KADLEC REGIONAL MEDICAL CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- KADLEC REGIONAL MEDICAL CENTER (EIN 91-0655392)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202233199349303418
- 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 | 2022-11-15T08:19:59-06:00 | 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 | 55 IVAN ALLEN JR BLVD SUITE 1000 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30308 | 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 | 910655392 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KADLEC REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KADL | BusinessNameControlTxt |
| Phone | 5099464611 | 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 | 2022-11-15 | 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 | AERRIAL M ORR | PreparerPersonNm |
| PTIN | P01598400 | PTIN |
| Phone | 4048748300 | PhoneNum |
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
| 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 | $847,722,306 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/HOME | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1947 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY HEALTH CARE TO EVERY PATIENT IN TRI-CITIES, WA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 4402 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $80,720 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $59,616 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $23,178,825 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,292,388 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $702,682,627 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $764,464,204 | CYProgramServiceRevenueAmt |
| PY Investment Income | $25,751,813 | PYInvestmentIncomeAmt |
| CY Investment Income | $19,979,808 | CYInvestmentIncomeAmt |
| PY Other Revenue | $32,323,299 | PYOtherRevenueAmt |
| CY Other Revenue | $32,058,527 | CYOtherRevenueAmt |
| PY Total Revenue | $783,936,564 | PYTotalRevenueAmt |
| CY Total Revenue | $828,794,927 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,234,868 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,842,187 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $308,588,826 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $322,446,202 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $480,854 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $416,980,947 | PYOtherExpensesAmt |
| CY Other Expenses | $456,014,314 | CYOtherExpensesAmt |
| PY Total Expenses | $728,804,641 | PYTotalExpensesAmt |
| CY Total Expenses | $781,302,703 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $55,131,923 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $47,492,224 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $885,488,958 | TotalAssetsBOYAmt |
| Total Assets EOY | $935,169,169 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $441,474,654 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $417,151,133 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $444,014,304 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $518,018,036 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF KADLEC REGIONAL MEDICAL CENTER IS TO PROVIDE QUALITY HEALTH CARE TO EVERY PATIENT WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $675,985,094 | ExpenseAmt |
| Grant | $2,842,187 | GrantAmt |
| Revenue | $795,670,792 | RevenueAmt |
| Desc | SEE SCHEDULE OAT 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-REPORTENVIRONMENTAL, 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 ACCOMPLISHMENTSKADLEC PARTNERS WITH GRACE CLINIC TO COVER UNMET NEEDS. GRACE CLINIC PROVIDES FREE MEDICAL, DENTAL, AND MENTAL HEALTH SERVICES TO THOSE WHO ARE UNINSURED. KADLEC SUPPORTS GRACE CLINIC THROUGH COMMUNITY BENEFIT FUNDING, EQUIPMENT DONATIONS, AND VOLUNTEER INVOLVEMENT BY CAREGIVERS. ONE OF KADLEC'S RECENT CONTRIBUTIONS WAS EQUIPMENT FOR CARDIAC STRESS TESTS. IN 2021, GRACE CLINIC SERVED 5,099 PATIENTS. COMMUNITY BENEFIT $54,159.KADLEC SUPPORTED THE "STAYING C.A.L.M.: OVERCOMING MENTAL HEALTH ISSUES AND STEREOTYPES" SOCIAL IMPACT INITIATIVE OF MISS TRI-CITIES OUTSTANDING TEEN, KAIYA BATES. WITH KADLEC SUPPORT, SHE ACCOMPLISHED HER GOAL OF HAVING A CALM KIT IN EVERY ELEMENTARY SCHOOL CLASSROOM IN PASCO SCHOOL DISTRICT SERVING AN ESTIMATED 5,600 STUDENTS. COMMUNITY BENEFIT $10,944.KADLEC'S COMMUNITY HEALTH DEPARTMENT INCLUDES A RESOURCE LENDING LIBRARY, SUPPORT GROUPS, EDUCATIONAL PROGRAMS, HEALTHY AGES, AND CATCH (COORDINATED APPROACH TO CHILD HEALTH). SUPPORT GROUPS INCLUDE THOSE FOR PEOPLE LIVING WITH NEUROLOGICAL DISORDERS AND CHRONIC CONDITIONS AND FOR FAMILY CAREGIVERS. EDUCATIONAL PROGRAMS IN 2021 INCLUDED ADULT AND YOUTH MENTAL HEALTH FIRST AID; QUESTION, PERSUADE, REFER; LIVING WELL WITH CHRONIC PAIN, PRESERVING THE BRAIN, ADVANCED CARE PLANNING, COVID & YOUR HEART, POSITIVE PHYSICAL APPROACH NORMAL VS NOT NORMAL AGING, METHYL/TETRA/HYDRO/FOLATE/ REDUCTASE (MTHFR), BUILDING RESILIENCE, LANGUAGE MATTERS, MAKING IT HEALTHY, COVID & STROKE, 10 WARNING SIGNS, LOW VISION, UNDERSTANDING GRIEF, COMPASSION FATIGUE, UNDERSTANDING DEMENTIA, UNDERSTANDING AND RESPONDING TO DEMENTIA BEHAVIOR, CAREGIVER CONFERENCE, EFFECTIVE COMMUNICATION, AND BUILDING A BETTER BODY IMAGE THROUGH THE HOLIDAYS. IN 2021, 640 PEOPLE PARTICIPATED IN MEDICARE EDUCATION, CONSULTATIONS AND OPEN ENROLLMENT COMPARISONS AND APPOINTMENTS. 5,669 PERSONS SERVED. COMMUNITY BENEFIT $304,353.THE UNPAID COST OF MEDICAID CARE FOR 37,193 PERSONS WAS $47,582,812. | Desc |
| Total Program Service Expenses | $675,985,094 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | 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 | 110 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4402 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JIM MARTIN | PersonNm |
| 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 (39 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||
| 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 | ||||||||||
| FRMR KE - PSJH EVP CE WA/MT | 0.00 | 55.00 | Yes (X) | $0 | $1,775,625 | $396,085 | ||||
| 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 | ||||
| MELVIN WAHL | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,615,311 | $0 | $121,104 | Yes (X) | ||||
| 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 | ||||
| JOSHUA BALES | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,462,256 | $0 | $118,899 | Yes (X) | ||||
| IYAD JAMALI | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,197,797 | $0 | $137,020 | Yes (X) | ||||
| FRANCIS FLEMING | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,189,628 | $0 | $130,816 | Yes (X) | ||||
| ARASH MOTAGHI | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,198,217 | $0 | $97,162 | Yes (X) | ||||
| OREST HOLUBEC | ||||||||||
| FRMR KE - PSJH SVP/CHF 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) | ||||
| DEBBIE BURTON | ||||||||||
| FORMER SVP CHIEF NURSING OFFICER | 0.00 | 55.00 | Yes (X) | $0 | $1,111,821 | $7,762 | ||||
| MARY CRANSTOUN | ||||||||||
| FRMR KE - PSJH SVP TOTAL REW. TALENT ACQ | 0.00 | 55.00 | Yes (X) | $0 | $861,647 | $176,670 | ||||
| JIM WATSON ESQ | ||||||||||
| FRMR OFF - PSJH SEC./ASST. SEC. | 0.00 | 55.00 | Yes (X) | $0 | $760,088 | $126,854 | ||||
| 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 | ||||
| ASLAM KALEEL | ||||||||||
| CHIEF EXEC KADLEC REGION | 55.00 | 0.00 | $0 | $504,371 | $142,846 | Yes (X) | ||||
| KIRK HARPER | ||||||||||
| COO KADLEC | 55.00 | 0.00 | $337,238 | $0 | $31,543 | Yes (X) | ||||
| SPENCER HARRIS | ||||||||||
| CFO SERVICE AREA PSJH | 50.00 | 0.00 | $0 | $274,819 | $44,413 | Yes (X) | ||||
| 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 | $7,000,447 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $30,951,537 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $5,168,506 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 622 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ARFC | |||||
| PO BOX 100741 | ANCHORAGE | AK | 99508 | MEDICAL SERVICES | $6,922,872 |
| BOUTEN CONSTRUCTION COMPANY | |||||
| PO BOX 3507 | SPOKANE | WA | 99220 | CONSTRUCTION SVCS | $6,563,445 |
| PREMIER ANESTHESIA OF RICHLAND | |||||
| PO BOX 405815 | ATLANTA | GA | 303845815 | MEDICAL SERVICES | $4,345,181 |
| LOCUMSMART LLC | |||||
| 45 TECHNOLOGY PKWY S STE 235 | NORCROSS | GA | 30092 | TECHNOLOGY SERVICES | $2,581,537 |
| NUWEST GROUP HOLDINGS LLC | |||||
| PO BOX 40285 | BELLEVUE | AK | 995035933 | STAFFING SERVICES | $2,503,162 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 65 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $263,466 | RelatedOrganizationsAmt |
| Government Grants | $12,028,922 | GovernmentGrantsAmt |
| Total Contributions | $12,292,388 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $730,677,262 | $730,677,262 |
| PHARMACY | 446110 | $25,912,804 | $25,912,804 |
| HOSPITAL FEES | 622110 | $5,483,640 | $5,483,640 |
| HEALTHCARE JVS | 900099 | $2,390,498 | $2,390,498 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $764,464,204 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,869,199 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $80,720 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,788,479 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,114,503 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $262,564 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $851,939 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $851,939 | TotalRevenueColumnAmt |
| Exclusion | $851,939 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $34,775,424 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,628,154 | SecuritiesAmt |
| Other | $36,661 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $16,147,270 | SecuritiesAmt |
| Other | -$36,661 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,110,609 | TotalRevenueColumnAmt |
| Exclusion | $16,110,609 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INTERAFFILIATE REVENUE | 900099 | $17,203,190 | $17,203,190 |
| COST RECOVERIES | 900099 | $6,101,089 | $6,101,089 |
| CAFETERIA REVENUE | 722514 | $716,672 | $716,672 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,185,637 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,185,637 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $31,206,588 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $828,794,927 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $795,670,792 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $80,720 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,751,027 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,842,187 | TotalAmt |
| Program Services | $2,842,187 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $368,782 | TotalAmt |
| Management And General | $368,782 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,559,978 | TotalAmt |
| Program Services | $258,057,561 | ProgramServicesAmt |
| Management And General | $40,314,312 | ManagementAndGeneralAmt |
| Fundraising | $188,105 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,956,036 | TotalAmt |
| Program Services | $4,278,419 | ProgramServicesAmt |
| Management And General | $674,498 | ManagementAndGeneralAmt |
| Fundraising | $3,119 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,507 | TotalAmt |
| Program Services | $193,811 | ProgramServicesAmt |
| Management And General | $30,555 | ManagementAndGeneralAmt |
| Fundraising | $141 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,336,899 | TotalAmt |
| Program Services | $15,829,776 | ProgramServicesAmt |
| Management And General | $2,495,584 | ManagementAndGeneralAmt |
| Fundraising | $11,539 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,833 | TotalAmt |
| Program Services | $144,023 | ProgramServicesAmt |
| Management And General | $22,705 | ManagementAndGeneralAmt |
| Fundraising | $105 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,520 | TotalAmt |
| Program Services | $18,577 | ProgramServicesAmt |
| Management And General | $2,929 | ManagementAndGeneralAmt |
| Fundraising | $14 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $838,176 | TotalAmt |
| Management And General | $838,176 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,336,807 | TotalAmt |
| Program Services | $44,317,754 | ProgramServicesAmt |
| Management And General | $6,986,749 | ManagementAndGeneralAmt |
| Fundraising | $32,304 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,259 | TotalAmt |
| Program Services | $261,796 | ProgramServicesAmt |
| Management And General | $41,272 | ManagementAndGeneralAmt |
| Fundraising | $191 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,847,000 | TotalAmt |
| Program Services | $7,637,389 | ProgramServicesAmt |
| Management And General | $1,204,044 | ManagementAndGeneralAmt |
| Fundraising | $5,567 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,994 | TotalAmt |
| Program Services | $293,508 | ProgramServicesAmt |
| Management And General | $46,272 | ManagementAndGeneralAmt |
| Fundraising | $214 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,063,952 | TotalAmt |
| Program Services | $24,226,892 | ProgramServicesAmt |
| Management And General | $3,819,400 | ManagementAndGeneralAmt |
| Fundraising | $17,660 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $432,017 | TotalAmt |
| Program Services | $372,949 | ProgramServicesAmt |
| Management And General | $58,796 | ManagementAndGeneralAmt |
| Fundraising | $272 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,604 | TotalAmt |
| Program Services | $324,250 | ProgramServicesAmt |
| Management And General | $51,118 | ManagementAndGeneralAmt |
| Fundraising | $236 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,382,653 | TotalAmt |
| Program Services | $8,099,805 | ProgramServicesAmt |
| Management And General | $1,276,944 | ManagementAndGeneralAmt |
| Fundraising | $5,904 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,771,984 | TotalAmt |
| Program Services | $18,795,198 | ProgramServicesAmt |
| Management And General | $2,963,086 | ManagementAndGeneralAmt |
| Fundraising | $13,700 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,294 | TotalAmt |
| Program Services | $132,335 | ProgramServicesAmt |
| Management And General | $20,863 | ManagementAndGeneralAmt |
| Fundraising | $96 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SYSTEM COST ALLOCATION | $170,879,265 | $147,515,703 | $23,256,033 | $107,529 |
| MEDICAL SUPPLIES | $139,405,166 | $120,344,918 | $18,972,525 | $87,723 |
| HOSPITAL FEE | $13,467,918 | $13,467,918 | ||
| LICENSES AND TAXES | $7,911,533 | $6,829,825 | $1,076,730 | $4,978 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,317,339 | TotalAmt |
| Program Services | $2,000,500 | ProgramServicesAmt |
| Management And General | $315,382 | ManagementAndGeneralAmt |
| Fundraising | $1,457 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $781,302,703 | TotalAmt |
| Program Services | $675,985,094 | ProgramServicesAmt |
| Management And General | $104,836,755 | ManagementAndGeneralAmt |
| Fundraising | $480,854 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,137,770 | BOYAmt |
| EOY | $186,096,291 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,679,803 | BOYAmt |
| EOY | $72,309,314 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,604 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,461,017 | BOYAmt |
| EOY | $6,762,029 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,870,317 | BOYAmt |
| EOY | $1,749,917 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $466,793,807 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $154,778,576 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,202,941 | BOYAmt |
| EOY | $312,015,231 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,768,753 | BOYAmt |
| EOY | $268,702,768 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,102,732 | BOYAmt |
| EOY | $22,189,597 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,091,205 | BOYAmt |
| EOY | $21,180,838 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,159,816 | BOYAmt |
| EOY | $44,163,184 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $885,488,958 | BOYAmt |
| EOY | $935,169,169 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,184,787 | BOYAmt |
| EOY | $50,472,150 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,706,365 | BOYAmt |
| EOY | $526 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $392,583,502 | BOYAmt |
| EOY | $366,678,457 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $441,474,654 | BOYAmt |
| EOY | $417,151,133 | 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 | $437,419,341 | BOYAmt |
| EOY | $504,077,732 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,594,963 | BOYAmt |
| EOY | $13,940,304 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $444,014,304 | BOYAmt |
| EOY | $518,018,036 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $885,488,958 | BOYAmt |
| EOY | $935,169,169 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $47,492,224 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $5,934,164 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $20,577,344 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $6,453 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $6,453 | 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 | PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS FOR LOBBYING ACTIVITIES THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION ALLOCATED TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,218,738 | OtherCostOrOtherBasisAmt |
| Book Value | $15,218,738 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $282,687,004 | OtherCostOrOtherBasisAmt |
| Depreciation | $60,482,756 | DepreciationAmt |
| Book Value | $222,204,248 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,526,703 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,088,553 | DepreciationAmt |
| Book Value | $2,438,150 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $146,970,632 | OtherCostOrOtherBasisAmt |
| Depreciation | $91,207,267 | DepreciationAmt |
| Book Value | $55,763,365 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,390,730 | OtherCostOrOtherBasisAmt |
| Book Value | $16,390,730 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $312,015,231 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| I/C - TAX-EXEMPT BOND LIABILITIES | $241,004,783 |
| DUE TO THIRD PARTY | $49,149,873 |
| OTHER LIABILITIES | $38,897,286 |
| DUE TO AFFILIATES | $27,862,770 |
| CAPITAL LEASE OBLIGATION | $9,763,745 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $366,678,457 | 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 | $11,053,969 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,053,969 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01410 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $134,161,111 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $86,578,299 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $47,582,812 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06090 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $145,215,080 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $86,578,299 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $58,636,781 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07500 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $528,343 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $136,008 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $392,335 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,874,565 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,669,819 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,204,746 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $390,061 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $207,945 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $182,116 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $562,060 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $562,060 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,355,029 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,013,772 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,341,257 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00680 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $152,570,109 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $88,592,071 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $63,978,038 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08180 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,944 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,944 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $497 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $497 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,195 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,195 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,636 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,636 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $258,788,179 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $281,164,042 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$22,375,863 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KADLEC REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 888 SWIFT BOULEVARD | AddressLine1Txt |
| City | RICHLAND | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99352 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | PROVIDENCE.ORG/LOCATIONS/KADLEC/HOME | WebsiteAddressTxt |
| State License | HAC.FS.161 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | INPATIENT REHAB | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KADLEC REGIONAL MEDICAL CENTER | 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 | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | 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 | 20 | 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 |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| 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 |
| 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 (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 3E: | THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. |
| PART V, SECTION B, LINE 5: | THE 2019 CHNA WAS COMPLETED IN COLLABORATION WITH THE BENTON FRANKLIN COMMUNITY HEALTH ALLIANCE AND BENTON FRANKLIN HEALTH DISTRICT. THE COLLABORATIVE ALSO INCLUDED REPRESENTATIVES FROM TRIOS HEALTH, LOURDES HEALTH, AND PROSSER MEMORIAL HEALTH. THE CHNA STEERING COMMITTEE RECOGNIZED THE VALUE IN HAVING COMMUNITY MEMBERS AND COMMUNITY STAKEHOLDERS PARTICIPATE IN THE CHNA PROCESS AND SHARE THEIR PERSPECTIVES. AS THE PEOPLE WHO LIVE AND WORK IN THE COUNTIES, THEY HAVE FIRST-HAND KNOWLEDGE OF THE NEEDS AND STRENGTHS OF THEIR COMMUNITY. TO GATHER COMMUNITY INPUT, LISTENING SESSIONS WERE CONDUCTED WITH COMMUNITY MEMBERS AND COMMUNITY STAKEHOLDERS WERE INTERVIEWED AND SURVEYED. TEN LISTENING SESSIONS WERE COMPLETED BETWEEN APRIL 12, 2019 THROUGH MAY 30, 2019, IN ENGLISH AND SPANISH, WITH A TOTAL OF 96 COMMUNITY MEMBERS. (SEE APPENDIX 4 OF CHNA PG. 8 FOR DETAILED INFORMATION). PARTICIPANTS SHARED THEIR VISION FOR A HEALTHY COMMUNITY, THE HEALTH-RELATED NEEDS OF THE COMMUNITY, AND THE ASSETS THAT CURRENTLY HELP THE COMMUNITY BE HEALTHY. SURVEYS WERE COMPLETED BY 256 STAKEHOLDERS. THEY WERE ASKED TO IDENTIFY THEIR TOP FIVE HEALTH-RELATED COMMUNITY NEEDS. STAKEHOLDERS PRIORITIZED ONE HEALTH-RELATED NEED SUBSTANTIALLY ABOVE THE OTHERS: BEHAVIORAL HEALTH CHALLENGES, INCLUDING MENTAL HEALTH AND SUBSTANCE USE DISORDER. TWO ADDITIONAL NEEDS WERE GIVEN HIGH PRIORITY AND TIED FOR IMPORTANCE: ACCESS TO BEHAVIORAL HEALTH SERVICES AND HOMELESSNESS/HOUSING INSTABILITY. THESE TOP THREE NEEDS MIRROR THOSE OF THE STAKEHOLDERS WHO WERE INTERVIEWED. THE STEERING COMMITTEE COMPLETED 16 COMMUNITY STAKEHOLDER INTERVIEWS, INCLUDING 40 STAKEHOLDERS WHO ARE PEOPLE INVESTED IN THE WELL-BEING OF THE COMMUNITY WITH FIRST-HAND KNOWLEDGE OF COMMUNITY NEEDS AND STRENGTHS. STAKEHOLDERS WERE ASKED TO RANK UNMET HEALTH-RELATED COMMUNITY NEEDS. FOR THOSE NEEDS, STAKEHOLDERS SHARED WHICH POPULATIONS ARE MOST AFFECTED, GAPS IN COMMUNITY SERVICES TO ADDRESS THE NEEDS, AND BARRIERS TO SERVICES. STAKEHOLDERS WERE SELECTED BY MEMBERS OF CHNA STEERING COMMITTEE BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WHO ARE ECONOMICALLY POOR AND VULNERABLE. THE STEERING COMMITTEE AIMED TO ENGAGE STAKEHOLDERS FROM HOSPITALS, SOCIAL SERVICE AGENCIES, CLINICS, AND GOVERNMENT TO ENSURE A WIDE RANGE OF PERSPECTIVES. SEE APPENDIX 4, PG. 16-17 OF CHNA FOR DETAILED INFORMATION)THROUGH A MIXED-METHODS APPROACH USING QUANTITATIVE AND QUALITATIVE DATA, THE CHNA PROCESS USED SEVERAL SOURCES OF INFORMATION TO IDENTIFY COMMUNITY NEEDS. BENTON AND FRANKLIN COUNTIES, LOCATED IN SOUTH-CENTRAL WASHINGTON, HAVE A TOTAL POPULATION OF APPROXIMATELY 290,000 PEOPLE WITH 77% WHITE, 22.5% HISPANIC, 3% ASIAN, 2.5% MULTI-RACE, 1.5% BLACK, AND 0.5% AMERICAN INDIAN/ALASKA NATIVE. APPROXIMATELY 41,000 PEOPLE LIVING IN THE BI-COUNTY REGION ARE FOREIGN BORN, REGARDLESS OF CITIZENSHIP STATUS, AND 30% OF HOUSEHOLDS REPORT ENGLISH IS NOT THE PRIMARY LANGUAGE SPOKEN IN THE HOME. INFORMATION COLLECTED INCLUDES PUBLIC HEALTH STATUS INDICATORS RELATED TO OBESITY, PHYSICAL HEALTH, SUICIDE AND MENTAL HEALTH, SEXUAL AND REPRODUCTIVE HEALTH, VIOLENCE AND COMMUNITY SAFETY, SUBSTANCE ABUSE, HOMELESSNESS AND POVERTY, ACCESS TO HEALTH CARE AND AGING ISSUES. COMMUNITY INPUT WAS GATHERED MAY THROUGH JULY OF 2019. LISTENING SESSIONS WERE HELD WITH PEOPLE WHO HAVE CHRONIC CONDITIONS, ARE FROM DIVERSE COMMUNITIES, HAVE LOW-INCOMES, AND/OR ARE MEDICALLY UNDERSERVED. STAKEHOLDER INTERVIEWS AND SURVEYS WERE CONDUCTED WITH PEOPLE WHO SERVE THESE POPULATIONS.STAKEHOLDERS INCLUDED (ORGANIZED BY ORGANIZATION, NAME)-ALZHEIMER'S ASSOCIATION, JOAN ACRE AND JOEL LOIACONO-BENTON-FRANKLIN HEALTH DISTRICT, CARLA PROCK, JAMES DAWSON-BENTON FRANKLIN RECOVERY COALITION, MICHELE GERBER-CHAPLAIN HEALTH CARE, GARY CASTILLO, TOM ADAMS-COLUMBIA BASIN VETERANS CENTER-COMMUNITIES IN SCHOOLS OF BENTON-FRANKLIN-DOMESTIC VIOLENCE SERVICES, DEBORAH CULVERHOUSE, ZAC SCHILEIKA-GRACE CLINIC, AVONTE JACKSON, CONNIE RODE, KATHY BRAULT, MARK BRAULT-KADLEC COMMUNITY HEALTH PROGRAMS, CHATERINE MANDERBACK, COREY WAKELEY, EDNA FELIX, KAREN HAYES, MEGAN FULLMER-LOURDES HEALTH, BETHANY HALE, CAMERON FORDMEIR, DEANNA PTERILLI-MY FRIEND'S PLACE, HEATHER SHINDEHITE, SIENNA SKEELS-PARENTS AND FRIENDS OF LESBIANS AND GAYS (PFLAG), CARLY COBURN, JEFFREY ROBINSON-PLANNED PARENTHOOD GREATER WASHINGTON AND IDAHO, SUSAN SISSON, CRISTAL ALATORRE, MARISOL LISTER- SUPPORT, ADVOCACY AND RESOURCES CENTER, DESIREE REYNOLDS, JODEE GARRETSON, ROSANNA HERRERA- TRI-CITIES FOOD BANK, FRANCES-ANN HIEMSTRA, HOWARD RICKARD |
| PART V, SECTION B, LINE 6A: | TRIOS HEALTH, LOURDES HEALTH, PROSSER MEMORIAL HEALTH |
| PART V, SECTION B, LINE 6B: | ADVERSE CHILDHOOD EXPERIENCES (ACES) COLLABORATIVEAGING AND LONG-TERM CAREALZHEIMER'S ASSOCIATIONAMISTAD ELEMENTARYA NEW START IN LIFE (ANSIL)BEHAVIORAL HEALTH COMMITTEEBEN FRANKLIN TRANSITBENTON-FRANKLIN COMMUNITY HEALTH ALLIANCEBENTON-FRANKLIN EARLY LEARNING ALLIANCE (BFELA)BENTON-FRANKLIN HEALTH DISTRICTBENTON-FRANKLIN RECOVERY COALITIONBENTON-FRANKLIN YOUTH SUICIDE PREVENTION COALITIONBOYS AND GIRS CLUB OF BENTON AND FRANKLIN COUNTIESCHAPLAINCY HEALTHCARECOLUMBIA BASIN COLLEGE (CBC)COLUMBIA BASIN VETERAN'S CENTERCOMMUNITY IN SCHOOLS BENTON-FRANKLINDOMESTIC VIOLENCE SERVICES OF BENTON AND FRANKLIN COUNTIES (DVS)EDUCATIONAL SERVICE DISTRICT 123 (ESD123)EMERGENCY MEDICAL SERVICES (EMS)GRACE CLINICHUMAN SERVICES COALITIONLAW ENFORCEMENT/POLICE CHIEFSLOWER VALLEY KIWANISMY FRIEND'S PLACE; SAFE HARBORPARENTS AND FAMILIES OF LESBIANS AND GAYS (PFLAG)PEOPLE FOR PEOPLE; 2-1-1PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO (PPGWNI)PROSSER SCHOOL DISTRICTPROSSER THRIVE COALITIONSENIOR LIFE RESOURCES; MEALS ON WHEELSSUPPORT, RESOURCE, AND ADVOCACY CENTER (SARC)TIERRA VIDATRI-CITIES CANCER CENTERTRI-CITIES COMMUNITY HEALTH (TCCH)TRI-CITIES FOOD BANKTRI-CITIES RESIDENTIAL SERVICES (TCRS)TRI-CITY REGIONAL CHAMBER OF COMMERCELOURDES MOBILE OUTREACH TEAMTRI-CITY UNION GOSPEL MISSIONUNITED WAY OF BENTON AND FRANKLIN COUNTIESVINTAGE AT RICHLANDWASHINGTON STATE TRI-CITIES (WSUTC)WORLD RELIEFYOU MEDICAL |
| PART V, SECTION B, LINE 7A: | HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "WASHINGTON" TAB. |
| PART V, SECTION B, LINE 10A: | HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "WASHINGTON" TAB. |
| PART V, SECTION B, LINE 11: | THE SIGNIFICANT NEEDS IDENTIFIED ADDRESSED IN 2021 BY KADLEC REGIONAL MEDICAL CENTER WERE THE FOLLOWING: 1) BEHAVIORAL HEALTH CHALLENGES, 2) ACCESS AND COST OF HEALTH CARE, 3) SOCIAL DETERMINANTS OF HEALTH (SDOH), AND 4) OBESITY/MAINTAINING HEALHTY WEIGHT.PRIORITY 1: BEHAVIORAL HEALTH CHALLENGESONE STRATEGY UTIILIZED TO ADDRESS BEHAVIORAL HEALTH CHALLENGES IN 2021 WAS BY COMPLETING SUICIDE RISK ASSESSMENTS IN THE EMERGENCY DEPARTMENT (ED) ON PATIENTS PRESENTING WITH MENTAL HEALTH AS CHIEF COMPLAINT AND THOSE WITH DIAGNOSTIC TRIGGERS. IN JANUARY OF 2021, 67% OF SCREENINGS COMPLETED IN MEDICAL CENTER ED, INCREASING TO 72.9% IN DECEMBER OF 2021. IN JANUARY OF 2021, 77.6% OF SCREENINGS COMPLETED IN FREE STANDING EMERGENCY DEPARTMENT (FSED), INCREASING TO 84.4% IN DECEMBER OF 2021. ANOTHER STRATEGY WAS TO PROVIDE COMMUNITY EDUCATION PROGRAMS IN MENTAL HEALTH AND SUICIDE AWARENESS AND PREVENTION. PROGRAMS INCLUDED YOUTH AND ADULT MENTAL HEALTH FIRST AID (MHFA) TRAINIGS; QUESTION, PERSUADE, REFER (QPR); BUILDING RESILIENCY; LANGUAGE MATTERS; UNDERSTANDING GRIEF; AND COMPASSION FATIGUE. 554 COMMUNTIY MEMBERS PARTICIPATED IN THESE TRAININGS IN 2021. ANOTHER STRATEGY TO ADDRESS THIS NEED WAS THE INTEGRATION OF BEHAVIORAL HEALTH IN PRIMARY CARE. THERE ARE THREE SOCIAL WORKERS EMBEDDED IN THREE DIFFERENT CLINICS. WHILE NOT AN ACTIVE PARTICIPANT IN THE EFFORTS AND PROGRESS TOWARDS THE GOAL OF ESTABLISHING A DETOX AND RECOVERY CENTER IN BENTON OR FRANKLIN COUNTY, KADLEC SUPPORTED THE EFFORT BY STAYING INFORMED OF THE PROGRESS AND BY PROVIDING THE FORUM FOR IT TO BE PRESENTED AND DISCUSSED AT KADLEC POPULATION HEALTH COMMUNITY COLLABORATIVE COMMITTEE MEETINGS AND COMMUNITIY HEALTH COUNCIL MEETINGS. EFFORTS CONTINUED IN 2021 WITH BENTON COUNTY OFFICIALS TAKING THE LEAD.PRIORITY 2: ACCESS AND COST OF ALL HEALTH CAREACCESS AND COST OF HEALTH CARE IS BEING ADDRESSED BY CONTINUING PROVIDER RECRUITING EFFORTS; EXPANDING TELEMEDICINE SERVICES, INCLUDING TELEPSYCH; IMPLEMENTING A MEDICATION ASSISTANCE PROGRAM (MAP); IMPLEMENTING A DIVERSITY, EQUITY AND INCLUSION (DEI) PROGRAM, AND PROVIDING MEDICARE EDUCATION TO THOSE TURNING 65 AND OTHERS FOR FINANCIAL PLANNING. IN 2021, THE FOLLOWING PROVIDERS JOINED KADLEC PROVIDING CARE IN KADLEC CLINICS: AN INTERNAL MEDICINE PHYSICIAN, A FAMILY MEDICINE PHYSICIAN, A FAMILY MEDICINE FACULTY WITH THE RESIDENCY PROGRAM, AND TWO PRIMARY CARE NURSE PRACTICTIONERS. KADLEC DEVELOPED A STRATEGY TO RETAIN KADLEC FAMILY MEDICINE RESIDENCY PROGRAM RESIDENTS AND TO RECRUIT ADDITIONAL PRIMARY CARE PHYSICIANS TO KADLEC. THE STRATEGY ENABLED KADLEC TO SIGN SEVEN PRIMARY CARE PHYSICIANS TO JOIN KADLEC IN 2022. IN 2021, 37,260 TELEMEDICINE VISTIS WERE PROVIDED TO PATIENTS IN THE REGION. THE KADLEC MEDICATION ASSISTANCE PROGRAM SERVED 161 PEOPLE IN 2021. IN AUGUST OF 2021, ANNA FRANKLIN STARTED IN HER NEW ROLE AS THE REGION'S EXECUTIVE DIRECTOR OF DIVERSITY, EQUITY AND INCLUSION (DEI). DEI INITIATIVES ARE BEING APPROACHED AT THE SYSTEM AND REGIONAL LEVELS. IN 2021, 640 PEOPLE PARTICIPATED IN MEDICARE EDUCATION, CONSULTATIONS AND OPEN ENROLLMENT COMPARISONS AND APPOINTMENTS.PRIORITY 3: SOCIAL DETERMINANTS OF HEALTHCOMMUNITY SOLUTIONS BUILT FOR ZERO (BFZ) MODEL IS A STRATEGY WE ARE STRIVING TO IMPLEMENT TO ADDRESS HOMELESSNESS. SEVERAL MEETINGS WERE HELD WITH THE BENTON COUNTY HUMAN SERVICES MANAGER TO ASCERTAIN INTEREST IN BFZ. A BFZ PRESENTATION TO THE BENTON AND FRANKLIN COUNTIES HOUSING CONTINUUM OF CARE TASK FORCED WAS SCHEDULED IN 2021 AND RESCHEDULED FOR 2022. KADLEC'S COMMUNITY RESOURCE DESK (CRD) PROGRAM CONNECTS COMMUNITY MEMBERS WITH RESOURCES AND SERVICES TO ADDRESS SDOH, SUCH AS HOUSING, FOOD BANKS, TRANSPORTATION, UTILITIES, AND MORE.PRIORITY 4: OBESITY/MAINTAINING HEALTHY WEIGHTTHE STRATEGY TO ADDRESS OBESITY AND MAINTAIN HEALTHY WEIGHT IS TO IMPLEMENT THE COORDINATED APPROACH TO CHILD HEALTH (CATCH) PROGRAM IN PARTNERSHIP WITH SCHOOLS AND PROGRAMS. BOYS AND GIRLS CLUB AND TWENTY-FIRST CENTURY PROGRAM STAFF WERE TRAINED IN CATCH. STAFF SHORTAGES AND TURNOVER CREATED OBSTACLES TO CATCH IMPLEMENTATION. NUTRITION EDUCATION UTILIZING MY PLATE AND OTHER RESOUCES WAS PROVIDED TO 103 MIDDLE SCHOOL STUDENTS, 27 YOUTH AND PARENTS AT COLUMBIA BASIN RAQUET CLUB (CBRC) AND TEN CHILDREN AT CBRC PRE-SCHOOL.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, AND SOME NEEDS IDENTIFIED IN THE CHNA ARE THE MISSION OF OTHER ORGANIZATIONS. FOR EXAMPLE, ADDRESSING FOOD INSECURITY IS THE MISSION OF SECOND HARVEST, THE COMMUNITY ACTION COALITION, AND LOCAL FOOD BANKS. WHILE ADDRESSING FOOD INSECURITY IS NOT A DIRECT FOCUS OF THE KADLEC CHIP, FOOD INSECURITY IS ADDRESSED IN SEVERAL WAYS. KADLEC ORGANIZES AN ANNUAL FOOD DRIVE TO PROVIDE FOOD FOR THOSE IN NEED. KADLEC'S PROJECT HOMECOMING PROGRAM ADDRESSES THE NUTRITIONAL NEEDS OF PATIENTS WHEN THEY ARE DISCHARGED FROM THE MEDICAL CENTER THROUGH A PARTNERSHIP WITH MEALS ON WHEELS IF THEY WERE DIAGNOSED WITH MALNUTRITION WHILE IN OUR CARE. IN 2021, 426 MEALS WERE PROVIDED TO THE 18 PATIENTS WHO UTILIZED PROJECT HOMECOMING. WHILE POVERTY WILL NOT BE THE DIRECT FOCUS OF CHIP STRATEGIES OUTLINED FOR 2020-2022, KADLEC'S FINANCIAL AID PROGRAM (FAP) PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. POVERTY AND FOOD INSECURITY ARE ADDRESSED THROUGH THE COMMUNITY RESOURCES DESK BY CONNECTING COMMUNITY MEMBERS IN NEED WITH RESOURCES AND SERVICES. |
| PART V, SECTION B, LINE 16A, FAP WEBSITE: | HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/REGIONAL-MEDICAL-CENTER/PATIENTS-AND-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE |
| PART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE: | HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/REGIONAL-MEDICAL-CENTER/PATIENTS-AND-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE |
| PART V, SECTION B, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: | HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/REGIONAL-MEDICAL-CENTER/PATIENTS-AND-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE |
| PART V, SECTION B, LINE 24: | FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 35 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (35 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - TRI-CITIES CANCER CENTER | ||||
| 600 NW 11TH ST STE E23 | HERMISTON | OR | 978388605 | SPECIALTY CLINIC |
| 2 - TRI-CITIES CANCER CENTER | ||||
| 7350 W DESCHUTES AVE BLDG A | KENNEWICK | WA | 993367802 | SPECIALTY CLINIC |
| 3 - EXPRESS CARE AT WALLGREENS N RICHLAND | ||||
| 1601 GEORGE WASHINGTON WAY | RICHLAND | WA | 993542626 | SPECIALTY CLINIC |
| 4 - EXPRESS CARE AT WALGREENS QUEENSGATE | ||||
| 2564 QUEENS GATE DR STE 2580 | RICHLAND | WA | 993529109 | SPECIALTY CLINIC |
| 5 - EXPRESS CARE AT WALGREENS CANYON LAKES | ||||
| 4008 W 27TH AVE STE 103 | KENNEWICK | WA | 993372484 | SPECIALTY CLINIC |
| 6 - EXPRESS CARE AT WALLGREENS PASCO | ||||
| 5506 N RD 68 | PASCO | WA | 993019627 | SPECIALTY CLINIC |
| 7 - KADLEC CLINIC GASTROENTEROLOGY | ||||
| 1270 LEE BLVD SUITE A | RICHLAND | WA | 993524231 | SPECIALTY CLINIC |
| 8 - KADLEC CLINIC GASTROENTEROLOGY | ||||
| 1270 LEE BLVD SUITE A | RICHLAND | WA | 993524231 | SPECIALTY CLINIC |
| 9 - KADLEC CLINIC GASTROENTEROLOGY | ||||
| 1270 LEE BLVD SUITE A | RICHLAND | WA | 993524231 | SPECIALTY CLINIC |
| 10 - KADLEC CLINIC GASTROENTEROLOGY | ||||
| 1270 LEE BLVD SUITE A | RICHLAND | WA | 993524231 | SPECIALTY CLINIC |
| 11 - KADLEC CLINIC GASTROENTEROLOGY | ||||
| 1270 LEE BLVD SUITE A | RICHLAND | WA | 993524231 | SPECIALTY CLINIC |
| 12 - KADLEC CLINIC RICHLAND NEPHROLOGY | ||||
| 900 STEVENS DR 101 | RICHLAND | WA | 993523535 | SPECIALTY CLINIC |
| 13 - KADLEC CLINIC RICHLAND NEPHROLOGY | ||||
| 900 STEVENS DR 101 | RICHLAND | WA | 993523535 | SPECIALTY CLINIC |
| 14 - KADLEC CLINIC HERMISTON NEPHROLOGY | ||||
| 1050 W ELM AVE STE 160 | HERMISTON | OR | 978382715 | SPECIALTY CLINIC |
| 15 - KADLEC CLINIC - PENDLETON NEPHROLOGY | ||||
| 3001 ST ANTHONY WAY | PENDLETON | OR | 978013836 | SPECIALTY CLINIC |
| 16 - KADLEC OCCUPATIONAL MED KENNEWICK | ||||
| 510 N COLORADO ST STE A | KENNEWICK | WA | 993367770 | SPECIALTY CLINIC |
| 17 - KADLEC OCCUPATIONAL MED KENNEWICK | ||||
| 510 N COLORADO ST STE A | KENNEWICK | WA | 993367770 | SPECIALTY CLINIC |
| 18 - NORTHWEST ORTHOPEDICS AND SPORTS MED | ||||
| 1351 FOWLER ST | RICHLAND | WA | 993524714 | SPECIALTY CLINIC |
| 19 - NORTHWEST ORTHOPEDICS AND SPORTS MED | ||||
| 1351 FOWLER ST | RICHLAND | WA | 993524714 | SPECIALTY CLINIC |
| 20 - NORTHWEST ORTHOPEDICS AND SPORTS MED | ||||
| 1351 FOWLER ST | RICHLAND | WA | 993524714 | SPECIALTY CLINIC |
| 21 - NORTHWEST ORTHOPEDICS AND SPORTS MED | ||||
| 875 SWIFT BLVD STE A | RICHLAND | WA | 993523592 | SPECIALTY CLINIC |
| 22 - NORTHWEST ORTHOPEDICS AND SPORTS MED | ||||
| 875 SWIFT BLVD STE A | RICHLAND | WA | 993523592 | SPECIALTY CLINIC |
| 23 - NORTHWEST ORTHOPEDICS AND SPORTS MED | ||||
| 875 SWIFT BLVD STE A | RICHLAND | WA | 993523592 | SPECIALTY CLINIC |
| 24 - NORTHWEST ORTHOPEDICS AND SPORTS MED | ||||
| 3900 S ZINTEL WAY FL 1 | KENNEWICK | WA | 993375092 | SPECIALTY CLINIC |
| 25 - PERINATAL CLINIC | ||||
| 969 STEVENS DR STE 3A | RICHLAND | WA | 993523352 | SPECIALTY CLINIC |
| 26 - RICHLAND REHAB CENTER | ||||
| 1745 PIKE AVE | RICHLAND | WA | 99354 | REHAB & PHYSICAL THERAPY |
| 27 - EAST KENNEWICK SENIOR HEALTH CLINIC | ||||
| 911 S WASHINGTON ST | KENNEWICK | WA | 99336 | SENIOR CARE |
| 28 - KADLEC AMB ENDOSCOPY CTR LEE CAMPUS | ||||
| 1270 LEE BLVD STE B | RICHLAND | WA | 993524231 | SPECIALTY CLINIC |
| 29 - KADLEC AMB ENDOSCOPY CTR LEE CAMPUS | ||||
| 1270 LEE BLVD STE B | RICHLAND | WA | 993524231 | SPECIALTY CLINIC |
| 30 - AMBULATORY SURGERY CENTER SPAULDING | ||||
| 1351 FOWLER ST STE 100 | RICHLAND | WA | 993524714 | SPECIALTY CLINIC |
| 31 - AMBULATORY SURGERY CENTER SPAULDING | ||||
| 1351 FOWLER ST STE 100 | RICHLAND | WA | 993524714 | SPECIALTY CLINIC |
| 32 - AMBULATORY SURGERY CENTER SPAULDING | ||||
| 1351 FOWLER ST STE 100 | RICHLAND | WA | 993524714 | SPECIALTY CLINIC |
| 33 - KADLEC CLINIC - HERMISTON ON 11TH | ||||
| 600 NW 11TH ST STE E23 | HERMISTON | OR | 97838 | SPECIALTY CLINIC |
| 34 - KADLEC CLINIC ASSOCD PHYS FOR WOMEN | ||||
| 900 STEVENS DR STE 203 | RICHLAND | WA | 993523535 | SPECIALTY CLINIC |
| 35 - KADLEC CLINIC ASSOCD PHYS FOR WOMEN | ||||
| 900 STEVENS DR STE 203 | RICHLAND | WA | 993523535 | SPECIALTY CLINIC |
Supplemental Information Detail SupplementalInformationDetail (14 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: | KADLEC (AFFILIATED WITH PROVIDENCE HEALTH & SERVICES - WASHINGTON - 51-0216586) PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/WASHINGTON |
| PART I, LINE 7: | THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER. |
| PART I, LINE 7G: | NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | KADLEC IS PROUD TO SUPPORT COMMUNITY BUILDING ACTIVITIES BY PARTICIPATING IN COMMUNITY COLLABORATIONS THAT ADDRESS HEALTH AND SAFETY ISSUES. KADLEC LEADS THE COMMUNITY HEALTH COUNCIL, PARTICIPATES IN THE HEALTH EQUITY AND ACCESS TEAM, YOUTH SUICIDE PREVENTION COALITION, HUMAN SERVICES COALITION, AND BENTON-FRANKLIN COMMUNITY HEALTH ALLIANCE BEHAVIORAL HEALTH COMMITTEE.KADLEC'S EXECUTIVE TEAM MEMBER(S) PARTICIPATED ON THE FOLLOWING BOARDS: BENTON FRANKLIN COMMUNITY HEALTH ALLIANCE, TRI-CITIES DIVERSITY & INCLUSION COUNCIL, TRI-CITIES REGIONAL CHAMBER OF COMMERCE, AND TRI-CITY DEVELOPMENT COUNCIL (TRIDEC). |
| 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, 2021. |
| 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: | IN ADDITION TO THE CHNA, WE UTILIZE OUR RELATIONSHIPS WITH OTHER ORGANIZATIONS TO UNDERSTAND COMMUNITY NEEDS. WE PARTICIPATE IN COMMUNITY MEETINGS AND HOLD COMMUNITY HEALTH COUNCIL MEETINGS EVERY OTHER MONTH TO BRING COMMUNITY PARTNERS TOGETHER WITH THE GOAL OF UNDERSTANDING COMMUNITY NEEDS AND DEVELOPING COLLABORATIONS TO ADDRESS THEM. WE UTILIZE CURRENT DATA, RELEVANT REPORTS, PUBLIC HEALTH INFORMATION, AND ECONOMIC AND COMMUNITY DEVELOPMENTS TO ESTIMATE COMMUNITY HEALTH NEEDS AND TO ADJUST PROGRAMS AND SERVICES ACCORDINGLY. KADLEC WORKS CLOSELY AND CONSISTENTLY WITH THE BENTON FRANKIN HEALTH DEPARTMENT TO UNDERSTAND AND ADDRESS HEALTH NEEDS. |
| PART VI, LINE 3: | COMMUNICATION TO THE PUBLIC:KADLEC POSTS 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.KADLEC 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 ASSISTANT POLICIES, KADLEC ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.KADLEC SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS. |
| PART VI, LINE 4: | KADLEC REGIONAL MEDICAL CENTER'S SERVICE AREA INCLUDES BENTON AND FRANKLIN COUNTIES AND EXTENDS A 100 MILE RADIUS FROM THE MEDICAL CENTER. BENTON AND FRANKLIN COUNTIES ARE GEOGRAPHICALLY LOCATED ALONG THE CENTRAL PORTION OF THE SOUTHERN EDGE OF WASHINGTON STATE. COMBINED, THE TWO COUNTIES ARE HOME TO ABOUT 299,000 INDIVIDUALS (2018 US CENSUS ESTIMATES), WHICH ACCOUNTS FOR 3.9% OF THE STATE'S POPULATION. EACH OF THE THREE MAIN MUNICIPALITIES THAT MAKE UP THE TRI-CITIES ARE LOCATED WITHIN ONE OF THESE TWO COUNTIES: KENNEWICK AND RICHLAND WITHIN BENTON COUNTY AND PASCO WITHIN FRANKLIN COUNTY. THERE ARE NUMEROUS OTHER SMALLER CITIES WITHIN THIS JURISDICTION INCUDING PROSSER, CONNELL, ELTOPIA, BENTON CITY, WEST RICHLAND, FINLEY, MESA, BASIN CITY, AND KAHLOTUS. THE POPULATION ESTIMATES FOR THE CITIES AND TOWNS WITHIN BENTON AND FRANKLIN COUNTIES IN 2019: - BENTON CITY: 3,520 - CONNELL: 5,500 - KAHLOTUS: 165 - KENNEWICK: 83,670 - MESA: 495 - PASCO: 75,290 - PROSSER: 6,145 - RICHLAND: 56,850 - WEST RICHLAND: 15,340 GIVEN THESE NUMBERS, THE ESTIMATED POPULATION OF RESIDENTS LIVING IN UNINCORPORATED AREAS IN EITHER COUNTY (EX: FINLEY, ELTOPIA, BASIN CITY) IS 43,000 PEOPLE. WHILE THE POPULATION REMAINS PREDOMINANTLY WHITE, THERE IS A SUBSTANTIAL HISPANIC/LATINX POPULATION THAT HAS MORE THAN DOUBLED OVER THE PAST TWO DECADES. RACE: - WHITE: 70% IN BENTON COUNTY, 39% IN FRANKLIN COUNTY- HISPANIC (ANY RACE): 22.5% BENTON COUNTY, 55.5 % FRANKLIN COUNTY- BLACK: 1.5% BENTON COUNTY, 1.5% FRANKLIN COUNTY- AMERICAN INDIAN/ALASKAN NATIVE: .5% BENTON COUNTY, .5% FRANKLIN COUNTY- ASIAN: 3% BENTON COUNTY, 2% FRANKLIN COUNTY- MULTI-RACE: 2.5% BENTON COUNTY, 1.5% FRANKLIN COUNTYAPPROXIMATELY 41,000 PEOPLE LIVING IN THE BICOUNTY REGION ARE FOREIGN BORN, REGARDLESS OF CITIZENSHIP STATUS, AND 30% OF HOUSEHOLDS REPORT ENGLISH IS NOT THE PRIMARY LANGUAGE SPOKEN IN THE HOME. THE AGE DISTRIBUTION FOR BENTON AND FRANKLIN COUNTIES IS APPROXIMATELY: - 0-17 YEARS: 28% - 18-34 YEARS: 22 % - 35-64 YEARS: 37% - 65+ YEARS: 13%THE REGION IS ALSO CONSIDERED TO BE A HEALTH CARE PROVIDER SHORTAGE AREA FOR PRIMARY CARE PROVIDERS, MENTAL HEALTH PROVIDERS, AND DENTAL PROVIDERS, MEANING THERE ARE NOT ENOUGH PROVIDERS FOR THE POPULATION SIZE, GEOGRAPHIC LOCATION, OR FACILITY TYPE. FRANKLIN COUNTY IS ALSO CONSIDERED TO BE A MEDICALLY UNDERSERVED AREA WHICH THE FEDERAL GOVERNMENT CLASSIFIES AS AN AREA THAT HAS TOO FEW PRIMARY CARE PROVIDERS, HIGH INFANT MORTALITY, HIGH POVERTY, OR A HIGH ELDERLY POPULATION. THESE DEFINITIONS AND MORE INFORMATION CAN BE FOUND ON THE WEBSITE FOR THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA).OTHER HOSPITALS IN THE TRI-CITIES AREA INCLUDE: TRIOS HEALTH, LOURDES HEALTH, PROSSER MEMORIAL HEALTH. |
| PART VI, LINE 5: | KADLEC REGIONAL MEDICAL CENTER PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. KADLEC REGIONAL MEDICAL CENTER IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) OPEN MEDICAL STAFF2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. |
| PART VI, LINE 6: | AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE HEALTH 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 HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:- PROVIDENCE ACROSS SEVEN WESTERN STATES- COVENANT HEALTH IN WEST TEXAS- PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA- 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 A YEAR 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 | WA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| KADLEC FOUNDATION | ||||||||
| 888 SWIFT BLVD | RICHLAND | WA | 99352 | 237005501 | 501(C)(3) | $1,519,390 | $0 | SPONSORSHIP |
| COLUMBIA BASIN COLLEGE FOUNDATION | ||||||||
| 2600 N 20TH AVE | PASCO | WA | 99301 | 911307538 | 501(C)(3) | $500,000 | $0 | OPERATIONAL SUPPORT |
| GRACE CLINIC | ||||||||
| 800 W CANAL DR | KENNEWICK | WA | 99336 | 770592408 | 501(C)(3) | $54,159 | $0 | SPONSORSHIP |
| ST VINCENT DE PAUL FOOD BANK AND COMMUNITY SERVICES | ||||||||
| 215 S 6TH AVE / PO BOX 4273 | PASCO | WA | 99302 | 825338652 | 501(C)(3) | $25,000 | $0 | COMMUNITY BENEFIT RESTRICTED GRANT |
| BENTON-FRANKLIN COMMUNITY HEALTH ALLIANCE | ||||||||
| 7102 W OKANOGAN PLACE | KENNEWICK | WA | 99336 | 030452352 | 501(C)(3) | $18,800 | $0 | OPERATIONAL SUPPORT |
| ELIJAH FAMILY HOMES | ||||||||
| 660 GEORGE WASHINGTON WAY STE G | RICHLAND | WA | 99352 | 204058168 | 501(C)(3) | $9,000 | $0 | COMMUNITY BENEFIT RESTRICTED GRANT |
| DOMESTIC VIOLENCE SERVICES OF BENTON AND FRANKLIN COUNTIES | ||||||||
| 3311 W CLEARWATER STE C-140 | KENNEWICK | WA | 99336 | 870704852 | 501(C)(3) | $8,000 | $0 | COMMUNITY BENEFIT RESTRICTED GRANT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 7 | 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 (28 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEBRA CANALES | ||||||||||||||
| 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 |
| 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 | ||||||||||||||
| FRMR KE - PSJH EVP CE WA/MT | $0 | $765,306 | $0 | $518,330 | $0 | $491,989 | $0 | $364,702 | $0 | $31,383 | $0 | $2,171,710 | $0 | $194,575 |
| 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 |
| MELVIN WAHL | ||||||||||||||
| PHYSICIAN | $1,377,484 | $0 | $91,646 | $0 | $146,181 | $0 | $95,717 | $0 | $25,387 | $0 | $1,736,415 | $0 | $124,972 | $0 |
| 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 |
| JOSHUA BALES | ||||||||||||||
| PHYSICIAN | $1,203,196 | $0 | $146,850 | $0 | $112,210 | $0 | $89,362 | $0 | $29,537 | $0 | $1,581,155 | $0 | $91,570 | $0 |
| IYAD JAMALI | ||||||||||||||
| PHYSICIAN | $1,046,897 | $0 | $1,000 | $0 | $149,900 | $0 | $108,933 | $0 | $28,087 | $0 | $1,334,817 | $0 | $125,499 | $0 |
| FRANCIS FLEMING | ||||||||||||||
| PHYSICIAN | $1,118,828 | $0 | $2,140 | $0 | $68,660 | $0 | $100,557 | $0 | $30,259 | $0 | $1,320,444 | $0 | $41,636 | $0 |
| ARASH MOTAGHI | ||||||||||||||
| PHYSICIAN | $960,427 | $0 | $147,508 | $0 | $90,282 | $0 | $72,026 | $0 | $25,136 | $0 | $1,295,379 | $0 | $69,641 | $0 |
| OREST HOLUBEC | ||||||||||||||
| FRMR KE - PSJH SVP/CHF COMM/EXT AFF | $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 |
| 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 |
| 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 |
| JIM WATSON ESQ | ||||||||||||||
| FRMR OFF - PSJH SEC./ASST. SEC. | $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 |
| ASLAM KALEEL | ||||||||||||||
| CHIEF EXEC KADLEC REGION | $0 | $401,778 | $0 | $90,525 | $0 | $12,068 | $0 | $115,751 | $0 | $27,095 | $0 | $647,217 | $0 | $10,685 |
| KIRK HARPER | ||||||||||||||
| COO KADLEC | $284,034 | $0 | $49,388 | $0 | $3,816 | $0 | $27,664 | $0 | $3,879 | $0 | $368,781 | $0 | $2,381 | $0 |
| SPENCER HARRIS | ||||||||||||||
| CFO SERVICE AREA PSJH | $0 | $204,681 | $0 | $49,902 | $0 | $20,236 | $0 | $20,496 | $0 | $23,917 | $0 | $319,232 | $0 | $0 |
| 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 IN 2021: 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: DEBRA CANALES - $1,251,780 RHONDA MEDOWS, MD - $925,168 LISA VANCE - $211,879 AMY COMPTON-PHILLIPS, MD - $341,291 JOEL GILBERTSON - $194,575 CINDY STRAUSS - $397,592 MIKE WATERS - $183,238 GREG TILL - $175,548 MELVIN WAHL - $124,972 JO ANN ESCASA-HAIGH - $266,274 GREG HOFFMAN - $76,348 AARON MARTIN - $251,577 JOSHUA BALES - $91,570 IYAD JAMALI - $125,499 FRANCIS FLEMING - $41,636 ARASH MOTAGHI - $69,641 OREST HOLUBEC - $164,043 JOHN WHIPPLE - $180,264 DEBBIE BURTON - $118,519 MARY CRANSTOUN - $153,592 DAVID BROWN - $152,970 ASLAM KALEEL - $10,685 KIRK HARPER - $2,381 |
| 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 (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 15: | INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATION'S SECTION 4960 TAX ANALYSIS AND REPORTING. |
| FORM 990, PART VI, SECTION A, LINE 6 | CLASSES OF MEMBERS OR STOCKHOLDERS WESTERN HEALTHCONNECT IS THE SOLE CORPORATE MEMBER OF KADLEC REGIONAL MEDICAL CENTER. |
| FORM 990, PART VI, SECTION A, LINE 7A | CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS KADLEC REGIONAL MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE KADLEC REGIONAL MEDICAL CENTER'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE KADLEC REGIONAL MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY WESTERN HEALTHCONNECT, 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 XI, LINE 9: | NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 16,467,779. OTHER CHANGES IN NET ASSETS 7,112,248. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT -3,002,683. |
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) | |
| LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 330844408 | IMAGING SERVICES | CA | 501(C)(3) | 10 | PHS SOCAL | Yes (1) | |
| LUBBOCK HERITAGE HOSPITAL LLC | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 264021016 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (1) | |
| LUNDBERG ASSOCIATION PROVIDENCE HOUSE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911562797 | SUPPORT | OR | 501(C)(3) | 7 | PHS OR | Yes (1) | |
| METHODIST CHILDREN'S HOSPITAL | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752428911 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (1) | |
| METHODIST HOSPITAL LEVELLAND | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752246348 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (1) | |
| METHODIST HOSPITAL PLAINVIEW | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752426010 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (1) | |
| MISSION HOSPITAL REGIONAL MEDICAL CTR | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951643360 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (1) | |
| NORTHWEST HOPE & HEALING FOUNDATION | |||||||||||
| PO BOX 16069 | SEATTLE | WA | 98116 | 200799737 | SUPPORT | WA | 501(C)(3) | 12, I | SHS | Yes (1) | |
| OPEN DOOR VENTURES | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911608508 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| PACMED CLINICS | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 562290878 | HEALTHCARE | WA | 501(C)(3) | 10 | WHC | Yes (1) | |
| PH&S FOUNDATIONSFVSA & SCVSA | |||||||||||
| 501 SOUTH BUENA VISTA STREET | BURBANK | CA | 915054809 | 953544877 | HEALTHCARE | CA | 501(C)(3) | 7 | PHS SOCAL | Yes (1) | |
| PROVIDENCE ALASKA FOUNDATION | |||||||||||
| 3760 PIPER STREET SUITE 2021 | ANCHORAGE | AK | 99508 | 920093565 | HEALTHCARE | AK | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION | |||||||||||
| 540 SOUTH MAIN ST | MT ANGEL | OR | 97362 | 911940286 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE BLANCHET ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911789266 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE CHILDREN'S HEALTH FOUNDATION | |||||||||||
| 4805 NE GLISAN ST STE 2N35 | PORTLAND | OR | 97213 | 930800140 | SUPPORT | OR | 501(C)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE COMMUNITY HEALTH FOUNDATION | |||||||||||
| 940 ROYAL AVE SUITE 410 | MEDFORD | OR | 97504 | 930692907 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE DETHMAN HOUSE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 473385506 | SUPPORT | WA | 501(C)(3) | 7 | 0 | N/A | |
| PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN) | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 954322584 | SUPPORT | CA | 501(C)(3) | 7 | PHS SOCAL | Yes (1) | |
| PROVIDENCE GAMELIN HOUSE ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 311744654 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911549796 | HEALTHCARE | WA | 501(C)(3) | 12, II | PSJH | 0 | |
| PROVIDENCE HEALTH & SERVICES - MONTANA | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 810231793 | HEALTHCARE | MT | 501(C)(3) | 3 | PHS WA | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES - OREGON | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 510216587 | HEALTHCARE | OR | 501(C)(3) | 3 | PHS | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 510216586 | HEALTHCARE | WA | 501(C)(3) | 3 | PHS | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911303277 | HEALTHCARE | WA | 501(C)(3) | 3 | PMWHC | Yes (1) | |
| PROVIDENCE HEALTH ASSURANCE | |||||||||||
| 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 | UBI Code VUBICodeVAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 20TH STREET SURGERY LLC | |||||||||||||||
| 1301 20TH STREET STE 140 | SANTA MONICA | CA | 90404 | 731735618 | AMBULATORY SURGERY CENTER | CA | N/A | 0 | 0 | ||||||
| BRIDGEPORT MEDICAL IMAGING LLC (BMI) | |||||||||||||||
| 4400 NE HALSEY 495 | PORTLAND | OR | 97213 | 260796953 | IMAGING - DIAGNOSTICS | OR | N/A | 0 | Yes (1) | ||||||
| BROADWAY IMAGING LLC | |||||||||||||||
| PO BOX 4587 | MISSOULA | MT | 598064587 | 522405971 | MEDICAL IMAGING | MT | N/A | 0 | Yes (1) | ||||||
| CANBY MEDICAL CENTER I LLC | |||||||||||||||
| 4800 SW MACADAM AVE STE 120 | PORTLAND | OR | 97239 | 205470937 | REAL ESTATE - MOB | OR | N/A | 0 | Yes (1) | ||||||
| CENTER FOR 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 | $21,461,686 | $34,584,583 | $80,720 | 0.03600 | |
| PROVIDENCE SURGERY CENTER LLC | |||||||||||||||
| 902 N ORANGE ST | MISSOULA | MT | 59802 | 841401625 | AMBULATORY SURGERY CENTER | MT | N/A | 0 | 0 | ||||||
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | N/A | C | 0 | |||
| 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 (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| KADLEC FOUNDATION | ||
| B | $1,519,390 | COST |
| KADLEC FOUNDATION | ||
| C | $263,466 | COST |
| PROVIDENCE HEALTH AND SERVICES - WASHINGTON | ||
| J | $491,584 | COST |
| PROVIDENCE HEALTH AND SERVICES - WASHINGTON | ||
| J | $59,335 | COST |
| PROVIDENCE HEALTH AND SERVICES - WASHINGTON | ||
| O | $180,260 | COST |
| PROVIDENCE HEALTH AND SERVICES - WASHINGTON | ||
| R | $6,258,957 | COST |
| SWEDISH HEALTH SERVICES | ||
| R | $92,806 | COST |
| PROVIDENCE HEALTH AND SERVICES - WASHINGTON | ||
| S | $209,755 | COST |
Comments