PROVIDENCE HEALTH & SERVICES WASHINGTON: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON (EIN 51-0216586)
Tax period
2012-01-01 to 2012-12-31
Filed
2014-04-08
IRS object ID
201410989349300706
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-04-08T11:00:28-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN911194016EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Clark Nuber PSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4th Suite 1700AddressLine1
CityBellevueCity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN510216586EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE HEALTH & SERVICES - WASHINGTONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPROVNameControl
Phone4255253985Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 Lind Ave SW No 9016AddressLine1
CityRentonCity
StateWAState
ZIP Code980579016ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTodd HofheinsName
TitleEVP/CFOTitle
Phone4255253985Phone
Date Signed2014-04-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSara Elizabeth J Hyre CPAName
PTINP00235495PTIN
Phone4254544919Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
Name Of Principal Officer PersonJohn F Koster MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11801 Lind Ave SW No 9016AddressLine1
CityRentonCity
StateWAState
ZIP Code980579016ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4846729059GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww2.providence.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1859YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionHealthcare with special concern for the poor and vulnerable in WA. & AK.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees25107TotalNbrEmployees
Total Nbr Volunteers6121TotalNbrVolunteers
Total Gross UBI7289282TotalGrossUBI
Net Unrelated Business Txbl Income1825359NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year38316774ContributionsGrantsPriorYear
Contributions Grants Current Year46183482ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3118429863ProgramServiceRevenuePriorYear
Program Service Revenue CY3246968295ProgramServiceRevenueCY
Investment Income Prior Year56985162InvestmentIncomePriorYear
Investment Income Current Year69253173InvestmentIncomeCurrentYear
Other Revenue Prior Year404613548OtherRevenuePriorYear
Other Revenue Current Year398076606OtherRevenueCurrentYear
Total Revenue Prior Year3618345347TotalRevenuePriorYear
Total Revenue Current Year3760481556TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year17040598GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY13902077GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1840064916SalariesEtcPriorYear
Salaries Etc Current Year2093041728SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year643238TotalFundrsngExpCurrentYear
Other Expense Prior Year1655387808OtherExpensePriorYear
Other Expenses Current Year1697104707OtherExpensesCurrentYear
Total Expenses Prior Year3512493322TotalExpensesPriorYear
Total Expenses Current Year3804048512TotalExpensesCurrentYear
Revenues Less Expenses Prior Year105852025RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-43566956RevenuesLessExpensesCY
Total Assets BOY5566177800TotalAssetsBOY
Total Assets EOY7187936085TotalAssetsEOY
Total Liabilities BOY3820671312TotalLiabilitiesBOY
Total Liabilities EOY5044892423TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1745506488NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2143043662NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAs 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 & vulnerable in WA. & AK.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1410822704Expense
Grants0Grants
Revenue1747142095Revenue
DescriptionAcute Care - Inpatient 525,193 Adult & Pediatric Admissions 116,562 Patient DaysOUR MISSION - As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service. OUR CORE VALUES - Respect, Compassion, Justice, Excellence, and Stewardship Providence cares Whether tenderly holding a special-needs child who requires round-the-clock care, or easing the way for a stroke patient who faces both physical and financial struggles, the people of Providence are called to a mission of service. Our lifework is to provide excellent care for everyone, at all stages of life, regardless of ability to pay. This has been the Providence mission since the Sisters of Providence arrived on the shores of the Columbia River 150 years ago, committed to the care and healing of poor and vulnerable frontier neighbors. Providence Health & Services - Washington is a not-for-profit network of hospitals, care centers, physicians, clinics, home health services and affiliated services. We continue a tradition of caring that the Sisters of Providence began in the West 150 years ago.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense852934935Expense
Grants0Grants
Revenue1056262084Revenue
DescriptionAcute Care - Outpatient 1,447,854 Emergency & Ancillary VisitsDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense214796552Expense
Grants0Grants
Revenue266000892Revenue
DescriptionLTC/Hospice/Housing & Assisted Living - 388,742 Days for Long-Term Care/Asst. Living; 274,479 Home Health Visits; 369,723 Hospice DaysDescription

Activity Other ActivityOther (3 entries)

ExpenseExpenseGrantsGrantsRevenueRevenueDescriptionDescription
1369282070169569879Primary Care 926,211 Clinic Visits
22684694028092392Healthcare Joint Ventures
1390207713902077Grant & Allocations - See Schedules F & I
FieldValueIRS element (for citing)
Total Of Other Program Service Exp173514978TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt13902077TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev197662271TotalOfOtherProgramServiceRev
Total Program Service Expense2652069169TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations1MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming1Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10962322NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees25107NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Karl E Fritschel CPABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4255253339TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11801 Lind Ave SW 9016AddressLine1
CityRentonCity
StateWAState
ZIP Code980579016ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (51 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Lucille Dean SP
Chair of the Board11.102.00XX000
M Adrian Davis LCM -Dcd 512
Director2.900.00X000
Mary Corita Heid RSM
Director3.602.00X000
Michael A Stein
Director4.302.00X1830000
Michael Holcomb
Director5.702.00X1905000
Dana A Rasmussen
Director4.002.00X1830000
James S Roberts MD
Director7.102.00X2050000
Peter J Snow
Director3.802.00X2050000
Jeffrey B Clode MD -Thru 612
Director5.102.00X875000
Sallye Liner
Director2.202.00X1530000
Owen B Robinson
Director3.502.00X1530000
Cheryl M Scott
Director2.702.00X1500000
Ellen L Wolf
Director5.802.00X1530000
Isiaah Crawford
Director2.202.00X1500000
Martha Diaz Aszkenazy
Director5.802.00X1517500
Kirby McDonald
Director2.702.00X1517500
Dave Olsen
Director3.602.00X1517500
Charles Chuck Watts
Director4.202.00X1517500
John Nordstrom - Thru 712
Director0.800.00X000
John F Koster MD
President/CEO PH&S52.002.00X40698120382715
Jeffrey W Rogers
Corporate Secretary48.002.00X6236310319793
Todd Hofheins
EVP/CFO58.002.00X555725040426
Bruce Lamoureux
SVP/ CE - AK. Region58.002.00X1519795089010
Anthony Dorsch
CFO / AK. Region48.002.00X325720074905
Michael L Butler
Group President65.000.0014060310890844X
Rod Hochman MD
Group President59.605.40942640496070332177X
Arnold R Schaffer
EVP/W. Washington Region60.000.0019382730209541X
John V Fletcher
VP/Operations Support55.000.0015753730259253X
Janice J Jones
SVP/CAO55.000.0010312560204051X
Myron Berdischewsky MD
SVP/CMQO60.000.0023593080166605X
Cindra R Syverson
SVP/CHRO60.000.005622600220668X
Terry L Smith
SVP/Management Svcs.60.000.0010124140349119X
Michael Wilson
SVP/CE PHC55.000.007949970917X
Ray Williams
SVP/Physician Svcs27.5027.50594522645913162999X
Kevin Brown
CE/W. WA Region - Swedish12.0048.00569424200348154103X
Cindy Strauss
SVP/ Chief Legal Officer50.404.60457499164311205923X
Phil Jackson
VP/Physician Svc. & PMG55.000.006091040157689X
David T Brooks
CE/W. WA Region - NW60.000.006070170245535X
Medrice Coluccio
CE/W. WA Region - SW60.000.005770220433005X
John O Mudd
SVP/Mission Leadership55.000.005050830114350X
Claudia Haglund
VP/Governance & Spons.50.000.005010850219670X
Joel S Gilbertson
VP/Gov't & Public Affairs60.000.004569340105567X
Orest Holubec
VP/ Communications55.000.00410499053484X
Debbie Burton
VP/CNO65.000.004054520233827X
Andrew T Howlett
Orthopedic Physician55.000.001187412035052X
Nicolas F Arredondo
Neurosurgeon55.000.001170420040639X
Atul Thakker
Physician/Surgeon55.000.001134960042102X
Roy F Davis
CMO / AK.Region55.000.001075142092915X
Jack J Leornard
Physician55.000.001071681023387X
Eugene Al Parrish
Former SVP/RCE Alaska Region0.000.00485519057205X
John Kenagy
Former VP/CIO0.000.00858674014815X
FieldValueIRS element (for citing)
Total Reportable Comp From Org31636684TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1506642TotalReportableCompFrmRltdOrgs
Total Other Compensation5932291TotalOtherCompensation
Number Individuals GT100 K2544NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Davis Constructors and Engineers Inc
740 Bonanza AvenueAnchorageAK99518Construction52676528
Cross Country Travcorps Incorp
PO Box 404674AtlantaGA303844674Staffing19779408
Cardinal Health Inc
3712 Collections DrChicagoIL60693Pharmaceuticals17254429
Bouten Construction Company
627 N Napa StreetSpokaneWA99220Construction16540636
M A Mortenson Company
14719 NE 29th PlaceBellevueWA98007Construction15982673
FieldValueIRS element (for citing)
Number Of Contractors GT100 K701NumberOfContractorsGT100K
Federated Campaigns62738FederatedCampaigns
Fundraising Events607612FundraisingEvents
Related Organizations10672155RelatedOrganizations
Government Grants28783193GovernmentGrants
All Other Contributions6057784AllOtherContributions
Noncash Contributions9000NoncashContributions
Total Contributions46183482TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Acute Care/Inpatient90009917333185531733318553
Acute Care/Outpatient621400104790863710479048453792
LTC/Homecare/Hospice621610263896269263896269
Primary Care621110168228227168228227
Healthcare JVs90009929438464278701231568341

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column4178145TotalRevenueColumn
Related Or Exempt Function Income4178145RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3246968295TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column33257701TotalRevenueColumn
Exclusion$33,257,701ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real30122767Real
Personal22001Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real12735308Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real17387459Real
Personal22001Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column17409460TotalRevenueColumn
Unrelated Business Revenue860567UnrelatedBusinessRevenue
Exclusion$16,548,893ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1106952124Securities
Other287957Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1065904692Securities
Other5339917Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities41047432Securities
Other-5051960Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column35995472TotalRevenueColumn
Exclusion$35,995,472ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events250322GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events607612CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses617891FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-367569TotalRevenueColumn
Exclusion-$367,569ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming32750GrossIncomeGaming
Gaming Direct Expenses14317GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column18433TotalRevenueColumn
Exclusion$18,433ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory2523061GrossSalesOfInventory
Cost Of Goods Sold1635378CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column887683TotalRevenueColumn
Exclusion$887,683ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Laboratory Revenue621500193495267191265693$18,083,114
Pharmacy Revenue4461101927552999433012813681$6,518,547
Cafeteria Revenue72221015990718620524$15,370,194

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column325512826TotalRevenueColumn
Related Or Exempt Function Income11727160RelatedOrExemptFunctionIncome
Unrelated Business Revenue156684UnrelatedBusinessRevenue
Exclusion$313,628,982ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue380128599TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3760481556TotalRevenueColumn
Related Or Exempt Function Income3267067342RelatedOrExemptFunctionIncome
Unrelated Business Revenue7289282UnrelatedBusinessRevenue
Exclusion$439,941,450ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total13227566Total
Program Services13227566ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total308888Total
Program Services308888ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total365623Total
Program Services365623ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total18123151Total
Program Services1673814ProgramServices
Management And General16449337ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1528727581Total
Program Services1064802725ProgramServices
Management And General463580589ManagementAndGeneral
Fundraising344267Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total160227481Total
Program Services83858323ProgramServices
Management And General76273578ManagementAndGeneral
Fundraising95580Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total279220915Total
Program Services166728931ProgramServices
Management And General112394722ManagementAndGeneral
Fundraising97262Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total106742600Total
Program Services76326674ProgramServices
Management And General30393879ManagementAndGeneral
Fundraising22047Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9704027Total
Program Services1865338ProgramServices
Management And General7838689ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1695186Total
Management And General1695186ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total496948Total
Management And General496948ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total9693335Total
Management And General9693335ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total396643181Total
Program Services230384837ProgramServices
Management And General166256412ManagementAndGeneral
Fundraising1932Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total7262655Total
Program Services5130936ProgramServices
Management And General2131719ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total110217470Total
Program Services68189693ProgramServices
Management And General41968442ManagementAndGeneral
Fundraising59335Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total27160045Total
Program Services5160064ProgramServices
Management And General21999981ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total77165213Total
Program Services42678186ProgramServices
Management And General34487027ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total17403990Total
Program Services5566750ProgramServices
Management And General11824056ManagementAndGeneral
Fundraising13184Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8240050Total
Program Services1731899ProgramServices
Management And General6500110ManagementAndGeneral
Fundraising8041Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total44046227Total
Program Services52088730ProgramServices
Management And General-8042503ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total2739289Total
Management And General2739289ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total203250521Total
Program Services118719057ProgramServices
Management And General84531464ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total36497969Total
Program Services14900361ProgramServices
Management And General21597608ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies469512022469314722197300
Bad Debt Expense157635371157635371
Prof. Liab. Trust2367722323677223
UBI Taxes6000060000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total94003985Total
Program Services71410681ProgramServices
Management And General22591714ManagementAndGeneral
Fundraising1590Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3804048512Total
Program Services2652069169ProgramServices
Management And General1151336105ManagementAndGeneral
Fundraising643238Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3215809BOY
EOY3903073EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY311383408BOY
EOY347716675EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3790569BOY
EOY3556265EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY459916247BOY
EOY489647879EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY36399969BOY
EOY31562946EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY56501907BOY
EOY55335834EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY35990863BOY
EOY41394819EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4498846915LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2010416429LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2301185963BOY
EOY2488430486EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1192019340BOY
EOY1334579669EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY82941176BOY
EOY98870848EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY17428673BOY
EOY21349593EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1065403876BOY
EOY2271587998EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5566177800BOY
EOY7187936085EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY478586680BOY
EOY500334779EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY6346535BOY
EOY7414775EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY845889999BOY
EOY828765001EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY172499BOY
EOY143088EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY252618042BOY
EOY281958940EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2237057557BOY
EOY3426275840EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3820671312BOY
EOY5044892423EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1700467739BOY
EOY2085155320EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY42507244BOY
EOY47032095EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2531505BOY
EOY10856247EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1745506488BOY
EOY2143043662EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5566177800BOY
EOY7187936085EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-43566956ReconcilationRevenueExpenses
Reconciliation Unrealized Invest35276577ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment-68514ReconcilationPriorAdjustment
Reconcilation Other Changes405896067ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements1MediaAdvertisements
Mailings Members1MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$341,548GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$277,857DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$155,400OtherActivitiesAmount
Total Lobbying Expenditures IIB774805TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationAs a not-for-profit Catholic health care ministry, Providence Health & Services continues to answer the call for greater social justice. We urged Congress to preserve the reforms passed with the Affordable Care Act and to continue the important work to redesign our nation's health care system. We must ensure access to vital services to the uninsured, stabilize and strengthen programs for safety net providers and empower a redesign of the delivery of health care to improve quality and efficiency. Providence accepts its leadership role in advancing health care reform in the communities we serve and our responsibility to deliver higher quality and lower cost care. We believe a better, more sustainable health care system requires continuing improvements in both care delivery and public policy, including the need for new forms of collaboration among health care providers and systems in our local communities. The following issues were a priority for 2012. Protect the poor and vulnerable. If health care reform is to ultimately succeed, it is important that hospitals, physicians and other providers have the resources necessary to meet the increased demand created by millions more insured people after 2014. Further reductions to Medicare and Medicaid payment will undermine access to critical health and social services in our communities. We urged Congress to forego further cuts to the Medicare and Medicaid programs so that access to necessary services is preserved. * Prevent any additional cuts to Medicare and Medicaid providers beyond those included in the Affordable Care Act in order to preserve access to vital health and social services in our communities. * Preserve seniors' ability to access care with a permanent solution for the Medicare physician payment schedule that doesn't finance the solution with cuts to other providers. * Protect funding for critical access hospitals and disproportionate share hospitals as they serve large numbers of vulnerable patients and are essential to the health of our communities. Remove barriers to coordinated care. In order to truly improve quality and make health care more affordable, doctors, hospitals and other providers must change the way they provide care to their patients. This means creating and strengthening incentives for providers and insurers to change the practice of medicine toward improved quality and efficiency. Patients will receive better care when providers are rewarded for coordinating and collaborating along the continuum of care. We urged Congress and federal regulatory agencies to provide legal avenues for redesigning health care payment and delivery, so that providers can collaborate with each other to deliver the right care at the right time, in the right setting. * Eliminate legal barriers to new care models that discourage providers from working together to coordinate care and improve quality. * Encourage a broad range of payment models that include varying types of health care providers and diverse geographic areas, and that do not limit reforms to high-cost areas and narrowly defined participants. * Protect funding for electronic medical record adoption and ensure regulations empower the sharing of information between clinicians, without adding unnecessary regulatory burdens that will impede progress in this area. Preserve our ability to serve. Providence has served the poor and vulnerable in communities of Washington, Oregon, Alaska, California and Montana for more than 155 years. Providence's not-for-profit status represents far more than a legal designation - it is what allows Providence to provide quality health care and to go beyond care settings to partner with communities to meet the needs of the most vulnerable among us. As a Catholic ministry, Providence is committed to promoting and defending human dignity. Our constitutional right to follow our conscience, in tandem with our not-for-profit status, allows us to continue furthering our call to provide much-needed services to our communities, with special attention to our poor, underserved and most vulnerable. We urged Congress to recognize and preserve the vital role not-for-profit, faith-based health care providers play in our communities. * Protect local, state and federal tax exemptions that are essential to meet the needs of the communities Providence serves. * Utilize standards that recognize diverse approaches to delivering community benefit that are based on meeting each community's unique needs for improving health. * Preserve conscience protections in areas of moral conflict for all faith-based providers in accordance with the First Amendment of the U.S. Constitution. Ensure everyone has access to health care. We believe access to quality, affordable health care is a basic human right. No one should ever become sick - or worse, lose their life - because they couldn't access health care services. Everyone, whether they are covered by private insurance or a government program, should have a primary care provider and access to necessary specialty care. We urged Congress to ensure everyone has access to affordable, high quality health care services and lifesaving medications. * Maintain the necessary funding support for safety net providers and programs, including Medicaid, to ensure appropriate access to health care. * Develop federal and state solutions that ensure immigrants, the homeless and other vulnerable people receive needed care.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance483523BeginningOfYearBalance
Contributions2500Contributions
Investment Earnings Or Losses3494InvestmentEarningsOrLosses
End Of Year Balance489517EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance8463851BeginningOfYearBalance
Contributions51311Contributions
Investment Earnings Or Losses75538InvestmentEarningsOrLosses
Grants Or Scholarships8107177GrantsOrScholarships
End Of Year Balance483523EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7596645BeginningOfYearBalance
Contributions364798Contributions
Investment Earnings Or Losses677288InvestmentEarningsOrLosses
Grants Or Scholarships174880GrantsOrScholarships
End Of Year Balance8463851EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6401153BeginningOfYearBalance
Contributions106633Contributions
Investment Earnings Or Losses1289282InvestmentEarningsOrLosses
Grants Or Scholarships162845GrantsOrScholarships
Other Expenditures7578OtherExpenditures
Administrative Expenses30000AdministrativeExpenses
End Of Year Balance7596645EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8854708BeginningOfYearBalance
Contributions287226Contributions
Investment Earnings Or Losses-2413940InvestmentEarningsOrLosses
Grants Or Scholarships326841GrantsOrScholarships
End Of Year Balance6401153EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis22491197InvestmentCostOrOtherBasis
Other Cost Or Other Basis144073167OtherCostOrOtherBasis
Book Value166564364BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis198138546InvestmentCostOrOtherBasis
Other Cost Or Other Basis1854861416OtherCostOrOtherBasis
Depreciation857650927Depreciation
Book Value1195349035BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis120166488OtherCostOrOtherBasis
Depreciation78831586Depreciation
Book Value41334902BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis51995596InvestmentCostOrOtherBasis
Other Cost Or Other Basis1579456595OtherCostOrOtherBasis
Depreciation1073933916Depreciation
Book Value557518275BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis24InvestmentCostOrOtherBasis
Other Cost Or Other Basis527663886OtherCostOrOtherBasis
Book Value527663910BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2488430486TotalOfBookValueLandBuildings

Other Assets OtherAssets (11 entries)

DescriptionDescriptionBook ValueBookValue
Due From Affiliates1947528998
Trustee Held Funds192339074
Unamortized Finance Costs13388464
Assets Held Under Securities Lending51219626
Other Long-Term Receivables42286228
Third Party Settlements18678359
Charitable Trusts & Gift Annuities117371
CSV of Life Insurance252150
Deferred Compensation 457F4565998
Bond Premium Discount1191730
Donated Assets20000
FieldValueIRS element (for citing)
Total Book Value Other Assets2271587998TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescriptionAmountAmount
Self-Insured Trusts$200,628,189
Due To Affiliates$1,851,240,786
Taxable Bond Issues$324,729,528
Accrued Pension Costs$916,937,660
LT Asset Retirement Obligation - FIN 47$15,521,922
Liabilities Under Securities Lending$52,708,334
Other Long-Term Payables$10,280,931
Third Party Settlements$54,120,726
Bank Loan Reserve$63,000
Gift Annuity$44,764
FieldValueIRS element (for citing)
Total Of Amounts3426275840TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:The Endowment Funds are intended to be used to support the mission and programs of Providence Sacred Heart Medical Center.
Description of Uncertain Tax Positions Under FIN 48:Part X, Line 2:The Health System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained1GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (4 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
Sub-Saharan Africa00Grantmaking294597
Central America and the Caribbean00Grantmaking69021
East Asia & The Pacific00Grantmaking1674
South America00Grantmaking331
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent365623SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent365623TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS (9 entries)

RegionRegionPurpose Of GrantPurposeOfGrantAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceDescription Of Non Cash AssistanceDescriptionOfNonCashAssistanceMethod Of ValuationMethodOfValuation
Sub-Saharan AfricaMedical Supplies065666Medical SuppliesCost
Sub-Saharan AfricaMedical Supplies047790Medical SuppliesCost
Sub-Saharan AfricaMedical Supplies071339Medical SuppliesCost
Sub-Saharan AfricaMedical Supplies098355Medical SuppliesCost
Central America and the CaribbeanMedical Supplies032860Medical SuppliesCost
East Asia & The PacificMedical Supplies01674Medical SuppliesCost
Central America and the CaribbeanMedical Supplies036160Medical SuppliesCost
Sub-Saharan AfricaMedical Supplies011448Medical SuppliesCost
South AmericaMedical Supplies0331Medical SuppliesCost
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs9TotalNumberOf501c3Orgs
Total Number Of Other Orgs0TotalNumberOfOtherOrgs
Transfer To Foreign Corp1TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Procedure for Monitoring Grants Outside the U.S.:Schedule F, Part I, Line 2: We only provide grants to non-governmental, charitable organizations that conduct foreign activities. For the donations we require a potential recipient to first complete an application. We have two types of applications; one for donations that will be taken by a person on a plane and part of medical team, the other for container donations that will be shipped. The type of information gathered is different for each application. We always ask for the name of the specific clinic, program or hospital that will be at the clinic. We also ask for information about who will be served/benefit from these donations. We also ask that the recipient provide us feedback on how useful the donations were and what problems they may have encountered.
Form 926 is not required to be filed because the transfer to a foreign corporation does not meet the reporting requirements in IRC Section 6038B(a)(1)(A).Schedule F, Part IV, Line 1

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Providence O'Christmas TreesNameOfEvent1
Gross Receipts Event1786284GrossReceiptsEvent1
Charitable Contributions Event1571362CharitableContributionsEvent1
Gross Revenue Event1214922GrossRevenueEvent1
Rent Facility Costs Event115653RentFacilityCostsEvent1
Food And Beverage Event1183107FoodAndBeverageEvent1
Other Direct Expenses Event1377745OtherDirectExpensesEvent1
Name Of Event2Golf ClassicNameOfEvent2
Gross Receipts Event271650GrossReceiptsEvent2
Charitable Contributions Event236250CharitableContributionsEvent2
Gross Revenue Event235400GrossRevenueEvent2
Non Cash Prizes Event28478NonCashPrizesEvent2
Rent Facility Costs Event215763RentFacilityCostsEvent2
Food And Beverage Event28564FoodAndBeverageEvent2
Other Direct Expenses Event28581OtherDirectExpensesEvent2
Gross Receipts Total857934GrossReceiptsTotal
Charitable Contributions Total607612CharitableContributionsTotal
Gross Revenue Total Events250322GrossRevenueTotalEvents
Non Cash Prizes Total Events8478NonCashPrizesTotalEvents
Rent Facility Costs Total Events31416RentFacilityCostsTotalEvents
Food And Beverage Total Events191671FoodAndBeverageTotalEvents
Other Direct Expenses Total Events386326OtherDirectExpensesTotalEvents
Direct Expense Summary Events617891DirectExpenseSummaryEvents
Net Income Summary-367569NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming32750GrossRevenueOtherGaming
Rent Facility Costs Other Gaming1731RentFacilityCostsOtherGaming
Other Direct Expenses Other Gaming12586OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming1VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming32750GrossRevenueTotalGaming
Rent Facility Costs Total Gaming1731RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming12586OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming14317DirectExpenseSummaryGaming
Net Gaming Income Summary18433NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedWAStatesWhereGamingConducted
Licensed1Licensed
License Suspended Etc0LicenseSuspendedEtc
Gaming With Nonmembers0GamingWithNonmembers
Member Of Other Entity0MemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonPatricia L SzaboNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line14831 35th Avenue SWAddressLine1
CitySeattleCity
StateWAState
ZIP Code98126ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam Rev0ContractWith3rdPartyForGamRev
Gaming Manager Name PersonPatricia L SzaboGamingManagerNamePerson
Gaming Manager Services ProvidedProvided oversight of sale of raffle tickets and accounting for proceeds received.GamingManagerServicesProvided
Gaming Manager Is EmployeeXGamingManagerIsEmployee
Charitable Distrib Required0CharitableDistribRequired

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense82217938TotalCommunityBenefitExpense
Net Community Benefit Expense82217938NetCommunityBenefitExpense
Percent Of Total Expense0.02250PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense495714326TotalCommunityBenefitExpense
Direct Offsetting Revenue427233367DirectOffsettingRevenue
Net Community Benefit Expense68480959NetCommunityBenefitExpense
Percent Of Total Expense0.01880PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense5941142TotalCommunityBenefitExpense
Direct Offsetting Revenue4664941DirectOffsettingRevenue
Net Community Benefit Expense1276201NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense583873406TotalCommunityBenefitExpense
Direct Offsetting Revenue431898308DirectOffsettingRevenue
Net Community Benefit Expense151975098NetCommunityBenefitExpense
Percent Of Total Expense0.04160PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense5222111TotalCommunityBenefitExpense
Direct Offsetting Revenue527308DirectOffsettingRevenue
Net Community Benefit Expense4694803NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense29117105TotalCommunityBenefitExpense
Direct Offsetting Revenue10408093DirectOffsettingRevenue
Net Community Benefit Expense18709012NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense74303718TotalCommunityBenefitExpense
Direct Offsetting Revenue54153604DirectOffsettingRevenue
Net Community Benefit Expense20150114NetCommunityBenefitExpense
Percent Of Total Expense0.00550PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense3615314TotalCommunityBenefitExpense
Net Community Benefit Expense3615314NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense6209170TotalCommunityBenefitExpense
Direct Offsetting Revenue20889DirectOffsettingRevenue
Net Community Benefit Expense6188281NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense118467418TotalCommunityBenefitExpense
Direct Offsetting Revenue65109894DirectOffsettingRevenue
Net Community Benefit Expense53357524NetCommunityBenefitExpense
Percent Of Total Expense0.01460PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense702340824TotalCommunityBenefitExpense
Direct Offsetting Revenue497008202DirectOffsettingRevenue
Net Community Benefit Expense205332622NetCommunityBenefitExpense
Percent Of Total Expense0.05620PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense14084TotalCommunityBuildingExpense
Direct Offsetting Revenue1500DirectOffsettingRevenue
Net Community Building Expense12584NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense5322TotalCommunityBuildingExpense
Net Community Building Expense5322NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense10707TotalCommunityBuildingExpense
Net Community Building Expense10707NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense11564TotalCommunityBuildingExpense
Net Community Building Expense11564NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense41677TotalCommunityBuildingExpense
Direct Offsetting Revenue1500DirectOffsettingRevenue
Net Community Building Expense40177NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$157,635,371BadDebtExpenseAmount
Amount Reimbursed By Medicare1347026444AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare1236952720CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall110073724MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities11NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (11 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalChildrens HospitalChildrensHospitalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursFacility Reporting GroupFacilityReportingGroupCritical Access HospitalCriticalAccessHospital
Providence Alaska Medical Center
13200 Providence DriveAnchorageAK99508XXXXXB
Providence SHMC & Children's Hospital
2101 West 8th AvenueSpokaneWA99204XXXXA
Providence St Peter Hospital
3413 Lilly Road NEOlympiaWA98506XXXA
Providence Regional Med CtrColby
41321 Colby AvenueEverettWA98201XXXA
Providence Regional Med CtrPacific
5916 Pacific AvenueEverettWA98208XXXA
Providence Holy Family Hospital
65633 North Lidgerwood StreetSpokaneWA99208XXXA
Providence Centralia Hospital
7914 S Scheuber RoadCentraliaWA98531XXA
Providence St Mary Medical Center
8401 W Poplar StWalla WallaWA99362XXXA
Providence Mt Carmel Hospital
9982 East ColumbiaColvilleWA99114XXXAX
Providence St Joseph's Hospital
10500 East Webster StreetChewelahWA99109XXXA
Providence Kodiak Is Medical Center
111915 Rezanof DriveKodiak IslandAK99615XBX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Eligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossChargesPosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmission
Providence Health & Services - Washingto
11200.0000000000001400.0000000000001XXXXXXX11XXX101X01
Providence Health & Services - Alaska
11200.0000000000001400.0000000000001XXXXXXX11XX101X01XXX

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities43NumberOfOtherFacilities

Other Facilities OtherFacilities (43 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
Providence Marianwood
3725 Providence Pt Dr SEIssaquahWA98029Long-Term Care
Providence Elderplace
4515 Martin Luther King Jr Way SSeattleWA98108In-Home Service Agency
Prov St Peter Chemical Dependency Cter
2505 Olympic Highway N Suite 140SheltonWA98584Chemical Dependency Center
Prov St Peter Chemical Dependency Cter
24070 NE Highway 3 Suite ABelfairWA98528Chemical Dependency Center
Prov St Peter Chemical Dependency Cter
508 1/2 Eighth StreetHoquiamWA98550Chemical Dependency Center
Prov Internal Medicine Hawks Prairie
8645 Martin Way ELaceyWA98516Internal Medicine Clinic
Prov South Sound Internal Medicine
3425 Ensign Rd NEOlympiaWA98506Internal Medicine Clinic
Prov Family Medicine West Olympia
1217 Cooper Pt Road SWOlympiaWA98502Family Medicine Clinic
Providence Clinic at Panorama
1450 Northwest Lane SWOlympiaWA98502Family Medicine Clinic
Providence Internal Medicine
1010 S Scheuber RoadCentraliaWA98531Internal Medicine Clinic
Providence Imaging Center
908 S Scheuber RoadCentraliaWA98531Patient Diagnostic Imaging
Prov Rochester Family Pract Clinic
18313 Paulson St SWRochesterWA98579Family Practice Medicine
Providence Centralia Womens Center
1000 S Scheuber RoadCentraliaWA98531Comprehensive Women's Health Care
Providence Physical Therapy
1809 Cooks Hill RoadCentraliaWA98531Patient Physical Therapy Service
Prov Western WA Oncology-Lacey
4525 Third Avenue Suite 200LaceyWA98503Outpatient Oncology Services
Prov Western WA Oncology-Aberdeen
954 Anderson St Suite 102AberdeenWA98520Outpatient Oncology Services
Prov Western WA Oncology-Centralia
2015 Cooks Hill Road Suite 200CentraliaWA98531Outpatient Oncology Services
Providence SoundHomeCare & Hospice
3432 South Bay Road NEOlympiaWA98506Home Care and Hospice Services
Providence Mother Joseph Care Center
3333 Ensign Road NEOlympiaWA98506Long-Term Care
Providence Mount St Vincent
4831 35th Ave SWSeattleWA98126Long-Term Care/Assisted Living
Prov Infusion & Pharmacy Services
2201 Lind Ave SWRentonWA98057Pharmaceutical Services
Providence Hospice of Seattle
425 Pontius Avenue NorthSeattleWA98109Hospice Services
Providence Home Services
2201 Lind Ave SW Suite 160RentonWA98057Home Health Services
Providence Mill Creek Medical Bldg
12800 Bothell-Everett HighwayEverettWA98208Medical Building
Providence Everett Healthcare Clinic
1001 N BroadwayEverettWA98201Clinic
Pavillion for Women & Children
900 Pacific AvenueEverettWA98201Clinic
Prov Physician Group-Harbour Point
4112 Harbour Pointe Blvd SW Ste 100MukilteoWA98275Clinic
Prov Physician Group-North Everett
1330 RockefellerEverettWA98201Clinic
Prov Physician Group-Marysville
11603 State Avenue Suite GMarysvilleWA98272Clinic
Prov Physician Group-Monroe
14692 179th Avenue SE Suite 100MonroeWA98272Clinic
Mill Creek OBGYN
12800 Bothell-Everett Hywy SuiteEverettWA98208Clinic110
Pacific Campus OBGYN
900 Pacific Avenue Suite 501EverettWA98201OB/Gyn Services
Providence Dominicare
110 South Third Street EastChewelahWA99109Home Health
Providence VNA Home Health
611 N Perry Bldg 2 Suite 202SpokaneWA99202Home Health
Prov Emily Court Assisted Living
34 East 8th AvenueSpokaneWA99202Assisted Living
Providence St Joseph Care Center
17 East 8th AvenueSpokaneWA99202Skilled Nursing Facility
Providence Adult Day Health
6018 North AstorSpokaneWA99208Adult Day Health
Providence Extended Care Center
4900 Eagle StreetAnchorageAK99503Skilled Nursing Facility
Providence Alaska Physician Service Org
3200 Providence DriveAnchorageAK99508Behavioral & Family Medicine
Providence Kodiak Island Counseling Ctr
717 E Rezanof DriveKodiak IslandAK99615Behavioral Medicine
Providence Residential Treatment Program
3400 E 20th AvenueAnchorageAK99508Adolescent Residential Treatment
Providence Crisis Recovery Center
3760 Piper StreetAnchorageAK99508Behavioral Medicine
PMG - Urgent Care & Family Medicine
2902 164th Street SWLynnwoodWA98087Clinic

Form990 Schedule H Part VI Form990ScheduleHPartVI (56 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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 $ XXX-XX-XXXX.
Part II: COMMUNITY BUILDING ACTIVITIES:WESTERN WASHINGTON REGION:In Thurston County, Providence St. Peter Hospital sponsored a program called Grief Works, which assists people who are grieving from the loss of a spouse, child or sibling. The work involves pastoral care support and counseling in both individual and group sessions.In addition, Providence leaders serve on local boards. Examples include the board of Behavioral Health Resources, a not-for-profit mental health provider; CHOICE Regional Health Network; local college boards; service organizations; chamber of commerce boards; school board of directors; and the Hands-On Children's Museum, which promotes healthy family living.SOUTHEAST WASHINGTON REGION:Providence St. Mary Medical Center provides many free, preventative, diagnostic and educational services in the communities it serves. In 2012 at Providence St. Mary, more than 2,000 people attended free classes and support groups for diabetes, smoking cessation, cardiopulmonary resuscitation, childbirth, breast cancer and sleep disorders. Free screenings also were conducted for skin and prostate cancer in cooperation with Providence Medical Group and an independent clinic, the Walla Walla Clinic. The medical center hosted a free, drive-through community flu clinic in concert with the Walla Walla County Health Department to both prevent the flu, and stem the tide of a whooping cough epidemic. People were able to be vaccinated without leaving their cars, and nearly 500 flu and 348 Tdap (diphtheria, tetanus and whooping cough) shots were given. Four automated defibrillators were donated to the City of Walla Walla for use in public buildings such as City Hall and the Walla Walla Public Library. The medical center also helped fund research and worked with a consortium of other agencies in Walla Walla County seeking to identify ways to improve access to mental health services. PROVIDENCE HEALTH CARE/EASTERN WASHINGTON REGION:Many of the activities reported in Part II demonstrate the eastern Washington Providence hospitals' efforts to actively engage and partner with the community to help address specific needs. We collaborate with more than 80 community partners in Spokane and Stevens counties that share our commitment to serving the poor and vulnerable. Together, we are able to maximize resources to reach the greatest number of people, providing needed services such as immunizations, screenings, education, medication, shelter and food. Below is a list of a few of the many organizations Providence hospitals support in eastern Washington:*Catholic Charities*Christ Clinic*Community Detox Services of Spokane*Daybreak (rehabilitation services for adolescents with substance abuse issues)*Life Services of Spokane (support services for pregnant women to help them carry babies to term and provision of parenting education)*Northeast Tri-County Health District (Colville)*Partners with Children and Families*Prescriptions for Life (Chewelah)*Project Access (involves doctors and hospitals in the community volunteering to provide needed health care services and surgeries for patients who cannot pay)*Ronald McDonald House*Rural Resources Family Center (Colville)*Spokane Prescription Access Program*Transitional Programs for Women*Tri-County Community Health Fund (Stevens County)*Second Harvest (food bank)*Community Health Association Spokane dental program (a federally quality health center)*Washington Poison Control CenterIn addition, many Providence Health Care leaders and staff participate in community collaboration efforts through their membership on boards and advisory groups such as the Homeless Coalition and the Spokane Mental Health Advisory Board. Other boards include the United Way, YWCA, Women Helping Women, domestic and family violence organizations, educational boards, stroke conference boards, domestic terrorism training and many more where the expertise of the local hospital staff and administration can offer valuable information to the group for partnership and collaborative efforts in attempts to improve the health and wellbeing of the community. Often the hospital has been asked to provide a representative for the board or advisory group by the community.Providence Sacred Heart, Children's Hospital, and Holy Family also participate as major sponsors of community events that benefit the community at large. Examples include:*American Brain Tumor Association*American Heart Association*American Cancer Society*American Red Cross*Cancer Patient Care*Catholic Charities*Hope House*Inland NW Blood Center*March of Dimes*Special Olympics*Women Helping Women*YWCA
Part III, Line 4: Bad Debt expense consist of actual write off of accounts sent to collection, recovery of collections and an estimated amount based on outstanding AR. The charity policy states that Providence makes all reasonable attempts to confirm that patients are not eligible for assistance programs prior to collection agency assignment (Refer to the Policy "Collection Practices for Financial Assistance Patients"). In regards to outstanding AR for the hospitals:1. The process takes into account the adjustments and payments that have already occurred. The process then valuates the responsibility as to the Insurance Responsibility and Patient Responsibility. 2. Historical Write-Off percentages are applied, at the account level, for the Insurance and Patient balance on the account. All of the un-insured is considered to be Patient Balance since no insurance payments are expected on those accounts.3. The Patient Responsibility is further dissected into Bad Debt and Charity. Bad Debt is calculated on the patient balances for all financial classes using current and historical percentages. 4. The difference of patient balance identified as Bad Debt and the remaining balance is deemed and accrued as Charity.
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 (or the patient's legal representative) seeking financial assistance from Providence 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: NEEDS ASSESSMENT: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.These general guidelines are applied across all service areas covered in Providence Health & Services - Washington. These include: Northwest Washington Service Area, Southwest Washington Service Area, Southeast Washington Service Area, Providence Health Care in Eastern Washington and PH & S - WA. in Alaska.Providence Sacred Heart Medical Center and Providence Holy Family Hospital partnered with the Spokane Regional Health District and the Institute for Public Policy and Economic Analysis at Eastern Washington University and their Community Indicators Initiative as part of our comprehensive needs assessment. In addition, focus groups were held to gather information from organizations directly addressing the needs of the low income and uninsured. Quantitative and qualitative data were also used to identify the issues the hospitals should target to address in the Spokane community for the next three years, beginning in 2010.Providence Mount, Carmel Hospital and Providence St. Joseph's Hospital partnered with the Northeast Health District and the Institute for Public Policy and Economic Analysis at Eastern Washington University and their Northeast Trends Initiative. In addition, focus groups were held to gather information from organizations directly addressing the needs of the low income and uninsured. Quantitative and qualitative data were also used to identify the issues the hospitals should target to address in the Stevens County community for the next three years, beginning in 2011.Providence ministries in eastern Washington are governed by a community ministry board. In addition, our foundation boards are composed of community members. The results of our needs assessments are presented to these boards for their review and input. The civic leaders that serve on Providence boards connect the Providence Mission with a local perspective on community needs. The Providence Health Care Eastern WashingtonCommunity Ministry Board approves the community needs assessments.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 and broad needs of the community, beyond just the need for free and discounted health care services.
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: COMMUNITY INFORMATION:ALASKA REGION:The geographic difficulties of a vast land mass, relatively undeveloped infrastructure and often extreme weather conditions make meeting the health care needs of Alaskans a unique challenge. Providence Health & Services Alaska serves the health needs of all people across the vast state of Alaska (population of 731,449). Providence Alaska has 15 ministries. Most facilities are located in the Anchorage area, yet Providence Alaska expands it services through a presence in six other Alaska communities as well as telemedicine and electronic intensive care unit (eICU) services extended to communities in Alaska and Oregon. Alaska's population is diverse (28 percent minority) and is widely distributed across great distances (only half the population is accessible by road). Alaska has a significant number of high-need communities as ranked by the Thompson Reuters Community Need Index. Alaska is a demographically young state with 51 percent of the population under age 35, although the fastest growing age group is the over 55 population. Providence Alaska Medical Center (PAMC) is the only comprehensive tertiary referral center serving all Alaskans, regardless of their ability to pay. In addition to PAMC, Providence Alaska has a family practice residency program, a continuum of post-acute care services, and a developing medical group located in Anchorage. Anchorage is the second most-diverse city in the nation with more than 90 languages spoken within the Anchorage school district. Thirty-four percent of the Anchorage community is a minority. While PAMC's primary service area is the Municipality of Anchorage, it serves residents throughout the state. By percentage of gross revenue in 2012, approximately 28 percent of revenue was from Medicare, 20 percent from Medicaid and the remainder from other payers. The percentage of bad debt, charity care and self pay continues to remain high, at 8.3 percent of gross revenue. While the economic recession has impacted Alaska to a lesser degree than other states, the unemployment rate in Anchorage averaged 5.4 percent in 2012. In 2011, 7.6 percent of Anchorage residents lived below the poverty line, which is lower than the comparable state measure at 10.5 percent. Providence identified the following needs in the 2012-2013 community health needs assessment: poverty, healthy behaviors, alcohol/substance abuse, and access to affordable care. Providence Alaska manages four critical access hospitals located in the remote communities of Cordova, Kodiak, Seward and Valdez, all co-located with skilled nursing facilities. Community mental health centers are operated in Kodiak and Valdez. Each hospital serves as the primary health care provider for their community. In all of our communities, Providence has made a long-term commitment to meet the health care needs of the community through periodic formal community health needs assessments, program and service expansion to meet those needs, and community partnerships. Providence Kodiak Island Medical Center is the island's only hospital in the Kodiak Island Borough (population 14,239). PKIMC serves the city of Kodiak and the remote villages in the borough; it also serves as a conduit of care for mariners and for communities farther down the Aleutian Islands. Geographically isolated, the islands can only be accessed by air or sea. More than half of the population on Kodiak Island was white in 2010 (55 percent). The next largest ethnic groups were Asian (20 percent) and then American Indian/Native Alaskan (13 percent). Commercial fishing is of historic and current economic importance and employment swings seasonally - with lower unemployment rates in the summer and higher rates in winter months. For peak employment period in July, the unemployment rate was 5.8 percent in 2012, yet the entire year averaged 6.2 percent. The 2013 community health needs assessment identified the two greatest needs on the island as access to care due to affordability and substance abuse. Providence Seward Medical Center serves the communities of Seward and Moose Pass (population 5,020). Seward is located at the head of Resurrection Bay on the Kenai Peninsula. The town is 126 road miles south of Anchorage. The majority of the population in Seward was white in 2010 (74 percent). The next largest ethnic groups were American Indian/Native Alaskan (13 percent) and then black (three percent). The median age was 38 years old. In the 2012 community health needs assessment, 87% of the respondents needed care in the previous 12 months, yet 10 percent were unable to receive care. When asked, the primary reasons cited from not receiving care were "no insurance/could not afford it" (43%), "services not available" (18%), and "needed a specialist that was not available in Seward" (14%). Although the trends show a decrease by each question, access continues to be an issue and an area of focus for Providence within the community. Along with community partners, Providence also addresses community needs that include: access to preventive care, overweight/obesity, and substance abuse. Providence Valdez Medical Center serves the community of Valdez. Valdez is one of Alaska's most important port cities. It is located approximately 120 air miles and 305 road miles east of Anchorage. The population is close to 4,000 and is located within 222 square miles of land area. According to the 2010 census, the majority (87 percent) of the population in the City of Valdez were white, with 13 percent of the population American Indian/Alaska Native. The median age was 37 years old in Valdez according to the 2010 census, a slightly older median age than the state (34 years old). In the 2011 community health needs assessment, approximately one in 12 community survey respondents reported that they or their family had to go without basic needs in the year prior to the survey. Of those who went without basic needs, almost half said they went without dental care (49 percent) and/or health care (46 percent). Along with community partners, Providence works to address community needs that include: health and wellness, mental health/ substance abuse, and access to and awareness of health care services. Cordova Medical Center is the newest addition to the Providence Alaska family. Providence Alaska began management of the 13-bed critical access hospital and 10-bed long term care center on March 1, 2012. The City of Cordova is a community of about 2,300 people, which swells to 5,000 or more during the summer months. The city of Cordova sits on Prince William Sound and is only accessible by plane or boat (it is a 30 minute commercial flight from Anchorage). Cordova is a community best known for its commercial fishing and has a rich culture of Eyak Athabascan heritage. The median age was 42 years old according to the 2010 census. The majority of the population is white (79 percent) and American Indian/Alaska Native 15.4 percent. The most recent community health needs assessment completed in 2013, identified the major health needs as attracting and retaining providers, access to specialty care, affordability of care, care coordination across healthcare providers, and mental health/ substance abuse. WESTERN WASHINGTON REGION - NORTHWEST:The Western Washington Region - Northwest includes Providence Regional Medical Center Everett (PRMCE), which is the only tertiary provider in Snohomish County and is located on two campuses in Everett, Washington.The hospital's primary service area is Snohomish County, with a population of 722,900. Within this geography, the average age is 36.5 years and only 10% of the population is over age 65, although this is estimated to grow to 12.5% by 2016. The average household income is $76,219, and approximately 7.4% of people are living in poverty in Snohomish County. As of December 2012, 6.6% of Snohomish County residents are unemployed, which is higher than the national unemployment rate. The secondary service area includes Skagit, Island, San Juan and Whatcom counties, totaling an additional 491,631 people. Within this geography, the average age is 39.2 years, with 16% of the population over age 65. The average household income is $54,457. The unemployment rates for the secondary service area include: Skagit (7.8%), Island (7.0%), San Juan (5.5%) and Whatcom (6.1%). In 2012, PRMCE provided almost $73.7 million in charity care and community benefits.WESTERN WASHINGTON REGION - SOUTHWEST:The Western Washington Region - Southwest includes Providence St. Peter Hospital in Olympia, Washington and Providence Centralia Hospital in Centralia, Washington. The hospitals deliver care to a five-county area including Thurston, Mason, Lewis, Grays Harbor and Pacific counties. For Providence St. Peter Hospital, the hospital serves 484,679 people in its primary and secondary service area. (SEE CONTINUATION)
Part VI, Line 5: FURTHERANCE OF EXEMPT PURPOSE:As a not-for-profit Catholic health care ministry, Providence Health & Services embraces its responsibility to provide for the needs of the communities it serves - especially the poor and vulnerable. Providence's not-for-profit, tax-exempt status enables Providence to serve its communities, to solicit donations through its foundations and to access capital to respond to community needs that otherwise would go unmet. Health care is fundamentally different from most other goods and services. It is about the most human and intimate needs of people, their families and communities. This critical difference is why we should work together to preserve and strengthen the not-for-profit sector in health care.In Alaska, access to health care is one of the most critical community needs. To address this need, Providence Alaska and its local ministries are involved in and supportive of many programs, activities and services. In addition to having 24/7 emergency room care, each community is pursuing trauma designation to ensure every Alaskan receives exemplary and timely care. Providence Alaska is governed by a community ministry board made up of independent community members from across the state. Additionally, each hospital has an advisory board made up of local community members. Providence Alaska Medical Center has an electronic intensive care unit (eICU) that serves communities across Alaska and one community in Oregon. PAMC is also expanding its telemedicine capabilities to provide stroke care to local and distant communities. Within the community of Anchorage, Providence is a long-time partner of Anchorage Project Access (APA). The volunteer network provides medical services, accepting and treating APA-referred patients as any other insured patients. PAMC will continue to provide funding and office space for the program. Providence Senior Care Center and the Pediatric Sub-Specialty Clinic are two more examples of how Providence promotes a healthy, well-cared for community. The Senior Care Center opened in January 2011 with the goal of providing Alaskans 55 and older with whole-health primary care. The program is subsidized by Providence Health and Services Alaska and currently treats more than 1,500 patients. The most recent Anchorage community health needs assessment showed a reduction in need for seniors access to health care services, which can be partially attributed to the Providences investment in senior care services. The Pediatric Sub-Specialty Clinic at Providence has served children from birth to the age of 21 since 1998. This clinic is subsidized by the health system to ensure that these children have services and treatment not otherwise available to help them manage chronic illnesses. The Pediatric Sub-Specialty Clinic continues to provide services that would otherwise be not available in Alaska. To address access to health care in Kodiak, Providence Kodiak Island Medical Center is partnering with the Healthy Tomorrows coalition to improve the mental and physical wellness of local youth. Programs include: safe-and-sober activities for students, student skill-building groups, physical activities at schools, Yellow Ribbon suicide prevention and an online "get-fit" challenge.To address access to care in Seward, Providence Seward Medical Center is partnering with the Seward Health and Wellness coalition. Programs include: Free primary care for up to 70 residents, expanding availability of charity care/sliding fee scale in the clinic, expanding the Know Your Numbers campaign and increasing access to dietary support and physical activities.To address access to care in Valdez, Providence Valdez Medical Center is partnering with the Sound Wellness Advisory Network (SWAN) and Valdez Parks and Rec to improve health in Valdez. Programs include: Healthier You Campaign, increased access to healthy activities, wellness education, and biometric screenings. In Walla Walla County, Providence St. Mary Medical Center participates with other health, education, governmental and social service agencies in a community health assessment, sponsored by the Walla Walla County Health Department. The assessment identifies the areas of greatest need in the health of the community. Providence St. Mary uses this data in addition to other information to guide its community outreach. In recent years, the most critical need identified through this process is at-risk youth access to health care and services. To meet this need, Providence St. Mary provided funding to establish eastern Washington's first school-based health clinic, which operates as an independent not-for-profit at an alternative high school in Walla Walla. Providence St. Mary now provides annual funding to the clinic. The medical center also donates the use of a building to Trilogy Recovery Community, an independent not-for-profit youth drug and alcohol recovery center.Providence St. Mary utilizes the Providence Telestroke Network, run through the Providence Brain Institute in Portland, Oregon, to ensure that every patient coming into the emergency department with symptoms of stroke can be seen by a neurologist, regardless of the hour. With strokes, the faster a patient is diagnosed and treated, the less damage the stroke can do. Receiving the right treatment quickly can mean the difference between life and death, and between a good recovery and a lifelong disability.
Part VI, Line 6: AFFILIATED HEALTH CARE SYSTEM:Providence Health & Services owns and operates 27 general acute care hospitals, six long-term care facilities, seven homecare and hospice entities, five assisted living facilities, a children's nursing center and Montessori school, a high school, a university, 12 low-income housing projects, the Health Plan, a health services contractor, two programs of all inclusive care for the elderly, and 20 controlled fundraising foundations.The Health System provides inpatient, outpatient, primary care, and home care services in Alaska, Washington, Montana, Oregon and Southern California. The Health System operates these businesses primarily in the greater metropolitan areas of Anchorage, Alaska; Everett, Seattle, Spokane and Olympia, Washington; Missoula, Montana; Portland and Medford, OregonThe charitable purpose of Providence Health & Services and each of its ministries is guided by one Mission and set of core values based on Catholic health care and guided by the legacy of the Sisters of Providence. As one system committed to caring for those who are poor and vulnerable, Providence Health & Services has developed a single framework for consistently reporting charity care and community benefit. Our commitment to respect and fairness means Providence has a system-wide compensation policy. Locally, Providence ministries are empowered to apply these policies to meet the local needs of their community. Additionally, Providence ministries conduct local assessments to make sure the needs of the community are met. ALASKA REGION:Providence Health & Services Alaska (PHSA) serves the health needs of all people across the vast state of Alaska (population of 731,449). Providence Alaska has 15 ministries. The majority of facilities are located in the Anchorage area, but PHSA also has a presence in six other Alaska communities. Additionally, services are expanded to communities in Alaska and Oregon via connecting technologies (e.g. telestroke and eICU services). The ministries in Providence Alaska work to care for each patient as they need care across the full continuum of health care services. Providence Alaska Medical Center is the only comprehensive tertiary referral center serving all Alaskans. The medical center features the Children's Hospital at Providence (the only one of its kind in Alaska), the state's only Level III NICU, Heart and Cancer Centers, the state's largest emergency department, full diagnostic, rehab and surgical services as well as both inpatient and outpatient mental health and substance abuse services for adults and children. Providence Alaska has a family practice residency program that trains physicians in primary care with the intent of increasing providers in distant Alaska communities. A continuum of post-acute care services, including home health, hospice, assisted living and a skilled nursing provides care for patients as close to home as possible. A developing medical group provides primary and specialty care in the community. The four critical access hospitals located in the remote communities of Cordova, Kodiak, Seward, and Valdez are all co-located with skilled nursing facilities. Community mental health centers are operated in Kodiak and Valdez. These services combined in these communities provide a solid foundation for access to health care. Providence Alaska also partners to provide additional services through five joint ventures including: Providence Imaging Center in both Anchorage and Soldotna, St. Elias Long Term Acute Care Hospital, Imaging Associates of Providence in both Anchorage and Wasilla, LifeMed Alaska (a medical transport / air ambulance service), and Creekside Surgery Center.WESTERN WASHINGTON REGION - NORTHWEST:Providence cares for the residents of five Northwest Washington counties through a comprehensive network of facilities and services. Our hospital, Providence Regional Medical Center, contains more than $60 million in some of the world's most advanced medical technology, and is home to the state's busiest emergency room. Our Pavilion for Women & Children houses maternity and newborn intensive care, and offers breast care and other services for women, children and families. Our Providence Medical Group clinics provide a full range of primary and specialty care throughout Snohomish County. The Providence Regional Cancer Partnership is an innovative partnership that offers all aspects of outpatient cancer care under one roof, using some of the world's most sought-after cancer care technology. The Providence Everett Healthcare Clinic provides high-quality care for those who may otherwise not be able to afford it. Providence Hospice & Home Care of Snohomish County delivers compassionate, home-based care to those who are confined to the home. PROVIDENCE HEALTH CARE/EASTERN WASHINGTON:In the Eastern Washington Region, Providence Health Care is made up of 11 ministries offering comprehensive, coordinated health care across the full continuum of care. In addition to five hospitals, Providence Health Care includes home health care, skilled nursing/long term care and transitional care, an assisted living facility, home chore services, a physician group with more than 200 physicians, a medical laboratory and the region's only adult day health program. All of these ministries serve the Providence Mission and provide care for all, especially to those who are poor and vulnerable. This coordinated system of care ensures patients receive the right care from the right provider, at the right time, at the right cost. While the Providence physician group is at the core of coordinating patient care, patients may enter the Providence Health Care system at any ministry level depending on need. This comprehensive, open system ensures patients receive a full spectrum of coordinated care, regardless of their ability to pay.WESTERN WASHINGTON REGION - SOUTHWEST:Providence Health & Services in Southwest Washington touches more lives in Thurston, Mason, Lewis, Grays Harbor and Pacific counties than any other health care provider. *Providence St. Peter Hospital is a 390-bed, not-for-profit regional teaching hospital founded by the Sisters of Providence in 1887. Located in Olympia, the hospital offers comprehensive medical, surgical and behavioral health services to residents of Southwest Washington. St. Peter is a regional leader in cardiology, oncology, orthopedics and neuro-sciences. The Joint Commission has designated the hospital a Stroke Center of Excellence since 2007.*Providence Centralia Hospital is a 102-bed, not-for-profit community based hospital. The services the hospital provides make it the heart of medical care in Lewis County. As a community hospital with outstanding technology, Providence Centralia Hospital is large enough to provide state-of-the-art services such as MRI, 64-slice CT scans and digital mammography. The hospital is also small enough to offer personal, compassionate care to everyone it serves. *Providence Medical Group operates more than 25 clinics, with more than 160 specialized providers in Lewis, Thurston and Grays Harbor counties. The group provides primary and specialty care, including family medicine, internal medicine, cardiology, neurosurgery, oncology, diabetes care, general surgery, endocrinology, obstetrics/gynecology, physiatry, psychiatry and urology.*Providence Senior and Community Services provide a full continuum of health care services for those living with chronic and/or life-limiting conditions. Offering access and choice through innovative, customer-centered options, services are provided in the home or in a variety of facility settings including Providence SoundHomeCare andHospice and Providence Mother Joseph Care Center and through supportive housing, including Providence St. Francis House (Olympia); Providence Blanchet House (Centralia); Providence Rossi House (Centralia) and Providence Place (Chehalis).
WA,OR,CA,MT,AKReports Filed With StatesPart VI, Line 7
The average age of the population in this geography is 39.5 years, with 15.7% of the population over age 65. The average household income is $61,515. Providence Centralia Hospital serves 121,894 people in its service area, and the average age is 39.5 years, with 16.6% of the population over age 65. The average household income is $54,776. Within the Western Washington Region - Southwest, the percentage of people living in poverty includes: Thurston (10.7%), Lewis (16.5%), Mason (16.0%), Grays Harbor (17.9%) and Pacific (17.9%). The unemployment rates for the counties include Thurston (6.5%), Lewis (10.4%), Mason (8.7%), Grays Harbor (11.3%) and Pacific (10.4%). In 2012, the Western Washington Region - Southwest provided more than $48.9 million in charity care and community benefits. SOUTHEAST WASHINGTON REGION:The Southeast Washington Region includes Providence St. Mary Medical Center in Walla Walla, Washington. The hospital serves a population totaling 78,506 people in its primary service area in Walla Walla County and Columbia County in Washington, and five towns in Umatilla County, Oregon. Within this geography, 15.9% of the population is over age 65 and the average household income is $54,016. The unemployment rate in Walla Walla County is 7.2% and Columbia County is 10.2%. The hospital also serves 92,739 people in its secondary service area, which is comprised of Garfield County, Washington and Union, Wallowa and Umatilla counties in Oregon. Within the secondary market, 14.9% of the population is over age 65 and the average household income is $53,372. In total, 15.7% of people in Walla Walla County are living in poverty, as well as 14.6% in Columbia County. In 2012, the Southeast Washington Region provided $10.2 million in charity care and community benefits.PROVIDENCE HEALTH CARE/EASTERN WASHINGTON REGION:Spokane County is the furthest east county along Interstate 90, located on the Idaho border. It is largely urban with the second most populated city in the state, Spokane, with a population of 460,000. Providence Sacred Heart Medical Center & Children's Hospital and Providence Holy Family Hospital are located in Spokane County. About 12.5% of its population is over the age of 65. The leading causes of death in Spokane County are cancer, heart disease and stroke. The maternal smoking rate is two times higher than the state average. Stevens County is a largely rural region in northeast Washington, north of Spokane County with Pend Orielle County to the east and Ferry County to the west. Providence Mount Carmel Hospital in Colville is 75 miles north of Spokane and Providence St. Joseph's Hospital in Chewelah is 25 miles north of Spokane. The Stevens County population is 44,300. A high percentage of the rural population (17%) is over the age of 65. The leading causes of hospitalizations are unintended injury and heart disease, which are above the state average. The drug crime rate has continued to increase and is higher than the state average.The primary service area for these five Providence hospitals is defined as Spokane and Stevens counties. As the region's major quaternary hospital, Providence Sacred Heart Medical Center & Children's Hospital serves a muchbroader tertiary market which spans eastern Washington, northern Idaho, western Montana and northeastern Oregon, with a population of more than 1.6 million. Approximately 43% of patients are covered by Medicare, 25% are covered by Medicaid and nearly 5% uninsured or self-pay. With approximately 15% of the population for most of the counties served living in poverty, this service area is characterized by lower income levels than the state average.CONTINUATION OF COMMUNITY INFORMATIONPART VI, LINE 4
WESTERN WASHINGTON REGION - NORTHWEST:In Snohomish County, Providence Regional Medical Center Everett promotes the health of the community in a number of unique ways, one of which is the Providence Everett Healthcare Clinic. Opened in 2004, the clinic serves those with limited financial means and offers medical, dental and mental health care on a sliding fee scale, based on each patient's ability to pay. The clinic came about as the result of what started as a simple conversation between two single moms and a physician. These moms had government coupons to pay for health care, but no clinic or physician was willing to accept the coupons, and as a result, they were denied access. One mom had a son who experienced a simple earache. Because no one would see her son, the earache progressed until his ear drum burst, necessitating an emergency visit to the hospital. Upon hearing this story, the Providence physician realized there had to be a better way to meet the needs of this patient population. He developed a unique care delivery model in which Providence partnered with the schools of nursing at University of Washington Bothell and Everett Community College to deliver care. The clinic has grown in both size and scope several times since opening in 2004. It has expended from initially providing only medical care, to now providing mental and dental care as well.Another example is the community outreach program called Inside Out: The Original Organ Show. This innovative health education program, directed primarily at middle and high-school students, provides audiences with compelling health information - presented in a truly unique way - that empowers them to make informed decisions about behaviors and lifestyle choices that impact their long-term well-being. Inside Out takes viewers on a fantastic voyage through the human body. Actual human organs, such as hearts, lungs, brains, livers, kidneys and aortas are shown. Some are healthy; others have been damaged by substance abuse, poor eating habits and unsafe behaviors. Comparing healthy and cancerous lungs, clinical educators show the effects of smoking. Holding up a heart with a bullet hole through it, they describe the danger of gun violence. Using an aorta covered with hard, jagged plaque, they talk about how high cholesterol can lead to heart attacks. Displaying the shattered remains of a human brain,they talk about the unintended consequences of accidental prescription drug overdose. This program has been offered to the community for more than 20 years and in that time, thousands of people have written to tell how it changed, and possibly saved, their life.WESTERN WASHINGTON REGION - SOUTHWEST:Providence in Southwest Washington provided more than $48 million in total community benefits, including $16.7 million in charity care and $21.8 million to cover the difference between the costs of providing care for people insured by government-sponsored programs and the amount paid by the government for those services.Providence Southwest Washington hospitals subsidize a broad range of services that provide health benefits to the community but do not generate enough income to be financially self-sustaining. Examples include more than $5 million in programs such as psychiatry, chemical dependency, a sexual assault clinic and pediatrics.Here is more detail on key subsidized programs:*Providence Southwest Washington donated hospital services and more than $125,000 in sponsorships to community organizations. A total of $60,000 was donated by Providence to Project Access, a volunteer physician program that provides free specialty care to those who otherwise can't afford it. More than $250,000 in services were used in collaboration with the CHOICE Regional Health Network as part of the Emergency Department Consistent Care Program.*Based in Lacey, the Providence St. Peter Chemical Dependency Center offers a complete continuum of treatment options to diagnose, treat and provide ongoing recovery support. Our medically supervised programs offer excellence in clinical counseling, comprehensive education and a safe environment for recovery. In 2012, the Chemical Dependency Center was subsidized with $2.3 million from Providence. This support helped improve the quality of life for more than 1,305 substance abuse inpatients, 11,969 outpatients and their families.*Providence Centralia Hospital's partnership with Valley View Health Center continues to provide access to primary care for more than 3,000 patients annually. Through the donation of space, this walk-in clinic on the hospital campus provides a more appropriate medical and dental home for those who had been using the Emergency Department for routine health care needs.*The physicians, nurses, nurse practitioners and social workers at the Sexual Assault Clinic are always there for the victims of sexual abuse. Serving residents of Thurston, Lewis, Mason, Grays Harbor, Pacific and Wahkiakum counties, our specialists are on call 24 hours a day, seven days a week to provide medical evaluations for children, adolescents and adults when they are in crisis. In 2011, the clinic provided nearly $400,000 in subsidized services for 349 patients. *Providence provided more than $1.75 million in non-funded psychiatric services for nearly 8,991 patient visits in 2012, including inpatient and outpatient services. Services provided include an 18-bed voluntary acute care unit and Partial Hospitalization Program. Other Providence psychiatric services feature social workers and professional counselors who provide crisis intervention, counseling and support in the Emergency Center; psychiatric nurses who provide home mental health services; specialized services for those 55 and older in our Older Adult Mental Health Program; and psychiatrists and ARNPs who offer treatment in our psychiatric medical clinic.*Providence St. Peter Hospital provided $4 million in training support of 18 family medicine physicians, other medical education programs and research.*More than 1,000 people benefited from free blood pressure checks, glucose and cholesterol screenings and low-cost high school sports physicals. Providence also provided free community education events, including "The Flex Diet", "The Smart Women's Guide to Heart Health", "Providence Parenting University", "Cancer Survivors' Celebration", "Harmony and Hope concerts" and "Wellness Roundup".PROVIDENCE HEALTH CARE/EASTERN WASHINGTON REGION:Providence in Eastern Washington provided more than $84 million in total community benefits, including $16.6 million in charity care and $47 million to cover the difference between the costs of providing care for people insured by government-sponsored programs and the amount paid by the government for those services.Providence Health Care formed an innovative collaboration 17 years ago with the other local hospital system (then Empire Health System) to better serve the community needs by jointly sponsoring Inland Northwest Health Services (INHS) - a not-for-profit organization that provides vital community services including air ambulance service, inpatient rehabilitation services, community health education, and an extensive medical information system that connects more than 30 hospitals across the inland northwest region. INHS represents a collaborative approach to health care that is unlike any other and brings unique partnerships and innovative technologies and more cost-effective care to Spokane and the Northwest. While the original sponsors have changed following theacquisition of Empire Health Services by a national for-profit system, Providence Health Care has found the ability to continue the community collaborative approach through a new joint sponsorship with the foundation that was formed by the sale of Empire Health Services.The Providence Health Care Community Ministry Board is made up of volunteer community leaders. The Board's primary delegated responsibilities include quality of care and service (including oversight of medical staff privileging), strategic planning and Mission effectiveness. In its role in Mission effectiveness, the Board is responsible for reviewing and approving the community needs assessment and selection of priority community needs. In addition, the Board approves recommendations for financial support of community programs and services (representing a $1.94 million investment in 2011).Providence hospitals in Spokane are also the sole providers of many essential services in Spokane. Many of these services are subsidized as they operate at a loss. (SEE CONTINUATION)CONTINUATION OF FURTHERANCE OF EXEMPT PURPOSEPART VI, LINE 5
For example, Providence Sacred Heart Medical Center is the only inpatient psychiatric program in the region, and Providence Holy Family Hospitals provides the only inpatient detox program in the community. Other unique services include an inpatient maternity clinic for uninsured, low income women located at Sacred Heart, transplant services (heart, kidney, pancreas) and numerous pediatric subspecialties.In addition, all Providence Health Care hospitals operate 24/7 emergency departments that serve all patients, regardless of ability to pay. And, as the only level II trauma center in the inland northwest region, Providence Sacred Heart medical Center serves a unique role of caring for the most critically ill and injured patients from the vast service area.Other examples of how Providence Health Care and its Eastern Washington ministries further its tax exempt status in support of the health of the community include:*Mobile mammography van that provides mammography services to underserved populations in outlying communities.*Tele-medicine and tele-continuing medical education for physicians and nurses throughout the region.*Providing educational opportunities for medical professionals throughout the community, including management oversight and subsidy of the graduate medical education residency programs, including family medicine, internal medicine, radiology and psychiatry, as well as funding for medical research through the Providence Medical Research Center.*Medical staff at Providence hospitals have open privileges across all hospital facilities in the area.*Level I heart attack and level I stroke programs collaborate with rural hospitals throughout the vast inland Northwest region to support the delivery of high quality, prompt medical care for patients suffering a stroke or heart attack.FURTHERANCE OF EXEMPT PURPOSE - CONTINUED, PHC/EASTERN WASHINGTON REGIONPART VI, LINE 5
See belowPart V, Line 8 Facility Reporting Group A
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.Facility 2 -- Providence SHMC & Children's HopsitalPart V, Section B, line 14g:
Facility 2 -- Providence SHMC & Children's HopsitalPart V, Section B, line 18e:
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.Facility 2 -- Providence SHMC & Children's HopsitalPart V, Section B, line 20d:
For non medically necessary services a patient may be charged full billed charges.Facility 2 -- Providence SHMC & Children's HopsitalPart V, Section B, line 22:
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.Facility 3 -- Providence St. Peter HospitalPart V, Section B, line 14g:
Facility 3 -- Providence St. Peter HospitalPart V, Section B, line 18e:
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.Facility 3 -- Providence St. Peter HospitalPart V, Section B, line 20d:
For non medically necessary services a patient may be charged full billed charges.Facility 3 -- Providence St. Peter HospitalPart V, Section B, line 22:
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.Facility 4 -- Providence Regional Med. Ctr. ColbyPart V, Section B, line 14g:
Facility 4 -- Providence Regional Med. Ctr. ColbyPart V, Section B, line 18e:
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.Facility 4 -- Providence Regional Med. Ctr. ColbyPart V, Section B, line 20d:
For non medically necessary services a patient may be charged full billed charges.Facility 4 -- Providence Regional Med. Ctr. ColbyPart V, Section B, line 22:
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.Facility 5 -- Providence Regional Med. Ctr. PacificPart V, Section B, line 14g:
Facility 5 -- Providence Regional Med. Ctr. PacificPart V, Section B, line 18e:
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.Facility 5 -- Providence Regional Med. Ctr. PacificPart V, Section B, line 20d:
For non medically necessary services a patient may be charged full billed charges.Facility 5 -- Providence Regional Med. Ctr. PacificPart V, Section B, line 22:
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.Facility 6 -- Providence Holy Family HospitalPart V, Section B, line 14g:
Facility 6 -- Providence Holy Family HospitalPart V, Section B, line 18e:
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.Facility 6 -- Providence Holy Family HospitalPart V, Section B, line 20d:
For non medically necessary services a patient may be charged full billed charges.Facility 6 -- Providence Holy Family HospitalPart V, Section B, line 22:
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.Facility 7 -- Providence Centralia HospitalPart V, Section B, line 14g:
Facility 7 -- Providence Centralia HospitalPart V, Section B, line 18e:
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.Facility 7 -- Providence Centralia HospitalPart V, Section B, line 20d:
For non medically necessary services a patient may be charged full billed charges.Facility 7 -- Providence Centralia HospitalPart V, Section B, line 22:
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.Facility 8 -- Providence St. Mary Medical CenterPart V, Section B, line 14g:
Facility 8 -- Providence St. Mary Medical CenterPart V, Section B, line 18e:
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.Facility 8 -- Providence St. Mary Medical CenterPart V, Section B, line 20d:
For non medically necessary services a patient may be charged full billed charges.Facility 8 -- Providence St. Mary Medical CenterPart V, Section B, line 22:
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.Facility 9 -- Providence Mt. Carmel HospitalPart V, Section B, line 14g:
Facility 9 -- Providence Mt. Carmel HospitalPart V, Section B, line 18e:
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.Facility 9 -- Providence Mt. Carmel HospitalPart V, Section B, line 20d:
For non medically necessary services a patient may be charged full billed charges.Facility 9 -- Providence Mt. Carmel HospitalPart V, Section B, line 22:
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.Facility 10 -- Providence St. Joseph's HospitalPart V, Section B, line 14g:
Facility 10 -- Providence St. Joseph's HospitalPart V, Section B, line 18e:
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.Facility 10 -- Providence St. Joseph's HospitalPart V, Section B, line 20d:
For non medically necessary services a patient may be charged full billed charges.Facility 10 -- Providence St. Joseph's HospitalPart V, Section B, line 22:
See belowPart V, Line 8 Facility Reporting Group B
All individuals are charged the same rate.Facility 1 -- Providence Alaska Medical CenterPart V, Section B, line 20d:
Gross charges are the same as the amounts generally billed to those having insurance.Facility 1 -- Providence Alaska Medical CenterPart V, Section B, line 22:
All individuals are charged the same rate.Facility 11 -- Providence Kodiak Is. Medical CenterPart V, Section B, line 20d:
Gross charges are the same as the amounts generally billed to those having insurance.Facility 11 -- Providence Kodiak Is. Medical CenterPart V, Section B, line 22:

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (139 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrantAmount Of Cash GrantAmountOfCashGrant
PHS-SoCA dba Providence High School
501 S Buena Vista StreetBurbankCA91505510216589501( C)(3)2424115CostForgiveness of Oper. DebtForgiveness of Debt
Providence Alaska Foundation
PO Box 196604AnchorageAK99519920093565501(C )(3)Operational Support1069581
Providence St Peter Foundation
413 Lilly Road NEOlympiaWA98506911097056501(C )(3)Operational Support957220
Providence General Foundation
PO Box 1067EverettWA98206911041617501(C )(3)Operational Support836492
Inland Northwest Health Services
PO BOX 469SpokaneWA99210911307555501(C )(3)Community Health Education Outreach748015
PHC Foundation - Eastern Washingon
PO Box 2555SpokaneWA99220320014330501(C )(3)Operational Support740048
Providence Mount St Vincent Foundation
4831 35th Avenue SouthwestSeattleWA98126911188119501(C )(3)Operational Support598925
Providence Hospice of Seattle Foundation
425 Pontius Ave N 300SeattleWA98109912077378501(C )(3)Operational Support591377
University of Washington
1959 NE Pacific St NW125SeattleWA98195916001537GovernmentFinancial support for the Program Director of the Palliative Medicine Fellowship to develop, implement and manage the Palliative Medicine Fellowship.444313
Catholic Social Services Inc
225 Cordova St Bldg BAnchorageAK99501920037322501(C )(3)Community Support369090
Providence Hospice and Home Care Foundation Snohomish County
2731 Wetmore Suite 500EverettWA98201272552749501(C )(3)Operational Support343943
University Of Alaska
3211 Providence Dr K101AAnchorageAK99508926000147GovernmentCommunity Support300000
Everett Community College
2000 Tower StreetEverettWA98201910759103GovernmentNursing and Clinical Education270000
Providence St Mary Foundation
401 W Poplar StWalla WallaWA99362452841492501(C )(3)Operational Support242077
Providence Marianwood Foundation
3726 Providence Point Drive SEIssaquahWA98030931554288501(C )(3)Operational Support205237
Providence Health Care Foundation
914 S Scheuber RdCentraliaWA98531911433382501(C )(3)Operational Support201287
Christ Clinic
914 W CarlisleSpokaneWA99205911435174501(C )(3)Building Expansion, Nurse Practitioner167000
Alaska Medicare Clinic Inc
11260 Old Seward Highway Ste 107AnchorageAK99515270542419501(C )(3)Community Support140000
Anchorage Project Access
PO Box 196604AnchorageAK99519920152088501(C )(3)Community Support105000
Alaska Sports Hall Of Fame Inc
1415 Echo Canyon RdAnchorageAK99516810649085501(C )(3)Community Support100000
Partners with Families & Children
613 S Washington StSpokaneWA99204680576560501(C )(3)Monthly support93098
Catholic Charities
PO Box 2253SpokaneWA99210910569880501(C )(3)Donation for Land Purchase & House of Charity etc87705
Prescription Drug Assistance Foundation
200 Broadway Suite 100SeattleWA98122331134368501(C )(3)Operational Support81500
Alaska School Activities Association
4048 Laurel St 203AnchorageAK99508920116510501(C )(3)Community Support75000
United Way Of Anchorage
701 W 8th Avenue Ste 230AnchorageAK99501920027948501(C )(3)Community Support66797
Choice Regional Health Network
2409 Pacific Ave SEOlympiaWA98501911704039501(C )(3)2012 Mental Health Program Grant & Thurston County Project60000
Project Access Spokane
104 S Freva Street Suite 114SpokaneWA99202910827958501(C )(3)Operational Support57900
American Cancer Society Great West Division Inc
3851 Piper Street Ste U240AnchorageAK99508841316555501(C )(3)Community Support53000
Hospice And Palliative Care Of Kodiak Inc
PO Box 8682KodiakAK99615452208200501(C )(3)Community Support50000
PHS-SoCal dba Providence Holy Cross Foundation
501 S Buena Vista StreetBurbankCA91505510216589501( C)(3)Operational Support46523
The American Heart Association
3700 Woodland Ave 700AnchorageAK99517135613797501(C )(3)Community Support/Puget Sound 2012 Heart Walk42500
Community Detox Services of Spokane
PO Box 2845SpokaneWA99220911108762501(C )(3)Operational Support36000
School Health Care Association of Spokane County
905 W Riverside Suite 314SpokaneWA99201274299158501(C )(3)Sunset School Health Center35000
Anchorage Museum Association
625 C StreetAnchorageAK99501926009317501(C )(3)Community Support34500
Citrine Health
2817 Rockefeller AveEverettWA98201911717603501(C )(3)Free Mammograms30753
Snohomish County Economic Development Council
728 134th Street SW Ste 128EverettWA98204910647005501(C )(4)Community Economic Growth30000
United Way of Spokane County
920 N Washington St Suite 100SpokaneWA99201910606058501(C )(3)Operational Support30000
Women Helping Women
1325 W 1st Ave Suite 318SpokaneWA99201911561874501(C )(3)Operational Support30000
Covenant House Of Alaska
PO Box 104640AnchorageAK99510133419755501(C )(3)Community Support28926
Washington State University
PO Box 1495SpokaneWA99210916001108GovernmentSponsorship28273
Providence Pariseau
5071 8th Avenue NESeattleWA98105911289932501( C)(3)Sponsorship/Ministry Support27350
Alaska EHR Alliance
4120 Laurel St Ste 206AnchorageAK99508202141045501(C )(3)Community Support25000
Alaskans For Access To Healthcare
4120 Laurel St Ste 206AnchorageAK99508202234578OtherCommunity Support25000
American Heart Association
140 S Arthur Street Suite 610SpokaneWA99202135613797501(C )(3)Sponsorship25000
Anchorage School District
1805 Academy Dr Ste 101AnchorageAK99507928000078501(C )(3)Community Support25000
Spokane Regional Health District
1101 WCollege Ave Rm 330SpokaneWA99201911527532GovernmentOperational Support25000
The Institute Of The North
1675 C Street Ste 106AnchorageAK99501753155877501(C )(3)Community Support25000
Valley Hospital Association Inc
950 E Bogard Rd Ste 218WasillaAK99654920019395501(C )(3)Community Support25000
Alaska Native Tribal Health Consortium
4000 Ambassador DrAnchorageAK99508920162721501(C )(3)Community Support22500
Spokane County Medical Society
104 S Fraya St Suite 114SpokaneWA99202916053239501(C )(6)Sponsorship/Operational Support21500
Cancer Patient Care of Spokane County
1507 E Sprague AveSpokaneWA99202916055019501(C )(3)Sponsorship/Operational Support20000
Inland NW Community Foundation
618 W Riverside Ave Suite 302SpokaneWA99201910941053501(C )(3)Obesity Prevention Initiative Fund20000
Project Access Northwest
1111 Harvard AvenueSeattleWA98122204377921501(C )(3)Low income health and well-being20000
Rural Resources Community Agency
956 S Main StColvilleWA99114910793447501(C )(3)Child Protection Resources15666
Rotary Club of Everett
PO Box 1225EverettWA98201916032628501(C )(4)Student Scholarship15250
Beans Cafe
PO Box 100940AnchorageAK99510920072522501(C )(3)Community Support15000
Bethel Christian Life Center
PO Box 639ColvilleWA99114943143251501(C )(3)Operational Support15000
Blue Mountain Action Council
1520 Kelly Place Suite 140Walla WallaWA99362910793597501(C )(3)Community Support15000
Diocese of Spokane - Nazareth Guild
PO Box 1453SpokaneWA99210910564957501(C )(3)Sponsorship15000
Foundation For Women's Cancer
230 W Monroe Ste 2528ChicagoIL60606363797707501(C )(3)Community Support15000
Group Health Foundation
PO Box 34015SeattleWA981244015911246278501( C)(3)Gift of Health Gala15000
March Of Dime Foundation
255 E Fireweed Ln Ste 102AnchorageAK99503131846366501(C )(3)Community Support15000
Tri-County Community Health Fund
1200 E ColumbiaColvilleWA99114431992627501(C )(3)Operational Support15000
WSMA Foundation for Health Care Improvement
2033 Sixth Avenue Suite 1100SeattleWA98121916074463501( C)(3)Sponsorship - Conference15000
Indiana Institute for Global Health Inc
1001 W 10th StreetIndianapolisIN462022859203210232501( C)(3)International Residency Program13876
Tri County Health District
240 E DominionColvilleWA99114911358169GovernmentImmunize Program12811
YMCA of Snohomish County
2720 Rockefeller AvenueEverettWA98201910565561501(C )(3)Childhood Obesity Program & Minority Achievers12800
American Cancer Society
728 134th Street SW Ste 101EverettWA98204841316555501(C )(3)Community Health12000
Mill Creek Business Association
PBM 634 13300 Bothell Everett HwyMill CreekWA98012911852335501(C )(6)Community support12000
PHS-SoCal dba Providence St Joseph Foundation
501 S Buena Vista StreetBurbankCA91505510216589501( C)(3)Community11586
Volunteers of America
2802 Broadway AvenueEverettWA98201910577129501(C )(3)Support programs of housing, food banks, preschools, and Children of Promise program.10350
Medical Teams International
PO Box 10PortlandOR972070010930878944501( C)(3)Community10063
5 Miler For Men's Cancer Research
PO Box 100225AnchorageAK99510920158284501(C )(3)Community Support10000
American College Of Physicians
4120 Laurel St Ste 204AnchorageAK99508920136701501(C )(3)Community Support10000
American Red Cross-Snohomish County
2530 LombardEverettWA98201910581658501(C )(3)Community Health10000
Breast Cancer Focus Inc
PO Box 242464AnchorageAK99524911842524501(C )(3)Community Support10000
Child Care Connection Inc
3350 Commercial Dr Ste 203AnchorageAK99501920113419501(C )(3)Community Support10000
Daybreak Youth Services
11711 E Sprague Ave Suite D-4Spokane ValleyWA99206911083936501(C )(3)Youth Services Program10000
Everett Silvertips Hockey Club
2000 Hewitt Avenue Suite 200EverettWA98201980376631Other2012 Corporate Sponsorship10000
Fig Tree
1323 S Perry StSpokaneWA99202912091823501(C )(3)Community Benefit10000
Washington Global Health Alliance
PO Box 9661SeattleWA98109272314726501( C)(3)Sponsorship10000
Lincoln County Fire Protection
PO Box 279SpragueWA99032911542456GovernmentEmergency Response Building Expansion10000
Medical Teams International
9680-153rd Avenue NERedmondWA98052930878944501(C )(3)Support service for visits for Westwood Crossing Apartments and Everett's Gospel Women's mission.10000
Pilgrimage for our Childrens Future
2621 Palisade Avenue Apt 15ARiverdaleNY104636111743156538501( C)(3)Governance Conference Speaker Donation10000
Schools Out Washington
801 23rd Avenue S Suite ASeattleWA981443039460809713501( C)(3)Community10000
SOS Clinic
1200 SE 12th stCollege PlaceWA99324731626280501(C )(3)Community10000
St Joseph Family Center
1016 N Superior StSpokaneWA99202910564989501(C )(3)Operational Support10000
Surgical Implant Generation Network
451 Hills Street Ste BRichlandWA99354911952283501(C )(3)Community Support10000
The Foraker Group
161 Klevin St Ste 101AnchorageAK99508920177787501(C )(3)Community Support10000
United Way of Snohomish County
3120 McDougal Avenue Suite 200EverettWA98201910606507501(C )(3)Community benefit10000
Washington Center for Nursing
1101 Andover Park West Suite 105TukwilaWA981883911680568743501( C)(3)General Fund Sponsorship10000
YMCA of Greater Seattle
909 Fourth AvenueSeattleWA98104910482710501( C)(3)Sponsorship10000
March of Dimes
904 3rd Avenue Suite 230SeattleWA98101131846366501(C )(3)Sponsorship and community health8500
Hands on Children Museum
106 11TH Ave SWOlympiaWA98501911405065501(C )(3)Capital Campaign Pledge Payment8335
Southern Steven County Health
East 501 ClayChewelahWA99109910938454501(C )(3)Community Benefit for prescription abuse Program8292
Community Health Association of Spokane
203 N Washington St Suite 300SpokaneWA99201911641797501(C )(3)7834CostCommunity Health Services - Project Adam
Swedish Medical Center Foundation
747 BroadwaySeattleWA98122910983214501( C)(3)Sponsor at Celebrate Swedish7500
Everett Aquasox Baseball Club
3802 BroadwayEverettWA98296330900494Other2012 Corporate Sponsorship7300
Mid-City Concerns
1222 W 2ndSpokaneWA99201910833015501(C )(3)Operational Support7000
Healing Hearts NW
PO Box 31533SpokaneWA99223452816701501( C)(3)Community6750
Kettle Falls Food Bank
PO Box 1145Kettle FallsWA99141911328160501(C )(3)Community Benefit6500
Lilac Bloomsday Assoc
1610 W RiversideSpokaneWA99201911054846501(C )(3)Bloomsday Sponsorship6500
Dorothy Jayne Foundation
Hartley Mansion 2320 Rucker AvenueEverettWA98201200201001501(C )(3)Support for Christmas spectacular with proceeds benefitting PRMCE's Children's Center.6435
American Cancer Society
920 N Washington Suite 200SpokaneWA99201841316555501(C )(3)Community Support6000
Birthday Dreams
PO Box 2722RentonWA98057244667553501( C)(3)Community Support6000
Bread of Life Mission
97 S Main StreetSeattleWA98108916057907501( C)(3)Community Support6000
Municipality Of Anchorage
715 L St Ste 200AnchorageAK99501920059987GovernmentCommunity Support6000
National Multiple Sclerosis Society
192 Nickerson St Ste 100SeattleWA98109135661935501(C )(3)Community Support6000
Rotary First Harvest
PO Box 94117SeattleWA981246417911229941501( C)(3)Community Support6000
Eastern Washington University
668 N Riverpoint Blvd Suite ASpokaneWA99202911019819OtherContribution for Room Rental5655
Anchorage Economic Development Corporation
510 L St Ste 603AnchorageAK99501920123006501(C )(6)Community Support5500
Walla Walla Valley Chamber of Commerce
29 E SumachWalla WallaWA99362910457015501(C )(6)Community Support5145
Aging and Long Term Care of Eastern Washington
1222 N PostSpokaneWA99201911017706OtherCommunity Benefit to Support mental Health5000
Alaska Association Of Health Underwriters
PO Box 244065AnchorageAK99524920165384501(C )(6)Community Support5000
American Childhood Cancer Org Inland Northwest
PO Box 8031SpokaneWA99203911890353501(C )(3)Operational Support5000
American Diabetes Association
801 W Fireweed Suite 103AnchorageAK99503131623888501(C )(3)Community Support5000
American Red Cross Of Alaska
235 8th Ave Ste 200AnchorageAK99501530196605501(C )(3)Community Support5000
Blue Mountain Community Foundation
8 So 2nd St Suite 618Walla WallaWA99362911250104501(C )(3)Community Support5000
Commonwealth North AK Healthcare Round Table
711 M St Ste 104AnchorageAK99501920073333OtherCommunity Support5000
First Night Spokane
211 N Wall St Suite 300SpokaneWA99203912126547501(C )(3)Sponsorship5000
Foundation for Health Care Quality
705 2nd Avenue Suite 703SeattleWA981041717911419327501( C)(3)Sponsorship - Conference5000
Foundation for Private Enterprise Education
33305 1st Way South Suite B-212Federal WayWA98003911048245501( C)(3)Healthcare Program5000
Housing Hope
5830 Evergreen WayEverettWA98203943060709501(C )(3)Stone Soup event to go towards serving Housing Hope's clients to provide affordable housing for the poor.5000
Inland Northwest Blood Center
210 West Cataldo AveSpokaneWA99201910499130501(C )(3)Sponsorship5000
Intl Assoc of Laryngectomees
925 B Peachtree Street NE Ste 316AtlantaGA303093918136203459501(C )(3)Low Income Scholarships5000
Little Red School House
14 E Casino Road AEverettWA98208916053563501(C )(3)To educate the public to get vaccinated against the whooping cough.5000
Lutheran Social Services Of Alaska
1303 W 33rd AvenueAnchorageAK99503943055592501(C )(3)Community Support5000
March of Dimes Foundation
222 W Mission Ave Suite 119SpokaneWA99201131846366501(C )(3)Sponsorship5000
One Less Mountain
12533 SE 203rd PlaceKentWA98031451597766501( C)(3)Community Support5000
Ride For Life Alaska
2600 Denali St Ste 450AnchorageAK99503562458726501(C )(3)Community Support5000
Spokane Area Business Foundation
801 W Riverside Suite 100SpokaneWA99201911896341501(C )(3)Operational Support5000
Spokane Prevention of Child Abuse and Neglect Council
PO Box 10540SpokaneWA99209912000180501(C )(3)Sponsorship5000
Student Health Options
534 S 3rd Avenue Apt 16Walla WallaWA99362270401462501( C)(3)Community5000
The Alaska Run For Women
PO Box 230929AnchorageAK99523920149312501(C )(3)Community Support5000
The Anchorage Running Club
PO Box 243362AnchorageAK99524920085126501(C )(3)Community Support5000
The Children's Place
PO Box 871788WasillaAK99687911817911501(C )(3)Community Support5000
Woman Making a Difference
956 S Main StColvilleWA99114910793447501(C )(3)Community Benefit5000
YWCA of Spokane
930 N Monroe StSpokaneWA99201910565025501(C )(3)Sponsorship5000
Zak Foundation
PO Box 19188SpokaneWA99219271771407501(C )(3)Sponsorship5000
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants126TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations13TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (25 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantDescription Of Non Cash AssistanceDescriptionOfNonCashAssistanceAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuation
Light of Hope Program115650Assist low-income patients with necessary medical supplies.
Employee emergency assistance7Financial assistance of employees paid to Providence St. Peter FDN.978Book Value
Prescription Drugs1151Sacred Heart Oupatient Pharmacy52868Cost
Patient transportation1028Spokane Dispatch Service23025Cost
Wheelchair transport1765American Medical Response and Wheelchair Transport, Inc.24161Cost
Patient Transport2681Patient Transport31627Cost
Medication118Medication12728Cost
Supplies20Supplies497Cost
Home Care26Home Care3368Cost
Merchant Card for Purchases620Merchant Purchase Cards to assist poor & needy patients15511Purchase Price
Meals3Meals or food purchased to assist poor & needy patients150Purchase Price
Garment10Gauntlets for Breast Cancer Patients1097Purchase Price
Gas Cards40Gas Cards for poor and needy patients1000Purchase Price
Gifts2Misc gifts for cancer patients112Purchase Price
Lodging3Motel Room for poor/needy cancer patients490Purchase Price
Medical Items11Medical Device for poor/needy Cancer or Dialysis Patients1854Purchase Price
Fabric2Fabric purchased for poor/needy patient169Purchase Price
Rent1Rent paid on behalf of a poor/needy patient1000Purchase Price
Transportation1Taxi ride provided for poor & needy patients35Purchase Price
Utilities8Utilities paid for poor & needy patients1247Purchase Price
Wig for Cancer Patient1Wig purchased for a cancer patient291Purchase Price
Donation - Indigents - Food1269Food13327Cost
Donation - Indigents - Prescription Medication36Medication49287Cost
Donation - Indigents - Transportation650Transport1961Cost
Medical Mission Grants9966455Medical Mission TripsCost

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Discretionary Spending AccountXDiscretionarySpendingAccount
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Payments For Use Of ResidenceXPaymentsForUseOfResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (32 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
John F Koster MD
President/CEO PH&S12576180279442501776903537000290150445252703391260
Jeffrey W Rogers
Corporate Secretary44464601784080577030073501905809434240480990
Todd Hofheins
EVP/CFO36236001757880175770187010217250596151000
Bruce Lamoureux
SVP/ CE - AK. Region485693010162990178030660610229490160880501666500
Anthony Dorsch
CFO / AK. Region26006806504106110577210171840400625000
Michael L Butler
Group President873495051616801636808633870274570229687504359620
Rod Hochman MD
Group President6926402936702500000020240028467622400171287973124444452644300
Arnold R Schaffer
EVP/W. Washington Region741165011891290797901858720236690214781406307320
John V Fletcher
VP/Operations Support5474600101014401776902385490207040183462603884970
Janice J Jones
SVP/CAO593458037059106720701803250237260123530701547030
Myron Berdischewsky MD
SVP/CMQO4964630182807603476901425320240730252591304048440
Cindra R Syverson
SVP/CHRO396975016470805770197231023437078292801301730
Terry L Smith
SVP/Management Svcs.62009503260040663150326854022265013615330691950
Michael Wilson
SVP/CE PHC79499700000917000795914000
Ray Williams
SVP/Physician Svcs34452214728225000020250002961311197531750017919782773219467124000
Kevin Brown
CE/W. WA Region - Swedish333424126656225000011000736921145731492915173942869917022470500
Cindy Strauss
SVP/ Chief Legal Officer267832108978180000096675533316225611558113962071363115119658200
Phil Jackson
VP/Physician Svc. & PMG393919016511805006701349240227650766793000
David T Brooks
CE/W. WA Region - NW424982018145805770225451020084085255201496600
Medrice Coluccio
CE/W. WA Region - SW417956014148901757704194640135410101002703448980
John O Mudd
SVP/Mission Leadership35905101282630177690949570193930619433000
Claudia Haglund
VP/Governance & Spons.338715014479301757702022960173740720755000
Joel S Gilbertson
VP/Gov't & Public Affairs33720901021480175770841560214110562501000
Orest Holubec
VP/ Communications27904201192550122020335650199190463983000
Debbie Burton
VP/CNO30351808435701757702147340190930639279000
Andrew T Howlett
Orthopedic Physician88784802995640001750001755201222464000
Nicolas F Arredondo
Neurosurgeon933349022007101700001579102484801211059000
Atul Thakker
Physician/Surgeon852328025328202935002029102181101177062000
Roy F Davis
CMO / AK.Region177833083248306482607402601888901168057000
Jack J Leornard
Physician78635702683240170000205502133201095068000
Eugene Al Parrish
Former SVP/RCE Alaska Region837870399842018900493930781205427240563820
John Kenagy
Former VP/CIO75228051853502649110804706768087348901153870

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aProvidence 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 approval by the SVP/Chief Human Resources Officer. During 2012, a total of one first-class ticket was purchased for disclosed personnel. 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 2012, the following Key Employees received gross-up payments: Arnold R. Schaffer - Relocation Phil Jackson - Relocation Bruce Lamoureux - Gift Card The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. Discretionary Spending Account Providence Health & Services provides an executive flex spending allowance per year (paid bi-weekly). This benefit is provided as discretionary spending because the organization does not reimburse for or provide additional executive benefits, such as a car allowance, additional executive life or disability insurance, or other market-based executive benefits practices. This benefit was discontinued for Calendar Year 2012. 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 SVP/Chief Human Resources 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 2012, the following Key Employees received relocation/housing program payments: Arnold R. Schaffer Phil Jackson Terry L. Smith Ray Williams The amounts reported for these relocation payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation.
Part I, Lines 4a-bNONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) CBRP = Cash Balance Restoration Plan C) ESP = Elective Survivor Plan D) SOP = Share Option Plan E) NQ = Non-Qualified 409(a) Payout 1) John F. Koster, MD a) Taxable SERP Earned but not Paid- $1,872,867 b) SERP Interest Credit - $327,363 2) Jeffrey W. Rogers a) Taxable SERP Earned but not Paid - $44,273 b) ESP Interest Credit - $87,150 c) SERP Interest Credit - $136,048 3) Michael L. Butler a) SERP Interest Credit - $301,732 b) SERP Earned but not Vested - $527,516 4) Rod Hochman, MD a) NQ - $202,400 b) SERP Earned but not Vested - $284,676 5) Arnold R. Schaffer a) Taxable SERP Earned but not Paid - $819,315 b) SERP Interest Credit - $157,753 6) John V. Fletcher a) Taxable SERP Earned but not Paid - $511,574 b) Taxable CBRP Earned but not Paid - $5,997 c) ESP Interest Credit - $50,355 d) SERP Interest Credit - $122,030 7) Janice J. Jones a) Taxable SERP Earned but not Paid - $147,676 b) Taxable CBRP Earned but not Paid - $264 c) Non-Taxable SERP Earned - $1 d) SERP Interest Credit - $144,057 8) Myron Berdischewsky, MD a) Taxable SERP Earned but not Paid - $1,522,140 b) Non-Taxable SERP Earned - $43,658 c) SERP Interest Credit - $82,406 9) Cindra R. Syverson a) SERP Interest Credit - $33,544 b) SERP Earned but not Vested - $148,036 10) Terry L. Smith a) Taxable SERP Earned but not Paid - $68,857 b) Taxable CBRP Earned but not Paid - $673 c) ESP Interest Credit - $67,068 d) SERP Interest Credit - $164,038 11) Bruce Lamoureux a) Taxable SERP Earned but not Paid - $895,277 b) Taxable CBRP Earned but not Paid - $970 c) Non-Taxable SERP Earned - $1 d) SERP Interest Credit - $47,391 12) Ray Williams a) SERP Earned but not Vested - $119,753 13) Kevin Brown a) NQ - $60,000 b) SERP Earned but not Vested - $114,573 14) Cindy Strauss a) NQ - $48,000 b) SERP Earned but not Vested - $161,294 15) Phil Jackson a) SERP Interest Credit - $9,748 b) SERP Earned but not Vested - $85,986 16) David T. Brooks a) SERP Interest Credit - $44,009 b) SERP Earned but not Vested - $161,703 17) Medrice Coluccio a) SERP Interest Credit - $55,860 b) SERP Earned but not Vested - $341,617 18) Eugene "Al" Parrish a) Taxable SERP Earned but not Paid - $293,361 b) Non-Taxable SERP Earned - $39,762 19) John Kenagy a) Taxable SERP Earned but not Paid - $417,225 20) Anthony J. Dorsch a) SERP Interest Credit - $5,697 b) SERP Earned but not Vested - $27,163 21) John O. Mudd a) SERP Interest Credit - $72,917 b) Taxable SERP Earned but not Paid - $38,965 22) Claudia Haglund a) SERP Interest Credit - $98,848 b) Taxable SERP Earned but not Paid - $35,776 c) ESP Interest Credit - $24,890 23) Joel S. Gilbertson a) SERP Interest Credit - $12,364 b) SERP Earned but not Vested - $52,717 24) Orest Holubec a) SERP Interest Credit - $1,491 b) SERP Earned but not Vested - $20,824 25) Debbie Burton a) SERP Interest Credit - $34,952 b) SERP Earned but not Vested - $160,652
Part I, Lines 4a-bSEVERANCE 1) John Kenagy - $188,084
Part IIIFORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS PROGRAM The Providence Executive Performance Awards 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 and personal objectives. In 2012, 50 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's five strategic priorities of: mission driven, financially responsible, people centered, service oriented and quality focused. In 2012 the percent allocation for each of these strategic priorities was: Mission driven 10% Financially responsible 10% People centered 10% Service oriented 10% Quality focused 10%. To ensure affordability of the program, the organization (system, region or entity) must meet a threshold of 50 percent of budgeted net operating income.Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Washington Health Care Facilities Authority
A91110892993978EA772006-06-22208792185Refund WHCFA Series 1999 & Capital projects in Washington100
Washington Health Care Facilities Authority
B91110892993978EB272006-06-22165050000Refund WHCFA Series 2002A & B and Series 1994 & 1995000
Washington Health Care Facilities Authority
C91110892993978E7V82010-07-01173543991To Finance a Portion of construction of a Tower in Everett000
Washington Health Care Facilities Authority
D91110892993978HDAO2011-07-13101296076Proceeds were used to currently refund all outstanding Series 2001A bonds000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetired
A1610000208792185151198003933363121463533425876108220090111
B1650500001311660244246556216092419420021011
C173543991134254399117100000020110011
D1012960762981060339100235737200410117825000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropPrcntge Bond Financed PropPrcntgeBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00000.000100.000000.00010010.0060011
B00000.000000.000000.00000001
C00000.000000.000000.00000001
D00000.000000.000000.00000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A000100001
B000100001
C010000001
D010000001

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1
D1

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSchedule K Part IV, Arbitrage, Line 2cIdentifier
Return ReferenceDate Rebate Computation PerformedReturnReference
ExplanationIssuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 06/22/2011 Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 06/22/2011 Issuer Name: Alaska Industrial Development and Export Date the Rebate Computation was Performed: 11/13/2008 Issuer Name: Alaska Industrial Development and Export Date the Rebate Computation was Performed: 12/01/2011Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Alaska Industrial Development and Export
A926004485011903BEO2003-09-0437426100Reimburse Alaska Region for Capital expenditures made in 2002 & 2003000
Alaska Industrial Development and Export
B926004485011903CT62006-11-3057177110Reimburse Alaska Medical Center for portion of costs to construct cancer ctr000
Alaska Industrial Development and Export
C926004485011903DZI2011-11-17126601436Fund portion of expansion & renovation at PAMC & Portion of construction000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A17500000374261003035017783692432220030011
B57177110416467755653033520080011
C12660143625133160143612500000020110001

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00000.000000.000000.00000001
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C00000.000000.000000.00000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A000100001
B000100001
C010000001

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (17 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Affiliation AgreementOn February 1, 2012, Providence Health & Services (the Health System) and Swedish Health Services (Swedish) effected an affiliation Agreement, which integrated the operations of the two health systems. The Health System and Swedish have affiliated to create a fully integrated, nonprofit, charitable health care system serving the communities throughout Western Washington. No cash or other purchase consideration was transferred to effect the affiliation. Effective July 1, 2012, Providence Health System - Southern California entered into an affiliation agreement with Facey Medical Foundation and Facey Medical Group. The Facey Medical Foundation is a nonprofit medical foundation, which operates ten clinics in the North San Fernando, Santa Clarita, San Gabriel and Simi Valleys. These sites are staffed by the Facey Medical Group physicians pursuant to a professional services agreement. No cash or other purchase consideration was transferred to effect the affiliation.
Providence Health & Services is the sole Corporate Member.Form 990, Part VI, Section A, line 6
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.Form 990, Part VI, Section A, line 7a
Other powers of the Corporate Member include the power: 1) To adopt or change the mission, philosophy, and values, including the strategic plan and mission statement. 2) To amend or repeal the Articles of Incorporation or Bylaws. 3) To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale transfer, assignment or encumbering of assets exceeding a specified threshold, or the sale or transfer of any property which may have historical or religions significance. 4) To approve the dissolution or liquidation. 5) To approve the annual operating and capital budgets. 6) To appoint the certified public accountants. 7) To approve the closure of any institution or major ministry or work of the Corporation.Form 990, Part VI, Section A, line 7b
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 11
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 12c
It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are determined by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. 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 and individual goals for furthering Providence operating principles - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated customer satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector.Form 990, Part VI, Section B, line 15
Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon written 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 VI, Section C, line 19
Other FeesAgency/Contract Labor: Program service expenses 32,036,719. Management and general expenses 21,160,471. Fundraising expenses 0. Total expenses 53,197,190. Medical Director & Med Physician Fees: Program service expenses 63,178,009. Management and general expenses 5,211,610. Fundraising expenses 0. Total expenses 68,389,619. Repairs & Maintenance: Program service expenses 23,773,647. Management and general expenses 52,344,229. Fundraising expenses 0. Total expenses 76,117,876. Billing & Collections: Program service expenses 2,699. Management and general expenses 16,310,753. Fundraising expenses 0. Total expenses 16,313,452. Records Management: Program service expenses 1,349,363. Management and general expenses 1,689,559. Fundraising expenses 0. Total expenses 3,038,922. Transcription & Translation Services: Program service expenses 1,962,111. Management and general expenses 5,998,735. Fundraising expenses 0. Total expenses 7,960,846. Dietary: Program service expenses 1,597,912. Management and general expenses 1,612,838. Fundraising expenses 0. Total expenses 3,210,750. Other Patient Services: Program service expenses 78,132,540. Management and general expenses 2,015,581. Fundraising expenses 0. Total expenses 80,148,121. Other Administrative Services: Program service expenses 23,542,158. Management and general expenses 19,652,006. Fundraising expenses 1,932. Total expenses 43,196,096. General Consulting Fees: Program service expenses 4,809,679. Management and general expenses 40,260,630. Fundraising expenses 0. Total expenses 45,070,309.Form 990, Part IX, line 11g
Changes in Net Assets or Fund Balances:Interaffiliate Transactions 352,839,743. Recipient Organization Adjustments 18,157,220. Swedish Affiliation Transfers -1,600. Revenue Reclassifications -2,839,891. Expense Reclassifications 722,596. Pension Adjustment 53,857,758. Net Assets Transfers -15,082,977. Forgiveness of Debt 1,536,571. Net Assets (Liabilities) Assumed -3,296,598. Rounding 3,245.Form 990, Part XI, line 9:
AUDIT & COMPLIANCEThe Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation.FORM 990, PART XII, LINE 2C
VOLUNTEERSALASKA REGION: PAMC-Volunteers continue to share their time in support of the Providence mission. No matter where and when they choose to serve; volunteers continue to augment the patient/family encounter across the continuum of care at Providence Alaska Medical Center. Volunteers provide valuable service to Providence patients, their families and staff by providing support in our many patient care areas. Clerical duties and one time projects for a variety of departments keep volunteers busy who have limited mobility. As the campus continues to grow volunteer greeters and concierges provide much needed directions and often wheelchair support to get patients to their appointments Volunteers always find an opportunity to their liking from our seventy different areas/programs or tasks available. Per request from the OR/Day Surgery staff - Providence volunteers and friends made pediatric scrub caps. Volunteers who love to sew provided over 450 caps. (Most volunteers provided their own fabric.) Over the past many months the NODA or No One Dies Alone Program has moved toward becoming a volunteer driven - volunteer program. These dedicated volunteers with minimal oversight from staff, provide companionship to those alone at life's end. NODA is now managed by a pool of volunteer telephone vigil coordinators who rotate weekly and with assistance from compassionate bedside companions, meet the need. They not only serve PAMC, but also offsite facilities -Providence Horizon House and Providence Extended Care. HOSPICE OF SEATTLE: Patient Care Volunteers help to support the hospice patient and their family during the course of their illness meeting a variety of needs including respite, companionship, helping with light household tasks and providing personal services such as letter writing, reading and running errands. Transitions Volunteers help to support clients and their family facing a life limiting illness with a prognosis of 12 months or less with a variety of needs. Duties are similar to those of patient care volunteers. Bereavement Volunteers help surviving families/significant others of Hospice patients for up to 15 months following the death of the patient. Safe Crossings Volunteers provide support services to children connected with Providence Hospice of Seattle regarding issues around terminal illness and assist with bereavement support. Complementary therapy volunteers perform the same services as patient care volunteers with the addition of offering a licensed modality such as massage, music therapy or animal-assisted activities (animal/animal handler must be Delta Certified) if requested by the patient, family and care team. Stepping Stones volunteers help support children and their families facing a life limiting illness in a variety of ways. Volunteers may read books, play games or serve as one-to-one support to families. Camp Erin volunteers assist with an annual weekend grief camp sponsored by Providence Hospice and The Moyer Foundation for children ages 5-17. MOTHER JOSEPH CARE CENTER: Assist with resident activities, (Groups, Outings, Special Events, Communion, One to One, Ride along to Doctor appointments), Through Job programs (Work Source), they work closely with staff on Job retraining. PROVIDENCE CENTRALIA HOSPITAL: The regular hospital volunteers fill a variety of job duties that include: Patient Support Services, Hospitality/Guest Services and Clerical Assistance, Information Desk, including "way-finding" for patients and visitors. We also had 66 volunteers who worked all day to paint 2 homes on July 28th and August 4th 2012 for our annual community service event, Paint the Town, which is administered jointly by Volunteer Services and Foundation, included in the total above. PROVIDENCE HOSPICE & HOMECARE OF SNOHOMISH COUNTY: Our volunteers provide the following services to patients and their families or our agency: Patient companionship Family respite Notary services Barbers Tuck-ins (supply deliveries, prescription p/u& delivery) Vigils Life Review (recorded conversations provided to family on CD) Office Sewing Development events Transport Handyman Special projects Standing Together (Children's grief group) Camp Erin Bereavement interns Lifeline Palliative Care PROVIDENCE MOUNT ST. VINCENT: In 2012, the Mount's volunteer program involved 274 community members*, ranging in age from 14 to 98, as official volunteers. Together they contributed 32,034 hours of service (up from 29,743 hours in 2011 - an increase of 2,291 hours). According to the most recent national volunteer wage, the financial value of these hours is $698,020. In addition to the gift of their time, volunteers contributed to The Mount community in numerous ways - as donors, as word-of-mouth champions, as genuine friends and good neighbors. Three volunteer groups (the PMSV Auxiliary, Emilie's Treasures, and the Sewing Ladies) raised funds for the PMSV foundation as part of their mission. The Mount also partnered with Our Lady of Guadalupe School to bring the 8th grade class here once a month for visits with residents. Volunteers provided a diverse range of services including: leading recreation groups for residents (e.g. writing class, drumming group, French appreciation group); visiting one-on-one with residents; helping to staff The Mount's retail shops; classroom assistance in the ILC and art classes; teaming with staff to take residents out into the community on field trips; serving as Eucharistic Ministers; providing clerical support to both administrative and neighborhood staff; helping with large parties and special events (e.g. summer concerts); serving on fundraising committees; and assisting residents fill out the annual satisfaction survey. *Of these, 242 volunteers provided direct service while approximately 30 volunteers were on leave of absence. PROVIDENCE MARIANWOOD: Volunteers at Providence Marianwood are highly valuable in many positions and many departments. The positions vary between direct contact with the residents and those who prefer to help behind the scenes. Volunteer positions include: Group Activities, Nurturing Visitor, Dining Room Assistant, Dining Room Host/Hostess, Clerical, TCU Leisure Cart, Special entertainment Groups, Special Event Groups, Inter Generational Groups, Sammamish Garden Club, the Needle Brigade and Special Project Groups. The Departments utilizing volunteers this past year were: Activities, Admissions, Auxiliary, Dietary, Human Resources, Nursing, Plant Services, Reception, Occupational Therapy, Physical therapy, and Volunteers. The volunteers at Providence Marianwood meaningfully impact the quality of life for our residents. They are truly a vital component in the compassionate care that we provide every day. PROVIDENCE REGIONAL MEDICAL CENTER EVERETT: CAMP PROV Volunteers ages 14 and up perform a variety of support activities to special needs children ages 2-10 and their siblings at a day camp located at Forest Park in Everett. Tasks include swimming, art projects, reading, preparing food, singing and fun. Call Volunteer Services to sign up for an information packet. CLERICAL AND OFFICE SUPPORT Assist staff with clerical and office duties in clinical and administrative departments. Duties may include filing and collating, answering phones, using office machines and using a computer. EXPERIENCE SPECIFIC Provide Comfort Dog services (if dog is certified by Delta Society); join the Heart to Heart volunteers to talk with others experiencing open heart surgery; personal interactions and clerical work at the Cancer Center & Breast Center regarding cancer survivors and provide an understanding ear for patients fighting cancer. FAMILY CARE AND GUEST SERVICES Family care volunteers act as a liaison between hospital staff and families in public areas like our surgery waiting lounge and information desks. These volunteers provide information and support to families while a loved one is being cared for. GIFT SHOP Customer service, cashier duties, and re-stocking merchandise. Minimum age is 18 years or 16 if you work with another 16-year-old friend. HIGH SCHOOL SUMMER PROGRAM - NEW! Our high school summer volunteer program is a great fit for students who are friendly, have a good way with people and are dedicated to volunteer service. If that sounds like you, we encourage you to apply. Here are the basic requirements: * Commit to volunteer a minimum of 40 hours * Currently a high school sophomore, junior or senior (must be 16 - 18 years old) We recently changed the program from a year-round schedule to a 10-week summer schedule to ensure that students can complete their volunteer service commitment. Information packets will be sent to students that are signed up in February.FORM 990, PART I, LINE 6
VOLUNTEERS - CONTINUEDPROVIDENCE SOUND HOMECARE: Providence Sound Homecare and Hospice utilizes volunteers in our Hospice program and in our bereavement programs. The Hospice volunteers provide direct indirect patient care and bereavement. In direct patient care they provide respite, companionship for patients and caregivers, run errands, light housekeeping, gardening, hair care, etc. for indirect patient care the volunteers make gowns, participate in our annual fundraising program, training, assist with our volunteer newsletter, attend support groups and assist with our adult bereavement programs, etc. Volunteers in our children's bereavement program, SoundCareKids, assisted children and adults process their grief. PROVIDENCE ST. PETER HOSPITAL: Volunteer Services Department provides support placing 300-400 on boarded volunteers up to 46 departments at Providence St. Peters Hospital. Volunteers perform many routine and repetitive tasks that allow paid, licensed, certified and experienced staff to provide more attention to more affordable and comprehensive patient care. The following customer service functions are provided for Providence St. Peter Hospital and/or the patients and their families: gift shop clerks, gift grant fundraising, and department volunteer placement in needed areas doing variety of tasks with the most common being: greeters, assisting individuals to get to their desired area in the hospital, delivering flowers, mail, answering phones/taking messages, putting packets together, stocking areas, taking inventory, blowing up balloons, entering non confidential data into computer, filing and mass mailings. PROVIDENCE STRATEGIC & MANAGEMENT SERVICES: Providence Regina House runs both a food and clothing bank which is open twice per week. We not only provide food and clothing, but also have other duties included organizing food and clothing donations, food distribution, assistance with our plant/greenhouse program, food demonstrations, and janitorial duties as assigned. In 2012, approximately 300 volunteers gave 4,100 hours of their time at Providence Regina House PROVIDENCE SENIOR & COMMUNITY SERVICES Volunteers helped with the execution of our special events: Providence Golf Classic, O'Christmas Trees Procurement Party, Signature Cocktail Contest, Designer Day, Christmas Carnival, Silver Bells Luncheon, and Gala Dinner & Auction. PROVIDENCE HOME INFUSION Here's a summary of what students do when they rotate through Oral Dose pharmacy - 1. Observation of Order Entry duties 2. Observation of Pyxis duties 3. Observation of ordering process from our drug wholesaler 4. Learn the responsibilities of the "daily fill" medication packaging counter and work online during their rotation as one of our regular staff would. 5. Learn the responsibilities of the "cycle fill" counter and work online during their rotation as one of our regular staff would. - This includes cycle bubble cards, as well as medi-sets. 6. Filing of prescriptions by number. (SEE CONTINUATION)FORM 990, PART I, LINE 6
VOLUNTEERS - CONTINUEDSAINT MARY MEDICAL CENTER COMFORT VOLUNTEERS - offer comfort items to patients including blankets, pillows and magazines, place the telephone and remote within reach, visit with patients, stock supplies and assist staff with errands. EMERGENCY DEPARTMENT LIAISON - greet visitors and patients, escort visitors to patient rooms, provide some comfort measurers, such as blankets, pillows and magazines, stock supplies, run errand assist with miscellaneous clerical projects. FAMILY BIRTH CENTER - assist with newborn care, provide comfort services to new moms and visitors, stock supplies, assist staff with errands. SAME DAY SURGERY LIAISON - serve as a "go-between" the reception and pre-operative areas, update family on the location of their loved one and teach them to use the OR tracker board, offer comfort measures, preparing supplies and assist with errands. CANCER CENTER - taking orders and delivering meals to patients, stocking supplies, making coffee, cleaning and tidying, transporting charts from main desk to nurse's station, transporting specimens, running errands to/from the Pharmacy. GIFT SHOP - ringing up purchases, providing excellent customer service, keeping shelves stocked with product, answering the telephone, delivering Gift Shop flowers to patient rooms. EMERGENCY ROOM - stocking supplies, bring patients warm blankets, assisting with errands, other misc. tasks as assigned by nursing/physician staff. INFORMATION DESK/ERRAND - answering the Errand Desk telephone, transporting specimens, delivering flowers and mail, preparing various mailings, as directed by staff, making coffee, tidying the waiting area, making reminder calls for the Cancer Center. CARDIAC REHABILITATION - Assist staff in Rehab department with filing and tidying, assisting with recording results for exercise equipment, explaining how to properly use exercise equipment. DIETARY - Washing and stocking dishes, stocking juices, milk and ready-to-eat foods, tidying the Dining Room area, assisting with other tasks, as directed by Kitchen staff. PET THERAPY - Limited to dogs and their owners. Visits patients and other visitors in waiting areas, and, with permission of nursing staff, in the Medical and Surgical Units. Must have proof of immunizations and letter of good behavior prior to volunteering. MEDICAL RECORDS: Ensure that medical records ready to be shredded have been electronically scanned, run errands for staff, may assist with some scanning. CANCER RESOURCE CENTER - Work with the American Cancer Society to connect cancer patients with resources including the Look Good, Feel Better program, transportation services, support groups and financial assistance. SPIRITUAL CARE - Works with the Chaplaincy department to offer communion and spiritual support for patients that request it. EMILIE COURT: Visiting, outings, One on One Companion Assisting with large group Activities Reading, Exercise, Playing games (Bingo) Nail painting, Decorating Assisting with Arts & Crafts, Special Events and gardening Pet Therapy Visits. ADULT DAY HEALTH: Volunteers at Adult Day Health filled in as receptionist during staff meetings or participated in monthly satisfaction survey phone calls to clients. SACRED HEART & HOLY FAMILY: As major medical centers, Sacred Heart and Holy Family have many activities and services needing volunteers. Below is a sampling of the types of services: Children's Hospital Kids need a hospital that understands children - and we need volunteers who have a heart for children. Our volunteers in the Sacred Heart Children's Hospital provide comfort and care for children of all ages, from holding and soothing infants and toddlers to simply hanging out with older kids. Volunteers help our staff meet the special needs of our littlest patients and their families. Other opportunities include: Children's Clubhouse: In a special partnership with the Spokane Association of REALTORS, realtors and others donate their time to watch over children in the Clubhouse while their parents and/or siblings attend to medical needs. Pediatric Services: Whether on a patient floor or in the pediatric surgery center, you can help ease the way for our youngest patients, whether it be reading to them, volunteering in a play area or sitting by their bedside so they are not alone. Ronald McDonald Family Room: An overnight satellite facility within the Children's Hospital is hosted by the Ronald McDonald House and staffed during the daytime by volunteers. Clerical Services If you have clerical and organizational skills, we have several opportunities for you to help out, whether in medical records, an office setting or our Foundation offices. Family Services Serving as a greeter at any of our information desks requires sensitivity, compassion and hospitality. You'll provide information and assistance to families and friends who have loved ones in the hospital. Various areas available for volunteers include: Greeter / Information Desk, Main Floor Greeter / Information Desk, Heart Institute Greeter / Information Desk, Surgery & Family Waiting Room Greeter / Information Desk, Skybridge Family Waiting Room Gift Shop Become a "retail therapist" by volunteering in one of the best boutique gift shops in the city with unique and unusual gifts and a full-service floral shop. Greet customers and help them shop for that special something. If you like helping people and shopping, you have what it takes! Music Music plays an important part in healing the mind and body, with several programs available. One of the most popular is playing the grand piano in the lobby. Auditions required. Patient Services Cancer Resource Center: Together with the American Cancer Society, you can volunteer in the Cancer Resource Center to help patients navigate their way. Emergency Department: This is a perfect opportunity for those 18 and over who are considering a medical or nursing career. Sacred Heart has the busiest emergency room in the city and is also a level II trauma center and houses the only pediatric trauma care in the region. Errands & Escorts: Enjoy helping people and getting lots of exercise? Then this is the assignment for you! Your shift will include assisting patients and families as they are admitted and discharged, running errands, delivering flowers, plus helping staff by delivering patient records, laboratory specimens and much more. Intensive Care Unit: Another great opportunity for those considering a medical or nursing career is to help in the critical care units by stocking supplies or transporting specimens, X-rays, etc. as directed. Patient Visitation Program: Visit patients who may not have family or friends nearby to provide assistance and a listening ear. No One Dies Alone Program: Volunteers sit vigil with patients who have no one by their side at the end of life. Surgery Admit Unit: Volunteers in this busy unit assist clinical staff with various duties to help patients prior to surgery. Pet Visitation (must be Pet Partner-certified dogs) If you love animals and want to experience the special gift a pet visit brings to patients and families in the hospital, consider this assignment. Our Pet Visitation Program cannot exist without escorts, who assist the Delta-certified dogs and handlers in making patient visits and brightening the day for patients young and old. Pharmacy Volunteers in the Pharmacy must have a Level B Pharmacy license to assist with prescription drop-offs/pick-ups, sorting and a variety of other duties. It provides a professional environment and exposure to a Pharmacy career in a realistic setting. Retired Physicians and RNs (with current licenses) House of Charity Medical Clinic: If you are a retired physician or nurse, your expertise is needed in providing medical care to the homeless at the House of Charity medical clinic in downtown Spokane. Spiritual Care Eucharistic Ministers: Many of our patients request daily Communion and/or a blessing or prayer while they are in the hospital. Our volunteer Eucharistic ministers work closely with Pastoral Care staff to provide this service as part of their health care ministry. Special Projects Inevitable in a hospital of this size, there are special projects where volunteers can help make a difference! These projects are usually of shorter duration, whether in medical records, radiology or helping with a United Way campaign! Once you are a volunteer, you are eligible to add extra hours by way of a special project as needs are identified! Supply Chain Management From bandages to heart valves, this department makes sure the right item is given to the right caregiver at the right time. Walking is involved, including stocking and delivering items to medical floors. (SEE CONTINUATION)FORM 990, PART I, LINE 6
VOLUNTEERS - CONTINUEDDOMINICARE: Assisting with activities which include the following: Serving Meals to individual tables Conducting games in small settings Helping with transition of clients from one activity to another (different locations) Assisting with balance groups, active games, bingo and other exercise classes Helping with coats/hats Entertainment Filing Pet Therapists (dogs) Bible Study classes for clients ST. JOSEPH CARE CENTER We could not maintain such an active recreation program or meet the social and spiritual needs of each resident without the help of volunteers. They are vital part of our organization. We utilize several Career Path volunteers on a daily basis. These individuals are paid through DSHS for a work training program at 20 hours per week per volunteer. These volunteers assist with one on one visitation (i.e. nail care; reading; craft projects; garden strolls); transporting residents to and from activities; assisting with activity programs; passing out daily bulletins; seasonal decorating; passing mail; etc. We also utilize Friend to Friend volunteers for one on one visitation. We have volunteers who assist with Sunday Mass and Church services each week. We also have a number of volunteers who enjoy helping us with out of facility outings 1-2 times per month (i.e. shopping, buffets; bowling, movies). There are also those who bring in their pets for pet therapy, or provide music for the residents. MOUNT CARMEL HOSPITAL The volunteers are Providence Mount Carmel Hospital provide the following for the hospital: * Manage the onsite gift shop * Provide blood pressures are various community functions * Stock the vending machines on site * Provide a variety of clerical support for several departments in the hospital. * Greeters at the Patient Access desk - Escort patients to the various departments as requested * Baby Stockings for the first baby born in the new year ST. JOSEPH HOSPITAL: We have three types of volunteers who serve us including Auxiliary, Support, and Youth. There has been a change in how we label our volunteers. Some of the groups (entertainers, and church groups for example) were previously identified as volunteers, the definition of volunteer has been reassessed and we have determined that these individuals and groups should be termed "facility guests". The reduction in the numbers of our volunteer force reflects this new interpretation of "volunteers". * Assisting Wheel Chair Transport, Crafting, Letter Writing * Companion Visiting, Shopping, Outings, Patio Sitting, Adopt-A-Resident * Creative Nail Painting, Baking Projects, Decorating, Writing * Diversions Reading, Playing Games, Exercise, Coffee Conversation * Entertaining Assisting with Celebrations, Performing, Special Events * Fundraising Gift Shop Attendant, Baking, Organizing, Creating * Leading Horticulture, Sharing Special Talents, Creating Special Interest Groups * Supportive Greeters, Ministry of Presence, Education, Eucharistic MinistryFORM 990, PART I, LINE 6
AMENDED 2012 FORM 990The following items were amended to reflect the proper recording of transactions: 1) The 2012 Tax Exempt Bond Issue was removed from PH&S - Washington since all of the transaction related to the affiliated organization - Swedish Health Services and was reported correctly on the Swedish Form 990. 2) Previously, Schedule B showed a contribution from Swedish Health Services of $473,855,523. The amount of the contribution was reduced to $10,000 which was the actual amount shown as a grant on the Swedish Health Services 2012 Form 990. The remaining $473,845,523 was shown as the Part XI, Line 9 reconciling item for Swedish Affiliation Transfers. Previously, the reconciling item showed as $(473,847,123). As adjusted, the new amount is shown as $(1,600).2012 FORM 990
RELIGIOUS COMMUNITY MEMBERSAs 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 VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Providence Assurance Inc
3131 Camelback Road Ste 400PhoenixAZ85016208194071Insurance CaptiveAZ26029259173Providence Health & Services - Washington
Legacy LLC
PO Box 196606AnchorageAK99519320252199Real EstateAK328365146903526Providence Health & Services - Washington
Health Services Asset Management LLC
1801 Lind Ave SW 9016RentonWA98057271698016A/R & CollectionsWA414576997562Providence Health & Services - Washington

Form990 Schedule R Part II Form990ScheduleRPartII (62 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Providence Health & Services - Oregon
1801 Lind Avenue SW 9016RentonWA980579016510216587Healthcare SystemOR501( c)(3)Line 3Providence Health & Services0
Providence Health System - So California
1801 Lind Avenue SW 9016RentonWA980579016510216589Healthcare SystemCA501( c)(3)Line 3Providence Health & Services0
Everett Transitional Care Services
PO Box 5128EverettWA982065128943264605Transitional CareWA501( c)(3)Line 90N/A
Providence Oregon Management Corporation
1801 Lind Avenue SW 9016RentonWA980579016930813977Shell CorporationOR501( c)(3)Line 1PH & S - Oregon0
Providence Plan Partners
4400 NE Halsey Bldg 2PortlandOR97213911861964Healthcare ServicesOR501( c)(4)N/APH & S - Oregon0
Providence Health Plan
4400 NE Halsey Bldg 2PortlandOR97213930863097Health Service ContractorOR501( c)(4)N/AProvidence Plan Partners0
Providence Health Assurance
4400 NE Halsey Bldg 2PortlandOR97213550828701Medicaid Healthcare ProviderOR501( c)(4)N/AProvidence Health Plan0
Providence Medical Institute
4101 Torrance BlvdTorranceCA90503330283773HealthcareCA501( c)(3)Line 11/Type IPHS - So California0
Little Company of Mary Ancillary Services Corporation
4101 Torrance BlvdTorranceCA90503330844408Imaging ServicesCA501( c)(3)Line 9PHS - So California0
Providence TrinityCare Hospice
5315 Torrance Blvd Suite B1TorranceCA90503953264139HospiceCA501( c)(3)Line 9PHS - So California0
Providence Blanchet Association
1700 Providence PlCentraliaWA98531911789266HousingWA501( c)(3)Line 7PH & S - Washington1
St Luke Association
350 Washington Ave SEChehalisWA98352943176618HousingWA501( c)(3)Line 7PH & S - Washington1
Providence Rossi Association
1700 Providence PlCentraliaWA98531311584166HousingWA501( c)(3)Line 9PH & S - Washington1
Lundberg Association
5921 E BurnsidePortlandOR97215911562797HousingOR501( c)(3)Line 7PH & S - Oregon0
Providence St Francis Association
3415 12th Avenue NEOlympiaWA98506943244854HousingWA501( c)(3)Line 7PH & S - Washington1
Providence Peter Claver Association
7101 38th Avenue SouthSeattleWA98118311629656HousingWA501( c)(3)Line 7PH & S - Washington1
Providence St Elizabeth House Association
3201 SW Graham StSeattleWA98126912171539HousingWA501( c)(3)Line 7PH & S - Washington1
Providence Gamelin House Association
4515 MLK Jr Way S Ste 200SeattleWA98108311744654HousingWA501( c)(3)Line 7PH & S - Washington1
The Gamelin Association
312 North Fourth StYakimaWA98901911180824HousingWA501( c)(3)Line 7PH & S - Washington1
The Gamelin Oregon Association
5520 NE GlisanPortlandOR97213911214491HousingOR501( c)(3)Line 9PH & S - Oregon0
The Gamelin California Association
540 23rd StOaklandCA94612911293869HousingCA501( c)(3)Line 9PHS - So California0
Gamelin Washington Association
1423 First AvenueSeattleWA98101201910170HousingWA501( c)(3)Line 7PH & S - Washington1
Providence Foundation
1801 Lind Avenue SW 9016RentonWA980579016943078543Support PH&S InstitutionsWA501( c)(3)Line 11/Type IPH & S - Washington1
Providence Alaska Foundation
3300 Providence Drive - B Tower2AnchorageAK99508920093565Support PHS-AlaskaAK501( c)(3)Line 11/Type IPH & S - Washington1
Providence St Peter Foundation
413 Lilly Road NEOlympiaWA985065166911097056Support Affiliated Tax-Exempt OrganizationWA501( c)(3)Line 7PH & S - Washington1
Providence Health Care Foundation (Centralia)
914 S Scheuber RoadCentraliaWA98531911433382Support Providence Centralia HospitalWA501( c)(3)Line 7PH & S - Washington1
Providence Mount St Vincent Foundation
4831 - 35th Avenue SWSeattleWA981262799911188119Support Providence Mount St.VincentWA501( c)(3)Line 7PH & S - Washington1
Providence Marianwood Foundation
3725 Providence Point Drive SEIssaquahWA980297219931554288Support Providence MarianwoodWA501( c)(3)Line 11/Type IPH & S - Washington1
Providence Newberg Health Foundation
1001 Providence DriveNewbergOR97132930889144Support Providence Newberg Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Seaside Hospital Foundation
725 S Wahanna RdSeasideOR97138930927320Support Providence Seaside HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Community Health Foundation
1111 Crater Lake AveMedfordOR97504930692907Support Providence Medford Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Benedictine Nursing Center Foundation
540 South Main StMt AngelOR973629532911940286Support Providence Benedictine Nursing CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Portland Medical Foundation
4805 NE Glisan StPortlandOR972132967931231494Support Providence Portland Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence St Vincent Medical Foundation
9205 SW Barnes RdPortlandOR97225930575982Support Providence St. Vincent Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Milwaukie Foundation
10150 SE 32ndMilwaukieOR97222943079515Support Providence Milwaukie HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Child Center Foundation
830 NE 47thPortlandOR97213930800140Support Providence Child CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence TrinityCare Hospice Foundation
5315 Torrance Blvd Suite B1TorranceCA90503330261016Support TrinityCare HospiceCA501( c)(3)Line 7PHS - So California0
Providence Little Company of Mary Foundation
4101 Torrance BlvdTorranceCA90503510224944Support Little Company of Mary Service AreaCA501( c)(3)Line 7PHS - So California0
PH&S FoundationSFVSA & SCVSA
501 S Buena Vista StreetBurbankCA91505953544877Support Program & Activities of SFVSA & SCVSACA501( c)(3)Line 7PHS - So California0
Providence Hospice of Seattle Foundation
425 Pontius Avenue North 300SeattleWA981095452912077378Support Hospice of SeattleWA501( c)(3)Line 11/Type IPH & S - Washington1
Providence Health & Services - Western Washington
1801 Lind Avenue SW 9016RentonWA980579016911303277HealthcareWA501( c)(3)Line 3Providence MinistriesWHC0
Providence Health & Services
1801 Lind Avenue SW 9016RentonWA980579016911549796Shell CorporationWA501( c)(3)Line 11/Type I0N/A
Providence Health & Services - Montana
500 W Broadway PO Box 4587MissoulaMT598064587810231793HealthcareMT501( c)(3)Line 3PH & S - Washington1
Providence St Joseph Medical Center
PO Box 1010PolsonMT598601010810463482HealthcareMT501( c)(3)Line 3PH & S - Washington1
St Thomas Child and Family Center
1710 Benefis CourtGreat FallsMT59405810233495Early Childhood EducationMT501( c)(3)Line 1PH & S - Washington1
Sisters of Providence of Montana Corporation
1801 Lind Avenue SW 9016RentonWA980579016262612415Shell CorporationMT501( c)(3)Line 1PH & S - Washington1
Providence Health Care Foundation - Eastern Washington
101 W 8th AveSpokaneWA99204320014330Support PH&S-WA. Ministries in E. WA.WA501( c)(3)Line 7PH & S - Washington1
St Patrick Hospital Foundation
500 West Broadway PO Box 4587MissoulaMT598064587237056976Support Healthcare in W. MontanaMT501( c)(3)Line 7PH & S - Washington1
University of Great Falls
1301 20th Street SouthGreat FallsMT59405810231777Post Secondary EducationMT501( c)(3)Line 2PH & S - Washington1
E WA & MT Unemployment Compensation Insurance Trust
1801 Lind Avenue SW 9016RentonWA980579016911082119Unemployment BenefitsWA501( c)(3)Line 11/Type IPH & S - Washington1
Providence Willamette Falls Medical Foundation
1500 Division StreetOregon CityOR97045931003750Support Willamette Falls HospitalOR501( c)(3)Line 11/Type IPH & S - Oregon0
Providence Hood River Memorial Hospital Foundation Inc
811 13th StHood RiverOR97031930921990Support Providence Hood River Memorial HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Hospice and Home Care Foundation
2731 Wetmore Avenue Suite 500EverettWA98201272552749Support Program & Ministries of PHHCWA501(c )(3)Line 7PH & S - Washington1
Providence St Mary Foundation
401 W Poplar StWalla WallaWA99362452841492Support Program & Ministries of SMMCWA501(c )(3)Line 7PH & S - Washington1
Facey Medical Foundation
15451 San Fernando Mission Blvd 200Mission HillsCA913451420954322584Support Facey Medical GroupCA501(c )(3)Line 7PHS - So California0
Swedish Health Services
747 BroadwaySeattleWA98122910433740HealthcareWA501(c )(3)Line 3Western HealthConnect0
Swedish Edmonds
21601 76th Ave WEdmondsWA98026272305304HealthcareWA501(c )(3)Line 3Western HealthConnect0
Swedish Medical Center Foundation
747 BroadwaySeattleWA98122910983214Support Swedish Health ServicesWA501(c )(3)Line 7Swedish Health Services0
Global To Local Health Initiative
747 BroadwaySeattleWA98122273133200HealthcareWA501(c )(3)Line 7Swedish Health Services0
Swedish MJM Holdings
747 BroadwaySeattleWA98122273139262Holding CompanyWA501(c )(3)Line 11/Type ISwedish Health Services0
Marsha Rivkin Center for Ovarian Cancer Research
747 BroadwaySeattleWA98122912054035Ovarian Cancer ResearchWA501(c )(3)Line 7Swedish Health Services0
Western HealthConnect
747 BroadwaySeattleWA98122454171900Shell CorporationWA501(c )(3)Line 11/Type IProvidence Ministries0

Form990 Schedule R Part III Form990ScheduleRPartIII (28 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Providence Imaging Center
3340 Providence DriveAnchorageAK99508920118807Medical ImagingAKPH&S - WARelated1434216013690985000.99000
Pathology Associates Medical Laboratories LLC
611 N PerrySpokaneWA99202270943279Outpatient LabWABourget Health Services IncRelated000.90000
California Laboratory Associates LLC
501 Buena VistaBurbankCA91505273888692Outpatient LabCAPHS - So CaliforniaRelated000.89500
Surgery Ctr at Tanasbourne LLC
1235 NE 47th Ave 260PortlandOR97213208187971Ambulatory Surgery CenterORPH&S - ORRelated000.83400
Distribution Operations Center LLC
1801 Lind Ave SW 9016RentonWA98057271054858Supplies Purchasing AgentWAPH&S - WARelated336916519698450000.80000
Broadway Imaging LLC
500 W BroadwayMissoulaMT59802522405971Medical ImagingMTPH&S - MTRelated000.75000
Ctr for Med Imaging-Bridgeport LLC
1235 NE 47th AvePortlandOR97213260796953Imaging - DiagnosticsORPH&S - ORRelated000.75000
Ctr for MedImaging-Tanasbourne LLC
1235 NE 47th AvePortlandOR97213200477972Imaging - DiagnosticsORPH&S - ORRelated000.75000
Portland Medical Imaging LLC
10538 SE Washington StPortlandOR97216201054971Imaging - DiagnosticsORPH&S - ORRelated000.75000
Oregon Advanced Imaging LLC
881 OHare ParkwayMedfordOR97504450471748Medical ImagingORPH&S - ORRelated000.70000
Minor & James Medical PLLC
515 Minor Avenue 200SeattleWA98104911340223Physician ClinicWASwedish MJM Holdings IncN/A000.69500
Clackamas Radiation Oncology Center LLC
1235 NE 47th Ave 288PortlandOR97213260381897Radiation OncologyORPH&S - ORRelated000.67000
PETCT Imaging at Swedish Cancer Institute LLC
1221 Madison StreetSeattleWA98104203132044Medical ImagingWASwedish Health ServicesRelated000.63000
Mountainstar Clinical Laboratories LLC
611 N PerrySpokaneWA99202261345983Outpatient LabMTPAML LLCRelated000.61300
PacLab LLC
611 N PerrySpokaneWA99202911743952Outpatient LabWAPH&S - WARelated-2940611420243000.24380
Center for Specialty Surgery LLC
11782 SW Barnes RdPortlandOR97225263638838Ambulatory Surgery CenterORPH&S - ORRelated000.51000
Oregon Outpatient Surgery Center
7300 SW Childs RdTigardOR97224223883387Ambulatory Surgery CenterORPH&S - ORRelated000.51000
ProvidenceUSP Santa Clarita GP LLC
11550 Indian Hills Road 160Mission HillsCA91345202829660Ambulatory Surgery CenterCAPHS - So CaliforniaRelated000.51000
ProvidenceUSP Surgery Ctrs LLC
11550 Indian Hills Road 160Mission HillsCA91345200905938Ambulatory Surgery CenterCAPHS - So CaliforniaRelated000.51000
Alpha Medical Laboratory LLC
611 N PerrySpokaneWA99202912017347Outpatient LabIDPAML LLCRelated000.50000
Canby Medical Center I LLC
2747 Pence Loop SESalemOR97302205470937Real Estate - MOBORPH&S - ORRelated000.50000
Greater Valley Medical Building LP
501 S Buena Vista StBurbankCA91505954570858Real Estate - MOBCAPHS - So CaliforniaInvestment000.50000
Medalia Healthcare LLC
1801 Lind Ave SW 9016RentonWA98057911660459Physician BenefitsWAPH&S - WAInvestment784276000.51000
Prov Radiation Oncology Develop Assn LLC
1235 NE 47th AvePortlandOR97213260682491Real Estate - MOBORPH&S - ORInvestment000.50000
ProvidenceSilverton Rehab LLC
1235 NE 47th Ave 260PortlandOR97213481287267Rehab ServicesORPH&S - ORRelated000.50000
Southern Idaho Regional Laboratory LLC
611 N PerrySpokaneWA99202820511819Outpatient LabIDPAML LLCRelated000.50000
Tri-Cities Laboratory LLC
611 N PerrySpokaneWA99202911773986Outpatient LabWAPAML LLCRelated000.25000
Providence Partners for Health LLC
501 S Buena Vista StBurbankCA91505454041798Clinical Quality & IntegrationCAPHS - So CaliforniaRelated000.82800

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrg
Providence Health Ventures Inc
4101 Torrance BlvdTorranceCA90503330122216InvestmentCAN/AC0
Caron Health Corporation
510 W Front StMissoulaMT59802810486082Medical Physician ServiceMTN/AC0
Providence Health Care Ventures Inc
101 W 8th Ave TAF C-9SpokaneWA99204900155714Clinical/Medical LabWAN/AC0
Providence Physician Services Co
101 W 8th Ave TAF C-9SpokaneWA99204911216033Clinical/Medical LabWAN/AC0
Yakima Medical Arts Inc
611 N Perry 100SpokaneWA99202910787963Rental Real EstateWAN/AC0
Bourget Health Services Inc
PO Box 2687SpokaneWA99220911354431Clinical/Medical LabWAN/AC0
1221 Madison Street Owners Assoc
747 BroadwaySeattleWA98122201954319Owners' AssociationWAN/AC0
Washington Cancer Centers PC
1560 N 115th G-16SeattleWA98133911792791Cancer TreatmentWAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (24 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Providence Alaska Foundation
B1224093Cost
Providence Alaska Foundation
C2741310Cost
Providence Health Care Foundation
C130117Cost
Providence Health Care Foundation
L199787Cost
Providence Health Care Foundation - Eastern Washington
B742048Cost
Providence Health Care Foundation - Eastern Washington
C2798619Cost
Providence Hospice & Home Care Foundation Snohomish County
B1500Cost
Providence Hospice & Home Care Foundation Snohomish County
C374094Cost
Providence Hospice & Home Care Foundation Snohomish County
L342443Cost
Providence Hospice & Home Care Foundation Snohomish County
Q329606Cost
Providence Hospice of Seattle Foundation
B101959Cost
Providence Hospice of Seattle Foundation
C1175074Cost
Providence Hospice of Seattle Foundation
P486918Cost
Providence Marianwood Foundation
B45715Cost
Providence Marianwood Foundation
C373780Cost
Providence Marianwood Foundation
L153522Cost
Providence Mount St Vincent Foundation
B598875Cost
Providence Mount St Vincent Foundation
C630902Cost
Providence Mount St Vincent Foundation
Q416505Cost
Providence St Mary Foundation
B193843Cost
Providence St Mary Foundation
C48234Cost
Providence St Mary Foundation
Q20501Cost
Providence St Peter Foundation
B957220Cost
Providence St Peter Foundation
C1644712Cost

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