PROVIDENCE HEALTH PLAN: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
PROVIDENCE HEALTH PLAN (EIN 93-0863097)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202123199349318137
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-15T14:31:56-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line155 IVAN ALLEN JR BLVD SUITE 1000AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30308ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN930863097EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE HEALTH PLANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPROVBusinessNameControlTxt
Phone5035747500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDANIEL W RYANPersonNm
Person TitleCFO/TREASURERPersonTitleTxt
Phone5035747500PhoneNum
Signature2021-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDANIELPersonFirstNm
Person LastRYANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAERRIAL ORRPreparerPersonNm
PTINP01598400PTIN
Phone4048174598PhoneNum
Preparation2021-11-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL G WHITEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,888,982,991GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressHEALTHPLANS.PROVIDENCE.ORG/INDIVIDUALS-FAMILIESWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,349,250,409PYProgramServiceRevenueAmt
CY Program Service Revenue$1,260,467,467CYProgramServiceRevenueAmt
PY Investment Income$20,551,450PYInvestmentIncomeAmt
CY Investment Income$19,660,282CYInvestmentIncomeAmt
PY Other Revenue$1,701,363PYOtherRevenueAmt
CY Other Revenue$1,792,402CYOtherRevenueAmt
PY Total Revenue$1,371,503,222PYTotalRevenueAmt
CY Total Revenue$1,281,920,151CYTotalRevenueAmt
PY Grants And Similar Paid$1,183,565PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$965,881CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$80,644,731PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$88,474,074CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,201,099,803PYOtherExpensesAmt
CY Other Expenses$1,051,661,524CYOtherExpensesAmt
PY Total Expenses$1,282,928,099PYTotalExpensesAmt
CY Total Expenses$1,141,101,479CYTotalExpensesAmt
PY Revenues Less Expenses$88,575,123PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$140,818,672CYRevenuesLessExpensesAmt
Total Assets BOY$884,838,589TotalAssetsBOYAmt
Total Assets EOY$1,106,902,415TotalAssetsEOYAmt
Total Liabilities BOY$230,009,664TotalLiabilitiesBOYAmt
Total Liabilities EOY$295,751,940TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$654,828,925NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$811,150,475NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,101,482,344ExpenseAmt
Grant$965,881GrantAmt
Revenue$1,260,467,467RevenueAmt
DescSEE SCHEDULE OPROVIDENCEON 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.PROVIDENCE HEALTH PLANS (PHP) OFFERS VARIOUS COMMERCIAL GROUP AND INDIVIDUAL AND FAMILY PLANS, THE MAJORITY OF WHICH ARE ACA INDIVIDUAL AND SMALL GROUP PLANS, THROUGHOUT OREGON AND WASHINGTON. GROUP COVERAGE IS OFFERED TO EMPLOYERS WHO PROVIDE ACCESS TO HEALTH COVERAGE TO THEIR EMPLOYEES, WHILE INDIVIDUAL AND FAMILY PLANS ARE OFFERED BOTH ON AND OFF OF THE PUBLIC EXCHANGES. TO DELIVER TRUE HEALTH TO OUR MEMBERS, PHP FOCUSES ON INNOVATION, PERSONALIZED MEDICINE, COLLABORATION AMONG DIVERSE PARTNERS, AND STABILITY. PHP ALSO PARTICIPATES IN HEALTH MEASUREMENT PROGRAMS, INCLUDING HEALTHCARE EFFECTIVENESS DATA AND INFORMATION SET (HEDIS), WHICH ALLOW US TO BENCHMARK OUR CARE AND SERVICE, AND IMPLEMENT A TARGETED APPROACH TO IMPROVING MEMBER HEALTH AND SERVICE. AS A RESULT OF COVID PROVISIONS PUT INTO PLACE BY QUALITY REGULATORS, UPDATED RATINGS WERE NOT ISSUED, AND PRIOR YEAR RATINGS WERE CARRIED FORWARD. AS A RESULT, PHP'S OREGON COMMERCIAL LINE OF BUSINESS RECEIVED A 4.0 RATING FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) FOR THE 2020-2021 RATINGS. PROVIDENCE CONTINUES TO BE RECOGNIZED AS THE HIGHEST RATED COMMERCIAL PPO PLAN IN OREGON. FOR PLAN YEAR 2020, PHP'S OREGON EXCHANGE LINE OF BUSINESS RECEIVED A 4.0 RATING FOR THE QUALITY RATING SYSTEM (QRS), AND NO HEALTH PLAN IN OREGON RECEIVED A HIGHER MARKETPLACE RATING THAN DURING 2020, PHP SERVED APPROXIMATELY 179,000 MEMBERS.PROVIDENCE OFFERS PROVIDENCE ADMINISTRATIVE SERVICES ONLY (ASO) FOR LARGE GROUPS CAPABLE OF SELF-FUNDING THE RISK EXPERIENCE OF THE GROUP, BUT ALSO WANT THE DEDICATED AND COMPASSIONATE SERVICE THAT PROVIDENCE DELIVERS FOR CLAIMS ADMINISTRATION, MEMBER SERVICE, AND SKILLED MEDICAL MANAGEMENT. ASO GROUPS ARE OFFERED OPTIONS FOR A WIDE ARRAY OF PLAN BENEFITS, INCLUDING PREVENTATIVE CHOICES AIMED AT IMPROVING EMPLOYEE HEALTH AND WELLNESS, ALTERNATIVE CARE, GROUP HEALTH REPORTING AND METRICS, ACCESS TO PROVIDENCE PROVIDER NETWORKS AND PROPRIETARY HEALTH INNOVATIONS, AND CONSUMER CHOICE PLANS WHICH OFFER QUALIFIED HEALTH SAVINGS ACCOUNT (HSA) OPTIONS. THIS PROGRAM SERVED APPROXIMATELY 294,000 MEMBERS IN 2020.GRANTS AND ALLOCATIONS TO 501(C)(4) ORGANIZATIONS: SEE SCHEDULE IAT PROVIDENCE, RESPONDING TO COMMUNITY NEEDS, ESPECIALLY IN TIMES OF CRISIS, HAS ALWAYS BEEN AT THE HEART OF THE HEALING CARE PROVIDED BY OUR FAMILY OF ORGANIZATIONS. TOGETHER, PROVIDENCE TEAMS RESPONDED TO THE COVID-19 PANDEMIC WITH ALL HANDS ON DECK. THE RESOURCES NEEDED WERE UNPRECEDENTED, AND THE IMPACT ON ALL HOSPITALS AND HEALTH SYSTEMS HAS BEEN SIGNIFICANT.PROVIDENCE HEALTH PLAN'S PRIORITY REMAINS THE HEALTH OF OUR MEMBERS AND OUR COMMUNITIES. WE AIM TO PROVIDE HOPE AND COMFORT WITH RESOURCES, NEWS AND GUIDANCE ON COVID-19. WE HAVE ALSO TAKEN THE NECESSARY MEASURES TO SUPPORT OUR HEALTH PLAN MEMBERS, PROVIDERS, EMPLOYERS AND BROKER PARTNERS WHO ARE IMPACTED DURING THIS DIFFICULT TIME. PROVIDENCE HEALTH PLAN'S WEBSITE, HTTP://PROVIDENCEHEALTHPLAN.ORG/, HAS BEEN REGULARLY UPDATED WITH INFORMATION AND RESOURCES ON HOW TO LIMIT EXPOSURE OF COVID-19 AND INCLUDES ENHANCEMENTS TO COVERAGE. IN ADDITION, AS PART OF AN INTEGRATED DELIVERY SYSTEM, OUR TEAM OF CUTTING-EDGE MEDICAL EXPERTS DEVELOPED A HUB OF COVID-19 RELATED RESOURCES, INCLUDING A CORONAVIRUS ASSESSMENT TOOL, WELLNESS RESOURCES FOR MENTAL AND PHYSICAL HEALTH, INFORMATION AND UPDATES DIRECTLY FROM PROVIDENCE EXPERTS AND RESEARCHERS, AND MORE AT HTTPS://CORONAVIRUS.PROVIDENCE.ORG/.PROVIDENCE HEALTH PLAN HAS ALSO TAKEN CONCRETE ACTIONS IN ITS COVERAGE AND OPERATIONS TO SUPPORT ITS MEMBERS, PROVIDERS, BUSINESS PARTNERS AND LOCAL COMMUNITIES:- PROVIDENCE HAS TAKEN THE INITIATIVE TO HELP ENSURE HEALTHCARE WORKERS HAVE THE NECESSARY PERSONAL PROTECTIVE EQUIPMENT (PPE), AND TO PROVIDE VULNERABLE POPULATIONS WITH SOAP AND DISINFECTANT TO HELP PREVENT THE SPREAD OF COVID-19. - COST SHARING FOR COMMERCIAL INSURED MEMBERS FOR TREATMENT OF COVID-19 WAS WAIVED FOR IN-NETWORK INPATIENT, OUTPATIENT, FACILITY AND PROFESSIONAL VISITS. - PROVIDENCE EXPANDED ITS HEALTH PLAN PREMIUM PAYMENT GRACE PERIOD FOR COMMERCIAL GROUPS SO MEMBERS CAN CONTINUE TO RECEIVE CARE AND MEDICATIONS DURING THIS TIME OF UNCERTAINTY. WE ALLOWED COMMERCIAL GROUPS TO MAINTAIN COVERAGE FOR THEIR FURLOUGHED EMPLOYEES AT THE GROUP PREMIUM RATE.- PHP WAIVED ALL COST SHARING FOR TESTING SERVICES RELATED TO COVID-19, SUCH AS COPAYS, COINSURANCE, AND DEDUCTIBLES.- OUR TELEHEALTH PROVIDER POLICIES WERE SIGNIFICANTLY EXPANDED TO REDUCE BARRIERS TO CARE AND TO ENCOURAGE THE USE OF TELEHEALTH SERVICES BY OUR MEMBERS AND PROVIDER PARTNERS. WE HAVE ALSO ADDED VIRTUAL CAPACITY SO THAT MORE OF OUR PROVIDERS CAN BE SEEN QUICKLY.- PHP DEVELOPED AND IMPLEMENTED A CORONAVIRUS ASSESSMENT TOOL TO HELP OUR COMMUNITIES ASSESS THEIR SYMPTOMS IN REAL TIME.- OUR LABS IN OREGON BEGAN TESTING FOR CORONAVIRUS EARLY ON, BECOMING THE FIRST HOSPITAL SYSTEM IN THE STATE TO OFFER IN-HOUSE LAB ANALYSIS AND INCREASING OUR COMMUNITY'S TESTING CAPACITY.- AT THE END OF THE YEAR, THE PLAN ISSUED PREMIUM CREDITS TO MEMBERS WITH AN INDIVIDUAL PLAN, TOTALING MORE THAN $1.5 MILLION.MANY INDIVIDUALS AND BUSINESSES IN OREGON WERE DEVASTATED BY WILDFIRES IN 2020 AS THEY ALSO COPED WITH THE CHALLENGES POSED BY COVID-19. AS A RESULT OF THE STATE OF EMERGENCY DECLARED IN OREGON, PROVIDENCE TOOK CONCRETE ACTIONS IN ITS COVERAGE AND OPERATIONS TO SUPPORT ITS MEMBERS THAT LIVE IN AFFECTED AREAS. THESE INCLUDE:- MEMBERS UNABLE TO ACCESS ANY IN-NETWORK PROVIDERS DUE TO THE FIRES WERE ALLOWED ACCESS TO OUT-OF-NETWORK PROVIDERS AT IN-NETWORK COST SHARE.- MEMBERS WERE ALLOWED REFILLS OF DIABETIC SUPPLIES AND MAINTENANCE MEDICATIONS EARLIER THAN SCHEDULED AND THE EXTENSION OF MEDICATION PRIOR AUTHORIZATION APPROVALS.- DURABLE MEDICAL EQUIPMENT: MEMBERS MAY REPLACE ITEMS (FOR EXAMPLE, EYEGLASSES, HEARING AIDS, AND ORTHOTICS.) THAT WERE LOST OR DAMAGED BECAUSE OF THE WILDFIRES. - AN EXTENSION ON THE PREMIUM PAYMENT GRACE PERIOD THROUGH THE END OF THE YEAR (DEC 31) FOR COMMERCIAL GROUPS AND INDIVIDUAL MEMBERS. ALREADY IN PLACE FROM COVID-19, THIS NEW EXTENSION ALLOWED MEMBERS IMPACTED BY THE WILDFIRES TO CONTINUE TO RECEIVE CARE AND MEDICATIONS.Desc
Total Program Service Expenses$1,101,482,344TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document9932IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DANIEL W RYANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5035747500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14400 NE HALSEY BLDG 2AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97213ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DEBRA CANALES
DIRECTOR0.1059.90Yes (X)$0$2,003,884$691,108
RHONDA MEDOWS MD
CHAIR10.0050.00Yes (X)$0$1,814,460$328,861Yes (X)
CINDY STRAUSS
FORMER SECRETARY0.0060.00$0$1,745,541$358,093Yes (X)
MICHAEL L COTTON
PRESIDENT/CEO - (PART YEAR)32.0028.00Yes (X)$0$1,922,445$27,712Yes (X)
MICHAEL G WHITE
INT CEO/ PRESIDENT (PART YEAR)32.0028.00Yes (X)$0$955,224$173,882Yes (X)
ROBERT A GLUCKMAN
CHIEF MEDICAL OFFICER26.0024.00$0$775,155$201,865Yes (X)
GREG ZAMUDIO
SECRETARY26.0024.00$0$435,166$78,697Yes (X)
BRAD GARRIGUES
CHIEF MARKETING OFFICER26.0024.00$0$424,048$64,893Yes (X)
LAUREL C SOOT
MEDICAL DIRECTOR19.0021.00$0$389,397$46,919Yes (X)
STEPHANIE C DREYFUSS
DIR. NETWORK DEVELOP.26.0024.00$0$349,455$43,588Yes (X)
NATE PERRIZO
CHIEF INFO. OFFICER10.0040.00$0$350,594$36,572Yes (X)
AARON BALS
CHIEF COMP. OFC.26.0024.00$0$320,761$40,201Yes (X)
ANDREW D TARAB
VP INFORMATICS26.0024.00$0$331,567$26,164Yes (X)
JOHN OSBORN
VP SERVICES INTEGRATION19.0021.00$0$314,306$35,897Yes (X)
PHILIP CAPP
MEDICAL DIRECTOR19.0021.00$0$327,241$16,127Yes (X)
MARK JENSEN
CHIEF SERVICES OFFICER26.0024.00$0$260,040$55,199Yes (X)
DANIEL W RYAN
INT CFO/ TREASURER (PART YEAR)26.0024.00$0$274,512$30,315Yes (X)
ISIAAH CRAWFORD PHD
DIRECTOR0.107.00Yes (X)$0$55,830$0
JOSEPH BLANKENSHIP
DIRECTOR2.003.00Yes (X)$0$5,000$0
HEATH SCHIESSER
DIRECTOR2.003.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$13,054,626TotReportableCompRltdOrgAmt
Total Other Compensation$2,256,093TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
KIBBLE & PRENTICE HOLDING COMPANY
PO BOX 62949VIRGINIA BEACHVA23466INSURANCE COMMISSIONS$1,034,360
PACIFIC BENEFIT CONSULTANTS INC
450 COUNTRY CLUB RD 330EUGENEOR97401INSURANCE COMMISSIONS$622,952
HAGAN HAMILTON INSURANCE
PO BOX 847MCMINNVILLEOR97128INSURANCE COMMISSIONS$603,890
THE PARTNERS GROUP
11850 SW 67TH AVE STE 100PORTLANDOR97223INSURANCE COMMISSIONS$582,258
LEONARD ADAMS CO
5201 SW WESTGATE DR STE 300PORTLANDOR97221INSURANCE COMMISSIONS$545,708
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K871CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PPO PREMIUMS900099$1,189,847,192$1,189,847,192
ASO FEES900099$70,620,275$70,620,275
FieldValueIRS element (for citing)
Total Program Service Revenue$1,260,467,467TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,832,571TotalRevenueColumnAmt
Exclusion$6,832,571ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,619,890,551SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,607,062,840SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$12,827,711SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,827,711TotalRevenueColumnAmt
Exclusion$12,827,711ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$1,792,402TotalRevenueColumnAmt
Exclusion$1,792,402ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,792,402OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,281,920,151TotalRevenueColumnAmt
Related Or Exempt Func Income$1,260,467,467RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$21,452,684ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$965,881TotalAmt
Program Services$965,881ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,740,463TotalAmt
Program Services$3,178,452ProgramServicesAmt
Management And General$562,011ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$67,046,475TotalAmt
Program Services$56,972,626ProgramServicesAmt
Management And General$10,073,849ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,687,136TotalAmt
Program Services$15,436,150ProgramServicesAmt
Management And General$2,250,986ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,875,874TotalAmt
Program Services$110,850ProgramServicesAmt
Management And General$3,765,024ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$172,617TotalAmt
Management And General$172,617ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$461,178TotalAmt
Management And General$461,178ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,978,679TotalAmt
Program Services$15,291,612ProgramServicesAmt
Management And General$1,687,067ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,642,092TotalAmt
Program Services$2,614,682ProgramServicesAmt
Management And General$27,410ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,732,660TotalAmt
Program Services$3,495,054ProgramServicesAmt
Management And General$3,237,606ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,788,852TotalAmt
Program Services$8,403,749ProgramServicesAmt
Management And General$4,385,103ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,249,328TotalAmt
Program Services$4,918,886ProgramServicesAmt
Management And General$2,330,442ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$102,966TotalAmt
Program Services$86,920ProgramServicesAmt
Management And General$16,046ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$176,754TotalAmt
Program Services$141,338ProgramServicesAmt
Management And General$35,416ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$3,183,092TotalAmt
Management And General$3,183,092ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,412,477TotalAmt
Management And General$5,412,477ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$37,656TotalAmt
Management And General$37,656ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL CLAIMS$877,725,132$877,725,132
RISK CORRIDOR FIN. FEES$42,333,177$42,333,177
COMMISSIONS$22,531,363$22,531,363
PREMIUM TAX$22,235,178$22,235,178

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$27,022,449TotalAmt
Program Services$25,041,294ProgramServicesAmt
Management And General$1,981,155ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,141,101,479TotalAmt
Program Services$1,101,482,344ProgramServicesAmt
Management And General$39,619,135ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$45,322,398BOYAmt
EOY$193,466,694EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$155,446BOYAmt
EOY$126,919EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$131,763,068LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$70,121,790LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$70,407,337BOYAmt
EOY$61,641,278EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$385,594,736BOYAmt
EOY$532,194,180EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$302,518,203BOYAmt
EOY$216,280,906EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$80,840,469BOYAmt
EOY$103,192,438EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$884,838,589BOYAmt
EOY$1,106,902,415EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,571,746BOYAmt
EOY$13,982,566EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$22,165,752BOYAmt
EOY$28,646,535EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$193,272,166BOYAmt
EOY$253,122,839EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$230,009,664BOYAmt
EOY$295,751,940EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$73,716,441BOYAmt
EOY$73,716,441EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$581,112,484BOYAmt
EOY$737,434,034EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$654,828,925BOYAmt
EOY$811,150,475EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$884,838,589BOYAmt
EOY$1,106,902,415EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$140,818,672ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$24,593,671NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$9,090,793OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$6,058,058InvestmentCostOrOtherBasisAmt
Book Value$6,058,058BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$79,730,868InvestmentCostOrOtherBasisAmt
Depreciation$37,601,531DepreciationAmt
Book Value$42,129,337BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,862,000OtherCostOrOtherBasisAmt
Depreciation$1,211,245DepreciationAmt
Book Value$650,755BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,372,612InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$41,573,290OtherCostOrOtherBasisAmt
Depreciation$31,309,014DepreciationAmt
Book Value$11,636,888BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,166,240OtherCostOrOtherBasisAmt
Book Value$1,166,240BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$61,641,278TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescINVESTMENT IN PROVIDENCE HEALTH ASSURANCEDesc
Book Value$216,280,906BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$216,280,906TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
REINSURANCE RECEIVABLES$28,824,698
DUE FROM AFFILIATES$34,212,800
HEALTHCARE RECEIVABLES$22,982,399
UNINSURED PLAN RECEIVABLES$6,253,212
INVESTMENT INCOME ACCRUALS$846,177
PREMIUM RECEIVABLES$10,073,152
FieldValueIRS element (for citing)
Total Book Value Other Assets$103,192,438TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
UNPAID CLAIMS AND WITHHOLDINGS$112,185,624
FUNDS HELD UNDER CONTRACTS$29,536,621
AGGREGATE HEALTH POLICY RESERVES$89,605,936
DUE TO AFFILIATES$12,683,673
DUE TO GOVERNMENT AGENCIES$9,110,985
FieldValueIRS element (for citing)
Total Liability$253,122,839TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,211,759,727TotalRevEtcAuditedFinclStmtAmt
Other Revenue$921,029OtherRevenueAmt
Revenue Not Reported$921,029RevenueNotReportedAmt
Revenue Subtotal$1,210,838,698RevenueSubtotalAmt
Investment Expenses Not Incld$461,178InvestmentExpensesNotIncldAmt
Other Revenues Not Included$70,620,275OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$71,081,453RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,281,920,151TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,124,020,026TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,124,020,026ExpensesSubtotalAmt
Investment Expenses Not Incld2$461,178InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$16,620,275OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$17,081,453ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,141,101,479TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:PHP HAS RECEIVED A DETERMINATION LETTER FROM THE IRS THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR UNRELATED BUSINESS INCOME AND POLITICAL EXPENDITURES, IN ACCORDANCE WITH SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE. PHP'S MANAGEMENT EVALUATES TAX POSITIONS TAKEN BY PHP AND RECOGNIZES A TAX LIABILITY IF PHP HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY PHP AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE STATUTORY FINANCIAL STATEMENTS. PHP IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PHP'S MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2017.
PART XI, LINE 2D - OTHER ADJUSTMENTS:ACCRUAL OF STRAIGHT-LINE LEASE AMOUNT 921,029.
PART XI, LINE 4B - OTHER ADJUSTMENTS:ASO FEES 70,620,275.
PART XII, LINE 4B - OTHER ADJUSTMENTS:ASO FEES 70,620,275. PREMIUM DEFICIENCY RESERVE -54,000,000.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND CARIBBEAN00INVESTMENTS$4,277,110
EUROPE00INVESTMENTS$9,902,819
NORTH AMERICA00INVESTMENTS$1,848,935
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$16,028,864SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$16,028,864TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III ACCOUNTING METHOD:FormAndLineReferenceDesc

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE PLAN PARTNERSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP980579016ZIPCd
FieldValueIRS element (for citing)
Recipient EIN911861964RecipientEIN
IRC Section501(C)(4)IRCSectionDesc
Cash Grant$965,881CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantSEE PART IVPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org0Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.
PART II, LINE 1, COLUMN (H):NAME OF ORGANIZATION OR GOVERNMENT: PROVIDENCE PLAN PARTNERS (H) PURPOSE OF GRANT OR ASSISTANCE: TO FUND CONTRIBUTIONS IN SUPPORT OF ACCESS TO CARE, BEHAVIOR HEALTH, AND SOCIAL DETERMINANTS OF HEALTH AND WELL-BEING.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DEBRA CANALES
DIRECTOR$0$895,727$0$575,002$0$533,155$0$673,455$0$17,653$0$2,694,992$0$487,270
RHONDA MEDOWS MD
CHAIR$0$897,985$0$523,880$0$392,595$0$308,771$0$20,090$0$2,143,321$0$346,425
CINDY STRAUSS
FORMER SECRETARY$0$801,070$0$601,420$0$343,051$0$331,005$0$27,088$0$2,103,634$0$299,545
MICHAEL L COTTON
PRESIDENT/CEO - (PART YEAR)$0$785,946$0$395,020$0$741,479$0$4,275$0$23,437$0$1,950,157$0$703,566
MICHAEL G WHITE
INT CEO/ PRESIDENT (PART YEAR)$0$401,338$0$156,700$0$397,186$0$148,138$0$25,744$0$1,129,106$0$356,870
ROBERT A GLUCKMAN
CHIEF MEDICAL OFFICER$0$463,088$0$162,745$0$149,322$0$168,480$0$33,385$0$977,020$0$122,344
GREG ZAMUDIO
SECRETARY$0$278,571$0$103,637$0$52,958$0$55,447$0$23,250$0$513,863$0$51,997
BRAD GARRIGUES
CHIEF MARKETING OFFICER$0$262,239$0$119,291$0$42,518$0$42,107$0$22,786$0$488,941$0$21,545
LAUREL C SOOT
MEDICAL DIRECTOR$0$315,790$0$70,891$0$2,716$0$19,454$0$27,465$0$436,316$0$1,051
STEPHANIE C DREYFUSS
DIR. NETWORK DEVELOP.$0$272,239$0$49,897$0$27,319$0$26,007$0$17,581$0$393,043$0$7,820
NATE PERRIZO
CHIEF INFO. OFFICER$0$331,537$0$18,311$0$746$0$12,414$0$24,158$0$387,166$0$0
AARON BALS
CHIEF COMP. OFC.$0$261,536$0$58,696$0$529$0$14,361$0$25,840$0$360,962$0$0
ANDREW D TARAB
VP INFORMATICS$0$254,159$0$69,267$0$8,141$0$16,712$0$9,452$0$357,731$0$648
JOHN OSBORN
VP SERVICES INTEGRATION$0$262,805$0$29,223$0$22,278$0$11,916$0$23,981$0$350,203$0$0
PHILIP CAPP
MEDICAL DIRECTOR$0$289,951$0$7,711$0$29,579$0$4,275$0$11,852$0$343,368$0$0
MARK JENSEN
CHIEF SERVICES OFFICER$0$210,531$0$34,417$0$15,092$0$27,110$0$28,089$0$315,239$0$2,016
DANIEL W RYAN
INT CFO/ TREASURER (PART YEAR)$0$206,575$0$58,936$0$9,001$0$10,812$0$19,503$0$304,827$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3DESCRIPTION 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 - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE.
PART I, LINE 4BENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: DEBRA CANALES - $487,270 RHONDA MEDOWS, MD - $346,425 CINDY STRAUSS - $299,545 MICHAEL L. COTTON - $703,566 MICHAEL G. WHITE - $356,870 ROBERT A. GLUCKMAN - $122,344 GREG ZAMUDIO - $51,997 BRAD GARRIGUES - $21,545 LAUREL C. SOOT - $1,051 STEPHANIE C. DREYFUSS - $7,820 ANDREW D. TARAB - $648 MARK JENSEN - $2,016
PART I, LINE 7NON-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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 15INDIVIDUALS 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 6CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES - OREGON IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH PLAN.
FORM 990, PART VI, SECTION A, LINE 7ACLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH PLAN HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE PROVIDENCE HEALTH PLAN BOARD. ALL DIRECTOR NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH PLAN BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH & SERVICES - OREGON, AS THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BCLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL AND 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 11BPROCESS TO REVIEW 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. MANAGEMENT PRESENTED THE RETURNS TO THE FINANCE AND AUDIT COMMITTEE, AND DISCUSSED KEY DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS 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 A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE REGULARLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY ITS TAX-EXEMPT PARENT, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN 2020.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART XI, LINE 9:ADJUSTMENT TO NET ASSETS TIE TO INVESTMENT IN PHA TO PHA NET ASSETS -6,596,704. OTHER CHANGES IN NET ASSETS -2,494,089.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (111 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
COVENANT ACO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057611573313HEALTHCARETX501(C)(3)12,ICHSYes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057461259908HEALTHCARECA501(C)(3)12, IIISJHSYes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057463516417HEALTHCARETX501(C)(3)12, ICHSYes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752765566HEALTHCARETX501(C)(3)3SJHSYes (1)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACELUBBOCKTX79410752897026HEALTHCARETX501(C)(3)7CHSYes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057844273963HEALTHCARETX501(C)(3)3CHSYes (1)
COVENANT MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057822913146HEALTHCARETX501(C)(3)3CHSYes (1)
COVENANT MEDICAL GROUP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752743883HEALTHCARETX501(C)(3)3CHSYes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128EVERETTWA982065128943264605TRANSITIONAL CAREWA501(C)(3)100N/A
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057201910170SUPPORTWA501(C)(3)7PHS WAYes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104SEATACWA98188273133200HEALTHCAREWA501(C)(3)7SHSYes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057203856995HEALTHCARETX501(C)(3)3CHSYes (1)
HMTS INC
1 HOAG DRIVENEWPORT BEACHCA92658453583707HEALTHCARECA501(C)(3)12, IHMHPYes (1)
HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195NEWPORT BEACHCA92663452982422SUPPORTCA501(C)(3)7HHFYes (1)
HOAG CLINIC
1 HOAG DRIVENEWPORT BEACHCA92658330676831HEALTHCARECA501(C)(3)10HMHPYes (1)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVENEWPORT BEACHCA92663953222343FUNDRAISINGCA501(C)(3)7HMHPYes (1)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100NEWPORT BEACHCA92663951643327HEALTHCARECA501(C)(3)3CHNYes (1)
HOSPICE OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752133781HEALTHCARETX501(C)(3)10CHSYes (1)
INLAND NORTHWEST HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911307555HEALTHCAREWA501(C)(3)3PHS WAYes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814260130HEALTHCAREWA501(C)(3)7PHS SJHSYes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057912003593HEALTHCAREWA501(C)(3)7WHCYes (1)
KADLEC AUXILIARY INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057916033089SUPPORTWA501(C)(3)12, IIIKRMCYes (1)
KADLEC FOUNDATION
888 SWIFT BLVDRICHLANDWA99352237005501SUPPORTWA501(C)(3)7KRMCYes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057910655392HEALTHCAREWA501(C)(3)3WHCYes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330844408IMAGING SERVICESCA501(C)(3)10PHS SOCALYes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057264021016HEALTHCARETX501(C)(3)3CHSYes (1)
LUNDBERG ASSOCIATION PROVIDENCE HOUSE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911562797SUPPORTOR501(C)(3)7PHS ORYes (1)
MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057912054035RESEARCHWA501(C)(3)7SHSYes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752428911HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752246348HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752426010HEALTHCARETX501(C)(3)3CHSYes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643360HEALTHCARECA501(C)(3)3CHNYes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069SEATTLEWA98116200799737SUPPORTWA501(C)(3)12, ISHSYes (1)
PACMED CLINICS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057562290878HEALTHCAREWA501(C)(3)10WHCYes (1)
PH&S FOUNDATIONSFVSA & SCVSA
501 SOUTH BUENA VISTA STREETBURBANKCA915054809953544877HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE ALASKA FOUNDATION
3760 PIPER STREET SUITE 2021ANCHORAGEAK99508920093565HEALTHCAREAK501(C)(3)7PHS WAYes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
540 SOUTH MAIN STMT ANGELOR97362911940286HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911789266SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
4805 NE GLISAN ST STE 2N35PORTLANDOR97213930800140SUPPORTOR501(C)(3)7PHS ORYes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
940 ROYAL AVE SUITE 410MEDFORDOR97504930692907HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057473385506SUPPORTWA501(C)(3)70N/A
PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057954322584SUPPORTCA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311744654SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911549796HEALTHCAREWA501(C)(3)12, IIPSJH0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810231793HEALTHCAREMT501(C)(3)3PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216587HEALTHCAREOR501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216586HEALTHCAREWA501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911303277HEALTHCAREWA501(C)(3)3PMWHCYes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057550828701MEDICAID HEALTHCARE PROVIDEROR501(C)(4)N/APHPYes (1)
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
101 W 8TH AVESPOKANEWA99204320014330HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA)
413 LILLY ROAD NEOLYMPIAWA985065166911433382HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216589HEALTHCARECA501(C)(3)3PHSYes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
810 12TH STREET PO BOX 149HOOD RIVEROR97031930921990HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION
2731 WETMORE AVE STE 500EVERETTWA98201272552749HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
2811 SOUTH 102ND NO 220TUKWILAWA98168912077378HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
4101 TORRANCE BLVDTORRANCECA90503510224944HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE MARIANWOOD FOUNDATION
3725 PROVIDENCE POINT DRIVE SEISSAQUAHWA980297219931554288HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330185031HEALTHCARECA501(C)(3)3SJHSYes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330283773HEALTHCARECA501(C)(3)12, IPHS SOCALYes (1)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32ND AVEMILWAUKIEOR97222943079515HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057RELIGIOUS ORGWA501(C)(3)10N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVE SWSEATTLEWA981262799911188119HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVENEWBERGOR97132930889144HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311629656SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911861964HEALTHCAREWA501(C)(4)N/APHS ORYes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN STPORTLANDOR972132967931231494HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311584166SUPPORTWA501(C)(3)10PHS WAYes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951684082HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814542216HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA ROADSEASIDEOR97138930927320HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN)
413 LILLY ROAD NEOLYMPIAWA985065166911097056SUPPORTWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057912171539SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057943244854SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057811244422HEALTHCAREWA501(C)(3)12, III0N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
1801 LIND AVE SWRENTONWA980579016943078543HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810463482HEALTHCAREMT501(C)(3)3PHS WAYes (1)
PROVIDENCE ST MARY FOUNDATION
1025 S 2ND AVENUEWALLA WALLAWA99362452841492HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
9205 SW BARNES ROAD STE MT2111PORTLANDOR97225930575982HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057953264139HEALTHCARECA501(C)(3)10PHS SOCALYes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
5315 TORRANCE BLVD NO B-1TORRANCECA90503330261016HEALTHCARECA501(C)(3)7PTCHYes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1500 DIVISION STREETOREGON CITYOR97045931003750HEALTHCAREOR501(C)(3)12, IPHS ORYes (1)
REDWOOD MEMORIAL FOUNDATION
2700 DOBEER STREETEUREKACA95501942779313HEALTHCARECA501(C)(3)7RMHYes (1)
SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057954291515HEALTHCARECA501(C)(3)4PSJHCYes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057956100079SUPPORT SAINT JOHN HEALTH CENTER & JWCICA501(C)(3)7PSJHCYes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057611502822PHYSICIAN COLLABORATIONWA501(C)(3)7WHCYes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057262612415SHELL CORPORATIONMT501(C)(3)1PHS WA0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643383RELIGIOUS ORGCA501(C)(3)10N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057680395200HEALTHCARECA501(C)(3)3SRMHYes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057271666576RELIGIOUS ORGCA501(C)(3)1SSJO0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814791043HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057953589356HEALTHCARECA501(C)(3)12, IPSJH0
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE SUITE 100IRVINECA92612330143024HEALTHCARECA501(C)(3)10SJHSYes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057680331084HEALTHCARECA501(C)(3)10SJHSYes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643359HEALTHCARECA501(C)(3)3CHNYes (1)
ST JUDE HOSPITAL INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643325HEALTHCARECA501(C)(3)3CHNYes (1)
ST LUKE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057943176618SUPPORTWA501(C)(3)7PHS WAYes (1)
ST MARY MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951914489HEALTHCARECA501(C)(3)3CHNYes (1)
ST PATRICK HOSPITAL FOUNDATION
502 W SPRUCE STREETMISSOULAMT59802237056976HEALTHCAREMT501(C)(3)7PHS WAYes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810233495EDUCATIONMT501(C)(3)10PHS WAYes (1)
SWEDISH EDMONDS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057272305304HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057910433740HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAYSEATTLEWA98122910983214HEALTHCAREWA501(C)(3)7SHSYes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057273139262HOLDING COMPANYWA501(C)(3)12, ISHSYes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057833972614HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911180824SUPPORTWA501(C)(3)7PHS WAYes (1)
THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911293869SUPPORTCA501(C)(3)10PHS SOCALYes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911214491SUPPORTOR501(C)(3)10PHS ORYes (1)
TRI-CITIES CANCER CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911594526HEALTHCAREWA501(C)(3)3KADLECYes (1)
TRI-CITIES CANCER CENTER FOUNDATION
7350 W DESCHUTES AVE BUILDING AKENNEWICKWA99336911739024SUPPORTWA501(C)(3)12, IKADLECYes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810231777EDUCATIONMT501(C)(3)2PHSYes (1)
WESTERN HEALTHCONNECT
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057454171900SHELL CORPORATIONWA501(C)(3)12, IIPHS W WAYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (45 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
20TH STREET SURGERY LLC
1301 20TH STREET STE 140SANTA MONICACA90404731735618AMBULATORY SURGERY CENTERCAN/A00
BRIDGEPORT MEDICAL IMAGING (BMI)
4400 NE HALSEY 495PORTLANDOR97213260796953IMAGING - DIAGNOSTICSORN/A00
BROADWAY IMAGING LLC
500 W BROADWAYMISSOULAMT59802522405971MEDICAL IMAGINGMTN/A00
CENTER FOR MATERNAL NEWBORN AND CHILD
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057813526875HEALTHCARECAN/A00
CENTER FOR MEDICAL IMAGING (CMI)
4400 NE HALSEY 495PORTLANDOR97213200477972IMAGING - DIAGNOSTICSORN/A00
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY 495PORTLANDOR97213260381897RADIATION ONCOLOGYORN/A00
COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE BOX 6100NEWPORT BEACHCA92663810986844HEALTHCARECAN/A0Yes (1)
COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY
ONE CITY BLVD W STE 1100ORANGECA92868264591502HEALTHCARECAN/A0Yes (1)
COVENANT LONG-TERM CARE LP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057205033419HEALTHCARETXN/A00
FULLERTON SURGICAL CENTER LP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057470927394AMBULATORY SURGERY CENTERCAN/A0Yes (1)
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA STBURBANKCA91505954570858REAL ESTATE - MOBCAN/A00
HCSA PROPERTIES LLC
1600 M STREET NWAUBURNWA98001460620892REAL ESTATE RENTALWAN/A00
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000ORANGECA92868271000061INVESTMENTSCAN/A00
HOAG ORTHOPEDIC INSTITUTE
1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658611588294HEALTHCARECAN/A0Yes (1)
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE AANCHORAGEAK99508203906048MEDICAL IMAGINGAKN/A0Yes (1)
INLAND IMAGING LLC
801 S STEVENS STSPOKANEWA99204911855796MEDICAL IMAGINGWAN/A0Yes (1)
LSC REAL PROPERTY LLC
2301 QUAKER AVENUELUBBOCKTX79410474646059REAL ESTATETXN/A00
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREETLUBBOCKTX79410752343261HEALTHCARETXN/A00
MISSION VIEJO PARTNERS II LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823943675REAL ESTATE - MOBCAN/A0Yes (1)
NEWPORT IMAGING CENTER
360 SN MIGUELNEWPORT BEACHCA92660330191776HEALTHCARECAN/A0Yes (1)
NEWPORT SURGICAL PARTNERS LLC
27271 LAS RAMBLAS 350MISSION VIEJOCA92691392060266HEALTHCARECAN/A0Yes (1)
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAYMEDFORDOR97504450471748MEDICAL IMAGINGORN/A00
OREGON OUTPATIENT SURGERY CENTER
7300 SW CHILDS RDTIGARDOR97224223883387AMBULATORY SURGERY CENTERORN/A00
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREETSEATTLEWA98104203132044MEDICAL IMAGINGWAN/A00
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057812701056INVESTMENTSWAN/A00
PROV RADIATION ONCOLOGY DEVELOP ASSN LLC
4400 NE HALSEY 495PORTLANDOR97213260682491REAL ESTATE - MOBORN/A00
PROVIDENCE CHILDREN'S NEONATAL SVCS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057470918549NEONATAL CAREWAN/A00
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057920118807MEDICAL IMAGINGAKN/A00
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823190634INVESTMENTSWAN/A00
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE STMISSOULAMT59802841401625AMBULATORY SURGERY CENTERMTN/A00
PROVIDENCE UCLA USP SURGERY CENTER JV
14201 DALLAS PARKWAYDALLASTX75254320503030AMBULATORY SURGERY CENTERCAN/A00
PROVIDENCESILVERTON REHAB LLC
4400 NE HALSEY 425PORTLANDOR97213481287267REHAB SERVICESORN/A00
PROVIDENCEUSP SOUTH BAY SURGERY CENTERS
15305 DALLAS PKWY STE 1600 LB 28ADDISONTX75001475064486AMBULATORY SURGERY CENTERCAN/A00
PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROAD 160MISSION HILLSCA91345200684116AMBULATORY SURGERY CENTERCAN/A00
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON ST 1ST FLSEATTLEWA98104300553035HEALTHCAREWAN/A0Yes (1)
REDMOND AMBULATORY SURGERY CENTER LLC
805 MADISON ST STE 901SEATTLEWA98104813558711AMBULATORY SURGERY CENTERWAN/A0Yes (1)
SANTA ANA MOB LLC
1800 QUAIL STREET STE 100NEWPORT BEACHCA92660753205306REAL ESTATE - MOBCAN/A0Yes (1)
SJO ASC HOLDINGS LLC
1140 W LA VETA AVEORANGECA92868821655501HEALTHCARECAN/A00
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVEORANGECA92868454521884REAL ESTATECAN/A0Yes (1)
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
300 SANTANA ROW SUITE 300SAN JOSECA95128814657391HEALTHCARECAN/A00
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823352570AMBULATORY SURGERY CENTERCAN/A0Yes (1)
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300LEAWOODKS66211208187971AMBULATORY SURGERY CENTERKSN/A00
TARZANA PEDIATRIC VENTURES LLC
18321 CLARK STTARZANACA91356821308306HEALTHCARECAN/A00
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVDSPOKANEWA99204841606484HOTEL SERVICESWAN/A0Yes (1)
YELM MEDICAL OFFICE BUILDING
2840 CRITES ST SW STE 104TUMATERWA98512263685020REAL ESTATE - MOBWAN/A0Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (40 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
1221 MADISON STREET OWNERS ASSOC
747 BROADWAYSEATTLEWA98122201954319OWNERS' ASSOCIATIONWAN/AC0
ACCLARA SOLUTIONS INTERMEDIATE LLC
10713 W SAM HOUSTON PKWY N 500HOUSTONTX77064371783298HEALTHCARE FINANCIAL SERVICESTXN/AC0
AMERICAN UNITY GROUP LTD
CAPTIVE INSURANCEN/AC090 PITTS BAY ROAD HM08 PEMBROKEBDBD
AYIN HEALTH SOLUTIONS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057833037172HEALTHCAREDEN/AC0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9SPOKANEWA99204911354431CLINICAL/MEDICAL LABWAN/AC0
CARON CORPORATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057810486082MEDICAL PHYSICIAN SERVICEMTN/AC0
COMMUNITY TECHNOLOGIES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844722399IT SVCSDEN/AC0
DATU HEALTH INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057463070062IT SVCSDEN/AC0
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280SANTA MONICACA90404952880495HEALTHCARECAN/AS0
ENGAGE IT SERVICES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844058573IT SVCSDEN/AC0
HMR WEIGHT MANAGEMENT SERVICES CORP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057463598718HEALTHCAREWAN/AC0
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658330731587HEALTHCARECAN/AC0
HOAG PHYSICIAN PARTNERS
16148 SAND CANYON AVEIRVINECA92618834276044HEALTHCARECAN/AC0
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752578995INACTIVETXN/AC0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752118585HEALTHCARETXN/AC0
LUMEDIC INC (FKA LUMEDIC ACQ CO INC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057833881097HEALTHCAREWAN/AC0
MEDICAL SPECIALTIES MANAGERS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330406218HEALTHCAREWAN/AC0
MEDIREVV INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057208783763HEALTHCAREDEN/AC0
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330212905HEALTHCARECAN/AC0
PERFORMANCE HEALTH TECHNOLOGY LTD
3993 FAIRVIEW INDUSTRIAL DR SESALEMOR97302931211733HEALTHCAREORN/AC0
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461814184STRATEGIC PLANNING SERVICESCAN/AC0
PIONEER INNOVATIONS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057364818191HEALTHCARE INNOVATIONSWAN/AC0
PROVIDENCE ASSURANCE INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057208194071CAPTIVE INSURANCEAZN/AC0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057981516461IT SVCSN/AC0IN
PROVIDENCE HCC HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057HOLDING COMPANYCAN/AC0
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9SPOKANEWA99204900155714CLINICAL/MEDICAL LABWAN/AC0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057800886966PREPAID HEALTHCARECAN/AC0
PROVIDENCE HEALTH VENTURES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330122216INVESTMENTCAN/AC0
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE TAF C-9SPOKANEWA99204911216033HEALTHCAREWAN/AC0
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL STTORRANCECA90503823771547HEALTHCARECAN/AC0
QUIVIQ INC
1400-112TH AVENUE ST SUITE 100BELLEVUEWA98004833879444HEALTHCARE ANALYTICSWAN/AC0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057462340232HOLDING COMPANYCAN/AC0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461900168HEALTHCARECAN/AC0
ST JOSEPH PROF SVCS ENTERPRSES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330155323HEALTHCARECAN/AC0
TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057842092143HOLDING COMPANYDEN/AC0
TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844686520HOLDING COMPANYDEN/AC0
TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844704409HOLDING COMPANYDEN/AC0
TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057900872936HEALTHCAREWIN/AC0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057953943315INVESTMENTCAN/AC0
WESTERN HEALTHCONNECT VENTURES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057800953654INVESTMENTWAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PROVIDENCE HEALTH AND SERVICES - OR
P$334,601,601FMV
PROVIDENCE PLAN PARTNERS
P$189,516,163FMV
PROVIDENCE PLAN PARTNERS
B$965,881FMV
PROVIDENCE HEALTH ASSURANCE
Q$1,948,795FMV
PROVIDENCE PLAN PARTNERS
Q$144,603FMV
PROVIDENCE HEALTH ASSURANCE
S$140,000,000FMV

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.