2017-11-15T16:56:49-06:00 2016-12-31 911194016 Clark Nuber PS 10900 NE 4th Suite 1400 Bellevue WA 98004 990 2016-01-01 510224944 Providence Little Company of Mary Foundation PROV 8188473024 4101 Torrance Blvd Torrance CA 90503 Susan Dolbert President 8188473024 2017-11-15 1 Sara Elizabeth J Hyre CPA P00235495 4254544919 170.173.0.16 2017-11-15 14:56:36 PS P C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF 2016 2017-02-10 21:41:12Z Susan Dolbert 501 S Buena Vista St Burbank CA 91505 23914243 0 X www.ProvidencePowerOfGiving.org X 1975 CA Support of Providence Little Company of Mary medical centers in the South Bay Region. 26 25 0 106 0 0 13235133 14549204 0 0 2876071 2200798 92872 200358 16204076 16950360 9367716 8371723 0 0 2118712 2556023 58815 44400 2906440 1198586 986063 12743829 11958209 3460247 4992151 54761051 59037395 1932390 866638 52828661 58170757 X As People of Providence, we reveal God's love for all, especially the poor and the vulnerable, through our compassionate service. The Foundation supports the Little Company of Mary Service Area in Southern California. 0 0 8258280 8258280 0 Providence Little Company of Mary Foundation raises funds for medical centers in the South Bay area of Los Angeles, including Providence Little Company of Mary Medical Center Torrance and Providence Little Company of Mary Medical Center San Pedro. The medical centers are owned and operated by the Sisters of Providence, DBA Providence Health System Southern California. They are committed to their missions of continuing the healing ministry of Jesus in the world of today, with special concern for those who are poor and vulnerable. The medical centers work in partnership with community organizations to reach out to those in need. Through these collaborative efforts, they improve access to health care and provide health education resources in the surrounding communities. During 2016, some of the grants paid to Providence Little Company of Mary Medical Center Torrance were used for capital support and to support spiritual care and the Nursing Institute. During 2016, some of the grants paid to Providence Little Company of Mary Medical Center San Pedro were used for capital support, the Welcome Baby program, Creating Opportunities for Physical Education program , Child Health Insurance program and diabetes education and management. Other programs supported at the two medical centers during 2016 were the Building Stronger Families program, Creating Healthier Attitudes Today program, Partners for Healthy Kids and many other programs to benefit the community. 69581 69581 0 Nursing scholarships - To assist 31 individuals advance their medical education. The Al and Mary Centofante Nursing Education Endowment provides financial support to registered nurses, licensed vocational nurses and interested unlicensed employees of Little Company of Mary Service Area, enabling them to return to school and pursue a higher degree in nursing. The scholarship recipients are chosen on a competitive basis, based on their commitment to Providence Little Company of Mary, their commitment to advance their education, and their personal financial needs. 38862 38862 0 Support Providence Medical Institute. During 2016, the grants paid to Providence Medical Institute were used to support the Vasek Polak Clinic, which provides health care and education for the uninsured and underinsured. 5000 5000 0 Support community outreach through the distribution of gift cards for the families of needy patients. 5000 5000 0 8371723 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 X 1 1 1 0 0 0 0 0 0 1 1 0 0 0 0 X 26 25 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 0 0 CA X Karl E Fritschel CPA 4255253339 1801 Lind Ave SW 9016 Renton WA 980579016 X Sean Armstrong Chair 1.00 0.00 X X 0 0 0 Mark Paullin Vice Chair 1.00 0.00 X X 0 0 0 Linda Wenglikowski Secretary 1.00 0.00 X X 0 0 0 Gary Amaral Treasurer - Res. 11/16 1.00 0.00 X X 0 0 0 Richard Brombach Trustee 1.00 0.00 X 0 0 0 Caroline Burke Trustee 1.00 0.00 X 0 0 0 John Colich Trustee 1.00 0.00 X 0 0 0 Thomas Connaghan Trustee 1.00 0.00 X 0 0 0 Paula Del Vicario Trustee 1.00 0.00 X 0 0 0 Susan Dolbert President - Eff. 8/16 14.00 41.00 X X 0 237933 7195 Katie Eckert Trustee 1.00 0.00 X 0 0 0 Edward Fountain Jr Trustee 1.00 0.00 X 0 0 0 Cindy Hagelstein Trustee - Res. 11/16 1.00 0.00 X 0 0 0 Jim Hunter Trustee 1.00 0.00 X 0 0 0 Alanna Kennedy Trustee - Eff. 8/16 1.00 0.00 X 0 0 0 Sr Terrence Landini LCM Trustee 1.00 0.00 X 0 0 0 Sandra A Lash Trustee 1.00 0.00 X 0 0 0 Yvonne Liu Trustee 1.00 0.00 X 0 0 0 Frank Malone Trustee 1.00 0.00 X 0 0 0 John Marcone Trustee - Eff. 4/16 1.00 0.00 X 0 0 0 Betsy Miller Board Development Chair 1.00 0.00 X 0 0 0 Patricia Modrzejewski President - Thru 8/16 10.00 50.00 X X 0 886903 42005 James Mollenkamp MD Trustee 1.00 0.00 X 0 0 0 Steve Morikawa Trustee 1.00 0.00 X 0 0 0 Tracy Nickl Trustee 1.00 0.00 X 0 0 0 Karen Olds Trustee 1.00 0.00 X 0 0 0 Marilyn Prindle Trustee 1.00 0.00 X 0 0 0 Rich Severa MD Trustee 1.00 0.00 X 0 0 0 Kent Shoji MD Trustee 1.00 0.00 X 0 0 0 0 1124836 49200 0 0 1 0 0 26040 750540 4565657 2782136 6424831 104971 14549204 1064373 1064373 319784 163644 156140 156140 156140 6526146 1103799 5422020 1071500 1104126 32299 1136425 1136425 292197 750540 304338 -12141 -12141 58740 2381 56359 56359 16950360 0 0 2401156 8297142 8297142 74581 74581 164121 24618 139503 1954940 293241 1661699 10644 1596 9048 286118 42918 243200 140200 21030 119170 113314 26996 86318 44400 44400 159486 159486 155190 22537 132653 43990 43990 202181 57137 145044 58605 2397 56208 18799 2820 15979 43470 11529 31941 89733 12434 77299 Donor Recognition 95369 95369 Dues & Subscriptions 4226 1307 2919 Tax Expense - Trust 1700 1700 11958209 8371723 680046 2906440 868061 1211665 2390452 2808947 4027414 4041689 30000 3686500 1094261 3859874 2592239 41252816 45936674 2332434 2446181 54761051 59037395 80134 64857 1852256 801781 1932390 866638 X 20855455 22379727 14931611 18400567 17041595 17390463 52828661 58170757 54761051 59037395 X 4992151 1151046 -801101 X X 0 1 X 1 1 1 X 5600593 6381960 10406910 13235133 14549204 50173800 5600593 6381960 10406910 13235133 14549204 50173800 665396 49508404 1274248 1247544 1487211 1271975 1384157 6665135 46111 39382 6668 44218 136379 56975314 0.86890 0.86110 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 31350002 261850 2501924 1284551 32829225 34295002 39000 -193000 2791000 31350002 32201002 295000 2261000 462000 34295002 27333882 487645 5329752 950277 32201002 23173596 1542687 3329459 711860 27333882 0.34200 0.53000 0.12800 0 0 560000 560000 3050284 1042180 2008104 76216 52081 24135 2592239 Due to Affiliates 391195 Gift Annuity Obligations 387906 Security Deposits Payable 22680 801781 Part V, Line 4: Income from the investment of permanently restricted endowment funds are used in accordance with the donor stipulations, either towards program expense or added back to the Endowment. Board-designated endowments are to be utilized as the board deems fit, but primarily they are intended for capital projects. X X X X X X X 1 Chad Gobel and Associates 2 State Street Suite 805 Rochester NY 14614 Facilitate strategic plan at board retreat 0 0 44400 -44400 44400 -44400 CA Gala 810127 580620 229507 20780 148365 8500 46297 Golf Tournament 232610 169920 62690 13407 23612 30405 12972 1042737 750540 292197 13407 44392 178770 8500 59269 304338 -12141 58740 2381 1 1.00000 58740 2381 2381 56359 CA 1 0 0 0 1.00000 Gertie McDevitt 501 S Buena Vista St Burbank CA 91505 0 Jan Marie Perry 0 Oversee the procedures to organize and execute the raffles and awards. X 0 1 PHS-So Cal dba Providence LCM Medical Center Torrance 4101 Torrance Blvd Torrance CA 90505 510216589 501(C)(3) 3018273 Support Medical Center PHS-So Cal dba Providence LCM Medical Center San Pedro 1300 W 7th Street San Pedro CA 90732 510216589 501(C)(3) 1236705 Support Medical Center Providence Medical Institute 4101 Torrance Blvd Torrance CA 90505 330283773 501(C)(3) 38862 Support Operations PHS-So Cal dba Providence Regional 4101 Torrance Blvd Torrance CA 90732 510216589 501(C)(3) 3999401 Support Operations 2 0 Nursing Education Scholarships 31 69581 Patient/Family Assistance 40 5000 Cost Grocery gift cards and blankets for needy families served by the medical centers. Part I, Line 2: Since the vast majority of all grants go to affiliated companies, the Foundation has direct access to the financial reports of the funded organizations and reviews them for appropriate use of the funds. Twice yearly the Education Department opens the application period. Applicants complete an application. Once submitted they are reviewed by the education board, and those who meet the criteria are scheduled to be interviewed by the board for approval. 0 1 0 0 0 0 0 0 0 Susan Dolbert President - Eff. 8/16 0 171867 0 25000 0 41066 0 527 0 6668 0 245128 0 0 Patricia Modrzejewski President - Thru 8/16 0 382153 0 483680 0 21070 0 25970 0 16035 0 928908 0 0 Part I, Line 4b NONQUALIFIED RETIREMENT PLANS A) DCRP = Defined Contribution Restoration Plan 1) Patricia E. Modrzejewski a) Taxable DCRP Earned - $18,448 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 2016, 60 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's strategic priorities. In 2016 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 J - PART II - COMPENSATION Compensation shown for Patricia Modrzejewski & Susan Dolbert represents the total compensation received from Providence for their services to all of the Southern California Foundations. This amount was not paid through funds of Providence Little Company of Mary Foundation. X 1 52360 FMV X 3 52611 FMV 0 0 1 0 Part I, Column (b): The amounts shown on Part I, Col. B reflect the number of donations received of the specific type of item. Form 990, Part VI, Section A, line 6 Providence Health System - Southern California, a CA nonprofit religious corporation is the sole Corporate Member. Form 990, Part VI, Section A, line 7a The powers of the Corporate Member include the provision to approve the number of Trustees if less than 20 or greater than 60, appoint the Board of Directors of the Foundation, and to remove such Directors at anytime with or without cause. Form 990, Part VI, Section A, line 7b The following powers are reserved exclusively to the Corporate Member: A) To adopt and amend the Articles of Incorporation and Bylaws of the Foundation after consultation with the Foundation Board of Directors. B) To approve merger, consolidation, or affiliation of the Foundation with another corporation, organization or program, or the dissolution of the Foundation. C) To approve any strategic plan of the Foundation. D) To approve the annual fundraising plan including special events, annual capital and planned giving activities. E) To approve the acceptance of any gift that carries conditions or limitations or any gift restricted to services, programs or facilities not currently offered or approved to be offered by the Corporate Member's Board of Directors. Form 990, Part VI, Section B, line 11b The Form 990 is prepared internally by experienced Providence Health & Services staff and reviewed by the internal PH&S Director of Taxes and external tax advisors. The Board and signing Officer reviewed the Form 990 in detail. Once approved, an electronic copy of the Form 990 is emailed to the Board prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict. Form 990, Part VI, Section B, line 15 It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its officers, including our senior executives. Salaries for senior executives are reviewed by the Providence St. Joseph Health Committee and approved by the full Board of Directors, none of whom is a Providence employee. 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 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. Additionally, Providence's labor market continues to spread across health care and into general industry. Because of this, Providence also takes into consideration general industry for-profit market data, where applicable. Base salaries for Providence executives are generally targeted to the median level of the market, as identified by the independent consultant and reviewed with the Executive Compensation Committee. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering Providence operating commitments and strategic objectives. The Board of Directors conducts a thorough 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 Foundation President is compensated by a related organization which uses a market based compensation program utilizing several independent third party compensation market surveys to establish pay ranges for the position. The related organization then establishes the individual rate of pay within the range based on relevant experience, skills and competencies. The rate offered to the President at the time of hire was determined through discussion between the Regional CEO, Regional Director of HR and the Administrative Director of HR. The ranges and rate of pay are reviewed on an annual basis by Regional HR. Form 990, Part VI, Section C, line 19 Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon request. The consolidated financial statements are available on our public Internet site www2.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site. Form 990, Part VII Contact Addresses for Officers, Directors, Etc Patricia Modrzejewski - 501 S. Buena Vista St., Burbank, CA 91505. Form 990, Part XI, line 9: Equity Transfers - IAF -973,517. Employee Benefit Adjustment 224,777. Auto Donation Not on Books -52,360. Rounding -1. Form 990, Part I, Line 6 - VOLUNTEERS The majority of volunteer service was once again through special events. We had two major events during 2016 - the 37th annual golf classic and the Celebration Gala at Terranea. We utilized 20 volunteers during the golf classic and 25 volunteers during the Celebration Gala. During special events the volunteers play a critical role in all aspects of the events. We have participants throughout the day, from the beginning of the event until the end. Volunteer duties at events range from setup to breakdown and everything in between. They help with registration, directions, assisting the participants and presenters throughout the day. The volunteers also play a large role in our auctions at both events. We have silent and live auctions during golf; the volunteers help with the setup, execution and breakdown of the event. They help in keeping track of who won the auctions and distributing the items to the winners. They also assist in selling opportunity tickets for our live drawing. We have also used auxiliary members to help with some administrative tasks in the office. They have helped to cover phones when Foundation staff was out of the office as well as filing letters in our archives. During 2016 the volunteers were extremely helpful in special projects, whether assembling mailings, producing packets or making phone calls we could not have done it without them. As always, our Board of Trustees has been extremely active and helpful, generously offering their time and talents to help make the Foundation and our fundraising campaigns a success. All the volunteers in all the different capacities in which they serve are an integral part of the success of the Foundation and we wouldn't be as successful as we are without them. Following is a breakdown of 2016 Volunteers: * Providence Little Company of Mary Foundation Board of Trustees: 27 * Volunteers at 37th Annual Golf Classic: 20 * Volunteers at Celebration Gala: 25 * Office Volunteers (Administrative Work): 2 * Auxiliary Volunteers (Special Projects): 32 Form 990, Part XII, Line 2c - AUDIT & COMPLIANCE The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the System's consolidated financial statements and reporting, the audit process and the System's internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the System's internal and external auditors; the System's investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. FORM 990, PART V, LINE 2A - EMPLOYEE COMPENSATION The Foundation employees are compensated by a related organization, Providence Health System - Southern California #51-0216589, therefore, no W-2s were issued by the reporting organization. FORM 990, SCHEDULE R - RELATED ORGANIZATIONS AFFILIATION AGREEMENTS Effective April 1, 2016, the Health System (Providence Health & Services) entered into a business combination agreement with the Institute for Systems Biology (ISB). The transaction was accounted for as an acquisition under ASC 958-805. On July 1, 2016, Providence Health & Services (PHS) and St. Joseph Health System (SJHS) entered into a business combination agreement, the purpose of which was to better serve both organizations' communities, maintain strong traditions of Catholic healthcare, and provide greater affordability and access to healthcare services. As part of the business combination, PHS and SJHS aligned under a single parent corporation, Providence St. Joseph Health, with a consolidated board of directors and cosponsorship from the public juridic persons Providence Ministries and St. Joseph Health Ministry. SJHS provides a full range of care facilities including 16 acute care hospitals, home health agencies, hospice care, outpatient services, skilled nursing facilities, community clinics, and physician groups spanning California, west Texas, and eastern New Mexico. The results of operations of these entities have been included in the combined statements of operations of the Health System since July 1, 2016, the effective date of the business combination. Providence LCM Foundation Real Estate Holdings LLC 4101 Torrance Blvd Torrance CA 91505 270799595 Real Estate Holdings CA 319784 3350349 Providence Little Company of Mary Foundation Providence Health & Services - Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 510216586 Healthcare System WA 501( c)(3) Line 3 Providence Health & Services 0 Providence Health & Services - Oregon 1801 Lind Avenue SW 9016 Renton WA 980579016 510216587 Healthcare System OR 501( c)(3) Line 3 Providence Health & Services 0 Providence Health System - So California 1801 Lind Avenue SW 9016 Renton WA 980579016 510216589 Healthcare System CA 501( c)(3) Line 3 Providence Health & Services 0 Everett Transitional Care Services PO Box 5128 Everett WA 982065128 943264605 Transitional Care WA 501( c)(3) Line 10 N/A 0 Providence Plan Partners 4400 NE Halsey Bldg 2 Portland OR 97213 911861964 Healthcare Services WA 501( c)(4) N/A PH & S - Oregon 0 Providence Health Plan 4400 NE Halsey Bldg 2 Portland OR 97213 930863097 Health Service Contractor OR 501( c)(4) N/A Providence Plan Partners 0 Providence Health Assurance 4400 NE Halsey Bldg 2 Portland OR 97213 550828701 Medicaid Healthcare Provider OR 501( c)(4) N/A Providence Health Plan 0 Providence Medical Institute 4101 Torrance Blvd Torrance CA 90503 330283773 Healthcare CA 501( c)(3) Line 12/Type I PHS - So California 0 Little Company of Mary Ancillary Services Corporation 4101 Torrance Blvd Torrance CA 90503 330844408 Imaging Services CA 501( c)(3) Line 10 PHS - So California 0 Providence TrinityCare Hospice 5315 Torrance Blvd Suite B1 Torrance CA 90503 953264139 Hospice CA 501( c)(3) Line 10 PHS - So California 0 Providence Blanchet Association 1700 Providence Pl Centralia WA 98531 911789266 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 St Luke Association 350 Washington Ave SE Chehalis WA 98352 943176618 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Rossi Association 1700 Providence Pl Centralia WA 98531 311584166 Supportive Housing WA 501( c)(3) Line 10 PH & S - Washington 0 Lundberg Association 5921 E Burnside Portland OR 97215 911562797 Supportive Housing OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Francis Association 3415 12th Avenue NE Olympia WA 98506 943244854 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Peter Claver Association 7101 38th Avenue South Seattle WA 98118 311629656 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence St Elizabeth House Association 3201 SW Graham St Seattle WA 98126 912171539 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Gamelin House Association 4515 MLK Jr Way S Ste 200 Seattle WA 98108 311744654 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 The Gamelin Association 312 North Fourth St Yakima WA 98901 911180824 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 The Gamelin Oregon Association 5520 NE Glisan Portland OR 97213 911214491 Supportive Housing OR 501( c)(3) Line 10 PH & S - Oregon 0 The Gamelin California Association 540 23rd St Oakland CA 94612 911293869 Supportive Housing CA 501( c)(3) Line 10 PHS - So California 0 Gamelin Washington Association 1423 First Avenue Seattle WA 98101 201910170 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Dethman House 1205 Montello Ave Hood River OR 97031 473385506 Supportive Housing WA 501( c)(3) Line 7 N/A 0 Providence Foundation 1801 Lind Avenue SW 9016 Renton WA 980579016 943078543 Support PH&S and W. HealthConnect WA 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence Alaska Foundation 3300 Providence Drive - B Tower2 Anchorage AK 99508 920093565 Support PHS-Alaska AK 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence St Peter Foundation 413 Lilly Road NE Olympia WA 985065166 911097056 Support Affiliated Tax-Exempt Organization WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Health Care Foundation (Centralia) 914 S Scheuber Road Centralia WA 98531 911433382 Support Providence Centralia Hospital WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Mount St Vincent Foundation 4831 - 35th Avenue SW Seattle WA 981262799 911188119 Support Providence Mount St.Vincent WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Marianwood Foundation 3725 Providence Point Drive SE Issaquah WA 980297219 931554288 Support Providence Marianwood WA 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence Newberg Health Foundation 1001 Providence Drive Newberg OR 97132 930889144 Support Providence Newberg Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Seaside Hospital Foundation 725 S Wahanna Rd Seaside OR 97138 930927320 Support Providence Seaside Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Community Health Foundation 1111 Crater Lake Ave Medford OR 97504 930692907 Support Providence Medford Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Benedictine Nursing Center Foundation 540 South Main St Mt Angel OR 973629532 911940286 Support Providence Benedictine Nursing Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Portland Medical Foundation 4805 NE Glisan St Portland OR 972132967 931231494 Support Providence Portland Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Vincent Medical Foundation 9205 SW Barnes Rd Portland OR 97225 930575982 Support Providence St. Vincent Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Milwaukie Foundation 10150 SE 32nd Milwaukie OR 97222 943079515 Support Providence Milwaukie Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Child Center Foundation 830 NE 47th Portland OR 97213 930800140 Support Providence Child Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence TrinityCare Hospice Foundation 5315 Torrance Blvd Suite B1 Torrance CA 90503 330261016 Support TrinityCare Hospice CA 501( c)(3) Line 7 Providence TrinityCare Hospice 0 PH&S FoundationSFVSA & SCVSA 501 S Buena Vista Street Burbank CA 91505 953544877 Support Program & Activities of SFVSA & SCVSA CA 501( c)(3) Line 7 PHS - So California 0 Providence Hospice of Seattle Foundation 425 Pontius Avenue North 300 Seattle WA 981095452 912077378 Support Hospice of Seattle WA 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence Health & Services - Western Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 911303277 Healthcare WA 501( c)(3) Line 3 Providence MinistriesWHC 0 Providence Health & Services 1801 Lind Avenue SW 9016 Renton WA 980579016 911549796 Support Providence Institutions WA 501( c)(3) Line 12/Type II Providence St Joseph Health 0 Providence Health & Services - Montana 500 W Broadway PO Box 4587 Missoula MT 598064587 810231793 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 0 Providence St Joseph Medical Center PO Box 1010 Polson MT 598601010 810463482 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 0 St Thomas Child and Family Center 1710 Benefis Court Great Falls MT 59405 810233495 Early Childhood Education MT 501( c)(3) Line 10 PH & S - Washington 0 Sisters of Providence of Montana Corporation 1801 Lind Avenue SW 9016 Renton WA 980579016 262612415 Shell Corporation MT 501( c)(3) Line 1 PH & S - Washington 0 Providence Health Care Foundation - Eastern Washington 101 W 8th Ave Spokane WA 99204 320014330 Support PH&S-WA. Ministries in E. WA. WA 501( c)(3) Line 7 PH & S - Washington 0 St Patrick Hospital Foundation 500 West Broadway PO Box 4587 Missoula MT 598064587 237056976 Support Healthcare in W. Montana MT 501( c)(3) Line 7 PH & S - Montana 0 University of Great Falls 1301 20th Street South Great Falls MT 59405 810231777 Post Secondary Education MT 501( c)(3) Line 2 Providence Health & Services 0 E WA & MT Unemployment Compensation Insurance Trust 1801 Lind Avenue SW 9016 Renton WA 980579016 911082119 Unemployment Benefits WA 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence Willamette Falls Medical Foundation 1500 Division Street Oregon City OR 97045 931003750 Support Willamette Falls Hospital OR 501( c)(3) Line 12/Type I PH & S - Oregon 0 Providence Hood River Memorial Hospital Foundation Inc 811 13th St Hood River OR 97031 930921990 Support Providence Hood River Memorial Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Hospice and Home Care Foundation 2731 Wetmore Avenue Suite 500 Everett WA 98201 272552749 Support Program & Ministries of PHHC WA 501(c )(3) Line 7 PH & S - Washington 0 Providence St Mary Foundation 401 W Poplar St Walla Walla WA 99362 452841492 Support Program & Ministries of SMMC WA 501(c )(3) Line 7 PH & S - Washington 0 Facey Medical Foundation 15451 San Fernando Mission Blvd 200 Mission Hills CA 913451420 954322584 Support Facey Medical Group CA 501(c )(3) Line 7 PHS - So California 0 Swedish Health Services 747 Broadway Seattle WA 98122 910433740 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Swedish Edmonds 21601 76th Ave W Edmonds WA 98026 272305304 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Swedish Medical Center Foundation 747 Broadway Seattle WA 98122 910983214 Support Swedish Health Services WA 501(c )(3) Line 7 Swedish Health Services 0 Global To Local Health Initiative 2800 South 192nd St 104 SeaTac WA 98188 273133200 Healthcare WA 501(c )(3) Line 7 Swedish Health Services 0 Swedish MJM Holdings 747 Broadway Seattle WA 98122 273139262 Holding Company WA 501(c )(3) Line 12/Type I Swedish Health Services 0 Marsha Rivkin Center for Ovarian Cancer Research 747 Broadway Seattle WA 98122 912054035 Ovarian Cancer Research WA 501(c )(3) Line 7 Swedish Health Services 0 Western HealthConnect 747 Broadway Seattle WA 98122 454171900 Shell Corporation WA 501(c )(3) Line 12/Type II PH&S Western Washington 0 Inland Northwest Health Services 601 W 1st Avenue Spokane WA 99201 911307555 Healthcare WA 501( c)(3) Line 3 PH&S - Washington 0 Kadlec Regional Medical Center 888 Swift Blvd Richland WA 99352 910655392 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Kadlec Neurological Resource Center 1268 Lee Blvd Richland WA 99352 911266345 Healthcare WA 501(c )(3) Line 10 Western HealthConnect 0 Kadlec Foundation 888 Swift Blvd Richland WA 99352 237005501 Support Kadlec Regional Medical Center WA 501(c )(3) Line 12/Type I Kadlec Regional Medical Center 0 PacMed Clinics 1200 12th Ave S Seattle WA 98144 562290878 Healthcare WA 501(c )(3) Line 10 Western HealthConnect 0 Seattle Science Foundation 550 17th Ave Seattle WA 98122 611502822 Physician Collaboration WA 501(c )(3) Line 7 Western HealthConnect 0 Providence Saint John's Health Center 2121 Santa Monica Blvd Santa Monica CA 90404 951684082 Healthcare CA 501(c )(3) Line 3 PHS - So California 0 John Wayne Cancer Institute 2200 Santa Monica Blvd Santa Monica CA 90404 954291515 Cancer Treatment CA 501(c )(3) Line 4 Providence Saint John's Health Center 0 Saint John's HospitalHealth Center Foundation 2121 Santa Monica Blvd Santa Monica CA 90404 956100079 Support Saint John Health Center & JWCI CA 501(c )(3) Line 7 Providence Saint John's Health Center 0 Providence St Joseph Health 1801 Lind Avenue SW 9016 Renton WA 98057 811244422 Support PH&S and St. Joseph Health System WA 501(c )(3) Line 12, Type III N/A 0 Institute for Systems Biology 401 Terry Ave N Seattle WA 98109 912003593 Predict, prevent & cure disease WA 501(c )(3) Line 7 Western HealthConnect 0 Providence Saint John's Medical Foundation 20555 Earl St Torrance CA 90503 814542216 Healthcare CA 501(c )(3) Pending PHS - So California 0 Institute for 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Line 3 Covenant Health System 0 Methodist Hospital Levelland 1900 College Avenue Levelland TX 79336 752246348 Healthcare TX 501 (C )(3) Line 3 Covenant Health System 0 Methodist Hospital Plainview 2601 Dimmitt Road Plainview TX 79072 752426010 Healthcare TX 501 (C )(3) Line 3 Covenant Health System 0 Mission Hospital Regional Medical Ctr 27700 Medical Center Road Mission Viejo CA 92691 951643360 Healthcare CA 501 (C )(3) Line 3 Covenant Health Network 0 Queen Of The Valley Medical Center 1000 Trancas Street Napa CA 94558 941243669 Healthcare CA 501 (C )(3) Line 3 St Joseph Health System 0 Redwood Memorial Foundation 3300 Renner Drive Fortuna CA 95540 942779313 Healthcare CA 501 (C )(3) Line 7 Redwood Memorial Hospital 0 Redwood Memorial Hospital 3300 Renner Drive Fortuna CA 95540 941384665 Healthcare CA 501 (C )(3) Line 3 St Joseph Health System 0 Santa Rosa Memorial Hospital 1165 Montgomery Dr Santa Rosa CA 95405 941231005 Healthcare CA 501 (C )(3) Line 3 St Joseph Health System 0 SRM 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