SWEDISH EDMONDS: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SWEDISH EDMONDS (EIN 27-2305304)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-10
- IRS object ID
- 201743149349302719
- 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 H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-10T13:04:39-06:00 | 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 | 272305304 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SWEDISH EDMONDS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SWED | BusinessNameControlTxt |
| Phone | 4255253895 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21601 76th Ave W | AddressLine1Txt |
| City | Edmonds | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98026 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jo Ann Escasa-Haigh | PersonNm |
| Person Title | EVP/CFO - Operations | PersonTitleTxt |
| Phone | 4255253895 | PhoneNum |
| Signature | 2017-11-10 | 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 | 2017-11-10 | IPDt |
| IP Tm | 11:04:22 | IPTm |
| IP Timezone | PS | 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 | Mike Butler | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Ave SW 9016 | AddressLine1Txt |
| City | Renton | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98057 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $239,391,911 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.swedish.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | To improve the health and well-being of each person we serve in Snohomish County. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1622 | TotalEmployeeCnt |
| Total Volunteers | 340 | TotalVolunteersCnt |
| Total Gross UBI | $23,389 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $5,741 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,162,641 | PYContributionsGrantsAmt |
| CY Contributions Grants | $153,627 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $212,394,307 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $223,463,901 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$438,955 | PYInvestmentIncomeAmt |
| CY Investment Income | -$87,552 | CYInvestmentIncomeAmt |
| PY Other Revenue | $29,247,501 | PYOtherRevenueAmt |
| CY Other Revenue | $15,491,528 | CYOtherRevenueAmt |
| PY Total Revenue | $242,365,494 | PYTotalRevenueAmt |
| CY Total Revenue | $239,021,504 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $85,901,712 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $95,911,141 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $104,330,398 | PYOtherExpensesAmt |
| CY Other Expenses | $100,140,394 | CYOtherExpensesAmt |
| PY Total Expenses | $190,234,610 | PYTotalExpensesAmt |
| CY Total Expenses | $196,051,535 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $52,130,884 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $42,969,969 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $168,333,557 | TotalAssetsBOYAmt |
| Total Assets EOY | $169,332,712 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $99,297,302 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $96,995,375 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $69,036,255 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $72,337,337 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Swedish Edmonds is part of Swedish Health Services, a healthcare system committed to meeting the health-care needs of Snohomish County. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $151,741,195 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $230,009,811 | RevenueAmt |
| Desc | Acute Care Inpatient - 10,517 acute admissions in 2016 with 45,196 Patient Days. Swedish Edmonds (formerly Stevens Hospital) has served Edmonds and surrounding communities for the last 50 years. Together with the larger Swedish and Providence Systems, we are creating an innovative, regional health-care delivery network that will provide more local services, while giving residents greater access to the latest medical treatments and the comprehensive services of the Swedish and Providence systems. Our campus includes 217 licensed beds, more than 450 medical staff physicians, more than 1,400 staff and a full scope of medical and surgical services, including Level IV Trauma emergency medicine, diagnostic, treatment and support services. In addition to over $10M in community benefit provided through charity care and other community services, through our innovative partnership with Verdant (Snohomish County Public Hospital District #2) we provide more than $7M annually in funds that can be directly contributed to meeting the health needs of the community.Outpatient - Swedish Edmonds provided 134,386 outpatient visits and 47,550 Emergency Room visits in 2016. Outpatient services include emergency visits, specialty care, and diagnostic services. Examples are services for wound care, endocrinology, pain treatment, sleep medicine, behavioral health, breast imaging, and other medical imaging. Patients receiving outpatient service are eligible for the same charity care as inpatients and charity care dollars are included in numbers listed in 4A above. In addition, our hospital payor mix is approximately 60% Medicare and Medicaid- we often hear that patients with those insurance types have trouble finding providers who will care for them.Surgical services: In 2016 Swedish Edmonds provided more than 11,300 surgeries. Medically necessary surgeries are often provided at low or reduced cost for patients meeting our financial assistance criteria. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,009,486 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,009,486 | RevenueAmt |
| Desc | Primary Care - In 2016, Swedish Edmonds provided primary care at Swedish Internal Medicine (an internal medicine clinic). Other primary care services in the community are provided by community practices and through Swedish Medical Group and include the Birth and Family Clinic (a family practice clinic that also provides obstetrical care) and Swedish Children's Clinic Edmonds, a pediatric practice, among others. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $0 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $876,786 | RevenueAmt |
| Desc | Healthcare Joint Ventures - Swedish/Edmonds partners with Radia to provide imaging services in an outpatient setting at our joint venture, Swedish Radia Imaging Center, Edmonds. Services provided include x-ray, CT, MRI, and ultrasound. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $152,750,681 | 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 | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1622 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| 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 Ave 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 (57 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Richard Blair | ||||||||||
| Chair - Eff. 7/16 | 0.10 | 4.60 | Yes (X) | Yes (X) | $0 | $30,180 | $0 | |||
| Dave Olsen | ||||||||||
| Vice Chair - Eff. 7/16 | 0.10 | 5.50 | Yes (X) | Yes (X) | $0 | $24,135 | $0 | |||
| Dick P Allen | ||||||||||
| Director - Eff. 7/16 | 0.10 | 2.00 | Yes (X) | $0 | $15,180 | $0 | ||||
| Isiaah Crawford | ||||||||||
| Director | 0.10 | 4.10 | Yes (X) | $0 | $24,360 | $0 | ||||
| Sister Lucille Dean SP | ||||||||||
| Director - Eff. 7/16 | 0.10 | 2.10 | Yes (X) | $0 | $0 | $0 | ||||
| Sister Diane Hejna CSJ RN | ||||||||||
| Director - Eff. 7/16 | 0.10 | 1.90 | Yes (X) | $0 | $0 | $0 | ||||
| Michael Holcomb | ||||||||||
| Director /Chair Thru 6/16 | 0.10 | 5.30 | Yes (X) | Yes (X) | $0 | $45,360 | $0 | |||
| Phyllis Hughes RSM | ||||||||||
| Director | 0.10 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| Sallye Liner | ||||||||||
| Director | 0.10 | 4.70 | Yes (X) | $0 | $20,360 | $0 | ||||
| Mary Lyons PhD | ||||||||||
| Director - Eff. 7/16 | 0.10 | 1.50 | Yes (X) | $0 | $15,180 | $0 | ||||
| Walter Noce Jr | ||||||||||
| Director - Eff. 7/16 | 0.10 | 2.00 | Yes (X) | $0 | $15,180 | $0 | ||||
| Carolina Reyes MD | ||||||||||
| Director | 0.10 | 4.60 | Yes (X) | $0 | $22,860 | $0 | ||||
| Phoebe Yang | ||||||||||
| Director - Eff. 7/16 | 0.10 | 2.00 | Yes (X) | $0 | $12,680 | $0 | ||||
| Fr Tom Kopfensteiner | ||||||||||
| Director - Res. 12/16 | 0.10 | 2.00 | Yes (X) | $0 | $6,400 | $0 | ||||
| Chauncey Boyle SP | ||||||||||
| Director - Thru 6/16 | 0.10 | 3.10 | Yes (X) | $0 | $0 | $0 | ||||
| Marian Schubert CSJ | ||||||||||
| Director - Thru 6/16 | 0.10 | 2.80 | Yes (X) | $0 | $0 | $0 | ||||
| Michael A Stein | ||||||||||
| Director - Thru 6/16 | 0.10 | 3.10 | Yes (X) | $0 | $7,680 | $0 | ||||
| Eugene Al Parrish | ||||||||||
| Director - Thru 6/16 | 0.10 | 2.80 | Yes (X) | $0 | $7,680 | $0 | ||||
| Bob Wilson | ||||||||||
| Director - Thru 6/16 | 0.10 | 2.90 | Yes (X) | $0 | $9,120 | $0 | ||||
| Martha Diaz Aszkenazy | ||||||||||
| Director - Thru 6/16 | 0.10 | 3.90 | Yes (X) | $0 | $9,180 | $0 | ||||
| Kirby McDonald | ||||||||||
| Director - Thru 6/16 | 0.10 | 2.80 | Yes (X) | $0 | $7,680 | $0 | ||||
| Charles Chuck Watts | ||||||||||
| Director - Thru 6/16 | 0.10 | 2.80 | Yes (X) | $0 | $9,180 | $0 | ||||
| Rod F Hochman MD | ||||||||||
| President / CEO - Thru 6/16 | 1.00 | 64.00 | Yes (X) | $0 | $4,060,921 | $43,543 | ||||
| Mike Butler | ||||||||||
| President - Eff. 7/16 | 1.00 | 59.00 | Yes (X) | $0 | $6,906,693 | $349,633 | ||||
| Todd Hofheins | ||||||||||
| EVP/CFO /Treas. Thru 11/16 | 1.00 | 59.00 | Yes (X) | $0 | $1,571,440 | $60,670 | ||||
| Jo Ann Escasa-Haigh | ||||||||||
| Interim CFO/Treasurer | 1.00 | 49.00 | Yes (X) | $0 | $755,416 | $168,190 | ||||
| Cindy Strauss | ||||||||||
| EVP/Chief Legal Officer | 1.00 | 59.00 | Yes (X) | $0 | $1,462,780 | $58,266 | ||||
| Jennifer Graves | ||||||||||
| CEO/Swedish Edmonds | 60.00 | 0.00 | Yes (X) | $0 | $416,791 | $26,676 | ||||
| Dan Harris | ||||||||||
| VP Finance/WA. & AK | 6.00 | 53.00 | Yes (X) | $0 | $778,023 | $77,489 | ||||
| Debra Canales | ||||||||||
| EVP/CAO | 1.00 | 59.00 | $0 | $2,092,357 | $611,609 | Yes (X) | ||||
| Janice Newell | ||||||||||
| SVP/Chief Information Officer | 1.00 | 59.00 | $0 | $1,137,493 | $34,098 | Yes (X) | ||||
| Joel Gilbertson | ||||||||||
| SVP/Community Partnerships | 1.00 | 59.00 | $0 | $842,027 | $247,847 | Yes (X) | ||||
| Orest Holubec | ||||||||||
| SVP/Chief Comm./Ext. Affairs Officer | 1.00 | 54.00 | $0 | $782,688 | $207,806 | Yes (X) | ||||
| Greg Till | ||||||||||
| VP/Chief Talent Officer | 1.00 | 64.00 | $0 | $776,011 | $122,367 | Yes (X) | ||||
| Sharon Toncray | ||||||||||
| SVP / Chief Labor Employee Counsel | 1.00 | 59.00 | $0 | $764,977 | $243,728 | Yes (X) | ||||
| Paul Stoddart - Thru 916 | ||||||||||
| VP/Marketing | 1.00 | 54.00 | $0 | $641,423 | $22,381 | Yes (X) | ||||
| Mark Gargett | ||||||||||
| VP/Digital Integration | 1.00 | 49.00 | $0 | $610,787 | $65,970 | Yes (X) | ||||
| Dave Hunter - Thru 616 | ||||||||||
| VP/Supply Chain Management | 1.00 | 54.00 | $0 | $599,166 | $98,839 | Yes (X) | ||||
| Tony Armada | ||||||||||
| CE/Swedish | 1.00 | 64.00 | $0 | $1,314,860 | $353,757 | Yes (X) | ||||
| David Brown | ||||||||||
| VP/Strategy & Business Development | 1.00 | 54.00 | $0 | $700,461 | $226,430 | Yes (X) | ||||
| Debbie Burton | ||||||||||
| SVP/ Chief Nrsg. Officer | 1.00 | 59.00 | $0 | $713,480 | $90,015 | Yes (X) | ||||
| Mary Cranstoun | ||||||||||
| VP/Total Rewards | 1.00 | 59.00 | $0 | $663,031 | $114,417 | Yes (X) | ||||
| Aaron Martin | ||||||||||
| SVP/Strategy & Innovation | 1.00 | 69.00 | $0 | $852,934 | $219,285 | Yes (X) | ||||
| Tom McDonagh | ||||||||||
| VP/Chief Investment Officer | 1.00 | 57.00 | $0 | $849,462 | $53,521 | Yes (X) | ||||
| Rhonda Medows MD | ||||||||||
| EVP/Population Health | 1.00 | 59.00 | $0 | $1,565,700 | $320,279 | Yes (X) | ||||
| Harvey Smith | ||||||||||
| SVP/Chief Customer Svc. Officer | 1.00 | 49.00 | $0 | $1,226,156 | $23,791 | Yes (X) | ||||
| Lisa Vance | ||||||||||
| SVP/Clinical Program Services | 1.00 | 59.00 | $0 | $1,220,348 | $125,445 | Yes (X) | ||||
| Mike Waters | ||||||||||
| VP,CAO/Physician Services | 1.00 | 64.00 | $0 | $703,777 | $184,023 | Yes (X) | ||||
| Amy Compton-Phillips | ||||||||||
| EVP / Chief Clinical Officer | 1.00 | 54.00 | $0 | $1,113,493 | $278,894 | Yes (X) | ||||
| Peter Ro | ||||||||||
| Physician/Hyperbaric Medicine | 60.00 | 0.00 | $394,861 | $0 | $39,148 | Yes (X) | ||||
| Elena Geamanu | ||||||||||
| Physician/Endocrinology | 60.00 | 0.00 | $295,404 | $0 | $47,570 | Yes (X) | ||||
| Todd Baumeister | ||||||||||
| Physician/Pain Mgmnt. | 60.00 | 0.00 | $284,798 | $0 | $39,980 | Yes (X) | ||||
| Sandeep Sachdeva | ||||||||||
| CMO | 60.00 | 0.00 | $309,024 | $0 | $31,486 | Yes (X) | ||||
| Sarah Zabel | ||||||||||
| COO | 60.00 | 0.00 | $271,769 | $0 | $45,813 | Yes (X) | ||||
| Jack Friedman | ||||||||||
| SVP/Accountable Care & Payor Rel. | 0.00 | 0.00 | $0 | $299,327 | $0 | Yes (X) | ||||
| Randy Axelrod MD | ||||||||||
| EVP/Clinical & Patient Services | 0.00 | 0.00 | $0 | $1,419,333 | $0 | Yes (X) | ||||
| Craig Wright MD | ||||||||||
| SVP/Physician Services | 0.00 | 0.00 | $0 | $1,119,939 | $20,455 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,555,856 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $38,243,689 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $4,653,421 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 224 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Sellen Construction CoInc | |||||
| PO Box 9970 | Seattle | WA | 98109 | Construction | $10,551,965 |
| Shiftwise | |||||
| PO Box 70870 | St Paul | MN | 55170 | Staffing | $2,194,553 |
| AMN Healthcare E8006 | |||||
| PO Box 70870 | St Paul | MN | 55170 | Staffing | $2,070,105 |
| Bloodworks Northwest | |||||
| 921 Terry Avenue | Seattle | WA | 98104 | Lab Services | $1,027,571 |
| Pacific Anesthesia PC | |||||
| 11808 Northup Way W-300 | Bellevue | WA | 98005 | Anesthesia | $778,309 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 54 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $6,080 | RelatedOrganizationsAmt |
| Government Grants | $147,547 | GovernmentGrantsAmt |
| Total Contributions | $153,627 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Acute Care | 621400 | $214,867,780 | $214,867,780 |
| Pharmacy | 446110 | $6,289,892 | $6,289,892 |
| Primary Care | 621110 | $1,429,443 | $1,429,443 |
| Healthcare JVs | 900099 | $876,786 | $876,786 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $223,463,901 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $854 | TotalRevenueColumnAmt |
| Exclusion | $854 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $834,984 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $834,984 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $834,984 | TotalRevenueColumnAmt |
| Exclusion | $834,984 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $88,406 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$88,406 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$88,406 | TotalRevenueColumnAmt |
| Exclusion | -$88,406 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $750,116 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $282,001 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $468,115 | TotalRevenueColumnAmt |
| Exclusion | $468,115 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Provider Tax | 900099 | $8,431,411 | $8,431,411 | |
| IAF Revenue | 900099 | $4,205,809 | $4,205,809 | |
| Fire Ins. Settlement | 900099 | $696,710 | $696,710 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $854,499 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $771 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $23,389 | UnrelatedBusinessRevenueAmt |
| Exclusion | $830,339 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $14,188,429 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $239,021,504 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $231,896,083 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $23,389 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,948,405 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $432,660 | TotalAmt |
| Management And General | $432,660 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,596,391 | TotalAmt |
| Program Services | $69,430,282 | ProgramServicesAmt |
| Management And General | $19,166,109 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $434,680 | TotalAmt |
| Program Services | $351,428 | ProgramServicesAmt |
| Management And General | $83,252 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,447,410 | TotalAmt |
| Program Services | $5,028,980 | ProgramServicesAmt |
| Management And General | $1,418,430 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,129 | TotalAmt |
| Program Services | $15,129 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,970,013 | TotalAmt |
| Program Services | $13,180,208 | ProgramServicesAmt |
| Management And General | $6,789,805 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,390 | TotalAmt |
| Program Services | $4,204 | ProgramServicesAmt |
| Management And General | $1,186 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,444,307 | TotalAmt |
| Program Services | $3,466,567 | ProgramServicesAmt |
| Management And General | $977,740 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,839 | TotalAmt |
| Program Services | $63,834 | ProgramServicesAmt |
| Management And General | $18,005 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,816,457 | TotalAmt |
| Program Services | $9,996,836 | ProgramServicesAmt |
| Management And General | $2,819,621 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,819 | TotalAmt |
| Program Services | $97,359 | ProgramServicesAmt |
| Management And General | $27,460 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,757 | TotalAmt |
| Program Services | $88,730 | ProgramServicesAmt |
| Management And General | $25,027 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $895,589 | TotalAmt |
| Program Services | $895,589 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,979,647 | TotalAmt |
| Program Services | $7,784,125 | ProgramServicesAmt |
| Management And General | $2,195,522 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,046 | TotalAmt |
| Program Services | $118,596 | ProgramServicesAmt |
| Management And General | $33,450 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $33,174,694 | $25,876,261 | $7,298,433 |
| Bad Debt | $9,213,114 | $9,212,750 | $364 |
| Taxes & Licenses | $8,265,122 | $6,446,795 | $1,818,327 |
| Recruitment/Relocation | $639,290 | $498,646 | $140,644 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,181 | TotalAmt |
| Program Services | $194,362 | ProgramServicesAmt |
| Management And General | $54,819 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,051,535 | TotalAmt |
| Program Services | $152,750,681 | ProgramServicesAmt |
| Management And General | $43,300,854 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,458,779 | BOYAmt |
| EOY | $2,795,848 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,229,381 | BOYAmt |
| EOY | $36,878,270 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,532,685 | BOYAmt |
| EOY | $2,705,756 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $903,151 | BOYAmt |
| EOY | $786,602 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $128,061,131 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $39,315,734 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,606,209 | BOYAmt |
| EOY | $88,745,397 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,479,726 | BOYAmt |
| EOY | $4,767,124 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,123,626 | BOYAmt |
| EOY | $32,653,715 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,333,557 | BOYAmt |
| EOY | $169,332,712 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,253,746 | BOYAmt |
| EOY | $11,538,408 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,981,478 | BOYAmt |
| EOY | $33,523,630 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,880,519 | BOYAmt |
| EOY | $45,880,519 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,181,559 | BOYAmt |
| EOY | $6,052,818 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,297,302 | BOYAmt |
| EOY | $96,995,375 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,952,967 | BOYAmt |
| EOY | $71,418,439 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,083,288 | BOYAmt |
| EOY | $918,898 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,036,255 | BOYAmt |
| EOY | $72,337,337 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,333,557 | BOYAmt |
| EOY | $169,332,712 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $42,969,969 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$39,668,887 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,691,542 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,435,077 | DepreciationAmt |
| Book Value | $55,256,465 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,551 | OtherCostOrOtherBasisAmt |
| Depreciation | $319 | DepreciationAmt |
| Book Value | $2,232 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,804,462 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,880,338 | DepreciationAmt |
| Book Value | $19,924,124 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,562,576 | OtherCostOrOtherBasisAmt |
| Book Value | $13,562,576 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $88,745,397 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other AR | $1,436,321 |
| Due from Affiliates | $31,127,834 |
| Third Party Settlements | $89,454 |
| Trustee Held Funds | $106 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $32,653,715 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| FIN 47 - LT Asset Retirement Obligation | $1,479,943 |
| Due to Affiliates | $669,809 |
| Third Party Settlements | $484,606 |
| Bond Premium Discounts | $3,389,117 |
| Unamortized Bond Finance Costs | $29,343 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,052,818 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 578 | PersonsServedCnt |
| Total Community Benefit Expns | $3,140,111 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,140,111 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01680 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 7829 | PersonsServedCnt |
| Total Community Benefit Expns | $42,568,500 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,700,615 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,867,885 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06350 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 8407 | PersonsServedCnt |
| Total Community Benefit Expns | $45,708,611 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,700,615 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,007,996 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08030 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 544 | PersonsServedCnt |
| Total Community Benefit Expns | $8,730 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,852,697 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,324,155 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,528,542 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00820 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 544 | PersonsServedCnt |
| Total Community Benefit Expns | $4,861,427 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,324,155 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,537,272 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00820 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 8951 | PersonsServedCnt |
| Total Community Benefit Expns | $50,570,038 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $34,024,770 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,545,268 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08850 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 515 | PersonsServedCnt |
| Total Community Benefit Expns | $3,867 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,867 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 515 | PersonsServedCnt |
| Total Community Benefit Expns | $3,867 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,867 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,213,114 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $78,839,358 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $106,789,710 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$27,950,352 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Swedish Edmonds | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21601 76th Avenue W | AddressLine1Txt |
| City | Edmonds | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98026 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.swedish.org/locations/edmonds-camp | WebsiteAddressTxt |
| State License | HAC.FS.60183546 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Swedish Edmonds | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Schedule C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Schedule C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.swedish.org/patient-visitor-info/billing/financial-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.swedish.org/patient-visitor-info/billing/financial-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.swedish.org/patient-visitor-info/billing/financial-assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Swedish Edmonds | Part V, Section B, Line 5: Conducted meetings with the following community leaders on the following topics:Suicide Family Education - Dr John Smoot, Unity ChurchBehavioral Health family couseling - Dr John Smoot, Unity ChurchCommunity outreach town hall Session - Solynn McGrady Community Health education - Scott Forland, Providence Everett |
| Swedish Edmonds | Part V, Section B, Line 6a: Swedish First HillSwedish Cherry HillSwedish BallardSwedish Issaquah |
| Swedish Edmonds | Part V, Section B, Line 11: Swedish Edmonds has identified the following health issues that require immediate community attention and action:-Heart Disease-Cancer-Youth and Adult Obesity-Suicide (Adults and Youth)Youth physical abuse is not one of Swedish Edmonds' priority health issues as there are other agencies giving this issue attention and resources.Cancer (168.5 per 100,000) and heart disease (154.6 per 100,000) are two leading causes of death in Snohomish County. However, in the United States, heart disease deaths outnumbered those due to cancer, while in Snohomish County there were more deaths due to cancer. Chronic diseases are the primary cause of morbidity and mortality in Snohomish County, Washington, and the United States. These diseases are responsible for 70% of deaths in the United States, and cause one in 10 Americans to be limited in their activities. Hospital's response to heart disease:-Emergency Cardiac Care program with City of Lynnwood-Go Red Connect & BetterU Challenge programs with American Heart Association-Swedish Heart & Vascular Institute offers leading-edge diagnosis, treatment and rehabilitation for a growing range of adult and pediatric cardiovascular diseases and conditions-Heart health fairs in local community with Swedish/Edmonds heart experts-Heart-healthy classes at Swedish/Edmonds-Heart-healthy recipes and cooking demonstrations-Cardiac rehabilitation-Pulmonary rehabilitation-Swedish website heart disease risk test-Provided medical staff at Nick of Time, a free youth heart-screening event-Wellness Works employee health programHospital's response to cancer:-Relay for Life with American Cancer Society-Cancer support groups at Swedish/Edmonds-Cancer education classes at Swedish/Edmonds-Cancer conference series for Swedish staff-Cancer gala fund raiser with ACS-Swedish website cancer risk test-Tumor Board and Breast Cancer Conferences are held weekly at Swedish/Edmonds-Cancer Registry Report optimizes cancer programs-American Cancer Society Resource Center on campus-Free wigs/fittings-I Can Cope classes-After Breast Cancer education classes-Reach to recovery program-Look Good Feel Better classes-Wellness Works employee health programObesity contributes to numerous and varied comorbid conditions. Complications can occur in many organ systems, ranging from cardiovascular to respiratory to orthopedic and even ophthalmologic. Overweight and obesity are known risk factors for heart disease, diabetes, hypertension, gallbladder disease, osteoarthritis, sleep apnea and other breathing problems, and some cancers (uterine, breast, colorectal, kidney, and gallbladder). In addition, obesity is associated with pregnancy complications, high blood cholesterol, menstrual irregularities, hirsutism (excessive hair growth), stress incontinence, psychological disorders, and increased surgical risk. Social discrimination against obese persons has a strong negative effect on their quality of life.Hospital's response to obesity:-Nutrition and exercise classes at Swedish/Edmonds-Healthy Habits after-school program with Boys and Girls Club-Healthier Choices events at Edmonds School District school with Spanish interpreters-6 Weeks to a Healthier You: biometric lab tests before and after series, event booth, presenters and marketing support-Get Movin' event-Producer of Healthy eating videos produced by Swedish/Edmonds-Swedish website obesity risk test-Heart-healthy classes at Swedish/Edmonds-Heart-healthy recipes and cooking demonstrations-Cardiac rehabilitation-Pulmonary rehabilitation-Wellness Works employee health programInjury has been identified as the third leading cause of death in Snohomish County and the leading cause of death in persons age 1-44. Two-thirds of injuries in 2010 were unintentional and one-third intentional, mostly suicide.Hospitalizations for mental health issues increased during the recession in 2009 and 2010. One-third of such admissions were for mood disorders such as depression, and 43% were substance related (18% alcohol, 25% other substances). Females were more likely to be admitted than males. Admission rates were highest in the 15-24 year-old age group, and declined in older age groups. Approximately 2.3% of Snohomish County adults reported having signs of serious mental illness. Those who are in poverty, unemployed, or unable to work had much higher rates of mental illness than others. People with serious mental illness were more likely than others to be disabled, obese, dissatisfied with life, or smoke.Nearly 30% of Snohomish County students reported being depressed. Depressed youth had poorer academic performances than others and were more likely to be involved in violence. They were also more likely to smoke, drink, and use illegal drugs.Approximately 5% of Snohomish County adults report having inadequate emotional support. People with inadequate emotional support were more likely than others to smoke, be disabled, and be dissatisfied with life.Suicide was the ninth-leading cause of death in Snohomish County and was responsible for 29% of injury deaths. Suicide rates increased dramatically with the economic downturn in 2009. Females are more likely to attempt suicide, but males are more likely to succeed due to their tendency to use firearms (females try poison more often). Suicide rates increase with age, with males over 65 having the highest rate (38.0 per 100,000). The county's suicide rate (14.6 per 100,000) was much higher than the Healthy People 2020 goal of 10.2 suicides per 100,000.Hospital's response to suicide:-Snohomish County Suicide Prevention Lifeline and CRISIS Line-National Suicide Prevention Lifeline-NAMI National Information HelpLine-Veterans' Crisis Line-Volunteers of America/Crisis Response Services-Survivors of Suicide Support Group hosted by Swedish/Edmonds-International Survivors of Suicide Day hosted by Swedish/Edmonds-Partial hospitalization mental health program at Swedish/Edmonds-Voluntary and involuntary mental health services at hospital-Primary care physicians treat mental health patients too-Pain management |
| Swedish Edmonds | Part V, Section B, Line 24: For non-medically necessary services, a patient may be charged full billed charges. |
| Part V, Section B, Line 7a | www.swedish.org/about/overview/mission-outreach/community-engagement/community-needs-assessment/assessments-site-list |
| Part V, Section B, Line 10a | www.swedish.org/about/overview/mission-outreach/community-engagement/community-needs-assessment/assessments-site-list |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 33 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (33 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - Diabetes Education and Nutrition - Edmon | |||||
| 21601 76th Ave W | Edmonds | WA | 98026 | Education | |
| 2 - Medical Imaging - Edmonds | |||||
| 21601 76th Ave W | Edmonds | WA | 98026 | Imaging Center | |
| 3 - Cardiac Diagnostic Imaging - Edmonds | |||||
| 7320 216th St SW Suite 110 | Edmonds | WA | 98026 | Imaging Center | |
| 4 - Laboratory | |||||
| 21601 76th Ave W | Edmonds | WA | 98026 | Lab | |
| 5 - Lab Patient Services Center at Stevens P | |||||
| 21616 76th Ave W Suite 208 | Edmonds | WA | 98026 | Lab | |
| 6 - Lab Patient Services Center at 76 Common | |||||
| 21911 76th Ave Suite 207 | Edmonds | WA | 98026 | Lab | |
| 7 - Lab Patient Services Center at Edmonds M | |||||
| 7320 216th St SW Suite 130 | Edmonds | WA | 98026 | Lab | |
| 8 - Edmonds Primary Care | |||||
| 7320 216th St SW Edmonds Medical | Edmonds | WA | 98026 | Primary Care | Pavili |
| 9 - Outpatient Rehabilitation - Edmonds | |||||
| 21601 76th Ave W | Edmonds | WA | 98026 | Rehab & Physical Therapy | |
| 10 - Edmonds Urgent Care | |||||
| 21600 Highway 99 Kruger Building | Edmonds | WA | 98026 | Specialty Clinic | Suite |
| 11 - Pediatrics - Edmonds | |||||
| 21600 Highway 99 Kruger Clinic Bldg | Edmonds | WA | 98026 | Specialty Clinic | Su |
| 12 - Wound Healing & Hyperbarics | |||||
| 21600 Highway 99 Kruger Clinic | Edmonds | WA | 98026 | Specialty Clinic | Building |
| 13 - Medical Oncology - Edmonds | |||||
| 21632 Highway 99 | Edmonds | WA | 98026 | Specialty Clinic | |
| 14 - Oncology Social Work - Edmonds | |||||
| 21632 Highway 99 | Edmonds | WA | 98026 | Specialty Clinic | |
| 15 - Birth & Family Clinic - Edmonds | |||||
| 21911 76th Ave W 76 Commons Suite | Edmonds | WA | 98026 | Specialty Clinic | 11 |
| 16 - Heart & Vascular - Edmonds Professional | |||||
| 7315 212th St SW Suite 205 | Edmonds | WA | 98026 | Specialty Clinic | |
| 17 - Heart & Vascular - Edmonds Medical Pavil | |||||
| 7320 216th St SW Suite 210 | Edmonds | WA | 98026 | Specialty Clinic | |
| 18 - Breast Center - Edmonds | |||||
| 7320 216th St SW Suite 120 | Edmonds | WA | 98026 | Specialty Clinic | |
| 19 - Sleep Medicine - Edmonds | |||||
| 7320 216th St SW Suite 40 | Edmonds | WA | 98026 | Specialty Clinic | |
| 20 - Edmonds Neurology | |||||
| 7320 216th St SW Suite 310 | Edmonds | WA | 98026 | Specialty Clinic | |
| 21 - Cardiac Rehabilitation - Edmonds | |||||
| 21601 76th Ave W | Edmonds | WA | 98026 | Specialty Clinic | |
| 22 - Colon & Rectal Clinic - Edmonds | |||||
| 21605 76th Ave W Ste 200 | Edmonds | WA | 98026 | Specialty Clinic | |
| 23 - Edmonds Birth Center | |||||
| 21601 76th Ave W | Edmonds | WA | 98026 | Specialty Clinic | |
| 24 - Edmonds Mental Health Services | |||||
| 21601 76th Ave W | Edmonds | WA | 98026 | Specialty Clinic | |
| 25 - Edmonds Specialty Clinic | |||||
| 21616 76th Ave W Ste 212 | Edmonds | WA | 98026 | Specialty Clinic | |
| 26 - Endoscopy Center - Edmonds | |||||
| 21601 76th Ave W | Edmonds | WA | 98026 | Specialty Clinic | |
| 27 - Infectious Disease | |||||
| 21616 76th Ave W | Edmonds | WA | 98026 | Specialty Clinic | |
| 28 - Nutrition Care Clinic - Edmonds | |||||
| 21601 76th Ave W | Edmonds | WA | 98026 | Specialty Clinic | |
| 29 - OBGYN Specialists Edmonds | |||||
| 21616 76th Ave W Ste 205 | Edmonds | WA | 98026 | Specialty Clinic | |
| 30 - Palliative Care Clinic - Edmonds | |||||
| 21616 76th Ave W | Edmonds | WA | 98026 | Specialty Clinic | |
| 31 - Pulmonary Rehabilitation - Edmonds | |||||
| 21601 76th Ave W | Edmonds | WA | 98026 | Specialty Clinic | |
| 32 - Radiation Oncology - Edmonds | |||||
| 21605 76th Ave W Ste 100 | Edmonds | WA | 98026 | Specialty Clinic | |
| 33 - Vascular Surgery - Edmonds Professional | |||||
| 7315 212th St SW Ste 205 | Edmonds | WA | 98026 | Specialty Clinic | |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | The sliding fee scale will be used to determine the amount to be written off as charity care for guarantors with income between 301% and 400% of the current federal poverty level after all funding possibilities available to the guarantor have been exhausted or denied and personal financial resources and assets have been reviewed for possible funding to pay for billing charges. |
| Part I, Line 6a: | In addition to having Community Benefit information included in the consolidated Swedish Health Services Community Benefit Report, this information is also included in the Providence Health & Services Community Benefit Report. |
| Part I, Line 7: | Costs for table 7 are from actual expenses incurred. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 9,213,114. |
| Part II, Community Building Activities: | COMMUNITY BUILDING ACTIVITIES:-Educating the community regarding healthy living by representing Swedish Edmonds on the Edmonds School District Creating Community Connections Committee. -CPR and First aid education. -Health education to schools.-Ask the Dr and ASK the RN outreach.-Equity of Care committee. |
| Part III, Line 2: | Bad debt expense represents the amount of gross charges for patients who do not have insurance and which Swedish Edmonds was unable to qualify for assistance under either government programs or our internal charity care policy. |
| Part III, Line 4: | The Health System provides for an allowance against patient accounts receivable for amounts that could become uncollectible. The Health System estimates this allowance based on the aging of accounts receivable, historical collection experience by payor, and other relevant factors. There are various factors that can impact the collection trends, such as changes in the economy, which in turn have an impact on unemployment rates and the number of uninsured and underinsured patients, the increased burden of copayments to be made by patients with insurance coverage and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the estimation process used by the Health System. The Health System records a provision for bad debts in the period of services on the basis of past experience, which has historically indicated that many patients are unresponsive or are otherwise unwilling to pay the portion of their bill for which they are financially responsible. |
| Part III, Line 8: | It is Swedish's policy to exclude any Medicare shortfall from Community Benefit information.The amount reported on Part III, Section B, Line 6, was determined by applying the Cost-to-Charge Ratio to the Medicare revenue. |
| Part III, Line 9b: | Billing and Collection PracticesThe debt collection policy applies to self-pay individuals who have been evaluated and determined not to be eligible for financial assistance.Swedish has written policies about when and under whose authority patient debt is advanced for collection, and uses its best efforts to ensure that patient accounts are processed fairly and consistently.Swedish ensures that practices to be used by their outside (non-hospital) collection agencies conform to the standards set forth in this policy, and obtains written commitments from such agencies that they will adhere to those standards. Swedish also conducts an assessment of each collection agency's adherence to the policy. Such assessments are conducted at least annually.At time of billing, we provide to all low-income uninsured patients the same information concerning services and charges provided to all other patients who receive care at the hospital.When sending a bill to a patient, Swedish includes a) a statement that indicates that if the patient meets certain income requirements the patient may be eligible for a government-sponsored program or for financial assistance from the hospital; and b) a statement that provides the patient with the name and telephone number of a hospital employee or office from whom or which the patient may obtain information about Swedish's financial assistance policies for patients and how to apply for such assistance.Any patient seeking financial assistance from Swedish (or the patient's legal representative) provides the individual facility with information concerning health benefits coverage, financial status (i.e. income, assets) and any other information that is necessary for the hospital to make a determination regarding the patient's status relative to Providence's financial assistance policy, discounted payment policy, or eligibility for government-sponsored programs.For patients who have an application pending determination for either government-sponsored coverage or for the hospitals own financial assistance program, Providence will not knowingly send that patient's bill to a collection agency.Eligibility for financial assistance will be determined as closely as possible to the date of service. |
| Part VI, Line 2: | In September 2015 representatives from Edmonds began planning for the 2016 community health needs assessment. There is a significant community desire for a campus-specific community health needs assessment. Public data and reports were reviewed for the population served by Swedish Edmonds, largely north King and south Snohomish Counties.Data was reviewed from national, state, county and local sources including Snohomish Health District Report Card, Public Health Advisory Council, Verdant Health Commission, Washington State Snohomish County Profile, Economic Alliance of Snohomish County, Centers for Disease Control, The Advisory Board and internal market analysis.Supplemental sources of information was also assessed, including meetings with community partners, feedback gathered from listening sessions at community events, patient educational seminars, conferences with Swedish Edmonds service lines and input from Swedish Edmonds leadership.Swedish Edmonds partnered with Snohomish Health District and The Publix Health Advisory Council and adopted their methodology for determining the most important health indicators.Using these criteria, the members of the Council chose six health issues that need community attention and action, the first three needing immediate action: Youth Physical Abuse Youth and Adult Obesity Suicide (Adults and Youth) Youth Dental Decay Access to a Primary Care Provider No Prenatal Care During the First TrimesterData was analyzed from a variety of sources, and 27 indicators with the worst risk scores were then evaluated in terms of their size, seriousness, the existence of evidence-based practices and community interventions, and whether there are community values attached to the issue. |
| Part VI, Line 3: | COMMUNICATION TO THE PUBLIC:Swedish Hospitals are committed to the provision of healthcare services to all persons in need of medical attention regardless of their ability to pay.Employees are responsible for processing applications in a respectful and courteous manner. Processing should in no way discourage patients from receiving healthcare or result in the delayed provision of essential healthcare services. Charity care/financial assistance are available to any eligible patient without regard to race, color, sex, religion, age or national origin. All interactions with patients must respect the inherent worth of all persons and their individual dignity.Public Notices:Our Financial Assistance (Charity Care) Policy is made available via wall posters that are located in registration areas and emergency departments. Letter size posters are also available in departments and health resource centers.Brochures are available for dissemination or upon request and are available in several languages including, but not limited to, English, Spanish, Chinese, Vietnamese and Korean. Brochures, applications and the sliding scale are available to any person requesting the information whether in person, by mail or by telephone.Timing of Application:Patients may apply for charity care prior to service, at the time of service or at any point in the billing process up to the resolution of the account.Identification of Charity Care Candidates:Every effort is made to identify patients who would benefit from charity care at the earliest point possible. Care for a patient's well-being is as important as care for their medical needs. It is our goal to diminish a patient's worry over healthcare bills. Employees must be alert to indications that the patient or family has concerns about their ability to pay healthcare bills, even if the patient does not specifically ask about charity care or financial assistance.General Application Process:Once a patient is identified as a charity care candidate, the patient will be interviewed. Interpreters will be offered and arranged as appropriate. |
| Part VI, Line 4: | Geographically, Swedish Edmonds is located in Snohomish County, situated between Northern Puget Sound to the west and the crest line of the North Cascade Range to the east. It shares its northern border with rural Skagit County and borders King County to the south.Due to its proximity to and shared labor market with King County, Snohomish County is incorporated into the Seattle - Bellevue - Everett Metropolitan Statistical Area, as designated by the Bureau of Labor Statistics.The geographical distribution of population, economic activity and land use in Snohomish County is diverse, with a mix of rural and urban zones. For the most part, population centers in the county are oriented south in proximity to the border with King County and west along Interstate 5. By contrast, north and east Snohomish County are characterized by smaller cities, farms and reservations.Snohomish County total population was approximately 713,335 people in 2010 with Edmonds ranked the 3rd most populous city in Snohomish County and the 26th most populous city in Washington State. With a median age of 31, approximately 10% of the population is age 65 or older and trending to be the fastest growing age cohort over the next five years. The population within Snohomish County has continued to grow steadily since 2010: 730,500 in 2013, 741,000 in 2014, and 757,600 in 2015.The racial and ethnic makeup of Snohomish County shows a relative underpresentation of Black (3.1%) and Hispanic residents (9.7%) compared to the state and a higher representation of Asian residents (10.7%). Snohomish County has, and continues to be, home to a number of Native American tribes.In 2015, the total male population in Snohomish County is about 234,872 and female population is 242,677. Compared to Washington state and the US as a whole, Snohomish County residents age 25 and above are more likely to have graduated from high school; 91.1% had a high school diploma.The average annual wage for all industries in 2014 was $55,414. The median hourly wage was $25.03 in 2013, compared to a statewide median wage of $22.09 per hour. In 2013, 11.3% of the resident population of Snohomish County was estimated to be living below poverty level.Snohomish County's 2014 labor force averaged 395,317 with an unemployment rate of 5.1%. |
| Part VI, Line 5: | PROMOTION OF COMMUNITY HEALTH:Swedish Edmonds integrates community benefits into its ongoing planning processes, budgeting and reporting. The Hospital uses its resources at both the local and Swedish Health System-wide levels to benefit citizens in need and to promote healing and health in its communities. Senior management ensures that resources are allocated to assess, develop and implement community benefit programs and initiatives that respond to the unmet health priorities. The Hospital participates in the assurance of community health assets and needs with special attention to geographical areas and populations with disproportionate unmet health-related needs. The Hospital budget includes financial resources to assess, plan, develop, implement, manage and report on community benefit initiatives.The Hospital's community benefit programs are developed in response to health issues identified in various assessments of the service area and disease status identified, focused on disproportionate unmet health-related needs, with emphasis on prevention and access to continuing care.The Hospital determines measurable goals, including the number of people reached, disproportionate populations visited, and education provided and gained access to care. |
| Part VI, Line 6: | Effective July 1, 2016, Providence Health & Services and St. Joseph Health came together to serve more people in a partnership that joins two remarkable organizations with rich heritages. We are now connected by a new parent organization, Providence St. Joseph Health. Together, over 100,000 of our caregivers (employees) now serve in 50 hospitals, over 800 clinics and a comprehensive range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. All hospitals and other ministries will maintain their current names and identities. This parent structure allows our family of diverse organizations to work together to meet the needs of our communities both today and into the future. |
| Part VI, Line 7, Reports Filed With States | WA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (35 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rod F Hochman MD | ||||||||||||||
| President / CEO - Thru 6/16 | $0 | $1,912,650 | $0 | $2,130,271 | $0 | $18,000 | $0 | $25,159 | $0 | $18,384 | $0 | $4,104,464 | $0 | $0 |
| Mike Butler | ||||||||||||||
| President - Eff. 7/16 | $0 | $1,241,463 | $0 | $5,618,732 | $0 | $46,498 | $0 | $324,347 | $0 | $25,286 | $0 | $7,256,326 | $0 | $2,182,191 |
| Todd Hofheins | ||||||||||||||
| EVP/CFO /Treas. Thru 11/16 | $0 | $765,052 | $0 | $762,582 | $0 | $43,806 | $0 | $33,684 | $0 | $26,986 | $0 | $1,632,110 | $0 | $0 |
| Jo Ann Escasa-Haigh | ||||||||||||||
| Interim CFO/Treasurer | $0 | $284,195 | $0 | $465,096 | $0 | $6,125 | $0 | $158,719 | $0 | $9,471 | $0 | $923,606 | $0 | $0 |
| Cindy Strauss | ||||||||||||||
| EVP/Chief Legal Officer | $0 | $657,902 | $0 | $762,672 | $0 | $42,206 | $0 | $35,775 | $0 | $22,491 | $0 | $1,521,046 | $0 | $0 |
| Jennifer Graves | ||||||||||||||
| CEO/Swedish Edmonds | $0 | $335,104 | $0 | $81,687 | $0 | $0 | $0 | $15,869 | $0 | $10,807 | $0 | $443,467 | $0 | $0 |
| Dan Harris | ||||||||||||||
| VP Finance/WA. & AK | $0 | $447,127 | $0 | $330,896 | $0 | $0 | $0 | $64,100 | $0 | $13,389 | $0 | $855,512 | $0 | $0 |
| Debra Canales | ||||||||||||||
| EVP/CAO | $0 | $801,127 | $0 | $1,168,376 | $0 | $122,854 | $0 | $598,119 | $0 | $13,490 | $0 | $2,703,966 | $0 | $0 |
| Janice Newell | ||||||||||||||
| SVP/Chief Information Officer | $0 | $576,214 | $0 | $517,269 | $0 | $44,010 | $0 | $18,550 | $0 | $15,548 | $0 | $1,171,591 | $0 | $0 |
| Joel Gilbertson | ||||||||||||||
| SVP/Community Partnerships | $0 | $443,246 | $0 | $350,838 | $0 | $47,943 | $0 | $224,819 | $0 | $23,028 | $0 | $1,089,874 | $0 | $0 |
| Orest Holubec | ||||||||||||||
| SVP/Chief Comm./Ext. Affairs Officer | $0 | $396,372 | $0 | $343,782 | $0 | $42,534 | $0 | $185,290 | $0 | $22,516 | $0 | $990,494 | $0 | $0 |
| Greg Till | ||||||||||||||
| VP/Chief Talent Officer | $0 | $396,660 | $0 | $378,331 | $0 | $1,020 | $0 | $99,936 | $0 | $22,431 | $0 | $898,378 | $0 | $0 |
| Sharon Toncray | ||||||||||||||
| SVP / Chief Labor Employee Counsel | $0 | $408,183 | $0 | $308,273 | $0 | $48,521 | $0 | $221,561 | $0 | $22,167 | $0 | $1,008,705 | $0 | $0 |
| Paul Stoddart - Thru 916 | ||||||||||||||
| VP/Marketing | $0 | $239,356 | $0 | $306,938 | $0 | $95,129 | $0 | $11,537 | $0 | $10,844 | $0 | $663,804 | $0 | $0 |
| Mark Gargett | ||||||||||||||
| VP/Digital Integration | $0 | $386,259 | $0 | $224,528 | $0 | $0 | $0 | $42,448 | $0 | $23,522 | $0 | $676,757 | $0 | $0 |
| Dave Hunter - Thru 616 | ||||||||||||||
| VP/Supply Chain Management | $0 | $158,987 | $0 | $257,452 | $0 | $182,727 | $0 | $81,651 | $0 | $17,188 | $0 | $698,005 | $0 | $0 |
| Tony Armada | ||||||||||||||
| CE/Swedish | $0 | $759,105 | $0 | $537,755 | $0 | $18,000 | $0 | $328,401 | $0 | $25,356 | $0 | $1,668,617 | $0 | $0 |
| David Brown | ||||||||||||||
| VP/Strategy & Business Development | $0 | $388,819 | $0 | $311,642 | $0 | $0 | $0 | $203,986 | $0 | $22,444 | $0 | $926,891 | $0 | $0 |
| Debbie Burton | ||||||||||||||
| SVP/ Chief Nrsg. Officer | $0 | $355,010 | $0 | $315,852 | $0 | $42,618 | $0 | $66,297 | $0 | $23,718 | $0 | $803,495 | $0 | $0 |
| Mary Cranstoun | ||||||||||||||
| VP/Total Rewards | $0 | $372,857 | $0 | $272,174 | $0 | $18,000 | $0 | $91,147 | $0 | $23,270 | $0 | $777,448 | $0 | $0 |
| Aaron Martin | ||||||||||||||
| SVP/Strategy & Innovation | $0 | $542,637 | $0 | $292,297 | $0 | $18,000 | $0 | $210,328 | $0 | $8,957 | $0 | $1,072,219 | $0 | $0 |
| Tom McDonagh | ||||||||||||||
| VP/Chief Investment Officer | $0 | $478,005 | $0 | $330,119 | $0 | $41,338 | $0 | $28,774 | $0 | $24,747 | $0 | $902,983 | $0 | $0 |
| Rhonda Medows MD | ||||||||||||||
| EVP/Population Health | $0 | $824,899 | $0 | $698,359 | $0 | $42,442 | $0 | $299,110 | $0 | $21,169 | $0 | $1,885,979 | $0 | $0 |
| Harvey Smith | ||||||||||||||
| SVP/Chief Customer Svc. Officer | $0 | $579,168 | $0 | $628,988 | $0 | $18,000 | $0 | $7,950 | $0 | $15,841 | $0 | $1,249,947 | $0 | $0 |
| Lisa Vance | ||||||||||||||
| SVP/Clinical Program Services | $0 | $571,069 | $0 | $606,964 | $0 | $42,315 | $0 | $110,502 | $0 | $14,943 | $0 | $1,345,793 | $0 | $0 |
| Mike Waters | ||||||||||||||
| VP,CAO/Physician Services | $0 | $426,739 | $0 | $274,903 | $0 | $2,135 | $0 | $172,012 | $0 | $12,011 | $0 | $887,800 | $0 | $0 |
| Amy Compton-Phillips | ||||||||||||||
| EVP / Chief Clinical Officer | $0 | $713,661 | $0 | $303,268 | $0 | $96,564 | $0 | $251,731 | $0 | $27,163 | $0 | $1,392,387 | $0 | $0 |
| Peter Ro | ||||||||||||||
| Physician/Hyperbaric Medicine | $376,861 | $0 | $0 | $0 | $18,000 | $0 | $18,550 | $0 | $20,598 | $0 | $434,009 | $0 | $0 | $0 |
| Elena Geamanu | ||||||||||||||
| Physician/Endocrinology | $202,383 | $0 | $93,021 | $0 | $0 | $0 | $18,550 | $0 | $29,020 | $0 | $342,974 | $0 | $0 | $0 |
| Todd Baumeister | ||||||||||||||
| Physician/Pain Mgmnt. | $270,727 | $0 | $14,071 | $0 | $0 | $0 | $18,550 | $0 | $21,430 | $0 | $324,778 | $0 | $0 | $0 |
| Sandeep Sachdeva | ||||||||||||||
| CMO | $257,358 | $0 | $18,666 | $0 | $33,000 | $0 | $18,550 | $0 | $12,936 | $0 | $340,510 | $0 | $0 | $0 |
| Sarah Zabel | ||||||||||||||
| COO | $224,443 | $0 | $29,326 | $0 | $18,000 | $0 | $16,681 | $0 | $29,132 | $0 | $317,582 | $0 | $0 | $0 |
| Jack Friedman | ||||||||||||||
| SVP/Accountable Care & Payor Rel. | $0 | $0 | $0 | $299,327 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $299,327 | $0 | $0 |
| Randy Axelrod MD | ||||||||||||||
| EVP/Clinical & Patient Services | $0 | $0 | $0 | $564,384 | $0 | $854,949 | $0 | $0 | $0 | $0 | $0 | $1,419,333 | $0 | $0 |
| Craig Wright MD | ||||||||||||||
| SVP/Physician Services | $0 | $14,760 | $0 | $551,522 | $0 | $553,657 | $0 | $2,107 | $0 | $18,348 | $0 | $1,140,394 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | The reporting organization did not provide any of the benefits listed in Part I, Line 1a. However, as part of Swedish's philosophy of transparency, the narrative that follows relates to the compensation and benefits provided by the related organization. Swedish Edmonds executives adhere to the Providence Expense Reimbursement Procedures which include the following policies: Travel or Charter Travel or Travel of Companions Air travel is reimbursable and should be at the least expensive airfare; which permits departures and arrivals at reasonable times and reasonable distance traveled. Employees are encouraged to plan in advance to get available discounts. Airline frequent flyer upgrades will never be reimbursed. First class full fare tickets and charter must be approved by a senior level supervisor. Companion travel will only be reimbursed by the organization for travel related to relocation, and should not exceed two relocation-related visits, unless approved by by the Executive Vice President, Chief Administrative Officer (EVP, CAO) of Providence St. Joseph Health. Spouse or Companion Travel. Travel expenses incurred by a Swedish employee's spouse or companion will not be reimbursed by Swedish unless the spouse or companion is required to, or invited to attend a System-sponsored meeting. These expenses may be considered a taxable benefit by the IRS and if so, will be included on the employee's W- 2. During 2016, there were 24 First Class tickets utilized by Officers, Directors or Key Employees listed on Form 990, Part VII. Tax Indemnifications or Gross-Up Payments - Relocation Swedish follows the federal and state taxation laws related to relocation expenses paid to the employee or to a third party on the employee's behalf. They are considered income and are therefore subject to payroll taxes. Based on the way Swedish has chosen to pay the relocation expenses, Swedish reports reimbursements and payments to vendors as income and these expense payments are reflected on the executive's Form W-2. Swedish will gross-up the relocation benefits to offset the personal tax burden to the employee for IRS allowable expenses. During 2016, there were 4 Key Employees receiving gross-up payments. The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation on the Form 990. Tax Indemnifications or Gross-Up Payments - Financial/Retirement Planning Swedish follows the federal and state taxation laws related to other expenses paid to the employee or to a third party on the employee's behalf. They are considered income and are therefore subject to payroll taxes. Based on the way Swedish has chosen to pay these other expenses, Swedish reports reimbursements and payments to vendors as income and these expense payments are reflected on the executive's Form W-2. Swedish will gross-up the financial/retirement planning benefits, during 2016 only, to offset the personal tax burden to the employee for IRS allowable expenses. During 2016, there were 4 Officers, 11 Key Employees and 1 Former Key Employee receiving this type of gross-up payment. The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation on the Form 990. Housing Allowance or Residence for Personal Use Swedish provides housing allowances for purposes of relocation assistance only. Swedish may pay temporary living expenses for the employee up to a maximum of 90 calendar days. Covered expenses are rent (excluding "rent" which may be paid in order to occupy a new permanent residence until the title clears) and utilities, including heat, electricity, gas, water, local internet and local telephone and garbage services. The EVP, CAO PSJH may approve temporary housing assistance for up to six months when family relocation is delayed to accommodate the school year or equivalent circumstances. Only in extenuating circumstances is housing extended beyond this six month period. During 2016, there were 4 Key Employees receiving relocation/housing program payments. The amounts reported for these relocation/housing payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation on the Form 990. |
| Part I, Lines 4a-b | NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan 1) Rod Hochman, MD a) SERP Earned but not Paid - $71,434 2) Cindy Strauss a) SERP Earned but not Paid - $23,073 3) Michael Butler a) SERP Vested but not Paid - $4,194,363 b) SERP Interest Credit - $280,622 4) Jo Ann Escasa-Haigh a) SERP Earned but not Vested - $144,759 5) Debra Canales a) SERP Earned but not Vested - $578,244 6) Dan Harris a) SERP Interest Credit - $38,182 7) Rhonda Medows, MD a) SERP Earned but not Vested - $267,369 b) SERP Interest Credit - $11,866 8) Tony Armada a) SERP Earned but not Vested- $285,866 b) SERP Interest Credit - $30,610 9) Lisa Vance a) SERP Interest Credit - $79,015 10) Janice Newell a) SERP Earned but not Paid - $23,422 11) Amy Compton-Phillips a) SERP Earned but not Vested - $223,438 b) SERP Interest Credit - $8,418 12) Aaron Martin a) SERP Earned but not Vested - $188,376 13) Joel Gilbertson a) SERP Earned but not Vested - $160,455 b) SERP Interest Credit - $39,169 14) Orest Holubec a) SERP Earned but not Vested - $144,707 b) SERP Interest Credit - $19,483 15) Greg Till a) SERP Earned but not Vested - $78,010 b) SERP Interest Credit - $10,002 16) Sharon Toncray a) SERP Earned but not Vested- $172,369 b) SERP Interest Credit - $22,823 17) Debbie Burton a) SERP Earned but not Paid - $16,879 b) SERP Interest Credit - $37,391 18) Mike Waters a) SERP Earned but not Vested - $143,129 b) SERP Interest Credit - $10,334 19) David Brown a) SERP Earned but not Vested - $134,921 b) SERP Interest Credit - $42,528 20) Mary Cranstoun a) SERP Earned but not Vested - $77,234 21) Paul Stoddart a) SERP Interest Credit - $8,530 22) Mark Gargett a) SERP Earned but not Paid - $12,295 b) SERP Interest Credit - $11,400 23) Dave Hunter a) SERP Earned but not Paid - $24,558 24) Randy Axelrod, MD a) SERP Paid - $564,384 25) Craig Wright, MD a) SERP Earned but not Paid - $233,982 |
| Part I, Lines 4a-b | SEVERANCE 1) Paul Stoddart - $77,130 2) Randy Axelrod - $850,776 3) Craig Wright, MD - $525,300 |
| FORM 990, SCHEDULE J, PART II - EXECUTIVE INCENTIVE PROGRAM | Swedish executives participate in the Providence Executive Incentive Program which 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). The performance award is based on the level of accomplishment of annual system and functional (or regional) objectives. In 2016, 60 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's strategic priorities. The remaining 40% was based on a robust set of function specific goals designed to align critical mission and business drivers. 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% |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Washington Health Care Facilities Authority | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 911108929 | BondIssuerEIN |
| CUSIP | 93978HKL8 | CUSIPNum |
| Bond Issued | 2014-09-10 | BondIssuedDt |
| Issue Price | $49,546,745 | IssuePriceAmt |
| Purpose | Construction of ambulatory services at Swedish Edmonds | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $49,546,745 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $561,147 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $48,985,597 | CapitalExpendituresAmt |
| Substantial Completion | 2015 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 7 - BOND ISSUE A | As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private payment test may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, Line 6. The organization has not undertaken an analysis of the private security test with respect to the bonds, as the level of private business use and/or unrelated trade or business use reported in Part III, Line 6 is not in excess of amounts permitted under Section 145 of the Code. |
| SCHEDULE K, PART I & II - BOND ISSUE A | The 2014C Series issued by the Washington Health Care Facilities Authority was issued to cover both the construction of ambulatory services at Swedish Edmonds as well as to partially refinance a taxable financing of Providence Health & Services - Washington dba Providence Regional Medical Center Everett. Since this bond issue is spread across two separate legal entities, the amounts shown only reflect the portion directly related to the new construction at Swedish Edmonds. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 3 | The Pavilion Pharmacy (retail and homecare pharmacy) closed at the end of 2016. This was a difficult decision to make as the pharmacy had served the community for many years. However, we determined that we were not able to run it in a competitive manner, and there are many other retail and homecare pharmacies in the area, so patients would be well taken care of. |
| Form 990, Part VI, Section A, line 6 | Western HealthConnect is the sole member of Swedish Edmonds. |
| Form 990, Part VI, Section A, line 7b | The following powers are reserved to and exercised exclusively by the Member: A) To amend or repeal the Articles of Incorporation or Bylaws. B) To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale, transfer, assignment or encumbering of assets. C) To approve the dissolution, liquidation, consolidation or merger with another corporation or entity. D) To approve the annual operating and capital budgets of the Corporation on a consolidated region-wide basis and recommend approval of the Corporation's budget. E) To appoint certified public accountants after receiving the recommendation of the Board of Directors, and to receive the annual audit report from such accountants. |
| 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 of Directors reviewed the Form 990 prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | Based on the affiliation with Providence Health & Services, the following applies to the Conflict of Interest: 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 Swedish's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Swedish 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, which also covers Swedish officers and key employees, 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 and Swedish also maintain 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 Swedish 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 or Swedish 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 & Swedish 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. |
| Form 990, Part VI, Section C, line 19 | Copies of Swedish Edmonds' governing documents, conflict of interest policy and financial statements are available upon request. |
| Form 990, Part VII Contact Addresses for Officers, Directors, Etc | Richard Blair - 1801 Lind Avenue SW, Renton, WA 98057. Dave Olsen - 1801 Lind Avenue SW, Renton, WA 98057. Dick P. Allen - 1801 Lind Avenue SW, Renton, WA 98057. Isiaah Crawford - 1801 Lind Avenue SW, Renton, WA 98057. Sister Lucille Dean, SP - 1801 Lind Avenue SW, Renton, WA 98057. Sister Diane Hejna, CSJ, RN - 1801 Lind Avenue SW, Renton, WA 98057. Michael Holcomb - 1801 Lind Avenue SW, Renton, WA 98057. Phyllis Hughes, RSM - 1801 Lind Avenue SW, Renton, WA 98057. Sallye Liner - 1801 Lind Avenue SW, Renton, WA 98057. Mary Lyons, Ph.D. - 1801 Lind Avenue SW, Renton, WA 98057. Walter Noce, Jr. - 1801 Lind Avenue SW, Renton, WA 98057. Carolina Reyes, MD - 1801 Lind Avenue SW, Renton, WA 98057. Phoebe Yang - 1801 Lind Avenue SW, Renton, WA 98057. Fr. Tom Kopfensteiner - 1801 Lind Avenue SW, Renton, WA 98057. Chauncey Boyle, SP - 1801 Lind Avenue SW, Renton, WA 98057. Marian Schubert, CSJ - 1801 Lind Avenue SW, Renton, WA 98057. Michael A. Stein - 1801 Lind Avenue SW, Renton, WA 98057. Eugene "Al" Parrish - 1801 Lind Avenue SW, Renton, WA 98057. Bob Wilson - 1801 Lind Avenue SW, Renton, WA 98057. Martha Diaz Aszkenazy - 1801 Lind Avenue SW, Renton, WA 98057. Kirby McDonald - 1801 Lind Avenue SW, Renton, WA 98057. Charles (Chuck) Watts - 1801 Lind Avenue SW, Renton, WA 98057. Rod F. Hochman, MD - 1801 Lind Avenue SW, Renton, WA 98057. Mike Butler - 1801 Lind Avenue SW, Renton, WA 98057. Todd Hofheins - 1801 Lind Avenue SW, Renton, WA 98057. Jo Ann Escasa-Haigh - 1801 Lind Avenue SW, Renton, WA 98057. Cindy Strauss - 1801 Lind Avenue SW, Renton, WA 98057. Debra Canales - 1801 Lind Avenue SW, Renton, WA 98057. Janice Newell - 1801 Lind Avenue SW, Renton, WA 98057. Joel Gilbertson - 1801 Lind Avenue SW, Renton, WA 98057. Orest Holubec - 1801 Lind Avenue SW, Renton, WA 98057. Greg Till - 1801 Lind Avenue SW, Renton, WA 98057. Sharon Toncray - 1801 Lind Avenue SW, Renton, WA 98057. Paul Stoddart - Thru 9/16 - 1801 Lind Avenue SW, Renton, WA 98057. Mark Gargett - 1801 Lind Avenue SW, Renton, WA 98057. Dave Hunter - Thru 6/16 - 1801 Lind Avenue SW, Renton, WA 98057. Tony Armada - 1801 Lind Avenue SW, Renton, WA 98057. David Brown - 1801 Lind Avenue SW, Renton, WA 98057. Debbie Burton - 1801 Lind Avenue SW, Renton, WA 98057. Mary Cranstoun - 1801 Lind Avenue SW, Renton, WA 98057. Aaron Martin - 1801 Lind Avenue SW, Renton, WA 98057. Tom McDonagh - 1801 Lind Avenue SW, Renton, WA 98057. Rhonda Medows, MD - 1801 Lind Avenue SW, Renton, WA 98057. Harvey Smith - 1801 Lind Avenue SW, Renton, WA 98057. Lisa Vance - 1801 Lind Avenue SW, Renton, WA 98057. Mike Waters - 1801 Lind Avenue SW, Renton, WA 98057. Amy Compton-Phillips - 1801 Lind Avenue SW, Renton, WA 98057. Jack Friedman - 1801 Lind Avenue SW, Renton, WA 98057. Randy Axelrod, MD - 1801 Lind Avenue SW, Renton, WA 98057. Craig Wright, MD - 1801 Lind Avenue SW, Renton, WA 98057. |
| Form 990, Part IX, line 11g | Agency/Contract Labor: Program service expenses 3,181,744. Management and general expenses 1,639,080. Fundraising expenses 0. Total expenses 4,820,824. Medical Director & Med Physician Fees: Program service expenses 3,127,306. Management and general expenses 1,611,037. Fundraising expenses 0. Total expenses 4,738,343. Repairs & Maintenance: Program service expenses 2,034,560. Management and general expenses 1,048,107. Fundraising expenses 0. Total expenses 3,082,667. Other Patient Services: Program service expenses 4,540,983. Management and general expenses 2,339,294. Fundraising expenses 0. Total expenses 6,880,277. Other Administrative Services: Program service expenses 8,520. Management and general expenses 4,389. Fundraising expenses 0. Total expenses 12,909. General Consulting Fees: Program service expenses 287,095. Management and general expenses 147,898. Fundraising expenses 0. Total expenses 434,993. |
| Form 990, Part XI, line 9: | Relief of interaffiliate debt -39,668,888. Rounding 1. |
| FORM 990, PART XII, LINE 2C - AUDIT & COMPLIANCE | The 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 6 - VOLUNTEERS | The volunteers at Swedish Edmonds provide assistance to the staff in many areas from clerical support to patient care areas. They are an extension of the staff in Edmonds striving to uphold our mission, vision and values. We offer different volunteer opportunities based on interest, education requirements and community outreach. ED Volunteer Program Our pre-nursing/pre-med volunteers help out in the ED. This program is for students going into the medical field to fulfill specific course requirements and also supports the staff in ways that allow them to focus on patient care and not restocking supplies. This gives students valuable insite into the medical field that they are training to one day be a part of. ACV Program Our senior project program or ACV (Advanced Care Volunteer) is for high school seniors ages 17-18 that are interested in the medical field. This program offers students the opportunity to volunteer on the nursing floors providing assistance to the nursing staff while experiencing the healthcare environment to support their career goals of going into healthcare. Surgery Liaison & Concierge Desk Volunteers Our courtesy desk volunteers provide support to the surgical families, visitors, staff and anyone that may need direction when coming to visit Swedish Edmonds. They are trained on Epic in order to deliver status updates to waiting families, as well as provide information for visitors on where to find loved ones or where to find their appointment location. They deliver gifts and flowers to patients and also discharge patients from several different floors to assist the nursing staff. Breast Center Volunteers in the breast imaging center assist staff in getting patients ready for their exams by showing them to the dressing area and explaining the dressing instructions. Volunteers also assist staff by resetting the dressing area for the next patient. They inform the technologist that the patient is ready and waiting also noting the time in the log. The volunteers make reminder calls for patients' appointments and help restock the supply areas. Clerical Support Volunteers assist staff with filing paperwork, scanning, copying, data entry projects, archiving information and any other support projects as needed. This position can be done in any area that has a need. Companionship Care Program Volunteers in this program provide comfort, support and companionship to patients by playing games, reading to the patient, delivering books or magazines for the patient to read on their own, playing a musical instrument or by just being a good listener. Volunteers are trained to identify patient problems and report them to the charge nurse immediately. Cancer Resource Center - SCI Volunteers assist the staff by reviewing charts and entering data into excel spreadsheets, processing files for discharged patients, revising clinical forms, filing paperwork, and any administrative projects as needed. Center for Wound Healing & Hyperbaric Volunteers assist the staff by reviewing charts and entering data into excel spreadsheets, processing files for discharged patients, revising clinical forms, filing paperwork, and any administrative projects as needed. Employee Health Volunteers assist the staff with data entry, archiving information and filing. They must be detail oriented and have good computer skills. Gift Shop Volunteers provide customer service to patients, visitors and staff of the hospital. They must have cash handling experience, ability to accurately run the cash register and credit card machines, take phone orders accurately, restock shelves as needed, and any additional duties as directed by staff. Health Information Management Assist staff in preparing folders for permanent filing, alphabetizing accurately, purging records, copying and sorting files by data and alpha order. Must be able to work independently and have good accuracy. Patient Access ER and Outpatient Admitting Assist staff with greeting walk-ins and visitors in a timely and professional manner. Able to use all computer functions to assist staff in locating patient information. Locates and retrieves wheelchairs for patient use as needed, walking charts to and from triage as needed. Print Center Assist staff with assembling printing projects or other projects as needed. Assist with mail delivery around the hospital campus. Stocking shelves and any other projects or tasks as assigned. Rehab/OT/PT Assist staff with filing charts, making copies, assembling handout packets, changing out rooms between patients, restocking supplies and general straightening of waiting area. Volunteer Services Assist staff with data entry, filing and other administrative office duties as well as gift shop office duties including labeling and processing product for the gift shop. Baby Cuddling/Neonatal Intensive Care Unit Volunteers work in the NICU assisting staff with holding babies. Research has shown that infants who are held demonstrate greater growth, physiological stability, and have shorter hospital stays than infants denied that opportunity. Since critically ill newborns are frequently hospitalized for an extended period of time, parents find themselves emotionally and physically torn between their desires to visit with their infants and other life responsibilities. The Cuddle Program uses extensively trained volunteers to support the families of infants by providing comfort to their hospitalized infant. Through training, Cuddlers learn to handle, hold, rock, and cuddle stable infants-as an extension of the parents' role-as they convalesce from premature birth or other illnesses. Project Search - new program started September 2016 - Campus Wide This program supports students with disabilities in their final year of transition out of support services provided by the school district in learning skills that can be transferable into paid employment upon graduation. The students participate in a school year long internship program, rotating through 3 different internships to learn different skills and tasks to further their career aspirations. |
| 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 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 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 | |
| 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 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 (23 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |