PACMED CLINICS: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
PACMED CLINICS (EIN 56-2290878)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-11
IRS object ID
202443169349306229
Schema version
2023v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-11T17:41:10-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1370 17TH STREET SUITE 4800AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN562290878EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PACMED CLINICSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPACMBusinessNameControlTxt
Phone2066214448PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJIM MARTINPersonNm
Person TitleCHIEF ACCOUNTING OFFICERPersonTitleTxt
Phone2066214448PhoneNum
Signature2024-10-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANDREW JAMESONPreparerPersonNm
PTINP01894820PTIN
Phone7209314000PhoneNum
Preparation2024-10-22PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PACIFIC MEDICAL CENTERSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerERIK WEXLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$306,659,108GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PACIFICMEDICALCENTERS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionRESPECTFUL, HIGH-QUALITY, PATIENT-FOCUSED HEALTHCARE.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee991TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI-$8,905TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$296,014PYContributionsGrantsAmt
CY Contributions Grants$195,371CYContributionsGrantsAmt
PY Program Service Revenue$296,928,352PYProgramServiceRevenueAmt
CY Program Service Revenue$301,279,924CYProgramServiceRevenueAmt
PY Investment Income$2,008,685PYInvestmentIncomeAmt
CY Investment Income$2,480,082CYInvestmentIncomeAmt
PY Other Revenue$570,227PYOtherRevenueAmt
CY Other Revenue$733,273CYOtherRevenueAmt
PY Total Revenue$299,803,278PYTotalRevenueAmt
CY Total Revenue$304,688,650CYTotalRevenueAmt
PY Grants And Similar Paid$306,750PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$268,675CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$84,252,585PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$92,421,539CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$226,261,253PYOtherExpensesAmt
CY Other Expenses$226,371,821CYOtherExpensesAmt
PY Total Expenses$310,820,588PYTotalExpensesAmt
CY Total Expenses$319,062,035CYTotalExpensesAmt
PY Revenues Less Expenses-$11,017,310PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$14,373,385CYRevenuesLessExpensesAmt
Total Assets BOY$208,510,168TotalAssetsBOYAmt
Total Assets EOY$207,258,921TotalAssetsEOYAmt
Total Liabilities BOY$80,797,844TotalLiabilitiesBOYAmt
Total Liabilities EOY$60,528,007TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$127,712,324NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$146,730,914NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION IS TO PROVIDE RESPECTFUL, HIGH-QUALITY, PATIENT-FOCUSED HEALTHCARE TO EACH PERSON AND TO THE COMMUNITIES WE SERVE. PACMED WELCOMES PATIENTS FROM THE WELL INSURED TO THOSE WHO CANNOT AFFORD HEALTHCARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$297,726,628ExpenseAmt
Grant$268,675GrantAmt
Revenue$301,884,630RevenueAmt
DescSEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND.THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES.WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSPROVIDENCE CONTINUES TO EXECUTE ON OUR INTEGRATED STRATEGIC AND FINANCIAL PLAN, WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THE IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES AND REDUCE OUR CARBON FOOTPRINT IN THE COMMUNITIES WE SERVE. PROVIDENCE ADVANCES PROGRESS ON OUR CARBON NEGATIVE GOAL AND IN 2023 WE ESTIMATED THAT WE DECREASED EMISSIONS BY OVER 12 PERCENT COMPARED TO OUR 2019 BASELINE. IN ADDITION, OUR EFFORTS LED TO THE INTRODUCTION OF THE GREEN HOSPITALS ACT, LEGISLATION MODELED AFTER PROVIDENCE THAT WOULD PROVIDE CRITICAL FEDERAL FUNDING TO WEATHERIZE AND MODERNIZE HEALTH CARE FACILITIES. PROVIDENCE COMPLETED A COMPREHENSIVE CLIMATE RESILIENCE PLAN IN ALIGNMENT WITH OUR COMMITMENT TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES CLIMATE PLEDGE. WE CONTINUE TO REDUCE GREENHOUSE GAS EMISSIONS WITH A FOCUS ON LED LIGHTING UPGRADES, WATER CONSERVATION, MORE EFFICIENT DELIVERY OF NITROUS OXIDE GAS DURING ANESTHESIA, AND ADVANCING OUR WASTE OPTIMIZATION WORK ACROSS ALL HOSPITALS AND CLINICS. PROGRAM SERVICE ACCOMPLISHMENTSCARE FOR MEDICALLY UNDERSERVED OR UNDERINSURED.PACIFIC MEDICAL CENTERS (PACMED) HAS A MISSION TO ADVOCATE, EDUCATE AND PROVIDE EXTRAORDINARY CARE TO ALL, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED OR UNABLE TO PAY FOR HEALTH CARE SERVICES.WE SERVE THIS POPULATION IN MANY WAYS.PACMED HAS A LONG-STANDING COMMITMENT TO PROVIDING CARE FOR UNINSURED AND UNDERINSURED PATIENTS IN KING, PIERCE, AND SNOHOMISH COUNTIES. THROUGHOUT OUR HISTORY, WE HAVE FOCUSED ON DELIVERING TOP SPECIALTY SERVICES THAT ARE MOST UTILIZED BY THESE INDIVIDUALS, INCLUDING ONCOLOGY, OTOLARYNGOLOGY, UROLOGY, OPHTHALMOLOGY, AND PULMONOLOGY.AS A FOUNDING MEMBER OF PROJECT ACCESS NORTHWEST, WE ACTIVELY SUPPORT THE PROVISION OF PRO BONO AND LOW-COST SPECIALTY HEALTHCARE TO THE UNINSURED.WE ARE DEDICATED TO SUPPORTING MEDICAL EDUCATION AND TRAINING THE NEXT GENERATION OF PHYSICIANS AND ALLIED HEALTH PROFESSIONALS, SUCH AS NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS. WITH OVER 50 PROVIDERS ACTIVELY ENGAGED IN TEACHING, MORE THAN HALF OF THEM HOLD CLINICAL FACULTY STATUS AT THE UNIVERSITY OF WASHINGTON. WE ALSO PARTICIPATE IN EXTERN PROGRAMS FOR MEDICAL ASSISTANT AND MEDICAL TECHNICIAN PROGRAMS. OUR COMMITMENT TO MEDICAL TEACHING REFLECTS OUR BELIEF IN COMMUNITY SERVICE, EXCELLENCE, CONTINUOUS LEARNING, AND RESPONSIBLE RESOURCE MANAGEMENT.PACMED IS INVESTING IN HEALTH EQUITY AS WE RECOGNIZE THAT VARIOUS FACTORS, INCLUDING RACE, ETHNICITY, GENDER IDENTITIES, SEXUAL ORIENTATION, AGE, PHYSICAL AND MENTAL ABILITY, RELIGION, AND SOCIOECONOMIC STATUS, CONTRIBUTE TO HEALTH DISPARITIES. WE FIRMLY BELIEVE THAT EVERYONE SHOULD RECEIVE HEALTHCARE THAT ACKNOWLEDGES AND ACTIVELY WORKS TO COUNTER THESE INEQUITIES. TO THIS END, WE HAVE ESTABLISHED A HEALTH EQUITY COUNCIL AND FORMED A DEDICATED HEALTH EQUITY TEAM. THEY IDENTIFY HEALTH DISPARITIES WITHIN OUR PATIENT POPULATION, STRATEGIZE SOLUTIONS, AND CONDUCT OUTREACH TO ENSURE EQUITABLE ACCESS TO HEALTHCARE FOR ALL.AT PACMED, OUR MISSION IS DRIVEN BY THE PRINCIPLES OF PROVIDING QUALITY CARE TO THE UNDERSERVED, SUPPORTING MEDICAL EDUCATION, AND STRIVING FOR HEALTH EQUITY.Desc
Total Program Service Expenses$297,726,628TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document47IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee991EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJIM MARTINPersonNm
Phone4255253985PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ERIK WEXLER
PRESIDENT/CEO0.5064.50Yes (X)$0$5,154,374$461,693
GREG HOFFMAN
EVP & CFO/TREASURER0.5064.50Yes (X)$0$3,204,594$334,955
JO ANN ESCASA-HAIGH
FRMR EVP/ASSISTANT TREASURER0.001.00$0$3,291,797$10,754Yes (X)
ANNA NEWSOM
EVP & CHIEF LEGAL OFFICER/SECRETARY1.0064.00Yes (X)$0$1,917,204$412,545
JIM WATSON ESQ
ASSISTANT SECRETARY0.5054.50Yes (X)$0$968,691$146,931
THOMAS LAMPERTI
PHYSICIAN50.000.00$927,051$0$119,675Yes (X)
CHAD MARION
PHYSICIAN50.000.00$906,080$0$111,365Yes (X)
MELINDA LIU
PHYSICIAN50.000.00$955,573$0$39,134Yes (X)
JIM MARTIN
ASSISTANT TREASURER (PART YEAR)1.0054.00Yes (X)$0$828,928$115,635
DAVID WHITE
PHYSICIAN50.000.00$832,545$0$102,983Yes (X)
VIKRAM DABHI
PHYSICIAN50.000.00$779,817$0$108,766Yes (X)
JOHN WHIPPLE
FRMR SECRETARY0.000.00$0$541,701$0Yes (X)
SCOTT COMBS
CFO SERVICE AREA55.000.00$0$385,915$65,614Yes (X)
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT0.5054.50Yes (X)$0$292,875$30,846
MARY LYONS PHD
DIRECTOR0.5013.00$0$100,085$0Yes (X)
MICHAEL MURPHY
BOARD CHAIR1.0026.00$0$75,066$0Yes (X)
CHARLES SORENSON MD
DIRECTOR0.5013.00$0$50,000$0Yes (X)
ISIAAH CRAWFORD PHD
DIRECTOR0.5014.50$0$50,000$0Yes (X)
RICHARD BLAIR
DIRECTOR0.5013.00$0$50,000$0Yes (X)
ERIC SPRUNK
DIRECTOR0.5013.50$0$40,000$0Yes (X)
MARY BETH KINGSTON
DIRECTOR0.5013.00$0$40,000$0Yes (X)
MARVIN O'QUINN
DIRECTOR (PART YEAR)0.5012.50$0$0$0Yes (X)
SISTER CAROL PACINI LCM
DIRECTOR0.5013.00$0$0$0Yes (X)
SISTER DIANE HEJNA CSJ RN
DIRECTOR0.5013.00$0$0$0Yes (X)
SISTER PHYLLIS HUGHES RSM DRPH
DIRECTOR0.5013.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,401,066TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$16,991,230TotReportableCompRltdOrgAmt
Total Other Compensation$2,060,896TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K216IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NUWEST GROUP HOLDINGS LLC
PO BOX 94104SEATTLEWA98124STAFFING SERVICES$1,812,981
INLAND IMAGING CLINICAL ASSOC
801 S STEVENS STSPOKANEWA99204MEDICAL SERVICES$1,495,950
BROOKSOURCE
8365 KEYSTONE XING SUITE 104INDIANAPOLISIN46240STAFFING SERVICES$1,454,011
INLAND IMAGING BUSINESS ASSOC
801 S STEVENS STSPOKANEWA99204ACCOUNTING SERVICES$1,283,046
LOCUMSMART LLC
PO BOX 736389DALLASTX75373STAFFING SERVICES$1,083,018
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K30CntrctRcvdGreaterThan100KCnt
Government Grants$195,371GovernmentGrantsAmt
Total Contributions$195,371TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621110$301,128,094$301,128,094
MOB RENTAL REVENUE531120$151,830$151,830
FieldValueIRS element (for citing)
Total Program Service Revenue$301,279,924TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,476,288TotalRevenueColumnAmt
Unrelated Business Revenue-$8,905UnrelatedBusinessRevenueAmt
Exclusion$1,485,193ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,974,252SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,970,458SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,003,794SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,003,794TotalRevenueColumnAmt
Exclusion$1,003,794ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
INTERAFFILIATE REVENUE900099$422,272$422,272
COST RECOVERIES900099$128,567$128,567
MEDICAL RECORDS900099$102,513$102,513

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$79,921TotalRevenueColumnAmt
Related Or Exempt Func Income$79,921RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$733,273OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$304,688,650TotalRevenueColumnAmt
Related Or Exempt Func Income$301,884,630RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$8,905UnrelatedBusinessRevenueAmt
Exclusion$2,617,554ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$268,675TotalAmt
Program Services$268,675ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$83,835,994TotalAmt
Program Services$77,431,753ProgramServicesAmt
Management And General$6,404,241ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,990,528TotalAmt
Program Services$1,838,471ProgramServicesAmt
Management And General$152,057ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,221,993TotalAmt
Program Services$1,128,645ProgramServicesAmt
Management And General$93,348ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,373,024TotalAmt
Program Services$4,962,578ProgramServicesAmt
Management And General$410,446ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$35,475TotalAmt
Program Services$32,765ProgramServicesAmt
Management And General$2,710ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$345,558TotalAmt
Management And General$345,558ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$131,865,082TotalAmt
Program Services$121,791,894ProgramServicesAmt
Management And General$10,073,188ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,415,536TotalAmt
Program Services$1,307,403ProgramServicesAmt
Management And General$108,133ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$980,301TotalAmt
Program Services$905,416ProgramServicesAmt
Management And General$74,885ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$389,657TotalAmt
Program Services$359,891ProgramServicesAmt
Management And General$29,766ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,486,288TotalAmt
Program Services$7,838,020ProgramServicesAmt
Management And General$648,268ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$149,048TotalAmt
Program Services$137,662ProgramServicesAmt
Management And General$11,386ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$359,022TotalAmt
Program Services$331,596ProgramServicesAmt
Management And General$27,426ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,532TotalAmt
Program Services$2,339ProgramServicesAmt
Management And General$193ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,787,639TotalAmt
Program Services$3,498,301ProgramServicesAmt
Management And General$289,338ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,621,729TotalAmt
Program Services$1,497,845ProgramServicesAmt
Management And General$123,884ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SYSTEM COST ALLOCATION$31,317,649$28,925,290$2,392,359
MEDICAL SUPPLIES$22,457,224$22,457,224
PHYSICIAN EXPENSES$21,218,753$21,218,753
UBTI TAXES$3,750$3,464$286

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,936,578TotalAmt
Program Services$1,788,643ProgramServicesAmt
Management And General$147,935ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$319,062,035TotalAmt
Program Services$297,726,628ProgramServicesAmt
Management And General$21,335,407ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$90,154,528BOYAmt
EOY$106,843,208EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$558,069BOYAmt
EOY$580,274EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$17,890,705BOYAmt
EOY$6,462,627EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY-$2,332,379BOYAmt
EOY$387,416EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$464,726BOYAmt
EOY$74,139EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$58,202,571LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$43,483,236LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$17,218,988BOYAmt
EOY$14,719,335EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$54,518,721BOYAmt
EOY$58,692,625EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$30,036,810BOYAmt
EOY$19,499,297EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$208,510,168BOYAmt
EOY$207,258,921EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$24,127,096BOYAmt
EOY$16,675,831EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$479,960BOYAmt
EOY$517,924EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$56,190,788BOYAmt
EOY$43,334,252EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$80,797,844BOYAmt
EOY$60,528,007EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$127,712,324BOYAmt
EOY$146,730,914EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$127,712,324BOYAmt
EOY$146,730,914EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$208,510,168BOYAmt
EOY$207,258,921EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$14,373,385ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,074,326NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$31,317,649OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$4,627,335CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$347,162CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$296,014CurrentTaxYearMinus1YearAmt
Current Tax Year$195,371CurrentTaxYearAmt
Total$5,465,882TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$243,521,947CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$251,794,454CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$286,075,717CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$297,297,891CurrentTaxYearMinus1YearAmt
Current Tax Year$304,536,819CurrentTaxYearAmt
Total$1,383,226,828TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$243,521,947CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$256,421,789CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$286,422,879CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$297,593,905CurrentTaxYearMinus1YearAmt
Current Tax Year$304,732,190CurrentTaxYearAmt
Total$1,388,692,710TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,388,692,710PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,651,556CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,937,149CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,848,828CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,238,855CurrentTaxYearMinus1YearAmt
Current Tax Year$1,476,288CurrentTaxYearAmt
Total$8,152,676TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,651,556CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,937,149CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,848,828CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,238,855CurrentTaxYearMinus1YearAmt
Current Tax Year$1,476,288CurrentTaxYearAmt
Total$8,152,676TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$860,419CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$751,049CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$342,446CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$108,622CurrentTaxYearMinus1YearAmt
Current Tax Year$733,273CurrentTaxYearAmt
Total$2,795,809TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$246,033,922CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$259,109,987CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$288,614,153CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$298,941,382CurrentTaxYearMinus1YearAmt
Current Tax Year$306,941,751CurrentTaxYearAmt
Total$1,399,641,195TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99220PublicSupportCY509Pct
Public Support PY5090.99210PublicSupportPY509Pct
Investment Income CY0.00580InvestmentIncomeCYPct
Investment Income PY0.00610InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS REVENUE - 2019 AMOUNT: $ 860,419. 2020 AMOUNT: $ 751,049. 2021 AMOUNT: $ 226,842. 2022 AMOUNT: $ 12,093. 2023 AMOUNT: $ 604,706. COST RECOVERIES - 2021 AMOUNT: $ 115,604. 2022 AMOUNT: $ 96,529. 2023 AMOUNT: $ 128,567.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,240,000OtherCostOrOtherBasisAmt
Book Value$2,240,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,548,644OtherCostOrOtherBasisAmt
Depreciation$17,813,372DepreciationAmt
Book Value$4,735,272BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,296,944OtherCostOrOtherBasisAmt
Depreciation$3,580,736DepreciationAmt
Book Value$716,208BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,016,359OtherCostOrOtherBasisAmt
Depreciation$22,089,128DepreciationAmt
Book Value$3,927,231BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,100,624OtherCostOrOtherBasisAmt
Book Value$3,100,624BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$14,719,335TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRIGHT OF USE OPERATING LEASESDesc
Book Value$19,499,297BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$19,499,297TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO THIRD PARTY$26,912,352
CAPITAL LEASE OBLIGATIONS$16,421,900
FieldValueIRS element (for citing)
Total Liability$43,334,252TotalLiabilityAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1PROJECT ACCESS NORTHWESTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 BROADWAY SUITE 202AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98122ZIPCd
FieldValueIRS element (for citing)
Recipient EIN204377921RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$257,500CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantPROGRAM SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT 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 AS 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

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ERIK WEXLER
PRESIDENT/CEO$0$1,601,628$0$2,527,326$0$1,025,420$0$426,357$0$35,336$0$5,616,067$0$366,950
GREG HOFFMAN
EVP & CFO/TREASURER$0$1,088,176$0$2,008,809$0$107,609$0$297,744$0$37,211$0$3,539,549$0$80,207
JO ANN ESCASA-HAIGH
FRMR EVP/ASSISTANT TREASURER$0$44,915$0$1,744,873$0$1,502,009$0$8,269$0$2,485$0$3,302,551$0$603,250
ANNA NEWSOM
EVP & CHIEF LEGAL OFFICER/SECRETARY$0$853,122$0$1,025,045$0$39,037$0$407,728$0$4,817$0$2,329,749$0$36,047
JIM WATSON ESQ
ASSISTANT SECRETARY$0$480,026$0$399,066$0$89,599$0$107,204$0$39,727$0$1,115,622$0$64,477
THOMAS LAMPERTI
PHYSICIAN$778,410$0$0$0$148,641$0$78,365$0$41,310$0$1,046,726$0$29,565$0
CHAD MARION
PHYSICIAN$783,208$0$0$0$122,872$0$74,946$0$36,419$0$1,017,445$0$46,583$0
MELINDA LIU
PHYSICIAN$954,595$0$0$0$978$0$33,590$0$5,544$0$994,707$0$0$0
JIM MARTIN
ASSISTANT TREASURER (PART YEAR)$0$435,246$0$339,361$0$54,321$0$83,489$0$32,146$0$944,563$0$52,013
DAVID WHITE
PHYSICIAN$651,304$0$0$0$181,241$0$70,146$0$32,837$0$935,528$0$21,462$0
VIKRAM DABHI
PHYSICIAN$576,213$0$25,986$0$177,618$0$76,947$0$31,819$0$888,583$0$31,237$0
JOHN WHIPPLE
FRMR SECRETARY$0$0$0$0$0$541,701$0$0$0$0$0$541,701$0$0
SCOTT COMBS
CFO SERVICE AREA$0$334,079$0$40,655$0$11,181$0$30,329$0$35,285$0$451,529$0$9,410
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT$0$266,681$0$24,827$0$1,367$0$15,474$0$15,372$0$323,721$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1APROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES RELATED TO RELOCATION OF NEWLY HIRED EMPLOYEES AND CURRENT EMPLOYEES RELOCATING TO A NEW POSITION. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE ELIGIBLE EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES INCLUDE RENT (EXCLUDING AMOUNTS WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL TITLE CLEARS), NON-REFUNDABLE SECURITY DEPOSITS AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE 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. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE.
PART I, LINE 3DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE.
PART I, LINES 4A-BTHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING 2023: JO ANN ESCASA-HAIGH - $ 811,814 JOHN WHIPPLE - $ 539,282 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR. ERIK WEXLER - $366,950 GREG HOFFMAN - $80,207 JO ANN ESCASA-HAIGH - $603,250 JIM WATSON, ESQ - $64,477 THOMAS LAMPERTI - $29,565 CHAD MARION- $46,583 JIM MARTIN - $52,013 DAVID WHITE - $21,462 VIKRAM DABHI - $31,237 SCOTT COMBS - $9,410
PART I, LINE 7NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 15INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATIONS SECTION 4960 TAX ANALYSIS AND REPORTING.
FORM 990, PART VI, SECTION A, LINE 6CLASSES OF MEMBERS OR STOCKHOLDERS WESTERN HEALTHCONNECT IS THE SOLE CORPORATE MEMBER OF PACMED CLINICS.
FORM 990, PART VI, SECTION A, LINE 7ACLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PACMED CLINICS HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PACMED CLINICS' GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PACMED CLINICS BOARD AS NOMINATIONS MUST BE APPROVED BY WESTERN HEALTHCONNECT, AS THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BCLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, REVISED IN 2023, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS RECUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN JUNE 2024.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART IX, LINE 11GAGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,528,994. MANAGEMENT AND GENERAL EXPENSES 374,585. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,903,579. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 3,687,547. MANAGEMENT AND GENERAL EXPENSES 304,990. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,992,537. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 26,600. MANAGEMENT AND GENERAL EXPENSES 2,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,800. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 109,799,271. MANAGEMENT AND GENERAL EXPENSES 9,081,300. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 118,880,571. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,367,502. MANAGEMENT AND GENERAL EXPENSES 113,104. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,480,606. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 2,381,980. MANAGEMENT AND GENERAL EXPENSES 197,009. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,578,989.
FORM 990, PART XI, LINE 9:NET ASSETS TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 31,317,649.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (105 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
COLLABRIA CARE
414 SOUTH JEFFERSON STREETNAPACA94559680393144HEALTHCARECA501(C)(3)10SJHCNYes (1)
COVENANT ACO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057611573313HEALTHCARETX501(C)(3)12, ICHSYes (1)
COVENANT CHILDREN'S PHYSICIANS GROUP
3615 19TH STREETLUBBOCKTX79410881290850HEALTHCARETX501(C)(3)PENDINGCHSYes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057461259908HEALTHCARECA501(C)(3)12, IIISJHSYes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057463516417HEALTHCARETX501(C)(3)12, ICHSYes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752765566HEALTHCARETX501(C)(3)3SJHSYes (1)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACELUBBOCKTX79410752897026HEALTHCARETX501(C)(3)7CHSYes (1)
COVENANT HOME AND COMMUNITY CARE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057920275096HEALTHCARETX501(C)(3)10CHSYes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057844273963HEALTHCARETX501(C)(3)3CHSYes (1)
COVENANT MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057822913146HEALTHCARETX501(C)(3)3CHSYes (1)
COVENANT MEDICAL GROUP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752743883HEALTHCARETX501(C)(3)3CHSYes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128EVERETTWA982065128943264605TRANSITIONAL CAREWA501(C)(3)100N/A
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057201910170SUPPORTWA501(C)(3)7PHS WAYes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104SEATACWA98188273133200HEALTHCAREWA501(C)(3)7SHSYes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057203856995HEALTHCARETX501(C)(3)3LHH LLCYes (1)
HOSPICE OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752133781HEALTHCARETX501(C)(3)10CHSYes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814260130HEALTHCAREWA501(C)(3)PFPHS SJHSYes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057912003593HEALTHCAREWA501(C)(3)7WHCYes (1)
KADLEC AUXILIARY INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057916033089SUPPORTWA501(C)(3)12, IIIKRMCYes (1)
KADLEC FOUNDATION
888 SWIFT BLVDRICHLANDWA99352237005501SUPPORTWA501(C)(3)7KRMCYes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057910655392HEALTHCAREWA501(C)(3)3WHCYes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330844408IMAGING SERVICESCA501(C)(3)10PHS SOCALYes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057264021016HEALTHCARETX501(C)(3)3CHSYes (1)
LUNDBERG ASSOCIATION PROVIDENCE HOUSE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911562797SUPPORTOR501(C)(3)7PHS ORYes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752428911HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752246348HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752426010HEALTHCARETX501(C)(3)3CHSYes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643360HEALTHCARECA501(C)(3)3SJHSYes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069SEATTLEWA98116200799737SUPPORTWA501(C)(3)12, ISHSYes (1)
OPEN DOOR VENTURES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911608508SUPPORTWA501(C)(3)7PHS WAYes (1)
PH&S FOUNDATIONSFVSA & SCVSA
501 SOUTH BUENA VISTA STREETBURBANKCA915054809953544877HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE ALASKA FOUNDATION
3760 PIPER STREET SUITE 2021ANCHORAGEAK99508920093565HEALTHCAREAK501(C)(3)7PHS WAYes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
540 SOUTH MAIN STMT ANGELOR97362911940286HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911789266SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
4805 NE GLISAN ST STE 2N35PORTLANDOR97213930800140SUPPORTOR501(C)(3)7PHS ORYes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
940 ROYAL AVE SUITE 410MEDFORDOR97504930692907HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057473385506SUPPORTWA501(C)(3)70N/A
PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057954322584SUPPORTCA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311744654SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911549796HEALTHCAREWA501(C)(3)12, IIPSJH0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810231793HEALTHCAREMT501(C)(3)3PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216587HEALTHCAREOR501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216586HEALTHCAREWA501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911303277HEALTHCAREWA501(C)(3)3PMWHCYes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057550828701MEDICAID HEALTHCARE PROVIDEROR501(C)(4)N/APHPYes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057930863097HEALTHCAREOR501(C)(4)N/APH GROUP LLCYes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216589HEALTHCARECA501(C)(3)3PHSYes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
810 12TH STREET PO BOX 149HOOD RIVEROR97031930921990HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY
1615 75TH ST SW SUITE 210EVERETTWA98203272552749HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
2811 SOUTH 102ND NO 220TUKWILAWA98168912077378HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA)
101 W 8TH AVESPOKANEWA99204320014330HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
4101 TORRANCE BLVDTORRANCECA90503510224944HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE MARIANWOOD FOUNDATION
3725 PROVIDENCE POINT DRIVE SEISSAQUAHWA980297219931554288HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330185031HEALTHCARECA501(C)(3)3SJHSYes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330283773HEALTHCARECA501(C)(3)12, IPHS SOCALYes (1)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32ND AVEMILWAUKIEOR97222943079515HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057RELIGIOUS ORGWA501(C)(3)10N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVE SWSEATTLEWA981262799911188119HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVENEWBERGOR97132930889144HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311629656SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911861964HEALTHCAREWA501(C)(4)N/APHS ORYes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN STPORTLANDOR972132967931231494HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311584166SUPPORTWA501(C)(3)10PHS WAYes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951684082HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814542216HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA ROADSEASIDEOR97138930927320HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057912171539SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057943244854SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057811244422HEALTHCAREWA501(C)(3)12, III0N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
4400 NE HALSEY ST STE 599PORTLANDOR97213943078543HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810463482HEALTHCAREMT501(C)(3)3PHS WAYes (1)
PROVIDENCE ST MARY FOUNDATION
401 W POPLAR STREETWALLA WALLAWA99362452841492HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
9205 SW BARNES ROAD STE MT2111PORTLANDOR97225930575982HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN)
413 LILLY ROAD NEOLYMPIAWA985065166911097056SUPPORTWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057953264139HEALTHCARECA501(C)(3)10PHS SOCALYes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
5315 TORRANCE BLVD NO B-1TORRANCECA90503330261016HEALTHCARECA501(C)(3)7PTCHYes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1500 DIVISION STREETOREGON CITYOR97045931003750HEALTHCAREOR501(C)(3)12, IPHS ORYes (1)
REDWOOD MEMORIAL FOUNDATION
2700 DOBEER STREETEUREKACA95501942779313HEALTHCARECA501(C)(3)7SJHNC LLCYes (1)
SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057954291515HEALTHCARECA501(C)(3)4PSJHCYes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
2121 SANTA MONICA BLVDSANTA MONICACA90404956100079SUPPORT SAINT JOHN HEALTH CENTER & SJCICA501(C)(3)7PSJHCYes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057611502822PHYSICIAN COLLABORATIONWA501(C)(3)7WHCYes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057262612415SHELL CORPORATIONMT501(C)(3)1PHS WA0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643383RELIGIOUS ORGCA501(C)(3)10N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057680395200HEALTHCARECA501(C)(3)3SJHNC LLCYes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057271666576RELIGIOUS ORGCA501(C)(3)1SSJO0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814791043HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057953589356HEALTHCARECA501(C)(3)12, IPSJH0
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE SUITE 100IRVINECA92612330143024HEALTHCARECA501(C)(3)10SJHSYes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057680331084HEALTHCARECA501(C)(3)10SJHSYes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643359HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JUDE HOSPITAL INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643325HEALTHCARECA501(C)(3)3SJHSYes (1)
ST LUKE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057943176618SUPPORTWA501(C)(3)7PHS WAYes (1)
ST MARY MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951914489HEALTHCARECA501(C)(3)3SJHSYes (1)
ST PATRICK HOSPITAL FOUNDATION
502 W SPRUCE STREETMISSOULAMT59802237056976HEALTHCAREMT501(C)(3)7PHS WAYes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810233495EDUCATIONMT501(C)(3)10PHS WAYes (1)
SWEDISH EDMONDS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057272305304HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057910433740HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAYSEATTLEWA98122910983214HEALTHCAREWA501(C)(3)7SHSYes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057273139262HOLDING COMPANYWA501(C)(3)12, ISHSYes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057833972614HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911180824SUPPORTWA501(C)(3)7PHS WAYes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911214491SUPPORTOR501(C)(3)10PHS ORYes (1)
TRI-CITIES CANCER CENTER FOUNDATION
7350 W DESCHUTES AVE BUILDING AKENNEWICKWA99336911739024SUPPORTWA501(C)(3)7KRMCYes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810231777EDUCATIONMT501(C)(3)2PHSYes (1)
WESTERN HEALTHCONNECT
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057454171900HEALTHCAREWA501(C)(3)3PHS W WAYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (42 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtUBI Code VUBICodeVAmtOwnershipOwnershipPct
20TH STREET SURGERY LLC
1301 20TH STREET STE 140SANTA MONICACA90404731735618AMBULATORY SURGERY CENTERCAN/A00
BRIDGEPORT MEDICAL IMAGING LLC (BMI)
4400 NE HALSEY 495PORTLANDOR97213260796953IMAGING - DIAGNOSTICSORN/A0Yes (1)
BROADWAY IMAGING LLC
PO BOX 4587MISSOULAMT598064587522405971MEDICAL IMAGINGMTN/A0Yes (1)
CANBY MEDICAL CENTER I LLC
4800 SW MACADAM AVE STE 120PORTLANDOR97239205470937REAL ESTATE - MOBORN/A0Yes (1)
CENTER FOR MEDICAL IMAGING LLC (CMI)
4400 NE HALSEY 495PORTLANDOR97213200477972IMAGING - DIAGNOSTICSORN/A0Yes (1)
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY 495PORTLANDOR97213260381897RADIATION ONCOLOGYORN/A0Yes (1)
COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY
1031 W CHAPMAN AVE 101ORANGECA92868264591502HEALTHCARECAN/A0Yes (1)
COVENANT HIGH PLAINS SURGERY CENTER LLC
40 VALLEY STREAM PKWYMALVERNPA19355752177401HEALTHCAREPAN/A0Yes (1)
COVENANT PARK PHASE I VENTURE LLC
3615 19TH STLUBBOCKTX79410871464045REAL ESTATETXN/A00
CSS JV LLC
11782 SW BARNES ROAD STE 200 BLDG CPORTLANDOR97225263638838AMBULATORY SURGERY CENTERORN/A00
FIRST HILL SURGERY CENTER LLC
1101 MADISON STREET STE 200SEATTLEWA98104472066485AMBULATORY SURGERY CENTERWAN/A0Yes (1)
FULLERTON SURGICAL CENTER LP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057470927394AMBULATORY SURGERY CENTERCAN/A0Yes (1)
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA STBURBANKCA91505954570858REAL ESTATE - MOBCAN/A0Yes (1)
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000ORANGECA92868271000061INVESTMENTSCAN/A00
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE AANCHORAGEAK99508203906048MEDICAL IMAGINGAKN/A0Yes (1)
LSC REAL PROPERTY LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057474646059REAL ESTATETXN/A0Yes (1)
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREETLUBBOCKTX79410752343261HEALTHCARETXN/A0Yes (1)
MISSION VIEJO PARTNERS II LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823943675REAL ESTATE - MOBCAN/A0Yes (1)
NORTH OC IMAGING JV HOLDINGS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057852444305HEALTHCARECAN/A00
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAYMEDFORDOR97504450471748MEDICAL IMAGINGORN/A0Yes (1)
PAVILION SURGERY CENTER LLC
1140 WEST LAVETA AVEORANGECA92868814376492AMBULATORY SURGERY CENTERCAN/A00
PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC
19625 62ND AVENUE SOUTH SUITE 101KENTWA98032452901632MEDICAL EQUIPMENTWAN/A0Yes (1)
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREETSEATTLEWA98104203132044MEDICAL IMAGINGWAN/A0Yes (1)
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057812701056INVESTMENTSWAN/A00
PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209823765555MEDICALALN/A00
PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209823270499MEDICALALN/A0Yes (1)
PROVIDENCE ALASKA HOUSE I OWNER LP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057882819223SUPPORTIVE HOUSINGAKN/A00
PROVIDENCE HOUSE OAKLAND LP
540 23RD STOAKLANDCA94612811441264SUPPORTIVE HOUSINGCAN/A0Yes (1)
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057920118807MEDICAL IMAGINGAKN/A00
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823190634INVESTMENTSWA00PHS WAEXCLUDED$2,924,214$54,681,920-$8,9050.01310
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE STMISSOULAMT59802841401625AMBULATORY SURGERY CENTERMTN/A00
PROVIDENCEUSP SPOKANE SURGERY CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057881149413AMBULATORY SURGERY CENTERWAN/A00
PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROAD 160MISSION HILLSCA91345200684116AMBULATORY SURGERY CENTERCAN/A00
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON ST 1ST FLSEATTLEWA98104300553035HEALTHCAREWAN/A0Yes (1)
RIVERSIDE HEALTHCARE
1107 HAZELTINE BLVD 200CHASKAMN55318411594648HEALTHCAREMNN/A0Yes (1)
ST JOSEPH PHYSICIAN VENTURES I LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057454521884REAL ESTATECAN/A0Yes (1)
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814657391HEALTHCARECAN/A00
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823352570AMBULATORY SURGERY CENTERCAN/A0Yes (1)
ST PETER-SOUTH SOUND REGIONAL MRI CENTER
3417 ENSIGN RD NEOLYMPIAWA98506911455338MEDICAL IMAGINGWAN/A0Yes (1)
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300LEAWOODKS66211208187971AMBULATORY SURGERY CENTERKSN/A0Yes (1)
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVDSPOKANEWA99204841606484HOTEL SERVICESWAN/A0Yes (1)
WON-ONC LLC
1900 COOKS HILL RDCENTRALIAWA98531262181194REAL ESTATE - MOBWAN/A0Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (41 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
1221 MADISON STREET OWNERS ASSOC
747 BROADWAYSEATTLEWA98122201954319OWNERS' ASSOCIATIONWAN/AC0
ADVATA INC (FKA KENSCI INC)
615 2ND AVE 700SEATTLEWA98104474048082HEALTHCAREWAN/AC0
AMERICAN UNITY GROUP LTD
CAPTIVE INSURANCEN/AC090 PITTS BAY ROADPEMBROKEBDHM08BD
AYIN HEALTH HOLDINGS INC
4400 NE HALSEY ST STE 609 ATTN ACCOPORTLANDOR97213833037172HEALTHCAREDEN/AC0
AYIN HEALTH SOLUTIONS INC
4400 NE HALSEY ST STE 609 ATTN ACCOPORTLANDOR97213931211733HEALTHCAREORN/AC0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9SPOKANEWA99204911354431CLINICAL/MEDICAL LABWAN/AC0
CARON CORPORATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057810486082MEDICAL PHYSICIAN SERVICEMTN/AC0
CLOUD 21 LIMITED
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057HEALTHCAREN/AC0UK
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280SANTA MONICACA90404952880495HEALTHCARECAN/AS0
HCSA PROPERTIES LLC
1600 M STREET NWAUBURNWA98001460620892REAL ESTATE RENTALWAN/AC0
KENSCI ASIA PACIFIC PTE LTD
615 2ND AVE 700SEATTLEWA98104HEALTHCAREN/AC0SN
KENSCI TECH INDIA PRIVATE LIMITED
615 2ND AVE 700SEATTLEWA98104HEALTHCAREN/AC0IN
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752578995INACTIVETXN/AC0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752118585HEALTHCARETXN/AC0
MEDICAL SPECIALTIES MANAGERS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330406218HEALTHCAREWAN/AC0
MISSION VIEJO MEDICAL VENTURES INC
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330212905HEALTHCARECAN/AC0
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461814184STRATEGIC PLANNING SERVICESCAN/AC0
PRAIA HEALTH INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057990552297HEALTHCAREDEN/AC0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057981516461IT SVCSN/AC0IN
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9SPOKANEWA99204900155714CLINICAL/MEDICAL LABWAN/AC0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057800886966PREPAID HEALTHCARECAN/AC0
PROVIDENCE PARTNERS HOLDINGS INC
4400 NE HALSEY ST STE 609 ATTN ACCOPORTLANDOR97213882962549INVESTMENTDEN/AC0
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE TAF C-9SPOKANEWA99204911216033HEALTHCAREWAN/AC0
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL STTORRANCECA90503823771547HEALTHCARECAN/AC0
PROVSOURCE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057902318536HEALTHCAREDEN/AC0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057462340232HOLDING COMPANYCAN/AC0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461900168HEALTHCARECAN/AC0
ST JOSEPH MEDICAL PLAZA ASSOCIATION
1140 W LA VETA STE 400ORANGECA92868330621539CONDO ASSOCIATIONCAN/AC0
ST JOSEPH PROF SVCS ENTERPRSES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330155323HEALTHCARECAN/AC0
TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057842092143HOLDING COMPANYDEN/AC0
TEGRIA INSIGHTS GROUP HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057861400769HOLDING COMPANYWAN/AC0
TEGRIA INSIGHTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057861532593HEALTHCAREWAN/AC0
TEGRIA PRODUCTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057870995138HOLDING COMPANYDEN/AC0
TEGRIA RCM GROUP US INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057863046450HOLDING COMPANYDEN/AC0
TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844686520HOLDING COMPANYDEN/AC0
TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844704409HOLDING COMPANYDEN/AC0
TEGRIA SERVICES GROUP-CAN INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057HEALTHCAREN/AC0CA
TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057900872936HEALTHCAREWIN/AC0
TRUSANA INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057922370159HEALTHCAREDEN/AC0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057953943315INVESTMENTCAN/AC0
WEIGHT LOSS INC (FKA HMR WEIGHT MANAGEMENT SERVICES CORP)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057463598718HEALTHCAREWAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH SYSTEM
P$353,068COST
PROVIDENCE HEALTH & SERVICES - WASHINGTON
L$161,004COST
PROVIDENCE HEALTH & SERVICES - WASHINGTON
O$84,604COST
SWEDISH HEALTH SERVICES
O$3,972,378COST
PROVIDENCE HEALTH & SERVICES - WASHINGTON
K$1,094,847COST
SWEDISH HEALTH SERVICES
K$135,629COST

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.