2023-11-14T21:53:17-06:00 2022-12-31 346565596 ERNST & YOUNG US LLP 370 17TH STREET SUITE 4800 DENVER CO 80202 990 2022-01-01 910983214 SWEDISH MEDICAL CENTER FOUNDATION SWED 2062155967 747 BROADWAY SEATTLE WA 98122 ANDREA S KING VP - GIFT PLANNING & RESOURCE DEV. 2062155967 2023-11-07 1 ANDREA KING 999009999 0 ANDREW JAMESON P01894820 7209314000 2023-11-06 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ANDREA S KING 747 BROADWAY SEATTLE WA 98122 30232937 0 X WWW.SWEDISHFOUNDATION.ORG X 1976 WA SWEDISH MEDICAL CENTER FOUNDATION IS THE FUNDRAISING ARM OF SWEDISH HEALTH SERVICES. 15 13 0 28 2222 1199 27212078 28121209 0 0 8966151 1642124 -46065 -47181 36132164 29716152 21348241 19516778 0 0 4505492 5591107 0 0 5269008 2452891 2417847 28306624 27525732 7825540 2190420 149925707 135394870 893681 4239999 149032026 131154871 X THE FOUNDATION IS COMMITTED TO SUPPORTING THE EFFORTS OF SWEDISH HEALTH SERVICES IN ADVANCING HEALTH CARE IN THE REGION AND MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY. 0 0 19516778 19516778 0 SEE SCHEDULE O.SWEDISH CANCER INSTITUTE (SCI):IN 2022, WE CONTINUED TO DEVELOP A CULTURE OF PHILANTHROPY FOR SWEDISH CANCER INSTITUTE INTERNAL PARTNERS, GRATEFUL PATIENTS, AND COMMUNITY MEMBERS OVERALL AND INCREASED THE AWARENESS ABOUT THE IMPORTANCE AND IMPACT OF PHILANTHROPY. WE INCREASED THE NUMBERS OF INTERNAL SWEDISH CANCER INSTITUTE PHYSICIAN AND CAREGIVER PARTNERS WHO ARE MAKING GRATEFUL PATIENT REFERRALS, AWARENESS ABOUT SCI'S RESEARCH AND ITS DIRECT IMPACT ON PATIENT CARE AND SUBSTANTIALLY INCREASED THE AMOUNT OF FUNDS FOR PHILANTHROPIC PRIORITIES. THE GENEROSITY OF DONORS ALLOWED PROVIDED SUPPORT TO THE FOLLOWING AREAS OF RESEARCH, EDUCATION, PROGRAMS AND SUPPORTIVE CARE, SPECIFICALLY, THE PAUL G. ALLEN RESEARCH CENTER AT SCI, ENDOWED KAPLAN LEGACY FUND, HEMATOLOGIC MALIGNANCIES PROGRAM, GYNECOLOGIC ONCOLOGY, BREAST CANCER RESEARCH, AND THE EXPANSION OF THE MELANOMA PROGRAM; IN ADDITION TO EDUCATION, PATIENT ASSISTANCE AND SUPPORTIVE CARE SERVICES. IN 2022, MULTIPLE CLINICAL TRIALS AND RESEARCH PROJECTS WERE MADE POSSIBLE BY PHILANTHROPY IN THE AREAS OF MOLECULAR AND GENOMIC EVALUATION OF CANCER, CANCER PREVENTION AND EARLY DETECTION, AND IMMUNO-ONCOLOGY. SWEDISH NEUROSCIENCE INSTITUTE (SNI):PHILANTHROPY PROVIDED FUNDING FOR IMMUNOTHERAPY RESEARCH, HIGH-THROUGHPUT SCREENING CLINICAL TRIAL, CARE NAVIGATION AND INNOVATIVE RESEARCH FUND FOR BRAIN TUMOR PATIENTS, IN ADDITION TO CLINICAL TRIALS, CARE NAVIGATION; THE MS CENTER ENDOWMENT; ASSISTED IN THE CLINICAL FTES FOR THE NEUROLOGIC/MOVEMENT DISORDER DIVISION; SUPPORTED PATIENT EXPERIENCE AND CARE FOR THE CENTER FOR HEALTHY AGING; SUPPORTED MULTIDISCIPLINARY SERVICES SUCH AS REHAB, SOCIAL WORK, PAIN MANAGEMENT, PT, AND CARDIAC CARE, SUPPORTED TECHNOLOGY ADVANCES SUCH AS HOLOLENS FOR STROKE AND NEUROSURGICAL NEEDS. IN ADDITION, PHILANTHROPY SUPPORTED THE FUNDING FOR A STROKE NURSE NAVIGATOR TO SERVE AS THE BRIDGE BETWEEN IN-PATIENT STROKE PATIENTS AND THEIR OUTPATIENT NEEDS ONCE DISCHARGED. DONATIONS SUPPORTED THE WOMEN'S BRAIN HEALTH CLINIC OFFERING ADVANCE EDUCATION, PRIMARY DEMENTIA PREVENTION AND GENDER-BASED RESEARCH WITHIN OUR MULTIDISCIPLINARY WOMEN'S WELLNESS CENTER TO IMPROVE THE HEALTH AND WELL-BEING OF WOMEN IN MIDLIFE AND REDUCE THEIR SUBSEQUENT DEMENTIA RISK. SWEDISH HEART AND VASCULAR INSTITUTE (SHVI):PHILANTHROPY TO THE SWEDISH HEART AND VASCULAR INSTITUTE SUPPORTED OUR HEART AND VASCULAR POPULATION HEALTH AND AORTIC PROGRAMS AND ESTABLISHING A DEDICATED WOMEN'S HEART HEALTH PROGRAM. PHILANTHROPY WAS CRITICAL IN THE USAGE OF AN EXPERIMENTAL DEVICE THAT IS ABLE TO IDENTIFY EARLY SIGNS OF VASOPELEGIA, A COMMON COMPLICATION OF BYPASS SURGERY. IN ADDITION, THE DONOR-FUNDED SWEDISH COMPREHENSIVE ATRIAL FIBRILLATION NETWORK CONTINUES TO IMPROVE ACCESS FOR PATIENTS WITH AFIB AND OFFER A MORE HOLISTIC APPROACH TO PROVIDING THE APPROPRIATE EVALUATIONS, TREATMENTS AND MANAGEMENT AND WILL BE A SOURCE OF IMPORTANT PATIENT DATA.SWEDISH BEHAVIORAL HEALTH:PHILANTHROPY HAS CONTINUED TO SUPPORT A BEHAVIORAL HEALTH PROGRAM PLACING ONE POSTDOCTORAL PSYCHOLOGY FELLOW IN EACH OF OUR CLINICS, WHERE THEY CAN PROVIDE MANY OF THESE PATIENTS THE CARE THEY NEED AND AT NO COST THROUGH SAME-DAY BEHAVIORAL HEALTH INTERVENTIONS. SINCE THE START OF THIS PROGRAM, WE HAVE COMPLETED 3,207 VISITS. IN ADDITION, DONATIONS ALLOWED FOR THE HIRE OF THE FIRST TWO PHYSICIANS AT THE END OF THEIR FELLOWSHIP.SWEDISH WOMEN & CHILDREN'S PROGRAM:WITH THE HELP OF PHILANTHROPY, WE WERE ABLE TO EXPAND OUR DOULA PROGRAM IN 2022 TO INCLUDE BIRTH DOULAS TO PROVIDE A CALMING SPACE IN THE HOSPITAL ENVIRONMENT, BEREAVEMENT DOULAS TO ASSIST WITH PLANNING FOR THE BIRTH AND PROCESSING OF THEIR GRIEF, AND ONGOING EMOTIONAL SUPPORT, AND POSTPARTUM DOULAS, WHO ASSIST IN FEEDING, SOOTHING AND SLEEPING AND LENDING PARENTS A HAND IN THE FIRST FEW WEEKS AFTER BIRTH DURING DAYTIME VISITS OR OVERNIGHT STAYS. THROUGH PHILANTHROPY, WE EXPANDED WOMEN'S WELLNESS AND SPECIALTY GYN SERVICES PROGRAM AND DROVE WOMEN'S WELLNESS WEBINARS TO REACH A LARGER COMMUNITY AUDIENCE. IN ADDITION, HEALTH INEQUITIES WAS A SIGNIFICANT FOCUS THAT WAS ADDRESSED WITH PHILANTHROPIC SUPPORT AROUND DIVERSITY IN OUR DOULA PROGRAM. WE SAW SUPPORT TO EXPAND WOMEN'S AND CHILDREN'S RESEARCH, AN ON-CALL DOULA SERVICES AND A TELEHEALTH DOULA PROGRAM. THE LYTLE CENTER FOR PREGNANCY AND NEWBORNS AT SWEDISH AND THE SWEDISH NEONATAL INTENSIVE CARE UNIT HAD PHILANTHROPIC FUNDS DIRECTED TO EXPAND AND ENHANCE THEIR SERVICES, AS WELL AS DONORS SUPPORTING GENERAL WOMEN'S WELLNESS AND GYN SPECIALTY SERVICES. SWEDISH DIGESTIVE HEALTH INSTITUTE:IN 2022, IBD RESEARCH, THE PEDIATRIC METABOLIC HEALTH PROGRAM, COLORECTAL AND THORACIC SURGICAL FELLOWSHIPS AND THE GI APC FELLOWSHIP WERE FOCAL POINTS FOR PHILANTHROPIC GIVING. IN ADDITION, DONATIONS SUPPORTED A NEW INTESTINAL ULTRASOUND MACHINE (IUS) FOR THE DEPARTMENT, ALLOWING FOR THE SCREENING TECHNOLOGY ON SITE IN THE EXAMINATION ROOM AND IMPROVING ACCESS BY ALLOWING PATIENTS TO GET SCREENED DURING THEIR CLINIC VISIT. PHYSICIANS ARE ABLE TO COMPLETE THE ULTRASOUND IN THE EXAM ROOM WITHOUT THE PATIENT HAVING TO SCHEDULE ADDITIONAL APPOINTMENTS AT ANOTHER CLINIC FOR A CT SCAN. THIS PRESERVES CLINIC TIME BY REMOVING BURDENSOME INSURANCE PRE-AUTHORIZATION FOR COLONOSCOPIES AND CT SCANS WHICH IN TURN ALLOWS THE CLINIC TO REINVEST THAT TIME IN PATIENT CARE.NURSING:IN 2022, PHILANTHROPY HELPED TO COMBAT NURSING BURNOUT, A COMPLEX COMBINATION OF EMOTIONAL EXHAUSTION, DETACHMENT AND DECLINE IN PERSONAL FULFILLMENT. DONATIONS HAVE HELPED US ASSEMBLE WORKSHOPS DESIGNED TO HELP NURSES PROCESS AND DEAL WITH THAT TRAUMA. NURSES LEARN THE SCIENCE BEHIND TRAUMA ALONG WITH STRATEGIES FOR POST-TRAUMATIC GROWTH AND HEALING. IN ADDITION, AS A DIRECT RESULT OF DONOR GIVING, OUR NURSES HAD THE OPPORTUNITY TO ATTEND TWO-DAY WELLNESS AND SELF-CARE RETREATS AT HARMONY HILL, THIS ON-SITE WORKSHOP THAT INCREASED ANNUAL ATTENDANCE BY 560%. PHILANTHROPY ALSO HELPED TO SOLVE THE PROBLEM OF NURSING RECRUITMENT AND RETENTION AND PROVIDED A NURSE ADMIN FELLOWSHIP TO TRAIN THE NEXT GENERATION OF NURSING LEADERS WITH A COMPREHENSIVE ONE-YEAR FELLOWSHIP. HEALTH EQUITY, DIVERSITY AND INCLUSION:DONATIONS DESIGNATED TO THE PROVIDENCE SWEDISH OFFICE OF HEALTH EQUITY, DIVERSITY AND INCLUSION (OHEDI) PROGRAM HELPS CLOSE THE GAP IN LONGSTANDING HEALTH INEQUITIES BY BUILDING A DIVERSE AND INCLUSIVE WORKFORCE THAT REFLECTS OUR PATIENT POPULATION. IN JANUARY 2022, WE WELCOMED OUR FIRST COHORT OF RESIDENTS FROM MEHARRY MEDICAL COLLEGE, ONE OF THE NATION'S OLDEST AND LARGEST HISTORICALLY BLACK ACADEMIC HEALTH SCIENCE CENTERS. THE MEHARRY PROVIDENCE SWEDISH PARTNERSHIP, SUPPORTED BY PHILANTHROPY, WILL HELP US ATTRACT AND EVENTUALLY RECRUIT A MORE DIVERSE WORKFORCE. DURING THEIR TIME WITH US, MEDICAL STUDENTS MOVE THROUGH GENERAL SURGERY ROTATIONS AND RECEIVE FINANCIAL ASSISTANCE FOR TRANSPORTATION, HOUSING AND LIVING EXPENSES. TO DATE, WE HAVE WELCOMED 15 FUTURE PHYSICIANS INTO OUR PROGRAM. WITH THE INITIAL SUCCESS OF THIS COLLABORATION, WE ARE LOOKING TO REPLICATE THIS MODEL TO ATTRACT MORE PROVIDERS OF COLOR TO SPECIALTIES LIKE FAMILY MEDICINE AND OBSTETRICS AND GYNECOLOGY.IN 2022 OUR CULTURAL NAVIGATION PROGRAM WORKED TO CLOSE GAPS IN HEALTH OUTCOMES BY ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND IMPROVING ACCESS TO EQUITABLE HEALTHCARE FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. EQUIPPED WITH DATA AND UNDERSTANDING, THE TEAM SERVES AS A BRIDGE TO COMMUNITIES WHO HAVE LOST TRUST IN HEALTH CARE. OUR NAVIGATORS FACILITATED ACCESS TO SERVICES WHILE IMPROVING THE QUALITY AND CULTURAL COMPETENCE OF CARE DELIVERY. IN 2022, OUR TEAM OF THREE NAVIGATORS CONNECTED MORE THAN 107,600 INDIVIDUALS TO NECESSARY HEALTH SERVICES. THEY HELD 6 SCREENING EVENTS IN UNDERSERVED COMMUNITIES TO EXPAND ACCESS TO MAMMOGRAMS, PAP SMEARS AND PREVENTATIVE SCREENINGS. OUR NAVIGATORS ALSO BECAME CERTIFIED WITH WA HEALTHPLANFINDER TO ENROLL PATIENTS WITH INSURANCE AND PARTNERED WITH 320 LOCAL ORGANIZATIONS TO CREATE CONNECTIONS IN THE COMMUNITY.FUND FOR EXCELLENCE:PHILANTHROPIC GIFTS DESIGNATED TO THE FUND FOR EXCELLENCE SUPPORTED SWEDISH'S TOP PRIORITIES AND GREATEST NEEDS, SUCH AS PROVIDENCE SWEDISH STAFFING, TRANSFER, & OPERATIONS CENTER, PROVIDING CAREGIVERS MORE TECHNOLOGICAL INSIGHTS AND TOOLS TO PROVIDE LEADING CARE. THIS SYSTEMS-LEVEL STRENGTH HELPS NURSES CONTINUE CARING FOR OUR COMMUNITY ON THE FRONTLINES AND AT THE BEDSIDE DAILY. THIS PROGRAM ALLOWS OUR NURSES CAPACITY TO FOCUS ON CARING FOR EACH PATIENT AS AN INDIVIDUAL, ON TOP OF CREATING OPPORTUNITIES FOR CONTINUAL LEARNING, CAREER FULFILLMENT AND LONG-TERM WELLNESS. 19516778 1 1 0 0 0 0 0 1 0 1 0 1 0 1 1 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 X 2 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WA X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 GUY HUDSON MD BOARD MEMBER 0.50 64.50 X 0 3182849 440797 MARYBETH FORMBY TREASURER/CFO 1.00 54.00 X 0 909353 128392 SARA JO GRETHLEIN MD BOARD MEMBER 0.50 54.50 X 0 698565 67264 HILARY DOMEIKA SECRETARY/SR CORP COUNCIL 1.00 54.00 X 0 542424 84401 BETSY VO FRMR OFF. - DIV SENIOR CORP COUNSEL 0.00 55.00 X 0 471138 90678 TRACY OSTREM PRESIDENT/CDO - THRU 7/22 50.00 0.00 X 0 543697 9500 ANDREA KING VP, PHIL. SVS. (PART YEAR) 55.00 0.00 X 0 255341 30689 CARLA MILLAGE BOARD MEMBER 0.50 0.00 X 0 0 0 CHUCK LYTLE BOARD VICE CHAIR 1.00 0.00 X X 0 0 0 CONNIE WONG BOARD MEMBER 0.50 0.00 X 0 0 0 EUGENE PEPPER TOOMEY MD BOARD MEMBER 0.50 0.00 X 0 0 0 JESSICA HUGHES BOARD CHAIR 1.00 1.00 X X 0 0 0 KATHLEEN WRIGHT BOARD MEMBER 0.50 0.00 X 0 0 0 KRISTEN SWANSON RN PHD SHS BOARD CHAIR - THRU 12/22 0.50 1.00 X 0 0 0 LYNN MANLEY BOARD MEMBER 0.50 0.00 X 0 0 0 MARILYN VALENTINE BOARD MEMBER 0.50 0.00 X 0 0 0 PETER CRAMER BOARD MEMBER 0.50 0.00 X 0 0 0 RAE LEMBERSKY BOARD MEMBER - THRU 3/22 0.50 0.00 X 0 0 0 RICK CANTU BOARD MEMBER (PART YEAR) 0.50 1.00 X 0 0 0 RONALD BERENSTAIN BOARD MEMBER 0.50 0.00 X 0 0 0 TANYA SORENSEN MD BOARD MEMBER 0.50 1.00 X 0 0 0 TERRY LUNDEEN BOARD MEMBER 0.50 0.00 X 0 0 0 0 6603367 851721 0 1 1 0 0 359912 8801830 2186822 16772645 94631 28121209 1869761 2222 1867539 241822 447062 22397 -205240 -22397 -227637 -227637 145 359912 47326 -47181 -47181 29716152 0 2222 1592721 19516778 19516778 5583564 1919443 3664121 7543 2443 5100 216167 216167 1393658 128023 1265635 972 315 657 137628 58256 79372 205707 78608 127099 13453 4357 9096 8042 2605 5437 OTHER DIRECT EXPENSES 349711 294358 55353 RECRUITING & RELOCATION 32944 10670 22274 LICENSES AND TAXES 31052 15466 15586 DUES & SUBSCRIPTIONS 19625 6356 13269 8888 2879 6009 27525732 19516778 2739946 5269008 1321867 1469158 5235465 4698632 114772129 101097091 10091984 8768490 18356971 19508790 149925707 135394870 116063 777618 4239999 893681 4239999 X 36928704 23086143 112103322 108068728 149032026 131154871 149925707 135394870 X 2190420 -15349333 5000 -4723242 X 0 1 X 1 0 X 36249656 25415025 21006982 27097022 28121209 137889894 36249656 25415025 21006982 27097022 28121209 137889894 48819575 89070319 1065065 1823822 1856613 3844872 1869761 10460133 22537 142559 165096 1778 1778 148516901 0.59970 0.58530 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: DISPLAY FEES - ORTHOPEDIC NURSES CONF - MISC INCOME - 2018 AMOUNT: $ 1,778. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 21253487 1189583 3185963 1010201 18246906 18412167 215250 3525723 899653 21253487 17590413 94694 1679389 862473 89856 18412167 15831168 1946277 1712257 1199177 700112 17590413 16878913 312079 -831506 341838 186480 15831168 0.14000 0.81000 0.05000 0 0 0 ALTERNATIVE INVESTMENTS 8768490 C 8768490 PERPETUAL TRUST HELD BY THIRD PARTY 12237486 OTHER ASSETS 5360964 GIFT ANNUITIES 1053555 CHARITABLE REMAINDER TRUST 856785 19508790 DUE TO AFFILIATES 3512247 GIFT ANNUITY OBLIGATION 481001 CHARITABLE REMAINDER TRUST 246751 4239999 9472000 -15349333 5000 -4567915 -19912248 29384248 216167 115737 331904 29716152 27350000 5000 5000 27345000 216167 -35435 180732 27525732 PART III, LINE 4: ART FOR PUBLIC EXHIBITION IN HOSPITAL FACILITIES. PART V, LINE 4: SWEDISH MEDICAL CENTER FOUNDATION'S ENDOWMENT FUNDS CONSIST OF INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES INCLUDING UNCOMPENSATED CARE, RESEARCH, PEDIATRICS, NEUROSCIENCES, CANCER, HEART AND VASCULAR AND WOMEN'S HEALTH AND CHILDBIRTH SERVICES. THE MAJORITY OF THESE FUNDS ARE DONOR-RESTRICTED ENDOWMENT FUNDS. NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OF DONOR-IMPOSED RESTRICTIONS. 2022 DISTRIBUTIONS WERE USED FOR EDUCATION, RESEARCH, ART EXHIBIT, AND CAPITAL PROJECTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: PERPETUAL TRUSTS LOSS -4,567,915. PART XI, LINE 4B - OTHER ADJUSTMENTS: OTHER REVENUE 115,737. PART XII, LINE 4B - OTHER ADJUSTMENTS: OTHER EXPENSES -35,435. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 8768490 EUROPE (INCLUDING ICELAND & GREENLAND) INVESTMENTS 5175637 0 0 0 0 0 0 13944127 0 13944127 1 0 0 0 0 0 PART III ACCOUNTING METHOD: WA SEATTLE BRAIN CANCER WALK 360057 359912 145 12940 92 150 34144 360057 359912 145 12940 92 150 34144 47326 -47181 1 SWEDISH HEALTH SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 910433740 501 (C) (3) 19252297 0 OPERATIONAL SUPPORT SWEDISH EDMONDS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 272305304 501 (C) (3) 257258 0 OPERATIONAL SUPPORT 2 0 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT ALONG WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION. 1 1 0 0 0 0 0 1 0 GUY HUDSON MD BOARD MEMBER 0 1264130 0 1632076 0 286643 0 420385 0 20412 0 3623646 0 284021 MARYBETH FORMBY TREASURER/CFO 0 508029 0 306000 0 95324 0 104023 0 24369 0 1037745 0 0 SARA JO GRETHLEIN MD BOARD MEMBER 0 608901 0 54452 0 35212 0 33358 0 33906 0 765829 0 765829 HILARY DOMEIKA SECRETARY/SR CORP COUNCIL 0 302339 0 167830 0 72255 0 62317 0 22084 0 626825 0 46881 BETSY VO FRMR OFF. - DIV SENIOR CORP COUNSEL 0 285032 0 129373 0 56733 0 63321 0 27357 0 561816 0 55778 TRACY OSTREM PRESIDENT/CDO - THRU 7/22 0 242995 0 98516 0 202186 0 0 0 9500 0 553197 0 34298 ANDREA KING VP, PHIL. SVS. (PART YEAR) 0 198273 0 55092 0 1976 0 18623 0 12066 0 286030 0 0 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 ITS TAX EXEMPT PARENT, SWEDISH HEALTH SERVICES, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: TRACY OSTREM - $122,330 NONQUALIFIED RETIREMENT PLAN ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: GUY HUDSON, MD - $284,021 HILARY DOMEIKA - $46,881 BETSY VO - $55,778 TRACY OSTREM - $34,298 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. X 4 4300 OPINIONS OF EXPERTS X 600 FMV X 5028 FMV X 4 51966 FMV X 9560 7242 FMV X 25 7095 FMV X MEDICAL EQUIPMENT 2 13675 FMV X ELECTRONIC EQUIPMENT 1 3495 FMV X GIFT CERTIFICATES 96 1230 FMV 0 0 1 0 SCHEDULE M, PART I, COLUMN (B): THE AMOUNTS REPORTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART V, LINE 15 INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATION'S SECTION 4960 TAX ANALYSIS AND REPORTING. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS SWEDISH HEALTH SERVICES IS THE SOLE CORPORATE MEMBER OF SWEDISH MEDICAL CENTER FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS SWEDISH MEDICAL CENTER FOUNDATION HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE SWEDISH MEDICAL CENTER FOUNDATION'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE SWEDISH MEDICAL CENTER FOUNDATION BOARD AS NOMINATIONS MUST BE APPROVED BY SWEDISH HEALTH SERVICES, AS THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 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 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY ITS TAX EXEMPT PARENT, SWEDISH HEALTH SERVICES, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN JUNE 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE. FORM 990, PART XI, LINE 9: OTHER CHANGES IN NET ASSETS -4,723,242. COLLABRIA CARE 414 SOUTH JEFFERSON STREET NAPA CA 94559 680393144 HEALTHCARE CA 501(C)(3) 10 SJHCN 1 COVENANT ACO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT CHILDREN'S PHYSICIANS GROUP 3615 19TH STREET LUBBOCK TX 79410 881290850 HEALTHCARE TX 501(C)(3) PENDING CHS 1 COVENANT HEALTH NETWORK INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 461259908 HEALTHCARE CA 501(C)(3) 12, III SJHS 1 COVENANT HEALTH PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 463516417 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS 1 COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS 1 COVENANT HOME AND COMMUNITY CARE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 920275096 HEALTHCARE TX 501(C)(3) 10 CHS 1 COVENANT HOSPITAL HOBBS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 844273963 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 822913146 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL GROUP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752743883 HEALTHCARE TX 501(C)(3) 3 CHS 1 EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANSITIONAL CARE WA 501(C)(3) 10 N/A 0 GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 201910170 SUPPORT WA 501(C)(3) 7 PHS WA 1 GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC WA 98188 273133200 HEALTHCARE WA 501(C)(3) 7 SHS 1 GRACE CLINIC OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 203856995 HEALTHCARE TX 501(C)(3) 3 CHS 1 HMTS INC 1 HOAG DRIVE NEWPORT BEACH CA 92658 453583707 HEALTHCARE CA 501(C)(3) 12, I HMHP 1 HOAG CHARITY SPORTS 2081 BUSINESS CENTER DR STE 195 NEWPORT BEACH CA 92663 452982422 SUPPORT CA 501(C)(3) 7 HHF 1 HOAG CLINIC 1 HOAG DRIVE NEWPORT BEACH CA 92658 330676831 HEALTHCARE CA 501(C)(3) 10 HMHP 1 HOAG HOSPITAL FOUNDATION 330 PLACENTIA AVE NEWPORT BEACH CA 92663 953222343 FUNDRAISING CA 501(C)(3) 7 HMHP 1 HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG ROAD BOX 6100 NEWPORT BEACH CA 92663 951643327 HEALTHCARE CA 501(C)(3) 3 CHN 1 HOSPICE OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752133781 HEALTHCARE TX 501(C)(3) 10 CHS 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 1 INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 912003593 HEALTHCARE WA 501(C)(3) 7 WHC 1 KADLEC AUXILIARY INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 916033089 SUPPORT WA 501(C)(3) 12, III KRMC 1 KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND WA 99352 237005501 SUPPORT WA 501(C)(3) 7 KRMC 1 KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 910655392 HEALTHCARE WA 501(C)(3) 3 WHC 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 1 LUBBOCK HERITAGE HOSPITAL LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 264021016 HEALTHCARE TX 501(C)(3) 3 CHS 1 LUNDBERG ASSOCIATION PROVIDENCE HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911562797 SUPPORT OR 501(C)(3) 7 PHS OR 1 METHODIST CHILDREN'S HOSPITAL 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752428911 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL LEVELLAND 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752246348 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL PLAINVIEW 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752426010 HEALTHCARE TX 501(C)(3) 3 CHS 1 MISSION HOSPITAL REGIONAL MEDICAL CTR 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951643360 HEALTHCARE CA 501(C)(3) 3 CHN 1 NORTHWEST HOPE & HEALING FOUNDATION PO BOX 16069 SEATTLE WA 98116 200799737 SUPPORT WA 501(C)(3) 12, I SHS 1 OPEN DOOR VENTURES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911608508 SUPPORT WA 501(C)(3) 7 PHS WA 1 PACMED CLINICS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 562290878 HEALTHCARE WA 501(C)(3) 10 WHC 1 PH&S FOUNDATIONSFVSA & SCVSA 501 SOUTH BUENA VISTA STREET BURBANK CA 915054809 953544877 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE ALASKA FOUNDATION 3760 PIPER STREET SUITE 2021 ANCHORAGE AK 99508 920093565 HEALTHCARE AK 501(C)(3) 7 PHS WA 1 PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION 540 SOUTH MAIN ST MT ANGEL OR 97362 911940286 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE BLANCHET ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911789266 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE CHILDREN'S HEALTH FOUNDATION 4805 NE GLISAN ST STE 2N35 PORTLAND OR 97213 930800140 SUPPORT OR 501(C)(3) 7 PHS OR 1 PROVIDENCE COMMUNITY HEALTH FOUNDATION 940 ROYAL AVE SUITE 410 MEDFORD OR 97504 930692907 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE DETHMAN HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 473385506 SUPPORT WA 501(C)(3) 7 N/A 0 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 1 PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311744654 SUPPORT WA 501(C)(3) 7 PHS WA 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 1 PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216587 HEALTHCARE OR 501(C)(3) 3 PHS 1 PROVIDENCE HEALTH & SERVICES - WASHINGTON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216586 HEALTHCARE WA 501(C)(3) 3 PHS 1 PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911303277 HEALTHCARE WA 501(C)(3) 3 PMWHC 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 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 1 PROVIDENCE HEALTH PLAN 4400 NE HALSEY ST STE 609 ATTN ACCO PORTLAND OR 97213 930863097 HEALTHCARE OR 501(C)(4) N/A PPP 1 PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216589 HEALTHCARE CA 501(C)(3) 3 PHS 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 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 1 PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 2811 SOUTH 102ND NO 220 TUKWILA WA 98168 912077378 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION 4101 TORRANCE BLVD TORRANCE CA 90503 510224944 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE MARIANWOOD FOUNDATION 3725 PROVIDENCE POINT DRIVE SE ISSAQUAH WA 980297219 931554288 HEALTHCARE WA 501(C)(3) 7 PHS W WA 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 1 PROVIDENCE MEDICAL INSTITUTE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330283773 HEALTHCARE CA 501(C)(3) 12, I PHS SOCAL 1 PROVIDENCE MILWAUKIE FOUNDATION 10150 SE 32ND AVE MILWAUKIE OR 97222 943079515 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE MINISTRIES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 RELIGIOUS ORG WA 501(C)(3) 1 N/A 0 PROVIDENCE MOUNT ST VINCENT FOUNDATION 4831 35TH AVE SW SEATTLE WA 981262799 911188119 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE NEWBERG HEALTH FOUNDATION 1001 PROVIDENCE DRIVE NEWBERG OR 97132 930889144 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE PETER CLAVER ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311629656 SUPPORT WA 501(C)(3) 7 PHS WA 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 1 PROVIDENCE PORTLAND MEDICAL FOUNDATION 4805 NE GLISAN ST PORTLAND OR 972132967 931231494 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE ROSSI ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311584166 SUPPORT WA 501(C)(3) 10 PHS WA 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 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 1 PROVIDENCE SEASIDE HOSPITAL FOUNDATION 725 S WAHANNA ROAD SEASIDE OR 97138 930927320 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN) 413 LILLY ROAD NE 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