PROVIDENCE ST JOSEPH MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: PROVIDENCE ST JOSEPH MEDICAL CENTER (EIN 81-0463482)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-15
IRS object ID: 201803209349300035
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-15T21:06:12-06:00	ReturnTs
Tax Period End	2017-12-31	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	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	810463482	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE ST JOSEPH MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PROV	BusinessNameControlTxt
Phone	4255253985	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVENUE SW No 9016	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	980579016	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JO ANN ESCASA-HAIGH	PersonNm
Person Title	EVP/ASST TREASURER	PersonTitleTxt
Phone	4255253985	PhoneNum
Signature	2018-11-15	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	198.134.52.72	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2018-11-15	IPDt
IP Tm	20:09:44	IPTm
IP Timezone	PS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	F9954457A230D2217538EB78B690AB1CFA3B7FEF	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MIKE BUTLER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVENUE SW No 9016	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	980579016	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$41,043,416	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTP://MONTANA.PROVIDENCE.ORG/HOSPITALS/ST-JOSEPH	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1991	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O.AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	335	TotalEmployeeCnt
Total Volunteers	20	TotalVolunteersCnt
Total Gross UBI	$852,004	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$139,905	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$161,749	PYContributionsGrantsAmt
CY Contributions Grants	$343,599	CYContributionsGrantsAmt
PY Program Service Revenue	$33,974,939	PYProgramServiceRevenueAmt
CY Program Service Revenue	$35,504,846	CYProgramServiceRevenueAmt
PY Investment Income	$18,055	PYInvestmentIncomeAmt
CY Investment Income	$22,124	CYInvestmentIncomeAmt
PY Other Revenue	$470,440	PYOtherRevenueAmt
CY Other Revenue	$3,432,802	CYOtherRevenueAmt
PY Total Revenue	$34,625,183	PYTotalRevenueAmt
CY Total Revenue	$39,303,371	CYTotalRevenueAmt
PY Grants And Similar Paid	$73,130	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$42,423	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$16,851,948	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$17,432,664	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$21,905,760	PYOtherExpensesAmt
CY Other Expenses	$17,082,976	CYOtherExpensesAmt
PY Total Expenses	$38,830,838	PYTotalExpensesAmt
CY Total Expenses	$34,558,063	CYTotalExpensesAmt
PY Revenues Less Expenses	-$4,205,655	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,745,308	CYRevenuesLessExpensesAmt
Total Assets BOY	$16,356,241	TotalAssetsBOYAmt
Total Assets EOY	$18,214,737	TotalAssetsEOYAmt
Total Liabilities BOY	$14,373,788	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$11,248,901	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,982,453	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$6,965,836	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	$18,730,801	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$23,789,475	RevenueAmt
Desc	SEE SCHEDULE O.PROVIDENCE ST. JOSEPH HEALTH SYSTEMON 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 50 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 & SERVICESIN 1856, MOTHER JOSEPH AND FOUR SISTERS OF PROVIDENCE ESTABLISHED HOSPITALS, SCHOOLS AND ORPHANAGES ACROSS THE NORTHWEST. OVER THE YEARS, OTHER CATHOLIC SISTERS TRANSFERRED SPONSORSHIP OF THEIR MINISTRIES TO PROVIDENCE, INCLUDING THE LITTLE COMPANY OF MARY, DOMINICANS AND CHARITY OF LEAVENWORTH. RECENTLY, SWEDISH HEALTH SERVICES, KADLEC REGIONAL MEDICAL CENTER AND PACIFIC MEDICAL CENTERS HAVE JOINED PROVIDENCE AS SECULAR PARTNERS WITH A COMMON COMMITMENT TO SERVING ALL MEMBERS OF THE COMMUNITY. TODAY, PROVIDENCE SERVES ALASKA, CALIFORNIA, MONTANA, OREGON AND WASHINGTON.ST. JOSEPH HEALTH SYSTEMIN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIFORNIA TO PROVIDE EDUCATION AND HEALTH CARE. THEY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA.PROGRAM SERVICE ACCOMPLISHMENTS - ACUTE CARE - INPATIENT733 ADMISSIONSACUTE PATIENT DAYS - 2,514ACUTE CARE - OUTPATIENT49,270 PATIENT VISITSPROVIDENCE ST. JOSEPH MEDICAL CENTER IS A 22 BED ACUTE CARE HOSPITAL PROVIDING A WIDE RANGE OF MEDICAL SERVICES TO THE COMMUNITY WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR THESE SERVICES. INCLUDED IN OPERATIONS IS A PRIMARY CLINIC PRACTICE AND AN ASSISTED LIVING FACILITY.OUR MISSION - AS PEOPLE OF PROVIDENCE, WE REVEAL GOD'S LOVE FOR ALL, ESPECIALLY THE POOR AND VULNERABLE, THROUGH OUR COMPASSIONATE SERVICE. OUR CORE VALUES - RESPECT, COMPASSION, JUSTICE, EXCELLENCE, AND STEWARDSHIPFEBRUARY IS HEART HEALTH MONTH AND HERE AT ST. JOES WE CONTINUE TO SHOW OUR COMMITMENT TO COMMUNITY HEALTH AND WELLNESS. NATIONAL WEAR RED DAYPROVIDENCE ST. JOSEPH MEDICAL CENTER ENCOURAGED CAREGIVERS TO WEAR RED ON NATIONAL WEAR RED DAY, FRIDAY, FEBRUARY 3RD, 2017 IN AN EFFORT TO RAISE AWARENESS ABOUT WOMEN'S HEALTH. 80% OF CARDIAC EVENTS IN WOMEN COULD BE PREVENTED IF WOMEN MADE THE RIGHT CHOICES FOR THEIR HEARTS INVOLVING DIET, EXERCISE AND ABSTINENCE FROM SMOKING. DURING FEBRUARY ST JOES OFFERED THE FOLLOWING SCREENINGS:LIPID PROFILE COMMUNITY MEMBERS RECEIVED A LIPID PROFILE AT NO CHARGE.CARDIAC HEALTH PROFILECOMMUNITY MEMBERS WERE ALSO OFFERED A CARDIAC HEALTH PROFILE. THIS PROFILE INCLUDED: COMPLETE METABOLIC PANEL, COMPLETE BLOOD COUNT & THYROID STIMULATING HORMONE LAB TESTS. BASELINE EKGALL EKGS WERE READ BY A CARDIOLOGIST FROM THE INTERNATIONAL HEART INSTITUTE IN MISSOULA.CPR CLASSESFREE HEART SAVER CPR CLASSES WERE OFFERED IN FEBRUARY. IN HONOR OF HEART HEALTH MONTH, PROVIDENCE ST. JOSEPH MEDICAL CENTER HELD COURSES IN FEBRUARY AND CONDUCTED THE CLASSROOM, VIDEO-BASED COURSE TO TEACH ADULT CPR AND AED USE, AS WELL AS HOW TO RELIEVE CHOKING IN AN ADULT. THIS COURSE WAS FOR ANYONE WITH LIMITED OR NO MEDICAL TRAINING WHO NEEDED A COURSE COMPLETION CARD IN CPR AND AED USE TO MEET JOB REQUIREMENTS OR FOR GENERAL PREPAREDNESS. REACH AND READ PROGRAM:PROVIDENCE ST. JOSEPH MEDICAL CENTER CAREGIVERS INTRODUCED THE REACH OUT AND READ PROGRAM TO ST. JOE'S.REACH OUT AND READ IS A NONPROFIT ORGANIZATION THAT GIVES YOUNG CHILDREN A FOUNDATION FOR SUCCESS BY INCORPORATING BOOKS INTO PEDIATRIC CARE AND ENCOURAGING FAMILIES TO READ ALOUD TOGETHER.THE REACH OUT AND READ EVIDENCE-BASED PROGRAM BUILDS ON THE UNIQUE RELATIONSHIP BETWEEN PARENTS AND MEDICAL PROVIDERS TO DEVELOP CRITICAL EARLY READING SKILLS IN CHILDREN, BEGINNING IN INFANCY. AS RECOMMENDED BY THE AMERICAN ACADEMY OF PEDIATRICS, REACH OUT AND READ INCORPORATES EARLY LITERACY INTO PEDIATRIC PRACTICE, EQUIPPING PARENTS WITH TOOLS AND KNOWLEDGE TO ENSURE THAT THEIR CHILDREN ARE PREPARED TO LEARN WHEN THEY START SCHOOL.REACH OUT AND READ SERVES NEARLY 4.5 MILLION CHILDREN AND THEIR FAMILIES ANNUALLY. REACH OUT AND READ FAMILIES READ TOGETHER MORE OFTEN, AND THEIR CHILDREN ENTER KINDERGARTEN WITH LARGER VOCABULARIES AND STRONGER LANGUAGE SKILLS. DURING THE PRESCHOOL YEARS, CHILDREN SERVED BY REACH OUT AND READ SCORE THREE TO SIX MONTHS AHEAD OF THEIR NON-REACH OUT AND READ PEERS ON VOCABULARY TESTS. THESE EARLY FOUNDATIONAL LANGUAGE SKILLS HELP START CHILDREN ON A PATH OF SUCCESS WHEN THEY ENTER SCHOOL.A NEW PHYSICIAN JOINED THE SURGICAL STAFF AT PROVIDENCE ST. JOSEPH MEDICAL CENTER. THE PHYSICIAN JOINED THE GROWING GROUP OF SURGEONS DEDICATED TO SERVING LAKE COUNTY AND THE MISSION VALLEY. AS THE ONLY FULL-TIME GENERAL SURGEON IN OUR COMMUNITY, THE PHYSICIAN OFFERS NEARLY A DECADE OF EXPERIENCE IN A RANGE OF PROCEDURES, INCLUDING COLONOSCOPIES, HERNIA REPAIR AND GALL BLADDER AND APPENDIX SURGERIES. HE JOINS OUR TEAM ALREADY PROVIDING SURGICAL EXPERTISE IN ORTHOPEDICS AND OB-GYN.28 CAREGIVERS FROM PROVIDENCE ST. JOSEPH MEDICAL CENTER AND THE MONTANA CANCER CENTER PARTICIPATED IN THE 8TH ANNUAL WOMEN 4 WELLNESS EVENT. CAREGIVERS REPRESENTING ST. JOSEPH'S OB-GYN AND FAMILY PRACTICE DEPARTMENTS WERE ON HAND SUPPLYING INFORMATION. A PEDIATRICIAN WAS ON HAND, PLUS CAREGIVERS SUPPLYING INFORMATION ABOUT IMMUNIZATIONS AND THE LAKE SHORE PHARMACY. THE TRUE HEROES WERE THE CAREGIVERS WHO DREW BLOOD FOR THE FREE COMPREHENSIVE METABOLIC PANELS, COMPLETE BLOOD COUNT AND THYROID STIMULATING HORMONE TESTS. OVER 300 TESTS WERE PERFORMED.MONTANA GOVERNOR STEVE BULLOCK VISITED PROVIDENCE ST. JOSEPH MEDICAL CENTER IN SEPTEMBER. THE STOP WAS PART OF THE GOVERNOR'S "INNOVATE & EDUCATE" TOUR WHICH HIGHLIGHTS NEW EDUCATION INITIATIVES. THE GOVERNOR WAS INTERESTED IN LEARNING ABOUT THE POLSON HIGH SCHOOL - PROVIDENCE ST. JOSEPH MEDICAL CENTER STUDENT INTERNSHIP PROGRAM. GOVERNOR BULLOCK SPENT ABOUT 20 MINUTES INTERACTING WITH PROGRAM ADMINISTRATORS AND FORMER STUDENTS AND THEN ANOTHER 25 MINUTES VISITING VARIOUS HOSPITAL DEPARTMENTS BEFORE CONCLUDING HIS TOUR.THE MONTANA SUPERINTENDENT OF PUBLIC INSTRUCTION VISITED PROVIDENCE ST. JOSEPH MEDICAL CENTER IN SEPTEMBER TO RECEIVE FIRST-HAND KNOWLEDGE OF THE ST. JOSEPH AND POLSON HIGH SCHOOL STUDENT INTERNSHIP PROGRAM.SHE MET WITH PAST AND CURRENT STUDENTS, SCHOOL ADMINISTRATORS AND ST. JOSEPH PROGRAM DIRECTORS TO LEARN MORE ABOUT THE PROGRAM. SHE WAS INTERESTED IN FINDING OUT WHAT MAKES THE PROGRAM SUCCESSFUL AND WHAT CHALLENGES WERE FACED.PROVIDENCE ST. JOSEPH MEDICAL CENTER CELEBRATED BREAST CANCER AWARENESS MONTH WITH THREE PINKALICIOUS LADIES NIGHT OUT EVENTS. COMMUNITY MEMBERS WERE OFFERED FREE MAMMOGRAMS. OB/GYNS WERE AVAILABLE TO ANSWER QUESTIONS AND OFFER BREAST EXAMS.THE ARRIVAL OF A NEW PEDIATRICIAN MARKS THE FIRST PERMANENT PEDIATRICIAN ON STAFF AT THE HOSPITAL IN FIVE YEARS, AND SHE BECOMES THE ONLY FULL-TIME PEDIATRICIAN SERVING PATIENTS FROM ARLEE TO THE SHORES OF FLATHEAD LAKE.A NATUROPATHIC PHYSICIAN FROM PROVIDENCE MEDICAL GROUP - WOMEN'S CARE AND FAMILY WELLNESS IN MISSOULA, BEGAN A MONTHLY OUTREACH TO PROVIDENCE ST. JOSEPH MEDICAL CENTER IN POLSON.AS A SPECIALIST IN NATUROPATHIC MEDICINE, THE PHYSICIAN TREATS THE WHOLE BODY, NOT JUST THE DISEASE OR PATHOLOGY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$9,721,142	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$12,346,556	RevenueAmt
Desc	SEE SCHEDULE O.PRIMARY CARE - 44,067 VISITSSEE PART III, LINE 4A.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,203,635	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,528,704	RevenueAmt
Desc	SEE SCHEDULE O.LTC/HOSPICE/HOUSING & ASSISTED LIVING - 13,666 DAYS FOR LONG-TERM CARE/ASST.ST. JOSEPH ASSISTED LIVING IS THE FIRST PHASE OF ST. JOSEPH RETIREMENT COMMUNITY, A MULTI-PHASE SENIOR RETIREMENT CAMPUS LOCATED ON THE GROUNDS OF ST. JOSEPH HOSPITAL IN POLSON, MT. THE ASSISTED LIVING CENTER WAS THOUGHTFULLY DESIGNED WITH THE PURPOSE OF CREATING A WARM AND COMFORTABLE ATMOSPHERE. THE LIBRARY/LIVING AREA IS AN IRRESISTIBLE GATHERING PLACE WHERE THE WARMTH OF FIREPLACES MINGLES WITH BEAUTIFUL ART AND FURNISHINGS.THE CENTRALLY LOCATED DINING ROOM SERVES NUTRITIOUS, HOME COOKED MEALS THREE TIMES A DAY IN A PLEASANT AND SOCIAL ENVIRONMENT.THE ASSISTED LIVING PROGRAM IS BASED ON THE PRINCIPLES OF CHOICE, DIGNITY, INDEPENDENCE, PRIVACY, INDIVIDUALITY AND HOMELIKE SURROUNDINGS. THE PROGRAM IS DESIGNED FOR SENIORS WHO DESIRE OR NEED TO HAVE SOME ADDITIONAL PERSONAL ASSISTANCE WITH MANAGING THEIR DAILY ACTIVITIES.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$42,423	ExpenseAmt
Grant	$42,423	GrantAmt
Revenue	$0	RevenueAmt
Desc	GRANTS & ALLOCATIONS - VARIOUS GRANTS WERE MADE TO LOCAL ORGANIZATIONS IN AN ATTEMPT TO CREATE HEALTHIER COMMUNITIES TOGETHER. THIS INCLUDED FUNDING FOR SPORTS PHYSICAL EXAMS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$42,423	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$42,423	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$29,698,001	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	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	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
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
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	335	EmployeeCnt
Employment Tax Returns Filed	0	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	9493814000	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (52 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
DICK P ALLEN
DIRECTOR	0.10	0.00	Yes (X)	$0	$30,360	$0
RICHARD BLAIR
BOARD CHAIR	0.10	0.00	Yes (X)	$0	$60,360	$0
ISIAAH CRAWFORD PHD
DIRECTOR	0.10	0.00	Yes (X)	$0	$30,360	$0
LUCILLE DEAN SP
DIRECTOR	0.10	0.00	Yes (X)	$0	$0	$0
SR DIANE HEJNA CSJ RN
DIRECTOR	0.10	0.00	Yes (X)	$0	$0	$0
MICHAEL HOLCOMB
DIRECTOR	0.10	0.00	Yes (X)	$0	$30,360	$0
SR PHYLLIS HUGHES RSM DRPH
DIRECTOR	0.10	0.00	Yes (X)	$0	$0	$0
SALLYE LINER MSN RN
DIRECTOR	0.10	0.00	Yes (X)	$0	$25,360	$0
MARY LYONS PHD
DIRECTOR	0.10	0.00	Yes (X)	$0	$30,360	$0
WALTER NOCE JR
DIRECTOR	0.10	0.00	Yes (X)	$0	$30,360	$0
DAVE OLSEN
BOARD VICE CHAIR	0.10	0.00	Yes (X)	$0	$30,360	$0
CAROLINA REYES MD
DIRECTOR	0.10	0.00	Yes (X)	$0	$30,360	$0
PHOEBE YANG
DIRECTOR	0.10	0.00	Yes (X)	$0	$25,360	$0
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	0.10	0.00		$0	$248,186	$20,012	Yes (X)
MIKE BUTLER
PRESIDENT	0.10	0.00		$0	$2,529,152	$2,095,457	Yes (X)
VENKAT BHAMIDIPATI
EVP/TREASURER	0.10	0.00		$0	$638,309	$847,978	Yes (X)
JO ANN ESCASA-HAIGH
EVP / ASSISTANT TREASURER	0.10	0.00		$0	$1,372,090	$667,685	Yes (X)
CINDY STRAUSS
SECRETARY	0.10	0.00		$0	$1,743,082	$1,020,214	Yes (X)
TAMMY TEODOSIO
ASSISTANT SECRETARY	0.10	0.00		$0	$117,493	$23,110	Yes (X)
JOHN WHIPPLE
ASSISTANT SECRETARY	0.10	0.00		$0	$754,801	$485,048	Yes (X)
JEFFREY FEE
CE/WESTERN MT. REGION	10.00	40.00		$0	$1,552,147	$24,922		Yes (X)
ROBERT HELLRIGEL
SVP-CE / SENIOR & COMM. SERVICES	0.10	54.90		$0	$600,911	$471,983		Yes (X)
JAMES KISER
CEO/PSJMC	44.90	0.10		$324,772	$0	$64,601		Yes (X)
REBECCA BONTADELLI
ER PHYSICIAN	50.00	0.00		$344,820	$0	$34,727			Yes (X)
KENNETH GALEWYRICK
PHYSICIAN	50.00	0.00		$348,819	$0	$33,446			Yes (X)
ROBIN HAPE
PHYSICIAN - SURGERY	50.00	0.00		$435,031	$0	$46,028			Yes (X)
JOSEPH HOWARD
PHYSICIAN	50.00	0.00		$341,436	$0	$26,748			Yes (X)
MICHAEL RIGHETTI
PHYSICIAN - ORTHOPEDICS	50.00	0.00		$424,306	$0	$39,613			Yes (X)
ROD HOCHMAN MD
FORMER - PRESIDENT/CEO	0.00	65.00		$0	$5,269,095	$6,313,965				Yes (X)
TODD HOFHEINS
FORMER - EVP/CFO/TREAS.	0.00	60.00		$0	$2,139,115	$45,475				Yes (X)
DAVID BROWN
VP/STRATEGY & BUSINESS DEVELOPMENT	0.00	55.00		$0	$700,284	$457,360				Yes (X)
DEBBIE BURTON
SVP/ CHIEF NRSG. OFFICER	0.00	60.00		$0	$776,449	$387,202				Yes (X)
DEBRA CANALES
EVP/CAO	0.00	60.00		$0	$1,674,402	$1,236,264				Yes (X)
AMY COMPTON-PHILLIPS
EVP / CHIEF CLINICAL OFFICER	0.00	55.00		$0	$1,491,216	$1,024,801				Yes (X)
MARY CRANSTOUN
VP/TOTAL REWARDS	0.00	60.00		$0	$705,406	$482,346				Yes (X)
JOHN FLETCHER
FORMER VP/OPERATIONS SUPPORT	0.00	0.00		$0	$103,971	$20,386				Yes (X)
MARK GARGETT
VP/DIGITAL INTEGRATION	0.00	50.00		$0	$732,000	$324,249				Yes (X)
JOEL GILBERTSON
SVP/COMMUNITY PARTNERSHIPS	0.00	60.00		$0	$856,315	$552,384				Yes (X)
OREST HOLUBEC
SVP/CHIEF COMM./EXT. AFFAIRS OFFICER	0.00	55.00		$0	$788,870	$484,008				Yes (X)
AARON MARTIN
SVP/STRATEGY & INNOVATION	0.00	70.00		$0	$900,371	$716,019				Yes (X)
TOM MCDONAGH
VP/CHIEF INVESTMENT OFFICER	0.00	58.00		$0	$830,622	$546,487				Yes (X)
RHONDA MEDOWS MD
EVP/POPULATION HEALTH	0.00	60.00		$0	$1,582,404	$1,126,342				Yes (X)
JACK MUDD - THRU 316
SVP/MISSION LEADERSHIP	0.00	0.00		$0	$439,799	$277,760				Yes (X)
JANICE NEWELL
SVP/CHIEF INFORMATION OFFICER	0.00	60.00		$0	$1,396,825	$738,630				Yes (X)
HARVEY SMITH
SVP/CHIEF CUSTOMER SVC. OFFICER	0.00	50.00		$0	$1,048,182	$47,496				Yes (X)
TERRY SMITH
FORMER SVP/MANAGEMENT SVCS	0.00	0.00		$213,516	$0	$18,997				Yes (X)
PAUL STODDART - THRU 916
VP/MARKETING	0.00	55.00		$0	$175,547	$8,264				Yes (X)
GREG TILL
VP/CHIEF TALENT OFFICER	0.00	65.00		$0	$713,560	$491,592				Yes (X)
SHARON TONCRAY
SVP / CHIEF LABOR EMPLOYEE COUNSEL	0.00	60.00		$0	$766,529	$557,321				Yes (X)
LISA VANCE
SVP/CLINICAL PROGRAM SERVICES	0.00	60.00		$0	$1,691,101	$682,325				Yes (X)
MIKE WATERS
VP,CAO/PHYSICIAN SERVICES	0.00	60.00		$0	$642,910	$463,750				Yes (X)
CRAIG WRIGHT MD
FORMER - SVP/PHYSICIAN SERVICES	0.00	0.00		$0	$245,590	$10,916				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,432,700	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$35,550,334	TotReportableCompRltdOrgAmt
Total Other Compensation	$22,915,911	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	7	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
CROSS COUNTRY STAFFING INC
FILE 50941	LOS ANGELES	CA	900740941	STAFFING	$782,144
MISSION VALLEY ANESTHESIA ASSO
ACHPR-GLACIER BANK 49430 US HIGHWAY	POLSON	MT	59860	STAFFING	$652,450
THOMAS CUISINE CORPORATION
PO BOX 1010	POLSON	MT	59860	MEALS/FOOD SERVICES	$412,226
ALLIANCE HEALTHCARE SERVS INC
FILE 55826	LOS ANGELES	CA	900745826	IMAGING SERVICES	$387,877
MT CANCER SPECIALISTS
PO BOX 7877	MISSOULA	MT	598077877	STAFFING	$153,000

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Related Organizations	$163,799	RelatedOrganizationsAmt
Government Grants	$115,250	GovernmentGrantsAmt
All Other Contributions	$64,550	AllOtherContributionsAmt
Total Contributions	$343,599	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
ACUTE CARE	621400	$20,935,665	$20,935,665
PRIMARY CARE	621110	$10,865,450	$10,865,450
PHARMACY	446110	$2,358,412	$1,506,408	$852,004
LTC/ASST LIVING/H CARE	621610	$1,345,319	$1,345,319

Field	Value	IRS element (for citing)
Total Program Service Revenue	$35,504,846	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,274	TotalRevenueColumnAmt
Exclusion	$21,274	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$32,660	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$17,849	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$14,811	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,811	TotalRevenueColumnAmt
Exclusion	$14,811	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,700,000	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,699,150	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$850	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$850	TotalRevenueColumnAmt
Exclusion	$850	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$5,500	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$7,000	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,500	TotalRevenueColumnAmt
Exclusion	-$1,500	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$18,982	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$16,046	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,936	TotalRevenueColumnAmt
Exclusion	$2,936	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PROVIDER TAX	900099	$3,011,893	$3,011,893
CAFETERIA	900099	$252,903		$252,903
MEDICAID CASE MGMT FEE	900099	$82,746		$82,746

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,013	TotalRevenueColumnAmt
Exclusion	$69,013	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,416,555	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$39,303,371	TotalRevenueColumnAmt
Related Or Exempt Func Income	$37,664,735	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$852,004	UnrelatedBusinessRevenueAmt
Exclusion	$443,033	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$41,787	TotalAmt
Program Services	$41,787	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$636	TotalAmt
Program Services	$636	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$351,218	TotalAmt
Management And General	$351,218	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$15,694,054	TotalAmt
Program Services	$14,505,776	ProgramServicesAmt
Management And General	$1,188,278	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$270,816	TotalAmt
Program Services	$244,832	ProgramServicesAmt
Management And General	$25,984	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$39,608	TotalAmt
Program Services	$35,808	ProgramServicesAmt
Management And General	$3,800	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,076,968	TotalAmt
Program Services	$973,636	ProgramServicesAmt
Management And General	$103,332	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,430	TotalAmt
Management And General	$1,430	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,650	TotalAmt
Management And General	$1,650	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,238,902	TotalAmt
Program Services	$3,160,402	ProgramServicesAmt
Management And General	$78,500	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$54,492	TotalAmt
Program Services	$54,492	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,440,352	TotalAmt
Program Services	$1,300,615	ProgramServicesAmt
Management And General	$139,737	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$16,985	TotalAmt
Program Services	$16,985	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$611,870	TotalAmt
Program Services	$550,683	ProgramServicesAmt
Management And General	$61,187	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$125,200	TotalAmt
Program Services	$103,132	ProgramServicesAmt
Management And General	$22,068	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$94,959	TotalAmt
Program Services	$64,904	ProgramServicesAmt
Management And General	$30,055	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$322,457	TotalAmt
Program Services	$322,457	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$5,099,185	TotalAmt
Program Services	$2,376,349	ProgramServicesAmt
Management And General	$2,722,836	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$884,150	TotalAmt
Program Services	$795,735	ProgramServicesAmt
Management And General	$88,415	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$4,719,642	$4,719,642
BAD DEBTS	$256,915	$256,915
DUES & SUBSCRIPTIONS	$105,743	$69,997	$35,746
RECRUITMNT & RELOCATION	$55,832	$54,606	$1,226

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$53,212	TotalAmt
Program Services	$48,612	ProgramServicesAmt
Management And General	$4,600	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$34,558,063	TotalAmt
Program Services	$29,698,001	ProgramServicesAmt
Management And General	$4,860,062	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,750	BOYAmt
EOY	$1,700	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,311,588	BOYAmt
EOY	$1,383,496	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,687,827	BOYAmt
EOY	$4,200,608	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$849	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$793,815	BOYAmt
EOY	$813,042	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$75,495	BOYAmt
EOY	$54,083	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$24,936,837	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$18,375,916	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$6,775,422	BOYAmt
EOY	$6,560,921	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,008,608	BOYAmt
EOY	$2,025,193	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$528,602	BOYAmt
EOY	$783,064	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,172,285	BOYAmt
EOY	$2,392,630	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,356,241	BOYAmt
EOY	$18,214,737	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,660,902	BOYAmt
EOY	$1,595,171	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$121,813	BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,611,744	BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$409,982	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,569,347	BOYAmt
EOY	$9,653,730	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,373,788	BOYAmt
EOY	$11,248,901	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,436,407	BOYAmt
EOY	$6,182,772	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$546,046	BOYAmt
EOY	$783,064	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,982,453	BOYAmt
EOY	$6,965,836	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$16,356,241	BOYAmt
EOY	$18,214,737	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$4,745,308	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,054	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$237,021	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$85	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$85	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	0.33% PAYMENT OF MONTANA HOSPITAL ASSOCIATION DUES GOES TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$235,295	OtherCostOrOtherBasisAmt
Book Value	$235,295	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,813,150	OtherCostOrOtherBasisAmt
Depreciation	$5,712,527	DepreciationAmt
Book Value	$4,100,623	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$714,150	OtherCostOrOtherBasisAmt
Depreciation	$633,923	DepreciationAmt
Book Value	$80,227	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,073,742	OtherCostOrOtherBasisAmt
Depreciation	$12,029,466	DepreciationAmt
Book Value	$2,044,276	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$100,500	OtherCostOrOtherBasisAmt
Book Value	$100,500	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$6,560,921	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$1,199,004
THIRD PARTY SETTLEMENTS	$134,306
RESIDENT TRUST FUND	$762
PROVIDER TAX RECEIVABLE	$1,057,851
CASH - RESIDENTS	$707

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,392,630	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
THIRD PARTY SETTLEMENTS	$914,455
DUE TO AFFILIATES	$8,660,338
RESIDENT TRUST ACCOUNT	$762
SJRC TRUST ACCOUNT	$21,950
PROVIDER TAX PAYABLE	$56,225

Field	Value	IRS element (for citing)
Total Liability	$9,653,730	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	350.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	304	PersonsServedCnt
Total Community Benefit Expns	$606,601	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$606,601	NetCommunityBenefitExpnsAmt
Total Expense	0.01770	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	5205	PersonsServedCnt
Total Community Benefit Expns	$10,373,362	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,591,909	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$1,502	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$900	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$602	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	5510	PersonsServedCnt
Total Community Benefit Expns	$10,981,465	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,592,809	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$607,203	NetCommunityBenefitExpnsAmt
Total Expense	0.01770	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,791	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,791	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,259	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$73,259	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,787	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,787	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$112,337	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$112,337	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	5510	PersonsServedCnt
Total Community Benefit Expns	$11,093,802	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,592,809	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$719,540	NetCommunityBenefitExpnsAmt
Total Expense	0.02090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$256,915	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$12,898,987	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$17,220,673	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,321,686	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE St JOSEPH MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6 THIRTEENTH AVE EAST	AddressLine1Txt
City	POLSON	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59860	ZIPCd

Field	Value	IRS element (for citing)
Website Address	MONTANA.PROVIDENCE.ORG/HOSPITALS/	WebsiteAddressTxt
State License	13223	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE St JOSEPH MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Section C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PROVIDENCE St. JOSEPH MEDICAL CENTER	Part V, Section B, Line 5: IN MARCH 2014, A DIVERSE GROUP OF COMMUNITY MEMBERS (STEERING COMMITTEE) REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY (E.G. PUBLIC HEALTH, ELDERLY, UNINSURED) CAME TOGETHER FIRST TO DISCUSS HEALTH CONCERNS IN THE COMMUNITY AND OFFER THEIR PERSPECTIVE IN DESIGNING THE SURVEY INSTRUMENT PRIOR TO DATA COLLECTION.STEERING COMMITTEE:BRANDY ALLISON - CLINIC MANAGER, PROVIDENCE ST. JOSEPH MEDICAL CENTERBRIAN WILSON, PT, OCS - MANAGER OF REHABILITATIONS SERVICES DEPARTMENT & BETTER HEALTH IMPROVEMENT SPECIALIST (BHIS), PROVIDENCE ST. JOSEPH MEDICAL CENTEREMILY COLOMEDA, RN, MPH - PUBLIC HEALTH NURSE, HEALTH SERVICES DIRECTOR, LAKE COUNTY HEALTH DEPARTMENTERIN RUMELHART, RN - DIRECTOR OF NURSING, PROVIDENCE ST. JOSEPH MEDICAL CENTERDR. GARRY PITTS, DDS - DIRECTOR, CONFEDERATED SALISH AND KOOTENAI TRIBES DENTAL PROGRAMHEATHER KNUTSON - MAYOR, CITY OF POLSONDR. JEREMY MITCHELL, DO - FAMILY MEDICINE, PROVIDENCE ST. JOSEPH MEDICAL CENTERRIC SMITH - REAL ESTATE AGENT, CENTURY 21ROBERT MCDONALD - TRIBAL COMMUNICATIONS DIRECTOR, CONFEDERATED SALISH AND KOOTENAI TRIBESST. JOSEPH MEDICAL CENTER MISSION AND VALUES SUB-COMMITTEE MEMBERS:DR. ADAM SMITH, DO - CHIEF MEDICAL OFFICER, PROVIDENCE ST. JOSEPH MEDICAL CENTERBRODIE MOLL - CHIEF EXECUTIVE OFFICER, MISSION MOUNTAIN ENTERPRISESCAROLINE MCDONALD - DIRECTOR, BEST BEGINNINGS CHILDREN'S PARTNERSHIPCARYL COX - HOSPITAL AND SCHOOL DISTRICT BOARD MEMBERDUANE LUTKE - DIRECTOR, AREA VI AGENCY ON AGINGERIN RUMELHART, RN - DIRECTOR OF NURSING, PROVIDENCE ST. JOSEPH MEDICAL CENTER GALE DECKER - LAKE COUNTY COMMISSIONERJACKIE CRIPE - BUSINESS OWNER AND CHAIR OF THE COMMITTEEJAMES KISER - CHIEF EXECUTIVE OFFICER, PROVIDENCE ST. JOSEPH MEDICAL CENTERJOHN PAYNE - CHAPLIN, ST. JOSEPH MEDICAL CENTERKAREN MYERS - REGIONAL DIRECTOR OF MISSION INTEGRATION, PROVIDENCE HEALTH AND SERVICES, WESTERN MONTANA REGION.LANDON GODFREY, PHARM. D. - CHIEF OF HOSPITAL OPERATIONS, PROVIDENCE ST. JOSEPH MEDICAL CENTERMERRY HUTTON - REGIONAL MANAGER OF COMMUNITY BENEFIT, PROVIDENCE HEALTH AND SERVICES, WESTERN MONTANA REGION.SHILOH MCCREEDY, RN - DISCHARGE PLANNER, PROVIDENCE ST. JOSEPH MEDICAL CENTERTAMMY WALSTON - MANAGER, AREA VI AGENCY ON AGINGVINCENT RIVER PH.D. - PSYCHOLOGIST, POLSON, MT
PROVIDENCE St. JOSEPH MEDICAL CENTER	Part V, Section B, Line 6b: NAME / TITLE / ORGANIZATION/SECTORANNA WHITING SORRELL / DIRECTOR / CSKT TRIBAL HEALTHKOURTNIE GOPHER / DENTAL CLINIC / CSKT TRIBAL HEALTHGLORIA QUIVER / LEAD PATIENT ADVOCATE / CSKT TRIBAL HEALTHLESLIE CAYE / COMMUNITY HEALTH / CSKT TRIBAL HEALTHSHONDA BOLEN /HUMAN RESOURCES / CSKT TRIBAL HEALTHCLINT HOXIE / PROVIDER/OPTICAL / CSKT TRIBAL HEALTHJACKIE PIERRE / DENTAL CLINIC / CSKT TRIBAL HEALTHAARON SPARKS / STAFF / CSKT TRIBAL HEALTHRENEE' RUNNING RABBIT / LICENSED ADDICTION COUNSELOR / CSKT TRIBAL HEALTHRAELEEN WHITESELL / OPTICAL TECHNICIAN / CSKT TRIBAL HEALTHEMILY COLOMEDA / DIRECTOR / LAKE COUNTY HEALTH DEPARTMENTDEEANN RICHARDSON / DIRECTOR / SAFE HARBOR DOMESTIC VIOLENCE SHELTERROSE MARIE SMITH / VOLUNTEER / POLSON LOAVES AND FISHES FOOD PANTRYBEN WOODS / UNDERSHERIFF / LAKE COUNTY SHERIFF'S OFFICEBRYAN RIVER / STAFF / POLSON LOAVES AND FISHES FOOD PANTRYDAN SALOMAN / REPRESENTATIVE / STATE SENATE DISTRICT 47WHITNEY DANZ / PROGRAM MANAGER / DHRD PROJECT LAUNCHARIC COOKSLEY / EXECUTIVE DIRECTOR / BOYS AND GIRLS CLUB
PROVIDENCE St. JOSEPH MEDICAL CENTER	Part V, Section B, Line 11: SUBSTANCE ABUSE - ONE IN FIVE BABIES BORN AT PROVIDENCE ST. JOSEPH MEDICAL CENTER ARE DRUG AFFECTED, 88 PERCENT OF THOSE BABIES ARE BORN TO NATIVE AMERICAN MOTHERS. SURVEY AND FOCUS GROUP DATA INDICATE THAT SUBSTANCE ABUSE IS OF MAJOR CONCERN AND IMPACT ON THE COMMUNITY AT LARGE. THE OBSTETRICAL NURSING STAFF AND NURSING LEADERSHIP ARE CURRENTLY ENGAGED AND WILL CONTINUE TO STRENGTHEN RELATIONS AND PARTICIPATION WITH THE BEST BEGINNINGS CHILDREN'S PARTNERSHIP WHICH ADDRESSES THE NEEDS OF PREGNANT MOTHERS AND CHILDREN FROM 0-8 YEARS OLD. PROVIDENCE ST. JOSEPH MEDICAL CENTER PRIMARY CARE PROVIDERS UTILIZE A UNIFORM PROCESS IN HELPING PATIENTS MANAGE CHRONIC PAIN WITH EVIDENCE BASED MEDICINE APPROACHES, COMMON SENSE PRESCRIBING PRACTICES AND A COLLABORATIVE APPROACH WITH THEIR PATIENTS. ACCESS TO HEALTH CARE SERVICES - ACCESS TO BOTH PRIMARY CARE AND SPECIALTY CARE ARE LIMITED DUE TO THE REMOTENESS OF THE COMMUNITY, APPOINTMENT AVAILABILITY AND FINANCIAL CONCERNS SUCH AS INSURANCE OR ABILITY TO PAY FOR SERVICES. PROVIDENCE ST. JOSEPH MEDICAL CENTER IS ESTABLISHING A RELATIONSHIP WITH MISSOULA SURGICAL ASSOCIATES TO PROVIDE REGULAR ACCESS TO HIGH QUALITY SURGICAL SERVICES AT OUR FACILITY. A NEW PRIMARY CARE PROVIDER WILL EASE THE BURDEN OF APPOINTMENT DELAYS. A WALK-IN CLINIC HAS BEEN ESTABLISHED WITH AN AVERAGE WAIT TIME OF 12 MINUTES. THE HOSPITAL STAFFS FINANCIAL COUNSELORS TO FACILITATE INSURANCE ENROLLMENT, ESTABLISH QUALIFICATION FOR CHARITY CARE AND/OR HELP PATIENTS ESTABLISH PAYMENT PLANS. PROVIDENCE ST. JOSEPH MEDICAL CENTER IS CURRENTLY #2 IN THE STATE FOR RATES OF CHARITY CARE. ACCESS TO MENTAL HEALTH SERVICES - COMMUNITY CONCERN REGARDING MENTAL HEALTH IS ON THE RISE, 18.5 PERCENT OF RESIDENTS REPORT BEING DEPRESSED AND THE STATE OF MONTANA HAS THE HIGHEST RATE OF SUICIDE IN THE NATION. PROVIDENCE ST. JOSEPH MEDICAL CENTER HAS DONATED LAND AND WILL CONTINUE TO PARTNER WITH: WESTERN MONTANA MENTAL HEALTH, THE CONFEDERATED SALISH AND KOOTENAI TRIBES AND THE LAKE COUNTY SHERIFF'S OFFICE TO EASE THE WAY FOR A MENTAL HEALTH CRISIS STABILIZATION CENTER.OTHER EFFORTS INCLUDE PURSUING AFFILIATIONS THAT WILL ALLOW ACCESS TO LICENSED CLINICAL SOCIAL WORKERS AND OTHER MENTAL HEALTH PROFESSIONALS IN THE PRIMARY CARE SETTING. THE ESTABLISHMENT OF CONTRACT WITH WESTERN MONTANA MENTAL HEALTH SERVICES IS WORKING TO MEET THE NEEDS OF THE PATIENTS WITH ACUTE MENTAL HEALTH CRISES. ADDITIONALLY, ONE FULL-TIME LCSW IN-PATIENT MEDICAL HOME IS BEING FUNDED BY A GRANT THROUGH THE MONTANA MENTAL HEALTH TRUST. TELEPSYCH SERVICES WILL BE AVAILABLE TO HELP WITH ACUTE MENTAL HEALTH CRISES.HEALTHY BEHAVIORS - IMPRESSION OF COMMUNITY HEALTH IS FALLING, OBESITY IS A TOP-THREE HEALTH CONCERN, MOTOR VEHICLE ACCIDENTS ARE THE LEADING CAUSE OF DEATH IN CHILDREN IN LAKE COUNTY, AND UNINTENTIONAL INJURIES ARE A TOP-THREE CAUSE OF DEATH. PROVIDENCE ST. JOSEPH MEDICAL CENTER NURSING AND PROVIDER STAFF WILL CONTINUE TO GROW RELATIONSHIPS WITH THE PUBLIC SCHOOL SYSTEM TO OFFER EDUCATION TO SCHOOL AGED STUDENTS ON WATER SAFETY, DUI AND CAREER PATH DEVELOPMENT. THE SUCCESSFUL DIABETES PREVENTION PROGRAM WILL CONTINUE TO BE OFFERED. THE PATIENT CENTERED MEDICAL HOME WILL CONTINUE TO EXPAND EFFORTS TO DELIVER COORDINATED CARE IN THE MANAGEMENT OF CHRONIC DISEASES. THE FOLLOWING NEEDS NOT CURRENTLY ADDRESSED:THE CRIME RATES PER CAPITA IN LAKE COUNTY ARE HIGH, HOWEVER MOST OF THE SERIOUS CRIMES OCCUR WITHIN THE FAMILY UNIT. THERE ARE LOCAL RESOURCES, PRIMARILY LAW ENFORCEMENT FROM MULTIPLE AGENCIES THAT ARE WORKING TO REDUCE THE BURDEN OF VIOLENCE IN THIS COMMUNITY. TRANSPORTATION IS CONTINUALLY REPORTED AS A MAJOR BARRIER IN RECEIVING TIMELY AND APPROPRIATE HEALTH CARE SERVICES IN THIS COMMUNITY. THE CONFEDERATED SALISH AND KOOTENAI TRIBES OPERATE A FREE OR LOW-FARE BUS THAT HAS A WIDE SERVICE AREA TO ALL COMMUNITY MEMBERS. ST. JOSEPH MEDICAL CENTER WILL CONTINUE TO REFER PATIENTS TO THIS SERVICE AS IT IS NEEDED.PRIORITIZED HEALTH ISSUES AND RATIONALE/CONTRIBUTING FACTORS ARE DESCRIBE BELOW:1. SOCIAL DETERMINANTS OF HEALTH AND WELL-BEING - MEDIAN HOUSEHOLD INCOME IN LAKE COUNTY IS $38,732 (20 PERCENT LOWER THAN STATE MEDIAN INCOME). - 4,320 RESIDENTS (15 PERCENT) OF LAKE COUNTY EXPERIENCE FOOD INSECURITY; 70 PERCENT OF STUDENTS ARE ELIGIBLE FOR FREE/REDUCED PRICE LUNCH. - 31.5 PERCENT OF LAKE COUNTY HOUSEHOLDS ARE COST-BURDENED FOR HOUSING. - TEEN BIRTH RATE IN LAKE COUNTY IS 40 PERCENT HIGHER THAN THE STATE RATE. - INEQUITIES IN AMERICAN INDIAN HEALTH AND WELL-BEING INCLUDE: MEDIAN AGE OF DEATH FOR AMERICAN INDIAN MALES IS 56, COMPARED TO 75 FOR WHITE MEN; MEDIAN AGE OF DEATH FOR AMERICAN INDIAN FEMALES IS 62, COMPARED TO 82 FOR WHITE WOMEN. THE OBESITY RATE FOR AMERICAN INDIANS IS 43 PERCENT, COMPARED TO 27 PERCENT FOR THE POPULATION AS A WHOLE.2. MENTAL HEALTH - MORE THAN 1 IN 5 LAKE COUNTY ADULTS REPORT INADEQUATE SOCIAL OR EMOTIONAL SUPPORT. - ACCESS TO MENTAL HEALTH PROVIDERS IN LAKE COUNTY IS 45 PERCENT LOWER THAN IN MONTANA.3. ACCESS TO CARE - 24 PERCENT OF AMERICAN INDIANS COULD NOT SEE A DOCTOR DUE TO COST, COMPARED TO 15 PERCENT FOR THE POPULATION AS A WHOLE. - PNEUMONIA VACCINE RATE FOR AMERICAN INDIAN ADULTS AGE 65 AND OLDER WAS 34 PERCENT COMPARED TO 68 PERCENT FOR THE POPULATION AS A WHOLE. - PREMATURE DEATH OCCURS AT A HIGHER RATE IN LAKE COUNTY, AT 25 PERCENT HIGHER THAN THE NATIONAL RATE, AND 14 PERCENT HIGHER THAN IN MONTANA.4. SUBSTANCE ABUSE - DRUG OVERDOSE: WESTERN MONTANA'S AGE-ADJUSTED MORTALITY RATE BY DRUG OVERDOSE IS 15.4 PER 100,000, 15 PERCENT HIGHER THAN NATIONAL AVERAGE. - LAKE COUNTY'S AGE-ADJUSTED PERCENTAGE OF ADULTS WHO DRINK EXCESSIVELY IS ABOUT 21 PERCENT, MORE THAN 4 PERCENT HIGHER THAN THE NATIONAL AVERAGE.
PROVIDENCE St. JOSEPH MEDICAL CENTER	Part V, Section B, Line 20e: FINANCIAL ASSISTANCE INFORMATION ALONG WITH PAYMENT OPTIONS ARE GIVEN ON EACH BILLING STATEMENT TO THE PATIENT.
Part V , Section B, Line 3e	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
Part V , Section B, Line 7a	HOSPITAL FACILITY'S WEBSITE (LIST URL)HTTPS://OREGON.PROVIDENCE.ORG/~/MEDIA/FILES/CBR/CHNAS/2017/MT/2017MTSTJOSEPHPOLSONCHNACHIP.PDF
Part V , Section B, Line 10a	THE HOSPITAL FACILITYS MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY POSTED ON THE WEBSITE:HTTPS://OREGON.PROVIDENCE.ORG/~/MEDIA/FILES/CBR/CHNAS/2017/MT/2017MTSTJOSEPHPOLSONCHNACHIP.PDF
Part V , Section B, Line 16a, FAP website	WWW2.PROVIDENCE.ORG/OBP/DOCS/MT-CHARITY-CARE-POLICY.PDF
Part V , Section B, Line 16b, FAP Application website	WWW2.PROVIDENCE.ORG/OBP/DOCS/FINANCIALASSISTANCEREQUEST(ENGLISH).PDF
Part V , Section B, Line 16c, FAP Plain Language Summary website	WWW.PROVIDENCE.ORG/OBP/MT/FINANCIAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	1 - PROV ST JOSEPH ASSISTED LIVING CTR	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11 SEVENTEENTH AVE EAST	AddressLine1Txt
City	POLSON	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59660	ZIPCd

Field	Value	IRS element (for citing)
Facility	ASSISTED LIVING	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
Part I, Line 6a:	PROVIDENCE ST. JOSEPH MEDICAL CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT: HTTP://WWW.PSJHEALTH.ORG/COMMUNITY-BENEFIT
Part I, Line 7	THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM.
Part III, Line 2:	THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE.
Part III, Line 3:	THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION, THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY.
Part III, Line 4:	THE HEALTH SYSTEM PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE HEALTH SYSTEM ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
Part III, Line 8:	THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
Part III, Line 9b:	PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE.
Part VI, Line 2:	EVERY THREE YEARS, PROVIDENCE ST. JOSEPH MEDICAL CENTER CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR LAKE COUNTY. THE CHNA IS CONDUCTED AS PART OF OUR TRADITION OF CARE TO DISCERN THE NEEDS OF THOSE WE SERVE AND TO CREATE PARTNERSHIPS THAT RESPOND EFFECTIVELY. IN ADDITION, IT MEETS REQUIREMENTS OUTLINED IN SECTION 501(R)(3) OF THE IRS CODE. THE GOALS OF THIS ASSESSMENT ARE TO:-ENGAGE PUBLIC HEALTH AND COMMUNITY STAKEHOLDERS THAT INCLUDE LOW-INCOME, MINORITY AND OTHER UNDERSERVED POPULATIONS-ASSESS AND UNDERSTAND THE COMMUNITY'S HEALTH ISSUES AND NEEDS-UNDERSTAND THE HEALTH BEHAVIORS, RISK FACTORS AND SOCIAL DETERMINANTS THAT HAVE AN IMPACT ON HEALTH-IDENTIFY COMMUNITY RESOURCES AND COLLABORATION OPPORTUNITIES WITH COMMUNITY PARTNERS-ESTABLISH FINDINGS, INCLUDING PRIORITIZED HEALTH NEEDS, THAT CAN BE USED TO DEVELOP AND IMPLEMENT A 2017-2019 COMMUNITY HEALTH IMPROVEMENT PLAN
Part VI, Line 3:	PROVIDENCE HOSPITALS POST NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS ADMITTING/REGISTRATION, BILLING OFFICE, EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS.EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE POLICIES CONTAINS BRIEF INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR A DISCOUNTED PAYMENT. THE NOTICES ALSO INCLUDE A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS. THE FINANCIAL COUNSELORS ARE AVAILABLE TO MEET WITH PATIENTS OR FAMILIES IF THEY HAVE A QUESTION ABOUT THEIR BILL OR THOSE NEEDING ASSISTANCE IN FILLING OUT APPLICATIONS FOR COVERAGE FOR A VARIETY OF PROGRAMS SUCH AS MEDICAID, CHIP OR ACA-MARKET PLACE PLANS. THE FINANCIAL COUNSELORS ARE AVAILABLE EVERY DAY OF THE WEEK.WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS.
Part VI, Line 4:	PROVIDENCE ST. JOSEPH MEDICAL CENTER IS A 22 BED ACUTE CARE, JOINT COMMISSION ACCREDITED, AND CRITICAL ACCESS HOSPITAL LOCATED ON THE FLATHEAD INDIAN RESERVATION IN POLSON, MONTANA, WHICH IS ABOUT ONE AND A HALF HOURS NORTH OF MISSOULA. PROVIDENCE ST. JOSEPH MEDICAL CENTER PROVIDES COMMUNITY HOSPITAL CARE FOR THE MORE THAN 28,000 RESIDENTS OF LAKE COUNTY. PROVIDENCE ST. JOSEPH MEDICAL CENTER SERVES A HIGHER PERCENTAGE OF OLDER ADULTS, WITH 16% OF THE PRIMARY SERVICE AREA'S POPULATION OVER THE AGE OF 65. WITH APPROXIMATELY 18% OF THE POPULATION LIVING IN POVERTY, THE COMMUNITY IS CHARACTERIZED BY LOWER INCOME LEVELS THAN THE NATIONAL AVERAGE.THE SERVICE AREA WHERE PROVIDENCE ST. JOSEPH MEDICAL CENTER IS LOCATED ENCOMPASSES RURAL COMMUNITIES FROM LAKE, LINCOLN, FLATHEAD AND SANDERS COUNTIES WITH APPROXIMATELY 147,000 RESIDENTS LIVING IN AN AREA OF 12,967 SQUARE MILES. EACH OF THESE COUNTIES IS DESIGNATED A MENTAL HEALTH PROFESSIONAL SHORTAGE AREA BY THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES. MEDIAN HOUSEHOLD INCOME IN LAKE COUNTY IS $38,732 (20 PERCENT LOWER THAN STATE MEDIAN INCOME).
Part VI, Line 5:	PROVIDENCE ST. JOSEPH MEDICAL CENTER MANAGEMENT IS DIRECTED BY A COMMUNITY MINISTRY BOARD WHICH HELPS DIRECT THE HOSPITAL IN ITS ENDEAVORS. THE COMPOSITION OF THE COMMUNITY MINISTRY BOARD REPRESENTS THE DIVERSITY OF THE COMMUNITY BY HAVING REPRESENTATIVES FROM LOCAL GOVERNMENT, SOCIAL SERVICE AGENCIES, MEDICAL PROVIDERS, INDEPENDENT BUSINESS REPRESENTATIVES AND INTERESTED COMMUNITY MEMBERS. THE ST. JOSEPH MEDICAL CENTER COMMUNITY MINISTRY BOARD OF DIRECTORS REVIEWS AND DEVELOPS THE COMMUNITY BENEFIT PLAN, PROVIDING INFORMATION AND INSIGHT INTO COMMUNITY NEEDS AND RESOURCES AND HELPING SET PRIORITIES FOR WHAT COMMUNITY NEEDS ARE TO BE ADDRESSED.THEY ALSO RECEIVE REGULAR UPDATES ON THE OVERALL COMMUNITY BENEFIT STRATEGY AND SPECIFIC PROGRAMS TO ASSESS WHETHER THE ORGANIZATION IS HAVING AN IMPACT ON THE HEALTH OF THE COMMUNITY. THE PROVIDERS AND STAFF AND ST. JOSEPH MEDICAL CENTER PROVIDE EDUCATION TO THE BROADER COMMUNITY ON CERTAIN HEALTH BENEFITS, RISKS AND PREVENTATIVE MEDICINE AND IS PROVIDED AT NO COST.THE HOSPITAL HAS BEEN SERVING THE NEEDS OF THE COMMUNITY SINCE 1916 AND HAS EXPANDED OVER THE YEARS IN RESPONSE TO THE GROWING POPULATION AND CHANGES IN HEALTH CARE. AS A MINISTRY OF PROVIDENCE HEALTH & SERVICES, PROVIDENCE ST. JOSEPH MEDICAL CENTER PARTICIPATES IN SHARED PURCHASING, INFORMATION SYSTEMS AND FINANCIAL MANAGEMENT SUPPORT THAT BENEFITS THE COMMUNITY HOSPITAL.PROVIDENCE ST. JOSEPH MEDICAL CENTER AND PROVIDENCE MEDICAL GROUP COLLECTIVELY BUILD AND SUPPORT COORDINATED SERVICES ACROSS THE CONTINUUM OF CARE TO MEET REGIONAL RESIDENTS' NEEDS, WHILE MUTUALLY SUPPORTING ORGANIZATIONAL, OPERATIONAL, AND FISCAL HEALTH. JOINT VENTURES INCLUDE RESEARCH COLLABORATIONS (CARDIAC, NEUROSCIENCE AND ONCOLOGY) WITH THE UNIVERSITY OF MONTANA; AFFILIATIONS WITH LONG TERM CARE FACILITIES; AND THE INDIAN HEALTH SERVICES CLINIC, AMONG OTHERS.
Part VI, Line 6:	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 50 HOSPITALS AND 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.
Part VI, Line 7, Reports Filed With States	MT

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ST PATRICK HOSPITAL FOUNDATION DBA PROVIDENCE MONTANA HEALTH FOUNDATION
900 N ORANGE SUITE 201	MISSOULA	MT	59802	237056976	501(c)(3)	$7,383	SUPPORT FOR OPERATIONS
SUPER ONE FOODS
50331 US HWY 93	POLSON	MT	59860	810307747	Other	$10,000	DONATION FOR LOCAL FOOD BANK
POLSON HIGH SCHOOL
111 4TH AVE E	POLSON	MT	59860	816000545	Government	$11,834	DONATIONS FOR HS SPORTS PROGRAMS, SENIOR CLASS PARTY & HS BOOSTER CLUB DINNER & DANCE FUNDRAISER

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	IN GENERAL THE GRANT REQUESTS COME DIRECTLY TO THE ADMINISTRATIVE TEAM. IF APPROPRIATE IN NATURE, THE ADMIN TEAM MAY HAND OFF TO THE MISSION AND COMMUNITY NEEDS ASSESSMENT SUBCOMMITTEE OF THE COMMUNITY BOARD FOR THEIR RECOMMENDATION. IF IT GOES TO THE SUBCOMMITTEE THE REQUESTING PARTY COMES BEFORE THE SUBCOMMITTEE TO PRESENT THEIR NEED WHICH INCLUDES INTENDED USE OF THE FUNDS. EITHER WAY THE ADMIN TEAM MUST GIVE FINAL APPROVAL. THE ADMIN TEAM EITHER SEES THE DEPLOYMENT OF THE FUNDS IN SPECIFIC COMMUNITY PROJECTS OR WILL ASK FOR REPORTS FROM THE GROUP ON HOW THE FUNDS IMPACTED THE SPECIFIC COMMUNITY PROJECT. MOST OF THEM COME WITH SOME SORT OF FORMAL RECOGNITION OF ST. JOSEPH AS A PRIMARY DONOR.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	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 (38 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
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	$0	$192,673	$0	$44,659	$0	$10,854	$0	$11,200	$0	$8,812	$0	$268,198	$0	$0
MIKE BUTLER
PRESIDENT	$0	$1,294,695	$0	$1,189,568	$0	$44,889	$0	$2,065,833	$0	$29,624	$0	$4,624,609	$0	$0
VENKAT BHAMIDIPATI
EVP/TREASURER	$0	$318,745	$0	$300,000	$0	$19,564	$0	$832,107	$0	$15,871	$0	$1,486,287	$0	$0
JO ANN ESCASA-HAIGH
EVP / ASSISTANT TREASURER	$0	$623,838	$0	$711,543	$0	$36,709	$0	$647,363	$0	$20,322	$0	$2,039,775	$0	$0
CINDY STRAUSS
SECRETARY	$0	$697,944	$0	$624,379	$0	$420,759	$0	$988,958	$0	$31,256	$0	$2,763,296	$0	$386,962
JOHN WHIPPLE
ASSISTANT SECRETARY	$0	$415,579	$0	$303,904	$0	$35,318	$0	$459,620	$0	$25,428	$0	$1,239,849	$0	$0
JEFFREY FEE
CE/WESTERN MT. REGION	$0	$5,102	$0	$172,074	$0	$1,374,971	$0	$0	$0	$24,922	$0	$1,577,069	$0	$990,916
ROBERT HELLRIGEL
SVP-CE / SENIOR & COMM. SERVICES	$0	$396,414	$0	$202,411	$0	$2,086	$0	$445,604	$0	$26,379	$0	$1,072,894	$0	$0
JAMES KISER
CEO/PSJMC	$225,819	$0	$52,329	$0	$46,624	$0	$26,446	$0	$38,155	$0	$389,373	$0	$1,060	$0
REBECCA BONTADELLI
ER PHYSICIAN	$310,275	$0	$33,925	$0	$620	$0	$19,684	$0	$15,043	$0	$379,547	$0	$0	$0
KENNETH GALEWYRICK
PHYSICIAN	$308,144	$0	$28,500	$0	$12,175	$0	$17,265	$0	$16,181	$0	$382,265	$0	$7,032	$0
ROBIN HAPE
PHYSICIAN - SURGERY	$378,252	$0	$32,000	$0	$24,779	$0	$23,965	$0	$22,063	$0	$481,059	$0	$0	$0
JOSEPH HOWARD
PHYSICIAN	$307,888	$0	$23,120	$0	$10,428	$0	$16,800	$0	$9,948	$0	$368,184	$0	$5,206	$0
MICHAEL RIGHETTI
PHYSICIAN - ORTHOPEDICS	$394,649	$0	$0	$0	$29,657	$0	$24,458	$0	$15,155	$0	$463,919	$0	$22,129	$0
ROD HOCHMAN MD
FORMER - PRESIDENT/CEO	$0	$1,974,688	$0	$2,203,431	$0	$1,090,976	$0	$6,285,602	$0	$28,363	$0	$11,583,060	$0	$1,049,676
TODD HOFHEINS
FORMER - EVP/CFO/TREAS.	$0	$15,196	$0	$527,139	$0	$1,596,780	$0	$10,544	$0	$34,931	$0	$2,184,590	$0	$777,867
DAVID BROWN
VP/STRATEGY & BUSINESS DEVELOPMENT	$0	$373,180	$0	$325,150	$0	$1,954	$0	$429,702	$0	$27,658	$0	$1,157,644	$0	$0
DEBBIE BURTON
SVP/ CHIEF NRSG. OFFICER	$0	$353,784	$0	$266,872	$0	$155,793	$0	$356,594	$0	$30,608	$0	$1,163,651	$0	$118,981
DEBRA CANALES
EVP/CAO	$0	$835,135	$0	$795,839	$0	$43,428	$0	$1,213,992	$0	$22,272	$0	$2,910,666	$0	$0
AMY COMPTON-PHILLIPS
EVP / CHIEF CLINICAL OFFICER	$0	$745,415	$0	$499,341	$0	$246,460	$0	$992,391	$0	$32,410	$0	$2,516,017	$0	$0
MARY CRANSTOUN
VP/TOTAL REWARDS	$0	$393,699	$0	$291,571	$0	$20,136	$0	$454,896	$0	$27,450	$0	$1,187,752	$0	$0
JOHN FLETCHER
FORMER VP/OPERATIONS SUPPORT	$0	$101,601	$0	$0	$0	$2,370	$0	$8,415	$0	$11,971	$0	$124,357	$0	$0
MARK GARGETT
VP/DIGITAL INTEGRATION	$0	$384,503	$0	$158,399	$0	$189,098	$0	$303,326	$0	$20,923	$0	$1,056,249	$0	$148,496
JOEL GILBERTSON
SVP/COMMUNITY PARTNERSHIPS	$0	$470,184	$0	$351,171	$0	$34,960	$0	$523,643	$0	$28,741	$0	$1,408,699	$0	$0
OREST HOLUBEC
SVP/CHIEF COMM./EXT. AFFAIRS OFFICER	$0	$415,423	$0	$338,118	$0	$35,329	$0	$455,947	$0	$28,061	$0	$1,272,878	$0	$0
AARON MARTIN
SVP/STRATEGY & INNOVATION	$0	$564,005	$0	$316,363	$0	$20,003	$0	$707,371	$0	$8,648	$0	$1,616,390	$0	$0
TOM MCDONAGH
VP/CHIEF INVESTMENT OFFICER	$0	$467,734	$0	$324,164	$0	$38,724	$0	$516,307	$0	$30,180	$0	$1,377,109	$0	$0
RHONDA MEDOWS MD
EVP/POPULATION HEALTH	$0	$858,356	$0	$681,403	$0	$42,645	$0	$1,101,998	$0	$24,344	$0	$2,708,746	$0	$0
JACK MUDD - THRU 316
SVP/MISSION LEADERSHIP	$0	$183,227	$0	$160,613	$0	$95,959	$0	$260,329	$0	$17,431	$0	$717,559	$0	$59,649
JANICE NEWELL
SVP/CHIEF INFORMATION OFFICER	$0	$599,228	$0	$478,973	$0	$318,624	$0	$721,041	$0	$17,589	$0	$2,135,455	$0	$286,030
HARVEY SMITH
SVP/CHIEF CUSTOMER SVC. OFFICER	$0	$48,492	$0	$372,926	$0	$626,764	$0	$34,353	$0	$13,143	$0	$1,095,678	$0	$86,922
TERRY SMITH
FORMER SVP/MANAGEMENT SVCS	$187,534	$0	$24,001	$0	$1,981	$0	$9,657	$0	$9,340	$0	$232,513	$0	$0	$0
PAUL STODDART - THRU 916
VP/MARKETING	$0	$0	$0	$0	$0	$175,547	$0	$0	$0	$8,264	$0	$183,811	$0	$0
GREG TILL
VP/CHIEF TALENT OFFICER	$0	$396,535	$0	$297,987	$0	$19,038	$0	$461,102	$0	$30,490	$0	$1,205,152	$0	$0
SHARON TONCRAY
SVP / CHIEF LABOR EMPLOYEE COUNSEL	$0	$416,606	$0	$321,829	$0	$28,094	$0	$526,958	$0	$30,363	$0	$1,323,850	$0	$0
LISA VANCE
SVP/CLINICAL PROGRAM SERVICES	$0	$562,680	$0	$510,329	$0	$618,092	$0	$654,509	$0	$27,816	$0	$2,373,426	$0	$579,369
MIKE WATERS
VP,CAO/PHYSICIAN SERVICES	$0	$431,525	$0	$194,089	$0	$17,296	$0	$451,441	$0	$12,309	$0	$1,106,660	$0	$0
CRAIG WRIGHT MD
FORMER - SVP/PHYSICIAN SERVICES	$0	$0	$0	$0	$0	$245,590	$0	$3,661	$0	$7,255	$0	$256,506	$0	$100,000

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 TAX EXEMPT PARENT, PROVIDENCE HEALTH & SERVICES-MONTANA, 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-MONTANA.
Part I, Lines 4a-b	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: FEE, JEFFREY - $381,929 HOFHEINS, TODD - $793,260 SMITH, HARVEY - $519,285 STODDART, PAUL - $177,790 WRIGHT, CRAIG - $144,200 BEGINNING IN JULY 2015, NEW EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PLAN PROVIDES FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND ARE SUBJECT TO A FIVE YEAR OR AGE 65 VESTING SCHEDULE. CERTAIN EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY. THE AMOUNTS SHOWN IN COLUMN F OF PART II REFLECT CURRENT YEAR PAYOUTS FROM THESE PLANS.
Form 990, Schedule J, 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 2017, 60 PERCENT OF THE PARTICIPANT AWARDS WERE BASED ON PRE-DETERMINED ORGANIZATIONAL GOALS CONSISTENT WITH PROVIDENCE'S STRATEGIC PRIORITIES. IN 2017 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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	PROVIDENCE HEALTH & SERVICES - MONTANA DBA PROVIDENCE ST. PATRICK HOSPITAL IS THE SOLE CORPORATE MEMBER OF PROVIDENCE ST. JOSEPH MEDICAL CENTER.
Form 990, Part VI, Section A, line 7a	PROVIDENCE ST. JOSEPH MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE PROVIDENCE ST. JOSEPH MEDICAL CENTER BOARD.
Form 990, Part VI, Section A, line 7b	THE FOLLOWING POWERS RESIDE WITH THE MEMBER: TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES OF THE CORPORATION. TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND THE BYLAWS OF THE CORPORATION. TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE, TRANSFER, ASSIGNMENT OR ENCUMBERING OF THE ASSETS, IN EXCESS OF A SPECIFIED AMOUNT. TO APPROVE THE DISSOLUTION AND/OR LIQUIDATION OR THE CONSOLIDATION OR MERGER OF THE CORPORATION. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGET AND APPROVAL ANY DEVIATIONS FROM THE BUDGET EXCEEDING A SPECIFIED AMOUNT. TO APPOINT THE CORPORATION'S CERTIFIED PUBLIC ACCOUNTANTS AFTER RECEIVING RECOMMENDATION OF THE BOARD OF DIRECTORS. TO APPROVE THE LENDING OF CORPORATE FUNDS, OTHER THAN THE PURCHASE OF PUBLICLY TRADED SECURITIES, TO UNAFFILIATED ORGANIZATIONS. TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR MINISTRY OR WORK WITHIN THIS CORPORATION.
Form 990, Part VI, Section B, line 11b	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 AUDIT COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE AUDIT COMMITTEE CHAIR THEN PROVIDED A SUMMARY AT THE FULL BOARD MEETING.
Form 990, Part VI, Section B, line 12c	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	THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE HEALTH & SERVICES - MONTANA DBA PROVIDENCE ST. PATRICK HOSPITAL, 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 IN MARCH 2018.
Form 990, Part VI, Section C, line 19	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. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
FORM 990, PART X, LINE 20 - TAX EXEMPT BOND LIABILITIES	THE TAX-EXEMPT BOND LIABILITIES WERE TRANSFERRED FROM PROVIDENCE ST. JOSEPH MEDICAL CENTER TO ITS TAX EXEMPT PARENT, PROVIDENCE ST. JOSEPH HEALTH, DURING THE YEAR ENDED 12/31/17. THE TAX-EXEMPT BOND LIABILITY IN PART X, LINE 20 HAS BEEN RECLASSED AS AN INTERCOMPANY LIABILITY FOR TAX-EXEMPT BONDS IN PART X, LINE 25.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (110 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
3615 19TH STREET	LUBBOCK	TX	79410	611573313	HEALTHCARE	TX	501(c)(3)	12,I	CHS	Yes (1)
COVENANT HEALTH NETWORK INC
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	461259908	HEALTHCARE	CA	501(c)(3)	12,III	SJHS	Yes (1)
COVENANT HEALTH PARTNERS
3615 19TH STREET	LUBBOCK	TX	79410	463516417	HEALTHCARE	TX	501(c)(3)	12,I	CHS	Yes (1)
COVENANT HEALTH SYSTEM
3615 19TH STREET	LUBBOCK	TX	79410	752765566	HEALTHCARE	TX	501(c)(3)	3	SJHS	Yes (1)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACE	LUBBOCK	TX	79410	752897026	HEALTHCARE	TX	501(c)(3)	7	CHS	Yes (1)
COVENANT MEDICAL GROUP
3420 22ND PLACE	LUBBOCK	TX	79410	752743883	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
E WA & MT UNEMPLOYMENT COMPENSATION INSURANCE TRUST
1801 LIND AVENUE SW 9016	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
15451 SAN FERNANDO MISSION BLVD 200	MISSION HILLS	CA	913451420	954322584	SUPPORT	CA	501(c)(3)	7	PHS SOCAL	Yes (1)
GAMELIN WASHINGTON ASSOCIATION
1423 FIRST AVENUE	SEATTLE	WA	98101	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	NEWPORT BEACH	CA	92658	453583707	HEALTHCARE	CA	501(c)(3)	12,I	HMHP	Yes (1)
HOAG CHARITY SPORTS
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	452982422	SUPPORT	CA	501(c)(3)	7	HHF	Yes (1)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(c)(3)	7	HMHP	Yes (1)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100	NEWPORT BEACH	CA	92663	951643327	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
HOSPICE OF LUBBOCK
3702 21ST STREET	LUBBOCK	TX	79410	752133781	HEALTHCARE	TX	501(c)(3)	10	CHS	Yes (1)
INLAND NORTHWEST HEALTH SERVICES
601 W 1ST AVENUE	SPOKANE	WA	99201	911307555	HEALTHCARE	WA	501(c)(3)	3	PHS WA	Yes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVENUE SW 9016	RENTON	WA	98057	814260130	HEALTHCARE	WA	501(c)(3)	7	PHS SJHS	Yes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
401 TERRY AVE N	SEATTLE	WA	98109	912003593	HEALTHCARE	WA	501(c)(3)	7	WHC	Yes (1)
JOHN WAYNE CANCER INSTITUTE
2200 SANTA MONICA BLVD	SANTA MONICA	CA	90404	954291515	HEALTHCARE	CA	501(c)(3)	4	PSJHC	Yes (1)
KADLEC AUXILIARY INC
888 SWIFT BLVD	RICHLAND	WA	99352	916033089	SUPPORT	WA	501(c)(3)	12,III	KRMC	Yes (1)
KADLEC FOUNDATION
888 SWIFT BLVD	RICHLAND	WA	99352	237005501	SUPPORT	WA	501(c)(3)	12,I	KRMC	Yes (1)
KADLEC NEUROLOGICAL RESOURCE CENTER
1268 LEE BLVD	RICHLAND	WA	99352	911266345	HEALTHCARE	WA	501(c)(3)	10	WHC	Yes (1)
KADLEC REGIONAL MEDICAL CENTER
888 SWIFT BLVD	RICHLAND	WA	99352	910655392	HEALTHCARE	WA	501(c)(3)	3	WHC	Yes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
4101 TORRANCE BLVD	TORRANCE	CA	90503	330844408	IMAGING SVCS	CA	501(c)(3)	10	PHS SOCAL	Yes (1)
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREET	LUBBOCK	TX	79410	752220963	HEALTHCARE	TX	501(c)(3)	7	CHS	Yes (1)
LUNDBERG ASSOCIATION
5921 E BURNSIDE	PORTLAND	OR	97215	911562797	SUPPORT	OR	501(c)(3)	7	PHS OR	Yes (1)
MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH
747 BROADWAY	SEATTLE	WA	98122	912054035	RESEARCH	WA	501(c)(3)	7	SHS	Yes (1)
METHODIST CHILDREN'S HOSPITAL
3610 21ST STREET	LUBBOCK	TX	79410	752428911	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUE	LEVELLAND	TX	79336	752246348	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL PLAINVIEW
2601 DIMMITT ROAD	PLAINVIEW	TX	79072	752426010	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
27700 MEDICAL CENTER ROAD	MISSION VIEJO	CA	92691	951643360	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
PACMED CLINICS
1200 12TH AVE S	SEATTLE	WA	98144	562290878	HEALTHCARE	WA	501(c)(3)	10	WHC	Yes (1)
PH&S FOUNDATIONSFVSA & SCVSA
501 S BUENA VISTA STREET	BURBANK	CA	91505	953544877	HEALTHCARE	CA	501(c)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE ALASKA FOUNDATION
3300 PROVIDENCE DRIVE - B TOWER2	ANCHORAGE	AK	99508	920093565	HEALTHCARE	AK	501(c)(3)	12,I	PHS WA	Yes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
540 SOUTH MAIN ST	MT ANGEL	OR	973629532	911940286	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE BLANCHET ASSOCIATION
1700 PROVIDENCE PL	CENTRALIA	WA	98531	911789266	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE CHILD CENTER FOUNDATION
830 NE 47TH	PORTLAND	OR	97213	930800140	SUPPORT	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
1111 CRATER LAKE AVE	MEDFORD	OR	97504	930692907	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE DETHMAN HOUSE
1205 MONTELLO AVE	HOOD RIVER	OR	97031	473385506	SUPPORT	WA	501(c)(3)	7		0	N/A
PROVIDENCE FOUNDATION
1801 LIND AVENUE SW 9016	RENTON	WA	980579016	943078543	HEALTHCARE	WA	501(c)(3)	12,I	PHS WA	Yes (1)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
4515 MLK JR WAY S STE 200	SEATTLE	WA	98108	311744654	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW 9016	RENTON	WA	980579016	911549796	HEALTHCARE	WA	501(c)(3)	12,II	PSJH	0
PROVIDENCE HEALTH & SERVICES - MONTANA
500 W BROADWAY PO BOX 4587	MISSOULA	MT	598064587	810231793	HEALTHCARE	MT	501(c)(3)	3	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW 9016	RENTON	WA	980579016	510216587	HEALTHCARE	OR	501(c)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVENUE SW 9016	RENTON	WA	980579016	510216586	HEALTHCARE	WA	501(c)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVENUE SW 9016	RENTON	WA	980579016	911303277	HEALTHCARE	WA	501(c)(3)	3	PMWHC	Yes (1)
PROVIDENCE HEALTH ASSURANCE
4400 NE HALSEY BLDG 2	PORTLAND	OR	97213	550828701	MEDICAID	OR	501(c)(4)	N/A	PHP	Yes (1)
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
101 W 8TH AVE	SPOKANE	WA	99204	320014330	HEALTHCARE	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA)
914 S SCHEUBER ROAD	CENTRALIA	WA	98531	911433382	HEALTHCARE	WA	501(c)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HEALTH PLAN
4400 NE HALSEY BLDG 2	PORTLAND	OR	97213	930863097	HEALTHCARE	OR	501(c)(4)	N/A	PPP	Yes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVENUE SW 9016	RENTON	WA	980579016	510216589	HEALTHCARE	CA	501(c)(3)	3	PHS	Yes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
811 13TH ST	HOOD RIVER	OR	97031	930921990	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION
2731 WETMORE AVENUE SUITE 500	EVERETT	WA	98201	272552749	HEALTHCARE	WA	501(c)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
425 PONTIUS AVENUE NORTH 300	SEATTLE	WA	981095452	912077378	HEALTHCARE	WA	501(c)(3)	12,I	PHS W WA	Yes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
4101 TORRANCE BLVD	TORRANCE	CA	90503	510224944	HEALTHCARE	CA	501(c)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE MARIANWOOD FOUNDATION
3725 PROVIDENCE POINT DRIVE SE	ISSAQUAH	WA	980297219	931554288	HEALTHCARE	WA	501(c)(3)	12,I	PHS W WA	Yes (1)
PROVIDENCE MEDICAL INSTITUTE
4101 TORRANCE BLVD	TORRANCE	CA	90503	330283773	HEALTHCARE	CA	501(c)(3)	12,I	PHS SOCAL	Yes (1)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32ND	MILWAUKIE	OR	97222	943079515	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW SUITE 9016	RENTON	WA	980579016		RELIGIOUS ORG	WA	501(c)(3)	1		0	N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 - 35TH AVENUE SW	SEATTLE	WA	981262799	911188119	HEALTHCARE	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVE	NEWBERG	OR	97132	930889144	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
7101 38TH AVENUE SOUTH	SEATTLE	WA	98118	311629656	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE PLAN PARTNERS
4400 NE HALSEY BLDG 2	PORTLAND	OR	97213	911861964	HEALTHCARE	WA	501(c)(4)	N/A	PHS OR	Yes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN ST	PORTLAND	OR	972132967	931231494	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE ROSSI ASSOCIATION
1700 PROVIDENCE PL	CENTRALIA	WA	98531	311584166	SUPPORT	WA	501(c)(3)	10	PHS WA	Yes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
2121 SANTA MONICA BLVD	SANTA MONICA	CA	90404	951684082	HEALTHCARE	CA	501(c)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
20555 EARL ST	TORRANCE	CA	90503	814542216	HEALTHCARE	CA	501(c)(3)	PENDING	PHS SOCAL	Yes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA RD	SEASIDE	OR	97138	930927320	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
3201 SW GRAHAM ST	SEATTLE	WA	98126	912171539	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
3415 12TH AVENUE NE	OLYMPIA	WA	98506	943244854	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVENUE SW 9016	RENTON	WA	98057	811244422	HEALTHCARE	WA	501(c)(3)	12,III		0	N/A
PROVIDENCE ST MARY FOUNDATION
401 W POPLAR ST	WALLA WALLA	WA	99362	452841492	HEALTHCARE	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST PETER FOUNDATION
413 LILLY ROAD NE	OLYMPIA	WA	985065166	911097056	SUPPORT	WA	501(c)(3)	7	PHS W WA	Yes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
9205 SW BARNES RD	PORTLAND	OR	97225	930575982	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE
5315 TORRANCE BLVD SUITE B1	TORRANCE	CA	90503	953264139	HEALTHCARE	CA	501(c)(3)	10	PHS SOCAL	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
5315 TORRANCE BLVD SUITE B1	TORRANCE	CA	90503	330261016	HEALTHCARE	CA	501(c)(3)	7	PTCH	Yes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1500 DIVISION STREET	OREGON CITY	OR	97045	931003750	HEALTHCARE	OR	501(c)(3)	12, I	PHS OR	Yes (1)
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREET	NAPA	CA	94558	941243669	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVE	FORTUNA	CA	95540	942779313	HEALTHCARE	CA	501(c)(3)	7	RMH	Yes (1)
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVE	FORTUNA	CA	95540	941384665	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
2121 SANTA MONICA BLVD	SANTA MONICA	CA	90404	956100079	SUPPORT	CA	501(c)(3)	7	PSJHC	Yes (1)
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DR	SANTA ROSA	CA	95405	941231005	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
SEATTLE SCIENCE FOUNDATION
550 17TH AVE	SEATTLE	WA	98122	611502822	PHYSN COLLAB	WA	501(c)(3)	7	WHC	Yes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVENUE SW 9016	RENTON	WA	980579016	262612415	SHELL CORP	MT	501(c)(3)	1	PHS WA	Yes (1)
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)
400 NORTH MCDOWELL BLVD	PETALUMA	CA	94954	680395200	HEALTHCARE	CA	501(c)(3)	3	SRMH	Yes (1)
ST JOSEPH HEALTH MINISTRY
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	271666576	RELIGIOUS ORG	CA	501(c)(3)	1	SSJO	0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
3345 MICHELSON DRIVE	IRVINE	CA	92612	814791043	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
ST JOSEPH HEALTH SYSTEM
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	953589356	HEALTHCARE	CA	501(c)(3)	12,I	PSJH	0
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330143024	HEALTHCARE	CA	501(c)(3)	7	SJHS	Yes (1)
ST JOSEPH HERITAGE HEALTHCARE
200 WEST CENTER ST PROMENADE	ANAHEIM	CA	92805	330185031	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
ST JOSEPH HOME CARE NETWORK
1111 SONOMA STE 308	SANTA ROSA	CA	95405	680331084	HEALTHCARE	CA	501(c)(3)	10	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREET	EUREKA	CA	95501	941156596	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVE	ORANGE	CA	92868	951643359	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVE	FULLERTON	CA	92635	951643324	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
ST LUKE ASSOCIATION
350 WASHINGTON AVE SE	CHEHALIS	WA	98352	943176618	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
ST MARY MEDICAL CENTER
18300 HIGHWAY 18	APPLE VALLEY	CA	92307	951914489	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREET	LUBBOCK	TX	79410	751653181	HEALTHCARE	TX	501(c)(3)	7	CHS	Yes (1)
ST PATRICK HOSPITAL FOUNDATION
500 WEST BROADWAY PO BOX 4587	MISSOULA	MT	598064587	237056976	HEALTHCARE	MT	501(c)(3)	7	PHS WA	Yes (1)
ST THOMAS CHILD AND FAMILY CENTER
1710 BENEFIS COURT	GREAT FALLS	MT	59405	810233495	EDUCATION	MT	501(c)(3)	10	PHS WA	Yes (1)
SWEDISH EDMONDS
21601 76TH AVE W	EDMONDS	WA	98026	272305304	HEALTHCARE	WA	501(c)(3)	3	WHC	Yes (1)
SWEDISH HEALTH SERVICES
747 BROADWAY	SEATTLE	WA	98122	910433740	HEALTHCARE	WA	501(c)(3)	3	WHC	Yes (1)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAY	SEATTLE	WA	98122	910983214	HEALTHCARE	WA	501(c)(3)	7	SHS	Yes (1)
SWEDISH MJM HOLDINGS
747 BROADWAY	SEATTLE	WA	98122	273139262	HOLDING CO	WA	501(c)(3)	12,I	SHS	Yes (1)
THE GAMELIN ASSOCIATION
312 NORTH FOURTH ST	YAKIMA	WA	98901	911180824	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
THE GAMELIN CALIFORNIA ASSOCIATION
540 23RD ST	OAKLAND	CA	94612	911293869	SUPPORT	CA	501(c)(3)	10	PHS SOCAL	Yes (1)
THE GAMELIN OREGON ASSOCIATION
5520 NE GLISAN	PORTLAND	OR	97213	911214491	SUPPORT	OR	501(c)(3)	10	PHS OR	Yes (1)
UNIVERSITY OF PROVIDENCE
1301 20TH STREET SOUTH	GREAT FALLS	MT	59405	810231777	EDUCATION	MT	501(c)(3)	2	PHS	Yes (1)
WESTERN HEALTHCONNECT
747 BROADWAY	SEATTLE	WA	98122	454171900	SHELL CORPORATION	WA	501(c)(3)	12,II	PHS W WA	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (61 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
ALPHA MEDICAL LABORATORY LLC
611 N PERRY	SPOKANE	WA	99202	912017347	OUTPATIENT LAB	ID	N/A
BROADWAY IMAGING LLC
500 W BROADWAY	MISSOULA	MT	59802	522405971	MEDICAL IMAGING	MT	N/A
CALIFORNIA LABORATORY ASSOCIATES LLC
501 BUENA VISTA	BURBANK	CA	91505	273888692	OUTPATIENT LAB	CA	N/A
CALIFORNIA SPECIALTY SURGERY CENTER LP
26371 CROWN VALLEY PARKWAY	MISSION VIEJO	CA	92691	330939003	HEALTHCARE	CA	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 BOX 6100	NEWPORT BEACH	CA	92658	810986844	HEALTHCARE	CA	N/A
COVENANT LONG-TERM CARE LP
4000 24TH STREET	LUBBOCK	TX	79410	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
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA ST	BURBANK	CA	91505	954570858	REAL ESTATE - MOB	CA	N/A
HCSA PROPERTIES LLC
1600 M STREET NW	AUBURN	WA	98001	460620892	REAL ESTATE RENT	WA	N/A
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000	ORANGE	CA	92868	271000061	INVESTMENTS	CA	N/A
HOAG ORTHOPEDIC INSTITUTE
ONE HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	611588294	HEALTHCARE	CA	N/A
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
MOUNTAINSTAR CLINICAL LABORATORIES LLC
611 N PERRY	SPOKANE	WA	99202	261345983	OUTPATIENT LAB	MT	N/A
NEWPORT IMAGING CENTER
360 SAN MIGUEL	NEWPORT BEACH	CA	92660	330191776	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
PACLAB LLC
611 N PERRY SPOKANE	SPOKANE	WA	99202	911743952	OUTPATIENT LAB	WA	N/A
PATHOLOGY ASSOCIATES MEDICAL LABORATORIES LLC
611 N PERRY SPOKANE	SPOKANE	WA	99202	270943279	OUTPATIENT LAB	WA	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 AVENUE SW 9016	RENTON	WA	98057	472279711	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST 2015 PRIVATE ASSETS PORTFOLIO
1801 LIND AVENUE SW 9016	RENTON	WA	98057	473393740	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST 2016 PRIVATE ASSETS PORTFOLIO
1801 LIND AVENUE SW 9016	RENTON	WA	98057	811532735	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST 2016 PRIVATE RE PORTFOLIO
1801 LIND AVENUE SW 9016	RENTON	WA	98057	812960145	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST BANK LOANS PORTFOLIO
1801 LIND AVENUE SW 9016	RENTON	WA	98057	472357735	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST COMMODITIES PORTFOLIO
1801 LIND AVENUE SW 9016	RENTON	WA	98057	472269004	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST HEDGE FUND PORTFOLIO
1801 LIND AVENUE SW 9016	RENTON	WA	98057	472293255	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST LDI PORTFOLIO
1801 LIND AVENUE SW 9016	RENTON	WA	98057	472392060	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST LONG TREASURIES PORTFOLIO
1801 LIND AVENUE SW 9016	RENTON	WA	98057	472385238	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST MLP PORTFOLIO
1801 LIND AVENUE SW 9016	RENTON	WA	98057	472367538	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST PUBLIC DEBT PORTFOLIO
1801 LIND AVENUE SW 9016	RENTON	WA	98057	472353569	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST PUBLIC EQUITY PORTFOLIO
1801 LIND AVENUE SW 9016	RENTON	WA	98057	472283974	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST RELATIVE VALUE PORTFOLIO
1801 LIND AVENUE SW 9016	RENTON	WA	98057	472314743	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST RISK PARITY PORTFOLIO
1801 LIND AVENUE SW 9016	RENTON	WA	98057	472336377	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVENUE SW 9016	RENTON	WA	98057	812701056	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST TACTICAL TRADING PORTFOLIO
1801 LIND AVENUE SW 9016	RENTON	WA	98057	472327491	INVESTMENTS	WA	N/A
PHS INVESTMENT TRUST TIPS PORTFOLIO
1801 LIND AVENUE SW 9016	RENTON	WA	98057	472402609	INVESTMENTS	WA	N/A
PORTLAND MEDICAL IMAGING LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	201054971	IMAGING DIAGNOSTI	OR	N/A
PROV RADIATION ONCOLOGY DEVELOP ASSN
4400 NE HALSEY 495	PORTLAND	OR	97213	260682491	REAL ESTATE - MOB	OR	N/A
PROVIDENCE IMAGING CENTER
3340 PROVIDENCE DRIVE	ANCHORAGE	AK	99508	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 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
SOUTHERN CALIFORNIA SURGERY CENTER LLC
18321 VENTURA BLVD STE 740	TARZANA	CA	91356	330939000	HEALTHCARE	CA	N/A
SOUTHERN IDAHO REGIONAL LABORATORY LLC
611 N PERRY SPOKANE	SPOKANE	WA	99202	820511819	OUTPATIENT LAB	ID	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
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVD	SPOKANE	WA	99204	841606484	HOTEL SERVICES	WA	N/A
TRI-CITIES LABORATORY LLC
611 N PERRY	SPOKANE	WA	99202	911773986	OUTPATIENT LAB	WA	N/A
HOAG OUTPATIENT CENTERS LLC
27271 LAS RAMBLAS 350	MISSION VIEJO	CA	92691	453587572	HEALTHCARE	CA	N/A
NEWPORT BAY SURGERY CENTER LLC
3333 W PACIFIC COAST HWY 100	NEWPORT 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 SURGICAL PARTNERS LLC
27271 LAS RAMBLAS 350	MISSION VIEJO	CA	92691	392060266	HEALTHCARE	CA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (23 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 PEMBROKE	BERMUDA	BD	BD
BOURGET HEALTH SERVICES INC
PO BOX 2687	SPOKANE	WA	99220	911354431	CLIN/MED LAB	WA	N/A	C	0
CARON HEALTH CORPORATION
510 W FRONT ST	MISSOULA	MT	59802	810486082	MED PHYS SVCS	MT	N/A	C	0
HOAG CLINIC
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330676831	HEALTHCARE	CA	N/A	C	0
DATU HEALTH INC AND SUBSIDIARIES
16150 MAIN CIRCLE DR SUITE 250	CHESTERFIELD	MO	63017	463070062	IT SVCS	DE	N/A	C	0
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587	HEALTHCARE	CA	N/A	C	0
LUBBOCK METHODIST HOSP PRACTICE MGMT
2107 OXFORD STREET STE 300	LUBBOCK	TX	79410	752578995	INACTIVE	TX	N/A	C	0
LUBBOCK METHODIST HOSPITAL SVCS
PO BOX 1201	LUBBOCK	TX	79410	752118585	HEALTHCARE	TX	N/A	C	0
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD	MISSION VIEJO	CA	92691	330212905	HEALTHCARE	CA	N/A	C	0
OPHIE HEALTHCARE SERVICES INC
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	271002825	HEALTHCARE	CA	N/A	C	0
PHN HOLDINGS
20555 EARL STREET	TORRANCE	CA	90503	461814184	STRAT PLAN SVCS	CA	N/A	C	0
PIONEER INNOVATIONS INC
800 5TH AVE 10TH FLOOR	SEATTLE	WA	98104	364818191	HEALTH INNOVATNS	WA	N/A	C	0
PROVIDENCE ASSURANCE INC
3131 CAMELBACK ROAD STE 400	PHOENIX	AZ	85016	208194071	CAPTIVE INSURANCE	AZ	N/A	C	0
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	900155714	CLIN/MED LAB	WA	N/A	C	0
PROVIDENCE HEALTH NETWORK
20555 EARL STREET	TORRANCE	CA	90503	800886966	PREPAID HEALTH	CA	N/A	C	0
PROVIDENCE HEALTH VENTURES INC
4101 TORRANCE BLVD	TORRANCE	CA	90503	330122216	INVESTMENT	CA	N/A	C	0
ST JOSEPH HEALTH SOURCE INC
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	461900168	HEALTHCARE	CA	N/A	C	0
ST JOSEPH HEALTH
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	462340232	HOLDING COMPANY	CA	N/A	C	0
ST JOSEPH PROF SVCS ENTERPRSES INC
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330155323	HEALTHCARE	CA	N/A	C	0
VINSERRA INC
1328 22ND STREET	SANTA MONICA	CA	90403	953943315	INVESTMENTS	CA	N/A	C	0
WESTERN HEALTHCONNECT VENTURES INC
1801 LIND AVE SW 9016	RENTON	WA	98057	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	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
PROVIDENCE HEALTH & SERVICES - WASHINGTON
M	$5,099,185
ST PATRICK HOSPITAL FOUNDATION DBA PROVIDENCE MONTANA HEALTH FOUNDATION
C	$163,799