2016-08-11T11:25:34-05:00 2015-12-31 911194016 Clark Nuber PS 10900 NE 4th Suite 1700 Bellevue WA 98004 990 2015-01-01 953544877 PROVIDENCE HEALTH & SERVICES FOUNDATION SAN FERNANDO & SANTA CLARITA VALLEYS SA PROV 8188473024 501 SOUTH BUENA VISTA STREET BURBANK CA 915054809 Patricia Modrzejewski President 8188473024 2016-08-11 1 Sara Elizabeth J Hyre CPA P00235495 4254544919 2015 2016-12-15 16:53:06Z Patricia Modrzejewski 501 SOUTH BUENA VISTA STREET BURBANK CA 915054809 58950296 0 X http://california.providence.org/giving/ X 1980 CA Support Providence St.Joseph Med. Center, Holy Cross Med. Center and Tarzana Med. Center. 19 18 0 310 0 0 20224483 26549820 0 0 1155363 2777369 41746 102868 21421592 29430057 6694550 10217977 0 0 3466817 3409434 23025 84546 4130620 1166812 1363503 11351204 15075460 10070388 14354597 70532385 81413773 1285095 1794329 69247290 79619444 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 10217977 10217977 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 2015, some of the larger grants paid to the three medical centers were used for the Neuroscience Outpatient Center at Saint Joseph ($3,175,539), the Welcome Baby program at Holy Cross ($1,497,759), and for the purchase of various equipment at Tarzana ($321,324). 10217977 1 1 0 0 0 1 0 1 0 1 1 0 0 1 1 1 1 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 2 2 1 0 0 0 0 0 0 1 1 0 0 0 1 0 X 19 18 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 2001 Lind Ave SW 9016 Renton WA 98057 X Norman Coulson 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 41.00 14.00 X X 0 458381 48836 William Baribault Director 3.00 0.00 X 0 0 0 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 Director 3.00 0.00 X 0 0 0 Bradley D Howard Director 3.00 0.00 X 0 0 0 Robert J Kelley Director 3.00 0.00 X 0 0 0 Peter J Lynch Director 3.00 0.00 X 0 0 0 Michael J Madden Director 3.00 0.00 X 0 0 0 Richard Marciniak 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 Michael Hunn Former Director 0.00 0.00 X 0 584681 67660 0 1043062 116496 0 1 1 0 0 640187 6068840 1312417 18528376 297649 26549820 1211250 1211250 124 124 30040405 28474286 1566119 1566119 1566119 485529 640187 432269 53260 53260 72485 10000 62485 62485 590683 603684 -13001 -13001 29430057 0 0 2880237 10079117 10079117 138860 138860 364160 54624 309536 2544278 381642 2162636 328864 49329 279535 172132 25820 146312 60623 2535 58088 84546 84546 164621 164621 243291 8567 234724 36151 36151 321571 9102 312469 56621 56621 56479 8472 48007 124187 18628 105559 17629 2645 14984 Donor Cultivation/Recog 253337 253337 Trust Tax Expense 23144 23144 Dues & Subscriptions 5849 878 4971 15075460 10217977 726863 4130620 1449774 1357547 2094450 1491799 6740417 6331738 1748711 100000 38208 109777 120205 87833 35942 22500 1604387 279197 202386 1325190 43937759 57248645 14164533 13338744 70532385 81413773 611 457624 1284484 1336705 1285095 1794329 X 34586290 31836662 30897000 43102952 3764000 4679830 69247290 79619444 70532385 81413773 X 14354597 -3779796 -202647 X X 0 1 X 1 0 X 12090110 16981235 15472969 20224483 26549820 91318617 12090110 16981235 15472969 20224483 26549820 91318617 19165823 72152794 1133038 785716 716665 864004 1211374 4710797 118170 26727 35127 115745 295769 96325183 3607074 0.74910 0.81120 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 2917920 1 1 0 185094 X 0 5782000 785000 177000 30000 6714000 2489000 3153000 140000 5782000 2261000 265000 60000 97000 2489000 2075000 109000 106000 29000 2261000 2184148 88000 87000 70000 214148 2075000 0.43460 0.54540 0.02000 0 0 1292511 1292511 311876 279197 32679 1325190 Artwork, Books 185094 Gift Annuities and Trust Funds 13136876 Life Insurance 16774 13338744 Due To Affiliates 628086 Reserve-Charitable Gift Annuities 708619 1336705 X 24796000 -3779796 -3779796 28575796 164622 689639 854261 29430057 14422000 784691 784691 13637309 164622 1273529 1438151 15075460 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 Holy Cross Medical Center there is a nursing excellence endowment. The investment income from this endowment supports nursing education and excellence. At Saint Joseph 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. Part X, Line 2: The Health System (Providence Health & Services) recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. Part XI, Line 4b - Other Adjustments: Special Event Expenses Reclassified from Expense to Revenue -396,268. Gift Shop Expenses Reclassified from Expense to Revenue -191,570. Non-Cash Donations 25,150. Equity Transfers Reclassified from Revenue to Expenses 1,273,528. Guild Expenses Reclassified from Expense to Revenue -21,202. Rounding 1. Part XII, Line 2d - Other Adjustments: Special Event Expenses Reclassified from Expense to Revenue 396,268. Gift Shop Expenses Reclassified from Expense to Revenue 191,570. Guild Expenses Reclassified from Expense to Revenue 21,202. Write Off Prior Year Pledge 175,651. Part XII, Line 4b - Other Adjustments: Rounding 1. Equity Transfers Reclassified from Revenue to Expenses 1,273,528. X X X X X X 1 Chad Gobel and Associates 2 State Street Suite 805 Rochester NY 146141342 Strategic Planning 0 0 64005 -64005 Claudia A Looney 1291 Peacock Hill Dr Santa Ana CA 927052305 General Fundraising 0 0 7600 -7600 Gary J Hubbell 3143 East Hampshire Avenue Milwaukee WI 53211 Long-Term Planning 0 0 5100 -5100 76705 -76705 CA Gala 500173 296505 203668 112680 13492 7500 32651 Golf Tourney 299960 175969 123991 18962 43035 43386 27402 2 325583 167713 157870 57253 5000 70908 1125716 640187 485529 18962 155715 114131 12500 130961 432269 53260 72485 10000 1 0.95000 72485 10000 10000 62485 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 Street Burbank CA 91505 510216586 501(C)(3) 8411933 Support Operations Providence Little Company of Mary Foundation 4101 Torrance Blvd B1 Torrance CA 90503 510224944 501(C)(3) 938334 Support Operations Providence TrinityCare Hospice Foundation 5315 Torrance Blvd Torrance CA 90503 330261016 501(C)(3) 335194 Support Operations Providence Medical Institute 4101 Torrance Blvd B1 Torrance CA 90503 330283773 501(C)(3) 250000 Support Operations Providence TrinityCare Hospice 5315 Torrance Blvd Torrance CA 90503 953264139 501(C)(3) 71343 Support Operations Child Development Institute 6340 Variel Suite A Woodland Hills CA 91367 954545540 501(C)(3) 60000 Support community services Guardian Angel School 10919 Norris Avenue Pacoima CA 91331 956005762 501(C)(3) 7313 Support School counseling program New Horizons 15725 Parthenia North Hills CA 91343 911862084 501(C)(3) 5000 Support Program for those with special needs 8 0 Support of clinics that provide medical services for those unable to pay - Samuel Dixon and Access to Care programs. 7325 123518 Cost Lab work, x-rays, and other medical services for individuals who are unable to pay for the services Toy drive for Network for Good 750 15342 Cost Toys for needy children 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. 1 1 0 0 0 0 0 0 0 Patricia E Modrzejewski President 0 402448 0 37933 0 18000 0 32165 0 16671 0 507217 0 0 Michael Hunn Former Director 0 100 0 0 0 584581 0 45635 0 22025 0 652341 0 0 Part I, Lines 4a-b NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) CBRP = Cash Balance Restoration Plan 1) Patricia E. Modrzejewski a) Taxable CBRP Earned - $11,578 b) Non-Taxable CBRP Earned but Not Paid- $132 2) Michael Hunn a) SERP Interest Credit - $43,082 Part I, Lines 4a-b SEVERANCE Michael Hunn - $ 578,167 FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS 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). The performance award is based on the level of accomplishment of annual system objectives, in combination with personal goals for top executives. In 2015, 50 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's six strategic priorities of: creating healthier communities together, inspire and develop our people, building enduring relationships with consumers, create alignment with clinicians & care teams, develop and thrive under new care delivery & economic models, and grow by optimizing expert-to-expert capabilities. The remaining 50% was based on a robust set of personal goals designed to align critical mission and business drivers, executive team talent development (deepening talent pipeline for top 200+leaders) and professional development. In 2015 the percent allocation for each of these strategic priorities was as outlined below: * Success Measures - System Goals : 50% Community Benefit - 5% Caregiver (Employee) Engagement - 7.5% MyChart Activations - 5% Patient Loyalty Index - 5% Clinical Excellence Index - 7.5% Free Cash Flow - 5% Salary Expense / Net Operating Revenue - 2.5% Primary Care Panel Size - 5% Total Growth in Operating Revenue - 7.5% * Success Measures - Personal Goals : 50% Mission/Business Driver - 15% Exec Talent Development - 20% Professional Development - 15% TOTAL ALLOCATION: 100% X 1 25150 Fair Market X 8 272499 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. Part I, Line 33: In-kind donations are received for raffles/auctions. These donations are not valued and recorded as revenue as the values are not readily ascertainable. The donor's estimate of value is used to set a value for silent auction purposes only, since the value is not otherwise verifiable. 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 11 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 employees, including our senior executives. Salaries for senior executives are determined by the Providence Board's Human Resources 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. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Performance incentives allow executives to earn additional compensation if they achieve specific organizational and individual goals for furthering Providence operating principles - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated customer satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector. 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: Non-Cash Donations Not on Books -25,150. Rounding -1,846. Write-Off Prior Year Pledge -175,651. 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. 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 9 N/A 0 Providence Oregon Management Corporation 1801 Lind Avenue SW 9016 Renton WA 980579016 930813977 Shell Corporation OR 501( c)(3) Line 1 PH & S - Oregon 0 Providence Plan Partners 4400 NE Halsey Bldg 2 Portland OR 97213 911861964 Healthcare Services OR 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 11/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 9 PHS - So California 0 Providence TrinityCare Hospice 5315 Torrance Blvd Suite B1 Torrance CA 90503 953264139 Hospice CA 501( c)(3) Line 9 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 9 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 9 PH & S - Oregon 0 The Gamelin California Association 540 23rd St Oakland CA 94612 911293869 Supportive Housing CA 501( c)(3) Line 9 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) Pending N/A 0 Providence Foundation 1801 Lind Avenue SW 9016 Renton WA 980579016 943078543 Support PH&S Institutions WA 501( c)(3) Line 11/Type II PH & S - Washington 0 Providence Alaska Foundation 3300 Providence Drive - B Tower2 Anchorage AK 99508 920093565 Support PHS-Alaska AK 501( c)(3) Line 11/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 11/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 11/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 Shell Corporation WA 501( c)(3) Line 11/Type II Providence Ministries 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 9 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 11/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 11/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 11/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 11/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 9 Western HealthConnect 0 Kadlec Foundation 888 Swift Blvd Richland WA 99352 237005501 Support Kadlec Regional Medical Center WA 501(c )(3) Line 11/Type I Kadlec Regional Medical Center 0 PacMed Clinics 1200 12th Ave S Seattle WA 98144 562290878 Healthcare WA 501(c )(3) Line 9 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 Shell Corporation WA 501(c )(3) Pending N/A 0 Providence Imaging Center 3340 Providence Drive Anchorage AK 99508 920118807 Medical Imaging AK N/A California Laboratory Associates LLC 501 Buena Vista Burbank CA 91505 273888692 Outpatient Lab CA N/A Broadway Imaging LLC 500 W Broadway Missoula MT 59802 522405971 Medical Imaging MT N/A Ctr for Med Imaging-Bridgeport LLC 4400 NE Halsey 495 Portland OR 97213 260796953 Imaging - 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