PROVIDENCE COMMUNITY HEALTH FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: PROVIDENCE COMMUNITY HEALTH FOUNDATION (EIN 93-0692907)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-02
IRS object ID: 201743069349301904
Schema version: 2016v3.0
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 D
Schedule G
Schedule I
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-02T14:36:55-05:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	911194016	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Clark Nuber PS	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	10900 NE 4th Suite 1400	AddressLine1Txt
City	Bellevue	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	930692907	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE COMMUNITY HEALTH FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PROV	BusinessNameControlTxt
Phone	5417325193	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1111 CRATER LAKE AVE	AddressLine1Txt
City	MEDFORD	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97504	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Katie Hutchinson	PersonNm
Person Title	Executive Director	PersonTitleTxt
Phone	5417325193	PhoneNum
Signature	2017-11-02	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Sara Elizabeth J Hyre CPA	PreparerPersonNm
PTIN	P00235495	PTIN
Phone	4254544919	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	170.173.0.16	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-11-02	IPDt
IP Tm	12:36:32	IPTm
IP Timezone	PD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF	AtSubmissionCreationDeviceId
At Submission Filing Device Id	C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2018-03-14 21:41:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Katie Hutchinson	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1111 CRATER LAKE AVE	AddressLine1Txt
City	MEDFORD	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97504	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,319,309	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.providencefoundations.org/foundations/pages/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1977	FormationYr
Legal Domicile State	OR	LegalDomicileStateCd
Activity Or Mission	To support Providence Medford Medical Center.	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	20	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	612	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,565,536	PYContributionsGrantsAmt
CY Contributions Grants	$1,136,814	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$598,613	PYInvestmentIncomeAmt
CY Investment Income	$274,303	CYInvestmentIncomeAmt
PY Other Revenue	-$88,018	PYOtherRevenueAmt
CY Other Revenue	-$33,660	CYOtherRevenueAmt
PY Total Revenue	$2,076,131	PYTotalRevenueAmt
CY Total Revenue	$1,377,457	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,343,436	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$623,372	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$194,061	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$196,753	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$203,347	CYTotalFundraisingExpenseAmt
PY Other Expenses	$83,848	PYOtherExpensesAmt
CY Other Expenses	$82,665	CYOtherExpensesAmt
PY Total Expenses	$1,621,345	PYTotalExpensesAmt
CY Total Expenses	$902,790	CYTotalExpensesAmt
PY Revenues Less Expenses	$454,786	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$474,667	CYRevenuesLessExpensesAmt
Total Assets BOY	$9,317,983	TotalAssetsBOYAmt
Total Assets EOY	$9,899,213	TotalAssetsEOYAmt
Total Liabilities BOY	$1,641,219	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,603,182	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$7,676,764	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$8,296,031	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	As People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Support Providence Medford Medical Center.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$264,858	ExpenseAmt
Grant	$264,858	GrantAmt
Revenue	$0	RevenueAmt
Desc	Distributions to, or on behalf of, Providence Medford Medical Center for operations.Philanthropic MissionProvidence Community Health Foundation was officially chartered in 1977 as a non-profit organization with the sole purpose of raising funds in support of strategic priorities at the Providence Medford Medical Center and it's related works, advancing the following objectives:* Assist, encourage, promote and advance the care, treatment and rehabilitation of sick, afflicted, infirm, and injured persons at Providence Medford Medical Center.* Further the charitable, scientific and educational activities of the Providence Medford Medical Center community.* Receive and administer funds for charitable, scientific and educational purposes for the benefit of the Providence Medford Medical Center community.Under the leadership of our Board of Directors, the Foundation has continued to support the Mission and legacy of the Sisters of Providence by raising and distributing funds to support approved priority programs and services at the Providence Medford Medical Center and in the Southern Oregon Service Area. In addition to raising funds through direct mail appeals, writing grants, and personal solicitation efforts, the Foundation hosts the annual Festival of Trees when the Rogue Valley's finest designers and decorators create winter magic in Southern Oregon the first week in December. A community holiday celebration and tradition, the Festival features stunning Christmas trees and displays sold by auction at an annual Gala. Three special trees and one paddle call at the Gala raised funds for breast cancer fund, Swindells Resource Center and Mother Gamelin (charity care fund) with net proceeds dedicated to greatest need. More than 15,000 visitors tour the Festival during three public viewing days each year.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$139,765	ExpenseAmt
Grant	$139,765	GrantAmt
Revenue	$0	RevenueAmt
Desc	Distributions to Providence Medford Medical Center for capital and equipment supported: Health eXpress; Arthrex Towers for surgery; video equipment for Hospice; table-top pad for breast center; equipment cart for Diagnostic Imaging; and Alter-G Treadmill in Rehab/Sports Medicine. Program/Service support within Southern Oregon Service Area was given to Palliative Care, Cancer Patients (Art Therapy and Yoga classes), Swindell's Resource Center, Birthplace Welcome Baby Baskets, MDA Supply Closet and Patient Assistance, Mother Gamelin Charity Care and BJ Stormberg Employee Assistance (in the Helping Hands Fund administered by Catholic Charities).	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$125,413	ExpenseAmt
Grant	$125,413	GrantAmt
Revenue	$0	RevenueAmt
Desc	Grant to Mercy Flights Inc. to support medical treatment and transport.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$59,765	$59,765	$0	Patient assistance including food vouchers, medication, transportation costs, and housing after discharge.
$16,904	$16,904	$0	11 medical education scholarships from Bev Lowman Fund supported tuition and books for nursing students. In addition, 2 nurses were reimbursed for their annual education.
$16,667	$16,667	$0	Funds to Catholic Charities for its administration of the Helping Hand fund, which provided living assistance to employees within the PH&S-Oregon corporation.

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$93,336	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$93,336	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$623,372	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	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	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	0	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	Yes (1)	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	0	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	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	2	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
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	20	GoverningBodyVotingMembersCnt
Independent Voting Member	20	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Karl E Fritschel CPA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4255253339	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 Lind Avenue SW 9016	AddressLine1Txt
City	Renton	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	980579016	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (21 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
Brophy Tim
Director	0.50	0.00	Yes (X)	$0	$0	$0
DeBoer Mark
Director	0.50	0.00	Yes (X)	$0	$0	$0
Dombras Diane
Treasurer	0.50	0.00	Yes (X)	$0	$0	$0	Yes (X)
Glauser David
Secretary	0.50	0.00	Yes (X)	$0	$0	$0	Yes (X)
Grizzell Bob
Director	0.50	0.00	Yes (X)	$0	$0	$0
Haden Bill
Emeritus	0.50	0.00	Yes (X)	$0	$0	$0
Hall Tom
Emeritus	0.50	0.00	Yes (X)	$0	$0	$0
Kranenburg Amy
Director	0.50	0.00	Yes (X)	$0	$0	$0
Leever Jeremy
Director	0.50	0.00	Yes (X)	$0	$0	$0
Lewis MD Jack
Director	0.50	0.00	Yes (X)	$0	$0	$0
Lynch Mike
Director	0.50	0.00	Yes (X)	$0	$0	$0
Mahar Mike S
Director	0.50	0.00	Yes (X)	$0	$0	$0
McClure Dixie
Director	0.50	0.00	Yes (X)	$0	$0	$0
Meyer Jim
Director	0.50	0.00	Yes (X)	$0	$0	$0
Moore Gary
Emeritus	0.50	0.00	Yes (X)	$0	$0	$0
Naumes Sean
Director	0.50	0.00	Yes (X)	$0	$0	$0
O'Gara Kim
Vice President	0.50	0.00	Yes (X)	$0	$0	$0	Yes (X)
Sexton Forest
President	0.50	0.00	Yes (X)	$0	$0	$0	Yes (X)
Skinner Tom
Director	0.50	0.00	Yes (X)	$0	$0	$0
Stallcup Mary Lou
Director	0.50	0.00	Yes (X)	$0	$0	$0
Hutchinson Katie
Exec. Dir. (Former Katie Shepard)	45.00	0.00		$0	$83,144	$15,042	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$83,144	TotReportableCompRltdOrgAmt
Total Other Compensation	$15,042	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Fundraising	$196,860	FundraisingAmt
Related Organizations	$248,386	RelatedOrganizationsAmt
All Other Contributions	$691,568	AllOtherContributionsAmt
Total Contributions	$1,136,814	TotalContributionsAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$85,744	TotalRevenueColumnAmt
Exclusion	$85,744	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$6,900	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$737	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$6,163	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,163	TotalRevenueColumnAmt
Exclusion	$6,163	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$584,688	SecuritiesAmt
Other	$216,448	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$469,402	SecuritiesAmt
Other	$143,175	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$115,286	SecuritiesAmt
Other	$73,273	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$188,559	TotalRevenueColumnAmt
Exclusion	$188,559	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$121,041	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$196,860	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$188,102	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$67,061	TotalRevenueColumnAmt
Exclusion	-$67,061	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$17,111	GamingGrossIncomeAmt
Gaming Direct Expenses	$2,924	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,187	TotalRevenueColumnAmt
Exclusion	$14,187	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$150,563	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$137,512	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,051	TotalRevenueColumnAmt
Exclusion	$13,051	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,377,457	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$240,643	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$546,703	TotalAmt
Program Services	$546,703	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$76,669	TotalAmt
Program Services	$76,669	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$87,041	TotalAmt
Management And General	$9,575	ManagementAndGeneralAmt
Fundraising	$77,466	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$97,950	TotalAmt
Management And General	$10,528	ManagementAndGeneralAmt
Fundraising	$87,422	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,762	TotalAmt
Management And General	$6,737	ManagementAndGeneralAmt
Fundraising	$5,025	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$11,034	TotalAmt
Management And General	$11,034	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,886	TotalAmt
Management And General	$3,119	ManagementAndGeneralAmt
Fundraising	$3,767	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,126	TotalAmt
Management And General	$445	ManagementAndGeneralAmt
Fundraising	$681	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,822	TotalAmt
Management And General	$8,319	ManagementAndGeneralAmt
Fundraising	$11,503	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,874	TotalAmt
Management And General	$9,644	ManagementAndGeneralAmt
Fundraising	$10,230	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,005	TotalAmt
Management And General	$2,451	ManagementAndGeneralAmt
Fundraising	$3,554	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,382	TotalAmt
Management And General	$544	ManagementAndGeneralAmt
Fundraising	$838	FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Credit Card Fees	$10,959	$10,959
Dues & Subscriptions	$3,892	$1,533	$2,359
Oregon Form CT-12	$968	$968

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$717	TotalAmt
Management And General	$215	ManagementAndGeneralAmt
Fundraising	$502	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$902,790	TotalAmt
Program Services	$623,372	ProgramServicesAmt
Management And General	$76,071	ManagementAndGeneralAmt
Fundraising	$203,347	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$175	BOYAmt
EOY	$100	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$394,172	BOYAmt
EOY	$719,617	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$178,459	BOYAmt
EOY	$152,400	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,173	BOYAmt
EOY	$11,173	EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$142,850	BOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$4,991,430	BOYAmt
EOY	$5,519,845	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,599,724	BOYAmt
EOY	$3,496,078	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,317,983	BOYAmt
EOY	$9,899,213	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
EOY	$377	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,641,219	BOYAmt
EOY	$1,602,805	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,641,219	BOYAmt
EOY	$1,603,182	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,444,200	BOYAmt
EOY	$2,720,797	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,716,446	BOYAmt
EOY	$5,013,192	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$516,118	BOYAmt
EOY	$562,042	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,676,764	BOYAmt
EOY	$8,296,031	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$9,317,983	BOYAmt
EOY	$9,899,213	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$474,667	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$336,600	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$192,000	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,241,600	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,658,591	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,166,882	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,565,536	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,136,814	CurrentTaxYearAmt
Total	$6,769,423	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,241,600	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,658,591	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,166,882	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,565,536	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,136,814	CurrentTaxYearAmt
Total	$6,769,423	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$1,109,262	SubstantialContributorsTotAmt
Public Support Total170	$5,660,161	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$11,357	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,235	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$142,130	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$106,113	CurrentTaxYearMinus1YearAmt
Current Tax Year	$92,644	CurrentTaxYearAmt
Total	$363,479	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$7,132,902	TotalSupportAmt
Gross Receipts Rltd Activities	$778,459	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.79350	PublicSupportCY170Pct
Public Support PY170	0.75850	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$755,578	BeginningYearBalanceAmt
Contributions	$45,923	ContributionsAmt
Investment Earnings Or Losses	$129,232	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$39,687	GrantsOrScholarshipsAmt
End Year Balance	$891,046	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$779,196	BeginningYearBalanceAmt
Contributions	$29,026	ContributionsAmt
Investment Earnings Or Losses	-$1,074	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$51,570	GrantsOrScholarshipsAmt
End Year Balance	$755,578	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$728,454	BeginningYearBalanceAmt
Contributions	$40,151	ContributionsAmt
Investment Earnings Or Losses	$38,494	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$27,903	GrantsOrScholarshipsAmt
End Year Balance	$779,196	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$625,092	BeginningYearBalanceAmt
Contributions	$24,372	ContributionsAmt
Investment Earnings Or Losses	$116,027	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$37,037	GrantsOrScholarshipsAmt
End Year Balance	$728,454	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$574,066	BeginningYearBalanceAmt
Contributions	$24,502	ContributionsAmt
Investment Earnings Or Losses	$49,346	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$22,822	GrantsOrScholarshipsAmt
End Year Balance	$625,092	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.63080	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.36920	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd
Total Book Value Land Buildings	$0	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Cemetery Plots	$2,590
Trusts	$2,701,912
Gifts Annuities	$791,576

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,496,078	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Trust Obligations	$1,054,329
Due To Affiliates	$19,338
Gifts Annuities Obligations	$529,138

Field	Value	IRS element (for citing)
Total Liability	$1,602,805	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4:	FormAndLineReferenceDesc
Explanation	The two endowments are restricted to support direct patient assistance (charity care) at Providence Medford Medical Center and Nursing Education for Providence employees in southern Oregon.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Festival of Trees	Event1Nm
Gross Receipts Event1	$317,901	GrossReceiptsEvent1Amt
Charitable Contri Event1	$196,860	CharitableContriEvent1Amt
Gross Revenue Event1	$121,041	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$3,782	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$47,504	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$26,162	FoodAndBeverageEvent1Amt
Entertainment Event1	$400	EntertainmentEvent1Amt
Other Direct Expenses Event1	$110,254	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$317,901	GrossReceiptsTotalAmt
Charitable Contributions Tot	$196,860	CharitableContributionsTotAmt
Gross Revenue Total Events	$121,041	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$3,782	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$47,504	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$26,162	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$400	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$110,254	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$188,102	DirectExpenseSummaryEventsAmt
Net Income Summary	-$67,061	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$17,111	GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming	$2,000	NonCashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming	$924	OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming	Yes (1)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	1.00000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$17,111	GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming	$2,000	NonCashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming	$924	OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming	$2,924	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$14,187	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	OR	StatesWhereGamingConductedCd
Licensed	Yes (1)	LicensedInd
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	0	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Other Facility	1.00000	GamingOtherFacilityPct
Individual With Books	Arlene Wedsted	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	940 Royal Ave Suite 410	AddressLine1Txt
City	Medford	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97504	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	0	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	Katie Hutchinson	GamingManagerPersonNm
Gaming Manager Compensation	$0	GamingManagerCompensationAmt
Gaming Manager Services Prov	Obtain license, manage raffle	GamingManagerServicesProvTxt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
Charitable Distribution Rqr	0	CharitableDistributionRqrInd

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
PH&S-OR dba Providence Medford Medical Center
1111 Crater Lake Avenue	Medford	OR	97504	510216587	501(C)(3)	$264,858	Operational Support
PH&S-OR dba Providence Medford Medical Center
1111 Crater Lake Avenue	Medford	OR	97504	510216587	501(C)(3)	$139,765	Capital Support
Mercy Flights Inc
2020 Milligan Way	Medford	OR	97504	930512235	501(C)(3)	$125,413	Support for medical treatment and transport
Catholic Charities
2740 SE Powell Blvd	Portland	OR	97202	930386801	501(C)(3)	$16,667	Employee Assistance Fund

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Cash GrantCashGrantAmt
Patient Assistance	485	$59,765	Cost	Food vouchers, housing, transportation costs, etc.
Nursing Scholarships	11				$13,909
Nursing Education	2				$2,995

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	Grants to the ministry are monitored by key caregivers (Executive Director, Department Directors, Controller and Assistants) with reports to the Board of Directors and Administration and with special effort to honor the donor intent of the gift. Distribution from the Foundation to the hospital only occurs after actual expenses are recorded and incurred, ensuring accurate granting for the target purposes. Financial support to individuals are treated this way, as well. For educational scholarships, the student/Providence employee must enroll in classes and provide proof of expense prior to reimbursement. Financial assistance for emergency employee support is sent to Catholic Charities to manage and distribute. Patient assistance funds are sent to Project Access Now to distribute on behalf of patients identified by the Foundation case management team. Both entities report back annually to assess the fund amount and distribution plans. Annual analysis of budget versus actual occur with the Executive Director, Chief Executive and Board of Directors to ensure proper oversight.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	Providence Health & Services - Oregon is the Corporate member.
Form 990, Part VI, Section A, line 7a	The Corporate Member has the power to approve the number of Directors (if less than 10 and greater than 30), appoint the Board of Directors and remove such Directors at any time with or without cause.
Form 990, Part VI, Section A, line 7b	The following powers are reserved exclusively to the Corporate Member: 1) Adopt and amend the Articles of Incorporation and the Bylaws of the Foundation after consultation with the Foundation's Board of Directors. 2) Approve the merger, consolidation, or affiliation of the Foundation with another corporation, organization or program, or the dissolution of the Foundation. 3) Approve any strategic plan of the Foundation. 4) Approve the annual fundraising plan including special events, annual, capital and planned giving activities. 5) 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 Council. 6) Develop and implement investment policies and/or guidelines that will be used by the Foundation in determining appropriate investments.
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 Foundation Director will review 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 Executive Director 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 Executive Director 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 XI, line 9:	Prior year pledge write off -192,000.
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 financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation.
FORM 990, PART I, LINE 5 & PART V, LINE 2A - EMPLOYEE COMPENSATION	The employees working at the Foundation are paid by Providence Health & Services - Oregon EIN# 51-0216587. Therefore, no W-2s are issued by the reporting organization.
Form 990, Part I, Line 6 - VOLUNTEERS	The majority of the volunteers provided service to the Providence Community Health Foundation during the five-day Festival of Trees event. Specifically, the Festival volunteers helped during the event set-up, tear down, Opening Night Gala, Holiday Party, Evening of Giving and three days of public viewing. Providence Medford Medical Center does have an active Guild membership of more than 225 volunteers. They are partners with the Foundation in volunteer recruitment and fulfillment of volunteer opportunities in the facility.
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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PCHF Properties LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	940 Royal Ave 410	AddressLine1Txt
City	Medford	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97504	ZIPCd

Field	Value	IRS element (for citing)
EIN	930692907	EIN
Primary Activities	Real Estate	PrimaryActivitiesTxt
Legal Domicile State	OR	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Providence Community Health Foundation	BusinessNameLine1Txt

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
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		0	N/A
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		0	N/A
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 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
Providence Little Company of Mary Foundation
4101 Torrance Blvd	Torrance	CA	90503	510224944	Support Little Company of Mary Service Area	CA	501( c)(3)	Line 7	PHS - So California	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 - Washington	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		0	N/A
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 Mental Health & Wellness
1801 Lind Avenue SW 9016	Renton	WA	98057	814260130	Mental Healthcare	WA	501(c )(3)	Line 7	PH&SSt Joseph Health System	0
Covenant Health Network Inc
3345 Michelson Drive Suite 100	Irvine	CA	92612	461259908	Healthcare	CA	501 (C )(3)	Line 12, Type III	St Joseph Health System	0
Covenant ACO
3615 19th Street	Lubbock	TX	79410	611573313	Healthcare	TX	501 (C )(3)	Line 12, Type I	Covenant Health System	0
Covenant Health System
3615 19th Street	Lubbock	TX	79410	752765566	Healthcare	TX	501 (C )(3)	Line 3	St Joseph Health System	0
Covenant Health System Foundation
3623 22nd Place	Lubbock	TX	79410	752897026	Healthcare	TX	501 (C )(3)	Line 7	Covenant Health System	0
Covenant Medical Group
3420 22nd Place	Lubbock	TX	79410	752743883	Healthcare	TX	501 (C )(3)	Line 3	Covenant Health System	0
Covenant Health Partners
3615 19Th Street	Lubbock	TX	79410	463516417	Healthcare	TX	501 (C )(3)	Line 12, Type I	Covenant Health System	0
HMTS Inc
1 Hoag Drive	Newport Beach	CA	92658	453583707	Healthcare	CA	501 (C )(3)	Line 12, Type I	Hoag Memorial Hospital Presbyterian	0
Hoag Charity Sports
330 Placentia Ave	Newport Beach	CA	92663	452982422	Support	CA	501 (C )(3)	Line 7	Hoag Hospital Foundation	0
Hoag Hospital Foundation
330 Placentia Ave	Newport Beach	CA	92663	953222343	Fundraising	CA	501 (C )(3)	Line 7	Hoag Memorial Hospital Presbyterian	0
Hoag Memorial Hospital Presbyterian
1 Hoag Road Box 6100	Newport Beach	CA	92663	951643327	Healthcare	CA	501 (C )(3)	Line 3	Covenant Health Network	0
Home Care Partners
1165 Montgomery Dr	Santa Rosa	CA	95405	680318656	Inactive	CA	501 (C )(3)	Line 3	Santa Rosa Memorial Hospital	0
Hospice Of Lubbock
3702 21st Street	Lubbock	TX	79410	752133781	Healthcare	TX	501 (C )(3)	Line 10	Covenant Health System	0
Lubbock Methodist Hospital Foundation
3615 19th Street	Lubbock	TX	79410	752220963	Healthcare	TX	501 (C )(3)	Line 7	Covenant Health System	0
Methodist Children's Hospital
3610 21st Street	Lubbock	TX	79410	752428911	Healthcare	TX	501 (C )(3)	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 Alliance Hospital Services (Pvh)
400 North McDowell Blvd	Petaluma	CA	94954	680395200	Healthcare	CA	501 (C )(3)	Line 3	Santa Rosa Memorial Hospital	0
St Joseph Health System
3345 Michelson Drive Suite 100	Irvine	CA	92612	953589356	Healthcare	CA	501 (C )(3)	Line 12, Type I	Providence St Joseph Health	0
St Joseph Health System Foundation
3345 Michelson Drive Suite 100	Irvine	CA	92612	330143024	Healthcare	CA	501 (C )(3)	Line 7	St Joseph Health System	0
St Joseph Home Care Network
1111 Sonoma Ste 308	Santa Rosa	CA	95405	680331084	Healthcare	CA	501 (C )(3)	Line 10	St Joseph Health System	0
St Joseph Hospital Of Eureka
2700 Dolbeer Street	Eureka	CA	95501	941156596	Healthcare	CA	501 (C )(3)	Line 3	St Joseph Health System	0
St Joseph Hospital Of Orange
1100 West Stewart Drive	Orange	CA	92868	951643359	Healthcare	CA	501 (C )(3)	Line 3	Covenant Health Network	0
St Jude Hospital Yorba Linda
200 West Center St Promenade	Anaheim	CA	92805	330185031	Healthcare	CA	501 (C )(3)	Line 3	St Joseph Health System	0
St Jude Hospital Inc
101 East Valencia Mesa Drive	Fullerton	CA	92635	951643324	Healthcare	CA	501 (C )(3)	Line 3	Covenant Health Network	0
St Mary Medical Center
18300 Highway 18	Apple Valley	CA	92307	951914489	Healthcare	CA	501 (C )(3)	Line 3	Covenant Health Network	0
St Mary Of The Plains Hospital Fdn
4000 24th Street	Lubbock	TX	79410	751653181	Healthcare	TX	501 (C )(3)	Line 7	Covenant Health System	0
St Joseph Health Northern California LLC
3345 Michelson Drive	Irvine	CA	92612	814791043	Healthcare	CA	501 (C )(3)	Line 3	St Joseph Health System	0
Sisters Of St Joseph Of Orange
480 S Batavia	Orange	CA	92868	951643383	Religious Org	CA	501 (C )(3)	Line 1		0	N/A
St Joseph Health Ministry
3345 Michelson Drive Suite 100	Irvine	CA	92612	271666576	Religious Org	CA	501 (C )(3)	Line 1	Sisters of St Joseph of Orange	0
Kadlec Auxiliary Inc
888 Swift Blvd	Richland	WA	99352	916033089	Support Kadlec Regional Medical Center	WA	501 (C )(3)	Line 12, Type III	Kadlec Regional Medical Center	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (40 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
Alpha Medical Laboratory LLC
611 N Perry	Spokane	WA	99202	912017347	Outpatient Lab	ID	N/A
Broadway Imaging LLC
500 W Broadway	Missoula	MT	59802	522405971	Medical Imaging	MT	N/A
California Laboratory Associates LLC
501 Buena Vista	Burbank	CA	91505	273888692	Outpatient Lab	CA	N/A
Center for Specialty Surgery LLC
11782 SW Barnes Rd	Portland	OR	97225	263638838	Ambulatory Surgery Center	OR	N/A
Clackamas Radiation Oncology Center LLC
4400 NE Halsey St Bldg II 495	Portland	OR	97213	260381897	Radiation Oncology	OR	N/A
Ctr for Med Imaging-Bridgeport LLC
4400 NE Halsey 495	Portland	OR	97213	260796953	Imaging - Diagnostics	OR	N/A
Ctr for Med Imaging-Tanasbourne LLC
4400 NE Halsey 495	Portland	OR	97213	200477972	Imaging - Diagnostics	OR	N/A
Greater Valley Medical Building LP
501 S Buena Vista St	Burbank	CA	91505	954570858	Real Estate - MOB	CA	N/A
Minor & James Medical PLLC
515 Minor Avenue 200	Seattle	WA	98104	911340223	Physician Clinic	WA	N/A
Mountainstar Clinical Laboratories LLC
611 N Perry	Spokane	WA	99202	261345983	Outpatient Lab	MT	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 Surgery Center	OR	N/A
PacLab LLC
611 N Perry	Spokane	WA	99202	911743952	Outpatient Lab	WA	N/A
Pathology Associates Medical Laboratories LLC
611 N Perry	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
Portland Medical Imaging LLC
4400 NE Halsey 495	Portland	OR	97213	201054971	Imaging - Diagnostics	OR	N/A
Prov Radiation Oncology Develop Assn LLC
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	Clinical Quality & Integration	CA	N/A
Providence Surgery Center LLC
902 N Orange St	Missoula	MT	59802	841401625	Ambulatory Surgery Center	MT	N/A
ProvidenceSilverton Rehab LLC
4400 NE Halsey 425	Portland	OR	97213	481287267	Rehab Services	OR	N/A
ProvidenceUSP Santa Clarita GP LLC
11550 Indian Hills Road 160	Mission Hills	CA	91345	202829660	Ambulatory Surgery Center	CA	N/A
ProvidenceUSP Surgery Ctrs LLC
11550 Indian Hills Road 160	Mission Hills	CA	91345	200905938	Ambulatory Surgery Center	CA	N/A
Southern Idaho Regional Laboratory LLC
611 N Perry	Spokane	WA	99202	820511819	Outpatient Lab	ID	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
HCSA Properties LLC
1600 M Street NW	Auburn	WA	98001	460620892	Real estate rental	WA	N/A
Covenant Long-Term Care LP
4000 24th Street	Lubbock	TX	79410	205033419	Healthcare	TX	N/A
Heritage Investment Group I LLC
500 S Main Street Ste 1000	Orange	CA	92868	271000061	Investments	CA	N/A
Hoag Orthopedic Institute
1 Hoag Drive Box 6100	Newport Beach	CA	92658	611588294	Healthcare	CA	N/A
Lubbock Surgery Center Ltd
4000 24th Street	Lubbock	TX	79410	752177401	Healthcare	TX	N/A
Methodist Diagnostic Imaging
4000 24th Street	Lubbock	TX	79410	752343261	Healthcare	TX	N/A
Mission Ambulatory Surgicenter Ltd
27800 Medical Center Road Ste 362	Mission Viejo	CA	92691	330355575	Healthcare	CA	N/A
Newport Imaging Center
360 San Miguel	Newport Beach	CA	92660	330191776	Healthcare	CA	N/A
SHA LLC
12940 North Highway 183	Austin	TX	78750	752569094	Healthcare	TX	N/A
St Joseph Physician Ventures I LLC
1100 West Stewart Drive	Orange	CA	92868	454521884	Real Estate	CA	N/A
North Bay Endoscopy Center
1383 N McDowell Blvd Suite 110	Petaluma	CA	94954	611559876	Healthcare	CA	N/A
Southern California Surgery Center LLC
18321 Ventura Blvd Ste 740	Tarzana	CA	91356	330939000	Healthcare	CA	N/A
Mission Viejo Physician Partners I LLC
27700 Medical Center Road	Mission Viejo	CA	92691	471559873	Healthcare	CA	N/A
Advanced Surgery Institute LLC
1739 4th Street	Santa Rosa	CA	95404	262299255	Healthcare	CA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (24 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	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	OwnershipOwnershipPct
Providence Health Ventures Inc
4101 Torrance Blvd	Torrance	CA	90503	330122216	Investment	CA	N/A	C	0
Caron Health Corporation
510 W Front St	Missoula	MT	59802	810486082	Medical Physician Service	MT	N/A	C	0
Providence Health Care Ventures Inc
101 W 8th Ave TAF C-9	Spokane	WA	99204	900155714	Clinical/Medical Lab	WA	N/A	C	0
Providence Physician Services Co
101 W 8th Ave TAF C-9	Spokane	WA	99204	911216033	Clinical/Medical Lab	WA	N/A	C	0
Yakima Medical Arts Inc
611 N Perry 100	Spokane	WA	99202	910787963	Rental Real Estate	WA	N/A	C	0
Bourget Health Services Inc
PO Box 2687	Spokane	WA	99220	911354431	Clinical/Medical Lab	WA	N/A	C	0
1221 Madison Street Owners Assoc
747 Broadway	Seattle	WA	98122	201954319	Owners' Association	WA	N/A	C	0
Western HealthConnect Ventures Inc
1801 Lind Ave SW 9016	Renton	WA	98057	800953654	Investment	WA	N/A	C	0
PHN Holdings
20555 Earl Street	Torrance	CA	90503	461814184	Strategic Planning Services	CA	N/A	C	0
Providence Health Network
20555 Earl Street	Torrance	CA	90503	800886966	Prepaid Healthcare	CA	N/A	C	0
Pioneer Innovations Inc
800 5th Ave 10th Floor	Seattle	WA	98104	364818191	Healthcare Innovations	WA	N/A	C	0
Vinserra Inc
1328 22nd Street	Santa Monica	CA	90404	953943315	Investment	CA	N/A	C	0
American Unity Group Ltd
					Captive Insurance		N/A	C	0	90 Pitts Bay Road HM08 Pembroke	BD	BD
Coastal Management Services Organization
1 Hoag Drive Box 6100	Newport Beach	CA	92658	330676831	Healthcare	CA	N/A	C	0
Datu Health Inc
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 120	Lubbock	TX	79410	752118585	Healthcare	TX	N/A	C	0
Mission Viejo Medical Ventures
27800 Medical Center Rd 354	Mission Viejo	CA	92691	330212905	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 Health Source Inc
3345 Michelson Drive Suite 100	Irvine	CA	92612	461900168	Healthcare	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
Ophie Healthcare Services Inc
3345 Michelson Drive Suite 100	Irvine	CA	92612	271002825	Healthcare	CA	N/A	C	0
Charitable Remainder Trusts (4)
					Investment	OR			Yes (1)				Providence Community Health FDN	1.00000

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	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd