2022-11-10T09:16:16-06:00 2021-12-31 346565596 ERNST & YOUNG US LLP 370 17TH STREET SUITE 4800 DENVER CO 80202 990 2021-01-01 910983214 SWEDISH MEDICAL CENTER FOUNDATION SWED 2062155967 747 BROADWAY SEATTLE WA 98122 ANDREA S KING VP - GIFT PLANNING & RESOURCE DEV. 2062155967 2022-11-10 1 ANDREA KING 999009999 ANDREW JAMESON P01894820 7209314000 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z ANDREA S KING 747 BROADWAY SEATTLE WA 98122 109026272 0 X WWW.SWEDISHFOUNDATION.ORG X 1976 WA SWEDISH MEDICAL CENTER FOUNDATION IS THE FUNDRAISING ARM OF SWEDISH HEALTH SERVICES. 12 11 0 33 65683 64636 21006982 27212078 0 0 2081864 8966151 -13910 -46065 23074936 36132164 19762824 21348241 0 0 3777619 4505492 0 0 1637553 2068375 2452891 25608818 28306624 -2533882 7825540 137774938 149925707 624489 893681 137150449 149032026 X THE FOUNDATION IS COMMITTED TO SUPPORTING THE EFFORTS OF SWEDISH HEALTH SERVICES IN ADVACING HEALTH CARE IN THE REGION AND MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY. 0 0 25269065 21348241 0 SEE SCHEDULE O.SWEDISH CANCER INSTITUTEIN 2021 PHILANTHROPY SUPPORTED EDUCATION, PATIENT ASSISTANCE AND SUPPORTIVE CARE SERVICES, IN ADDITION TO BREAST CANCER RESEARCH, AND A FOCUS ON OUR HEMATOLOGIC MALIGNANCIES PROGRAM AND CENTER FOR LUNG RESEARCH. THE GENEROSITY OF DONORS ALLOWED THE SWEDISH CANCER INSTITUTE RESEARCH TO CONTINUE ITS RESEARCH WITH MULTIPLE CLINICAL TRIALS AND RESEARCH, IN ADDITION TO THE FUNDING OF SALARIES FOR MULTIPLE CAREGIVERS TO ENABLE THESE PROGRAMS TO CONTINUE. DONORS CONTINUE TO PROVIDE VALUABLE SOCIAL WORK FOR OUR PATIENTS. IN ADDITION, DONATIONS ENSURE THAT PATIENTS CAN RECEIVE HELP LIKE COORDINATING BASIC NEEDS LIKE TRAVEL TO APPOINTMENTS TO PROVIDING COUNSELING AND COPING SKILLS FOR PATIENTS FACING DIFFICULT NEW REALITIES OF CANCER. FROM UNRAVELING CANCER GENOMES TO HARNESSING THE IMMUNE SYSTEM TO ATTACK BLOOD CANCERS, ADVANCED TECHNIQUES AND CLINICAL TRIALS CAN PROVIDE TREATMENT TAILORED TO EACH PERSON'S CANCER. THE HEART OF OUR BREAST CANCER RESEARCH IS OUR BREAST CANCER REGISTRY - MADE POSSIBLE ENTIRELY THROUGH PHILANTHROPY. WE HAVE COLLECTED INVALUABLE DATA FROM MORE THAN 19,000 PATIENTS. NEW SOFTWARE, PROVIDED BY PHILANTHROPY, WILL ALLOW US TO ENTER AND EXTRACT DATA FOR ANALYSIS AND COLLABORATE WITH OTHERS MORE EASILY. OUR CENTER FOR LUNG CANCER RESEARCH PROVIDES A UNIQUE OPPORTUNITY TO TEACH AND ADVISE THE NEXT GENERATION OF CAREGIVERS THROUGH A MENTORSHIP PROGRAM PROVIDED THROUGH PHILANTHROPY.SWEDISH NEUROSCIENCE INSTITUTETHE SWEDISH NEUROSCIENCE INSTITUTE SAW PHILANTHROPIC SUPPORT IN 2021 ACROSS THE INSTITUTE INCLUDING ITS GENERAL SPINE, MOVEMENT DISORDERS AND STROKE PROGRAM, IN ADDITION TO ITS RESEARCH INITIATIVES. CONTINUED SUPPORT WAS DIRECTED TO THE BEN AND CATHERINE IVY CENTER FOR ADVANCED BRAIN TUMOR TREATMENT FOR RESEARCH EFFORTS AND THE CARE COORDINATION OF ITS PATIENTS. THE 2021 SEATTLE BRAIN CANCER WAS HELD AS A VIRTUAL EVENT CONSIDERING THE PANDEMIC. THE VIRTUAL WALK YIELDED DONATIONS TO AID OUR RESEARCHERS GAIN NEW INSIGHT INTO DEVELOPING A VACCINE FOR THE VIRUS CONNECTED WITH GLIOBLASTOMA TUMOR GROWTH. DONATIONS TO THE WALK DIRECTLY FUND THE RESEARCH AND CLINICAL TRIALS. THE NEWLY LAUNCHED PROGRAM FOR HEALTHY AGING INCREASED ITS HEALTH AND WELLNESS SUPPORT TO PATIENTS AND THEIR FAMILIES IMPACTED BY DEMENTIA AND ALZHEIMER'S DISEASE. THE SWEDISH AMYOTROPHIC LATERAL SCLEROSIS (ALS) PROGRAM SAW PHILANTHROPIC SUPPORT IN TECHNOLOGY. ALS PATIENTS NOW HAVE AN ENHANCED CLINIC EXPERIENCE WITH LARGE INTERACTIVE SMART BOARDS ALLOWING CAREGIVERS TO DRAW DIAGRAMS FOR PATIENTS AND SHOW THEM VIDEOS, WHILE TAKING NOTES THAT CAN BE SHARED BETWEEN COLLEAGUES. THIS MORE EDUCATIONAL, STREAMLINED APPOINTMENT WILL BENEFIT THE PATIENTS AND THEIR CAREGIVERS FOR THE DURATION OF THEIR TREATMENT. THE SWEDISH MULTIPLE SCLEROSIS CENTER BENEFITTED IN 2021 WITH SUPPORT FOR HOLISTIC PATIENT EDUCATION AND SUPPORT PROGRAMS REACHING MORE THAN 300 PEOPLE, BOTH PATIENTS AND FAMILY MEMBERS. THE MS ADVENTURE PROGRAM CONTINUED IN A VIRTUAL FORMAT AND PROVIDED MS PATIENTS ENGAGING RECREATIONAL OPPORTUNITIES.SWEDISH HEART AND VASCULAR INSTITUTETHE SWEDISH HEART AND VASCULAR INSTITUTE SAW PHILANTHROPIC SUPPORT AS WE LAUNCHED OUR SWEDISH COMPREHENSIVE ATRIAL FIBRILLATION NETWORK (SCAN) PROGRAM. THIS PROGRAM EXPANDED SHVI SERVICES FOR PATIENTS WITH ATRIAL FIBRILLATION AND CONTAINED A PRIMARY CARE COMPONENT ALLOWING FOR EASE OF ACCESS FOR SERVICES REQUIRED. PHILANTHROPIC SUPPORT ALLOWED FOR THE HIRING OF TWO MEDICAL DIRECTORS, A DATA ARCHITECT, A PATIENT CARE COORDINATOR, AND AN ADVANCED PRACTICE CLINICIAN. THIS PROGRAM WILL FOCUS ON GATHERING DATA OF THESE PATIENTS SO WE CAN ENCOURAGE PREVENTION. THIS NEW DATABASE WILL IDENTIFY AT-RISK PATIENTS AND ALLOW THEIR PROVIDERS TO IDENTIFY PATIENTS WHO MIGHT BENEFIT FROM AN IN-PERSON VISIT. ADDITIONAL SUPPORT FOR THE NAVIGATION PROGRAM FOR ADVANCED CARDIOVASCULAR CARE PROVIDED VITAL FUNDING FOR EXPANDED CLINICAL TRIALS AND RESEARCH THAT GIVE OUR PATIENTS ACCESS TO HIGH-POTENTIAL INVESTIGATIVE TREATMENTS. THE NAVIGATION PROGRAM ALSO INVESTED IN "NAVIGATORS" WHO HELP PATIENTS UNDERSTAND THE COMPLEXITIES OF CARDIOVASCULAR CARE. THE SWEDISH HEART AND VASCULAR INSTITUTE INVESTED IN INNOVATIVE CAPITAL PURCHASING A NUCLEAR SPECT CAMERA TO PERFORM NON-INVASIVE PROCEDURES THAT SHOW HOW BLOOD FLOWS TO TISSUE AND ORGANS. THE CAMERA IS USED TO DIAGNOSE CORONARY ARTERY DISEASE AS WELL AS DETERMINE IF A HEART ATTACK HAS OCCURRED. PHILANTHROPY ALSO SUPPORTED MULTIPLE POPULATION HEALTH PROGRAMS INCLUDING THE SWEDISH AORTIC DISEASE PROGRAM, STRUCTURAL HEART RESEARCH AND ADVANCED CARDIAC CARE PROGRAMS.SWEDISH BEHAVIORAL HEALTHIN 2021, PHILANTHROPY CONTINUED TO SUPPORT OUR BEHAVIORAL HEALTH NEEDS IN THE GREATER PUGET SOUND COMMUNITY. DONORS SUPPORTED A TRANSPORTATION PROGRAM FOR PATIENTS SEEKING ELECTROCONVULSIVE THERAPY (ECT) WITH A NEED FOR ADDITIONAL SUPPORT. THIS CONTINUED PATIENT ASSISTANCE FUND PROVIDED PATIENTS WITH SECURE AND SUPERVISED RIDES TO AND FROM APPOINTMENTS AT SWEDISH BALLARD VIA NORTHWEST AMBULANCE. WITHOUT THIS SUPPORT, THESE PATIENTS WOULD BE UNABLE TO COMPLETE THEIR TREATMENT CAUSING FURTHER COMPLICATIONS WITH THEIR CONDITION. IN 2021, 41 PATIENTS FROM 18 CITIES BENEFITTED FROM THE PROGRAM WITH 147 PROCEDURES COMPLETED.SWEDISH WOMEN & CHILDREN'S PROGRAMTHE SWEDISH WOMEN & CHILDREN'S PROGRAM SAW CONTINUED PHILANTHROPIC INTEREST IN SUPPORTING CARE SERVICES IMPACTED BY COVID-19 AND A FOCUS ON THE EXPANSION OF WOMEN'S HOLISTIC HEALTH SERVICES. SWEDISH EXPANDED ITS WOMEN'S WELLNESS AND SPECIALTY GYN SERVICES PROGRAM BUILDING A NETWORK OF SPECIALISTS WHO WILL CARE FOR WOMEN AT EVERY STAGE OF THEIR LIVES AND DROVE WOMEN'S WELLNESS WEBINARS TO REACH A LARGER COMMUNITY AUDIENCE. IN ADDITION, HEALTH INEQUITY WAS A SIGNIFICANT FOCUS THAT WAS ADDRESSED WITH PHILANTHROPIC SUPPORT AROUND DIVERSITY IN OUR DOULA PROGRAM. WE SAW SUPPORT TO EXPAND WOMEN'S AND CHILDREN'S RESEARCH, AN ON-CALL DOULA SERVICE, AND A TELEHEALTH DOULA PROGRAM. THE LYTLE CENTER FOR PREGNANCY AND NEWBORNS AT SWEDISH AND THE SWEDISH NEONATAL INTENSIVE CARE UNIT HAD PHILANTHROPIC FUNDS DIRECTED TO EXPAND AND ENHANCE THEIR SERVICES, AS WELL AS DONORS SUPPORTING GENERAL WOMEN'S WELLNESS AND GYN SPECIALTY SERVICES. PHILANTHROPY PROVIDED FOR THE PURCHASE OF VITAL EQUIPMENT INCLUDING GIRAFFE ISOLETTES STATE-OF-THE-ART INCUBATOR ENVIRONMENTS THAT PROMOTE PEACEFUL HEALING WHILE FOSTERING A CLOSE BOND BETWEEN FAMILIES AND THEIR BABIES, AS WELL AS, NEEDED LABOR AND DELIVERY BEDS AND ELECTRIC STRETCHERS.SWEDISH DIGESTIVE HEALTH INSTITUTETHE COLORECTAL AND THORACIC SURGERY FELLOWSHIP PROGRAMS AND GASTROENTEROLOGY NURSE EDUCATION PROGRAM WERE THE PRIMARY PHILANTHROPIC AREAS OF SUPPORT FOR THE SWEDISH DIGESTIVE HEALTH INSTITUTE IN 2021, IN ADDITION TO IBD RESEARCH AND THE PEDIATRIC METABOLIC HEALTH PROGRAM. THE SWEDISH ORGAN TRANSPLANT PATIENT ASSISTANCE FUND PROVIDED PATIENT ASSISTANCE WITH COSTS FOR TRAVEL AND LODGING SUPPORTED BY PHILANTHROPY. FOR PATIENTS WITH ADVANCED KIDNEY AND LIVER DISEASE, AN ORGAN TRANSPLANT IS THEIR ONLY OPTION FOR A HEALTHY LIFE. PHILANTHROPIC SUPPORT ENSURES THAT MORE PATIENTS WILL BENEFIT FROM A TRANSPLANT WITHOUT WORRYING ABOUT HOW THEY ARE GOING TO PAY FOR TRAVEL OR ACCOMMODATIONS IN SEATTLE.NURSINGIN 2021, THE SWEDISH NURSING PROGRAM FOCUSED ITS PHILANTHROPY ON CAREGIVER WELLNESS IN RESPONSE TO STAFF TURNOVER AND BURNOUT DUE TO THE ONGOING PANDEMIC DEMANDS. PHILANTHROPY HELPED TO FUND THE HARMONY HILL WELLNESS RETREAT, A RENEWAL RETREAT TO HELP MANY OF OUR NURSES RECONNECT WITH THEIR PASSION FOR NURSING WHILE GIVING THEM THE TOOLS TO CONTINUE PROVIDING COMPASSIONATE CARE AND AVOID BURN-OUT. IN ADDITION, CONTINUING EDUCATION CONFERENCES, RN CHAMPIONS PROGRAM AND RN UNIT CHAMPIONS PROGRAM - WHICH PROVIDE HANDS-ON TRAINING AND MENTORSHIP OPPORTUNITIES FOR NURSES WERE MADE POSSIBLE THROUGH GENEROUS DONATIONS. PHILANTHROPY PROVIDED THE OPPORTUNITY FOR SWEDISH NURSES TO HAVE 3,362 LEARNING EXPERIENCES WITH 71 NURSING UNITS ACROSS 5 CAMPUSES.HEALTH EQUITY, DIVERSITY AND INCLUSIONTHROUGH THE OFFICE OF HEALTH EQUITY, DIVERSITY AND INCLUSION, WE ARE WORKING TO ENSURE SWEDISH HOSPITALS AND CLINICS PROVIDE AN INCLUSIVE ENVIRONMENT FOR ALL PATIENTS, VISITORS AND CAREGIVERS. THIS INCLUDES SUPPORTING SWEDISH CARE TEAMS IN COMPLETING TRAININGS ON CULTURAL COMPETENCE, LGBTQIA+ CARE AND UNDERSTANDING IMPLICIT BIAS. IN 2021 SWEDISH ELEVATED OUR HEALTH EQUITY, DIVERSITY AND INCLUSION INITIATIVE TO A TOP PRIORITY FOCUSING ON WORKFORCE DEVELOPMENT WITH THE ROLL OUT OF PHYSICIAN RESIDENCY PROGRAMS IN PARTNERSHIP WITH THE MEHARRY MEDICAL COLLEGE, IN ADDITION TO AN EMPHASIS ON LEADERSHIP DEVELOPMENT AND BUILDING A FELLOWSHIP PROGRAM. AT THE SAME TIME, SWEDISH CONTINUED WITH ITS COMMUNITY FACING WORK BY LAUNCHING A CULTURAL NAVIGATORS PROGRAM SERIES AND MAKING CULTURALLY COMPETENT CARE A PRIORITY WITH PROGRAMS AROUND WOMEN AND INFANT. 25269065 1 1 0 0 0 0 0 1 0 1 0 1 0 1 1 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 X 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WA X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 GUY HUDSON MD BOARD MEMBER 0.50 64.50 X 0 2042666 522155 MARY BETH FORMBY TREASURER/CFO 1.00 49.00 X 0 977426 138197 JOHN L PETERSEN MD BOARD MEMBER - THRU 9/21 0.50 49.50 X 0 796478 68310 LYNN WELLING FORMER SHS CMO 0.00 0.00 X 0 730556 1848 HILARY DOMEIKA SECRETARY/SR CORP COUNCIL (PT YR) 1.00 54.00 X 0 497805 66617 BETSY VO FORMER ASSISTANT SECRETARY 0.00 50.00 X 0 352701 69649 ANDREA KING VICE PRESIDENT (PART YEAR) 50.00 0.00 X 0 276889 42444 HAROLD A VOGELSANG FORMER PRESIDENT/CDO 0.00 0.00 X 0 265241 17010 TRACY OSTREM PRESIDENT/CDO 50.00 0.00 X 0 212438 59972 JESSICA HUGHES BOARD CHAIR 1.00 1.00 X X 0 0 0 CARLA MILLAGE BOARD MEMBER 0.50 0.00 X 0 0 0 CHUCK LYTLE BOARD VICE CHAIR 1.00 0.00 X X 0 0 0 CONNIE WONG BOARD MEMBER 0.50 0.00 X 0 0 0 EUGENE PEPPER TOOMEY BOARD MEMBER 0.50 0.00 X 0 0 0 LORNE RICHMOND BOARD MEMBER - THRU 6/21 0.50 0.00 X 0 0 0 LYNN MANLEY BOARD MEMBER (PART YEAR) 0.50 0.00 X 0 0 0 MARILYN VALENTINE BOARD MEMBER 0.50 0.00 X 0 0 0 PETER CRAMER BOARD MEMBER 0.50 0.00 X 0 0 0 RAE LEMBERSKY BOARD MEMBER 0.50 0.00 X 0 0 0 RONALD BERENSTAIN BOARD MEMBER 0.50 0.00 X 0 0 0 SCOTT HARRISON BOARD MEMBER - THRU 9/21 0.50 0.00 X 0 0 0 TERRY LUNDEEN BOARD MEMBER 0.50 0.00 X 0 0 0 KRISTEN SWANSON RN PHD SHS BOARD CHAIR 0.50 1.00 X 0 0 0 CHERYL GOSSMAN BOARD MEMBER - THRU 12/21 0.50 1.00 X 0 0 0 0 6152200 986202 0 1 1 0 0 273734 7201060 1478386 18258898 2270372 27212078 3844872 65683 3779189 77959197 72837918 5121279 5121279 5121279 10125 273734 56190 -46065 -46065 36132164 0 65683 8854403 21348241 21348241 4501266 3917147 243599 340520 4226 3677 229 320 228544 228544 1368108 570551 797557 294 123 171 146984 61298 85686 38891 16219 22672 456053 190191 265862 13517 5637 7880 10302 4296 6006 20725 8643 12082 SPECIAL EVENTS 65129 27161 37968 OTHER DIRECT EXPENSES 43885 18302 25583 DUES & SUBSCRIPTIONS 33943 14155 19788 LICENSES AND TAXES 16346 6817 9529 10170 4241 5929 28306624 25269065 1400006 1637553 1393728 1469158 9876308 5235465 110124522 114772129 10091984 16380380 18356971 137774938 149925707 127140 116063 497349 777618 624489 893681 X 25428288 36928704 111722161 112103322 137150449 149032026 137774938 149925707 X 7825540 8524450 -4468413 X 0 1 X 1 0 X 13967150 36249656 25415025 21006982 27097022 123735835 13967150 36249656 25415025 21006982 27097022 123735835 45811004 77924831 624410 1065065 1823822 1856613 3844872 9214782 22537 142559 165096 22453 1778 24231 133139944 0.58530 0.55780 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: DISPLAY FEES - 2017 AMOUNT: $ 13,000. ORTHOPEDIC NURSES CONF - 2017 AMOUNT: $ 9,408. MISC INCOME - 2017 AMOUNT: $ 45. 2018 AMOUNT: $ 1,778. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 18412167 215250 3525723 899653 21253487 17590413 94694 1679389 862473 89856 18412167 15831168 1946277 1712257 1199177 700112 17590413 16878913 312079 -831506 341838 186480 15831168 15230664 250223 1941348 472007 71315 16878913 0.14000 0.80000 0.06000 0 0 0 ALTERNATIVE INVESTMENTS 10091984 C 10091984 PERPETUAL TRUST HELD BY THIRD PARTY 15893076 OTHER LONG TERM ASSETS 371423 GIFT ANNUITIES 1265917 CHARITABLE REMAINDER TRUST 826555 18356971 DUE TO AFFILIATES 148804 GIFT ANNUITY OBLIGATION 380770 CHARITABLE REMAINDER TRUST 248044 777618 40598000 8524450 160166 -4468411 4216205 36381795 -228544 -21087 -249631 36132164 28718000 160166 160166 28557834 -228544 -22666 -251210 28306624 PART III, LINE 4: ART FOR PUBLIC EXHIBITION IN HOSPITAL FACILITIES. PART V, LINE 4: SWEDISH MEDICAL CENTER FOUNDATION'S ENDOWMENT FUNDS CONSIST OF INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES INCLUDING UNCOMPENSATED CARE, RESEARCH, PEDIATRICS, NEUROSCIENCES, CANCER, HEART AND VASCULAR AND WOMEN'S HEALTH AND CHILDBIRTH SERVICES. THE MAJORITY OF THESE FUNDS ARE DONOR-RESTRICTED ENDOWMENT FUNDS. NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OF DONOR-IMPOSED RESTRICTIONS. 2021 DISTRIBUTIONS WERE USED FOR EDUCATION, RESEARCH, ART EXHIBIT, AND CAPITAL PROJECTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSES -5,166,800. PERPETUAL TRUSTS GAIN 673,342. ANNUITY GAIN 25,047. PART XI, LINE 4B - OTHER ADJUSTMENTS: OTHER CHANGES -21,087. PART XII, LINE 4B - OTHER ADJUSTMENTS: OTHER CHANGES -22,666. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 6470131 0 0 0 0 0 0 6470131 0 6470131 1 0 0 0 1 0 PART III ACCOUNTING METHOD: SEATTLE BRAIN CANCER WALK 283859 273734 10125 12940 293 42957 283859 273734 10125 12940 293 42957 56190 -46065 1 SWEDISH EDMONDS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 272305304 501 (C) (3) 260549 0 OPERATIONAL SUPPORT SWEDISH HEALTH SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 910433740 501 (C) (3) 21064870 0 OPERATIONAL SUPPORT 2 0 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT ALONG WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION. 1 1 0 0 0 0 0 1 0 GUY HUDSON MD BOARD MEMBER 0 1209134 0 559998 0 273534 0 501889 0 20266 0 2564821 0 270912 MARY BETH FORMBY TREASURER/CFO 0 494323 0 98350 0 384753 0 111880 0 26317 0 1115623 0 0 JOHN L PETERSEN MD BOARD MEMBER - THRU 9/21 0 640427 0 153429 0 2622 0 45778 0 22532 0 864788 0 0 LYNN WELLING FORMER SHS CMO 0 51440 0 99998 0 579118 0 865 0 983 0 732404 0 122672 HILARY DOMEIKA SECRETARY/SR CORP COUNCIL (PT YR) 0 288470 0 139148 0 70187 0 50243 0 16374 0 564422 0 46126 BETSY VO FORMER ASSISTANT SECRETARY 0 269120 0 60555 0 23026 0 53676 0 15973 0 422350 0 22429 ANDREA KING VICE PRESIDENT (PART YEAR) 0 220319 0 53023 0 3547 0 19827 0 22617 0 319333 0 0 HAROLD A VOGELSANG FORMER PRESIDENT/CDO 0 103668 0 151126 0 10447 0 8494 0 8516 0 282251 0 4591 TRACY OSTREM PRESIDENT/CDO 0 155130 0 25000 0 32308 0 43631 0 16341 0 272410 0 0 PART I, LINE 1A PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE. PART I, LINE 3 DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS TAX EXEMPT PARENT, SWEDISH HEALTH SERVICES, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: LYNN WELLING - $440,376 NONQUALIFIED RETIREMENT PLAN ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: GUY HUDSON, MD - $270,912 LYNN WELLING - $122,672 HILLARY DOMEIKA - $46,126 BETSY VO - $22,429 HAROLD A. VOGELSANG - $4,591 PART I, LINE 7 NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY. X 1 15000 OPINIONS OF EXPERTS X 11 771860 FMV X MEDICAL EQUIPMENT 1 1478386 FMV X GIFT CARDS 1 5125 COST 0 0 1 0 PART I, COLUMN (B): THE AMOUNTS REPORTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART V, LINE 15 INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATIONS SECTION 4960 TAX ANALYSIS AND REPORTING. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS SWEDISH HEALTH SERVICES IS THE SOLE CORPORATE MEMBER OF SWEDISH MEDICAL CENTER FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS SWEDISH MEDICAL CENTER FOUNDATION HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE SWEDISH MEDICAL CENTER FOUNDATION'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE SWEDISH MEDICAL CENTER FOUNDATION BOARD AS NOMINATIONS MUST BE APPROVED BY SWEDISH HEALTH SERVICES, AS THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, 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 ITS TAX EXEMPT PARENT, SWEDISH HEALTH SERVICES, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN 2021. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE. FORM 990, PART XI, LINE 9: OTHER CHANGES IN NET ASSETS -4,468,413. COLLABRIA CARE 414 SOUTH JEFFERSON STREET NAPA CA 94559 680393144 HEALTHCARE CA 501(C)(3) 10 SJHCN 1 COVENANT ACO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT HEALTH NETWORK INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 461259908 HEALTHCARE CA 501(C)(3) 12, III SJHS 1 COVENANT HEALTH PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 463516417 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS 1 COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS 1 COVENANT HOSPITAL HOBBS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 844273963 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 822913146 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL GROUP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752743883 HEALTHCARE TX 501(C)(3) 3 CHS 1 EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANSITIONAL CARE WA 501(C)(3) 10 N/A 0 GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 201910170 SUPPORT WA 501(C)(3) 7 PHS WA 1 GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC WA 98188 273133200 HEALTHCARE WA 501(C)(3) 7 SHS 1 GRACE CLINIC OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 203856995 HEALTHCARE TX 501(C)(3) 3 CHS 1 HMTS INC 1 HOAG DRIVE NEWPORT BEACH CA 92658 453583707 HEALTHCARE CA 501(C)(3) 12, I HMHP 1 HOAG CHARITY SPORTS 2081 BUSINESS CENTER DR STE 195 NEWPORT BEACH CA 92663 452982422 SUPPORT CA 501(C)(3) 7 HHF 1 HOAG CLINIC 1 HOAG DRIVE NEWPORT BEACH CA 92658 330676831 HEALTHCARE CA 501(C)(3) 10 HMHP 1 HOAG HOSPITAL FOUNDATION 330 PLACENTIA AVE NEWPORT BEACH CA 92663 953222343 FUNDRAISING CA 501(C)(3) 7 HMHP 1 HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG ROAD BOX 6100 NEWPORT BEACH CA 92663 951643327 HEALTHCARE CA 501(C)(3) 3 CHN 1 HOSPICE OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752133781 HEALTHCARE TX 501(C)(3) 10 CHS 1 INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 814260130 HEALTHCARE WA 501(C)(3) PF PHS SJHS 1 INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 912003593 HEALTHCARE WA 501(C)(3) 7 WHC 1 KADLEC AUXILIARY INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 916033089 SUPPORT WA 501(C)(3) 12, III KRMC 1 KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND WA 99352 237005501 SUPPORT WA 501(C)(3) 7 KRMC 1 KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 910655392 HEALTHCARE WA 501(C)(3) 3 WHC 1 LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330844408 IMAGING SERVICES CA 501(C)(3) 10 PHS SOCAL 1 LUBBOCK HERITAGE HOSPITAL LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 264021016 HEALTHCARE TX 501(C)(3) 3 CHS 1 LUNDBERG ASSOCIATION PROVIDENCE HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911562797 SUPPORT OR 501(C)(3) 7 PHS OR 1 METHODIST CHILDREN'S HOSPITAL 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752428911 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL LEVELLAND 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752246348 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL PLAINVIEW 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752426010 HEALTHCARE TX 501(C)(3) 3 CHS 1 MISSION HOSPITAL REGIONAL MEDICAL CTR 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951643360 HEALTHCARE CA 501(C)(3) 3 CHN 1 NORTHWEST HOPE & HEALING FOUNDATION PO BOX 16069 SEATTLE WA 98116 200799737 SUPPORT WA 501(C)(3) 12, I SHS 1 OPEN DOOR VENTURES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911608508 SUPPORT WA 501(C)(3) 7 PHS WA 1 PACMED CLINICS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 562290878 HEALTHCARE WA 501(C)(3) 10 WHC 1 PH&S FOUNDATIONSFVSA & SCVSA 501 SOUTH BUENA VISTA STREET BURBANK CA 915054809 953544877 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE ALASKA FOUNDATION 3760 PIPER STREET SUITE 2021 ANCHORAGE AK 99508 920093565 HEALTHCARE AK 501(C)(3) 7 PHS WA 1 PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION 540 SOUTH MAIN ST MT ANGEL OR 97362 911940286 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE BLANCHET ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911789266 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE CHILDREN'S HEALTH FOUNDATION 4805 NE GLISAN ST STE 2N35 PORTLAND OR 97213 930800140 SUPPORT OR 501(C)(3) 7 PHS OR 1 PROVIDENCE COMMUNITY HEALTH FOUNDATION 940 ROYAL AVE SUITE 410 MEDFORD OR 97504 930692907 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE DETHMAN HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 473385506 SUPPORT WA 501(C)(3) 7 N/A 0 PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 954322584 SUPPORT CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311744654 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE HEALTH & SERVICES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911549796 HEALTHCARE WA 501(C)(3) 12, II PSJH 0 PROVIDENCE HEALTH & SERVICES - MONTANA 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 810231793 HEALTHCARE MT 501(C)(3) 3 PHS WA 1 PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216587 HEALTHCARE OR 501(C)(3) 3 PHS 1 PROVIDENCE HEALTH & SERVICES - WASHINGTON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216586 HEALTHCARE WA 501(C)(3) 3 PHS 1 PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911303277 HEALTHCARE WA 501(C)(3) 3 PMWHC 1 PROVIDENCE HEALTH ASSURANCE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 550828701 MEDICAID HEALTHCARE PROVIDER OR 501(C)(4) N/A PHP 1 PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON 101 W 8TH AVE SPOKANE WA 99204 320014330 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE HEALTH PLAN 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 930863097 HEALTHCARE OR 501(C)(4) N/A PPP 1 PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216589 HEALTHCARE CA 501(C)(3) 3 PHS 1 PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC 810 12TH STREET PO BOX 149 HOOD RIVER OR 97031 930921990 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY 1615 75TH ST SW SUITE 210 EVERETT WA 98203 272552749 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 2811 SOUTH 102ND NO 220 TUKWILA WA 98168 912077378 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION 4101 TORRANCE BLVD TORRANCE CA 90503 510224944 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE MARIANWOOD FOUNDATION 3725 PROVIDENCE POINT DRIVE SE ISSAQUAH WA 980297219 931554288 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330185031 HEALTHCARE CA 501(C)(3) 3 SJHS 1 PROVIDENCE MEDICAL INSTITUTE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330283773 HEALTHCARE CA 501(C)(3) 12, I PHS SOCAL 1 PROVIDENCE MILWAUKIE FOUNDATION 10150 SE 32ND AVE MILWAUKIE OR 97222 943079515 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE MINISTRIES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 RELIGIOUS ORG WA 501(C)(3) 1 N/A 0 PROVIDENCE MOUNT ST VINCENT FOUNDATION 4831 35TH AVE SW SEATTLE WA 981262799 911188119 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE NEWBERG HEALTH FOUNDATION 1001 PROVIDENCE DRIVE NEWBERG OR 97132 930889144 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE PETER CLAVER ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311629656 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE PLAN PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911861964 HEALTHCARE WA 501(C)(4) N/A PHS OR 1 PROVIDENCE PORTLAND MEDICAL FOUNDATION 4805 NE GLISAN ST PORTLAND OR 972132967 931231494 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE ROSSI ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311584166 SUPPORT WA 501(C)(3) 10 PHS WA 1 PROVIDENCE SAINT JOHN'S HEALTH CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951684082 HEALTHCARE CA 501(C)(3) 3 PHS SOCAL 1 PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 814542216 HEALTHCARE CA 501(C)(3) 3 PHS SOCAL 1 PROVIDENCE SEASIDE HOSPITAL FOUNDATION 725 S WAHANNA ROAD SEASIDE OR 97138 930927320 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN) 413 LILLY ROAD NE OLYMPIA WA 985065166 911097056 SUPPORT WA 501(C)(3) 7 PHS W WA 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 1 PROVIDENCE ST FRANCIS ASSOCIATION 1801 LIND 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