PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA (EIN 51-0216589)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201623209349311457
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T14:35:10-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911194016 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Clark Nuber PS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4th Suite 1700 | AddressLine1Txt |
| City | Bellevue | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510216589 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE HEALTH SYSTEM -SO CALIFORNIA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROV | BusinessNameControlTxt |
| Phone | 4255253985 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Avenue SW No 9016 | AddressLine1Txt |
| City | Renton | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 980579016 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Todd Hofheins | PersonNm |
| Person Title | EVP/CFO | PersonTitleTxt |
| Phone | 4255253985 | PhoneNum |
| Signature | 2016-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Sara Elizabeth J Hyre CPA | PreparerPersonNm |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Rod Hochman MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Avenue SW No 9016 | AddressLine1Txt |
| City | Renton | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 980579016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,270,861,535 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://california.providence.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1903 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | Healthcare with special concern for the poor & vulnerable in So. California. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 12111 | TotalEmployeeCnt |
| Total Volunteers | 3787 | TotalVolunteersCnt |
| Total Gross UBI | $394,000 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $393,000 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $20,362,073 | PYContributionsGrantsAmt |
| CY Contributions Grants | $19,383,355 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,471,260,562 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,856,980,941 | CYProgramServiceRevenueAmt |
| PY Investment Income | $13,540,355 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,477,739 | CYInvestmentIncomeAmt |
| PY Other Revenue | $65,662,179 | PYOtherRevenueAmt |
| CY Other Revenue | $236,488,913 | CYOtherRevenueAmt |
| PY Total Revenue | $1,570,825,169 | PYTotalRevenueAmt |
| CY Total Revenue | $2,114,330,948 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $9,972,772 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $11,639,055 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $638,155,566 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $682,369,430 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $335,911 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,062,335,207 | PYOtherExpensesAmt |
| CY Other Expenses | $1,444,224,330 | CYOtherExpensesAmt |
| PY Total Expenses | $1,710,463,545 | PYTotalExpensesAmt |
| CY Total Expenses | $2,138,232,815 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$139,638,376 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$23,901,867 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,010,835,282 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,527,702,061 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,397,396,838 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,898,153,480 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $613,438,444 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $629,548,581 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | As People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Healthcare with special concern for the poor & vulnerable in Southern California. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,052,797,370 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,345,237,812 | RevenueAmt |
| Desc | Acute Care - Inpatient Patient Days - 315,975Admissions - 75,376Our Core Values - Respect, Compassion, Justice, Excellence, and StewardshipOur Commitment - As a not-for-profit health care ministry, Providence Health System - So. California embraces our responsibility to respond to the needs of people in our communities, especially the poor and vulnerable. This commitment, this Mission rooted in God's love for all, began with the Sisters of Providence more than 150 years ago.The Heart of our Mission - We focus our community benefit outreach on four specific populations. These are low-income and uninsured people, diverse populations, older citizens, and people with behavioral needs. Our outreach can range from covering the medical bills of a husband and father disabled by diabetes, to financially supporting a nonprofit that embraces older refugees and immigrants. During these hard economic times in our neighborhoods and our nation, we reinforce our commitments to caring for the poor and vulnerable. This compassionate caring is, and always has been, the heart of our Mission.Providence Health System - So. California is a not-for-profit network of hospitals, care centers, health plans, physicians, home health services, clinics and other services.Our medical centers include:Providence Saint Joseph Medical Center in BurbankProvidence Holy Cross Medical Center in Mission HillsProvidence Tarzana Medical Center in TarzanaProvidence Little Company of Mary Medical Center in TorranceProvidence Little Company of Mary Medical Center in San PedroIn 2015, Providence offered $169 million in free and discounted medical care for those who are uninsured, underinsured or otherwise unable to pay for their health care. With Medicaid expansion and health insurance exchanges, Providence's charity care spending reflects the success of more people gaining health insurance coverage. Additional 2015 Highlights include:Providence Saint Joseph Medical Center has been designated as a Baby-Friendly hospital by Baby-Friendly USA, Inc., for its efforts to encourage breast-feeding. Baby-Friendly USA is part of a global program launched in 1991 by the World Health Organization and UNICEF. Currently, just 274 hospitals and birth centers nationwide have completed the rigorous on-site survey required in order to receive this honor.The Baby-Friendly Hospital Initiative was launched to encourage and recognize hospitals and birthing centers that offer an optimal level of care for infant feeding and mother/baby bonding based on the fact that human milk fed through the mother's own breast is the normal way for human infants to be nourished. There is an abundance of scientific evidence that points to lower risks for certain diseases and improved health outcomes for both mothers and babies who breast-feed. Children in the San Fernando Valley now have access to an enhanced level of pediatric care, under the terms of an innovative agreement between Providence Tarzana Medical Center and Children's Hospital Los Angeles and its physicians.CHLA's renowned specialists will staff Providence Tarzana's Pediatrics Department inpatient unit as well as its pediatric and neonatal intensive care units - known as the PICU and NICU. Staff will be available 24 hours a day, allowing families access to high-quality specialty care for their children, closer to home.There is no children's hospital in the vast area served by Providence Tarzana pediatrics - a region of nearly 3 million people that includes the San Fernando, Santa Clarita and Conejo valleys and Simi Valley and is roughly the population of Chicago. Under the terms of an agreement finalized in April, CHLA Medical Group will assume medical leadership of Providence Tarzana Medical Center's three pediatric units, transitioning the Valley hospital to an innovative care model that will expand access to a wide spectrum of specialists and subspecialists. Providence Tarzana and CHLA sought this partnership to enhance the care Tarzana provides for children and their families, closer to their homes.A Providence Tarzana Medical Center patient delivered son on March 30 at Providence Tarzana. The infant was born with an intestinal defect and required immediate transport to CHLA to benefit from a level of inpatient care that now will be provided at Providence Tarzana. Additional hospitalists, intensivists and neonatologists will be in the hospital 24/7, providing 'round-the-clock care for patients. This partnership began in 2013 and until now has focused on hospital staff training and education. With this new development, children will receive a higher level of care during all inpatient hospital stays at Providence Tarzana. The Providence Tarzana Emergency Department and those at its sister hospitals, Providence Saint Joseph Medical Center in Burbank and Providence Holy Cross Medical Center in Mission Hills, are certified to provide pediatric care. If necessary, young emergency patients arriving at Saint Joseph and Holy Cross may be transported to Tarzana, a designated Pediatrics Medical Center, in a specially equipped family-friendly ambulance for inpatient care. Providence Little Company of Mary Medical Center San Pedro has been recognized as one of California's 10 Best Value Hospitals for 2015 by Verras Healthcare International, LLC. The Best Value Hospital recognition is determined using the Verras' patented Medical Value Index, a data tool, to identify best value practices in hospitals nationwide. The Best Value Hospital award was created to bring public recognition to hospitals delivering best value to their patients. Knowing which California hospitals deliver the greatest value empowers consumers to identify hospitals that deliver better outcomes at lower cost and provides payers data to help them lower the cost of healthcare for their companies. The Medical Value Index uses a patented algorithm to process data provided by the hospitals themselves based on six widely-recognized healthcare metrics: national quality measures, readmission rates, mortality, morbidity, reduction in variation, and resource consumption. Every hospital in California with more than 250 beds was considered in the ranking process. Truven Health Analytics named Providence Little Company of Mary Medical Center Torrance to its 2015 100 Top Hospitals in the nation, one of just 14 hospitals in California to receive this honor.The Catholic not-for-profit hospital has earned this honor for the past four years - and once before that string began. In November, Truven named Providence Little Company of Mary Medical Center Torrance to its 2015 Top 50 Top Cardiovascular Hospitals in the nation, the only community hospital in Southern California to receive this honor and one of just two in California. The Truven Health 100 Top Hospitals study identifies hospitals and leadership teams that provide the highest level of value to their communities, based on a national balanced scorecard. The 100 Top Hospitals balanced scorecard measures overall organizational performance across 11 key analytic measures including patient care, operational efficiency and financial stability. The study has been conducted annually since 1993.Four Providence Southern California medical centers received Healthgrades' Distinguished Hospital Award for Clinical Excellence. And for the second straight year, Providence is the only health care system in California to have all its eligible hospitals receive this national recognition.Healthgrades, a top consumer ratings company, awarded this distinction to hospitals that rank among the top 5 percent of more than 4,500 hospitals evaluated nationwide for outstanding clinical performance on at least 21 of 32 of the most common diagnoses and procedures. The results mean better outcomes for seriously ill patients.This is the third year for Providence Tarzana Medical Center and the second for Providence Holy Cross in Mission Hills, Providence Saint Joseph in Burbank and Providence Little Company of Mary Medical Center Torrance. The five were among the 261 medical centers in the U.S. recognized with this prestigious award. In October, Healthgrades recognized all five Providence Health & Services, Southern California, medical centers for excellent clinical outcomes. Providence medical centers received a total of nearly 100 awards in a variety of specialties including critical care, pulmonology, cardiology, gastroenterology, neurology and orthopedics. (Providence Little Company of Mary Medical Center San Pedro was not eligible for the Distinguished Hospital Award because it did not perform enough of the required procedures.) | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $331,681,802 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $423,624,198 | RevenueAmt |
| Desc | Acute Care - Outpatient - including emergency/trauma services. Patient Visits - 1,050,159See Line 4a Narrative. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $69,753,860 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $89,089,672 | RevenueAmt |
| Desc | Long-Term Care, Subacute Skilled Nursing & Home Health Programs. Long-Term Care Days - 97,123; Home Health Visits - 66,117.Providence Saint Elizabeth Care Center provides long term care to meet the healthcare needs in the San Fernando Valley and surrounding areas.Providence Little Company of Mary Transitional Care Center, a skilled nursing facility in Torrance, earned five stars in a recent U.S. News and World Report feature listing the nation's top nursing homes.The magazine's prestigious rankings were based on U.S. Centers for Medicare and Medicaid surveys that found Providence Little Company of Mary among the best care homes in the nation based on health inspections, nurse staffing and quality measures. The care center is affiliated with Providence Little Company of Mary Medical Center Torrance, a 436-bed acute care hospital.Providence Little Company of Mary stands out among skilled nursing facilities because its patients typically are not long-term. The average length-of-stay is about two weeks, time for patients to rehabilitate from acute-care hospital stays before heading home. U.S. News ranked more than 16,000 care and rehabilitation centers nationwide and 21.7 percent of them - 3,392 - earned the five-star rating. The nursing staff at Providence Little Company of Mary is a mix of long term employees and newly graduated nurses, many of whom take part in a two-year nurse residency program before transitioning to acute-care nursing. They train on the same technology used in Providence medical centers throughout the Greater Los Angeles Area. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $5,608,404 | $0 | $7,489,510 | Providence High School for children of the Northern San Fernando Valley and surrounding area. School Days - 178 Students - 454.Providence High School is a Catholic, accredited, college-preparatory school for young men and women. The School is located in the San Fernando Valley and serves the Greater Los Angeles area. The School offers a challenging college-preparatory academic program, carefully designed to give students opportunities for growth and experience in preparation for university course work. The School has received full accreditation from the Western Association of Schools and Colleges, and the Western Catholic Educational Association. |
| $0 | $0 | $329,058 | Healthcare Joint Ventures |
| $132,439,805 | $0 | $150,028,608 | Health Care Capitation |
| $11,639,055 | $11,639,055 | $0 | Grant & Allocations - See Schedule I. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $149,687,264 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $11,639,055 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $157,847,176 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,603,920,296 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 938 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 12111 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Karl E Fritschel CPA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4255253339 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 Lind Ave SW 9016 | AddressLine1Txt |
| City | Renton | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 980579016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (50 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Michael Holcomb | ||||||||||
| Chair of the Board | 0.10 | 7.60 | Yes (X) | Yes (X) | $0 | $60,360 | $0 | |||
| Chauncey Boyle SP | ||||||||||
| Director | 0.10 | 5.50 | Yes (X) | $0 | $0 | $0 | ||||
| Marian Schubert CSJ | ||||||||||
| Director | 0.10 | 4.30 | Yes (X) | $0 | $0 | $0 | ||||
| Phyllis Hughes RSM | ||||||||||
| Director | 0.10 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| Carolina Reyes MD | ||||||||||
| Director | 0.10 | 4.60 | Yes (X) | $0 | $15,360 | $0 | ||||
| Michael A Stein | ||||||||||
| Director | 0.10 | 6.00 | Yes (X) | $0 | $15,360 | $0 | ||||
| Eugene Al Parrish | ||||||||||
| Director | 0.10 | 5.00 | Yes (X) | $0 | $15,360 | $0 | ||||
| Bob Wilson | ||||||||||
| Director | 0.10 | 5.00 | Yes (X) | $0 | $18,360 | $0 | ||||
| Sallye Liner | ||||||||||
| Director | 0.10 | 4.30 | Yes (X) | $0 | $15,360 | $0 | ||||
| Isiaah Crawford | ||||||||||
| Director | 0.10 | 4.10 | Yes (X) | $0 | $18,360 | $0 | ||||
| Martha Diaz Aszkenazy | ||||||||||
| Director | 0.10 | 7.70 | Yes (X) | $0 | $18,360 | $0 | ||||
| Kirby McDonald | ||||||||||
| Director | 0.10 | 4.60 | Yes (X) | $0 | $15,360 | $0 | ||||
| Dave Olsen | ||||||||||
| Director | 0.10 | 5.50 | Yes (X) | $0 | $17,860 | $0 | ||||
| Charles Chuck Watts | ||||||||||
| Director | 0.10 | 4.60 | Yes (X) | $0 | $18,360 | $0 | ||||
| Rod F Hochman MD | ||||||||||
| President / CEO | 8.00 | 57.00 | Yes (X) | $0 | $5,102,809 | $74,417 | ||||
| Todd Hofheins | ||||||||||
| EVP/CFO | 7.00 | 53.00 | Yes (X) | $0 | $970,092 | $295,713 | ||||
| Cindy Strauss | ||||||||||
| EVP/Chief Legal Officer | 7.00 | 53.00 | Yes (X) | $0 | $1,526,357 | $64,699 | ||||
| Karl Carrier | ||||||||||
| Interim CE/CA. Region | 7.00 | 53.00 | Yes (X) | $0 | $515,465 | $0 | ||||
| Steve Mohr | ||||||||||
| VP / Finance Ops. CA | 49.90 | 0.10 | Yes (X) | $0 | $578,652 | $117,294 | ||||
| Randy Axelrod MD Thru 315 | ||||||||||
| EVP/Clinical & Patient Services | 7.00 | 53.00 | $0 | $1,416,580 | $35,750 | Yes (X) | ||||
| Mike Butler | ||||||||||
| President/Operations & Services | 7.00 | 53.00 | $0 | $1,572,348 | $740,248 | Yes (X) | ||||
| Debbie Burton | ||||||||||
| SVP/ Chief Nrsg. Officer | 7.00 | 53.00 | $0 | $683,302 | $55,602 | Yes (X) | ||||
| Debra Canales | ||||||||||
| EVP/Chief People & Experience Ofc. | 7.00 | 53.00 | $0 | $1,650,655 | $458,130 | Yes (X) | ||||
| Jack Friedman Thru 615 | ||||||||||
| SVP/Accountable Care & Payor Rel. | 6.00 | 44.00 | $0 | $770,782 | $117,919 | Yes (X) | ||||
| Mark Gargett | ||||||||||
| VP/Digital Integration | 6.00 | 44.00 | $0 | $632,716 | $82,292 | Yes (X) | ||||
| Aaron Martin | ||||||||||
| SVP/Strategy & Innovation | 8.00 | 57.00 | $0 | $681,696 | $189,399 | Yes (X) | ||||
| Tom McDonagh | ||||||||||
| VP/Chief Investment Officer | 7.00 | 51.00 | $0 | $963,343 | $58,116 | Yes (X) | ||||
| Rhonda Medows MD | ||||||||||
| EVP/Population Health | 7.00 | 53.00 | $0 | $667,975 | $188,508 | Yes (X) | ||||
| Jack Mudd | ||||||||||
| SVP/Mission Leadership | 6.00 | 49.00 | $0 | $632,418 | $88,850 | Yes (X) | ||||
| Janice Newell | ||||||||||
| SVP/Chief Information Officer | 7.00 | 53.00 | $0 | $1,535,323 | $37,767 | Yes (X) | ||||
| Harvey Smith | ||||||||||
| SVP/Chief Customer Svc. Officer | 6.00 | 44.00 | $0 | $844,548 | $41,905 | Yes (X) | ||||
| Teresa Spalding | ||||||||||
| VP/Revenue Cycle | 7.00 | 53.00 | $0 | $691,899 | $45,132 | Yes (X) | ||||
| Lisa Vance | ||||||||||
| SVP/Clinical Program Services | 8.00 | 57.00 | $0 | $786,086 | $51,186 | Yes (X) | ||||
| Craig Wright MD | ||||||||||
| SVP/Physician Services | 7.00 | 53.00 | $0 | $2,795,040 | $125,380 | Yes (X) | ||||
| Dale Surowitz | ||||||||||
| CEO - Tarzana | 59.00 | 0.00 | $0 | $1,407,540 | $71,911 | Yes (X) | ||||
| Laurence Eason | ||||||||||
| CMO/Chief Clinical Officer | 50.00 | 0.00 | $0 | $1,354,459 | $42,375 | Yes (X) | ||||
| Bernard Klein MD | ||||||||||
| CEO/HCMC | 50.00 | 0.00 | $0 | $707,837 | $195,575 | Yes (X) | ||||
| Julie Sprengel | ||||||||||
| CEO/PSJMC | 50.00 | 0.00 | $0 | $662,400 | $155,629 | Yes (X) | ||||
| Prubjeet Khurana | ||||||||||
| CSO | 50.00 | 0.00 | $0 | $654,129 | $59,548 | Yes (X) | ||||
| Phil Jackson | ||||||||||
| Chief Integration Officer | 40.00 | 0.00 | $0 | $1,151,953 | $46,690 | Yes (X) | ||||
| Teresa David | ||||||||||
| COO - Facey Med. Foundation | 1.00 | 49.00 | $574,471 | $0 | $11,992 | Yes (X) | ||||
| Jim Corwin | ||||||||||
| CFO/CA. Medical Foundations | 24.00 | 36.00 | $557,373 | $0 | $27,631 | Yes (X) | ||||
| Elizabeth Dunne | ||||||||||
| CEO - LCM Torrance/SPPH | 50.00 | 0.00 | $0 | $528,780 | $14,823 | Yes (X) | ||||
| Richard Glimp | ||||||||||
| CMO/Facey Medical Foundation | 50.00 | 0.00 | $478,643 | $0 | $25,192 | Yes (X) | ||||
| Michael Hunn | ||||||||||
| Former /CE / CA. Region | 0.00 | 0.00 | $0 | $584,681 | $67,660 | Yes (X) | ||||
| Nancy Carlson | ||||||||||
| Former CEO - LCM San Pedro | 0.00 | 0.00 | $0 | $143,924 | $1,253 | Yes (X) | ||||
| Gerald Clute | ||||||||||
| Former CEO - Tarzana | 0.00 | 0.00 | $0 | $194,740 | $2,885 | Yes (X) | ||||
| Michael Rembis | ||||||||||
| Former CEO - PSJMC | 0.00 | 0.00 | $0 | $916,075 | $29,028 | Yes (X) | ||||
| John Fletcher | ||||||||||
| Former VP/Operations Support | 0.00 | 0.00 | $0 | $583,850 | $18,778 | Yes (X) | ||||
| Jan Jones | ||||||||||
| Former SVP/CAO | 0.00 | 0.00 | $0 | $759,461 | $33,986 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,610,487 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $34,896,375 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,673,263 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1988 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NurseFinders Inc | |||||
| PO Box 910738 | Dallas | TX | 75391 | Medical Services | $26,650,199 |
| Therapeutic Associates Inc | |||||
| 7100 Fort Dent Way Ste 220 | Seattle | WA | 98188 | Physical/Occup. Therapy Svc | $6,477,711 |
| Sodexo Inc and Affiliates | |||||
| Dept 880328 | Los Angeles | CA | 90088 | Food Mgmnt. Services | $4,941,143 |
| Swiftwise | |||||
| PO Box 56157 | Los Angeles | CA | 90074 | Agency Staffing | $4,257,639 |
| Healthcare Partner Inc MED | |||||
| 19191 S Vermont Avenue 21F | Torrance | CA | 90502 | Medical Services | $3,855,848 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 311 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $4,580 | MembershipDuesAmt |
| Fundraising | $78,720 | FundraisingAmt |
| Related Organizations | $16,160,306 | RelatedOrganizationsAmt |
| Government Grants | $2,791,966 | GovernmentGrantsAmt |
| All Other Contributions | $347,783 | AllOtherContributionsAmt |
| Total Contributions | $19,383,355 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Acute - Inpatient | 900099 | $1,338,873,971 | $1,338,873,971 |
| Acute - Outpatient | 621400 | $421,620,182 | $421,620,182 |
| LTC/HomeCare/Hospice | 623000 | $88,668,220 | $88,668,220 |
| Tuition & Fees | 611600 | $7,489,510 | $7,489,510 |
| Healthcare JVs | 900099 | $329,058 | $329,058 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,856,980,941 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,332,849 | TotalRevenueColumnAmt |
| Exclusion | $3,332,849 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,682,086 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,986,241 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,695,845 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,695,845 | TotalRevenueColumnAmt |
| Exclusion | $2,695,845 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $151,032,411 | SecuritiesAmt |
| Other | $68,016 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $151,615,634 | SecuritiesAmt |
| Other | $1,339,903 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$583,223 | SecuritiesAmt |
| Other | -$1,271,887 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,855,110 | TotalRevenueColumnAmt |
| Exclusion | -$1,855,110 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $79,724 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $78,720 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $58,591 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,133 | TotalRevenueColumnAmt |
| Exclusion | $21,133 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $22,259 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $4,898 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,361 | TotalRevenueColumnAmt |
| Exclusion | $17,361 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $586,666 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $525,320 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,346 | TotalRevenueColumnAmt |
| Exclusion | $61,346 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Capitation Revenue | 900099 | $150,028,608 | $150,028,608 | |
| Interaffiliate Revenue | 900099 | $64,799,139 | $64,799,139 | |
| Cafeteria | 722210 | $6,032,750 | $6,032,750 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,832,731 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,789,309 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $394,000 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,649,422 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $233,693,228 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,114,330,948 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,015,798,858 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $394,000 | UnrelatedBusinessRevenueAmt |
| Exclusion | $78,754,735 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,695,427 | TotalAmt |
| Program Services | $10,695,427 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $943,628 | TotalAmt |
| Program Services | $943,628 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,906,841 | TotalAmt |
| Program Services | $1,378,696 | ProgramServicesAmt |
| Management And General | $4,528,145 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $617,251,925 | TotalAmt |
| Program Services | $560,391,421 | ProgramServicesAmt |
| Management And General | $56,667,277 | ManagementAndGeneralAmt |
| Fundraising | $193,227 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,041,222 | TotalAmt |
| Program Services | $10,000,355 | ProgramServicesAmt |
| Management And General | $1,038,405 | ManagementAndGeneralAmt |
| Fundraising | $2,462 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,917,160 | TotalAmt |
| Program Services | $2,754,901 | ProgramServicesAmt |
| Management And General | $1,138,028 | ManagementAndGeneralAmt |
| Fundraising | $24,231 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,252,282 | TotalAmt |
| Program Services | $40,160,602 | ProgramServicesAmt |
| Management And General | $4,078,474 | ManagementAndGeneralAmt |
| Fundraising | $13,206 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,298,870 | TotalAmt |
| Program Services | $543,458 | ProgramServicesAmt |
| Management And General | $2,755,412 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,840 | TotalAmt |
| Management And General | $34,840 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,875 | TotalAmt |
| Management And General | $57,875 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,220 | TotalAmt |
| Management And General | $197,220 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,501,633 | TotalAmt |
| Program Services | $186,734,006 | ProgramServicesAmt |
| Management And General | $38,752,162 | ManagementAndGeneralAmt |
| Fundraising | $15,465 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,302,545 | TotalAmt |
| Program Services | $419,733 | ProgramServicesAmt |
| Management And General | $1,859,607 | ManagementAndGeneralAmt |
| Fundraising | $23,205 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,093,753 | TotalAmt |
| Program Services | $31,525,524 | ProgramServicesAmt |
| Management And General | $10,527,401 | ManagementAndGeneralAmt |
| Fundraising | $40,828 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,130,969 | TotalAmt |
| Program Services | $926,112 | ProgramServicesAmt |
| Management And General | $202,729 | ManagementAndGeneralAmt |
| Fundraising | $2,128 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,895,326 | TotalAmt |
| Program Services | $25,666,568 | ProgramServicesAmt |
| Management And General | $9,228,758 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,773,580 | TotalAmt |
| Program Services | $952,779 | ProgramServicesAmt |
| Management And General | $1,820,597 | ManagementAndGeneralAmt |
| Fundraising | $204 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,565,605 | TotalAmt |
| Program Services | $490,057 | ProgramServicesAmt |
| Management And General | $1,068,494 | ManagementAndGeneralAmt |
| Fundraising | $7,054 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,100,370 | TotalAmt |
| Program Services | $26,100,370 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $566,685,534 | TotalAmt |
| Program Services | $183,611,206 | ProgramServicesAmt |
| Management And General | $383,074,328 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,786,086 | TotalAmt |
| Program Services | $35,254,106 | ProgramServicesAmt |
| Management And General | $14,531,980 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,751 | TotalAmt |
| Program Services | $77,764 | ProgramServicesAmt |
| Management And General | $2,987 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $206,025,638 | $206,025,638 | |
| Provider Tax Expense | $203,710,527 | $203,698,170 | $12,357 |
| Bad Debts | $57,820,259 | $57,820,259 | |
| Cost Care Claims Exp. | $11,519,998 | $11,519,998 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,642,951 | TotalAmt |
| Program Services | $6,229,518 | ProgramServicesAmt |
| Management And General | $2,399,532 | ManagementAndGeneralAmt |
| Fundraising | $13,901 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,138,232,815 | TotalAmt |
| Program Services | $1,603,920,296 | ProgramServicesAmt |
| Management And General | $533,976,608 | ManagementAndGeneralAmt |
| Fundraising | $335,911 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,302,083 | BOYAmt |
| EOY | $3,948,911 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,925,704 | BOYAmt |
| EOY | $164,115,494 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,965 | BOYAmt |
| EOY | $83,238 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,999,509 | BOYAmt |
| EOY | $227,319,722 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,296,869 | BOYAmt |
| EOY | $2,046,248 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,916,807 | BOYAmt |
| EOY | $19,455,126 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,146,986 | BOYAmt |
| EOY | $17,219,053 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,793,168,460 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,107,163,662 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $674,313,967 | BOYAmt |
| EOY | $686,004,798 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,221,438 | BOYAmt |
| EOY | $114,158,673 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,828,754 | BOYAmt |
| EOY | $128,191,899 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,715,798,200 | BOYAmt |
| EOY | $6,165,158,899 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,010,835,282 | BOYAmt |
| EOY | $7,527,702,061 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $347,037,615 | BOYAmt |
| EOY | $465,293,690 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,790 | BOYAmt |
| EOY | $36,315 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,453,691 | BOYAmt |
| EOY | $20,262,518 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $445,600,000 | BOYAmt |
| EOY | $440,250,001 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,944,315 | BOYAmt |
| EOY | $75,288,720 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,510,335,427 | BOYAmt |
| EOY | $5,897,022,236 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,397,396,838 | BOYAmt |
| EOY | $6,898,153,480 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $547,152,778 | BOYAmt |
| EOY | $551,663,443 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,835,984 | BOYAmt |
| EOY | $54,506,877 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,449,682 | BOYAmt |
| EOY | $23,378,261 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $613,438,444 | BOYAmt |
| EOY | $629,548,581 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,010,835,282 | BOYAmt |
| EOY | $7,527,702,061 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$23,901,867 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,801,037 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $44,813,041 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | Yes (1) | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $57,875 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $57,875 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Lobbying activities, with the exception of advocacy, are limited to direct contact with government officials and mailings to the general public and legislators for the purpose of expressing opinions on legislative matters. Expenses include employee salaries, postage and incidental traveling expenditures. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $380,469 | BeginningYearBalanceAmt |
| Contributions | $178 | ContributionsAmt |
| Investment Earnings Or Losses | $32,206 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $26,629 | GrantsOrScholarshipsAmt |
| End Year Balance | $386,224 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $377,479 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $17,213 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $14,223 | GrantsOrScholarshipsAmt |
| End Year Balance | $380,469 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $373,802 | BeginningYearBalanceAmt |
| Contributions | $312 | ContributionsAmt |
| Investment Earnings Or Losses | $19,914 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $16,549 | GrantsOrScholarshipsAmt |
| End Year Balance | $377,479 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $369,341 | BeginningYearBalanceAmt |
| Contributions | $1,000 | ContributionsAmt |
| Investment Earnings Or Losses | $19,389 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $15,928 | GrantsOrScholarshipsAmt |
| End Year Balance | $373,802 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $357,604 | BeginningYearBalanceAmt |
| Contributions | $10,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,737 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $369,341 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $103,140,767 | OtherCostOrOtherBasisAmt |
| Book Value | $103,140,767 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $844,795,007 | OtherCostOrOtherBasisAmt |
| Depreciation | $402,468,064 | DepreciationAmt |
| Book Value | $442,326,943 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,172,804 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,215,182 | DepreciationAmt |
| Book Value | $9,957,622 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $781,579,562 | OtherCostOrOtherBasisAmt |
| Depreciation | $676,480,416 | DepreciationAmt |
| Book Value | $105,099,146 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,480,320 | OtherCostOrOtherBasisAmt |
| Book Value | $25,480,320 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $686,004,798 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (11 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Unamortized Bond Financing Costs | $4,985,073 |
| Due from Affiliates | $6,079,139,674 |
| Miscellaneous Receivables | $13,448,063 |
| Library Inventory | $13,000 |
| Third Party Settlements | $19,250,047 |
| Bond Premium Discount | $2,250,159 |
| Trustee Held Funds | $63,649 |
| Resident Trust Funds | $60,242 |
| Acute Medicaid EHR Incent Rec | $467,921 |
| Other LT Rec. - Perpetual Trust | $1,303,264 |
| AR Provider Tax | $44,177,807 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,165,158,899 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $5,804,846,914 |
| Liability for Risk Sharing | $10,265,896 |
| Miscellaneous Other Liabilities | $27,470,064 |
| Capitalized Lease Obligation | $2,184,764 |
| LT Asset Retirement Obligation - FIN 47 | $14,381,855 |
| IBNR Payable | $3,110,341 |
| Third Party Settlements | $7,337,781 |
| Liability for Unpaid Claims | $1,717,653 |
| Bond Premium Discount | $25,597,765 |
| Residential Trust Fund | $44,836 |
| Security Deposit Payable | $64,367 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,897,022,236 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The High School has two endowment funds established for scholarship purposes and is donor-restricted. |
| Part X, Line 2: | The Health System (Providence Health & Services) recognizes the effect of income tax positions only if those positions are more likely than not of being sustained upon an audit by the taxing authority. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $158,444 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $78,720 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $79,724 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $39,709 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,161 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $17,721 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $158,444 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $78,720 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $79,724 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $39,709 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,161 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $17,721 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $58,591 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $21,133 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $22,259 | GrossRevenueOtherGamingAmt |
| Rent Fclty Costs Other Gaming | $2,215 | RentFcltyCostsOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $2,683 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | 0 | VolunteerLaborOtherGamingInd |
| Gross Revenue Total Gaming | $22,259 | GrossRevenueTotalGamingAmt |
| Rent Fclty Costs Total Gaming | $2,215 | RentFcltyCostsTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $2,683 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $4,898 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $17,361 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | CA | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | 0 | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Own Facility | 1.00000 | GamingOwnFacilityPct |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Raul Borja | BusinessNameLine1Txt |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 511 S Buena Vista | AddressLine1Txt |
| City | Burbank | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91505 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
Gaming Manager Business Name GamingManagerBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Vickie Bagwell | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Manager Compensation | $0 | GamingManagerCompensationAmt |
| Gaming Manager Services Prov | All Activities related to the raffle are coordinated through the Development Department. | GamingManagerServicesProvTxt |
| Gaming Manager Is Employee | Yes (X) | GamingManagerIsEmployeeInd |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,152,367 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,152,367 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01020 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $344,768,015 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $274,492,074 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $70,275,941 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03380 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $365,920,382 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $274,492,074 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $91,428,308 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04400 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,617,035 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,617,035 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,518,696 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,518,696 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,235,585 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,235,585 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $887,071 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $887,071 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,258,387 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,258,387 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01550 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $398,178,769 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $274,492,074 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $123,686,695 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05950 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $57,820,259 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $635,310,410 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $730,014,256 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$94,703,846 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 5 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (5 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence St Joseph Medical Center | |||||||||||
| 1 | 501 S Buena Vista St | Burbank | CA | 91505 | california.providence.org | 930000159 | Yes (X) | Yes (X) | Yes (X) | A | |
| Providence LCM Med Ctr - Torrance | |||||||||||
| 2 | 4101 Torrance Boulevard | Torrance | CA | 90505 | california.providence.org | 930000089 | Yes (X) | Yes (X) | Yes (X) | B | |
| Providence Holy Cross Medical Center | |||||||||||
| 3 | 15031 Rinaldi St | Mission Hills | CA | 91345 | california.providence.org | 930000404 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) |
| Providence Tarzana Medical Center | |||||||||||
| 4 | 18321 Clark Street | Tarzana | CA | 91356 | california.providence.org | 930000097 | Yes (X) | Yes (X) | Yes (X) | A | |
| Providence LCM Med Ctr - San Pedro | |||||||||||
| 5 | 1300 West Seventh Street | San Pedro | CA | 90732 | california.providence.org | 930000142 | Yes (X) | Yes (X) | Yes (X) | B | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | Communtity Notified FAPCommuntityNotifiedFAPInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Medicare RatesMedicareRatesInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHS - SOUTHERN CALIFORNIA ( Group A) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | See Section C | Yes (X) | www.oshpd.ca.gov/HID/CommunityBenefit/archive.html | Yes (X) | Yes (1) | 14 | Yes (1) | communitybenefit.providence.org/community-health-needs-assessments/ | 0 | 0 | Yes (1) | Yes (X) | 250.000000000000 | 350.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | www2.providence.org/obp/states/ca/financial-assistance.html | Yes (X) | www2.providence.org/obp/states/ca/financial-assistance.html | Yes (X) | www2.providence.org/obp/states/ca/financial-assistance.html | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| PHS - SOUTHERN CALIFORNIA ( Group B) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | See Section C | Yes (X) | www.oshpd.ca.gov/HID/CommunityBenefit/archive.html | Yes (X) | Yes (1) | 13 | Yes (1) | communitybenefit.providence.org/community-health-needs-assessments/ | 0 | 0 | Yes (1) | Yes (X) | 250.000000000000 | 350.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | www2.providence.org/obp/states/ca/financial-assistance.html | Yes (X) | www2.providence.org/obp/states/ca/financial-assistance.html | Yes (X) | www2.providence.org/obp/states/ca/financial-assistance.html | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (28 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section B | Facility Reporting Group A |
| Facility Reporting Group A consists of: | - Facility 3: Providence Holy Cross Medical Center, - Facility 1: Providence St. Joseph Medical Center, - Facility 4: Providence Tarzana Medical Center |
| Group A-Facility 1 -- Providence St. Joseph Medical Center Part V, Section B, line 5: | A group of community stakeholders and Medical Center staff were invited to review the needs and issues identified through the assessment process, and to identify the priority areas of focus to begin to address through collaborative partnerships between the Medical Center, other organizations, and members from our community. This group included the following individuals:Sr. Sheila Browne, RSM - Director of Mission Leadership, Providence Saint Joseph Medical CenterMs. Marine Dzhgalyan - C.E.O., All Inclusive Community Health CenterMs. Gaby Flores - Deputy Director, City of BurbankRev. Msgr. Robert Gallagher - Pastor, St. Charles Borromeo Catholic ChurchMr. Russell Kieffer - Director, Clinical Social Work and Palliative Care, Providence Saint Joseph Medical CenterMs. Barbara Howell - Executive Director, Burbank Temporary Aid CenterMs. Marie Mayen-Cho - Director, Health Education and Access to Care, Providence Center for Community Health ImprovementSr. Yvette Perrault, RSM - Senior Citizen and Health Ministry, St. Charles Borromeo ChurchMs. Norma Villalobos - Volunteer for Seniors Coordinator, Providence Center for Community Health Improvement |
| Group A-Facility 1 -- Providence St. Joseph Medical Center Part V, Section B, line 6a: | Providence Holy Cross, Saint Joseph and Tarzana Medical Centers collaborated together to complete their community health needs assessments. Since the three Medical Centers' service areas overlap, it was decided that the hospitals would work together in conducting their CHNAs. |
| Group A-Facility 1 -- Providence St. Joseph Medical Center Part V, Section B, line 6b: | Collaboration with the Valley Care Community Consortium. |
| Group A-Facility 1 -- Providence St. Joseph Medical Center Part V, Section B, line 11: | Priority 1: Affordable and expanded services for a growing senior population:The Senior Outreach Program was started in 1998 to assist the elderly with homemaker services, peer counseling, and case management services. The program is staffed by mental health professionals who oversee a group of 20 volunteers. The volunteers offer services such as shopping, meal preparation, errands, and transportation to frail, elderly individuals, many of whom are homebound or of limited mobility. Volunteers are also recruited and trained to serve as peer counselors to assist seniors who are depressed because of issues such as dealing with a chronic illness, loss of friends and family, or isolation.Priority 2: Access to affordable primary and specialty care:Established in 2010 to assist uninsured and underinsured patients coming through the emergency department by linking them with a medical home and other resources, the Access to Care Program offers access to a network of physician specialists and free mammograms and imaging services to patients who qualify. In 2015, four new specialists were added to the specialist network (Dermatology, Podiatry, Cardiology, and ENT).Priority 3: Expanded primary care capacity:To address this need, the Medical Center has made operational a Mobile Health Clinic to provide high quality medical care to individuals living at or near poverty who are under or uninsured and have a chronic disease, such as diabetes, high cholesterol, or high blood pressure. In addition to chronic disease management and care, the mobile clinic provides wellness visits and links patients to specialist, laboratory, and imaging services.Priority 4: Access to affordable mental health services:The Medical Center partners with the Tarzana Treatment Center on the development and expansion of the Mental Health Project. The Mental Health Outreach program provides outreach, education and referrals for individuals and families who are dealing with a mental health illness or substance abuse. In 2015, the Medical Center completed over 2,500 hours of outreach and education activities, exceeding the grant target of 2,222 hours.Priority 5: Coordination of existing programs and services that are culturally and language appropriate:The Medical Center has incorporated a health insurance navigation unit into its BIEN project (Benefits, Information, Educational Networking). Priority 6: Heart disease, hypertension, diabetes, and cancer screening and prevention programs:Additional information regarding hypertension and cholesterol has been integrated into four Wellness Support Groups started by Lorena Soria, RN, CDE. A total of 127 persons attended classes in 2015. The classes were on-going for persons with diabetes, hypertension, and/or high blood pressure. The Medical Center is currently working with Cal State University Northridge (CSUN) on their 100 Citizens Program to:1) Implement wellness visits for adults2) Evaluate the impact of wellness visits by measuring A1C levels3) Identify high-risk adults with chronic conditions, develop a physical activity plan, and link to new or existing programs designed to improve physical activity4) Monitor and track physical activity levels of adults who participate in 100 Citizens or Providence-sponsored events or programsIn developing the list of priority needs/issues, PSJMC looked at bringing its expertise and resources to those issues where it can make positive change. Because the Medical Center has limited resources, it focused on areas where it has the expertise and ability to make a positive impact in its community. For those reasons, the following health needs were not chosen by the hospital as part of their implementation strategy: 1) Affordable dental care 2) Affordable child care and adult day care3) Affordable housing and transitional housing4) Dementia/Alzheimer's screening and education5) STD prevention programs |
| Group A-Facility 1 -- Providence St. Joseph Medical Center Part V, Section B, line 16i: | Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration. |
| Group A-Facility 3 -- Providence Holy Cross Medical Center Part V, Section B, line 5: | A group of community stakeholders and Medical Center staff were invited to review the needs and issues identified through the assessment process, and to identify the priority areas of focus to begin to address through collaborative partnerships between the Medical Center, other organizations, and members from our community. This group included the following individuals:Mr. Thomas Ambriz - Principal, St. Ferdinand Elementary SchoolMs. Jenny Gutierrez - C.O.O., Meet Each Need With DignityMiriam Hernandez - Manager, Latino Health Promoter Program, Providence Center for Community Health ImprovementMs. Jenny Rosales - Faith Community Nurse, Guardian Angel ChurchDr. Michael Sarti - Chief Medical Officer, Providence Holy Cross Medical CenterMs. Juanita Schneider - Director, Clinical Social Work, Providence Holy Cross Medical CenterSr. Colleen Settles - Chief Mission Integration Officer, Providence Health and Services, So. California RegionPhilip Solomon - Chief Operating Officer, Samuel Dixon Family Health Center, Inc.Ms. Lori Wheeler - Field Deputy, L.A. County Third Supervisorial District |
| Group A-Facility 3 -- Providence Holy Cross Medical Center Part V, Section B, line 6a: | Providence Holy Cross, Saint Joseph and Tarzana Medical Centers collaborated together to complete their community health needs assessments. Since the three Medical Centers' service areas overlap, it was decided that the hospitals would work together in conducting their CHNAs. |
| Group A-Facility 3 -- Providence Holy Cross Medical Center Part V, Section B, line 6b: | Collaboration with the Valley Care Community Consortium. |
| Group A-Facility 3 -- Providence Holy Cross Medical Center Part V, Section B, line 11: | Priority 1: Expanded primary care capacityTo address this need, the Medical Center has made operational a Mobile Health Clinic to provide high quality medical care to individuals living at or near poverty who are under or uninsured and have a chronic disease, such as diabetes, high cholesterol, or high blood pressure. In addition to chronic disease management and care, the mobile clinic provides wellness visits and links patients to specialist, laboratory, and imaging services.Priority 2: Obesity prevention programs, including nutrition and physical activity programsTo address this need, the Medical Center has partnered with Cal State University Northridge's (CSUN) for their 100 Citizens Program. As part of this, Providence will identify high-risk adults with chronic conditions, develop physical activity plan, and link to new or existing programs designed to improve physical activity.Priority 3: Free, low-cost. and culturally appropriate health education programsTo address this need, the Medical Center conducts Wellness Support Groups that cover diabetes, hypertension, high blood pressure, high cholesterol, and other components. Two new Women's Health Support Groups were also started in 2015.Priority 4: Diabetes, heart disease, hypertension, and cancer prevention and management programsAdditional information regarding hypertension and cholesterol has been integrated into four Wellness Support Groups started by Lorena Soria, RN, CDE. A total of 127 persons attended classes in 2015. The classes were on-going for persons with diabetes, hypertension, and/or high blood pressure. The Medical Center has also implemented Diabertes Self-Management Education (DSME) classes.Priority 5: Affordable and accessible mental health servicesThe Medical Center partners with the Tarzana Treatment Center on the development and expansion of the Mental Health Project. The Mental Health Outreach program provides outreach, education and referrals for individuals and families who are dealing with a mental health illness or substance abuse. In 2015, the Medical Center completed over 2,500 hours of outreach and education activities, exceeding the grant target of 2,222 hours.In developing the list of priority needs/issues, Providence Holy Cross Medical Center looked at bringing its expertise and resources to those issues where it can make positive change. Because the Medical Center has limited resources, it focused on areas where it has the expertise and ability to make a positive impact in its community. For those reasons, the following health needs were not chosen by the hospital as part of their implementation strategy: 1) Affordable dental care 2) Affordable child care and adult day care3) Affordable housing and transitional housing4) Teen pregnancy prevention programs5) STD prevention programs |
| Group A-Facility 3 -- Providence Holy Cross Medical Center Part V, Section B, line 16i: | Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration. |
| Group A-Facility 4 -- Providence Tarzana Medical Center Part V, Section B, line 5: | A group of community stakeholders and Medical Center staff were invited to review the needs and issues identified through the assessment process, and to identify the priority areas of focus to begin to address through collaborative partnerships between the Medical Center, other organizations, and members from our community. This group included the following individuals:Shawn Kiley - Director of Mission Leadership, PTMCDr. Glenn Irani - Chief Medical Officer, PTMCBarbara Silverberg - Coordinator, Senior Outreach Program, Providence Center for Community Health ImprovementConnie Cruz - Director of Faith Community Nursing, Providence Center for Community Health ImprovementMargaret Pontius - Director, Guadalupe Community CenterJose' Salazar - Director of Program Development, Tarzana Treatment Center, Inc.Joan Maltese, Ph.D. - CEO, Child Development InstituteL.A. City Council - Safi Lodin, Field Deputy for Councilman Dennis Zine |
| Group A-Facility 4 -- Providence Tarzana Medical Center Part V, Section B, line 6a: | Providence Holy Cross, Saint Joseph and Tarzana Medical Centers collaborated together to complete their community health needs assessments. Since the three Medical Centers' service areas overlap, it was decided that the hospitals would work together in conducting their CHNAs. |
| Group A-Facility 4 -- Providence Tarzana Medical Center Part V, Section B, line 6b: | Collaboration with the Valley Care Community Consortium. |
| Group A-Facility 4 -- Providence Tarzana Medical Center Part V, Section B, line 11: | Priority 1: Access to affordable mental health services:To address this need, the Medical Center partners with the Tarzana Treatment Center on the development and expansion of the Mental Health Project. The Mental Health Outreach program provides outreach, education and referrals for individuals and families who are dealing with a mental health illness or substance abuse. In 2015, the Medical Center completed over 2,500 hours of outreach and education activities, exceeding the grant target of 2,222 hours.Priority 2: Diabetes and hypertension screening, management, and prevention programs:To address this need, the Medical Center has implemented Diabetes Self-Education (DSME) classes (six-course series). In addition, the Medical Center conducts Wellness Support Groups that cover diabetes, hypertension, high blood pressure, high cholesterol, and other components. Lastly, the Medical Center is currently working with Cal State University Northridge (CSUN) on their 100 Citizens Program to:1) Implement wellness visits for adults2) Evaluate the impact of wellness visits by measuring A1C levels3) Identify high-risk adults with chronic conditions, develop a physical activity plan, and link to new or existing programs designed to improve physical activity4) Monitor and track physical activity levels of adults who participate in 100 Citizens or Providence-sponsored events or programsPriority 3: Access to affordable primary and specialty care:To address this need, the Medical Center has made operational a Mobile Health Clinic to provide high quality medical care to individuals living at or near poverty who are under or uninsured and have a chronic disease, such as diabetes, high cholesterol, or high blood pressure. In addition to chronic disease management and care, the mobile clinic provides wellness visits and links patients to specialist, laboratory, and imaging services.Prioirty 4: Affordable and expanded services for a growing senior population:The Senior Outreach Program was started in 1998 to assist the elderly with homemaker services, peer counseling, and case management services. The program is staffed by mental health professionals who oversee a group of 20 volunteers. The volunteers offer services such as shopping, meal preparation, errands, and transportation to frail, elderly individuals, many of whom are homebound or of limited mobility. Volunteers are also recruited and trained to serve as peer counselors to assist seniors who are depressed because of issues such as dealing with a chronic illness, loss of friends and family, or isolation.Priority 5: Alcohol and drug abuse treatment and prevention programs:No significant progress on this need has been made as a result of limited resources.In developing the list of priority needs/issues, Providence Tarzana Medical Center looked at bringing its expertise and resources to those issues where it can make positive change. Because the Medical Center has limited resources, it focused on areas where it has the expertise and ability to make a positive impact in its community. For those reasons, the following health needs were not chosen by the hospital as part of their implementation strategy. Health Issues Not Chosen by Hospital:1) Affordable dental care 2) Accessible physical activity programs3) Affordable housing and transitional housing4) Teen pregnancy prevention programs5) STD prevention programs |
| Group A-Facility 4 -- Providence Tarzana Medical Center Part V, Section B, line 16i: | Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration. |
| Part V, Section B | Facility Reporting Group B |
| Facility Reporting Group B consists of: | - Facility 2: Providence LCM Med. Ctr. - Torrance, - Facility 5: Providence LCM Med. Ctr. - San Pedro |
| Group B-Facility 2 -- Providence LCM Med. Ctr. - Torrance Part V, Section B, line 5: | The Providence Little Company of Mary (PLCM) Community Ministry Board formed an ad hoc committee to include seven PLCM representatives and 7 external stakeholders to represent a broad spectrum of community input. The Board defined the the scope of the Committee's work as: (1) review and revise the plan for the implementation of the needs assessment, (2) consider the needs assessment findings, and (3) make recommendations to the governing board on the adoption of priority health needs for 2014-2016.Community representatives included:- Tahia Hayslet, Executive Director, Harbor Interfaith Services - Judith Kraft, MD, Chief Medical Officer, Wilmington Community Clinic- Steve Tabor, Associate Superintendent, Pupil Personnel Services, Hawthorne School District- Betsy Hamilton, Assistant Superintendent, Educational Services, Lawndale Elementary School District- Fr. Greg King, Pastor, St. Joseph Church- Paul Simon, MD MPH, Director, Division of Chronic Disease & Injury Prevention, Los Angeles Co Department of Public Health- Rick Velasquez, Chief of Staff to Supervisor Don Knabe |
| Group B-Facility 2 -- Providence LCM Med. Ctr. - Torrance Part V, Section B, line 6a: | The 2013 Joint Community Health Needs Assessment was conducted by Providence Little Company of Mary Medical Center, San Pedro and Providence Little Company of Mary Medical Center, Torrance. The report satisfies all of the required elements for a Joint Community Health Needs Assessment. |
| Group B-Facility 2 -- Providence LCM Med. Ctr. - Torrance Part V, Section B, line 11: | Priority 1: Access to Care:To address this need, the Vasek Polak Health Clinic provides primary care for uninsured adults using a low-cost, fixed-priced service delivery model; includes coordination of referrals for services outside clinic scope and on-site wellness education classes, lectures, flu clinics, etc. In addition, our Partners for Healthy Kids Mobile Clinic provides free medical care for uninsured children (0-18), including medication, immunizations, coordination of ancillary tests, screening for insurance, and referrals for specialty care.Priority 2: Wellness Education:The Creating Opportunities for Physical Education (COPA) program uses a three prong strategy to increase physical activity in children through (1) a peer coach training model for teachers (and their students), (2) a direct service after-school physical activity program and (3) family nights and special events that promote children and adults (parents and teachers) involved together in physical activity. COPA currently operates at elementary schools in four underserved communities served by the Hawthorne, Lawndale, Los Angeles, and Torrance Unified School Districts.Priority 3: Connecting People to Services:The Community Health Insurance Program (CHIP) is a community-wide initiative to enroll children and adults in Medi-Cal and Covered California at enrollment sites throughout the South Bay Community. In addition, the Welcome Baby program provides education, support information, and linkage to pregnant and new mothers by providing the services of a parent coach that create better health outcomes for the mother and the baby. After considerable discussion, the Board Committee on Community Benefits came to a consensus that it was not prudent to address the following needs because of the financial barriers to entry, the lack of PLCM expertise in the topic area and/or the balancing of both factors that made it unlikely for substantial progress to be made over the next three years in addressing the need.Health Issues Not Chosen by Hospital:1) Assistance with affordable housing2) Addressing cultural and language barriers3) Dental care4) Acute mental health care5) Expanding the number of providers who accept Medi-Cal |
| Group B-Facility 2 -- Providence LCM Med. Ctr. - Torrance Part V, Section B, line 16i: | Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration. |
| Group B-Facility 5 -- Providence LCM Med. Ctr. - San Pedro Part V, Section B, line 5: | The Providence Little Company of Mary (PLCM) Community Ministry Board formed an ad hoc committee to include seven PLCM representatives and 7 external stakeholders to represent a broad spectrum of community input. The Board defined the the scope of the Committee's work as: (1) review and revise the plan for the implementation of the needs assessment, (2) consider the needs assessment findings, and (3) make recommendations to the governing board on the adoption of priority health needs for 2014-2016.Community representatives included:- Tahia Hayslet, Executive Director, Harbor Interfaith Services - Judith Kraft, MD, Chief Medical Officer, Wilmington Community Clinic- Steve Tabor, Associate Superintendent, Pupil Personnel Services, Hawthorne School District- Betsy Hamilton, Assistant Superintendent, Educational Services, Lawndale Elementary School District- Fr. Greg King, Pastor, St. Joseph Church- Paul Simon, MD MPH, Director, Division of Chronic Disease & Injury Prevention, Los Angeles Co Department of Public Health- Rick Velasquez, Chief of Staff to Supervisor Don Knabe |
| Group B-Facility 5 -- Providence LCM Med. Ctr. - San Pedro Part V, Section B, line 6a: | The 2013 Joint Community Health Needs Assessment was conducted by Providence Little Company of Mary Medical Center, San Pedro and Providence Little Company of Mary Medical Center, Torrance. The report satisfies all of the required elements for a Joint Community Health Needs Assessment. |
| Group B-Facility 5 -- Providence LCM Med. Ctr. - San Pedro Part V, Section B, line 11: | Priority 1: Access to Care:To address this need, the Vasek Polak Health Clinic provides primary care for uninsured adults using a low-cost, fixed-priced service delivery model; includes coordination of referrals for services outside clinic scope and on-site wellness education classes, lectures, flu clinics, etc. In addition, our Partners for Healthy Kids Mobile Clinic provides free medical care for uninsured children (0-18), including medication, immunizations, coordination of ancillary tests, screening for insurance, and referrals for specialty care.Priority 2: Wellness Education:The Creating Opportunities for Physical Education (COPA) program uses a three prong strategy to increase physical activity in children through (1) a peer coach training model for teachers (and their students), (2) a direct service after-school physical activity program and (3) family nights and special events that promote children and adults (parents and teachers) involved together in physical activity. COPA currently operates at elementary schools in four underserved communities served by the Hawthorne, Lawndale, Los Angeles, and Torrance Unified School Districts.Priority 3: Connecting People to Services:The Community Health Insurance Program (CHIP) is a community-wide initiative to enroll children and adults in Medi-Cal and Covered California at enrollment sites throughout the South Bay Community. In addition, the Welcome Baby program provides education, support information, and linkage to pregnant and new mothers by providing the services of a parent coach that create better health outcomes for the mother and the baby. After considerable discussion, the Board Committee on Community Benefits (identified in #5) came to a consensus that it was not prudent to address the following needs because of the financial barriers to entry, the lack of PLCM expertise in the topic area and/or the balancing of both factors that made it unlikely for substantial progress to be made over the next three years in addressing the need.Health Issues Not Chosen by Hospital:1) Assistance with affordable housing2) Addressing cultural and language barriers3) Dental care4) Acute mental health care5) Expanding the number of providers who accept Medi-Cal |
| Group B-Facility 5 -- Providence LCM Med. Ctr. - San Pedro Part V, Section B, line 16i: | Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration. |
| Part V, Section B, Line 7a | communitybenefit.providence.org/community-health-needs-assessments/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 43 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (43 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - Ambulatory Surgery Center | |||||
| 2020 Santa Monica Blvd Ste 140 | Santa Monica | CA | 90404 | Outpatient Services | |
| 2 - Brain Tumor Center | |||||
| 2121 Santa Monica Boulevard | Santa Monica | CA | 90404 | Outpatient Services | |
| 3 - Cardiac and Pulmonary Rehab | |||||
| 20929 Hawthorne Boulevard | Torrance | CA | 90503 | Outpatient Services | |
| 4 - Carson Primary Care North | |||||
| 20401 Avalon Boulevard Ste B | Carson | CA | 90746 | Outpatient Services | |
| 5 - Child and Family Development Center | |||||
| 1339 20th Street | Santa Monica | CA | 90404 | Outpatient Services | |
| 6 - Cleft Palate Center | |||||
| 2121 Santa Monica Boulevard | Santa Monica | CA | 90404 | Outpatient Services | |
| 7 - Community Health | |||||
| 2601 Airport Drive Ste 220 | Torrance | CA | 90505 | Outpatient Services | |
| 8 - Concussion Management | |||||
| 501 S Buena Vista Street | Burbank | CA | 91505 | Outpatient Services | |
| 9 - Dermatological Center for Skin Health | |||||
| 2121 Santa Monica Boulevard | Santa Monica | CA | 90404 | Outpatient Services | |
| 10 - Hip and Pelvis Institute | |||||
| 2001 Santa Monica Blvd Ste 760 | Santa Monica | CA | 90404 | Outpatient Services | |
| 11 - Home Health | |||||
| 2601 Airport Drive Ste 230 | Torrance | CA | 90505 | Outpatient Services | |
| 12 - Howard and Hycy Hill Neuroscience Center | |||||
| 501 S Buena Vista Street | Burbank | CA | 91505 | Outpatient Services | |
| 13 - Imaging and Breast Center | |||||
| 1360 W 6th Street Suite 100 | San Pedro | CA | 90731 | Outpatient Services | |
| 14 - Margie Peterson Breast Center | |||||
| 2121 Santa Monica Boulevard Garden | Santa Monica | CA | 90404 | Outpatient Services | Leve |
| 15 - Nutrition and Diabetes Education Departm | |||||
| 2121 Santa Monica Boulevard | Santa Monica | CA | 90404 | Outpatient Services | |
| 16 - Outpatient Diagnostic Center | |||||
| 11570 Indian Hills Road | Mission Hills | CA | 91345 | Outpatient Services | |
| 17 - Outpatient Rehab Center | |||||
| 21135 Hawthorne Boulevard | Torrance | CA | 90503 | Outpatient Services | |
| 18 - Performance Therapy | |||||
| 2020 Santa Monica Blvd Ste 401 | Santa Monica | CA | 90404 | Outpatient Services | |
| 19 - Providence Center for Community Improvem | |||||
| 6801 Coldwater Canyon Ave | North Hollywood | CA | 91605 | Outpatient Services | |
| 20 - Providence Family Medical Center | |||||
| 520 N Prospect Ave Ste 103 | Redondo Beach | CA | 90277 | Outpatient Services | |
| 21 - Providence Holy Cross Cancer Center | |||||
| 15031 Rinaldi Street | Mission Hills | CA | 91345 | Outpatient Services | |
| 22 - Providence Holy Cross Health Center at P | |||||
| 19950 Rinaldi Street | Porter Ranch | CA | 91326 | Outpatient Services | |
| 23 - Providence Holy Cross Health Center at S | |||||
| 26357 McBean Parkway | Santa Clarita | CA | 91355 | Outpatient Services | |
| 24 - Providence Holy Cross Surgery Center | |||||
| 11550 Indian Hills Road | Mission Hills | CA | 91345 | Outpatient Services | |
| 25 - Providence Playa Vista Medical Center | |||||
| 6020 Sea Bluff Drive Ste 1 | Playa Vista | CA | 90094 | Outpatient Services | |
| 26 - Providence Saint Joseph Breast Health Ce | |||||
| 181 S Buena Vista Street Ste 300 | Burbank | CA | 91505 | Outpatient Services | |
| 27 - Providence Saint Joseph Diagnostic Cente | |||||
| 201 S Buena Vista Street Ste 125 | Burbank | CA | 91505 | Outpatient Services | |
| 28 - Providence Saint Joseph Health Center | |||||
| 3413 W Pacific Avenue | Burbank | CA | 91505 | Outpatient Services | |
| 29 - Providence St Elizabeth Care Center | |||||
| 10425 Magnolia Blvd | North Hollywood | CA | 91601 | Outpatient Services | |
| 30 - Providence Tarzana MRI Center | |||||
| 18321 Clark Street | Tarzana | CA | 91356 | Outpatient Services | |
| 31 - Providence Tarzana Outpatient Imaging Ce | |||||
| 18344 Clark Street Ste 101 | Tarzana | CA | 91356 | Outpatient Services | |
| 32 - Providence Tarzana Outpatient Therapy Ce | |||||
| 5359 Balboa Blvd | Encino | CA | 91316 | Outpatient Services | |
| 33 - Providence Tarzana Womens Center | |||||
| 18344 Clark Street Ste 110 | Tarzana | CA | 91356 | Outpatient Services | |
| 34 - Providence Tarzana Wound Care Center | |||||
| 18411 Clark Street Ste 301 | Tarzana | CA | 91356 | Outpatient Services | |
| 35 - Radiation Oncology | |||||
| 3531 Fashion Way | Torrance | CA | 90503 | Outpatient Services | |
| 36 - Recovery Center | |||||
| 1386 W 7th Street | San Pedro | CA | 90732 | Outpatient Services | |
| 37 - Roy and Patricia Disney Family Cancer Ce | |||||
| 181 S Buena Vista Street | Burbank | CA | 91505 | Outpatient Services | |
| 38 - San Fernando Valley Heart Institute | |||||
| 18321 Clark Street | Tarzana | CA | 91356 | Outpatient Services | |
| 39 - South Bay Ophthalmology Center | |||||
| 4825 Torrance Boulevard Ste 100 | Torrance | CA | 90503 | Outpatient Services | |
| 40 - Sub Acute Care Center | |||||
| 1322 W 6th Street | San Pedro | CA | 90732 | Outpatient Services | |
| 41 - Transitional Care Center | |||||
| 4320 Maricopa Street | Torrance | CA | 90505 | Outpatient Services | |
| 42 - Vasek Polak Health Clinic | |||||
| 13355 Hawthorne Blvd | Hawthorne | CA | 90250 | Outpatient Services | |
| 43 - Women's Imaging Center | |||||
| 20929 Hawthorne Boulevard | Torrance | CA | 90503 | Outpatient Services | |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Eligibility for Charity is determined by an inability to pay defined in the policy based on one or more of the following criteria: Presumptive Charity and Charity. Presumptive Charity determines that financial Assistance Application is not required if a patient is either homeless, or is enrolled in some sort of Medicaid Program, or is verified to be unable to pay under income/asset test. Charity requires completion of Financial Assistance Application and validation that a patient's gross income is less than 350% of FPG. |
| Part I, Line 6a: | In addition to having Community Benefit information included in the consolidated Providence Health & Services Community Benefit Report, this information is also included in the Providence Health System - Southern California Regional Community Benefit Report. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 57,820,259. |
| Part II, Community Building Activities: | COMMUNITY BUILDING ACTIVITIES:Providence Health & Services, California Region did not track or report the financial impact of their community building activities. |
| Part III, Line 2: | Bad debt expense represents the amount of gross charges for patients who do not have insurance and which PH&S-So. CA was unable to qualify for assistance under either government programs or our internal charity care policy. |
| Part III, Line 4: | The Health System provides for an allowance against patient accounts receivable for amounts that could become uncollectible. The Health System estimates this allowance based on the aging of accounts receivable, historical collection experience by payor, and other relevant factors. There are various factors that can impact the collection trends, such as changes in the economy, which in turn have an impact on unemployment rates and the number of uninsured and underinsured patients, the increased burden of copayments to be made by patients with insurance coverage and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the estimation process used by the Health System. The Health System records a provision for bad debts in the period of services on the basis of past experience, which has historically indicated that many patients are unresponsive or are otherwise unwilling to pay the portion of their bill for which they are financially responsible. |
| Part III, Line 8: | It is Providence's policy to exclude any Medicare shortfall from Community Benefit information.The amount reported on Part III, Section B, Line 6, was determined by applying the Cost-to-Charge Ratio to the Medicare revenue. |
| Part III, Line 9b: | BILLING & COLLECTION PRACTICESProvidence has written policies about when and under whose authority patient debt is advanced for collection, and uses its best efforts to ensure that patient accounts are processed fairly and consistently.Providence ensures that practices to be used by their outside (non-hospital) collection agencies conform to the standards set forth in this policy, and obtains written commitments from such agencies that they will adhere to those standards. Providence also conducts an assessment of each collection agency's adherence to the policy. Such assessments are conducted at least annually.At time of billing, we provide to all low-income uninsured patients the same information concerning services and charges provided to all other patients who receive care at the hospital.When sending a bill to a patient, Providence includes a) a statement that indicates that if the patient meets certain income requirements the patient may be eligible for a government-sponsored program or for financial assistance from the hospital; and b) a statement that provides the patient with the name and telephone number of a hospital employee or office from whom or which the patient may obtain information about Providence's financial assistance policies for patients and how to apply for such assistance.Any patient (or the patient's legal representative) seeking financial assistance from Providence provides the individual facility with information concerning health benefits coverage, financial status (i.e. income, assets) and any other information that is necessary for the hospital to make a determination regarding the patient's status relative to Providence's financial assistance policy, discounted payment policy, or eligibility for government-sponsored programs.For patients who have an application pending determination for either government-sponsored coverage or for the hospitals' own financial assistance program, Providence will not knowingly send that patient's bill to a collection agency.Eligibility for financial assistance will be determined as closely as possible to the date of service. |
| Part VI, Line 2: | NEEDS ASSESSMENT:We recognize that caring for the poor and vulnerable is not a task we can do on our own. On a routine basis we conduct a formal community assessment to determine who in our communities is experiencing the greatest need. This outreach connects us to many not-for-profits and social service agencies as well as care providers and their clients in the communities. To ensure that we conduct a comprehensive assessment, our process includes research, meetings, interviews, focus groups and surveys.Additionally, Providence ministries have community and foundation boards. The civic leaders that serve on Providence Boards connect our Mission with a local perspective on community needs.Our assessment findings are assembled to make certain we understand and respond to local and regional needs, which often vary from one city or county to another. Identified areas of need not only guide our community benefit giving, but also guide our strategic planning. We believe meaningful community needs assessment provides insight into the complete community benefit that is required, beyond just free and discounted care.The data collected for community needs assessment of Providence Saint Joseph Medical Center, Providence Holy Cross Medical Center, and Providence Tarzana Medical Center included both primary and secondary data sources. The primary data sources were collected through interviews, focus groups and surveys conducted by the Valley Care Community Consortium (VCCC). Key informant interviews were conducted with persons from health and mental health organizations, community based organizations, academia, and representatives from local government agencies. In addition, VCCC conducted several community forums with area faith-based, school-based and community agencies in which surveys were done using an electronic automatic response system. Paper and online surveys were also completed with community residents. Focus groups were conducted with area community members, leaders, and service providers. These focus groups were conducted in both English and Spanish. Secondary data collection for this study included a variety of studies and reports compiled by numerous organizations at the local, state and national levels.For community needs assessment of Providence Little Company of Mary Torrance and San Pedro, primary data collection methods included: a paper or online survey to individuals and organizations across the South Bay who serve disadvantaged populations, asking their opinion on the greatest healthcare gaps in their community; phone surveys of underserved, low Income and minority populations, addressing health status, places where healthcare is accessed, health insurance, nutrition or physical activity, mental health, dental care, and demographics; a health survey given to parishioners at a local church; and key informant interviews. Secondary data collection methods included national, state and county sources, regarding population demographics and health indicators. |
| Part VI, Line 3: | COMMUNICATION TO THE PUBLIC:Providence hospitals post notices regarding the availability of financial assistance to low-income uninsured patients. These notices are posted in visible locations throughout the hospital such as admitting/registration, billing office, emergency department and other outpatient settings.Every posted notice regarding financial assistance policies contains brief instructions on how to apply for financial assistance or a discounted payment. The notices also include a contact telephone number that a patient or family member can call to obtain more information.At the time of registration, patients receive a packet that includes information on charity care and financial assistance. If patients have any questions, Providence has financial counselors that will educate them on any financial assistance through the hospital or any government program that the patient may qualify for.Providence ensures that appropriate staff members are knowledgeable about the existence of the hospital's financial assistance policies. Training is provided to staff members (i.e., billing office, financial department, etc.) who directly interact with patients regarding their hospital bills.When communicating to patients regarding their financial assistance policies, Providence attempts to do so in the primary language of the patient, or his/her family, if reasonably possible, and in a manner consistent with all applicable federal and state laws and regulations.Providence shares their financial assistance policies with appropriate community health and human services agencies and other organizations that assist such patients. |
| Part VI, Line 4: | COMMUNITY INFORMATION:Providence Health & Services, Southern California Region, operates five medical centers and outpatient centers, clinics, hospice and community outreach programs serving a wide area stretching from the northern reaches of Los Angeles County to the South Bay Area. The region is marked by great wealth, but also by large pockets of poverty. The region is composed of the coastal South Bay Service Area and the inland Valley Service Area. The service areas are separated by some 30 miles, but work as one sharing quality practices and commitment to the Providence Mission to serve those who are poor and vulnerable. The Providence Mission drives numerous programs aimed at easing those challenged by the continuing economic slump, providing free and low-cost health care, partnering with agencies with similar missions and focusing on preventive care with the hopes of improving the health of the communities served by Providence. The Providence St. Joseph Service Area encompasses 12 communities and 27 zip codes to include 729,699 residents, living in the San Fernando and Santa Clarita Valleys. The percentage of seniors (65+) in this area is 14.6%. Of the adult population (25+), 15.6% of adults have not graduated from high school, while 38.3% have a bachelor's degree or higher. The percentage of households that earn less than $25,000 is 21.5%, while 21.4% earn between $25,000 and $50,000.The Providence Holy Cross Service Area encompasses 16 communities and 19 zip codes to include 873,788 residents, living in the San Fernando, Santa Clarita, and Simi Valleys. The percentage of seniors (65+) in this area is 11.1%. Of the adult population (25+), 23.8% of adults have not graduated from high school, while 26.5% have a bachelor's degree or higher. The percentage of households that earn less than $25,000 is 16.7%, while 19.5% earn between $25,000 and $50,000.The Providence Tarzana Service Area encompasses 11 communities and 19 zip codes to include 661,950 residents, living in the San Fernando and Santa Clarita Valleys. At the time of the 2013 CHNA, the percentage of seniors (65+) in this area is 11.8%. Of the adult population (25+), 17.0% of adults have not graduated from high school, while 35.1% have a bachelor's degree or higher. The percentage of households that earn less than $15,000 is 10.7%, while 27.4% earn more than $100,000.The PLCM Service Area includes 14 separate municipalities and encompasses 25 distinct zip codes in the South Bay/Harbor area of Los Angeles County, with a resident population of 895,855. Seniors (65+) account for 14.7 percent of the population. 15.5% of adults (25+) have not graduated from high school, while 36.5% have a bachelor's degree or greater. The percentage of households that earn less than $25,000 is 18.1%, while 19.1% of households earn between $25,000 and $50,000. |
| Part VI, Line 5: | PROMOTION OF COMMUNITY HEALTH:As a not-for-profit Catholic health care ministry, Providence Health & Services lives out its Mission and embraces its responsibility to provide for the needs of the communities it serves - especially the poor and vulnerable. Providence's not-for-profit, tax-exempt status enables Providence to serve its communities, to solicit donations through its foundations and to access capital to respond to community needs that otherwise would go unmet. The charitable purpose of Providence Health & Services and each of its ministries is guided by one Mission and set of core values based on Catholic health care and guided by the legacy of the Sisters of Providence. As one system committed to caring for those who are poor and vulnerable, Providence Health & Services has developed a single framework for consistently reporting charity care and community benefit. Locally, Providence ministries are empowered to apply these policies to meet the needs of their community. Additionally, Providence ministries conduct local assessments to make sure the needs of the community are met. The Greater Los Angeles Area has a growing population of poor, uninsured and under-insured in need of basic health care, and the safety net has been further stretched by the current economic slowdown. In each service area, access to low cost or free primary care is the top health care need identified by the separate needs assessments conducted in the San Fernando Valley and South Bay regions. As the home to a large number of immigrants, all of whom have immediate health care and health education needs, finding a medical home and connecting children and adults to health care remains our greatest challenge. Untreated diabetes is epidemic, and among the growing Latino population the ability to provide services in Spanish is critical to successful clinical outcomes. Providence plays a leadership role in providing program infrastructure to the most economically disadvantaged communities in the service area and seeks to improve management of these chronic conditions. Each hospital's emergency department is open 24 hours and no patient is ever denied emergency care regardless of ability to pay. Because more and more patients utilize emergency rooms as primary care, Providence medical centers provide fast-track service for routine health issues and bilingual lay people to guide and direct children and adults to appropriate community based follow up services. Providence Saint Joseph Medical Center has a Paramedic Base Station where we relay instructions from our medical team so that paramedics can begin critical treatment protocols even before our patients arrive at the hospital. Furthermore, the Medical Center partners with Leeza's Care Connection, a safe home-like living room setting where family caregivers connect with each other and with vital resources. Located within Providence Saint Joseph's Hycy and Howard Hill Neuroscience Institute, all Leeza's Care Connection programs and services are free. They include scrapbooking to help caregivers and their loved ones honor memories, exercise and wellness programs for strengthening the body and the mind, and support groups so that caregivers can safely express, share, and connect during this challenging time. In addition, safety net organizations can apply for community grants from the Medical Center.Providence Holy Cross has one of the few Level II Trauma Centers serving both the San Fernando and Santa Clarita Valleys. As an open catchment trauma center, Providence Holy Cross Medical Center meticulously coordinates patient transportation within the LA system, ensuring that patients who have sustained traumatic injuries within our geographical area can get to the trauma center for treatment within the crucial 30-minute time period. As a Level II trauma center, our Center provides surgeons, surgical specialists, emergency physicians, nurses, and other healthcare professionals trained to give immediate care to the trauma patient. In addition, safety net organizations can apply for community grants from the Medical Center.Opened in 2015 in partnership with Mercy Housing and Abode Communities, the Providence Wellness and Activity Center reflects a new endeavor to bring wellness services to the residents of Wilmington. The Center provides a place where residents can learn and grow and succeed in life by attending classes and services that link them to community resources. Many of those who come to the facility are attending ongoing fitness, yoga, and zumba classes, as well as dropping their children off at after-school and summer recreation programs. |
| Part VI, Line 6: | AFFILIATED HEALTH CARE SYSTEM:The Health System owns or operates 34 general acute care hospitals, three ambulatory care centers, six medical groups, six long term care facilities, seven homecare and hospice entities, five assisted living facilities, a high school, a university, 13 low income housing projects, the Health Plan, a health services contractor, two programs of all inclusive care for the elderly, and 23 controlled fundraising foundations.The Health System provides inpatient, outpatient, primary care, and home care services in Alaska, Washington, Montana, Oregon, and Southern California. The Health System operates these businesses primarily in the greater metropolitan areas of Anchorage, Alaska; Seattle, Spokane, Kennewick, and Olympia, Washington; Missoula, Montana; Portland and Medford, Oregon; and Los Angeles, CaliforniaProvidence Southern California continuously looks toward more efficient processes to ensure funding is available for community outreach programs to help those most in need. The poor and vulnerable run the spectrum from birth to the elderly, all with specific needs that are addressed by the Providence's outreach efforts. Providence funds programs for young parents; provides a developmental therapy program for infants with special needs; free flu shot campaigns for all ages; counseling for adolescents, teens and young adults who have strayed off their paths; and health screenings and health education programs for all ages. Providence has developed palliative care programs at all its medical centers and operates the largest hospice program in Southern California, one that includes the area's only children's hospice.In terms of community outreach, each of the five medical centers serves vastly different populations and tailors programs appropriately. In many cases, Providence Southern California partners with local charities such as Meet Each Need with Dignity (MEND) in the northern San Fernando Valley, the Burbank Temporary Aid Center (BTAC) in Burbank and Harbor Interfaith in San Pedro, which supports the working poor with shelter, food, job training, life skills education and other services. |
| Part VI, Line 7, Reports Filed With States | CA,WA,OR,MT,AK |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Providence Health and Services Foundation | |||||||
| 501 S Buena Vista St | Burbank | CA | 91505 | 953544877 | 501 (c )(3) | $5,724,048 | Operational Support |
| Providence Little Company of Mary Foundation | |||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 510224944 | 501 (c )(3) | $2,239,727 | Operational Support |
| Providence Health Network | |||||||
| 20555 Earl St | Torrance | CA | 90503 | 800886966 | Other | $2,000,000 | Capital Support |
| Providence TrinityCare Hospice Foundation | |||||||
| 5315 Torrance Blvd | Torrance | CA | 90503 | 330261016 | 501 (c )(3) | $558,106 | Operational Support |
| Providence Medical Institute | |||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330283773 | 501 (c )(3) | $68,070 | Operational Support |
| Northeast Valley Health Corp | |||||||
| 1172 N Maclay Ave | San Fernando | CA | 91340 | 237120632 | 501 (c ) (3) | $10,000 | Sponsor-Adult Wellness |
| Valley Care Community Consortium | |||||||
| 208 Park Avenue | San Fernando | CA | 91340 | 956000779 | 501 (c ) (3) | $10,000 | Sponsorship |
| Cancer Support Community Redondo Beach | |||||||
| 109 W Torrance Blvd | Redondo Beach | CA | 90277 | 954076131 | 501 (c )(3) | $9,450 | Various Sponsorships |
| Hospital Association of Southern California | |||||||
| 515 S Figueroa St Suite 1300 | Los Angeles | CA | 90071 | 951519378 | 501 (c )(6) | $5,850 | Sponsor-Gala |
| Cancer Support Community | |||||||
| 109 W Torrance Blvd Suite 100 | Redondo Beach | CA | 90277 | 954076131 | 501 (c ) (3) | $5,200 | Support cancer support groups |
| American Heart Association | |||||||
| 816 S Figueroa St | Los Angeles | CA | 90017 | 135613797 | 501 (c )(3) | $5,000 | Sponsor Women's Luncheon |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 9 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| Educational Assistance | 266 | $0 | $926,678 | FMV | Tuition Reduction |
| Scholarships | 28 | $0 | $16,950 | FMV | School Scholarships |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | In the application for support/financial aid, we request a detailed explanation of the kind of services provided to the community along with specific financial data. If the application for support is approved, we send a letter indicating the amount of the support along with a request for documentation of how the funds were used, along with a report of the number of children/families served over the year. Grants made to affiliated foundations are monitored on a monthly basis since the financial statements of these organizations are readily available. Other grants are made that comply with the mission and further the tax exempt purpose of the organization. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (36 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rod F Hochman MD | ||||||||||||||
| President / CEO | $0 | $1,562,459 | $0 | $3,522,350 | $0 | $18,000 | $0 | $49,002 | $0 | $25,415 | $0 | $5,177,226 | $0 | $1,152,963 |
| Todd Hofheins | ||||||||||||||
| EVP/CFO | $0 | $704,452 | $0 | $247,640 | $0 | $18,000 | $0 | $269,139 | $0 | $26,574 | $0 | $1,265,805 | $0 | $0 |
| Cindy Strauss | ||||||||||||||
| EVP/Chief Legal Officer | $0 | $526,875 | $0 | $981,482 | $0 | $18,000 | $0 | $40,075 | $0 | $24,624 | $0 | $1,591,056 | $0 | $524,784 |
| Karl Carrier | ||||||||||||||
| Interim CE/CA. Region | $0 | $515,465 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $515,465 | $0 | $0 |
| Steve Mohr | ||||||||||||||
| VP / Finance Ops. CA | $0 | $471,142 | $0 | $107,510 | $0 | $0 | $0 | $92,366 | $0 | $24,928 | $0 | $695,946 | $0 | $0 |
| Randy Axelrod MD Thru 315 | ||||||||||||||
| EVP/Clinical & Patient Services | $0 | $190,509 | $0 | $679,339 | $0 | $546,732 | $0 | $11,925 | $0 | $23,825 | $0 | $1,452,330 | $0 | $0 |
| Mike Butler | ||||||||||||||
| President/Operations & Services | $0 | $1,151,688 | $0 | $402,660 | $0 | $18,000 | $0 | $710,959 | $0 | $29,289 | $0 | $2,312,596 | $0 | $0 |
| Debbie Burton | ||||||||||||||
| SVP/ Chief Nrsg. Officer | $0 | $365,287 | $0 | $300,015 | $0 | $18,000 | $0 | $31,695 | $0 | $23,907 | $0 | $738,904 | $0 | $0 |
| Debra Canales | ||||||||||||||
| EVP/Chief People & Experience Ofc. | $0 | $772,941 | $0 | $715,960 | $0 | $161,754 | $0 | $444,164 | $0 | $13,966 | $0 | $2,108,785 | $0 | $0 |
| Jack Friedman Thru 615 | ||||||||||||||
| SVP/Accountable Care & Payor Rel. | $0 | $364,689 | $0 | $388,093 | $0 | $18,000 | $0 | $103,565 | $0 | $14,354 | $0 | $888,701 | $0 | $0 |
| Mark Gargett | ||||||||||||||
| VP/Digital Integration | $0 | $387,625 | $0 | $245,091 | $0 | $0 | $0 | $58,688 | $0 | $23,604 | $0 | $715,008 | $0 | $0 |
| Aaron Martin | ||||||||||||||
| SVP/Strategy & Innovation | $0 | $512,696 | $0 | $151,000 | $0 | $18,000 | $0 | $182,349 | $0 | $7,050 | $0 | $871,095 | $0 | $0 |
| Tom McDonagh | ||||||||||||||
| VP/Chief Investment Officer | $0 | $451,242 | $0 | $512,101 | $0 | $0 | $0 | $34,150 | $0 | $23,966 | $0 | $1,021,459 | $0 | $0 |
| Rhonda Medows MD | ||||||||||||||
| EVP/Population Health | $0 | $524,152 | $0 | $100,000 | $0 | $43,823 | $0 | $176,410 | $0 | $12,098 | $0 | $856,483 | $0 | $0 |
| Jack Mudd | ||||||||||||||
| SVP/Mission Leadership | $0 | $394,530 | $0 | $220,747 | $0 | $17,141 | $0 | $70,632 | $0 | $18,218 | $0 | $721,268 | $0 | $0 |
| Janice Newell | ||||||||||||||
| SVP/Chief Information Officer | $0 | $578,517 | $0 | $938,806 | $0 | $18,000 | $0 | $23,307 | $0 | $14,460 | $0 | $1,573,090 | $0 | $185,427 |
| Harvey Smith | ||||||||||||||
| SVP/Chief Customer Svc. Officer | $0 | $591,345 | $0 | $235,203 | $0 | $18,000 | $0 | $23,818 | $0 | $18,087 | $0 | $886,453 | $0 | $0 |
| Teresa Spalding | ||||||||||||||
| VP/Revenue Cycle | $0 | $328,808 | $0 | $345,091 | $0 | $18,000 | $0 | $32,190 | $0 | $12,942 | $0 | $737,031 | $0 | $0 |
| Lisa Vance | ||||||||||||||
| SVP/Clinical Program Services | $0 | $479,541 | $0 | $203,545 | $0 | $103,000 | $0 | $37,359 | $0 | $13,827 | $0 | $837,272 | $0 | $0 |
| Craig Wright MD | ||||||||||||||
| SVP/Physician Services | $0 | $552,895 | $0 | $2,237,145 | $0 | $5,000 | $0 | $105,811 | $0 | $19,569 | $0 | $2,920,420 | $0 | $835,177 |
| Dale Surowitz | ||||||||||||||
| CEO - Tarzana | $0 | $523,657 | $0 | $865,883 | $0 | $18,000 | $0 | $48,663 | $0 | $23,248 | $0 | $1,479,451 | $0 | $369,954 |
| Laurence Eason | ||||||||||||||
| CMO/Chief Clinical Officer | $0 | $487,706 | $0 | $866,753 | $0 | $0 | $0 | $24,236 | $0 | $18,139 | $0 | $1,396,834 | $0 | $425,758 |
| Bernard Klein MD | ||||||||||||||
| CEO/HCMC | $0 | $521,563 | $0 | $186,274 | $0 | $0 | $0 | $172,957 | $0 | $22,618 | $0 | $903,412 | $0 | $0 |
| Julie Sprengel | ||||||||||||||
| CEO/PSJMC | $0 | $503,930 | $0 | $158,470 | $0 | $0 | $0 | $148,240 | $0 | $7,389 | $0 | $818,029 | $0 | $0 |
| Prubjeet Khurana | ||||||||||||||
| CSO | $0 | $380,758 | $0 | $217,244 | $0 | $56,127 | $0 | $55,361 | $0 | $4,187 | $0 | $713,677 | $0 | $0 |
| Phil Jackson | ||||||||||||||
| Chief Integration Officer | $0 | $25,262 | $0 | $680,517 | $0 | $446,174 | $0 | $24,714 | $1 | $21,976 | $1 | $1,198,643 | $0 | $327,565 |
| Teresa David | ||||||||||||||
| COO - Facey Med. Foundation | $310,089 | $0 | $212,780 | $0 | $51,602 | $0 | $2,790 | $0 | $9,202 | $0 | $586,463 | $0 | $0 | $0 |
| Jim Corwin | ||||||||||||||
| CFO/CA. Medical Foundations | $308,838 | $0 | $212,780 | $0 | $35,755 | $0 | $7,653 | $0 | $19,978 | $0 | $585,004 | $0 | $0 | $0 |
| Elizabeth Dunne | ||||||||||||||
| CEO - LCM Torrance/SPPH | $0 | $388,561 | $0 | $99,820 | $0 | $40,399 | $0 | $8,639 | $0 | $6,184 | $0 | $543,603 | $0 | $0 |
| Richard Glimp | ||||||||||||||
| CMO/Facey Medical Foundation | $391,567 | $0 | $55,292 | $0 | $31,784 | $0 | $11,328 | $0 | $13,864 | $0 | $503,835 | $0 | $0 | $0 |
| Michael Hunn | ||||||||||||||
| Former /CE / CA. Region | $0 | $100 | $0 | $0 | $0 | $584,581 | $0 | $45,635 | $0 | $22,025 | $0 | $652,341 | $0 | $0 |
| Nancy Carlson | ||||||||||||||
| Former CEO - LCM San Pedro | $0 | $2,578 | $0 | $38,755 | $0 | $102,591 | $0 | $0 | $0 | $1,253 | $0 | $145,177 | $0 | $0 |
| Gerald Clute | ||||||||||||||
| Former CEO - Tarzana | $0 | $4,386 | $0 | $0 | $0 | $190,354 | $0 | $50 | $0 | $2,835 | $0 | $197,625 | $0 | $0 |
| Michael Rembis | ||||||||||||||
| Former CEO - PSJMC | $0 | $20,211 | $0 | $474,248 | $0 | $421,616 | $0 | $4,020 | $0 | $25,008 | $0 | $945,103 | $0 | $183,988 |
| John Fletcher | ||||||||||||||
| Former VP/Operations Support | $0 | $0 | $0 | $102,560 | $0 | $481,290 | $0 | $773 | $0 | $18,005 | $0 | $602,628 | $0 | $0 |
| Jan Jones | ||||||||||||||
| Former SVP/CAO | $0 | $0 | $0 | $106,169 | $0 | $653,292 | $0 | $8,197 | $0 | $25,789 | $0 | $793,447 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Providence Health & Services Expense Reimbursement Procedures include the following policies: First Class Travel or Charter Travel or Travel of Companions Air travel is reimbursable for tourist or economy class and should be 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. First class air travel will only be reimbursed when tourist or economy class air travel is not available and business travel is mandated by a supervisor. In the rare circumstance that an executive must fly on a first class full fare ticket, their senior level supervisor must approve this expense. Companion travel will only be reimbursed by the organization for travel related to relocation, and should not exceed two relocation-related visits, unless approved by the Executive Vice President/Chief People and Experience Officer. Spouse or Companion Travel. Travel expenses incurred by a PH&S employee's spouse or companion will not be reimbursed by PH&S unless the spouse or companion is required to, or invited to attend a PH&S System-sponsored meeting. These expenses may be considered a taxable benefit by the IRS and if so, will be included on the employee's W- 2. During 2015, there were 14 First Class tickets utilized by Officers, Directors or Key Employees listed on Form 990, Part VII. Tax Indemnifications or Gross-Up Payments Providence Health & Services follows the federal and state taxation laws related to relocation expenses paid to the employee or to a third party on the employee's behalf. They are considered income and are therefore subject to payroll taxes. Based on the way 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 will gross-up the relocation benefits to offset the personal tax burden to the employee for IRS allowable expenses. During 2015, the following Listed Persons received gross-up payments: Debra Canales Rhonda Medows, MD The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. Housing Allowance or Residence for Personal Use Providence Health & Services provides housing allowances for purposes of relocation assistance only. Providence may pay temporary living expenses for the employee up to a maximum of 90 calendar days. Covered expenses are rent (excluding "rent" which may be paid in order to occupy a new permanent residence until the title clears) and utilities, including heat, electricity, gas, water, local internet and local telephone and garbage services. The Executive Vice President/Chief People and Experience Officer may approve temporary housing assistance for up to six months when family relocation is delayed to accommodate the school year or equivalent circumstances. Only in extenuating circumstances is housing extended beyond this six month period. During 2015, the following Listed Persons received relocation/housing program payments: Debra Canales Rhonda Medows, MD The amounts reported for these relocation/housing payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. |
| Part I, Lines 4a-b | NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) CBRP = Cash Balance Restoration Plan 1) Rod Hochman, MD a) SERP Vested but not Paid - $1,918,360 b) SERP Interest Credit - $32,014 2) Todd Hofheins a) SERP Earned but not Vested - $244,283 3) Cindy Strauss a) SERP Vested but not Paid - $796,632 b) SERP Interest Credit - $20,200 4) Craig Wright, MD a) SERP Vested but not Paid - $2,047,185 b) SERP Interest Credit - $75,356 5) Debra Canales a) SERP Earned but not Vested - $432,239 6) Michael Butler a) SERP Earned but not Vested - $590,423 b) SERP Interest Credit - $84,804 7) Janice Newell a) SERP Vested but not Paid - $772,706 b) SERP Interest Credit - $4,758 8) Tom McDonagh a) SERP Vested but not Paid - $323,732 b) SERP Interest Credit - $5,950 c) Taxable CBRP Paid - $5,569 9) Lisa Vance a) SERP Earned but not Paid - $22,291 b) SERP Interest Credit - $5,164 c) Taxable CBRP Earned - $63 d) Non-Taxable CBRP Earned - $2 10) Jack Friedman a) Taxable SERP Earned but not Paid - $69,453 b) SERP Interest Credit - $54,261 11) Teresa Spalding a) Taxable SERP Earned but not Paid - $245,180 b) Taxable CBRP Paid - $2 12) Debbie Burton a) SERP Earned but not Paid - $191,285 b) SERP Interest Credit - $5,020 13) Aaron Martin a) SERP Earned but not Vested - $170,424 14) Rhonda Medows a) SERP Earned but not Vested - $164,484 15) Mark Gargett a) Taxable SERP Earned but not Paid - $136,029 b) Taxable CBRP Paid - $42 c) SERP Interest Credit - $22,957 16) Jack Mudd a) SERP Earned but not Paid - $67,957 b) SERP Interest Credit - $42,960 17) Steve Mohr a) SERP Earned but Not Vested - $80,441 18) Dale Surowitz a) SERP Interest Credit - $28,954 b) Taxable SERP Paid - $802,743 19) Laurence Eason a) Taxable SERP Paid - $809,253 b) Taxable CBRP Paid - $11 20) Bernard Klein, MD a) SERP Earned but Not Vested - $146,207 b) Taxable CBRP Paid - $94,614 21) Julie Sprengel a) SERP Earned but Not Vested - $140,619 22) Prubjeet Khurana a) SERP Earned but Not Vested - $51,878 23) Phil Jackson a) Taxable CBRP Paid - $35,985 b) Taxable SERP Paid - $585,641 24) John Fletcher a) Taxable SERP Paid - $102,560 b) Non-Taxable SERP Paid - $773 25) Jan Jones a) Taxable SERP Paid - $106,169 b) SERP Interest Credit - $8,197 26) Michael Hunn a) SERP Interest Credit - $43,082 27) Nancy Carlson a) Taxable SERP Paid - $38,755 28) Michael Rembis a) Taxable SERP Paid - $415,858 |
| Part I, Lines 4a-b | SEVERANCE 1) Phil Jackson - $421,478 2) Nancy Carlson - $102,591 3) Gerald Clute - $190,086 4) Michael Rembis - $417,874 5) Michael Hunn - $ 578,167 6) John Fletcher - $ 476,515 7) Jan Jones - $ 653,292 8) Randy Axelrod - $ 515,897 |
| FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS PROGRAM | The Providence Executive Incentive Program provides a lump sum award annually as a percent of the executive's base pay. Percent opportunities are aligned with our total compensation philosophy as outlined in Part VI, Section B, Line 15 (Process for determining compensation of top management, officers & key employees). The performance award is based on the level of accomplishment of annual system objectives, in combination with personal goals for top executives. In 2015, 50 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's six strategic priorities of: creating healthier communities together, inspire and develop our people, building enduring relationships with consumers, create alignment with clinicians & care teams, develop and thrive under new care delivery & economic models, and grow by optimizing expert-to-expert capabilities. The remaining 50% was based on a robust set of personal goals designed to align critical mission and business drivers, executive team talent development (deepening talent pipeline for top 200+leaders) and professional development. In 2015 the percent allocation for each of these strategic priorities was as outlined below: * Success Measures - System Goals : 50% Community Benefit - 5% Caregiver (Employee) Engagement - 7.5% MyChart Activations - 5% Patient Loyalty Index - 5% Clinical Excellence Index - 7.5% Free Cash Flow - 5% Salary Expense / Net Operating Revenue - 2.5% Primary Care Panel Size - 5% Total Growth in Operating Revenue - 7.5% * Success Measures - Personal Goals : 50% Mission/Business Driver - 15% Exec Talent Development - 20% Professional Development - 15% TOTAL ALLOCATION: 100% |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CA Health Facilities Financing Authority | ||||||||
| A | 521643828 | 13033F7L8 | 2008-11-06 | $284,698,621 | See PART VI | Yes (1) | 0 | 0 |
| CA Health Facilities Financing Authority | ||||||||
| B | 521643828 | 13033LBZ9 | 2009-07-29 | $145,060,500 | Construct Patient Tower - Holy Cross Med. Ctr. | 0 | 0 | 0 |
| CA Health Facilities Financing Authority | ||||||||
| C | 521643828 | 13033L4G9 | 2014-06-26 | $305,080,327 | Advance Refund a Portion of CHFFA Series 2008C Bonds | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capitalized InterestCapitalizedInterestAmt | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $22,400,000 | $251,010,000 | $284,698,623 | $4,582,212 | $280,116,410 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| B | $145,228,932 | $2,072,500 | $84,216 | 2011 | 0 | 0 | Yes (1) | Yes (1) | $13,434,940 | $129,637,276 | ||
| C | $1,385,000 | $305,080,327 | $2,808,157 | $302,272,170 | 2008 | 0 | Yes (1) | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | Yes (1) | 0.00700 | Yes (1) | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) | ||
| C | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, ISSUE A PART I, QUESTION (F) | Refinance bank loan used for acquisition of Providence Tarzana Medical Center, currently call the CHFFA Series 2001 A, B & C (Providence Health System) and CHFFA Series 1998 (Little Company of Mary). |
| SCHEDULE K, ISSUE A PART IV, QUESTION 2C | The most recent rebate computation for the bonds was completed through 12/11/2013. |
| SCHEDULE K, ISSUE C PART IV, QUESTION 2C | The most recent rebate computation for the bonds was completed through 08/01/2014. |
| SCHEDULE K, ISSUE B PART II - PROCEEDS | The amount of the Total Proceeds of Issue are greater than the Issue Price due to Investment Earnings on the proceeds. |
| SCHEDULE K, ISSUE A, PART III | As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private payment test may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, Line 6. The Organization has not undertaken an analysis of the private security test with respect to the bonds, as the level of private business use and/or unrelated trade or business use reported in Part III, Line 6 is not in excess of amounts permitted under Section 145 of the Code. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The sole Member of the Corporation is Providence Health & Services. |
| Form 990, Part VI, Section A, line 7a | The powers of the Corporate Member include the provision to appoint the number of Directors, appoint the Board of Directors and to remove such Directors at any time with or without cause. |
| Form 990, Part VI, Section A, line 7b | The following powers are reserved exclusively to the Corporate Member: A) To adopt and amend the Articles of Incorporation and the Bylaws of the Foundation after consultation with the Foundation's Board of Directors. B) To approve the merger, consolidation, or affiliation of the Foundation with another corporation, organization or program, or the dissolution of the Foundation. C) To approve any strategic plan of the Foundation. D) To approve the annual fundraising plan including special events, annual, capital and planned giving activities. E) To approve the acceptance of any gift that carries conditions or limitations or any gift restricted to services, programs or facilities not currently offered or approved to be offered by the Corporate Member's Board of Directors. |
| Form 990, Part VI, Section B, line 11 | The Form 990 is prepared internally by experienced Providence Health & Services staff and reviewed by the internal PH&S Director of Taxes and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict. |
| Form 990, Part VI, Section B, line 15 | 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 ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are reviewed by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Each year, the Board Chair conducts a formal performance evaluation of the President/CEO that considers input from the other directors and senior leaders reporting to the President. The evaluation is discussed with the Human Resources Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Human Resources Committee also meet with an independent consultant to develop a salary recommendation; which is reviewed and approved first by the committee and then by the Board of Directors. Additionally, 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 Human Resources Committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering Providence operating commitments and strategic objectives - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated patient satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector. |
| Form 990, Part VI, Section C, line 19 | Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon request. The consolidated financial statements are available on our public Internet site www2.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site. |
| Form 990, Part VII | Karl Carrier - 20555 Earl Street, Torrance, CA 90503. Steve Mohr - 501 S. Buena Vista Street, Burbank, CA 91505. Dale Surowitz - 18321 Clark Street, Tarzana, CA 91353. Laurence Eason - 501 S. Buena Vista Street, Burbank, CA 91505. Bernard Klein, MD - 15031 Rinaldi Street, Mission Hills, CA 91345. Julie Sprengel - 501 S. Buena Vista Street, Burbank, CA 91505. Teresa David - 15451 San Fernando Mission Blvd., Mission Hills, CA 91345. Jim Corwin - 15451 San Fernando Mission Blvd., Mission Hills, CA 91345. Elizabeth Dunne - 4101 Torrance Boulevard, Torrance, CA 90503. Richard Glimp - 4101 Torrance Boulevard, Torrance, CA 90503. Michael Hunn - 501 S. Buena Vista Street, Burbank, CA 91505. Nancy Carlson - 1300 West 7th Street, San Pedro, CA 90732. Gerald Clute - 18321 Clark Street, Tarzana, CA 91353. Michael Rembis - 501 S. Buena Vista Street, Burbank, CA 91505. |
| Form 990, Part IX, line 11g | Agency/Contract Labor: Program service expenses 41,885,477. Management and general expenses 1,573,702. Fundraising expenses 0. Total expenses 43,459,179. Medical Director & Med Physician Fees: Program service expenses 37,643,836. Management and general expenses 0. Fundraising expenses 0. Total expenses 37,643,836. Repairs & Maintenance: Program service expenses 12,904,450. Management and general expenses 2,247,909. Fundraising expenses 0. Total expenses 15,152,359. Billing & Collections: Program service expenses 0. Management and general expenses 698,468. Fundraising expenses 0. Total expenses 698,468. Records Management: Program service expenses 22,776. Management and general expenses 1,503. Fundraising expenses 0. Total expenses 24,279. Transcription & Translation Services: Program service expenses 819,714. Management and general expenses 0. Fundraising expenses 0. Total expenses 819,714. Dietary: Program service expenses 544,752. Management and general expenses 567,555. Fundraising expenses 0. Total expenses 1,112,307. Other Patient Services: Program service expenses 83,981,270. Management and general expenses 0. Fundraising expenses 0. Total expenses 83,981,270. Other Administrative Services: Program service expenses 7,238,327. Management and general expenses 28,886,253. Fundraising expenses 4,965. Total expenses 36,129,545. General Consulting Fees: Program service expenses 1,693,404. Management and general expenses 4,776,772. Fundraising expenses 10,500. Total expenses 6,480,676. |
| Form 990, Part XI, line 9: | Recipient Organization Adjustment 13,759,741. IAF Consolidated Equity Transfers 419,819. PH&S Employee Discount 48,000. Auxiliary Distribution to Foundation 100,000. Effect of Auxiliary -99,999. Rounding 4. One Real Estate Net Asset Transfer 34,055,276. 2009 Construction Write Off -3,469,800. |
| FROM 990, PART XII, LINE 2C - AUDIT & COMPLIANCE | The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the System's financial statements and reporting, the audit process and the System's internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the System's internal and external auditors; the System's investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. |
| FORM 990, PART I, LINE 6 - VOLUNTEERS | Our volunteers provide valuable assistance to all of our ministries through a variety of services. Some specific examples include the following: BEYOND FIFTY VOLUNTEER In conjunction with the Beyond Fifty Program, volunteers may sign up to work on Beyond Fifty projects with the Beyond Fifty Program manager. These projects usually involve mailings and/or filing. CLERICAL VOLUNTEERS Clerical volunteers perform general office work such as filing, mailing, data entry, word processing, answering phones, making charts and copying forms. They work in most of the business and clinical offices throughout the hospital. CLINICAL VOLUNTEERS Clinical volunteers work on the nursing floors in 4 hour shifts. They help with trays and feeding and check on patients to be sure they are comfortable. They also put away clean linens, make beds, run errands for the nurses, keep the nurses' kitchen in order, take patients for wheelchair walks and discharge patients. EMERGENCY ROOM VOLUNTEERS These volunteers work a four hour shift once a week. Duties include making phone calls to recently discharged patients, checking on their condition and asking a few brief questions regarding the care they received while a patient, helping at the registration desk, checking on each patient to see if they need anything, running errands for the staff, answering phones, discharging patients by wheel chair, making beds, etc. INFORMATION DESK They must be able to multi-task: answer phones, direct patients and be willing to walk patients to their destinations. They must have excellent customer relation skills. MESSENGER CENTER Volunteers work a four hour shift answering the messenger phone, carrying lab samples, charts, x-rays, etc. and transporting ambulatory patients by wheel chair within the hospital. The messengers also work on mailing projects for various departments. This is an opportunity for those who like to walk and enjoy a variety of experiences as well as enjoying the constant contact with others. MUSIC PROGRAM Volunteers who sing or play a musical instrument schedule four hours per week to visit patients and sing or play for them. Harpists and guitar players are needed as well as other movable instruments which can be played individually. PATIENT VISITOR These volunteers visit the newly admitted patients to welcome them and provide a friendly ear for requests, complaints or just a brief visit. The volunteer must be outgoing and friendly, able to make easy conversation. PETS WITH A PURPOSE This program is in conjunction with Recreation Therapy. Pet volunteers visit patients with their dogs. The dogs are chosen for their friendly personalities and must pass behavioral tests and training to qualify. Visiting is done on a rotating schedule. All applications must be approved by Recreation Therapy Manager. SPIRITUAL CARE VOLUNTEERS Eucharistic Ministers visit the sick and bring Holy Communion to patients requesting the service. This is done on a rotating basis as the volunteer is available. Other volunteers work on projects such as little gifts and handouts for patients. SURGERY WAITING ROOM DESK Another customer service job places the volunteer in the Surgery Waiting room. He/she must keep track of all patients' family members and other visitors and dispense information regarding the patient in surgery. Duties include keeping the room neat, monitoring the television, making and serving coffee and tea and cleaning up at the end of the shift. The volunteer must also maintain a pleasant, helpful attitude at all times. Volunteers with Providence High School assist in the following capacities: * Mentoring for senior projects and other assignments * Class presentations * Meeting Attendance * Preparing special mailings * Laundry * Building Props and making costumes * Supervision of special events * Setting up for special events * Cleaning up after events * Hospitality for events * Video special events * Chaperoning field trips and dances * Courier Service * Traffic Control |
| FORM 990, PART VII - RELIGIOUS COMMUNITY MEMBERS | As members of the Religious Community, each Sister has taken a vow of poverty as a compulsory part of her religious life. Any compensation for services of a Sister inures only for the benefit of the Community, not the individual members. All payments for services are made directly to the Religious Community. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (73 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence Health & Services - Washington | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216586 | Healthcare System | WA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Providence Health & Services - Oregon | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216587 | Healthcare System | OR | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Everett Transitional Care Services | |||||||||||
| PO Box 5128 | Everett | WA | 982065128 | 943264605 | Transitional Care | WA | 501( c)(3) | Line 9 | 0 | N/A | |
| Providence Oregon Management Corporation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 930813977 | Shell Corporation | OR | 501( c)(3) | Line 1 | PH & S - Oregon | 0 | |
| Providence Plan Partners | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 911861964 | Healthcare Services | WA | 501( c)(4) | N/A | PH & S - Oregon | 0 | |
| Providence Health Plan | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 930863097 | Health Service Contractor | OR | 501( c)(4) | N/A | Providence Plan Partners | 0 | |
| Providence Health Assurance | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 550828701 | Medicaid Healthcare Provider | OR | 501( c)(4) | N/A | Providence Health Plan | 0 | |
| Providence Medical Institute | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330283773 | Healthcare | CA | 501( c)(3) | Line 11/Type I | PHS - So California | Yes (1) | |
| Little Company of Mary Ancillary Services Corporation | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330844408 | Imaging Services | CA | 501( c)(3) | Line 9 | PHS - So California | Yes (1) | |
| Providence TrinityCare Hospice | |||||||||||
| 5315 Torrance Blvd Suite B1 | Torrance | CA | 90503 | 953264139 | Hospice | CA | 501( c)(3) | Line 9 | PHS - So California | Yes (1) | |
| Providence Blanchet Association | |||||||||||
| 1700 Providence Pl | Centralia | WA | 98531 | 911789266 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| St Luke Association | |||||||||||
| 350 Washington Ave SE | Chehalis | WA | 98352 | 943176618 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Rossi Association | |||||||||||
| 1700 Providence Pl | Centralia | WA | 98531 | 311584166 | Supportive Housing | WA | 501( c)(3) | Line 9 | PH & S - Washington | 0 | |
| Lundberg Association | |||||||||||
| 5921 E Burnside | Portland | OR | 97215 | 911562797 | Supportive Housing | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence St Francis Association | |||||||||||
| 3415 12th Avenue NE | Olympia | WA | 98506 | 943244854 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Peter Claver Association | |||||||||||
| 7101 38th Avenue South | Seattle | WA | 98118 | 311629656 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence St Elizabeth House Association | |||||||||||
| 3201 SW Graham St | Seattle | WA | 98126 | 912171539 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Gamelin House Association | |||||||||||
| 4515 MLK Jr Way S Ste 200 | Seattle | WA | 98108 | 311744654 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| The Gamelin Association | |||||||||||
| 312 North Fourth St | Yakima | WA | 98901 | 911180824 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| The Gamelin Oregon Association | |||||||||||
| 5520 NE Glisan | Portland | OR | 97213 | 911214491 | Supportive Housing | OR | 501( c)(3) | Line 9 | PH & S - Oregon | 0 | |
| The Gamelin California Association | |||||||||||
| 540 23rd St | Oakland | CA | 94612 | 911293869 | Supportive Housing | CA | 501( c)(3) | Line 9 | PHS - So California | Yes (1) | |
| Gamelin Washington Association | |||||||||||
| 1423 First Avenue | Seattle | WA | 98101 | 201910170 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Dethman House | |||||||||||
| 1205 Montello Ave | Hood River | OR | 97031 | 473385506 | Supportive Housing | WA | 501( c)(3) | Pending | 0 | N/A | |
| Providence Foundation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 943078543 | Support PH&S Institutions | WA | 501( c)(3) | Line 11/Type II | PH & S - Washington | 0 | |
| Providence Alaska Foundation | |||||||||||
| 3300 Providence Drive - B Tower2 | Anchorage | AK | 99508 | 920093565 | Support PHS-Alaska | AK | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence St Peter Foundation | |||||||||||
| 413 Lilly Road NE | Olympia | WA | 985065166 | 911097056 | Support Affiliated Tax-Exempt Organization | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Health Care Foundation (Centralia) | |||||||||||
| 914 S Scheuber Road | Centralia | WA | 98531 | 911433382 | Support Providence Centralia Hospital | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Mount St Vincent Foundation | |||||||||||
| 4831 - 35th Avenue SW | Seattle | WA | 981262799 | 911188119 | Support Providence Mount St.Vincent | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Marianwood Foundation | |||||||||||
| 3725 Providence Point Drive SE | Issaquah | WA | 980297219 | 931554288 | Support Providence Marianwood | WA | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence Newberg Health Foundation | |||||||||||
| 1001 Providence Drive | Newberg | OR | 97132 | 930889144 | Support Providence Newberg Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Seaside Hospital Foundation | |||||||||||
| 725 S Wahanna Rd | Seaside | OR | 97138 | 930927320 | Support Providence Seaside Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Community Health Foundation | |||||||||||
| 1111 Crater Lake Ave | Medford | OR | 97504 | 930692907 | Support Providence Medford Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Benedictine Nursing Center Foundation | |||||||||||
| 540 South Main St | Mt Angel | OR | 973629532 | 911940286 | Support Providence Benedictine Nursing Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Portland Medical Foundation | |||||||||||
| 4805 NE Glisan St | Portland | OR | 972132967 | 931231494 | Support Providence Portland Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence St Vincent Medical Foundation | |||||||||||
| 9205 SW Barnes Rd | Portland | OR | 97225 | 930575982 | Support Providence St. Vincent Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Milwaukie Foundation | |||||||||||
| 10150 SE 32nd | Milwaukie | OR | 97222 | 943079515 | Support Providence Milwaukie Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Child Center Foundation | |||||||||||
| 830 NE 47th | Portland | OR | 97213 | 930800140 | Support Providence Child Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence TrinityCare Hospice Foundation | |||||||||||
| 5315 Torrance Blvd Suite B1 | Torrance | CA | 90503 | 330261016 | Support TrinityCare Hospice | CA | 501( c)(3) | Line 7 | Providence TrinityCare Hospice | Yes (1) | |
| Providence Little Company of Mary Foundation | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 510224944 | Support Little Company of Mary Service Area | CA | 501( c)(3) | Line 7 | PHS - So California | Yes (1) | |
| PH&S FoundationSFVSA & SCVSA | |||||||||||
| 501 S Buena Vista Street | Burbank | CA | 91505 | 953544877 | Support Program & Activities of SFVSA & SCVSA | CA | 501( c)(3) | Line 7 | PHS - So California | Yes (1) | |
| Providence Hospice of Seattle Foundation | |||||||||||
| 425 Pontius Avenue North 300 | Seattle | WA | 981095452 | 912077378 | Support Hospice of Seattle | WA | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence Health & Services - Western Washington | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911303277 | Healthcare | WA | 501( c)(3) | Line 3 | Providence MinistriesWHC | 0 | |
| Providence Health & Services | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911549796 | Shell Corporation | WA | 501( c)(3) | Line 11/Type II | Providence Ministries | 0 | |
| Providence Health & Services - Montana | |||||||||||
| 500 W Broadway PO Box 4587 | Missoula | MT | 598064587 | 810231793 | Healthcare | MT | 501( c)(3) | Line 3 | PH & S - Washington | 0 | |
| Providence St Joseph Medical Center | |||||||||||
| PO Box 1010 | Polson | MT | 598601010 | 810463482 | Healthcare | MT | 501( c)(3) | Line 3 | PH & S - Washington | 0 | |
| St Thomas Child and Family Center | |||||||||||
| 1710 Benefis Court | Great Falls | MT | 59405 | 810233495 | Early Childhood Education | MT | 501( c)(3) | Line 9 | PH & S - Washington | 0 | |
| Sisters of Providence of Montana Corporation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 262612415 | Shell Corporation | MT | 501( c)(3) | Line 1 | PH & S - Washington | 0 | |
| Providence Health Care Foundation - Eastern Washington | |||||||||||
| 101 W 8th Ave | Spokane | WA | 99204 | 320014330 | Support PH&S-WA. Ministries in E. WA. | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| St Patrick Hospital Foundation | |||||||||||
| 500 West Broadway PO Box 4587 | Missoula | MT | 598064587 | 237056976 | Support Healthcare in W. Montana | MT | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| University of Great Falls | |||||||||||
| 1301 20th Street South | Great Falls | MT | 59405 | 810231777 | Post Secondary Education | MT | 501( c)(3) | Line 2 | Providence Health & Services | 0 | |
| E WA & MT Unemployment Compensation Insurance Trust | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911082119 | Unemployment Benefits | WA | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence Willamette Falls Medical Foundation | |||||||||||
| 1500 Division Street | Oregon City | OR | 97045 | 931003750 | Support Willamette Falls Hospital | OR | 501( c)(3) | Line 11/Type I | PH & S - Oregon | 0 | |
| Providence Hood River Memorial Hospital Foundation Inc | |||||||||||
| 811 13th St | Hood River | OR | 97031 | 930921990 | Support Providence Hood River Memorial Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Hospice and Home Care Foundation | |||||||||||
| 2731 Wetmore Avenue Suite 500 | Everett | WA | 98201 | 272552749 | Support Program & Ministries of PHHC | WA | 501(c )(3) | Line 7 | PH & S - Washington | 0 | |
| Providence St Mary Foundation | |||||||||||
| 401 W Poplar St | Walla Walla | WA | 99362 | 452841492 | Support Program & Ministries of SMMC | WA | 501(c )(3) | Line 7 | PH & S - Washington | 0 | |
| Facey Medical Foundation | |||||||||||
| 15451 San Fernando Mission Blvd 200 | Mission Hills | CA | 913451420 | 954322584 | Support Facey Medical Group | CA | 501(c )(3) | Line 7 | PHS - So California | Yes (1) | |
| Swedish Health Services | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 910433740 | Healthcare | WA | 501(c )(3) | Line 3 | Western HealthConnect | 0 | |
| Swedish Edmonds | |||||||||||
| 21601 76th Ave W | Edmonds | WA | 98026 | 272305304 | Healthcare | WA | 501(c )(3) | Line 3 | Western HealthConnect | 0 | |
| Swedish Medical Center Foundation | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 910983214 | Support Swedish Health Services | WA | 501(c )(3) | Line 7 | Swedish Health Services | 0 | |
| Global To Local Health Initiative | |||||||||||
| 2800 South 192nd St 104 | SeaTac | WA | 98188 | 273133200 | Healthcare | WA | 501(c )(3) | Line 7 | Swedish Health Services | 0 | |
| Swedish MJM Holdings | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 273139262 | Holding Company | WA | 501(c )(3) | Line 11/Type I | Swedish Health Services | 0 | |
| Marsha Rivkin Center for Ovarian Cancer Research | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 912054035 | Ovarian Cancer Research | WA | 501(c )(3) | Line 7 | Swedish Health Services | 0 | |
| Western HealthConnect | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 454171900 | Shell Corporation | WA | 501(c )(3) | Line 11/Type II | PH&S Western Washington | 0 | |
| Inland Northwest Health Services | |||||||||||
| 601 W 1st Avenue | Spokane | WA | 99201 | 911307555 | Healthcare | WA | 501( c)(3) | Line 3 | PH&S - Washington | 0 | |
| Kadlec Regional Medical Center | |||||||||||
| 888 Swift Blvd | Richland | WA | 99352 | 910655392 | Healthcare | WA | 501(c )(3) | Line 3 | Western HealthConnect | 0 | |
| Kadlec Neurological Resource Center | |||||||||||
| 1268 Lee Blvd | Richland | WA | 99352 | 911266345 | Healthcare | WA | 501(c )(3) | Line 9 | Western HealthConnect | 0 | |
| Kadlec Foundation | |||||||||||
| 888 Swift Blvd | Richland | WA | 99352 | 237005501 | Support Kadlec Regional Medical Center | WA | 501(c )(3) | Line 11/Type I | Kadlec Regional Medical Center | 0 | |
| PacMed Clinics | |||||||||||
| 1200 12th Ave S | Seattle | WA | 98144 | 562290878 | Healthcare | WA | 501(c )(3) | Line 9 | Western HealthConnect | 0 | |
| Seattle Science Foundation | |||||||||||
| 550 17th Ave | Seattle | WA | 98122 | 611502822 | Physician Collaboration | WA | 501(c )(3) | Line 7 | Western HealthConnect | 0 | |
| Providence Saint John's Health Center | |||||||||||
| 2121 Santa Monica Blvd | Santa Monica | CA | 90404 | 951684082 | Healthcare | CA | 501(c )(3) | Line 3 | PHS - So California | Yes (1) | |
| John Wayne Cancer Institute | |||||||||||
| 2200 Santa Monica Blvd | Santa Monica | CA | 90404 | 954291515 | Cancer Treatment | CA | 501(c )(3) | Line 4 | Providence Saint John's Health Center | Yes (1) | |
| Saint John's HospitalHealth Center Foundation | |||||||||||
| 2121 Santa Monica Blvd | Santa Monica | CA | 90404 | 956100079 | Support Saint John Health Center & JWCI | CA | 501(c )(3) | Line 7 | Providence Saint John's Health Center | Yes (1) | |
| Providence St Joseph Health | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 98057 | 811244422 | Shell Corporation | WA | 501(c )(3) | Pending | 0 | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (26 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence Imaging Center | |||||||||||||
| 3340 Providence Drive | Anchorage | AK | 99508 | 920118807 | Medical Imaging | AK | PH&S - WA | Related | 0 | 0 | |||
| California Laboratory Associates LLC | |||||||||||||
| 501 Buena Vista | Burbank | CA | 91505 | 273888692 | Outpatient Lab | CA | PHS - So California | Related | 0 | 0 | -$2,232,657 | -$2,962,134 | 0.85900 |
| Broadway Imaging LLC | |||||||||||||
| 500 W Broadway | Missoula | MT | 59802 | 522405971 | Medical Imaging | MT | PH&S - MT | Related | 0 | 0 | |||
| Ctr for Med Imaging-Bridgeport LLC | |||||||||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 260796953 | Imaging - Diagnostics | OR | PH&S - OR | Related | 0 | 0 | |||
| Ctr for Med Imaging-Tanasbourne LLC | |||||||||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 200477972 | Imaging - Diagnostics | OR | PH&S - OR | Related | 0 | 0 | |||
| Pathology Associates Medical Laboratories LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 270943279 | Outpatient Lab | WA | Bourget Health Services Inc | Related | 0 | 0 | |||
| Portland Medical Imaging LLC | |||||||||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 201054971 | Imaging - Diagnostics | OR | PH&S - OR | Related | 0 | 0 | |||
| Oregon Advanced Imaging LLC | |||||||||||||
| 881 OHare Parkway | Medford | OR | 97504 | 450471748 | Medical Imaging | OR | PH&S - OR | Related | 0 | 0 | |||
| Minor & James Medical PLLC | |||||||||||||
| 515 Minor Avenue 200 | Seattle | WA | 98104 | 911340223 | Physician Clinic | WA | Swedish MJM Holdings Inc | N/A | 0 | 0 | |||
| Providence Surgery Center LLC | |||||||||||||
| 902 N Orange St | Missoula | MT | 59802 | 841401625 | Ambulatory Surgery Center | MT | PH&S - MT | Related | 0 | 0 | |||
| Clackamas Radiation Oncology Center LLC | |||||||||||||
| 4400 NE Halsey St Bldg II 495 | Portland | OR | 97213 | 260381897 | Radiation Oncology | OR | PH&S - OR | Related | 0 | 0 | |||
| PETCT Imaging at Swedish Cancer Institute LLC | |||||||||||||
| 1221 Madison Street | Seattle | WA | 98104 | 203132044 | Medical Imaging | WA | Swedish Health Services | Related | 0 | 0 | |||
| PacLab LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 911743952 | Outpatient Lab | WA | PH&S - WA | Related | 0 | 0 | |||
| The Madison Spokane Inn LLC | |||||||||||||
| 15 West Rockwood Blvd | Spokane | WA | 99204 | 841606484 | Hotel Services | WA | PH&S - WA | Rental | 0 | 0 | |||
| Center for Specialty Surgery LLC | |||||||||||||
| 11782 SW Barnes Rd | Portland | OR | 97225 | 263638838 | Ambulatory Surgery Center | OR | PH&S - OR | Related | 0 | 0 | |||
| Oregon Outpatient Surgery Center | |||||||||||||
| 7300 SW Childs Rd | Tigard | OR | 97224 | 223883387 | Ambulatory Surgery Center | OR | PH&S - OR | Related | 0 | 0 | |||
| ProvidenceUSP Santa Clarita GP LLC | |||||||||||||
| 11550 Indian Hills Road 160 | Mission Hills | CA | 91345 | 202829660 | Ambulatory Surgery Center | CA | PHS - So California | Related | 0 | 0 | $56,620 | $1,836,250 | 0.51000 |
| ProvidenceUSP Surgery Ctrs LLC | |||||||||||||
| 11550 Indian Hills Road 160 | Mission Hills | CA | 91345 | 200905938 | Ambulatory Surgery Center | CA | PHS - So California | Related | 0 | 0 | $443,861 | $2,115,862 | 0.51000 |
| Alpha Medical Laboratory LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 912017347 | Outpatient Lab | ID | PAML LLC | Related | 0 | 0 | |||
| Greater Valley Medical Building LP | |||||||||||||
| 501 S Buena Vista St | Burbank | CA | 91505 | 954570858 | Real Estate - MOB | CA | PHS - So California | Investment | 0 | 0 | |||
| Prov Radiation Oncology Develop Assn LLC | |||||||||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 260682491 | Real Estate - MOB | OR | PH&S - OR | Investment | 0 | 0 | |||
| Providence Partners for Health LLC | |||||||||||||
| 501 S Buena Vista St | Burbank | CA | 91505 | 454041798 | Clinical Quality & Integration | CA | PHS - So California | Related | 0 | Yes (1) | $12,913 | $809,422 | 0.50000 |
| ProvidenceSilverton Rehab LLC | |||||||||||||
| 4400 NE Halsey 425 | Portland | OR | 97213 | 481287267 | Rehab Services | OR | PH&S - OR | Related | 0 | 0 | |||
| Southern Idaho Regional Laboratory LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 820511819 | Outpatient Lab | ID | PAML LLC | Related | 0 | 0 | |||
| Mountainstar Clinical Laboratories LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 261345983 | Outpatient Lab | MT | PAML LLC | Related | 0 | 0 | |||
| Tri-Cities Laboratory LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 911773986 | Outpatient Lab | WA | PAML LLC | Related | 0 | 0 | |||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Providence Health Ventures Inc | |||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330122216 | Investment | CA | N/A | C | 0 |
| Caron Health Corporation | |||||||||
| 510 W Front St | Missoula | MT | 59802 | 810486082 | Medical Physician Service | MT | N/A | C | 0 |
| Providence Health Care Ventures Inc | |||||||||
| 101 W 8th Ave TAF C-9 | Spokane | WA | 99204 | 900155714 | Clinical/Medical Lab | WA | N/A | C | 0 |
| Providence Physician Services Co | |||||||||
| 101 W 8th Ave TAF C-9 | Spokane | WA | 99204 | 911216033 | Clinical/Medical Lab | WA | N/A | C | 0 |
| Yakima Medical Arts Inc | |||||||||
| 611 N Perry 100 | Spokane | WA | 99202 | 910787963 | Rental Real Estate | WA | N/A | C | 0 |
| Bourget Health Services Inc | |||||||||
| PO Box 2687 | Spokane | WA | 99220 | 911354431 | Clinical/Medical Lab | WA | N/A | C | 0 |
| 1221 Madison Street Owners Assoc | |||||||||
| 747 Broadway | Seattle | WA | 98122 | 201954319 | Owners' Association | WA | N/A | C | 0 |
| Western HealthConnect Ventures Inc | |||||||||
| 1801 Lind Ave SW 9016 | Renton | WA | 98057 | 800953654 | Investment | WA | N/A | C | 0 |
| PHN Holdings | |||||||||
| 20555 Earl Street | Torrance | CA | 90503 | 461814184 | Strategic Planning Services | CA | N/A | C | 0 |
| Providence Health Network | |||||||||
| 20555 Earl Street | Torrance | CA | 90503 | 800886966 | Prepaid Healthcare | CA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Providence Little Company of Mary Foundation | ||
| B | $2,239,727 | Cost |
| Providence Little Company of Mary Foundation | ||
| C | $8,286,786 | Cost |
| Providence Health & Services Foundation | ||
| B | $5,724,048 | Cost |
| Providence Health & Services Foundation | ||
| C | $6,052,308 | Cost |
| Providence TrinityCare Hospice Foundation | ||
| B | $558,106 | Cost |
| Providence Medical Institute | ||
| B | $68,070 | Cost |
| Providence TrinityCare Hospice | ||
| C | $13,718 | Cost |
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