2016-05-11T09:35:06-05:00 2015-06-30 911194016 Clark Nuber PS 10900 NE 4th Suite 1700 Bellevue WA 98004 990 2014-07-01 810231777 UNIVERSITY OF GREAT FALLS UNIV 4067915245 1301 20TH STREET SOUTH GREAT FALLS MT 59405 Lucille Dean SP Interim President 4067915245 2016-05-11 1 Sara Elizabeth J Hyre CPA P00235495 4254544919 2014 2016-08-17 19:52:53Z Lucille Dean SP 1301 20TH STREET SOUTH GREAT FALLS MT 59405 28726149 0 X www.ugf.edu X 1932 MT Private Roman Catholic liberal arts university in Great Falls, MT. 20 18 523 9 0 0 3640018 3883322 20316983 19793413 139982 779105 722401 186263 24819384 24642103 8791941 9135556 0 0 8226653 8174439 0 0 189732 6742477 7329540 23761071 24639535 1058313 2568 22860030 23439787 7239801 8277705 15620229 15162082 X As an expression of the teaching mission of Jesus Christ, the mission of the University of Great Falls is to provide students the opportunity to obtain a liberal education for living and making a living. 0 0 20153223 9135556 19793413 A liberal arts university providing higher education services resulting in Bachelor and Masters Degrees. Enrollment during the academic year was 978 Undergraduate and 77 Graduate/Professional students.The University of Great Falls was founded through the collaborative efforts of the Sisters of Providence, the Ursuline Sisters, the Catholic Bishop of Great Falls and the civic community all of whom recognized societal need for higher education. Its educational mission, sponsored by the Sisters of Providence, continues to be the shared endeavor of dedicated people.The University cooperates with both private and public institutions to attain goals consistent with its educational purpose and values.The University continually and responsibly evaluates its operation and programs. It develops professional and career programs and continuing education courses designed in view of society's present and future needs as well as traditional academic degrees in appropriate fields.The University offers students a foundation for actively implementing Gospel values and the teaching of Jesus within the Catholic tradition; it serves students of all beliefs who wish to take advantage of its programs.The faculty and staff of the University join with students in a cooperative and enthusiastic search for truth, so that students may develop:Character - have a positive impact on the world and to the communities in which they live and work, particularly by recognizing and accepting personal accountability to themselves, to society, and to God;Competence - further their ability to live full and rewarding lives by becoming competent working members of society who know the basics of their professional field and have access to future learning;Commitment - find meaning in life which enables them to participate effectively in society while transcending its limitations, by living according to their own moral and religious convictions, as well as by respecting the dignity and beliefs of other people. Core Themes Seeking to understand: "As an expression of the teaching mission of Jesus Christ," our University brings together reason and faith to seek the truth. We are a faith based learning community, dedicated to encouraging and assisting our students in seeking to understand and searching for truth." Living independent and counter-cultural lives: "to provide students with the opportunity to obtain a liberal education for living and making a living." We believe a particular type of education prepares students for both living and making a living. The origins of a liberal education are Greek, an education for a free, independent man. Our liberal education is for a free independent man or woman, engaged in civic and faith communities, often demonstrating independence in a counter-cultural manner, with a special concern for the poor and vulnerable. Searching together: "the faculty and staff of the University join with students in a cooperative and enthusiastic search for the truth " We learn together, we search together, we seek to understand together. We live and learn in community. 20153223 1 1 0 0 0 1 0 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 1553 0 1 523 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 X 20 18 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 X Karl E Fritschel CPA 4255253339 2001 Lind Ave SW 9016 Renton WA 980579016 Robert Nommensen II Chair 1.00 0.00 X X 0 0 0 Kevin Clark Trustee 1.00 0.00 X 0 0 0 Tom Hier Trustee 1.00 0.00 X 0 0 0 Tyler L Will MD Trustee 1.00 0.00 X 0 0 0 Scott Wilson Trustee 1.00 0.00 X 0 0 0 Vincent Purpura Trustee 1.00 0.00 X 0 0 0 Daniel K Sullivan Trustee 1.00 0.00 X 0 0 0 Barbara Byrne Trustee 1.00 0.00 X 0 0 0 Bennett Carter Trustee 1.00 0.00 X 0 0 0 Tim Lightbourne Trustee 1.00 0.00 X 0 0 0 Jack Mudd Trustee 1.00 54.00 X 0 418053 95818 Roger Witt Trustee 1.00 0.00 X 0 0 0 Kathy Rice Trustee 1.00 0.00 X 0 0 0 Arthur Geiger Trustee 1.00 0.00 X 0 0 0 Kris Houtonen Trustee 1.00 0.00 X 0 0 0 Leslie Marsh Trustee 1.00 0.00 X 0 0 0 Deborah Kottel Faculty Representative 40.00 0.00 X 79424 0 3598 Margaret Eisen Student Representative 1.00 0.00 X 332 0 0 Owen Robinson Trustee 1.00 0.00 X 0 0 0 Nancy Zadick Trustee 1.00 0.00 X 0 0 0 Eugene McCallister PHD President 40.00 0.00 X 198344 0 13238 Stacey Eve VP Finance & HR 40.00 0.00 X 115108 0 11588 Timothy Laurent VP Academic Affairs/Provost 40.00 0.00 X 132622 0 12038 Julie Edstrom VP Enrollment Management 40.00 0.00 X 110108 0 6389 635938 418053 142669 4 0 1 0 Sletten Construction Company 1000 25th ST N Great Falls MT 59405 Construction 903644 Southwest Solutions Group Inc 4355 Excel Pkwy Addison TX 75001 Construction 297300 Elite Security Services LLC 3905 4th ST NE Great Falls MT 59404 Security 229518 Guy Tabacco Construction 1400 25th Ave Black Eagle MT 59414 Construction 221256 Ellucian Support Inc 17710 100th Ave SW Vashon WA 98070 Technical Support 197367 9 85257 1792419 304392 1701254 710702 3883322 Tuition 611600 17101911 17101911 Student Housing 611600 1671982 1671982 Student Board 611600 737413 737413 Student Books 611600 195294 195294 Student Athletics 611710 80660 80660 6153 6153 19793413 316310 316310 5327 5327 25249 0 25249 25249 25249 4381847 3919052 462795 462795 462795 167263 85257 98209 69054 69054 104138 66785 37353 37353 Cost Recoveries 900099 45497 45497 Affiliate Interest 900099 3783 3783 49280 24642103 19793413 0 965368 9135556 9135556 203294 60988 142306 6340418 4869266 1416895 54257 1630727 971645 649818 9264 10906 10906 24725 24725 65212 65212 1182989 822434 263810 96745 130243 77644 52599 1399828 1210627 173097 16104 15271 10009 4467 795 1829554 1005060 823993 501 807711 744966 60367 2378 13820 9464 1914 2442 198484 184174 14310 110542 110542 806029 516664 289365 185440 112562 72878 Memberships 199786 163955 35831 Licenses 130475 130475 Bad Debts 91790 91790 Bank & Merchant Fees 60056 80 59976 66679 55797 3636 7246 24639535 20153223 4296580 189732 94203 66103 674709 348495 476258 146753 1408031 606370 686382 708188 128498 215906 175109 291406 24036482 16097659 7085999 7938823 10549864 12141860 1184844 396133 975883 22860030 23439787 394693 539302 15950 22180 2339964 2312418 4489194 5403805 7239801 8277705 X 4947897 3596470 3373403 3367269 7298929 8198343 15620229 15162082 22860030 23439787 2568 -460715 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4 29018 831678 0 0 0 81670 X X 0 10400593 940348 118175 202778 11256338 9636277 77623 824289 137596 10400593 9164790 146117 448939 123569 9636277 9175545 55310 52967 119032 9164790 8254074 308875 697981 85385 9175545 0.15980 0.72580 0.11440 0 1 1 217459 217459 12232845 7239743 4993102 1700051 1091435 608616 8992128 7766481 1225647 893999 893999 7938823 Due to Affiliates 4446013 Student Deposits 156100 Refundable US Gov't. Loan Funds 765165 Deposits Held in Custody 36527 5403805 X 15153230 -460715 7616 -9135556 -9588655 24741885 65212 -164994 -99782 24642103 15611377 7616 164994 172610 15438767 65212 9135556 9200768 24639535 Part III, Line 4: The five panel depiction of the Lewis & Clark Expedition serves to enhance the environment on campus as well as serve to remind students of the physical and mental challenges and educational opportunities as they proceed through life. Part V, Line 4: Endowment funds are to be utilized for student scholarships. 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 upon an audit by the taxing authority. 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 2d - Other Adjustments: Scholarship Reclassification -9,135,556. Part XI, Line 4b - Other Adjustments: Special Event Expenses -98,209. Campus Store Expenses -66,785. Part XII, Line 2d - Other Adjustments: Special Event Expenses 98,209. Campus Store Expenses 66,785. Part XII, Line 4b - Other Adjustments: Scholarship Reclassification 9,135,556. 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 Schedule E, Part I, Line 3 UGF claims an exemption from the requirement to publish the University policy publicly as Rev. Proc. 75-50 states on the basis that the University draws its students nationally and their records show evidence of the nondiscrimination policy in meaningful numbers. The success of our policy is shown by having 24% ethnic students in our student body, which constitutes meaningful results in comparison to the ethnic makeup of the surrounding communities. Schedule E, Part I, Line 6 The University receives grants from governmental agencies used to provide both direct and indirect assistance to students. Annual Banquet 70647 23252 47395 0 0 0 11238 5150 18600 Spring Rodeo 44075 39725 4350 0 0 0 0 22500 18414 8 137798 22280 115518 0 0 11360 7631 0 3316 252520 85257 167263 11360 18869 27650 40330 98209 69054 1 0 0 Scholarships 890 0 9029736 FMV Assistance posted to student accounts for tuition, fees and books. Housing Allowances 27 0 105820 FMV On-campus housing assistance for those meeting specific criteria. Part I, Line 2: The University has a detailed process for granting scholarships to individuals based on need. Once awarded, the scholarships are posted to the students' accounts for use toward the cost of tuition, fees, textbooks, on-campus housing and other educational costs. X 1 1 X X X 0 1 0 0 0 0 0 0 0 Jack Mudd Trustee 0 371637 0 34705 0 11711 0 77766 0 18052 0 513871 0 0 Eugene McCallister PHD President 175200 0 0 0 23144 0 4950 0 8288 0 211582 0 0 0 Part I, Line 1a Reportable Compensation for the President includes $18,000 Housing Allowance and $5,000 Car Allowance. These amounts are included in the taxable compensation for the President. Part I, Line 4b NON-QUALIFIED PLANS - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) 1) Jack Mudd a) Taxable SERP Earned but not Paid - $34,705 b) SERP Interest Credit - $52,292 X 1 300 FMV X 7 704741 Average Cost X Event Items 7 5661 FMV 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 sole corporate member is Providence Health & Services, a Washington nonprofit corporation. Form 990, Part VI, Section A, line 7a The corporate member has the following powers: 1) To fix the number of Trustees of this corporation, approve a slate of Trustees of this corporation and to remove such Trustees at any time with or without cause. 2) To appoint and remove, with or without cause, the President of the University upon the recommendation of the Board of Trustees. Form 990, Part VI, Section A, line 7b The corporate member has the power to: 1) Adopt or change the mission, philosophy and values or fundamental corporate policies. 2) Amend or repeal the Articles of Incorporation or Bylaws. 3) Approve the acquisition of assets, incurrence of indebtedness or the lease, sale, transfer, assignment or encumbering of the assets. 4) Approve the dissolution and/or liquidation of the corporation. 5) Approve the annual operating and capital budgets. 6) Approve an annual or longer term strategic plan. 7) Approve the initiation or closures of any major work by this corporation. Form 990, Part VI, Section B, line 11 The Form 990 is prepared by experienced staff of Providence Health & Services and reviewed by the Providence Director of Taxes and external tax advisors. The VP of Finance and Interim President reviewed the Form 990 and emailed copies to the Board of Directors prior to filing with the IRS. Form 990, Part VI, Section B, line 12c The Board of Trustees is subject to the Conflict of Interest policy of Providence Health & Services. 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 The President's compensation is determined by the Board of Trustees. Compensation is based on market data gathered by independent organizations, such as professional placement firms and other higher education consultants. Officer and Key Employee compensation is determined by the President and discussed with the Board of Trustees. Comparable positions at other universities are considered, as well as data collected from higher education reference organizations such as "The Chronicle of Higher Education and consulting firms. Documentation of these studies and determinations is retained by the Human Resource Department. 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 for Providence Health & Services are available on our public Internet site www2.providence.org. Form 990, Part VII Jack Mudd - 1801 Lind Ave SW #9016, Renton, WA 98057-9016. FORM 990, PART XII, LINE 2C - AUDIT & OCOMPLIANCE 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, PART I, LINE 6 - VOLUNTEERS A small corps of volunteers assisted with the athletic program helping coaches at practice and taking tickets at games. 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 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 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 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 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 - Diagnostics OR N/A Ctr for Med Imaging-Tanasbourne LLC 4400 NE Halsey 495 Portland OR 97213 200477972 Imaging - Diagnostics OR N/A Pathology Associates Medical Laboratories LLC 611 N Perry Spokane WA 99202 270943279 Outpatient Lab WA N/A Portland Medical Imaging LLC 4400 NE Halsey 495 Portland OR 97213 201054971 Imaging - Diagnostics OR N/A Oregon Advanced Imaging LLC 881 OHare Parkway Medford OR 97504 450471748 Medical Imaging OR N/A Minor & James Medical PLLC 515 Minor Avenue 200 Seattle WA 98104 911340223 Physician Clinic WA N/A Providence Surgery Center LLC 902 N Orange St Missoula MT 59802 841401625 Ambulatory Surgery Center MT N/A Clackamas Radiation Oncology Center LLC 4400 NE Halsey St Bldg II 495 Portland OR 97213 260381897 Radiation Oncology OR N/A PETCT Imaging at Swedish Cancer Institute LLC 1221 Madison Street Seattle WA 98104 203132044 Medical Imaging WA N/A PacLab LLC 611 N Perry Spokane WA 99202 911743952 Outpatient Lab WA N/A The Madison Spokane Inn LLC 15 West Rockwood Blvd Spokane WA 99204 841606484 Hotel Services WA N/A Center for Specialty Surgery LLC 11782 SW Barnes Rd Portland OR 97225 263638838 Ambulatory Surgery Center OR N/A Oregon Outpatient Surgery Center 7300 SW Childs Rd Tigard OR 97224 223883387 Ambulatory Surgery Center OR N/A ProvidenceUSP Santa Clarita GP LLC 11550 Indian Hills Road 160 Mission Hills CA 91345 202829660 Ambulatory Surgery Center CA N/A ProvidenceUSP Surgery Ctrs LLC 11550 Indian Hills Road 160 Mission Hills CA 91345 200905938 Ambulatory Surgery Center CA N/A Alpha Medical Laboratory LLC 611 N Perry Spokane WA 99202 912017347 Outpatient Lab ID N/A Greater Valley Medical Building LP 501 S Buena Vista St Burbank CA 91505 954570858 Real Estate - MOB CA N/A Prov Radiation Oncology Develop Assn LLC 4400 NE Halsey 495 Portland OR 97213 260682491 Real Estate - MOB OR N/A Providence Partners for Health LLC 501 S Buena Vista St Burbank CA 91505 454041798 Clinical Quality & Integration CA N/A ProvidenceSilverton Rehab LLC 4400 NE Halsey 425 Portland OR 97213 481287267 Rehab Services OR N/A Southern Idaho Regional Laboratory LLC 611 N Perry Spokane WA 99202 820511819 Outpatient Lab ID N/A Mountainstar Clinical Laboratories LLC 611 N Perry Spokane WA 99202 261345983 Outpatient Lab MT N/A Tri-Cities Laboratory LLC 611 N Perry Spokane WA 99202 911773986 Outpatient Lab WA N/A Providence Health Ventures Inc 4101 Torrance Blvd Torrance CA 90503 330122216 Investment CA N/A C 0 Caron Health Corporation 510 W Front St Missoula MT 59802 810486082 Medical Physician Service MT N/A C 0 Providence Health Care Ventures Inc 101 W 8th Ave TAF C-9 Spokane WA 99204 900155714 Clinical/Medical Lab WA N/A C 0 Providence Physician Services Co 101 W 8th Ave TAF C-9 Spokane WA 99204 911216033 Clinical/Medical Lab WA N/A C 0 Yakima Medical Arts Inc 611 N Perry 100 Spokane WA 99202 910787963 Rental Real Estate WA N/A C 0 Bourget Health Services Inc PO Box 2687 Spokane WA 99220 911354431 Clinical/Medical Lab WA N/A C 0 1221 Madison Street Owners Assoc 747 Broadway Seattle WA 98122 201954319 Owners' Association WA N/A C 0 Washington Cancer Centers PC 1560 N 115th G-16 Seattle WA 98133 911792791 Cancer Treatment WA N/A C 0 Western HealthConnect Ventures Inc 1801 Lind Ave SW 9016 Renton WA 98057 800953654 Investment WA N/A C 0 PHN Holdings 20555 Earl Street Torrance CA 90503 461814184 Strategic Planning Services CA N/A C 0 Providence Health Network 20555 Earl Street Torrance CA 90503 800886966 Prepaid Healthcare CA N/A C 0 Charitable Trusts (2) MT T 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0