2014-08-12T10:40:13-05:00 2013-12-31 911194016 Clark Nuber PS 10900 NE 4th Suite 1700 Bellevue WA 98004 990 2013-01-01 954322584 FACEY MEDICAL FOUNDATION FACE 8183659531 15451 SAN FERNANDO MISSION BLVD No 200 MISSION HILLS CA 913451420 James Corwin CFO 8188375710 2014-08-12 1 Sara Elizabeth J Hyre CPA P00235495 4254544919 2013 2015-11-30 17:44:51Z Guillermo Bill Gil 15451 SAN FERNANDO MISSION BLVD No 200 MISSION HILLS CA 913451420 204140751 0 X www.facey.com X 1991 CA Premier healthcare team providing quality medical service in So. California. 11 6 1236 0 3300 0 3096 0 95655039 195044200 662053 2016416 362322 38485 96682510 197099101 46095 17711 0 0 29850230 60835644 0 0 0 65874967 147489492 95771292 208342847 911218 -11243746 101181692 103401075 33865688 46609899 67316004 56791176 We are a premier healthcare team dedicated to providing quality medical service in a caring and professional atmosphere. Each of us is committed to service, innovation, and quality care while serving the needs of the community. 0 0 189199363 17711 194113482 Direct patient medical care - this includes, but is not limited to, face to face provider appointments, laboratory and x-ray services, physical therapy services, immunizations, provided drugs and medications, procedures in Ophthalmology, OB/GYN, and Gastroenterology. Revenues also include income from Hospital & Health Plan Shared Risk, Health Plan Pay for Performance, Stop Loss Recoveries, and Meaningful Use. During 2013, there were 605,769 Primary Care Visits. 789928 0 0 Patient Education: 168 Health Education classes, serving 4,842 people, between January 2013 and December 2013. 645661 0 930718 Clinical Research: Conducted 19 (9 are active) FDA-regulated studies (323 patients and 1421 study visits) in various disciplines including Gastroenterology, Endocrinology, Internal Medicine, Oncology, Pediatrics, Ophthalmology, and Pulmonology. 190634952 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 X 290 0 1 1236 1 1 1 0 0 0 0 0 0 0 0 0 X 11 6 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 CA X Karl E Fritschel CPA 4255253339 1801 Lind Ave SW 9016 Renton WA 980579016 X Karl J Carrier Board Member 0.50 0.00 X 0 181409 201988 Randall G Ewig Chairperson 0.50 0.00 X X 18750 0 0 Guillermo Bill Gil President & CEO 40.00 0.00 X X 0 583346 213894 Michael Hunn Secretary 0.50 59.50 X X 0 1050356 120379 Phil Jackson Board Member 0.50 54.50 X 0 624509 204487 Bernard J Klein MD Board Member 0.50 40.00 X 0 481953 65560 Gary Leary Board Member 0.50 0.00 X 26000 0 0 J Robert Liset Vice Chairperson 0.50 0.00 X X 17000 0 0 Michael C Lynch MD Board Member 0.50 0.00 X 0 0 0 Peter Richman MD Board Member 0.50 0.00 X 0 0 0 Bart Wald MD Board Member 0.50 0.00 X 0 0 0 Mike Butler - Thru 213 Board Member 0.50 59.50 X 0 1272743 742628 James Corwin CFO 40.00 0.00 X 0 387903 35066 Teresa David COO 40.00 0.00 X 0 389214 28661 Prubjeet Khurana CAO 40.00 0.00 X 0 358118 20835 Stephanie Bamford Admin Director, QM 40.00 0.00 X 161042 0 15402 Magaly Beilke Admin Director, HR 40.00 0.00 X 184753 0 11253 Jacki Delanders Admin Director, Contracting 40.00 0.00 X 167647 0 18078 Cathy Hawes Admin Director, Operations 40.00 0.00 X 158277 0 6695 Patricia Horanberg Admin Director, Operations 40.00 0.00 X 159018 0 10517 Margie Melby Admin Director, Controller 40.00 0.00 X 158103 0 11142 Mari Zagrzejewski Admin Director, Managed Care 40.00 0.00 X 186648 0 13509 Susan Slack Admin Director, Revenue Cycle 40.00 0.00 X 147656 0 9044 Victoria Bayona Director, Information Systems 40.00 0.00 X 137439 0 15099 Doreen Delgado Nurse Practitioner 40.00 0.00 X 142371 0 10787 Dena McLean Director, Budget & Planning 40.00 0.00 X 133635 0 7556 Lisa Yen Nurse Practitioner, Sr 40.00 0.00 X 138981 0 7740 1937320 5329551 1770320 34 0 1 0 Facey Medical Group 15451 San Fernando Mission Blvd S Mission Hills CA 91345 Professional Medical Services 91808371 Erdman Company 1331 17th Street Suite 600 Denver CO 80202 Construction & Consulting Services 4128930 Quest Diagnostics Sub Capitation 8404 Fallbrook Avenue West Hills CA 91304 Laboratory Services 1654528 AMKO Building Service Inc 9018 Balboa Blvd Suite 306 Northridge CA 91325 Janitorial Services 1334116 Allscripts LLC 8529 Six Forks Road Raleigh NC 27608 Electronic Medical Records Support 728760 27 Net Patient Revenues 621110 194113482 194113482 Clinical Research 621110 930718 930718 195044200 462589 462589 30999 0 30999 30999 30999 8550000 45477 7041650 0 1508350 45477 1553827 1553827 Miscellaneous Income 900099 4186 4186 Management Fees 812900 3300 3300 7486 197099101 195044200 3300 2051601 X 17711 17711 1310761 390235 920526 48918680 42617306 6301374 723261 624301 98960 6155545 4838244 1317301 3727397 3183788 543609 468137 65438 402699 70068 70068 17040 17040 85193 85193 97449962 97449962 257493 208312 49181 5125975 2650077 2475898 2888585 2187840 700745 20156581 18658752 1497829 195833 156690 39143 28620 12962 15658 475256 475256 1477309 1477309 4328722 4009990 318732 880389 845869 34520 Medical Supplies 12508824 12066632 442192 Bad Debt 650843 650843 Amortization/Intangible 420760 420760 UBI Expense 3902 3902 208342847 190634952 17707895 0 14040 14165 29589500 19903149 11863507 14450070 1840006 1956541 3069984 3713392 76872756 40452630 32604229 36420126 13787626 18951592 255500 255500 8157300 7736540 101181692 103401075 17371479 25574495 1387671 945754 615247 1373648 8761900 10160984 5729391 8555018 33865688 46609899 X 67316004 56791176 67316004 56791176 101181692 103401075 X -11243746 777001 -58083 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 17040 17040 0 Part II-B, Line 1: Facey Medical Foundation paid membership dues to California Association of Physician Groups ("CAPG"). A portion of the dues paid are utilized by that organization for lobbying activities. 32204927 13230697 18974230 43518323 27221933 16296390 1149506 1149506 36420126 Due to Facey Medical Group 8555018 8555018 X 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 upon an audit by the taxing authority. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. 1 Part I, Line 2: Facey Medical Foundation only makes grants to 501(c)(3) organizations to ensure the funds will be used in accordance with the values of the organization. X X X X 0 1 0 0 0 0 0 1 0 Karl J Carrier Board Member 0 5542 0 175407 0 460 0 200502 0 1486 0 383397 0 106408 Guillermo Bill Gil President & CEO 0 403344 0 180002 0 0 0 193635 0 20259 0 797240 0 0 Michael Hunn Secretary 0 536537 0 496319 0 17500 0 93588 0 26791 0 1170735 0 0 Phil Jackson Board Member 0 425812 0 103101 0 95596 0 180843 0 23644 0 828996 0 0 Bernard J Klein MD Board Member 0 390381 0 91572 0 0 0 47403 0 18157 0 547513 0 0 Mike Butler - Thru 213 Board Member 0 954645 0 300598 0 17500 0 713467 0 29161 0 2015371 0 0 James Corwin CFO 0 299408 0 77091 0 11404 0 15164 0 19902 0 422969 0 0 Teresa David COO 0 300263 0 88951 0 0 0 10525 0 18136 0 417875 0 0 Prubjeet Khurana CAO 0 258113 0 82505 0 17500 0 8126 0 12709 0 378953 0 0 Stephanie Bamford Admin Director, QM 148123 0 12919 0 0 0 4474 0 10928 0 176444 0 0 0 Magaly Beilke Admin Director, HR 170003 0 14750 0 0 0 3596 0 7657 0 196006 0 0 0 Jacki Delanders Admin Director, Contracting 153571 0 14076 0 0 0 3576 0 14502 0 185725 0 0 0 Cathy Hawes Admin Director, Operations 145358 0 12919 0 0 0 0 0 6695 0 164972 0 0 0 Patricia Horanberg Admin Director, Operations 146099 0 12919 0 0 0 4751 0 5766 0 169535 0 0 0 Margie Melby Admin Director, Controller 144968 0 13135 0 0 0 4717 0 6425 0 169245 0 0 0 Mari Zagrzejewski Admin Director, Managed Care 172486 0 14162 0 0 0 5568 0 7941 0 200157 0 0 0 Susan Slack Admin Director, Revenue Cycle 135389 0 12267 0 0 0 4038 0 5006 0 156700 0 0 0 Victoria Bayona Director, Information Systems 137439 0 0 0 0 0 4118 0 10981 0 152538 0 0 0 Doreen Delgado Nurse Practitioner 139746 0 2625 0 0 0 3393 0 7394 0 153158 0 0 0 Part I, Line 1a The reporting organization did not provide any of the benefits listed in Schedule J, Part I, Line 1a. However, as part of Providence's philosophy of transparency, the narrative that follows relates to the compensation and benefits provided by the related organization. Providence Health & Services Expense Reimbursement Procedures include the following policies: 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 2013, the following individual received gross-up payments: Phil Jackson - Relocation The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. Housing Allowance or Residence for Personal Use Providence Health & Services provides housing allowances for purposes of relocation assistance only. Providence may pay temporary living expenses for the employee up to a maximum of 90 calendar days. Covered expenses are rent (excluding "rent" which may be paid in order to occupy a new permanent residence until the title clears) and utilities, including heat, electricity, gas, water, local internet and local telephone and garbage services. The Executive Vice President/Chief 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 2013, the following individual received relocation/housing program payments: Phil Jackson The amounts reported for these relocation/housing payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. Part I, Line 4b NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan 1) Karl J. Carrier a) Taxable SERP Earned but not Paid - $33,144 b) Non-Taxable SERP Earned but Not Paid - $193,497 2) Michael Hunn a) Taxable SERP Earned but not Paid - $261,669 b) SERP Interest Credit - $76,056 3) Guillermo "Bill" Gil a) SERP Earned but not Vested - $176,362 4) Phil Jackson a) SERP Earned but not Vested - $117,477 b) SERP Interest Credit - $30,854 5) Bernard J. Klein, MD a) SERP Earned but not Vested - $39,358 6) Mike Butler a) SERP Earned but not Vested - $478,094 b) SERP Interest Credit - $201,305 Part I, Line 7 Facey has an administrative incentive plan for executive bonuses, which are determined based on financial performance, clinical performance, patient satisfaction, employee turnover, collection percentage and Facey Medical Group assessment. Financial performance is based on designated net operating income levels. The bonus incentives are based on a fixed formula, with a component determined based on the Facey Medical Group Board discretion. FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS PROGRAM The Providence Executive Incentive Program provides a lump sum award annually as a percent of the executive's base pay. Percent opportunities are aligned with our total compensation philosophy as outlined in Part VI, Section B, Line 15 (Process for determining compensation of top management, officers & key employees). The performance award is based on the level of accomplishment of annual system objectives and personal objectives. In 2013, 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 EPIC watchlist. In 2013 the percent allocation for each of these strategic priorities was: Mission driven 5% Financially responsible 15% People centered 10% Service oriented 10% EPIC Watchlist 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. Michael Lynch Board Member 533757 Facey Eye Institute, Inc. provides billing and collection services to Facey Medical Foundation. The $533,757 consists of the gross fees received by Facey Eye Institute, Inc. from Vision Service Plan and is reimbursed to Facey Medical Foundation. The amount also includes reimbursement of overhead expenses from Facey Medical Foundation to Facey Eye Institute, Inc. in an amount that is approximately 5% of the total collections. Michael Lynch is the sole shareholder of Facey Eye Institute. All services are negotiated at market rates and are considered to be at arm's length. 0 Form 990, Part VI, Section A, line 6 Providence Health System - Southern California, a California nonprofit religious corporation, is the sole corporate member. Form 990, Part VI, Section A, line 7a The Corporate Member may recommend to Providence Health & Services the following actions: A) To fix the number of Directors, appoint the Board of Directors and to remove such Directors of this Corporation at any time. B) To appoint and remove the President/CEO of this Corporation and to remove such President/CEO, with or without cause, after requesting a recommendation from the Board of Directors. Form 990, Part VI, Section A, line 7b The Corporate Member shall have the right to recommend to Providence Health & Services the following actions with respect to this Corporation and of any corporation or other legal entity of which this Corporation is the sole controlling member or shareholder: A) To adopt or change the mission, philosophy, or values. B) To amend or repeal the Articles of Incorporation or the Bylaws. C) To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale, transfer, assignment, or encumbering of assets, if the amount involved in any such transaction is in excess of an amount specified from time to time by resolution of the Providence Member and to approve the sale or transfer of other property which may have either historical or religious significance. D) To approve the dissolution, liquidation, consolidation or merger with another corporation or entity. E) To approve on a consolidated system-wide basis the annual operating and capital budgets and approval of any deviations from such budget in excess of an amount or percentage specified from time to time by resolution of Providence Health & Services. F) To appoint the certified public accountants after receiving the recommendation of the Board of Directors and to receive the annual audit report from such accountants. G) To approve the initiation or closure of any major work. Form 990, Part VI, Section B, line 11 The Form 990 is prepared internally by experienced staff and reviewed by the internal Director of Taxes for Providence Health & Services and external tax advisors. The Finance Committee and signing Officer reviewed the Form 990 in detail. Once approved, an electronic copy of the Form 990 is emailed to the Board prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict. Form 990, Part VI, Section B, line 15 It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are determined by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Each year, the Board Chair conducts a formal performance evaluation of the President/CEO that considers input from the other directors and senior leaders reporting to the President. The evaluation is discussed with the Human Resources Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Human Resources Committee also meet with an independent consultant to develop a salary recommendation; which is reviewed and approved first by the committee and then by the Board of Directors. Additionally, the President/CEO utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for other senior executives. This process includes a rigorous analysis of those recommendations with the Human Resources Committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering Providence operating commitments and strategic objectives - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated patient satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector. Form 990, Part VI, Section C, line 19 The organization makes its financial statements and tax returns available upon request. The organization does not make its governing documents or conflict of interest policy available to the public. Form 990, Part VII Mike Butler - Thru 2/13 - 1801 Lind Ave. SW #9016, Renton, WA 98057-9016. Form 990, Part IX, line 11g Medical Fees: Program service expenses 91,448,252. Management and general expenses 0. Fundraising expenses 0. Total expenses 91,448,252. Other Medical Purchased Services: Program service expenses 5,960,439. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,960,439. Clinical Research Stipends: Program service expenses 41,271. Management and general expenses 0. Fundraising expenses 0. Total expenses 41,271. Form 990, Part XI, line 9: Imputed Interest on UniHealth Grant Obligation -58,083. FORM 990, PART XII, LINE 2C - AUDIT & COMPLIANCE The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the System's consolidated financial statements and reporting, the audit process and the System's internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the System's internal and external auditors; the System's investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. FORM 990, PART I - COMPARATIVE BALANCES Current Year amounts reflect activity for the entire 2013 Calendar Year. The Prior Year amounts included activity for the period 7/1-12/31/12 dues to a change in accounting period. FORM 990, PART III - COMMUNITY BENEFIT The following programs and amounts represent the community benefit provided by Facey Medical Foundation and the costs associated with them: Direct Charitable Write-Offs Charity (Indigent Care) $ 298,943 MediMedi/Medi-Cal $ 2,764,743 Community Outreach/Education Programs $ 789,928 Total Community Benefit Costs thru 12/31/13 $3,853,614 In September 2006, FMF entered into a binding grant agreement with UniHealth, whereby FMF is required to pay annual grants to UniHealth of $500,000 for a total aggregate of $5,000,000 over 10 years. In addition to the annual grant obligations, FMF may be required to make additional grant payments equal to 50% of the amount by which FMF's annual net operating income, exceeds 1.5% of FMF's annual net revenue, as defined in the grant agreement. The additional grant payments shall not exceed $5,000,000 in the aggregate for fiscal years 2006 through 2015. For the 12 month period ended December 31, 2013 and the 6-month period ended December 31, 2012, respectively, no amounts have been accrued for the additional Grant payments, as FMF's operating results have not met the requirements as defined in the grant agreement. The annual grant and additional grant payments, if any, are due 45 days after receipt of FMF's annual audited financial statements. As of December 31, 2013 and December 31, 2012 the $5,000,000 grant-net of payments and a discount of $58,083 and $36,357 for the year ended December 31, 2013 and for the December 31, 2012, respectively, is reflected in net assets in the accompanying statements of financial position. The discount rate used, 4.6%, represents the 10-year treasury rate in existence at the date the grant agreement was executed. FMF may prepay the discounted amounts of any remaining grant obligation or additional grant payment at any time during the 10-year period. The grant payable as of December 31, 2013 and December 31, 2012, is $945,754 and $1,387,671 respectively, and is included in the accompanying statements of financial position. Because the grant was consummated with UniHealth, FMF's then sole corporate member, the transaction was considered a net asset transfer for accounting purposes. FORM 990, PART VII - COMPENSATION Total compensation reported for Gary Leary on Part VII is $26,000. The $26,000 is composed of $9,000 in fees for legal services and the other $17,000 is for board service compensation. FORM 990, SCHEDULE A, PART I, Line 3 and SCHEDULE H Although Facey Medical Foundation qualifies for public charity status for Schedule A purposes as an organization providing medical care pursuant to Internal Revenue Code section 170 (b)(1)(A)(iii) and Treasury Regulations section 1.170A-9(d) (1) (ii), it is not required to file Schedule H with its Form 990 as it is not an organization that is required to be licensed, registered or similarly recognized by a state as a hospital. Providence Health & Services - Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 510216586 Healthcare System WA 501( c)(3) Line 3 Providence Health & Services 0 Providence Health & Services - Oregon 1801 Lind Avenue SW 9016 Renton WA 980579016 510216587 Healthcare System OR 501( c)(3) Line 3 Providence Health & Services 0 Providence Health System - So California 1801 Lind Avenue SW 9016 Renton WA 980579016 510216589 Healthcare System CA 501( c)(3) Line 3 Providence Health & Services 0 Everett Transitional Care Services PO Box 5128 Everett WA 982065128 943264605 Transitional Care WA 501( c)(3) Line 9 N/A 0 Providence Oregon Management Corporation 1801 Lind Avenue SW 9016 Renton WA 980579016 930813977 Shell Corporation OR 501( c)(3) Line 1 PH & S - Oregon 0 Providence Plan Partners 4400 NE Halsey Bldg 2 Portland OR 97213 911861964 Healthcare Services OR 501( c)(4) N/A PH & S - Oregon 0 Providence Health Plan 4400 NE Halsey Bldg 2 Portland OR 97213 930863097 Health Service Contractor OR 501( c)(4) N/A Providence Plan Partners 0 Providence Health Assurance 4400 NE Halsey Bldg 2 Portland OR 97213 550828701 Medicaid Healthcare Provider OR 501( c)(4) N/A Providence Health Plan 0 Providence Medical Institute 4101 Torrance Blvd Torrance CA 90503 330283773 Healthcare CA 501( c)(3) Line 11/Type I PHS - So California 0 Little Company of Mary Ancillary Services Corporation 4101 Torrance Blvd Torrance CA 90503 330844408 Imaging Services CA 501( c)(3) Line 9 PHS - So California 0 Providence TrinityCare Hospice 5315 Torrance Blvd Suite B1 Torrance CA 90503 953264139 Hospice CA 501( c)(3) Line 9 PHS - So California 0 Providence Blanchet Association 1700 Providence Pl Centralia WA 98531 911789266 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 St Luke Association 350 Washington Ave SE Chehalis WA 98352 943176618 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Rossi Association 1700 Providence Pl Centralia WA 98531 311584166 Housing WA 501( c)(3) Line 9 PH & S - Washington 0 Lundberg Association 5921 E Burnside Portland OR 97215 911562797 Housing OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Francis Association 3415 12th Avenue NE Olympia WA 98506 943244854 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Peter Claver Association 7101 38th Avenue South Seattle WA 98118 311629656 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence St Elizabeth House Association 3201 SW Graham St Seattle WA 98126 912171539 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Gamelin House Association 4515 MLK Jr Way S Ste 200 Seattle WA 98108 311744654 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 The Gamelin Association 312 North Fourth St Yakima WA 98901 911180824 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 The Gamelin Oregon Association 5520 NE Glisan Portland OR 97213 911214491 Housing OR 501( c)(3) Line 9 PH & S - Oregon 0 The Gamelin California Association 540 23rd St Oakland CA 94612 911293869 Housing CA 501( c)(3) Line 9 PHS - So California 0 Gamelin Washington Association 1423 First Avenue Seattle WA 98101 201910170 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Foundation 1801 Lind Avenue SW 9016 Renton WA 980579016 943078543 Support PH&S Institutions WA 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence Alaska Foundation 3300 Providence Drive - B Tower2 Anchorage AK 99508 920093565 Support PHS-Alaska AK 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence St Peter Foundation 413 Lilly Road NE Olympia WA 985065166 911097056 Support Affiliated Tax-Exempt Organization WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Health Care Foundation (Centralia) 914 S Scheuber Road Centralia WA 98531 911433382 Support Providence Centralia Hospital WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Mount St Vincent Foundation 4831 - 35th Avenue SW Seattle WA 981262799 911188119 Support Providence Mount St.Vincent WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Marianwood Foundation 3725 Providence Point Drive SE Issaquah WA 980297219 931554288 Support Providence Marianwood WA 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence Newberg Health Foundation 1001 Providence Drive Newberg OR 97132 930889144 Support Providence Newberg Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Seaside Hospital Foundation 725 S Wahanna Rd Seaside OR 97138 930927320 Support Providence Seaside Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Community Health Foundation 1111 Crater Lake Ave Medford OR 97504 930692907 Support Providence Medford Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Benedictine Nursing Center Foundation 540 South Main St Mt Angel OR 973629532 911940286 Support Providence Benedictine Nursing Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Portland Medical Foundation 4805 NE Glisan St Portland OR 972132967 931231494 Support Providence Portland Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Vincent Medical Foundation 9205 SW Barnes Rd Portland OR 97225 930575982 Support Providence St. Vincent Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Milwaukie Foundation 10150 SE 32nd Milwaukie OR 97222 943079515 Support Providence Milwaukie Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Child Center Foundation 830 NE 47th Portland OR 97213 930800140 Support Providence Child Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence TrinityCare Hospice Foundation 5315 Torrance Blvd Suite B1 Torrance CA 90503 330261016 Support TrinityCare Hospice CA 501( c)(3) Line 7 PHS - So California 0 Providence Little Company of Mary Foundation 4101 Torrance Blvd Torrance CA 90503 510224944 Support Little Company of Mary Service Area CA 501( c)(3) Line 7 PHS - So California 0 PH&S FoundationSFVSA & SCVSA 501 S Buena Vista Street Burbank CA 91505 953544877 Support Program & Activities of SFVSA & SCVSA CA 501( c)(3) Line 7 PHS - So California 0 Providence Hospice of Seattle Foundation 425 Pontius Avenue North 300 Seattle WA 981095452 912077378 Support Hospice of Seattle WA 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence Health & Services - Western Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 911303277 Healthcare WA 501( c)(3) Line 3 Providence MinistriesWHC 0 Providence Health & Services 1801 Lind Avenue SW 9016 Renton WA 980579016 911549796 Shell Corporation WA 501( c)(3) Line 11/Type I N/A 0 Providence Health & Services - Montana 500 W Broadway PO Box 4587 Missoula MT 598064587 810231793 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 0 Providence St Joseph Medical Center PO Box 1010 Polson MT 598601010 810463482 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 0 St Thomas Child and Family Center 1710 Benefis Court Great Falls MT 59405 810233495 Early Childhood Education MT 501( c)(3) Line 1 PH & S - Washington 0 Sisters of Providence of Montana Corporation 1801 Lind Avenue SW 9016 Renton WA 980579016 262612415 Shell Corporation MT 501( c)(3) Line 1 PH & S - Washington 0 Providence Health Care Foundation - Eastern Washington 101 W 8th Ave Spokane WA 99204 320014330 Support PH&S-WA. Ministries in E. WA. WA 501( c)(3) Line 7 PH & S - Washington 0 St Patrick Hospital Foundation 500 West Broadway PO Box 4587 Missoula MT 598064587 237056976 Support Healthcare in W. Montana MT 501( c)(3) Line 7 PH & S - Washington 0 University of Great Falls 1301 20th Street South Great Falls MT 59405 810231777 Post Secondary Education MT 501( c)(3) Line 2 PH & S - Washington 0 E WA & MT Unemployment Compensation Insurance Trust 1801 Lind Avenue SW 9016 Renton WA 980579016 911082119 Unemployment Benefits WA 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence Willamette Falls Medical Foundation 1500 Division Street Oregon City OR 97045 931003750 Support Willamette Falls Hospital OR 501( c)(3) Line 11/Type I PH & S - Oregon 0 Providence Hood River Memorial Hospital Foundation Inc 811 13th St Hood River OR 97031 930921990 Support Providence Hood River Memorial Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Hospice and Home Care Foundation 2731 Wetmore Avenue Suite 500 Everett WA 98201 272552749 Support Program & Ministries of PHHC WA 501(c )(3) Line 7 PH & S - Washington 0 Providence St Mary Foundation 401 W Poplar St Walla Walla WA 99362 452841492 Support Program & Ministries of SMMC WA 501(c )(3) Line 7 PH & S - 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