2020-11-13T15:24:58-06:00 2019-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2019-01-01 910983214 SWEDISH MEDICAL CENTER FOUNDATION SWED 2062155967 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 HAROLD A VOGELSANG PRESIDENT/CDO 2062155967 2020-11-13 1 MONIKA YADAV P01473820 4158948000 104.187.159.70 2020-11-13 15:23:13 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 03333E4B0684ADD489F38648AD786F05819FFCF0 2019 2021-01-29 14:40:06Z X HAROLD A VOGELSANG 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 36905594 0 X WWW.SWEDISHFOUNDATION.ORG X 1976 WA SWEDISH MEDICAL CENTER FOUNDATION IS THE FUNDRAISING ARM OF SWEDISH HEALTH SERVICES. 14 12 0 275 5991 4980 36249656 25164289 0 0 3249079 1242758 24315 136568 39523050 26543615 9983815 12463690 0 0 2818901 3407801 0 0 3351497 1679243 2342927 14481959 18214418 25041091 8329197 114362223 133585121 4003122 3254210 110359101 130330911 X THE FOUNDATION IS COMMITTED TO SUPPORTING THE EFFORTS OF SWEDISH HEALTH SERVICES IN ADVANCING HEALTH CARE IN THE REGION AND MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY. 0 0 13485537 12463690 0 SEE SCHEDULE O.PROVIDENCERESEARCH: BECAUSE OF THE SUPPORT OF OUR COMMUNITY, WE ARE ABLE TO CONDUCT RESEARCH THAT CHANGES LIVES. FOR INSTANCE, AT THE SWEDISH CANCER INSTITUTE, THE BREAST CANCER REGISTRY CONTINUES TO BE ONE OF THE RICHEST SOURCES OF DATA AVAILABLE TO RESEARCHERS TO STUDY BREAST CANCER AND DEVELOPMENT TREATMENTS. THE SWEDISH CENTER FOR LUNG CANCER RESEARCH OFFERS ADVANCED DIAGNOSTICS THAT CAN DETECT LUNG CANCERS IN THEIR EARLIEST STAGES, WHEN THEY CAN BE MORE EFFECTIVELY TREATED. IN THE BEN & CATHERINE IVY CENTER, RESEARCHERS ARE STUDYING THE LINK BETWEEN A COMMON VIRUS AND GLIOBLASTOMA WITH A GOAL OF DEVELOPING TREATMENTS FOR ATTACKING TUMORS AS WELL AS A VACCINE THAT WOULD PREVENT THEM IN THE FIRST PLACE.SWEDISH ORTHOPEDIC INSTITUTE: THANKS TO THE SUPPORT OF OUR COMMUNITY, WE WERE ABLE TO ADVANCE A NEW MODEL OF HIP AND PELVIS CARE THROUGH THE HANSJOERG WYSS HIP AND PELVIS CENTER. THE WYSS CENTER IS TRAINING A NEW GENERATION OF HIP AND PELVIS SURGEONS WHO WANT TO CONTINUE DEVELOPING SURGICAL TECHNIQUES TO HELP PATIENTS WITH COMPLEX HIP ISSUES.NEUROSCIENCE INSTITUTE: IN THE MULTIPLE SCLEROSIS CENTER, THE SUPPORT OF OUR COMMUNITY HELPED US CONDUCT RESEARCH AND PROVIDE SUPPORTIVE CARE SERVICES FOR PATIENTS LIVING WITH MS INCLUDING FITNESS AND WELLNESS CLASSES, SUPPORT GROUPS, EDUCATIONAL EVENTS. OUR EXCITING ADVENTURE PROGRAM, WHICH ENABLES PATIENTS TO EXPERIENCE ACTIVITIES INCLUDING SKIING, CYCLING, KAYAKING AND EVEN SIMULATED INDOOR SKYDIVING, CONTINUES TO GROW ALLOWING PATIENTS WITH SYMPTOMS TO LIVE LIFE TO THE FULLEST IN A SAFE, CONFIDENT WAY.SWEDISH HEART & VASCULAR INSTITUTE: THANKS TO GENEROUS SUPPORT FROM THE COMMUNITY, THE NAVIGATION PROGRAM FOR ADVANCED CARDIOVASCULAR CARE ENSURES PATIENTS WHO MAY NEED MULTIPLE VISITS WITH MULTIPLE SUBSPECIALISTS ARE AT THE CENTER OF HOW THEIR CARE IS DELIVERED AND ARE GUIDED EVERY STEP OF THE WAY THROUGH THE COMPLEX SYSTEM. 13485537 1 1 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 X 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 X 14 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WA X JO ANN ESCASA-HAIGH 9493814000 3345 MICHELSON DRIVE SUITE 100 IRVINE CA 92612 GUY HUDSON MD BOARD MEMBER 2.00 63.00 X 0 1186290 229942 JOHN L PETERSEN MD BOARD MEMBER 1.00 49.00 X 0 718693 41887 HAROLD A VOGELSANG PRESIDENT/CDO 50.00 20.00 X 0 428567 46028 JEFFREY TREASURE TREASURER/CFO - THRU 2019 0.00 0.00 X 0 382861 15961 BETSY VO FORMER ASSISTANT SECRETARY 2.00 53.00 X 0 293820 61278 STAN MOSER TREASURER/CFO - THRU 2019 0.00 50.00 X 0 226405 49327 JESSICA HUGHES BOARD VICE CHAIR 1.00 0.00 X X 0 0 0 DIANE SABEY BOARD CHAIR 1.00 0.00 X X 0 0 0 BILL KRIPPAEHNE BOARD MEMBER 1.00 0.00 X 0 0 0 CARLA MILLAGE BOARD MEMBER 1.00 0.00 X 0 0 0 CHERYL GOSSMAN BOARD MEMBER 3.00 0.00 X 0 0 0 CHUCK LYTLE BOARD MEMBER 1.00 0.00 X 0 0 0 CONNIE WONG BOARD MEMBER 0.00 0.00 X 0 0 0 LORNE RICHMOND BOARD MEMBER 0.00 0.00 X 0 0 0 PETER CRAMER BOARD MEMBER 0.00 0.00 X 0 0 0 RAE LEMBERSKY BOARD MEMBER 1.00 0.00 X 0 0 0 SCOTT HARRISON BOARD MEMBER 1.00 0.00 X 0 0 0 TERRY LUNDEEN BOARD MEMBER 1.00 0.00 X 0 0 0 0 3236636 444423 0 1 1 0 0 779792 5497310 18887187 251386 25164289 1823822 5991 1817831 9666747 9971269 276542 -304522 -276542 -581064 -581064 250736 779792 114168 136568 136568 26543615 0 5991 1373335 12463690 12463690 3401152 1019853 339951 2041348 6649 1994 664 3991 100 65 35 138061 138061 680190 175720 504470 2097 917 1180 158060 60663 97397 15263 7040 8223 548449 442488 105961 87806 33835 53971 87321 58010 29311 24039 24039 DONOR EVENTS 363564 10363 353201 OTHER DIRECT EXPENSES 198682 56557 142125 DUES & SUBSCRIPTIONS 37157 27912 9245 SUPPLIES 1580 874 706 558 225 333 18214418 13485537 1377384 3351497 37173006 26087213 4106370 10106946 0 1751134 32252817 45023833 27368086 35761327 13461944 14854668 114362223 133585121 293245 2550166 3709877 704044 4003122 3254210 X 16383898 23483380 93975203 106847531 110359101 130330911 114362223 133585121 X 8329197 11654792 -12179 X 0 1 X 1 0 X 26169062 18684650 13967150 36249656 25415025 120485543 26169062 18684650 13967150 36249656 25415025 120485543 55306258 65179285 482539 251308 624410 1065065 1823822 4247144 22537 142559 165096 8240 3500 22453 1778 35971 124933754 0.52170 0.50450 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: SERVICE AGREEMENT FEE - 2015 AMOUNT: $ 7,500. COST RECOVERY - 2015 AMOUNT: $ 740. DISPLAY FEES - 2016 AMOUNT: $ 3,500. 2017 AMOUNT: $ 13,000. ORTHOPEDIC NURSES CONF - 2017 AMOUNT: $ 9,408. MISC INCOME - 2017 AMOUNT: $ 45. 2018 AMOUNT: $ 1,778. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 15831168 1946277 1712257 1199177 700112 17590413 16878913 312079 -831506 341838 186480 15831168 15230664 250223 1941348 472007 71315 16878913 14628379 356319 819690 573724 15230664 16069359 -80936 -1219267 140777 14628379 0.19300 0.10400 0.70300 0 0 0 ALTERNATIVE INVESTMENTS 35761327 C 35761327 PERPETUAL TRUST HELD BY THIRD PARTY 14272976 CHARITABLE REMAINDER TRUST 392692 OTHER LONG TERM ASSETS 189000 14854668 GIFT ANNUITY OBLIGATION 385303 DUE TO AFFILIATES 318741 704044 38661000 11654792 11654792 27006208 -462593 -462593 26543615 18689000 474582 474582 18214418 0 18214418 PART III, LINE 4: ART FOR PUBLIC EXHIBITION IN HOSPITAL FACILITIES. PART V, LINE 4: SWEDISH MEDICAL CENTER FOUNDATION'S ENDOWMENT FUNDS CONSIST OF INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES INCLUDING UNCOMPENSATED CARE, RESEARCH, PEDIATRICS, NEUROSCIENCES, CANCER, HEART AND VASCULAR AND WOMEN'S HEALTH AND CHILDBIRTH SERVICES. THE MAJORITY OF THESE FUNDS ARE DONOR-RESTRICTED ENDOWMENT FUNDS. NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OF DONOR-IMPOSED RESTRICTIONS. 2018 DISTRIBUTIONS WERE USED FOR EDUCATION, RESEARCH, ART EXHIBIT, AND CAPITAL PROJECTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUND EVENT EXPENSES -114,168. OTHER CHANGES -348,425. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUND EVENT EXPENSES 114,168. OTHER CHANGES 360,414. CENTRAL AMERICA AND THE CARIBBEEN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS INVESTMENTS 17298580 0 0 0 0 0 0 17298580 0 17298580 1 0 1 1 1 0 PART III ACCOUNTING METHOD: SUMMERUN 496524 360538 135986 1700 26956 BRAIN WALK 534004 419254 114750 15665 69847 1030528 779792 250736 15665 71547 26956 114168 136568 1 SWEDISH HEALTH SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 910433740 501(C)(3) 12463690 OPERATIONAL AND CAPITAL SUPPORT 1 0 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT ALONG WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION. 1 1 0 0 0 0 0 1 0 GUY HUDSON MD BOARD MEMBER 0 737879 0 445789 0 2622 0 209155 0 20787 0 1416232 0 182968 JOHN L PETERSEN MD BOARD MEMBER 0 536960 0 179111 0 2622 0 19600 0 22287 0 760580 0 0 HAROLD A VOGELSANG PRESIDENT/CDO 0 368210 0 49659 0 10698 0 17960 0 28068 0 474595 0 42150 JEFFREY TREASURE TREASURER/CFO - THRU 2019 0 234070 0 0 0 148791 0 1387 0 14574 0 398822 0 0 BETSY VO FORMER ASSISTANT SECRETARY 0 231126 0 62189 0 505 0 47915 0 13363 0 355098 0 62189 STAN MOSER TREASURER/CFO - THRU 2019 0 207894 0 0 0 18511 0 45297 0 4030 0 275732 0 10072 PART I, LINE 3 DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS TAX EXEMPT PARENT, SWEDISH HEALTH SERVICES, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: JEFFREY TREASURE - $51,153 NONQUALIFIED RETIREMENT PLAN ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: STAN MOSER - $10,072 PART I, LINE 7 NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN, WHICH IS A PERFORMANCE-BASED ANNUAL INCENTIVE PLAN THAT AFFORDS PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY. X 1 7000 FMV X 9 244386 FMV 0 1 0 PART I, COLUMN (B): THE AMOUNTS SHOWN ON PART I, COL. B REFLECT THE NUMBER OF DONATIONS RECEIVED OF THE SPECIFIC TYPE OF ITEM. FORM 990, PART V, LINE 15 INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATIONS SECTION 4960 TAX ANALYSIS AND REPORTING. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS SWEDISH HEALTH SERVICES IS THE SOLE CORPORATE MEMBER OF SWEDISH MEDICAL CENTER FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS SWEDISH MEDICAL CENTER FOUNDATION HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBER RESERVES THE RIGHT TO APPOINT DIRECTORS TO THE SWEDISH MEDICAL CENTER FOUNDATION BOARD. ALL DIRECTOR NOMINATIONS THAT COME FROM THE SWEDISH MEDICAL CENTER FOUNDATION BOARD AS NOMINATIONS MUST BE APPROVED BY SWEDISH HEALTH SERVICES, AS THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE REGULARLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY ITS TAX EXEMPT PARENT, SWEDISH HEALTH SERVICES, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN 2020. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS WITH AFFILIATED TAX-EXEMPT OBLIGATIONS 5,446. OTHER -17,625. COVENANT ACO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501(C)(3) 12,I CHS 1 COVENANT HEALTH NETWORK INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 461259908 HEALTHCARE CA 501(C)(3) 12,III SJHS 1 COVENANT HEALTH PARTNERS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 463516417 HEALTHCARE TX 501(C)(3) 12,I CHS 1 COVENANT HEALTH SYSTEM 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS 1 COVENANT HEALTH SYSTEM FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752897026 HEALTHCARE TX 501(C)(3) 7 CHS 1 COVENANT HOSPITAL HOBBS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 844273963 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 822913146 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL GROUP 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752743883 HEALTHCARE TX 501(C)(3) 3 CHS 1 E WA & MT UNEMPLOYMENT COMPENSATION INSURANCE TRUST 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911082119 UNEMPLOYMENT WA 501(C)(3) 12,I PHS WA 1 EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANS. CARE WA 501(C)(3) 10 N/A 0 FACEY MEDICAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 954322584 SUPPORT CA 501(C)(3) 7 PHS SOCAL 1 GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 201910170 SUPPORT WA 501(C)(3) 7 PHS WA 1 GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC WA 98188 273133200 HEALTHCARE WA 501(C)(3) 7 SHS 1 GRACE CLINIC OF LUBBOCK 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 203856995 HEALTHCARE TX 501(C)(3) 3 CHS 1 HMTS INC 1 HOAG DRIVE NEWPORT BEACH CA 92658 453583707 HEALTHCARE CA 501(C)(3) 12,I HMHP 1 HOAG CHARITY SPORTS 2081 BUSINESS CENTER DR STE 195 NEWPORT BEACH CA 92663 452982422 SUPPORT CA 501(C)(3) 7 HHF 1 HOAG CLINIC 1 HOAG DRIVE BOX 6100 NEWPORT BEACH CA 92658 330676831 HEALTHCARE CA 501(C)(3) 10 HMHP 1 HOAG HOSPITAL FOUNDATION 330 PLACENTIA AVE NEWPORT BEACH CA 92663 953222343 FUNDRAISING CA 501(C)(3) 7 HMHP 1 HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG ROAD BOX 6100 NEWPORT BEACH CA 92663 951643327 HEALTHCARE CA 501(C)(3) 3 CHN 1 HOSPICE OF LUBBOCK 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752133781 HEALTHCARE TX 501(C)(3) 10 CHS 1 INLAND NORTHWEST HEALTH SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911307555 HEALTHCARE WA 501(C)(3) 3 PHS WA 1 INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 814260130 HEALTHCARE WA 501(C)(3) 7 PHS SJHS 1 INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 912003593 HEALTHCARE WA 501(C)(3) 7 WHC 1 JOHN WAYNE CANCER INSTITUTE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 954291515 HEALTHCARE CA 501(C)(3) 4 PSJHC 1 KADLEC AUXILIARY INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 916033089 SUPPORT WA 501(C)(3) 12,III KRMC 1 KADLEC FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 237005501 SUPPORT WA 501(C)(3) 7 KRMC 1 KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 910655392 HEALTHCARE WA 501(C)(3) 3 WHC 1 LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 330844408 IMAGING SVCS CA 501(C)(3) 10 PHS SOCAL 1 LUBBOCK HERITAGE HOSPITAL LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 264021016 HEALTHCARE TX 501(C)(3) 3 CHS 1 LUBBOCK METHODIST HOSPITAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752220963 HEALTHCARE TX 501(C)(3) 7 CHS 1 LUNDBERG ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911562797 SUPPORT OR 501(C)(3) 7 PHS OR 1 MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 912054035 RESEARCH WA 501(C)(3) 7 SHS 1 METHODIST CHILDREN'S HOSPITAL 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752428911 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL LEVELLAND 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752246348 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL PLAINVIEW 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752426010 HEALTHCARE TX 501(C)(3) 3 CHS 1 MISSION HOSPITAL 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