PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION (EIN 51-0224944)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-11
- IRS object ID
- 201133159349304013
- Schema version
- 2010v3.4
- 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 I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-11T16:40:34-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510224944 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Providence Little Company of Mary Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PROV | NameControl |
| Phone | 3105436900 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4101 Torrance Blvd | AddressLine1 |
| City | Torrance | City |
| State | CA | State |
| ZIP Code | 90503 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Joseph M Zanetta | Name |
| Title | President | Title |
| Phone | 3105436900 | Phone |
| Date Signed | 2011-11-11 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Joseph M Zanetta | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4101 Torrance Blvd | AddressLine1 |
| City | Torrance | City |
| State | CA | State |
| ZIP Code | 90503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 15447916 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.lcmhs.org/foundation | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1975 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | Support Little Company of Mary Service Area in Southern California. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 49 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 49 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 100 | TotalNbrVolunteers |
| Total Gross UBI | -19868 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -13287 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 6150146 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7455597 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 931525 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1216600 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -33976 | OtherRevenuePriorYear |
| Other Revenue Current Year | 72135 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7047695 | TotalRevenuePriorYear |
| Total Revenue Current Year | 8744332 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 5216752 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 5251072 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1437383 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1481897 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 1321905 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1275173 | OtherExpensePriorYear |
| Other Expenses Current Year | 884724 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7929308 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7617693 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -881613 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1126639 | RevenuesLessExpensesCY |
| Total Assets BOY | 47802167 | TotalAssetsBOY |
| Total Assets EOY | 50407386 | TotalAssetsEOY |
| Total Liabilities BOY | 4502971 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3912329 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 43299196 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 46495057 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | As People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Support Little Company of Mary Service Area in Southern California. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1019140 | Expense |
| Grants | 1019140 | Grants |
| Revenue | 0 | Revenue |
| Description | The mission of Providence Little Company of Mary and its affiliates is part of the larger mission of the Sisters of Little Company of Mary to make visible the healing presence of Jesus. Our mission embraces the care of the sick and dying through the Catholic health ministry and to meeting the health needs of our communities. We commit to caring for the whole person - physical, emotional and spiritual. Our core values are Respect, Compassion, Justice, Excellence and Stewardship. Programs Supported through Philanthropy in 2010:Clinical Centers of Excellence* Edmond R. and Virginia G. Doak Center for Palliative Care* Neonatal Intensive Care Unit* Providence Little Company of Mary Women's Imaging Centers* Providence Little Company of Mary Recovery Center* Rehabcentre* Jeanette L. Vachon Imaging Center* Vasek Polak Cardiovascular Institute* Vasek Polak Health Clinic* Providence Little Company of Mary Women and Childrens ClinicCommunity Outreach and Charitable Care* Collaborative for Alternatives to Violence and Abuse (CAVA)* Creating Opportunity for Physical Activity (COPA)* Emilie Gamelin Fund for Employee Assistance* Mary Potter Program for Human Dignity* Ningen Dock/Japanese Health* Partners for Healthy Kids Mobile Pediatric Van* Sexual Assault Response Team Centers (SART)Nursing* Centofante Nursing Scholarships* San Pedro Hospital Institute for Nursing* George W. and Virginia Schneider Institute for Nursing * Steinmetz Nursing Workforce Development | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3848078 | Expense |
| Grants | 3848078 | Grants |
| Revenue | 0 | Revenue |
| Description | Support Providence Little Company of Mary Medical Center San Pedro & Providence Medical InstituteSee Part III, Line 4a | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 287579 | Expense |
| Grants | 287579 | Grants |
| Revenue | 0 | Revenue |
| Description | Support Community Outreach Programs:Charitable clinical services are provided to those in the service area who are underinsured, uninsured or unable to pay for their own medical care. These programs were made possible through funding by the Foundation. | Description |
Activity Other ActivityOther (3 entries)
| ExpenseExpense | GrantsGrants | RevenueRevenue | DescriptionDescription |
|---|---|---|---|
| 1662 | 1662 | 0 | Support TrinityCare Hospice. |
| 63398 | 63398 | 0 | Nursing Scholarships to assist 19 individuals further their medical education.The Al and Mary Centofante Nursing Education Endowment provides financial support for registered nurses, licensed vocational nurses and interested unlicensed employees of Little Company of Mary Service Area to return to school and pursue a higher degree in nursing. The scholarship recipients are chosen on a competitive basis, based on their commitment to Little Company of Mary, their commitment to advance their education and their personal financial need. |
| 31215 | 31215 | 0 | Other Scholarships and Miscellaneous Charity. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 96275 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 96275 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 5251072 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 1 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 1 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 1 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 49 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 49 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Karl E Fritschel CPA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4255253339 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Ave SW 9016 | AddressLine1 |
| City | Renton | City |
| State | WA | State |
| ZIP Code | 98057 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (50 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| Bruce Ferguson | ||||||
| Chair | 3.00 | X | X | 0 | 0 | 0 |
| Anthony A Arminio | ||||||
| Vice Chair | 2.00 | X | X | 0 | 0 | 0 |
| James L Hunter | ||||||
| Vice Chair | 2.00 | X | X | 0 | 0 | 0 |
| Sandra Fisler | ||||||
| Vice Chair | 2.00 | X | X | 0 | 0 | 0 |
| James Lester | ||||||
| Vice Chair, Philanthropy | 3.00 | X | X | 0 | 0 | 0 |
| Juan Torres | ||||||
| Treasurer | 3.00 | X | X | 0 | 0 | 0 |
| David S Alverson JD | ||||||
| Secretary | 2.00 | X | X | 0 | 0 | 0 |
| Cathy Alessandra | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Edward Balazs | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Richard D Brombach | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Raju Chhabria | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Nicholas V Colonna | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| David Conforti | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Thomas Connaghan | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Donald M Culler | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Paula Del Vicario | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Moshe Faynsod MD | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Janet O Fogle | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| David Fong | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Rex E Fountain Jr | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Stephen Gale | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Katherine Greenberg | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Susan Hatchard Hill | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Jon L Jacobson | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Shelley Joyce | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Lynne Rosenberg Kidd | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Sister Terrence Landini LCM | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Sandra A Lash | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Yvonne Liu | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Jeff MacLean | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Sharon Martinez | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Timothy B McOsker JD | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Ron Melendez MD | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Betsy Miller | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Stephan M Morikawa | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Tracy Nickl | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Harlyne Norris | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Thomas E O'Hern | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Karen Olds | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Sister Carol Pacini LCM | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Marilyn M Prindle | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Stanley Raskin Esq | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Paul R Sanford | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Scott Sharpe | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Edward C Simpson III | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Patricia M Sullivan | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Nicholas G Tonsich JD | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Daniel J Vogelzang | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Linda Wenglikowski | ||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |
| Joseph M Zanetta | ||||||
| President, Foundation | 40.00 | X | 0 | 312218 | 34375 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 312218 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 34375 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Clifford Associates | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 S Los Robles Avenue Ste 320 | AddressLine1 |
| City | Pasadena | City |
| State | CA | State |
| ZIP Code | 91101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Investment Manager | DescriptionOfServices |
| Compensation | 109020 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Fundraising Events | 637956 | FundraisingEvents |
| Related Organizations | 2426025 | RelatedOrganizations |
| Government Grants | 577971 | GovernmentGrants |
| All Other Contributions | 3813645 | AllOtherContributions |
| Noncash Contributions | 54527 | NoncashContributions |
| Total Contributions | 7455597 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1189410 | TotalRevenueColumn |
| Exclusion | $1,189,410 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 333582 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 296613 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 36969 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 36969 | TotalRevenueColumn |
| Unrelated Business Revenue | -19868 | UnrelatedBusinessRevenue |
| Exclusion | $56,837 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6091451 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6064261 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 27190 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 27190 | TotalRevenueColumn |
| Exclusion | $27,190 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 266661 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 637956 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 293695 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -27034 | TotalRevenueColumn |
| Exclusion | -$27,034 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 111215 | GrossIncomeGaming |
| Gaming Direct Expenses | 49015 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 62200 | TotalRevenueColumn |
| Exclusion | $62,200 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8744332 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -19868 | UnrelatedBusinessRevenue |
| Exclusion | $1,308,603 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4868880 | Total |
| Program Services | 4868880 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 382192 | Total |
| Program Services | 382192 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 336420 | Total |
| Management And General | 111019 | ManagementAndGeneral |
| Fundraising | 225401 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 838068 | Total |
| Management And General | 273087 | ManagementAndGeneral |
| Fundraising | 564981 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 227329 | Total |
| Management And General | 74258 | ManagementAndGeneral |
| Fundraising | 153071 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80080 | Total |
| Management And General | 20495 | ManagementAndGeneral |
| Fundraising | 59585 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25710 | Total |
| Fundraising | 25710 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132240 | Total |
| Management And General | 132240 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 214488 | Total |
| Management And General | 162241 | ManagementAndGeneral |
| Fundraising | 52247 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109219 | Total |
| Management And General | 37778 | ManagementAndGeneral |
| Fundraising | 71441 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29590 | Total |
| Management And General | 21603 | ManagementAndGeneral |
| Fundraising | 7987 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25588 | Total |
| Management And General | 16218 | ManagementAndGeneral |
| Fundraising | 9370 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24986 | Total |
| Management And General | 11611 | ManagementAndGeneral |
| Fundraising | 13375 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 173196 | Total |
| Management And General | 173196 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112 | Total |
| Management And General | 112 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | FundraisingFundraising | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debts | 136313 | 136313 | |
| Dues & Subscriptions | 6727 | 791 | 5936 |
| Postage | 6555 | 1633 | 4922 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7617693 | Total |
| Program Services | 5251072 | ProgramServices |
| Management And General | 1044716 | ManagementAndGeneral |
| Fundraising | 1321905 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100 | BOY |
| EOY | 100 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2511328 | BOY |
| EOY | 2084656 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3250566 | BOY |
| EOY | 2451528 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 716950 | BOY |
| EOY | 51095 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3310 | BOY |
| EOY | 2522 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5643232 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 171128 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5019916 | BOY |
| EOY | 5472104 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32171446 | BOY |
| EOY | 36394560 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4128551 | BOY |
| EOY | 3950821 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47802167 | BOY |
| EOY | 50407386 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57674 | BOY |
| EOY | 59542 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 346412 | BOY |
| EOY | 74126 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1052956 | BOY |
| EOY | 1020696 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3045929 | BOY |
| EOY | 2757965 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4502971 | BOY |
| EOY | 3912329 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19757330 | BOY |
| EOY | 22987624 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9821097 | BOY |
| EOY | 8804800 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13720769 | BOY |
| EOY | 14702633 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43299196 | BOY |
| EOY | 46495057 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47802167 | BOY |
| EOY | 50407386 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1126639 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 2069222 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9461420 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5089073 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10028304 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6150146 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7406582 | CurrentTaxYear |
| Total | 38135525 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9461420 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5089073 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10028304 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6150146 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7406582 | CurrentTaxYear |
| Total | 38135525 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 3571181 | AmountsSubstContributorsTotal |
| Public Support Total170 | 34564344 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1591611 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1720663 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 640303 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 991729 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1522992 | CurrentTaxYear |
| Total | 6467298 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 91717 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 26000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 31263 | CurrentTaxYearMinus2Years |
| Current Tax Year | 35166 | CurrentTaxYear |
| Total | 184146 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 44786969 | TotalSupport |
| Public Support Pertcentage170 | 0.77180 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.72880 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $3,000 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 3000 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Other Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1i: | ReturnReference |
| Explanation | Two Board members traveled to Washington, D.C. to seek an appropriation of $3 million to update and repair the hospital's heliport. The cost shown here reflects the travel costs of these two members. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 20560828 | BeginningOfYearBalance |
| Contributions | 1039659 | Contributions |
| Investment Earnings Or Losses | 725603 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 239835 | GrantsOrScholarships |
| End Of Year Balance | 22086255 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 19466139 | BeginningOfYearBalance |
| Contributions | 972888 | Contributions |
| Investment Earnings Or Losses | 306924 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 185123 | GrantsOrScholarships |
| End Of Year Balance | 20560828 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 19217258 | BeginningOfYearBalance |
| Contributions | 139163 | Contributions |
| Investment Earnings Or Losses | 369410 | InvestmentEarningsOrLosses |
| Other Expenditures | 259692 | OtherExpenditures |
| End Of Year Balance | 19466139 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.38000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.62000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1891000 | InvestmentCostOrOtherBasis |
| Book Value | 1891000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 3669284 | InvestmentCostOrOtherBasis |
| Depreciation | 158045 | Depreciation |
| Book Value | 3511239 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 76217 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 6731 | OtherCostOrOtherBasis |
| Depreciation | 13083 | Depreciation |
| Book Value | 69865 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5472104 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Receivable Under Unitrust Agreement | 1519271 |
| Charitable Remainder Unitrust | 1306572 |
| Gift Annuities | 1042230 |
| Accrued Interest on Investments | 76313 |
| Stock Contributions | 6435 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3950821 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Charitable Remainder Trust Obligations | $596,574 |
| Due To Affiliates | $1,854,888 |
| Gift Annuities Obligations | $283,823 |
| Security Deposits Payable | $22,680 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2757965 | TotalOfAmounts |
| Total Revenue | 8744332 | TotalRevenue |
| Total Expenses | 7617693 | TotalExpenses |
| Excess Or Deficit For Year | 1126639 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 2118237 | NetUnrealizedGLOnInvestments |
| Other | -$49,015 | OtherAmount |
| Total Adjustments | 2069222 | TotalAdjustments |
| Excess Or Deficit Per FS | 3195861 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 11001148 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 2118237 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 2118237 | RevenueNotRptdF990 |
| Revenue Subtotal | 8882911 | RevenueSubtotal |
| Investment Expenses Not Included | 109020 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | -247599 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -138579 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 8744332 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 7805287 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 296613 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 296613 | ExpensesNotRptdF990 |
| Expenses Subtotal | 7508674 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 109020 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | -1 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 109019 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 7617693 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | Only the income from the investment of these endowment funds are used in accordance with the donor stipulations, either towards program expenses or added back to the endowment. The Foundation's endowment consists of approximately 33 individual funds established for a variety of purposes. Some of these purposes include nursing education, palliative care, cardiology and oncology services and leadership development. |
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | The Foundation adopted Financial Accounting Standards Board (FASB) ASC 740-10-25 which was previously referenced, FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes, an Interpretation of FASB Statement 109 (FIN 48) on January 1, 2009. FIN 48 clarifies the accounting for uncertainty in income taxes recognized in an enterprise's financial statements. FIN 48 also prescribes a recognition and measurement standard for the financial statement recognition and measurement of an income tax position taken or expected to be taken in the tax return. Only tax positions that meet the more likely than not recognition threshold at the effective date may be recognized or continue to be recognized upon adoption. In addition, FIN 48 provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, disclosure and transition. The adoption of FIN 48 did not have a significant impact on the financial statements of the Foundation. |
| Part XI, Line 8 - Other Adjustments: | Non-Cash Donation -49,015. | |
| Part XII, Line 4b - Other Adjustments: | Rental Expenses -296,613. Rounding -1. Non-Cash Donation 49,015. | |
| Part XIII, Line 2d - Other Adjustments: | Rental Expenses 296,613. | |
| Part XIII, Line 4b - Other Adjustments: | Rounding -1. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Sellabration | NameOfEvent1 |
| Gross Receipts Event1 | 499020 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 310032 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 188988 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 5313 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 83214 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 71194 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Golf Classic | NameOfEvent2 |
| Gross Receipts Event2 | 268297 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 200674 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 67623 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 38697 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 23708 | FoodAndBeverageEvent2 |
| Other Direct Expenses Event2 | 28534 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 4 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 137300 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 127250 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 10050 | GrossRevenueOtherEvents |
| Rent Facility Costs Other Events | 18705 | RentFacilityCostsOtherEvents |
| Other Direct Expenses Other Events | 24330 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 904617 | GrossReceiptsTotal |
| Charitable Contributions Total | 637956 | CharitableContributionsTotal |
| Gross Revenue Total Events | 266661 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 62715 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 106922 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 124058 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 293695 | DirectExpenseSummaryEvents |
| Net Income Summary | -27034 | NetIncomeSummary |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | 111215 | GrossRevenueOtherGaming |
| Non Cash Prizes Other Gaming | 49015 | NonCashPrizesOtherGaming |
| Volunteer Labor Other Gaming | 1 | VolunteerLaborOtherGaming |
| Volunteer Labor Prcnt Other Gaming | 1.00000 | VolunteerLaborPrcntOtherGaming |
| Gross Revenue Total Gaming | 111215 | GrossRevenueTotalGaming |
| Non Cash Prizes Total Gaming | 49015 | NonCashPrizesTotalGaming |
| Direct Expense Summary Gaming | 49015 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | 62200 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | CA | StatesWhereGamingConducted |
| Licensed | 1 | Licensed |
| License Suspended Etc | 0 | LicenseSuspendedEtc |
| Gaming With Nonmembers | 0 | GamingWithNonmembers |
| Member Of Other Entity | 0 | MemberOfOtherEntity |
| Percentage Of Gaming Own Facility | 0.50000 | PercentageOfGamingOwnFacility |
| Percentage Of Gaming Othr Facility | 0.50000 | PercentageOfGamingOthrFacility |
| Name Of Gaming Rec Keeper Person | Kathryn Eisenhower | NameOfGamingRecKeeperPerson |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4101 Torrance Blvd | AddressLine1 |
| City | Torrance | City |
| State | CA | State |
| ZIP Code | 90503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contract With3rd Party For Gam Rev | 0 | ContractWith3rdPartyForGamRev |
| Gaming Manager Name Person | Kathryn Eisenhower | GamingManagerNamePerson |
| Gaming Manager Compensation | 0 | GamingManagerCompensation |
| Gaming Manager Services Provided | Provides detail accounting of all Raffle transactions. | GamingManagerServicesProvided |
| Gaming Manager Is Employee | X | GamingManagerIsEmployee |
| Charitable Distrib Required | 0 | CharitableDistribRequired |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| PHS - So Cal dba Providence LCM Medical Center Torrance | |||||||
| 4101 Torrance Blvd | Torrance | CA | 90505 | 510216589 | 501(C)(3) | 1019140 | Support various Charitable programs |
| PHS - So Cal dba Providence LCM Medical Center San Pedro | |||||||
| 1300 W 7th Street | San Pedro | CA | 90732 | 510216589 | 501(C)(3) | 2741996 | Support various Charitable programs |
| Providence Medical Institute | |||||||
| 4101 Torrance Blvd | Torrance | CA | 90505 | 330283773 | 501(C)(3) | 1106082 | Support various Charitable programs |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|
| Community Outreach Programs | 19 | 0 | 287579 | Cost | Funding for charitable clinical services for those underinsured, uninsured or unable to pay for their care. |
| Nursing Education Scholarships | 19 | 63398 | |||
| Other Education Scholarships | 9 | 7000 | |||
| Employee Assistance | 1 | 0 | 24215 | Cost | Medical and funeral assistance. |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: The grant funds are recorded as a separate restricted fund and each month an amount is transferred for the grant purpose expenses. This way the use of grant fund is monitored at the end of each month. The grant money is distributed based on the total expenses incurred on each specific program. The accountant runs the expense report each month for each program from the database and distributes grant money to those programs. These program expenses are limited by budgets prepared at the beginning of the year. For nursing scholarships, the following criteria must be met: 1) Full-time or part time employees of a Little Company of Mary entity for at least one year. 2) Have the requried minimum performance appraisal rating. 3) Be enrolled or plan to enroll in a program for BSN or MSN degree in nursing. 4) Describe the need for financial assistance. 5) If accepted, the recipient must maintain a GPA of 3.0 or greater, work 24 hours or more a week and commit to at least 1 year of service after attaining their degree. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Joseph M Zanetta | NamePerson |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 254632 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 57586 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 24202 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 10173 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 346593 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 4b | Part I, Line 4b: A) DBSERP = Defined Benefit Supplemental Executive Retirement Plan B) DBCBRP = Defined Benefit Cash Balance Restoration Plan C) DCRP = Defined Contribution Restoration Plan 1) Joseph Zanetta * Taxable DBSERP Vested but not Paid - $ 2,520 * Taxable DBCBRP Vested but not Paid - $ 604 * DCRP Earned - $6,866 | |
| Part III | FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS PROGRAM The Providence Executive Performance Awards 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 and personal objectives. In 2010, 50 percent of the participant awards were based on pre-determined organizational goals consistent with Providences five strategic priorities of: mission driven, financially responsible, people centered, service oriented and quality focused. In 2010 the percent allocation for each of these strategic priorities was: Mission driven 10% Financially responsible 10% People centered 10% Service oriented 10% Quality focused 10%. | Supplemental Information |
Schedule M IRS990ScheduleM
Cars And Other Vehicles CarsAndOtherVehicles
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 49015 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Method for Determining Number of Contributors: | Identifier |
| Return Reference | Part I, Column (b): | ReturnReference |
| Explanation | The amount shown in Part I, Col. B reflects the number of donations received of the specific type of item. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | Little Company of Mary Health Services is the sole Corporate Member. | |
| Form 990, Part VI, Section A, line 7a | The powers of the Corporate Member include the provision to approve the number of Trustees if less than 20 or greater than 60, appoint the Board of Trustees of the Foundation, and to remove such Trustees 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 By laws of the Foundation after consultation with the Foundation Board of Trustees. B) To approve the merger, consolidation, or affiliation of the Foundation with another corporation, organization or program, or the dissolution fo 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 staff and reviewed by the internal Director of Taxes and external tax advisors. The Executive Committee of the Board of Trustees will review the Form 990 in detail. Once approved, an electronic copy of the Form 990 is emailed to the Board prior to filing with the IRS. | |
| All Board members are required to complete the Annual Conflict of Interest Statement. This is monitored by the Compliance and Audit Staff. | Form 990, Part VI, Section B, line 12c | |
| 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 determined 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. Performance incentives allow executives to earn additional compensation if they achieve specific organizational and individual goals for furthering Providence operating principles & advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated customer 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. Locally, the Audit Committee of the Board of Trustees applies these principles and conducts an annual review of the compensation package for the President of the Foundation. | Form 990, Part VI, Section B, line 15 | |
| The Annual Report of the Foundation is distributed to all donors and includes complete Audited Financial Statements. This information is available to the general public upon request. The governing documents and the Conflict of Interest policy are available upon request. | Form 990, Part VI, Section C, line 19 | |
| Changes in Net Assets or Fund Balances: | Net unrealized gains on investments: 2,118,237. Non-Cash Donation -49,015. Total to Form 990, Part XI, Line 5: 2,069,222. | Form 990, Part XI, line 5: |
| AUDIT & COMPLIANCE | The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. | FORM 990, PART XII, LINE 2C |
| VOLUNTEERS | We had 3 major fundraising events in 2010 - Golf Classic, Sellabration Gala and For Our Children Food and Wine Festival. The volunteer services varied for each event. Volunteers are vital to the success of special events at Providence Little Company of Mary. Volunteers help with event check-in; they served as witnesses for hole-in-ones and course contests at Golf Classic. They assisted with the Live and Silent auction set-up and distribution. They also assisted with administrative preparations, general load-in, set-up and tear down at each event. Volunteers are an important part of Special Events. They provide much need resources for events. Volunteers help reduce event expenses as we do not have the resources to hire additional staff. Volunteers also help promote community involvement - through word of mouth they help promote our programs to friends, family and other community members. | FORM 990, PART I, LINE 6 |
| EMPLOYEE COMPENSATION | Employees of the Foundation are compensated by Providence Health System - Southern California EIN# 51-0216589. The Ex-Officio members of the Board are compensated for their respective direct services to the Little Company of Mary Hospitals by Providence Health & Services - WA. dba Health System Office #91-0725998. Therefore, no W-2s are issued by the reporting organization. | FORM 990, PART I, LINE 5 & PART V, LINE 2A |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Providence LCM Foundation Real Estate Holdings LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4101 Torrance Blvd | AddressLine1 |
| City | Torrance | City |
| State | CA | State |
| ZIP Code | 91505 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 270799595 | EIN |
| Primary Activities | Real Estate Holdings | PrimaryActivities |
| Legal Domicile State | CA | LegalDomicileState |
| Total Income | 36969 | TotalIncome |
| EOY Assets | 5716390 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Providence Little Company of Mary Foundation | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (55 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence Health & Services - Washington | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216586 | Healthcare System | WA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Providence Health & Services - Oregon | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216587 | Healthcare System | OR | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Providence Health System - So California | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216589 | Healthcare System | CA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Everett Transitional Care Services | |||||||||||
| PO Box 1067 | Everett | WA | 982061067 | 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 | |||||||||||
| 3601 SW Murray Blvd 10 | Beaverton | OR | 97005 | 911861964 | Healthcare Services | OR | 501( c)(4) | N/A | PH & S - Oregon | 0 | |
| Providence Health Plan | |||||||||||
| 3601 SW Murray Blvd 10 | Beaverton | OR | 97005 | 930863097 | Health Service Contractor | OR | 501( c)(4) | N/A | Providence Plan Partners | 0 | |
| Providence Health Assurance | |||||||||||
| 3601 SW Murray Blvd 10 | Beaverton | OR | 97005 | 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 | 0 | |
| 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 | 0 | |
| Providence TrinityCare Hospice | |||||||||||
| 2601 Airport Drive 230 | Torrance | CA | 90505 | 953264139 | Hospice | CA | 501( c)(3) | Line 9 | PHS - So California | 0 | |
| Providence Health System Housing | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 943230587 | Assisted Living | AK | 501( c)(3) | Line 9 | PH & S - Washington | 0 | |
| Providence Blanchet Association | |||||||||||
| 1700 Providence Pl | Centralia | WA | 98531 | 911789266 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| St Luke Association | |||||||||||
| 350 Washington Ave SE | Chehalis | WA | 98352 | 943176618 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Rossi Association | |||||||||||
| 1700 Providence Pl | Centralia | WA | 98531 | 311584166 | Housing | WA | 501( c)(3) | Line 9 | PH & S - Washington | 0 | |
| Lundberg Association | |||||||||||
| 5921 E Burnside | Portland | OR | 97215 | 911562797 | Housing | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence St Francis Association | |||||||||||
| 3415 12th Avenue NE | Olympia | WA | 98506 | 943244854 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Peter Claver Association | |||||||||||
| 7101 38th Avenue South | Seattle | WA | 98118 | 311629656 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence St Elizabeth House Association | |||||||||||
| 3201 SW Graham St | Seattle | WA | 98126 | 912171539 | 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 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| The Gamelin Association | |||||||||||
| 312 North Fourth St | Yakima | WA | 98901 | 911180824 | Housing | WA | 501( c)(3) | Line 1 | PH & S - Washington | 0 | |
| The Gamelin Oregon Association | |||||||||||
| 5520 NE Glisan | Portland | OR | 97213 | 911214491 | Housing | OR | 501( c)(3) | Line 9 | PH & S - Oregon | 0 | |
| The Gamelin California Association | |||||||||||
| 540 23rd St | Oakland | CA | 94612 | 911293869 | Housing | CA | 501( c)(3) | Line 9 | PHS - So California | 0 | |
| Gamelin Washington Association | |||||||||||
| 1423 First Avenue | Seattle | WA | 98101 | 201910170 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Foundation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 943078543 | Support PH&S Institutions | WA | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence Alaska Foundation | |||||||||||
| 3300 Providence Drive - B Tower2 | Anchorage | AK | 99508 | 920093565 | Support PHS-Alaska | AK | 501( c)(3) | Line 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 | |||||||||||
| 2601 Airport Drive 230 | Torrance | CA | 90505 | 330261016 | Support TrinityCare Hospice | CA | 501( c)(3) | Line 7 | PHS - So California | 0 | |
| PH&S FoundationSFVSA & SCVSA | |||||||||||
| 501 S Buena Vista Street | Burbank | CA | 91505 | 953544877 | Support Program & Activities of SFVSA & SCVSA | CA | 501( c)(3) | Line 7 | PHS - So California | 0 | |
| Providence Hospice of Seattle Foundation | |||||||||||
| 425 Pontius Avenue North 300 | Seattle | WA | 981095452 | 912077378 | Support Hospice of Seattle | WA | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| The John Gabriel Ryan Association | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911303277 | Healthcare | WA | 501( c)(3) | Line 3 | PH & S - Washington | 0 | |
| Providence Health & Services | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911549796 | Shell Corporation | WA | 501( c)(3) | Line 11/Type I | 0 | N/A | |
| St Patrick Hospital and Health Sciences Center | |||||||||||
| 500 W Broadway PO Box 4587 | Missoula | MT | 598064587 | 810231793 | Healthcare | MT | 501( c)(3) | Line 3 | PH & S - Washington | 0 | |
| St Joseph Hospital Corporation | |||||||||||
| 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 1 | 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 | |
| Sacred Heart Children's Foundation | |||||||||||
| PO Box 2555 | Spokane | WA | 99220 | 320014330 | Support Sacred Heart Children's Hospital | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| St Patrick Hospital and Health 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 | PH & S - Washington | 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 | |
| Willamette Falls Hospital dba Providence Willamette Falls Medical Center | |||||||||||
| 1500 Division Street | Oregon City | OR | 97045 | 930426018 | Healthcare | OR | 501(c )(3) | Line 3 | 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 & Activities of PHHC | WA | 501(c )(3) | Line 7 | PH & S - Washington | 0 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (26 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| Providence Imaging Center | ||||||||||
| 3340 Providence Drive | Anchorage | AK | 99508 | 920118807 | Medical Imaging | AK | PH&S - WA | Related | 0 | 0 |
| Providence Surgery Centers LLC | ||||||||||
| PO Box 233889 | Anchorage | AK | 99523 | 203567411 | Surgery | AK | PH&S - WA | Related | 0 | 0 |
| Mountainstar Clinical Laboratories LLC | ||||||||||
| 611 N Perry | Spokane | WA | 99202 | 261345983 | Outpatient Lab | MT | PAML LLC | Related | 0 | 0 |
| Broadway Imaging LLC | ||||||||||
| 500 W Broadway | Missoula | MT | 59802 | 522405971 | Medical Imaging | MT | St Patrick Hospital & Health Sciences | Related | 0 | 0 |
| Center for Medical Imaging-Tanasbourne LLC | ||||||||||
| 1235 NE 47th Ave 288 | Portland | OR | 97213 | 200477972 | Imaging - Diagnostics | OR | PH&S - OR | Related | 0 | 0 |
| Center for Medical Imaging-Bridgeport LLC | ||||||||||
| 1235 NE 47th Ave 288 | Portland | OR | 97213 | 260796953 | Imaging - Diagnostics | OR | PH&S - OR | Related | 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 |
| Clackamas Radiation Oncology Center LLC | ||||||||||
| 1235 NE 47th Ave 288 | Portland | OR | 97213 | 260381897 | Radiation Oncology | 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 |
| Surgery Center at Tanasbourne LLC | ||||||||||
| 1235 NE 47th Ave 260 | Portland | OR | 97213 | 208187971 | Ambulatory Surgery Center | OR | PH&S - OR | Related | 0 | 0 |
| ProvidenceSilverton Rehab LLC | ||||||||||
| 1235 NE 47th Ave 260 | Portland | OR | 97213 | 481287267 | Rehab Services | OR | PH&S - OR | Related | 0 | 0 |
| Portland Medical Imaging LLC | ||||||||||
| 10538 SE Washington St | Portland | OR | 97216 | 201054971 | Imaging - Diagnostics | OR | PH&S - OR | Related | 0 | 0 |
| Providence Radiation Oncology Development Assn LLC | ||||||||||
| 1235 NE 47th Ave 288 | Portland | OR | 97213 | 260682491 | Real Estate - MOB | OR | PH&S - OR | Investment | 0 | 0 |
| Central Point MRI LLC | ||||||||||
| 870 S Front St | Central Point | OR | 97502 | 261975164 | MRI Services | OR | PH&S - OR | 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 |
| Pathology Associates Medical Laboratories LLC | ||||||||||
| 611 N Perry | Spokane | WA | 99202 | 270943279 | Outpatient Lab | WA | Bourget Health Services Inc | Related | 0 | 0 |
| Southern Idaho Regional Laboratory LLC | ||||||||||
| 611 N Perry | Spokane | WA | 99202 | 820511819 | Outpatient Lab | ID | PAML LLC | Related | 0 | 0 |
| Tri-Cities Laboratory LLC | ||||||||||
| 611 N Perry | Spokane | WA | 99202 | 911773986 | Outpatient Lab | WA | PAML LLC | Related | 0 | 0 |
| Alpha Medical Laboratory LLC | ||||||||||
| 611 N Perry | Spokane | WA | 99202 | 912017347 | Outpatient Lab | ID | PAML LLC | Related | 0 | 0 |
| PacLab LLC | ||||||||||
| 611 N Perry | Spokane | WA | 99202 | 911743952 | Outpatient Lab | WA | PH&S - WA | Related | 0 | 0 |
| HealthServicesNW LLC | ||||||||||
| PO Box 389672 | Seattle | WA | 98138 | 311750915 | Medical Billing | WA | PH&S - WA | Related | 0 | 0 |
| Medalia Healthcare LLC | ||||||||||
| 1801 Lind Ave SW 9016 | Renton | WA | 98057 | 911660459 | Physician Benefits | WA | PH&S - WA | Investment | 0 | 0 |
| Distribution Operations Center LLC | ||||||||||
| 1801 Lind Ave SW 9016 | Renton | WA | 98057 | 271054858 | Supplies Purchasing Agent | WA | PH&S - WA | Related | 0 | 0 |
| Oregon Advanced Imaging LLC | ||||||||||
| 881 OHare Parkway | Medford | OR | 97504 | 450471748 | Medical Imaging | OR | PH&S - OR | Related | 0 | 0 |
| ProvidenceUSP Surgery Centers LLC | ||||||||||
| 11550 Indian Hills Road 160 | Mission Hills | CA | 91345 | 200905938 | Ambulatory Surgery Center | CA | PHS - So California | Related | 0 | 0 |
| California Laboratory Associates LLC | ||||||||||
| 501 Buena Vista | Burbank | CA | 91505 | 273888692 | Outpatient Lab | CA | PHS - So California | Related | 0 | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Providence Health Ventures Inc | ||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330122216 | Investment | CA | N/A | C |
| Caron Health Corporation | ||||||||
| 510 West Front Street | Missoula | MT | 59802 | 810486082 | Medical Physician Service | MT | N/A | C |
| Providence Health Care Ventures Inc | ||||||||
| 101 West 8th Ave TAF C-9 | Spokane | WA | 99204 | 900155714 | Clinical/Medical Lab | WA | N/A | C |
| Providence Physician Services Co | ||||||||
| 101 West 8th Ave TAF C-9 | Spokane | WA | 99208 | 911216033 | Clinical/Medical Lab | WA | N/A | C |
| Yakima Medical Arts Inc | ||||||||
| 611 N Perry Suite 100 | Spokane | WA | 99202 | 910787963 | Rental Real Estate | WA | N/A | C |
| Bourget Health Services Inc | ||||||||
| PO Box 2687 | Spokane | WA | 99220 | 911354431 | Clinical/Medical Lab | WA | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Comments