PROVIDENCE PLAN PARTNERS: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE PLAN PARTNERS (EIN 91-1861964)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-13
- IRS object ID
- 201903179349309420
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-13T18:39:53-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | 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 | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911861964 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE PLAN PARTNERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROV | BusinessNameControlTxt |
| Phone | 5035747500 | 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 | 980579016 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL G WHITE | PersonNm |
| Person Title | CFO/TREASURER | PersonTitleTxt |
| Phone | 5035747500 | PhoneNum |
| Signature | 2019-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EVA NITTA | PreparerPersonNm |
| PTIN | P01286320 | 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 | 2019-11-13 | IPDt |
| IP Tm | 18:38:26 | 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 | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | MICHAEL L COTTON | 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 | 980579016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $251,371,978 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE OAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,563,542 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,755,611 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $249,808,436 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $3,755,611 | PYTotalRevenueAmt |
| CY Total Revenue | $251,371,978 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,563,561 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,385,385 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $113,546,578 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $341,373 | PYOtherExpensesAmt |
| CY Other Expenses | $135,430,314 | CYOtherExpensesAmt |
| PY Total Expenses | $2,726,758 | PYTotalExpensesAmt |
| CY Total Expenses | $250,540,453 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,028,853 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $831,525 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $46,132,848 | TotalAssetsBOYAmt |
| Total Assets EOY | $59,754,393 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $32,787,391 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $45,577,411 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,345,457 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,176,982 | 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 | $207,976,894 | ExpenseAmt |
| Grant | $1,563,561 | GrantAmt |
| Revenue | $246,432,924 | RevenueAmt |
| Desc | SEE SCHEDULE OPROVIDENCE PLAN PARTNERS (PPP) FULFILLS ITS SOCIAL WELFARE PURPOSES BY FURTHERING THE HEALTHCARE SERVICES PROVIDED BY ITS AFFILIATES PROVIDENCE HEALTH PLAN (PHP) AND PROVIDENCE HEALTH ASSURANCE (PHA). BOTH ARE REGULATED HEALTH PLANS WITH ACTIVITY IN OREGON AND WASHINGTON, AND ARE RECOGNIZED AS EXEMPT UNDER IRC SEC. 501 (C)(4). PPP OPERATES AS AN INTEGRAL PART OF PHP AND PHA, PROVIDING OPERATIONAL OVERSIGHT, LEADERSHIP, POLICYMAKING, MANAGEMENT AND SUPPORT SERVICES, AND STRATEGIC PLANNING. WITHOUT PPP, PHP AND PHA WOULD NEED TO PERFORM THESE SERVICES FOR THEMSELVES. THEREFORE, BY PROVIDING THESE OPERATIONAL SERVICES, PPP ALLOWS PHP AND PHA TO FREE UP AND RE-ALLOCATE RESOURCES IN ORDER TO IMPROVE QUALITY AND BREADTH OF HEALTHCARE SERVICES TO THE SURROUNDING COMMUNITY. IN ADDITION, BECAUSE OF PPP'S PRESENCE, PHP AND PHA CAN PERFORM INITIATIVES THAT LEAD TO THE IMPROVEMENT OF HEALTHCARE THROUGH THE STUDY, TREATMENT, AND REMEDY OF HUMAN DISEASES AND DISORDERS.BRINGING A WIDE NETWORK OF HEALTHCARE PROVIDERS TO BEAR IN A MANAGED CARE PROGRAM THAT IS SUBJECT TO THE CONTROL OF A NON-PROFIT HEALTH SYSTEM CREATES AN INTEGRATED NON-PROFIT HEALTHCARE DELIVERY ORGANIZATION. IN PARTICULAR, THIS STRUCTURE AFFORDS THE PROGRAM AND ITS PARTICIPANTS SIGNIFICANT BENEFITS FROM COST EFFICIENCIES, IMPROVED COORDINATION OF CARE AND MANAGEMENT, AND GREATER ACCESS TO SPECIALIZED SERVICES NOT USUALLY FOUND IN RURAL AREAS. THE PROGRAMS WILL ALSO FOSTER STRENGTHENED MANAGEMENT AND IMPROVED ACCESS TO SOPHISTICATED SERVICES AVAILABLE THROUGH THE SYSTEM AND ITS AFFILIATED CLINICIANS.PPP PROVIDES PHP AND PHA WITH OPERATIONAL OVERSIGHT, INCLUDING PROVIDING EMPLOYEES TO BOTH ENTITIES. PPP EMPLOYS APPROXIMATELY 1164 THROUGH A LEASED EMPLOYEE AGREEMENT WITH ITS AFFILIATE PARENT PROVIDENCE HEALTH & SERVICES - OREGON, IN ORDER TO SUPPORT PHP AND PHA. THESE EMPLOYEES PERFORM ADMINISTRATIVE AND OPERATIONAL SERVICES IN ORDER TO ALLOW PHP AND PHA TO PROVIDE IMPROVED HEALTHCARE SERVICES AND ACCESS, BENEFITING THE SURROUNDING COMMUNITY. PPP CHARGES THESE ADMINISTRATIVE EXPENSES TO PHP AND PHA BASED ON TIME NECESSARY TO PERFORM THE SUPPORT SERVICES. PPP PAYS ALL ADMINISTRATIVE AND PAYROLL COSTS ON BEHALF OF PHP AND PHA, WHICH ARE LATER REIMBURSED TO PPP. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,108,446 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,551,243 | RevenueAmt |
| Desc | SEE SCHEDULE OPROVIDENCE PREFERRED PROVIDER PROGRAM (THE PROGRAM), AS PART OF PROVIDENCE PLAN PARTNERS (PPP), IS A NETWORK OF MEDICAL PRACTITIONERS, HOSPITALS AND ANCILLARY MEDICAL PROVIDERS THROUGHOUT OREGON AND SOUTHWEST WASHINGTON DESIGNED TO MANAGE THE COST, DELIVERY, AND QUALITY OF HEALTHCARE IN THESE COMMUNITIES. THE PROGRAM OFFERS EMPLOYERS, SELF-INSURED EMPLOYERS, HEALTH AND WELFARE TRUSTS AND OTHER HEALTHCARE PURCHASERS A PROGRAM FOR REDUCING THE COST OF HEALTHCARE SERVICES, WHILE MAINTAINING THE QUALITY OF MEDICAL CARE TO ENROLLEES. THE PROGRAM ACTS AS A LIAISON BETWEEN HOSPITALS AND PAYORS BY INFORMING PAYORS AND ENROLLEES OF THE AGREEMENTS ENTERED ON THEIR BEHALF BY THE PROGRAM. THE PROGRAM NEITHER ASSUMES RISK OR RESPONSIBILITY FOR PAYMENT TO HOSPITALS OR PROVIDERS NOR GUARANTEES PAYMENT BY PAYORS OR PERFORMANCE BY HOSPITALS OR PROVIDERS OF ANY OF THE TERMS OF CONDITIONS SET FORTH IN ANY PAYOR AGREEMENTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,128,749 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $824,269 | RevenueAmt |
| Desc | PROVIDENCE MANAGED CARE ORGANIZATION PROGRAM (MCO), AS PART OF PROVIDENCE PLAN PARTNERS (PPP), IS AN OREGON CERTIFIED WORKERS' COMPENSATION PROGRAM DESIGNED TO COMPLEMENT THE CLAIMS MANAGEMENT PROGRAM OF EMPLOYERS. AS SUCH, THE PROGRAM AIMS TO PROVIDE COORDINATED, HIGH QUALITY MEDICAL CARE TO WORKERS WHO SUFFER WORK-RELATED INJURIES OR ILLNESSES AND FOCUSES ON EARLY RETURN-TO-WORK STRATEGIES THAT KEEP EMPLOYEES PRODUCTIVE DURING RECOVERY. THE PROGRAM IS FUNCTIONALLY AND STRUCTURALLY SIMILAR TO PREFERRED PROVIDER PROGRAM (PPO), ALTHOUGH FOCUSED ON WORKERS' COMPENSATION ONLY. DURING 2018, THERE WERE 377,495 INDIVIDUALS THAT WERE ELIGIBLE TO USE THE PROVIDENCE MCO PROGRAM. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $210,214,089 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | 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 |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 51 | 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 | Yes (1) | NondeductibleContributionsInd |
| Nondeductible Contri Discl | Yes (1) | NondeductibleContriDisclInd |
| 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 | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | 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 | MICHAEL G WHITE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5035747500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4400 NE HALSEY BLDG 2 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97213 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JOSEPH BLANKENSHIP | ||||||||||
| DIRECTOR - EFF. 3/18 | 0.50 | 4.50 | Yes (X) | $0 | $3,750 | $0 | ||||
| DEBRA CANALES | ||||||||||
| DIRECTOR | 0.10 | 59.90 | Yes (X) | $0 | $2,732,103 | $724,111 | ||||
| MICHAEL L COTTON | ||||||||||
| PRESIDENT / CEO | 0.50 | 49.50 | Yes (X) | $0 | $1,140,991 | $481,682 | Yes (X) | |||
| ISIAAH CRAWFORD PHD | ||||||||||
| DIRECTOR | 0.10 | 4.10 | Yes (X) | $0 | $30,360 | $0 | ||||
| RHONDA MEDOWS MD | ||||||||||
| CHAIR | 0.25 | 59.75 | Yes (X) | $0 | $2,024,470 | $605,869 | Yes (X) | |||
| GILBERT RODRIGUES MD | ||||||||||
| DIRECTOR - THRU 4/18 | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | ||||
| HEATH SCHIESSER | ||||||||||
| DIRECTOR | 0.50 | 4.50 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL G WHITE | ||||||||||
| CFO/TREASURER | 0.50 | 49.50 | $0 | $653,774 | $242,337 | Yes (X) | ||||
| GREG ZAMUDIO | ||||||||||
| SECRETARY | 1.00 | 49.00 | $0 | $297,156 | $166,311 | Yes (X) | ||||
| AARON BALS | ||||||||||
| INT. CHIEF COMP. OFC. - EFF. 10/18 | 0.50 | 49.50 | $0 | $195,381 | $46,077 | Yes (X) | ||||
| STEPHANIE C DREYFUSS | ||||||||||
| DIR. NETWORK DEVELOP. | 0.40 | 39.60 | $0 | $319,711 | $84,688 | Yes (X) | ||||
| BRAD GARRIGUES | ||||||||||
| CHIEF MARKETING OFFICER | 0.50 | 49.50 | $0 | $390,240 | $61,709 | Yes (X) | ||||
| ROBERT A GLUCKMAN | ||||||||||
| CHIEF MEDICAL OFFICER | 0.50 | 49.50 | $0 | $745,900 | $314,526 | Yes (X) | ||||
| MARK JENSEN | ||||||||||
| CHIEF SERVICES OFFICER | 0.50 | 49.50 | $0 | $245,398 | $91,735 | Yes (X) | ||||
| JON MCANNIS | ||||||||||
| CHIEF INFO. OFFICER | 0.50 | 49.50 | $0 | $304,676 | $80,694 | Yes (X) | ||||
| CARRIE L SMITH | ||||||||||
| CHIEF COMPLIANCE OFFICER - THRU 9/18 | 0.50 | 49.50 | $0 | $276,644 | $35,085 | Yes (X) | ||||
| SUSAN CAMPBELL | ||||||||||
| DIRECTOR - SALES ACCT. SVCS. | 0.40 | 39.60 | $0 | $240,595 | $46,137 | Yes (X) | ||||
| ASHA N CHESNUTT MD | ||||||||||
| MEDICAL DIRECTOR | 0.40 | 39.60 | $0 | $284,587 | $40,294 | Yes (X) | ||||
| CARESSE SAKAGAWA | ||||||||||
| AVP, PRODUCT MARKETING | 0.40 | 39.60 | $0 | $242,330 | $49,564 | Yes (X) | ||||
| LAUREL C SOOT | ||||||||||
| MEDICAL DIRECTOR | 0.40 | 39.60 | $0 | $304,928 | $41,229 | Yes (X) | ||||
| ANDREW D TARAB | ||||||||||
| AVP INFORMATICS | 0.40 | 39.60 | $0 | $264,933 | $47,537 | Yes (X) | ||||
| CINDY STRAUSS | ||||||||||
| FORMER SECRETARY | 0.00 | 60.00 | $0 | $1,884,790 | $690,548 | Yes (X) | ||||
| ALISON S SCHRUPP | ||||||||||
| FORMER CHIEF ADMIN. OFF. | 0.00 | 0.00 | $0 | $157,276 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $12,739,993 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,850,133 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MULTIPLAN INC | |||||
| 535 E DIEHL RD STE 100 | NAPERVILLE | IL | 60563 | CLAIMS PROCESSING | $8,420,049 |
| COGNIZANT TRIZETTO SOFTWARE | |||||
| 3300 RIDER TRAIL S 6TH FL | EARTH CITY | MO | 63045 | CLAIMS PROCESSING | $6,896,975 |
| CHANGE HEALTHCARE SOLUTIONS | |||||
| 3055 LEBANON PIKE STE 1000 | NASHVILLE | TN | 37214 | CLAIMS PROCESSING | $4,147,751 |
| DST PHARMACY SOLUTIONS INC | |||||
| 333 W 11TH ST | KANSAS CITY | MO | 64105 | CLAIMS PROCESSING | $2,262,722 |
| COGNIZANT TECHNOLOGY SOLUTI | |||||
| 500 FRANK W BURR BLVD | TEANECK | NJ | 07666 | CONSULTANT | $2,101,997 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 63 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,563,542 | RelatedOrganizationsAmt |
| Total Contributions | $1,563,542 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MGMT FEE - REL. EXEMPT | 561000 | $246,432,924 | $246,432,924 |
| PREF. PROVIDER PROGRAM | 900099 | $2,551,243 | $2,551,243 |
| MCO ADMIN FEES | 900099 | $824,269 | $824,269 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $249,808,436 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $251,371,978 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $249,808,436 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,563,561 | TotalAmt |
| Program Services | $1,563,561 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,851,448 | TotalAmt |
| Program Services | $3,426,775 | ProgramServicesAmt |
| Management And General | $424,673 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,250,391 | TotalAmt |
| Program Services | $74,960,677 | ProgramServicesAmt |
| Management And General | $9,289,714 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,444,739 | TotalAmt |
| Program Services | $20,001,906 | ProgramServicesAmt |
| Management And General | $5,442,833 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $297,975 | TotalAmt |
| Program Services | $194,816 | ProgramServicesAmt |
| Management And General | $103,159 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,000 | TotalAmt |
| Management And General | $300,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,025,647 | TotalAmt |
| Program Services | $28,984,108 | ProgramServicesAmt |
| Management And General | $5,041,539 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,228,753 | TotalAmt |
| Program Services | $6,214,015 | ProgramServicesAmt |
| Management And General | $14,738 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,523,225 | TotalAmt |
| Program Services | $7,806,041 | ProgramServicesAmt |
| Management And General | $4,717,184 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,025,656 | TotalAmt |
| Program Services | $10,593,570 | ProgramServicesAmt |
| Management And General | $4,432,086 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,352,852 | TotalAmt |
| Program Services | $6,119,171 | ProgramServicesAmt |
| Management And General | $3,233,681 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562,000 | TotalAmt |
| Program Services | $483,726 | ProgramServicesAmt |
| Management And General | $78,274 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $846,831 | TotalAmt |
| Program Services | $583,180 | ProgramServicesAmt |
| Management And General | $263,651 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,160,837 | TotalAmt |
| Management And General | $4,160,837 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,221 | TotalAmt |
| Management And General | $52,221 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| PREMIUM TAX | $20,812,586 | $20,812,586 |
| ACA TAX | $12,667,286 | $12,667,286 |
| COVER OREGON TAX | $12,124,282 | $12,124,282 |
| ELECTRONIC CLAIMS | $820,196 | $820,196 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,629,967 | TotalAmt |
| Program Services | $2,858,193 | ProgramServicesAmt |
| Management And General | $2,771,774 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,540,453 | TotalAmt |
| Program Services | $210,214,089 | ProgramServicesAmt |
| Management And General | $40,326,364 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,346,596 | BOYAmt |
| EOY | $39,677,921 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $475,794 | BOYAmt |
| EOY | $827,428 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,500 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,909,667 | BOYAmt |
| EOY | $2,323,487 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,396,291 | BOYAmt |
| EOY | $16,925,557 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,132,848 | BOYAmt |
| EOY | $59,754,393 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,586,200 | BOYAmt |
| EOY | $7,170,251 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,028 | BOYAmt |
| EOY | $220,766 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,999,163 | BOYAmt |
| EOY | $38,186,394 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,787,391 | BOYAmt |
| EOY | $45,577,411 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,729,010 | BOYAmt |
| EOY | $9,729,010 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$14,413,589 | BOYAmt |
| EOY | $586,411 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,030,036 | BOYAmt |
| EOY | $3,861,561 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,345,457 | BOYAmt |
| EOY | $14,176,982 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,132,848 | BOYAmt |
| EOY | $59,754,393 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $831,525 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM AFFILIATES | Desc |
| Book Value | $16,925,557 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $16,925,557 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $31,568,479 |
| OTHER PAYABLES | $6,617,915 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $38,186,394 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| OREGON COMMUNITY FOUNDATION | |||||||
| 1221 SW YAMHILL STREET SUITE 100 | PORTLAND | OR | 97205 | 237315673 | 501 (c) (3) | $1,000,000 | SEE PART IV |
| PROVIDENCE PORTLAND MEDICAL FOUNDATION | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 931231494 | 501 (c) (3) | $100,000 | SEE PART IV |
| NORTHWEST CHILDREN'S OUTREACH | |||||||
| PO BOX 1604 | LAKE OSWEGO | OR | 97035 | 931315508 | 501 (c) (3) | $25,000 | SEE PART IV |
| SAVING GRACE | |||||||
| 1004 NW MILWAKEE STE 100 | BEND | OR | 97703 | 930797194 | 501 (c) (3) | $17,093 | SEE PART IV |
| HOMEPLATE YOUTH SERVICES | |||||||
| 12520 SW 3RD STREET | BEAVERTON | OR | 97005 | 261666325 | 501 (c) (3) | $17,093 | SEE PART IV |
| CATHOLIC CHARITIES | |||||||
| 2740 SE POWELL BOULEVARD | PORTLAND | OR | 97202 | 930386801 | 501 (c) (3) | $204,263 | SEE PART IV |
| NORTH BY NORTHEAST | |||||||
| 714 NE ALBERTA STREET | PORTLAND | OR | 97211 | 721618287 | 501 (c) (3) | $30,000 | SEE PART IV |
| SOCIETY OF ST VINCENT DEPAUL | |||||||
| PO BOX 42157 | PORTLAND | OR | 97242 | 930831082 | 501 (c) (3) | $28,625 | SEE PART IV |
| STAND FOR CHILDREN | |||||||
| 2121 SW BROADWAY SUITE 111 | PORTLAND | OR | 97201 | 521957214 | 501 (c) (3) | $25,000 | SEE PART IV |
| BOYS AND GIRLS CLUB | |||||||
| 8203 SE 7TH AVENUE SUITE 100 | PORTLAND | OR | 97202 | 930474800 | 501 (c) (3) | $25,000 | SEE PART IV |
| CENTRAL CITY CONCERN | |||||||
| 232 NW SIXTH AVENUE | PORTLAND | OR | 97209 | 930728816 | 501 (c) (3) | $25,000 | SEE PART IV |
| NEIGHBORHOOD HEALTH CENTER | |||||||
| 6420 SW MACADAM SUITE 300 | PORTLAND | OR | 97239 | 273524752 | 501 (c) (3) | $25,000 | SEE PART IV |
| PROJECT ACCESS NOW | |||||||
| PO BOX 10953 | PORTLAND | OR | 97296 | 208928388 | 501 (c) (3) | $25,000 | SEE PART IV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 13 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 2: | PROVIDENCE PLAN PARTNERS REQUESTS AND CONDITIONS UPON EACH OF THE FOLLOWING: 1) THE PROGRAM SUMMARY AND BUDGET; 2) VERIFICATION OF MALPRACTICE AND LIABILITY COVERAGE; 3) UPDATES PROVIDED EVERY SIX MONTHS; 4) DOCUMENTATION EVIDENCING TAX-EXEMPT OR MUNICIPAL STATUS; 5) DOCUMENTATION SHOWING THE SERVICE OF LOW INCOME AND UNINSURED REGARDLESS OF ABILITY TO PAY FOR SERVICES; 6) UPON REQUEST, FINANCIAL REPORTING OF THE BUDGETED USE OF GRANT FUNDS. |
| Part II, line 1, Column (h): | Name of Organization or Government: OREGON COMMUNITY FOUNDATION (h) Purpose of Grant or Assistance: GRANTS TO BE MADE IN SUPPORT OF ACCESS TO CARE, BEHAVIOR HEALTH, AND SOCIAL DETERMINANTS OF HEALTH AND WELL-BEING. Name of Organization or Government: PROVIDENCE PORTLAND MEDICAL FOUNDATION (h) Purpose of Grant or Assistance: ASSIST WITH MEDICAL BILLS FOR THE NEEDY. Name of Organization or Government: NORTHWEST CHILDREN'S OUTREACH (h) Purpose of Grant or Assistance: PROVIDING INFANT CARE PRODUCTS TO THE POOR AND VULNERABLE TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. Name of Organization or Government: SAVING GRACE (h) Purpose of Grant or Assistance: PROVIDING BEHAVORIAL HEALTH, SHELTER, AND EMERGENCY AND ADVOCACY SERVICES FOR SURVIVORS OF DOMESTIC VIOLENCE IN CENTRAL OREGON. Name of Organization or Government: HOMEPLATE YOUTH SERVICES (h) Purpose of Grant or Assistance: PROVIDING EDUCATION, ACCESS TO SERVICES, AND EMPOWERMENT TO YOUTH EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY. Name of Organization or Government: CATHOLIC CHARITIES (h) Purpose of Grant or Assistance: CREATING INNOVATIVE SOLUTIONS TO HOMELESSNESS, AND SUPPORTING CURRENT PROJECTS TO ADDRESS HOMELESSNESS. Name of Organization or Government: NORTH BY NORTHEAST (h) Purpose of Grant or Assistance: SUPPORT GROWTH OF OUTREACH PROGRAM TO PROVIDE PRIMARY CARE SERVICES TO MEDICAID AND MEDICARE POPULATIONS WITH CHRONIC CONDITIONS. Name of Organization or Government: SOCIETY OF ST. VINCENT DEPAUL (h) Purpose of Grant or Assistance: PROVIDING RENT AND UTILITY ASSISTANCE TO LOW-INCOME INDIVIDUALS. Name of Organization or Government: STAND FOR CHILDREN (h) Purpose of Grant or Assistance: IMPROVING ACCESS TO QUALITY EDUCATION FOR POOR AND VULNERABLE CHILDREN THROUGHOUT OREGON. Name of Organization or Government: BOYS AND GIRLS CLUB (h) Purpose of Grant or Assistance: SUPPORTING TRAUMA SERVICES AND HEALTHY LIFESTYLES PROGRAM PROMOTING OVERALL HEALTH, AND EMPOWERING THE CHILDREN THEY SERVE. Name of Organization or Government: CENTRAL CITY CONCERN (h) Purpose of Grant or Assistance: PROVIDING TRANSITIONAL HOUSING AND OUTREACH TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. Name of Organization or Government: NEIGHBORHOOD HEALTH CENTER (h) Purpose of Grant or Assistance: PROVIDING DENTAL CARE TO LOW-INCOME, UNISURED, AND UNDER-INSURED INDIVIDUALS. Name of Organization or Government: PROJECT ACCESS NOW (h) Purpose of Grant or Assistance: PROVIDING ACCESS TO CARE TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. |
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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEBRA CANALES | ||||||||||||||
| DIRECTOR | $0 | $857,075 | $0 | $881,587 | $0 | $993,441 | $0 | $706,123 | $0 | $17,988 | $0 | $3,456,214 | $0 | $949,253 |
| MICHAEL L COTTON | ||||||||||||||
| PRESIDENT / CEO | $0 | $666,873 | $0 | $373,963 | $0 | $100,155 | $0 | $459,870 | $0 | $21,812 | $0 | $1,622,673 | $0 | $66,806 |
| RHONDA MEDOWS MD | ||||||||||||||
| CHAIR | $0 | $892,539 | $0 | $881,144 | $0 | $250,787 | $0 | $585,104 | $0 | $20,765 | $0 | $2,630,339 | $0 | $207,264 |
| MICHAEL G WHITE | ||||||||||||||
| CFO/TREASURER | $0 | $324,374 | $0 | $176,389 | $0 | $153,011 | $0 | $237,609 | $0 | $4,728 | $0 | $896,111 | $0 | $131,229 |
| GREG ZAMUDIO | ||||||||||||||
| SECRETARY | $0 | $234,135 | $0 | $56,783 | $0 | $6,238 | $0 | $144,770 | $0 | $21,541 | $0 | $463,467 | $0 | $5,474 |
| AARON BALS | ||||||||||||||
| INT. CHIEF COMP. OFC. - EFF. 10/18 | $0 | $172,610 | $0 | $22,443 | $0 | $328 | $0 | $30,566 | $0 | $15,511 | $0 | $241,458 | $0 | $0 |
| STEPHANIE C DREYFUSS | ||||||||||||||
| DIR. NETWORK DEVELOP. | $0 | $260,885 | $0 | $38,152 | $0 | $20,674 | $0 | $69,960 | $0 | $14,728 | $0 | $404,399 | $0 | $2,174 |
| BRAD GARRIGUES | ||||||||||||||
| CHIEF MARKETING OFFICER | $0 | $253,162 | $0 | $117,667 | $0 | $19,411 | $0 | $42,086 | $0 | $19,623 | $0 | $451,949 | $0 | $0 |
| ROBERT A GLUCKMAN | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $402,025 | $0 | $180,326 | $0 | $163,549 | $0 | $285,098 | $0 | $29,428 | $0 | $1,060,426 | $0 | $138,634 |
| MARK JENSEN | ||||||||||||||
| CHIEF SERVICES OFFICER | $0 | $207,376 | $0 | $29,792 | $0 | $8,230 | $0 | $66,031 | $0 | $25,704 | $0 | $337,133 | $0 | $0 |
| JON MCANNIS | ||||||||||||||
| CHIEF INFO. OFFICER | $0 | $267,237 | $0 | $36,095 | $0 | $1,344 | $0 | $61,265 | $0 | $19,429 | $0 | $385,370 | $0 | $0 |
| CARRIE L SMITH | ||||||||||||||
| CHIEF COMPLIANCE OFFICER - THRU 9/18 | $0 | $194,606 | $0 | $47,278 | $0 | $34,760 | $0 | $23,724 | $0 | $11,361 | $0 | $311,729 | $0 | $8,315 |
| SUSAN CAMPBELL | ||||||||||||||
| DIRECTOR - SALES ACCT. SVCS. | $0 | $157,965 | $0 | $66,855 | $0 | $15,775 | $0 | $34,647 | $0 | $11,490 | $0 | $286,732 | $0 | $0 |
| ASHA N CHESNUTT MD | ||||||||||||||
| MEDICAL DIRECTOR | $0 | $275,408 | $0 | $6,507 | $0 | $2,672 | $0 | $13,785 | $0 | $26,509 | $0 | $324,881 | $0 | $0 |
| CARESSE SAKAGAWA | ||||||||||||||
| AVP, PRODUCT MARKETING | $0 | $216,595 | $0 | $22,836 | $0 | $2,899 | $0 | $36,771 | $0 | $12,793 | $0 | $291,894 | $0 | $0 |
| LAUREL C SOOT | ||||||||||||||
| MEDICAL DIRECTOR | $0 | $296,843 | $0 | $6,538 | $0 | $1,547 | $0 | $15,159 | $0 | $26,070 | $0 | $346,157 | $0 | $0 |
| ANDREW D TARAB | ||||||||||||||
| AVP INFORMATICS | $0 | $229,808 | $0 | $29,068 | $0 | $6,057 | $0 | $39,062 | $0 | $8,475 | $0 | $312,470 | $0 | $0 |
| CINDY STRAUSS | ||||||||||||||
| FORMER SECRETARY | $0 | $769,625 | $0 | $724,144 | $0 | $391,021 | $0 | $664,452 | $0 | $26,096 | $0 | $2,575,338 | $0 | $356,681 |
| ALISON S SCHRUPP | ||||||||||||||
| FORMER CHIEF ADMIN. OFF. | $0 | $0 | $0 | $0 | $0 | $157,276 | $0 | $0 | $0 | $0 | $0 | $157,276 | $0 | $23,101 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS RELATED ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE HEALTH & SERVICES - WASHINGTON. |
| Part I, Line 4b | ENTITIES WITHIN THE PSJH 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. CERTAIN EXECUTIVES PARTICIPATE IN A NON-QUALIFIED EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY. THE AMOUNTS SHOWN IN COLUMN F OF PART II REFLECT CURRENT YEAR PAYOUTS FROM THESE PLANS. |
| Part II - Executive Incentive Program | THE PROVIDENCE EXECUTIVE INCENTIVE PROGRAM PROVIDES A LUMP SUM AWARD ANNUALLY AS A PERCENT OF THE EXECUTIVE'S BASE PAY. PERCENT OPPORTUNITIES ARE ALIGNED WITH OUR TOTAL COMPENSATION PHILOSOPHY AS OUTLINED IN PART VI, SECTION B, LINE 15 (PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT, OFFICERS & KEY EMPLOYEES). FOR PROVIDENCE LEADERS, THE PERFORMANCE AWARD IS BASED ON THE LEVEL OF ACCOMPLISHMENT OF ANNUAL SYSTEM AND FUNCTIONAL (OR MARKET) OBJECTIVES. IN 2018, 60 PERCENT OF THE PARTICIPANT AWARDS WERE BASED ON PRE-DETERMINED ORGANIZATIONAL GOALS CONSISTENT WITH PROVIDENCE'S STRATEGIC PRIORITIES. IN 2018 THE PERCENT ALLOCATION FOR EACH OF THESE STRATEGIC PRIORITIES WAS AS OUTLINED BELOW: SYSTEM GOALS: FIRST-YEAR TURNOVER - 10% INPATIENT EXPERIENCE - 5% PATIENT EXPERIENCE - 5% MEDICAL GROUP PATIENT EXPERIENCE - 5% COMMUNITY BENEFIT - 10% CLINICAL EXCELLENCE - 15% FREE CASH FLOW - 10% THE REMAINING 40% WAS BASED ON A ROBUST SET OF FUNCTION SPECIFIC GOALS DESIGNED TO ALIGN CRITICAL MISSION AND BUSINESS DRIVERS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES - OREGON IS THE SOLE CORPORATE MEMBER OF PROVIDENCE PLAN PARTNERS. |
| Form 990, Part VI, Section A, line 7a | CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE PLAN PARTNERS HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBER RESERVES THE RIGHT TO APPOINT DIRECTORS TO THE PROVIDENCE PLAN PARTNERS BOARD. ALL DIRECTOR NOMINATIONS THAT COME FROM THE PROVIDENCE PLAN PARTNERS 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 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 AND/OR THE CONSOLIDATION OR MERGER OF THE CORPORATION. 5) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 6) TO APPROVE, ACCORDING TO ESTABLISHED GUIDELINES, ANY JOINT VENTURE OF CORPORATE AFFILIATION. 7) TO APPROVE LENDING OF CORPORATE FUNDS. 8) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR MINISTRY OR WORK OF THE CORPORATION. |
| Form 990, Part VI, Section B, line 11b | PROCESS TO REVIEW 990 THE FORM 990 WAS PREPARED BY THE TAX DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AND WAS REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD. DURING THE FINANCE AND AUDIT COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE AND AUDIT COMMITTEE CHAIR THEN PROVIDED A SUMMARY AT THE FULL BOARD MEETING. |
| Form 990, Part VI, Section B, line 12c | PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY REAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PSJH COI POLICY AND IN CONNECTION WITH THAT INDIVIDUAL SATISFYING HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY AND/OR IF AT ANY TIME AN ACTUAL, REAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PSJH CHIEF LEGAL OFFICER AND/OR THE PSJH CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR CONSIDER MATTERS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER. PSJH CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE 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 WHEN ACTION IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE PLAN TO MANAGE CONFLICTS. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF COI DISCLOSURES IS RETAINED PER 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 - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE ST. JOSEPH HEALTH'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ST. JOSEPH HEALTH 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 ST. JOSEPH HEALTH HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE ST. JOSEPH HEALTH MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE ST. JOSEPH HEALTH'S LEGAL ENTITIES. PROVIDENCE ST. JOSEPH HEALTH ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE ST. JOSEPH HEALTH HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS OFFICERS, INCLUDING OUR SENIOR EXECUTIVES. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED BY THE PROVIDENCE ST. JOSEPH HEALTH COMMITTEE. THE BOARD 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 ST. JOSEPH HEALTH 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 WHOSE REVENUE IS SIMILAR TO THAT OF PROVIDENCE ST. JOSEPH HEALTH. ADDITIONALLY, PROVIDENCE ST. JOSEPH HEALTH'S LABOR MARKET CONTINUES TO SPREAD ACROSS HEALTH CARE AND INTO GENERAL INDUSTRY. BECAUSE OF THIS, PROVIDENCE ST. JOSEPH HEALTH ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY FOR-PROFIT MARKET DATA, WHERE APPLICABLE. BASE SALARIES FOR PROVIDENCE ST. JOSEPH HEALTH EXECUTIVES ARE GENERALLY TARGETED TO THE MEDIAN LEVEL OF THE MARKET, 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. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY ACHIEVE SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE ST. JOSEPH HEALTH 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 EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS AND MIRRORS BEST PRACTICES. THE PROCESS TO REVIEW COMPENSATION WAS LAST COMPLETED MARCH 5, 2019. |
| Form 990, Part VI, Section C, line 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE PSJH COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PSJH INTERNET SITE. |
| Form 990, Part IX, line 11g | NETWORK FEES: Program service expenses 8,222,583. Total expenses 8,222,583. PURCHASED SERVICES - CONSULTING: Program service expenses 7,389,720. Management and general expenses 4,263,568. Total expenses 11,653,288. PHARMACY ADMIN FEES: Program service expenses 2,617,985. Total expenses 2,617,985. ACTUARIAL FEES: Program service expenses 884,053. Total expenses 884,053. PURCHASED SERVICES - OTHER: Program service expenses 9,869,767. Management and general expenses 777,971. Total expenses 10,647,738. |
| SUPPLEMENTAL SCHEDULE O NARRATIVE | PROVIDENCE ST. JOSEPH HEALTH SYSTEM ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS, 829 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 & SERVICES IN 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. TODAY, PROVIDENCE SERVES ALASKA, CALIFORNIA, MONTANA, OREGON AND WASHINGTON. ST. JOSEPH HEALTH SYSTEM IN 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (112 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 | 980579016 | 611573313 | HEALTHCARE | TX | 501(c)(3) | 12,I | CHS | Yes (1) | |
| COVENANT HEALTH NETWORK INC | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 461259908 | HEALTHCARE | CA | 501(c)(3) | 12,III | SJHS | Yes (1) | |
| COVENANT HEALTH PARTNERS | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 463516417 | HEALTHCARE | TX | 501(c)(3) | 12,I | CHS | Yes (1) | |
| COVENANT HEALTH SYSTEM | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 752765566 | HEALTHCARE | TX | 501(c)(3) | 3 | SJHS | Yes (1) | |
| COVENANT HEALTH SYSTEM FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 752897026 | HEALTHCARE | TX | 501(c)(3) | 7 | CHS | Yes (1) | |
| COVENANT MEDICAL CENTER | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 822913146 | HEALTHCARE | TX | 501(c)(3) | 3 | CHS | Yes (1) | |
| COVENANT MEDICAL GROUP | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 980579016 | 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 | 980579016 | 954322584 | SUPPORT | CA | 501(c)(3) | 7 | PHS SOCAL | Yes (1) | |
| GAMELIN WASHINGTON ASSOCIATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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) | |
| HMTS INC | |||||||||||
| 1 HOAG DRIVE PO BOX 6100 | NEWPORT BEACH | CA | 926586100 | 453583707 | HEALTHCARE | CA | 501(c)(3) | 12,I | HMHP | Yes (1) | |
| HOAG CHARITY SPORTS | |||||||||||
| 2081 BUSINESS CENTER DR STE 195 | IRVINE | CA | 92612 | 452982422 | SUPPORT | CA | 501(c)(3) | 7 | HHF | Yes (1) | |
| HOAG CLINIC | |||||||||||
| 1 HOAG DRIVE PO BOX 6100 | NEWPORT BEACH | CA | 926586100 | 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 DRIVE PO BOX 6100 | NEWPORT BEACH | CA | 926586100 | 951643327 | HEALTHCARE | CA | 501(c)(3) | 3 | CHN | Yes (1) | |
| HOSPICE OF LUBBOCK | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 752133781 | HEALTHCARE | TX | 501(c)(3) | 10 | CHS | Yes (1) | |
| INLAND NORTHWEST HEALTH SERVICES | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 980579016 | 814260130 | HEALTHCARE | WA | 501(c)(3) | 7 | PHS SJHS | Yes (1) | |
| INSTITUTE FOR SYSTEMS BIOLOGY | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 912003593 | HEALTHCARE | WA | 501(c)(3) | 7 | WHC | Yes (1) | |
| JOHN WAYNE CANCER INSTITUTE | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 954291515 | HEALTHCARE | CA | 501(c)(3) | 4 | PSJHC | Yes (1) | |
| KADLEC AUXILIARY INC | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 916033089 | SUPPORT | WA | 501(c)(3) | 12,III | KRMC | Yes (1) | |
| KADLEC FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 237005501 | SUPPORT | WA | 501(c)(3) | 12,I | KRMC | Yes (1) | |
| KADLEC REGIONAL MEDICAL CENTER | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 980579016 | 330844408 | IMAGING SVCS | CA | 501(c)(3) | 10 | PHS SOCAL | Yes (1) | |
| LUBBOCK METHODIST HOSPITAL FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 752220963 | HEALTHCARE | TX | 501(c)(3) | 7 | CHS | Yes (1) | |
| LUNDBERG ASSOCIATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 980579016 | 912054035 | RESEARCH | WA | 501(c)(3) | 7 | SHS | Yes (1) | |
| METHODIST CHILDREN'S HOSPITAL | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 752428911 | HEALTHCARE | TX | 501(c)(3) | 3 | CHS | Yes (1) | |
| METHODIST HOSPITAL LEVELLAND | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 752246348 | HEALTHCARE | TX | 501(c)(3) | 3 | CHS | Yes (1) | |
| METHODIST HOSPITAL PLAINVIEW | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 752426010 | HEALTHCARE | TX | 501(c)(3) | 3 | CHS | Yes (1) | |
| MISSION HOSPITAL REGIONAL MEDICAL CTR | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 951643360 | HEALTHCARE | CA | 501(c)(3) | 3 | CHN | Yes (1) | |
| NORTHWEST HOPE & HEALING FOUNDATION | |||||||||||
| PO BOX 16069 | SEATTLE | WA | 98116 | 200799737 | SUPPORT | WA | 501(c)(3) | 12,I | SHS | Yes (1) | |
| PACMED CLINICS | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 562290878 | HEALTHCARE | WA | 501(c)(3) | 10 | WHC | Yes (1) | |
| PH&S FOUNDATIONSFVSA & SCVSA | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 953544877 | HEALTHCARE | CA | 501(c)(3) | 7 | PHS SOCAL | Yes (1) | |
| PROVIDENCE ALASKA FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 920093565 | HEALTHCARE | AK | 501(c)(3) | 12,I | PHS WA | Yes (1) | |
| PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 911940286 | HEALTHCARE | OR | 501(c)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE BLANCHET ASSOCIATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 980579016 | 930800140 | SUPPORT | OR | 501(c)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE COMMUNITY HEALTH FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 930692907 | HEALTHCARE | OR | 501(c)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE DETHMAN HOUSE | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 473385506 | SUPPORT | WA | 501(c)(3) | 7 | 0 | N/A | |
| PROVIDENCE GAMELIN HOUSE ASSOCIATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 311744654 | SUPPORT | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 911549796 | HEALTHCARE | WA | 501(c)(3) | 12,II | PSJH | 0 | |
| PROVIDENCE HEALTH & SERVICES - MONTANA | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 810231793 | HEALTHCARE | MT | 501(c)(3) | 3 | PHS WA | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES - OREGON | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 510216587 | HEALTHCARE | OR | 501(c)(3) | 3 | PHS | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 510216586 | HEALTHCARE | WA | 501(c)(3) | 3 | PHS | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 911303277 | HEALTHCARE | WA | 501(c)(3) | 3 | PMWHC | Yes (1) | |
| PROVIDENCE HEALTH ASSURANCE | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 980579016 | 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 | 980579016 | 911433382 | HEALTHCARE | WA | 501(c)(3) | 7 | PHS W WA | Yes (1) | |
| PROVIDENCE HEALTH PLAN | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 980579016 | 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 | 980579016 | 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 | 980579016 | 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 | 980579016 | 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 | 980579016 | 510224944 | HEALTHCARE | CA | 501(c)(3) | 7 | PHS SOCAL | Yes (1) | |
| PROVIDENCE MARIANWOOD FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 931554288 | HEALTHCARE | WA | 501(c)(3) | 12,I | PHS W WA | Yes (1) | |
| PROVIDENCE MEDICAL INSTITUTE | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 330283773 | HEALTHCARE | CA | 501(c)(3) | 12,I | PHS SOCAL | Yes (1) | |
| PROVIDENCE MILWAUKIE FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 943079515 | HEALTHCARE | OR | 501(c)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE MINISTRIES | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | RELIGIOUS ORG | WA | 501(c)(3) | 1 | 0 | N/A | ||
| PROVIDENCE MOUNT ST VINCENT FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 911188119 | HEALTHCARE | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE NEWBERG HEALTH FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 930889144 | HEALTHCARE | OR | 501(c)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE PETER CLAVER ASSOCIATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 311629656 | SUPPORT | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE PORTLAND MEDICAL FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 931231494 | HEALTHCARE | OR | 501(c)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE ROSSI ASSOCIATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 980579016 | 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 | 980579016 | 814542216 | HEALTHCARE | CA | 501(c)(3) | 3 | PHS SOCAL | Yes (1) | |
| PROVIDENCE SEASIDE HOSPITAL FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 980579016 | 912171539 | SUPPORT | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE ST FRANCIS ASSOCIATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 943244854 | SUPPORT | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE ST JOSEPH HEALTH | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 980579016 | 943078543 | HEALTHCARE | WA | 501(c)(3) | 12,I | PHS WA | Yes (1) | |
| PROVIDENCE ST JOSEPH MEDICAL CENTER | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 810463482 | HEALTHCARE | MT | 501(c)(3) | 3 | PHS WA | Yes (1) | |
| PROVIDENCE ST MARY FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 452841492 | HEALTHCARE | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| PROVIDENCE ST PETER FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 980579016 | 930575982 | HEALTHCARE | OR | 501(c)(3) | 7 | PHS OR | Yes (1) | |
| PROVIDENCE TRINITYCARE HOSPICE | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 953264139 | HEALTHCARE | CA | 501(c)(3) | 10 | PHS SOCAL | Yes (1) | |
| PROVIDENCE TRINITYCARE HOSPICE FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 330261016 | HEALTHCARE | CA | 501(c)(3) | 7 | PTCH | Yes (1) | |
| PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 980579016 | 941243669 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS | Yes (1) | |
| REDWOOD MEMORIAL FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 942779313 | HEALTHCARE | CA | 501(c)(3) | 7 | RMH | Yes (1) | |
| REDWOOD MEMORIAL HOSPITAL | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 980579016 | 956100079 | SUPPORT | CA | 501(c)(3) | 7 | PSJHC | Yes (1) | |
| SANTA ROSA MEMORIAL HOSPITAL | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 941231005 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS | Yes (1) | |
| SEATTLE SCIENCE FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 980579016 | 262612415 | SHELL CORP | MT | 501(c)(3) | 1 | PHS WA | 0 | |
| SISTERS OF ST JOSEPH OF ORANGE | |||||||||||
| 480 S BATAVIA | ORANGE | CA | 92868 | 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 | 980579016 | 680395200 | HEALTHCARE | CA | 501(c)(3) | 3 | SRMH | Yes (1) | |
| ST JOSEPH HEALTH MINISTRY | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 980579016 | 814791043 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS | Yes (1) | |
| ST JOSEPH HEALTH SYSTEM | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 953589356 | HEALTHCARE | CA | 501(c)(3) | 12,I | PSJH | 0 | |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 330143024 | HEALTHCARE | CA | 501(c)(3) | 7 | SJHS | Yes (1) | |
| ST JOSEPH HERITAGE HEALTHCARE | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 330185031 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS | Yes (1) | |
| ST JOSEPH HOME CARE NETWORK | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 680331084 | HEALTHCARE | CA | 501(c)(3) | 10 | SJHS | Yes (1) | |
| ST JOSEPH HOSPITAL OF EUREKA | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 941156596 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS | Yes (1) | |
| ST JOSEPH HOSPITAL OF ORANGE | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 951643359 | HEALTHCARE | CA | 501(c)(3) | 3 | CHN | Yes (1) | |
| ST JUDE HOSPITAL INC | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 951643324 | HEALTHCARE | CA | 501(c)(3) | 3 | CHN | Yes (1) | |
| ST LUKE ASSOCIATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 943176618 | SUPPORT | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| ST MARY MEDICAL CENTER | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 980579016 | 751653181 | HEALTHCARE | TX | 501(c)(3) | 7 | CHS | Yes (1) | |
| ST PATRICK HOSPITAL FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 980579016 | 810233495 | EDUCATION | MT | 501(c)(3) | 10 | PHS WA | Yes (1) | |
| SWEDISH EDMONDS | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 272305304 | HEALTHCARE | WA | 501(c)(3) | 3 | WHC | Yes (1) | |
| SWEDISH HEALTH SERVICES | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 910433740 | HEALTHCARE | WA | 501(c)(3) | 3 | WHC | Yes (1) | |
| SWEDISH MEDICAL CENTER FOUNDATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 910983214 | HEALTHCARE | WA | 501(c)(3) | 7 | SHS | Yes (1) | |
| SWEDISH MJM HOLDINGS | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 273139262 | HOLDING CO | WA | 501(c)(3) | 12,I | SHS | Yes (1) | |
| THE GAMELIN ASSOCIATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 911180824 | SUPPORT | WA | 501(c)(3) | 7 | PHS WA | Yes (1) | |
| THE GAMELIN CALIFORNIA ASSOCIATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 911293869 | SUPPORT | CA | 501(c)(3) | 10 | PHS SOCAL | Yes (1) | |
| THE GAMELIN OREGON ASSOCIATION | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 911214491 | SUPPORT | OR | 501(c)(3) | 10 | PHS OR | Yes (1) | |
| UNIVERSITY OF PROVIDENCE | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 810231777 | EDUCATION | MT | 501(c)(3) | 2 | PHS | Yes (1) | |
| WESTERN HEALTHCONNECT | |||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 454171900 | SHELL CORPORATION | WA | 501(c)(3) | 12,II | PHS W WA | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (60 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 SPECIALTY SURGERY LLC | |||||||
| 11782 SW BARNES RD | PORTLAND | OR | 97225 | 263638838 | AMBULATORY SURG | OR | 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 PO BOX 6100 | NEWPORT BEACH | CA | 926586100 | 810986844 | HEALTHCARE | CA | N/A |
| COVENANT LONG-TERM CARE LP | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 205033419 | HEALTHCARE | TX | N/A |
| CTR FOR MED IMAGING-BRIDGEPORT LLC | |||||||
| 4400 NE HALSEY 495 | PORTLAND | OR | 97213 | 260796953 | IMAGING DIAG. | OR | N/A |
| CTR FOR MED IMAGING-TANASBOURNE LLC | |||||||
| 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 | 980579016 | 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 PO BOX 6100 | NEWPORT BEACH | CA | 926586100 | 611588294 | HEALTHCARE | CA | N/A |
| HOAG OUTPATIENT CENTERS LLC | |||||||
| 27271 LAS RAMBLAS 350 | MISSION VIEJO | CA | 92691 | 453587572 | HEALTHCARE | CA | 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 BAY SURGERY CENTER LLC | |||||||
| 3333 W PACIFIC COAST HWY STE 100 | NEW PORT BEACH | CA | 92663 | 562518360 | HEALTHCARE | CA | 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 |
| NORTH BAY ENDOSCOPY CENTER | |||||||
| 1383 N MCDOWELL BLVD STE 110 | PETALUMA | CA | 94954 | 611559876 | 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 TRANSITION PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 472279711 | INVESTMENTS | WA | N/A |
| PHS INVESTMENT TRUST 2015 PRIVATE ASSETS PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 473393740 | INVESTMENTS | WA | N/A |
| PHS INVESTMENT TRUST 2016 PRIVATE ASSETS PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 811532735 | INVESTMENTS | WA | N/A |
| PHS INVESTMENT TRUST 2016 PRIVATE RE PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 812960145 | INVESTMENTS | WA | N/A |
| PHS INVESTMENT TRUST BANK LOANS PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 472357735 | INVESTMENTS | WA | N/A |
| PHS INVESTMENT TRUST COMMODITIES PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 472269004 | INVESTMENTS | WA | N/A |
| PHS INVESTMENT TRUST HEDGE FUND PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 472293255 | INVESTMENTS | WA | N/A |
| PHS INVESTMENT TRUST LDI PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 472392060 | INVESTMENTS | WA | N/A |
| PHS INVESTMENT TRUST LONG TREASURIES PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 472385238 | INVESTMENTS | WA | N/A |
| PHS INVESTMENT TRUST MLP PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 472367538 | INVESTMENTS | WA | N/A |
| PHS INVESTMENT TRUST PUBLIC DEBT PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 472353569 | INVESTMENTS | WA | N/A |
| PHS INVESTMENT TRUST PUBLIC EQUITY PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 472283974 | INVESTMENTS | WA | N/A |
| PHS INVESTMENT TRUST RELATIVE VALUE PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 472314743 | INVESTMENTS | WA | N/A |
| PHS INVESTMENT TRUST RISK PARITY PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 472336377 | INVESTMENTS | WA | N/A |
| PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 812701056 | INVESTMENTS | WA | N/A |
| PHS INVESTMENT TRUST TACTICAL TRADING PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 472327491 | INVESTMENTS | WA | N/A |
| PHS INVESTMENT TRUST TIPS PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 472402609 | INVESTMENTS | WA | N/A |
| PORTLAND MEDICAL IMAGING LLC | |||||||
| 4400 NE HALSEY 495 | PORTLAND | OR | 97213 | 201054971 | IMAGING DIAGNOSTICS | OR | 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 | 980579016 | 470918549 | NEONATAL CARE | WA | N/A |
| PROVIDENCE IMAGING CENTER JOINT VENTURE | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 920118807 | MEDICAL IMAGING | AK | N/A |
| PROVIDENCE PARTNERS FOR HEALTH LLC | |||||||
| 501 S BUENA VISTA ST | BURBANK | CA | 91505 | 454041798 | CLIN QUALITY/INT | CA | N/A |
| PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO | |||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 |
| PROVIDENCEUSP SANTA CLARITA GP LLC | |||||||
| 11550 INDIAN HILLS ROAD 160 | MISSION HILLS | CA | 91345 | 202829660 | AMBULATORY SURG | CA | N/A |
| PROVIDENCEUSP SURGERY CENTERS LLC | |||||||
| 11550 INDIAN HILLS ROAD 160 | MISSION HILLS | CA | 91345 | 200905938 | AMBULATORY SURG | 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 | 980579016 | 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (26 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 | Province Or StateForeignAddress/ProvinceOrStateNm | 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 HM08 | PEMBROKE | BD | BD | ||||||
| AYIN HEALTH SOLUTIONS INC | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 833037172 | HEALTHCARE | DE | N/A | C | 0 | ||||
| BOURGET HEALTH SERVICES INC | |||||||||||||
| PO BOX 2687 | SPOKANE | WA | 99223 | 911354431 | CLIN/MED LAB | WA | N/A | C | 0 | ||||
| CARON HEALTH CORPORATION | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 810486082 | MED PHYS SVCS | MT | N/A | C | 0 | ||||
| HOAG CLINIC | |||||||||||||
| 1 HOAG DRIVE PO BOX 6100 | NEWPORT BEACH | CA | 926586100 | 330676831 | HEALTHCARE | CA | N/A | C | 0 | ||||
| DATU HEALTH INC AND SUBSIDIARIES | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 463070062 | IT SVCS | DE | N/A | C | 0 | ||||
| GRACE CLINIC OF LUBBOCK | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 203856995 | HEALTHCARE | TX | N/A | C | 0 | ||||
| GRACE CLINIC SERVICES INC | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 203857067 | HEALTHCARE | TX | N/A | C | 0 | ||||
| HOAG MANAGEMENT SERVICES INC | |||||||||||||
| 1 HOAG DRIVE PO BOX 6100 | NEWPORT BEACH | CA | 926586100 | 330731587 | HEALTHCARE | CA | N/A | C | 0 | ||||
| LUBBOCK METHODIST HOSP PRACTICE MGMT | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 752578995 | INACTIVE | TX | N/A | C | 0 | ||||
| LUBBOCK METHODIST HOSPITAL SVCS | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 752118585 | HEALTHCARE | TX | N/A | C | 0 | ||||
| LUMEDIC ACQUISITION CO INC | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 833881097 | HEALTHCARE | WA | N/A | C | 0 | ||||
| MISSION VIEJO MEDICAL VENTURES | |||||||||||||
| 27800 MEDICAL CENTER RD 354 | MISSION VIEJO | CA | 92691 | 330212905 | HEALTHCARE | CA | N/A | C | 0 | ||||
| PHN HOLDINGS | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 461814184 | STRAT PLAN SVCS | CA | N/A | C | 0 | ||||
| PIONEER INNOVATIONS INC | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 364818191 | HEALTH INNOVATNS | WA | N/A | C | 0 | ||||
| PROVIDENCE ASSURANCE INC | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 208194071 | CAPTIVE INSURANCE | AZ | N/A | C | 0 | ||||
| PROVIDENCE HEALTH CARE VENTURES INC | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 900155714 | CLIN/MED LAB | WA | N/A | C | 0 | ||||
| PROVIDENCE HEALTH NETWORK | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 800886966 | PREPAID HEALTH | CA | N/A | C | 0 | ||||
| PROVIDENCE HEALTH VENTURES INC | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 330122216 | INVESTMENT | CA | N/A | C | 0 | ||||
| ST JOSEPH HEALTH SOURCE INC | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 461900168 | HEALTHCARE | CA | N/A | C | 0 | ||||
| ST JOSEPH HEALTH | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 462340232 | HOLDING COMPANY | CA | N/A | C | 0 | ||||
| ST JOSEPH PROF SVCS ENTERPRSES INC | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 330155323 | HEALTHCARE | CA | N/A | C | 0 | ||||
| VINSERRA INC | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 953943315 | INVESTMENTS | CA | N/A | C | 0 | ||||
| WESTERN HEALTHCONNECT VENTURES INC | |||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 800953654 | INVESTMENTS | WA | N/A | C | 0 | ||||
| YAKIMA MEDICAL ARTS INC | |||||||||||||
| 611 N PERRY 100 | SPOKANE | WA | 99202 | 910787963 | RENT REAL ESTATE | WA | 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 | 0 | 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 | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PROVIDENCE HEALTH PLAN | ||
| Q | $191,062,423 | Cost |
| PROVIDENCE HEALTH AND SERVICES - OR | ||
| P | $117,707,414 | Cost |
| PROVIDENCE HEALTH ASSURANCE | ||
| Q | $55,370,501 | Cost |
| PROVIDENCE HEALTH PLAN | ||
| C | $1,167,214 | Cost |
| PROVIDENCE HEALTH ASSURANCE | ||
| C | $396,328 | Cost |