PROVIDENCE HEALTH & SERVICES MT: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
PROVIDENCE HEALTH & SERVICES MT (EIN 81-0231793)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202343189349312689
Schema version
2022v5.0
Note
A later return for the same period supersedes this one.
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-14T14:58:21-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1560 MISSION STREET SUITE 1600AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810231793EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE HEALTH & SERVICES - MONTANABusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPROVBusinessNameControlTxt
Phone4255253985PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGREG HOFFMANPersonNm
Person TitleCHIEF ACCOUNTING OFFICERPersonTitleTxt
Phone4255253985PhoneNum
Signature2023-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGREGPersonFirstNm
Person LastHOFFMANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEVA NITTAPreparerPersonNm
PTINP01286320PTIN
Phone4158948000PhoneNum
Preparation2023-11-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE ST PATRICK HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerGREG HOFFMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$482,046,238GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://MONTANA.PROVIDENCE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionAS 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 Body10VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee2849TotalEmployeeCnt
Total Volunteers210TotalVolunteersCnt
Total Gross UBI$1,853,463TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,491,701NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$23,179,890PYContributionsGrantsAmt
CY Contributions Grants$1,443,260CYContributionsGrantsAmt
PY Program Service Revenue$441,354,572PYProgramServiceRevenueAmt
CY Program Service Revenue$450,832,373CYProgramServiceRevenueAmt
PY Investment Income$4,345,007PYInvestmentIncomeAmt
CY Investment Income$2,375,993CYInvestmentIncomeAmt
PY Other Revenue$17,311,108PYOtherRevenueAmt
CY Other Revenue$25,665,830CYOtherRevenueAmt
PY Total Revenue$486,190,577PYTotalRevenueAmt
CY Total Revenue$480,317,456CYTotalRevenueAmt
PY Grants And Similar Paid$120,367PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$196,722CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$170,959,194PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$183,958,579CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$274,422,626PYOtherExpensesAmt
CY Other Expenses$296,959,277CYOtherExpensesAmt
PY Total Expenses$445,502,187PYTotalExpensesAmt
CY Total Expenses$481,114,578CYTotalExpensesAmt
PY Revenues Less Expenses$40,688,390PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$797,122CYRevenuesLessExpensesAmt
Total Assets BOY$247,287,860TotalAssetsBOYAmt
Total Assets EOY$259,167,225TotalAssetsEOYAmt
Total Liabilities BOY$110,750,317TotalLiabilitiesBOYAmt
Total Liabilities EOY$78,944,700TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$136,537,543NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$180,222,525NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$445,703,161ExpenseAmt
Grant$196,722GrantAmt
Revenue$473,035,441RevenueAmt
DescSEE SCHEDULE O.AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND.THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES.WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSPROVIDENCE CONTINUES TO ADVANCE A SOCIAL RESPONSIBILITY FRAMEWORK THAT INCLUDES A STRONGER COMMITMENT TO DIVERSITY, EQUITY, INCLUSION ("DEI"), AND ENVIRONMENTAL STEWARDSHIP. IN 2022, WE ELEVATED THE WORK OF DEI, BY RESTRUCTURING RESOURCES WITH PLANS TO ALIGN AND SCALE DEI STRATEGIES ACROSS THE PROVIDENCE FAMILY OF ORGANIZATIONS. WE CONTINUE TO EXECUTE ON OUR INTEGRATED STRATEGIC & FINANCIAL PLAN WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THIS IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES IN THE COMMUNITIES WE SERVE. PROVIDENCE'S SOCIAL RESPONSIBILITY FRAMEWORK AIMS TO DEPLOY THE ASSETS OF OUR SYSTEM TO SUPPORT COMMUNITY HEALTH IMPROVEMENT, STRENGTHEN LOCAL ECONOMIES AND REDUCE OUR CARBON FOOTPRINT. WE HAVE IMPLEMENTED AN ENVIRONMENTAL STEWARDSHIP SYSTEM STRATEGY THAT ENCOURAGES WASTE REDUCTIONS, EFFICIENT ENERGY AND WATER USAGE, LOCAL AGRICULTURE PARTNERSHIPS, LESS TOXIC AND FEWER CHEMICAL USE, AND A REDUCTION IN CARBON FROM TRAVEL. WE HAVE ALSO HELD ENVIRONMENTAL STEWARDSHIP AS ONE OF THE TOP PRIORITIES FOR OUR LEADERSHIP INCENTIVE PROGRAM TO ENSURE ALIGNMENT AND MOMENTUM CONTINUES. IN APRIL 2022, PROVIDENCE PUBLISHED ITS FIRST ENVIRONMENTAL STEWARDSHIP REPORT, IN WHICH WE REPORTED 12 PERCENT REDUCTION IN CARBON EMISSIONS IN SEVEN KEY CATEGORIES IN OUR ACUTE CARE FACILITIES SINCE OUR 2019 BASELINE. AS OF SEPTEMBER 30, 2022, (THE MOST RECENT DATA AVAILABLE), WE HAVE INCREASED THAT REDUCTION TO 13 PERCENT.2022 PROGRAM SERVICE ACCOMPLISHMENTSIN 2022, PROVIDENCE MONTANA CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. IN 2022, PROVIDENCE ST. PATRICK HOSPITAL FOCUSED ON IDENTIFIED PRIORITY NEEDS OF ACCESS TO MENTAL HEALTH SERVICES, SAFE AND AFFORDABLE HOUSING, ACCESS TO SUBSTANCE USE DISORDER TREATMENT, AND ADDRESSING HOMELESSNESS.CARING FOR MONTANA DURING THE COVID PANDEMICIN 2022 PROVIDENCE MONTANA CONTINUED TO CARE FOR OUR COMMUNITIES AS THE COVID-19 PANDEMIC LESSENED IN INTENSITY. DESPITE COVID-19 INFECTIONS DECREASING OVERALL, MANY COMMUNITY HEALTH NEEDS BECAME MORE APPARENT, INCLUDING MENTAL HEALTH AND SUBSTANCE USE TREATMENT ACCESS AND MORE PEOPLE BECOMING HOUSING INSECURE.ACCESS TO MENTAL HEALTH SERVICESPROVIDENCE MEDICAL GROUP ADDED BEHAVIORAL HEALTH CARE MANAGERS TO NINE PRIMARY CARE CLINICS WITH FUNDING FROM MONTANA HEALTHCARE FOUNDATION IN 2020. IN 2022, OVER 8,000 BEHAVIORAL HEALTH TELEHEALTH SESSIONS WERE COMPLETED IN FOR PATIENTS OF PROVIDENCE MONTANA (INCLUDES PROVIDENCE ST. PATRICK HOSPITAL AND PROVIDENCE MEDICAL GROUP).PROVIDENCE ST. PATRICK HOSPITAL SUPPORTED THE CONTINUATION OF THE CITY'S MOBILE SUPPORT TEAM FOLLOWING THE CONCLUSION OF A SUCCESS PILOT PERIOD, WHICH SERVES PEOPLE IN CRISIS IN CONJUNCTION WITH EMERGENCY RESPONSE.SAFE AND AFFORDABLE HOUSINGIN 2022, PROVIDENCE MONTANA STAFF REFERRED 41 PATIENTS FOR LEGAL HELP WITH HOUSING/UTILITY ASSISTANCE THROUGH OUR MEDICAL-LEGAL PARTNERSHIP WITH MONTANA LEGAL SERVICES ASSOCIATION. SINCE THE PROGRAM LAUNCHED IN 2020, ONE OUT OF THREE REFERRALS TO THE MEDICAL-LEGAL PARTNERSHIP ARE RELATED TO HOUSING CONCERNS. THIS PARTNERSHIP ALSO PROVIDED RAPID ACCESS TO MONTANA EMERGENCY RENTAL ASSISTANCE (MERA) PROGRAM VIA MONTANA LEGAL SERVICES ASSOCIATION TO SUPPORT PEOPLE TO MAINTAINING THEIR HOUSING.ACCESS TO SUBSTANCE USE DISORDER TREATMENTPROVIDENCE ST. PATRICK HOSPITAL EMERGENCY DEPARTMENT CONTINUED PILOT OF MOUD (MEDICATION FOR OPIOID USE) IN ED SETTING WITH REFERRAL TO COMMUNITY-BASED SERVICES FOR ONGOING CARE.ADDRESSING HOMELESSNESSPROVIDENCE ST. PATRICK HOSPITAL STAFF PARTICIPATE IN WEEKLY COMMUNITY MEETINGS TO ADDRESS THE NEEDS OF PEOPLE IN THE COMMUNITY WHO ARE UNSHELTERED AND AT THE HIGHEST RISK DUE TO MENTAL HEALTH, SUBSTANCE ABUSE, AND CHRONIC ILLNESS. WITH SUPPORT FROM PROVIDENCE, COMMUNITY SOLUTIONS BEGAN WORK WITH THE CITY OF MISSOULA TO IMPLEMENT THE COMMUNITY INTERVENTION BUILT FOR ZERO, THE GOAL OF WHICH IS FOR MISSOULA TO REACH "FUNCTIONAL ZERO" IN THE LOCAL RATE OF HOMELESSNESS. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/MONTANADesc
Total Program Service Expenses$445,703,161TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document77IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2849EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JIM MARTINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4255253985PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
GREG HOFFMAN
PRESIDENT/CEO & TREASURER0.5064.50Yes (X)$0$2,619,615$278,536
JOEL GILBERTSON
DIVISION CHIEF EXEC - CENTRAL13.5041.50$0$2,134,351$264,363Yes (X)
JO ANN ESCASA-HAIGH
EVP/ASSISTANT TREASURER0.5064.50Yes (X)$0$2,157,414$35,815
JOSEPH SCHMOKER
PHYSICIAN50.000.00$1,904,525$0$33,560Yes (X)
MIKE BUTLER
FRMR PRESIDENT0.000.00$0$1,835,706$7,828Yes (X)
JOHN WHIPPLE
SECRETARY - THRU 5/220.5054.50Yes (X)$0$1,743,754$11,047
CARTER BECK MD
PHYSICIAN50.000.00$1,497,042$0$95,652Yes (X)
SCOTT O'BRIEN
DIVISION COO - CENTRAL14.0041.00$0$1,320,902$182,976Yes (X)
ROBERT HELLRIGEL
FRMR EVP CE HOME & COMM CARE0.0055.00$0$1,379,326$15,384Yes (X)
SIMONE MUSCO MD
PHYSICIAN50.000.00$1,069,551$0$123,138Yes (X)
JAMES MADDUX
PHYSICIAN50.000.00$1,028,002$0$109,110Yes (X)
DANIEL SPOON
PHYSICIAN50.000.00$1,036,561$0$76,475Yes (X)
ANNA NEWSOM
SECRETARY (PART YEAR)0.5054.50Yes (X)$0$801,000$225,085
JOYCE DOMBROUSKI
CHIEF EXEC WESTERN MT SVC AREA27.0028.00$0$826,371$167,806Yes (X)
JIM WATSON ESQ
ASSISTANT SECRETARY0.5054.50Yes (X)$0$837,237$124,389
HELEN ANDRUS
REGIONAL CFO WA AND MT27.5027.50$0$750,190$105,778Yes (X)
MELISSA DAMM
DIVISION CFO - CENTRAL14.0041.00$0$634,079$85,380Yes (X)
KIRK BODLOVIC
FRMR KE - PSJH REG. COO0.0055.00$0$369,722$46,661Yes (X)
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT0.5054.50Yes (X)$0$256,992$31,183
CINDY STRAUSS
FRMR SECRETARY0.000.00$0$146,754$0Yes (X)
MARY LYONS PHD
BOARD CHAIR1.0026.50$0$75,936$0Yes (X)
RICHARD BLAIR
DIRECTOR0.5014.50$0$61,313$0Yes (X)
MICHAEL MURPHY
DIRECTOR0.5013.50$0$50,668$0Yes (X)
CHARLES SORENSON MD
DIRECTOR0.5013.50$0$50,000$0Yes (X)
ISIAAH CRAWFORD PHD
DIRECTOR0.5015.00$0$50,000$0Yes (X)
CHRISTINA FISHER
DIRECTOR - THRU 11/220.5013.50$0$40,000$0Yes (X)
ERIC SPRUNK
DIRECTOR0.5013.50$0$40,000$0Yes (X)
MARY BETH KINGSTON
DIRECTOR (PART YEAR)0.5012.50$0$0$0Yes (X)
SISTER CAROL PACINI LCM
DIRECTOR0.5013.50$0$0$0Yes (X)
SISTER DIANE HEJNA CSJ RN
DIRECTOR0.5013.50$0$0$0Yes (X)
SISTER PHYLLIS HUGHES RSM DRPH
DIRECTOR0.5013.50$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,535,681TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$18,181,330TotReportableCompRltdOrgAmt
Total Other Compensation$2,020,166TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K333IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WESTERN MT EMERGENCY PHYS
PO BOX 4506MISSOULAMT59806MEDICAL SERVICES$3,800,172
MT CANCER SPECIALISTS
PO BOX 7609MISSOULAMT59807MEDICAL SERVICES$1,921,262
UNIVERSITY OF MONTANA MSU
1205 E BROADWAY STMISSOULAMT59802MEDICAL SERVICES$1,476,169
HIREUP LEADERSHIP
PO BOX 404678ATLANTAGA30384STAFFING SERVICES$1,446,865
BUREAU OF BUSINESS & ECONOMIC RESEARCH
32 CAMPUS DRMISSOULAMT59812RESEARCH SERVICES$953,782
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K18CntrctRcvdGreaterThan100KCnt
Related Organizations$947,599RelatedOrganizationsAmt
All Other Contributions$495,661AllOtherContributionsAmt
Total Contributions$1,443,260TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE621110$444,082,529$444,082,529
JV INCOME900099$6,749,844$5,326,261$1,423,583
FieldValueIRS element (for citing)
Total Program Service Revenue$450,832,373TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,186,573TotalRevenueColumnAmt
Unrelated Business Revenue$288UnrelatedBusinessRevenueAmt
Exclusion$1,186,285ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,522,159RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,580,017RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,942,142RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,942,142TotalRevenueColumnAmt
Exclusion$2,942,142ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,338,185SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$148,765SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,189,420SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,189,420TotalRevenueColumnAmt
Exclusion$1,189,420ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$91,028GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$91,028TotalRevenueColumnAmt
Exclusion$91,028ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PROFESSIONAL SERVICES900099$8,620,720$8,191,128$429,592
INTERAFFILIATE REVENUE900099$7,648,549$7,648,549
COST RECOVERIES900099$4,080,077$4,080,077

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,283,314TotalRevenueColumnAmt
Related Or Exempt Func Income$2,283,314RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$22,632,660OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$480,317,456TotalRevenueColumnAmt
Related Or Exempt Func Income$471,611,858RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,853,463UnrelatedBusinessRevenueAmt
Exclusion$5,408,875ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$196,722TotalAmt
Program Services$196,722ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$168,663,546TotalAmt
Program Services$153,163,366ProgramServicesAmt
Management And General$15,500,180ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,903,995TotalAmt
Program Services$2,637,118ProgramServicesAmt
Management And General$266,877ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,493,956TotalAmt
Program Services$1,356,661ProgramServicesAmt
Management And General$137,295ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,897,082TotalAmt
Program Services$9,895,640ProgramServicesAmt
Management And General$1,001,442ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$286,960TotalAmt
Program Services$260,588ProgramServicesAmt
Management And General$26,372ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,750TotalAmt
Program Services$1,589ProgramServicesAmt
Management And General$161ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$297,374TotalAmt
Management And General$297,374ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$71,999,567TotalAmt
Program Services$65,382,807ProgramServicesAmt
Management And General$6,616,760ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$747,941TotalAmt
Program Services$679,205ProgramServicesAmt
Management And General$68,736ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,894,003TotalAmt
Program Services$2,628,044ProgramServicesAmt
Management And General$265,959ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$37,120TotalAmt
Program Services$33,709ProgramServicesAmt
Management And General$3,411ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,836,217TotalAmt
Program Services$6,207,969ProgramServicesAmt
Management And General$628,248ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$863,548TotalAmt
Program Services$784,188ProgramServicesAmt
Management And General$79,360ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$476,867TotalAmt
Program Services$433,043ProgramServicesAmt
Management And General$43,824ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,945,521TotalAmt
Program Services$7,215,328ProgramServicesAmt
Management And General$730,193ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,159TotalAmt
Program Services$1,961ProgramServicesAmt
Management And General$198ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SYSTEM COST ALLOCATION$103,696,125$94,166,451$9,529,674
MEDICAL SUPPLIES$91,122,452$91,122,452
HOSPITAL FEE$7,408,333$7,408,333
LICENSES AND TAXES$749,318$680,456$68,862

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,594,022TotalAmt
Program Services$1,447,531ProgramServicesAmt
Management And General$146,491ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$481,114,578TotalAmt
Program Services$445,703,161ProgramServicesAmt
Management And General$35,411,417ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,874BOYAmt
EOY$4,877EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,166,710BOYAmt
EOY$44,379,080EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$228,272EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$43,160,828BOYAmt
EOY$33,307,718EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$7,100,628BOYAmt
EOY$6,617,274EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,191,088BOYAmt
EOY$6,167,461EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$596,621BOYAmt
EOY$958,669EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$285,428,707LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$213,245,865LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$75,373,287BOYAmt
EOY$72,182,842EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$55,784,015BOYAmt
EOY$47,239,797EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$32,519,704BOYAmt
EOY$23,252,312EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$25,390,105BOYAmt
EOY$24,828,923EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$247,287,860BOYAmt
EOY$259,167,225EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$35,572,376BOYAmt
EOY$36,915,846EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$224,937BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$74,953,004BOYAmt
EOY$42,028,854EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$110,750,317BOYAmt
EOY$78,944,700EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$124,298,684BOYAmt
EOY$167,991,888EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,238,859BOYAmt
EOY$12,230,637EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$136,537,543BOYAmt
EOY$180,222,525EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$247,287,860BOYAmt
EOY$259,167,225EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$797,122ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$10,451,569NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$54,933,673OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$20,318DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$6,202OtherActivitiesAmt
Total Lobbying Expenditures$26,520TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE PORTION OF MONTHLY DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION DESIGNATED FOR LOBBYING. INITIATIVE SUPPORT: COSTS ASSOCIATED WITH THE DIRECT CONTACT WITH LEGISLATORS.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,321,841OtherCostOrOtherBasisAmt
Book Value$8,321,841BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$132,481,677OtherCostOrOtherBasisAmt
Depreciation$90,008,024DepreciationAmt
Book Value$42,473,653BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$663,793OtherCostOrOtherBasisAmt
Depreciation$597,507DepreciationAmt
Book Value$66,286BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$134,891,131OtherCostOrOtherBasisAmt
Depreciation$122,640,334DepreciationAmt
Book Value$12,250,797BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,070,265OtherCostOrOtherBasisAmt
Book Value$9,070,265BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$72,182,842TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
BENEFICIAL INTEREST IN FOUNDATION$15,625,548C
HEALTHCARE JOINT VENTURES$7,626,764C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$23,252,312TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
HOSPITAL FEE$13,800,000
RIGHT OF USE OPERATING LEASES$8,761,691
OTHER ASSETS$2,060,865
DUE FROM THIRD-PARTY$206,367
FieldValueIRS element (for citing)
Total Book Value Other Assets$24,828,923TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO THIRD-PARTY$27,892,780
CAPITAL LEASE OBLIGATIONS$6,788,699
OTHER LIABILITIES$3,729,375
HOSPITAL FEES/PROVIDER TAX LIABILITY$3,618,000
FieldValueIRS element (for citing)
Total Liability$42,028,854TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,145,211TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,145,211NetCommunityBenefitExpnsAmt
Total Expense0.00860TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,635,639TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$66,780,812DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,724TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,760DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,964NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,790,574TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$66,786,572DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,149,175NetCommunityBenefitExpnsAmt
Total Expense0.00860TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$446,716TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$446,716NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,149,862TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,206,788DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,943,074NetCommunityBenefitExpnsAmt
Total Expense0.01240TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,706,656TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,213,409DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,493,247NetCommunityBenefitExpnsAmt
Total Expense0.02180TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$120,027TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$120,027NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,423,261TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,420,197DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,003,064NetCommunityBenefitExpnsAmt
Total Expense0.03530TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$109,213,835TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$95,206,769DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,152,239NetCommunityBenefitExpnsAmt
Total Expense0.04390TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$500NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,145TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$52,145NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,750TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,750NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$54,395TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$54,395NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Reimbursed By Medicare$190,130,922ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$207,880,491CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$17,749,569MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn0FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 PROVIDENCE SURGERY CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesSAME DAY SURGERY, NON-EMERGENT CAREPrimaryActivitiesTxt
Org Profit Or Ownership0.51000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.39000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE ST PATRICK HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 WEST BROADWAYAddressLine1Txt
CityMISSOULACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59802ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTPS://WWW.PROVIDENCE.ORGWebsiteAddressTxt
State License13200StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherREHAB AND PSYCHOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE ST PATRICK HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted20CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 3E:THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 5:A TOTAL OF 10 STAKEHOLDER INTERVIEWS WITH 12 PARTICIPANTS WERE COMPLETED BY REPRESENTATIVES FROM PROVIDENCE ST. PATRICK HOSPITAL-MISSOULA. STAKEHOLDERS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WHO HAVE LOW INCOMES, HAVE CHRONIC CONDITIONS, AND/OR ARE MEDICALLY UNDERSERVED. PROVIDENCE ST. PATRICK HOSPITAL-MISSOULA AIMED TO ENGAGE STAKEHOLDERS FROM SOCIAL SERVICE AGENCIES, HEALTH CARE, EDUCATION, HOUSING, AND GOVERNMENT, AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES. INCLUDED IN THE INTERVIEWS WAS A REPRESENTATIVE FROM THE MISSOULA CITY-COUNTY HEALTH DEPARTMENT.-ALL NATIONS HEALTH CENTER - D'SHANE BARNETT, EXECUTIVE DIRECTOR, MENTAL HEALTH, ACCESS TO CARE-CITY OF MISSOULA, HOUSING AND COMMUNITY DEVELOPMENT - THERESA WILLIAMS, REACHING HOME PROGRAM MANAGER, HOMELESSNESS-HUMAN RESOURCE COUNCIL - KATE YBARRA, EXECUTIVE DIRECTOR, COMMUNITY RESOURCES, AGING AND VULNERABLE POPULATIONS-MISSOULA AGING SERVICES - SHELLI FORTUNE, IN-HOME SERVICES DIRECTOR AGING SERVICES AND GABRIEL GOERES, CARE MANAGEMENT SUPERVISOR, AGING AND VULNERABLE POPULATIONS-MISSOULA CITY-COUNTY HEALTH DEPARTMENT - NANCY HOBBINS, SUICIDE PREVENTION COORDINATOR, MENTAL HEALTH-MISSOULA FOOD BANK - AARON BROCK, EXECUTIVE DIRECTOR, FOOD INSECURITY, AGING AND VULNERABLE POPULATIONS-MONTANA FOOD BANK NETWORK - GAYLE CARLSON, CHIEF EXECUTIVE OFFICER, FOOD INSECURITY, AGING AND VULNERABLE POPULATIONS-OPEN AID ALLIANCE - CHRISTA WEATHERS, EXECUTIVE DIRECTOR, HOMELESSNESS, SUBSTANCE ABUSE-PARTNERSHIP HEALTH CENTER - REBECCA GOE, DIRECTOR OF INNOVATION, MENTAL HEALTH, ACCESS TO CARE-PROJECT TOMORROW MONTANA - ROSIE AYERS, SUICIDE PREVENTION COORDINATOR, MENTAL HEALTH-UNIVERSITY OF MONTANA, COLLEGE OF HEALTH PROFESSIONS AND BIOMEDICAL SCIENCES-MISSOULA COUNTY PUBLIC SCHOOLS - WILENA OLD PERSON, PROGRAM COORDINATOR, HEALTH CAREERS OPPORTUNITY PROGRAM, BOARD OF TRUSTEES MEMBER EDUCATION
PROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 6B:-MISSOULA CITY-COUNTY HEALTH DEPARTMENT-GRANT CREEK FAMILY MEDICINE-MISSOULA AGING SERVICES-MISSOULA FORUM FOR CHILDREN & YOUTH-MISSOULA INDIAN CENTER-PARTNERSHIP HEALTH CENTER-UNITED WAY OF MISSOULA COUNTY
PROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 7A:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSPLEASE CLICK ON "MONTANA" TAB
PROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 10A:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSPLEASE CLICK ON "MONTANA" TAB
PROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 11:BEYOND PROVIDING COMPASSIONATE CLINICAL CARE TO OUR COMMUNITIES DURING THE COVID-19 PANDEMIC, PROVIDENCE MONTANA MADE SIGNIFICANT FINANCIAL CONTRIBUTIONS TO PARTNER ORGANIZATIONS IN SUPPORT OF HOUSING AND FOOD SECURITY, INCLUDING THE MISSOULA FOOD BANK AND COMMUNITY CENTER, AND UNITED WAY OF MISSOULA COUNTY. MEDICAL-LEGAL PARTNERSHIP:PROVIDENCE ST. PATRICK HOSPITAL AND MONTANA LEGAL SERVICES ASSOCIATION (MLSA) CONTINUED PARTNERSHIP IN THE FIRST ACUTE-HOSPITAL BASED MEDICAL-LEGAL PARTNERSHIP IN MONTANA. THIS PROGRAM ALLOWS HOSPITAL STAFF TO REFER PATIENTS WHO ARE EXPERIENCING HEALTH-HARMING CIVIL-LEGAL NEEDS TO (MLSA) DIRECTLY TO THE MLP ATTORNEY. OUR PRIORITY POPULATIONS ARE PATIENTS WHO ARE HOMELESS OR HOUSING INSECURE, PEOPLE WITH MENTAL ILLNESS, AND THOSE WHO ARE OTHERWISE SOCIALLY VULNERABLE. THIS PROGRAM WAS LAUNCHED IN 2020 WITH PARTIAL SUPPORT FROM THE MONTANA HEALTHCARE FOUNDATION. FOOD SECURITY AND OBESITY PREVENTION THROUGH PRESCRIPTION PRODUCE:IN 2022, PROVIDENCE ST. PATRICK CONTINUED SUPPORT OF THE PRESCRIPTION PRODUCE PROGRAM IN PARTNERSHIP WITH THE LOCAL MISSOULA FARMER'S MARKET TO EXPAND ACCESS TO OUR PRESCRIPTION PRODUCE PROGRAM. PROVIDENCE ST. PATRICK HOSPITAL SUPPORTED FOOD SECURITY IN THE MISSOULA COMMUNITY THROUGH CASH CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS, INCLUDING THE MISSOULA FOOD BANK & COMMUNITY CENTER, THE MONTANA FOOD BANK NETWORK, NORTH MISSOULA COMMUNITY DEVELOPMENT CORPORATION, AND UNITED WAY OF MISSOULA COUNTY. HOMELESSNESS AND HOUSING:PROVIDENCE ST. PATRICK HOSPITAL PARTICIPATES IN SEVERAL COMMUNITY COLLABORATIVES FOCUSED ON SERVING PEOPLE WHO ARE WITHOUT HOUSING. AN SPH REPRESENTATIVE PARTICIPATES IN WEEKLY COORDINATED ENTRY SYSTEM (PART OF THE STATE'S CONTINUUM OF CARE) CASE CONFERENCING, AS WELL AS WEEKLY MEETINGS TO COORDINATE CARE AND HOUSING GOALS FOR PEOPLE IN THE COMMUNITY WHO HAVE THE MOST CONTACT WITH EMERGENCY HEALTH SERVICES, LAW ENFORCEMENT, AND JAIL. PROVIDENCE ST. PATRICK HOSPITAL SUPPORTED THE WINTER WARMING SHELTER, A CRUCIAL COMMUNITY EFFORT TO PREVENT DEATHS OF MISSOULIANS DURING THE LONG WINTER SEASON. PROVIDENCE ST. PATRICK HOSPITAL MADE FINANCIAL AND IN-KIND CONTRIBUTIONS TO PARTNER ORGANIZATIONS THAT SERVE PEOPLE EXPERIENCING HOMELESSNESS, INCLUDING TO THE HOUSING SOLUTIONS FUND THROUGH UNITED WAY OF MISSOULA COUNTY, THE POVERELLO CENTER EMERGENCY SHELTER AND MEDICAL RESPITE PROGRAM. PROVIDENCE ST. PATRICK HOSPITAL ALSO PROVIDED FUNDING TO SUPPORT BRINGING COMMUNITY SOLUTIONS' BUILT FOR ZERO INTERVENTION TO THE COMMUNITY IN SUPPORT OF ENDING HOMELESSNESS.CHILDHOOD OBESITY:CATCH (COORDINATED APPROACH TO CHILD HEALTH) UNITES MULTIPLE ORGANIZATIONS IN A CHILD'S LIFE TO CREATE A COMMUNITY OF HEALTH. PROVIDENCE ST. PATRICK HOSPITAL HAS SUPPORTED MISSOULA'S CATCH PROGRAM FOR OVER A DECADE. CATCH'S EVIDENCE-BASED PROGRAM PREVENTS AND DECREASES THE RATES OF CHILDHOOD OBESITY. THE PROGRAM FOCUSES ON THE MESSAGING A CHILD RECEIVES IN PHYSICAL EDUCATION, THE LUNCHROOM, THE CLASSROOM, AND AT HOME, TO INFLUENCE A CHILD'S CHOICES NOT ONLY IN SCHOOL, BUT LIFELONG. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO COLLABORATING WITH PARTNER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE NEEDS IDENTIFIED IN OUR CHNA, WITH FULL ACKNOWLEDGMENT THAT THESE NEEDS ARE AMONG THE MOST CHALLENGING TO ADDRESS IN ANY COMMUNITY, AND REQUIRE LONG-TERM FOCUS AND INVESTMENT FROM ALL LEVELS OF COMMUNITY STAKEHOLDERS.
SCHEDULE H, PART V, SECTION B, LINE 13A:DURING 1/1/2022 - 06/30/2022 PROVIDENCE ST. PATRICK HOSPITAL 100% DISCOUNT WAS UP TO 300% FPL AND 75% DISCOUNT BETWEEN 301% TO 350% FPL. EFFECTIVE 7/01/22 THROUGH 12/31/2022, PROVIDENCE ST. PATRICK HOSPITAL 100% DISCOUNT WAS UP TO 300% FPL AND 75% DISCOUNT BETWEEN 301% TO 400% FPL. THE FPL THRESHOLD PERCENTAGE WAS RAISED DURING THE YEAR TO COMPLY WITH NEW STATE LAW.
PROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 16A:FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/MT/FINANCIAL-ASSISTANCE-APPLICATIONPROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 16B:FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/MT/FINANCIAL-ASSISTANCE-APPLICATION
PROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 16C:FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/MT/FINANCIAL-ASSISTANCE-APPLICATION
PROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 20E:FINANCIAL ASSISTANCE INFORMATION ALONG WITH PAYMENT OPTIONS ARE GIVEN ON EACH BILLING STATEMENT TO THE PATIENT.
PROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 24:IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE.
FieldValueIRS element (for citing)
Facility87FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (87 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - PROVIDENCE HEALTH AND SERVICES MT
310 MAIN STREETDEER LODGEMT597221000SPECIALTY CLINIC
2 - PROVIDENCE MEDICAL GROUP MONTANA
2829 GREAT NORTHERN LOOP STE 300MISSOULAMT598081752SPECIALTY CLINIC
3 - PROVIDENCE MEDICAL GROUP MONTANA
500 W BROADWAY STMISSOULAMT598024008SPECIALTY CLINIC
4 - PROVIDENCE MEDICAL GROUP MONTANA
500 W BROADWAY ST STE 320MISSOULAMT598024031SPECIALTY CLINIC
5 - PROVIDENCE MEDICAL GROUP MONTANA
601 W SPRUCE ST STE DMISSOULAMT598024047SPECIALTY CLINIC
6 - PROVIDENCE MEDICAL GROUP MONTANA
77 DEER CREEK RDSOMERSMT599328000SPECIALTY CLINIC
7 - PROVIDENCE MEDICAL GROUP MONTANA
805 MAIN STSALMONID83467SPECIALTY CLINIC
8 - PMG - MT - BARIATRIC SURGERY
500 W BROADWAY ST FLR 5MISSOULAMT598024096SPECIALTY CLINIC
9 - PMG - MT - BROADWAY INT MED
500 W BROADWAY ST FLR 4MISSOULAMT598024096PRIMARY CARE
10 - PMG - MT - CANCER CENTER
500 W BROADWAY STMISSOULAMT598024008SPECIALTY CLINIC
11 - PMG - MT - COMM HOSP OF ANACONDA
401 W PENNSYLVANIA STANACONDAMT59711SPECIALTY CLINIC
12 - PMG - MT - COMMUNITY MEDICAL CENTER
2827 FORT MISSOULA RDMISSOULAMT598047408SPECIALTY CLINIC
13 - PMG - MT - DIABETES PREVENTION PROGRAM
500 W BROADWAY STMISSOULAMT598024014SPECIALTY CLINIC
14 - PMG - MT - DISCOVERY CARE CENTER
601 N 10TH STHAMILTONMT598402060SPECIALTY CLINIC
15 - PMG - MT - EDGEWOOD VISTA KALISPELL
141 INTERSTATE LNKALISPELLMT59901SPECIALTY CLINIC
16 - PMG - MT - EDGEWOOD VISTA MISSOULA
2815 PALMER STMISSOULAMT59808SPECIALTY CLINIC
17 - PMG-MT - ENDOCRINOLOGY DIABETES & NUTRI
900 N ORANGE ST STE 304MISSOULAMT598022951SPECIALTY CLINIC
18 - PMG - MT - EVERGREEN ASSISTED LIVING
3018 RATTLESNAKE DRMISSOULAMT598026101SPECIALTY CLINIC
19 - PMG - MT - EVERGREEN HEALTH CARE
3018 RATTLESNAKE DRMISSOULAMT598026101SPECIALTY CLINIC
20 - PMG - MT - FLORENCE FAMILY MEDICINE
5549 OLD US HWY 93FLORENCEMT59833SPECIALTY CLINIC
21 - PMG - MT - GRANT CREEK LAB
3075 N RESERVE ST STE QMISSOULAMT598081390PRIMARY CARE
22 - PMG - MT - GRANT CREEK PRIMARY CARE
3075 N RESERVE ST STE QMISSOULAMT598081390PRIMARY CARE
23 - PMG - MT - HILLSIDE HEALTH CARE
4720 23RD AVEMISSOULAMT59803SPECIALTY CLINIC
24 - PMG - MT - HOME HEALTH OF MONTANA
1903 S RUSSELL ST STE 1MISSOULAMT598016624SPECIALTY CLINIC
25 - PMG - MT - IHI CPAM ST PATRICK HOSP AND HE
601 W SPRUCE ST STE AMISSOULAMT598024030SPECIALTY CLINIC
26 - PMG - MT - IHI HAMILTON MARCUS DALY MEMORI
1200 WESTWOOD DRHAMILTONMT598402345SPECIALTY CLINIC
27 - PMG - MT - IHI LINCOLN PARKER MED CTR
2363 W HWY 200LINCOLNMT59639SPECIALTY CLINIC
28 - PMG - MT - IHI MONTANA CARDIOLOGY
203 S DAISY STSALMONID834674709SPECIALTY CLINIC
29 - PMG - MT - IHI MT POLSON
6 13TH AVE E STE 1POLSONMT59860SPECIALTY CLINIC
30 - PMG - MT - IHI PLAINS FAMILY MEDICINE
10 KRUGER RDPLAINSMT59859PRIMARY CARE
31 - PMG - MT - IHI ST JAMES HEALTHCARE
400 S CLARK STBUTTEMT597012328SPECIALTY CLINIC
32 - PMG - MT - IHI SURGERY
500 W BROADWAY STMISSOULAMT598024096SPECIALTY CLINIC
33 - PMG - MT - INFECTION DISEASE
902 N ORANGE STMISSOULAMT598022928SPECIALTY CLINIC
34 - PMG - MT - INT HEART INST OF MT
500 W BROADWAY ST STE 320MISSOULAMT598024031SPECIALTY CLINIC
35 - PMG - MT - INT HEART INST OF MT BUTTE
435 S CRYSTAL ST STE 240BUTTEMT89701SPECIALTY CLINIC
36 - PMG - MT - LIFESPAN FAM MED
715 MAIN STSTEVENSVILLEMT59870PRIMARY CARE
37 - PMG - MT - LONGTERM MOBILITY CARE
500 W BROADWAY STMISSOULAMT598024008SPECIALTY CLINIC
38 - PMG - MT - METABOLIC CTR OF ENDO DIAB AND
902 N ORANGE ST STE 304MISSOULAMT598022951SPECIALTY CLINIC
39 - PMG - MT - MISSOULA FAMILY MEDICAL
601 W SPRUCE ST STE AMISSOULAMT598024047PRIMARY CARE
40 - PMG - MT - MONTANA GENERAL SURGERY
500 W BROADWAY ST MISSOULAMISSOULAMT598024096SPECIALTY CLINIC
41 - PMG - MT - MONTANA NEUROLOGY SPECIALISTS
902 N ORANGE ST STE 303MISSOULAMT598022951SPECIALTY CLINIC
42 - PMG - MT - MT NEUROSURGICAL SPECIALIS
500 W BROADWAY ST STE 310MISSOULAMT598024012SPECIALTY CLINIC
43 - PMG - MT - MT SPINE & PAIN POLSON
6 13TH AVE EASTPOLSONMT598605315SPECIALTY CLINIC
44 - PMG - MT - MT SPINE AND PAIN CENTER
500 W BROADWAY ST FLR 3MISSOULAMT598024096SPECIALTY CLINIC
45 - PMG - MT - NEPHROLOGY
500 W BROADWAY ST FLR 4MISSOULAMT598024096PRIMARY CARE
46 - PMG - MT - OCCUPATIONAL HEALTH SERVICES
2875 TINA AVE STE 104MISSOULAMT598081582SPECIALTY CLINIC
47 - PMG - MT - PEDIATRIC HOSPITALIST
500 W BROADWAY STMISSOULAMT598024096SPECIALTY CLINIC
48 - PMG - MT - PEDIATRICS
900 N ORANGE ST STE 303MISSOULAMT598022956SPECIALTY CLINIC
49 - PMG - MT - PMG MT PULMONOLOGY & SLEEP MED
900 N ORANGE ST STE 106MISSOULAMT598022951SPECIALTY CLINIC
50 - PMG - MT - POWELL COUNTY MEDICAL CLINIC
1101 TEXAS AVEDEER LODGEMT59722SPECIALTY CLINIC
51 - PMG - MT - PSYCHIATRY
900 N ORANGE ST STE 202MISSOULAMT598022951SPECIALTY CLINIC
52 - PMG - MT - RADIATION ONCOLOGY
500 W BROADWAY STMISSOULAMT598024008SPECIALTY CLINIC
53 - PROVIDENCE MEDICAL GROUP MONTANA - REHAB
902 N ORANGE ST FLR 4MISSOULAMT598022998REHAB & PHYSICAL THERAPY
54 - PMG - MT - RIVERSIDE HEALTH CARE
1301 E BROADWAY STMISSOULAMT598024905SPECIALTY CLINIC
55 - PMG - MT - ROCKY MOUNTAIN HEART LUNG
350 HERITAGE WAY STE 2100KALISPELLMT599013167SPECIALTY CLINIC
56 - PMG - MT - SPH ANTICOAGULATION CLINIC
500 W BROADWAY STMISSOULAMT598024096SPECIALTY CLINIC
57 - PMG - MT - SPH FIRST STEP
900 N ORANGE ST STE 103MISSOULAMT598022951SPECIALTY CLINIC
58 - PMG - MT - SPH INPATIENT HOSP
500 W BROADWAY STMISSOULAMT598024096SPECIALTY CLINIC
59 - PMG - MT - SPH INPATIENT PHY SERVICES
500 W BROADWAY STMISSOULAMT598024096SPECIALTY CLINIC
60 - PMG - MT - SPH ST PATRICKS ER PHYS
500 W BROADWAY STMISSOULAMT598024008SPECIALTY CLINIC
61 - PMG - MT - ST LUKE COMMUNITY HEALTHCARE
107 RIDGEWATER DRPOLSONMT59860SPECIALTY CLINIC
62 - PMG - MT - ST PATRICK HOSP CORP BUTTE
400 S CLARK STBUTTEMT597012328SPECIALTY CLINIC
63 - PMG - MT - SURGERY CENTER
902 N ORANGE STE 100MISSOULAMT598022928SPECIALTY CLINIC
64 - PMG - MT - TRAUMA SERVICES
500 W BROADWAY ST FLR 5MISSOULAMT598024096SPECIALTY CLINIC
65 - PMG - MT - TRIBAL HLTH & HUMAN SERVICES
308 MISSION DRST IGNATIUSMT59865SPECIALTY CLINIC
66 - PMG - MT - URGENT MENTAL HEALTH CLINIC
900 N ORANGE ST STE 202MISSOULAMT598022951SPECIALTY CLINIC
67 - PMG - MT - VALLEY VIEW ESTATES HEALTHCARE
225 N 8TH STHAMILTONMT59840SPECIALTY CLINIC
68 - PMG - MT - VILLIAGE HEALTH CARE
2651 SOUTH AVE WMISSOULAMT598046405SPECIALTY CLINIC
69 - PMG - MT - WOMEN'S CARE CTR & FAMILY WELLN
1211 S RESERVE ST STE 101MISSOULAMT59801PRIMARY CARE
70 - PMG - MT - WOUND CARE
902 N ORANGE STMISSOULAMT598022928SPECIALTY CLINIC
71 - PMG - MT AT AUTUMN HOUSE
1185 EASTSIDE HWYCORVALLISMT59828SPECIALTY CLINIC
72 - PMG - MT AT BEEHIVE HOMES
2406 RIVER RDMISSOULAMT59804SPECIALTY CLINIC
73 - PMG - MT AT MARCUS DALY HOSPICE & PALLITIV
1200 WESTWOOD DRHAMILTONMT598402345SPECIALTY CLINIC
74 - PMG - MT AT MARCUS DALY MEMORIAL HOSPITAL
1200 WESTWOOD DRHAMILTONMT598402345SPECIALTY CLINIC
75 - PMG - MT AT MARCUS DALY MEMORIAL HOSPITAL
1200 WESTWOOD DRHAMILTONMT598402345SPECIALTY CLINIC
76 - PMG - MT AT ST PATRICK HOSP & HLTH SCI CTR
500 W BROADWAY STMISSOULAMT598024008SPECIALTY CLINIC
77 - PMG - MT INT HEART INSTITUTE
1102 E COMMERCIAL AVEANACONDAMT59711SPECIALTY CLINIC
78 - PMG - MT LAKESIDE CLINIC
2181 HWY 2 E STE 7KALISPELLMT59901SPECIALTY CLINIC
79 - PMG - MT MISSOULA FAMILY MEDICAL
621 W ALDERMISSOULAMT598024014SPECIALTY CLINIC
80 - PMG - MT OCCUPATIONAL HLTH SERVICES
601 W SPRUCE ST STE CMISSOULAMT598024057SPECIALTY CLINIC
81 - PMG - MT PALLIATIVE CARE
601 W SPRUCE ST STE KMISSOULAMT59802SPECIALTY CLINIC
82 - PMG - MT PLASTIC SURGERY
900 N ORAGE ST STE 205MISSOULAMT59802SPECIALTY CLINIC
83 - PMG - MT - PMG MT ACUTE SURGERY AND TRAUMA
500 W BROADWAYMISSOULAMT59802SPECIALTY CLINIC
84 - PMG - MT PROVIDENCE OCCUPATIONAL HEALTH
3055 N RESERVE ST STE DMISSOULAMT598081395SPECIALTY CLINIC
85 - PMG - MT -PULMONARY AND SLEEP MEDICINE
601 W SPRUCE ST STE JMISSOULAMT598024047SPECIALTY CLINIC
86 - ST PATRICK PATHOLOGISTS
500 W BROADWAY STMISSOULAMT59802SPECIALTY CLINIC
87 - PROVIDENCE SURGERY CENTER LLC
902 N ORANGE STMISSOULAMT59802AMBULATORY SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
PART I, LINE 6A:PROVIDENCE HEALTH & SERVICES - MONTANA PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/MONTANA
PART I, LINE 7:THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS.
PART I, LINE 7G:PROVIDENCE PHYSICIANS MONTANA REPORTED $3,214,590 COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES.
PART II, COMMUNITY BUILDING ACTIVITIES:IN 2022, PROVIDENCE ST. PATRICK HOSPITAL CONTINUED OUR AWARD-WINNING WORK TO REDUCE ENVIRONMENTAL IMPACTS FROM HOSPITAL OPERATIONS. THIS EFFORT, CALLED GREEN 4 GOOD, IS LED BY A DEDICATED STAFF PERSON (.5 FTE) IN THE MONTANA SERVICE AREA. IN 2022, PROVIDENCE ST. PATRICK HOSPITAL EARNED PRACTICE GREENHEALTH AWARDS, INCLUDING TOP 25, CIRCLE OF EXCELLENCE FOR WASTE, LEADERSHIP, & CLIMATE, AND GREENING THE OR. 2022 GREEN 4 GOOD ACCOMPLISHMENTS INCLUDE TRIPLING SUSTAINABLE FOOD PURCHASES COMPARED TO 2021 (7% UP TO 21%) AND REDUCING GREENHOUSE GAS (GHG) EMISSIONS BY 10.2% SINCE BASELINE YEAR OF 2019. ENVIRONMENTAL JUSTICE EDUCATION WAS PROVIDED BY UNIVERSITY OF MONTANA PROFESSOR (DR. ROBIN SAHA), WITH A GOAL OF ALIGNING HOSPITAL ENVIRONMENTAL STEWARDSHIP WORK WITH ENVIRONMENTAL JUSTICE.PROVIDENCE ST. PATRICK HOSPITAL SUPPORTED COMMUNITY EQUITY AND ANTI-RACISM WORK. IN 2022, THE COMMUNITY COMMEMORATED THE RECONSTRUCTION OF A HISTORICALLY-SIGNFICANT BRIDGE FOR THE CONFEDERATED SALISH AND KOOTENAI TRIBES WITH A RENAMING CEREMONY FOR THE NEWLY-RENAMED BEARTRACKS BRIDGE. THE NAME HONORS THE ORIGINAL INHABITANTS OF THE MISSOULA VALLEY AND REMEMBERS THE U.S. GOVERNMENT'S FORCIBLE REMOVAL OF INDIGENOUS PEOPLE IN 1891.PROVIDENCE ST. PATRICK HOSPITAL CONTRIBUTED TO COMMUNITY ORGANIZATIONS ENGAGED WITH ANTI-RACISM WORK IN THE COMMUNITY IN HONOR OF MARTIN LUTHER KING, JR DAY.
PART III, LINE 4:AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019.
PART III, LINE 8:THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
PART III, LINE 9B:COLLECTION ACTIVITYOUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:NEEDS ASSESSMENTWE RECOGNIZE THAT CARING FOR THE POOR AND VULNERABLE IS NOT A TASK WE CAN DO ON OUR OWN. ON A ROUTINE BASIS WE CONDUCT A FORMAL COMMUNITY ASSESSMENT TO DETERMINE WHO IN OUR COMMUNITIES IS EXPERIENCING THE GREATEST NEED. THIS OUTREACH CONNECTS US TO MANY NOT-FOR-PROFIT ORGANIZATIONS AND SOCIAL SERVICE AGENCIES AS WELL AS CARE PROVIDERS AND THEIR CLIENTS IN THE COMMUNITIES. TO ENSURE THAT WE CONDUCT A COMPREHENSIVE ASSESSMENT, OUR PROCESS INCLUDES RESEARCH, MEETINGS, INTERVIEWS, FOCUS GROUPS AND SURVEYS. A REPRESENTATIVE FROM PROVIDENCE ST. PATRICK HOSPITAL PARTICIPATES IN MISSOULA COUNTY HEALTH DEPARTMENT'S COMMUNITY NEEDS ASSESSMENT PROCESS; THIS MOST RECENT ASSESSMENT WAS COMPLETED IN 2021: HTTPS://WWW.MISSOULACOUNTY.US/GOVERNMENT/COMMUNITY-DEVELOPMENT/COMMUNITY-PLANNING-SERVICES/GRANTS-COMMUNITY-PROGRAMS/PROJECTS-AND-PROGRAMS/COMMUNITY-NEEDS-ASSESSMENTADDITIONALLY, PROVIDENCE MINISTRIES HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS THAT SERVE ON PROVIDENCE BOARDS CONNECT OUR MISSION WITH A LOCAL PERSPECTIVE ON COMMUNITY NEEDS. OUR ASSESSMENT FINDINGS ARE ASSEMBLED TO MAKE CERTAIN WE UNDERSTAND AND RESPOND TO LOCAL AND REGIONAL NEEDS, WHICH OFTEN VARY FROM ONE CITY OR COUNTY TO ANOTHER. IDENTIFIED AREAS OF NEED NOT ONLY GUIDE OUR COMMUNITY BENEFIT GIVING, BUT ALSO GUIDE OUR STRATEGIC PLANNING. WE BELIEVE MEANINGFUL COMMUNITY NEEDS ASSESSMENT PROVIDES INSIGHT INTO THE COMPLETE COMMUNITY BENEFIT THAT IS REQUIRED, BEYOND JUST FREE AND DISCOUNTED CARE.
PART VI, LINE 3:COMMUNICATION TO THE PUBLICTHE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS. WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS.
PART VI, LINE 4:COMMUNITY INFORMATIONPROVIDENCE ST. PATRICK HOSPITAL PROVIDES COMMUNITIES IN WESTERN MONTANA WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. DUE TO THE LEVEL OF CARE PROVIDED AT THIS HOSPITAL, PROVIDENCE ST. PATRICK HOSPITAL SEES PATIENTS FROM SURROUNDING COUNTIES, ALTHOUGH FOR THE PURPOSES OF THE CHNA, THE TOTAL SERVICE AREA IS MISSOULA COUNTY. THOSE SURROUNDING AREAS EXTEND FROM LAKE AND SANDERS COUNTIES IN THE NORTH, RAVALLI, GRANITE, DEER LODGE AND SILVER BOW COUNTIES IN THE SOUTH, POWELL AND LEWIS AND CLARK COUNTIES IN THE EAST AND MINERAL COUNTY IN THE WEST. THE TOTAL SERVICE AREA, MISSOULA COUNTY, INCLUDES A POPULATION OF APPROXIMATELY 122,000 PEOPLE. MISSOULA COUNTY COVERS AN AREA OF ROUGHLY 2,600 SQUARE MILES IN WESTERN MONTANA. THE COUNTY IS MOUNTAINOUS, WITH MORE THAN 1,975 MILES OF RIVERS AND STREAMS AND FIVE VALLEYS THAT SIT ABOUT 3,200 FEET ABOVE SEA LEVEL. THE AREA IS HOME TO ABUNDANT WILDLIFE. THE FIRST INHABITANTS OF THE MISSOULA AREA WERE AMERICAN INDIANS FROM THE SALISH TRIBE. THE FIRST WHITE SETTLEMENT WAS ESTABLISHED IN 1860.THE POPULATION OF MISSOULA COUNTY IS ESTIMATED AT 122,000. THE AMERICAN COMMUNITY SURVEY FIVE-YEAR ESTIMATES OF THE POPULATION REFLECTS: 23.77% PERCENT YOUTH (0-17 YEARS) 29.79% PERCENT YOUNG ADULTS (18-34 YEARS) 35.99% PERCENT OLDER ADULTS (35-64 YEARS) 15.75% PERCENT SENIORS (65 YEARS AND OLDER) AMONG MISSOULA RESIDENTS IN THE ACS FIVE-YEAR ESTIMATES, 91.12% ARE WHITE, 1.72% ASIAN, 2.6% WERE ALASKA NATIVE OR AMERICAN INDIAN, .51% WERE AFRICAN AMERICAN OR BLACK, .08% WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, .59% WERE OTHER AND 3.38% WERE OF TWO OR MORE RACES. 3.38% OF THE POPULATION IDENTIFIES AS HISPANIC OR LATINO. INCOME LEVELS AND HOUSING IN THE 2019 AMERICAN COMMUNITY SURVEY, THE MEDIAN HOUSEHOLD INCOME FOR MISSOULA COUNTY WAS $53,890. THE MEDIAN INCOME OF MISSOULA COUNTY'S HIGH NEED SERVICE AREA IS $41,081, OR 76% OF THE BROADER SERVICE AREA MEDIAN INCOME. ON AVERAGE, APPROXIMATELY 27% OF HOUSEHOLDS IN MISSOULA COUNTY ARE SEVERELY HOUSING COST BURDENED. THIS IS SLIGHTLY LOWER THAN THE HIGH NEED AREAS IN WHICH NEARLY 30% OF RENTER HOUSEHOLDS ARE SEVERELY HOUSING COST BURDENED.THE ORGANIZED HEALTH CARE DELIVERY SYSTEMS INCLUDE THE MISSOULA CITY-COUNTY HEALTH DEPARTMENT, COMMUNITY MEDICAL CENTER, AS WELL AS FEDERALLY-QUALIFIED HEALTH CENTERS. IN ADDITION, THERE ARE NUMEROUS SOCIAL SERVICE NON-PROFIT AGENCIES, FAITH-BASED ORGANIZATIONS, AND PRIVATE AND PUBLIC-SCHOOL SYSTEMS THAT CONTRIBUTE RESOURCES TO ADDRESS THESE IDENTIFIED NEEDS: 2 HOSPITALS, INCLUDING ONE WITH PSYCHIATRIC INPATIENT UNIT AND AMBULATORY OUTPATIENT CLINICS. ONE FEDERALLY-QUALIFIED HEALTH CENTER, INCLUDING SATELLITE CLINICS 60+ DENTAL PROVIDERS MENTAL HEALTH PROVIDERS: 1 CRISIS STABILIZATION HOME, 2 OUTPATIENT MENTAL HEALTH TREATMENT CENTERS SERVING BOTH ADULTS AND CHILDREN ADDICTION TREATMENT: 1 INPATIENT CENTER AND 2 OUTPATIENT CENTERS TO SERVE BOTH ADULT AND CHILDREN.
PART VI, LINE 5:COMMUNITY HEALTH PROMOTIONPROVIDENCE HEALTH & SERVICES - MONTANA PROVIDES VITAL COMMUNITY HEALTHSERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSUREDTHROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTEDCARE. PROVIDENCE HEALTH & SERVICES - MONTANA IS COMMITTED TO PROMOTINGTHE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS ISDEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) OPEN MEDICAL STAFF2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.
PART VI, LINE 6:AFFILIATED HEALTH CARE SYSTEM:AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND.THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES.WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT
PART VI, LINE 7, REPORTS FILED WITH STATESMT

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
MISSOULA ECONOMIC PARTNERSHIP
PO BOX 7457MISSOULAMT59802273994460501(C)(6)$50,000$0SPONSORSHIP
ST PATRICK HOSPITAL FOUNDATION
502 W SPRAUCE STMISSOULAMT59808237056976501(C)(3)$44,694$0SPONSORSHIP
CATHOLIC SOCIAL SERVICES INC
PO BOX 907 FOR MONTANAHELENAMT59624240818341501(C)(3)$35,000$0SPONSORSHIP
YMCA MISSOULA FAMILY
3000 S RUSSEL STMISSOULAMT59801810300829501(C)(3)$25,000$0OPERATIONAL SUPPORT
UNITED WAY OF MISSOULA COUNTY
412 W ALDER STMISSOULAMT59802810287854501(C)(3)$10,000$0OPERATIONAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GREG HOFFMAN
PRESIDENT/CEO & TREASURER$0$919,782$0$1,584,583$0$115,250$0$253,823$0$24,713$0$2,898,151$0$89,848
JOEL GILBERTSON
DIVISION CHIEF EXEC - CENTRAL$0$858,041$0$1,026,760$0$249,550$0$248,529$0$15,834$0$2,398,714$0$210,446
JO ANN ESCASA-HAIGH
EVP/ASSISTANT TREASURER$0$841,148$0$989,404$0$326,862$0$27,450$0$8,365$0$2,193,229$0$284,024
JOSEPH SCHMOKER
PHYSICIAN$1,432,494$0$314,506$0$157,525$0$0$0$33,560$0$1,938,085$0$104,436$0
MIKE BUTLER
FRMR PRESIDENT$0$0$0$0$0$1,835,706$0$7,828$0$0$0$1,843,534$0$0
JOHN WHIPPLE
SECRETARY - THRU 5/22$0$319,672$0$277,940$0$1,146,142$0$5,571$0$5,476$0$1,754,801$0$855,652
CARTER BECK MD
PHYSICIAN$847,457$0$508,016$0$141,569$0$91,286$0$4,366$0$1,592,694$0$116,076$0
SCOTT O'BRIEN
DIVISION COO - CENTRAL$0$605,546$0$510,039$0$205,317$0$180,710$0$2,266$0$1,503,878$0$183,677
ROBERT HELLRIGEL
FRMR EVP CE HOME & COMM CARE$0$613,354$0$432,607$0$333,365$0$4,493$0$10,891$0$1,394,710$0$165,001
SIMONE MUSCO MD
PHYSICIAN$749,865$0$115,950$0$203,736$0$86,866$0$36,272$0$1,192,689$0$105,548$0
JAMES MADDUX
PHYSICIAN$790,806$0$112,500$0$124,696$0$88,346$0$20,764$0$1,137,112$0$101,509$0
DANIEL SPOON
PHYSICIAN$790,806$0$112,500$0$133,255$0$62,599$0$13,876$0$1,113,036$0$75,550$0
ANNA NEWSOM
SECRETARY (PART YEAR)$0$535,718$0$50,000$0$215,282$0$202,914$0$22,171$0$1,026,085$0$0
JOYCE DOMBROUSKI
CHIEF EXEC WESTERN MT SVC AREA$0$439,109$0$245,954$0$141,308$0$145,731$0$22,075$0$994,177$0$113,749
JIM WATSON ESQ
ASSISTANT SECRETARY$0$466,229$0$228,525$0$142,483$0$98,225$0$26,164$0$961,626$0$119,387
HELEN ANDRUS
REGIONAL CFO WA AND MT$0$425,620$0$235,000$0$89,570$0$89,229$0$16,549$0$855,968$0$62,305
MELISSA DAMM
DIVISION CFO - CENTRAL$0$379,873$0$170,000$0$84,206$0$83,219$0$2,161$0$719,459$0$62,794
KIRK BODLOVIC
FRMR KE - PSJH REG. COO$0$275,969$0$80,000$0$13,753$0$35,438$0$11,223$0$416,383$0$6,310
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT$0$219,186$0$36,718$0$1,088$0$13,600$0$17,583$0$288,175$0$0
CINDY STRAUSS
FRMR SECRETARY$0$0$0$146,754$0$0$0$0$0$0$0$146,754$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1APROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD-PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES ONLY FOR PURPOSES OF RELOCATION ASSISTANCE TO A NEWLY HIRED EMPLOYEE. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE NEWLY HIRED EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES ARE RENT (EXCLUDING "RENT" WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL THE TITLE CLEARS) AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE MAY APPROVE TEMPORARY HOUSING ASSISTANCE FOR UP TO SIX MONTHS WHEN FAMILY RELOCATION IS DELAYED TO ACCOMMODATE THE SCHOOL YEAR OR EQUIVALENT CIRCUMSTANCES. ONLY IN EXTENUATING CIRCUMSTANCES IS HOUSING EXTENDED BEYOND THIS SIX-MONTH PERIOD. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE.
PART I, LINE 3DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE.
PART I, LINES 4A-BTHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS THIS YEAR: MIKE BUTLER - $1,835,706 JOHN WHIPPLE - $186,674 ROBERT HELLRIGEL - $95,175 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: GREG HOFFMAN - $89,848 JOEL GILBERTSON - $210,446 JO ANN ESCASA-HAIGH - $284,024 JOSEPH SCHMOKER - $104,436 JOHN WHIPPLE - $855,652 CARTER BECK MD - $116,076 SCOTT O'BRIEN - $183,677 ROBERT HELLRIGEL - $165,001 SIMONE MUSCO M.D. - $105,548 JAMES MADDUX - $101,509 DANIEL SPOON - $75,550 JOYCE DOMBROUSKI - $113,749 JIM WATSON, ESQ - $119,387 HELEN ANDRUS - $62,305 MELISSA DAMM - $62,794 KIRK BODLOVIC - $6,310
PART I, LINE 7NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 15INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATION'S SECTION 4960 TAX ANALYSIS AND REPORTING.
FORM 990, PART VI, SECTION A, LINE 6CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH & SERVICES - MONTANA.
FORM 990, PART VI, SECTION A, LINE 7ACLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH & SERVICES - MONTANA HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE HEALTH & SERVICES - MONTANA'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH & SERVICES - MONTANA BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH & SERVICES, AS THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BCLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, REVISED IN 2023, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS RECUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15PROCESS FOR DETERMINING COMPENSATION 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 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART IX, LINE 11GMEDICAL DIRECTOR & MED. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 21,015,646. MANAGEMENT AND GENERAL EXPENSES 2,126,790. TOTAL EXPENSES 23,142,436. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 5,576,866. MANAGEMENT AND GENERAL EXPENSES 564,381. TOTAL EXPENSES 6,141,247. OTHER PATIENT SERVICES FEES: PROGRAM SERVICE EXPENSES 28,327,061. MANAGEMENT AND GENERAL EXPENSES 2,866,707. TOTAL EXPENSES 31,193,768. AGENCY & CONTRACT LABOR FEES: PROGRAM SERVICE EXPENSES 6,329,734. MANAGEMENT AND GENERAL EXPENSES 640,571. TOTAL EXPENSES 6,970,305. REPAIRS & MAINTENANCE FEES: PROGRAM SERVICE EXPENSES 4,133,386. MANAGEMENT AND GENERAL EXPENSES 418,300. TOTAL EXPENSES 4,551,686. BILLING & COLLECTIONS FEES: PROGRAM SERVICE EXPENSES 114. MANAGEMENT AND GENERAL EXPENSES 11. TOTAL EXPENSES 125.
FORM 990, PART XI, LINE 9:NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 59,888,057. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT -1,639,285. OTHER ADJUSTMENTS -3,315,099.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (111 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
COLLABRIA CARE
414 SOUTH JEFFERSON STREETNAPACA94559680393144HEALTHCARECA501(C)(3)10SJHCNYes (1)
COVENANT ACO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057611573313HEALTHCARETX501(C)(3)12, ICHSYes (1)
COVENANT CHILDREN'S PHYSICIANS GROUP
3615 19TH STREETLUBBOCKTX79410881290850HEALTHCARETX501(C)(3)PENDINGCHSYes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057461259908HEALTHCARECA501(C)(3)12, IIISJHSYes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057463516417HEALTHCARETX501(C)(3)12, ICHSYes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752765566HEALTHCARETX501(C)(3)3SJHSYes (1)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACELUBBOCKTX79410752897026HEALTHCARETX501(C)(3)7CHSYes (1)
COVENANT HOME AND COMMUNITY CARE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057920275096HEALTHCARETX501(C)(3)10CHSYes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057844273963HEALTHCARETX501(C)(3)3CHSYes (1)
COVENANT MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057822913146HEALTHCARETX501(C)(3)3CHSYes (1)
COVENANT MEDICAL GROUP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752743883HEALTHCARETX501(C)(3)3CHSYes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128EVERETTWA982065128943264605TRANSITIONAL CAREWA501(C)(3)100N/A
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057201910170SUPPORTWA501(C)(3)7PHS WAYes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104SEATACWA98188273133200HEALTHCAREWA501(C)(3)7SHSYes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057203856995HEALTHCARETX501(C)(3)3CHSYes (1)
HMTS INC
1 HOAG DRIVENEWPORT BEACHCA92658453583707HEALTHCARECA501(C)(3)12, IHMHPYes (1)
HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195NEWPORT BEACHCA92663452982422SUPPORTCA501(C)(3)7HHFYes (1)
HOAG CLINIC
1 HOAG DRIVENEWPORT BEACHCA92658330676831HEALTHCARECA501(C)(3)10HMHPYes (1)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVENEWPORT BEACHCA92663953222343FUNDRAISINGCA501(C)(3)7HMHPYes (1)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100NEWPORT BEACHCA92663951643327HEALTHCARECA501(C)(3)3CHNYes (1)
HOSPICE OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752133781HEALTHCARETX501(C)(3)10CHSYes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814260130HEALTHCAREWA501(C)(3)PFPHS SJHSYes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057912003593HEALTHCAREWA501(C)(3)7WHCYes (1)
KADLEC AUXILIARY INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057916033089SUPPORTWA501(C)(3)12, IIIKRMCYes (1)
KADLEC FOUNDATION
888 SWIFT BLVDRICHLANDWA99352237005501SUPPORTWA501(C)(3)7KRMCYes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057910655392HEALTHCAREWA501(C)(3)3WHCYes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330844408IMAGING SERVICESCA501(C)(3)10PHS SOCALYes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057264021016HEALTHCARETX501(C)(3)3CHSYes (1)
LUNDBERG ASSOCIATION PROVIDENCE HOUSE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911562797SUPPORTOR501(C)(3)7PHS ORYes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752428911HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752246348HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752426010HEALTHCARETX501(C)(3)3CHSYes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643360HEALTHCARECA501(C)(3)3CHNYes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069SEATTLEWA98116200799737SUPPORTWA501(C)(3)12, ISHSYes (1)
OPEN DOOR VENTURES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911608508SUPPORTWA501(C)(3)7PHS WAYes (1)
PACMED CLINICS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057562290878HEALTHCAREWA501(C)(3)10WHCYes (1)
PH&S FOUNDATIONSFVSA & SCVSA
501 SOUTH BUENA VISTA STREETBURBANKCA915054809953544877HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE ALASKA FOUNDATION
3760 PIPER STREET SUITE 2021ANCHORAGEAK99508920093565HEALTHCAREAK501(C)(3)7PHS WAYes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
540 SOUTH MAIN STMT ANGELOR97362911940286HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911789266SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
4805 NE GLISAN ST STE 2N35PORTLANDOR97213930800140SUPPORTOR501(C)(3)7PHS ORYes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
940 ROYAL AVE SUITE 410MEDFORDOR97504930692907HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057473385506SUPPORTWA501(C)(3)70N/A
PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057954322584SUPPORTCA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311744654SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911549796HEALTHCAREWA501(C)(3)12, IIPSJH0
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216587HEALTHCAREOR501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216586HEALTHCAREWA501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911303277HEALTHCAREWA501(C)(3)3PMWHCYes (1)
PROVIDENCE HEALTH ASSURANCE
4400 NE HALSEY ST STE 609 ATTN ACCOPORTLANDOR97213550828701MEDICAID HEALTHCARE PROVIDEROR501(C)(4)N/APHPYes (1)
PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA)
101 W 8TH AVESPOKANEWA99204320014330HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE HEALTH PLAN
4400 NE HALSEY ST STE 609 ATTN ACCOPORTLANDOR97213930863097HEALTHCAREOR501(C)(4)N/APPPYes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216589HEALTHCARECA501(C)(3)3PHSYes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
810 12TH STREET PO BOX 149HOOD RIVEROR97031930921990HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY
1615 75TH ST SW SUITE 210EVERETTWA98203272552749HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
2811 SOUTH 102ND NO 220TUKWILAWA98168912077378HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
4101 TORRANCE BLVDTORRANCECA90503510224944HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE MARIANWOOD FOUNDATION
3725 PROVIDENCE POINT DRIVE SEISSAQUAHWA980297219931554288HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330185031HEALTHCARECA501(C)(3)3SJHSYes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330283773HEALTHCARECA501(C)(3)12, IPHS SOCALYes (1)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32ND AVEMILWAUKIEOR97222943079515HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057RELIGIOUS ORGWA501(C)(3)10N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVE SWSEATTLEWA981262799911188119HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVENEWBERGOR97132930889144HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311629656SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE PLAN PARTNERS
4400 NE HALSEY ST STE 609 ATTN ACCOPORTLANDOR97213911861964HEALTHCAREWA501(C)(4)N/APHS ORYes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN STPORTLANDOR972132967931231494HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311584166SUPPORTWA501(C)(3)10PHS WAYes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951684082HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814542216HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA ROADSEASIDEOR97138930927320HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN)
413 LILLY ROAD NEOLYMPIAWA985065166911097056SUPPORTWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057912171539SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057943244854SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057811244422HEALTHCAREWA501(C)(3)12, III0N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
4400 NE HALSEY ST STE 599PORTLANDOR97213943078543HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810463482HEALTHCAREMT501(C)(3)3PHS WAYes (1)
PROVIDENCE ST MARY FOUNDATION
401 W POPLAR STREETWALLA WALLAWA99362452841492HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
9205 SW BARNES ROAD STE MT2111PORTLANDOR97225930575982HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057953264139HEALTHCARECA501(C)(3)10PHS SOCALYes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
5315 TORRANCE BLVD NO B-1TORRANCECA90503330261016HEALTHCARECA501(C)(3)7PTCHYes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1500 DIVISION STREETOREGON CITYOR97045931003750HEALTHCAREOR501(C)(3)12, IPHS ORYes (1)
REDWOOD MEMORIAL FOUNDATION
2700 DOBEER STREETEUREKACA95501942779313HEALTHCARECA501(C)(3)7SJHNC LLCYes (1)
SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057954291515HEALTHCARECA501(C)(3)4PSJHCYes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
2121 SANTA MONICA BLVDSANTA MONICACA90404956100079SUPPORT SAINT JOHN HEALTH CENTER & JWCICA501(C)(3)7PSJHCYes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057611502822PHYSICIAN COLLABORATIONWA501(C)(3)7WHCYes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057262612415SHELL CORPORATIONMT501(C)(3)1PHS WA0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643383RELIGIOUS ORGCA501(C)(3)10N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057680395200HEALTHCARECA501(C)(3)3SJHNC LLCYes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057271666576RELIGIOUS ORGCA501(C)(3)1SSJO0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814791043HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057953589356HEALTHCARECA501(C)(3)12, IPSJH0
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE SUITE 100IRVINECA92612330143024HEALTHCARECA501(C)(3)10SJHSYes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057680331084HEALTHCARECA501(C)(3)10SJHSYes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643359HEALTHCARECA501(C)(3)3CHNYes (1)
ST JUDE HOSPITAL INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643325HEALTHCARECA501(C)(3)3CHNYes (1)
ST LUKE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057943176618SUPPORTWA501(C)(3)7PHS WAYes (1)
ST MARY MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951914489HEALTHCARECA501(C)(3)3CHNYes (1)
ST PATRICK HOSPITAL FOUNDATION
502 W SPRUCE STREETMISSOULAMT59802237056976HEALTHCAREMT501(C)(3)7PHS WAYes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810233495EDUCATIONMT501(C)(3)10PHS WAYes (1)
SWEDISH EDMONDS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057272305304HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057910433740HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAYSEATTLEWA98122910983214HEALTHCAREWA501(C)(3)7SHSYes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057273139262HOLDING COMPANYWA501(C)(3)12, ISHSYes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057833972614HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911180824SUPPORTWA501(C)(3)7PHS WAYes (1)
THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911293869SUPPORTCA501(C)(3)10PHS SOCALYes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911214491SUPPORTOR501(C)(3)10PHS ORYes (1)
TRI-CITIES CANCER CENTER FOUNDATION
7350 W DESCHUTES AVE BUILDING AKENNEWICKWA99336911739024SUPPORTWA501(C)(3)7KRMCYes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810231777EDUCATIONMT501(C)(3)2PHSYes (1)
WESTERN HEALTHCONNECT
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057454171900SHELL CORPORATIONWA501(C)(3)12, IIPHS W WAYes (1)

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Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctUBI Code VUBICodeVAmt
20TH STREET SURGERY LLC
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BRIDGEPORT MEDICAL IMAGING LLC (BMI)
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BROADWAY IMAGING LLC
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CENTER FOR MEDICAL IMAGING LLC (CMI)
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CLACKAMAS RADIATION ONCOLOGY CENTER LLC
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COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE BOX 6100NEWPORT BEACHCA92663810986844HEALTHCARECAN/A0Yes (1)
COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY
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COVENANT HIGH PLAINS SURGERY CENTER LLC
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COVENANT PARK PHASE I VENTURE LLC
3615 19TH STLUBBOCKTX79410871464045REAL ESTATETXN/A00
CSS JV LLC
11782 SW BARNES ROAD STE 200 BLDG CPORTLANDOR97225263638838AMBULATORY SURGERY CENTERORN/A00
FIRST HILL SURGERY CENTER LLC
1101 MADISON STREET STE 200SEATTLEWA98104472066485AMBULATORY SURGERY CENTERWAN/A0Yes (1)
FULLERTON SURGICAL CENTER LP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057470927394AMBULATORY SURGERY CENTERCAN/A0Yes (1)
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA STBURBANKCA91505954570858REAL ESTATE - MOBCAN/A0Yes (1)
HCSA PROPERTIES LLC
1600 M STREET NWAUBURNWA98001460620892REAL ESTATE RENTALWAN/A00
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000ORANGECA92868271000061INVESTMENTSCAN/A00
HOAG ORTHOPEDIC INSTITUTE
1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658611588294HEALTHCARECAN/A00
HOI ASC HOLDINGS LLC
16250 SAND CANYON AVEIRVINECA92618825250937INVESTMENTSCAN/A00
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE AANCHORAGEAK99508203906048MEDICAL IMAGINGAKN/A0Yes (1)
LSC REAL PROPERTY LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057474646059REAL ESTATETXN/A0Yes (1)
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREETLUBBOCKTX79410752343261HEALTHCARETXN/A0Yes (1)
MISSION VIEJO PARTNERS II LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823943675REAL ESTATE - MOBCAN/A0Yes (1)
NEWPORT IMAGING CENTER
360 SN MIGUELNEWPORT BEACHCA92660330191776HEALTHCARECAN/A0Yes (1)
NORTH OC IMAGING JV HOLDINGS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057852444305HEALTHCARECAN/A00
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAYMEDFORDOR97504450471748MEDICAL IMAGINGORN/A0Yes (1)
PAVILION SURGERY CENTER LLC
1140 WEST LAVETA AVEORANGECA92868814376492AMBULATORY SURGERY CENTERCAN/A00
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREETSEATTLEWA98104203132044MEDICAL IMAGINGWAN/A0Yes (1)
PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC
19625 62ND AVENUE SOUTH SUITE 101KENTWA98032452901632MEDICAL EQUIPMENTWAN/A0Yes (1)
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057812701056INVESTMENTSWAN/A00
PROVIDENCE ALASKA HOUSE I OWNER LP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057882819223SUPPORTIVE HOUSINGAKN/A00
PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209823765555MEDICALALN/A00
PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209823270499MEDICALALN/A0Yes (1)
PROVIDENCE HOUSE OAKLAND LP
540 23RD STOAKLANDCA94612811441264SUPPORTIVE HOUSINGCAN/A0Yes (1)
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057920118807MEDICAL IMAGINGAKN/A00
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823190634INVESTMENTSWA00PHS WAECLUDED$205,924$5,014,2710.00090$288
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE STMISSOULAMT59802841401625AMBULATORY SURGERY CENTERMT00PHS MTRELATED$1,423,933$1,805,0110.51000$1,423,583
PROVIDENCEUSP SPOKANE SURGERY CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057881149413AMBULATORY SURGERY CENTERWAN/A00
PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROAD 160MISSION HILLSCA91345200684116AMBULATORY SURGERY CENTERCAN/A00
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON ST 1ST FLSEATTLEWA98104300553035HEALTHCAREWAN/A0Yes (1)
RIVERSIDE HEALTHCARE
1107 HAZELTINE BLVD 200CHASKAMN55318411594648HEALTHCAREMNN/A0Yes (1)
SJO ASC HOLDINGS LLC
27401 LOS ALTOS SUITE 200MISSION VIEJOCA92691821655501HEALTHCARECAN/A00
ST JOSEPH PHYSICIAN VENTURES I LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057454521884REAL ESTATECAN/A0Yes (1)
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814657391HEALTHCARECAN/A00
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823352570AMBULATORY SURGERY CENTERCAN/A0Yes (1)
ST MARY MEDICAL CENTER LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057HEALTHCARECAN/A00
ST PETER-SOUTH SOUND REGIONAL MRI CENTER
3417 ENSIGN RD NEOLYMPIAWA98506911455338MEDICAL IMAGINGWAN/A0Yes (1)
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300LEAWOODKS66211208187971AMBULATORY SURGERY CENTERKSN/A0Yes (1)
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Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
1221 MADISON STREET OWNERS ASSOC
747 BROADWAYSEATTLEWA98122201954319OWNERS' ASSOCIATIONWAN/AC0
ACCLARA SOLUTIONS GROUP LLC
10713 W SAM HOUSTON PKWY N 500HOUSTONTX77064870837184HOLDING COMPANYTXN/AC0
ACCLARA SOLUTIONS INTERMEDIATE LLC
10713 W SAM HOUSTON PKWY N 500HOUSTONTX77064371783298HEALTHCARE FINANCIAL SERVICESTXN/AC0
ADVATA INC (FKA KENSCI INC)
615 2ND AVE 700SEATTLEWA98104474048082HEALTHCAREWAN/AC0
AMERICAN UNITY GROUP LTD
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AYIN HEALTH SOLUTIONS INC
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1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057810486082MEDICAL PHYSICIAN SERVICEMTC0PHS MT$2,295$2,944,0951.00000
CLOUD 21 LIMITED
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057HEALTHCAREN/AC0UK
COLBURN HILL GROUP INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA95057863383433HEALTHCAREDEN/AC0
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HOAG MANAGEMENT SERVICES INC
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HOAG PHYSICIAN PARTNERS
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KENSCI TECH INDIA PRIVATE LIMITED
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KENSCI ASIA PACIFIC PTE LTD
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LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752578995INACTIVETXN/AC0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752118585HEALTHCARETXN/AC0
LUMEDIC INC (FKA LUMEDIC ACQ CO INC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057833881097HEALTHCAREWAN/AC0
MEDICAL SPECIALTIES MANAGERS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330406218HEALTHCAREWAN/AC0
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PERFORMANCE HEALTH TECHNOLOGY LTD
4400 NE HALSEY ST STE 609 ATTN ACCOPORTLANDOR97213931211733HEALTHCAREORN/AC0
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461814184STRATEGIC PLANNING SERVICESCAN/AC0
PROVIDENCE ASSURANCE INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057208194071CAPTIVE INSURANCEAZN/AC0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057981516461IT SVCSN/AC0IN
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9SPOKANEWA99204900155714CLINICAL/MEDICAL LABWAN/AC0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057800886966PREPAID HEALTHCARECAN/AC0
PROVIDENCE PARTNERS HOLDINGS INC
4400 NE HALSEY ST STE 609 ATTN ACCOPORTLANDOR97213882962549INVESTMENTDEN/AC0
PROVIDENCE PHYSICIAN SERVICES CO
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PROVIDENCE RE
INVESTMENTN/AC02ND FLR N BLDG 878 WEST BAY RD PCJCJ
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL STTORRANCECA90503823771547HEALTHCARECAN/AC0
QUIVIQ INC
1400-112TH AVENUE ST SUITE 100BELLEVUEWA98004833879444HEALTHCARE ANALYTICSWAN/AC0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057462340232HOLDING COMPANYCAN/AC0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461900168HEALTHCARECAN/AC0
ST JOSEPH MEDICAL PLAZA ASSOCIATION
1140 W LA VETA STE 400ORANGECA92868330621539CONDO ASSOCIATIONCAN/AC0
ST JOSEPH PROF SVCS ENTERPRSES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330155323HEALTHCARECAN/AC0
TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057842092143HOLDING COMPANYDEN/AC0
TEGRIA INSIGHTS GROUP HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057861400769HOLDING COMPANYWAN/AC0
TEGRIA INSIGHTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057861532593HEALTHCAREWAN/AC0
TEGRIA PRODUCTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057870995138HOLDING COMPANYDEN/AC0
TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844686520HOLDING COMPANYDEN/AC0
TEGRIA RCM GROUP US INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057863046450HOLDING COMPANYDEN/AC0
TEGRIA SERVICES GROUP-CAN INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057HEALTHCAREN/AC0CA
TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844704409HOLDING COMPANYDEN/AC0
TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057900872936HEALTHCAREWIN/AC0
TRUSANA INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057922370159HEALTHCAREDEN/AC0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057953943315INVESTMENTCAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PROVIDENCE HEALTH & SERVICES - OREGON
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PROVIDENCE HEALTH & SERVICES - WASHINGTON
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PROVIDENCE HEALTH & SERVICES - WASHINGTON
O$489,335COST
PROVIDENCE HEALTH & SERVICES - WASHINGTON
L$382,488COST
ST PATRICK HOSPITAL FOUNDATION
C$947,599COST
PROVIDENCE HEALTH & SERVICES - WASHINGTON
M$441,219COST

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