PROVIDENCE HEALTH & SERVICES MT: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: PROVIDENCE HEALTH & SERVICES MT (EIN 81-0231793)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-15
IRS object ID: 202233199349302568
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-15T07:40:14-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	560 MISSION STREET SUITE 1600	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	810231793	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE HEALTH & SERVICES - MONTANA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PROV	BusinessNameControlTxt
Phone	4255253985	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW ATTN TAX DEPT	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98057	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	GREG HOFFMAN	PersonNm
Person Title	PRESIDENT/CEO & TREASURER	PersonTitleTxt
Phone	4255253985	PhoneNum
Signature	2022-11-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	GREG	PersonFirstNm
Person Last	HOFFMAN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	EVA NITTA	PreparerPersonNm
PTIN	P01286320	PTIN
Phone	4158948000	PhoneNum
Preparation	2022-11-04	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE ST PATRICK HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	GREG HOFFMAN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW ATTN TAX DEPT	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98057	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$486,721,638	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTP://MONTANA.PROVIDENCE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1991	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	2664	TotalEmployeeCnt
Total Volunteers	210	TotalVolunteersCnt
Total Gross UBI	$1,717	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$534	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$16,295,710	PYContributionsGrantsAmt
CY Contributions Grants	$23,179,890	CYContributionsGrantsAmt
PY Program Service Revenue	$395,603,203	PYProgramServiceRevenueAmt
CY Program Service Revenue	$441,354,572	CYProgramServiceRevenueAmt
PY Investment Income	$2,442,075	PYInvestmentIncomeAmt
CY Investment Income	$4,345,007	CYInvestmentIncomeAmt
PY Other Revenue	$14,742,187	PYOtherRevenueAmt
CY Other Revenue	$17,311,108	CYOtherRevenueAmt
PY Total Revenue	$429,083,175	PYTotalRevenueAmt
CY Total Revenue	$486,190,577	CYTotalRevenueAmt
PY Grants And Similar Paid	$277,004	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$120,367	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$157,395,888	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$170,959,194	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$252,094,668	PYOtherExpensesAmt
CY Other Expenses	$274,422,626	CYOtherExpensesAmt
PY Total Expenses	$409,767,560	PYTotalExpensesAmt
CY Total Expenses	$445,502,187	CYTotalExpensesAmt
PY Revenues Less Expenses	$19,315,615	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$40,688,390	CYRevenuesLessExpensesAmt
Total Assets BOY	$248,275,471	TotalAssetsBOYAmt
Total Assets EOY	$247,287,860	TotalAssetsEOYAmt
Total Liabilities BOY	$124,832,289	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$110,750,317	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$123,443,182	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$136,537,543	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$404,563,574	ExpenseAmt
Grant	$120,367	GrantAmt
Revenue	$457,497,885	RevenueAmt
Desc	SEE SCHEDULE O.AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE PURSUE 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 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 52 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF 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-HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA2021 WAS MARKED BY THREE MAJOR SURGES IN COVID-19 VOLUMES, A NATIONAL SHORTAGE OF HEALTH CARE PERSONNEL, AS WELL AS DEFERRALS OF NON-EMERGENT CARE. EVEN WITH THESE TREMENDOUS CHALLENGES, THE PROVIDENCE FAMILY OF ORGANIZATIONS CONTINUED TO INVEST IN OUR COMMUNITIES, GUIDED BY OUR STRATEGIC PLAN AND OUR COMMUNITY BENEFIT PRIORITIES.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSOVER THE LAST TWO YEARS, PROVIDENCE ADVANCED A SOCIAL RESPONSIBILITY FRAMEWORK THAT INCLUDES A STRONGER COMMITMENT TO DIVERSITY, EQUITY, INCLUSION, AND ENVIRONMENTAL STEWARDSHIP. WE UPDATED OUR INTEGRATED STRATEGIC & FINANCIAL PLAN TO MORE CLEARLY EXPRESS 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. IN 2021, OUR SUSTAINABLE AND INCLUSIVE PURCHASING PROGRAM COMMITTED TO INCREASE OUR SPEND WITH WOMEN AND MINORITY OWNED BUSINESS ENTERPRISES BY OVER $300 MILLION ACROSS THE NEXT FIVE YEARS. WE ALSO DEPLOY AN INVESTING PORTFOLIO WHICH INCLUDES SHAREHOLDER ADVOCACY, IMPACT INVESTING, AND SOCIALLY CONSCIOUS PORTFOLIO SCREENS. IN 2021, PROVIDENCE MADE PROGRESS TOWARDS ITS CLIMATE COMMITMENT TO BECOME CARBON NEGATIVE BY 2030. WE ARE IMPLEMENTING AN ENVIRONMENTAL STEWARDSHIP SYSTEM STRATEGY THAT ENCOURAGES WASTE REDUCTIONS, EFFICIENT ENERGY AND WATER USE, LOCAL AGRICULTURE PARTNERSHIPS, LESS TOXIC AND FEWER CHEMICAL USE, AND A REDUCTION IN CARBON FROM TRAVEL.2021 PROGRAM SERVICE ACCOMPLISHMENTSIN 2021, PROVIDENCE MONTANA CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. IN 2021, 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 PANDEMIC IN 2021 AS COMMUNITY NEEDS GREW THROUGHOUT THE STATE DURING THE COVID-19 PANDEMIC, PROVIDENCE MONTANA MOBILIZED TO RESPOND TO COMMUNITY NEED.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 2021, OVER 3,200 INTEGRATED BEHAVIORAL HEALTH 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 SUCCESSFUL PILOT PERIOD, WHICH SERVES PEOPLE IN CRISIS IN CONJUNCTION WITH EMERGENCY RESPONSE.SAFE AND AFFORDABLE HOUSINGIN 2021, PROVIDENCE MONTANA STAFF REFERRED 37 PATIENTS FOR LEGAL HELP WITH HOUSING/UTILITY ASSISTANCE THROUGH OUR MEDICAL-LEGAL PARTNERSHIP WITH MONTANA LEGAL SERVICES ASSOCIATION. SINCE THE PROGRAM LAUNCHED IN 2020, ABOUT ONE OUT OF THREE REFERRALS TO THE MEDICAL-LEGAL PARTNERSHIP ARE RELATED TO HOUSING CONCERNS.ACCESS TO SUBSTANCE USE DISORDER TREATMENTPROVIDENCE ST. PATRICK HOSPITAL EMERGENCY DEPARTMENT BEGAN 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. AS OF DECEMBER 2021, 8 OF THESE INDIVIDUALS WERE HOUSED WITH SUPPORT OF COORDINATED HOUSING TEAM.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/MONTANA	Desc
Total Program Service Expenses	$404,563,574	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2664	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MT	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JIM MARTIN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4255253985	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98057	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	OfficerOfficerInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ROD F HOCHMAN MD
FORMER OFFICER - PSJH PRESIDENT/CEO	0.00	65.00	Yes (X)	$0	$8,639,819	$840,345
DEBRA CANALES
FORMER KE - PSJH EVP/CAO	0.00	65.00	Yes (X)	$0	$3,078,475	$427,939
RHONDA MEDOWS MD
FRMR KE - PSJH PRES. EVP/POP. HEALTH	0.00	65.00	Yes (X)	$0	$2,607,205	$314,009
LISA VANCE
FRMR KE - PSJH PRES. STRAT. OPS (NO)	0.00	65.00	Yes (X)	$0	$2,303,141	$608,229
ELAINE COUTURE
EVP CHIEF EXEC WA AND MT - THRU 5/21	27.50	27.50		$0	$2,718,645	$31,846	Yes (X)
MIKE BUTLER
FORMER PRESIDENT	0.00	2.00	Yes (X)	$0	$2,359,254	$7,651
AMY COMPTON-PHILLIPS MD
FORMER KE - PSJH EVP/CHF CLIN. OFC.	0.00	65.00	Yes (X)	$0	$1,886,882	$303,676
JOEL GILBERTSON
EVP CHIEF EXECUTIVE WA AND MT	0.50	54.50		$0	$1,775,625	$396,085	Yes (X)
JOSEPH SCHMOKER
PHYSICIAN	50.00	0.00		$1,867,762	$0	$148,474		Yes (X)
CINDY STRAUSS
FORMER SECRETARY	0.00	0.00	Yes (X)	$0	$1,927,096	$17,855
MIKE WATERS
FRMR KE - PSJH EVP AMB. CARE NET.	0.00	55.00	Yes (X)	$0	$1,528,914	$396,516
GREG TILL
FRMR KE - PSJH CHF PEOPLE OFF.	0.00	55.00	Yes (X)	$0	$1,575,980	$217,892
JO ANN ESCASA-HAIGH
EVP/ASSISTANT TREASURER	0.50	64.50		$0	$1,456,676	$262,400			Yes (X)
GREG HOFFMAN
PRESIDENT/CEO & TREASURER	0.50	64.50		$0	$1,407,278	$273,342			Yes (X)
AARON MARTIN
FORMER KE - PSJH EVP CHF MKT/DIG INN.	0.00	55.00	Yes (X)	$0	$1,436,105	$235,997
CARTER BECK MD
PHYSICIAN	50.00	0.00		$1,337,036	$0	$98,268		Yes (X)
ROBERT HELLRIGEL
FRMR KE - EVP CE HOME & COMM CARE	0.00	55.00	Yes (X)	$0	$1,152,144	$239,102
OREST HOLUBEC
FRMR KE - PSJH SVP/CHIEF COMM/EXT AFF OFF	0.00	55.00	Yes (X)	$0	$1,049,938	$191,597
JOHN WHIPPLE
SECRETARY	0.50	54.50		$0	$1,038,537	$185,449			Yes (X)
JAMES MADDUX
PHYSICIAN	50.00	0.00		$1,027,629	$0	$121,404		Yes (X)
SIMONE MUSCO MD
PHYSICIAN	50.00	0.00		$1,032,342	$0	$116,170		Yes (X)
DANIEL SPOON
PHYSICIAN	50.00	0.00		$1,032,247	$0	$93,729		Yes (X)
DEBBIE BURTON
FORMER SVP CHIEF NURSING OFFICER	0.00	55.00	Yes (X)	$0	$1,111,821	$7,762
SCOTT O'BRIEN
COO WA AND MT REGION	27.50	27.50		$0	$918,205	$186,117	Yes (X)
MARY CRANSTOUN
FRMR KE - PSJH SVP TOTAL REW. TALENT ACQ	0.00	55.00	Yes (X)	$0	$861,647	$176,670
JOYCE DOMBROUSKI
CHIEF EXEC ST. PATRICK HOSPITAL	27.00	28.00		$0	$829,870	$157,213	Yes (X)
JIM WATSON ESQ
ASSISTANT SECRETARY	0.50	54.50		$0	$760,088	$126,854			Yes (X)
DAVID BROWN
FRMR KE - PSJH SVP CAO AMB. CARE	0.00	55.00	Yes (X)	$0	$706,384	$170,700
VENKAT BHAMIDIPATI
FORMER EVP/TREASURER	0.00	0.00	Yes (X)	$0	$750,000	$0
HELEN ANDRUS
REGIONAL CFO WA AND MT	27.50	27.50		$0	$596,951	$98,136	Yes (X)
KIRK BODLOVIC
FRMR KE - PSJH REG. COO	0.00	55.00	Yes (X)	$0	$315,285	$57,846
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	0.50	54.50		$0	$242,551	$24,080			Yes (X)
RICHARD BLAIR
DIRECTOR	0.50	13.50		$0	$90,000	$0				Yes (X)
DAVE OLSEN
DIRECTOR	0.50	12.50		$0	$50,000	$0				Yes (X)
MARY LYONS PHD
BOARD CHAIR	1.00	25.00		$0	$48,750	$0				Yes (X)
CHARLES SORENSON MD
DIRECTOR	0.50	12.50		$0	$40,000	$0				Yes (X)
ISIAAH CRAWFORD PHD
DIRECTOR	0.50	14.00		$0	$30,000	$0				Yes (X)
MICHAEL MURPHY
DIRECTOR	0.50	12.50		$0	$30,000	$0				Yes (X)
KATHARIN DYER
DIRECTOR - THRU 8/21	0.50	12.50		$0	$20,000	$0				Yes (X)
SISTER CAROL PACINI LCM
DIRECTOR (PART YEAR)	0.50	12.50		$0	$0	$0				Yes (X)
SISTER DIANE HEJNA CSJ RN
DIRECTOR	0.50	12.50		$0	$0	$0				Yes (X)
SISTER LUCILLE DEAN SP
DIRECTOR	0.50	12.50		$0	$0	$0				Yes (X)
SR PHYLLIS HUGHES RSM DRPH
DIRECTOR	0.50	12.50		$0	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,297,016	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$45,343,266	TotReportableCompRltdOrgAmt
Total Other Compensation	$6,533,353	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	306	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$10,124,014	RelatedOrganizationsAmt
Government Grants	$12,484,509	GovernmentGrantsAmt
All Other Contributions	$571,367	AllOtherContributionsAmt
Total Contributions	$23,179,890	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE	621110	$406,437,496	$406,437,496
HOSPITAL FEE	621110	$27,280,025	$27,280,025
JV INCOME	900099	$7,637,051	$7,637,051

Field	Value	IRS element (for citing)
Total Program Service Revenue	$441,354,572	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,376,616	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,717	UnrelatedBusinessRevenueAmt
Exclusion	$2,374,899	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,271,702	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,271,702	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,271,702	TotalRevenueColumnAmt
Exclusion	$1,271,702	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,309,940	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$341,549	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,968,391	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,968,391	TotalRevenueColumnAmt
Exclusion	$1,968,391	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$85,605	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$189,512	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$103,907	TotalRevenueColumnAmt
Exclusion	-$103,907	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INTERAFFILIATE REVENUE	900099	$7,105,062	$7,105,062
PROFESSIONAL SERVICES	900099	$4,547,597	$4,547,597
COST RECOVERIES	900099	$1,035,442	$1,035,442

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,455,212	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,455,212	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$16,143,313	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$486,190,577	TotalRevenueColumnAmt
Related Or Exempt Func Income	$457,497,885	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,717	UnrelatedBusinessRevenueAmt
Exclusion	$5,511,085	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$120,367	TotalAmt
Program Services	$120,367	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$156,965,934	TotalAmt
Program Services	$142,397,261	ProgramServicesAmt
Management And General	$14,568,673	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,900,906	TotalAmt
Program Services	$2,631,661	ProgramServicesAmt
Management And General	$269,245	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$739,143	TotalAmt
Program Services	$670,540	ProgramServicesAmt
Management And General	$68,603	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,353,211	TotalAmt
Program Services	$9,392,286	ProgramServicesAmt
Management And General	$960,925	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$221,271	TotalAmt
Program Services	$200,734	ProgramServicesAmt
Management And General	$20,537	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$3,340	TotalAmt
Program Services	$3,030	ProgramServicesAmt
Management And General	$310	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$236,387	TotalAmt
Management And General	$236,387	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$59,520,476	TotalAmt
Program Services	$53,996,129	ProgramServicesAmt
Management And General	$5,524,347	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$730,895	TotalAmt
Program Services	$663,058	ProgramServicesAmt
Management And General	$67,837	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,775,320	TotalAmt
Program Services	$3,424,917	ProgramServicesAmt
Management And General	$350,403	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$652,647	TotalAmt
Program Services	$592,072	ProgramServicesAmt
Management And General	$60,575	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,666,010	TotalAmt
Program Services	$7,861,681	ProgramServicesAmt
Management And General	$804,329	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$319,176	TotalAmt
Program Services	$289,552	ProgramServicesAmt
Management And General	$29,624	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$483,639	TotalAmt
Program Services	$438,750	ProgramServicesAmt
Management And General	$44,889	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,078,264	TotalAmt
Program Services	$978,186	ProgramServicesAmt
Management And General	$100,078	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,982,277	TotalAmt
Program Services	$7,241,408	ProgramServicesAmt
Management And General	$740,869	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,935	TotalAmt
Program Services	$1,755	ProgramServicesAmt
Management And General	$180	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SYSTEM COST ALLOCATION	$93,163,871	$84,516,938	$8,646,933
MEDICAL SUPPLIES	$88,620,649	$80,395,391	$8,225,258
HOSPITAL FEE	$6,611,126	$6,611,126
LICENSES AND TAXES	$886,079	$803,838	$82,241

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,469,264	TotalAmt
Program Services	$1,332,894	ProgramServicesAmt
Management And General	$136,370	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$445,502,187	TotalAmt
Program Services	$404,563,574	ProgramServicesAmt
Management And General	$40,938,613	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,874	BOYAmt
EOY	$4,874	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,160,945	BOYAmt
EOY	$1,166,710	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$40,765,776	BOYAmt
EOY	$43,160,828	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$7,677,122	BOYAmt
EOY	$7,100,628	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,069,064	BOYAmt
EOY	$6,191,088	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$258,477	BOYAmt
EOY	$596,621	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$281,209,743	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$205,836,456	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$80,117,115	BOYAmt
EOY	$75,373,287	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$51,129,170	BOYAmt
EOY	$55,784,015	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$38,744,367	BOYAmt
EOY	$32,519,704	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$23,348,561	BOYAmt
EOY	$25,390,105	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$248,275,471	BOYAmt
EOY	$247,287,860	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$36,452,589	BOYAmt
EOY	$35,572,376	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$252,211	BOYAmt
EOY	$224,937	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$88,127,489	BOYAmt
EOY	$74,953,004	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$124,832,289	BOYAmt
EOY	$110,750,317	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$102,529,238	BOYAmt
EOY	$124,298,684	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,913,944	BOYAmt
EOY	$12,238,859	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$123,443,182	BOYAmt
EOY	$136,537,543	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$248,275,471	BOYAmt
EOY	$247,287,860	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$40,688,390	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$703,880	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$28,297,909	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$23,834	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$5,034	OtherActivitiesAmt
Total Lobbying Expenditures	$28,868	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE 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

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$130,089,734	OtherCostOrOtherBasisAmt
Depreciation	$85,692,366	DepreciationAmt
Book Value	$44,397,368	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$663,793	OtherCostOrOtherBasisAmt
Depreciation	$543,199	DepreciationAmt
Book Value	$120,594	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$130,963,245	OtherCostOrOtherBasisAmt
Depreciation	$119,600,891	DepreciationAmt
Book Value	$11,362,354	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,171,130	OtherCostOrOtherBasisAmt
Book Value	$11,171,130	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$75,373,287	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
BENEFICIAL INTEREST IN FOUNDATION	$17,273,056	C
HEALTHCARE JOINT VENTURES	$15,246,648	C

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$32,519,704	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
HOSPITAL FEE	$12,600,000
RIGHT OF USE OPERATING LEASES	$4,815,068
INVESTMENTS IN CARON HEALTH CORPORATION	$3,306,874
OTHER ASSETS	$2,306,835
DUE FROM AFFILIATES	$2,110,922
DUE FROM THIRD-PARTY	$250,406

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$25,390,105	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO THIRD-PARTY	$34,651,329
I/C - TAX-EXEMPT BOND LIABILITIES	$23,197,489
DUE TO AFFILIATES	$6,740,730
OTHER LIABILITIES	$5,240,204
CAPITAL LEASE OBLIGATIONS	$5,123,252

Field	Value	IRS element (for citing)
Total Liability	$74,953,004	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,450,836	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,450,836	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,708,001	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,146,568	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,655	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,962	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,693	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,168,492	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,153,530	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,453,529	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$405,142	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$355,142	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,117,264	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,593,867	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,523,397	NetCommunityBenefitExpnsAmt
Total Expense	0.01240	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,039,657	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,185,925	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,853,732	NetCommunityBenefitExpnsAmt
Total Expense	0.03560	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$78,169	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$78,169	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,640,232	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,829,792	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,810,440	NetCommunityBenefitExpnsAmt
Total Expense	0.04900	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,808,724	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,983,322	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,263,969	NetCommunityBenefitExpnsAmt
Total Expense	0.05900	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Reimbursed By Medicare	$186,069,371	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$207,382,527	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$21,313,156	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 PROVIDENCE SURGERY CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	SAME DAY SURGERY, NON-EMERGENT CARE	PrimaryActivitiesTxt
Org Profit Or Ownership	0.51000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.49000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE ST PATRICK HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 WEST BROADWAY	AddressLine1Txt
City	MISSOULA	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59802	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.PROVIDENCE.ORG	WebsiteAddressTxt
State License	13200	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	REHAB AND PSYCH	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE ST PATRICK HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	20	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 9:	THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 27, 2021, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).
PROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 10:	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. UNITED WAY:UNITED WAY OF MISSOULA COUNTY BUILDS A BETTER COMMUNITY FOR ALL, SPECIFICALLY IN THE AREAS OF EDUCATION, INCOME, AND HEALTH. PROVIDENCE ST. PATRICK HOSPITAL FINANCIALLY CONTRIBUTED TO UNITED WAY IN ITS SUPPORT OF ITS PROGRAMS FOR SUICIDE PREVENTION, THE ZERO TO FIVE EARLY CHILDHOOD INITIATIVE AND ENDING HOMELESSNESS IN MISSOULA. MEDICAL-LEGAL PARTNERSHIP:IN 2021, PROVIDENCE ST. PATRICK HOSPITAL AND MONTANA LEGAL SERVICES ASSOCIATION (MLSA) CONTINUED THEIR PARTNERSHIP OF 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 WITH PARTIAL SUPPORT FROM THE MONTANA HEALTHCARE FOUNDATION. FOOD SECURITY AND OBESITY PREVENTION THROUGH PRESCRIPTION PRODUCE:IN 2021, THE HOSPITAL 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. THERE WERE NO DEATHS OF UNSHELTERED PEOPLE IN WINTER 2021 DUE TO EXPOSURE TO THE ELEMENTS.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. COMMUNITY HEALTH IMPROVEMENT / ENVIRONMENTAL STEWARDSHIP:GREEN 4 GOOD (G4G) IS AN INITIATIVE AT ST. PATRICK HOSPITAL TO DECREASE THE ENVIRONMENTAL IMPACTS OF OUR DAILY HEALTHCARE WORK. THROUGH G4G, ST. PATRICK HOSPITAL WORKS TO REDUCE IMPACTS TO THE NATURAL ENVIRONMENT, IN TURN CREATING A HEALTHIER ENVIRONMENT FOR PATIENTS, STAFF MEMBERS, AND COMMUNITIES. IN 2021, PRACTICE GREENHEALTH RECOGNIZED PROVIDENCE ST. PATRICK HOSPITAL WITH THE ENVIRONMENTAL EXCELLENCE AWARD. IN 2021, PROVIDENCE ST. PATRICK HOSPITAL REDUCED CARBON EMISSIONS BY 14,043 MTCO2E OR BY 34,857,613 MILES DRIVEN BY AN AVERAGE GASOLINE-POWERED VEHICLE. ADDITIONAL ACCOMPLISHMENTS INCLUDE:-43% OF WASTE DIVERTED FROM LANDFILL-95% CONVERSION TO LED LIGHTING-186% INCREASE IN COMPOSTING-14.1% SPEND ON GREEN CLEANING CHEMICALS-DECREASED DESFLURANE USE RESULTING IN REDUCTION OF 139.32 MTCO2E-NITROUS OXIDE USE LOWEST IN OUR HEALTHCARE SYSTEMTHE LARGER PROVIDENCE SYSTEM SET A GOAL OF ACHIEVING BEING CARBON NEGATIVE BY 2030. WITH ITS AWARD-WINNING, WELL-ESTABLISHED G4G PROGRAM, SPH IS WELL-POSITIONED TO HELP MEET THIS IMPORTANT GOAL.
PROVIDENCE ST. PATRICK HOSPITAL - PART V, SECTION B, LINE 16A:	FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/MT/FINANCIAL-ASSISTANCE-APPLICATION
PROVIDENCE 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.

Field	Value	IRS element (for citing)
Facility	143	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (143 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - PMG - MT - URGENT MENTAL HEALTH CLINIC
900 N ORANGE ST STE 202	MISSOULA	MT	598022951	SPECIALTY CLINIC
2 - PMG - MT - URGENT MENTAL HEALTH CLINIC
900 N ORANGE ST STE 202	MISSOULA	MT	598022951	SPECIALTY CLINIC
3 - PMG - MT - URGENT MENTAL HEALTH CLINIC
900 N ORANGE ST STE 202	MISSOULA	MT	598022951	SPECIALTY CLINIC
4 - PMG - MT - CANCER CENTER
500 W BROADWAY ST	MISSOULA	MT	598024008	SPECIALTY CLINIC
5 - PMG - MT - IHI RONAN
107 6TH AVE SW	RONAN	MT	598642634	SPECIALTY CLINIC
6 - PMG - MT - IHI SUPERIOR TAMARACK MEDICAL C
1208 6TH AVE	SUPERIOR	MT	59872	SPECIALTY CLINIC
7 - PMG - MT - IHI MT HELENA
301 SADDLE DR	HELENA	MT	59601	SPECIALTY CLINIC
8 - PMG - MT - IHI MT HELENA
301 SADDLE DR	HELENA	MT	59601	SPECIALTY CLINIC
9 - PMG - MT - IHI ST JAMES HEALTHCARE
400 S CLARK ST	BUTTE	MT	597012328	SPECIALTY CLINIC
10 - PMG - MT - INT HEART INST MT BUTTE
435 S CRYSTAL ST STE 300	BUTTE	MT	89701	SPECIALTY CLINIC
11 - PMG - MT - INT HEART INST MT BUTTE
435 S CRYSTAL ST STE 300	BUTTE	MT	89701	SPECIALTY CLINIC
12 - PMG - MT - INT HEART INST OF MT
500 W BROADWAY ST STE 320	MISSOULA	MT	598024031	SPECIALTY CLINIC
13 - PMG - MT - INT HEART INST OF MT
500 W BROADWAY ST STE 320	MISSOULA	MT	598024031	SPECIALTY CLINIC
14 - PMG - MT - IHI MT POLSON
6 13TH AVE E STE 1	POLSON	MT	59860	SPECIALTY CLINIC
15 - PMG - MT - IHI MT POLSON
6 13TH AVE E STE 1	POLSON	MT	59860	SPECIALTY CLINIC
16 - PMG - MT - DIABETES PREVENTION PROGRAM
500 W BROADWAY ST	MISSOULA	MT	598024014	SPECIALTY CLINIC
17 - PMG - MT - ENDOCRINOLOGY DIAB & NUT
900 N ORANGE ST STE 304	MISSOULA	MT	598022951	SPECIALTY CLINIC
18 - PMG - MT - METABOLIC CTR OF ENDO DIAB & NU
902 N ORANGE ST STE 304	MISSOULA	MT	598022951	SPECIALTY CLINIC
19 - PMG - MT - REHAB
902 N ORANGE ST FLR 4	MISSOULA	MT	598022998	REHAB & PHYSICAL THERAPY
20 - PMG - MT - REHAB
902 N ORANGE ST FLR 4	MISSOULA	MT	598022998	REHAB & PHYSICAL THERAPY
21 - PMG - MT - INFECTION DISEASE
902 N ORANGE ST	MISSOULA	MT	598022928	SPECIALTY CLINIC
22 - PMG - MT - INFECTION DISEASE
902 N ORANGE ST	MISSOULA	MT	598022928	SPECIALTY CLINIC
23 - PMG - MT - INFECTION DISEASE
902 N ORANGE ST	MISSOULA	MT	598022928	SPECIALTY CLINIC
24 - PMG - MT - BROADWAY INT MED
500 W BROADWAY ST FLR 4	MISSOULA	MT	598024096	PRIMARY CARE
25 - PMG - MT - BROADWAY INT MED
500 W BROADWAY ST FLR 4	MISSOULA	MT	598024096	PRIMARY CARE
26 - PMG - MT - MT NEUROSURGICAL SPECIALIS
500 W BROADWAY ST STE 310	MISSOULA	MT	598024012	SPECIALTY CLINIC
27 - PMG - MT - MT NEUROSURGICAL SPECIALIS
500 W BROADWAY ST STE 310	MISSOULA	MT	598024012	SPECIALTY CLINIC
28 - PMG - MT -MT NEUROSURGICAL SPECIALIS
500 W BROADWAY ST STE 310	MISSOULA	MT	598024012	SPECIALTY CLINIC
29 - PMG - MT -MT NEUROLOGY SPECIALISTS
902 N ORANGE ST STE 303	MISSOULA	MT	598022951	SPECIALTY CLINIC
30 - PMG - MT - PEDIATRIC HOSPITALIST
500 W BROADWAY ST	MISSOULA	MT	598024096	SPECIALTY CLINIC
31 - PMG - MT - PEDIATRIC HOSPITALIST
500 W BROADWAY ST	MISSOULA	MT	598024096	SPECIALTY CLINIC
32 - PMG - MT - PEDIATRICS
900 N ORANGE ST STE 303	MISSOULA	MT	598022956	SPECIALTY CLINIC
33 - PMG - MT - IHI PLAINS FAMILY MEDICINE
10 KRUGER RD	PLAINS	MT	59859	PRIMARY CARE
34 - PMG - MT - IHI PLAINS FAMILY MEDICINE
10 KRUGER RD	PLAINS	MT	59859	PRIMARY CARE
35 - PMG - MT - WOMEN'S CARE CTR & FAMILY WELLN
1211 S RESERVE ST STE 101	MISSOULA	MT	59801	PRIMARY CARE
36 - PMG - MT - WOMEN'S CARE CTR & FAMILY WELLN
1211 S RESERVE ST STE 101	MISSOULA	MT	59801	PRIMARY CARE
37 - PMG - MT - GRANT CREEK PRIMARY CARE
3075 N RESERVE ST STE Q	MISSOULA	MT	598081390	PRIMARY CARE
38 - PMG - MT - GRANT CREEK PRIMARY CARE
3075 N RESERVE ST STE Q	MISSOULA	MT	598081390	PRIMARY CARE
39 - PMG - MT - GRANT CREEK PRIMARY CARE
3075 N RESERVE ST STE Q	MISSOULA	MT	598081390	PRIMARY CARE
40 - PMG - MT - GRANT CREEK PRIMARY CARE
3075 N RESERVE ST STE Q	MISSOULA	MT	598081390	PRIMARY CARE
41 - PMG - MT - MISSOULA FAMILY MEDICAL
601 W SPRUCE ST STE A	MISSOULA	MT	598024047	PRIMARY CARE
42 - PMG - MT - MISSOULA FAMILY MEDICAL
601 W SPRUCE ST STE A	MISSOULA	MT	598024047	PRIMARY CARE
43 - PMG - MT - LIFESPAN FAM MED
715 MAIN ST	STEVENSVILLE	MT	59870	PRIMARY CARE
44 - PMG - MT - LIFESPAN FAM MED
715 MAIN ST	STEVENSVILLE	MT	59870	PRIMARY CARE
45 - PMG - MT - LIFESPAN FAM MED
715 MAIN ST	STEVENSVILLE	MT	59870	PRIMARY CARE
46 - PMG - MT - RADIATION ONCOLOGY
500 W BROADWAY ST	MISSOULA	MT	598024008	SPECIALTY CLINIC
47 - PMG - MT - PMG MT PULMONOLOGY & SLEEP MEDI
900 N ORANGE ST STE 106	MISSOULA	MT	598022951	SPECIALTY CLINIC
48 - PMG - MT - PMG MT PULMONOLOGY & SLEEP MEDI
900 N ORANGE ST STE 106	MISSOULA	MT	598022951	SPECIALTY CLINIC
49 - PMG - MT - IHI SURGERY
500 W BROADWAY ST	MISSOULA	MT	598024096	SPECIALTY CLINIC
50 - PMG - MT - IHI SURGERY
500 W BROADWAY ST	MISSOULA	MT	598024096	SPECIALTY CLINIC
51 - PMG - MT - IHI SURGERY
500 W BROADWAY ST	MISSOULA	MT	598024096	SPECIALTY CLINIC
52 - PMG - MT - SURGERY CENTER
902 N ORANGE STE 100	MISSOULA	MT	598022928	SPECIALTY CLINIC
53 - PMG - MT -PMG MT ACUTE SURGERY & TRAUMA SV
500 W BROADWAY	MISSOULA	MT	59802	SPECIALTY CLINIC
54 - PMG - MT -PMG MT ACUTE SURGERY & TRAUMA SV
500 W BROADWAY	MISSOULA	MT	59802	SPECIALTY CLINIC
55 - PMG - MT - TRAUMA SERVICES
500 W BROADWAY ST FLR 5	MISSOULA	MT	598024096	SPECIALTY CLINIC
56 - PMG - MT - MT SPINE & PAIN CTR HAMILTON
1103 WESTWOOD DR STE 200	HAMILTON	MT	598402342	SPECIALTY CLINIC
57 - PMG - MT - MT SPINE & PAIN CTR HAMILTON
1103 WESTWOOD DR STE 200	HAMILTON	MT	598402342	SPECIALTY CLINIC
58 - PMG - MT - IHI MONTANA CARDIOLOGY
203 S DAISY ST	SALMON	ID	834674709	SPECIALTY CLINIC
59 - PMG - MT - IHI MONTANA CARDIOLOGY
203 S DAISY ST	SALMON	ID	834674709	SPECIALTY CLINIC
60 - PMG - MT - IHI MONTANA CARDIOLOGY
203 S DAISY ST	SALMON	ID	834674709	SPECIALTY CLINIC
61 - PMG - MT - IHI MONTANA CARDIOLOGY
203 S DAISY ST	SALMON	ID	834674709	SPECIALTY CLINIC
62 - PROVIDENCE MEDICAL GROUP MONTANA
2829 GREAT NORTHERN LOOP STE 300	MISSOULA	MT	598081752	SPECIALTY CLINIC
63 - PROVIDENCE MEDICAL GROUP MONTANA
2829 GREAT NORTHERN LOOP STE 300	MISSOULA	MT	598081752	SPECIALTY CLINIC
64 - PROVIDENCE MEDICAL GROUP MONTANA
2829 GREAT NORTHERN LOOP STE 300	MISSOULA	MT	598081752	SPECIALTY CLINIC
65 - PMG - MT - OCCUPATIONAL HEALTH SVCS
2875 TINA AVE STE 104	MISSOULA	MT	598081582	SPECIALTY CLINIC
66 - PMG - MT - OCCUPATIONAL HEALTH SVCS
2875 TINA AVE STE 104	MISSOULA	MT	598081582	SPECIALTY CLINIC
67 - PMG - MT - MERCURY ST MED
300 W MERCURY ST	BUTTE	MT	59701	SPECIALTY CLINIC
68 - PMG - MT - MERCURY ST MED
300 W MERCURY ST	BUTTE	MT	59701	SPECIALTY CLINIC
69 - PMG - MT - EVERGREEN HEALTH CARE
3018 RATTLESNAKE DR	MISSOULA	MT	598026101	SPECIALTY CLINIC
70 - PROVIDENCE HEALTH AND SERVICES MT
310 MAIN STREET	DEER LODGE	MT	597221000	SPECIALTY CLINIC
71 - PMG - MT - ROCKY MOUNTAIN HEART LUNG
350 HERITAGE WAY STE 2100	KALISPELL	MT	599013167	SPECIALTY CLINIC
72 - PMG - MT - ROCKY MOUNTAIN HEART LUNG
350 HERITAGE WAY STE 2100	KALISPELL	MT	599013167	SPECIALTY CLINIC
73 - PROVIDENCE MEDICAL GROUP MONTANA
500 W BROADWAY ST	MISSOULA	MT	598024008	SPECIALTY CLINIC
74 - PROVIDENCE MEDICAL GROUP MONTANA
500 W BROADWAY ST FLR 5	MISSOULA	MT	598024096	SPECIALTY CLINIC
75 - PROVIDENCE MEDICAL GROUP MONTANA
500 W BROADWAY ST FLR 5	MISSOULA	MT	598024096	SPECIALTY CLINIC
76 - PROVIDENCE MEDICAL GROUP MONTANA
500 W BROADWAY ST STE 320	MISSOULA	MT	598024031	SPECIALTY CLINIC
77 - PROVIDENCE MEDICAL GROUP MONTANA
500 W BROADWAY ST STE 320	MISSOULA	MT	598024031	SPECIALTY CLINIC
78 - PMG - MT - LONGTERM MOBILITY CARE
500 W BROADWAY ST	MISSOULA	MT	598024008	SPECIALTY CLINIC
79 - PMG - MT - LONGTERM MOBILITY CARE
500 W BROADWAY ST	MISSOULA	MT	598024008	SPECIALTY CLINIC
80 - PMG - MT - MT SPINE AND PAIN CENTER
500 W BROADWAY ST FLR 3	MISSOULA	MT	598024096	SPECIALTY CLINIC
81 - PMG - MT - MT SPINE AND PAIN CENTER
500 W BROADWAY ST FLR 3	MISSOULA	MT	598024096	SPECIALTY CLINIC
82 - PMG - MT - NEPHROLOGY
500 W BROADWAY ST FLR 4	MISSOULA	MT	598024096	SPECIALTY CLINIC
83 - PMG - MT - NEPHROLOGY
500 W BROADWAY ST FLR 4	MISSOULA	MT	598024096	SPECIALTY CLINIC
84 - PMG - MT - FLORENCE FAMILY MEDICINE
5549 OLD US HWY 93	FLORENCE	MT	59833	SPECIALTY CLINIC
85 - PMG - MT - MT SPINE & PAIN POLSON
6 13TH AVE EAST	POLSON	MT	598605315	SPECIALTY CLINIC
86 - PROVIDENCE MEDICAL GROUP MONTANA
601 W SPRUCE ST STE D	MISSOULA	MT	598024047	SPECIALTY CLINIC
87 - PMG - MT -PULMONARY AND SLEEP MEDICINE
601 W SPRUCE ST STE J	MISSOULA	MT	598024047	SPECIALTY CLINIC
88 - PMG - MT -PULMONARY AND SLEEP MEDICINE
601 W SPRUCE ST STE J	MISSOULA	MT	598024047	SPECIALTY CLINIC
89 - PROVIDENCE MEDICAL GROUP MONTANA
77 DEER CREEK RD	SOMERS	MT	599328000	SPECIALTY CLINIC
90 - PROVIDENCE MEDICAL GROUP MONTANA
805 MAIN ST	SALMON	ID	83467	SPECIALTY CLINIC
91 - PROVIDENCE MEDICAL GROUP MONTANA
805 MAIN ST	SALMON	ID	83467	SPECIALTY CLINIC
92 - PMG - MT - PSYCHIATRY
900 N ORANGE ST STE 202	MISSOULA	MT	598022951	SPECIALTY CLINIC
93 - PMG - MT - PSYCHIATRY
900 N ORANGE ST STE 202	MISSOULA	MT	598022951	SPECIALTY CLINIC
94 - PMG - MT - SPH FIRST STEP
900 N ORANGE ST STE 103	MISSOULA	MT	598022951	SPECIALTY CLINIC
95 - PMG - MT - WOUND CARE
902 N ORANGE ST	MISSOULA	MT	598022928	SPECIALTY CLINIC
96 - PMG - MT - WOUND CARE
902 N ORANGE ST	MISSOULA	MT	598022928	SPECIALTY CLINIC
97 - PMG - MT - POWELL COUNTY MED CLINIC
1101 TEXAS AVE	DEER LODGE	MT	59722	SPECIALTY CLINIC
98 - PMG - MT - POWELL COUNTY MED CLINIC
1101 TEXAS AVE	DEER LODGE	MT	59722	SPECIALTY CLINIC
99 - PMG - MT AT AUTUMN HOUSE
1185 EASTSIDE HWY	CORVALLIS	MT	59828	SPECIALTY CLINIC
100 - PMG - MT - IHI THOMPSON FALLS THOMPSON FAL
120 POND ST	THOMPSON FALLS	MT	59873	SPECIALTY CLINIC
101 - PMG - MT - IHI THOMPSON FALLS THOMPSON FAL
120 POND ST	THOMPSON FALLS	MT	59873	SPECIALTY CLINIC
102 - PMG - MT - IHI HAMILTON MARCUS DALY MEMORI
1200 WESTWOOD DR	HAMILTON	MT	598402345	SPECIALTY CLINIC
103 - PMG - MT - IHI HAMILTON MARCUS DALY MEMORI
1200 WESTWOOD DR	HAMILTON	MT	598402345	SPECIALTY CLINIC
104 - PMG - MT AT MARCUS DALY HOSPICE & PALLITIV
1200 WESTWOOD DR	HAMILTON	MT	598402345	SPECIALTY CLINIC
105 - PMG - MT AT MARCUS DALY MEMORIAL HOSPITAL
1200 WESTWOOD DR	HAMILTON	MT	598402345	SPECIALTY CLINIC
106 - PMG - MT AT MARCUS DALY MEMORIAL HOSPITAL
1200 WESTWOOD DR	HAMILTON	MT	598402345	SPECIALTY CLINIC
107 - PMG - MT - RIVERSIDE HEALTH CARE
1301 E BROADWAY ST	MISSOULA	MT	598024905	SPECIALTY CLINIC
108 - PMG - MT - EDGEWOOD VISTA KALISPELL
141 INTERSTATE LN	KALISPELL	MT	59901	SPECIALTY CLINIC
109 - PMG - MT - HOME HEALTH OF MONTANA
1903 S RUSSELL ST STE 1	MISSOULA	MT	598016624	SPECIALTY CLINIC
110 - PMG - MT - VALLEY VIEW ESTATES HEALTHCARE
225 N 8TH ST	HAMILTON	MT	59840	SPECIALTY CLINIC
111 - PMG - MT - IHI LINCOLN PARKER MED CTR
2363 W HWY 200	LINCOLN	MT	59639	SPECIALTY CLINIC
112 - PMG - MT AT BEEHIVE HOMES
2406 RIVER RD	MISSOULA	MT	59804	SPECIALTY CLINIC
113 - PMG - MT - VILLIAGE HEALTH CARE
2651 SOUTH AVE W	MISSOULA	MT	598046405	SPECIALTY CLINIC
114 - PMG - MT - EDGEWOOD VISTA MISSOULA
2815 PALMER ST	MISSOULA	MT	59808	SPECIALTY CLINIC
115 - PMG - MT - COMMUNITY MEDICAL CENTER
2827 FORT MISSOULA RD	MISSOULA	MT	598047408	SPECIALTY CLINIC
116 - PMG - MT - EVERGREEN ASSISTED LIVING
3018 RATTLESNAKE DR	MISSOULA	MT	598026101	SPECIALTY CLINIC
117 - PMG - MT - IHI SEELEY SWAN
3050 MT HWY 83 NORTH	SEELEY LAKE	MT	598688620	SPECIALTY CLINIC
118 - PMG - MT - TRIBAL HLTH & HUMAN SVCS
308 MISSION DR	ST IGNATIUS	MT	59865	SPECIALTY CLINIC
119 - PMG - MT - TRIBAL HLTH & HUMAN SVCS
308 MISSION DR	ST IGNATIUS	MT	59865	SPECIALTY CLINIC
120 - PMG - MT - COMM HOSP OF ANACONDA
401 W PENNSYLVANIA ST	ANACONDA	MT	59711	SPECIALTY CLINIC
121 - PMG - MT - COMM HOSP OF ANACONDA
401 W PENNSYLVANIA ST	ANACONDA	MT	59711	SPECIALTY CLINIC
122 - PMG - MT - HILLSIDE HEALTH CARE
4720 23RD AVE	MISSOULA	MT	59803	SPECIALTY CLINIC
123 - PMG - MT - MONTANA GENERAL SURGERY
500 W BROADWAY ST	MISSOULA	MT	598024096	SPECIALTY CLINIC
124 - PMG - MT - DISCOVERY CARE CENTER
601 N 10TH ST	HAMILTON	MT	598402060	SPECIALTY CLINIC
125 - PMG - MT - IHI ST LUKE COMMUNITY CLINIC PO
104 RUFUS LN	POLSON	MT	598608903	SPECIALTY CLINIC
126 - PMG - MT - IHI ST LUKES COMMUNITY CLINIC R
126 6TH AVE SW	RONAN	MT	59864	SPECIALTY CLINIC
127 - PMG - MT - IHI ST LUKES COMMUNITY CLINIC R
126 6TH AVE SW	RONAN	MT	59864	SPECIALTY CLINIC
128 - PMG - MT - ST PATRICK HOSP BUTTE
400 S CLARK ST	BUTTE	MT	597012328	SPECIALTY CLINIC
129 - PMG - MT - ST PATRICK HOSP BUTTE
400 S CLARK ST	BUTTE	MT	597012328	SPECIALTY CLINIC
130 - PMG - MT - SPH ANTICOAGULATION CLINIC
500 W BROADWAY ST	MISSOULA	MT	598024096	SPECIALTY CLINIC
131 - PMG - MT - SPH ANTICOAGULATION CLINIC
500 W BROADWAY ST	MISSOULA	MT	598024096	SPECIALTY CLINIC
132 - PMG - MT - SPH INPATIENT HOSP
500 W BROADWAY ST	MISSOULA	MT	598024096	SPECIALTY CLINIC
133 - PMG - MT - SPH INPATIENT HOSP
500 W BROADWAY ST	MISSOULA	MT	598024096	SPECIALTY CLINIC
134 - PMG - MT - SPH INPATIENT PHY SVCS
500 W BROADWAY ST	MISSOULA	MT	598024096	SPECIALTY CLINIC
135 - PMG - MT - SPH INPATIENT PHY SVCS
500 W BROADWAY ST	MISSOULA	MT	598024096	SPECIALTY CLINIC
136 - PMG - MT - SPH ST PATRICKS ER PHYS
500 W BROADWAY ST	MISSOULA	MT	598024008	SPECIALTY CLINIC
137 - PMG - MT - SPH ST PATRICKS ER PHYS
500 W BROADWAY ST	MISSOULA	MT	598024008	SPECIALTY CLINIC
138 - PMG - MT AT ST PATRICK HOSP & HLTH SCI CTR
500 W BROADWAY ST	MISSOULA	MT	598024008	SPECIALTY CLINIC
139 - PMG - MT AT ST PATRICK HOSP & HLTH SCI CTR
500 W BROADWAY ST	MISSOULA	MT	598024008	SPECIALTY CLINIC
140 - PMG - MT - IHI CPAM ST PATRICK HOSP AND HE
601 W SPRUCE ST STE A	MISSOULA	MT	598024030	SPECIALTY CLINIC
141 - PMG - MT - IHI CPAM ST PATRICK HOSP AND HE
601 W SPRUCE ST STE A	MISSOULA	MT	598024030	SPECIALTY CLINIC
142 - PMG - MT - IHI CPAM ST PATRICK HOSP AND HE
601 W SPRUCE ST STE A	MISSOULA	MT	598024030	SPECIALTY CLINIC
143 - PMG - MT - IHI CPAM ST PATRICK HOSP AND HE
601 W SPRUCE ST STE A	MISSOULA	MT	598024030	SPECIALTY CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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:	NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
PART III, LINE 4:	AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019.
PART III, LINE 8:	THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
PART III, LINE 9B:	OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. 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. THIS INFORMATION IS INCLUDED IN OUR CHARITY POLICY HOWEVER THIS DETAIL IS NOT ADDRESSED IN OUR COLLECTION POLICY.
PART VI, LINE 2:	WE 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:	PROVIDENCE HOSPITALS POST NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS ADMITTING/REGISTRATION, BILLING OFFICE, EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS.EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE POLICIES CONTAINS BRIEF INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR A DISCOUNTED PAYMENT. THE NOTICES ALSO INCLUDE A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION.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:	PROVIDENCE 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. 1 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:	PROMOTION OF COMMUNITY HEALTH:PROVIDENCE HEALTH & SERVICES - MONTANA PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERSINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE HEALTH & SERVICES - MONTANA IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) OPEN MEDICAL STAFF 2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.
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 PURSUE 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 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 52 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF 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-HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA2021 WAS MARKED BY THREE MAJOR SURGES IN COVID-19 VOLUMES, A NATIONAL SHORTAGE OF HEALTH CARE PERSONNEL, AS WELL AS DEFERRALS OF NON-EMERGENT CARE. EVEN WITH THESE TREMENDOUS CHALLENGES, THE PROVIDENCE FAMILY OF ORGANIZATIONS CONTINUED TO INVEST IN OUR COMMUNITIES, GUIDED BY OUR STRATEGIC PLAN AND OUR COMMUNITY BENEFIT PRIORITIES.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT
PART VI, LINE 7, REPORTS FILED WITH STATES	MT

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
CATHOLIC SOCIAL SERVICES OF MONTANA
1301 11TH AVE PO BOX 907	HELENA	MT	59624	810245570	501(C)(3)	$35,000	$0	OPERATIONAL SUPPORT
MISSOULA DOWNTOWN ASSOCIATION
218 E MAIN ST STE C	MISSOULA	MT	59802	810403474	501(C)(3)	$16,901	$0	OPERATIONAL SUPPORT
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510216586	501(C)(3)	$10,500	$0	SPONSORSHIP
THE POVERELLO CENTER INC
PO BOX 7644	MISSOULA	MT	59807	237439391	501(C)(3)	$10,000	$0	OPERATIONAL SUPPORT
MSU ALUMNI FOUNDATION
PO BOX 170520	BOZEMAN	MT	59717	816001649	501(C)(3)	$6,000	$0	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (32 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROD F HOCHMAN MD
FORMER OFFICER - PSJH PRESIDENT/CEO	$0	$2,224,561	$0	$5,586,400	$0	$828,858	$0	$810,415	$0	$29,930	$0	$9,480,164	$0	$764,400
DEBRA CANALES
FORMER KE - PSJH EVP/CAO	$0	$1,103,566	$0	$671,005	$0	$1,303,904	$0	$410,295	$0	$17,644	$0	$3,506,414	$0	$1,251,780
RHONDA MEDOWS MD
FRMR KE - PSJH PRES. EVP/POP. HEALTH	$0	$1,092,734	$0	$536,536	$0	$977,935	$0	$294,426	$0	$19,583	$0	$2,921,214	$0	$925,168
LISA VANCE
FRMR KE - PSJH PRES. STRAT. OPS (NO)	$0	$1,273,462	$0	$766,134	$0	$263,545	$0	$580,007	$0	$28,222	$0	$2,911,370	$0	$211,879
ELAINE COUTURE
EVP CHIEF EXEC WA AND MT - THRU 5/21	$0	$275,094	$0	$485,102	$0	$1,958,449	$0	$25,033	$0	$6,813	$0	$2,750,491	$0	$311,233
MIKE BUTLER
FORMER PRESIDENT	$0	$0	$0	$0	$0	$2,359,254	$0	$7,651	$0	$0	$0	$2,366,905	$0	$0
AMY COMPTON-PHILLIPS MD
FORMER KE - PSJH EVP/CHF CLIN. OFC.	$0	$988,719	$0	$510,324	$0	$387,839	$0	$270,192	$0	$33,484	$0	$2,190,558	$0	$341,291
JOEL GILBERTSON
EVP CHIEF EXECUTIVE WA AND MT	$0	$765,306	$0	$518,330	$0	$491,989	$0	$364,702	$0	$31,383	$0	$2,171,710	$0	$194,575
JOSEPH SCHMOKER
PHYSICIAN	$1,131,152	$0	$589,034	$0	$147,576	$0	$117,486	$0	$30,988	$0	$2,016,236	$0	$89,718	$0
CINDY STRAUSS
FORMER SECRETARY	$0	$228,582	$0	$263,565	$0	$1,434,949	$0	$6,525	$0	$11,330	$0	$1,944,951	$0	$397,592
MIKE WATERS
FRMR KE - PSJH EVP AMB. CARE NET.	$0	$682,426	$0	$533,015	$0	$313,473	$0	$375,762	$0	$20,754	$0	$1,925,430	$0	$183,238
GREG TILL
FRMR KE - PSJH CHF PEOPLE OFF.	$0	$664,080	$0	$699,002	$0	$212,898	$0	$188,205	$0	$29,687	$0	$1,793,872	$0	$175,548
JO ANN ESCASA-HAIGH
EVP/ASSISTANT TREASURER	$0	$810,289	$0	$339,019	$0	$307,368	$0	$235,035	$0	$27,365	$0	$1,719,076	$0	$266,274
GREG HOFFMAN
PRESIDENT/CEO & TREASURER	$0	$875,809	$0	$415,999	$0	$115,470	$0	$241,752	$0	$31,590	$0	$1,680,620	$0	$76,348
AARON MARTIN
FORMER KE - PSJH EVP CHF MKT/DIG INN	$0	$809,570	$0	$351,062	$0	$275,473	$0	$222,987	$0	$13,010	$0	$1,672,102	$0	$251,577
CARTER BECK MD
PHYSICIAN	$1,136,902	$0	$86,000	$0	$114,134	$0	$82,189	$0	$16,079	$0	$1,435,304	$0	$89,642	$0
ROBERT HELLRIGEL
FRMR KE - EVP CE HOME & COMM CARE	$0	$676,914	$0	$299,936	$0	$175,294	$0	$207,346	$0	$31,756	$0	$1,391,246	$0	$153,172
OREST HOLUBEC
FRMR KE - PSJH SVP/CHIEF COMM/EXT AF	$0	$538,173	$0	$309,999	$0	$201,766	$0	$160,532	$0	$31,065	$0	$1,241,535	$0	$164,043
JOHN WHIPPLE
SECRETARY	$0	$485,477	$0	$301,033	$0	$252,027	$0	$156,256	$0	$29,193	$0	$1,223,986	$0	$180,264
JAMES MADDUX
PHYSICIAN	$791,377	$0	$134,750	$0	$101,502	$0	$91,614	$0	$29,790	$0	$1,149,033	$0	$79,315	$0
SIMONE MUSCO MD
PHYSICIAN	$743,027	$0	$179,024	$0	$110,291	$0	$85,930	$0	$30,240	$0	$1,148,512	$0	$88,104	$0
DANIEL SPOON
PHYSICIAN	$791,377	$0	$164,750	$0	$76,120	$0	$63,939	$0	$29,790	$0	$1,125,976	$0	$55,415	$0
DEBBIE BURTON
FORMER SVP CHIEF NURSING OFFICER	$0	$1,581	$0	$97,000	$0	$1,013,240	$0	$7,318	$0	$444	$0	$1,119,583	$0	$118,519
SCOTT O'BRIEN
COO WA AND MT REGION	$0	$581,129	$0	$257,895	$0	$79,181	$0	$173,552	$0	$12,565	$0	$1,104,322	$0	$58,551
MARY CRANSTOUN
FRMR KE - PSJH SVP TOTAL REW. TALENT	$0	$478,972	$0	$188,541	$0	$194,134	$0	$150,948	$0	$25,722	$0	$1,038,317	$0	$153,592
JOYCE DOMBROUSKI
CHIEF EXEC ST. PATRICK HOSPITAL	$0	$429,701	$0	$100,728	$0	$299,441	$0	$141,071	$0	$16,142	$0	$987,083	$0	$272,969
JIM WATSON ESQ
ASSISTANT SECRETARY	$0	$450,443	$0	$287,615	$0	$22,030	$0	$94,222	$0	$32,632	$0	$886,942	$0	$0
DAVID BROWN
FRMR KE - PSJH SVP CAO AMB. CARE	$0	$411,677	$0	$119,936	$0	$174,771	$0	$140,142	$0	$30,558	$0	$877,084	$0	$152,970
VENKAT BHAMIDIPATI
FORMER EVP/TREASURER	$0	$0	$0	$0	$0	$750,000	$0	$0	$0	$0	$0	$750,000	$0	$0
HELEN ANDRUS
REGIONAL CFO WA AND MT	$0	$389,977	$0	$122,811	$0	$84,163	$0	$82,598	$0	$15,538	$0	$695,087	$0	$58,481
KIRK BODLOVIC
FRMR KE - PSJH REG. COO	$0	$261,498	$0	$41,618	$0	$12,169	$0	$29,506	$0	$28,340	$0	$373,131	$0	$22
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	$0	$210,749	$0	$30,761	$0	$1,041	$0	$12,268	$0	$11,812	$0	$266,631	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD-PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. 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 3	DESCRIPTION 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-B	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS THIS YEAR: MIKE BUTLER - $ 2,355,018 VENKAT BHAMIDIPATI - $750,000 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: ROD F. HOCHMAN, MD - $ 764,400 DEBRA CANALES - $ 1,251,780 RHONDA MEDOWS, MD - $ 925,168 LISA VANCE - $ 211,879 ELAINE COUTURE - $ 311,233 AMY COMPTON-PHILLIPS, MD - $ 341,291 JOEL GILBERTSON - $ 194,575 JOSEPH SCHMOKER - $ 89,718 CINDY STRAUSS - $ 397,592 MIKE WATERS - $ 183,238 GREG TILL - $ 175,548 JO ANN ESCASA-HAIGH - $ 266,274 GREG HOFFMAN - $ 76,348 AARON MARTIN - $ 251,577 CARTER BECK MD - $ 89,642 ROBERT HELLRIGEL - $ 153,172 OREST HOLUBEC - $ 164,043 JOHN WHIPPLE - $ 180,264 JAMES MADDUX - $ 79,315 SIMONE MUSCO MD - $ 88,104 DANIEL SPOON - $ 55,415 DEBBIE BURTON - $ 118,519 SCOTT O'BRIEN - $ 58,551 MARY CRANSTOUN - $ 153,592 JOYCE DOMBROUSKI - $ 272,969 DAVID BROWN - $ 152,970 HELEN ANDRUS - $ 58,481 KIRK BODLOVIC - $ 22
PART I, LINE 7	NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 1A	PROVIDENCE HEALTH & SERVICES - WASHINGTON PAYS ALL VENDORS FOR PROVIDENCE HEALTH & SERVICES - MONTANA FROM ITS SHARED SERVICES. PROVIDENCE HEALTH & SERVICES - WASHINGTON ISSUES FORM 1099-MISC UNDER ITS TAX ID NUMBER AND COMPLIES WITH BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS.
FORM 990, PART V, LINE 15	INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATION'S SECTION 4960 TAX ANALYSIS AND REPORTING.
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH & SERVICES - MONTANA.
FORM 990, PART VI, SECTION A, LINE 7A	CLASSES 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 7B	CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, 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 EXCUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15	PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A RELATED TAX EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN 2021
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART IX, LINE 11G	MEDICAL DIRECTOR & MED. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 18,944,100. MANAGEMENT AND GENERAL EXPENSES 1,938,172. TOTAL EXPENSES 20,882,272. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 18,059,804. MANAGEMENT AND GENERAL EXPENSES 1,847,700. TOTAL EXPENSES 19,907,504. OTHER PATIENT SERVICES FEES: PROGRAM SERVICE EXPENSES 11,333,029. MANAGEMENT AND GENERAL EXPENSES 1,159,483. TOTAL EXPENSES 12,492,512. AGENCY & CONTRACT LABOR FEES: PROGRAM SERVICE EXPENSES 3,149,416. MANAGEMENT AND GENERAL EXPENSES 322,217. TOTAL EXPENSES 3,471,633. REPAIRS & MAINTENANCE FEES: PROGRAM SERVICE EXPENSES 2,509,707. MANAGEMENT AND GENERAL EXPENSES 256,768. TOTAL EXPENSES 2,766,475. BILLING & COLLECTIONS FEES: PROGRAM SERVICE EXPENSES 73. MANAGEMENT AND GENERAL EXPENSES 7. TOTAL EXPENSES 80.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -20,670,236. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT 1,168,576. OTHER ADJUSTMENTS -8,796,249.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (110 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
COLLABRIA CARE
414 SOUTH JEFFERSON STREET	NAPA	CA	94559	680393144	HEALTHCARE	CA	501(C)(3)	10	SJHCN	Yes (1)
COVENANT ACO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	611573313	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	461259908	HEALTHCARE	CA	501(C)(3)	12, III	SJHS	Yes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	463516417	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes (1)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACE	LUBBOCK	TX	79410	752897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	844273963	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	822913146	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL GROUP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128	EVERETT	WA	982065128	943264605	TRANSITIONAL CARE	WA	501(C)(3)	10		0	N/A
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	201910170	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104	SEATAC	WA	98188	273133200	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	203856995	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
HMTS INC
1 HOAG DRIVE	NEWPORT BEACH	CA	92658	453583707	HEALTHCARE	CA	501(C)(3)	12, I	HMHP	Yes (1)
HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195	NEWPORT BEACH	CA	92663	452982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes (1)
HOAG CLINIC
1 HOAG DRIVE	NEWPORT BEACH	CA	92658	330676831	HEALTHCARE	CA	501(C)(3)	10	HMHP	Yes (1)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	Yes (1)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100	NEWPORT BEACH	CA	92663	951643327	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
HOSPICE OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752133781	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814260130	HEALTHCARE	WA	501(C)(3)	PF	PHS SJHS	Yes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	912003593	HEALTHCARE	WA	501(C)(3)	7	WHC	Yes (1)
KADLEC AUXILIARY INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	916033089	SUPPORT	WA	501(C)(3)	12, III	KRMC	Yes (1)
KADLEC FOUNDATION
888 SWIFT BLVD	RICHLAND	WA	99352	237005501	SUPPORT	WA	501(C)(3)	7	KRMC	Yes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	910655392	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330844408	IMAGING SERVICES	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	264021016	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
LUNDBERG ASSOCIATION PROVIDENCE HOUSE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911562797	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643360	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069	SEATTLE	WA	98116	200799737	SUPPORT	WA	501(C)(3)	12, I	SHS	Yes (1)
OPEN DOOR VENTURES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911608508	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PACMED CLINICS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	562290878	HEALTHCARE	WA	501(C)(3)	10	WHC	Yes (1)
PH&S FOUNDATIONSFVSA & SCVSA
501 SOUTH BUENA VISTA STREET	BURBANK	CA	915054809	953544877	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE ALASKA FOUNDATION
3760 PIPER STREET SUITE 2021	ANCHORAGE	AK	99508	920093565	HEALTHCARE	AK	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
540 SOUTH MAIN ST	MT ANGEL	OR	97362	911940286	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911789266	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
4805 NE GLISAN ST STE 2N35	PORTLAND	OR	97213	930800140	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
940 ROYAL AVE SUITE 410	MEDFORD	OR	97504	930692907	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	473385506	SUPPORT	WA	501(C)(3)	7		0	N/A
PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	954322584	SUPPORT	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311744654	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911549796	HEALTHCARE	WA	501(C)(3)	12, II	PSJH	0
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216587	HEALTHCARE	OR	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216586	HEALTHCARE	WA	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911303277	HEALTHCARE	WA	501(C)(3)	3	PMWHC	Yes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	550828701	MEDICAID HEALTHCARE PROVIDER	OR	501(C)(4)	N/A	PHP	Yes (1)
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
101 W 8TH AVE	SPOKANE	WA	99204	320014330	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	930863097	HEALTHCARE	OR	501(C)(4)	N/A	PPP	Yes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216589	HEALTHCARE	CA	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
810 12TH STREET PO BOX 149	HOOD RIVER	OR	97031	930921990	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY
1615 75TH ST SW SUITE 210	EVERETT	WA	98203	272552749	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
2811 SOUTH 102ND NO 220	TUKWILA	WA	98168	912077378	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
4101 TORRANCE BLVD	TORRANCE	CA	90503	510224944	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE MARIANWOOD FOUNDATION
3725 PROVIDENCE POINT DRIVE SE	ISSAQUAH	WA	980297219	931554288	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330283773	HEALTHCARE	CA	501(C)(3)	12, I	PHS SOCAL	Yes (1)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32ND AVE	MILWAUKIE	OR	97222	943079515	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057		RELIGIOUS ORG	WA	501(C)(3)	1		0	N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVE SW	SEATTLE	WA	981262799	911188119	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVE	NEWBERG	OR	97132	930889144	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311629656	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911861964	HEALTHCARE	WA	501(C)(4)	N/A	PHS OR	Yes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN ST	PORTLAND	OR	972132967	931231494	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311584166	SUPPORT	WA	501(C)(3)	10	PHS WA	Yes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951684082	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814542216	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA ROAD	SEASIDE	OR	97138	930927320	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN)
413 LILLY ROAD NE	OLYMPIA	WA	985065166	911097056	SUPPORT	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	912171539	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	943244854	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	811244422	HEALTHCARE	WA	501(C)(3)	12, III		0	N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
4400 NE HALSEY ST STE 599	PORTLAND	OR	97213	943078543	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810463482	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (1)
PROVIDENCE ST MARY FOUNDATION
401 W POPLAR STREET	WALLA WALLA	WA	99362	452841492	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
9205 SW BARNES ROAD STE MT2111	PORTLAND	OR	97225	930575982	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	953264139	HEALTHCARE	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
5315 TORRANCE BLVD NO B-1	TORRANCE	CA	90503	330261016	HEALTHCARE	CA	501(C)(3)	7	PTCH	Yes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1500 DIVISION STREET	OREGON CITY	OR	97045	931003750	HEALTHCARE	OR	501(C)(3)	12, I	PHS OR	Yes (1)
REDWOOD MEMORIAL FOUNDATION
2700 DOBEER STREET	EUREKA	CA	95501	942779313	HEALTHCARE	CA	501(C)(3)	7	SJHNC LLC	Yes (1)
SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	954291515	HEALTHCARE	CA	501(C)(3)	4	PSJHC	Yes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
2121 SANTA MONICA BLVD	SANTA MONICA	CA	90404	956100079	SUPPORT SAINT JOHN HEALTH CENTER & JWCI	CA	501(C)(3)	7	PSJHC	Yes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	611502822	PHYSICIAN COLLABORATION	WA	501(C)(3)	7	WHC	Yes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	262612415	SHELL CORPORATION	MT	501(C)(3)	1	PHS WA	0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643383	RELIGIOUS ORG	CA	501(C)(3)	1		0	N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	680395200	HEALTHCARE	CA	501(C)(3)	3	SJHNC LLC	Yes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO	0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814791043	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	953589356	HEALTHCARE	CA	501(C)(3)	12, I	PSJH	0
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330143024	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	680331084	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643359	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
ST JUDE HOSPITAL INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643325	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
ST LUKE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	943176618	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
ST MARY MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951914489	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
ST PATRICK HOSPITAL FOUNDATION
502 W SPRUCE STREET	MISSOULA	MT	59802	237056976	HEALTHCARE	MT	501(C)(3)	7	PHS WA	Yes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810233495	EDUCATION	MT	501(C)(3)	10	PHS WA	Yes (1)
SWEDISH EDMONDS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	272305304	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	910433740	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAY	SEATTLE	WA	98122	910983214	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	273139262	HOLDING COMPANY	WA	501(C)(3)	12, I	SHS	Yes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	833972614	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911180824	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911293869	SUPPORT	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911214491	SUPPORT	OR	501(C)(3)	10	PHS OR	Yes (1)
TRI-CITIES CANCER CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911594526	HEALTHCARE	WA	501(C)(3)	3	KRMC	Yes (1)
TRI-CITIES CANCER CENTER FOUNDATION
7350 W DESCHUTES AVE BUILDING A	KENNEWICK	WA	99336	911739024	SUPPORT	WA	501(C)(3)	7	KRMC	Yes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810231777	EDUCATION	MT	501(C)(3)	2	PHS	Yes (1)
WESTERN HEALTHCONNECT
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	454171900	SHELL CORPORATION	WA	501(C)(3)	12, II	PHS W WA	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (50 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	UBI Code VUBICodeVAmt
20TH STREET SURGERY LLC
1301 20TH STREET STE 140	SANTA MONICA	CA	90404	731735618	AMBULATORY SURGERY CENTER	CA	N/A	0	0
BRIDGEPORT MEDICAL IMAGING LLC (BMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	260796953	IMAGING - DIAGNOSTICS	OR	N/A	0	Yes (1)
BROADWAY IMAGING LLC
PO BOX 4587	MISSOULA	MT	598064587	522405971	MEDICAL IMAGING	MT		0	Yes (1)	PHS MT	RELATED	$5,247,154	$3,666,463	0.75000
CANBY MEDICAL CENTER I LLC
4800 SW MACADAM AVE STE 120	PORTLAND	OR	97239	205470937	REAL ESTATE - MOB	OR	N/A	0	Yes (1)
CENTER FOR MATERNAL NEWBORN AND CHILD HEALTH LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	813526875	HEALTHCARE	CA	N/A	0	0
CENTER FOR MEDICAL IMAGING LLC (CMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	200477972	IMAGING - DIAGNOSTICS	OR	N/A	0	Yes (1)
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	260381897	RADIATION ONCOLOGY	OR	N/A	0	Yes (1)
COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92663	810986844	HEALTHCARE	CA	N/A	0	Yes (1)
COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY
ONE CITY BLVD W STE 1100	ORANGE	CA	92868	264591502	HEALTHCARE	CA	N/A	0	Yes (1)
COVENANT LONG-TERM CARE LP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	205033419	HEALTHCARE	TX	N/A	0	0
CSS JV LLC
11782 SW BARNES ROAD STE 200 BLDG C	PORTLAND	OR	97225	263638838	AMBULATORY SURGERY CENTER	OR	N/A	0	0
FIRST HILL SURGERY CENTER LLC
1101 MADISON STREET STE 200	SEATTLE	WA	98104	472066485	AMBULATORY SURGERY CENTER	WA	N/A	0	Yes (1)
FULLERTON SURGICAL CENTER LP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	470927394	AMBULATORY SURGERY CENTER	CA	N/A	0	Yes (1)
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA ST	BURBANK	CA	91505	954570858	REAL ESTATE - MOB	CA	N/A	0	0
HCSA PROPERTIES LLC
1600 M STREET NW	AUBURN	WA	98001	460620892	REAL ESTATE RENTAL	WA	N/A	0	0
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000	ORANGE	CA	92868	271000061	INVESTMENTS	CA	N/A	0	0
HOAG ORTHOPEDIC INSTITUTE
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	611588294	HEALTHCARE	CA	N/A	0	Yes (1)
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE A	ANCHORAGE	AK	99508	203906048	MEDICAL IMAGING	AK	N/A	0	Yes (1)
INLAND IMAGING LLC
801 S STEVENS ST	SPOKANE	WA	99204	911855796	MEDICAL IMAGING	WA	N/A	0	Yes (1)
LSC REAL PROPERTY LLC
2301 QUAKER AVENUE	LUBBOCK	TX	79410	474646059	REAL ESTATE	TX	N/A	0	0
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREET	LUBBOCK	TX	79410	752343261	HEALTHCARE	TX	N/A	0	0
MISSION VIEJO PARTNERS II LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823943675	REAL ESTATE - MOB	CA	N/A	0	Yes (1)
NEWPORT IMAGING CENTER
360 SN MIGUEL	NEWPORT BEACH	CA	92660	330191776	HEALTHCARE	CA	N/A	0	Yes (1)
NORTH OC IMAGING JV HOLDINGS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	852444305	HEALTHCARE	CA	N/A	0	0
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAY	MEDFORD	OR	97504	450471748	MEDICAL IMAGING	OR	N/A	0	Yes (1)
OREGON OUTPATIENT SURGERY CENTER
7300 SW CHILDS RD	TIGARD	OR	97224	223883387	AMBULATORY SURGERY CENTER	OR	N/A	0	0
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREET	SEATTLE	WA	98104	203132044	MEDICAL IMAGING	WA	N/A	0	Yes (1)
PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC
19625 62ND AVENUE SOUTH SUITE 101	KENT	WA	98032	452901632	MEDICAL EQUIPMENT	WA	N/A	0	Yes (1)
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	812701056	INVESTMENTS	WA	N/A	0	0
PROV RADIATION ONCOLOGY DEVELOP ASSN LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	260682491	REAL ESTATE - MOB	OR	N/A	0	0
PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	823765555	MEDICAL	AL	N/A	0	0
PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	823270499	MEDICAL	AL	N/A	0	Yes (1)
PROVIDENCE CHILDREN'S NEONATAL SVCS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	470918549	NEONATAL CARE	WA	N/A	0	0
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	920118807	MEDICAL IMAGING	AK	N/A	0	0
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823190634	INVESTMENTS	WA		0	0	PHS WA	EXCLUDED	$456,347	$4,846,896	0.00080	$1,717
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE ST	MISSOULA	MT	59802	841401625	AMBULATORY SURGERY CENTER	MT		0	0	PHS MT	RELATED	$798,131	$1,376,603	0.51000
PROVIDENCE UCLA USP SURGERY CENTER JV
14201 DALLAS PARKWAY	DALLAS	TX	75254	320503030	AMBULATORY SURGERY CENTER	CA	N/A	0	0
PROVIDENCEUSP SOUTH BAY SURGERY CENTERS
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	475064486	AMBULATORY SURGERY CENTER	CA	N/A	0	0
PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROAD 160	MISSION HILLS	CA	91345	200684116	AMBULATORY SURGERY CENTER	CA	N/A	0	0
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON ST 1ST FL	SEATTLE	WA	98104	300553035	HEALTHCARE	WA	N/A	0	Yes (1)
SANTA ANA MOB LLC
1800 QUAIL STREET STE 100	NEWPORT BEACH	CA	92660	753205306	REAL ESTATE - MOB	CA	N/A	0	Yes (1)
SJO ASC HOLDINGS LLC
1140 W LA VETA AVE	ORANGE	CA	92868	821655501	HEALTHCARE	CA	N/A	0	0
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVE	ORANGE	CA	92868	454521884	REAL ESTATE	CA	N/A	0	Yes (1)
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
300 SANTANA ROW SUITE 300	SAN JOSE	CA	95128	814657391	HEALTHCARE	CA	N/A	0	0
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823352570	AMBULATORY SURGERY CENTER	CA	N/A	0	Yes (1)
ST PETER-SOUTH SOUND REGIONAL MRI CENTER
3417 ENSIGN RD NE	OLYMPIA	WA	98506	911455338	MEDICAL IMAGING	WA	N/A	0	Yes (1)
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300	LEAWOOD	KS	66211	208187971	AMBULATORY SURGERY CENTER	KS	N/A	0	Yes (1)
TARZANA PEDIATRIC VENTURES LLC
18321 CLARK ST	TARZANA	CA	91356	821308306	HEALTHCARE	CA	N/A	0	0
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVD	SPOKANE	WA	99204	841606484	HOTEL SERVICES	WA	N/A	0	Yes (1)
WON-ONC LLC
1900 COOKS HILL RD	CENTRALIA	WA	98531	262181194	REAL ESTATE - MOB	WA	N/A	0	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (46 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
1221 MADISON STREET OWNERS ASSOC
747 BROADWAY	SEATTLE	WA	98122	201954319	OWNERS' ASSOCIATION	WA	N/A	C	0
ACCLARA SOLUTIONS GROUP LLC
10713 W SAM HOUSTON PKWY N 500	HOUSTON	TX	77064	870837184	HOLDING COMPANY	TX	N/A	C	0
ACCLARA SOLUTIONS INTERMEDIATE LLC
10713 W SAM HOUSTON PKWY N 500	HOUSTON	TX	77064	371783298	HEALTHCARE FINANCIAL SERVICES	TX	N/A	C	0
AMERICAN UNITY GROUP LTD
					CAPTIVE INSURANCE		N/A	C	0	90 PITTS BAY ROAD HM08 PEMBROKE	BD	BD
AYIN HEALTH SOLUTIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833037172	HEALTHCARE	DE	N/A	C	0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	911354431	CLINICAL/MEDICAL LAB	WA	N/A	C	0
CARON CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810486082	MEDICAL PHYSICIAN SERVICE	MT		C	Yes (1)				PHS MT	-$2,820	$3,306,874	1.00000
COLBURN HILL GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	95057	863383433	HEALTHCARE	DE	N/A	C	0
COMMUNITY TECHNOLOGIES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844722399	IT SVCS	DE	N/A	C	0
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280	SANTA MONICA	CA	90404	952880495	HEALTHCARE	CA	N/A	S	0
HMR WEIGHT MANAGEMENT SERVICES CORP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	463598718	HEALTHCARE	WA	N/A	C	0
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587	HEALTHCARE	CA	N/A	C	0
HOAG PHYSICIAN PARTNERS
16148 SAND CANYON AVE	IRVINE	CA	92618	834276044	HEALTHCARE	CA	N/A	C	0
KENSCI INC
615 2ND AVE 700	SEATTLE	WA	98104	474048082	HEALTHCARE	WA	N/A	C	0
KENSCI TECH INDIA PRIVATE LIMITED
615 2ND AVE 700	SEATTLE	WA	98104		HEALTHCARE		N/A	C	0			IN
KENSCI ASIA PACIFIC PTE LTD
615 2ND AVE 700	SEATTLE	WA	98104		HEALTHCARE		N/A	C	0			SN
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752578995	INACTIVE	TX	N/A	C	0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752118585	HEALTHCARE	TX	N/A	C	0
LUMEDIC INC (FKA LUMEDIC ACQ CO INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833881097	HEALTHCARE	WA	N/A	C	0
MEDICAL SPECIALTIES MANAGERS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330406218	HEALTHCARE	WA	N/A	C	0
MEDIREVV INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208783763	HEALTHCARE	DE	N/A	C	0
MISSION VIEJO MEDICAL VENTURES INC
27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	HEALTHCARE	CA	N/A	C	0
PERFORMANCE HEALTH TECHNOLOGY LTD
3993 FAIRVIEW INDUSTRIAL DR SE	SALEM	OR	97302	931211733	HEALTHCARE	OR	N/A	C	0
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461814184	STRATEGIC PLANNING SERVICES	CA	N/A	C	0
PIONEER INNOVATIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	364818191	HEALTHCARE INNOVATIONS	WA	N/A	C	0
PROVIDENCE ASSURANCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208194071	CAPTIVE INSURANCE	AZ	N/A	C	0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	981516461	IT SVCS		N/A	C	0			IN
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	900155714	CLINICAL/MEDICAL LAB	WA	N/A	C	0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800886966	PREPAID HEALTHCARE	CA	N/A	C	0
PROVIDENCE HEALTH VENTURES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330122216	INVESTMENT	CA	N/A	C	0
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	911216033	HEALTHCARE	WA	N/A	C	0
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL ST	TORRANCE	CA	90503	823771547	HEALTHCARE	CA	N/A	C	0
QUIVIQ INC
1400-112TH AVENUE ST SUITE 100	BELLEVUE	WA	98004	833879444	HEALTHCARE ANALYTICS	WA	N/A	C	0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	462340232	HOLDING COMPANY	CA	N/A	C	0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461900168	HEALTHCARE	CA	N/A	C	0
ST JOSEPH PROF SVCS ENTERPRSES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330155323	HEALTHCARE	CA	N/A	C	0
TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	842092143	HOLDING COMPANY	DE	N/A	C	0
TEGRIA INSIGHTS GROUP HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	861400769	HOLDING COMPANY	WA	N/A	C	0
TEGRIA INSIGHTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	861532593	HEALTHCARE	WA	N/A	C	0
TEGRIA PRODUCTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	870995138	HOLDING COMPANY	DE	N/A	C	0
TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844686520	HOLDING COMPANY	DE	N/A	C	0
TEGRIA RCM GROUP US INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	863046450	HOLDING COMPANY	DE	N/A	C	0
TEGRIA SERVICES GROUP-CAN INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE		N/A	C	0			CA
TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844704409	HOLDING COMPANY	DE	N/A	C	0
TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	900872936	HEALTHCARE	WI	N/A	C	0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953943315	INVESTMENT	CA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PROVIDENCE HEALTH & SERVICES - OREGON
J	$50,209	COST
PROVIDENCE HEALTH & SERVICES - WASHINGTON
J	$118,894	COST
PROVIDENCE HEALTH & SERVICES - WASHINGTON
O	$157,588	COST
PROVIDENCE HEALTH & SERVICES - WASHINGTON
R	$282,218,175	COST
PROVIDENCE HEALTH & SERVICES - WASHINGTON
S	$54,353,567	COST
PROVIDENCE ST JOSEPH MEDICAL CENTER
S	$222,163	COST
ST PATRICK HOSPITAL FOUNDATION
C	$10,124,014	COST