2021-11-11T18:29:32-06:00 2020-12-31 346565596 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2020-01-01 910983214 SWEDISH MEDICAL CENTER FOUNDATION SWED 2062155967 747 BROADWAY SEATTLE WA 98122 TRACY L OSTREM PRESIDENT 2062155967 2021-11-11 1 TRACY OSTREM 999009999 AERRIAL ORR P01598400 4048748300 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X TRACY L OSTREM 747 BROADWAY SEATTLE WA 98122 23292372 0 X WWW.SWEDISHFOUNDATION.ORG X 1976 WA SWEDISH MEDICAL CENTER FOUNDATION IS THE FUNDRAISING ARM OF SWEDISH HEALTH SERVICES. 16 14 0 52 30121 29079 25164289 21006982 0 0 1242758 2081864 136568 -13910 26543615 23074936 12463690 19762824 0 0 3407801 3777619 0 0 1937305 2342927 2068375 18214418 25608818 8329197 -2533882 133585121 137774938 3254210 624489 130330911 137150449 X THE FOUNDATION IS COMMITTED TO SUPPORTING THE EFFORTS OF SWEDISH HEALTH SERVICES IN ADVANCING HEALTH CARE IN THE REGION AND MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY. 0 0 22285615 19762824 0 SEE SCHEDULE O.PROVIDENCECOVID-19 RESEARCH:FIGHTING THE COVID-19 PANDEMIC REQUIRED A COMBINATION OF INNOVATIVE, ADAPTABLE HEALTHCARE AND LEADING-EDGE RESEARCH. DONORS CAME TOGETHER TO ENSURE THAT OUR PATIENTS RECEIVED THE VERY BEST CARE, POWERED BY THE VERY LATEST RESEARCH. IN 2020 SWEDISH LAUNCHED OVER 45 STUDIES AND CLINICAL TRIALS, IN ADDITION, PHILANTHROPY ALLOWED US TO OPEN THE COVID-19 RECOVERY CLINIC, WHERE RECOVERED COVID-19 PATIENTS CAN RECEIVE ONGOING TREATMENT FOR THEIR SYMPTOMS PLUS VITALLY IMPORTANT RESEARCH INTO THE LONG-TERM IMPLICATIONS OF THE DISEASE, WHY SOME PATIENTS RESPOND DIFFERENTLY, AND HOW TO ADJUST TREATMENT ACCORDINGLY. OTHER COVID-19 PHILANTHROPIC-DRIVEN WORK INCLUDED EMBARKING ON THE USE OF CONVALESCENT PLASMA AND A TRIAL TO INVESTIGATE THE EFFICACY OF GIVING PATIENTS WITH MODERATE SYMPTOMS ZINC AND A SUPPLEMENT CALLED RESVERATROL. FUND FOR EXCELLENCE:DONOR SUPPORT ALLOWED US TO ADAPT TO NEW, UNPRECEDENTED CHALLENGES WHILE CONTINUING TO PROVIDE HIGH-QUALITY CARE. WHEN THE COVID-19 PANDEMIC REACHED SEATTLE, IT CREATED AN URGENT NEED TO TRAIN OUR NURSES ON A HOST OF CORONAVIRUS-RELATED TOPICS. THE SWEDISH FUN FOR EXCELLENCE HELPED TO STAND UP TRAINING ON THE PROPER USE OF PERSONAL PROTECTIVE EQUIPMENT IN A PANDEMIC SCENARIO. OUR RN UNIT CHAMPIONS WERE NIMBLE AND PREPARED TO KEEP OUR NURSES SAFE BY PROVIDING THAT TRAINING WHILE ALSO CARING FOR OUR SICKEST PATIENTS. SWEDISH CANCER INSTITUTE:IN 2020, THE SUPPORT OF OUR COMMUNITY ENABLED THE SWEDISH CANCER INSTITUTE TO ACQUIRE A NEW ULTRASOUND MACHINE AND UNDERGO A GYNECOLOGIC ONCOLOGY CLINIC REMODEL. PHILANTHROPY ALSO SUPPORTED EDUCATION AND OTHER VITAL PROGRAMS INCLUDING THORACIC GAP YEAR RESEARCH FELLOWS, SPECIMEN REPOSITORY, THE BRAVO READS PROGRAM, MOBILE MAMMOGRAPHY IN THE GREATER SEATTLE COMMUNITY, THE SLOAN FAMILY KITCHEN, A UNIQUE GATHERING PLACE WITHIN THE CANCER INSTITUTE CLINIC FOR PATIENTS AND THEIR FAMILIES TO GATHER; DONATIONS ALSO SUPPORTED A ROBUST PATIENT ASSISTANCE PROGRAM PROVIDING SERVICES TO PATIENTS IN NEED OF SERVICES OUTSIDE OF MEDICAL CARE LIKE EMERGENCY HOUSING AND TRANSPORTATION. THE GENEROSITY OF DONORS ALLOWED THE SWEDISH CANCER INSTITUTE RESEARCH TO CONTINUE ITS RESEARCH WITH MULTIPLE CLINICAL TRIALS AND RESEARCH INQUIRIES INCLUDING THE VIBE STUDY, BREAST CANCER REGISTRY AND CENTER FOR LUNG 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. FOR MANY PATIENTS, CLINICAL TRIALS ARE THE ONLY OPTION AFTER STANDARD TREATMENTS FAIL. SCI HAS BEEN A LEADER IN CLINICAL TRIAL PARTICIPATION AMONG HEALTH CARE INSTITUTIONS IN THE PUGET SOUND REGION. IN PARTICULAR, OUR RECENT FORAYS INTO COLLECTING THE GENOME OF OUR PATIENTS AND THEIR CANCER HAVE ALLOWED US TO TREAT THEM BASED ON WHAT HAS WORKED FOR OTHERS WITH A SIMILAR GENETIC MAKEUP-BOTH PERSONALLY AND WITHIN THEIR TUMORS. WE'RE PARTICIPATING IN THE TARGETED AGENT PROFILING UTILIZATION REGISTRY-AN ONGOING STUDY LED BY THE ASSOCIATION OF CLINICAL ONCOLOGY-THAT MATCHES PATIENTS WITH A DRUG BASED ON THE GENETIC MUTATION DRIVING THEIR CANCER, RATHER THAN THE TYPE OF CANCER THEY HAVE. AS OF JANUARY, MORE THAN 3,000 OF OUR PATIENTS WERE ENROLLED IN 640 TRIALS. IN ADDITION, GENEROUS DONATIONS ENSURE THAT MORE 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. AND THROUGH OUR PATIENT ASSISTANCE FUND, WE PROVIDED NEARLY 700 GRANTS TO THOSE IN NEED OF EVERYDAY BASICS LIKE GROCERIES.SWEDISH NEUROSCIENCE INSTITUTE:THE SWEDISH NEUROSCIENCE INSTITUTE DIRECTLY BENEFITTED FROM THE GENEROSITY OF THE COMMUNITY IN 2020. THE NEWLY LAUNCHED PROGRAM FOR HEALTHY AGING PROVIDES HEALTH AND WELLNESS SUPPORT TO PATIENTS AND THEIR FAMILIES IMPACTED BY DEMENTIA AND ALZHEIMER'S DISEASE. 2020 ALSO SAW THE INSTALLATION OF THE CORINDUS ROBOT AT SWEDISH CHERRY HILL, AN INTER-OPERATIVE DEVICE TO AID SURGICAL PLANNING BY NEUROSURGEONS WITH THE CAPABILITY OF REMOTE SURGICAL WORK. PHILANTHROPY SUPPORTED THE EDUCATIONAL PROGRAMS OF THE SNI EPILEPSY INTERNSHIP AND SPINE FELLOWSHIP. IN ADDITION, SUPPORT WAS DIRECTED TO THE BEN AND CATHERINE IVY CENTER FOR ADVANCED BRAIN TUMOR TREATMENT FOR ONE OF THEIR MAJOR RESEARCH EFFORTS TO IDENTIFY WHICH STRAIN OF CYTOMEGALOVIRUS (CMV) THAT MIGHT BE CAUSING CANCER. THROUGH SEQUENCING AND STUDIES OF THE VIRAL REMNANTS PRESENT IN TUMOR SAMPLES, THROUGH PHILANTHROPIC SUPPORT, THE TEAM HAS BEEN ABLE TO ELIMINATE THE MOST COMMON STRAIN OF CMV AS A SUSPECT. THAT MEANS THE TEAM IS THAT MUCH CLOSER TO FINDING THE VIRAL CULPRIT. THE 2020 SEATTLE BRAIN CANCER WALK YIELDED DONATIONS TO HELP BRAIN CANCER PATIENTS LIVE LONGER AND WILL HELP OUR RESEARCHERS GAIN NEW INSIGHT INTO DEVELOPING THEIR OWN VACCINE FOR THE VIRUS CONNECTED WITH GLIOBLASTOMA GROWTH. ALL DONATIONS TO THE WALK DIRECTLY FUND THE RESEARCH AND CLINICAL TRIALS THAT GIVE OUR PATIENTS NEW HOPE. THE SWEDISH AMYOTROPHIC LATERAL SCLEROSIS (ALS) CLINIC HELPS PATIENTS MANAGE THIS LIFE-ALTERING NEURODEGENERATIVE CONDITION WITH A COMPREHENSIVE TEAM OF CAREGIVERS. PATIENTS CAN SEE UP TO 11 CAREGIVERS ON THE SAME DAY, BUT ABSORBING ALL OF THAT INFORMATION, OVER SEVERAL HOURS, CAN BE A CHALLENGE. THANKS TO DONOR SUPPORT, WE HAVE UPGRADED OUR EXAM ROOMS TO BE A WELCOMING AND PRODUCTIVE PLACE FOR PATIENTS AND THEIR FAMILIES TO SPEND THE DAY. LARGE INTERACTIVE SMART BOARDS ALLOW CAREGIVERS TO DRAW DIAGRAMS FOR PATIENTS AND SHOW THEM VIDEOS, WHILE TAKING NOTES THAT CAN BE SHARED BETWEEN COLLEAGUES. TABLETS WILL HELP PATIENTS FILL OUT QUESTIONNAIRES THAT CAN BE UPLOADED DIRECTLY INTO THEIR MEDICAL RECORDS. AND NEW FURNITURE WILL ENSUREPATIENTS AND THEIR FAMILIES ARE COMFORTABLE DURING MULTIPLE APPOINTMENTS. THE SWEDISH MULTIPLE SCLEROSIS CENTER BENEFITTED IN 2020 WITH SUPPORT FOR HOLISTIC PATIENT EDUCATION AND SUPPORT PROGRAMS REACHING MORE THAN 300 PEOPLE, BOTH PATIENTS AND FAMILY MEMBERS. THE MS ADVENTURE PROGRAM EMBARKED ON NEARLY 30 ADVENTURES WITH EQUIPMENT ADAPTED TO THEIR NEEDS, ALLOWING PATIENTS TO JUMP OUT OF PLANES, GLIDING DOWN SNOWY SLOPES AND REENGAGE WITH THEIR WORLD.SWEDISH BEHAVIORAL HEALTH:ELECTROCONVULSIVE THERAPY (ECT) CAN BE LIFE-CHANGING FOR PATIENTS WITH TREATMENT-RESISTANT DEPRESSION AND BIPOLAR DISORDER. PATIENTS ARE REQUIRED TO HAVE RELIABLE TRANSPORTATION TO AND FROM THEIR APPOINTMENTS AND IN A TYPICAL MONTH WE HAVE BEEN FORCED TO TURN AWAY TWO TO THREE PATIENTS WHO LACK ADEQUATE TRANSPORTATION. HOWEVER, THIS YEAR GENEROUS DONORS ENSURED THAT EVERYONE WHO NEEDED ECT HAD ACCESS TO IT. A NEW PATIENT ASSISTANCE FUND PROVIDED 12 PATIENTS FROM 9 CITIES WITH RIDES TO AND FROM 41 APPOINTMENTS VIA NORTHWEST AMBULANCE. SWEDISH ORTHOPEDIC INSTITUTE:PHILANTHROPY SUPPORTED A NEW ULTRASOUND MACHINE FOR THE SWEDISH SPINE & SPORTS MEDICINE PROGRAM; A NEW CELL COUNTER USED FOR PLATELET RICH PLASMA TREATMENTS AND SUPPORTED RESEARCH ASSISTANT TIME AT BOTH THE SWEDISH ORTHOPEDIC INSTITUTE AND REGENERATIVE MEDICINE PROGRAM.SWEDISH HEART AND VASCULAR INSTITUTE:THE SWEDISH HEART AND VASCULAR INSTITUTE WAS ABLE TO SUPPORT ADVANCED CARDIAC SUPPORT STAFF DEVELOPMENT AND CONTINUE TO BUILD OUT THE SCAN AFIB PROGRAM INCLUDING THE SUPPORT FOR TWO MEDICAL DIRECTORS, A DATA ARCHITECT, A PATIENT CARE COORDINATOR AND AN ADVANCED PRACTICE CLINICIAN THROUGH THE ASSISTANCE OF PHILANTHROPY IN 2020. DATA IS THE FOUNDATION OF HEALTH CARE'S FUTURE AND WE ARE GATHERING AND ANALYZING IT IN WAYS THAT WILL ENSURE PATIENTS LEAD THEIR HEALTHIEST LIFE POSSIBLE. WITH DONOR SUPPORT, PATIENTS WHO TURN TO SWEDISH HEART & VASCULAR INSTITUTE ARE GETTING STATE OF THE ART CARE WITHOUT EVER COMING TO THE CLINIC THROUGH A NEWLY DEVELOPED A DATABASE TO BETTER MONITOR PATIENTS WITH HEART FAILURE. RATHER THAN SEEING EVERY PATIENT YEARLY, OUR HEART AND VASCULAR CLINICIANS CAN GATHER DATA POINTS SUCH AS BLOOD PRESSURE FROM THE PATIENT'S PRIMARY CARE VISITS. IN THIS CUSTOM DATABASE, CONCERNING NUMBERS OR TRENDS WILL BE AUTOMATICALLY FLAGGED TO HELP PHYSICIANS IDENTIFY PATIENTS WHO MIGHT BENEFIT FROM AN IN-PERSON VISIT. IN ADDITION, PHILANTHROPY SUPPORTED THE NURSE NAVIGATION PROGRAM FOR STRUCTURAL HEART AND RESEARCH AROUND HEART AND THE IMPACT OF COVID-19.NURSING:THE SWEDISH NURSING PROGRAM WAS ABLE TO OFFER CONTINUING EDUCATION CONFERENCES, SEND NURSES TO A WELLNESS RETREAT, ENHANCE OUR NURSING TECHNICIAN PROGRAM AND PATIENT CARE EXPLORATORY PROJECTS, CONTINUE WORK AROUND THE RN CHAMPIONS PROGRAM AND RN UNIT CHAMPIONS PROGRAM-WHICH PROVIDE HANDS-ON TRAINING AND MENTORSHIP OPPORTUNITIES FOR OUR NURSES- AND SUPPORT WAS GIVEN TO THE SIMULATION CENTER FOR ONGOING CLINICAL TRAINING. SEE SCHEDULE O 22285615 1 1 0 0 0 0 0 1 0 1 0 0 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 16 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WA X JO ANN ESCASA-HAIGH 9493814000 3345 MICHELSON DRIVE SUITE 100 IRVINE CA 92612 GUY HUDSON MD BOARD MEMBER 2.00 48.00 X 0 1670435 391893 JOHN L PETERSEN MD BOARD MEMBER 1.00 49.00 X 0 686035 54321 LYNN WELLING SHS CMO 1.00 49.00 X 0 679804 10206 HAROLD A VOGELSANG PRESIDENT/CDO 50.00 20.00 X 0 440737 46835 BETSY VO FORMER ASSISTANT SECRETARY 0.00 55.00 X 0 356807 60396 MARYBETH FORMBY TREASURER/CFO 1.00 49.00 X 0 299722 60159 JEFFREY TREASURE FORMER TREASURER/CFO 0.00 0.00 X 0 272684 13610 STAN MOSER INTERIM TREASURER (PART YEAR) 1.00 49.00 X 0 268854 13630 KRISTEN SWANSON RN PHD SHS BOARD CHAIR 0.10 5.00 X 0 125 0 BILL KRIPPAEHNE BOARD MEMBER (PART YEAR) 1.00 0.00 X 0 0 0 CARLA MILLAGE BOARD MEMBER 1.00 0.00 X 0 0 0 CHERYL GOSSMAN BOARD MEMBER 3.00 2.10 X 0 0 0 CHUCK LYTLE BOARD MEMBER 1.00 0.00 X 0 0 0 CONNIE WONG BOARD MEMBER 1.00 0.00 X 0 0 0 DIANE SABEY BOARD CHAIR 1.00 0.00 X X 0 0 0 EUGENE PEPPER TOOMEY BOARD MEMBER 1.00 0.00 X 0 0 0 JACK L COX MD BOARD MEMBER (PART YEAR) 2.00 48.00 X 0 0 0 JACQUELINE H AYLSWORTH BOARD MEMBER (PART YEAR) 1.00 0.00 X 0 0 0 JESSICA HUGHES BOARD VICE CHAIR 1.00 0.00 X X 0 0 0 LORNE RICHMOND BOARD MEMBER 1.00 0.00 X 0 0 0 MARILYN VALENTINE BOARD MEMBER 1.00 0.00 X 0 0 0 PETER CRAMER BOARD MEMBER 1.00 0.00 X 0 0 0 RAE LEMBERSKY BOARD MEMBER 1.00 0.00 X 0 0 0 RONALD BERENSTAIN BOARD MEMBER 1.00 0.00 X 0 0 0 SCOTT HARRISON BOARD MEMBER 1.00 0.00 X 0 0 0 SHERI FEENEY BOARD MEMBER (PART YEAR) 1.00 0.00 X 0 0 0 SHERRY E WILLIAMS BOARD MEMBER (PART YEAR) 1.00 0.00 X 0 0 0 TERRY LUNDEEN BOARD MEMBER 1.00 0.00 X 0 0 0 0 4675203 651050 0 1 1 0 0 242414 5602039 15162529 5265095 21006982 1856613 30121 1826492 391273 71022 95000 320251 -95000 225251 225251 37504 242414 51414 -13910 -13910 23074936 0 30121 2037833 19762824 19762824 3771887 2519381 558470 694036 5732 3410 1267 1055 2605 759 1846 290811 290811 807619 235236 572383 374 109 265 154451 44987 109464 14722 4288 10434 586943 170959 415984 29883 8704 21179 6654 1938 4716 24829 24829 DONOR EVENTS 59329 17281 42048 OTHER DIRECT EXPENSES 58630 17077 41553 DUES & SUBSCRIPTIONS 28505 8303 20202 LICENSES AND TAXES 2587 754 1833 433 126 307 25608818 22285615 1385898 1937305 26087213 1393728 10106946 9876308 1751134 45023833 110124522 35761327 14854668 16380380 133585121 137774938 2550166 127140 704044 497349 3254210 624489 X 23483380 25428288 106847531 111722161 130330911 137150449 133585121 137774938 X -2533882 8427228 926192 X 0 1 X 1 0 X 18684650 13967150 36249656 25415025 21006982 115323463 18684650 13967150 36249656 25415025 21006982 115323463 47758572 67564891 251308 624410 1065065 1823822 1856613 5621218 22537 142559 165096 3500 22453 1778 27731 121137508 0.55780 0.52170 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: DISPLAY FEES - 2016 AMOUNT: $ 3,500. 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 17590413 94694 1679389 862473 89856 18412167 15831168 1946277 1712257 1199177 700112 17590413 16878913 312079 -831506 341838 186480 15831168 15230664 250223 1941348 472007 71315 16878913 14628379 356319 819690 573724 15230664 0.16430 0.07980 0.75590 0 0 0 PERPETUAL TRUST HELD BY THIRD PARTY 14454109 GIFT ANNUITIES 1272138 CHARITABLE REMAINDER TRUST 400493 OTHER LONG TERM ASSETS 253612 DUE FROM AFFILIATES 28 16380380 GIFT ANNUITY OBLIGATION 438902 DUE TO AFFILIATES 55475 CHARITABLE REMAINDER TRUST 2972 497349 31675000 8427228 8427228 23247772 -172836 -172836 23074936 25839000 230182 230182 25608818 0 25608818 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. 2018 DISTRIBUTIONS WERE USED FOR EDUCATION, RESEARCH, ART EXHIBIT, AND CAPITAL PROJECTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: OTHER CHANGES -121,422. FUND EVENT EXPENSES -51,414. PART XII, LINE 2D - OTHER ADJUSTMENTS: OTHER CHANGES 178,768. FUND EVENT EXPENSES 51,414. CENTRAL AMERICA AND THE CARIBBEEN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS INVESTMENTS 18264595 0 0 0 0 0 0 18264595 0 18264595 1 0 0 0 1 0 PART III ACCOUNTING METHOD: SEATTLE BRAIN CANCER WALK 279918 242414 37504 10845 40569 279918 242414 37504 10845 40569 51414 -13910 1 SWEDISH HEALTH SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 910433740 501(C)(3) 19481371 OPERATIONAL SUPPORT SWEDISH EDMONDS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 272305304 501(C)(3) 196453 OPERATIONAL SUPPORT MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 912054035 501(C)(3) 85000 OPERATIONAL SUPPORT 3 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 926949 0 507000 0 236486 0 369618 0 22275 0 2062328 0 233865 JOHN L PETERSEN MD BOARD MEMBER 0 608150 0 75263 0 2622 0 32071 0 22250 0 740356 0 0 LYNN WELLING SHS CMO 0 452937 0 107056 0 119811 0 4202 0 6004 0 690010 0 92787 HAROLD A VOGELSANG PRESIDENT/CDO 0 363652 0 61535 0 15550 0 18687 0 28148 0 487572 0 4851 BETSY VO FORMER ASSISTANT SECRETARY 0 255313 0 100915 0 579 0 44462 0 15934 0 417203 0 0 MARYBETH FORMBY TREASURER/CFO 0 161280 0 60000 0 78442 0 52756 0 7403 0 359881 0 0 JEFFREY TREASURE FORMER TREASURER/CFO 0 0 0 0 0 272684 0 0 0 13610 0 286294 0 38365 STAN MOSER INTERIM TREASURER (PART YEAR) 0 197590 0 0 0 71264 0 6197 0 7433 0 282484 0 61399 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: JEFFREY TREASURE - $233,843 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 - $233,865 LYNN WELLING - $92,787 HAROLD A. VOGELSANG - $4,851 JEFFREY TREASURE - $38,365 STAN MOSER - $61,399 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. X 1 34050 OPINIONS OF EXPERTS X 122065 FMV X 21 929190 OTHER X 665 1025437 COST X 110 3154353 COST 0 1 0 SWEDISH WOMEN & CHILDREN'S PROGRAM: IN 2020 THE WOMEN & CHILDREN'S PROGRAM SAW AN INFLUX OF PHILANTHROPIC INTEREST IN SUPPORTING CARE SERVICES IMPACTED BY COVID-19, THIS INCLUDED RESEARCH, ON-CALL DOULA SERVICES AND A TELEHEALTH DOULA PROGRAM. SUPPORT WAS ALSO DIRECTED TO THE LYTLE CENTER FOR PREGNANCY AND NEWBORNS AT SWEDISH, THE SWEDISH NEONATAL INTENSIVE CARE UNIT AND FUNDS DIRECTED TO GENERAL WOMEN'S WELLNESS AND GYN SPECIALTY SERVICES. SWEDISH DIGESTIVE HEALTH INSTITUTE: THE SWEDISH DIGESTIVE HEALTH INSTITUTE SAW SUPPORT FOR ITS COLORECTAL AND THORACIC SURGERY FELLOWSHIP PROGRAMS, GASTROENTEROLOGY NURSE EDUCATION AND ARNP FELLOWSHIP PROGRAM. IN ADDITION, DONOR SUPPORT TO THE TRANSPLANT PATIENT ASSISTANCE FUND, ALLOWING THOSE LIVING ORGAN DONORS WHO MAKE THE ULTIMATE GIFT ASSISTANCE WITH COSTS FOR TRAVEL AND LODGING. 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 MEMBER RESERVES THE RIGHT TO APPOINT DIRECTORS TO THE SWEDISH MEDICAL CENTER FOUNDATION BOARD. ALL DIRECTOR 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 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, 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 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 XI, LINE 9: OTHER CHANGES IN NET ASSETS 926,192. 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 INLAND NORTHWEST HEALTH SERVICES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911307555 HEALTHCARE WA 501(C)(3) 3 PHS WA 1 INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 814260130 HEALTHCARE WA 501(C)(3) 7 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 MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 912054035 RESEARCH WA 501(C)(3) 7 SHS 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 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 CARE FOUNDATION (CENTRALIA) 413 LILLY ROAD NE OLYMPIA WA 985065166 911433382 HEALTHCARE WA 501(C)(3) 7 PHS W 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 2731 WETMORE AVE STE 500 EVERETT WA 98201 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 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