PROVIDENCE HEALTH PLAN: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE HEALTH PLAN (EIN 93-0863097)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-15
- IRS object ID
- 202323199349312587
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-15T12:43:16-06:00 | 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 | 155 N WACKER DRIVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | 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 | 930863097 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE HEALTH PLAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROV | BusinessNameControlTxt |
| Phone | 5035747500 | 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 | LINA SAADZOI | PersonNm |
| Person Title | TREASURER/VP | PersonTitleTxt |
| Phone | 5035747500 | PhoneNum |
| Signature | 2023-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LINA | PersonFirstNm |
| Person Last | SAADZOI | 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 | EMILY UPSTROM | PreparerPersonNm |
| PTIN | P01765498 | PTIN |
| Phone | 4142748740 | PhoneNum |
| Preparation | 2023-11-08 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LINA SAADZOI | PrincipalOfficerNm |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,320,529,498 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | PROVIDENCEHEALTHPLAN.COM/INDIVIDUALS-AND-FAMILIES | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $485,649,081 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $3,381,059 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,079,776,241 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,237,501,223 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,041,896 | PYInvestmentIncomeAmt |
| CY Investment Income | -$51,307,215 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,148,899 | PYOtherRevenueAmt |
| CY Other Revenue | $2,414,475 | CYOtherRevenueAmt |
| PY Total Revenue | $2,089,967,036 | PYTotalRevenueAmt |
| CY Total Revenue | $2,188,608,483 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $819,113 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $374,598 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $91,591,027 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $98,708,591 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,954,396,493 | PYOtherExpensesAmt |
| CY Other Expenses | $2,117,972,991 | CYOtherExpensesAmt |
| PY Total Expenses | $2,046,806,633 | PYTotalExpensesAmt |
| CY Total Expenses | $2,217,056,180 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $43,160,403 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$28,447,697 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,424,937,219 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,353,250,976 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $561,347,390 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $538,454,868 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $863,589,829 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $814,796,108 | 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 | $2,125,334,546 | ExpenseAmt |
| Grant | $374,598 | GrantAmt |
| Revenue | $2,237,501,223 | RevenueAmt |
| Desc | SEE SCHEDULE OPROVIDENCEAT 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 REALIZING OUR MISSIONTO DELIVER TRUE HEALTH TO OUR MEMBERS, PHP FOCUSES ON INNOVATION, PERSONALIZED MEDICINE, COLLABORATION AMONG DIVERSE PARTNERS, AND STABILITY. PHP ALSO PARTICIPATES IN HEALTH MEASUREMENT PROGRAMS, INCLUDING HEALTHCARE EFFECTIVENESS DATA AND INFORMATION SET (HEDIS), WHICH ALLOW US TO BENCHMARK OUR CARE AND SERVICE, AND IMPLEMENT A TARGETED APPROACH TO IMPROVING MEMBER HEALTH AND SERVICE. PHP'S OREGON COMMERCIAL LINE OF BUSINESS RECEIVED A 4.0 RATING FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) FOR THE 2021-2022 RATINGS. PROVIDENCE CONTINUES TO BE RECOGNIZED AS THE HIGHEST RATED COMMERCIAL PPO PLAN IN OREGON. FOR PLAN YEAR 2021, PHP'S OREGON EXCHANGE LINE OF BUSINESS RECEIVED A 4.0 RATING FOR THE QUALITY RATING SYSTEM (QRS). PROVIDENCE OFFERS PROVIDENCE ADMINISTRATIVE SERVICES ONLY (ASO) FOR LARGE GROUPS CAPABLE OF SELF-FUNDING THE RISK EXPERIENCE OF THE GROUP, BUT ALSO WANT THE DEDICATED AND COMPASSIONATE SERVICE THAT PROVIDENCE DELIVERS FOR CLAIMS ADMINISTRATION, MEMBER SERVICE, AND SKILLED MEDICAL MANAGEMENT. ASO GROUPS ARE OFFERED OPTIONS FOR A WIDE ARRAY OF PLAN BENEFITS, INCLUDING PREVENTATIVE CHOICES AIMED AT IMPROVING EMPLOYEE HEALTH AND WELLNESS, ALTERNATIVE CARE, GROUP HEALTH REPORTING AND METRICS, ACCESS TO PROVIDENCE PROVIDER NETWORKS AND PROPRIETARY HEALTH INNOVATIONS, AND CONSUMER CHOICE PLANS WHICH OFFER QUALIFIED HEALTH SAVINGS ACCOUNT (HSA) OPTIONS. GRANTS AND ALLOCATIONS TO 501(C)(4) ORGANIZATIONS: SEE SCHEDULE IAT PROVIDENCE, RESPONDING TO COMMUNITY NEEDS, ESPECIALLY IN TIMES OF CRISIS, HAS ALWAYS BEEN AT THE HEART OF THE HEALING CARE PROVIDED BY OUR FAMILY OF ORGANIZATIONS. PROVIDENCE HEALTH PLAN'S PRIORITY REMAINS THE HEALTH OF OUR MEMBERS AND OUR COMMUNITIES. PROVIDENCE HEALTH PLANS COMMUNITY BENEFIT GIVING FOCUS AREAS ARE:1. SOCIAL DETERMINANTS OF HEALTH AND WELLBEING FOCUSED AREAS INCLUDE HOUSING , TRANSFORMATION AND FOOD SECURITY.A. EXAMPLES INCLUDE ENSURING THE FOOD PANTRY AT FAMILY PROMISE OF TUALATIN VALLEY WAS STOCKED THROUGH $9K IN DONATIONS AND CREATING GIFT BASICS FOR NEW MOTHERS TO HELP CARE FOR THE BASIC NEEDS OF NEWBORNS AND CHILDREN WITH $5K IN DONATIONS TO THE FAMILY BUILDING BLOCKS ORGANIZATION.2. CHRONIC CONDITIONSFOCUSED ON PREVENTION OF OBESITY, DIABETES, HYPERTENSION AND DEPRESSION.3. BEHAVIORAL HEALTH/WELLBEING AND SUBSTANCE USE DISORDERSFOCUSED ON PREVENTION (PARTICULARLY FOR YOUTH), CULTURALLY RESPONSIVE CARE AND HEALTH EDUCATION, SOCIAL ISOLATION AND COMMUNITY BUILDING.A. IN THIS AREA, PROVIDENCE HEALTH PLAN SUPPORTED 7+ COMMUNITY ORGANIZATIONS INCLUDING $25K TO ROSE HAVEN, A PORTLAND METRO AREA RECOVERY CENTER FOR THOSE SUFFERING FROM SUBSTANCE USE DISORDERS. PROVIDENCE HEALTH PLAN ALSO DONATED $12.5K TO THE FOR A SUBSTANCE USE TREATMENT CENTER AND MORE THAN $20K TO PORTLAND METRO AREA COMMUNITY ORG, CENTRAL CITY CONCERN.4. ACCESS TO CARE FOCUSED ON SERVICES NAVIGATION AND COORDINATION, CULTURALLY RESPONSIVE CARE AND ORAL HEALTH.A. PHP DONATED $75K TO THE BLACK PARENT INITIATIVE TO SUPPORT ACCESS TO HIGH-QUALITY HEALTHCARE.IN 2022 PROVIDENCE HEALTH PLAN GAVE MORE THAN $600K IN FUNDS TO SUPPORT THESE FOCUS AREAS.IN 2022 WE COMPLETED SEVERAL COMMUNITY OUTREACH PROJECTS AND PILOTS AIMED AT IMPROVING QUALITY OF LIFE FOR THOSE WE SERVE AS WELL AS ACCESS TO CARE.TARGETED DIABETES INTERVENTIONIN 2022, THE PROVIDENCE HEALTH PLAN CARE MANAGEMENT TEAM COMPLETED TARGETED OUTREACH TO IDENTIFIED MEMBERS FROM A HEALTH EQUITY LENS THAT WERE AT RISK FOR OR CURRENTLY LIVING WITH DIABETES. MEMBERS WERE OFFERED INTERVENTIONS INCLUDING: - ENROLLMENT INTO BOTH CARE MANAGEMENT AND HEALTH COACHING TO WORK WITH A CERTIFIED DIABETES EDUCATOR AND REGISTERED DIETICIAN.- TARGETED EDUCATION SPECIFIC TO DIABETES AND/OR HYPERTENSION.- DIABETES GOAL SETTING.- MEDICATION INTERVENTIONS INCLUDING IDENTIFICATION OF BARRIERS AND GOAL SETTING.- COORDINATION OF MEMBER COMMUNITY OR RESOURCE NEEDS AS IDENTIFIED.- PROVIDER INTERVENTIONS TO SUPPORT IDENTIFYING BARRIERS AND CONNECTING MEMBERS TO PRIMARY CARE, SPECIALTY OR BEHAVIORAL HEALTH PROVIDERS.- ADDITIONAL AREAS OF FOCUS IN COHORT 2:- STATIN THERAPY: IDENTIFYING AND EDUCATING MEMBERS ON IMPORTANCE OF STATIN THERAPY.- FOOD DISPARITY INTERVENTION REFERRAL TO MEMBERS WITH FOOD INSECURITIES WHO LIVED IN GEOGRAPHIC SCOPE.- RETINAL EYE SCREENING: ENSURING MEMBERS COMPLETED OR HAVE SCHEDULED APPOINTMENTS FOR RETINAL EYE SCREENS.FOOD DISPARITY PILOTPROVIDENCE CARE MANAGEMENT FOOD DISPARITY PILOT OFFERED A TIERED APPROACH TO PROVIDING MEALS. ENROLLED MEMBERS RECEIVED 8 WEEKS OF SUPPORT FROM CARE MANAGEMENT AND/OR HEALTH COACHING, INCLUDING WEEKLY ONE-ON-ONE ASSESSMENT AND INTERVENTION. MORE THAN 90 MEMBERS RECEIVED SUPPORT IN ONE OR MORE OF THE FOLLOWING WAYS:- INDEPENDENT MEAL PREP/GIFT CARD TIER.- MEMBER MAILED A $50/WEEK GIFT CARD TO USE ON FOOD (GIFT CARD RESTRICTIONS: TOBACCO, ALCOHOL, FIREARMS, LOTTERY).- PARTIAL DEPENDENT MEAL PREP/READY TO PREPARE MEALS TIER.- MEMBER RECEIVED READY TO PREPARE FOOD BOXES, DELIVERED BY ALBERTSONS/SAFEWAY CONTAINING 6 MEALS/WEEK (BOXES WILL CONTAIN 3 MEALS/2 SERVINGS = 6 MEALS AND CHOICE OF FRUIT).- UNABLE TO PREPARE MEALS/READY TO CONSUME MEALS.- MEMBER RECEIVED 6 READY TO EAT MEALS/WEEK AND CHOICE OF FRUIT, DELIVERED BY ALBERTSONS/SAFEWAY (CONTAINS 3 FRESH MEALS AND 3 FROZEN MEALS).82% OF MEMBERS WHO COMPLETED THE PROGRAM HAD AN IMPROVEMENT IN THEIR FOOD DISPARITY SCORE AND 90% OF MEMBERS SAID THAT THE INTERVENTION GAVE THEM CONFIDENCE TO PREPARE MEALS AND UTILIZE COMMUNITY RESOURCES.OUR TELEHEALTH PROVIDER POLICIES WERE SIGNIFICANTLY EXPANDED TO REDUCE BARRIERS TO CARE AND TO ENCOURAGE THE USE OF TELEHEALTH SERVICES BY OUR MEMBERS AND PROVIDER PARTNERS. WE ALSO ADDED VIRTUAL CAPACITY SO THAT MORE OF OUR PROVIDERS CAN BE SEEN QUICKLY.THE BEHAVIORAL HEALTH CONCIERGE PROGRAM ALLOWED MEMBERS SUFFERING FROM BEHAVIORAL HEALTH ISSUES TO BE SEEN MORE QUICKLY MORE THAN 70% OF PEOPLE UTILIZING THE SERVICE WERE SEEN WITHING 48HRS OF THEIR REQUEST. BECAUSE THIS PROGRAM IS VIRTUAL WITH EXPANDED HOURS, IT INCREASED ACCESS AND REDUCED BARRIERS TO CARE. | Desc |
| Total Program Service Expenses | $2,125,334,546 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| 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 | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | 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 | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | 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 |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 22067 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| 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 | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LINA SAADZOI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5035747500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4400 NE HALSEY BLDG 2 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97213 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DEBRA CANALES | ||||||||||
| DIRECTOR | 0.50 | 64.50 | Yes (X) | $0 | $3,335,977 | $472,282 | ||||
| RHONDA MEDOWS MD | ||||||||||
| CHAIR | 0.50 | 64.50 | Yes (X) | $0 | $3,000,545 | $320,205 | ||||
| DONALD ANTONUCCI | ||||||||||
| PRESIDENT/CEO | 27.50 | 27.50 | Yes (X) | $0 | $1,852,789 | $227,584 | Yes (X) | |||
| ROBERT A GLUCKMAN | ||||||||||
| CHIEF MEDICAL OFFICER | 18.00 | 37.00 | $0 | $923,992 | $181,309 | Yes (X) | ||||
| MICHAEL G WHITE | ||||||||||
| FRMR PRESIDENT/CEO | 0.00 | 0.00 | $0 | $1,014,618 | $21,537 | Yes (X) | ||||
| BRADLEY GARRIGUES | ||||||||||
| CHIEF SALES-UNDERWRITING OFFCR | 18.00 | 37.00 | $0 | $617,363 | $88,824 | Yes (X) | ||||
| NATE PERRIZO | ||||||||||
| CHIEF STRA & OPS OFCR PHP - THRU 5/22 | 17.00 | 33.00 | $0 | $654,189 | $9,816 | Yes (X) | ||||
| GREG ZAMUDIO | ||||||||||
| SECRETARY | 17.00 | 33.00 | $0 | $506,481 | $71,038 | Yes (X) | ||||
| PAUL T GIGER | ||||||||||
| MED DIRECTOR BEHAVIORAL HEALTH | 17.00 | 33.00 | $0 | $471,055 | $72,939 | Yes (X) | ||||
| DANIEL W RYAN | ||||||||||
| TREASURER/VP | 17.00 | 33.00 | $0 | $429,045 | $89,173 | Yes (X) | ||||
| LAUREL SOOT | ||||||||||
| VP MEDICAL MANAGEMENT PHP | 17.00 | 33.00 | $0 | $450,263 | $38,518 | Yes (X) | ||||
| STEPHANIE C DREYFUSS | ||||||||||
| VP PHP NETWORK DEVELOPMENT | 17.00 | 33.00 | $0 | $400,532 | $61,600 | Yes (X) | ||||
| CHERYL MORRISON | ||||||||||
| COO PHP (PART YEAR) | 18.00 | 37.00 | $0 | $300,072 | $123,005 | Yes (X) | ||||
| THERESA A MUDAY | ||||||||||
| MED DIR QUALITY MGMT ADMIN | 17.00 | 33.00 | $0 | $359,684 | $38,739 | Yes (X) | ||||
| AARON BALS | ||||||||||
| CHIEF COMP. /RISK OFC. | 19.00 | 36.00 | $0 | $353,853 | $25,554 | Yes (X) | ||||
| ANDREW TARAB | ||||||||||
| VP INFORMATICS PHP | 17.00 | 33.00 | $0 | $352,676 | $20,089 | Yes (X) | ||||
| MARK JENSEN | ||||||||||
| CHIEF SERVICE OPS OFFICER | 18.00 | 37.00 | $0 | $301,658 | $45,927 | Yes (X) | ||||
| MICHAEL MATHIAS | ||||||||||
| CHIEF INFORMATION OFF. PHP (PT YR) | 18.00 | 37.00 | $0 | $152,466 | $44,590 | Yes (X) | ||||
| ISIAAH CRAWFORD PHD | ||||||||||
| DIRECTOR | 0.50 | 15.00 | Yes (X) | $0 | $50,000 | $0 | ||||
| JOSEPH BLANKENSHIP | ||||||||||
| DIRECTOR | 0.50 | 1.00 | Yes (X) | $0 | $35,250 | $0 | ||||
| CECILIA SUN | ||||||||||
| DIRECTOR (PART YEAR) | 0.50 | 1.00 | Yes (X) | $0 | $8,750 | $0 | ||||
| BYRON SCOTT | ||||||||||
| DIRECTOR | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| HEATH SCHIESSER | ||||||||||
| DIRECTOR - THRU 3/22 | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KERRY WEEMS | ||||||||||
| DIRECTOR | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $15,571,258 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,952,729 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | 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 |
|---|---|---|---|---|---|
| KIBBLE & PRENTICE HOLDING COMPANY | |||||
| PO BOX 62949 | VIRGINIA BEACH | VA | 23466 | INSURANCE COMMISSIONS | $1,200,866 |
| THE PARTNERS GROUP | |||||
| 11850 SW 67TH AVE STE 100 | PORTLAND | OR | 97223 | INSURANCE COMMISSIONS | $800,170 |
| HUB INTERNATIONAL NORTHWEST LLC | |||||
| PO BOX 749083 | LOS ANGELES | CA | 90074 | INSURANCE COMMISSIONS | $796,948 |
| LEONARD ADAMS INSURANCE INC | |||||
| 5201 SW WESTGATE DR STE 300 | PORTLAND | OR | 97221 | INSURANCE COMMISSIONS | $779,630 |
| MJI INC | |||||
| PO BOX 847 | MCMINNVILLE | OR | 97128 | INSURANCE COMMISSIONS | $657,602 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 63 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PPO PREMIUMS | 524114 | $1,147,011,203 | $697,754,334 | $449,256,869 |
| ASSUMED MEDICARE REINS | 524130 | $783,818,224 | $783,818,224 | |
| ASSUMED MEDICAID REINS | 524130 | $228,161,124 | $228,161,124 | |
| ASO FEES | 524114 | $78,510,672 | $42,118,460 | $36,392,212 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,237,501,223 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,976,760 | TotalRevenueColumnAmt |
| Exclusion | $19,976,760 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,414,475 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,414,475 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,414,475 | TotalRevenueColumnAmt |
| Exclusion | $2,414,475 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,060,637,040 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,131,921,015 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$71,283,975 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$71,283,975 | TotalRevenueColumnAmt |
| Exclusion | -$71,283,975 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,188,608,483 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,751,852,142 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $485,649,081 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$48,892,740 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $374,598 | TotalAmt |
| Program Services | $374,598 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,520,715 | TotalAmt |
| Program Services | $3,277,565 | ProgramServicesAmt |
| Management And General | $243,150 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,700,660 | TotalAmt |
| Program Services | $88,160,368 | ProgramServicesAmt |
| Management And General | $6,540,292 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $487,216 | TotalAmt |
| Program Services | $477,160 | ProgramServicesAmt |
| Management And General | $10,056 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,892 | TotalAmt |
| Program Services | $102,493 | ProgramServicesAmt |
| Management And General | $48,399 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,241 | TotalAmt |
| Program Services | $121,749 | ProgramServicesAmt |
| Management And General | $57,492 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,051,861 | TotalAmt |
| Management And General | $1,051,861 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,580,655 | TotalAmt |
| Program Services | $25,468,673 | ProgramServicesAmt |
| Management And General | $4,111,982 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,270,120 | TotalAmt |
| Program Services | $2,260,557 | ProgramServicesAmt |
| Management And General | $9,563 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,316,581 | TotalAmt |
| Program Services | $3,381,075 | ProgramServicesAmt |
| Management And General | $2,935,506 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,698,285 | TotalAmt |
| Program Services | $9,417,276 | ProgramServicesAmt |
| Management And General | $4,281,009 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,894,496 | TotalAmt |
| Program Services | $2,860,263 | ProgramServicesAmt |
| Management And General | $5,034,233 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,135 | TotalAmt |
| Program Services | $140,581 | ProgramServicesAmt |
| Management And General | $4,554 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $819,676 | TotalAmt |
| Program Services | $799,510 | ProgramServicesAmt |
| Management And General | $20,166 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,281,034 | TotalAmt |
| Management And General | $3,281,034 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,240,377 | TotalAmt |
| Management And General | $3,240,377 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL CLAIMS | $972,077,183 | $972,077,183 | $0 |
| MED CLAIMS ASSUMED PHA | $895,927,607 | $895,927,607 | $0 |
| COMMISSIONS ASSUMED PHA | $116,051,741 | $92,320,888 | $23,730,853 |
| UBI TAXES | $248,940 | $0 | $248,940 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,039,167 | TotalAmt |
| Program Services | $28,167,000 | ProgramServicesAmt |
| Management And General | $36,872,167 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,217,056,180 | TotalAmt |
| Program Services | $2,125,334,546 | ProgramServicesAmt |
| Management And General | $91,721,634 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,241,980 | BOYAmt |
| EOY | $229,197,874 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,247 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $138,659,921 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $87,450,323 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,363,482 | BOYAmt |
| EOY | $51,209,598 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $936,139,460 | BOYAmt |
| EOY | $806,011,917 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,610,637 | BOYAmt |
| EOY | $61,835,505 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $253,458,413 | BOYAmt |
| EOY | $204,996,082 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,424,937,219 | BOYAmt |
| EOY | $1,353,250,976 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,827,491 | BOYAmt |
| EOY | $9,681,823 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,036,103 | BOYAmt |
| EOY | $25,105,182 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $530,483,796 | BOYAmt |
| EOY | $503,667,863 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $561,347,390 | BOYAmt |
| EOY | $538,454,868 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,716,441 | BOYAmt |
| EOY | $71,900,684 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $789,873,388 | BOYAmt |
| EOY | $742,895,424 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $863,589,829 | BOYAmt |
| EOY | $814,796,108 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,424,937,219 | BOYAmt |
| EOY | $1,353,250,976 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$28,447,697 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$18,099,584 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,246,440 | 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $3,032,282 | InvestmentCostOrOtherBasisAmt |
| Book Value | $3,032,282 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $84,634,104 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $45,172,313 | DepreciationAmt |
| Book Value | $39,461,791 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,862,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,507,287 | DepreciationAmt |
| Book Value | $354,713 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,608,233 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,770,723 | DepreciationAmt |
| Book Value | $3,837,510 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,523,302 | OtherCostOrOtherBasisAmt |
| Book Value | $4,523,302 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $51,209,598 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| PREMIUM RECEIVABLES | $96,435,888 |
| HEALTHCARE RECEIVABLES | $23,543,722 |
| DUE FROM AFFILIATES | $43,188,075 |
| REINSURANCE RECEIVABLES | $27,924,921 |
| UNINSURED PLAN RECEIVABLES | $9,761,772 |
| INVESTMENT INCOME ACCRUALS | $4,141,704 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $204,996,082 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | -$729,068 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| UNPAID CLAIMS AND WITHHOLDINGS | $210,903,815 |
| DUE TO GOVERNMENT AGENCIES | $143,192,482 |
| AGGREGATE HEALTH POLICY RESERVES | $69,888,000 |
| FUNDS HELD UNDER CONTRACTS | $66,457,923 |
| DUE TO AFFILIATES | $13,954,711 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $503,667,863 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,109,045,953 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,109,045,953 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $1,051,861 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $78,510,669 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $79,562,530 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,188,608,483 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,137,112,815 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,137,112,815 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $1,051,861 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $78,891,504 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $79,943,365 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,217,056,180 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | PHP HAS RECEIVED A DETERMINATION LETTER FROM THE IRS THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR UNRELATED BUSINESS INCOME AND POLITICAL EXPENDITURES, IN ACCORDANCE WITH SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE. PHP'S MANAGEMENT EVALUATES TAX POSITIONS TAKEN BY PHP AND RECOGNIZES A TAX LIABILITY IF PHP HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY PHP AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE STATUTORY FINANCIAL STATEMENTS. PHP IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | ASO FEES 78,510,672. ROUNDING -3. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | ASO FEES 78,510,672. OTHER GAAP/STAT ADJUSTMENT 380,832. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)
| RegionRegionTxt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|
| CENTRAL AMERICA AND CARIBBEAN | INVESTMENTS | $17,590,964 |
| EUROPE | INVESTMENTS | $34,421,438 |
| NORTH AMERICA | INVESTMENTS | $3,026,953 |
| EAST ASIA | INVESTMENTS | $4,280,333 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $59,319,688 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $59,319,688 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III ACCOUNTING METHOD: | FormAndLineReferenceDesc |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE PLAN PARTNERS | BusinessNameLine1Txt |
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 | 980579016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 911861964 | RecipientEIN |
| IRC Section | 501(C)(4) | IRCSectionDesc |
| Cash Grant | $0 | CashGrantAmt |
| Non Cash Assistance | $374,598 | NonCashAssistanceAmt |
| Purpose Of Grant | SEE PART IV | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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. |
| PART II, LINE 1, COLUMN (H): | NAME OF ORGANIZATION OR GOVERNMENT: PROVIDENCE PLAN PARTNERS (H) PURPOSE OF GRANT OR ASSISTANCE: TO FUND CONTRIBUTIONS IN SUPPORT OF ACCESS TO CARE, BEHAVIOR HEALTH, AND SOCIAL DETERMINANTS OF HEALTH AND WELL-BEING |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEBRA CANALES | ||||||||||||||
| DIRECTOR | $0 | $1,147,661 | $0 | $1,738,480 | $0 | $449,836 | $0 | $426,885 | $0 | $45,397 | $0 | $3,808,259 | $0 | $396,202 |
| RHONDA MEDOWS MD | ||||||||||||||
| CHAIR | $0 | $1,137,413 | $0 | $1,525,631 | $0 | $337,501 | $0 | $306,676 | $0 | $13,529 | $0 | $3,320,750 | $0 | $279,201 |
| DONALD ANTONUCCI | ||||||||||||||
| PRESIDENT/CEO | $0 | $805,488 | $0 | $1,044,679 | $0 | $2,622 | $0 | $216,937 | $0 | $10,647 | $0 | $2,080,373 | $0 | $0 |
| ROBERT A GLUCKMAN | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $489,418 | $0 | $273,012 | $0 | $161,562 | $0 | $158,120 | $0 | $23,189 | $0 | $1,105,301 | $0 | $126,584 |
| MICHAEL G WHITE | ||||||||||||||
| FRMR PRESIDENT/CEO | $0 | $220,604 | $0 | $341,000 | $0 | $453,014 | $0 | $16,697 | $0 | $4,840 | $0 | $1,036,155 | $0 | $130,372 |
| BRADLEY GARRIGUES | ||||||||||||||
| CHIEF SALES-UNDERWRITING OFFCR | $0 | $281,630 | $0 | $291,622 | $0 | $44,111 | $0 | $62,460 | $0 | $26,364 | $0 | $706,187 | $0 | $22,028 |
| NATE PERRIZO | ||||||||||||||
| CHIEF STRA & OPS OFCR PHP - THRU 5/2 | $0 | $165,737 | $0 | $171,500 | $0 | $316,952 | $0 | $1,510 | $0 | $8,306 | $0 | $664,005 | $0 | $61,237 |
| GREG ZAMUDIO | ||||||||||||||
| SECRETARY | $0 | $303,834 | $0 | $141,880 | $0 | $60,767 | $0 | $62,724 | $0 | $8,314 | $0 | $577,519 | $0 | $59,185 |
| PAUL T GIGER | ||||||||||||||
| MED DIRECTOR BEHAVIORAL HEALTH | $0 | $325,846 | $0 | $50,250 | $0 | $94,959 | $0 | $46,219 | $0 | $26,720 | $0 | $543,994 | $0 | $7,768 |
| DANIEL W RYAN | ||||||||||||||
| TREASURER/VP | $0 | $269,727 | $0 | $136,007 | $0 | $23,311 | $0 | $58,855 | $0 | $30,318 | $0 | $518,218 | $0 | $0 |
| LAUREL SOOT | ||||||||||||||
| VP MEDICAL MANAGEMENT PHP | $0 | $336,314 | $0 | $100,556 | $0 | $13,393 | $0 | $24,084 | $0 | $14,434 | $0 | $488,781 | $0 | $10,074 |
| STEPHANIE C DREYFUSS | ||||||||||||||
| VP PHP NETWORK DEVELOPMENT | $0 | $291,343 | $0 | $83,042 | $0 | $26,147 | $0 | $33,040 | $0 | $28,560 | $0 | $462,132 | $0 | $5,647 |
| CHERYL MORRISON | ||||||||||||||
| COO PHP (PART YEAR) | $0 | $224,554 | $0 | $75,000 | $0 | $518 | $0 | $102,717 | $0 | $20,288 | $0 | $423,077 | $0 | $0 |
| THERESA A MUDAY | ||||||||||||||
| MED DIR QUALITY MGMT ADMIN | $0 | $283,419 | $0 | $48,404 | $0 | $27,861 | $0 | $13,268 | $0 | $25,471 | $0 | $398,423 | $0 | $0 |
| AARON BALS | ||||||||||||||
| CHIEF COMP. /RISK OFC. | $0 | $278,249 | $0 | $74,977 | $0 | $627 | $0 | $15,483 | $0 | $10,071 | $0 | $379,407 | $0 | $0 |
| ANDREW TARAB | ||||||||||||||
| VP INFORMATICS PHP | $0 | $260,235 | $0 | $73,326 | $0 | $19,115 | $0 | $16,130 | $0 | $3,959 | $0 | $372,765 | $0 | $0 |
| MARK JENSEN | ||||||||||||||
| CHIEF SERVICE OPS OFFICER | $0 | $221,128 | $0 | $64,607 | $0 | $15,923 | $0 | $30,535 | $0 | $15,392 | $0 | $347,585 | $0 | $0 |
| MICHAEL MATHIAS | ||||||||||||||
| CHIEF INFORMATION OFF. PHP (PT YR) | $0 | $124,641 | $0 | $25,000 | $0 | $2,825 | $0 | $34,681 | $0 | $9,909 | $0 | $197,056 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. |
| PART I, LINES 4A-B | THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING THE CURRENT YEAR: MICHAEL G. WHITE - $250,546 NATE PERRIZO - $215,518 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: DEBRA CANALES - $396,202 RHONDA MEDOWS, M.D. - $279,201 ROBERT A. GLUCKMAN - $126,584 MICHAEL G. WHITE - $130,372 BRADLEY GARRIGUES - $22,028 NATE PERRIZO - $61,237 GREG ZAMUDIO - $59,185 PAUL T. GIGER - $7,768 LAUREL SOOT - $10,074 STEPHANIE C. DREYFUSS - $5,647 |
| 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 (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 4 | IN 2022, THE ARTICLES OF INCORPORATION AND BY-LAWS FOR PROVIDENCE HEALTH PLAN WERE RESTATED TO REPLACE THE SOLE CORPORATE MEMBER TO PROVIDENCE HEALTH GROUP, LLC, A WASHINGTON LIMITED COMPANY AND DISREGARDED ENTITY UNDER ITS PARENT CORPORATION, PROVIDENCE ST. JOSEPH HEALTH. |
| FORM 990, PART VI, SECTION A, LINE 6 | CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH GROUP, LLC IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH PLAN. |
| FORM 990, PART VI, SECTION A, LINE 7A | CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH PLAN HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE HEALTH PLAN'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH PLAN BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH GROUP, LLC, AS THE CORPORATE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 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. MANAGEMENT PRESENTED THE RETURNS TO THE FINANCE AND AUDIT COMMITTEE, AND DISCUSSED KEY DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. |
| 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, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN JUNE 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 XI, LINE 9: | ADJUSTMENT TO NET ASSETS TIE TO INVESTMENT IN PHA TO PHA NET ASSETS -651,742. GAAP/STAT ADJUSTMENTS -1,594,698. |
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) | |
| METHODIST HOSPITAL PLAINVIEW | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752426010 | 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 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 (50 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) |
| 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 | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PROVIDENCE HEALTH & SERVICES - OREGON | ||
| P | $368,695,687 | FMV |
| PROVIDENCE HEALTH ASSURANCE | ||
| Q | $41,578,786 | FMV |
| PROVIDENCE PLAN PARTNERS | ||
| Q | $128,648 | FMV |
| PROVIDENCE PLAN PARTNERS | ||
| P | $211,504,773 | FMV |
| PROVIDENCE PLAN PARTNERS | ||
| B | $374,598 | FMV |
Comments