METHODIST HOSPITAL PLAINVIEW TEXAS: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- METHODIST HOSPITAL PLAINVIEW TEXAS (EIN 75-2426010)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-14
- IRS object ID
- 202313189349314196
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-14T17:12:21-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 370 17TH STREET SUITE 4800 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752426010 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METHODIST HOSPITAL PLAINVIEW | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | METH | BusinessNameControlTxt |
| Phone | 8062965531 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 LIND AVE SW ATTN TAX DEPT | AddressLine1Txt |
| City | RENTON | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98057 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER BRYAN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8062965531 | PhoneNum |
| Signature | 2023-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JENNIFER | PersonFirstNm |
| Person Last | BRYAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANDREW JAMESON | PreparerPersonNm |
| PTIN | P01894820 | PTIN |
| Phone | 7209314000 | PhoneNum |
| Preparation | 2023-11-06 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COVENANT HOSPITAL PLAINVIEW | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CASSIE MOGG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2601 DIMMITT ROAD | AddressLine1Txt |
| City | PLAINVIEW | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 790721833 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $67,889,929 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COVENANTHEALTH.ORG/PLAINVIEW/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O.AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 518 | TotalEmployeeCnt |
| Total Volunteers | 38 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,194,278 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,783,749 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $59,175,154 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $65,966,426 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,230 | PYInvestmentIncomeAmt |
| CY Investment Income | $100,809 | CYInvestmentIncomeAmt |
| PY Other Revenue | $17,565 | PYOtherRevenueAmt |
| CY Other Revenue | $38,945 | CYOtherRevenueAmt |
| PY Total Revenue | $63,396,227 | PYTotalRevenueAmt |
| CY Total Revenue | $67,889,929 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $8,701 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,499,430 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,916,451 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $51,696,092 | PYOtherExpensesAmt |
| CY Other Expenses | $57,581,303 | CYOtherExpensesAmt |
| PY Total Expenses | $71,196,522 | PYTotalExpensesAmt |
| CY Total Expenses | $79,506,455 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$7,800,295 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$11,616,526 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $77,628,690 | TotalAssetsBOYAmt |
| Total Assets EOY | $79,750,929 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $22,639,999 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,207,239 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $54,988,691 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $64,543,690 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $76,054,980 | ExpenseAmt |
| Grant | $8,701 | GrantAmt |
| Revenue | $66,005,371 | RevenueAmt |
| Desc | SEE SCHEDULE O.AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE 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 ADVANCE A SOCIAL RESPONSIBILITY FRAMEWORK THAT INCLUDES A STRONGER COMMITMENT TO DIVERSITY, EQUITY, INCLUSION ("DEI"), AND ENVIRONMENTAL STEWARDSHIP. IN 2022, WE ELEVATED THE WORK OF DEI, BY RESTRUCTURING RESOURCES WITH PLANS TO ALIGN AND SCALE DEI STRATEGIES ACROSS THE PROVIDENCE FAMILY OF ORGANIZATIONS. WE CONTINUE TO EXECUTE ON OUR INTEGRATED STRATEGIC & FINANCIAL PLAN WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THIS IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES IN THE COMMUNITIES WE SERVE. PROVIDENCE'S SOCIAL RESPONSIBILITY FRAMEWORK AIMS TO DEPLOY THE ASSETS OF OUR SYSTEM TO SUPPORT COMMUNITY HEALTH IMPROVEMENT, STRENGTHEN LOCAL ECONOMIES AND REDUCE OUR CARBON FOOTPRINT. WE HAVE IMPLEMENTED AN ENVIRONMENTAL STEWARDSHIP SYSTEM STRATEGY THAT ENCOURAGES WASTE REDUCTIONS, EFFICIENT ENERGY AND WATER USAGE, LOCAL AGRICULTURE PARTNERSHIPS, LESS TOXIC AND FEWER CHEMICAL USE, AND A REDUCTION IN CARBON FROM TRAVEL. WE HAVE ALSO HELD ENVIRONMENTAL STEWARDSHIP AS ONE OF THE TOP PRIORITIES FOR OUR LEADERSHIP INCENTIVE PROGRAM TO ENSURE ALIGNMENT AND MOMENTUM CONTINUES. IN APRIL 2022, PROVIDENCE PUBLISHED ITS FIRST ENVIRONMENTAL STEWARDSHIP REPORT, IN WHICH WE REPORTED 12 PERCENT REDUCTION IN CARBON EMISSIONS IN SEVEN KEY CATEGORIES IN OUR ACUTE CARE FACILITIES SINCE OUR 2019 BASELINE. AS OF SEPTEMBER 30, 2022, (THE MOST RECENT DATA AVAILABLE), WE HAVE INCREASED THAT REDUCTION TO 13 PERCENT.2022 PROGRAM SERVICE ACCOMPLISHMENTS: (JANUARY 1 - DECEMBER 31, 2022) COVENANT HEALTH COVENANT HEALTH HAS A RICH HISTORY IN THE TEXAS/NEW MEXICO REGION. WHILE HEALTH CARE IN OUR REGION HAS CHANGED OVER THE YEARS, OUR COMMITMENT TO FULFILLING OUR MISSION, VISION, VALUES AND PROMISE HAVE NOT WAIVERED. DUE TO OVERLAPPING SERVICE AREAS, CLOSE GEOGRAPHIC PROXIMITY TO ONE ANOTHER, AND SHARED COMMUNITYOUTREACH PROGRAMS, THE COVENANT HEALTH HOSPITALS COLLABORATED TO DEVELOP A REGIONAL APPROACH TO THE 2021-2023 CHIP. WHILE THERE ARE SOME DIFFERENCES IN SELECT STRATEGIES AND COMMUNITY PARTNERS, COVENANT MEDICAL CENTER, COVENANT CHILDREN'S, GRACE MEDICAL CENTER, COVENANT SPECIALTY HOSPITAL, COVENANT HEALTH PLAINVIEW, AND COVENANT HEALTH LEVELLAND SHARE MANY OF THE SAME CHIP STRATEGIES, WHICH WILL ALLOW FOR MORE EFFECTIVELY LEVERAGING INVESTMENTS IN THE REGION TO MEET COMMUNITY NEEDS. BELOW WE HIGHLIGHT TWO PRIORITY AREA ACCOMPLISHMENTS ACROSS COVENANT HOSPITALS.MENTAL AND BEHAVIORAL HEALTH PRIORITY 1: MENTAL AND BEHAVIORAL HEALTH MENTAL AND BEHAVIORAL HEALTH TREATMENT, INTERVENTION AND PREVENTION SERVICES FOR THE COMMUNITY, INCLUDING RELATED ISSUES SUCH AS SUBSTANCE USE NO TIME IN RECENT HISTORY TESTED MENTAL AND BEHAVIORAL HEALTH MORE THAN THE COVID-19 PANDEMIC OF 2020-2021. DURING 2020 COVENANT HEALTH OPENED A COMMUNITY RESOURCE CENTER WITHIN THE LUBBOCK YWCA BUILDING WITH EXPANDED SERVICES CONTINUING INTO 2022. THIS CENTER CONTINUES TO EXPAND ACCESS TO MENTAL HEALTH COUNSELING SERVICES FOR LOW-INCOME AND UN-INSURED. COVENANT HEALTH RUNS A COMMUNITY COUNSELING CENTER WHICH IS AN OUTREACH COUNSELING CLINIC RUN AND FUNDED BY COVENANT HEALTH. THIS IS A COUNSELING CENTER FOR THE COMMUNITY, PROVIDING ACCESS TO LOW INCOME PERSONS IN THE SERVICE AREA. ADDITIONALLY TELE-COUNSELING SERVICES ARE PROVIDED AND CONTINUED IN 2022 WHICH ALLOWED OUR OUTREACH COUNSELING CENTER TO PROVIDE COUNSELING SERVICES FOR LOW-INCOME AND UN-INSURED PERSON IN OUR REGION AND PROVIDES ACCESS TO THOSE FACING BARRIERS SUCH AS TRANSPORTATION. IN 2022 WE EXPANDED OUR COUNSELING CENTER TO INCLUDE AN INTERNSHIP PROGRAM WHICH ALLOWS US TO PROVIDE MORE SERVICES TO THE COMMUNITITES WE SERVE. IN 2022 OUR CARE COORDINATION COMMUNITY-BASED TEAMS EXPANDED A TEAM DEDICATED SOLELY TO MENTAL HEALTH OUTREACH. WE ALSO CONTINUE TO PARTNER WITH LOCAL NON-PROFITS AND IN 2022 WHO ARE ALSO FOCUSING ON A MENTAL HEALTH, WE PROVIDED SUPPORT AND EDUCATION TO THE LUBBOCK YWCA STAFF REGARDING IN 2022. COVENANT ALSO PARTICIPATES IN A REGIONAL-WIDE MENTAL HEALTH COLLABORATIVE- WEST TEXAS MENTAL HEALTH COLLABORATIVE WHICH PROVIDES SUPPORT TO THE ENTIRE TEXAS SERVICE AREA. THROUGH THIS COLLABORATIVE WE HAVE SUPPORTED THE CREATION OF A NEW DIVERSION CENTER WHICH WILL BE CONSTRUCTED IN 2023-2024 AND WE HAVE ALSO BROUGHT MENTAL HEALTH CONFERENCES TO THE REGION. SAFE, AFFORDABLE, STABLE HOUSING AND PERMANENT SUPPORTIVE HOUSING SOLUTIONS PRIORITY 2: SAFE, AFFORDABLE, STABLE HOUSING AND PERMANENT SUPPORTIVE HOUSING SOLUTIONS FOR PEOPLE EXPERIENCING CHRONIC HOMELESSNESS COVENANT SUPPORTS OUR LOCAL NON-PROFITS WITH BOTH FUNDING AND IN-KIND SUPPORT. IN 2021 LUBBOCK, COVENANT HEALTH SUPPORTED OPEN DOOR, A LOCAL NONPROFIT ORGANIZATION WORKING TO CULTIVATE COMMUNITY AND OPPORTUNITY FOR PEOPLE ACROSS THE REGION EXPERIENCING HOMELESSNESS AND POVERTY. ALL COVENANT SERVICE AREAS ARE SUPPORTED BY OPEN DOOR. USING A COMMUNITY-BASED MODEL, THE OPEN DOOR TEAM CREATES A WELCOMING AND SUPPORTIVE ENVIRONMENT FOR PEOPLE TO ACCESS SELF-CARE, HYGIENE AND FIRST AID SERVICES. IN 2021, COVENANT HEALTH PROVIDED AN $88,000 COMMUNITY BENEFIT WELLNESS GRANT TO OPEN DOOR TO SUPPORT ITS PERMANENT SUPPORTIVE HOUSING PROGRAM AND COMMUNITY CENTER. THE PERMANENT SUPPORTIVE HOUSING PROGRAM PRIORITIZES HOUSING FIRST, IN TANDEM WITH WRAP-AROUND SERVICES THAT MEET BASIC HUMAN AND SOCIAL NEEDS. THIS PROGRAM HELPS PEOPLE GET ON THEIR FEET SO THEY ARE BETTER PREPARED TO REACH THEIR EMPLOYMENT AND EDUCATION GOALS. THE PERMANENT SUPPORTIVE HOUSING PROGRAM SERVED 85 INDIVIDUALS IN 2021. IN 2021, THE PERMANENT SUPPORTIVE HOUSING PROGRAM OPERATED BY OPEN DOOR IN LUBBOCK, TEXAS, SERVED 85 INDIVIDUALS. COVENANT HEALTH SUPPORTED THIS PARTNER WITH AN $88,000 COMMUNITY BENEFIT WELLNESS GRANT. IN 2022, WE CONTINUED TO SUPPORT AND COLLABORATE WITH OPEN DOOR AND LUBBOCK IMPACT THROUGH PROVIDING IN-KIND SERVICES TO THE HOMELESS COMMUNITY. OUR NAVIGATION TEAM ASSISTED WITH COORDINATING SERVICES FOR HOMELESS AND HOUSING UNSTABLE INDIVIDUALS. IN 2022, WE PROVIDED VOLUNTEERS TO SUPPORT HABITAT FOR HUMANITY'S BLITZ BUILD TO BUILD. WE ALSO CONTINUED TO WORK WITH BUILT FOR ZERO AND TO PARTICIPATE IN AND SUPPORT THE LUBBOCK HOMELESS CONSORTIUM. ADDITIONALLY, WE PROVIDED DENTAL SERVICES TO HOUSING UNSTABLE AND HOMELESS INDIVIDUALS IN OUR OUTREACH DENTAL CLINICS IN PLAINVIEW AND LUBBOCK AND THROUGH A COLLABORATION WITH LUBBOCK IMPACT. | Desc |
| Total Program Service Expenses | $76,054,980 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 24 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 518 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JIM MARTIN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4255253985 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 LIND AVE SW | AddressLine1Txt |
| City | RENTON | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98057 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JAMES KELLY | |||||||||
| FRMR OFF. - VP SENIOR CORP COUNSEL | 0.00 | 55.00 | Yes (X) | $0 | $604,046 | $83,353 | |||
| JOSHUA ROLLINS | |||||||||
| BOARD MEMBER | 0.50 | 49.50 | $0 | $521,097 | $52,362 | Yes (X) | |||
| CLAY TAYLOR | |||||||||
| FRMR OFF - CHILDREN'S COO | 0.00 | 55.00 | Yes (X) | $0 | $337,524 | $53,153 | |||
| CASSIE MOGG | |||||||||
| BOARD MEMBER/CEO | 55.00 | 0.00 | $255,769 | $0 | $33,732 | Yes (X) | Yes (X) | ||
| LINDZI TIMBERLAKE | |||||||||
| SECRETARY | 0.50 | 49.50 | $0 | $225,368 | $22,300 | Yes (X) | |||
| ROBIN STANFIELD | |||||||||
| NURSE PRACTITIONER | 50.00 | 0.00 | $209,972 | $0 | $37,607 | Yes (X) | |||
| LESLIE HACKETT | |||||||||
| DIR, NURSING | 50.00 | 0.00 | $204,871 | $0 | $37,155 | Yes (X) | |||
| JENNIFER BRYAN | |||||||||
| CFO | 18.00 | 37.00 | $0 | $198,050 | $27,006 | Yes (X) | |||
| JESSICA ELKINS | |||||||||
| NURSE PRACTITIONER | 50.00 | 0.00 | $181,173 | $0 | $30,589 | Yes (X) | |||
| CARL SCALES | |||||||||
| NURSE PRACTITIONER | 50.00 | 0.00 | $176,959 | $0 | $30,817 | Yes (X) | |||
| KIMBERLY ERPELDING | |||||||||
| SR ECHOCARDIOGRAM TECHNOLOGIST | 50.00 | 0.00 | $157,509 | $0 | $27,882 | Yes (X) | |||
| BARBARA KISER | |||||||||
| BOARD MEMBER/CHAIR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| CHRIS WILLIAMS | |||||||||
| BOARD MEMBER | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| HT SANCHEZ | |||||||||
| BOARD MEMBER | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| JOHN TYE | |||||||||
| BOARD MEMBER | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| LAURA BRANDENBURG | |||||||||
| BOARD MEMBER | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| LUKE MARTIN | |||||||||
| BOARD MEMBER | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| RANDY KAUFMAN | |||||||||
| BOARD MEMBER | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| REBEKA BERNAL | |||||||||
| BOARD MEMBER | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| REGAN MANNING | |||||||||
| BOARD MEMBER | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| TYKE DIPPERY | |||||||||
| BOARD MEMBER | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,186,253 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,886,085 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $435,956 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 29 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NORTHSTAR ANESTHESIA PA | |||||
| 6225 N STATE HIGHWAY 161 STE 200 | IRVING | TX | 75038 | MEDICAL SERVICES | $420,578 |
| AMN LOS ANGELES AMN SHIFTWISE | |||||
| 12400 HIGH BLUFF DR | SAN DIEGO | CA | 92130 | STAFFING SERVICES | $335,327 |
| CASS INFORMATION SYSTEMS INC | |||||
| 12444 POWERSCOURT DR 550 | ST LOUIS | MO | 63131 | TECHNOLOGY SERVICES | $222,119 |
| SOUND PHYSICIANS OF CALIFORNIA | |||||
| PO BOX 742936 | LOS ANGELES | CA | 90074 | MEDICAL SERVICES | $200,017 |
| INTEGRITY X-RAY COMPANY | |||||
| 4001 MOCKINGBIRD LN | AMARILLO | TX | 79109 | MEDICAL SERVICES | $165,900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $167,313 | RelatedOrganizationsAmt |
| Government Grants | $1,159,557 | GovernmentGrantsAmt |
| All Other Contributions | $456,879 | AllOtherContributionsAmt |
| Total Contributions | $1,783,749 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $64,824,249 | $64,824,249 |
| PHARMACY REVENUE | 456110 | $939,131 | $939,131 |
| MOB RENTAL REVENUE | 900099 | $203,046 | $203,046 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $65,966,426 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $100,809 | TotalRevenueColumnAmt |
| Exclusion | $100,809 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| REBATES & REFUNDS | 900099 | $37,015 | $37,015 |
| INTERAFFILIATE REVENUE | 900099 | $1,930 | $1,930 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $38,945 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,889,929 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $66,005,371 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $100,809 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,701 | TotalAmt |
| Program Services | $8,701 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $289,500 | TotalAmt |
| Program Services | $275,025 | ProgramServicesAmt |
| Management And General | $14,475 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,695,161 | TotalAmt |
| Program Services | $18,710,403 | ProgramServicesAmt |
| Management And General | $984,758 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,225 | TotalAmt |
| Program Services | $346,014 | ProgramServicesAmt |
| Management And General | $18,211 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,216 | TotalAmt |
| Program Services | $135,105 | ProgramServicesAmt |
| Management And General | $7,111 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,425,349 | TotalAmt |
| Program Services | $1,354,082 | ProgramServicesAmt |
| Management And General | $71,267 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,041,881 | TotalAmt |
| Program Services | $2,889,787 | ProgramServicesAmt |
| Management And General | $152,094 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,234,156 | TotalAmt |
| Program Services | $15,422,448 | ProgramServicesAmt |
| Management And General | $811,708 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,079 | TotalAmt |
| Program Services | $211,925 | ProgramServicesAmt |
| Management And General | $11,154 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,400,304 | TotalAmt |
| Program Services | $1,330,289 | ProgramServicesAmt |
| Management And General | $70,015 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,663,176 | TotalAmt |
| Program Services | $1,580,017 | ProgramServicesAmt |
| Management And General | $83,159 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,733 | TotalAmt |
| Program Services | $16,846 | ProgramServicesAmt |
| Management And General | $887 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,460 | TotalAmt |
| Program Services | $10,887 | ProgramServicesAmt |
| Management And General | $573 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80 | TotalAmt |
| Program Services | $76 | ProgramServicesAmt |
| Management And General | $4 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,632,804 | TotalAmt |
| Program Services | $2,501,164 | ProgramServicesAmt |
| Management And General | $131,640 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SYSTEM COST ALLOCATION | $21,171,526 | $20,112,950 | $1,058,576 |
| MEDICAL SUPPLIES | $7,747,020 | $7,747,020 | |
| HOSPITAL FEE | $2,721,243 | $2,721,243 | |
| DUES & SUBSCRIPTIONS | $150,104 | $142,599 | $7,505 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $566,737 | TotalAmt |
| Program Services | $538,399 | ProgramServicesAmt |
| Management And General | $28,338 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,506,455 | TotalAmt |
| Program Services | $76,054,980 | ProgramServicesAmt |
| Management And General | $3,451,475 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,572,952 | BOYAmt |
| EOY | $38,889,834 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,520,574 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,163,365 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $577,318 | BOYAmt |
| EOY | $522,183 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $61,300,409 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $26,515,443 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,974,498 | BOYAmt |
| EOY | $34,784,966 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,819,983 | BOYAmt |
| EOY | $5,553,946 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,628,690 | BOYAmt |
| EOY | $79,750,929 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,568,038 | BOYAmt |
| EOY | $7,454,832 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,459,557 | BOYAmt |
| EOY | $296,800 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,612,404 | BOYAmt |
| EOY | $7,455,607 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,639,999 | BOYAmt |
| EOY | $15,207,239 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,988,691 | BOYAmt |
| EOY | $64,543,690 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,988,691 | BOYAmt |
| EOY | $64,543,690 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,628,690 | BOYAmt |
| EOY | $79,750,929 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$11,616,526 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $21,171,525 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $804 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $804 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS FOR LOBBYING ACTIVITIES THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION ALLOCATED TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,435,188 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,112,132 | DepreciationAmt |
| Book Value | $19,323,056 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,964,811 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,757,311 | DepreciationAmt |
| Book Value | $207,500 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,497,934 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,646,000 | DepreciationAmt |
| Book Value | $5,851,934 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,402,476 | OtherCostOrOtherBasisAmt |
| Book Value | $9,402,476 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $34,784,966 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM THIRD PARTY | $2,977,647 |
| RIGHT OF USE OPERATING LEASES | $2,576,249 |
| DUE FROM AFFILIATES | $50 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,553,946 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY | $6,028,742 |
| CAPITAL LEASE OBLIGATIONS | $1,426,865 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,455,607 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 175.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,300,309 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,300,309 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06670 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,643,123 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,655,018 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $704,760 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $116,904 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $587,856 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00740 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,648,192 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,771,922 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,888,165 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07410 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $85,795 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $85,795 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,229 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,229 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,741 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,741 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $119,765 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $119,765 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,767,957 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,771,922 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,007,930 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07560 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $19,829,157 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $29,799,578 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,970,421 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METHODIST HOSPITAL PLAINVIEW | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2061 DIMMITT ROAD | AddressLine1Txt |
| City | PLAINVIEW | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 790721833 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.COVENANTHEALTH.ORG/PLAINVIEW | WebsiteAddressTxt |
| State License | 146 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METHODIST HOSPITAL PLAINVIEW | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCHEDULE H, PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SCHEDULE H, PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 175.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 3E | THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. |
| PART V, SECTION B, LINE 5 | TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, COVENANT HEALTH LUBBOCK HOSPITALS IN PARTNERSHIP WITH COVENANT HEALTH LEVELLAND AND COVENANT HEALTH PLAINVIEW, HELD TEN STAKEHOLDER FOCUS GROUPS IN WHICH NONPROFIT AND GOVERNMENT STAKEHOLDERS, AS WELL AS PUBLIC HEALTH EXPERTS, DISCUSSED THE ISSUES AND OPPORTUNITIES OF THE PEOPLE, NEIGHBORHOODS, AND CITIES OF THE SERVICE AREA. STAKEHOLDERS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WHO HAVE LOW INCOMES, HAVE CHRONIC CONDITIONS, AND/OR ARE MEDICALLY UNDERSERVED. ADDITIONALLY, COMMUNITY MEMBERS WHO UTILIZE OUTREACH SERVICES COMPLETED JUST UNDER ONE HUNDRED COMMUNITY SURVEYS. BELOW IS A HIGH-LEVEL SUMMARY OF THE FINDINGS FROM THESE SESSIONS; FULL DETAILS ON THE PROTOCOLS AND METHODOLOGY ARE AVAILABLE IN APPENDIX 3 OF THE CHNA WHICH IS AVAILABLE ONLINE ON COVENANT HEALTH'S WEBSITE.FINDINGS FROM PLAINVIEW STAKEHOLDER LISTENING SESSIONS (HALE COUNTY) STAKEHOLDERS WERE ASKED TO SPEAK TO THE UNMET HEALTH-RELATED NEEDS IN THE PLAINVIEW COMMUNITY. FULL DETAILS ON THE PARTICIPANTS AND FINDINGS FROM THE PLAINVIEW LISTENING SESSIONS ARE AVAILABLE IN APPENDIX 3B.UNMET HEALTH-RELATED NEEDS: ACROSS THE BOARD, STAKEHOLDERS WERE MOST CONCERNED ABOUT THE FOLLOWING HEALTH-RELATED NEEDS:1. ACCESS TO HEALTH CARE SERVICES 2. FOOD INSECURITY, INCLUDING OBESITY AND NUTRITION 3. ECONOMIC INSECURITY AND WORKFORCE 4. HOMELESSNESS/ LACK OF SAFE, AFFORDABLE HOUSING 5. MENTAL HEALTH CHALLENGES AND ACCESS TO MENTAL HEALTH CARE |
| PART V, SECTION B, LINE 6A | THE NEEDS ASSESSMENT WAS CONDUCTED AS A COLLABORATIVE EFFORT BETWEEN THE FOLLOWING COVENANT HEALTH ENTITIES: COVENANT HEALTH MEDICAL CENTER, GRACE, COVENANT HEALTH CHILDREN'S, COVENANT HEALTH PLAINVIEW, COVENANT HEALTH LEVELLAND AND COVENANT SPECIALTY HOSPITAL (JOINT VENTURE). THESE FACILITIES ARE REFERRED TO COLLECTIVELY AS COVENANT HEALTH AND ALL SERVE THE SAME GEOGRAPHIC SERVICE AREA OF WEST TEXAS AND EASTERN NEW MEXICO. |
| PART V, SECTION B, LINE 7A | CHNA WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSUNDER TEXAS |
| PART V, SECTION B, LINE 10A | IMPLEMENTATION STRATEGY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSUNDER TEXAS |
| PART V, SECTION B, LINE 11 | COVENANT HEALTH IS WORKING BOTH INTERNALLY AND WITH COMMUNITY PARTNERS TO ADDRESS SIGNIFICANT HEALTH NEEDS IDENTIFY BY THE COMMUNITY HEALTH NEEDS ASSESSMENT. COVENANT HEALTH'S FY21-23 COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORT FOCUSES ON THE FOLLOWING PRIORITY AREAS: 2022 PRIORITY NEEDS RANKED SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS: PRIORITY 1: MENTAL AND BEHAVIORAL HEALTH MENTAL AND BEHAVIORAL HEALTH TREATMENT, INTERVENTION AND PREVENTION SERVICES FOR THE COMMUNITY, INCLUDING RELATED ISSUES SUCH AS SUBSTANCE USE.2022 ACCOMPLISHMENTS: DURING 2020 COVENANT HEALTH OPENED A COMMUNITY RESOURCE CENTER WITHIN THE LUBBOCK YWCA BUILDING WITH EXPANDED SERVICES CONTINUING INTO 2022. THIS CENTER CONTINUES TO EXPAND ACCESS TO MENTAL HEALTH COUNSELING SERVICES FOR LOW-INCOME AND UN-INSURED. COVENANT HEALTH RUNS A COMMUNITY COUNSELING CENTER WHICH IS AN OUTREACH COUNSELING CLINIC RUN AND FUNDED BY COVENANT HEALTH. THIS IS A COUNSELING CENTER FOR THE COMMUNITY, PROVIDING ACCESS TO LOW INCOME PERSONS IN THE SERVICE AREA. ADDITIONALLY TELE-COUNSELING SERVICES ARE PROVIDED AND CONTINUED IN 2022 WHICH ALLOWED OUR OUTREACH COUNSELING CENTER TO PROVIDE COUNSELING SERVICES FOR LOW-INCOME AND UN-INSURED PERSON IN OUR REGION AND PROVIDES ACCESS TO THOSE FACING BARRIERS SUCH AS TRANSPORTATION. IN 2022 WE EXPANDED OUR COUNSELING CENTER TO INCLUDE AN INTERNSHIP PROGRAM WHICH ALLOWS US TO PROVIDE MORE SERVICES TO THE COMMUNITIES WE SERVE. IN 2022 OUR CARE COORDINATION COMMUNITY-BASED TEAMS EXPANDED A TEAM DEDICATED SOLELY TO MENTAL HEALTH OUTREACH. WE ALSO CONTINUE TO PARTNER WITH LOCAL NON-PROFITS AND IN 2022 WHO ARE ALSO FOCUSING ON A MENTAL HEALTH, WE PROVIDED SUPPORT AND EDUCATION TO THE LUBBOCK YWCA STAFF REGARDING IN 2022. COVENANT ALSO PARTICIPATES IN A REGIONAL-WIDE MENTAL HEALTH COLLABORATIVE- WEST TEXAS MENTAL HEALTH COLLABORATIVE WHICH PROVIDES SUPPORT TO THE ENTIRE TEXAS SERVICE AREA. THROUGH THIS COLLABORATIVE WE HAVE SUPPORTED THE CREATION OF A NEW DIVERSION CENTER WHICH WILL BE CONSTRUCTED IN 2023-2024 AND WE HAVE ALSO BROUGHT MENTAL HEALTH CONFERENCES TO THE REGION. PRIORITY 2: ACCESS TO HEALTH SERVICES ACCESS TO HEALTH SERVICES INCLUDING BUT NOT LIMITED TO PREVENTION, MENTAL HEALTH, ORAL HEALTH, PRESCRIPTION ASSISTANCE, HEALTH/COMMUNITY NAVIGATION, TRANSPORTATION AND HEALTH EDUCATION/PREVENTION SERVICES.2022 ACCOMPLISHMENTS: CONTINUED EXPANSION COMMUNITY CARE COORDINATION SERVICES TO CONNECT VULNERABLE PERSONS TO MEDICAL HOMES, MENTAL HEALTH CARE AND PRESCRIPTION PROGRAMS; IN 2022 A FIXED SITE DENTAL OUTREACH CLINIC IN HALE COUNTY WAS CONTINUED AND RECEIVED A GRANT TO PROVIDE DENTURES TO HALE COUNTY RESIDENTS IN NEED; COVENANT PROVIDED IN-KIND STAFF SUPPORT TO PRESCRIPTION ASSISTANCE AND UTILITY ASSISTANCE PROGRAMS WITH CATHOLIC CHARITIES; COVENANT PROVIDED AN IN-KIND DIABETIC EDUCATOR TO WORK ON-SITE AT CATHOLIC CHARITIES AND LUBBOCK CHILDRENS HEALTH CLINIC; DIABETES SPECIFIC OUTREACH WAS DESIGNED TO MEET THE NEEDS OF HISTORICALLY UNDERSERVED POPULATIONS AND WITH A HEALTH EQUITY FOCUS TO EXPAND ACCESS TO BOTH PRE-DIABETIC AND DIABETIC POPULATIONS IN THE COMMUNITIES WE SERVE; OUR POPULATION HEALTH TEAMS CONTINUED TO ENGAGE IN OUTREACH TO UN-FUNDED COMMUNITY MEMEBERS TO PROVIDE FREE NAVIGATION SERVICES TO CONNECT VULNERABLE PERSONS TO BOTH HEALTH AND COMMUNITY RESOURCES; COVENANT HELD A FREE COMMUNITY RESOURCE AND SCREENING HEALTH FAIR, COVENANT ALSO HELD A FREE COLON SCREENING EVENT FOR UN-FUNDED INDIVIDUALS IN OUR COMMUNITIES; PROVIDED DENTAL SERVICES TO VULNERABLE POPULATIONS THROUGH COVENANT DENTAL OUTREACH CLINICS.PRIORITY 3: HOUSING INSECURITY/HOMELESSNESS SAFE, AFFORDABLE, STABLE HOUSING AND PERMANENT SUPPORTIVE HOUSING SOLUTIONS FOR PEOPLE EXPERIENCING CHRONIC HOMELESSNESS.2022 ACCOMPLISHMENTS: GRANT FUNDING WHICH WAS PROVIDED IN 2021 HELPED SUPPORT OPEN DOOR FOR EXPANSION OF PERMANENT SUPPORTIVE HOUSING PROGRAM; IN 2022 WE CONTINUED TO CONNECT COVENANT CARE COORDINATION/NAVIGATION, COUNSELING AND HEALTH EDUCATION SERVICES TO NON-PROFITS ADDRESSING HOUSING AND HOMELESSNESS TO BETTER PROVIDE WRAP AROUND SERVICES; PROVIDED CAREGIVERS TO VOLUNTEER AT HOUSING OUTREACH NON-PROFITS AND ALSO WITH HABITAT FOR HUMANITY; PROVIDED SUPPORT TO NON-PROFITS ADDRESSING SOCIAL DETERMINANTS OF HEALTH INCLUDING HOUSING; IN 2022, WE PROVIDED VOLUNTEERS TO SUPPORT HABITAT FOR HUMANITY'S BLITZ BUILD TO BUILD. WE ALSO CONTINUED TO WORK WITH BUILT FOR ZERO AND TO PARTICIPATE IN AND SUPPORT THE LUBBOCK HOMELESS CONSORTIUM. ADDITIONALLY, WE PROVIDED DENTAL SERVICES TO HOUSING UNSTABLE AND HOMELESS INDIVIDUALS IN OUR OUTREACH DENTAL CLINICS IN PLAINVIEW AND LUBBOCK AND THROUGH A COLLABORATION WITH LUBBOCK IMPACT. PRIORITY 4: FOOD INSECURITY AND NUTRITION ACCESS TO HEALTHY FOOD, NUTRITION EDUCATION, AND HEALTHY LIFESTYLE SUPPORT 2022 ACCOMPLISHMENTS: SCREENED FOR FOOD INSECURITY WITHIN COMMUNITY CARE COORDINATION PROGRAM AND CONNECTED INDIVIDUALS IN NEED WITH FOOD ASSISTANCE AND SNAP ENROLLMENT ASSISTANCE; PROVIDED FREE HEALTH AND NUTRITION EDUCATION SERVICES THROUGH COVENANT HEALTH EDUCATION OUTREACH; PROVIDED TELE-HEALTH EDUCATION TO THOSE IN NEED; CONDUCTED FREE COMMUNITY COOKING CLASSES AND EDUCATION SESSIONS HELD AT LOCAL NON-PROFITS; COLLABORATED WITH THE HEALTH EQUITY DIABETES OUTREACH PROGRAM TO EXPAND ACCESS TO HEALTH EDUCATION FOR HISTORICALLY UNDERSERVED POPULATIONS; FEATURED SOUTH PLAINS FOODBANK AT SUMMER HEALTH FAIR.POTENTIAL RESOURCES AVAILABLE TO ADDRESS SIGNIFICANT HEALTH NEEDS UNDERSTANDING THE POTENTIAL RESOURCES TO ADDRESS SIGNIFICANT HEALTH NEEDS IS FUNDAMENTAL TO DETERMINING CURRENT STATE CAPACITY AND GAPS. THE ORGANIZED HEALTH CARE DELIVERY SYSTEMS INCLUDE THE LOCAL HEALTH DEPARTMENTS, SEVERAL FEDERALLY QUALIFIED HEALTH CENTERS, COVENANT HEALTH HOSPITALS AND CLINICS, TEXAS TECH HEALTH SCIENCES CENTER, STARCARE, AND UNIVERSITY MEDICAL CENTER. WITHIN COVENANT HEALTH, DIRECT OUTREACH PROGRAMS ARE DESIGNATED TO ADDRESS COMMUNITY NEEDS. IN ADDITION, THERE ARE NUMEROUS SOCIAL SERVICE NON-PROFIT AGENCIES, FAITH-BASED ORGANIZATIONS, AND PRIVATE AND PUBLIC-SCHOOL SYSTEMS THAT CONTRIBUTE RESOURCES TO ADDRESS THESE IDENTIFIED NEEDS. FOR A LIST OF POTENTIALLY AVAILABLE RESOURCES AVAILABLE TO ADDRESS SIGNIFICANT HEALTH NEEDS SEE APPENDIX 5 OF THE CHNA. FOR MORE INFORMATION ON THE KEY STRATEGIES FOR ADDRESSING THIS HEALTH NEEDS GO TO THE COVENANT HEALTH FY21-23 CB PLAN LOCATED AVAILABLE ONLINE AT: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTS UNDER TEXAS NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUING OUR MISSION THROUGH PROVIDING WELLNESS AND PREVENTION COMMUNITY GRANTS AND SPONSORSHIPS/DONATIONS TO NON-PROFITS ADDRESSING IDENTIFIED NEEDS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESS AND AN EXPLANATION IS PROVIDED BELOW: ECONOMIC INSECURITY, ACCESS TO COMMUNITY RESOURCES, WORKFORCE ISSUES, AND TRANSPORTATION THESE NEEDS WILL BE INDIRECTLY ADDRESSED THROUGH OUTREACH EFFORTS AND INTERNAL PROGRAMMING; HOWEVER, COVENANT HEALTH DID NOT SELECT THESE AS PRIORITY FOCUS AREAS. COVENANT HEALTH WORKS CLOSELY WITH THE NON-PROFITS COMMUNITY, AGENCIES AND ORGANIZATIONS THAT PROVIDE MORE DIRECT OUTREACH AND HAVE THE RESOURCES AND EXPERTISE TO LEAD INITIATIVES TO ADDRESS THESE NEEDS. IN ADDITION, COVENANT HEALTH WILL COLLABORATE WITH CASA OF THE SOUTH PLAINS, CATHOLIC CHARITIES, THE DREAM CENTER, THE YWCA, SOUTH PLAINS COMMUNITY ACTION, LOCAL FQHCS AND OTHER LOCAL NON-PROFITS THAT ADDRESS THE AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS THESE UNMET NEEDS. |
| SCHEDULE H, PART V, SECTION B, LINE 13A | METHODIST HOSPITAL PLAINVIEW 100% DISCOUNT WAS UP TO 175% FPL AND 75% DISCOUNT BETWEEN 176% TO 300% FPL. |
| PART V, SECTION B, LINE 13H | THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDER-INSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE. |
| PART V, SECTION B, LINE 16A | THE FAP IS MADE WIDELY AVAILABLE AT:HTTPS://WWW.PROVIDENCE.ORG/OBP/COVENANT/TX/FINANCIAL-ASSISTANCE |
| PART V, SECTION B, LINE 16B | THE FAP APPLICATION FORM IS MADE WIDELY AVAILABLE AT:HTTPS://WWW.PROVIDENCE.ORG/OBP/COVENANT/TX/FINANCIAL-ASSISTANCE |
| PART V, SECTION B, LINE 16C | THE FAP PLAIN LANGUAGE SUMMARY IS MADE WIDELY AVAILABLE AT:HTTPS://WWW.PROVIDENCE.ORG/OBP/COVENANT/TX/FINANCIAL-ASSISTANCE |
| PART V, SECTION B, LINE 22A AND 22D | PRIOR TO 3/5/2022 METHODIST HOSPITAL PLAINVIEW USED THE PROSPECTIVE MEDICARE OR MEDICAID AGB METHOD.3/5/2022 METHODIST HOSPITAL PLAINVIEW WENT LIVE ON EPIC AND MOVED TO THE LOOK BACK METHOD BASED ON CLAIMS ALLOWED BY MEDICARE FEE FOR SERVICE AND ALL PRIVATE HEALTH INSURERS THAT PAY CLAIMS TO THE HOSPITAL FACILITY DURING A PRIOR 12 MONTH PERIOD. |
| PART V, SECTION B, LINE 24 | FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - COVENANT FAMILY MEDICAL CLINIC | ||||
| 1208 N I27 | PLAINVIEW | TX | 790723937 | PRIMARY CARE |
| 2 - COVENANT HEALTHCARE CENTER PLAINVIEW | ||||
| 2222 W 24TH ST | PLAINVIEW | TX | 790721802 | PRIMARY CARE |
| 3 - COVENANT PLAINVIEW MEDICAL CLINIC | ||||
| 2606 YONKERS ST | PLAINVIEW | TX | 790721851 | PRIMARY CARE |
| 4 - COVENANT WEST TEXAS FAMILY MEDICINE | ||||
| 1806 QUINCY ST | PLAINVIEW | TX | 790724206 | SPECIALTY CLINIC |
| 5 - COVENANT W TX FAMILY MED OF FLOYDADA | ||||
| 901 W CROCKETT ST | FLOYDADA | TX | 792353609 | SPECIALTY CLINIC |
| 6 - COVENANT W TX FAMILY MED OF HALE CTR | ||||
| 315 W CLEVELAND ST | HALE CENTER | TX | 790419476 | PRIMARY CARE |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | CRITERIA USED TO DETERMINE ELIGIBILITY FOR PROVIDING FREE CARE IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS. |
| PART I, LINE 6A: | COVENANT HEALTH PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/TEXAS |
| PART I, LINE 7: | THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER. |
| PART III, LINE 4: | AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019. |
| PART III, LINE 8: | THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. |
| PART III, LINE 9B: | OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. COVENANT HEALTH DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. |
| PART VI, LINE 2: | NEEDS ASSESSMENTCOVENANT HEALTH AS PART OF ITS STRATEGIC PLANNING PROCESS DEVELOPS A FIVE-YEAR STRATEGIC PLAN WHICH ESTABLISHES A VISION FOR THE ORGANIZATION WHILE SETTING A GUIDE FOR THE ANNUAL STRATEGIC PLAN. AS PART OF THE PLANNING PROCESS, WE ANALYZE EXTERNAL MARKET INFORMATION (INCLUDING BUT NOT LIMITED TO POPULATION ESTIMATES, DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION, REGIONAL USE RATES AND MARKET UTILIZATION TREND ANALYSES) AND INTERNAL INFORMATION (INCLUDING BUT NOT LIMITED TO INPATIENT, OUTPATIENT/SAME DAY, AND EMERGENCY VISIT DATA BY PATIENT ORIGIN, BY AGE COHORTS, BY RACE AND ETHNICITY AND INCOME STRATA) TO BETTER UNDERSTAND THE NEEDS OF OUR PATIENTS AND COMMUNITY. THIS WORK IS USED TO DEVELOP SERVICE AND PHYSICIAN/PROVIDER NEED PROJECTIONS TO DETERMINE GAPS IN OUR COMMUNITY. AS A FAITH-BASED PROVIDER THIS INFORMATION ALSO IS USED TO DETERMINE NEEDS FOR THE UNDERSERVED AND VULNERABLE IN OUR COMMUNITY AND REGION. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS. WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS. |
| PART VI, LINE 4: | DESCRIPTION OF COMMUNITY SERVED COVENANT HEALTH PROVIDES WEST TEXAS AND EASTERN NEW MEXICO COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE CHNA SERVICE AREA, INCLUDING LUBBOCK, HOCKLEY, AND HALE COUNTIES, IS HOME TO APPROXIMATELY 379,000 PEOPLE.THE SERVICE AREA FOR COVENANT MEDICAL CENTER, COVENANT CHILDREN'S HOSPITAL, COVENANT SPECIALTY HOSPITAL, AND GRACE HOSPITAL IS THE ENTIRETY OF LUBBOCK COUNTY. COVENANT LEVELLAND SERVES HOCKLEY COUNTY, AND COVENANT PLAINVIEW SERVES HALE COUNTY. DUE TO THE LEVEL OF CARE PROVIDED AT THESE SIX HOSPITALS, COVENANT HOSPITALS SEE PATIENTS FROM SURROUNDING COUNTIES, ALTHOUGH FOR THE PURPOSES OF THIS CHNA, THE TOTAL SERVICE AREAS WILL INCLUDE LUBBOCK, HOCKLEY, AND HALE COUNTIES. DATA COLLECTED IN THIS CHNA FOCUS ON THESE THREE COUNTIES, WHICH ARE WITHIN A GEOGRAPHIC AREA THAT IS DIRECTLY SERVED BY THE COVENANT COMMUNITY HEALTH OUTREACH PROGRAMS. SURROUNDING COUNTIES OUTSIDE OF THE CHNA SERVICE AREA WHERE PATIENTS MAY LIVE INCLUDE THE FOLLOWING: CASTRO, SWISHER, BAILY, COCHRAN, YOAKUM, GAINES, DAWSON, SCURRY, LAMB, TERRY, LYNN, GARZA, CROSBY, AND FLOYD COUNTIES IN TEXAS, AS WELL AS CURRY, ROOSEVELT, LEA, AND EDDY IN NEW MEXICO. FOR THE MOST PART, THE AGE DISTRIBUTION FOR AGE GROUPS 85+ AND UNDER 5 YEARS ARE ROUGHLY PROPORTIONAL ACROSS THE BROADER SERVICE AREA, HIGH NEED SERVICE AREA, AND THREE COUNTIES. WHILE THE BROADER AND HIGH NEED SERVICE AREAS ARE ROUGHLY PROPORTIONAL, HALE COUNTY HAS A SLIGHTLY GREATER PROPORTION OF PEOPLE UNDER 18 YEARS. PEOPLE BETWEEN 18 AND 34 ARE SUBSTANTIALLY MORE LIKELY TO LIVE IN A HIGH NEED AREA, LIKELY YOUNG FAMILIES AND THOSE IN AND AROUND COLLEGE TOWNS. THOSE AGES 35 TO 84 ARE LESS LIKELY TO LIVE IN A HIGH NEED AREA. THE POPULATION OF LUBBOCK COUNTY IS APPROXIMATELY 5 TIMES THAT OF HALE AND HOCKLEY COUNTIES COMBINED.THE HISPANIC POPULATION IS OVER-REPRESENTED IN THE HIGH NEED COMMUNITIES, REPRESENTING NEARLY 50% OF THE POPULATION IN THOSE AREAS COMPARED TO 31% IN THE BROADER SERVICE AREA. THOSE WHO IDENTIFY AS WHITE ARE LESS LIKELY TO LIVE IN HIGH NEED COMMUNITIES, WHILE THOSE WHO IDENTIFY AS "OTHER" RACE POPULATION AND AS BLACK ARE MORE LIKELY TO LIVE IN THE HIGH NEED COMMUNITIES. WHILE THE BLACK POPULATION MAKES UP NEARLY 4% OF THE BROADER SERVICE AREA, THEY MAKE UP ALMOST 11% OF THE HIGH NEED SERVICE AREA. APPROXIMATELY 60% OF THE POPULATION IN HALE COUNTY IDENTIFIES AS HISPANIC, AS DO NEARLY 50% OF THE POPULATION OF HOCKLEY COUNTY. THE MEDIAN INCOME FOR THE HIGH NEED SERVICE AREA IS LOWER THAN THAT OF ALL THREE COUNTIES AND THE STATE OF TEXAS. IT IS ALSO ABOUT HALF THE MEDIAN INCOME OF THE BROADER SERVICE AREA. CENSUS TRACTS WITH THE LOWEST MEDIAN HOUSEHOLD INCOMES ARE FOUND NEAR COVENANT MEDICAL CENTER, COVENANT CHILDRENS, GRACE MEDICAL CENTER AND COVENANT HEALTH PLAINVIEW. SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS THAT ARE SPENDING 50% OR MORE OF THEIR INCOME ON HOUSING COSTS. THE HIGH NEED SERVICE AREA HAS A HIGHER PERCENTAGE OF RENTER HOUSEHOLDS WITH SEVERE HOUSING COST BURDEN THAN EACH OF THE COUNTIES IN THE TOTAL SERVICE AREA AND THE STATE OF TEXAS.LUBBOCK COUNTY HAS THE HIGHEST PERCENTAGE OF HOUSEHOLDS THAT ARE SEVERELY HOUSING COST BURDEN WHEN COMPARED TO HALE AND HOCKLEY COUNTIES. CENSUS TRACTS AROUND COVENANT MEDICAL CENTER, COVENANT CHILDRENS, AND GRACE MEDICAL CENTER HAVE THE HIGHEST PERCENTAGE OF HOUSEHOLDS THAT ARE SEVERELY HOUSING COST BURDENED IN THE SERVICE AREA.HEALTH PROFESSIONAL SHORTAGE AREATHE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). LARGE PORTIONS OF THE COVENANT HEALTH SERVICE AREA ARE DESIGNATED AS SHORTAGE AREAS.FOR MORE INFORMATION, GO TO THE COVENANT HEALTH'S FY22 COMMUNITY BENEFIT REPORT POSTED AT HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/TEXASOTHER HOSPITALS IN SERVICE AREACOVENANT PLAINVIEW IS THE ONLY HOSPITAL IN PLAINVIEW, TX; HOSPITALS SERVING LUBBOCK COUNTY INCLUDE: UMC HEALTH SYSTEM, COVENANT MEDICAL CENTER, COVENANT SPECIALTY HOSPITAL, COVENANT CHILDREN'S HOSPITAL, COVENANT GRACE SURGICAL HOSPITAL. |
| PART VI, LINE 5: | PROMOTION OF COMMUNITY HEALTHCOVENANT HOSPITAL PLAINVIEW PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE.COVENANT HOSPITAL PLAINVIEW IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) A COMMUNITY BENEFIT COMMITTEE THAT HAS COMMUNITY REPRESENTATION AND IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES.2) OPEN MEDICAL STAFF.3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH |
| PART VI, LINE 6: | AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE 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, WAAS 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 |
| PART VI, LINE 7, REPORTS FILED WITH STATES | TX |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES KELLY | ||||||||||||||
| FRMR OFF. - VP SENIOR CORP COUNSEL | $0 | $342,441 | $0 | $172,339 | $0 | $89,266 | $0 | $68,063 | $0 | $15,290 | $0 | $687,399 | $0 | $88,487 |
| JOSHUA ROLLINS | ||||||||||||||
| BOARD MEMBER | $0 | $495,399 | $0 | $500 | $0 | $25,198 | $0 | $22,593 | $0 | $29,769 | $0 | $573,459 | $0 | $0 |
| CLAY TAYLOR | ||||||||||||||
| FRMR OFF - CHILDREN'S COO | $0 | $251,610 | $0 | $72,136 | $0 | $13,778 | $0 | $32,674 | $0 | $20,479 | $0 | $390,677 | $0 | $0 |
| CASSIE MOGG | ||||||||||||||
| BOARD MEMBER/CEO | $196,110 | $0 | $57,908 | $0 | $1,751 | $0 | $13,532 | $0 | $20,200 | $0 | $289,501 | $0 | $0 | $0 |
| LINDZI TIMBERLAKE | ||||||||||||||
| SECRETARY | $0 | $178,359 | $0 | $46,635 | $0 | $374 | $0 | $8,744 | $0 | $13,556 | $0 | $247,668 | $0 | $0 |
| ROBIN STANFIELD | ||||||||||||||
| NURSE PRACTITIONER | $124,764 | $0 | $84,913 | $0 | $295 | $0 | $15,357 | $0 | $22,250 | $0 | $247,579 | $0 | $0 | $0 |
| LESLIE HACKETT | ||||||||||||||
| DIR, NURSING | $168,114 | $0 | $34,165 | $0 | $2,592 | $0 | $19,006 | $0 | $18,149 | $0 | $242,026 | $0 | $0 | $0 |
| JENNIFER BRYAN | ||||||||||||||
| CFO | $0 | $155,580 | $0 | $41,733 | $0 | $737 | $0 | $10,518 | $0 | $16,488 | $0 | $225,056 | $0 | $0 |
| JESSICA ELKINS | ||||||||||||||
| NURSE PRACTITIONER | $115,826 | $0 | $65,347 | $0 | $0 | $0 | $7,918 | $0 | $22,671 | $0 | $211,762 | $0 | $0 | $0 |
| CARL SCALES | ||||||||||||||
| NURSE PRACTITIONER | $118,483 | $0 | $58,476 | $0 | $0 | $0 | $14,466 | $0 | $16,351 | $0 | $207,776 | $0 | $0 | $0 |
| KIMBERLY ERPELDING | ||||||||||||||
| SR ECHOCARDIOGRAM TECHNOLOGIST | $141,244 | $0 | $0 | $0 | $16,265 | $0 | $12,143 | $0 | $15,739 | $0 | $185,391 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | PROVIDENCE 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. 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 3 | DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY METHODIST HOSPITAL PLAINVIEW, HOWEVER, COMPENSATION IS ESTABLISHED BY PROVIDENCE. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. |
| PART I, LINE 4B | 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 INDIVIDUAL RECEIVED A PAYOUT DURING THE CURRENT YEAR: JAMES KELLY - $88,487 |
| PART I, LINE 7 | NON-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 (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | CLASSES OF MEMBERS OR STOCKHOLDERS COVENANT HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF COVENANT HOSPITAL PLAINVIEW. |
| FORM 990, PART VI, SECTION A, LINE 7A | CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS COVENANT HOSPITAL PLAINVIEW HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE COVENANT HOSPITAL PLAINVIEW'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE COVENANT HOSPITAL PLAINVIEW BOARD AS NOMINATIONS MUST BE APPROVED BY THE COVENANT HEALTH SYSTEM (CHS), AS THE CORPORATE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE COVENANT HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, EXEMPT PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. THE CORPORATE MEMBER, COVENANT HEALTH SYSTEM, RESERVES THE RIGHT TO APPROVE THE PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS 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 12C | PROCESS 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 15B | PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY METHODIST HOSPITAL PLAINVIEW, HOWEVER, COMPENSATION IS ESTABLISHED BY PROVIDENCE. 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 JUNE 2023. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING 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 11G | AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,608,227. MANAGEMENT AND GENERAL EXPENSES 137,277. TOTAL EXPENSES 2,745,504. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,548. MANAGEMENT AND GENERAL EXPENSES 134. TOTAL EXPENSES 2,682. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 8,226,508. MANAGEMENT AND GENERAL EXPENSES 432,974. TOTAL EXPENSES 8,659,482. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 4,046,924. MANAGEMENT AND GENERAL EXPENSES 212,995. TOTAL EXPENSES 4,259,919. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 538,241. MANAGEMENT AND GENERAL EXPENSES 28,328. TOTAL EXPENSES 566,569. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (111 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COLLABRIA CARE | |||||||||||
| 414 SOUTH JEFFERSON STREET | NAPA | CA | 94559 | 680393144 | HEALTHCARE | CA | 501(C)(3) | 10 | SJHCN | Yes (1) | |
| COVENANT ACO | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 611573313 | HEALTHCARE | TX | 501(C)(3) | 12, I | CHS | Yes (1) | |
| COVENANT CHILDREN'S PHYSICIANS GROUP | |||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 881290850 | HEALTHCARE | TX | 501(C)(3) | PENDING | CHS | Yes (1) | |
| COVENANT HEALTH NETWORK INC | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 461259908 | HEALTHCARE | CA | 501(C)(3) | 12, III | SJHS | Yes (1) | |
| COVENANT HEALTH PARTNERS | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 463516417 | HEALTHCARE | TX | 501(C)(3) | 12, I | CHS | Yes (1) | |
| COVENANT HEALTH SYSTEM | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752765566 | HEALTHCARE | TX | 501(C)(3) | 3 | SJHS | Yes (1) | |
| COVENANT HEALTH SYSTEM FOUNDATION | |||||||||||
| 3623 22ND PLACE | LUBBOCK | TX | 79410 | 752897026 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS | Yes (1) | |
| COVENANT HOME AND COMMUNITY CARE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 920275096 | HEALTHCARE | TX | 501(C)(3) | 10 | CHS | Yes (1) | |
| COVENANT HOSPITAL HOBBS | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 844273963 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (1) | |
| COVENANT MEDICAL CENTER | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 822913146 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (1) | |
| COVENANT MEDICAL GROUP | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752743883 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (1) | |
| EVERETT TRANSITIONAL CARE SERVICES | |||||||||||
| PO BOX 5128 | EVERETT | WA | 982065128 | 943264605 | TRANSITIONAL CARE | WA | 501(C)(3) | 10 | 0 | N/A | |
| GAMELIN WASHINGTON ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 201910170 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| GLOBAL TO LOCAL HEALTH INITIATIVE | |||||||||||
| 2800 SOUTH 192ND ST 104 | SEATAC | WA | 98188 | 273133200 | HEALTHCARE | WA | 501(C)(3) | 7 | SHS | Yes (1) | |
| GRACE CLINIC OF LUBBOCK | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 203856995 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (1) | |
| HMTS INC | |||||||||||
| 1 HOAG DRIVE | NEWPORT BEACH | CA | 92658 | 453583707 | HEALTHCARE | CA | 501(C)(3) | 12, I | HMHP | Yes (1) | |
| HOAG CHARITY SPORTS | |||||||||||
| 2081 BUSINESS CENTER DR STE 195 | NEWPORT BEACH | CA | 92663 | 452982422 | SUPPORT | CA | 501(C)(3) | 7 | HHF | Yes (1) | |
| HOAG CLINIC | |||||||||||
| 1 HOAG DRIVE | NEWPORT BEACH | CA | 92658 | 330676831 | HEALTHCARE | CA | 501(C)(3) | 10 | HMHP | Yes (1) | |
| HOAG HOSPITAL FOUNDATION | |||||||||||
| 330 PLACENTIA AVE | NEWPORT BEACH | CA | 92663 | 953222343 | FUNDRAISING | CA | 501(C)(3) | 7 | HMHP | Yes (1) | |
| HOAG MEMORIAL HOSPITAL PRESBYTERIAN | |||||||||||
| 1 HOAG ROAD BOX 6100 | NEWPORT BEACH | CA | 92663 | 951643327 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (1) | |
| HOSPICE OF LUBBOCK | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752133781 | HEALTHCARE | TX | 501(C)(3) | 10 | CHS | Yes (1) | |
| INSTITUTE FOR MENTAL HEALTH & WELLNESS | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 814260130 | HEALTHCARE | WA | 501(C)(3) | PF | PHS SJHS | Yes (1) | |
| INSTITUTE FOR SYSTEMS BIOLOGY | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 912003593 | HEALTHCARE | WA | 501(C)(3) | 7 | WHC | Yes (1) | |
| KADLEC AUXILIARY INC | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 916033089 | SUPPORT | WA | 501(C)(3) | 12, III | KRMC | Yes (1) | |
| KADLEC FOUNDATION | |||||||||||
| 888 SWIFT BLVD | RICHLAND | WA | 99352 | 237005501 | SUPPORT | WA | 501(C)(3) | 7 | KRMC | Yes (1) | |
| KADLEC REGIONAL MEDICAL CENTER | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 910655392 | HEALTHCARE | WA | 501(C)(3) | 3 | WHC | Yes (1) | |
| LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 330844408 | IMAGING SERVICES | CA | 501(C)(3) | 10 | PHS SOCAL | Yes (1) | |
| LUBBOCK HERITAGE HOSPITAL LLC | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 264021016 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (1) | |
| LUNDBERG ASSOCIATION PROVIDENCE HOUSE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911562797 | SUPPORT | OR | 501(C)(3) | 7 | PHS OR | Yes (1) | |
| METHODIST CHILDREN'S HOSPITAL | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752428911 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (1) | |
| METHODIST HOSPITAL LEVELLAND | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752246348 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (1) | |
| MISSION HOSPITAL REGIONAL MEDICAL CTR | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951643360 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (1) | |
| NORTHWEST HOPE & HEALING FOUNDATION | |||||||||||
| PO BOX 16069 | SEATTLE | WA | 98116 | 200799737 | SUPPORT | WA | 501(C)(3) | 12, I | SHS | Yes (1) | |
| OPEN DOOR VENTURES | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911608508 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| PACMED CLINICS | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 562290878 | HEALTHCARE | WA | 501(C)(3) | 10 | WHC | Yes (1) | |
| PH&S FOUNDATIONSFVSA & SCVSA | |||||||||||
| 501 SOUTH BUENA VISTA STREET | BURBANK | CA | 915054809 | 953544877 | HEALTHCARE | CA | 501(C)(3) | 7 | PHS SOCAL | Yes (1) | |
| PROVIDENCE ALASKA FOUNDATION | |||||||||||
| 3760 PIPER STREET SUITE 2021 | ANCHORAGE | AK | 99508 | 920093565 | HEALTHCARE | AK | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION | |||||||||||
| 540 SOUTH MAIN ST | MT ANGEL | OR | 97362 | 911940286 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE BLANCHET ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911789266 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE CHILDREN'S HEALTH FOUNDATION | |||||||||||
| 4805 NE GLISAN ST STE 2N35 | PORTLAND | OR | 97213 | 930800140 | SUPPORT | OR | 501(C)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE COMMUNITY HEALTH FOUNDATION | |||||||||||
| 940 ROYAL AVE SUITE 410 | MEDFORD | OR | 97504 | 930692907 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE DETHMAN HOUSE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 473385506 | SUPPORT | WA | 501(C)(3) | 7 | 0 | N/A | |
| PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN) | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 954322584 | SUPPORT | CA | 501(C)(3) | 7 | PHS SOCAL | Yes (1) | |
| PROVIDENCE GAMELIN HOUSE ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 311744654 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911549796 | HEALTHCARE | WA | 501(C)(3) | 12, II | PSJH | 0 | |
| PROVIDENCE HEALTH & SERVICES - MONTANA | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 810231793 | HEALTHCARE | MT | 501(C)(3) | 3 | PHS WA | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES - OREGON | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 510216587 | HEALTHCARE | OR | 501(C)(3) | 3 | PHS | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 510216586 | HEALTHCARE | WA | 501(C)(3) | 3 | PHS | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911303277 | HEALTHCARE | WA | 501(C)(3) | 3 | PMWHC | Yes (1) | |
| PROVIDENCE HEALTH ASSURANCE | |||||||||||
| 4400 NE HALSEY ST STE 609 ATTN ACCO | PORTLAND | OR | 97213 | 550828701 | MEDICAID HEALTHCARE PROVIDER | OR | 501(C)(4) | N/A | PHP | Yes (1) | |
| PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA) | |||||||||||
| 101 W 8TH AVE | SPOKANE | WA | 99204 | 320014330 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE HEALTH PLAN | |||||||||||
| 4400 NE HALSEY ST STE 609 ATTN ACCO | PORTLAND | OR | 97213 | 930863097 | HEALTHCARE | OR | 501(C)(4) | N/A | PPP | Yes (1) | |
| PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 510216589 | HEALTHCARE | CA | 501(C)(3) | 3 | PHS | Yes (1) | |
| PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 810 12TH STREET PO BOX 149 | HOOD RIVER | OR | 97031 | 930921990 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY | |||||||||||
| 1615 75TH ST SW SUITE 210 | EVERETT | WA | 98203 | 272552749 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS W WA | Yes (1) | |
| PROVIDENCE HOSPICE OF SEATTLE FOUNDATION | |||||||||||
| 2811 SOUTH 102ND NO 220 | TUKWILA | WA | 98168 | 912077378 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS W WA | Yes (1) | |
| PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION | |||||||||||
| 4101 TORRANCE BLVD | TORRANCE | CA | 90503 | 510224944 | HEALTHCARE | CA | 501(C)(3) | 7 | PHS SOCAL | Yes (1) | |
| PROVIDENCE MARIANWOOD FOUNDATION | |||||||||||
| 3725 PROVIDENCE POINT DRIVE SE | ISSAQUAH | WA | 980297219 | 931554288 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS W WA | Yes (1) | |
| PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE) | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 330185031 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (1) | |
| PROVIDENCE MEDICAL INSTITUTE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 330283773 | HEALTHCARE | CA | 501(C)(3) | 12, I | PHS SOCAL | Yes (1) | |
| PROVIDENCE MILWAUKIE FOUNDATION | |||||||||||
| 10150 SE 32ND AVE | MILWAUKIE | OR | 97222 | 943079515 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE MINISTRIES | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | RELIGIOUS ORG | WA | 501(C)(3) | 1 | 0 | N/A | ||
| PROVIDENCE MOUNT ST VINCENT FOUNDATION | |||||||||||
| 4831 35TH AVE SW | SEATTLE | WA | 981262799 | 911188119 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE NEWBERG HEALTH FOUNDATION | |||||||||||
| 1001 PROVIDENCE DRIVE | NEWBERG | OR | 97132 | 930889144 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE PETER CLAVER ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 311629656 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE PLAN PARTNERS | |||||||||||
| 4400 NE HALSEY ST STE 609 ATTN ACCO | PORTLAND | OR | 97213 | 911861964 | HEALTHCARE | WA | 501(C)(4) | N/A | PHS OR | Yes (1) | |
| PROVIDENCE PORTLAND MEDICAL FOUNDATION | |||||||||||
| 4805 NE GLISAN ST | PORTLAND | OR | 972132967 | 931231494 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE ROSSI ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 311584166 | SUPPORT | WA | 501(C)(3) | 10 | PHS WA | Yes (1) | |
| PROVIDENCE SAINT JOHN'S HEALTH CENTER | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951684082 | HEALTHCARE | CA | 501(C)(3) | 3 | PHS SOCAL | Yes (1) | |
| PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 814542216 | HEALTHCARE | CA | 501(C)(3) | 3 | PHS SOCAL | Yes (1) | |
| PROVIDENCE SEASIDE HOSPITAL FOUNDATION | |||||||||||
| 725 S WAHANNA ROAD | SEASIDE | OR | 97138 | 930927320 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN) | |||||||||||
| 413 LILLY ROAD NE | OLYMPIA | WA | 985065166 | 911097056 | SUPPORT | WA | 501(C)(3) | 7 | PHS W WA | Yes (1) | |
| PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 912171539 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE ST FRANCIS ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 943244854 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE ST JOSEPH HEALTH | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 811244422 | HEALTHCARE | WA | 501(C)(3) | 12, III | 0 | N/A | |
| PROVIDENCE ST JOSEPH HEALTH FOUNDATION | |||||||||||
| 4400 NE HALSEY ST STE 599 | PORTLAND | OR | 97213 | 943078543 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE ST JOSEPH MEDICAL CENTER | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 810463482 | HEALTHCARE | MT | 501(C)(3) | 3 | PHS WA | Yes (1) | |
| PROVIDENCE ST MARY FOUNDATION | |||||||||||
| 401 W POPLAR STREET | WALLA WALLA | WA | 99362 | 452841492 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE ST VINCENT MEDICAL FOUNDATION | |||||||||||
| 9205 SW BARNES ROAD STE MT2111 | PORTLAND | OR | 97225 | 930575982 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE TRINITYCARE HOSPICE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 953264139 | HEALTHCARE | CA | 501(C)(3) | 10 | PHS SOCAL | Yes (1) | |
| PROVIDENCE TRINITYCARE HOSPICE FOUNDATION | |||||||||||
| 5315 TORRANCE BLVD NO B-1 | TORRANCE | CA | 90503 | 330261016 | HEALTHCARE | CA | 501(C)(3) | 7 | PTCH | Yes (1) | |
| PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION | |||||||||||
| 1500 DIVISION STREET | OREGON CITY | OR | 97045 | 931003750 | HEALTHCARE | OR | 501(C)(3) | 12, I | PHS OR | Yes (1) | |
| REDWOOD MEMORIAL FOUNDATION | |||||||||||
| 2700 DOBEER STREET | EUREKA | CA | 95501 | 942779313 | HEALTHCARE | CA | 501(C)(3) | 7 | SJHNC LLC | Yes (1) | |
| SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST) | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 954291515 | HEALTHCARE | CA | 501(C)(3) | 4 | PSJHC | Yes (1) | |
| SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION | |||||||||||
| 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 956100079 | SUPPORT SAINT JOHN HEALTH CENTER & JWCI | CA | 501(C)(3) | 7 | PSJHC | Yes (1) | |
| SEATTLE SCIENCE FOUNDATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 611502822 | PHYSICIAN COLLABORATION | WA | 501(C)(3) | 7 | WHC | Yes (1) | |
| SISTERS OF PROVIDENCE OF MONTANA CORPORATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 262612415 | SHELL CORPORATION | MT | 501(C)(3) | 1 | PHS WA | 0 | |
| SISTERS OF ST JOSEPH OF ORANGE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951643383 | RELIGIOUS ORG | CA | 501(C)(3) | 1 | 0 | N/A | |
| SRM ALLIANCE HOSPITAL SERVICES (PVH) | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 680395200 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHNC LLC | Yes (1) | |
| ST JOSEPH HEALTH MINISTRY | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 271666576 | RELIGIOUS ORG | CA | 501(C)(3) | 1 | SSJO | 0 | |
| ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 814791043 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (1) | |
| ST JOSEPH HEALTH SYSTEM | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 953589356 | HEALTHCARE | CA | 501(C)(3) | 12, I | PSJH | 0 | |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | |||||||||||
| 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 330143024 | HEALTHCARE | CA | 501(C)(3) | 10 | SJHS | Yes (1) | |
| ST JOSEPH HOME CARE NETWORK | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 680331084 | HEALTHCARE | CA | 501(C)(3) | 10 | SJHS | Yes (1) | |
| ST JOSEPH HOSPITAL OF ORANGE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951643359 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (1) | |
| ST JUDE HOSPITAL INC | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951643325 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (1) | |
| ST LUKE ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 943176618 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| ST MARY MEDICAL CENTER | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951914489 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (1) | |
| ST PATRICK HOSPITAL FOUNDATION | |||||||||||
| 502 W SPRUCE STREET | MISSOULA | MT | 59802 | 237056976 | HEALTHCARE | MT | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| ST THOMAS CHILD AND FAMILY CENTER | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 810233495 | EDUCATION | MT | 501(C)(3) | 10 | PHS WA | Yes (1) | |
| SWEDISH EDMONDS | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 272305304 | HEALTHCARE | WA | 501(C)(3) | 3 | WHC | Yes (1) | |
| SWEDISH HEALTH SERVICES | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 910433740 | HEALTHCARE | WA | 501(C)(3) | 3 | WHC | Yes (1) | |
| SWEDISH MEDICAL CENTER FOUNDATION | |||||||||||
| 747 BROADWAY | SEATTLE | WA | 98122 | 910983214 | HEALTHCARE | WA | 501(C)(3) | 7 | SHS | Yes (1) | |
| SWEDISH MJM HOLDINGS | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 273139262 | HOLDING COMPANY | WA | 501(C)(3) | 12, I | SHS | Yes (1) | |
| TARZANA MEDICAL CENTER LLC | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 833972614 | HEALTHCARE | CA | 501(C)(3) | 3 | PHS SOCAL | Yes (1) | |
| THE GAMELIN ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911180824 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| THE GAMELIN CALIFORNIA ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911293869 | SUPPORT | CA | 501(C)(3) | 10 | PHS SOCAL | Yes (1) | |
| THE GAMELIN OREGON ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911214491 | SUPPORT | OR | 501(C)(3) | 10 | PHS OR | Yes (1) | |
| TRI-CITIES CANCER CENTER FOUNDATION | |||||||||||
| 7350 W DESCHUTES AVE BUILDING A | KENNEWICK | WA | 99336 | 911739024 | SUPPORT | WA | 501(C)(3) | 7 | KRMC | Yes (1) | |
| UNIVERSITY OF PROVIDENCE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 810231777 | EDUCATION | MT | 501(C)(3) | 2 | PHS | Yes (1) | |
| WESTERN HEALTHCONNECT | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 454171900 | SHELL CORPORATION | WA | 501(C)(3) | 12, II | PHS W WA | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (49 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| 20TH STREET SURGERY LLC | |||||||||
| 1301 20TH STREET STE 140 | SANTA MONICA | CA | 90404 | 731735618 | AMBULATORY SURGERY CENTER | CA | N/A | 0 | 0 |
| BRIDGEPORT MEDICAL IMAGING LLC (BMI) | |||||||||
| 4400 NE HALSEY 495 | PORTLAND | OR | 97213 | 260796953 | IMAGING - DIAGNOSTICS | OR | N/A | 0 | Yes (1) |
| BROADWAY IMAGING LLC | |||||||||
| PO BOX 4587 | MISSOULA | MT | 598064587 | 522405971 | MEDICAL IMAGING | MT | N/A | 0 | Yes (1) |
| CANBY MEDICAL CENTER I LLC | |||||||||
| 4800 SW MACADAM AVE STE 120 | PORTLAND | OR | 97239 | 205470937 | REAL ESTATE - MOB | OR | N/A | 0 | Yes (1) |
| CENTER FOR MEDICAL IMAGING LLC (CMI) | |||||||||
| 4400 NE HALSEY 495 | PORTLAND | OR | 97213 | 200477972 | IMAGING - DIAGNOSTICS | OR | N/A | 0 | Yes (1) |
| CLACKAMAS RADIATION ONCOLOGY CENTER LLC | |||||||||
| 4400 NE HALSEY 495 | PORTLAND | OR | 97213 | 260381897 | RADIATION ONCOLOGY | OR | N/A | 0 | Yes (1) |
| COASTAL ASC HOLDINGS LLC | |||||||||
| ONE HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92663 | 810986844 | HEALTHCARE | CA | N/A | 0 | Yes (1) |
| COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY | |||||||||
| 1031 W CHAPMAN AVE 101 | ORANGE | CA | 92868 | 264591502 | HEALTHCARE | CA | N/A | 0 | Yes (1) |
| COVENANT HIGH PLAINS SURGERY CENTER LLC | |||||||||
| 40 VALLEY STREAM PKWY | MALVERN | PA | 19355 | 752177401 | HEALTHCARE | PA | N/A | 0 | Yes (1) |
| COVENANT PARK PHASE I VENTURE LLC | |||||||||
| 3615 19TH ST | LUBBOCK | TX | 79410 | 871464045 | REAL ESTATE | TX | N/A | 0 | 0 |
| CSS JV LLC | |||||||||
| 11782 SW BARNES ROAD STE 200 BLDG C | PORTLAND | OR | 97225 | 263638838 | AMBULATORY SURGERY CENTER | OR | N/A | 0 | 0 |
| FIRST HILL SURGERY CENTER LLC | |||||||||
| 1101 MADISON STREET STE 200 | SEATTLE | WA | 98104 | 472066485 | AMBULATORY SURGERY CENTER | WA | N/A | 0 | Yes (1) |
| FULLERTON SURGICAL CENTER LP | |||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 470927394 | AMBULATORY SURGERY CENTER | CA | N/A | 0 | Yes (1) |
| GREATER VALLEY MEDICAL BUILDING LP | |||||||||
| 501 S BUENA VISTA ST | BURBANK | CA | 91505 | 954570858 | REAL ESTATE - MOB | CA | N/A | 0 | Yes (1) |
| HCSA PROPERTIES LLC | |||||||||
| 1600 M STREET NW | AUBURN | WA | 98001 | 460620892 | REAL ESTATE RENTAL | WA | N/A | 0 | 0 |
| HERITAGE INVESTMENT GROUP I LLC | |||||||||
| 500 S MAIN STREET STE 1000 | ORANGE | CA | 92868 | 271000061 | INVESTMENTS | CA | N/A | 0 | 0 |
| HOAG ORTHOPEDIC INSTITUTE | |||||||||
| 1 HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 611588294 | HEALTHCARE | CA | N/A | 0 | 0 |
| HOI ASC HOLDINGS LLC | |||||||||
| 16250 SAND CANYON AVE | IRVINE | CA | 92618 | 825250937 | INVESTMENTS | CA | N/A | 0 | 0 |
| IMAGING ASSOCIATES LLC | |||||||||
| 3650 PIPER STREET STE A | ANCHORAGE | AK | 99508 | 203906048 | MEDICAL IMAGING | AK | N/A | 0 | Yes (1) |
| LSC REAL PROPERTY LLC | |||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 474646059 | REAL ESTATE | TX | N/A | 0 | Yes (1) |
| METHODIST DIAGNOSTIC IMAGING | |||||||||
| 4005 24TH STREET | LUBBOCK | TX | 79410 | 752343261 | HEALTHCARE | TX | N/A | 0 | Yes (1) |
| MISSION VIEJO PARTNERS II LLC | |||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 823943675 | REAL ESTATE - MOB | CA | N/A | 0 | Yes (1) |
| NEWPORT IMAGING CENTER | |||||||||
| 360 SN MIGUEL | NEWPORT BEACH | CA | 92660 | 330191776 | HEALTHCARE | CA | N/A | 0 | Yes (1) |
| NORTH OC IMAGING JV HOLDINGS LLC | |||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 852444305 | HEALTHCARE | CA | N/A | 0 | 0 |
| OREGON ADVANCED IMAGING LLC | |||||||||
| 881 OHARE PARKWAY | MEDFORD | OR | 97504 | 450471748 | MEDICAL IMAGING | OR | N/A | 0 | Yes (1) |
| PAVILION SURGERY CENTER LLC | |||||||||
| 1140 WEST LAVETA AVE | ORANGE | CA | 92868 | 814376492 | AMBULATORY SURGERY CENTER | CA | N/A | 0 | 0 |
| PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC | |||||||||
| 1221 MADISON STREET | SEATTLE | WA | 98104 | 203132044 | MEDICAL IMAGING | WA | N/A | 0 | Yes (1) |
| PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC | |||||||||
| 19625 62ND AVENUE SOUTH SUITE 101 | KENT | WA | 98032 | 452901632 | MEDICAL EQUIPMENT | WA | N/A | 0 | Yes (1) |
| PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO | |||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 812701056 | INVESTMENTS | WA | N/A | 0 | 0 |
| PROVIDENCE ALASKA HOUSE I OWNER LP | |||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 882819223 | SUPPORTIVE HOUSING | AK | N/A | 0 | 0 |
| PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC | |||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 823765555 | MEDICAL | AL | N/A | 0 | 0 |
| PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC | |||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 823270499 | MEDICAL | AL | N/A | 0 | Yes (1) |
| PROVIDENCE HOUSE OAKLAND LP | |||||||||
| 540 23RD ST | OAKLAND | CA | 94612 | 811441264 | SUPPORTIVE HOUSING | CA | N/A | 0 | Yes (1) |
| PROVIDENCE IMAGING CENTER JOINT VENTURE | |||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 920118807 | MEDICAL IMAGING | AK | N/A | 0 | 0 |
| PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO | |||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 823190634 | INVESTMENTS | WA | N/A | 0 | 0 |
| PROVIDENCE SURGERY CENTER LLC | |||||||||
| 902 N ORANGE ST | MISSOULA | MT | 59802 | 841401625 | AMBULATORY SURGERY CENTER | MT | N/A | 0 | 0 |
| PROVIDENCEUSP SPOKANE SURGERY CENTERS LLC | |||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 881149413 | AMBULATORY SURGERY CENTER | WA | N/A | 0 | 0 |
| PROVIDENCEUSP SURGERY CTRS LLC | |||||||||
| 11550 INDIAN HILLS ROAD 160 | MISSION HILLS | CA | 91345 | 200684116 | AMBULATORY SURGERY CENTER | CA | N/A | 0 | 0 |
| RADIATION THERAPY INNOVATIONS LLC | |||||||||
| 1221 MADISON ST 1ST FL | SEATTLE | WA | 98104 | 300553035 | HEALTHCARE | WA | N/A | 0 | Yes (1) |
| RIVERSIDE HEALTHCARE | |||||||||
| 1107 HAZELTINE BLVD 200 | CHASKA | MN | 55318 | 411594648 | HEALTHCARE | MN | N/A | 0 | Yes (1) |
| SJO ASC HOLDINGS LLC | |||||||||
| 27401 LOS ALTOS SUITE 200 | MISSION VIEJO | CA | 92691 | 821655501 | HEALTHCARE | CA | N/A | 0 | 0 |
| ST JOSEPH PHYSICIAN VENTURES I LLC | |||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 454521884 | REAL ESTATE | CA | N/A | 0 | Yes (1) |
| ST JOSEPHSATELLITE DIALYSIS CENTERS LLC | |||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 814657391 | HEALTHCARE | CA | N/A | 0 | 0 |
| ST JUDE SURGICAL CENTERS LLC | |||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 823352570 | AMBULATORY SURGERY CENTER | CA | N/A | 0 | Yes (1) |
| ST MARY MEDICAL CENTER LLC | |||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | HEALTHCARE | CA | N/A | 0 | 0 | |
| ST PETER-SOUTH SOUND REGIONAL MRI CENTER | |||||||||
| 3417 ENSIGN RD NE | OLYMPIA | WA | 98506 | 911455338 | MEDICAL IMAGING | WA | N/A | 0 | Yes (1) |
| SURGERY CENTER AT TANASBOURNE LLC | |||||||||
| 11221 ROE AVE STE 300 | LEAWOOD | KS | 66211 | 208187971 | AMBULATORY SURGERY CENTER | KS | N/A | 0 | Yes (1) |
| THE MADISON SPOKANE INN LLC | |||||||||
| 15 WEST ROCKWOOD BLVD | SPOKANE | WA | 99204 | 841606484 | HOTEL SERVICES | WA | N/A | 0 | Yes (1) |
| WON-ONC LLC | |||||||||
| 1900 COOKS HILL RD | CENTRALIA | WA | 98531 | 262181194 | REAL ESTATE - MOB | WA | N/A | 0 | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (47 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1221 MADISON STREET OWNERS ASSOC | ||||||||||||||
| 747 BROADWAY | SEATTLE | WA | 98122 | 201954319 | OWNERS' ASSOCIATION | WA | N/A | C | 0 | |||||
| ACCLARA SOLUTIONS GROUP LLC | ||||||||||||||
| 10713 W SAM HOUSTON PKWY N 500 | HOUSTON | TX | 77064 | 870837184 | HOLDING COMPANY | TX | N/A | C | 0 | |||||
| ACCLARA SOLUTIONS INTERMEDIATE LLC | ||||||||||||||
| 10713 W SAM HOUSTON PKWY N 500 | HOUSTON | TX | 77064 | 371783298 | HEALTHCARE FINANCIAL SERVICES | TX | N/A | C | 0 | |||||
| ADVATA INC (FKA KENSCI INC) | ||||||||||||||
| 615 2ND AVE 700 | SEATTLE | WA | 98104 | 474048082 | HEALTHCARE | WA | N/A | C | 0 | |||||
| AMERICAN UNITY GROUP LTD | ||||||||||||||
| CAPTIVE INSURANCE | N/A | C | 0 | 90 PITTS BAY ROAD | PEMBROKE | BD | HM08 | BD | ||||||
| AYIN HEALTH SOLUTIONS INC | ||||||||||||||
| 4400 NE HALSEY ST STE 609 ATTN ACCO | PORTLAND | OR | 97213 | 833037172 | HEALTHCARE | DE | N/A | C | 0 | |||||
| BOURGET HEALTH SERVICES INC | ||||||||||||||
| 101 W 8TH AVE TAF C-9 | SPOKANE | WA | 99204 | 911354431 | CLINICAL/MEDICAL LAB | WA | N/A | C | 0 | |||||
| CARON CORPORATION | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 810486082 | MEDICAL PHYSICIAN SERVICE | MT | N/A | C | 0 | |||||
| CLOUD 21 LIMITED | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | HEALTHCARE | N/A | C | 0 | UK | ||||||
| COLBURN HILL GROUP INC | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 95057 | 863383433 | HEALTHCARE | DE | N/A | C | 0 | |||||
| ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA | ||||||||||||||
| 1301 20TH ST STE 280 | SANTA MONICA | CA | 90404 | 952880495 | HEALTHCARE | CA | N/A | S | 0 | |||||
| HMR WEIGHT MANAGEMENT SERVICES CORP | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 463598718 | HEALTHCARE | WA | N/A | C | 0 | |||||
| HOAG MANAGEMENT SERVICES INC | ||||||||||||||
| 1 HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 330731587 | HEALTHCARE | CA | N/A | C | 0 | |||||
| HOAG PHYSICIAN PARTNERS | ||||||||||||||
| 16148 SAND CANYON AVE | IRVINE | CA | 92618 | 834276044 | HEALTHCARE | CA | N/A | C | 0 | |||||
| KENSCI TECH INDIA PRIVATE LIMITED | ||||||||||||||
| 615 2ND AVE 700 | SEATTLE | WA | 98104 | HEALTHCARE | N/A | C | 0 | IN | ||||||
| KENSCI ASIA PACIFIC PTE LTD | ||||||||||||||
| 615 2ND AVE 700 | SEATTLE | WA | 98104 | HEALTHCARE | N/A | C | 0 | SN | ||||||
| LUBBOCK METHODIST HOSP PRACTICE MGMT | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752578995 | INACTIVE | TX | N/A | C | 0 | |||||
| LUBBOCK METHODIST HOSPITAL SVCS | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752118585 | HEALTHCARE | TX | N/A | C | 0 | |||||
| LUMEDIC INC (FKA LUMEDIC ACQ CO INC) | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 833881097 | HEALTHCARE | WA | N/A | C | 0 | |||||
| MEDICAL SPECIALTIES MANAGERS INC | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 330406218 | HEALTHCARE | WA | N/A | C | 0 | |||||
| MISSION VIEJO MEDICAL VENTURES INC | ||||||||||||||
| 27800 MEDICAL CENTER RD 354 | MISSION VIEJO | CA | 92691 | 330212905 | HEALTHCARE | CA | N/A | C | 0 | |||||
| PERFORMANCE HEALTH TECHNOLOGY LTD | ||||||||||||||
| 4400 NE HALSEY ST STE 609 ATTN ACCO | PORTLAND | OR | 97213 | 931211733 | HEALTHCARE | OR | N/A | C | 0 | |||||
| PHN HOLDINGS | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 461814184 | STRATEGIC PLANNING SERVICES | CA | N/A | C | 0 | |||||
| PROVIDENCE ASSURANCE INC | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 208194071 | CAPTIVE INSURANCE | AZ | N/A | C | 0 | |||||
| PROVIDENCE GLOBAL CENTER LLP | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 981516461 | IT SVCS | N/A | C | 0 | IN | |||||
| PROVIDENCE HEALTH CARE VENTURES INC | ||||||||||||||
| 101 W 8TH AVE TAF C-9 | SPOKANE | WA | 99204 | 900155714 | CLINICAL/MEDICAL LAB | WA | N/A | C | 0 | |||||
| PROVIDENCE HEALTH NETWORK | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 800886966 | PREPAID HEALTHCARE | CA | N/A | C | 0 | |||||
| PROVIDENCE PARTNERS HOLDINGS INC | ||||||||||||||
| 4400 NE HALSEY ST STE 609 ATTN ACCO | PORTLAND | OR | 97213 | 882962549 | INVESTMENT | DE | N/A | C | 0 | |||||
| PROVIDENCE PHYSICIAN SERVICES CO | ||||||||||||||
| 101 W 8TH AVE TAF C-9 | SPOKANE | WA | 99204 | 911216033 | HEALTHCARE | WA | N/A | C | 0 | |||||
| PROVIDENCE RE | ||||||||||||||
| INVESTMENT | N/A | C | 0 | 2ND FLR N BLDG 878 WEST BAY RD P | CJ | CJ | ||||||||
| PROVIDENCE ST JOSEPH HEALTH NETWORK | ||||||||||||||
| 20555 EARL ST | TORRANCE | CA | 90503 | 823771547 | HEALTHCARE | CA | N/A | C | 0 | |||||
| QUIVIQ INC | ||||||||||||||
| 1400-112TH AVENUE ST SUITE 100 | BELLEVUE | WA | 98004 | 833879444 | HEALTHCARE ANALYTICS | WA | N/A | C | 0 | |||||
| ST JOSEPH HEALTH | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 462340232 | HOLDING COMPANY | CA | N/A | C | 0 | |||||
| ST JOSEPH HEALTH SOURCE INC | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 461900168 | HEALTHCARE | CA | N/A | C | 0 | |||||
| ST JOSEPH MEDICAL PLAZA ASSOCIATION | ||||||||||||||
| 1140 W LA VETA STE 400 | ORANGE | CA | 92868 | 330621539 | CONDO ASSOCIATION | CA | N/A | C | 0 | |||||
| ST JOSEPH PROF SVCS ENTERPRSES INC | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 330155323 | HEALTHCARE | CA | N/A | C | 0 | |||||
| TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC) | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 842092143 | HOLDING COMPANY | DE | N/A | C | 0 | |||||
| TEGRIA INSIGHTS GROUP HOLDINGS INC | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 861400769 | HOLDING COMPANY | WA | N/A | C | 0 | |||||
| TEGRIA INSIGHTS GROUP INC | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 861532593 | HEALTHCARE | WA | N/A | C | 0 | |||||
| TEGRIA PRODUCTS GROUP INC | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 870995138 | HOLDING COMPANY | DE | N/A | C | 0 | |||||
| TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC) | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 844686520 | HOLDING COMPANY | DE | N/A | C | 0 | |||||
| TEGRIA RCM GROUP US INC | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 863046450 | HOLDING COMPANY | DE | N/A | C | 0 | |||||
| TEGRIA SERVICES GROUP-CAN INC | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | HEALTHCARE | N/A | C | 0 | CA | ||||||
| TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP) | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 844704409 | HOLDING COMPANY | DE | N/A | C | 0 | |||||
| TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC) | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 900872936 | HEALTHCARE | WI | N/A | C | 0 | |||||
| TRUSANA INC | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 922370159 | HEALTHCARE | DE | N/A | C | 0 | |||||
| VINSERRA INC | ||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 953943315 | INVESTMENT | CA | N/A | C | 0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST JOSEPH HEALTH SYSTEM | ||
| Q | $362,877 | COST |
| COVENANT HEALTH SYSTEM | ||
| L | $1,578,115 | COST |
| COVENANT MEDICAL CENTER | ||
| L | $339,926 | COST |
| COVENANT MEDICAL GROUP | ||
| O | $2,807,424 | COST |
| COVENANT MEDICAL CENTER | ||
| M | $339,906 | COST |
| COVENANT HEALTH SYSTEM | ||
| M | $1,577,795 | COST |
| COVENANT HEALTH SYSTEM FOUNDATION | ||
| C | $167,313 | COST |
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