2021-09-21T19:18:21-05:00 2019-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET STE 1600 SAN FRANCISCO CA 94105 990 2019-01-01 810231793 PROVIDENCE HEALTH & SERVICES - MONTANA PROV 4255253985 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 4255253985 2021-09-21 1 EVA NITTA P01286320 4158948000 2019 2022-09-23 18:48:47Z X PROVIDENCE ST PATRICK HOSPITAL GREG HOFFMAN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 433628494 0 0928 X HTTP://MONTANA.PROVIDENCE.ORG X 1991 MT SEE SCHEDULE O.AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 15 15 2474 210 0 0 736036 1155162 390852329 420987763 1966436 1920969 21369340 9372657 414924141 433436551 1985072 681507 0 0 146645035 152286857 0 0 0 309918904 246355146 458549011 399323510 -43624870 34113041 286204015 279249594 103044025 36898785 183159990 242350809 X AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 0 0 361640987 681507 428725617 SEE SCHEDULE O.PROVIDENCEON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT TO FORM PROVIDENCE ST. JOSEPH HEALTH (PROVIDENCE). BY COMING TOGETHER, PROVIDENCE SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS, 1,085 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.THE FOUNDERS OF BOTH ORGANIZATIONS WERE COURAGEOUS WOMEN AHEAD OF THEIR TIME. THE SISTERS OF PROVIDENCE AND THE SISTERS OF ST. JOSEPH OF ORANGE BROUGHT HEALTH CARE AND OTHER SOCIAL SERVICES TO THE AMERICAN WEST WHEN IT WAS STILL A RUGGED, UNTAMED FRONTIER. NOW, AS WE FACE A DIFFERENT LANDSCAPE - A CHANGING HEALTH CARE ENVIRONMENT - WE DRAW UPON THEIR PIONEERING AND COMPASSIONATE SPIRIT TO PLAN FOR THE NEXT CENTURY OF HEALTH CARE.PROVIDENCE HEALTH & SERVICESIN 1856, MOTHER JOSEPH AND FOUR SISTERS OF PROVIDENCE ESTABLISHED HOSPITALS, SCHOOLS AND ORPHANAGES ACROSS THE NORTHWEST. OVER THE YEARS, OTHER CATHOLIC SISTERS TRANSFERRED SPONSORSHIP OF THEIR MINISTRIES TO PROVIDENCE, INCLUDING THE LITTLE COMPANY OF MARY, DOMINICANS AND CHARITY OF LEAVENWORTH. RECENTLY, SWEDISH HEALTH SERVICES, KADLEC REGIONAL MEDICAL CENTER AND PACIFIC MEDICAL CENTERS HAVE JOINED PROVIDENCE AS SECULAR PARTNERS WITH A COMMON COMMITMENT TO SERVING ALL MEMBERS OF THE COMMUNITY. ST. JOSEPH HEALTH SYSTEMIN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIFORNIA TO PROVIDE EDUCATION AND HEALTH CARE. THEY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK, TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA. 361640987 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 2474 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 MT X JO ANN ESCASA-HAIGH 9493814000 3345 MICHELSON DRIVE SUITE 100 IRVINE CA 92612 ROD F HOCHMAN MD FORMER PRESIDENT/CEO 0.00 60.00 X 0 9697491 1217351 MIKE BUTLER PRESIDENT 1.00 59.00 X 0 3421103 597820 DEBRA CANALES FORMER EVP CAO PSJH 0.00 60.00 X 0 2204087 353537 RHONDA MEDOWS MD FORMER PRESIDENT POP HEALTH / AYIN 0.00 60.00 X 0 1888838 274454 CINDY STRAUSS SECRETARY 1.00 59.00 X 0 1735009 347233 AMY COMPTON-PHILLIPS MD FORMER EVP CHIEF CLINICAL OFC PSJH 0.00 55.00 X 0 1701825 248465 VENKAT BHAMIDIPATI EVP/TREASURER 1.00 59.00 X 0 1615492 304802 ELAINE COUTURE EVP CHIEF EXECUTIVE WA AND MT 10.00 50.00 X 0 1482902 262184 LISA VANCE FORMER EVP REGIONAL CE OR 0.00 60.00 X 0 1313995 245652 CARTER BECK MD PHYSICIAN 50.00 0.00 X 1440395 0 106172 JOEL GILBERTSON FORMER EVP COMMUNITY PARTNERSHIPS 0.00 60.00 X 0 1315140 203790 AARON MARTIN FORMER EVP CHIEF MKT/DIGITAL INNO OF 0.00 70.00 X 0 1302273 194312 STEWART LONG III PHYSICIAN 50.00 0.00 X 1309666 0 153560 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 1.00 59.00 X 0 1188910 217824 TOM MCDONAGH FORMER VP/CHIEF INVESTMENT OFFICER 0.00 58.00 X 0 1356638 46012 SHARON TONCRAY FORMER SVP/CHIEF LABOR EE COUNSEL 0.00 60.00 X 0 1364262 36627 GREG TILL FORMER CHIEF PEOPLE OFFICER 0.00 65.00 X 0 1166513 196967 JOSEPH SCHMOKER PHYSICIAN 50.00 0.00 X 1157058 0 85324 MIKE WATERS FORMER EVP AMBULATORY CARE NETWORK 0.00 65.00 X 0 1049713 159733 SIMONE MUSCO MD PHYSICIAN 50.00 0.00 X 1037147 0 118405 JOHN WHIPPLE ASSISTANT SECRETARY 1.00 59.00 X 0 905646 235831 ROBERT HELLRIGEL FORMER EVP CE HOME & COMM CARE 0.00 55.00 X 0 912757 195585 CHRISS MACK PHYSICIAN NEUROSURGERY 50.00 0.00 X 1011924 0 82217 JANICE NEWELL FORMER SVP/CHIEF INFORMATION OFFCR 0.00 60.00 X 0 1071876 18740 OREST HOLUBEC FORMER SVP CHIEF COMMUNICATION OFCR 0.00 55.00 X 0 891959 168978 JIM WATSON ESQ ASSISTANT SECRETARY 1.00 59.00 X 0 843494 137810 MARY CRANSTOUN FORMER SVP TOTAL REWARDS TALENT ACQ 0.00 60.00 X 0 801721 167261 JOYCE DOMBROUSKI CHIEF EXEC ST. PATRICK HOSPITAL 50.00 10.00 X 0 812312 150239 DAVID BROWN FORMER SVP CAO AMBULATORY CARE 0.00 55.00 X 0 797114 164344 DEBBIE BURTON FORMER SVP CHIEF NURSING OFFICER 0.00 60.00 X 0 710092 170287 JACK MUDD FORMER SVP/MISSION LEADERSHIP 0.00 29.00 X 0 802158 6452 HELEN ANDRUS CFO WA AND MT REGION 10.00 50.00 X 0 628326 94814 SCOTT O'BRIEN COO WA AND MT REGION 10.00 50.00 X 0 531666 144650 KIRK BODLOVIC FORMER CFO/ST. PATRICK HOSPITAL 50.00 0.00 X 0 309640 55283 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 1.00 59.00 X 0 222743 19991 TERRY SMITH FORMER SVP/MANAGEMENT SVCS 0.00 0.00 X 0 156620 13839 TAMMY TEODOSIO FORMER ASSISTANT SECRETARY 1.00 59.00 X 0 133465 24894 DAVE OLSEN BOARD CHAIR 0.10 7.00 X 0 65360 0 RICHARD BLAIR PAST CHAIR 0.10 7.70 X 0 50360 0 ISIAAH CRAWFORD PHD DIRECTOR 0.10 4.10 X 0 46550 0 DICK P ALLEN DIRECTOR 0.10 5.00 X 0 40789 0 MICHAEL HOLCOMB DIRECTOR 0.10 5.50 X 0 40391 0 CAROLINA REYES MD DIRECTOR 0.10 6.00 X 0 40360 0 MARY LYONS PHD DIRECTOR 0.10 4.60 X 0 40360 0 CHARLES SORENSON MD DIRECTOR 0.10 5.00 X 0 30360 0 PHOEBE YANG DIRECTOR 0.10 5.50 X 0 30360 0 LYDIA MARSHALL DIRECTOR 0.10 5.00 X 0 22860 0 KATHARIN DYER DIRECTOR 0.10 5.00 X 0 0 0 MICHAEL MURPHY DIRECTOR 0.10 5.00 X 0 0 0 SISTER DIANE HEJNA CSJ RN DIRECTOR 0.10 5.30 X 0 0 0 SISTER LUCILLE DEAN SP DIRECTOR 0.10 5.50 X 0 0 0 SISTER PHYLLIS HUGHES RSM DRPH DIRECTOR 0.10 5.00 X 0 0 0 5956190 44743530 7221439 235 1 1 0 0 1057762 97400 1155162 NET PATIENT SERVICE 621110 390968054 390968054 HOSPITAL FEE 621110 20430610 20430610 JV INCOME 900099 9589099 9589099 420987763 695348 695348 1700290 0 1700290 1700290 1700290 1225621 0 1225621 1225621 1225621 126455 191943 -65488 -65488 PROFESSIONAL SERVICE 900099 3574345 3574345 BIC OUTSIDE SERVICES 900099 2049877 2049877 COST RECOVERIES 900099 1369323 1369323 744310 744310 7737855 433436551 428725618 0 3555771 X 681507 681507 140031091 126594979 13436112 2752035 2487975 264060 285936 258500 27436 9217795 8333339 884456 300398 300398 68965 11450 57515 3985 3985 25545 25545 173625 173625 59809598 57008483 2801115 771309 5857 765452 3500211 1845971 1654240 234500 153837 80663 7812003 5001875 2810128 649709 471290 178419 335209 189598 145611 1450434 13550 1436884 9238125 5316491 3921634 20314 128 20186 MEDICAL SUPPLIES 84005157 83778270 226887 SYSTEM COST ALLOCATION 72354832 65527003 6827829 HOSPITAL FEE 2899895 2899895 OTHER DIRECT EXPENSES 891220 0 891220 1810112 1060989 749123 399323510 361640987 37682523 0 513 4874 1240522 1243524 42860916 42206071 8933597 8289041 4875546 4810162 93365 268528 255991807 190095114 68511408 65896693 40251975 45762837 23441439 33923999 95994734 76843865 286204015 279249594 30559073 30637462 226586 276532 72258366 5984791 103044025 36898785 X 174916461 224566805 8243529 17784004 183159990 242350809 286204015 279249594 X 34113041 4076543 21001235 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 20000 0 1 5545 25545 0 PART II-B, LINE 1: THE PORTION OF MONTHLY DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION DESIGNATED FOR LOBBYING. INITIATIVE SUPPORT. COSTS ASSOCIATED WITH THE DIRECT CONTACT WITH LEGISLATORS. 8321841 8321841 112635891 77952335 34683556 663793 415864 247929 124481906 111726915 12754991 9888376 9888376 65896693 BENEFICIAL INTEREST IN FOUNDATION 20408684 C HEALTHCARE JOINT VENTURES 13515315 C 33923999 DUE FROM AFFILIATES 54096930 HOSPITAL FEE 8988000 OTHER ASSETS 3130983 DUE FROM THIRD PARTY 220971 INVESTMENT IN SUBSIDIARIES 10406981 76843865 OTHER LIABILITIES 4875980 DUE TO THIRD PARTY 836036 CAPITAL LEASE OBLIGATIONS 272775 5984791 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 1857 6075161 6075161 0.01520 15065 45885706 52280490 0 0.00000 3 13389 11259 2130 0.00000 16925 51974256 52291749 6077291 0.01520 5 890 297914 297914 0.00070 3 435240 9798968 1324998 8473970 0.02120 12 14946 41527695 26573158 14954537 0.03740 9 425 292964 292964 0.00070 29 451501 51917541 27898156 24019385 0.06000 29 468426 103891797 80189905 30096676 0.07520 1 14592080 18342743 -3750663 X 1 1 1 PROVIDENCE SURGERY CENTER SAME DAY SURGERY, NON-EMERGENT CARE 0.74240 0.25760 1 1 PROVIDENCE ST PATRICK HOSPITAL 500 WEST BROADWAY MISSOULA MT 59802 MONTANA.PROVIDENCE.ORG/HOSPITALS/ 13200 X X X X REHAB AND PSYCH PROVIDENCE ST PATRICK HOSPITAL 1 0 0 1 X X X X X X X X X 17 1 1 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X 1 18 1 SEE PART V, SECTION C 0 1 X 300.000000000000 350.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.PROVIDENCE.ORG/OBP/MT/FINANCIAL-ASSISTANCE-APPLICATION X HTTPS://WWW.PROVIDENCE.ORG/OBP/MT/FINANCIAL-ASSISTANCE-APPLICATION X HTTPS://WWW.PROVIDENCE.ORG/OBP/MT/FINANCIAL-ASSISTANCE-APPLICATION X X X X X X X 1 X 0 X X X X X 1 X 0 1 PROVIDENCE ST. PATRICK HOSPITAL PART V, SECTION B, LINE 5: THE FOLLOWING PEOPLE DEVOTED TIME AND ENERGY TO THE CREATING THIS REPORT. THE WORK GROUP MET THROUGHOUT 2017, COLLECTING AND TALKING ABOUT DATA SO THAT WE CAN BETTER UNDERSTAND HEALTH STATUS, COMMUNITY ASSETS AND RESOURCES, AND CHALLENGES IN MISSOULA COUNTY.AGRICULTURAL WORKERS HEALTH & SERVICES - AARON JOHNSON, ILEANA AREZIAAMERICAN CANCER SOCIETY - EMILY COYLECATCH, ST. PATRICK HOSPITAL - LISA TIMSCITY OF MISSOULA DEVELOPMENT SERVICES - LAVAL MEANSCITY OF MISSOULA HOUSING & COMMUNITY DEVELOPMENT - WILL SEBERNCITY OF MISSOULA PARKS & RECREATION - RYAN YEAROUS CLIMATE SMART MISSOULA - AMY CILIMBURGCOMMUNITY MEDICAL CENTER - SUE ENGLERT, DON MILLERDISABILITY ADVOCATE - LEEANNE BEERSEAT SMART COALITION, MCCHD - REBECCA MORLEYFAMILY MEDICAL RESIDENCY PROGRAM, UNIVERSITY OF MONTANA - ROB STENGERJOB SERVICE - KELLY DENIGERMISSOULA AGING SERVICES - JORDAN LYONSMISSOULA CITY-COUNTY HEALTH DEPARTMENT - CINDY FARR, ELLEN LEAHY, KATE DEVINO, LISA BECZKIEWICZMISSOULA COALITION ON AGING & DISABILITY - PATTI HOLKUPMISSOULA COUNTY COMMUNITY & PLANNING SERVICES - KAREN HUGHESMISSOULA FORUM FOR CHILDREN & YOUTH - ANNA SEMPLE, BRANDEE TYREEMISSOULA HOUSING AUTHORITY - JIM MCGRATH, LORI DAVIDSONMISSOULA URBAN INDIAN HEALTH CENTER - DANA KINGFISHER, TROY WILSON, TRILANDA NORUNNERMONTANA DENTAL HYGIENISTS ASSOCIATION - HEIDI HALVERSONNEIGHBORWORKS MONTANA - KAIA PETERSONPARTNERSHIP HEALTH CENTER - ELIZABETH ROLLEPLANNED PARENTHOOD OF MONTANA - CHRISTOPHER COBURN, MACKENZIE FORBISPOVERELLO CENTER - MELISSA BROOKSPROVIDENCE ST. PATRICK HOSPITAL - HOLLIE TIMMONS, KAREN MYERS, MERRY HUTTONRURAL INSTITUTE FOR INCLUSIVE COMMUNITIES, UNIVERSITY OF MONTANA - HELEN RUSSETTESALVATION ARMY - JULIE CLARKSCHOOL OF PUBLIC & COMMUNITY HEALTH, UNIVERSITY OF MONTANA - TONY WARD, KARI HARRISUNITED WAY OF MISSOULA COUNTY - KRISTIN STRATFORDVOCATIONAL REHABILITATION - BROOK HODGEWESTERN MONTANA MENTAL HEALTH CENTER - KATHERINE ISAACSON PROVIDENCE ST. PATRICK HOSPITAL PART V, SECTION B, LINE 6A: COMMUNITY MEDICAL CENTER PROVIDENCE ST. PATRICK HOSPITAL PART V, SECTION B, LINE 6B: MISSOULA CITY-COUNTY HEALTH DEPARTMENT, GRANT CREEK FAMILY MEDICINE, MISSOULA AGING SERVICES, MISSOULA FORUM FOR CHILDREN & YOUTH, MISSOULA INDIAN CENTER, PARTNERSHIP HEALTH CENTER, UNITED WAY OF MISSOULA COUNTY. PROVIDENCE ST. PATRICK HOSPITAL PART V, SECTION B, LINE 11: IN DETERMINING THE PRIORITIES ASSOCIATED WITHTHE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT, WE BEGAN WITH THE PRIORITIESIDENTIFIED IN THE 2014 MISSOULA COUNTY ASSESSMENT: (1) IMPROVE ACCESS TOMENTAL HEALTH CARE AND PRIMARY CARE, (2) PREVENT OBESITY AND (3) IMPROVEFOOD SECURITY IN THE COMMUNITY. PROVIDENCE THEN LISTENED CLOSELY TO OURCOMMUNITIES AND PARTNERS, USING RESULTS FROM THE 2017 SURVEYS AND DATAFROM THE HEALTH DISTRICT TO ESTABLISH CURRENT COMMUNITY NEEDS. PROVIDENCEST. PATRICK HOSPITAL CREATED PRIORITIES FOR THE HOSPITAL AFTER EVALUATINGSCALE AND SCOPE, GAPS IN SERVICE, COMMUNITY RECOGNITION OF NEED, ANDALIGNMENT OF OUR MISSION AND ABILITIES TO IMPROVE THE MOST PRESSINGCOMMUNITY HEALTH NEEDS.THE IDENTIFIED PRIORITIZED NEEDS ST. PATRICK HOSPITAL WILL ADDRESS:SOCIAL DETERMINANTS OF HEALTH AND WELL-BEING- AFFORDABLE HOUSING- CLIMATE CHANGE/WILDFIRE IMPACT- HOMELESSNESS- FOOD INSECURITY- OBESITY PREVENTION (YOUTH AND ADULT) MENTAL HEALTHMENTAL HEALTH- SUICIDE PREVENTION- ACCESS TO MENTAL HEALTH SERVICES FOR YOUTH AND ADULTS ACCESS TO CAREACCESS TO CARE- PRIMARY CARE- TRAUMA/ADVERSE EXPERIENCE PREVENTION SUBSTANCE ABUSESUBSTANCE ABUSE- SUBSTANCE ABUSE TREATMENT- PREVENTION PROVIDENCE ST. PATRICK HOSPITAL PART V, SECTION B, LINE 16J: THE FAP SIGNAGE AND INFORMATION ARE INCLUDED ON BILLING STATEMENTS. PROVIDENCE ST. PATRICK HOSPITAL PART V, SECTION B, LINE 20E: FINANCIAL ASSISTANCE INFORMATION ALONG WITH PAYMENT OPTIONS ARE GIVEN ON EACH BILLING STATEMENT TO THE PATIENT. PROVIDENCE ST. PATRICK HOSPITAL PART V, SECTION B, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE. 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 7A HTTP://WWW.PSJHEALTH.ORG/-/MEDIA/FILES/PROVIDENCE-ST-JOSEPH-HEALTH/COMMUNITY-BENEFIT/MT/2017MTSTPATRICKCHNACHIP.PDF?LA=EN PART V, SECTION B, LINE 7B HTTPS://WWW.MISSOULACOUNTY.US/HOME/SHOWDOCUMENT?ID=27015 PART V, SECTION B, LINE 10A HTTPS://OREGON.PROVIDENCE.ORG/~/MEDIA/FILES/CBR/CHNAS/2017/MT/2017MTSTPATRICKCHNACHIP.PDF 22 1 - FLORENCE FAMILY MEDICINE 5549 OLD HIGHWAY 93 FLORENCE MT 59833 OUTPATIENT SERVICES 2 - MONTANA SPINE AND PAIN CENTER 1103 WESTWOOD DRIVE SUITE 200 HAMILTON MT 59840 OUTPATIENT SERVICES 3 - BARIATRIC SERVICES 500 WEST BROADWAY 5TH FLOOR MISSOULA MT 59802 OUTPATIENT SERVICES 4 - BROADWAY INTERNAL MEDICINE 500 W BROADWAY BROADWAY BLDG 4TH FL MISSOULA MT 59802 OUTPATIENT SERVICES 5 - ENDOCRINOLOGY DIABETES AND NUTRITION 900 N ORANGE ST SUITE 304 MISSOULA MT 59802 OUTPATIENT SERVICES 6 - GRANT CREEK FAMILY MEDICINE 3075 N RESERVE STREET SUITE Q MISSOULA MT 59808 OUTPATIENT SERVICES 7 - INFECTIOUS DISEASE 902 N ORANGE STREET MISSOULA MT 59802 OUTPATIENT SERVICES 8 - LONG TERM MOBILITY CARE 500 W BROADWAY MISSOULA MT 59802 OUTPATIENT SERVICES 9 - MISSOULA FAMILY MEDICAL 900 N ORANGE STREET SUITE 303 MISSOULA MT 59802 OUTPATIENT SERVICES 10 - MISSOULA MIDWIVES 601 W SPRUCE STREET SUITE D MISSOULA MT 59802 OUTPATIENT SERVICES 11 - MONTANA INTERNAL MEDICINE 2819 GREAT NORTHERN LOOP SUITE 200 MISSOULA MT 59808 OUTPATIENT SERVICES 12 - MONTANA NEPHROLOGY 500 W BROADWAY BROADWAY BLDG 4TH FL MISSOULA MT 59802 OUTPATIENT SERVICES 13 - MONTANA NEUROSURGICAL SPECIALISTS 500 W BROADWAY SUITE 310 MISSOULA MT 59802 OUTPATIENT SERVICES 14 - MONTANA SPINE AND PAIN CENTER 500 W BROADWAY 3RD FL MISSOULA MT 59802 OUTPATIENT SERVICES 15 - OCCUPATIONAL HEALTH 3055 N RESERVE STREET SUITE D MISSOULA MT 59808 OUTPATIENT SERVICES 16 - PROVIDENCE NEUROLOGY SPECIALISTS 601 W SPRUCE STREET SUITE J MISSOULA MT 59802 OUTPATIENT SERVICES 17 - PROVIDENCE PALLIATIVE CARE 900 N ORANGE STREET SUITE 205 MISSOULA MT 59802 OUTPATIENT SERVICES 18 - PROVIDENCE PSYCHIATRY 900 N ORANGE STREET SUITE 202 MISSOULA MT 59802 OUTPATIENT SERVICES 19 - URGENT MENTAL HEALTH CLINIC 900 N ORANGE STREET SUITE 102 MISSOULA MT 59802 OUTPATIENT SERVICES 20 - WOMEN'S CARE AND FAMILY WELLNESS 1211 S RESERVE STREET SUITE 101 MISSOULA MT 59801 OUTPATIENT SERVICES 21 - WOUND CARE CENTER 902 N ORANGE STREET MISSOULA MT 59802 OUTPATIENT SERVICES 22 - LIFESPAN FAMILY MEDICINE 715 SOUTH MAIN STREET SUITE A STEVENSVILLE MT 59870 OUTPATIENT SERVICES PART I, LINE 3C: IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS. PART I, LINE 6A: PROVIDENCE HEALTH & SERVICES - MONTANA PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://MONTANA.PROVIDENCE.ORG/LOCATIONS-DIRECTORY/S/ST-PATRICK-HOSPITAL/COMMUNITY-SUPPORT PART I, LINE 7: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS. PART I, LINE 7G: NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. PART III, LINE 2: THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE. PART III, LINE 3: THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION, THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. 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 OFDECEMBER 31, 2019.THE HEALTH SYSTEM PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE HEALTH SYSTEM ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PART III, LINE 8: THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. PART III, LINE 9B: PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE. PART VI, LINE 2: WE RECOGNIZE THAT CARING FOR THE POOR AND VULNERABLE IS NOT A TASK WE CAN DO ON OUR OWN. ON A ROUTINE BASIS WE CONDUCT A FORMAL COMMUNITY ASSESSMENT TO DETERMINE WHO IN OUR COMMUNITIES IS EXPERIENCING THE GREATEST NEED. THIS OUTREACH CONNECTS US TO MANY NOT-FOR-PROFITS AND SOCIAL SERVICE AGENCIES AS WELL AS CARE PROVIDERS AND THEIR CLIENTS IN THE COMMUNITIES. TO ENSURE THAT WE CONDUCT A COMPREHENSIVE ASSESSMENT, OUR PROCESS INCLUDES RESEARCH, MEETINGS, INTERVIEWS, FOCUS GROUPS AND SURVEYS.ADDITIONALLY, PROVIDENCE MINISTRIES HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS THAT SERVE ON PROVIDENCE BOARDS CONNECT OUR MISSION WITH A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.OUR ASSESSMENT FINDINGS ARE ASSEMBLED TO MAKE CERTAIN WE UNDERSTAND AND RESPOND TO LOCAL AND REGIONAL NEEDS, WHICH OFTEN VARY FROM ONE CITY OR COUNTY TO ANOTHER. IDENTIFIED AREAS OF NEED NOT ONLY GUIDE OUR COMMUNITY BENEFIT GIVING, BUT ALSO GUIDE OUR STRATEGIC PLANNING. WE BELIEVE MEANINGFUL COMMUNITY NEEDS ASSESSMENT PROVIDES INSIGHT INTO THE COMPLETE COMMUNITY BENEFIT THAT IS REQUIRED, BEYOND JUST FREE AND DISCOUNTED CARE.THE MISSOULA COUNTY 'COMMUNITY HEALTH ASSESSMENT COMMITTEE' WITH INPUT FROM THE PROVIDENCE ST. PATRICK HOSPITAL BOARD'S MISSION AND COMMUNITY NEEDS COMMITTEE MET OVER 12 MONTHS TO DISCUSS THE MOST PRESSING HEALTH CONCERNS AS WELL AS TO GATHER AND REVIEW DATA TO IDENTIFY THE GREATEST COMMUNITY NEEDS. PART VI, LINE 3: PROVIDENCE HOSPITALS POST NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS ADMITTING/REGISTRATION, BILLING OFFICE, EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS.EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE POLICIES CONTAINS BRIEF INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR A DISCOUNTED PAYMENT. THE NOTICES ALSO INCLUDE A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS. WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS. PART VI, LINE 4: MISSOULA COUNTY COVERS AN AREA OF ROUGHLY 2,600 SQUARE MILES IN WESTERN MONTANA. THE COUNTY IS MOUNTAINOUS, WITH MORE THAN 1,975 MILES OF RIVERS AND STREAMS AND FIVE VALLEYS THAT SIT ABOUT 3,200 FEET ABOVE SEA LEVEL. THE AREA IS HOME TO ABUNDANT WILDLIFE. THE FIRST INHABITANTS OF THE MISSOULA AREA WERE AMERICAN INDIANS FROM THE SALISH TRIBE. THE FIRST WHITE SETTLEMENT WAS ESTABLISHED IN 1860. (MISSOULA COUNTY COMMUNITY AND PLANNING SERVICES).THE SOCIO-CULTURAL ENVIRONMENT OF MISSOULA COUNTY IS PREDOMINANTLY WHITE ANGLO-SAXON WITH REPRESENTATION OF AMERICAN INDIAN, EASTERN EUROPEAN, AND HMONG CULTURES. MISSOULA COUNTY DOES INCLUDE A SMALL AREA OF THE FLATHEAD RESERVATION, HOME OF THE CONFEDERATED SALISH AND KOOTENAI TRIBES. HOWEVER, THAT AREA IS SPARSELY POPULATED, AND THE COUNTY'S AMERICAN INDIAN POPULATION IS PRIMARILY URBAN AND LIVING IN OR NEAR THE CITY OF MISSOULA. THE URBAN INDIAN POPULATION IS MADE UP OF MANY TRIBES, MOST OF WHOM ARE STILL CONNECTED WITH THEIR HOME RESERVATIONS. THE HMONG COMMUNITY SETTLED IN THE COUNTY IN ONE MAIN WAVE OF IMMIGRATION IN THE 1970S. THE EASTERN EUROPEAN COMMUNITY COMES PRIMARILY FROM IMMIGRANTS FROM BELARUS, WHO ARRIVED IN THE 1980S. BOTH IMMIGRANT GROUPS MAINTAIN THEIR LANGUAGE AND CULTURAL TRADITIONS. (MISSOULA COUNTY RURAL INITIATIVES)THE PRESENCE OF THE UNIVERSITY OF MONTANA, AS AN EDUCATIONAL INSTITUTION AND AS AN EMPLOYER, MEANS THAT THE CITY OF MISSOULA IN PARTICULAR IS FOCUSED ON EDUCATION. THE UNIVERSITY OF MONTANA IS A FOUR-YEAR, MOSTLY NON-RESIDENTIAL UNIVERSITY WITH GRADUATE PROGRAMS. IN SPRING 2017 ENROLLMENT STOOD AT 11,615. MISSOULA IS ALSO HOME TO MISSOULA COLLEGE, WHICH OFFERS 40 TECHNICAL AND OCCUPATIONAL PROGRAMS; ENROLLMENT IN MISSOULA COLLEGE IS 1,609 STUDENTS.POPULATION AND AGE DEMOGRAPHICSTOTAL POPULATION OF MISSOULA COUNTY IS 116,130, WITH AN ANNUAL GROWTH RATE OF ABOUT 1.88 PERCENT IN 2016. THE AMERICAN COMMUNITY SURVEY 2011-2015 FIVE-YEAR ESTIMATES OF THE POPULATION COMPRISED:- 20% PERCENT YOUTH (0-17 YEARS)- 30% PERCENT YOUNG ADULTS (18-34 YEARS)- 37% PERCENT OLDER ADULTS (35-64 YEARS)- 13% PERCENT SENIORS (65 YEARS AND OLDER)ETHNICITYAMONG MISSOULA RESIDENTS IN THE ACS FIVE-YEAR ESTIMATES, 92% WERE WHITE, 1.25% ASIAN, 3% WERE HISPANIC OR LATINO, 3% WERE ALASKA NATIVE OR AMERICAN INDIAN, <1% WERE AFRICAN AMERICAN OR BLACK, <1% WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, AND 3% WERE OF TWO OR MORE RACES. INCOME LEVELS AND HOUSINGIN THE 2011-2015 ACS FIVE-YEAR ESTIMATES, THE MEDIAN HOUSEHOLD INCOME FOR MISSOULA COUNTY WAS $65,463, AND THE UNEMPLOYMENT RATE WAS 3.8% . MISSOULA COUNTY'S MEDIAN HOUSEHOLD INCOME IS 6.6% HIGHER THAN MONTANA'S MEDIAN HOUSEHOLD INCOME, AND LESS THAN 1% LOWER THAN THE NATIONAL MEDIAN HOUSEHOLD INCOME. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:PROVIDENCE HEALTH & SERVICES - MONTANA PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERSINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE HEALTH & SERVICES - MONTANA IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) OPEN MEDICAL STAFF 2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (LEGACY PHS) AND ST. JOSEPH HEALTH SYSTEM (LEGACY SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS, 1,085 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON PART VI, LINE 7, REPORTS FILED WITH STATES MT 1 CITY CLUB MISSOULA 435 RYMAN MISSOULA MT 59802 204112799 501(C)(3) 70000 COMMUNITY BENEFIT RESTRICTED GRANT THE POVERELLO CENTER INC PO BOX 7644 MISSOULA MT 59807 237439391 501(C)(3) 55000 COMMUNITY BENEFIT RESTRICTED GRANT BILLINGS CLINIC FOUNDATION PO BOX 31031 BILLINGS MT 59101 810407289 501(C)(3) 50000 COMMUNITY BENEFIT RESTRICTED GRANT UNITED WAY OF MISSOULA COUNTY 412 W ALDER MISSOULA MT 59802 810287854 501(C)(3) 35900 COMMUNITY BENEFIT RESTRICTED GRANT CATHOLIC SOCIAL SERVICES OF MONTANA BOX 907 HELENA MT 59624 810245570 501(C)(3) 35000 SPONSORSHIP MISSOULA AREA AGENCY ON AGING 337 STEPHENS ST MISSOULA MT 59801 810379543 501(C)(3) 25000 COMMUNITY BENEFIT RESTRICTED GRANT MISSOULA URBAN DEMONSTRATION PROJECT 1221 SHAAKESPEARE ST MISSOULA MT 59802 810410863 501(C)(3) 25000 COMMUNITY BENEFIT RESTRICTED GRANT MOUNTAIN HOME MONTANA INC 2606 SOUTH AVE WEST MISSOULA MT 59804 810520628 501(C)(3) 25000 SPONSORSHIP MISSOULA INTERFAITH COLLABORATIVE 202 BROOKS ST MISSOULA MT 59801 463396495 501(C)(3) 25000 OPERATIONAL SUPPORT THE SALVATION ARMY - A CALIFORNIA CORPORATION 111 QUEEN ANNE AVE N STE 300 SEATTLE WA 98109 941156347 501(C)(3) 15000 SPONSORSHIP PARTNERSHIP HEALTH CENTER 401 RAILROAD ST W MISSOULA MT 59802 363843543 501(C)(3) 10000 COMMUNITY BENEFIT RESTRICTED GRANT WESTERN MONTANA MENTAL HEALTH CENTER 1325 WYOMING ST MISSOULA MT 59801 810307814 501(C)(3) 10000 SPONSORSHIP MISSOULA FOOD BANK & COMMUNITY CENTER 1720 WYOMING ST MISSOULA MT 59801 810414143 501(C)(3) 5000 OPERATIONAL SUPPORT DEPARTMENT OF PUBLIC HEALTH & HUMAN SERVICES PO BOX 4210 HELENA MT 59620 810302402 GOVT 267100 HOSPITAL COMMUNITYBENEFIT ASSESSMENTGENERAL FUND 14 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 ROD F HOCHMAN MD FORMER PRESIDENT/CEO 0 2116529 0 6126469 0 1454493 0 1187824 0 29527 0 10914842 0 3819383 MIKE BUTLER PRESIDENT 0 1445448 0 1133982 0 841673 0 571275 0 26545 0 4018923 0 1472737 DEBRA CANALES FORMER EVP CAO PSJH 0 893126 0 651636 0 659325 0 336204 0 17333 0 2557624 0 929511 RHONDA MEDOWS MD FORMER PRESIDENT POP HEALTH / AYIN 0 941139 0 618340 0 329359 0 254421 0 20033 0 2163292 0 577152 CINDY STRAUSS SECRETARY 0 823797 0 528043 0 383169 0 321803 0 25430 0 2082242 0 640817 AMY COMPTON-PHILLIPS MD FORMER EVP CHIEF CLINICAL OFC PSJH 0 800363 0 630228 0 271234 0 219836 0 28629 0 1950290 0 608504 VENKAT BHAMIDIPATI EVP/TREASURER 0 1050394 0 523975 0 41123 0 280148 0 24654 0 1920294 0 319593 ELAINE COUTURE EVP CHIEF EXECUTIVE WA AND MT 0 819654 0 515865 0 147383 0 237523 0 24661 0 1745086 0 416851 LISA VANCE FORMER EVP REGIONAL CE OR 0 783943 0 383946 0 146106 0 220810 0 24842 0 1559647 0 282049 CARTER BECK MD PHYSICIAN 1303611 0 85000 0 51784 0 91994 0 14178 0 1546567 0 30263 0 JOEL GILBERTSON FORMER EVP COMMUNITY PARTNERSHIPS 0 556867 0 551880 0 206393 0 175653 0 28137 0 1518930 0 319671 AARON MARTIN FORMER EVP CHIEF MKT/DIGITAL INNO OF 0 677199 0 396342 0 228732 0 188750 0 5562 0 1496585 0 430874 STEWART LONG III PHYSICIAN 888937 0 358114 0 62615 0 127359 0 26201 0 1463226 0 41905 0 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 0 722963 0 270658 0 195289 0 209155 0 8669 0 1406734 0 427495 TOM MCDONAGH FORMER VP/CHIEF INVESTMENT OFFICER 0 24798 0 219548 0 1112292 0 29571 0 16441 0 1402650 0 644223 SHARON TONCRAY FORMER SVP/CHIEF LABOR EE COUNSEL 0 0 0 272921 0 1091341 0 5620 0 31007 0 1400889 0 771066 GREG TILL FORMER CHIEF PEOPLE OFFICER 0 588318 0 457763 0 120432 0 169131 0 27836 0 1363480 0 199046 JOSEPH SCHMOKER PHYSICIAN 1014595 0 93750 0 48713 0 74537 0 10787 0 1242382 0 0 0 MIKE WATERS FORMER EVP AMBULATORY CARE NETWORK 0 538503 0 255592 0 255618 0 148230 0 11503 0 1209446 0 290614 SIMONE MUSCO MD PHYSICIAN 713904 0 229036 0 94207 0 92454 0 25951 0 1155552 0 73497 0 JOHN WHIPPLE ASSISTANT SECRETARY 0 470433 0 259537 0 175676 0 210397 0 25434 0 1141477 0 300654 ROBERT HELLRIGEL FORMER EVP CE HOME & COMM CARE 0 499595 0 249718 0 163444 0 167755 0 27830 0 1108342 0 261183 CHRISS MACK PHYSICIAN NEUROSURGERY 892076 0 85000 0 34848 0 62294 0 19923 0 1094141 0 29946 0 JANICE NEWELL FORMER SVP/CHIEF INFORMATION OFFCR 0 0 0 325436 0 746440 0 17430 0 1310 0 1090616 0 426198 OREST HOLUBEC FORMER SVP CHIEF COMMUNICATION OFCR 0 467371 0 231245 0 193343 0 141823 0 27155 0 1060937 0 260468 JIM WATSON ESQ ASSISTANT SECRETARY 0 467350 0 370314 0 5830 0 103753 0 34057 0 981304 0 0 MARY CRANSTOUN FORMER SVP TOTAL REWARDS TALENT ACQ 0 461694 0 221414 0 118613 0 143504 0 23757 0 968982 0 190925 JOYCE DOMBROUSKI CHIEF EXEC ST. PATRICK HOSPITAL 0 402660 0 147468 0 262184 0 136547 0 13692 0 962551 0 337543 DAVID BROWN FORMER SVP CAO AMBULATORY CARE 0 400767 0 231141 0 165206 0 137229 0 27115 0 961458 0 251637 DEBBIE BURTON FORMER SVP CHIEF NURSING OFFICER 0 397242 0 224453 0 88397 0 141638 0 28649 0 880379 0 158120 JACK MUDD FORMER SVP/MISSION LEADERSHIP 0 6684 0 80840 0 714634 0 5550 0 902 0 808610 0 112956 HELEN ANDRUS CFO WA AND MT REGION 0 344545 0 95578 0 188203 0 76819 0 17995 0 723140 0 261232 SCOTT O'BRIEN COO WA AND MT REGION 0 426546 0 82404 0 22716 0 132419 0 12231 0 676316 0 85114 KIRK BODLOVIC FORMER CFO/ST. PATRICK HOSPITAL 0 247635 0 49644 0 12361 0 30663 0 24620 0 364923 0 50964 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0 200073 0 22110 0 560 0 10673 0 9318 0 242734 0 22110 TERRY SMITH FORMER SVP/MANAGEMENT SVCS 0 114323 0 36002 0 6295 0 8227 0 5612 0 170459 0 0 TAMMY TEODOSIO FORMER ASSISTANT SECRETARY 0 115500 0 0 0 17965 0 12772 0 12122 0 158359 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. TRAVEL FOR COMPANIONS SPOUSE OR COMPANION TRAVEL. TRAVEL EXPENSES INCURRED BY A PROVIDENCE EMPLOYEE'S SPOUSE OR COMPANION WILL NOT BE REIMBURSED BY PROVIDENCE UNLESS THE SPOUSE OR COMPANION IS REQUIRED TO, OR INVITED TO ATTEND A PROVIDENCE SYSTEM-SPONSORED MEETING, OR FOR TRAVEL RELATED TO RELOCATION. RELOCATION-RELATED VISITS SHOULD NOT EXCEED TWO RELOCATION-RELATED VISITS, UNLESS APPROVED BY THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE. REIMBURSEMENT OF THESE EXPENSES IS LIMITED AND MAY BE CONSIDERED A TAXABLE BENEFIT BY THE IRS AND IF SO, ARE INCLUDED ON THE EMPLOYEE'S FORM W-2. JOEL GILBERTSON - $2,565 MARY CRANSTOUN - $2,565 HELEN ANDRUS - $2,565 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, PROVIDENCE 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 INDIVIDUALS RECEIVED SEVERANCE PAYMENTS THIS YEAR: TOM MCDONAGH - $491,471 SHARON TONCRAY - $421,300 JANICE NEWELL - $330,112 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: ROD F. HOCHMAN, MD - $1,378,122 MIKE BUTLER - $795,755 DEBRA CANALES - $613,775 RHONDA MEDOWS, MD - $283,794 CINDY STRAUSS - $344,018 AMY COMPTON-PHILLIPS, MD - $227,086 ELAINE COUTURE - $120,859 LISA VANCE - $103,747 CARTER BECK, MD - $30,263 JOEL GILBERTSON - $169,849 AARON MARTIN - $206,029 STEWART LONG III - $41,905 TOM MCDONAGH - $561,877 JO ANN ESCASA-HAIGH - $156,837 SHARON TONCRAY - $636,374 GREG TILL - $83,902 MIKE WATERS - $155,073 SIMONE MUSCO, MD - $73,497 JOHN WHIPPLE - $146,592 ROBERT HELLRIGEL - $141,831 CHRISS MACK - $29,946 JANICE NEWELL - $289,417 OREST HOLUBEC - $156,821 MARY CRANSTOUN - $79,124 JOYCE DOMBROUSKI - $236,895 DAVID BROWN - $143,978 DEBBIE BURTON - $57,156 JACK MUDD - $32,116 HELEN ANDRUS - $165,654 SCOTT O'BRIEN - $2,710 KIRK BODLOVIC - $1,320 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, WHICH IS A PERFORMANCE-BASED ANNUAL INCENTIVE PLAN THAT AFFORDS 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. 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 PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH & SERVICES - MONTANA. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH & SERVICES - MONTANA HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE PROVIDENCE HEALTH & SERVICES - MONTANA BOARD. ALL DIRECTOR NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH & SERVICES - MONTANA BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH & SERVICES, AS THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES 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 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 REGULARLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE HEALTH & SERVICES, 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 2020. 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 IX, LINE 11G GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 30,516,763. MANAGEMENT AND GENERAL EXPENSES 2,425,176. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,941,939. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 18,838,214. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,838,214. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 3,948,405. MANAGEMENT AND GENERAL EXPENSES 375,939. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,324,344. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 3,059,802. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,059,802. AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 641,585. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 641,585. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 3,714. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,714. FORM 990, PART XI, LINE 9: INTERAFFILIATE TRANSFER 10,167,306. OTHER ADJUSTMENTS 9,652,864. CHANGE IN INVESTMENT IN SUBSIDIARIES 1,181,065. EXPLANATION OF AMENDED CHANGES THE RETURN IS BEING AMENDED TO REPORT PROVIDENCE SYSTEM ALLOCATION EXPENSES FOR SHARED SERVICES PROVIDED TO THE FILING ORGANIZATION AND INVESTMENTS IN CORPORATE SUBSIDIARIES. INCLUDED BELOW IS A DETAIL OF THE CHANGES MADE: PART IX, LINE 24 - ADDED $72,354,832 OF SYSTEM COST ALLOCATION EXPENSES PART III, LINE 4A -ADDED $65,527,003 OF SYSTEM COST ALLOCATION EXPENSES PART XI, LINE 9 - ADDED $72,354,832 OF SYSTEM COST ALLOCATION EXPENSES PART X, LINE 15 - OTHER ASSETS UPDATED TO $76,843,865 PART X, LINE 27 - UNRESTRICTED NET ASSETS UPDATED TO $224,566,805 COVENANT ACO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501(C)(3) 12,I CHS 1 COVENANT HEALTH NETWORK INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 461259908 HEALTHCARE CA 501(C)(3) 12,III SJHS 1 COVENANT HEALTH PARTNERS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 463516417 HEALTHCARE TX 501(C)(3) 12,I CHS 1 COVENANT HEALTH SYSTEM 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS 1 COVENANT HEALTH SYSTEM FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752897026 HEALTHCARE TX 501(C)(3) 7 CHS 1 COVENANT HOSPITAL HOBBS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 844273963 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 822913146 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL GROUP 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752743883 HEALTHCARE TX 501(C)(3) 3 CHS 1 E WA & MT UNEMPLOYMENT COMPENSATION INSURANCE TRUST 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911082119 UNEMPLOYMENT WA 501(C)(3) 12,I PHS WA 1 EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANS. CARE WA 501(C)(3) 10 N/A 0 FACEY MEDICAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 954322584 SUPPORT CA 501(C)(3) 7 PHS SOCAL 1 GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVE 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 AVE 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 BOX 6100 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 AVE SW ATTN TAX DEPT RENTON WA 98057 752133781 HEALTHCARE TX 501(C)(3) 10 CHS 1 INLAND NORTHWEST HEALTH SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911307555 HEALTHCARE WA 501(C)(3) 3 PHS WA 1 INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 814260130 HEALTHCARE WA 501(C)(3) 7 PHS SJHS 1 INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 912003593 HEALTHCARE WA 501(C)(3) 7 WHC 1 JOHN WAYNE CANCER INSTITUTE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 954291515 HEALTHCARE CA 501(C)(3) 4 PSJHC 1 KADLEC AUXILIARY INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 916033089 SUPPORT WA 501(C)(3) 12,III KRMC 1 KADLEC FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 237005501 SUPPORT WA 501(C)(3) 7 KRMC 1 KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVE 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 AVE SW ATTN TAX DEPT RENTON WA 98057 330844408 IMAGING SVCS CA 501(C)(3) 10 PHS SOCAL 1 LUBBOCK HERITAGE HOSPITAL LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 264021016 HEALTHCARE TX 501(C)(3) 3 CHS 1 LUBBOCK METHODIST HOSPITAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752220963 HEALTHCARE TX 501(C)(3) 7 CHS 1 LUNDBERG ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911562797 SUPPORT OR 501(C)(3) 7 PHS OR 1 MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 912054035 RESEARCH WA 501(C)(3) 7 SHS 1 METHODIST CHILDREN'S HOSPITAL 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752428911 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL LEVELLAND 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752246348 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL PLAINVIEW 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752426010 HEALTHCARE TX 501(C)(3) 3 CHS 1 MISSION HOSPITAL REGIONAL MEDICAL CTR 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 951643360 HEALTHCARE CA 501(C)(3) 3 CHN 1 NORTHWEST HOPE & HEALING FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 200799737 SUPPORT WA 501(C)(3) 12,I SHS 1 PACMED CLINICS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 562290878 HEALTHCARE WA 501(C)(3) 10 WHC 1 PH&S FOUNDATIONSFVSA & SCVSA 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 953544877 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE ALASKA FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 920093565 HEALTHCARE AK 501(C)(3) 7 PHS WA 1 PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911940286 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE BLANCHET ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911789266 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE CHILDREN'S HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 930800140 SUPPORT OR 501(C)(3) 7 PHS OR 1 PROVIDENCE COMMUNITY HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 930692907 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE DETHMAN HOUSE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 473385506 SUPPORT WA 501(C)(3) 7 N/A 0 PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 311744654 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE HEALTH & SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911549796 HEALTHCARE WA 501(C)(3) 12,II PSJH 0 PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 510216587 HEALTHCARE OR 501(C)(3) 3 PHS 1 PROVIDENCE HEALTH & SERVICES - WASHINGTON 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 510216586 HEALTHCARE WA 501(C)(3) 3 PHS 1 PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911303277 HEALTHCARE WA 501(C)(3) 3 PMWHC 1 PROVIDENCE HEALTH ASSURANCE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 550828701 MEDICAID OR 501(C)(4) N/A PHP 1 PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 320014330 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA) 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911433382 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE HEALTH PLAN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 930863097 HEALTHCARE OR 501(C)(4) N/A PPP 1 PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 510216589 HEALTHCARE CA 501(C)(3) 3 PHS 1 PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 930921990 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE HOSPICE AND HOME CARE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 272552749 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 912077378 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 510224944 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE MARIANWOOD FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 931554288 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE MEDICAL INSTITUTE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 330283773 HEALTHCARE CA 501(C)(3) 12,I PHS SOCAL 1 PROVIDENCE MILWAUKIE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 943079515 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE MINISTRIES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 RELIGIOUS ORG WA 501(C)(3) 1 N/A 0 PROVIDENCE MOUNT ST VINCENT FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911188119 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE NEWBERG HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 930889144 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE PETER CLAVER ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 311629656 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE PLAN PARTNERS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911861964 HEALTHCARE WA 501(C)(4) N/A PHS OR 1 PROVIDENCE PORTLAND MEDICAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 931231494 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE ROSSI ASSOCIATION 1801 LIND AVE 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 AVE 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 AVE SW ATTN TAX DEPT RENTON WA 98057 814542216 HEALTHCARE CA 501(C)(3) 3 PHS SOCAL 1 PROVIDENCE SEASIDE HOSPITAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 930927320 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 912171539 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE ST FRANCIS ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 943244854 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE ST JOSEPH HEALTH 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 811244422 HEALTHCARE WA 501(C)(3) 12,III N/A 0 PROVIDENCE ST JOSEPH HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 943078543 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE ST JOSEPH MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 810463482 HEALTHCARE MT 501(C)(3) 3 PHS WA 1 PROVIDENCE ST MARY FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 452841492 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE ST PETER FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911097056 SUPPORT WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE ST VINCENT MEDICAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 930575982 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE TRINITYCARE HOSPICE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 953264139 HEALTHCARE CA 501(C)(3) 10 PHS SOCAL 1 PROVIDENCE TRINITYCARE HOSPICE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 330261016 HEALTHCARE CA 501(C)(3) 7 PTCH 1 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