PROVIDENCE HEALTH & SERVICES MT: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE HEALTH & SERVICES MT (EIN 81-0231793)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-15
- IRS object ID
- 201843199349300019
- 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 | 2018-11-15T00:25:35-06:00 | 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 | 810231793 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE HEALTH & SERVICES - MONTANA | 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/ASSISTANT TREASURER | PersonTitleTxt |
| Phone | 4255253985 | PhoneNum |
| Signature | 2018-11-14 | 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 | 198.134.52.73 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-14 | IPDt |
| IP Tm | 21:00:34 | 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
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE ST PATRICK HOSPITAL | BusinessNameLine1Txt |
| 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 | $421,301,062 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://MONTANA.PROVIDENCE.ORG/HOSPITALS/ | 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 | 2389 | TotalEmployeeCnt |
| Total Volunteers | 208 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,026,678 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,884,099 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $436,386,880 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $407,121,025 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,027,634 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,519,858 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,518,825 | PYOtherRevenueAmt |
| CY Other Revenue | $5,418,024 | CYOtherRevenueAmt |
| PY Total Revenue | $443,960,017 | PYTotalRevenueAmt |
| CY Total Revenue | $417,943,006 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,025,589 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,550,785 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $130,762,136 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $139,330,614 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $327,326,779 | PYOtherExpensesAmt |
| CY Other Expenses | $241,910,053 | CYOtherExpensesAmt |
| PY Total Expenses | $459,114,504 | PYTotalExpensesAmt |
| CY Total Expenses | $382,791,452 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$15,154,487 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $35,151,554 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $254,404,251 | TotalAssetsBOYAmt |
| Total Assets EOY | $269,125,990 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $113,964,805 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $97,789,258 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $140,439,446 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $171,336,732 | 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 | $197,207,725 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $322,275,172 | 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.ACUTE CARE - INPATIENT & OUTPATIENTTOTAL ADMISSIONS: 10,394TOTAL PATIENT DAYS: 46,373TOTAL OUTPATIENT VISITS: 283,152HIGHLIGHTS/ACHIEVEMENTS:IN 2015 ST. PATRICK HOSPITAL OPENED A FAMILY MATERNITY CENTER AND STARTED DELIVERING BABIES FOR THE FIRST TIME IN OVER 40 YEARS. * MOUNTAIN-PACIFIC QUALITY HEALTH PRESENTED PROVIDENCE ST. PATRICK HOSPITAL WITH THE 2016 HOSPITAL COMMITMENT TO QUALITY AWARD. MOUNTAIN-PACIFIC QUALITY HEALTH'S QUALITY AWARDS REFLECT CONTINUED EXPECTATIONS OF ENGAGING PATIENTS AND FAMILIES IN IMPROVING CARE AS WELL AS TOP PERFORMANCE ON QUALITY INDICATORS AND SYSTEM CHANGES, AS PROMOTED BY TODAY'S HEALTH CARE INDUSTRY. STRONG LEADERSHIP SUPPORT IS CONSIDERED, SINCE IT IS VITAL FOR ACHIEVING AND SUSTAINING EXCELLENT PATIENT SAFETY AND IMPROVEMENTS IN PATIENT CARE. IN ADDITION, ST. PAT'S EARNED MOUNTAIN PACIFIC'S NEW AWARD CALLED CHASING ZERO, FOR DEMONSTRATING SUSTAINED PERIODS OF ZERO INFECTIONS FOR SPECIFIC HOSPITAL-ACQUIRED INFECTIONS. * PROVIDENCE ST. PATRICK HOSPITAL WAS NAMED ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS BY TRUVEN HEALTH ANALYTICS. THIS IS THE NINTH TIME PROVIDENCE ST. PATRICK HOSPITAL HAS BEEN RECOGNIZED WITH THIS HONOR. THE 50 TOP CARDIOVASCULAR HOSPITALS STUDY EVALUATES PERFORMANCE IN KEY AREAS: RISK-ADJUSTED MORTALITY, RISK-ADJUSTED COMPLICATIONS, CORE MEASURES (A GROUP OF MEASURES THAT ASSESS PROCESS OF CARE), PERCENTAGE OF CORONARY BYPASS PATIENTS WITH INTERNAL MAMMARY ARTERY USE, 30-DAY MORTALITY RATES, 30-DAY READMISSION RATES, SEVERITY-ADJUSTED AVERAGE LENGTH OF STAY, AND WAGE- AND SEVERITY-ADJUSTED AVERAGE COST.* ST. PATRICK HOSPITAL'S EMERGENCY DEPARTMENT AND CATHETERIZATION LABORATORY RECEIVED THE 2016 MISSION: LIFELINE RECEIVING CENTER GOLD RECOGNITION AWARD MISSION FROM THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION FOR OUR QUALITY OF HEART ATTACK CARE AS DEMONSTRATED THROUGH THE 2015 ACTION REGISTRY -GWTG DATA. THIS AWARD RECOGNIZES SUCCESS IN IMPLEMENTING A HIGH QUALITY CARE PROGRAM, ENSURING THAT OUR ST-ELEVATION MYOCARDIAL INFARCTION (STEMI) PROGRAM TREATS PATIENTS ACCORDING TO NATIONALLY ACCEPTED GUIDELINES. STEMI IS A SERIOUS HEART ATTACK DURING WHICH ONE OF THE HEART'S MAJOR ARTERIES IS BLOCKED, AND MUST BE TREATED QUICKLY AND APPROPRIATELY FOR THE PATIENT TO SURVIVE. * PROVIDENCE ST. PATRICK HOSPITAL WAS ONE OF 844 HOSPITALS TO RECEIVE AN "A" RANKING AMONG THE SAFEST HOSPITALS IN THE UNITED STATES ACCORDING TO LEAPFROG HOSPITAL SAFETY GRADES, A NATIONAL PATIENT SAFETY WATCHDOG. LEAPFROG SAFETY GRADES ASSIGN A, B, C, D AND F LETTER GRADES TO HOSPITALS NATIONWIDE AND PROVIDE THE MOST COMPLETE PICTURE OF PATIENT SAFETY IN THE U.S. * ST. PATRICK HOSPITAL RECEIVED RECOGNITION FROM US NEWS AND WORLD REPORT FOR BEING A TOP 50 HOSPITAL FOR UROLOGY CARE IN 2016. HOSPITALS ARE SCORED ON VOLUME OF HIGH-RISK PATIENTS, NURSE STAFFING AND PATIENT SURVIVAL. SPECIFIC CRITERIA THAT CONTRIBUTED TO THE RANKING INCLUDED OUR PATIENT'S 30-DAY SURVIVAL RATE (SCORE 10/10), THE USE OF ADVANCED TECHNOLOGIES (SCORE 6/6), PATIENT SERVICES (SCORE 8/9), MAGNET RECOGNITION, SERVING AS A LEVEL II TRAUMA CENTER AND HAVING AN INTENSIVIST PROGRAM. IN ADDITION, ST. PAT'S WAS RECOGNIZED AS "HIGH PERFORMING" IN AORTIC VALVE SURGERY, HEART BYPASS SURGERY AND PULMONOLOGY.* PROVIDENCE ST. PATRICK HOSPITAL WAS AWARDED THE PARTNER FOR CHANGE AWARD FROM PRACTICE GREENHEALTH FOR IMPLEMENTATION OF A SIGNIFICANT NUMBER OF ENVIRONMENTAL STEWARDSHIP PROGRAMS AND BEST PRACTICES, AND CONTINUOUSLY IMPROVING AND EXPANDING UPON THESE PROGRAMS ON THE PATH TO SUSTAINABILITY.* PROVIDENCE ST. PATRICK HOSPITAL WAS GIVEN THE WOMEN'S CHOICE AWARD FOR ONE OF AMERICA'S 100 BEST HOSPITALS FOR PATIENT EXPERIENCE IN MONTANA. THE HOSPITALS ARE HIGHLY RATED BY WOMEN FOR CREATING AN EXTRAORDINARY PATIENT EXPERIENCE FOR WOMEN AND THEIR FAMILIES. THE PROCESS BEGINS WITH SCORES DERIVED FOR EACH HOSPITAL IN THE HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) DATABASE. THE SCORE TAKES A SUBSET OF THE QUESTIONS HCAHPS USES THAT RESEARCH AND EXPERIENCE SHOWS ARE MORE IMPORTANT TO WOMEN THAN TO MEN. WOMENCERTIFIED APPLIES WEIGHT TO EACH OF THOSE QUESTIONS TO ADJUST FOR RELATIVE IMPORTANCE TO ARRIVE AT A NUMERICAL SCORE. THE SCORING IS OBJECTIVE AND UNIFORM. THE 100 BEST SCORES IN EACH OF THE FOUR CATEGORIES DETERMINE THE AMERICA'S 100 BEST HOSPITALS FOR OUTSTANDING PATIENT EXPERIENCE BY WOMENCERTIFIED AWARD WINNERS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $74,784,963 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $58,010,268 | RevenueAmt |
| Desc | SEE SCHEDULE O.PRIMARY CARETOTAL VISITS: 304,475* NINE WESTERN MONTANA PROVIDENCE MEDICAL GROUP MEDICAL CLINICS RECEIVED NATIONAL RECOGNITION AS LEVEL 3 PATIENT-CENTERED MEDICAL HOMES, THE HIGHEST ACCREDITATION POSSIBLE, BY THE NATIONAL COMMITTEE OF QUALITY ASSURANCE (NCQA). LEVEL 3 STATUS INVOLVES MEETING AND DOCUMENTING REQUISITE ELEMENTS IN SIX CATEGORIES, SUCH AS TRACKING AND COORDINATING PATIENT CARE, EASING ACCESS TO PROVIDERS THROUGH IMPROVED HOURS AND SCHEDULING, AND MEASURING AND IMPROVING CLINIC/PROVIDER PERFORMANCE. NCQA RECOGNITION ENSURES THAT THESE CLINICS USE EVIDENCE-BASED, PATIENT-CENTERED PROCESSES THAT FOCUS ON HIGHLY COORDINATED CARE AND LONG?TERM INTERACTIVE RELATIONSHIPS BETWEEN THE CARE TEAMS AND THE PATIENT. A PATIENT-CENTERED MEDICAL HOME IS A MODEL OF PRIMARY CARE THAT COMBINES TEAMWORK AND INFORMATION TECHNOLOGY TO IMPROVE CARE, IMPROVE THE PATIENT'S CARE EXPERIENCE, AND REDUCE COSTS. MEDICAL HOMES FOSTER ONGOING PARTNERSHIPS BETWEEN PATIENTS AND THEIR CLINICIANS USING MULTI-DISCIPLINARY CARE TEAMS TO COORDINATE TREATMENT, FOLLOW-UP AND SUPPORT. RESEARCH CONFIRMS THAT MEDICAL HOMES ADVANCE THE "TRIPLE AIM" OF HIGHER QUALITY, BETTER PATIENT EXPERIENCE AND COST CONTAINMENT.IN MISSOULA, THE PMG CLINICS INCLUDE: * BROADWAY INTERNAL MEDICINE* GRANT CREEK FAMILY MEDICINE* MONTANA INTERNAL MEDICINE* WOMEN'S CARE & FAMILY WELLNESS * MISSOULA FAMILY MEDICALPMG CLINICS OUTSIDE OF MISSOULA INCLUDE:* FLORENCE FAMILY MEDICINE IN FLORENCE* LIFESPAN FAMILY MEDICINE IN STEVENSVILLE* ST. JOSEPH MEDICAL CLINIC IN POLSON * ST. JOSEPH MEDICAL CLINIC IN RONAN* WITH A GRANT FROM THE MONTANA HEALTH FOUNDATION, GRANT CREEK FAMILY PRACTICE, A PATIENT-CENTERED MEDICAL HOME, BEGAN TO INTEGRATE BEHAVIORAL HEALTH INTO THE PRIMARY CARE SETTING. THE PRACTICE HIRED A LICENSED CLINICAL SOCIAL WORKER, WITH THE GOAL OF PROVIDING PATIENTS SEAMLESS, EFFECTIVE, MENTAL HEALTH CARE. FOLLOWING GRANT CREEK'S LEAD, THIS SERVICE WILL BE IMPLEMENTED INTO THE EIGHT OTHER WESTERN MONTANA PROVIDENCE PATIENT-CENTERED MEDICAL HOMES, WITH SPECIALTY SUPPORT FROM PROVIDENCE WESTERN MONTANA PSYCHIATRIC SERVICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $21,239,654 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $8,624,906 | RevenueAmt |
| Desc | HEALTHCARE JOINT VENTURESTHROUGH PARNERSHIPS, ST. PATRICK'S IS ABLE TO PROVIDE ADDITIONAL HEALTHCARE SERVICES TO THE COMMUNITY. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $1,550,785 | $1,550,785 | $0 | GRANTS AND ALLOCATIONS.SEE SCHEDULE I. |
| $0 | $0 | $21,551,200 | OTHER PROGRAM SUPPORT - CAPITATION REVENUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,550,785 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,550,785 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $21,551,200 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $294,783,127 | 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 | Yes (1) | 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 | Yes (1) | 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 |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2389 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JO ANN ESCASA-HAIGH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9493814000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3345 MICHELSON DRIVE SUITE 100 | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92612 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (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 | 2.00 | Yes (X) | $0 | $30,360 | $0 | ||||
| RICHARD BLAIR | ||||||||||
| BOARD CHAIR | 0.10 | 4.60 | Yes (X) | $0 | $60,360 | $0 | Yes (X) | |||
| ISIAAH CRAWFORD PHD | ||||||||||
| DIRECTOR | 0.10 | 4.10 | Yes (X) | $0 | $30,360 | $0 | ||||
| LUCILLE DEAN SP | ||||||||||
| DIRECTOR | 0.10 | 2.10 | Yes (X) | $0 | $0 | $0 | ||||
| SR DIANE HEJNA CSJ RN | ||||||||||
| DIRECTOR | 0.10 | 1.90 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL HOLCOMB | ||||||||||
| DIRECTOR | 0.10 | 5.30 | Yes (X) | $0 | $30,360 | $0 | ||||
| SR PHYLLIS HUGHES RSM DRPH | ||||||||||
| DIRECTOR | 0.10 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| SALLYE LINER MSN RN | ||||||||||
| DIRECTOR | 0.10 | 4.70 | Yes (X) | $0 | $25,360 | $0 | ||||
| MARY LYONS PHD | ||||||||||
| DIRECTOR | 0.10 | 1.50 | Yes (X) | $0 | $30,360 | $0 | ||||
| WALTER NOCE JR | ||||||||||
| DIRECTOR | 0.10 | 2.00 | Yes (X) | $0 | $30,360 | $0 | ||||
| DAVE OLSEN | ||||||||||
| BOARD VICE CHAIR | 0.10 | 5.50 | Yes (X) | $0 | $30,360 | $0 | Yes (X) | |||
| CAROLINA REYES MD | ||||||||||
| DIRECTOR | 0.10 | 4.60 | Yes (X) | $0 | $30,360 | $0 | ||||
| PHOEBE YANG | ||||||||||
| DIRECTOR | 0.10 | 2.00 | Yes (X) | $0 | $25,360 | $0 | ||||
| DONALD ANDERSON JR | ||||||||||
| ASSISTANT SECRETARY FOR ENROLLMENT | 1.00 | 49.00 | $0 | $248,186 | $20,012 | Yes (X) | ||||
| VENKAT BHAMIDIPATI | ||||||||||
| EVP/TREASURER | 1.00 | 49.00 | $0 | $638,309 | $847,978 | Yes (X) | ||||
| MIKE BUTLER | ||||||||||
| PRESIDENT | 1.00 | 59.00 | $0 | $2,529,152 | $2,095,457 | Yes (X) | ||||
| JO ANN ESCASA-HAIGH | ||||||||||
| EVP / ASSISTANT TREASURER | 1.00 | 49.00 | $0 | $1,372,090 | $667,685 | Yes (X) | ||||
| CINDY STRAUSS | ||||||||||
| SECRETARY | 1.00 | 59.00 | $0 | $1,743,082 | $1,020,214 | Yes (X) | ||||
| TAMMY TEODOSIO | ||||||||||
| ASSISTANT SECRETARY | 1.00 | 49.00 | $0 | $117,493 | $23,110 | Yes (X) | ||||
| JOHN WHIPPLE | ||||||||||
| ASSISTANT SECRETARY | 1.00 | 49.00 | $0 | $754,800 | $485,048 | Yes (X) | ||||
| KIRK BODLOVIC | ||||||||||
| CFO/ST. PATRICK HOSPITAL | 50.00 | 0.00 | $0 | $280,460 | $52,334 | Yes (X) | ||||
| JEFFREY FEE | ||||||||||
| CE/WESTERN MT. REGION | 40.00 | 10.00 | $0 | $1,552,147 | $24,922 | Yes (X) | ||||
| ROBERT HELLRIGEL | ||||||||||
| SVP-CE/SENIOR & COMM. SVERVICES | 1.00 | 54.00 | $0 | $600,911 | $471,983 | Yes (X) | ||||
| CARTER BECK MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,171,965 | $0 | $95,676 | Yes (X) | ||||
| CHRISS MACK MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,175,691 | $0 | $85,064 | Yes (X) | ||||
| JAMES MAXWELL MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,074,914 | $0 | $55,548 | Yes (X) | ||||
| SIMONE MUSCO MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,012,632 | $0 | $118,460 | Yes (X) | ||||
| MICHAEL YERKEY MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $971,999 | $0 | $90,312 | Yes (X) | ||||
| ROD F HOCHMAN MD | ||||||||||
| FORMER PRESIDENT/CEO | 0.00 | 0.00 | $0 | $5,269,095 | $6,313,965 | Yes (X) | ||||
| TODD HOFHEINS | ||||||||||
| FORMER EVP/CFO/TREASURER | 0.00 | 0.00 | $0 | $2,139,115 | $45,475 | Yes (X) | ||||
| JOHN FLETCHER | ||||||||||
| FORMER VP/OPERATIONS SUPPORT | 0.00 | 0.00 | $0 | $103,970 | $20,386 | Yes (X) | ||||
| TERRY SMITH | ||||||||||
| FORMER SVP/MANAGEMENT SVCS | 0.00 | 0.00 | $0 | $213,516 | $18,997 | Yes (X) | ||||
| CRAIG WRIGHT MD | ||||||||||
| FORMER - SVP/PHYSICIAN SERVICES | 0.00 | 0.00 | $0 | $245,590 | $10,916 | Yes (X) | ||||
| DAVID BROWN | ||||||||||
| VP/STRATEGY & BUSINESS DEVELOPMENT | 0.00 | 55.00 | $0 | $700,285 | $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 & DIRECTOR | 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 | $705,405 | $482,346 | 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 | $856,314 | $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 | $830,621 | $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 | ||||||||||
| SVP/MISSION LEADERSHIP | 0.00 | 29.00 | $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) | ||||
| PAUL STODDART | ||||||||||
| FORMER VP/MARKETING | 0.00 | 0.00 | $0 | $175,547 | $8,264 | Yes (X) | ||||
| GREG TILL | ||||||||||
| VP/CHIEF TALENT OFFICER & DIRECTOR | 0.00 | 65.00 | $0 | $713,560 | $491,592 | Yes (X) | ||||
| SHARON TONCRAY | ||||||||||
| SVP/CHIEF LABOR EMPLOYEE COUNSEL | 0.00 | 60.00 | $0 | $766,530 | $557,321 | Yes (X) | ||||
| LISA VANCE | ||||||||||
| SVP/CLINICAL PROGRAM SERVICES | 0.00 | 60.00 | $0 | $1,691,102 | $682,325 | Yes (X) | ||||
| MIKE WATERS | ||||||||||
| VP, CAO/PHYSICIAN SERVICES | 0.00 | 65.00 | $0 | $642,910 | $463,750 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,407,201 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $36,044,308 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $23,168,142 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 227 | 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 |
|---|---|---|---|---|---|
| WESTERN MT EMERGENCY PHYS | |||||
| 500 WEST BROADWAY | MISSOULA | MT | 59802 | STAFFING | $7,406,113 |
| MONTANA CANCER SPECIALISTS | |||||
| PO BOX 7877 | MISSOULA | MT | 598077877 | STAFFING | $3,570,621 |
| JACKSON CONTRACTOR GROUP | |||||
| PO BOX 967 | MISSOULA | MT | 598060967 | CONSTRUCTION | $2,720,052 |
| THOMAS CUISINE CORPORATION | |||||
| 500 WEST BROADWAY | MISSOULA | MT | 59802 | FOOD/CATERING | $1,570,746 |
| MISSOULA ANESTHESIOLOGY PC | |||||
| PO BOX 17527 | MISSOULA | MT | 598087527 | STAFFING | $1,267,851 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 106 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,021,292 | RelatedOrganizationsAmt |
| Government Grants | $856,307 | GovernmentGrantsAmt |
| All Other Contributions | $6,500 | AllOtherContributionsAmt |
| Total Contributions | $1,884,099 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ACUTE CARE | 622110 | $319,869,328 | $319,869,328 |
| PRIMARY CARE | 621110 | $56,478,469 | $56,478,469 |
| HEALTHCARE JVS | 900099 | $8,624,906 | $8,624,906 |
| PHARMACY | 900099 | $305,919 | $305,919 |
| LABORATORY | 621500 | $179,938 | $179,938 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,662,465 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,662,465 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $407,121,025 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,238,130 | TotalRevenueColumnAmt |
| Exclusion | $1,238,130 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,637,377 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,154,877 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$1,517,500 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,517,500 | TotalRevenueColumnAmt |
| Exclusion | -$1,517,500 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $721,848 | SecuritiesAmt |
| Other | $1,672,952 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $113,072 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $721,848 | SecuritiesAmt |
| Other | $1,559,880 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,281,728 | TotalRevenueColumnAmt |
| Exclusion | $2,281,728 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $130,847 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $90,107 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,740 | TotalRevenueColumnAmt |
| Exclusion | $40,740 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| BIC OUTSIDE SERVICES | 900099 | $1,987,382 | $1,987,382 | |
| COST RECOVERY | 900099 | $1,011,178 | $1,011,178 | |
| RURAL EMERGENCY SVCS | 900099 | $879,398 | $879,398 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,016,826 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,353,139 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,663,687 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,894,784 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $417,943,006 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $410,461,546 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,597,361 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,386,715 | TotalAmt |
| Program Services | $1,386,715 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,070 | TotalAmt |
| Program Services | $164,070 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,859,561 | TotalAmt |
| Management And General | $1,859,561 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,437,508 | TotalAmt |
| Program Services | $113,855,872 | ProgramServicesAmt |
| Management And General | $12,581,636 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,359,071 | TotalAmt |
| Program Services | $2,086,559 | ProgramServicesAmt |
| Management And General | $272,512 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,679 | TotalAmt |
| Program Services | $38,402 | ProgramServicesAmt |
| Management And General | $6,277 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,629,795 | TotalAmt |
| Program Services | $7,561,049 | ProgramServicesAmt |
| Management And General | $1,068,746 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,097 | TotalAmt |
| Management And General | $39,097 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,180 | TotalAmt |
| Management And General | $3,180 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,351 | TotalAmt |
| Management And General | $69,351 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,075 | TotalAmt |
| Management And General | $152,075 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,572,020 | TotalAmt |
| Program Services | $52,350,216 | ProgramServicesAmt |
| Management And General | $3,221,804 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $614,287 | TotalAmt |
| Program Services | $614,287 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,123,590 | TotalAmt |
| Program Services | $2,312,838 | ProgramServicesAmt |
| Management And General | $1,810,752 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,648 | TotalAmt |
| Program Services | $122,157 | ProgramServicesAmt |
| Management And General | $45,491 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,249,406 | TotalAmt |
| Program Services | $3,873,303 | ProgramServicesAmt |
| Management And General | $1,376,103 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $704,214 | TotalAmt |
| Program Services | $481,738 | ProgramServicesAmt |
| Management And General | $222,476 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,304 | TotalAmt |
| Program Services | $242,308 | ProgramServicesAmt |
| Management And General | $103,996 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,035,984 | TotalAmt |
| Program Services | $2,035,984 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,834,314 | TotalAmt |
| Management And General | $60,834,314 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,786,912 | TotalAmt |
| Program Services | $5,324,824 | ProgramServicesAmt |
| Management And General | $2,462,088 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,718 | TotalAmt |
| Program Services | $13,718 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $78,497,584 | $78,308,274 | $189,310 |
| COST CARE SVCS CLAIMS | $21,204,926 | $21,204,926 | |
| BAD DEBTS | $1,652,633 | $1,652,633 | |
| DUES & MEMBERSHIPS | $542,682 | $196,358 | $346,324 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,300,128 | TotalAmt |
| Program Services | $956,896 | ProgramServicesAmt |
| Management And General | $1,343,232 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $382,791,452 | TotalAmt |
| Program Services | $294,783,127 | ProgramServicesAmt |
| Management And General | $88,008,325 | 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 | $191,721 | BOYAmt |
| EOY | $170,492 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,845,992 | BOYAmt |
| EOY | $1,240,686 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,192,567 | BOYAmt |
| EOY | $41,897,264 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,997,498 | BOYAmt |
| EOY | $9,345,052 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,928,964 | BOYAmt |
| EOY | $4,921,253 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $281,425 | BOYAmt |
| EOY | $83,273 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $246,759,490 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $173,578,818 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,009,735 | BOYAmt |
| EOY | $73,180,672 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,586,490 | BOYAmt |
| EOY | $40,624,887 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,034,962 | BOYAmt |
| EOY | $22,101,641 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,334,897 | BOYAmt |
| EOY | $75,560,770 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,404,251 | BOYAmt |
| EOY | $269,125,990 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,393,079 | BOYAmt |
| EOY | $23,693,557 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $194,716 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,198,256 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,373,470 | BOYAmt |
| EOY | $73,900,985 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,964,805 | BOYAmt |
| EOY | $97,789,258 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,102,326 | BOYAmt |
| EOY | $162,972,889 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,516,030 | BOYAmt |
| EOY | $6,529,610 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,821,090 | BOYAmt |
| EOY | $1,834,233 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,439,446 | BOYAmt |
| EOY | $171,336,732 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,404,251 | BOYAmt |
| EOY | $269,125,990 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $35,151,554 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,416,834 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,671,102 | 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 | $1,693 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $69,351 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $71,044 | 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 | THE PORTION OF MONTHLY DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION DESIGNATED FOR LOBBYING. INITIATIVE SUPPORT. COSTS ASSOCIATED WITH THE DIRECT CONTACT WITH LEGISLATORS. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,487,614 | OtherCostOrOtherBasisAmt |
| Book Value | $8,487,614 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $111,590,440 | OtherCostOrOtherBasisAmt |
| Depreciation | $69,930,121 | DepreciationAmt |
| Book Value | $41,660,319 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,663,371 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,274,644 | DepreciationAmt |
| Book Value | $388,727 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $121,709,821 | OtherCostOrOtherBasisAmt |
| Depreciation | $101,374,053 | DepreciationAmt |
| Book Value | $20,335,768 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,308,244 | OtherCostOrOtherBasisAmt |
| Book Value | $2,308,244 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $73,180,672 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVEST IN PROV. SURGERY CENTER, LLC | $2,062,941 | C |
| INVEST IN BROADWAY IMAGING, LLC | $3,638,316 | C |
| INVEST IN PARTNERS IN HOME CARE, INC. | $4,740,190 | C |
| INVEST IN TAMARACK MANAGEMENT, INC. | $1,360,878 | C |
| BENEFICIAL INTEREST IN FOUNDATION | $10,006,874 | C |
| INVEST IN N. ROCKIES HEALTH ASSOC. | $292,442 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $22,101,641 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $64,676,959 |
| OTHER RECEIVABLES | $1,929,742 |
| THIRD PARTY SETTLEMENTS | $8,954,069 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $75,560,770 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $29,584,083 |
| TAX EXEMPT BOND LIABILITIES | $39,431,905 |
| CAPITALIZED LEASE OBLIGATION | $4,725,000 |
| THIRD PARTY SETTLEMENTS | $159,997 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $73,900,985 | 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 |
| Percent350 | Yes (X) | Percent350Ind |
| 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 | 1640 | PersonsServedCnt |
| Total Community Benefit Expns | $5,679,376 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,679,376 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01480 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 14930 | PersonsServedCnt |
| Total Community Benefit Expns | $50,704,927 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,815,314 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4 | PersonsServedCnt |
| Total Community Benefit Expns | $15,804 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,627 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,177 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16574 | PersonsServedCnt |
| Total Community Benefit Expns | $56,400,107 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,828,941 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,681,553 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01480 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 8967 | PersonsServedCnt |
| Total Community Benefit Expns | $257,713 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $257,713 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 8556 | PersonsServedCnt |
| Total Community Benefit Expns | $1,122,777 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,122,777 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 37824 | PersonsServedCnt |
| Total Community Benefit Expns | $20,488,803 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,240,387 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,248,416 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02940 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1 | PersonsServedCnt |
| Total Community Benefit Expns | $14,555 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,555 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $363,063 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $363,063 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 55348 | PersonsServedCnt |
| Total Community Benefit Expns | $22,246,911 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,240,387 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,006,524 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03390 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 71922 | PersonsServedCnt |
| Total Community Benefit Expns | $78,647,018 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $60,069,328 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,688,077 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04870 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 5185 | PersonsServedCnt |
| Total Community Benefit Expns | $115,161 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $115,161 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2036 | PersonsServedCnt |
| Total Community Benefit Expns | $90,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $90,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 25 | PersonsServedCnt |
| Total Community Benefit Expns | $15,436 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,436 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 900 | PersonsServedCnt |
| Total Community Benefit Expns | $27,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 8146 | PersonsServedCnt |
| Total Community Benefit Expns | $247,597 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $247,597 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,652,633 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $149,321,430 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $184,367,024 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$35,045,594 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 PROVIDENCE SURGERY CENTER LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | SAME DAY SURGERY, NON-EMERGENT CARE | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.75380 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.20310 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 PATRICK HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 WEST BROADWAY | AddressLine1Txt |
| City | MISSOULA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | montana.providence.org/hospitals/ | WebsiteAddressTxt |
| State License | 13200 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | REHAB AND PSYCH | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE ST PATRICK HOSPITAL | 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 | Yes (1) | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V, SECTION C | OtherWebsiteURLTxt |
| 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 |
| 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 | WWW2.PROVIDENCE.ORG/OBP/DOCS/MT-CHARITY-CARE-POLICY.PDF | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW2.PROVIDENCE.ORG/OBP/DOCS/FINANCIALASSISTANCEREQUEST(ENGLISH).PDF | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.PROVIDENCE.ORG/OBP/PLAIN-LANGUAGE-SUMMARY | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| 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 | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PROVIDENCE ST. PATRICK HOSPITAL | Part V, Section B, Line 5: THE FOLLOWING PEOPLE DEVOTED TIME AND ENERGY TO THE CREATING THIS REPORT. THE WORK GROUP MET THROUGHOUT 2017, COLLECTING AND TALKING ABOUT DATA SO THAT WE CAN BETTER UNDERSTAND HEALTH STATUS, COMMUNITY ASSETS AND RESOURCES, AND CHALLENGES IN MISSOULA COUNTY.AGRICULTURAL WORKERS HEALTH & SERVICES - AARON JOHNSON, ILEANA AREZIAAMERICAN CANCER SOCIETY - EMILY COYLECATCH, ST. PATRICK HOSPITAL - LISA TIMSCITY OF MISSOULA DEVELOPMENT SERVICES - LAVAL MEANSCITY OF MISSOULA HOUSING & COMMUNITY DEVELOPMENT - WILL SEBERNCITY OF MISSOULA PARKS & RECREATION - RYAN YEAROUS CLIMATE SMART MISSOULA - AMY CILIMBURGCOMMUNITY MEDICAL CENTER - SUE ENGLERT, DON MILLERDISABILITY ADVOCATE - LEEANNE BEERSEAT SMART COALITION, MCCHD - REBECCA MORLEYFAMILY MEDICAL RESIDENCY PROGRAM, UNIVERSITY OF MONTANA - ROB STENGERJOB SERVICE - KELLY DENIGERMISSOULA AGING SERVICES - JORDAN LYONSMISSOULA CITY-COUNTY HEALTH DEPARTMENT - CINDY FARR, ELLEN LEAHY, KATE DEVINO, LISA BECZKIEWICZMISSOULA COALITION ON AGING & DISABILITY - PATTI HOLKUPMISSOULA COUNTY COMMUNITY & PLANNING SERVICES - KAREN HUGHESMISSOULA FORUM FOR CHILDREN & YOUTH - ANNA SEMPLE, BRANDEE TYREEMISSOULA HOUSING AUTHORITY - JIM MCGRATH, LORI DAVIDSONMISSOULA URBAN INDIAN HEALTH CENTER - DANA KINGFISHER, TROY WILSON, TRILANDA NORUNNERMONTANA DENTAL HYGIENISTS ASSOCIATION - HEIDI HALVERSONNEIGHBORWORKS MONTANA - KAIA PETERSONPARTNERSHIP HEALTH CENTER - ELIZABETH ROLLEPLANNED PARENTHOOD OF MONTANA - CHRISTOPHER COBURN, MACKENZIE FORBISPOVERELLO CENTER - MELISSA BROOKSPROVIDENCE ST. PATRICK HOSPITAL - HOLLIE TIMMONS, KAREN MYERS, MERRY HUTTONRURAL INSTITUTE FOR INCLUSIVE COMMUNITIES, UNIVERSITY OF MONTANA - HELEN RUSSETTESALVATION ARMY - JULIE CLARKSCHOOL OF PUBLIC & COMMUNITY HEALTH, UNIVERSITY OF MONTANA - TONY WARD, KARI HARRISUNITED WAY OF MISSOULA COUNTY - KRISTIN STRATFORDVOCATIONAL REHABILITATION - BROOK HODGEWESTERN MONTANA MENTAL HEALTH CENTER - KATHERINE ISAACSON |
| PROVIDENCE ST. PATRICK HOSPITAL | Part V, Section B, Line 6a: COMMUNITY MEDICAL CENTER |
| PROVIDENCE ST. PATRICK HOSPITAL | Part V, Section B, Line 6b: MISSOULA CITY-COUNTY HEALTH DEPARTMENT, GRANT CREEK FAMILY MEDICINE, MISSOULA AGING SERVICES, MISSOULA FORUM FOR CHILDREN & YOUTH, MISSOULA INDIAN CENTER, PARTNERSHIP HEALTH CENTER, UNITED WAY OF MISSOULA COUNTY. |
| PROVIDENCE ST. PATRICK HOSPITAL | Part V, Section B, Line 11: IN DETERMINING THE PRIORITIES ASSOCIATED WITH THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT, WE BEGAN WITH THE PRIORITIES IDENTIFIED IN THE 2014 MISSOULA COUNTY ASSESSMENT: (1) IMPROVE ACCESS TO MENTAL HEALTH CARE AND PRIMARY CARE, (2) PREVENT OBESITY AND (3) IMPROVE FOOD SECURITY IN THE COMMUNITY. PROVIDENCE THEN LISTENED CLOSELY TO OUR COMMUNITIES AND PARTNERS, USING RESULTS FROM THE 2017 SURVEYS AND DATA FROM THE HEALTH DISTRICT TO ESTABLISH CURRENT COMMUNITY NEEDS. PROVIDENCE ST. PATRICK HOSPITAL CREATED PRIORITIES FOR THE HOSPITAL AFTER EVALUATING SCALE AND SCOPE, GAPS IN SERVICE, COMMUNITY RECOGNITION OF NEED, AND ALIGNMENT OF OUR MISSION AND ABILITIES TO IMPROVE THE MOST PRESSING COMMUNITY HEALTH NEEDS.THE IDENTIFIED PRIORITIZED NEEDS ST. PATRICK HOSPITAL WILL ADDRESS: SOCIAL DETERMINANTS OF HEALTH AND WELL-BEING - AFFORDABLE HOUSING - CLIMATE CHANGE/WILDFIRE IMPACT - HOMELESSNESS - FOOD INSECURITY - OBESITY PREVENTION (YOUTH AND ADULT)MENTAL HEALTH - SUICIDE PREVENTION - ACCESS TO MENTAL HEALTH SERVICES FOR YOUTH AND ADULTSACCESS TO CARE - PRIMARY CARE - TRAUMA/ADVERSE EXPERIENCE PREVENTION SUBSTANCE ABUSE - SUBSTANCE ABUSE TREATMENT - PREVENTION |
| PROVIDENCE ST. PATRICK HOSPITAL | Part V, Section B, Line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE. |
| PROVIDENCE ST. PATRICK HOSPITAL | Part V, Section B, Line 20e: FINANCIAL ASSISTANCE INFORMATION ALONG WITH PAYMENT OPTIONS ARE GIVEN ON EACH BILLING STATEMENT TO THE PATIENT. |
| PROVIDENCE ST. PATRICK HOSPITAL | Part V, Section B, Line 24: FOR NON MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. |
| 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. |
| SCHEDULE H, PART V, LINE 7A | HTTP://WWW.PSJHEALTH.ORG/-/MEDIA/FILES/PROVIDENCE-ST-JOSEPH-HEALTH/COMMUNITY-BENEFIT/MT/2017MTSTPATRICKCHNACHIP.PDF?LA=EN |
| SCHEDULE H, PART V, LINE 7B | HTTPS://WWW.MISSOULACOUNTY.US/HOME/SHOWDOCUMENT?ID=27015 |
| SCHEDULE H, PART V, LINE 9 | THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT ON MAY 8, 2018, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1). |
| SCHEDULE H, PART V, LINE 10A | HTTPS://OREGON.PROVIDENCE.ORG/~/MEDIA/FILES/CBR/CHNAS/2017/MT/2017MTSTPATRICKCHNACHIP.PDF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 22 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Florence Family Medicine | ||||
| 5549 Old Highway 93 | Florence | MT | 59833 | Outpatient Services |
| 2 - Montana Spine and Pain Center | ||||
| 1103 Westwood Drive Suite 200 | Hamilton | MT | 59840 | Outpatient Services |
| 3 - Bariatric Services | ||||
| 500 West Broadway 5th Floor | Missoula | MT | 59802 | Outpatient Services |
| 4 - Broadway Internal Medicine | ||||
| 500 W Broadway Broadway Bldg 4th Fl | Missoula | MT | 59802 | Outpatient Services |
| 5 - Endocrinology Diabetes and Nutrition | ||||
| 900 N Orange St Suite 304 | Missoula | MT | 59802 | Outpatient Services |
| 6 - Grant Creek Family Medicine | ||||
| 3075 N Reserve Street Suite Q | Missoula | MT | 59808 | Outpatient Services |
| 7 - Infectious Disease | ||||
| 902 N Orange Street | Missoula | MT | 59802 | Outpatient Services |
| 8 - Long Term Mobility Care | ||||
| 500 W Broadway | Missoula | MT | 59802 | Outpatient Services |
| 9 - Missoula Family Medical | ||||
| 900 N Orange Street Suite 303 | Missoula | MT | 59802 | Outpatient Services |
| 10 - Missoula Midwives | ||||
| 601 W Spruce Street Suite D | Missoula | MT | 59802 | Outpatient Services |
| 11 - Montana Internal Medicine | ||||
| 2819 Great Northern Loop Suite 200 | Missoula | MT | 59808 | Outpatient Services |
| 12 - Montana Nephrology | ||||
| 500 W Broadway Broadway Bldg 4th Fl | Missoula | MT | 59802 | Outpatient Services |
| 13 - Montana Neurosurgical Specialists | ||||
| 500 W Broadway Suite 310 | Missoula | MT | 59802 | Outpatient Services |
| 14 - Montana Spine and Pain Center | ||||
| 500 W Broadway 3rd Fl | Missoula | MT | 59802 | Outpatient Services |
| 15 - Occupational Health | ||||
| 3055 N Reserve Street Suite D | Missoula | MT | 59808 | Outpatient Services |
| 16 - Providence Neurology Specialists | ||||
| 601 W Spruce Street Suite J | Missoula | MT | 59802 | Outpatient Services |
| 17 - Providence Palliative Care | ||||
| 900 N Orange Street Suite 205 | Missoula | MT | 59802 | Outpatient Services |
| 18 - Providence Psychiatry | ||||
| 900 N Orange Street Suite 202 | Missoula | MT | 59802 | Outpatient Services |
| 19 - Urgent Mental Health Clinic | ||||
| 900 N Orange Street Suite 102 | Missoula | MT | 59802 | Outpatient Services |
| 20 - Women's Care and Family Wellness | ||||
| 1211 S Reserve Street Suite 101 | Missoula | MT | 59801 | Outpatient Services |
| 21 - Wound Care Center | ||||
| 902 N Orange Street | Missoula | MT | 59802 | Outpatient Services |
| 22 - Lifespan Family Medicine | ||||
| 715 South Main Street Suite A | Stevensville | MT | 59870 | Outpatient Services |
Supplemental Information Detail SupplementalInformationDetail (16 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 HEALTH & SERVICES - MONTANA PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://MONTANA.PROVIDENCE.ORG/LOCATIONS-DIRECTORY/S/ST-PATRICK-HOSPITAL/COMMUNITY-SUPPORT |
| Part I, Line 7: | THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. |
| Part I, Line 7g: | NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. |
| Part II, Community Building Activities: | PHYSICAL IMPROVEMENTS/HOUSING: UNITED WAYUNITED WAY OF MISSOULA COUNTY BUILDS A BETTER COMMUNITY FOR ALL, SPECIFICALLY IN THE AREAS OF EDUCATION, INCOME, AND HEALTH. WE COLLABORATE WITH DIVERSE COMMUNITY PARTNERS TO IDENTIFY IMPORTANT SOCIAL ISSUES AND BRING TOGETHER RESOURCES TO ADDRESS THEM. WE GIVE DONORS A TRUSTED, ONE-STOP WAY TO SUPPORT CRITICAL SERVICES FOR PEOPLE IN NEED, AND WE MAKE SURE THAT DONATED DOLLARS ARE INVESTED WISELY AND WELL.ZERO FARE"ZERO-FARE" IS DEFINED AS PUBLIC TRANSIT SERVICE THAT DOES NOT REQUIRE PASSENGERS TO PAY WHEN USING THE SYSTEM. OF COURSE, SOMEONE OR SOME ENTITY IS PAYING FOR PUBLIC TRANSIT THAT IS ZERO-FARE TO BOARDING PASSENGERS. THESE FUNDS CAN COME FROM A VARIETY OF SOURCES, INCLUDING LOCAL, STATE OR FEDERAL FUNDS, OR PARTNERSHIPS. THESE FUNDS TAKE THE PLACE OF THE REVENUE A PUBLIC TRANSIT SYSTEM WOULD OTHERWISE COLLECT FROM PASSENGERS.IN MISSOULA, A GROUP OF COMMUNITY PARTNERS HAVE ORGANIZED TO FUND A THREE YEAR ZERO-FARE DEMONSTRATION PROJECT ON MOUNTAIN LINE. THE GROWING LIST OF PARTNERS INCLUDE THE UNIVERSITY OF MONTANA, ASSOCIATED STUDENTS OF THE UNIVERSITY OF MONTANA, CITY OF MISSOULA, COUNTY OF MISSOULA, THE MISSOULA METROPOLITAN PLANNING ORGANIZATION, ST PATRICK HOSPITAL, COMMUNITY MEDICAL CENTER, MISSOULA COUNTY PUBLIC SCHOOLS, MISSOULA AGING SERVICES, MISSOULA DOWNTOWN ASSOCIATION, MISSOULA PARKING COMMISSION, MISSOULIAN, SOUTHGATE MALL, DESTINATION MISSOULA AND HOMEWORD, INC.POVERELLO/MEDICAL RESPITE PROGRAMPROVIDENCE ST. PATRICK HOSPITAL PROVIDED FUNDING TO BUILD 4 MEDICAL RESPITE BEDS IN THE NEW HOMELESS SHELTER. THE MEDICAL RESPITE BED PROGRAM PROVIDES CARE COORDINATION BETWEEN THE HOSPITAL AND THOSE WHO ARE DISCHARGED TO ONE OF THE MEDICAL RESPITE BEDS.CHILDHOOD OBESITYCATCH STANDS FOR A COORDINATED APPROACH TO CHILD HEALTH. BY UNITING MULTIPLE PLAYERS IN A CHILD'S LIFE TO CREATE A COMMUNITY OF HEALTH, CATCH IS PROVEN TO PREVENT CHILDHOOD OBESITY AND SUPPORTED BY 25 YEARS AND 120 ACADEMIC PAPERS INDICATING AS MUCH AS 11% DECREASE IN OVERWEIGHT AND OBESITY. OUR COMMUNITY HEALTH PROGRAMS AIM TO IMPACT THE MESSAGING A CHILD RECEIVES IN PHYSICAL EDUCATION, THE LUNCHROOM, THE CLASSROOM, AND AT HOME, TO INFLUENCE A CHILD'S CHOICES NOT ONLY IN SCHOOL, BUT LIFELONG.LET'S MOVE! MISSOULA (LM!M) IS A LOCAL INITIATIVE THAT IS PART OF THE NATIONAL LET'S MOVE! CAMPAIGN TO COMBAT THE EPIDEMIC OF CHILDHOOD OBESITY. NATIONALLY, THE VISION OF LET'S MOVE! IS TO RAISE A HEALTHIER GENERATION OF KIDS. LOCALLY, MANY COMMUNITY PARTNERS TAKE PART IN LM!M. THE MISSION OF LM!M IS TO MOBILIZE PROJECTS AND PARTNERSHIPS THAT BUILD HEALTHY KIDS AND RESIDENTS OF ALL AGES - NO MATTER WHERE THEY LIVE, WORK, PLAY, OR GO TO SCHOOL. PROJECTS FOCUS ON IMPROVING PHYSICAL ACTIVITY OPPORTUNITIES, NUTRITION, AND ACCESS TO HEALTHY FOODS.COMMUNITY HEALTH IMPROVEMENT: ENVIRONMENTAL STEWARDSHIPGREEN 4 GOOD (G4G) IS AN INITIATIVE AT ST. PATRICK HOSPITAL TO DECREASE THE ENVIRONMENTAL IMPACTS OF OUR DAILY HEALTHCARE WORK. AS A HOSPITAL, WE ARE CHARGED WITH CARING FOR PEOPLE IN TIMES OF NEED; REQUIRING RESOURCES SUCH AS SUPPLIES, HEAT, AND ELECTRICITY TO DO SO. AT THE SAME TIME, HEALTHCARE CAUSES POLLUTION THROUGH ITS ENERGY USE, WASTE CREATION, AND USE OF TOXIC CHEMICALS. THROUGH G4G, ST. PATRICK HOSPITAL WORKS TO REDUCE IMPACTS TO THE NATURAL ENVIRONMENT, IN TURN CREATING A HEALTHIER ENVIRONMENT FOR PATIENTS, STAFF MEMBERS, AND COMMUNITIES. ENERGY REDUCTIONWE BEGAN EXCLUDING THE LAUNDRY FACILITY FROM OUR DATA REPORTING TO MORE ACCURATELY REFLECT HOSPITAL USAGE, PREVIOUS YEARS WERE ADJUSTED THROUGH 2013 TO REFLECT THIS CHANGE. THIS YEAR WE SAW A DRAMATIC INCREASE IN AVERAGE DAILY CENSUS, SEEING MORE PATIENTS AND OFFERING MORE SERVICES, AND WE WERE STILL ABLE TO DECREASE OUR ELECTRICITY USE BY 37,546KWH FROM 2013.GOALS 4 GOODIN 2017 WE EXPANDED GOALS 4 GOOD TO INCLUDE ST. JOSEPH MEDICAL CENTER AND INCLUDED A PLEDGING REQUIREMENT FOR ALL CAREGIVERS.EACH CAREGIVER WAS EXPECTED TO COMPLETE AT LEAST FOUR GOALS BY THE END OF THE YEAR. PLEDGE TOPICS RANGED FROM VOLUNTEERING IN YOUR COMMUNITY TO PROPER WASTE SEGREGATION. CAREGIVERS PLEDGE 2,694 THROUGHOUT THE YEAR.RECYCLED OR SAFELY DIVERTED 42.6% OF OUR WASTE. WE HAVE BEEN WORKING TO GET OUR RATE OVER 40%FOR THE PAST FOUR YEARS, MAKING THIS A NOTEWORTHY MILESTONE. - BEGAN A FOOD COMPOSTING PILOT IN THE CAFETERIA.ENGAGEMENTTHIS YEAR WE... - LOGGED 84,971 FILLS ON OUR WATER BOTTLE FILL STATIONS. - CELEBRATED EARTH WEEK BY FOCUSING ON SUSTAINABLE COMMUTING. WE REGISTERED CAREGIVER FOR THE NEW COMMUTER TRACKING SOFTWARE FROM MISSOULA IN MOTION AND RAFFLED OFF DONATED PRIZES FROM LOCAL COMPANIES. - SPONSORED A PROVIDENCE TEAM TO VOLUNTEER AT THE ANNUAL CLARK FORK RIVER CLEANUP. 28 CAREGIVERS AND THEIR FAMILIES SPENT A SATURDAY CLEANING UP A SECTION OF THE RIVER NEAR THE HOSPITAL. - OFFERED ON-SITE DELIVERY OF COMMUNITY SUPPORTED AGRICULTURE (CSA) SHARES FROM WESTERN MONTANA GROWER'S COOPERATIVE. 54 CAREGIVERS PARTICIPATED IN THE SUMMER AND 8 PARTICIPATED IN THE FALL. - MET WITH DEPARTMENT LEADERS TO DISCUSS ENVIRONMENTAL STEWARDSHIP OPPORTUNITIES IN THEIR RESPECTIVE AREAS AND IDENTIFY GOALS FOR 2018. - PUBLISHED A QUARTERLY DASHBOARD TO REPORT ON ENERGY USE, GOALS 4 GOOD RESULTS, AND OTHER PROGRAM HIGHLIGHTS. - PURCHASED A DISTILLER FOR THE LABORATORY AND BEGAN DISTILLING ALCOHOL AND XYLENE.PROVIDENCE GARDEN 2017 WAS OUR FOURTH SUCCESSFUL GROWING SEASON AT THE PROVIDENCE GARDEN. EACH WEEK THROUGHOUT THE SUMMER OUR GARDEN COORDINATOR HARVESTED PRODUCE FOR THE MISSOULA FOOD BANK, WE DONATED 657 POUNDS THROUGHOUT THE GROWING SEASON. THIS NUMBER DECREASED FROM PREVIOUS YEARS BECAUSE A PORTION OF THE HARVEST WAS USED TO SUPPORT PRESCRIPTION PRODUCE, A PROVIDENCE PROGRAM THAT "PRESCRIBES" PRODUCE TO PATIENTS WHO HAVE A FINANCIAL BARRIER TO GETTING FRESH PRODUCE. THIS PROGRAM INCREASED PARTICIPATION IN 2017 AND WE WERE ABLE TO RE-ESTABLISH WEEKLY PICK-UPS IN THE GARDEN.ENGAGEMENT THIS YEAR WE...- CELEBRATED EARTH WEEK BY FOCUSING ON THE POPE'S ENCYCLICAL, LAUDATO SI': ON CARE FOR OUR COMMON HOME. WE HAD GAMES, PRIZES, LUNCHTIME LECTURES, AND FREE GIVEAWAYS. - SPONSORED A PROVIDENCE TEAM TO VOLUNTEER AT THE ANNUAL CLARK FORK RIVER CLEANUP. THIRTEEN CAREGIVERS AND THEIR FAMILIES SPENT A SATURDAY CLEANING UP A SECTION OF THE RIVER NEAR THE HOSPITAL.- OFFERED ON-SITE DELIVERY OF COMMUNITY SUPPORTED AGRICULTURE (CSA) SHARES FROM WESTERN MONTANA GROWER'S COOPERATIVE. WE HAD 60 CAREGIVERS PARTICIPATE IN THE SUMMER AND 14 PARTICIPATE IN THE FALL. - MET WITH DEPARTMENT LEADERS TO DISCUSS ENVIRONMENTAL STEWARDSHIP SUCCESSES AND OPPORTUNITIES IN THEIR RESPECTIVE AREAS.- DEVELOPED A QUARTERLY DASHBOARD TO REPORT ON ENERGY USE, GOALS 4 GOOD RESULTS, AND OTHER PROGRAM HIGHLIGHTS.- INSTALLED AN ANNOUNCEMENT BOARD IN THE CAF TO SHARE INFORMATION RELATED TO ENVIRONMENTAL STEWARDSHIP.- VOLUNTEERED WITH CLIMATE SMART MISSOULA TO "GREEN" THE RIVER CITY ROOTS FESTIVAL. A GROUP OF EMPLOYEES HELPED WITH RECYCLING EFFORTS, ANSWERED QUESTIONS, AND HELPED TO EDUCATE THE COMMUNITY ABOUT SUSTAINABILITY EFFORTS.- EDUCATED THE COMMUNITY THROUGH HEALTHBREAK AND NURSE'S NOTES. |
| 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: | WE RECOGNIZE THAT CARING FOR THE POOR AND VULNERABLE IS NOT A TASK WE CAN DO ON OUR OWN. ON A ROUTINE BASIS WE CONDUCT A FORMAL COMMUNITY ASSESSMENT TO DETERMINE WHO IN OUR COMMUNITIES IS EXPERIENCING THE GREATEST NEED. THIS OUTREACH CONNECTS US TO MANY NOT-FOR-PROFITS AND SOCIAL SERVICE AGENCIES AS WELL AS CARE PROVIDERS AND THEIR CLIENTS IN THE COMMUNITIES. TO ENSURE THAT WE CONDUCT A COMPREHENSIVE ASSESSMENT, OUR PROCESS INCLUDES RESEARCH, MEETINGS, INTERVIEWS, FOCUS GROUPS AND SURVEYS.ADDITIONALLY, PROVIDENCE MINISTRIES HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS THAT SERVE ON PROVIDENCE BOARDS CONNECT OUR MISSION WITH A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.OUR ASSESSMENT FINDINGS ARE ASSEMBLED TO MAKE CERTAIN WE UNDERSTAND AND RESPOND TO LOCAL AND REGIONAL NEEDS, WHICH OFTEN VARY FROM ONE CITY OR COUNTY TO ANOTHER. IDENTIFIED AREAS OF NEED NOT ONLY GUIDE OUR COMMUNITY BENEFIT GIVING, BUT ALSO GUIDE OUR STRATEGIC PLANNING. WE BELIEVE MEANINGFUL COMMUNITY NEEDS ASSESSMENT PROVIDES INSIGHT INTO THE COMPLETE COMMUNITY BENEFIT THAT IS REQUIRED, BEYOND JUST FREE AND DISCOUNTED CARE.THE MISSOULA COUNTY 'COMMUNITY HEALTH ASSESSMENT COMMITTEE' WITH INPUT FROM THE PROVIDENCE ST. PATRICK HOSPITAL BOARD'S MISSION AND COMMUNITY NEEDS COMMITTEE MET OVER 12 MONTHS TO DISCUSS THE MOST PRESSING HEALTH CONCERNS AS WELL AS TO GATHER AND REVIEW DATA TO IDENTIFY THE GREATEST COMMUNITY NEEDS. |
| 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: | MISSOULA COUNTY COVERS AN AREA OF ROUGHLY 2,600 SQUARE MILES IN WESTERN MONTANA. THE COUNTY IS MOUNTAINOUS, WITH MORE THAN 1,975 MILES OF RIVERS AND STREAMS AND FIVE VALLEYS THAT SIT ABOUT 3,200 FEET ABOVE SEA LEVEL. THE AREA IS HOME TO ABUNDANT WILDLIFE. THE FIRST INHABITANTS OF THE MISSOULA AREA WERE AMERICAN INDIANS FROM THE SALISH TRIBE. THE FIRST WHITE SETTLEMENT WAS ESTABLISHED IN 1860. (MISSOULA COUNTY COMMUNITY AND PLANNING SERVICES).THE SOCIO-CULTURAL ENVIRONMENT OF MISSOULA COUNTY IS PREDOMINANTLY WHITE ANGLO-SAXON WITH REPRESENTATION OF AMERICAN INDIAN, EASTERN EUROPEAN, AND HMONG CULTURES. MISSOULA COUNTY DOES INCLUDE A SMALL AREA OF THE FLATHEAD RESERVATION, HOME OF THE CONFEDERATED SALISH AND KOOTENAI TRIBES. HOWEVER, THAT AREA IS SPARSELY POPULATED, AND THE COUNTY'S AMERICAN INDIAN POPULATION IS PRIMARILY URBAN AND LIVING IN OR NEAR THE CITY OF MISSOULA. THE URBAN INDIAN POPULATION IS MADE UP OF MANY TRIBES, MOST OF WHOM ARE STILL CONNECTED WITH THEIR HOME RESERVATIONS. THE HMONG COMMUNITY SETTLED IN THE COUNTY IN ONE MAIN WAVE OF IMMIGRATION IN THE 1970S. THE EASTERN EUROPEAN COMMUNITY COMES PRIMARILY FROM IMMIGRANTS FROM BELARUS, WHO ARRIVED IN THE 1980S. BOTH IMMIGRANT GROUPS MAINTAIN THEIR LANGUAGE AND CULTURAL TRADITIONS. (MISSOULA COUNTY RURAL INITIATIVES)THE PRESENCE OF THE UNIVERSITY OF MONTANA, AS AN EDUCATIONAL INSTITUTION AND AS AN EMPLOYER, MEANS THAT THE CITY OF MISSOULA IN PARTICULAR IS FOCUSED ON EDUCATION. THE UNIVERSITY OF MONTANA IS A FOUR-YEAR, MOSTLY NON-RESIDENTIAL UNIVERSITY WITH GRADUATE PROGRAMS. UM SPRING 2017 ENROLLMENT STOOD AT 11,615. MISSOULA IS ALSO HOME TO MISSOULA COLLEGE, WHICH OFFERS 40 TECHNICAL AND OCCUPATIONAL PROGRAMS; ENROLLMENT IN MISSOULA COLLEGE IS 1,609 STUDENTS.POPULATION AND AGE DEMOGRAPHICSTOTAL POPULATION OF MISSOULA COUNTY IS 116,130, WITH AN ANNUAL GROWTH RATE OF ABOUT 1.88 PERCENT IN 2016. THE AMERICAN COMMUNITY SURVEY 2011-2015 FIVE-YEAR ESTIMATES OF THE POPULATION COMPRISED: - 20% PERCENT YOUTH (0-17 YEARS) - 30% PERCENT YOUNG ADULTS (18-34 YEARS) - 37% PERCENT OLDER ADULTS (35-64 YEARS) - 13% PERCENT SENIORS (65 YEARS AND OLDER)ETHNICITYAMONG MISSOULA RESIDENTS IN THE ACS FIVE-YEAR ESTIMATES, 92% WERE WHITE, 1.25% ASIAN, 3% WERE HISPANIC OR LATINO, 3% WERE ALASKA NATIVE OR AMERICAN INDIAN, <1% WERE AFRICAN AMERICAN OR BLACK, <1% WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, AND 3% WERE OF TWO OR MORE RACES. INCOME LEVELS AND HOUSINGIN THE 2011-2015 ACS FIVE-YEAR ESTIMATES, THE MEDIAN HOUSEHOLD INCOME FOR MISSOULA COUNTY WAS $65,463, AND THE UNEMPLOYMENT RATE WAS 3.8% . MISSOULA COUNTY'S MEDIAN HOUSEHOLD INCOME IS 6.6% HIGHER THAN MONTANA'S MEDIAN HOUSEHOLD INCOME, AND LESS THAN 1% LOWER THAN THE NATIONAL MEDIAN HOUSEHOLD INCOME. |
| Part VI, Line 5: | PROMOTION OF COMMUNITY HEALTH:PROVIDENCE HEALTH & SERVICES - MONTANA PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERSINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE HEALTH & SERVICES - MONTANA IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) OPEN MEDICAL STAFF 2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. |
| Part VI, Line 6: | AFFILIATED HEALTH CARE SYSTEM:ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 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 (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| DEPARTMENT OF PUBLIC HEALTH & HUMAN SERVICES | |||||||
| PO BOX 4210 | HELENA | MT | 59620 | 810302402 | GOVT | $801,300 | HOSPITAL COMMUNITY BENEFIT ASSESSMENT GENERAL FUND |
| UNIVERSITY OF MONTANA FOUNDATION | |||||||
| PO BOX 7159 | MISSOULA | MT | 59807 | 810362989 | 501 (C)(3) | $120,000 | PLEDGE TO MISSOULA COLLEGE BUILDING FUND |
| MISSOULA FAMILY YMCA | |||||||
| 3000 S RUSSEL ST | MISSOULA | MT | 59801 | 810300829 | 501 (C)(3) | $100,000 | IMPROVE HEALTH OUTCOMES FOR FAMILIES AND INDIVIDUALS IN MISSOULA |
| ST PATRICK HOSPITAL FOUNDATION DBA PROVIDENCE MONTANA HEALTH FOUNDATION | |||||||
| 900 N ORANGE SUITE 201 | MISSOULA | MT | 59802 | 237056976 | 501 (C)(3) | $82,165 | CONTRIBUTION FOR OPERATIONAL SUPPORT |
| WATSON CHILDREN'S SHELTER | |||||||
| 4978 BUCKHOUSE LN | MISSOULA | MT | 59804 | 820369020 | 501 (C)(3) | $75,000 | CONTRIBUTION TO HEALTHY FAMILY INITIATIVE |
| MISSOULA COUNTY UNITED WAY | |||||||
| 412 W ALDER ST | MISSOULA | MT | 59807 | 810287854 | 501 (C)(3) | $55,000 | SUPPORT HEALTHCARE IN COMMUNITY |
| CATHOLIC SOCIAL SERVICES OF MONTANA | |||||||
| PO BOX 907 | HELENA | MT | 59624 | 920037322 | 501 (C)(3) | $35,000 | SERVING CATHOLIC SOCIAL SERVICES IN MT |
| MISSOULA COUNTY PUBLIC SCHOOLS | |||||||
| 215 SOUTH 6TH WEST | MISSOULA | MT | 59801 | 810504312 | GOVT | $30,000 | SPONSOR HEALTH SCIENCE ACADEMY AT BIG SKY HIGH SCHOOL |
| UNION GOSPEL MISSION | |||||||
| PO BOX 16833 | MISSOULA | MT | 59808 | 810531532 | 501 (C)(3) | $27,600 | SPONSORSHIP OF WARMING SHELTER FOR HOMELESS |
| WESTERN MONTANA MENTAL HEALTH CENTER | |||||||
| 1325 WYOMING ST | MISSOULA | MT | 59801 | 810307814 | 501 (C)(3) | $15,000 | SUPPORT OF FALL AND SPRING AFTER SCHOOL PROGRAM |
| MISSOULA COMMUNITY FOUNDATION | |||||||
| PO BOX 8806 | MISSOULA | MT | 59807 | 810539830 | 501 (C)(3) | $13,000 | SPONSOR CLIMATE SMART MISSOULA |
| MISSOULA DOWNTOWN ASSOCIATION | |||||||
| 218 E MAIN ST SUITE C | MISSOULA | MT | 59802 | 810403474 | 501 (C)(6) | $10,000 | SUPPORT OF DOWNTOWN MASTER PLAN UPDATE EFFORTS |
| GARDEN CITY HARVEST | |||||||
| PO BOX 205 | MISSOULA | MT | 59806 | 810510580 | 501 (C)(3) | $10,000 | SUPPORT OF YOUTH DEVELOPMENT PROGRAM |
| MISSOULA ECONOMIC PARTNERSHIP | |||||||
| PO BOX 7457 | MISSOULA | MT | 59807 | 273994460 | 501 (C)(6) | $10,000 | SUPPORT OF "TAKE FLIGHT MISSOULA" PROGRAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 12 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | TUITION ASSISTANCE | GrantTypeTxt |
| Recipient | 51 | RecipientCnt |
| Non Cash Assistance | $164,070 | NonCashAssistanceAmt |
| Valuation Method Used | COST | ValuationMethodUsedDesc |
| Non Cash Assistance | TUITION FOR NURSING PROGRAM STUDENTS AT UGF | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | IN GENERAL, DONATION 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 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 AND/OR THEY 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. PATS AS A PRIMARY DONOR. SCHOLARSHIPS ARE AWARDED BASED ON NEED AND OTHER CRITERIA. SPECIFIC FOLLOW UP IS MONITORED THROUGH THE AFFILIATED UNIVERSITY OF GREAT FALLS. | 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 |
| 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 |
| 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 |
| 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 | $35,317 | $0 | $459,620 | $0 | $25,428 | $0 | $1,239,848 | $0 | $0 |
| KIRK BODLOVIC | ||||||||||||||
| CFO/ST. PATRICK HOSPITAL | $0 | $226,107 | $0 | $21,096 | $0 | $33,257 | $0 | $26,954 | $0 | $25,380 | $0 | $332,794 | $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. SVERVICES | $0 | $396,414 | $0 | $202,411 | $0 | $2,086 | $0 | $445,604 | $0 | $26,379 | $0 | $1,072,894 | $0 | $0 |
| CARTER BECK MD | ||||||||||||||
| PHYSICIAN | $1,151,276 | $0 | $0 | $0 | $20,689 | $0 | $75,390 | $0 | $20,286 | $0 | $1,267,641 | $0 | $0 | $0 |
| CHRISS MACK MD | ||||||||||||||
| PHYSICIAN | $1,170,727 | $0 | $0 | $0 | $4,964 | $0 | $71,759 | $0 | $13,305 | $0 | $1,260,755 | $0 | $0 | $0 |
| JAMES MAXWELL MD | ||||||||||||||
| PHYSICIAN | $314,999 | $0 | $35,000 | $0 | $724,915 | $0 | $41,973 | $0 | $13,575 | $0 | $1,130,462 | $0 | $703,129 | $0 |
| SIMONE MUSCO MD | ||||||||||||||
| PHYSICIAN | $775,155 | $0 | $217,697 | $0 | $19,780 | $0 | $92,824 | $0 | $25,636 | $0 | $1,131,092 | $0 | $0 | $0 |
| MICHAEL YERKEY MD | ||||||||||||||
| PHYSICIAN | $829,117 | $0 | $122,192 | $0 | $20,690 | $0 | $63,856 | $0 | $26,456 | $0 | $1,062,311 | $0 | $0 | $0 |
| ROD F 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/TREASURER | $0 | $15,196 | $0 | $527,139 | $0 | $1,596,780 | $0 | $10,544 | $0 | $34,931 | $0 | $2,184,590 | $0 | $777,867 |
| JOHN FLETCHER | ||||||||||||||
| FORMER VP/OPERATIONS SUPPORT | $0 | $101,601 | $0 | $0 | $0 | $2,369 | $0 | $8,415 | $0 | $11,971 | $0 | $124,356 | $0 | $0 |
| TERRY SMITH | ||||||||||||||
| FORMER SVP/MANAGEMENT SVCS | $0 | $187,534 | $0 | $24,001 | $0 | $1,981 | $0 | $9,657 | $0 | $9,340 | $0 | $232,513 | $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 |
| DAVID BROWN | ||||||||||||||
| VP/STRATEGY & BUSINESS DEVELOPMENT | $0 | $373,180 | $0 | $325,150 | $0 | $1,955 | $0 | $429,702 | $0 | $27,658 | $0 | $1,157,645 | $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 & DIRECTOR | $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 | $20,135 | $0 | $454,896 | $0 | $27,450 | $0 | $1,187,751 | $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 | $34,959 | $0 | $523,643 | $0 | $28,741 | $0 | $1,408,698 | $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 | $38,723 | $0 | $516,307 | $0 | $30,180 | $0 | $1,377,108 | $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 | ||||||||||||||
| 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 |
| PAUL STODDART | ||||||||||||||
| FORMER 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 & DIRECTOR | $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 | $28,095 | $0 | $526,958 | $0 | $30,363 | $0 | $1,323,851 | $0 | $0 |
| LISA VANCE | ||||||||||||||
| SVP/CLINICAL PROGRAM SERVICES | $0 | $562,680 | $0 | $510,329 | $0 | $618,093 | $0 | $654,509 | $0 | $27,816 | $0 | $2,373,427 | $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 |
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, 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. |
| Part I, Lines 4a-b | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS THIS YEAR: - HARVEY SMITH: $ 519,285 - PAUL STODDART: $ 177,790 - JEFFREY FEE: $ 381,929 - TODD HOFHEINS: $ 793,260 - CRAIG WRIGHT: $ 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 SUPPLMENTAL EXECUTIVE RETIRMENT 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 (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH & SERVICES - MONTANA. |
| Form 990, Part VI, Section A, line 7a | DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH & SERVICES - MONTANA HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE PROVIDENCE HEALTH & SERVICES - MONTANA 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 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, 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 IX, line 11g | AGENCY/CONTRACT LABOR: Program service expenses 540,991. Management and general expenses 2,736. Fundraising expenses 0. Total expenses 543,727. MEDICAL DIRECTOR & MED PHYSICIAN FEES: Program service expenses 18,698,782. Management and general expenses 27,517. Fundraising expenses 0. Total expenses 18,726,299. REPAIRS & MAINTENANCE: Program service expenses 3,415,339. Management and general expenses 457,273. Fundraising expenses 0. Total expenses 3,872,612. BILLING & COLLECTIONS: Program service expenses 365. Management and general expenses 1,631. Fundraising expenses 0. Total expenses 1,996. TRANSCRIPTION & TRANSLATION SERVICES: Program service expenses 17,953. Management and general expenses 0. Fundraising expenses 0. Total expenses 17,953. DIETARY: Program service expenses 2,720. Management and general expenses 4,564. Fundraising expenses 0. Total expenses 7,284. OTHER PATIENT SERVICES: Program service expenses 20,840,489. Management and general expenses 1,272. Fundraising expenses 0. Total expenses 20,841,761. OTHER ADMINISTRATIVE SERVICES: Program service expenses 5,650,914. Management and general expenses 1,776,366. Fundraising expenses 0. Total expenses 7,427,280. GENERAL CONSULTING FEES: Program service expenses 3,182,663. Management and general expenses 950,445. Fundraising expenses 0. Total expenses 4,133,108. |
| FORM 990, PART X, LINE 20 | THE TAX-EXEMPT BOND LIABILITIES WERE TRANSFERRED FROM PROVIDENCE HEALTH & SERVICES - MONTANA 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. |
| Form 990, Part XI, line 9: | PR INCOME FROM RECIPIENT ORG 13,143. INTERAFFILIATE RENT REVENUE 2,924,679. INTERAFFILIATE RENT EXPENSES -2,315,384. INTERDIVISION TRANSFERS -8,826,752. TEMPORARILY RESTRICTED FAS 136 2,013,580. UNRESTRICTED FAS 136 519,632. |
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 - 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 JOSEPH MEDICAL CENTER | |||||||||||
| PO BOX 1010 | POLSON | MT | 598601010 | 810463482 | HEALTHCARE | MT | 501(c)(3) | 3 | PHS WA | Yes (1) | |
| 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | PHS MT | RELATED | $7,886,158 | $4,036,719 | 0 | Yes (1) | 0.75000 | |
| 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 | PHS MT | RELATED | $936,031 | $2,419,861 | 0 | 0 | 0.75380 | |
| 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 | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST PATRICK HOSPITAL FOUNDATION DBA PROVIDENCE MONTANA HEALTH FOUNDATION | ||
| B | $82,165 | COST |
| ST PATRICK HOSPITAL FOUNDATION DBA PROVIDENCE MONTANA HEALTH FOUNDATION | ||
| C | $960,351 | COST |
| PROVIDENCE HEALTH & SERVICES - WA | ||
| M | $60,834,314 | COST |
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