PROVIDENCE HEALTH & SERVICES MT: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE HEALTH & SERVICES MT (EIN 81-0231793)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201523179349305772
- Schema version
- 2014v5.0
- Note
- A later return for the same period supersedes this one.
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-13T13:08:42-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911194016 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Clark Nuber PS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4th Suite 1700 | AddressLine1Txt |
| City | Bellevue | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810231793 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE HEALTH & SERVICES - MONTANA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROV | BusinessNameControlTxt |
| Phone | 4255253985 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Avenue SW No 9016 | AddressLine1Txt |
| City | Renton | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 980579016 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Todd Hofheins | PersonNm |
| Person Title | EVP/CFO | PersonTitleTxt |
| Phone | 4255253985 | PhoneNum |
| Signature | 2015-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Sara Elizabeth J Hyre CPA | PreparerPersonNm |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Providence St Patrick Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Rod Hochman MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Avenue SW No 9016 | AddressLine1Txt |
| City | Renton | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 980579016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $319,831,239 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.saintpatrick.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | Healthcare with special concern for the poor and vulnerable in Missoula, MT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 2016 | TotalEmployeeCnt |
| Total Volunteers | 226 | TotalVolunteersCnt |
| Total Gross UBI | $254,386 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $85,269 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,695,267 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,148,334 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $267,512,524 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $296,667,609 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,878,509 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,373,356 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,326,954 | PYOtherRevenueAmt |
| CY Other Revenue | $3,877,910 | CYOtherRevenueAmt |
| PY Total Revenue | $276,413,254 | PYTotalRevenueAmt |
| CY Total Revenue | $305,067,209 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,173,312 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $843,944 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $124,555,674 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $104,363,389 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $145,858,036 | PYOtherExpensesAmt |
| CY Other Expenses | $182,412,539 | CYOtherExpensesAmt |
| PY Total Expenses | $271,587,022 | PYTotalExpensesAmt |
| CY Total Expenses | $287,619,872 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,826,232 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $17,447,337 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $252,366,176 | TotalAssetsBOYAmt |
| Total Assets EOY | $284,023,284 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $135,037,946 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $148,076,372 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $117,328,230 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $135,946,912 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | As People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Healthcare with special concern for the poor and vulnerable in Missoula, MT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $91,166,406 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $129,809,480 | RevenueAmt |
| Desc | Acute Care - InpatientTotal Admissions: 8,874Total Patient Days: 43,172HistoryProvidence St. Patrick Hospital opened in 1873 under the sponsorship of the Sisters of Providence. The present facility opened in 1984, the fourth St. Pat's on this site above the Clark Fork River. In May 2000, we became more involved with national medical research and education. The hospital has 253 licensed beds. Approximately 95% of our patients come from our 17-county service area. Sponsorship In April 1873, the Sisters of Providence came to the Missoula valley to compassionately serve those in need, especially the poor and vulnerable. They opened St. Patrick Hospital, a not-for-profit mission, which quickly grew from a one-room structure to its current state-of-the-art medical center. St. Pat's continues to be sponsored by Providence Ministries, with a commitment to reveal God's healing presence to those who come to us for care. HIGHLIGHTS:* Mountain-Pacific Quality Health's 2014 Commitment to Quality Award was presented to Providence St. Patrick Hospital. Mountain-Pacific Quality Health's quality awards reflect continued expectations of engaging patients and families in improving care as well as top performance on quality indicators and system changes, as promoted by today's healthcare industry. Strong leadership support is considered, since it is vital for achieving and sustaining excellent patient safety and improvements in patient care. * Providence St. Patrick Hospital was named one of the nation's 50 Top Cardiovascular Hospitals by Truven Health Analytics. This is the eighth time Providence St. Patrick Hospital has been recognized with this honor. The 50 Top Cardiovascular Hospitals study evaluates performance in key areas: risk-adjusted mortality, risk-adjusted complications, core measures (a group of measures that assess process of care), percentage of coronary bypass patients with internal mammary artery use, 30-day mortality rates, 30-day readmission rates, severity-adjusted average length of stay, and wage- and severity-adjusted average cost. * Providence St. Patrick Hospital has achieved Magnet recognition by the American Nurses Credentialing Center's (ANCC) Magnet Recognition Program, which ensures that rigorous standards for nursing excellence are met. Magnet is the highest recognition an organization can receive for nursing care as established by the ANCC, a subsidiary of the American Nurses Association (ANA). St. Patrick Hospital is proud to be only one of two hospitals in the state of Montana to hold this prominent designation. Out of the 6,000 healthcare organizations in the U.S., fewer than 400 have achieved Magnet status. * St. Patrick Hospital Nuclear Medicine Department has been awarded the American College of Radiology (ACR) accreditation. The Department has been accredited since 2002. The ACR awards accreditation to facilities for the achievement of high practice standards after a peer-review evaluation of its practice. The program evaluates personnel qualifications, adequacy of facility equipment, quality control procedures and quality assurance programs. All findings are reported to the practice via a comprehensive report that includes recommendations for improvement. * Providence St. Patrick Hospital earned the Cardiac Surgery Excellence Award, the Spine Surgery Excellence Award, and the Distinguished Hospital Award for Clinical Excellence from Healthgrades, a U.S. company that develops and markets quality and safety ratings of healthcare providers. Healthgrades examines outcomes and complications through an analysis of MedPar and allpayer data based on over 30 cohorts, and is risk-adjusted for complications and mortality. *Providence St. Patrick Hospital Outpatient Cardiac Rehabilitation Program Wins Above the Line Award for Outcomes ExcellenceFor seven consecutive years Providence St. Patrick Hospital has won the "Above the Line" award for outcomes excellence. This past year, St. Pat's outcomes performance exceeded the statewide benchmark in all 13 indicators tracked by the Cardiovascular Health Program of the Department of Public Health and Human Services. It is the first time they have had a program go 13 for 13 related to exceeding the benchmark.* Providence St. Patrick Hospital was given the Women's Choice Award for one of America's 100 Best Hospitals for Patient Experience in Montana. The hospitals are highly rated by women for creating an extraordinary patient experience for women and their families. The process begins with scores derived for each hospital in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) database. The score takes a subset of the questions HCAHPS uses that research and experience shows are more important to women than to men. WomenCertified applies weight to each of those questions to adjust for relative importance to arrive at a numerical score. The scoring is objective and uniform. The 100 best scores in each of the four categories determine the America's 100 Best Hospitals for Outstanding Patient Experience by WomenCertified award winners. * Providence St. Patrick Hospital was given the Women's Choice Award by WomenCertified for being one of America's Best for Cancer Care The Women's Choice Award identified the very best cancer hospitals that have been accredited by the American College of Surgeons' Commission on Cancer, and receive high recommendation ratings for patient satisfaction for the Centers for Medicare and Medicaid Services. Hospitals were also recognized for having chemotherapy, radiation and hospice services. * Providence St. Patrick Hospital was given the Women's Choice Award by Women Certified for being a Best Hospital for Patient Experience in Heart Care. The hospitals are highly rated by women for creating an extraordinary patient experience for women and their families. * Becker's Hospital Review has named Providence St. Patrick Hospital one of "100 Great Community Hospitals," a list based on hospitals' quality of care and service to community. Whether independent or part of a larger health system, the hospitals work with limited resources to provide the quality of care and the experience patients expect. The Becker's Hospital Review editorial team selected community hospitals based on rankings and awards from iVantage Health Analytics, Truven Health Analytics (formerly Thomson Reuters), Healthgrades and The Joint Commission. The hospitals on the list have fewer than 550 beds and minimal teaching programs, and are often located in rural areas as the only hospitals in their communities. *Providence St. Patrick Hospital named a Best Hospital in 2014 Patient Engagement Rankings Providence St. Patrick Hospital was named a Best Hospital in 2014 Patient Engagement Rankings by Beckers' Hospital Review and Axial Exchange. This ranking is the first of its kind to evaluate hospitals on their patient engagement capabilities. Axial and Becker's evaluate provider organization efforts to engage patients and to promote personal health management, awarding maximum points to those organizations that not only offer electronic access to patient health records, but also provide resources for ongoing health management support-including mobile, tablet and desktop tools. Nationally, they also rank hospitals according to readmission rates and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, a standardized instrument for measuring patient satisfaction used by the Centers for Medicare and Medicaid (CMS) to determine reimbursement levels for Medicare patients. Lastly, Axial Exchange and Becker's Hospital Review will analyze the extent to which hospitals and health systems engage their patients via social networking channels. * The American College of Surgeons officially reverified the Trauma Center at Providence St. Patrick Hospital as an ACS Level II Trauma Center. We invite the American College of Surgeons to review our Trauma Program every three years. This year the two trauma surgeon surveyors did not find any deficiencies in our program and easily identified a dozen strengths of our trauma program. We are the only Level II trauma center in Western Montana within a 300-mile radius. In addition to this survey, we also have a concurrent survey with the state of Montana trauma services representative to continue our designation as a state Regional Trauma Center. * Providence St. Patrick Hospital Diabetes Program Renews Status as Accredited Diabetes Education ProgramThe Diabetes Program at Providence St. Patrick Hospital has recently renewed its status as an accredited diabetes education program by the American Association of Diabetes Educators. This allows residents in and around Western Montana increased access to critical diabetes education services. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $86,171,429 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $122,697,261 | RevenueAmt |
| Desc | Acute Care - OutpatientTotal Visits: 219,569See Line 4a Narrative | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $46,934,371 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $38,798,403 | RevenueAmt |
| Desc | Primary CareTotal Visits: 201,765Grant Creek Family Medicine is Montana's First Patient-Centered Medical Home. A patient-centered medical home is a clinic staffed by healthcare providers who work as a team. Led by the primary care provider, the team manages all of your healthcare needs, including routine and urgent care,preventive care and referrals to outside providers or specialists when necessary.In order to improve the health of our employees and dependents, St. Pat's developed Home Base, an employee healthcare program. Employees and dependents are connected with a primary care provider and a healthcare team to work with patients who have cardiometabolic risk factors to improve their health and wellness. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)
| ExpenseExpenseAmt | GrantGrantAmt | DescDesc | RevenueRevenueAmt |
|---|---|---|---|
| $843,944 | $843,944 | Grants and Allocations.See Schedule I. | |
| $5,861,674 | $0 | Healthcare Joint VenturesThrough partnerships, St. Patrick's is able to provide additional healthcare services to the community. | $8,280,836 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $6,705,618 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $843,944 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $8,280,836 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $230,977,824 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2016 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Karl E Fritschel CPA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4255253339 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Ave SW 9016 | AddressLine1Txt |
| City | Renton | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 980579016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (53 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Michael Holcomb | ||||||||||
| Chair of the Board | 0.10 | 7.30 | Yes (X) | Yes (X) | $0 | $60,360 | $0 | |||
| Chauncey Boyle SP | ||||||||||
| Director | 0.10 | 5.50 | Yes (X) | $0 | $0 | $0 | ||||
| Marian Schubert CSJ - Eff914 | ||||||||||
| Director | 0.10 | 4.50 | Yes (X) | $0 | $0 | $0 | ||||
| Phyllis Hughes RSM | ||||||||||
| Director | 0.10 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| Carolina Reyes MD | ||||||||||
| Director | 0.10 | 4.20 | Yes (X) | $0 | $15,360 | $0 | ||||
| Michael A Stein | ||||||||||
| Director | 0.10 | 6.00 | Yes (X) | $0 | $15,360 | $0 | ||||
| Eugene Al Parrish | ||||||||||
| Director | 0.10 | 5.00 | Yes (X) | $0 | $15,360 | $0 | ||||
| Peter J Snow | ||||||||||
| Director | 0.10 | 5.70 | Yes (X) | $0 | $20,860 | $0 | ||||
| Bob Wilson | ||||||||||
| Director | 0.10 | 5.00 | Yes (X) | $0 | $18,360 | $0 | ||||
| Sallye Liner | ||||||||||
| Director | 0.10 | 4.20 | Yes (X) | $0 | $15,360 | $0 | ||||
| Ellen L Wolf | ||||||||||
| Director | 0.10 | 7.10 | Yes (X) | $0 | $15,360 | $0 | ||||
| Isiaah Crawford | ||||||||||
| Director | 0.10 | 4.10 | Yes (X) | $0 | $15,360 | $0 | ||||
| Martha Diaz Aszkenazy | ||||||||||
| Director | 0.10 | 7.70 | Yes (X) | $0 | $18,360 | $0 | ||||
| Kirby McDonald | ||||||||||
| Director | 0.10 | 4.60 | Yes (X) | $0 | $15,360 | $0 | ||||
| Dave Olsen | ||||||||||
| Director | 0.10 | 5.50 | Yes (X) | $0 | $17,860 | $0 | ||||
| Charles Chuck Watts | ||||||||||
| Director | 0.10 | 4.60 | Yes (X) | $0 | $15,360 | $0 | ||||
| Rod F Hochman MD | ||||||||||
| President / CEO | 2.00 | 63.00 | Yes (X) | $0 | $1,951,887 | $494,326 | ||||
| Todd Hofheins | ||||||||||
| EVP/CFO | 1.00 | 59.00 | Yes (X) | $0 | $607,162 | $112,921 | ||||
| Cindy Strauss | ||||||||||
| SVP/Chief Legal Officer | 1.00 | 59.00 | Yes (X) | $0 | $488,042 | $234,850 | ||||
| Jeffrey Fee | ||||||||||
| CEO/St. Patrick Hospital | 45.00 | 10.00 | Yes (X) | $0 | $361,769 | $125,842 | ||||
| Kirk Bodlovic | ||||||||||
| CFO/St. Patrick Hospital | 50.00 | 0.00 | Yes (X) | $0 | $192,028 | $37,082 | ||||
| Michael L Butler | ||||||||||
| President/Operations & Services | 1.00 | 59.00 | $0 | $1,540,500 | $492,128 | Yes (X) | ||||
| Debra Canales | ||||||||||
| EVP/Chief People & Experience Ofc. | 1.00 | 55.00 | $0 | $1,076,219 | $23,317 | Yes (X) | ||||
| Lisa Vance | ||||||||||
| SVP/Clinical Program Services | 1.00 | 59.00 | $0 | $709,715 | $58,431 | Yes (X) | ||||
| Randy Axelrod MD | ||||||||||
| EVP/Clinical & Patient Svcs | 1.00 | 59.00 | $0 | $701,506 | $245,640 | Yes (X) | ||||
| Jack Friedman | ||||||||||
| SVP/Account Care & Payor Rel. | 1.00 | 49.00 | $0 | $596,381 | $177,566 | Yes (X) | ||||
| Aaron Martin | ||||||||||
| SVP/Strategy & Innovation | 2.00 | 63.00 | $0 | $563,108 | $18,041 | Yes (X) | ||||
| Craig L Wright MD | ||||||||||
| SVP/Physician Svcs | 1.00 | 59.00 | $0 | $549,952 | $312,082 | Yes (X) | ||||
| Janice Newell | ||||||||||
| SVP/Chief Information Officer | 1.00 | 54.00 | $0 | $529,442 | $220,834 | Yes (X) | ||||
| Deborah Burton | ||||||||||
| SVP/Chief Nrsg. Officer | 1.00 | 59.00 | $0 | $519,689 | $55,382 | Yes (X) | ||||
| David Brown | ||||||||||
| VP/Strategy & Business Development | 1.00 | 54.00 | $0 | $493,612 | $143,130 | Yes (X) | ||||
| Orest Holubec | ||||||||||
| SVP/Marketing & Communications | 1.00 | 54.00 | $0 | $486,207 | $53,563 | Yes (X) | ||||
| Mark Gargett | ||||||||||
| VP/Digital Integration | 1.00 | 49.00 | $0 | $476,541 | $80,347 | Yes (X) | ||||
| Joel S Gilbertson | ||||||||||
| SVP/Comm. Ptnrshp. / Ext. Affairs | 1.00 | 59.00 | $0 | $419,681 | $103,211 | Yes (X) | ||||
| John O Mudd | ||||||||||
| SVP/Mission Leadership | 1.00 | 54.00 | $0 | $418,054 | $95,818 | Yes (X) | ||||
| Gary Flaming | ||||||||||
| SVP/Chief Risk Officer | 1.00 | 54.00 | $0 | $415,719 | $89,217 | Yes (X) | ||||
| Teresa Spalding | ||||||||||
| VP/Revenue Cycle | 1.00 | 59.00 | $0 | $414,859 | $44,903 | Yes (X) | ||||
| Mike Waters | ||||||||||
| VP,CAO/Physician Services | 2.00 | 63.00 | $0 | $354,643 | $38,345 | Yes (X) | ||||
| Dave Hunter | ||||||||||
| VP/Supply Chain Management | 1.00 | 54.00 | $0 | $351,919 | $68,009 | Yes (X) | ||||
| Dana White | ||||||||||
| VP/Real Estate & Construction | 1.00 | 54.00 | $0 | $287,642 | $64,743 | Yes (X) | ||||
| Mark Wakai | ||||||||||
| Chief Ops & Strategy Officer | 50.00 | 0.00 | $275,210 | $0 | $40,206 | Yes (X) | ||||
| James M Maxwell MD | ||||||||||
| Physician | 50.00 | 0.00 | $775,260 | $0 | $61,561 | Yes (X) | ||||
| Mark L Sanz MD | ||||||||||
| Physician - Cardiology | 50.00 | 0.00 | $747,512 | $0 | $50,271 | Yes (X) | ||||
| James T Maddux MD | ||||||||||
| Physician - Cardiology | 50.00 | 0.00 | $663,698 | $0 | $46,240 | Yes (X) | ||||
| Richard Goulah MD | ||||||||||
| Physician | 50.00 | 0.00 | $633,648 | $0 | $18,012 | Yes (X) | ||||
| George T Bandow MD | ||||||||||
| Physician - Cardiology | 50.00 | 0.00 | $629,562 | $0 | $23,734 | Yes (X) | ||||
| John F Koster MD | ||||||||||
| Former President & CEO | 0.00 | 0.00 | $0 | $896,255 | $766,217 | Yes (X) | ||||
| Jeff W Rogers | ||||||||||
| Former Corporate Secretary | 0.00 | 0.00 | $0 | $231,112 | $390,991 | Yes (X) | ||||
| Cindra R Syverson | ||||||||||
| Former SVP/CHRO | 0.00 | 0.00 | $0 | $2,068,293 | $18,318 | Yes (X) | ||||
| Ray Williams | ||||||||||
| Former SVP/Physicians Svcs | 0.00 | 0.00 | $0 | $1,060,879 | $4,597 | Yes (X) | ||||
| John Fletcher | ||||||||||
| Former VP/Operations Support | 0.00 | 0.00 | $0 | $1,042,943 | $431,091 | Yes (X) | ||||
| Jan J Jones | ||||||||||
| Former SVP/CAO | 0.00 | 0.00 | $0 | $879,104 | $330,527 | Yes (X) | ||||
| Terry L Smith | ||||||||||
| Former SVP/Management Svcs | 0.00 | 0.00 | $0 | $180,427 | $310,927 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,724,890 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $21,123,970 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $5,882,420 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 145 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Broadway Imaging LLC | |||||
| PO Box 4587 | Missoula | MT | 59806 | Medical Imaging | $17,056,398 |
| Western MT Emergency Phys | |||||
| 500 West Broadway | Missoula | MT | 59802 | ER Physicians | $5,609,634 |
| Montana Cancer Specialists | |||||
| PO Box 7877 | Missoula | MT | 59807 | Cancer Specialist Services | $3,647,136 |
| University Of Montana MSU | |||||
| University Center Room 232 | Missoula | MT | 59812 | Family Medical Residencies | $2,732,781 |
| Bouten Construction | |||||
| PO Box 3507 | Spokane | WA | 99220 | Construction Services | $1,773,602 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 69 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $587,980 | RelatedOrganizationsAmt |
| Government Grants | $2,560,354 | GovernmentGrantsAmt |
| Total Contributions | $3,148,334 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Acute Care - Inpatient | 622110 | $128,504,739 | $128,504,739 |
| Acute Care -Outpatient | 621400 | $121,464,006 | $121,464,006 |
| Primary Care | 621110 | $38,418,028 | $38,418,028 |
| Joint Ventures | 900099 | $8,280,836 | $8,280,836 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $296,667,609 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $891,173 | TotalRevenueColumnAmt |
| Exclusion | $891,173 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,333,518 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,681,588 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$348,070 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$348,070 | TotalRevenueColumnAmt |
| Exclusion | -$348,070 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,432,783 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,944,521 | SecuritiesAmt |
| Other | $6,079 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $488,262 | SecuritiesAmt |
| Other | -$6,079 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $482,183 | TotalRevenueColumnAmt |
| Exclusion | $482,183 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $199,515 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $131,842 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,673 | TotalRevenueColumnAmt |
| Exclusion | $67,673 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| BIC Outside Services | 900099 | $1,958,919 | $1,958,919 | ||
| Laboratory | 900099 | $448,239 | $448,239 | ||
| Laundry & Linen | 900099 | $316,176 | $254,386 | $61,790 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,434,973 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $511,213 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $923,760 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,158,307 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $305,067,209 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $299,585,980 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $254,386 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,078,509 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $812,932 | TotalAmt |
| Program Services | $812,932 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,012 | TotalAmt |
| Program Services | $31,012 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $295,664 | TotalAmt |
| Management And General | $295,664 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,811,480 | TotalAmt |
| Program Services | $79,507,940 | ProgramServicesAmt |
| Management And General | $15,303,540 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,964,048 | TotalAmt |
| Program Services | $1,659,546 | ProgramServicesAmt |
| Management And General | $304,502 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $510,143 | TotalAmt |
| Program Services | $425,948 | ProgramServicesAmt |
| Management And General | $84,195 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,782,054 | TotalAmt |
| Program Services | $5,340,007 | ProgramServicesAmt |
| Management And General | $1,442,047 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,331 | TotalAmt |
| Program Services | $154,897 | ProgramServicesAmt |
| Management And General | $50,434 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $700 | TotalAmt |
| Management And General | $700 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,753 | TotalAmt |
| Management And General | $96,753 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,199,646 | TotalAmt |
| Program Services | $41,341,500 | ProgramServicesAmt |
| Management And General | $1,858,146 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,037,309 | TotalAmt |
| Program Services | $1,037,309 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,391,902 | TotalAmt |
| Program Services | $2,835,587 | ProgramServicesAmt |
| Management And General | $556,315 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $448,232 | TotalAmt |
| Program Services | $324,329 | ProgramServicesAmt |
| Management And General | $123,903 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,816,722 | TotalAmt |
| Program Services | $4,166,216 | ProgramServicesAmt |
| Management And General | $650,506 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $572,679 | TotalAmt |
| Program Services | $414,961 | ProgramServicesAmt |
| Management And General | $157,718 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,134 | TotalAmt |
| Program Services | $154,566 | ProgramServicesAmt |
| Management And General | $60,568 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,503,830 | TotalAmt |
| Program Services | $2,503,830 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,672,101 | TotalAmt |
| Program Services | $23,297,097 | ProgramServicesAmt |
| Management And General | $33,375,004 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,042,065 | TotalAmt |
| Program Services | $7,479,685 | ProgramServicesAmt |
| Management And General | $1,562,380 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,205 | TotalAmt |
| Program Services | $23,205 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $54,469,601 | $54,468,020 | $1,581 |
| Bad Debts | $4,509,814 | $4,509,814 | |
| Dues & Subscriptions | $540,141 | $253,128 | $287,013 |
| License and Taxes | $29,741 | $25,736 | $4,005 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $637,633 | TotalAmt |
| Program Services | $210,559 | ProgramServicesAmt |
| Management And General | $427,074 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,619,872 | TotalAmt |
| Program Services | $230,977,824 | ProgramServicesAmt |
| Management And General | $56,642,048 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,761 | BOYAmt |
| EOY | $171,245 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,239,318 | BOYAmt |
| EOY | $1,246,559 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,269,269 | BOYAmt |
| EOY | $42,473,147 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,429,919 | BOYAmt |
| EOY | $10,831,238 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,518,645 | BOYAmt |
| EOY | $5,520,240 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,066 | BOYAmt |
| EOY | $245,426 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $236,744,350 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $155,572,409 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,870,702 | BOYAmt |
| EOY | $81,171,941 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,048,903 | BOYAmt |
| EOY | $35,771,710 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,842,293 | BOYAmt |
| EOY | $13,312,803 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,783,300 | BOYAmt |
| EOY | $93,278,975 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $252,366,176 | BOYAmt |
| EOY | $284,023,284 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,219,179 | BOYAmt |
| EOY | $25,805,545 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,623 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,034,998 | BOYAmt |
| EOY | $49,455,688 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,766,146 | BOYAmt |
| EOY | $72,815,139 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,037,946 | BOYAmt |
| EOY | $148,076,372 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,892,347 | BOYAmt |
| EOY | $130,928,043 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,468,261 | BOYAmt |
| EOY | $3,972,358 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $967,622 | BOYAmt |
| EOY | $1,046,511 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,328,230 | BOYAmt |
| EOY | $135,946,912 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $252,366,176 | BOYAmt |
| EOY | $284,023,284 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $17,447,337 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $661,340 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $510,005 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $700 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Total Lobbying Expenditures | $700 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The portion of monthly dues paid to the Montana Hospital Association designated for lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,594,524 | OtherCostOrOtherBasisAmt |
| Book Value | $10,594,524 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $104,960,229 | OtherCostOrOtherBasisAmt |
| Depreciation | $64,088,340 | DepreciationAmt |
| Book Value | $40,871,889 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,637,107 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,157,963 | DepreciationAmt |
| Book Value | $479,144 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $114,930,457 | OtherCostOrOtherBasisAmt |
| Depreciation | $89,326,106 | DepreciationAmt |
| Book Value | $25,604,351 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,622,033 | OtherCostOrOtherBasisAmt |
| Book Value | $3,622,033 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $81,171,941 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Unamortized Bond Financing Costs | $372,309 |
| Cash Surrender Value of Life Insurance | $55,006 |
| Due from Affiliates | $87,732,258 |
| Other Receivables | $865,973 |
| Third Party Settlements | $3,806,025 |
| Trustee Held Funds | $16 |
| EHR Medicare Incentive Receivable | $447,388 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $93,278,975 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $64,836,498 |
| Bond Premium Discount | $1,107,662 |
| Obligation for Financing Lease | $5,535,000 |
| Capitalized Lease Obligation | $578,321 |
| Third Party Settlements | $757,658 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $72,815,139 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Health System 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. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $13,603,151 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,603,151 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04800 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $22,885,189 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,485,049 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,400,140 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00850 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $72,640 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $65,569 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,071 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,560,980 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,550,618 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,010,362 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05650 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $308,848 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $308,848 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $2,901,357 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,424,759 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,476,598 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00520 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $18,506,384 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,267,828 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,238,556 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03620 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $164,241 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $164,241 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $15,050 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,050 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,895,880 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,692,587 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,203,293 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04320 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58,456,860 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,243,205 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,213,655 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09970 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $26,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $26,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $60,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $60,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $27,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $113,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $113,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,509,814 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $113,565,599 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $142,229,803 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$28,664,204 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 NONE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Providence St Patrick Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 West Broadway | AddressLine1Txt |
| City | Missoula | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | montana.providence.org/hospitals/ | WebsiteAddressTxt |
| State License | 13200 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Rehab and Psych | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Providence St Patrick Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://montana.providence.org/hospitals/ | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | montana.providence.org/hospitals/st-patrick/community-support/community-hea | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Providence St. Patrick Hospital | Part V, Section B, Line 5: The Community Health Assessment workgroup included representatives from the Missoula City-County Health Department, Community Medical Center, St. Patrick Hospital, Partnership Health Center, Air Quality Advisory Council, Curry Health Center, Maternal Child Health Advisory Council, Missoula Aging Services, Missoula Indian Center, Water Quality Advisory Council, WORD, Inc. and the YWCA. |
| Providence St. Patrick Hospital | Part V, Section B, Line 6a: Community Medical Center |
| Providence St. Patrick Hospital | Part V, Section B, Line 11: See "Community Health Improvement Plan" located at montana.providence.org/hospitals/st-patrick/community-support/ |
| Providence St. Patrick Hospital | Part V, Section B, Line 16i: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office. |
| Providence St. Patrick Hospital | Part V, Section B, Line 20e: Financial Assistance information along with payment options are given on each billing statement to the patient. |
| Providence St. Patrick Hospital | Part V, Section B, Line 22d: The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family. |
| Providence St. Patrick Hospital | Part V, Section B, Line 24: For non medically necessary services a patient may be charged full billed charges. |
| Part V, Section B, Line 16 | Financial Assistance Policy Website Availability |
| Providence St. Patrick Hospital Part V, Section B, line 16a website: | www2.providence.org/obp/docs/mt-charity-care-policy.pdf |
| Providence St. Patrick Hospital Part V, Section B, line 16b website: | www2.providence.org/obp/docs/financialassistancerequest(english).pdf |
| Providence St. Patrick Hospital Part V, Section B, line 16c website: | www2.providence.org/obp/states/MT/financial-assistance.html |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Broadway Building | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 West Broadway | AddressLine1Txt |
| City | Missoula | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Outpatient Services | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | The PH&S sliding fee scale will be used to determine the amount to be written off as charity care for guarantors with income between 101% and 400% of the current federal poverty level after all funding possibilities available to the guarantor have been exhausted or denied and personal financial resources and assets have been reviewed for possible funding to pay for billing charges. |
| Part I, Line 6a: | In addition to providing its own smaller Community Benefit Report, St. Patrick's Community Benefit information is included in the consolidated report for Providence Health & Services.http://montana.providence.org/hospitals/st-patrick/community-support/ |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 4,509,814. |
| Part II, Community Building Activities: | Physical Improvements/Housing: Habitat for HumanityHaving a safe and affordable place to live is critical to the overall health of the individual, family and community, therefore supporting housing initiatives for vulnerable populations is enhancing public health. St. Patrick Hospital participates and supports other community-wide housing efforts, such as the At Risk Housing Coalition and has provided funding to the Poverello Center to build four medical respite beds in the new homeless shelter.Community Support: Kids Table St. Patrick Hospital partners with the Kid's Table, a program of the Missoula Food Bank that provides nutritious meals for children during the summer months when they are unable to access a meal at school. This program is helping address childhood because kids who grow up with the threat of hunger are more likely to underperform in school, and are at higher risk of a number of health-related issues that range from obesity and diabetes to depression and anxiety.Community Health Improvement/Advocacy: Medication and enrollment assistance for health coverageUninsured patients often do not fill critical prescriptions due to cost and forego care due to lack of coverage, which affects their long term health. This program assists low income and self pay patients with the assistance they need to access patient assistance programs of pharmaceutical companies and state/federal coverage options. With the high uninsured rate in Missoula County at 19%, the total number seniors living in poverty at 69% and the many patients with mental illness that St. Patrick Hospital serves, we work to bridge patient needs with programs that can support them.In addition to the free and discounted care that we provide, we also have State Health Insurance certified counselors trained to assist uninsured and underinsured residents in our community in securing options for both medical (ACA) and pharmaceutical coverage. This program is not done for marketing purposes and meets a necessary public health objective.Community Health Improvement: Environmental StewardshipGreen 4 Good (G4G) is the program at St. Patrick Hospital to help decrease the environmental impacts of our daily healthcare work. As a hospital, we are charged with caring for people in times of need; requiring resources such as supplies, heat, and electricity to do so. At the same time, healthcare causes pollution through its energy use, waste creation and use of toxic chemicals. Through G4G, St. Patrick Hospital works to reduce impacts to the natural environment, in turn creating a healthier environment for patients, staff members, and communities. Activities include efforts to reduce energy consumption, waste ("Waste Overhaul" to streamline commingled recycling, expand pharmaceutical waste disposal, improve segregation of infectious waste), Toxic Chemicals and Engagement for both internal and external customers. The Kids Ride Free program is a community sponsored program of Mountain Line public transportation system that seeks to provide children transportation that removes barriers for participation in educational, summer feeding programs and other critical services in the community. St. Patrick Hospital also sees the Kids Ride Free program as an important part of our Green for Good environmental initiative as well. The support of both of these programs is meeting a public health objective and not done for marketing purposes. |
| Part III, Line 2: | Bad debt expense represents the amount of gross charges for patients who do not have insurance and which Providence was unable to qualify for assistance under either government programs or our internal charity care policy. |
| Part III, Line 4: | The Health System provides for an allowance against patient accounts receivable for amounts that could become uncollectible. The Health System estimates this allowance based on the aging of accounts receivable, historical collection experience by payor, and other relevant factors. There are various factors that can impact the collection trends, such as changes in the economy, which in turn have an impact on unemployment rates and the number of uninsured and underinsured patients, the increased burden of copayments to be made by patients with insurance coverage and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the estimation process used by the Health System. The provision for bad debts in 2014 has decreased from 2013 as a result of the expansion of Medicaid programs and initiatives to assist patients in their Medicaid enrollment. The Health System records a provision for bad debts in the period of services on the basis of past experience, which has historically indicated that many patients are unresponsive or are otherwise unwilling to pay the portion of their bill for which they are financially responsible. |
| Part III, Line 8: | It is Providence's policy to exclude any Medicare shortfall from Community Benefit information. The amount reported on Part III, Section B, line 6, was determined by applying the Cost-to-Charge Ratio to the Medicare revenue. |
| Part III, Line 9b: | Billing and Collection PracticesProvidence has written policies about when and under whose authority patient debt is advanced for collection, and uses its best efforts to ensure that patient accounts are processed fairly and consistently.Providence ensures that practices to be used by their outside (non-hospital) collection agencies conform to the standards set forth in this policy, and obtains written commitments from such agencies that they will adhere to those standards. Providence also conducts an assessment of each collection agency's adherence to the policy. Such assessments are conducted at least annually.At time of billing, we provide to all low-income uninsured patients the same information concerning services and charges provided to all other patients who receive care at the hospital.When sending a bill to a patient, Providence includes a) a statement that indicates that if the patient meets certain income requirements the patient may be eligible for a government-sponsored program or for financial assistance from the hospital; and b) a statement that provides the patient with the name and telephone number of a hospital employee or office from whom or which the patient may obtain information about Providence's financial assistance policies for patients and how to apply for such assistance.Any patient seeking financial assistance from Providence (or the patient's legal representative) provides the individual facility with information concerning health benefits coverage, financial status (i.e. income, assets) and any other information that is necessary for the hospital to make a determination regarding the patient's status relative to Providence's financial assistance policy, discounted payment policy, or eligibility for government-sponsored programs.For patients who have an application pending determination for either government-sponsored coverage or for the hospitals own financial assistance program, Providence will not knowingly send that patient's bill to a collection agency.Eligibility for financial assistance will be determined as closely as possible to the date of service. |
| Part VI, Line 2: | We recognize that caring for the poor and vulnerable is not a task we can do on our own. On a routine basis we conduct a formal community assessment to determine who in our communities is experiencing the greatest need. This outreach connects us to many not-for-profits and social service agencies as well as care providers and their clients in the communities. To ensure that we conduct a comprehensive assessment, our process includes research, meetings, interviews, focus groups and surveys.Additionally, Providence ministries have community and foundation boards. The civic leaders that serve on Providence Boards connect our Mission with a local perspective on community needs.Our assessment findings are assembled to make certain we understand and respond to local and regional needs, which often vary from one city or county to another. Identified areas of need not only guide our community benefit giving, but also guide our strategic planning. We believe meaningful community needs assessment provides insight into the complete community benefit that is required, beyond just free and discounted care. |
| Part VI, Line 3: | Communication to the Public:Providence hospitals post notices regarding the availability of financial assistance to low-income uninsured patients. These notices are posted in visible locations throughout the hospital such as admitting/registration, billing office, emergency department and other outpatient settings.Every posted notice regarding financial assistance policies contains brief instructions on how to apply for financial assistance or a discounted payment. The notices also include a contact telephone number that a patient or family member can call to obtain more information.Providence ensures that appropriate staff members are knowledgeable about the existence of the hospital's financial assistance policies. Training is provided to staff members (i.e., billing office, financial department, etc.) who directly interact with patients regarding their hospital bills.When communicating to patients regarding their financial assistance policies, Providence attempts to do so in the primary language of the patient, or his/her family, if reasonably possible, and in a manner consistent with all applicable federal and state laws and regulations.Providence shares their financial assistance policies with appropriate community health and human services agencies and other organizations that assist such patients. |
| Part VI, Line 4: | St. Patrick Hospital is a Catholic, not-for-profit acute care tertiary medical center located in Missoula, Montana. The hospital serves a primary service area of about 200,000 people in western Montana and 400,000 others in contiguous areas. St. Patrick Hospital provides cardiac and neurosurgical services along with other acute inpatient medical/surgical services and inpatient rehabilitation and neurobehavioral medicine. St. Patrick Hospital operates the only level 2 Trauma Center in Western Montana and has accredited chest pain, stroke and child advocacy programs (FirstSTEP).The US Census estimates Missoula County's 2013 population at 111,807, the second most populous county in Montana. The City of Missoula is the county seat and has an estimated 2013 population of 69,122, almost 62% of the total county population. The US census estimated growth rate for Missoula County between 2010 and 2013 is 2.3%.Poverty levels are high in Missoula County, and wages are low. The US census 2013 estimates are that 18% of county residents living in poverty, compared to 15% in Montana. |
| Part VI, Line 5: | St. Patrick Hospital, St. Joseph Medical Center and Providence Medical Group collectively build and support coordinated services across the continuum of care to meet regional residents' needs, while mutually supporting organizational, operational, and fiscal health. Joint ventures include research collaborations (cardiac, neuroscience, and oncology) with the University of Montana; affiliations with long term care facilities; a federally qualified health center and a surgery center, among others. St. Patrick Hospital management is directed by an independent governing board which helps direct the hospital in its Mission to serve the community. The composition of the governing board represents the diversity of the community by having representatives from local government, social service agencies, medical providers, independent business representatives and interested community members. The St. Patrick Hospital Board reviews and develops the community benefit plan, providing information and insight into community needs and resources and helping set priorities for what community needs are to be addressed. They also receive regular updates on the overall community benefit strategy and specific programs to assess whether the organization is having an impact on the health of the community. The Institute of Medicine and Humanities is a joint program of The University of Montana and St. Patrick Hospital. The institute fosters the human dimensions of health care by working at the interface of the humanities and medicine. Since its inception in 1987, the Institute of Medicine and Humanities has employed both the traditional humanities and the fine arts to illuminate and understand major issues that confront health care in contemporary society. As medicine has changed, the institute has also evolved its focus to look more broadly at opportunities to make a difference through education in the health care environment with an emphasis on health, as opposed to health care specifically. This includes education of the public about important health care issues; education of undergraduates interested in the health care profession; and education of graduate level nursing, pharmacy and medical students in ethics, collaborative care and team building and conflict resolution. |
| Part VI, Line 6: | As a ministry of Providence Health & Services, St. Patrick Hospital is guided by a Mission and set of core values based on Catholic health care and inspired by the legacy of the Sisters of Providence. As one Catholic health system committed to caring for the poor and vulnerable, Providence Health & Services has developed a single framework for consistently reporting charity care and community benefit. Our responsibility to stewardship drives us to a standardized approach to supply chain so that we can deliver excellent patient care while reducing the cost of delivered supplies. Our commitment to respect and fairness means Providence has a system-wide compensation policy. Locally, Providence St. Patrick Hospital is empowered to apply these policies to meet the local needs of their community. St. Patrick Hospital has affiliate relationships with the following critical access hospitals in western Montana: Community Medical Hospital in Anaconda; Clark Fork Valley Hospital in Plains and Granite County Hospital in Phillipsburg. These critical access hospitals are limited service hospitals designed to provide essential services to rural communities. St. Patrick Hospital supports its rural community hospitals by allowing them to purchase supplies and medical equipment at a very low cost due to the purchasing abilities of the whole Providence system. These critical access hospitals are able to maintain access to critical medical services in very rural counties by Providence's support, in fact, every one of these hospitals is located in a county that has the federal designation as health provider shortage areas. St. Patrick Hospital conducts local assessments to make sure the needs of the community are met. The community board of directors oversees and approves the annual community benefit plan that addresses the health care disparities within the community. The community benefit plan is developed and reviewed annually to ensure that the proposed outcomes are being met. This plan is implemented in concert with others in the community to increase the accountability that we share with them to improve the health of our community and to not duplicate services. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| St Patrick Hospital Foundation dba Providence Montana Health Foundation | |||||||
| 900 N Orange Suite 201 | Missoula | MT | 59802 | 237056976 | 501 (C)(3) | $501,442 | Contribution for Operational Support |
| University of Montana Foundation | |||||||
| PO Box 7159 | Missoula | MT | 59807 | 810362989 | 501 (C)(3) | $60,000 | Support Healthcare in Community |
| The Poverello Center | |||||||
| 535 Ryman St | Missoula | MT | 59802 | 237439391 | 501 (C)(3) | $50,000 | Support service to hungry & homeless |
| Loyola Sacred Heart High School | |||||||
| 320 Edith | Missoula | MT | 59801 | 810244544 | 501 (C)(3) | $50,000 | Fund for HS Faculty and Staff |
| Catholic Social Services Of Montana | |||||||
| PO Box 907 | Helena | MT | 59624 | 920037322 | 501 (C)(3) | $35,000 | Serving Catholic social services in MT |
| Missoula County Health Department | |||||||
| 301 W Alder Street | Missoula | MT | 59802 | 816001397 | Government | $31,533 | Catch Contract with Health Department |
| Missoula County United Way | |||||||
| 412 W Alder St | Missoula | MT | 59807 | 810287854 | 501 (C)(3) | $24,000 | Support Healthcare in Community |
| Friends of Public Education | |||||||
| 215 S 6th Street W | Missoula | MT | 59801 | 810504312 | 501 (C)(3) | $20,000 | Support Healthcare in Community |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Medication Assistance to low income patients | GrantTypeTxt |
| Recipient | 815 | RecipientCnt |
| Non Cash Assistance | $31,012 | NonCashAssistanceAmt |
| Valuation Method Used | Cost | ValuationMethodUsedDesc |
| Non Cash Assistance | Medication Assistance to low income patients. | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | In the application for support, we request a detailed explanation of the kind of services provided to the community along with specific financial data. If the application for support is approved, we send a letter indicating the amount of the support along with a request for documentation of how the funds were used. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (37 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rod F Hochman MD | ||||||||||||||
| President / CEO | $0 | $1,184,387 | $0 | $750,000 | $0 | $17,500 | $0 | $473,741 | $0 | $20,585 | $0 | $2,446,213 | $0 | $0 |
| Todd Hofheins | ||||||||||||||
| EVP/CFO | $0 | $589,662 | $0 | $0 | $0 | $17,500 | $0 | $89,039 | $0 | $23,882 | $0 | $720,083 | $0 | $0 |
| Cindy Strauss | ||||||||||||||
| SVP/Chief Legal Officer | $0 | $470,542 | $0 | $0 | $0 | $17,500 | $0 | $212,878 | $0 | $21,972 | $0 | $722,892 | $0 | $0 |
| Jeffrey Fee | ||||||||||||||
| CEO/St. Patrick Hospital | $0 | $361,769 | $0 | $0 | $0 | $0 | $0 | $103,491 | $0 | $22,351 | $0 | $487,611 | $0 | $0 |
| Kirk Bodlovic | ||||||||||||||
| CFO/St. Patrick Hospital | $0 | $191,998 | $0 | $0 | $0 | $30 | $0 | $18,634 | $0 | $18,448 | $0 | $229,110 | $0 | $0 |
| Michael L Butler | ||||||||||||||
| President/Operations & Services | $0 | $983,000 | $0 | $540,000 | $0 | $17,500 | $0 | $466,289 | $0 | $25,839 | $0 | $2,032,628 | $0 | $0 |
| Debra Canales | ||||||||||||||
| EVP/Chief People & Experience Ofc. | $0 | $706,646 | $0 | $265,000 | $0 | $104,573 | $0 | $11,700 | $0 | $11,617 | $0 | $1,099,536 | $0 | $0 |
| Lisa Vance | ||||||||||||||
| SVP/Clinical Program Services | $0 | $434,708 | $0 | $246,809 | $0 | $28,198 | $0 | $38,628 | $0 | $19,803 | $0 | $768,146 | $0 | $0 |
| Randy Axelrod MD | ||||||||||||||
| EVP/Clinical & Patient Svcs | $0 | $681,191 | $0 | $0 | $0 | $20,315 | $0 | $222,505 | $0 | $23,135 | $0 | $947,146 | $0 | $0 |
| Jack Friedman | ||||||||||||||
| SVP/Account Care & Payor Rel. | $0 | $531,342 | $0 | $47,539 | $0 | $17,500 | $0 | $151,650 | $0 | $25,916 | $0 | $773,947 | $0 | $0 |
| Aaron Martin | ||||||||||||||
| SVP/Strategy & Innovation | $0 | $463,108 | $0 | $100,000 | $0 | $0 | $0 | $11,700 | $0 | $6,341 | $0 | $581,149 | $0 | $0 |
| Craig L Wright MD | ||||||||||||||
| SVP/Physician Svcs | $0 | $519,920 | $0 | $0 | $0 | $30,032 | $0 | $293,065 | $0 | $19,017 | $0 | $862,034 | $0 | $0 |
| Janice Newell | ||||||||||||||
| SVP/Chief Information Officer | $0 | $511,942 | $0 | $0 | $0 | $17,500 | $0 | $208,385 | $0 | $12,449 | $0 | $750,276 | $0 | $0 |
| Deborah Burton | ||||||||||||||
| SVP/Chief Nrsg. Officer | $0 | $346,075 | $0 | $156,114 | $0 | $17,500 | $0 | $31,767 | $0 | $23,615 | $0 | $575,071 | $0 | $0 |
| David Brown | ||||||||||||||
| VP/Strategy & Business Development | $0 | $354,112 | $0 | $139,500 | $0 | $0 | $0 | $121,500 | $0 | $21,630 | $0 | $636,742 | $0 | $0 |
| Orest Holubec | ||||||||||||||
| SVP/Marketing & Communications | $0 | $348,449 | $0 | $120,258 | $0 | $17,500 | $0 | $31,673 | $0 | $21,890 | $0 | $539,770 | $0 | $0 |
| Mark Gargett | ||||||||||||||
| VP/Digital Integration | $0 | $360,689 | $0 | $115,852 | $0 | $0 | $0 | $57,037 | $0 | $23,310 | $0 | $556,888 | $0 | $0 |
| Joel S Gilbertson | ||||||||||||||
| SVP/Comm. Ptnrshp. / Ext. Affairs | $0 | $402,181 | $0 | $0 | $0 | $17,500 | $0 | $81,301 | $0 | $21,910 | $0 | $522,892 | $0 | $0 |
| John O Mudd | ||||||||||||||
| SVP/Mission Leadership | $0 | $371,637 | $0 | $34,705 | $0 | $11,712 | $0 | $77,766 | $0 | $18,052 | $0 | $513,872 | $0 | $0 |
| Gary Flaming | ||||||||||||||
| SVP/Chief Risk Officer | $0 | $264,317 | $0 | $133,902 | $0 | $17,500 | $0 | $70,770 | $0 | $18,447 | $0 | $504,936 | $0 | $0 |
| Teresa Spalding | ||||||||||||||
| VP/Revenue Cycle | $0 | $312,558 | $0 | $84,801 | $0 | $17,500 | $0 | $32,445 | $0 | $12,458 | $0 | $459,762 | $0 | $0 |
| Mike Waters | ||||||||||||||
| VP,CAO/Physician Services | $0 | $324,643 | $0 | $30,000 | $0 | $0 | $0 | $28,185 | $0 | $10,160 | $0 | $392,988 | $0 | $0 |
| Dave Hunter | ||||||||||||||
| VP/Supply Chain Management | $0 | $300,714 | $0 | $33,705 | $0 | $17,500 | $0 | $49,466 | $0 | $18,543 | $0 | $419,928 | $0 | $0 |
| Dana White | ||||||||||||||
| VP/Real Estate & Construction | $0 | $270,802 | $0 | $0 | $0 | $16,840 | $0 | $43,097 | $0 | $21,646 | $0 | $352,385 | $0 | $0 |
| Mark Wakai | ||||||||||||||
| Chief Ops & Strategy Officer | $275,173 | $0 | $0 | $0 | $37 | $0 | $20,453 | $0 | $19,753 | $0 | $315,416 | $0 | $0 | $0 |
| James M Maxwell MD | ||||||||||||||
| Physician | $629,828 | $0 | $127,902 | $0 | $17,530 | $0 | $40,035 | $0 | $21,526 | $0 | $836,821 | $0 | $0 | $0 |
| Mark L Sanz MD | ||||||||||||||
| Physician - Cardiology | $572,961 | $0 | $157,021 | $0 | $17,530 | $0 | $28,207 | $0 | $22,064 | $0 | $797,783 | $0 | $0 | $0 |
| James T Maddux MD | ||||||||||||||
| Physician - Cardiology | $638,668 | $0 | $7,500 | $0 | $17,530 | $0 | $23,584 | $0 | $22,656 | $0 | $709,938 | $0 | $0 | $0 |
| Richard Goulah MD | ||||||||||||||
| Physician | $316,817 | $0 | $299,300 | $0 | $17,531 | $0 | $6,283 | $0 | $11,729 | $0 | $651,660 | $0 | $0 | $0 |
| George T Bandow MD | ||||||||||||||
| Physician - Cardiology | $325,087 | $0 | $304,445 | $0 | $30 | $0 | $7,534 | $0 | $16,200 | $0 | $653,296 | $0 | $0 | $0 |
| John F Koster MD | ||||||||||||||
| Former President & CEO | $0 | $49,738 | $0 | $624,015 | $0 | $222,502 | $0 | $762,492 | $0 | $3,725 | $0 | $1,662,472 | $0 | $1,162,929 |
| Jeff W Rogers | ||||||||||||||
| Former Corporate Secretary | $0 | $0 | $0 | $12,493 | $0 | $218,619 | $0 | $390,991 | $0 | $0 | $0 | $622,103 | $0 | $467,812 |
| Cindra R Syverson | ||||||||||||||
| Former SVP/CHRO | $0 | $23,967 | $0 | $1,162,497 | $0 | $881,829 | $0 | $10,140 | $0 | $8,178 | $0 | $2,086,611 | $0 | $651,475 |
| Ray Williams | ||||||||||||||
| Former SVP/Physicians Svcs | $0 | $1,424 | $0 | $434,467 | $0 | $624,988 | $0 | $0 | $0 | $4,597 | $0 | $1,065,476 | $0 | $286,164 |
| John Fletcher | ||||||||||||||
| Former VP/Operations Support | $0 | $32,671 | $0 | $215,075 | $0 | $795,197 | $0 | $408,292 | $0 | $22,799 | $0 | $1,474,034 | $0 | $739,867 |
| Jan J Jones | ||||||||||||||
| Former SVP/CAO | $0 | $30,294 | $0 | $153,867 | $0 | $694,943 | $0 | $303,683 | $0 | $26,844 | $0 | $1,209,631 | $0 | $595,726 |
| Terry L Smith | ||||||||||||||
| Former SVP/Management Svcs | $0 | $35,751 | $0 | $39,958 | $0 | $104,718 | $0 | $309,097 | $0 | $1,830 | $0 | $491,354 | $0 | $320,288 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | The reporting organization did not provide any of the benefits listed in Part I, Line 1a. However, as part of Providence'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: First Class Travel or Charter Travel or Travel of Companions Air travel is reimbursable for tourist or economy class and should be at the least expensive airfare; which permits departures and arrivals at reasonable times and reasonable distance traveled. Employees are encouraged to plan in advance to get available discounts. Airline frequent flyer upgrades will never be reimbursed. First class air travel will only be reimbursed when tourist or economy class air travel is not available and business travel is mandated by a supervisor. In the rare circumstance that an executive must fly on a first class full fare ticket, their senior level supervisor must approve this expense. Companion travel will only be reimbursed by the organization for travel related to relocation, and should not exceed two relocation-related visits, unless approved by the Executive Vice President/Chief People and Experience Officer. Spouse or Companion Travel. Travel expenses incurred by a PH&S employee's spouse or companion will not be reimbursed by PH&S unless the spouse or companion is required to, or invited to attend a PH&S System-sponsored meeting. These expenses may be considered a taxable benefit by the IRS and if so, will be included on the employee's W- 2. During 2014, there were three First Class tickets utilized by Officers, Directors or Key Employees listed on Form 990, Part VII. Tax Indemnifications or Gross-Up Payments 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 2014, the following Listed Persons received gross-up payments: Debra Canales Lisa Vance Craig Wright, MD Cindra Syverson The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation in the 990. Housing Allowance or Residence for Personal Use Providence Health & Services provides housing allowances for purposes of relocation assistance only. Providence may pay temporary living expenses for the employee up to a maximum of 90 calendar days. Covered expenses are rent (excluding "rent" which may be paid in order to occupy a new permanent residence until the title clears) and utilities, including heat, electricity, gas, water, local internet and local telephone and garbage services. The Executive Vice President/Chief People and Experience Officer may approve temporary housing assistance for up to six months when family relocation is delayed to accommodate the school year or equivalent circumstances. Only in extenuating circumstances is housing extended beyond this six month period. During 2014, the following Listed Persons received relocation/housing program payments: Debra Canales Lisa Vance Craig Wright, MD Cindra Syverson The amounts reported for these relocation/housing payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. |
| Part I, Lines 4a-b | NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) CBRP = Cash Balance Restoration Plan C) ESP = Elective Survivor Plan 1) Rod Hochman, MD a) SERP Earned but not Vested- $423,527 b) SERP Interest Credit - $32,014 2) Todd Hofheins a) SERP Earned but not Vested - $61,763 3) Cindy Strauss a) SERP Earned but not Vested - $173,177 b) SERP Interest Credit - $20,200 4) Mike Butler a) SERP Earned but not Vested - $375,980 b) SERP Interest Credit - $55,936 5) Lisa Vance a) Taxable CBRP Paid - $65 b) Taxable SERP Earned but not Paid - $246,744 c) SERP Interest Credit - $5,405 6) Randy Axelrod a) SERP Earned but not Vested - $210,806 7) Jack Friedman a) Taxable SERP Earned but not Paid - $47,539 b) SERP Interest Credit - $100,696 8) Craig Wright, MD a) SERP Earned but not Vested - $172,424 b) SERP Interest Credit - $91,172 9) Janice Newell a) SERP Earned but not Vested - $185,427 b) SERP Interest Credit - $4,758 10) Deborah Burton a) Taxable SERP Earned but not Paid - $156,114 b) SERP Interest Credit - $4,843 11) David Brown a) SERP Earned but not Vested - $74,010 b) SERP Interest Credit - $19,770 12) Orest Holubec a) SERP Earned but not Vested - $18,642 b) SERP Interest Credit - $1,332 13) Mark Gargett a) Taxable SERP Earned but not Paid - $111,973 b) Taxable CBRP Paid - $3,879 c) SERP Interest Credit - $22,957 14) Joel Gilbertson a) SERP Earned but not Vested - $48,936 b) SERP Interest Credit - $13,976 15) Jack Mudd a) Taxable SERP Earned but not Paid - $34,705 b) SERP Interest Credit - $52,292 16) Gary Flaming a) Taxable SERP Earned but not Paid - $127,565 b) Taxable CBRP Paid - $6,338 c) SERP Interest Credit - $1,640 17) Teresa Spalding a) Taxable SERP Earned but not Paid - $84,574 b) Taxable CBRP Paid - $227 18) Jeff Fee a) SERP Earned but not Vested - $66,636 b) SERP Interest Credit - $17,592 19) Mike Waters a) SERP Earned but not Vested - $9,742 b) SER Interest Credit - $243 20) Dave Hunter a) Taxable SERP Earned but not Paid - $33,139 b) Taxable CBRP Paid - $566 c) SERP Interest Credit - $19,890 21) Dana White a) SERP Earned but not Vested - $14,595 22) Cindra Syverson a) Taxable SERP Paid - $1,154,015 b) Taxable CBRP Paid - $8,482 c) SERP Interest Credit - $7,244 23) Ray Williams a) Taxable SERP Paid - $424,467 24) John Fletcher a) Taxable SERP Paid - $213,729 b) Non-Taxable SERP Paid - $374,151 c) Taxable CBRP Paid - $1,346 25) John Koster, MD a) Taxable SERP Paid - $624,015 b) Non-Taxable SERP Paid - $538,914 c) SERP Interest Credit - $196,163 26) Jan Jones a) Taxable SERP Paid - $153,823 b) Taxable CBRP Paid - $45 c) Non-Taxable SERP Paid - $282,092 27) Jeff Rogers a) Taxable CBRP Paid - $12,493 b) Non-Taxable CBRP Earned but not Paid - $10,159 c) SERP Earned but not Paid - $242,193 d) ESP Paid - $218,619 28) Terry Smith a) Taxable SERP Paid - $22,869 b) Taxable CBRP Paid - $17,090 c) Non-Taxable CBRP Paid - $44 d) Non-Taxable SERP Paid - $297,419 29) James M. Maxwell a) Taxable CBRP Earned but not Paid - $58,652 b) Non-Taxable CBRP Earned but Not Paid - $7,535 30) Mark L. Sanz a) Taxable CBRP Earned but Not Paid - $47,021 b) Non-Taxable CBRP Earned but Not Paid - $1,707 31) Richard Goulah a) Taxable CBRP Earned but Not Paid - $17,940 b) Non-Taxable CBRP Earned but Not Paid - $742 32) George T. Bandow, MD a) Taxable CBRP Earned but Not Paid - $19,800 |
| Part I, Lines 4a-b | SEVERANCE 1) Cindra Syverson - $813,696 2) Ray Williams - $624,988 3) John Fletcher - $555,934 4) Jan Jones - $592,802 |
| 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 2014, 100 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. For 2014, the percent allocation for each of these strategic priorities is outlined below: * Creating Healthier Communities, Together Community Benefit: 10% System Leadership Council - 10% System Role including Providence Senior & Community Services (PSCS) - 10% Region Role Regional Chief Executives (RCEs) and Reports * Inspire and Develop Our People Core Leader Engagement: 10% System Leadership Council - 10% Providence Strategic and Management Services (PSMS) System Role including PSCS - 10% Region Role RCEs and Reports Employee Health Index: 5% System Leadership Council - 5% System Role including PSCS - 5% System Region Role RCEs and Reports * Building Enduring Relationships with Consumers MyChart Activations: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Patient Loyalty Index: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports * Create Alignment with Clinicians & Care Teams Clinical Excellence Index: 10% System Leadership Council - 10% System Role including PSCS - 10% Region Role RCEs and Reports * Develop and Thrive Under New Care Delivery & Economic Models Salary Expense as % of Net Service Revenue: 10% System Leadership Council - 10% PSMS System Role including PSCS - 10% Region Role RCEs and Reports Supply Expense as % of Net Service Revenue: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Primary Care Panel Size: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Clinical Network Performance: 10% System Leadership Council - 10% System Role including PSCS - 10% System Region Role RCEs and Reports * Grow by Optimizing Expert-to-Expert Capabilities Free Cash Flow: 15% System Leadership Council - 15% System Role including PSCS - 15% Region Role RCEs and Reports Unduplicated Patient Count: 10% System Leadership Council - 10% System Role including PSCS - 10% Region Role RCEs and Reports TOTAL ALLOCATION: 100% Leadership Council - 100% System Role including PSCS - 100% Region Role RCEs and Reports |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Montana Facility Finance Authority | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 810302402 | BondIssuerEIN |
| CUSIP | 61204KCB5 | CUSIPNum |
| Bond Issued | 2006-06-22 | BondIssuedDt |
| Issue Price | $60,097,553 | IssuePriceAmt |
| Purpose | Refunded Series 1999 Bonds - 7/20/99; Refunded Series 2002 Bonds - 8/7/02 | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $8,721,000 | RetiredAmt |
| Total Proceeds | $60,097,568 | TotalProceedsAmt |
| In Reserve Fund | $16 | InReserveFundAmt |
| Issuance Costs From Proceeds | $642,381 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $59,455,169 | OtherSpentProceedsAmt |
| Substantial Completion | 2002 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | Yes (1) | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Date Rebate Computation Performed | FormAndLineReferenceDesc |
| Explanation | Issuer Name: Montana Facility Finance Authority Date the Rebate Computation was Performed: 06/22/2011 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The sole Member of the Corporation is Providence Health & Services, a Washington not-for-profit corporation. |
| Form 990, Part VI, Section A, line 7a | The powers of the Corporate Member include the provision to appoint the number of Directors, appoint the Board of Directors and to remove such Directors at any time with or without cause. Additionally, the Member may appoint and remove the President/CEO with or without cause, after requesting a recommendation for the Board of Directors. |
| Form 990, Part VI, Section A, line 7b | The following powers reside with the Member: * To adopt or change the mission, philosophy, and values of the Corporation. * To amend or repeal the Articles of Incorporation and the Bylaws of the Corporation. * To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale, transfer, assignment or encumbering of the assets, in excess of a specified amount. * To approve the dissolution and/or liquidation or the consolidation or merger of the Corporation. * To approve the annual operating and capital budget and approval any deviations from the budget exceeding a specified amount. * To appoint the Corporation's certified public accountants after receiving recommendation of the Board of Directors. * To approve the closure of any institution or major ministry or work within this Corporation. |
| Form 990, Part VI, Section B, line 11 | The Form 990 is prepared internally by experienced staff and reviewed by the internal Director of Taxes and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | 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 15b | 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 reviewed 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. Each year, the Board Chair conducts a formal performance evaluation of the President/CEO that considers input from the other directors and senior leaders reporting to the President. The evaluation is discussed with the Human Resources Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Human Resources Committee also meet with an independent consultant to develop a salary recommendation; which is reviewed and approved first by the committee and then by the Board of Directors. Additionally, the President/CEO utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for other senior executives. This process includes a rigorous analysis of those recommendations with the Human Resources Committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering Providence operating commitments and strategic objectives - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated patient 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. |
| 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 VII | Jeffrey Fee - 500 West Broadway, Missoula, MT 59802. Kirk Bodlovic - 500 West Broadway, Missoula, MT 59802. Mark Wakai - 500 West Broadway, Missoula, MT 59802. |
| Form 990, Part IX, line 11g | Agency/Contract Labor: Program service expenses 678,679. Management and general expenses 67,772. Fundraising expenses 0. Total expenses 746,451. Medical Director & Med Physician Fees: Program service expenses 12,944,119. Management and general expenses 56,100. Fundraising expenses 0. Total expenses 13,000,219. Repairs & Maintenance: Program service expenses 2,558,839. Management and general expenses 182,491. Fundraising expenses 0. Total expenses 2,741,330. Billing & Collections: Program service expenses 0. Management and general expenses 335. Fundraising expenses 0. Total expenses 335. Transcription & Translation Services: Program service expenses 37,157. Management and general expenses 1,572. Fundraising expenses 0. Total expenses 38,729. Dietary: Program service expenses 2,689. Management and general expenses 7,286. Fundraising expenses 0. Total expenses 9,975. Other Patient Services: Program service expenses 25,155,709. Management and general expenses 0. Fundraising expenses 0. Total expenses 25,155,709. Other Administrative Services: Program service expenses 0. Management and general expenses 1,064,318. Fundraising expenses 0. Total expenses 1,064,318. General Consulting Fees: Program service expenses -35,692. Management and general expenses 478,272. Fundraising expenses 0. Total expenses 442,580. |
| Form 990, Part XI, line 9: | Recipient Organization Adjustment 582,985. Grant From Foundation 41,014. Foundation Revenue from Balance Sheet -113,992. Rounding -2. |
| 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 System's 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 IX, COLUMN D FUNDRAISING EXPENSES | This entity had no fundraising expenses as all fundraising is handled through an affiliated Foundation. |
| FORM 990, PART I, LINE 6 - VOLUNTEERS | Volunteers with St. Patrick Hospital provide staffing in the following areas. Shifts are usually three and half to four hours in length. * Broadway Building Outpatient Pharmacy- Assist Pharmacy staff and serve customers of the Broadway Building Pharmacy. * Day Surgery- Act as hostess or host to patients' families. * Distribution and Delivery- Make supply deliveries throughout hospital on the even hour or as directed for rush orders. * First Class Crew-Work on special projects as requested by hospital departments. * Foot Clinic- Greet patients and visitors of St. Pat's Foot Care Service Clinics. * Gift Shop, Hospital "Shamrock Shop"-Customer service volunteer provides necessities and gift items to patients, visitors and staff of St. Patrick Hospital. * Gift Shop, Broadway Building "Shamrock Shop"- Customer service volunteer provides necessities and gift items to patients, visitors and staff of St. Patrick Hospital. * Information Center-Broadway Building- Provide hospitality by greeting and escorting patients and visitors to desired locations in the Broadway Building or Hospital, or provide clear directions for them. * Information Desk-Hospital- Provide hospitality by greeting hospital patients and visitors. Volunteers at the Information Desk provide the front door first impression of our hospital. * International Heart Institute-Provide information and assistance to patients and families seeking a particular location or service. Additional tasks include stocking supplies in exam rooms and recycling. * Intensive Care Unit Information-- Serve as a hostess or host, and thoughtfully and considerately provide help to families of critically ill patients. * Mended Hearts Patient Visitation- Offer help, support and encouragement to heart disease patients and their families. Mended Heart Volunteers are members of Mended Hearts Chapter 324 and are heart disease survivors. * Cancer Center- provides support to patients by offering non-medical assistance to enhance perception of quality care and hospitality. * Neurobehavioral Medicine Visitor Registration- Assist Neurobehavioral Health (NBH) staff and serve patients and visitors of the facility. * Patient and Guest Escort Services- Help hospital visitors find their way from one location to another within St. Patrick Hospital and the Broadway Building. Assist patients upon admission or discharge. * Shampoo Service-- Shampoo hospital patient's hair as requested. * Stocking Patient Room Cabinets-Times are flexible, determined by the nursing floor. * Sunrise Coffee Service- Early morning service offering hospital patients by coffee, tea or juice and a newspaper. * St. Patrick House-- Assist staff of St. Patrick House by offering excellent hospitality to visitors and residents of the house and by completing routine tasks required for efficient operation of St. Patrick House. In addition, volunteers serve in many of our hospital departments. Requests are often for special one-time clerical projects but some departments need volunteer help weekly: Providence Montana Health Foundation Office Learning Center (Library) Print Shop Volunteer Services Office |
| FORM 990, PART VII - RELIGIOUS COMMUNITY MEMBERS | As members of the Religious Community, each Sister has taken a vow of poverty as a compulsory part of her religious life. Any compensation for services of a Sister inures only for the benefit of the Community, not the individual members. All payments for services are made directly to the Religious Community. |
| FORM 990, PART V, LINE 1 - ISSUANCE OF FORM 1099 | All 1099s for 2014 were issued by Providence Health & Services - Washington #51-0216586. Therefore, none are shown for the reporting organization. |
| FORM 990, SCHEDULE R - RELATED ORGANIZATIONS | AFFILIATION AGREEMENTS Effective March 1, 2014, the Health System entered into an affiliation agreement with Sisters of Charity of Leavenworth Health System (SCL) to transfer sponsorship of Saint John's Health Center (Saint John's) to the Health System. Saint John's operates a nonprofit medical center, a cancer institute, and physician clinics to serve the Santa Monica, California community and surrounding area. Effective May 1, 2014, the Health System entered into an affiliation agreement with PacMed Clinics (PacMed). PacMed is a private, nonprofit, multi-specialty medical group with nine clinics in the Puget Sound area and more than 150 primary care and specialty providers at the date of affiliation. Pursuant to the affiliation agreement, Western HealthConnect became PacMed's sole corporate Member. No cash or other purchase consideration was transferred to effect the affiliation. Effective June 13, 2014, the Health System entered into an affiliation agreement with Kadlec Health System (Kadlec). Kadlec operates a nonprofit medical center, a neurological resource center, a supporting foundation, and physician clinics to serve the tri-cities area of Kennewick, Pasco, and Richland, Washington. Pursuant to the affiliation agreement, Western HealthConnect became the sole member of Kadlec. No cash or other purchase consideration was transferred to effect the affiliation. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (70 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence Health & Services - Washington | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216586 | Healthcare System | WA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Providence Health & Services - Oregon | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216587 | Healthcare System | OR | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Providence Health System - So California | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216589 | Healthcare System | CA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Everett Transitional Care Services | |||||||||||
| PO Box 5128 | Everett | WA | 982065128 | 943264605 | Transitional Care | WA | 501( c)(3) | Line 9 | 0 | N/A | |
| 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 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| St Luke Association | |||||||||||
| 350 Washington Ave SE | Chehalis | WA | 98352 | 943176618 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Rossi Association | |||||||||||
| 1700 Providence Pl | Centralia | WA | 98531 | 311584166 | Housing | WA | 501( c)(3) | Line 9 | PH & S - Washington | 0 | |
| Lundberg Association | |||||||||||
| 5921 E Burnside | Portland | OR | 97215 | 911562797 | Housing | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence St Francis Association | |||||||||||
| 3415 12th Avenue NE | Olympia | WA | 98506 | 943244854 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Peter Claver Association | |||||||||||
| 7101 38th Avenue South | Seattle | WA | 98118 | 311629656 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence St Elizabeth House Association | |||||||||||
| 3201 SW Graham St | Seattle | WA | 98126 | 912171539 | 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 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| The Gamelin Association | |||||||||||
| 312 North Fourth St | Yakima | WA | 98901 | 911180824 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| The Gamelin Oregon Association | |||||||||||
| 5520 NE Glisan | Portland | OR | 97213 | 911214491 | Housing | OR | 501( c)(3) | Line 9 | PH & S - Oregon | 0 | |
| The Gamelin California Association | |||||||||||
| 540 23rd St | Oakland | CA | 94612 | 911293869 | Housing | CA | 501( c)(3) | Line 9 | PHS - So California | 0 | |
| Gamelin Washington Association | |||||||||||
| 1423 First Avenue | Seattle | WA | 98101 | 201910170 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Foundation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 943078543 | Support PH&S Institutions | WA | 501( c)(3) | Line 11/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 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 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 | 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 | |
| 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 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (26 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | PH&S - MT | Related | $5,716,537 | $4,464,490 | 0 | Yes (1) | 0.75000 | |
| 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 | PH&S - MT | Related | $1,159,083 | $2,420,620 | 0 | 0 | 0.68050 | |
| 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 | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| St Patrick Hospital Foundation dba Providence Montana Health Foundation | ||
| B | $501,442 | Cost |
| St Patrick Hospital Foundation dba Providence Montana Health Foundation | ||
| C | $570,357 | Cost |
| Caron Health Corporation | ||
| Q | $1,492,254 | Cost |
| Providence St Joseph Medical Center | ||
| P | $38,135 | Cost |
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