TO ADVANCE ECONOMIC SECURITY FOR LOW-INCOME AND UNDER RESOURCED FAMILIES. - ENVIRONMENT/CLIMATE CHANGE: OTHER ORGANIZATIONS IN THE COMMUNITY ARE ADDRESSING THIS NEED.- HOUSING AND HOMELESSNESS: HOAG PARTNERS WITH SHARE OUR SELVES AND FAMILIES FORWARD TO PROVIDE RENTAL AND MOTEL ASSISTANCE TO THOSE ELIGIBLE APPLICANTS. HOAG ALSO PARTNERS WITH SERVING PEOPLE IN NEED (SPIN) TO PROVIDE GUIDED ASSISTANCE TO PERMANENT HOUSING PLACEMENT.
PART V, SECTION B, LINE 13H:HOAG PROVIDES FINANCIAL ASSISTANCE TO UNINSURED AND UNDERINSURED PATIENTS WHOSE FAMILY INCOME IS AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL (FPL). FOR INSURED PATIENTS WITH FAMILY INCOMES UP TO 400% OF THE FPL, FINANCIAL ASSISTANCE MAY ALSO BE AVAILABLE IF THEY INCUR HIGH MEDICAL COSTS, AS DEFINED BY CALIFORNIA LAW. ADDITIONALLY, THE POLICY ALLOWS FOR DISCRETIONARY DETERMINATIONS OF CHARITY CARE BASED ON INDIVIDUAL PATIENT CIRCUMSTANCES, CONSISTENT WITH THE PRINCIPLES OUTLINED IN THE FINANCIAL ASSISTANCE PROGRAM.
PART V, SECTION B, LINE 15E:PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE PROGRAM (FAP) APPLICATION. APPLICATIONS ARE AVAILABLE THROUGH MULTIPLE CHANNELS, INCLUDING THE HOAG AND HOAG ORTHOPEDIC INSTITUTE WEBSITES, MYCHART, FINANCIAL COUNSELORS, AND BY REQUEST VIA MAIL. PATIENTS MAY ALSO CONTACT HOAG'S PATIENT FINANCIAL SERVICES CALL CENTER AT (949) 764-8404, OR EMAIL PFS@HOAG.ORG TO REQUEST ASSISTANCE. DESIGNATED PERSONNEL ARE AVAILABLE TO HELP PATIENTS COMPLETE THE APPLICATION AND DETERMINE ELIGIBILITY FOR CHARITY CARE, DISCOUNTED PAYMENT, OR GOVERNMENT-FUNDED PROGRAMS, AS APPLICABLE.
PART V, SECTION B, LINE 16A:FAP WEBSITE:HTTPS://WWW.HOAGORTHOPEDICINSTITUTE.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
PART V, SECTION B, LINE 16B:FAP APPLICATION WEBSITE:HTTPS://WWW.HOAGORTHOPEDICINSTITUTE.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
PART V, SECTION B, LINE 16C:FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.HOAGORTHOPEDICINSTITUTE.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - MAIN ST SPECIALTY SURGERY CENTER
280 MAIN STREET 100ORANGECA92660OUTPATIENT SURGERY CENTER
2 - ORTHOPEDIC SURGERY CENTER OF OC
22 CORPORATE PLAZA DR STE 150NEWPORT BEACHCA92660OUTPATIENT ORTHOPEDIC SURGERY CENTER
3 - DIAGNOSTIC & INTERVENTIONAL SURGICAL CTR
13160 MINDANAO WAY STE 150MARINA DEL REYCA90292OUTPATIENT SURGERY CENTER
4 - CALIFORNIA SPECIALTY SURGERY CENTER
26371 CROWN VALLEY PARKWAYMISSION VIEJOCA92691OUTPATIENT SURGERY CENTER
5 - HOAG ORTHOPEDIC INS SURGERY CTR BH
9090 WILSHIRE BLVD SUITE 102BEVERLY HILLSCA90211OUTPATIENT ORTHOPEDIC SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE PROGRAM (FAP), ELIGIBILITY FOR FREE OR DISCOUNTED CARE MAY BE GRANTED IN CASES INVOLVING CATASTROPHIC MEDICAL EXPENSES. ADDITIONALLY, SPECIAL CIRCUMSTANCESSUCH AS DISABILITY, HOMELESSNESS, OR OTHER SIGNIFICANT SOCIAL OR MEDICAL FACTORSMAY BE CONSIDERED IN DETERMINING A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 6A:THE MAJORITY OWNER OF HOAG ORTHOPEDIC INSTITUTE PREPARES AN ANNUAL REPORT WHICH INCLUDES THE INSTITUTE'S ACTIVITY AND IT IS PUBLICLY AVAILABLE AT:HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/DEPARTMENT-OF-COMMUNITY-HEALTH/REPORTS/
PART I, LINE 7:HOAG UTILIZES A RELATIVE VALUE UNIT (RVU) COST ACCOUNTING METHOD TO ALLOCATE EXPENSES. UNDER THIS APPROACH, RVUS ARE ASSIGNED TO CHARGE CODES POSTED BY EACH COST CENTER, AND EXPENSES FROM THE GENERAL LEDGER ARE ALLOCATED TO THE COST CENTERS BASED ON A WEIGHTED RVU SYSTEM. THIS METHOD CAPTURES ALL DIRECT COSTS ASSOCIATED WITH PATIENT CARE. INDIRECT OR OVERHEAD COSTS, WHICH ORIGINATE FROM COST CENTERS THAT DO NOT DIRECTLY PROVIDE PATIENT SERVICES, ARE ALLOCATED TO DIRECT COST CENTERS ACCORDING TO THEIR RESOURCE UTILIZATION. THIS COST ALLOCATION METHODOLOGY IS APPLIED CONSISTENTLY ACROSS ALL HOSPITAL PATIENTS, REGARDLESS OF PATIENT TYPE (INPATIENT, OUTPATIENT, ETC.) OR PAYER CATEGORY.
PART I, LINE 7F:THE PROPORTIONATE SHARE OF THE ORGANIZATION'S JOINT VENTURE EXPENSES HAVE BEEN INCLUDED IN THE CALCULATION OF THE COMMUNITY BENEFIT EXPENSE PERCENTAGES.
PART III, LINE 2:AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019.
PART III, LINE 9B:PATIENTS IN THE PROCESS OF QUALIFYING FOR GOVERNMENT FINANCIAL ASSISTANCE OR THE FA PROGRAM WILL NOT BE ASSIGNED TO COLLECTIONS PRIOR TO 180 DAYS FROM THE DATE OF INITIAL POST-DISCHARGE/TREATMENT BILLING. IF A PATIENT IS ATTEMPTING TO QUALIFY FOR ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE PROGRAM AND IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH HOAG BY NEGOTIATING AN EXTENDED PAYMENT PLAN OR BY MAKING REGULAR PARTIAL PAYMENTS OF A REASONABLE AMOUNT, HOAG SHALL NOT SEND THE UNPAID BILL TO ANY COLLECTION AGENCY OR OTHER ASSIGNEE, UNLESS THAT ENTITY HAS AGREED TO COMPLY WITH GUIDELINES OUTLINED IN CALIFORNIA HEALTH AND SAFETY CODE SECTION 127400 ET SEQ. INSURED OR UNINSURED PATIENTS, WHO AT THE SOLE DISCRETION OF HOAG ARE REASONABLY COOPERATING TO SETTLE AN OUTSTANDING HOSPITAL BILL BY MAKING REGULAR AND REASONABLE PAYMENTS TOWARDS THEIR OUTSTANDING HOSPITAL BILL, WILL NOT BE SENT TO AN OUTSIDE COLLECTION AGENCY IF DOING SO WOULD NEGATIVELY IMPACT THE PATIENT'S CREDIT.
PART VI, LINE 2:NEEDS ASSESSMENTHOI CONDUCTED A NEW 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOPED A RELATED IMPLEMENTATION STRATEGY WHICH WERE ADOPTED MAY 2024. PRIORITIZED NEEDS FROM THIS CHNA WILL BE USED TO PLAN AND EVALUATE PROGRAMMING FOR 3 YEARS, 2023-2025. A DESCRIPTION OF HOW THEY ARE BEING ADDRESSED WILL BE PROVIDED WITH THE SCHEDULE H EACH TAX YEARS. HOI'S 2022 CHNA AND 2023-2025 IMPLEMENTATION STRATEGIES MAY BE VIEWED ONLINE AT:HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/DEPARTMENT-OF-COMMUNITY-HEALTH/REPORTS/IN ADDITION TO THE COMMUNITY WIDE NEEDS ASSESSMENT CONDUCTED EVERY THREE YEARS, HOAG CONTINUALLY ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IN VARIOUS WAYS. MANY OF THE COMMUNITY BENEFIT STAFF SERVE ON BOARD OF DIRECTORS AND COMMITTEES OF NONPROFIT ORGANIZATIONS WHICH ALLOWS THEM TO BE ACTIVELY ENGAGED WITH THE COMMUNITY AS WELL AND PROVIDE SUPPORT AND STRATEGIC DIRECTION. CLIENTS THAT ACCESS SERVICES AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING ALSO COMPLETE A SCREENING TOOL WHICH ALLOWS US TO ASSESS FUTURE PROGRAMMING NEEDS FOR THE COMMUNITY. THE DIRECTOR OF THE DEPARTMENT SERVES AS THE CHAIR OF THE ORANGE COUNTY MENTAL HEALTH BOARD AND IS ALSO AN ACTIVE MEMBER OF THE BE WELL ORANGE COUNTY PARTNERSHIP WHICH ALLOWS FOR CONTINUOUS ASSESSMENT OF MENTAL HEALTH NEEDS, GAPS AND OPPORTUNITIES FOR THE COUNTY. THE DIRECTOR OF COMMUNITY BENEFIT ALSO COFOUNDED THE COMMUNITY SUICIDE PREVENTION INITIATIVE WITH THE GOAL OF INCREASING AWARENESS AND ACCESSIBILITY TO AVAILABLE RESOURCES, HOSTING COMMUNITY EDUCATIONAL EVENTS, AND REDUCING SUICIDE IN ORANGE COUNTY. COMMUNITY BENEFIT STAFF ALSO HOLD A SEAT WITH THE ORANGE COUNTY HEALTH CARE AGENCY'S HEALTH IMPROVEMENT PARTNERSHIP AND ORANGE COUNTY GRANTMAKERS WHICH BRINGS TOGETHER VARIOUS HEALTH RELATED ORGANIZATIONS AND PHILANTHROPIC FUNDERS TO DISCUSS COMMUNITY NEEDS, PROGRAMMING, AND COLLABORATIVE OPPORTUNITIES. HOAG'S CENTER FOR HEALTHY LIVING ALSO HOSTS A MONTHLY PROFESSIONAL NETWORK RESOURCE EXCHANGE MEETING WHICH BRINGS TOGETHER COMMUNITY LEADERS FROM THE NONPROFIT SECTOR, LOCAL SCHOOL DISTRICTS, AND HEALTH RELATED SERVICES TO DISCUSS RECENT HEALTH TRENDS AND OPPORTUNITIES TO MEET THOSE NEEDS. COMMUNITY BENEFIT STAFF ALSO INTERFACES WITH VARIOUS CITY OFFICIALS IN ORANGE COUNTY WHICH ALLOWS HOAG TO BE ENGAGED AND COLLABORATE ON ISSUES THAT ARISE. OUR ROBUST COMMUNITY BENEFIT GRANTS PROGRAM ALSO PROVIDES US WITH A LENS INTO COMMUNITY NEED AS WE INTERFACE WITH OVER 80 NONPROFIT ORGANIZATIONS WHO APPLY FOR PROGRAM FUNDING. THE APPLICATION PROCESS FOR FUNDING PROVIDES US WITH A LEARNING OPPORTUNITY ABOUT THE ORGANIZATIONS MISSION AS WELL AS GAPS AND NEEDS THEIR COMMUNITY IS FACED WITH.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE HOAG ORTHOPEDIC INSTITUTE PROVIDES FINANCIAL ASSISTANCE TO UNINSURED AND UNDERINSURED PATIENTS WHOSE FAMILY INCOME IS AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL (FPL). FOR INSURED PATIENTS WITH FAMILY INCOMES UP TO 400% OF THE FPL, FINANCIAL ASSISTANCE MAY ALSO BE AVAILABLE IF THEY INCUR HIGH MEDICAL COSTS, AS DEFINED BY CALIFORNIA LAW.HOAG INFORMS AND EDUCATES PATIENTS ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE THROUGH THE FOLLOWING METHODS:* PUBLIC NOTICES: FINANCIAL ASSISTANCE NOTICES ARE PROMINENTLY POSTED IN ENGLISH AND SPANISH IN PUBLIC ADMISSION AREAS AT HOAG ORTHOPEDIC INSTITUTE.* BILLING STATEMENTS: PATIENT BILLING STATEMENTS INCLUDE A CLEAR AND CONSPICUOUS NOTICE ABOUT THE AVAILABILITY OF HOAG'S FINANCIAL ASSISTANCE PROGRAM, ALONG WITH APPROPRIATE CONTACT INFORMATION.* IN-PERSON AND REMOTE SUPPORT: PATIENTS MAY VISIT PATIENT FINANCIAL SERVICES TO MEET WITH A FINANCIAL COUNSELOR OR CONTACT HOAG'S PATIENT FINANCIAL SERVICES CALL CENTER FOR ASSISTANCE WITH FINANCIAL ASSISTANCE OPTIONS.* GOVERNMENT PROGRAM SCREENING: HOI DISCUSSES THE AVAILABILITY OF GOVERNMENT-SPONSORED PROGRAMS SUCH AS MEDICAID WITH PATIENTS AND ASSISTS WITH THE QUALIFICATION PROCESS WHEN APPLICABLE.
PART VI, LINE 4:COMMUNITY INFORMATION HOAG'S COMMUNITY, AS DEFINED FOR THE PURPOSE OF THE COMMUNITY HEALTHNEEDS ASSESSMENT INCLUDES 88 ZIP CODES AND ALL 582 CENSUS TRACTS IN ORANGE COUNTY. HOAG'S PATIENT POPULATION COMES FROM ALL 34 CITIES AND UNINCORPORATED COMMUNITIES IN ORANGE COUNTY. AMONG THE TOP 5 CITIES SERVED BY HOAG (IRVINE, HUNTINGTON BEACH, COSTA MESA, NEWPORT BEACH AND SANTA ANA), THE AVERAGE AGE OF PATIENTS RANGES FROM 29 YEARS TO 48 YEARS OLD WITH YOUNGER PATIENTS ON AVERAGE RESIDING IN THE CITIES OF COSTA MESA AND SANTA ANA. AMONG HOAG'S OBSTETRICIAN VISITS, THE AVERAGE AGE OF COSTA MESA AND SANTA ANA PATIENTS IS 29 YEARS. FOR EMERGENCY DEPARTMENT VISITS, THE YOUNGEST PATIENTS RESIDE IN COSTA MESA AND IRVINE AND THE OLDEST PATIENTS RESIDE IN NEWPORT BEACH.THE NUMBER OF MEDICAID PATIENTS RANGE FROM 8% IN THE CITIES OF HUNTINGTON BEACH AND IRVINE TO AS MUCH AS 25% AND 21% IN THE CITIES OF COSTA MESA AND SANTA ANA, RESPECTIVELY. MEDICAID PATIENTS SKEW FEMALE, AND THEY TEND TO REPRESENT A HIGHER PERCENTAGE OF PATIENTS VISITING THE EMERGENCY DEPARTMENT.ORANGE COUNTY IS HOME TO 3.19 MILLION PEOPLE PER THE LATEST 2020 DECENNIAL CENSUS WITH A MEDIAN AGE OF 38.3 YEARS. THE 2020 CENSUS SHOWS 45% OF ORANGE COUNTY'S POPULATION IS WHITE, WHILE 55% REPRESENT ANOTHER RACIAL GROUP OR MULTI-RACIAL GROUPS. THE COUNTY'S LARGEST NON-WHITE ETHNIC AND RACIAL GROUPS ARE HISPANIC/LATINO AND ASIAN NATIVE HAWAIIAN AND PACIFIC ISLANDER. APPROXIMATELY 34% OF ORANGE COUNTY RESIDENTS CONSIDER THEMSELVES OF HISPANIC ETHNICITY, WHILE 22% ARE ASIAN NATIVE HAWAIIAN AND PACIFIC ISLANDER. ALTOGETHER, AROUND 30% OF RESIDENTS IN ORANGE COUNTY ARE FOREIGN-BORN, AND ABOUT 45% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME.THE ORANGE COUNTY COMMUNITY EARNS ONE OF THE HIGHEST ANNUAL MEDIAN INCOMES IN THE U.S., BUT ALSO BEARS SOME OF THE HIGHEST COSTS OF LIVING. 2020 MEDIAN HOUSEHOLD INCOME IN ORANGE COUNTY IS $94,441; HOWEVER, ORANGE COUNTY IS ALSO RANKED AS ONE OF THE 10 MOST EXPENSIVE COUNTIES IN CALIFORNIA IN 2021 ACCORDING TO THE INSIGHT CENTER. THE CALIFORNIA FAMILY NEEDS CALCULATOR PUBLISHED BY THE INSIGHT CENTER REPORTS THAT A FAMILY OF 4 WITH 2 SCHOOL AGED CHILDREN NEEDS TO EARN AN HOURLY WAGE OF $23.99 PER ADULT IN THE HOUSEHOLD OR $101,336 AS A HOUSEHOLD TO PAY FOR BASIC LIVING EXPENSES IN ORANGE COUNTY. ORANGE COUNTY'S MEDIAN HOUSEHOLD INCOME IS $94,441, WHICH IS APPROXIMATELY $7,000 SHORT OF WHAT IS NEEDED TO MAKE ENDS MEET. THIS INCOME DISPARITY WILL CONTINUE TO PUT PRESSURE ON SOCIAL SERVICES IN ORANGE COUNTY TO FILL THE GAP AND WILL EXACERBATE HOUSING AND FINANCIAL INSECURITIES THAT LEAD TO POOR HEALTH AND HOMELESSNESS.FOR MORE DETAILS ON THIS INFORMATION, PLEASE REFER TO THE 2022 CHNA AT:HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/DEPARTMENT-OF-COMMUNITY-HEALTH/REPORTS/OTHER HOSPITALS IN THE AREA INCLUDE, BUT ARE NOT LIMITED TO: - AHMC ANAHEIM REGIONAL MEDICAL CENTER - ANAHEIM - ANAHEIM GENERAL HOSPITAL (ANAHEIM, BUENA PARK) - CHAPMAN MEDICAL CENTER - ORANGE- CHILDREN'S HOSPITAL AT MISSION - MISSION VIEJO - CHILDREN'S HOSPITAL OF ORANGE COUNTY - ORANGE - FOUNTAIN VALLEY RGNL HOSP AND MED CTR - FOUNTAIN VALLEY - GARDEN GROVE HOSPITAL AND MEDICAL CENTER - GARDEN GROVE - HUNTINGTON BEACH HOSPITAL - HUNTINGTON BEACH - KAISER PERMANENTE (IRVINE, ANAHEIM) - KINDRED HOSPITAL (SANTA ANA, WESTMINSTER) - LA PALMA INTERCOMMUNITY HOSPITAL - LA PALMA - MISSION HOSPITAL LAGUNA BEACH - LAGUNA BEACH - MISSION HOSPITAL REGIONAL MEDICAL CENTER - MISSION VIEJO - ORANGE COAST MEMORIAL MEDICAL CENTER - FOUNTAIN VALLEY - SADDLEBACK MEMORIAL MEDICAL CENTER (LAGUNA HILLS/SAN CLEMENTE) - ST. JOSEPH HOSPITAL - ORANGE - ST. JUDE MEDICAL CENTER - FULLERTON - UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER - ORANGE - WESTERN MEDICAL CENTER - SANTA ANA
PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTH HOAG ORTHOPEDIC INSTITUTE PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. HOAG ORTHOPEDIC INSTITUTE IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: - COMMUNITY BENEFIT STAFF CONTINUOUSLY ASSESS THE HEALTH NEEDS OF THE COMMUNITY BY SERVING ON BOARD OF DIRECTORS AND COMMITTEES OF NONPROFIT ORGANIZATIONS WHICH ALLOWS THEM TO BE ACTIVELY ENGAGED WITH THE COMMUNITY AND PROVIDE SUPPORT AND STRATEGIC DIRECTION.
PART VI, LINE 6:AFFILIATED HEALTH CARE SYSTEM: FOR NEARLY 170 YEARS, PROVIDENCE HAS BEEN DEDICATED TO SUPPORTING COMMUNITIES ACROSS THE SEVEN STATES WE SERVE. WE HAVE ALWAYS BELIEVED IN THE POWER OF COLLABORATION, RECOGNIZING THAT STRONG PARTNERSHIPS ARE ESSENTIAL TO OUR VISION OF HEALTH FOR A BETTER WORLD. AS WE FOCUS ON OUR CORE OPERATIONS OF DELIVERING HIGH-QUALITY, COMPASSIONATE CARE, WE RELY ON PARTNERS IN LOCAL COMMUNITIES TO HELP US GET UPSTREAM SO WE CAN ADDRESS THE SOCIAL FACTORS THAT AFFECT HEALTH, ESPECIALLY IN COMMUNITIES EXPERIENCING HIGH LEVELS OF HEALTH DISPARITIES. AT THE HEART OF THIS COLLABORATION IS OUR COMMUNITY BENEFIT PROGRAMS. EVERY YEAR, OUR FAMILY OF ORGANIZATIONS IDENTIFIES UNMET COMMUNITY NEEDS AND RESPONDS WITH STRATEGIC CONTRIBUTIONS AND PARTNERSHIPS. THROUGH THIS WORK, WE AIM TO MEET BASIC HEALTH NEEDS, REMOVE BARRIERS TO HEALTH, BUILD RESILIENT COMMUNITIES AND FIND INNOVATIVE WAYS TO SERVE THOSE WHO ARE MOST VULNERABLE. TOGETHER, OUR 125,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,014 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. PROVIDENCE ACROSS FIVE WESTERN STATES: -ALASKA -MONTANA -OREGON -NORTHERN CALIFORNIA -SOUTHERN CALIFORNIA -WASHINGTON THE PROVIDENCE AFFILIATE FAMILY INCLUDES: -COVENANT HEALTH IN WEST TEXAS AND NEW MEXICO -FACEY MEDICAL GROUP IN LOS ANGELES, CA. -KADLEC IN SOUTHEAST WASHINGTON -PACIFIC MEDICAL CENTERS IN SEATTLE, WA. -SWEDISH HEALTH SERVICES IN SEATTLE, WA. IN 2024, PROVIDENCE MINISTRIES AND AFFILIATES PROVIDED $1.9 BILLION IN COMMUNITY BENEFIT PROGRAMS. THIS INCLUDES FREE AND DISCOUNTED CARE, UNCOMPENSATED AND SUBSIDIZED CARE, AND OTHER COMMUNITY HEALTH ACTIVITIES. ONE OF THESE VITAL PROGRAMS, MEDICAID, IS A LIFELINE FOR MILLIONS OF INDIVIDUALS, INCLUDING SENIORS, CHILDREN, PREGNANT PATIENTS, THOSE WITH DISABILITIES AND VETERANS. WE ARE GRATEFUL TO EVERYONE IN OUR COMMUNITIES WHO HAS JOINED US IN ADVOCATING FOR CONTINUED FUNDING AND EXPANSION OF THIS PROGRAM. TOGETHER, WE ARE HELPING TO ENSURE MORE PEOPLE HAVE ACCESS TO NEEDED CARE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT THE FOLLOWING ARE KEY EXAMPLES OF HOW WE ARE INVESTING IN ADVANCING THE HEALTH OF OUR COMMUNITIES: ST. JOSEPH FUND: ST. JOSEPH FUND (SJF) IS PROVIDENCE'S GRANTMAKING FOUNDATION. IT INVESTS IN AND FOSTERS LONG-TERM PARTNERSHIPS, ROOTED IN LOVE, WITH COMMUNITIES TO ENSURE THEY ARE LIVELY, HOPEFUL, HEALTHY, AND JUST. ITS PARTNERSHIPS ARE TAILORED TO PROVIDE EACH GROUP WITH CAPACITY-BUILDING SUPPORT SPECIFIC TO THEIR NEEDS. TOGETHER, THEY BUILD RELATIONSHIPS AND FOSTER ONGOING DIALOGUES BEYOND A GRANT TERM. EACH PARTNERSHIP ENCOURAGES THE ACCESSIBILITY OF STAFF TO GENERATE IDEAS AND INNOVATIONS. SJF INVESTS IN REGIONAL NONPROFITS AND COLLABORATIVES ACROSS ALASKA, CALIFORNIA, MONTANA, OREGON, AND WASHINGTON TO STRENGTHEN AND BUILD THE POWER OF COMMUNITIES, FOCUSING ON BUILDING COMMUNITY IN FOUR KEY AREAS: -DISASTER RESPONSE AND RESILIENCE -LIFELONG EDUCATION THAT OPENS DOORS -POSITIVE CHANGE THROUGH COMMUNITY POWER -COMMUNITY HEALING AND RESILIENCE CAPACITY BUILDING IS AT THE CENTER OF SJF'S WORK. BY THAT, IT MEANS INFRASTRUCTURE DEVELOPMENT, INTERNAL ASSESSMENTS, RESEARCH, TRAINING, COHORT LEARNING, EXAMINING POLICIES AND PROCEDURES, AND MORE TO ENCOMPASS THE BUILDING BLOCKS FOR ORGANIZATIONAL POWER TO CARRY FORTH DIRECT COMMUNITY AND SOCIAL IMPACT. IT PARTNERS WITH COMMUNITY MEMBERS TO GO THE DISTANCE WITH THEM TOWARD WHOLENESS. THE SJF DOESN'T JUST FUND INITIATIVES IT REMAINS PARTNERS LONG AFTER THE GRANT FUNDS HAVE BEEN EXPENDED. SJF LEADERS AND THOSE AT THEIR NONPROFIT PARTNERS EACH HAVE LIVED EXPERIENCE AND UNDERSTAND THE NEEDS OF UNDERSERVED COMMUNITIES. THE SJF TEAM IS MOTIVATED BY COMPASSION, KINDNESS, AND THE DESIRE TO BENEFIT OTHERS AND BELIEVES THIS LEADS TO MORE POSITIVE OUTCOMES AND CREATES A SENSE OF FULFILLMENT AND SATISFACTION. ABOVE ALL, SJF BELIEVES IN THE POWER OF THE COMMUNITY. IT CELEBRATES AND CENTERS COMMUNITY EXPERTISE AND EXPERIENCE. IT LISTENS TO THEIR WISDOM. IT UNDERSTANDS THEIR NEEDS. AND IT INVESTS IN THEIR OPPORTUNITIES. SJF ENVISIONS WORKING AND LIVING TOGETHER IN LIVELY, HOPEFUL, HEALTHY, AND JUST COMMUNITIES. THE SJF INVESTS IN LONG-TERM PARTNERSHIPS ROOTED IN LOVE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/INITIATIVES/ST-JOSEPH-FUND INVESTING IN OUR COMMUNITIES IS AN ESSENTIAL WAY WE LIVE OUR MISSION: FOR GENERATIONS, THE PROVIDENCE FAMILY OF ORGANIZATIONS HAS SERVED AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. GUIDED BY COMMUNITY HEALTH NEEDS ASSESSMENTS, WE CONTINUE OUR LONGSTANDING COMMITMENT TO THOSE IN NEED THROUGH COMMUNITY BENEFIT AND OTHER HIGH-IMPACT EFFORTS. BELOW WE HIGHLIGHT KEY EXAMPLES. THE PROVIDENCE FAMILY OF ORGANIZATIONS IS A TIRELESS ADVOCATE FOR HEALTH AND SOCIAL PROGRAMS, AND POLICIES THAT CONTRIBUTE TO THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. GROUNDED IN OUR MISSION AND BELIEF THAT EVERY PERSON IS EQUAL IN DIGNITY AND VALUE, WE ADVOCATE FOR MORE JUST AND EQUITABLE HEALTH CARE FOR ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. WE BELIEVE THAT HEALTH IS A HUMAN RIGHT AND WE PARTNER WITH LAWMAKERS TO ADVANCE POLICIES THAT BRING OUR VISION OF HEALTH FOR A BETTER WORLD TO LIFE. THROUGH A COLLABORATION WITH LIKEMINDED STAKEHOLDERS AND ASSOCIATIONS, PROVIDENCE LED LOCAL, STATE AND FEDERAL POLICY PRIORITIES TO EXPAND ACCESS AND COVERAGE TO SOME OF OUR MOST VULNERABLE IN OUR COMMUNITIES. SOME OF OUR ACHIEVEMENTS INCLUDE: -EXPANDING ACCESS TO CARE FOR UNDERSERVED POPULATIONS -PRESERVING THE MEDICAID PROGRAM -SUPPORTING OPERATIONAL AND FINANCIAL STABILITY THROUGH IMPROVED REIMBURSEMENT -ADVANCING POLICIES THAT STRENGTHEN THE HEALTHCARE WORKFORCE PIPELINE -INCREASING ACCESS TO MENTAL HEALTH SERVICES ADVOCACY AND SOCIAL RESPONSIBILITY: IN PARTNERSHIP WITH COMMUNITIES, THE PROVIDENCE FAMILY OF ORGANIZATIONS ADVOCATES FOR RESPONSIBLE, SUSTAINABLE, AND EQUITABLE POLICIES AND PRACTICES. WE REACH BEYOND THE WALLS OF HOSPITALS AND CARE FACILITIES TO WORK WITH LOCAL, STATE AND NATIONAL PARTNERS TO ADVANCE POLICIES THAT SERVE VULNERABLE POPULATIONS AND PROMOTE JUSTICE. WE ALSO PARTNER TO PROMOTE PRACTICES AND INFRASTRUCTURE THAT WILL SUSTAIN THE PLANET FOR FUTURE GENERATIONS AND TRANSFORM OUR COMMUNITIES FOR A HEALTHIER, MORE EQUITABLE WORLD. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITY FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITY/ENVIRONMENTAL-STEWARDSHIP WELL BEING TRUST: PROVIDENCE'S WELL BEING TRUST IS A FOUNDATION DEDICATED TO ADVANCING THE MENTAL, SOCIAL, AND SPIRITUAL HEALTH FOR ALL. WITH A BOLD MISSION, VISION AND OVERARCHING GOAL, WELL BEING TRUST IS INVESTING IN APPROACHES THAT HAVE THE POTENTIAL TO MODEL THE WAY FORWARD AND ADVANCE CLINICAL, COMMUNITY AND CULTURAL CHANGETO TRANSFORM THE HEALTH OF THE NATION AND IMPROVE WELL-BEING FOR EVERYONE. FOR MORE INFORMATION GO TO: HTTPS://WELLBEINGTRUST.ORG/ABOUT/
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROD F HOCHMAN MD
PRESIDENT/CEO$2,928,934$0$7,307,997$0$943,155$0$1,070,861$0$6,689$0$12,257,636$0$873,503$0
GREG HOFFMAN
EVP & CFO/TREASURER$0$1,402,471$0$2,154,592$0$323,161$0$377,326$0$13,379$0$4,270,929$0$239,249
DEBRA CANALES
EVP CAO PSJH - THRU 1/24$20,083$0$1,287,173$0$2,534,499$0$27,600$0$2,786$0$3,872,141$0$451,169$0
ANNA NEWSOM
EVP & CHIEF LEGAL OFFICER/SECRETARY$0$1,053,930$0$1,511,654$0$44,947$0$284,757$0$387$0$2,895,675$0$0
BJ MOORE
EVP/CHIEF INF. OFFICER - THRU 9/24$915,627$0$1,615,266$0$243,623$0$18,113$0$14,330$0$2,806,959$0$219,599$0
DOUGAL HEWITT
EVP CHIEF MISSION OFFICER PSJH$776,919$0$1,296,353$0$230,686$0$218,632$0$6,421$0$2,529,011$0$180,324$0
OREST HOLUBEC
EVP CHIEF COMMUNICATION OFCR$652,958$0$680,448$0$197,933$0$202,559$0$12,465$0$1,746,363$0$153,126$0
RHONDA MEDOWS MD
FRMR PRESIDENT POP HEALTH / AYIN$0$0$0$0$1,213,701$0$0$0$0$0$1,213,701$0$0$0
JIM WATSON ESQ
ASSISTANT SECRETARY$0$494,455$0$358,832$0$102,636$0$110,879$0$17,651$0$1,084,453$0$77,014
JIM MARTIN
ASSISTANT TREASURER$0$463,263$0$290,109$0$66,993$0$88,541$0$8,347$0$917,253$0$64,532
JO ANN ESCASA-HAIGH
FRMR ASSISTANT TREASURER$0$0$0$0$879,466$0$0$0$0$0$879,466$0$0$0
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT$0$287,131$0$28,005$0$1,418$0$14,332$0$4,600$0$335,486$0$0
AMY COMPTON-PHILLIPS MD
FRMR EVP/CHF CLIN. OFC.$0$0$0$0$231,120$0$0$0$0$0$231,120$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1APROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. THESE REIMBURSEMENTS ARE NOT REPORTED AS TAXABLE COMPENSATION. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE 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 TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. 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. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. 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. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THIS BENEFIT IS CONSIDERED A TAXABLE BENEFIT AND IS INCLUDED ON THE EMPLOYEE'S FORM W-2. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE.
PART I, LINES 4A-BTHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING 2024: DEBRA CANALES - $1,154,754 RHONDA MEDOWS, M.D. - $1,213,701 JO ANN ESCASA-HAIGH - $879,466 AMY COMPTON-PHILLIPS, M.D. - $231,120 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: ROD F. HOCHMAN, M.D. - $873,503 GREG HOFFMAN - $239,249 DEBRA CANALES - $451,169 BJ MOORE - $219,599 DOUGAL HEWITT - $180,324 OREST HOLUBEC - $153,126 JIM WATSON, ESQ - $77,014 JIM MARTIN - $64,532
PART I, LINE 7NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CHFFA 2019B
A52164382813032UUP12019-10-01$118,535,000SEE PART VI000
CHFFA 2009C&D
B52164382813032UGR32009-08-27$421,100,000SEE PART VI000
CHFFA 2019C
C52164382813032UB802019-10-15$323,760,000SEE PART VI000
CHFFA 2013A-D
D52164382813033LY762013-07-24$654,840,000SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtBond DefeasedBondDefeasedAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtRefunding EscrowRefundingEscrowAmt
A$150,006,043$150,006,0432012Yes (1)0Yes (1)Yes (1)
B$426,930,280$242,450,0002009Yes (1)0Yes (1)Yes (1)$53,250,000$302,765,280$4,480,280$180,000,000
C$393,290,698$393,290,6982009Yes (1)0Yes (1)Yes (1)$152,335,000$162,909,038
D$701,719,855$585,978,2312014Yes (1)Yes (1)Yes (1)Yes (1)$21,840,000$630,865,000$5,057,223$110,684,400

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)000Yes (1)
B00Yes (1)Yes (1)000Yes (1)
C00Yes (1)Yes (1)000Yes (1)
D00Yes (1)Yes (1)000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)0000Yes (1)
C000Yes (1)0000Yes (1)
D000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: CHFFA 2019B DATE THE REBATE COMPUTATION WAS PERFORMED: 10/01/2024 ISSUER NAME: CHFFA 2009C&D DATE THE REBATE COMPUTATION WAS PERFORMED: 08/27/2024 ISSUER NAME: CHFFA 2019C DATE THE REBATE COMPUTATION WAS PERFORMED: 10/15/2024 ISSUER NAME: CHFFA 2013A-D DATE THE REBATE COMPUTATION WAS PERFORMED: 07/22/2021 ISSUER NAME: CHFFA 2014A DATE THE REBATE COMPUTATION WAS PERFORMED: 08/27/2024 ISSUER NAME: CHFFA 2014B DATE THE REBATE COMPUTATION WAS PERFORMED: 08/06/2024 ISSUER NAME: CHFFA 2016A DATE THE REBATE COMPUTATION WAS PERFORMED: 11/12/2021 ISSUER NAME: CHFFA 2016B DATE THE REBATE COMPUTATION WAS PERFORMED: 11/12/2021 ISSUER NAME: OFA 2011C DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2021 ISSUER NAME: OFA 2013A DATE THE REBATE COMPUTATION WAS PERFORMED: 10/01/2024 ISSUER NAME: OFA 2015C DATE THE REBATE COMPUTATION WAS PERFORMED: 10/21/2020 ISSUER NAME: WHCFA 2012A-D DATE THE REBATE COMPUTATION WAS PERFORMED: 10/12/2022 ISSUER NAME: WHCFA 2014C DATE THE REBATE COMPUTATION WAS PERFORMED: 09/10/2024 ISSUER NAME: WHCFA 2014D DATE THE REBATE COMPUTATION WAS PERFORMED: 11/06/2024 ISSUER NAME: WHCFA 2015A DATE THE REBATE COMPUTATION WAS PERFORMED: 09/14/2020 ISSUER NAME: WHCFA 2016DE DATE THE REBATE COMPUTATION WAS PERFORMED: 11/16/2021 ISSUER NAME: WHCFA 2018B DATE THE REBATE COMPUTATION WAS PERFORMED: 02/06/2023
PART I - PURPOSE OF BONDCHEFFA 2019B THE PROCEEDS DERIVED FROM THE SALE OF THE 2019B BONDS WERE USED TO REFUND THE CHFFA 2009B REVENUE BONDS (PH&S) ORIGINALLY EXECUTED AND DELIVERED ON JULY 29, 2009. PROCEEDS ORIGINALY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE HOLY CROSS MEDICAL CENTER. CHFFA 2009C&D THE PROCEEDS DERIVED FROM THE SALE OF THE CHFFA 2009C&D BONDS WERE USED TO REFUND A PORTION OF THE CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON JANUARY 29, 2004 & REFUNDED MAY 15, 2008 & REFUNDED AGAIN AUGUST 27, 2009. - ON OCTOBER 18, 2022 THE BONDS WERE CONVERTED VIA PRIVATE CLOSING TO FIXED RATE TERM BONDS. THE ORIGINAL PROCEEDS CONTINUE TO BE UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL,ST. JOSEPH HOSPITAL OF EUREKA, AND ST. JUDE MEDICAL CENTER. CHEFFA 2019C THE PROCEEDS DERIVED FROM THE SALE OF THE 2019C BONDS WERE USED TO REFUND THE CHFFA SERIES 2009 A&B REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON AUGUST 27, 2009 (CHFFA A&B) & TO REFUND THE CHFFA SERIES 2013 B&C REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON JULY 24, 2013 (CHFFA B&C). PROCEEDS ORIGINALY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: ST JOSEPH HOSPITAL ORANGE, MISSION HOSPITAL, ST. MARY MEDICAL CENTER, SANTA ROSA MEMORIAL HOSPITAL, ST. JOSEPH HOSPITAL OF EUREKA, AND ST. JUDE MEDICAL CENTER. IN ADDITION,PROCEEDS WERE PARTIALLY UTILIZED FOR CERTAIN COST OF ACQUISITION OF THE FOLLOWING HEALTH CARE FACILITIES: HOAG HOSPITAL NEWPORT BEACH. ON 1/26/2022 ALL PROCEEDS ALLOCATED TO HOAG WERE REMEDIATED. CHFFA 2013A-D THE PROCEEDS DERIVED FROM THE SALE OF THE 2013A-D BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE, REFINANCING OF OUTSTANDING INDEBTEDNESS OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $110,684,400. PROCEEDS TO BE UTILIZED FOR CERTAIN COST OF ACQUISITION, CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: HOAG HOSPITAL NEWPORT BEACH, ST. JOSEPH HOSPITAL, ORANGE, ST. JUDE MEDICAL CENTER, ST. MARY MEDICAL CENTER, SANTA ROSA MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL OF EUREKA. ORIGINAL ISSUE DATE JULY 24, 2013. ON OCTOBER 15, 2019 THE CHFFA SERIES 2013 B&C REVENUE BONDS WERE REFUNDED BY THE CHFFA 2019C & ON 1/26/2022 ALL PROCEEDS ALLOCATED TO HOAG WERE REMEDIATED. CHFFA 2014A THE PROCEEDS DERIVED FROM THE SALE OF THE 2014A BONDS WERE USED TO FUND CERTAIN COST OF ISSUANCE & REFINANCE THE CHFFA 2008C BONDS, WHICH HAD PREVIOUSLY ADVANCE REFUNDED THE 1998 BONDS AND CURRENT REFUNDED THE 2001ABC BONDS & FINANCED AQUISITION OF TARZANA MC. PROCEEDS OF THE PRIOR BONDS WERE UTILIZED FOR CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST JOSEPH MC, PROVIDENCE HOLY CROSS MS, PROVIDENCE LCM MC'S IN TORRANCE & SAN PEDRO. ON 10/3/2017 & 10/1/2019 PORTIONS OF PROCEEDS ALLOCATED TO PLCMMC TORRANCE WERE REMEDIATED, & ON 10/1/2019 ALL PROCEEDS ALLOCATED TO TARZANA MC WERE REMEDIATED. CHFFA 2014B THE PROCEEDS DERIVED FROM THE SALE OF THE 2014A BONDS WERE USED TO FUND CERTAIN COST OF ISSUANCE & REFUND PH&S COMMERCIAL PAPER BORROWING ASSOCIATED WITH THE ACQUISITION OF THE FOLLOWING HEALTH CARE FACILIY: PROVIDENCE ST JOHN'S HEALTH CENTER. CHFFA 2016A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CHFFA INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON APRIL 17, 2007 AND CONVERTED MARCH 27, 2008. PROCEEDS ORIGINALY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL, QUEEN OF THE VALLEY MEDICAL CENTER, ST. JUDE MEDICAL CENTER, ST. JOSEPH HOSPITAL (ORANGE), ST. MARY REGIONAL MEDICAL CENTER AND SANTA ROSA MEMORIAL HOSPITAL. CHFFA 2016B THE PROCEEDS DERIVED FROM THE SALE OF THE 2016B-1,2 &3 BONDS WERE USED TO REFUND THE SJHS 2011A-D BONDS, ORIGINALLY USED TO FUND CERTAIN COST OF ISSUANCE AND CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: QUEEN OF THE VALLEY MEDICAL CENTER, ST. JOSEPH HOSPITAL OF EUREKA AND ST. JUDE MEDICAL CENTER. OFA 2011C THE PROCEEDS DERIVED FROM THE SALE OF THE OFA 2011C BONDS REFUNDED THE SERIES 1999 & 2005 BONDS AND ADVANCE REFUNDED THE OFA SERIES 2002 BONDS. OFA 2013A THE PROCEEDS DERIVED FROM THE SALE OF THE 2013A BONDS ADVANCE REFUNDED THE HFAMC SERIES 2004 BONDS FOR WHICH WERE PROCEEDS ORIGINALY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE PORTLAND MEDICAL CENTER. OFA 2015C THE PROCEEDS DERIVED FROM THE SALE OF THE 2015C BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST VINCENT MEDICAL CENTER. WHCFA 2012A-D CURRENTLY REFUND ALL OUTSTANDING SWEDISH HEALTH SERVICES WHCFA BONDS. THE PROCEEDS DERIVED FROM THE SALE OF BONDS CURRENTLY REFUND SWEDISH HEALTH SERVICES WHCFA BONDS SERIES 1998, 2009ABC, & 2011ABCD, FOR WHICH WERE PROCEEDS ORIGINALY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: SWEDISH HEALTH SYSTEM - FIRST HILL CAMPUS, BALLARD CAMPUS, CHERRY HILL MEDICAL CENTER, & ISSAQUAH CAMPUS. ON OCTOBER 1, 2021, THE WHCFA 2012BCD BONDS WERE REFUNDED BY THE WHCFA 2021B BONDS. WHCFA 2014C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: SWEDISH EDMONDS & TO REFINANCE A BORROWING RELATED TO THE CONSTRUCTION AT: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2014D THE PROCEEDS DERIVED FROM THE SALE OF 2014D (KAD) BONDS CURRENT REFUNDED THE WHCFA SERIES 2006A, SERIES 2006B, SERIES 2010 & SERIES 2012 BONDS FOR WHICH PROCEEDS WERE ORIGINALY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: KADLEC REGIONAL MEDICAL CENTER. WHCFA 2015A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: KADLEC REGIONAL MEDICAL CENTER & PROVIDENCE SACRED HEART MEDICAL CENTER. WHCFA 2016DE THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006A, WHICH HAD ADVANCE REFUNDED THE SERIES 1998 BONDS. THIS ISSUE IS HELD IN TWO PRIVATE PLACEMENTS WITH WELLS FARGO & BANK OF AMERICA. WHCFA 2018B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006CDE, WHICH WERE USED TO CURRENTLY REFUND WHCFA SERIES 2002AB & WHCFA 1994 & 1995 BONDS. WHCFA 2021B THE PROCEEDS DERIVED FROM THE SALE OF THE 2021B BONDS WERE USED TO REFUND THE WHCFA 2012BCD BONDS, ORIGINALLY USED TO CURRENTLY REFUND ALL OUTSTANDING SWEDISH HEALTH SERVICES WHCFA BONDS. THE PROCEEDS CURRENTLY REFUNDED SWEDISH HEALTH SERVICES WHCFA BONDS SERIES 1998, 2009ABC, & 2011ABCD, ORIGINALY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: SWEDISH HEALTH SYSTEM - FIRST HILL CAMPUS, BALLARD CAMPUS, CHERRY HILL MEDICAL CENTER, & ISSAQUAH CAMPUS. PFA 2021C THE PROCEEDS DERIVED FROM THE SALE OF THE 2021C BONDS WERE USED TO REFUND THE AIDEA 2011A BONDS, ORIGINALLY USED TO FUND CERTAIN COST OF ISSUANCE AND CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ALASKA MEDICAL CENTER (PAMC) & LONG TERM CARE FACILITY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CHFFA 2014A
A52164382813033L4J32014-06-11$275,850,000SEE PART VI000
CHFFA 2014B
B52164382813033L4N42014-08-06$118,740,000SEE PART VI000
CHFFA 2016A
C52164382813032UFP82016-09-28$448,165,000SEE PART VI000
CHFFA 2016B
D52164382813032UGP72016-09-28$285,730,000SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$73,245,000$70,515,000$305,080,327$2,808,157$302,272,17020120Yes (1)Yes (1)Yes (1)
B$126,434,498$1,434,498$125,000,000201400Yes (1)Yes (1)
C$18,575,000$490,804,875$3,547,888$487,256,9872008Yes (1)0Yes (1)Yes (1)
D$304,049,410$1,939,410$302,110,0002013000Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)000Yes (1)
B00Yes (1)Yes (1)000Yes (1)
C00Yes (1)Yes (1)000Yes (1)
D00Yes (1)Yes (1)000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)0000Yes (1)
C000Yes (1)0000Yes (1)
D000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
OFA 2011C
A93600178768608JPT22011-11-17$22,355,000SEE PART VI000
OFA 2013A
B93600178768608JRH62013-09-18$78,190,000SEE PART VI000
OFA 2015C
C93600178768608JTT82015-09-13$71,070,000SEE PART VI000
WHCFA 2012A-D
D91110892993978HGG42012-07-19$771,370,000SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtBond DefeasedBondDefeasedAmtCredit EnhancementCreditEnhancementAmt
A$20,685,000$24,927,615$345,182$24,582,4332005Yes (1)Yes (1)Yes (1)Yes (1)
B$78,190,000$86,048,852$910,360$85,138,4912005Yes (1)Yes (1)Yes (1)Yes (1)
C$72,245,909$1,015,122$654,532201800Yes (1)Yes (1)$71,230,787
D$107,485,000$819,530,895$7,422,456$812,108,439201100Yes (1)Yes (1)$260,000,000$242,643

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)000Yes (1)
B00Yes (1)Yes (1)000Yes (1)
C00Yes (1)Yes (1)000Yes (1)
D00Yes (1)Yes (1)000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)0000Yes (1)
C000Yes (1)0000Yes (1)
D000Yes (1)Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WHCFA 2014C
A91110892993978HKL82014-09-10$92,245,000SEE PART VI000
WHCFA 2014D
B91110892993978HKN42014-11-06$178,770,000SEE PART VI000
WHCFA 2015A
C91110892993978HQU22015-08-12$77,635,000SEE PART VI000
WHCFA 2016DE
D9111089290000000002016-09-28$210,860,000SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtRetiredRetiredAmt
A$11,870,000$99,611,469$1,128,161$98,483,308201500Yes (1)Yes (1)
B$3,150,000$200,084,061$1,736,112$198,347,9492014Yes (1)0Yes (1)Yes (1)
C$75,900,634$1,106,3162018000Yes (1)$74,794,318
D$44,610,000$210,860,000$305,000$210,555,0002009Yes (1)0Yes (1)Yes (1)$60,935,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)000Yes (1)
B00Yes (1)Yes (1)000Yes (1)
C0Yes (1)Yes (1)Yes (1)000Yes (1)
D00Yes (1)Yes (1)000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)0000Yes (1)
C000Yes (1)0000Yes (1)
D000Yes (1)Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WHCFA 2018B
A91110892993978HUY92018-01-30$141,690,000SEE PART VI000
WHCFA 2021B
B91110892993978HYG42021-10-01$178,225,000SEE PART VI000
PFA 2021C
C27386612474442PTB12021-10-06$101,705,000SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$166,652,252$166,652,2522009Yes (1)0Yes (1)Yes (1)
B$220,676,413$220,676,4132011Yes (1)0Yes (1)Yes (1)
C$122,720,304$122,720,3042012Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)000Yes (1)
B00Yes (1)Yes (1)000Yes (1)
C00Yes (1)Yes (1)000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B0Yes (1)000000Yes (1)
C0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE MINISTRIES AND ST. JOSEPH HEALTH MINISTRY SERVE AS THE CANONICAL CO-SPONSORS (CO-SPONSORS COUNCIL) AND CORPORATE MEMBERS OF PROVIDENCE ST. JOSEPH HEALTH.
FORM 990, PART VI, SECTION A, LINE 7ACLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE ST. JOSEPH HEALTH HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE ST. JOSEPH HEALTH'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE ST. JOSEPH HEALTH BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE MINISTRIES AND ST. JOSEPH HEALTH MINISTRY, AS THE CORPORATE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BCLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE DEPARTMENT OF LEGAL AFFAIRS. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. MANAGEMENT PRESENTED THE RETURNS TO THE AUDIT AND COMPLIANCE COMMITTEE, AND DISCUSSED KEY DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, REVISED IN 2023, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR PROVIDENCE CHIEF RISK OFFICER, AND/OR PROVIDENCE CHIEF COMPLIANCE OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS RECUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15PROCESS FOR DETERMINING COMPENSATION IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE 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, 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 ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY 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 SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE 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 THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN JUNE 2025.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART XI, LINE 9:NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -476,643.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE HEALTH GROUP LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd
FieldValueIRS element (for citing)
EIN870970787EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PSJHBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (102 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
COLLABRIA CARE
414 SOUTH JEFFERSON STREETNAPACA94559680393144HEALTHCARECA501(C)(3)10SJHCNYes (1)
COVENANT ACO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057611573313HEALTHCARETX501(C)(3)12, ICHSYes (1)
COVENANT CHILDREN'S PHYSICIANS GROUP
3615 19TH STREETLUBBOCKTX79410881290850HEALTHCARETX501(C)(3)PENDINGCHSYes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057463516417HEALTHCARETX501(C)(3)12, ICHSYes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752765566HEALTHCARETX501(C)(3)3SJHSYes (1)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACELUBBOCKTX79410752897026HEALTHCARETX501(C)(3)7CHSYes (1)
COVENANT HOME AND COMMUNITY CARE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057920275096HEALTHCARETX501(C)(3)10CHSYes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057844273963HEALTHCARETX501(C)(3)3CHSYes (1)
COVENANT MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057822913146HEALTHCARETX501(C)(3)3CHSYes (1)
COVENANT MEDICAL GROUP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752743883HEALTHCARETX501(C)(3)3CHSYes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128EVERETTWA982065128943264605TRANSITIONAL CAREWA501(C)(3)100N/A
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057201910170SUPPORTWA501(C)(3)7PHS WAYes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104SEATACWA98188273133200HEALTHCAREWA501(C)(3)7SHSYes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057203856995HEALTHCARETX501(C)(3)3LHH LLCYes (1)
HOSPICE OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752133781HEALTHCARETX501(C)(3)10CHSYes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057912003593HEALTHCAREWA501(C)(3)7WHCYes (1)
KADLEC AUXILIARY INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057916033089SUPPORTWA501(C)(3)12, IIIKRMCYes (1)
KADLEC FOUNDATION
888 SWIFT BLVDRICHLANDWA99352237005501SUPPORTWA501(C)(3)7KRMCYes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057910655392HEALTHCAREWA501(C)(3)3WHCYes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330844408IMAGING SERVICESCA501(C)(3)10PHS SOCALYes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057264021016HEALTHCARETX501(C)(3)3CHSYes (1)
LUNDBERG ASSOCIATION PROVIDENCE HOUSE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911562797SUPPORTOR501(C)(3)7PHS ORYes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752428911HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752246348HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752426010HEALTHCARETX501(C)(3)3CHSYes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643360HEALTHCARECA501(C)(3)3SJHSYes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069SEATTLEWA98116200799737SUPPORTWA501(C)(3)12, ISHSYes (1)
OPEN DOOR VENTURES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911608508SUPPORTWA501(C)(3)7PHS WAYes (1)
PACMED CLINICS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057562290878HEALTHCAREWA501(C)(3)10WHCYes (1)
PH&S FOUNDATIONSFVSA & SCVSA
501 SOUTH BUENA VISTA STREETBURBANKCA915054809953544877HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE ALASKA FOUNDATION
3760 PIPER STREET SUITE 2021ANCHORAGEAK99508920093565HEALTHCAREAK501(C)(3)7PHS WAYes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
540 SOUTH MAIN STMT ANGELOR97362911940286HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911789266SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
4805 NE GLISAN ST STE 2N35PORTLANDOR97213930800140SUPPORTOR501(C)(3)7PHS ORYes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
940 ROYAL AVE SUITE 410MEDFORDOR97504930692907HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057473385506SUPPORTWA501(C)(3)70N/A
PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057954322584SUPPORTCA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311744654SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911549796HEALTHCAREWA501(C)(3)12, IIPSJH0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810231793HEALTHCAREMT501(C)(3)3PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216587HEALTHCAREOR501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216586HEALTHCAREWA501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911303277HEALTHCAREWA501(C)(3)3PMWHCYes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057550828701MEDICAID HEALTHCARE PROVIDEROR501(C)(4)N/APHPYes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057930863097HEALTHCAREOR501(C)(4)N/APH GROUP LLCYes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216589HEALTHCARECA501(C)(3)3PHSYes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
810 12TH STREET PO BOX 149HOOD RIVEROR97031930921990HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY
1615 75TH ST SW SUITE 210EVERETTWA98203272552749HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
2811 SOUTH 102ND NO 220TUKWILAWA98168912077378HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA)
101 W 8TH AVESPOKANEWA99204320014330HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
4101 TORRANCE BLVDTORRANCECA90503510224944HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330185031HEALTHCARECA501(C)(3)3SJHSYes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330283773HEALTHCARECA501(C)(3)12, IPHS SOCALYes (1)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32ND AVEMILWAUKIEOR97222943079515HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057RELIGIOUS ORGWA501(C)(3)10N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVE SWSEATTLEWA981262799911188119HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVENEWBERGOR97132930889144HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311629656SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911861964HEALTHCAREWA501(C)(4)N/APHS ORYes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN STPORTLANDOR972132967931231494HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311584166SUPPORTWA501(C)(3)10PHS WAYes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951684082HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814542216HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA ROADSEASIDEOR97138930927320HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057912171539SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057943244854SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
4400 NE HALSEY ST STE 599PORTLANDOR97213943078543HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810463482HEALTHCAREMT501(C)(3)3PHS WAYes (1)
PROVIDENCE ST MARY FOUNDATION
401 W POPLAR STREETWALLA WALLAWA99362452841492HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
9205 SW BARNES ROAD STE MT2111PORTLANDOR97225930575982HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN)
413 LILLY ROAD NEOLYMPIAWA985065166911097056SUPPORTWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057953264139HEALTHCARECA501(C)(3)10PHS SOCALYes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
5315 TORRANCE BLVD NO B-1TORRANCECA90503330261016HEALTHCARECA501(C)(3)7PTCHYes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1500 DIVISION STREETOREGON CITYOR97045931003750HEALTHCAREOR501(C)(3)12, IPHS ORYes (1)
REDWOOD MEMORIAL FOUNDATION
2700 DOBEER STREETEUREKACA95501942779313HEALTHCARECA501(C)(3)7SJHNC LLCYes (1)
SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057954291515HEALTHCARECA501(C)(3)4PSJHCYes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
2121 SANTA MONICA BLVDSANTA MONICACA90404956100079SUPPORT SAINT JOHN HEALTH CENTER & SJCICA501(C)(3)7PSJHCYes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057611502822PHYSICIAN COLLABORATIONWA501(C)(3)7WHCYes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057262612415SHELL CORPORATIONMT501(C)(3)1PHS WA0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643383RELIGIOUS ORGCA501(C)(3)10N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057680395200HEALTHCARECA501(C)(3)3SJHNC LLCYes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057271666576RELIGIOUS ORGCA501(C)(3)1SSJO0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814791043HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057953589356HEALTHCARECA501(C)(3)12, IPSJH0
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE SUITE 100IRVINECA92612330143024HEALTHCARECA501(C)(3)10SJHSYes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057680331084HEALTHCARECA501(C)(3)10SJHSYes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643359HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JUDE HOSPITAL INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643325HEALTHCARECA501(C)(3)3SJHSYes (1)
ST LUKE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057943176618SUPPORTWA501(C)(3)7PHS WAYes (1)
ST MARY MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951914489HEALTHCARECA501(C)(3)3SJHSYes (1)
ST PATRICK HOSPITAL FOUNDATION
502 W SPRUCE STREETMISSOULAMT59802237056976HEALTHCAREMT501(C)(3)7PHS WAYes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810233495EDUCATIONMT501(C)(3)10PHS WAYes (1)
SWEDISH EDMONDS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057272305304HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057910433740HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAYSEATTLEWA98122910983214HEALTHCAREWA501(C)(3)7SHSYes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057273139262HOLDING COMPANYWA501(C)(3)12, ISHSYes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057833972614HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911180824SUPPORTWA501(C)(3)7PHS WAYes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911214491SUPPORTOR501(C)(3)10PHS ORYes (1)
TRI-CITIES CANCER CENTER FOUNDATION
7350 W DESCHUTES AVE BUILDING AKENNEWICKWA99336911739024SUPPORTWA501(C)(3)7KRMCYes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810231777EDUCATIONMT501(C)(3)2PHSYes (1)
WESTERN HEALTHCONNECT
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057454171900HEALTHCAREWA501(C)(3)3PHS W WAYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (38 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
20TH STREET SURGERY LLC
1301 20TH STREET STE 140SANTA MONICACA90404731735618AMBULATORY SURGERY CENTERCAN/A00
BRIDGEPORT MEDICAL IMAGING LLC (BMI)
4400 NE HALSEY 495PORTLANDOR97213260796953IMAGING - DIAGNOSTICSORN/A0Yes (1)
BROADWAY IMAGING LLC
PO BOX 4587MISSOULAMT598064587522405971MEDICAL IMAGINGMTN/A0Yes (1)
CANBY MEDICAL CENTER I LLC
4800 SW MACADAM AVE STE 120PORTLANDOR97239205470937REAL ESTATE - MOBORN/A0Yes (1)
CENTER FOR MEDICAL IMAGING LLC (CMI)
4400 NE HALSEY 495PORTLANDOR97213200477972IMAGING - DIAGNOSTICSORN/A0Yes (1)
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY 495PORTLANDOR97213260381897RADIATION ONCOLOGYORN/A0Yes (1)
COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY
1031 W CHAPMAN AVE 101ORANGECA92868264591502HEALTHCARECAN/A0Yes (1)
COVENANT HIGH PLAINS SURGERY CENTER LLC
569 BROOKWOOD VILLAGE STE 901BIRMINGHAMAL35209752177401HEALTHCARETXN/A0Yes (1)
COVENANT PARK PHASE I VENTURE LLC
3615 19TH STLUBBOCKTX79410871464045REAL ESTATETXN/A00
CSS JV LLC
11782 SW BARNES ROAD STE 200 BLDG CPORTLANDOR97225263638838AMBULATORY SURGERY CENTERORN/A00
FIRST HILL SURGERY CENTER LLC
1101 MADISON STREET STE 200SEATTLEWA98104472066485AMBULATORY SURGERY CENTERWAN/A0Yes (1)
FULLERTON SURGICAL CENTER LP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057470927394AMBULATORY SURGERY CENTERCAN/A0Yes (1)
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA STBURBANKCA91505954570858REAL ESTATE - MOBCAN/A0Yes (1)
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000ORANGECA92868271000061INVESTMENTSCAN/A00
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE AANCHORAGEAK99508203906048MEDICAL IMAGINGAKN/A0Yes (1)
LSC REAL PROPERTY LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057474646059REAL ESTATETXN/A0Yes (1)
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREETLUBBOCKTX79410752343261HEALTHCARETXN/A0Yes (1)
MISSION VIEJO PARTNERS II LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823943675REAL ESTATE - MOBCAN/A0Yes (1)
NORTH OC IMAGING JV HOLDINGS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057852444305HEALTHCARECAN/A00
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAYMEDFORDOR97504450471748MEDICAL IMAGINGORN/A0Yes (1)
PAVILION SURGERY CENTER LLC
1140 WEST LAVETA AVEORANGECA92868814376492AMBULATORY SURGERY CENTERCAN/A00
PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC
19625 62ND AVENUE SOUTH SUITE 101KENTWA98032452901632MEDICAL EQUIPMENTWAN/A0Yes (1)
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREETSEATTLEWA98104203132044MEDICAL IMAGINGWAN/A0Yes (1)
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057812701056INVESTMENTSWAN/A00
PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209823765555MEDICALALN/A00
PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209823270499MEDICALALN/A0Yes (1)
PROVIDENCE HOUSE OAKLAND LP
540 23RD STOAKLANDCA94612811441264SUPPORTIVE HOUSINGCAN/A0Yes (1)
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057920118807MEDICAL IMAGINGAKN/A00
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823190634INVESTMENTSWAN/A00
PROVIDENCEUSP SPOKANE SURGERY CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057881149413AMBULATORY SURGERY CENTERWAN/A00
PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROAD 160MISSION HILLSCA91345200684116AMBULATORY SURGERY CENTERCAN/A00
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON ST 1ST FLSEATTLEWA98104300553035HEALTHCAREWAN/A0Yes (1)
RIVERSIDE HEALTHCARE
1107 HAZELTINE BLVD 200CHASKAMN55318411594648HEALTHCAREMNN/A0Yes (1)
ST JOSEPH PHYSICIAN VENTURES I LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057454521884REAL ESTATECAN/A0Yes (1)
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814657391HEALTHCARECAN/A00
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823352570AMBULATORY SURGERY CENTERCAN/A0Yes (1)
ST PETER-SOUTH SOUND REGIONAL MRI CENTER
3417 ENSIGN RD NEOLYMPIAWA98506911455338MEDICAL IMAGINGWAN/A0Yes (1)
WON-ONC LLC
1900 COOKS HILL RDCENTRALIAWA98531262181194REAL ESTATE - MOBWAN/A0Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (41 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
1221 MADISON STREET OWNERS ASSOC
747 BROADWAYSEATTLEWA98122201954319OWNERS' ASSOCIATIONWAN/AC0
ADVATA INC (FKA KENSCI INC)
615 2ND AVE 700SEATTLEWA98104474048082HEALTHCAREWAN/AC0
AYIN HEALTH HOLDINGS INC
4400 NE HALSEY ST STE 609 ATTN ACCOPORTLANDOR97213833037172HEALTHCAREDEN/AC0
AYIN HEALTH SOLUTIONS INC
4400 NE HALSEY ST STE 609 ATTN ACCOPORTLANDOR97213931211733HEALTHCAREORN/AC0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9SPOKANEWA99204911354431CLINICAL/MEDICAL LABWAN/AC0
CARON CORPORATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057810486082MEDICAL PHYSICIAN SERVICEMTN/AC0
CLOUD 21 LIMITED
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057HEALTHCAREN/AC0UK
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280SANTA MONICACA90404952880495HEALTHCARECAN/AS0
HOSPITAL CENTRAL SERVICES ASSOCIATION
1600 M STREET NWAUBURNWA98001910818155LAUNDRY SERVICESWAN/AC0
INTEGRIS SOLUTIONS LIMITED
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057HEALTHCAREN/AC0UK
KENSCI ASIA PACIFIC PTE LTD
615 2ND AVE 700SEATTLEWA98104HEALTHCAREN/AC0SN
KENSCI TECH INDIA PRIVATE LIMITED
615 2ND AVE 700SEATTLEWA98104HEALTHCAREN/AC0IN
LINDY TRANSFER HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057934609079HEALTHCAREWAN/AC0
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752578995INACTIVETXN/AC0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752118585HEALTHCARETXN/AC0
MEDICAL SPECIALTIES MANAGERS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330406218HEALTHCAREWAN/AC0
MISSION VIEJO MEDICAL VENTURES INC
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330212905HEALTHCARECAN/AC0
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461814184STRATEGIC PLANNING SERVICESCAN/AC0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057981516461IT SVCSC0INPHS WA & PSJH$1,017,539$769,9931.00000
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9SPOKANEWA99204900155714CLINICAL/MEDICAL LABWAN/AC0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057800886966PREPAID HEALTHCARECAN/AC0
PROVIDENCE PARTNERS HOLDINGS INC
4400 NE HALSEY ST STE 609 ATTN ACCOPORTLANDOR97213882962549INVESTMENTDEN/AC0
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE TAF C-9SPOKANEWA99204911216033HEALTHCAREWAN/AC0
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL STTORRANCECA90503823771547HEALTHCARECAN/AC0
PROVSOURCE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057902318536HEALTHCAREDEN/AC0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057462340232HOLDING COMPANYCAN/AC0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461900168HEALTHCARECAN/AC0
ST JOSEPH MEDICAL PLAZA ASSOCIATION
1140 W LA VETA STE 400ORANGECA92868330621539CONDO ASSOCIATIONCAN/AC0
ST JOSEPH PROF SVCS ENTERPRISES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330155323HEALTHCARECAN/AC0
TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057842092143HOLDING COMPANYDEN/AC0
TEGRIA INSIGHTS GROUP HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057861400769HOLDING COMPANYWAN/AC0
TEGRIA INSIGHTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057861532593HEALTHCAREWAN/AC0
TEGRIA PRODUCTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057870995138HOLDING COMPANYDEN/AC0
TEGRIA RCM GROUP US INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057863046450HOLDING COMPANYDEN/AC0
TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844686520HOLDING COMPANYDEN/AC0
TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844704409HOLDING COMPANYDEN/AC0
TEGRIA SERVICES GROUP-CAN INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057HEALTHCAREN/AC0CA
TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057900872936HEALTHCAREWIN/AC0
TRUSANA INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057922370159HEALTHCAREDEN/AC0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057953943315INVESTMENTCAN/AC0
WEIGHT LOSS INC (FKA HMR WEIGHT MANAGEMENT SERVICES CORP)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057463598718HEALTHCAREWAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PROVIDENCE HEALTH & SERVICES - WASHINGTON
L$21,991,422COST
ST JOSEPH HEALTH SYSTEM
L$7,330,474COST