PROVIDENCE WILLIAMETTE FALLS MEDICAL FOUNDATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: PROVIDENCE WILLIAMETTE FALLS MEDICAL FOUNDATION (EIN 93-1003750)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-08
IRS object ID: 202023139349300912
Schema version: 2019v5.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule I
Schedule J
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-08T17:13:28-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	560 MISSION STREET SUITE 1600	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	931003750	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE WILLAMETTE FALLS MEDICAL	BusinessNameLine1Txt
Business Name Line2	FOUNDATION	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	PROV	BusinessNameControlTxt
Phone	5036506805	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW ATTN TAX DEPT	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98057	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TIFFANY GILLESPIE	PersonNm
Person Title	EXECUTIVE DIRECTOR	PersonTitleTxt
Phone	5036506805	PhoneNum
Signature	2020-11-08	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MONIKA YADAV	PreparerPersonNm
PTIN	P01473820	PTIN
Phone	4158948000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	104.187.159.70	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-08	IPDt
IP Tm	17:11:37	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	03333E4B0684ADD489F38648AD786F05819FFCF0	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	TIFFANY GILLESPIE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW ATTN TAX DEPT	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98057	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,187,093	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://PROVIDENCEFOUNDATIONS.ORG/OUR-FOUNDATIONS	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1989	FormationYr
Legal Domicile State	OR	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O.AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	62	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$493,892	PYContributionsGrantsAmt
CY Contributions Grants	$482,604	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$370,577	PYInvestmentIncomeAmt
CY Investment Income	$556,250	CYInvestmentIncomeAmt
PY Other Revenue	$2,418	PYOtherRevenueAmt
CY Other Revenue	$28,065	CYOtherRevenueAmt
PY Total Revenue	$866,887	PYTotalRevenueAmt
CY Total Revenue	$1,066,919	CYTotalRevenueAmt
PY Grants And Similar Paid	$159,395	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$677,748	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$146,025	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$156,656	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$158,903	CYTotalFundraisingExpenseAmt
PY Other Expenses	$117,531	PYOtherExpensesAmt
CY Other Expenses	$144,216	CYOtherExpensesAmt
PY Total Expenses	$422,951	PYTotalExpensesAmt
CY Total Expenses	$978,620	CYTotalExpensesAmt
PY Revenues Less Expenses	$443,936	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$88,299	CYRevenuesLessExpensesAmt
Total Assets BOY	$12,008,801	TotalAssetsBOYAmt
Total Assets EOY	$13,308,129	TotalAssetsEOYAmt
Total Liabilities BOY	$64,375	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$89,994	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$11,944,426	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$13,218,135	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$677,748	ExpenseAmt
Grant	$677,748	GrantAmt
Revenue	$0	RevenueAmt
Desc	SEE SCHEDULE O.PROVIDENCEON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT TO FORM PROVIDENCE ST. JOSEPH HEALTH (PROVIDENCE). BY COMING TOGETHER, PROVIDENCE SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS, 1,085 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.THE FOUNDERS OF BOTH ORGANIZATIONS WERE COURAGEOUS WOMEN AHEAD OF THEIR TIME. THE SISTERS OF PROVIDENCE AND THE SISTERS OF ST. JOSEPH OF ORANGE BROUGHT HEALTH CARE AND OTHER SOCIAL SERVICES TO THE AMERICAN WEST WHEN IT WAS STILL A RUGGED, UNTAMED FRONTIER. NOW, AS WE FACE A DIFFERENT LANDSCAPE A CHANGING HEALTH CARE ENVIRONMENT WE DRAW UPON THEIR PIONEERING AND COMPASSIONATE SPIRIT TO PLAN FOR THE NEXT CENTURY OF HEALTH CARE.PROVIDENCE HEALTH & SERVICESIN 1856, MOTHER JOSEPH AND FOUR SISTERS OF PROVIDENCE ESTABLISHED HOSPITALS, SCHOOLS AND ORPHANAGES ACROSS THE NORTHWEST. OVER THE YEARS, OTHER CATHOLIC SISTERS TRANSFERRED SPONSORSHIP OF THEIR MINISTRIES TO PROVIDENCE, INCLUDING THE LITTLE COMPANY OF MARY, DOMINICANS AND CHARITY OF LEAVENWORTH. RECENTLY, SWEDISH HEALTH SERVICES, KADLEC REGIONAL MEDICAL CENTER AND PACIFIC MEDICAL CENTERS HAVE JOINED PROVIDENCE AS SECULAR PARTNERS WITH A COMMON COMMITMENT TO SERVING ALL MEMBERS OF THE COMMUNITY. ST. JOSEPH HEALTH SYSTEMIN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIFORNIA TO PROVIDE EDUCATION AND HEALTH CARE. THEY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK, TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA. REALIZING OUR MISSION - PAYMENTS TO, OR ON BEHALF OF, PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER TO PROVIDE FOR HOSPITAL RELATED PROGRAMS SUCH AS CHARITY CARE SUPPORT, COMMUNITY EDUCATION, AND CHILDREN'S MENTAL HEALTH THERAPY. ADDITIONALLY, FUNDS WERE PROVIDED FOR HOSPICE CHARITABLE CARE, HOSPICE STAFF EDUCATION AND TRAINING OF HOSPICE VOLUNTEERS.$30,000 DONATION TO THE CHILDREN'S CENTER OF CLACKAMAS COUNTY, A CENTER TO SUPPORT AND MEDICALLY ASSESS CHILDREN WHO ARE VICTIMS OF ABUSE OR NEGLECT.THIS ORGANIZATION EXTENDS THE MISSION OF THE FOUNDATION SERVING THE VULNERABLE IN THE COMMUNITY THROUGH COMPASSIONATE SERVICE.DISTRIBUTIONS TO PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER FOR CAPITALIMPROVEMENTS AND EQUIPMENT.PURCHASED BICYCLE HELMETS FROM TOP GEAR INC./ DBA HELMETS R US INC. AND PROVIDED THEM TO THE COMMUNITY BELOW COST FOR BRAIN INJURY PREVENTION AND HEALTH AWARENESS. TOP GEAR INC. / DBA HELMETS R US INC.	Desc
Total Program Service Expenses	$677,748	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	0	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	7	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JO ANN ESCASA-HAIGH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9493814000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3345 MICHELSON DRIVE SUITE 100	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
DALE HIRSCH MD
SECRETARY - PH&S PHYSICIAN	0.50	0.00	Yes (X)	Yes (X)	$0	$653,224	$65,917
TIFFANY GILLESPIE
EXECUTIVE DIRECTOR	40.00	0.00		Yes (X)	$0	$113,585	$12,293
HON RON THOM
PAST CHAIR - THRU 5/27/19	0.25	0.00	Yes (X)	Yes (X)	$0	$0	$0
PATRICIA MARKESINO
VICE CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JERRY ROBINSON MBA
TREASURER	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JEFF SUMPTER
CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
NORMA BARNEY
TRUSTEE - THRU 12/27/19	0.50	0.00	Yes (X)		$0	$0	$0
ROBERT HOOVER
TRUSTEE - THRU 12/27/19	0.25	0.00	Yes (X)		$0	$0	$0
THE HONORABLE ROBERT HERNDON
TRUSTEE - THRU 1/9/19	0.25	0.00	Yes (X)		$0	$0	$0
ALISON CRUDEN
TRUSTEE - EFF. 11/19	0.25	0.00	Yes (X)		$0	$0	$0
CHAR CHASE
TRUSTEE - EFF. 11/19	0.25	0.00	Yes (X)		$0	$0	$0
CHARLES HICKMAN MD
TRUSTEE	0.25	0.00	Yes (X)		$0	$0	$0
DAN FOWLER
TRUSTEE	0.50	0.00	Yes (X)		$0	$0	$0
DAVID LINDQUIST MD
TRUSTEE	0.25	0.00	Yes (X)		$0	$0	$0
DENIS RYAN
TRUSTEE	0.25	0.00	Yes (X)		$0	$0	$0
GREG ROGERS CPA
TRUSTEE	0.25	0.00	Yes (X)		$0	$0	$0
JAMES NELSON CRNA
TRUSTEE	0.25	0.00	Yes (X)		$0	$0	$0
PAM BLOOM
TRUSTEE	0.75	0.00	Yes (X)		$0	$0	$0
SHARON CHADWICK
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
SHERRIE HENSON
TRUSTEE	0.25	0.00	Yes (X)		$0	$0	$0
STEVE RICE
TRUSTEE	0.25	0.00	Yes (X)		$0	$0	$0
THERESA SANCHEZ
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
TONY HELBLING
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
WALT FITCH
TRUSTEE	0.25	0.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$766,809	TotReportableCompRltdOrgAmt
Total Other Compensation	$78,210	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Fundraising	$68,524	FundraisingAmt
Related Organizations	$192,336	RelatedOrganizationsAmt
All Other Contributions	$221,744	AllOtherContributionsAmt
Noncash Contributions	$32,050	NoncashContributionsAmt
Total Contributions	$482,604	TotalContributionsAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$486,674	TotalRevenueColumnAmt
Exclusion	$486,674	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$69,576	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$69,576	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,576	TotalRevenueColumnAmt
Exclusion	$69,576	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$72,206	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$68,524	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$42,945	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,261	TotalRevenueColumnAmt
Exclusion	$29,261	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$76,033	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$77,229	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,196	TotalRevenueColumnAmt
Exclusion	-$1,196	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,066,919	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$584,315	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$677,748	TotalAmt
Program Services	$677,748	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$125,878	TotalAmt
Management And General	$37,763	ManagementAndGeneralAmt
Fundraising	$88,115	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$18,339	TotalAmt
Management And General	$5,502	ManagementAndGeneralAmt
Fundraising	$12,837	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,439	TotalAmt
Management And General	$7,197	ManagementAndGeneralAmt
Fundraising	$5,242	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$59,461	TotalAmt
Management And General	$59,461	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$11,659	TotalAmt
Management And General	$7,468	ManagementAndGeneralAmt
Fundraising	$4,191	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,442	TotalAmt
Management And General	$880	ManagementAndGeneralAmt
Fundraising	$562	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,698	TotalAmt
Management And General	$11,176	ManagementAndGeneralAmt
Fundraising	$3,522	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,508	TotalAmt
Management And General	$920	ManagementAndGeneralAmt
Fundraising	$588	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,349	TotalAmt
Management And General	$1,135	ManagementAndGeneralAmt
Fundraising	$214	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$236	TotalAmt
Management And General	$144	ManagementAndGeneralAmt
Fundraising	$92	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
EVENTS	$35,164	$35,164
VOLUNTEER REIMBURSEMENT	$1,297	$338	$959
DUES & SUBSCRIPTION	$553	$216	$337
SUPPLIES	$288	$112	$176

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,561	TotalAmt
Management And General	$8,851	ManagementAndGeneralAmt
Fundraising	$7,710	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$978,620	TotalAmt
Program Services	$677,748	ProgramServicesAmt
Management And General	$141,969	ManagementAndGeneralAmt
Fundraising	$158,903	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$542,506	BOYAmt
EOY	$84,263	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$22,065	BOYAmt
EOY	$6,073	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,543	BOYAmt
EOY	$7,872	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$11,310,808	BOYAmt
EOY	$13,087,159	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$120,879	BOYAmt
EOY	$122,762	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,008,801	BOYAmt
EOY	$13,308,129	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$424	BOYAmt
EOY	$608	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$63,951	BOYAmt
EOY	$89,386	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$64,375	BOYAmt
EOY	$89,994	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,106,156	BOYAmt
EOY	$6,565,416	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,838,270	BOYAmt
EOY	$6,652,719	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$11,944,426	BOYAmt
EOY	$13,218,135	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$12,008,801	BOYAmt
EOY	$13,308,129	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$88,299	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,151,238	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$34,172	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type1	Yes (X)	SupportingOrgType1Ind
Supported Organizations	1	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	PH&S - OR DBA PROVIDENCE FALLS MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
EIN	930426018	EIN
Organization Type	3	OrganizationTypeCd
Governing Document Listed	Yes (1)	GoverningDocumentListedInd
Support	$612,452	SupportAmt
Other Support	$0	OtherSupportAmt

Field	Value	IRS element (for citing)
Supported Organizations Total	1	SupportedOrganizationsTotalCnt
Support Sum	$612,452	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (1)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	0	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	0	SupportedOrgSectionC456Ind
Supported Org Not Organized US	0	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	0	OrganizationChangeSuprtOrgInd
Support Non Supported Org	Yes (1)	SupportNonSupportedOrgInd
Payment Substantial Contribtr	0	PaymentSubstantialContribtrInd
Loan Disqualified Person	0	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	0	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	0	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	0	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	0	ExcessBusinessHoldingsRulesInd
Contribution Controller	0	ContributionControllerInd
Contribution Family	0	ContributionFamilyInd
Contribution35 Controlled	0	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	Yes (1)	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	0	OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV, SECTION A, LINE 6	FormAndLineReferenceDesc
Explanation	IN ADDITION TO THE ENTITY SPECIFICALLY INDICATED AS A SUPPORTING ORGANIZATION IN ITS GOVERNING DOCUMENTS, PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION ALSO PROVIDES SUPPORT, IN THE FORM OF GRANT PAYMENTS, TO OTHER ORGANIZATIONS DESCRIBED IN IRC SECTION 501(C)(3). THESE OTHER ORGANIZATIONS HELP FURTHER THE EXEMPT PURPOSE OF PROVIDENCE HEALTH & SERVICES - OREGON, PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION'S SOLE SUPPORTED ORGANIZATION.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,310,626	BeginningYearBalanceAmt
Contributions	$62,049	ContributionsAmt
Investment Earnings Or Losses	$1,644,301	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$391,061	GrantsOrScholarshipsAmt
Administrative Expenses	$52,200	AdministrativeExpensesAmt
End Year Balance	$10,573,715	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,437,893	BeginningYearBalanceAmt
Contributions	$15,365	ContributionsAmt
Investment Earnings Or Losses	-$72,702	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$69,930	GrantsOrScholarshipsAmt
End Year Balance	$9,310,626	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,303,602	BeginningYearBalanceAmt
Contributions	$37,356	ContributionsAmt
Investment Earnings Or Losses	$1,245,890	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$148,955	GrantsOrScholarshipsAmt
End Year Balance	$9,437,893	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,812,694	BeginningYearBalanceAmt
Contributions	$7,988	ContributionsAmt
Investment Earnings Or Losses	$502,920	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$20,000	GrantsOrScholarshipsAmt
End Year Balance	$8,303,602	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,517,806	BeginningYearBalanceAmt
Contributions	$6,660	ContributionsAmt
Investment Earnings Or Losses	-$132,184	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$492,282	GrantsOrScholarshipsAmt
Administrative Expenses	$87,306	AdministrativeExpensesAmt
End Year Balance	$7,812,694	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.56110	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.22960	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.20930	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings	$0	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
CHARITABLE GIFT ANNUITIES/TRUST FUND OBLIGATIONS	$49,277
DUE TO AFFILIATES	$37,460
OTHER LIABILITIES	$2,649

Field	Value	IRS element (for citing)
Total Liability	$89,386	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	THE INTENDED USE OF THE PWF ENDOWMENTS FUND ARE TO PROVIDE FOR PROGRAM ENHANCEMENTS, FACILITY IMPROVEMENTS, EQUIPMENT UPGRADES AND/OR OTHER ADVANCEMENT SUPPORT TO THE MEDICAL CENTER'S OPERATIONS. CHILDREN'S ENDOWMENT FUND IS FOR CHILD ABUSE ASSESSMENT, EDUCATION AND PREVENTION PROGRAMS. HOSPICE ENDOWMENT FUND IS FOR PROGRAMS RELATED TO THE DELIVERY OF HOSPICE CARE AND CHARITY CARE.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA AT THE FALLS	Event1Nm
Gross Receipts Event1	$140,730	GrossReceiptsEvent1Amt
Charitable Contri Event1	$68,524	CharitableContriEvent1Amt
Gross Revenue Event1	$72,206	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$472	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$8,041	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$21,007	FoodAndBeverageEvent1Amt
Entertainment Event1	$1,345	EntertainmentEvent1Amt
Other Direct Expenses Event1	$12,080	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$140,730	GrossReceiptsTotalAmt
Charitable Contributions Tot	$68,524	CharitableContributionsTotAmt
Gross Revenue Total Events	$72,206	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$472	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$8,041	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$21,007	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$1,345	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$12,080	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$42,945	DirectExpenseSummaryEventsAmt
Net Income Summary	$29,261	NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
PROVIDENCE HEALTH & SERVICES OREGON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510216587	501(C)(3)	$612,452	OPERATIONAL & CAPITAL SUPPORT
THE DOUGY CENTER
3909 SE 52ND AVE PO BOX 86852	PORTLAND	OR	97286	930833241	501(C)(3)	$20,000	GRIEF SUPPORT GROUPS FOR CHILDREN
CHILDREN'S CENTER OF CLACKAMAS COUNTY
1713 PENN LANE	OREGON CITY	OR	97045	753027143	501(C)(3)	$30,000	COMMUNITY CHILD WELFARE
CATHOLIC CHARITIES
2740 SE POWELL BLVD 5	PORTLAND	OR	97202	930386801	501(C)(3)	$12,500	OPERATIONAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

Field	Value	IRS element (for citing)
Person	DALE HIRSCH MD	PersonNm
Title	SECRETARY - PH&S PHYSICIAN	TitleTxt
Base Compensation Filing Org	$0	BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs	$543,502	CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization	$0	BonusFilingOrganizationAmount
Bonus Related Organizations	$44,000	BonusRelatedOrganizationsAmt
Other Compensation Filing Org	$0	OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs	$65,722	OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org	$0	DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs	$40,183	DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org	$0	NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs	$25,734	NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org	$0	TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs	$719,141	TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org	$0	CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs	$17,302	CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE HEALTH & SERVICES - OREGON, 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 4B	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: DALE HIRSCH, MD - $17,302
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.

Schedule M IRS990ScheduleM

Securities Closely Held Stock SecuritiesCloselyHeldStockGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$32,050	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE AMOUNTS SHOWN ON PART I, COL. B REFLECT THE NUMBER OF DONATIONS RECEIVED OF THE SPECIFIC TYPE OF ITEM.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 5 & PART V, LINE 2A - EMPLOYEE COMPENSATION	THE EMPLOYEES WORKING AT THE FOUNDATION ARE PAID BY PROVIDENCE HEALTH & SERVICES - OREGON EIN# 51-0216587. THEREFORE, NO W-2S ARE ISSUED BY THE REPORTING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES - OREGON IS THE SOLE CORPORATE MEMBER OF PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7A	CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION BOARD. ALL TRUSTEE NOMINATIONS THAT COME FROM THE PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH & SERVICES - OREGON, AS THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	CLASSES 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 11B	PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE REGULARLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15	PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE HEALTH & SERVICES - OREGON, 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:	NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 34,172.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (117 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
COVENANT ACO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	611573313	HEALTHCARE	TX	501(C)(3)	12,I	CHS	Yes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461259908	HEALTHCARE	CA	501(C)(3)	12,III	SJHS	Yes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	463516417	HEALTHCARE	TX	501(C)(3)	12,I	CHS	Yes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes (1)
COVENANT HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844273963	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	822913146	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL GROUP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
E WA & MT UNEMPLOYMENT COMPENSATION INSURANCE TRUST
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911082119	UNEMPLOYMENT	WA	501(C)(3)	12,I	PHS WA	Yes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128	EVERETT	WA	982065128	943264605	TRANS. CARE	WA	501(C)(3)	10		0	N/A
FACEY MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	954322584	SUPPORT	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	201910170	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104	SEATAC	WA	98188	273133200	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	203856995	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
HMTS INC
1 HOAG DRIVE	NEWPORT BEACH	CA	92658	453583707	HEALTHCARE	CA	501(C)(3)	12,I	HMHP	Yes (1)
HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195	NEWPORT BEACH	CA	92663	452982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes (1)
HOAG CLINIC
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330676831	HEALTHCARE	CA	501(C)(3)	10	HMHP	Yes (1)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	Yes (1)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100	NEWPORT BEACH	CA	92663	951643327	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
HOSPICE OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752133781	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes (1)
INLAND NORTHWEST HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911307555	HEALTHCARE	WA	501(C)(3)	3	PHS WA	Yes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	814260130	HEALTHCARE	WA	501(C)(3)	7	PHS SJHS	Yes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	912003593	HEALTHCARE	WA	501(C)(3)	7	WHC	Yes (1)
JOHN WAYNE CANCER INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	954291515	HEALTHCARE	CA	501(C)(3)	4	PSJHC	Yes (1)
KADLEC AUXILIARY INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	916033089	SUPPORT	WA	501(C)(3)	12,III	KRMC	Yes (1)
KADLEC FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	237005501	SUPPORT	WA	501(C)(3)	7	KRMC	Yes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	910655392	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330844408	IMAGING SVCS	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	264021016	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
LUBBOCK METHODIST HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752220963	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (1)
LUNDBERG ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911562797	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	912054035	RESEARCH	WA	501(C)(3)	7	SHS	Yes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643360	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
NORTHWEST HOPE & HEALING FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	200799737	SUPPORT	WA	501(C)(3)	12,I	SHS	Yes (1)
PACMED CLINICS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	562290878	HEALTHCARE	WA	501(C)(3)	10	WHC	Yes (1)
PH&S FOUNDATIONSFVSA & SCVSA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953544877	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE ALASKA FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	920093565	HEALTHCARE	AK	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911940286	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911789266	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930800140	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930692907	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	473385506	SUPPORT	WA	501(C)(3)	7		0	N/A
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	311744654	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911549796	HEALTHCARE	WA	501(C)(3)	12,II	PSJH	0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810231793	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510216587	HEALTHCARE	OR	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510216586	HEALTHCARE	WA	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911303277	HEALTHCARE	WA	501(C)(3)	3	PMWHC	Yes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	550828701	MEDICAID	OR	501(C)(4)	N/A	PHP	Yes (1)
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	320014330	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911433382	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930863097	HEALTHCARE	OR	501(C)(4)	N/A	PPP	Yes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510216589	HEALTHCARE	CA	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930921990	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	272552749	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	912077378	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510224944	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE MARIANWOOD FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	931554288	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330283773	HEALTHCARE	CA	501(C)(3)	12,I	PHS SOCAL	Yes (1)
PROVIDENCE MILWAUKIE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	943079515	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE MINISTRIES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		RELIGIOUS ORG	WA	501(C)(3)	1		0	N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911188119	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930889144	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	311629656	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911861964	HEALTHCARE	WA	501(C)(4)	N/A	PHS OR	Yes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	931231494	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	311584166	SUPPORT	WA	501(C)(3)	10	PHS WA	Yes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951684082	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	814542216	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930927320	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	912171539	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	943244854	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	811244422	HEALTHCARE	WA	501(C)(3)	12,III		0	N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	943078543	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810463482	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (1)
PROVIDENCE ST MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	452841492	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST PETER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911097056	SUPPORT	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930575982	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953264139	HEALTHCARE	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330261016	HEALTHCARE	CA	501(C)(3)	7	PTCH	Yes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	931003750	HEALTHCARE	OR	501(C)(3)	12, I	PHS OR	Yes (1)
QUEEN OF THE VALLEY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	941243669	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
REDWOOD MEMORIAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	942779313	HEALTHCARE	CA	501(C)(3)	7	RMH	Yes (1)
REDWOOD MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	941384665	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	956100079	SUPPORT	CA	501(C)(3)	7	PSJHC	Yes (1)
SANTA ROSA MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	941231005	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	611502822	PHYSN COLLAB	WA	501(C)(3)	7	WHC	Yes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	262612415	SHELL CORP	MT	501(C)(3)	1	PHS WA	0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643383	RELIGIOUS ORG	CA	501(C)(3)	1		0	N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	680395200	HEALTHCARE	CA	501(C)(3)	3	SRMH	Yes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO	0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	814791043	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953589356	HEALTHCARE	CA	501(C)(3)	12,I	PSJH	0
ST JOSEPH HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330143024	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HERITAGE HEALTHCARE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	680331084	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF EUREKA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	941156596	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643359	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
ST JUDE HOSPITAL INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643324	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
ST LUKE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	943176618	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
ST MARY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951914489	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
ST MARY OF THE PLAINS HOSPITAL FDN
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	751653181	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (1)
ST PATRICK HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	237056976	HEALTHCARE	MT	501(C)(3)	7	PHS WA	Yes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810233495	EDUCATION	MT	501(C)(3)	10	PHS WA	Yes (1)
SWEDISH EDMONDS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	272305304	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	910433740	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH MEDICAL CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	910983214	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	273139262	HOLDING CO	WA	501(C)(3)	12,I	SHS	Yes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833972614	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911180824	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911293869	SUPPORT	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911214491	SUPPORT	OR	501(C)(3)	10	PHS OR	Yes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810231777	EDUCATION	MT	501(C)(3)	2	PHS	Yes (1)
WESTERN HEALTHCONNECT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	454171900	SHELL CORPORATION	WA	501(C)(3)	12,II	PHS W WA	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (47 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
20TH STREET SURGERY LLC
1301 20TH STREET STE 140	SANTA MONICA	CA	90404	731735618	AMBULATORY SURG	CA	N/A
BROADWAY IMAGING LLC
500 W BROADWAY	MISSOULA	MT	59802	522405971	MEDICAL IMAGING	MT	N/A
CENTER FOR MATERNAL NEWBORN AND CHILD
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	813526875	HEALTHCARE	CA	N/A
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY ST BLDG II 495	PORTLAND	OR	97213	260381897	RADIATION ONCOL	OR	N/A
COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92663	810986844	HEALTHCARE	CA	N/A
COVENANT LONG-TERM CARE LP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	205033419	HEALTHCARE	TX	N/A
BRIDGEPORT MEDICAL IMAGING (BMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	260796953	IMAGING DIAG.	OR	N/A
CENTER FOR MEDICAL IMAGING (CMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	200477972	IMAGING DIAG.	OR	N/A
FULLERTON SURGICAL CENTER LP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	470927394	AMBULATORY SURG	CA	N/A
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA ST	BURBANK	CA	91505	954570858	REAL ESTATE - MOB	CA	N/A
HCSA PROPERTIES LLC
1600 M STREET NW	AUBURN	WA	98001	460620892	REAL ESTATE RENT	WA	N/A
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000	ORANGE	CA	92868	271000061	INVESTMENTS	CA	N/A
HOAG ORTHOPEDIC INSTITUTE
ONE HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	611588294	HEALTHCARE	CA	N/A
HOAG OUTPATIENT CENTERS LLC
27271 LAS RAMBLAS 350	MISSION VIEJO	CA	92691	453587572	HEALTHCARE	CA	N/A
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE A	ANCHORAGE	AK	99508	203906048	MEDICAL IMAGING	AK	N/A
INLAND IMAGING LLC
801 S STEVENS ST	SPOKANE	WA	99204	911855796	MEDICAL IMAGING	WA	N/A
LSC REAL PROPERTY LLC
2301 QUAKER AVENUE	LUBBOCK	TX	79410	474646059	REAL ESTATE	TX	N/A
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREET	LUBBOCK	TX	79410	752343261	HEALTHCARE	TX	N/A
NEWPORT BEACH ENDOSCOPY CENTER LLC
27271 LAS RAMBLAS 350	MISSION VIEJO	CA	92691	770368744	HEALTHCARE	CA	N/A
NEWPORT IMAGING CENTER
360 SAN MIGUEL	NEWPORT BEACH	CA	92660	330191776	HEALTHCARE	CA	N/A
NEWPORT SURGICAL PARTNERS LLC
27271 LAS RAMBLAS 350	MISSION VIEJO	CA	92691	392060266	HEALTHCARE	CA	N/A
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAY	MEDFORD	OR	97504	450471748	MEDICAL IMAGING	OR	N/A
OREGON OUTPATIENT SURGERY CENTER
7300 SW CHILDS RD	TIGARD	OR	97224	223883387	AMBULATORY SURG	OR	N/A
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREET	SEATTLE	WA	98104	203132044	MEDICAL IMAGING	WA	N/A
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	812701056	INVESTMENTS	WA	N/A
PROV RADIATION ONCOLOGY DEVELOP ASSN
4400 NE HALSEY 495	PORTLAND	OR	97213	260682491	REAL ESTATE - MOB	OR	N/A
PROVIDENCE CHILDREN'S NEONATAL SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	470918549	NEONATAL CARE	WA	N/A
PROVIDENCE HOUSE HEARING HEALTH CENTERS LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE	CA	N/A
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	920118807	MEDICAL IMAGING	AK	N/A
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	823190634	INVESTMENTS	WA	N/A
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE ST	MISSOULA	MT	59802	841401625	AMBULATORY SURG	MT	N/A
PROVIDENCESILVERTON REHAB LLC
4400 NE HALSEY 425	PORTLAND	OR	97213	481287267	REHAB SERVICES	OR	N/A
PROVIDENCE UCLA USP SURGERY CENTER JV
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	320503030	AMBULATORY SURG	CA	N/A
PROVIDENCEUSP SOUTH BAY SURGERY CENTERS
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	475064486	AMBULATORY SURG	CA	N/A
PROVIDENCEUSP SURGERY CENTERS LLC
11550 INDIAN HILLS ROAD 160	MISSION HILLS	CA	91345	200684116	AMBULATORY SURG	CA	N/A
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON STREET 1ST FL	SEATTLE	WA	98104	300553035	HEALTHCARE	WA	N/A
REDMOND AMBULATORY SURGERY CENTER LLC
805 MADISON ST STE 901	SEATTLE	WA	98104	813558711	AMBULATORY SURG	WA	N/A
SANTA ANA MOB LLC
1800 QUAIL STREET STE 100	NEWPORT BEACH	CA	92660	753205306	REAL ESTATE - MOB	CA	N/A
SHA LLC
12940 NORTH HIGHWAY 183	AUSTIN	TX	78750	752569094	HEALTHCARE	TX	N/A
SJO ASC HOLDINGS LLC
1140 W LA VETA AVE	ORANGE	CA	92868	821655501	HEALTHCARE	CA	N/A
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVE	ORANGE	CA	92868	454521884	REAL ESTATE	CA	N/A
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
300 SANTANA ROW STE 300	SAN JOSE	CA	95128	814657391	HEALTHCARE	CA	N/A
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	823352570	AMBULATORY SURG	CA	N/A
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300	LEAWOOD	KS	66211	208187971	AMBULATORY SURG	KS	N/A
TARZANA PEDIATRIC VENTURES LLC
18321 CLARK ST	TARZANA	CA	91356	821308306	HEALTHCARE	CA	N/A
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVD	SPOKANE	WA	99204	841606484	HOTEL SERVICES	WA	N/A
YELM MEDICAL OFFICE BUILDING
2840 CRITES ST SW STE 104	TUMATER	WA	98512	263685020	REAL ESTATE - MOB	WA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (35 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
1221 MADISON STREET OWNERS ASSOC
747 BROADWAY	SEATTLE	WA	98122	201954319	OWNERS' ASSOC.	WA	N/A	C	0
AMERICAN UNITY GROUP LTD
					CAPTIVE INSURANCE		N/A	C	0	90 PITTS BAY ROAD PEMBROKE	BD	BD
AYIN HEALTH SOLUTIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833037172	HEALTHCARE	DE	N/A	C	0
BLUETREE NETWORK INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	900872936	HEALTHCARE	WI	N/A	C	0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99220	911354431	CLIN/MED LAB	WA	N/A	C	0
CARON HEALTH CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810486082	MED PHYS SVCS	MT	N/A	C	0
COMMUNITY TECHNOLOGIES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844722399	IT SVCS	DE	N/A	C	0
DATU HEALTH INC AND SUBSIDIARIES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	463070062	IT SVCS	DE	N/A	C	0
ENGAGE IT SERVICES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844058573	IT SVCS	DE	N/A	C	0
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587	HEALTHCARE	CA	N/A	C	0
HOAG PHYSICIAN PARTNERS
16148 SAND CANYON AVE	IRVINE	CA	92618	834276044	HEALTHCARE	CA	N/A	C	0
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752578995	INACTIVE	TX	N/A	C	0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752118585	HEALTHCARE	TX	N/A	C	0
LUMEDIC ACQUISITION CO INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833881097	HEALTHCARE	WA	N/A	C	0
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD	MISSION VIEJO	CA	92691	330212905	HEALTHCARE	CA	N/A	C	0
PERFORMANCE HEALTH TECHNOLOGY LTD
3993 FAIRVIEW INDUSTRIAL DR SE	SALEM	OR	97302	931211733	HEALTHCARE	OR	N/A	C	0
MEDIREVV INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208783763	HEALTHCARE	DE	N/A	C	0
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461814184	STRAT PLAN SVCS	CA	N/A	C	0
PIONEER INNOVATIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	364818191	HEALTH INNOVATNS	WA	N/A	C	0
PROVIDENCE ASSURANCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208194071	CAPTIVE INSURANCE	AZ	N/A	C	0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	981516461	IT SVCS		N/A	C	0			IN
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99220	900155714	CLIN/MED LAB	WA	N/A	C	0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800886966	PREPAID HEALTH	CA	N/A	C	0
PROVIDENCE HEALTH VENTURES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330122216	INVESTMENT	CA	N/A	C	0
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE TAF C-9	SPOKANE	WA	99220	911216033	HEALTHCARE	WA	N/A	C	0
PROVIDENCE RCM GROUP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844686520	HOLDING COMPANY	DE	N/A	C	0
PROVIDENCE SERVICES GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844704409	HOLDING COMPANY	DE	N/A	C	0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	462340232	HOLDING COMPANY	CA	N/A	C	0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461900168	HEALTHCARE	CA	N/A	C	0
ST JOSEPH PROF SVCS ENTERPRSES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330155323	HEALTHCARE	CA	N/A	C	0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953943315	INVESTMENTS	CA	N/A	C	0
WESTERN HEALTHCONNECT VENTURES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800953654	INVESTMENTS	WA	N/A	C	0
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280	SANTA MONICA	CA	90404	952880495	HEALTHCARE	CA	N/A	S	0
GRADY BLOCKER LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	842092143	HOLDING COMPANY	DE	N/A	C	0
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL ST	TORRANCE	CA	90503	823771547	HEALTHCARE	CA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PROVIDENCE HEALTH & SERVICES - OREGON
B	$612,452	COST
PROVIDENCE HEALTH & SERVICES - OREGON
C	$192,336	COST