2017-10-23T16:00:03-05:00 2016-12-31 911194016 Clark Nuber PS 10900 NE 4th Suite 1700 Bellevue WA 98004 990 2016-01-01 562290878 PACMED CLINICS PACM 2066214448 1200 12TH AVENUE SOUTH SEATTLE WA 98144 Jo Ann Escasa-Haigh EVP/CFO - Operations 2066214448 2017-10-23 1 Sara Elizabeth J Hyre CPA P00235495 4254544919 170.173.0.16 2017-10-23 13:59:49 PD P C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF 2016 2021-01-29 14:40:06Z PACIFIC MEDICAL CENTERS Linda Marzano 1200 12TH AVENUE SOUTH SEATTLE WA 98144 217045160 0 X www.pacificmedicalcenters.org X 2003 WA Respectful, high-quality, patient-focused healthcare. 13 13 962 0 0 0 82725 425320 207328025 212196751 378901 309712 392481 439234 208182132 213371017 82500 0 0 0 81097248 80575513 0 0 0 129795826 138919695 210975574 219495208 -2793442 -6124191 116901897 111241615 40994796 38527307 75907101 72714308 X Our mission is to provide respectful, high-quality, patient-focused healthcare to each person and to the communities we serve. PacMed welcomes patients from the well insured to those who cannot afford healthcare. 0 0 186106822 0 212316751 Care for medically underserved or underinsured. Pacific Medical Centers has a mission to provide care for those who are medically underserved or unable to pay for health care services. In 2016, these individuals accounted for 8% of our total patient visits. We serve this population in many ways.- PacMed provides specialty care for underinsured patients in King and Snohomish Counties, an ongoing commitment throughout our 80-year history. In 2016, the top specialty services most utilized by these individuals were infusion services, otolaryngology, physical therapy, gastroenterology, diagnostic imaging, ophthalmology and dermatology.- As a founding member of Project Access Northwest, we have helped develop additional networks in communities surrounding King County to open doors to medical and dental care for individuals with limited access.- PacMed serves Medicare and Medicaid patients. With many area physicians closing their doors to these patients, the need for care is great. Pacific Medical Centers is proud of its track record in providing care to those in need and supporting community efforts to expand access.- PacMed is committed to supporting medical education including the training of the next generation of physicians and allied health professionals such as nurse practitioners and physician assistants. PacMed has over 50 providers who are actively teaching, and over half have clinical faculty status at the University of Washington. We also participate in extern programs for medical assistant and medical technician programs. The medical teaching program at PacMed is a team effort and demonstrates our belief in service to our community, excellence and continuous learning, and stewardship of our resources. 576884 0 0 Interpreter services. The interpreter services department at PacMed facilitates communication between our providers and their patients who speak limited or no English. Our service area includes a ZIP code that the US Census Bureau reported had 59 spoken languages in 2012, so interpretive services are critical. Through our innovative use of video-conferencing technology, we can connect distant certified medical interpreters with providers and patients in the exam room. This sophisticated and efficient use of our resources enables us to continue providing such services. 246832 0 0 Project Access Northwest. In 2016, PacMed spent $200,000 in order to renew the contract with Project Access Northwest for enrollment, verification and care coordination of charity care for low-income residents of King County who get primary care services in the safety net clinics and need specialty services.Community outreach. Our physicians and staff provide health screening events for the underserved and uninsured in King and Pierce counties. Through these programs, we have reached out to hundreds of underserved individuals and families and provided basic medical care and health risk assessment screenings.In addition, Pacific Medical Centers' Living Well Alliance program is a group of health professionals dedicated to the prevention and cure of diabetes and heart disease. Today, the alliance influences the health outcomes of the overall Puget Sound community by providing hundreds of employees with complimentary health risk assessments, screenings and educational programs in the workplace. The LWA program has also served as a vehicle to educate employers on health issues that impact their staff. Also, the LWA has supported underinsured community groups by providing education and screenings through nonprofits such as Mercy Housing, Dress for Success, the YMCA and the International RescueCommittee. 186930538 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 99 0 1 962 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 0 1 1 1 1 0 1 1 1 1 1 1 0 1 0 WA X Karl E Fritschel CPA 4255253339 1801 Lind Ave SW 9016 Renton WA 980579016 X Richard Blair Chair - Eff. 7/16 0.10 4.60 X X 0 30180 0 Dave Olsen Vice Chair - Eff. 7/16 0.10 5.50 X X 0 24135 0 Dick P Allen Director - Eff. 7/16 0.10 2.00 X 0 15180 0 Isiaah Crawford Director 0.10 4.10 X 0 24360 0 Sister Lucille Dean SP Director - Eff. 7/16 0.10 2.10 X 0 0 0 Sister Diane Hejna CSJ RN Director - Eff. 7/16 0.10 1.90 X 0 0 0 Michael Holcomb Director /Chair Thru 6/16 0.10 5.30 X X 0 45360 0 Phyllis Hughes RSM Director 0.10 5.00 X 0 0 0 Sallye Liner Director 0.10 4.70 X 0 20360 0 Mary Lyons PhD Director - Eff. 7/16 0.10 1.50 X 0 15180 0 Walter Noce Jr Director - Eff. 7/16 0.10 2.00 X 0 15180 0 Carolina Reyes MD Director 0.10 4.60 X 0 22860 0 Phoebe Yang Director - Eff. 7/16 0.10 2.00 X 0 12680 0 Fr Tom Kopfensteiner Director - Res. 12/16 0.10 2.00 X 0 6400 0 Chauncey Boyle SP Director - Thru 6/16 0.10 3.10 X 0 0 0 Marian Schubert CSJ Director - Thru 6/16 0.10 2.80 X 0 0 0 Michael A Stein Director - Thru 6/16 0.10 3.10 X 0 7680 0 Eugene Al Parrish Director - Thru 6/16 0.10 2.80 X 0 7680 0 Bob Wilson Director - Thru 6/16 0.10 2.90 X 0 9120 0 Martha Diaz Aszkenazy Director - Thru 6/16 0.10 3.90 X 0 9180 0 Kirby McDonald Director - Thru 6/16 0.10 2.80 X 0 7680 0 Charles Chuck Watts Director - Thru 6/16 0.10 2.80 X 0 9180 0 Joel Gilbertson President - Thru 6/16 1.00 59.00 X 0 842027 247847 Dan Harris Treasurer - Thru 11/16 1.00 59.00 X 0 778023 77489 Cindy Strauss EVP/Chief Legal Officer 1.00 59.00 X 0 1462780 58266 Mike Butler President - Eff. 7/16 1.00 59.00 X 0 6906693 349633 Jo Ann Escasa-Haigh EVP/CFO - Operations 1.00 49.00 X 0 755416 168190 Linda Marzano CEO 60.00 0.00 X 0 584433 165412 Scott Combs CFO 50.00 0.00 X 355549 35219 50351 Debra Canales EVP/CAO 1.00 59.00 X 0 2092357 611609 Janice Newell SVP/Chief Information Officer 1.00 59.00 X 0 1137493 34098 Orest Holubec SVP/Chief Comm./Ext. Affairs Officer 1.00 54.00 X 0 782688 207806 Greg Till VP/Chief Talent Officer 1.00 64.00 X 0 776011 122367 Sharon Toncray SVP / Chief Labor Employee Counsel 1.00 59.00 X 0 764977 243728 Vikram Dahbi MD CMO 50.00 0.00 X 717661 0 27621 Paul Stoddart - Thru 916 VP/Marketing 1.00 54.00 X 0 641423 22381 Mark Gargett VP/Digital Integration 1.00 49.00 X 0 610787 65970 Dave Hunter - Thru 616 VP/Supply Chain Management 1.00 54.00 X 0 599166 98839 Gary Flaming SVP/Chief Risk Officer 1.00 54.00 X 0 596870 92226 David Brown VP/Strategy & Business Development 1.00 54.00 X 0 700461 226430 Debbie Burton SVP/ Chief Nrsg. Officer 1.00 59.00 X 0 713480 90015 Mary Cranstoun VP/Total Rewards 1.00 59.00 X 0 663031 114417 Aaron Martin SVP/Strategy & Innovation 1.00 69.00 X 0 852934 219285 Amy Compton-Phillips EVP/Chief Clinical Officer 1.00 54.00 X 0 1113493 278894 Tom McDonagh VP/Chief Investment Officer 1.00 57.00 X 0 849462 53521 Rhonda Medows MD EVP/Population Health 1.00 59.00 X 0 1565700 320279 Harvey Smith SVP/Chief Customer Svc. Officer 1.00 49.00 X 1226156 0 23791 Lisa Vance SVP/Clinical Program Services 1.00 59.00 X 0 1220348 125445 Mike Waters VP,CAO/Physician Services 1.00 64.00 X 0 703777 184023 Chad Marion Orthopedic Surgeon 50.00 0.00 X 1221592 0 27596 Thomas Lamperti Otolaryngologist 50.00 0.00 X 1035164 0 33390 Tony Huynh Ophthamologist 50.00 0.00 X 861329 0 29652 David White General Surgeon 50.00 0.00 X 745349 0 29398 Susan Leu Dermatologist 50.00 0.00 X 678568 0 22874 Jack Friedman -Former SVP/Accountable Care & Payor Rel. 0.00 0.00 X 0 299327 0 Randy Axelrod MD - Former EVP/Clinical & Patient Services 0.00 0.00 X 0 1419333 0 Craig Wright MD Former - SVP/Physician Services 0.00 0.00 X 0 1119939 20455 6841368 30870043 4443298 172 1 1 0 Swinerton Builders 14432 SE Eastgate Way Ste 230 Bellevue WA 98007 Construction 2127978 Inland Imaging Associates LLC 801 S Stevens Spokane WA 99204 Staffing 2091425 Inland Imaging Associates PS 801 S Stevens Spokane WA 99204 Imaging 1058890 Integra Imaging PS 801 S Stevens Spokane WA 99204 Imaging 967650 Nuwest Group Holdings LLC 325 118th Ave SE 300 Bellevue WA 98005 Staffing 911736 50 425320 425320 Capitation Revenue 621110 148209184 148209184 Primary Care Revenue 621110 63987567 63987567 212196751 680451 680451 901721 600989 300732 300732 300732 2693765 8650 3073154 0 -379389 8650 -370739 -370739 Medical Education 900099 120000 120000 Miscellaneous 900099 18502 18502 138502 213371017 212316751 0 628946 X 2387053 731574 1655479 70132430 53997385 16135045 3407248 2598290 808958 93962 70941 23021 4554820 3439043 1115777 1304 1304 78004 78004 84969111 79932517 5036594 1058438 99791 958647 2327542 1345048 982494 1739517 1313394 426123 6522603 4812730 1709873 237889 77345 160544 869894 764968 104926 1186636 652567 534069 6400687 4489108 1911579 961981 783501 178480 Medical Supplies 29022175 29022175 Bad Debts 1407174 1407174 Tax & Licenses 1062762 1039394 23368 Credit Card Fees 410422 410422 663556 353593 309963 219495208 186930538 32564670 0 25194285 19003645 3693735 3514640 5126887 6392124 426319 387120 1954687 1405561 54604648 18045183 37570952 36559465 41244194 43518550 1690838 460510 116901897 111241615 37289104 35528470 2357284 2242491 1348408 756346 40994796 38527307 X 75907101 72714308 75907101 72714308 116901897 111241615 X -6124191 2931400 -2 X X 0 1 X 1 1 1 X 15152 82725 425320 523197 190465075 183647156 198186429 207328025 212316751 991943436 190480227 183647156 198186429 207410750 212742071 992466633 0 0 0 992466633 1949519 1139831 1434988 1782420 1582172 7888930 1949519 1139831 1434988 1782420 1582172 7888930 10156 172940 17180 18502 218778 192439902 184786987 199794357 209210350 214342745 1000574341 0.99190 0.99110 0.00790 0.00870 X Schedule A, Part III, Line 12, Explanation of Other Income: Miscellaneous Revenue - 2012 Amount: $ 10,156. 2014 Amount: $ 172,940. 2015 Amount: $ 17,180. 2016 Amount: $ 18,502. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5360000 5360000 26178162 6467645 19710517 1345137 182790 1162347 21108341 11394748 9713593 613008 613008 36559465 Due to Affiliates 447738 General Reserve 308608 756346 X X X X 1 1 0 0 0 0 0 0 0 Joel Gilbertson President - Thru 6/16 0 443246 0 350838 0 47943 0 224819 0 23028 0 1089874 0 0 Dan Harris Treasurer - Thru 11/16 0 447127 0 330896 0 0 0 64100 0 13389 0 855512 0 0 Cindy Strauss EVP/Chief Legal Officer 0 657902 0 762672 0 42206 0 35775 0 22491 0 1521046 0 0 Mike Butler President - Eff. 7/16 0 1241463 0 5618732 0 46498 0 324347 0 25286 0 7256326 0 2182191 Jo Ann Escasa-Haigh EVP/CFO - Operations 0 284195 0 465096 0 6125 0 158719 0 9471 0 923606 0 0 Linda Marzano CEO 0 446682 0 96778 0 40973 0 146305 0 19107 0 749845 0 0 Scott Combs CFO 276718 35219 38191 0 40640 0 16241 14365 17376 2369 389166 51953 0 0 Debra Canales EVP/CAO 0 801127 0 1168376 0 122854 0 598119 0 13490 0 2703966 0 0 Janice Newell SVP/Chief Information Officer 0 576214 0 517269 0 44010 0 18550 0 15548 0 1171591 0 0 Orest Holubec SVP/Chief Comm./Ext. Affairs Officer 0 396372 0 343782 0 42534 0 185290 0 22516 0 990494 0 0 Greg Till VP/Chief Talent Officer 0 396660 0 378331 0 1020 0 99936 0 22431 0 898378 0 0 Sharon Toncray SVP / Chief Labor Employee Counsel 0 408183 0 308273 0 48521 0 221561 0 22167 0 1008705 0 0 Vikram Dahbi MD CMO 552362 0 62908 0 102391 0 13913 0 13708 0 745282 0 0 0 Paul Stoddart - Thru 916 VP/Marketing 0 239356 0 306938 0 95129 0 11537 0 10844 0 663804 0 0 Mark Gargett VP/Digital Integration 0 386259 0 224528 0 0 0 42448 0 23522 0 676757 0 0 Dave Hunter - Thru 616 VP/Supply Chain Management 0 158987 0 257452 0 182727 0 81651 0 17188 0 698005 0 0 Gary Flaming SVP/Chief Risk Officer 0 300949 0 245261 0 50660 0 73871 0 18355 0 689096 0 0 David Brown VP/Strategy & Business Development 0 388819 0 311642 0 0 0 203986 0 22444 0 926891 0 0 Debbie Burton SVP/ Chief Nrsg. Officer 0 355010 0 315852 0 42618 0 66297 0 23718 0 803495 0 0 Mary Cranstoun VP/Total Rewards 0 372857 0 272174 0 18000 0 91147 0 23270 0 777448 0 0 Aaron Martin SVP/Strategy & Innovation 0 542637 0 292297 0 18000 0 210328 0 8957 0 1072219 0 0 Amy Compton-Phillips EVP/Chief Clinical Officer 0 713661 0 303268 0 96564 0 251731 0 27163 0 1392387 0 0 Tom McDonagh VP/Chief Investment Officer 0 478005 0 330119 0 41338 0 28774 0 24747 0 902983 0 0 Rhonda Medows MD EVP/Population Health 0 824899 0 698359 0 42442 0 299110 0 21169 0 1885979 0 0 Harvey Smith SVP/Chief Customer Svc. Officer 579168 0 628988 0 18000 0 7950 0 15841 0 1249947 0 0 0 Lisa Vance SVP/Clinical Program Services 0 571069 0 606964 0 42315 0 110502 0 14943 0 1345793 0 0 Mike Waters VP,CAO/Physician Services 0 426739 0 274903 0 2135 0 172012 0 12011 0 887800 0 0 Chad Marion Orthopedic Surgeon 940863 0 229972 0 50757 0 12852 0 14744 0 1249188 0 0 0 Thomas Lamperti Otolaryngologist 775814 0 214382 0 44968 0 11925 0 21465 0 1068554 0 0 0 Tony Huynh Ophthamologist 662104 0 137248 0 61977 0 12866 0 16786 0 890981 0 0 0 David White General Surgeon 540595 0 164754 0 40000 0 11925 0 17473 0 774747 0 0 0 Susan Leu Dermatologist 586557 0 92011 0 0 0 11925 0 10949 0 701442 0 0 0 Jack Friedman -Former SVP/Accountable Care & Payor Rel. 0 0 0 299327 0 0 0 0 0 0 0 299327 0 0 Randy Axelrod MD - Former EVP/Clinical & Patient Services 0 0 0 564384 0 854949 0 0 0 0 0 1419333 0 0 Craig Wright MD Former - SVP/Physician Services 0 14760 0 551522 0 553657 0 2107 0 18348 0 1140394 0 0 Part I, Line 1a The reporting organization did not provide any of the benefits listed in Part I, Line 1a. However, as part of the related organization's philosophy of transparency, the narrative that follows relates to the compensation and benefits provided by the related organization. Providence Health & Services Expense Reimbursement Procedures 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 the Executive Vice President, Chief Administrative Officer (EVP, CAO) of Providence St. Joseph Health. Spouse or Companion Travel. Travel expenses incurred by a PH&S employee's spouse or companion will not be reimbursed by PH&S unless the spouse or companion is required to, or invited to attend a PH&S 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 18 First Class tickets utilized by Officers, Directors or Key Employees listed on Form 990, Part VII. Tax Indemnifications or Gross-Up Payments - Relocation Providence Health & Services 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 Providence has chosen to pay the relocation expenses, Providence reports reimbursements and payments to vendors as income and these expense payments are reflected on the executive's Form W-2. Providence 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 Providence Health & Services 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 Providence has chosen to pay these other expenses, Providence reports reimbursements and payments to vendors as income and these expense payments are reflected on the executive's Form W-2. Providence 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 Providence Health & Services provides housing allowances for purposes of relocation assistance only. Providence 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) Joel Gilbertson a) SERP Earned but not Vested - $160,455 b) SERP Interest Credit - $39,169 2) Cindy Strauss a) SERP Earned but not Paid - $23,073 3) Michael Butler a) SERP Earned 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) Linda Marzano a) SERP Earned but not Vested - $142,330 6) Scott Combs a) SERP Earned but not Vested - $14,365 7) Debra Canales a) SERP Earned but not Vested - $578,244 8) Rhonda Medows, MD a) SERP Earned but not Vested - $267,369 b) SERP Interest Credit - $11,866 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) Orest Holubec a) SERP Earned but not Vested - $144,707 b) SERP Interest Credit - $19,483 14) Greg Till a) SERP Earned but not Vested - $78,010 b) SERP Interest Credit - $10,002 15) Sharon Toncray a) SERP Earned but not Vested- $172,369 b) SERP Interest Credit - $22,823 16) Debbie Burton a) SERP Earned but not Paid - $16,879 b) SERP Interest Credit - $37,391 17) Mike Waters a) SERP Earned but not Vested - $143,129 b) SERP Interest Credit - $10,334 18) David Brown a) SERP Earned but not Vested - $134,921 b) SERP Interest Credit - $42,528 19) Mary Cranstoun a) SERP Earned but not Vested - $77,234 20) Paul Stoddart a) SERP Interest Credit - $8,530 21) Mark Gargett a) SERP Earned but not Paid - $12,295 b) SERP Interest Credit - $11,400 22) Dave Hunter a) SERP Earned but not Paid - $24,558 23) Gary Flaming a) SERP Earned but not Paid - $10,887 b) SERP Interest Credit - $8,979 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) Dave Hunter - $164,727 3) Randy Axelrod - $850,776 4) Craig Wright, MD - $525,300 FORM 990, SCHEDULE J, PART II - EXECUTIVE INCENTIVE PROGRAM The Providence Executive Incentive Program provides a lump sum award annually as a percent of the executive's base pay. Percent opportunities are aligned with our total compensation philosophy as outlined in Part VI, Section B, Line 15 (Process for determining compensation of top management, officers & key employees). For Providence leaders, the performance award is based on the level of accomplishment of annual system and functional (or market) objectives. In 2016, 60 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's strategic priorities. In 2016 the percent allocation for each of these strategic priorities was as outlined below: System Goals: First-year Turnover - 10% Inpatient Experience - 5% Patient Experience - 5% Medical Group Patient Experience - 5% Community Benefit - 10% Clinical Excellence - 15% Free Cash Flow - 10% The remaining 40% was based on a robust set of function specific goals designed to align critical mission and business drivers. Form 990, Part VI, Section A, line 6 The sole Corporate Member is Western HealthConnect, a Washington nonprofit corporation. Form 990, Part VI, Section A, line 7b The following powers are reserved to and exercised exclusively by the Corporate Member: 1) To amend or repeal the Articles of Incorporation or Bylaws. 2) To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale, transfer, assignment or encumbering of the assets. 3) To approve the dissolution, liquidation, consolidation or merger with another corporation or entity with concurrence of the PacMed Community Board. 4) To approve the annual operating and capital budgets. 5) To appoint certified public accountants and 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 Tax Director of Providence Health & Services 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 Providence Health & Services and its affiliates maintain 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 15b The PacMed Board, through its compensation committee, established a requirement that any compensation arrangement for any "disqualified persons" (as defined in section 4958 of the internal revenue code of 1986, as amended (the "IRC") be established pursuant to a process that is consistent with the organization's status as an entity described in section 501(c) (3) of the IRC. The process established by the committee requires that compensation paid to such individuals be reasonable, that decisions with respect to such individuals' compensation be determined by disinterested persons based on appropriate comparability data, and that the organization contemporaneously document the basis for such decisions. In addition, certain executives and Key Employees are subject to the compensation policies of Providence Health & Services. It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its officers, including our senior executives. Salaries for senior executives are reviewed by the Providence St. Joseph Health Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Additionally, Providence's labor market continues to spread across health care and into general industry. Because of this, Providence also takes into consideration general industry for-profit market data, where applicable. Base salaries for Providence executives are generally targeted to the median level of the market, as identified by the independent consultant and reviewed with the Executive Compensation Committee. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering Providence operating commitments and strategic objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate market practices. The Board's process for executive compensation fully complies with IRS standards and mirrors best practices. Form 990, Part VI, Section C, line 19 The organization makes its governing documents and conflict of interest policy available upon request. The financial statements are summarized in the company's community service report which is also 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. Joel Gilbertson - 1801 Lind Avenue SW, Renton, WA 98057. Dan Harris - 1801 Lind Avenue SW, Renton, WA 98057. Cindy Strauss - 1801 Lind Avenue SW, Renton, WA 98057. Mike Butler - 1801 Lind Avenue SW, Renton, WA 98057. Jo Ann Escasa-Haigh - 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. 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. Gary Flaming - 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. Amy Compton-Phillips - 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. Jack Friedman -Former - 1801 Lind Avenue SW, Renton, WA 98057. Randy Axelrod, MD - Former - 1801 Lind Avenue SW, Renton, WA 98057. Craig Wright, MD - 1801 Lind Avenue SW, Renton, WA 98057. Form 990, Part IX, line 11g Purchased Services - Non Medical: Program service expenses 2,420,192. Management and general expenses 2,786,174. Fundraising expenses 0. Total expenses 5,206,366. Purchased Services - Medical: Program service expenses 69,845,160. Management and general expenses 0. Fundraising expenses 0. Total expenses 69,845,160. Transcription & Translations: Program service expenses 291,899. Management and general expenses 2,374. Fundraising expenses 0. Total expenses 294,273. Agency/Contract Labor: Program service expenses 2,668,073. Management and general expenses 1,055,066. Fundraising expenses 0. Total expenses 3,723,139. Professional Services/Consultants: Program service expenses 3,430,576. Management and general expenses 350,244. Fundraising expenses 0. Total expenses 3,780,820. Repairs & Maintenance: Program service expenses 1,024,172. Management and general expenses 842,736. Fundraising expenses 0. Total expenses 1,866,908. Physician Fees: Program service expenses 252,445. Management and general expenses 0. Fundraising expenses 0. Total expenses 252,445. Form 990, Part XI, line 9: Rounding -2. FORM 990, PART XII, LINE 2C - AUDIT & COMPLIANCE As a result of the Affiliation with Providence Health & Services, the financial information for Pacific Medical Center was included in the consolidated financial statements of the Providence Health System and under the supervision of the Audit & Compliance Committee. The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the System's consolidated financial statements and reporting, the audit process and the System's internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the System's internal and external auditors; the System's investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. FORM 990, SCHEDULE R - RELATED ORGANIZATIONS AFFILIATION AGREEMENTS Effective April 1, 2016, the Health System (Providence Health & Services) entered into a business combination agreement with the Institute for Systems Biology (ISB). The transaction was accounted for as an acquisition under ASC 958-805. On July 1, 2016, Providence Health & Services (PHS) and St. Joseph Health System (SJHS) entered into a business combination agreement, the purpose of which was to better serve both organizations' communities, maintain strong traditions of Catholic healthcare, and provide greater affordability and access to healthcare services. As part of the business combination, PHS and SJHS aligned under a single parent corporation, Providence St. Joseph Health, with a consolidated board of directors and cosponsorship from the public juridic persons Providence Ministries and St. Joseph Health Ministry. SJHS provides a full range of care facilities including 16 acute care hospitals, home health agencies, hospice care, outpatient services, skilled nursing facilities, community clinics, and physician groups spanning California, west Texas, and eastern New Mexico. The results of operations of these entities have been included in the combined statements of operations of the Health System since July 1, 2016, the effective date of the business combination. Providence Health & Services - Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 510216586 Healthcare System WA 501( c)(3) Line 3 Providence Health & Services 0 Providence Health & Services - Oregon 1801 Lind Avenue SW 9016 Renton WA 980579016 510216587 Healthcare System OR 501( c)(3) Line 3 Providence Health & Services 0 Providence Health System - So California 1801 Lind Avenue SW 9016 Renton WA 980579016 510216589 Healthcare System CA 501( c)(3) Line 3 Providence Health & Services 0 Everett Transitional Care Services PO Box 5128 Everett WA 982065128 943264605 Transitional Care WA 501( c)(3) Line 10 N/A 0 Providence Plan Partners 4400 NE Halsey Bldg 2 Portland OR 97213 911861964 Healthcare Services WA 501( c)(4) N/A PH & S - Oregon 0 Providence Health Plan 4400 NE Halsey Bldg 2 Portland OR 97213 930863097 Health Service Contractor OR 501( c)(4) N/A Providence Plan Partners 0 Providence Health Assurance 4400 NE Halsey Bldg 2 Portland OR 97213 550828701 Medicaid Healthcare Provider OR 501( c)(4) N/A Providence Health Plan 0 Providence Medical Institute 4101 Torrance Blvd Torrance CA 90503 330283773 Healthcare CA 501( c)(3) Line 12/Type I PHS - So California 0 Little Company of Mary Ancillary Services Corporation 4101 Torrance Blvd Torrance CA 90503 330844408 Imaging Services CA 501( c)(3) Line 10 PHS - So California 0 Providence TrinityCare Hospice 5315 Torrance Blvd Suite B1 Torrance CA 90503 953264139 Hospice CA 501( c)(3) Line 10 PHS - So California 0 Providence Blanchet Association 1700 Providence Pl Centralia WA 98531 911789266 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 St Luke Association 350 Washington Ave SE Chehalis WA 98352 943176618 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Rossi Association 1700 Providence Pl Centralia WA 98531 311584166 Supportive Housing WA 501( c)(3) Line 10 PH & S - Washington 0 Lundberg Association 5921 E Burnside Portland OR 97215 911562797 Supportive Housing OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Francis Association 3415 12th Avenue NE Olympia WA 98506 943244854 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Peter Claver Association 7101 38th Avenue South Seattle WA 98118 311629656 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence St Elizabeth House Association 3201 SW Graham St Seattle WA 98126 912171539 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Gamelin House Association 4515 MLK Jr Way S Ste 200 Seattle WA 98108 311744654 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 The Gamelin Association 312 North Fourth St Yakima WA 98901 911180824 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 The Gamelin Oregon Association 5520 NE Glisan Portland OR 97213 911214491 Supportive Housing OR 501( c)(3) Line 10 PH & S - Oregon 0 The Gamelin California Association 540 23rd St Oakland CA 94612 911293869 Supportive Housing CA 501( c)(3) Line 10 PHS - So California 0 Gamelin Washington Association 1423 First Avenue Seattle WA 98101 201910170 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Dethman House 1205 Montello Ave Hood River OR 97031 473385506 Supportive Housing WA 501( c)(3) Line 7 N/A 0 Providence Foundation 1801 Lind Avenue SW 9016 Renton WA 980579016 943078543 Support PH&S and W. HealthConnect WA 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence Alaska Foundation 3300 Providence Drive - B Tower2 Anchorage AK 99508 920093565 Support PHS-Alaska AK 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence St Peter Foundation 413 Lilly Road NE Olympia WA 985065166 911097056 Support Affiliated Tax-Exempt Organization WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Health Care Foundation (Centralia) 914 S Scheuber Road Centralia WA 98531 911433382 Support Providence Centralia Hospital WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Mount St Vincent Foundation 4831 - 35th Avenue SW Seattle WA 981262799 911188119 Support Providence Mount St.Vincent WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Marianwood Foundation 3725 Providence Point Drive SE Issaquah WA 980297219 931554288 Support Providence Marianwood WA 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence Newberg Health Foundation 1001 Providence Drive Newberg OR 97132 930889144 Support Providence Newberg Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Seaside Hospital Foundation 725 S Wahanna Rd Seaside OR 97138 930927320 Support Providence Seaside Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Community Health Foundation 1111 Crater Lake Ave Medford OR 97504 930692907 Support Providence Medford Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Benedictine Nursing Center Foundation 540 South Main St Mt Angel OR 973629532 911940286 Support Providence Benedictine Nursing Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Portland Medical Foundation 4805 NE Glisan St Portland OR 972132967 931231494 Support Providence Portland Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Vincent Medical Foundation 9205 SW Barnes Rd Portland OR 97225 930575982 Support Providence St. Vincent Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Milwaukie Foundation 10150 SE 32nd Milwaukie OR 97222 943079515 Support Providence Milwaukie Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Child Center Foundation 830 NE 47th Portland OR 97213 930800140 Support Providence Child Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence TrinityCare Hospice Foundation 5315 Torrance Blvd Suite B1 Torrance CA 90503 330261016 Support TrinityCare Hospice CA 501( c)(3) Line 7 Providence TrinityCare Hospice 0 Providence Little Company of Mary Foundation 4101 Torrance Blvd Torrance CA 90503 510224944 Support Little Company of Mary Service Area CA 501( c)(3) Line 7 PHS - So California 0 PH&S FoundationSFVSA & SCVSA 501 S Buena Vista Street Burbank CA 91505 953544877 Support Program & Activities of SFVSA & SCVSA CA 501( c)(3) Line 7 PHS - So California 0 Providence Hospice of Seattle Foundation 425 Pontius Avenue North 300 Seattle WA 981095452 912077378 Support Hospice of Seattle WA 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence Health & Services - Western Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 911303277 Healthcare WA 501( c)(3) Line 3 Providence MinistriesWHC 0 Providence Health & Services 1801 Lind Avenue SW 9016 Renton WA 980579016 911549796 Support Providence Institutions WA 501( c)(3) Line 12/Type II Providence St Joseph Health 0 Providence Health & Services - Montana 500 W Broadway PO Box 4587 Missoula MT 598064587 810231793 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 0 Providence St Joseph Medical Center PO Box 1010 Polson MT 598601010 810463482 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 0 St Thomas Child and Family Center 1710 Benefis Court Great Falls MT 59405 810233495 Early Childhood Education MT 501( c)(3) Line 10 PH & S - Washington 0 Sisters of Providence of Montana Corporation 1801 Lind Avenue SW 9016 Renton WA 980579016 262612415 Shell Corporation MT 501( c)(3) Line 1 PH & S - Washington 0 Providence Health Care Foundation - Eastern Washington 101 W 8th Ave Spokane WA 99204 320014330 Support PH&S-WA. Ministries in E. WA. WA 501( c)(3) Line 7 PH & S - Washington 0 St Patrick Hospital Foundation 500 West Broadway PO Box 4587 Missoula MT 598064587 237056976 Support Healthcare in W. Montana MT 501( c)(3) Line 7 PH & S - Washington 0 University of Great Falls 1301 20th Street South Great Falls MT 59405 810231777 Post Secondary Education MT 501( c)(3) Line 2 Providence Health & Services 0 E WA & MT Unemployment Compensation Insurance Trust 1801 Lind Avenue SW 9016 Renton WA 980579016 911082119 Unemployment Benefits WA 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence Willamette Falls Medical Foundation 1500 Division Street Oregon City OR 97045 931003750 Support Willamette Falls Hospital OR 501( c)(3) Line 12/Type I PH & S - Oregon 0 Providence Hood River Memorial Hospital Foundation Inc 811 13th St Hood River OR 97031 930921990 Support Providence Hood River Memorial Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Hospice and Home Care Foundation 2731 Wetmore Avenue Suite 500 Everett WA 98201 272552749 Support Program & Ministries of PHHC WA 501(c )(3) Line 7 PH & S - Washington 0 Providence St Mary Foundation 401 W Poplar St Walla Walla WA 99362 452841492 Support Program & Ministries of SMMC WA 501(c )(3) Line 7 PH & S - Washington 0 Facey Medical Foundation 15451 San Fernando Mission Blvd 200 Mission Hills CA 913451420 954322584 Support Facey Medical Group CA 501(c )(3) Line 7 PHS - So California 0 Swedish Health Services 747 Broadway Seattle WA 98122 910433740 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Swedish Edmonds 21601 76th Ave W Edmonds WA 98026 272305304 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Swedish Medical Center Foundation 747 Broadway Seattle WA 98122 910983214 Support Swedish Health Services WA 501(c )(3) Line 7 Swedish Health Services 0 Global To Local Health Initiative 2800 South 192nd St 104 SeaTac WA 98188 273133200 Healthcare WA 501(c )(3) Line 7 Swedish Health Services 0 Swedish MJM Holdings 747 Broadway Seattle WA 98122 273139262 Holding Company WA 501(c )(3) Line 12/Type I Swedish Health Services 0 Marsha Rivkin Center for Ovarian Cancer Research 747 Broadway Seattle WA 98122 912054035 Ovarian Cancer Research WA 501(c )(3) Line 7 Swedish Health Services 0 Western HealthConnect 747 Broadway Seattle WA 98122 454171900 Shell Corporation WA 501(c )(3) Line 12/Type II PH&S Western Washington 0 Inland Northwest Health Services 601 W 1st Avenue Spokane WA 99201 911307555 Healthcare WA 501( c)(3) Line 3 PH&S - Washington 0 Kadlec Regional Medical Center 888 Swift Blvd Richland WA 99352 910655392 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Kadlec Neurological Resource Center 1268 Lee Blvd Richland WA 99352 911266345 Healthcare WA 501(c )(3) Line 10 Western HealthConnect 0 Kadlec Foundation 888 Swift Blvd Richland WA 99352 237005501 Support Kadlec Regional Medical Center WA 501(c )(3) Line 12/Type I Kadlec Regional Medical Center 0 Seattle Science Foundation 550 17th Ave Seattle WA 98122 611502822 Physician Collaboration WA 501(c )(3) Line 7 Western HealthConnect 0 Providence Saint John's Health Center 2121 Santa Monica Blvd Santa Monica CA 90404 951684082 Healthcare CA 501(c )(3) Line 3 PHS - So California 0 John Wayne Cancer Institute 2200 Santa Monica Blvd Santa Monica CA 90404 954291515 Cancer Treatment CA 501(c )(3) Line 4 Providence Saint John's Health Center 0 Saint John's HospitalHealth Center Foundation 2121 Santa Monica Blvd Santa Monica CA 90404 956100079 Support Saint John Health Center & JWCI CA 501(c )(3) Line 7 Providence Saint John's Health Center 0 Providence St Joseph Health 1801 Lind Avenue SW 9016 Renton WA 98057 811244422 Support PH&S and St. Joseph Health System WA 501(c )(3) Line 12, Type III N/A 0 Institute for Systems Biology 401 Terry Ave N Seattle WA 98109 912003593 Predict, prevent & cure disease WA 501(c )(3) Line 7 Western HealthConnect 0 Providence Saint John's Medical Foundation 20555 Earl St Torrance CA 90503 814542216 Healthcare CA 501(c )(3) Pending PHS - So California 0 Institute for Mental Health & Wellness 1801 Lind Avenue SW 9016 Renton WA 98057 814260130 Mental Healthcare WA 501(c )(3) 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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 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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 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0