2017-11-02T14:31:34-05:00 2016-12-31 911194016 Clark Nuber PS 10900 NE 4th Suite 1400 Bellevue WA 98004 990 2016-01-01 953544877 PROVIDENCE HEALTH & SERVICES FOUNDATION SAN FERNANDO & SANTA CLARITA VALLEYS SA PROV 8188473024 501 SOUTH BUENA VISTA STREET BURBANK CA 915054809 Susan Dolbert President 8188473024 2017-11-02 1 Sara Elizabeth J Hyre CPA P00235495 4254544919 170.173.0.16 2017-11-02 12:31:02 PD P C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF 2016 2021-01-29 14:40:06Z Susan Dolbert 501 SOUTH BUENA VISTA STREET BURBANK CA 915054809 23003144 0 X http://california.providence.org/giving/ X 1980 CA Support Providence St.Joseph Med. Center, Holy Cross Med. Center and Tarzana Med. Center. 16 15 0 300 0 0 26549820 17504833 0 0 2777369 1552539 102868 102172 29430057 19159544 10217977 8265181 0 0 3409434 4501531 84546 188001 5142477 1363503 1357546 15075460 14312259 14354597 4847285 81413773 87952182 1794329 1854492 79619444 86097690 X As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service. Support Providence St. Joseph Medical Center, Providence Holy Cross Medical Center and Providence Tarzana Medical Center. 0 0 7860084 7860084 0 The purpose of Providence Health & Services Foundation SF&SCV SA is to raise funds primarily for Providence Saint Joseph Medical Center, Providence Holy Cross Medical Center, and Providence Tarzana Medical Center. The medical centers are committed to their missions of continuing the healing ministry of Jesus in the world of today, with special concern for those who are poor and vulnerable. The medical centers work in partnership with community organizations to reach out to those in need. Through these collaborative efforts, they improve access to health care and provide health education resources in the surrounding communities. During 2016, some of the larger grants paid to the three medical centers were used for the Welcome Baby Program at Holy Cross ($1,333,476), emergency department campaign and upgrades at Saint Joseph ($1,015,687), and new tomosynthesis mammography equipment at Saint Joseph ($921,962). 225000 225000 0 The Foundation makes direct payments to several community benefit organizations each year. Some of the larger contributions made during 2016 were to the All Inclusive Community Health Center ($40,000), Alliance for Housing and Healing ($25,000), Family Promise of the Verdugos ($25,000), Family Service Agency of Burbank ($25,000), and the Kids Community Dental Clinic of Burbank ($25,000). 180097 180097 0 Nursing scholarships are provided to support additional education and training for nurses. During 2016, 10 scholarships were awarded, totaling $27,868. In addition, the Foundation supports clinics that provide medical services for those who are unable to pay for the services. During 2016, total payments of $152,229 were made to this program to pay for lab work, x-rays and other medical services. 8265181 1 1 0 0 0 1 0 1 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 X 1 1 1 0 0 0 0 0 0 1 1 0 0 0 0 X 16 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X Karl E Fritschel CPA 4255253339 1801 Lind Ave SW 9016 Renton WA 98057 X Norman Coulson - Thru 516 Chair 3.00 0.00 X X 0 0 0 Peter J Lynch - Eff 616 Chair 3.00 0.00 X X 0 0 0 Thomas Bruehl Vice Chair 3.00 0.00 X X 0 0 0 Maria O Uribe Secretary 3.00 0.00 X X 0 0 0 Edward A Romano Treasurer 3.00 0.00 X X 0 0 0 Patricia E Modrzejewski President - Thru 7/16 10.00 50.00 X X 0 886903 42005 Susan Dolbert President - Eff. 8/16 58.00 6.00 X X 0 237933 7195 Sister Sheila Browne Director 3.00 0.00 X 0 0 0 Steven Dutka Director 3.00 0.00 X 0 0 0 Honorable Mitch Englander Director 3.00 0.00 X 0 0 0 Bruce Ferguson Director 3.00 0.00 X 0 0 0 Albert J Ghirardelli Esq Director 3.00 0.00 X 0 0 0 Earl Greinetz - Dec 916 Director 3.00 0.00 X 0 0 0 Marcia Haynes - Eff 216 Director 3.00 0.00 X 0 0 0 Bradley D Howard Director 3.00 0.00 X 0 0 0 Robert J Kelley - Res 716 Director 3.00 0.00 X 0 0 0 Michael J Madden Director 3.00 0.00 X 0 0 0 Michael S Overing Esq Director 3.00 0.00 X 0 0 0 Gerald S Puchlik Director 3.00 0.00 X 0 0 0 David Sato - Eff 516 Director 3.00 0.00 X 0 0 0 Michael Hunn Former Director 0.00 0.00 X 0 385737 1110 0 1510573 50310 0 1 1 0 Marts & Lundy 1200 Wall St West 5th Floor Lyndhurst NJ 07071 Fundraising Consultation 122426 Pacific Rim Printing 5760 Hannum Ave Culver City CA 90230 Design & Printing 115187 2 262 397772 7370682 1333476 8402641 823894 17504833 69671 69671 25974 25974 4541549 3058681 1482868 1482868 1482868 321695 397772 276722 44973 44973 55650 0 55650 55650 483772 508197 -24425 -24425 19159544 0 0 1654711 8085084 8085084 180097 180097 251098 37665 213433 3489797 523469 2966328 519920 77988 441932 240716 36107 204609 66632 37500 29132 188001 188001 108311 108311 369369 30156 339213 5239 5239 113719 9485 104234 80116 80116 63815 9572 54243 200770 30115 170655 17593 2639 14954 Donor Cultivation/Recog 262990 262990 Trust Tax Expense 58366 58366 Dues & Subscriptions 10626 1594 9032 14312259 8265181 904601 5142477 1357547 2021000 1491799 750948 6331738 4999025 100000 109777 51046 87833 67139 22500 2000 2430261 388474 1325190 2041787 57248645 66368202 13338744 11651035 81413773 87952182 457624 407419 1336705 1447073 1794329 1854492 X 31836662 38600437 43102952 42861855 4679830 4635398 79619444 86097690 81413773 87952182 X 4847285 1515967 114994 X X 0 1 X 1 0 X 16981235 15472969 20124483 26449820 17504833 96533340 16981235 15472969 20124483 26449820 17504833 96533340 19684848 76848492 785716 716665 864004 1211374 95645 3673404 26727 35127 115745 100623 278222 100484966 3125133 0.76480 0.74910 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 179381 3097301 1 1 185094 X 0 6714000 10800 223042 27869 6919973 5782000 785000 177000 30000 6714000 2489000 3153000 140000 5782000 2261000 265000 60000 97000 2489000 2075000 109000 106000 29000 2261000 0.44700 0.53100 0.02200 0 0 1328422 1328422 680000 680000 421839 388474 33365 2041787 Artwork, Books 185094 Gift Annuities 1334974 Life Insurance 16774 Charitable Remainder Trusts 10114193 11651035 Due To Affiliates 717198 Reserve-Charitable Gift Annuities 729875 1447073 Part III, Line 4: Artwork received through the Foundation is displayed throughout the hospitals to enhance the environment for the patients and their families. Part V, Line 4: There are three main endowments. At Providence Holy Cross Medical Center there is a nursing excellence endowment. The investment income from this endowment supports nursing education and excellence. At Providence Saint Joseph Medical Center there is a patient care endowment. The investment income from this endowment supports patient care technology. The third endowment is a cancer center endowment. The investment income from this is used to fund operating and capital costs for the cancer center. X X X X X X 1 Chad Gobel and Associates 2 State Street Suite 805 Rochester NY 146141342 Strategic Planning 0 0 0 61200 Claudia A Looney 1291 Peacock Hill Dr Santa Ana CA 927052305 General Fundraising 0 0 0 4375 Marts Lundy 1200 Wall St West 5th Floor Lyndhurst NJ 07071 Campaign consulting 0 0 0 122426 188001 CA St. Joseph Golf 317005 200157 116848 16200 48279 40500 10546 Tarzana Gala 271624 186875 84749 3818 50017 5570 21689 1 130838 10740 120098 5745 30018 5882 38458 719467 397772 321695 21945 82115 96399 5570 70693 276722 44973 55650 1 0.95000 55650 55650 CA 1 0 0 0 1.00000 Gertie McDevitt 501 S Buena Vista St Burbank CA 91505 0 Jan Marie Perry 0 Oversee the procedures to organize and execute the raffles and awards. X 0 Part I, Line 2b, Column (v) Consultation - Board, visioning. 1 PHS Southern California 501 S Buena Vista St Burbank CA 91505 510216586 501(C)(3) 6286997 Support operations Providence Little Company of Mary Foundation 4101 Torrance Blvd Torrance CA 90503 510224944 501(C)(3) 982165 Support operations Providence TrinityCare Hospice Foundation 5315 Torrance Torrance CA 90503 330261016 501(C)(3) 313504 Support operations Providence TrinityCare Hospice 5315 Torrance Torrance CA 90503 953264139 501(C)(3) 273518 Support operations Alliance for Housing and Healing 825 Colorado Blvd 100 Los Angeles CA 90041 954147364 501(C)(3) 25000 Support low income housing All Inclusive Community Health 1311 N San Fernando Blvd Burbank CA 91504 274198722 501(C)(3) 40000 Healthcare for underserved Boys and Girls Club of Burbank and Greater East Valley 2244 N Buena Vista St Burbank CA 91504 954485745 501(C)(3) 10000 Support enrichment programs Family Promise of the Verdugos P O Box 1307 Burbank CA 91503 262458342 501(C)(3) 25000 Assistance to homeless families Family Service Agency of Burbank 2721 West Burbank Blvd Burbank CA 91505 956118623 501(C)(3) 25000 Support services for families Guardian Angel School 10919 Norris Ave Pacoima CA 91331 956005762 501(C)(3) 10000 Support school counseling program Kids Community Dental Clinic of Burbank 27200 Tourney Road Suite 475 Valencia CA 91355 954791296 501(C)(3) 25000 Support youth dental services New Horizons 15725 Parthenia St North Hills CA 91343 951862084 501(C)(3) 10000 Support program for those with special needs Therapeutic Living Centers for the Blind 7915 Lindley Ave Reseda CA 91335 510143029 501(C)(3) 20000 Early intervention program for the blind Olive View - UCLA Research Institute 14445 Olive View Dr Admin Building Sylmar CA 91342 952249539 501(C)(3) 20000 Support research / education Child Development Institute 6340 Variel Suite A Woodland Hills CA 91367 954545540 501(C)(3) 15000 Support mental health services. 15 0 Support of clinics that provide medical services for those unable to pay - Access to Care programs. 806 152229 Cost Lab work, x-rays, and other medical services for individuals who are unable to pay for the services Scholarships 10 27868 Cost Part I, Line 2: Since the vast majority of grants go to affiliated companies, the Foundation has direct access to the financial reports of the funded organizations and reviews them for appropriate use of the funds. Smaller grants to outside organizations are approved based on applications received and are also monitored by the Mother Joseph Fund, which is a community outreach initiative under the direction of the California Region Mission Integration Officer and a committee comprised of community ministry board members and mission leaders. Nursing Scholarships - nurses apply for scholarships, and proof of enrollment in a qualified course, the fee amount, and benefit eligibility are verified. The scholarships available are allocated and distributed to the applicants upon approval. Access to Care individuals are referred to the program either from the Emergency Department at Providence St. Joseph Medical Center or from an All-Inclusive Community Health Center. These individuals are uninsured, ineligible for Medi-Cal and in need of a specific type of specialty care consultation, including podiatry, urology, opthamology, orthopedics, gastroenterology, ENT or cardiology. Patient visits are limited to 1-4 visits. This allows for a clinical interpretation of the medical issue and then the patient is referred back to the originating clinic. 1 1 0 0 0 0 0 0 0 Patricia E Modrzejewski President - Thru 7/16 0 382153 0 483680 0 21070 0 25970 0 16035 0 928908 0 0 Susan Dolbert President - Eff. 8/16 0 171867 0 25000 0 41066 0 527 0 6668 0 245128 0 0 Michael Hunn Former Director 0 0 0 0 0 385737 0 1110 0 0 0 386847 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: 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 was 1 Officer 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. Tax Indemnifications or Gross-Up Payments - Gifts Providence Health & Services follows the federal and state taxation laws related to gifts paid to the employee. These are considered income and are therefore subject to payroll taxes. Based on the way Providence has chosen to pay the gifts, Providence reports the payment as income and this amount is reflected on the executive's Form W-2. Providence will gross-up the benefits to offset the personal tax burden to the employee. During 2016, there was 1 Officer 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. Part I, Lines 4a-b NONQUALIFIED RETIREMENT PLANS A) DCRP = Defined Contribution Restoration Plan 1) Patricia E. Modrzejewski a) Taxable DCRP Earned - $18,448 Part I, Lines 4a-b SEVERANCE - Michael Hunn - $374,738 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. X 8 823894 Fair Market 0 0 1 0 Part I, Column (b): The amounts shown on Part I, Col. B reflect the number of donations received of the specific type of item. Form 990, Part VI, Section A, line 6 The Corporate Member of the Foundation is Providence Health System - Southern California, a California nonprofit religious corporation. Form 990, Part VI, Section A, line 7a The Powers of the Corporate Member include the provision to approve the number of Directors, appoint the Board of Directors and to remove such Directors at any time with or without cause. Form 990, Part VI, Section A, line 7b The following powers are reserved exclusively to the Corporate Member: A) To adopt and amend the articles of incorporation and the Bylaws of the Foundation after consultation with the Foundation's Board of Directors. B) To approve the merger, consolidation, or affiliation of the Foundation with another Corporation, organization or program, or the dissolution of the Foundation. C) To approve the annual fundraising plan and strategic plan of the Foundation. Form 990, Part VI, Section B, line 11b The Form 990 is prepared internally by experienced Providence Health & Services staff and reviewed by the internal PH&S Director of Taxes and external tax advisors. The Foundation President reviewed the Form 990 in detail. Once approved, an electronic copy of the Form 990 is emailed to the Board prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict. Form 990, Part VI, Section B, line 15 It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its officers, including our senior executives. Salaries for senior executives are reviewed by the Providence St. Joseph Health Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Additionally, Providence's labor market continues to spread across health care and into general industry. Because of this, Providence also takes into consideration general industry for-profit market data, where applicable. Base salaries for Providence executives are generally targeted to the median level of the market, as identified by the independent consultant and reviewed with the Executive Compensation Committee. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering Providence operating commitments and strategic objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate market practices. The Board's process for executive compensation fully complies with IRS standards and mirrors best practices. The Foundation President is compensated by a related organization which uses a market based compensation program utilizing several independent third party compensation market surveys to establish pay ranges for the position. The related organization then establishes the individual rate of pay within the range based on relevant experience, skills and competencies. The rate offered to the President at the time of hire was determined through discussion between the Regional CEO, Regional Director of HR and the Administrative Director of HR. The ranges and rate of pay are reviewed on an annual basis by Regional HR. Form 990, Part VI, Section C, line 19 Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon request. The consolidated financial statements are available on our public Internet site www2.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site. Form 990, Part XI, line 9: Pledge Discounts & Write-offs 114,995. Rounding -1. Form 990, Part XII, Line 2c - AUDIT & COMPLIANCE The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. Form 990, Part VII, Section A - EMPLOYEE COMPENSATION The employees working at the Foundation are paid by Providence Health System - Southern California EIN# 51-0216589. Therefore, no W-2s are issued by the reporting organization. Form 990, Part I, Line 6 - VOLUNTEERS Volunteers provide a variety of services for the Foundation, including but not limited to: - Clerical - copying, collating, stuffing envelopes, deliveries within the facilities. - Special events - assist with registration, greeting, answering questions, selling tickets to silent auctions/raffles, running errands, set up, clean up, decorating. - Appreciation events and activities - organize and put on fashion shows, teas and other events, and thank you calls to show appreciation to donors. - Gift shop - accounting, retail clerks, cashiers, purchasing, organization. - Board - board meetings, committee meetings, prospect introductions and cultivation meetings. 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. PHSF Realty LLC 501 S Buena Vista St Burbank CA 91505 273652988 Investment CA 43940 Providence Health & Services Foundation Providence Health & Services - Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 510216586 Healthcare System WA 501( c)(3) Line 3 Providence Health & Services 0 Providence Health & Services - Oregon 1801 Lind Avenue SW 9016 Renton WA 980579016 510216587 Healthcare System OR 501( c)(3) Line 3 Providence Health & Services 0 Providence Health System - So California 1801 Lind Avenue SW 9016 Renton WA 980579016 510216589 Healthcare System CA 501( c)(3) Line 3 Providence Health & Services 0 Everett Transitional Care Services PO Box 5128 Everett WA 982065128 943264605 Transitional Care WA 501( c)(3) Line 10 N/A 0 Providence Plan Partners 4400 NE Halsey Bldg 2 Portland OR 97213 911861964 Healthcare Services WA 501( c)(4) N/A PH & S - Oregon 0 Providence Health Plan 4400 NE Halsey Bldg 2 Portland OR 97213 930863097 Health Service Contractor OR 501( c)(4) N/A Providence Plan Partners 0 Providence Health Assurance 4400 NE Halsey Bldg 2 Portland OR 97213 550828701 Medicaid Healthcare Provider OR 501( c)(4) N/A Providence Health Plan 0 Providence Medical Institute 4101 Torrance Blvd Torrance CA 90503 330283773 Healthcare CA 501( c)(3) Line 12/Type I PHS - So California 0 Little Company of Mary Ancillary Services Corporation 4101 Torrance Blvd Torrance CA 90503 330844408 Imaging Services CA 501( c)(3) Line 10 PHS - So California 0 Providence TrinityCare Hospice 5315 Torrance Blvd Suite B1 Torrance CA 90503 953264139 Hospice CA 501( c)(3) Line 10 PHS - So California 0 Providence Blanchet Association 1700 Providence Pl Centralia WA 98531 911789266 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 St Luke Association 350 Washington Ave SE Chehalis WA 98352 943176618 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Rossi Association 1700 Providence Pl Centralia WA 98531 311584166 Supportive Housing WA 501( c)(3) Line 10 PH & S - Washington 0 Lundberg Association 5921 E Burnside Portland OR 97215 911562797 Supportive Housing OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Francis Association 3415 12th Avenue NE Olympia WA 98506 943244854 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Peter Claver Association 7101 38th Avenue South Seattle WA 98118 311629656 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence St Elizabeth House Association 3201 SW Graham St Seattle WA 98126 912171539 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Gamelin House Association 4515 MLK Jr Way S Ste 200 Seattle WA 98108 311744654 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 The Gamelin Association 312 North Fourth St Yakima WA 98901 911180824 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 The Gamelin Oregon Association 5520 NE Glisan Portland OR 97213 911214491 Supportive Housing OR 501( c)(3) Line 10 PH & S - Oregon 0 The Gamelin California Association 540 23rd St Oakland CA 94612 911293869 Supportive Housing CA 501( c)(3) Line 10 PHS - So California 0 Gamelin Washington Association 1423 First Avenue Seattle WA 98101 201910170 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Dethman House 1205 Montello Ave Hood River OR 97031 473385506 Supportive Housing WA 501( c)(3) Line 7 N/A 0 Providence Foundation 1801 Lind Avenue SW 9016 Renton WA 980579016 943078543 Support PH&S and W. HealthConnect WA 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence Alaska Foundation 3300 Providence Drive - B Tower2 Anchorage AK 99508 920093565 Support PHS-Alaska AK 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence St Peter Foundation 413 Lilly Road NE Olympia WA 985065166 911097056 Support Affiliated Tax-Exempt Organization WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Health Care Foundation (Centralia) 914 S Scheuber Road Centralia WA 98531 911433382 Support Providence Centralia Hospital WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Mount St Vincent Foundation 4831 - 35th Avenue SW Seattle WA 981262799 911188119 Support Providence Mount St.Vincent WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Marianwood Foundation 3725 Providence Point Drive SE Issaquah WA 980297219 931554288 Support Providence Marianwood WA 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence Newberg Health Foundation 1001 Providence Drive Newberg OR 97132 930889144 Support Providence Newberg Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Seaside Hospital Foundation 725 S Wahanna Rd Seaside OR 97138 930927320 Support Providence Seaside Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Community Health Foundation 1111 Crater Lake Ave Medford OR 97504 930692907 Support Providence Medford Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Benedictine Nursing Center Foundation 540 South Main St Mt Angel OR 973629532 911940286 Support Providence Benedictine Nursing Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Portland Medical Foundation 4805 NE Glisan St Portland OR 972132967 931231494 Support Providence Portland Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Vincent Medical Foundation 9205 SW Barnes Rd Portland OR 97225 930575982 Support Providence St. Vincent Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Milwaukie Foundation 10150 SE 32nd Milwaukie OR 97222 943079515 Support Providence Milwaukie Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Child Center Foundation 830 NE 47th Portland OR 97213 930800140 Support Providence Child Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence TrinityCare Hospice Foundation 5315 Torrance Blvd Suite B1 Torrance CA 90503 330261016 Support TrinityCare Hospice CA 501( c)(3) Line 7 Providence TrinityCare Hospice 0 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 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 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