PROVIDENCE HEALTH & SERVICES OREGON: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE HEALTH & SERVICES OREGON (EIN 51-0216587)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-21
- IRS object ID
- 201413259349300236
- Schema version
- 2013v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-21T17:20:50-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911194016 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Clark Nuber PS | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4th Suite 1700 | AddressLine1 |
| City | Bellevue | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510216587 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE HEALTH & SERVICES - OREGON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROV | BusinessNameControlTxt |
| Phone | 4255253985 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Avenue SW No 9016 | AddressLine1 |
| City | Renton | City |
| State | WA | State |
| ZIP Code | 980579016 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Todd Hofheins | PersonNm |
| Person Title | EVP/CFO | PersonTitleTxt |
| Phone | 4255253985 | PhoneNum |
| Signature | 2014-11-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Megan R Ryan CPA | PreparerPersonNm |
| PTIN | P00737884 | PTIN |
| Phone | 4254544919 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Rod Hochman MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Avenue SW No 9016 | AddressLine1 |
| City | Renton | City |
| State | WA | State |
| ZIP Code | 980579016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,292,759,502 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | oregon.providence.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | Healthcare with special concern for the poor and vulnerable in Oregon. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 19845 | TotalEmployeeCnt |
| Total Volunteers | 2837 | TotalVolunteersCnt |
| Total Gross UBI | $14,288,527 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $2,453,090 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $34,966,074 | PYContributionsGrantsAmt |
| CY Contributions Grants | $47,476,606 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,397,230,618 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,466,879,477 | CYProgramServiceRevenueAmt |
| PY Investment Income | $62,898,021 | PYInvestmentIncomeAmt |
| CY Investment Income | $80,017,363 | CYInvestmentIncomeAmt |
| PY Other Revenue | $101,574,543 | PYOtherRevenueAmt |
| CY Other Revenue | $102,492,382 | CYOtherRevenueAmt |
| PY Total Revenue | $2,596,669,256 | PYTotalRevenueAmt |
| CY Total Revenue | $2,696,865,828 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,004,623 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,412,456 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,340,357,818 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,316,621,620 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $3,095,074 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,119,817,360 | PYOtherExpensesAmt |
| CY Other Expenses | $1,231,951,480 | CYOtherExpensesAmt |
| PY Total Expenses | $2,467,179,801 | PYTotalExpensesAmt |
| CY Total Expenses | $2,554,985,556 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $129,489,455 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $141,880,272 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,593,067,944 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,595,771,221 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $629,244,906 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $599,427,644 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,963,823,038 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,996,343,577 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | As People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Healthcare with special concern for the poor and vulnerable in Oregon. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $866,850,020 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,042,420,747 | RevenueAmt |
| Desc | Acute Care-Inpatient: Admissions - 67,733Patient Days - 286,002OUR CORE VALUES - Respect, Compassion, Justice, Excellence, and Stewardship OUR COMMITMENTAs a not-for-profit health care ministry, Providence Health & Services - Oregon embraces our responsibility to respond to the needs of people in our communities, especially the poor and vulnerable. This commitment, this Mission rooted in God's love for all, began with the Sisters of Providence more than 150 years ago.The Heart of our MissionWe focus our community benefit outreach on four specific populations. These are low-income and uninsured people, diverse populations, older citizens, and people with behavioral needs. Our outreach can range from covering the medical bills of a husband and father disabled by diabetes, to financially supporting a nonprofit that embraces older refugees and immigrants.During these hard economic times in our neighborhoods and our nation, we reinforce our commitments to caring for the poor and vulnerable. This compassionate caring is, and always has been, the heart of our Mission. Providence Health & Services - Oregon is a not-for-profit network of hospitals, care centers, health plans, physicians, home health services, clinics and other services. We continue a tradition of caring that the Sisters of Providence began in the West 150 years ago.Our facilities include: Providence St. Vincent Medical Center, Providence Portland Medical Center, Providence Milwaukie Hospital, Providence Hood River Memorial Hospital, Providence Newberg Medical Center, Providence Seaside Hospital,Providence Medford Medical Center, Providence Child Center, Providence Elderplace, Providence Benedictine Nursing Center, Providence Senior Village, Providence Seaside Extended Care, Providence Home and Community Services, Providence Health Plans, Providence Medical Group clinics, Providence Graduate Medical Education clinics, Providence North Coast clinics and Providence Hood River clinicsResearch CentersProvidence physicians, scientists and research teams participate in basic research, applied research and clinical trial research. They have achieved national recognition for their work, some of which has led to revolutionary changes in health care:*Albert Starr Academic Center for Cardiac Surgery*Center for Outcomes Research and Education*Earle A. Chiles Research Institute*Oregon Medical Laser Center*Robert W. Franz Cancer Research Center*Women and Children's Health Research CenterThe ministries of Providence in Oregon have a shared vision to create an experience of connected care for each patient. We also work to achieve the Triple Aim, which calls us to:*Improve our population's health*Give our patients the best care experience*Make sure our services are affordableIn 2013, Providence in Oregon:*Operated eight hospitals, more than 90 clinics and Oregon's largest neonatal intensive care unit*Provided primary, preventive and specialty care to nearly 1.9 million children and adults*Welcomed 8,903 babies - more than any other health system in Oregon*Cared for 266,519 emergency patients*Gave 454,127 home health and hospice visits/days of care to community residents | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $583,673,450 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $701,809,005 | RevenueAmt |
| Desc | Acute Care - Outpatient: Visits - 2,664,701See Line 4a Narrative. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $227,876,799 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $274,134,327 | RevenueAmt |
| Desc | Primary Care: Visits - 1,897,393See Line 4a Narrative. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $232,885,080 | $0 | $279,951,082 | Long-Term Care, Homecare, Hospice, Housing & Assisted Living: LTC Patient Days - 59,479; Home & Hospice Visits - 445,894; Housing & Assisted Living Days - 143,874.Quality home care: For the fifth consecutive year, Providence Home Care in southern Oregon has been named as one of the top 500 home health agencies in the nation by HomeCare Elite, based on measures of quality and financial performance.Hospice services in rural area: Providence Hood River Memorial Hospital, a critical access facility, has expanded hospice care to serve residents in the Columbia Gorge area. |
| $6,412,456 | $6,412,456 | $0 | Grants & Allocations to Community Organizations - See Schedule I |
| $171,324,956 | $0 | $205,892,230 | Physician Fees |
| $4,173,569 | $0 | $5,121,540 | Healthcare Joint Ventures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $414,796,061 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $6,412,456 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $490,964,852 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $2,093,196,330 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 1358 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 19845 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Karl E Fritschel CPA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4255253339 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Ave SW 9016 | AddressLine1 |
| City | Renton | City |
| State | WA | State |
| ZIP Code | 980579016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (51 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Michael Holcomb | |||||||||
| Chair of the Board | 0.10 | 8.60 | Yes (X) | Yes (X) | $0 | $60,335 | $0 | ||
| Lucille Dean SP | |||||||||
| Director | 0.10 | 9.40 | Yes (X) | $0 | $0 | $0 | |||
| Mary Corita Heid RSM | |||||||||
| Director | 0.10 | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael A Stein | |||||||||
| Director | 0.10 | 6.00 | Yes (X) | $0 | $18,335 | $0 | |||
| Eugene Al Parrish | |||||||||
| Director | 0.10 | 5.00 | Yes (X) | $0 | $15,335 | $0 | |||
| Dana A Rasmussen | |||||||||
| Director | 0.10 | 4.30 | Yes (X) | $0 | $18,335 | $0 | |||
| James S Roberts MD | |||||||||
| Director | 0.10 | 9.00 | Yes (X) | $0 | $30,835 | $0 | |||
| Peter J Snow | |||||||||
| Director | 0.10 | 5.70 | Yes (X) | $0 | $20,835 | $0 | |||
| Bob Wilson | |||||||||
| Director | 0.10 | 5.00 | Yes (X) | $0 | $15,335 | $0 | |||
| Sallye Liner | |||||||||
| Director | 0.10 | 4.00 | Yes (X) | $0 | $15,335 | $0 | |||
| Cheryl M Scott | |||||||||
| Director | 0.10 | 4.60 | Yes (X) | $0 | $15,335 | $0 | |||
| Ellen L Wolf | |||||||||
| Director | 0.10 | 7.10 | Yes (X) | $0 | $15,335 | $0 | |||
| Isiaah Crawford | |||||||||
| Director | 0.10 | 4.10 | Yes (X) | $0 | $15,335 | $0 | |||
| Martha Diaz Aszkenazy | |||||||||
| Director | 0.10 | 7.70 | Yes (X) | $0 | $15,335 | $0 | |||
| Kirby McDonald | |||||||||
| Director | 0.10 | 4.60 | Yes (X) | $0 | $15,335 | $0 | |||
| Dave Olsen | |||||||||
| Director | 0.10 | 5.50 | Yes (X) | $0 | $15,335 | $0 | |||
| Charles Chuck Watts | |||||||||
| Director | 0.10 | 4.60 | Yes (X) | $0 | $15,335 | $0 | |||
| John F Koster MD - Thru 0313 | |||||||||
| President / CEO | 14.00 | 40.00 | Yes (X) | $0 | $3,202,727 | $247,248 | |||
| Rod F Hochman MD - Eff 0413 | |||||||||
| President / CEO | 17.00 | 48.00 | Yes (X) | $0 | $1,402,907 | $515,903 | |||
| Todd Hofheins | |||||||||
| EVP/CFO | 16.00 | 44.00 | Yes (X) | $0 | $570,367 | $90,110 | |||
| Jeffrey W Rogers - Thru 513 | |||||||||
| Corporate Secretary | 13.00 | 37.00 | Yes (X) | $0 | $1,040,781 | $189,880 | |||
| Cindy Strauss - Eff 613 | |||||||||
| SVP/Chief Counsel/Corp. Secretary | 16.00 | 44.00 | Yes (X) | $0 | $955,824 | $248,254 | |||
| Greg Van Pelt - Thru 0413 | |||||||||
| SVP/CEO - OR. Region | 57.00 | 3.00 | Yes (X) | $0 | $1,370,941 | $383,928 | |||
| Dave Underriner - Eff 0413 | |||||||||
| SVP/CEO - OR. Region | 57.00 | 3.00 | Yes (X) | $0 | $2,910,696 | $106,590 | |||
| Shelly Handkins - Thru 613 | |||||||||
| CFO/OR. Region | 47.00 | 3.00 | Yes (X) | $0 | $502,246 | $368,641 | |||
| William Olson - Eff 713 | |||||||||
| CFO/OR. Region | 47.00 | 3.00 | Yes (X) | $181,668 | $400,686 | $125,398 | |||
| Terry L Smith | |||||||||
| SVP/Management Svcs | 16.00 | 44.00 | $0 | $1,612,950 | $226,158 | Yes (X) | |||
| Deborah Burton | |||||||||
| SVP/Chief Nrsg. Officer | 17.00 | 48.00 | $0 | $1,347,109 | $66,039 | Yes (X) | |||
| Michael L Butler | |||||||||
| President/Operations & Services | 16.00 | 44.00 | $0 | $1,272,743 | $742,629 | Yes (X) | |||
| Randy Axelrod MD | |||||||||
| EVP/Clinical & Patient Svcs | 16.00 | 44.00 | $0 | $1,055,259 | $219,690 | Yes (X) | |||
| Janice J Jones | |||||||||
| SVP/CAO | 14.00 | 41.00 | $0 | $999,701 | $159,493 | Yes (X) | |||
| Myron Berdischewsky MD | |||||||||
| SVP/CMQO | 16.00 | 44.00 | $0 | $855,510 | $158,577 | Yes (X) | |||
| Jack Friedman | |||||||||
| SVP/Account Care & Payor Rel. | 14.00 | 41.00 | $0 | $826,281 | $177,752 | Yes (X) | |||
| Ray Williams | |||||||||
| SVP/Physicians Svcs | 14.00 | 41.00 | $0 | $761,267 | $203,589 | Yes (X) | |||
| Cindra R Syverson | |||||||||
| SVP/CHRO | 16.00 | 44.00 | $0 | $717,450 | $292,188 | Yes (X) | |||
| Craig L Wright MD | |||||||||
| SVP/Physicians Svcs | 16.00 | 44.00 | $0 | $708,798 | $451,637 | Yes (X) | |||
| John O Mudd | |||||||||
| SVP/Mission Leadership | 14.00 | 41.00 | $0 | $542,246 | $208,258 | Yes (X) | |||
| Claudia Haglund | |||||||||
| VP/Governance & Sponsorship | 13.00 | 37.00 | $0 | $494,375 | $157,049 | Yes (X) | |||
| Joel S Gilbertson | |||||||||
| SVP/Comm. Ptrshp & External Affairs | 14.00 | 41.00 | $0 | $456,594 | $126,245 | Yes (X) | |||
| David Brown | |||||||||
| VP/Strategy & Innovation | 14.00 | 41.00 | $0 | $434,606 | $168,959 | Yes (X) | |||
| Orest Holubec | |||||||||
| SVP/Marketing & Communications | 16.00 | 44.00 | $0 | $423,960 | $61,310 | Yes (X) | |||
| Gary Flaming | |||||||||
| SVP/Chief Risk Officer | 15.00 | 42.00 | $0 | $381,771 | $94,294 | Yes (X) | |||
| Doug Walta | |||||||||
| CEO/OR. Clinical Programs | 40.00 | 0.00 | $289,286 | $348,337 | $170,535 | Yes (X) | |||
| Theron Park | |||||||||
| CEO/OR. Delivery System | 40.00 | 0.00 | $0 | $450,208 | $72,365 | Yes (X) | |||
| Doug Koekkoek | |||||||||
| CEO/OR. Clinical Services | 40.00 | 0.00 | $0 | $436,757 | $90,957 | Yes (X) | |||
| Joe Siemienczuk | |||||||||
| CEO/Portland Med. Group | 40.00 | 0.00 | $0 | $436,431 | $222,674 | Yes (X) | |||
| Walter Urba | |||||||||
| Administrator/Clinical Research | 40.00 | 0.00 | $790,449 | $0 | $56,652 | Yes (X) | |||
| Emery Douville | |||||||||
| Surgeon - Cardiology | 40.00 | 0.00 | $723,160 | $0 | $33,653 | Yes (X) | |||
| Jeffrey Swanson | |||||||||
| Surgeon - Cardiology | 40.00 | 0.00 | $720,896 | $0 | $34,732 | Yes (X) | |||
| Gary Ott | |||||||||
| Surgeon - Cardiology | 40.00 | 0.00 | $719,063 | $0 | $31,492 | Yes (X) | |||
| Eric Kirker | |||||||||
| Surgeon - Cardiology | 40.00 | 0.00 | $716,911 | $0 | $34,497 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,141,433 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $27,221,553 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $6,537,376 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2202 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Oregon Emergency Physicians PC | |||||
| 9155 Barnes Rd Ste 420 | Portland | OR | 972256631 | Medical Services | $31,789,582 |
| Andersen Construction Co Inc | |||||
| 6712 N Cutter Cir | Portland | OR | 972173933 | Construction Services | $19,676,038 |
| Cross Country Travcorps Incorporated | |||||
| File 50941 | Los Angeles | CA | 900740941 | Outside Staffing | $14,934,718 |
| Anesthesia Assoc Northwest LLC | |||||
| 6400 SE Lake Rd Ste 130 | Portland | OR | 972222129 | Medical Services | $10,138,660 |
| The Oregon Clinic PC | |||||
| 847 NE 19th Avenue Ste 300 | Portland | OR | 972322684 | Medical Services | $8,999,506 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 232 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $5,305 | FederatedCampaignsAmt |
| Related Organizations | $15,045,404 | RelatedOrganizationsAmt |
| Government Grants | $24,218,637 | GovernmentGrantsAmt |
| All Other Contributions | $8,207,260 | AllOtherContributionsAmt |
| Noncash Contributions | $250,984 | NoncashContributionsAmt |
| Total Contributions | $47,476,606 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Acute Care/Inpatient | 900099 | $1,030,205,330 | $1,030,205,330 |
| Acute Care/Outpatient | 621400 | $693,584,037 | $693,584,037 |
| Primary Care | 621110 | $270,923,148 | $270,923,148 |
| LTC/HomeCare/Hospice | 621610 | $263,626,270 | $263,626,270 |
| Physician Fees | 900099 | $203,477,965 | $203,477,965 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,062,727 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,062,727 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,466,879,477 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,489,742 | TotalRevenueColumnAmt |
| Exclusion | $17,489,742 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $680,108 | TotalRevenueColumnAmt |
| Exclusion | $680,108 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $30,811,215 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,799,535 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,011,680 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,011,680 | TotalRevenueColumnAmt |
| Exclusion | $12,011,680 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $609,648,263 | SecuritiesAmt |
| Other | $422,002 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $547,128,059 | SecuritiesAmt |
| Other | $414,585 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $62,520,204 | SecuritiesAmt |
| Other | $7,417 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $62,527,621 | TotalRevenueColumnAmt |
| Exclusion | $62,527,621 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $45,043,681 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $29,551,495 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,492,186 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,043,057 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,449,129 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| Contracted Services | 900099 | $23,968,180 | $23,968,180 | ||
| Cafeteria Revenue | 722210 | $14,217,820 | $14,217,820 | ||
| Laboratory | 621500 | $11,839,398 | $11,839,398 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,283,010 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,438,217 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $18,844,793 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $74,308,408 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,696,865,828 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,509,328,931 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $14,288,527 | UnrelatedBusinessRevenueAmt |
| Exclusion | $125,771,764 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,412,456 | TotalAmt |
| Program Services | $6,412,456 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,542,861 | TotalAmt |
| Management And General | $9,542,861 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $978,273,567 | TotalAmt |
| Program Services | $883,914,475 | ProgramServicesAmt |
| Management And General | $94,359,092 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,993,228 | TotalAmt |
| Program Services | $76,191,881 | ProgramServicesAmt |
| Management And General | $8,801,347 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,154,604 | TotalAmt |
| Program Services | $143,387,242 | ProgramServicesAmt |
| Management And General | $14,767,362 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,657,360 | TotalAmt |
| Program Services | $76,787,240 | ProgramServicesAmt |
| Management And General | $8,870,120 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $945,316 | TotalAmt |
| Program Services | $338,375 | ProgramServicesAmt |
| Management And General | $606,941 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,150 | TotalAmt |
| Management And General | $25,150 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $409,597 | TotalAmt |
| Management And General | $409,597 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,221,786 | TotalAmt |
| Management And General | $1,221,786 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,879,632 | TotalAmt |
| Program Services | $185,404,208 | ProgramServicesAmt |
| Management And General | $16,475,424 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,224,674 | TotalAmt |
| Program Services | $1,489,234 | ProgramServicesAmt |
| Management And General | $6,735,440 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,094,045 | TotalAmt |
| Program Services | $22,462,401 | ProgramServicesAmt |
| Management And General | $18,631,644 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,963,270 | TotalAmt |
| Program Services | $35,345,785 | ProgramServicesAmt |
| Management And General | $87,617,485 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,317,894 | TotalAmt |
| Program Services | $37,367,467 | ProgramServicesAmt |
| Management And General | $12,950,427 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,031,376 | TotalAmt |
| Program Services | $4,196,302 | ProgramServicesAmt |
| Management And General | $835,074 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,655,543 | TotalAmt |
| Program Services | $1,826,005 | ProgramServicesAmt |
| Management And General | $829,538 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,237,892 | TotalAmt |
| Program Services | $6,237,892 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,456,248 | TotalAmt |
| Program Services | $60,226 | ProgramServicesAmt |
| Management And General | $161,396,022 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,504,746 | TotalAmt |
| Program Services | $92,756,617 | ProgramServicesAmt |
| Management And General | $3,748,129 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,116,580 | TotalAmt |
| Program Services | $24,756,861 | ProgramServicesAmt |
| Management And General | $359,719 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $353,953,025 | $353,719,377 | $233,648 |
| Provider Tax Expense | $82,961,947 | $82,961,947 | |
| Bad Debts | $43,054,965 | $43,054,538 | $427 |
| UBI Taxes | $1,063,087 | $1,063,087 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,834,707 | TotalAmt |
| Program Services | $14,525,801 | ProgramServicesAmt |
| Management And General | $9,213,832 | ManagementAndGeneralAmt |
| Fundraising | $3,095,074 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,554,985,556 | TotalAmt |
| Program Services | $2,093,196,330 | ProgramServicesAmt |
| Management And General | $458,694,152 | ManagementAndGeneralAmt |
| Fundraising | $3,095,074 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,925,346 | BOYAmt |
| EOY | $1,775,926 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,970,232 | BOYAmt |
| EOY | $142,637,785 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,719,357 | BOYAmt |
| EOY | $6,556,131 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $298,013,045 | BOYAmt |
| EOY | $332,044,811 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,434,252 | BOYAmt |
| EOY | $1,691,281 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,149,498 | BOYAmt |
| EOY | $35,238,931 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,956,608 | BOYAmt |
| EOY | $20,614,183 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,733,883,176 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,618,320,405 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,176,011,108 | BOYAmt |
| EOY | $1,115,562,771 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $800,753,018 | BOYAmt |
| EOY | $784,489,935 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,450,817 | BOYAmt |
| EOY | $90,084,988 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,201,817 | BOYAmt |
| EOY | $4,050,539 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,482,846 | BOYAmt |
| EOY | $61,023,940 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,593,067,944 | BOYAmt |
| EOY | $2,595,771,221 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,731,831 | BOYAmt |
| EOY | $210,842,463 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,441,149 | BOYAmt |
| EOY | $28,564,063 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $311,990,000 | BOYAmt |
| EOY | $266,250,001 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,657,984 | BOYAmt |
| EOY | $4,022,327 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,351,619 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,072,323 | BOYAmt |
| EOY | $89,748,790 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $629,244,906 | BOYAmt |
| EOY | $599,427,644 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,906,061,097 | BOYAmt |
| EOY | $1,933,767,515 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,571,341 | BOYAmt |
| EOY | $32,711,866 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,190,600 | BOYAmt |
| EOY | $29,864,196 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,963,823,038 | BOYAmt |
| EOY | $1,996,343,577 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,593,067,944 | BOYAmt |
| EOY | $2,595,771,221 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $141,880,272 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$53,313,116 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$56,046,617 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | Yes (1) | MailingsMembersInd |
| Mailings Members | $11,665 | MailingsMembersAmt |
| Publications Or Broadcast | Yes (1) | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $9,835 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $149,518 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $226,224 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | Yes (1) | RalliesDemonstrationsInd |
| Rallies Demonstrations | $12,355 | RalliesDemonstrationsAmt |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $409,597 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Lobbying activity included: * Analysis of early draft legislation for 2013 Oregon Legislative Session * Visits, calls, e-mails, and letters to state legislators, legislative bodies, and members of Congress * Visits, calls, e-mails, and letters to legislative staff and government officials * Discussions and meetings with lobbyists * Ongoing analysis of legislation during the 2013 Legislative Session * Attending state, federal and local government hearings and meetings in the Portland area Ballot measures * During 2013, Providence in Oregon did not engage in discussions on any state and local government ballot measures. * We contributed financially to school district and community health ballot measures, but did not engage in advocacy. Issues advocacy Major issues supported, opposed, or commented on to legislators/government officials/staffers by Providence in Oregon, in 2013 include: * Employer/employee relations issues * Health insurance mandates * Health insurer regulatory, finance and legislative issues * Hospital regulatory, finance and legislative issues * Long term care facilities regulatory, finance and legislative issues * Medicaid health care transformation and coordinated care organizations * Oregon health insurance exchange * Health care workforce issues * Provider reimbursement and alternative payment methods * Pharmacy benefit management issues * Pharmacy prescribing practices and coverage * Cultural competency and eliminating disparities in health care * Patient privacy and notification * Mental health integration and benefit * Community health needs assessment * Local government: - Transportation and economic issues - Community outreach and education - Paid sick leave - Water fluoridation | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $41,390,485 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $68,316,509 | OtherCostOrOtherBasisAmt |
| Book Value | $109,706,994 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $5,178,471 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,225,705,371 | OtherCostOrOtherBasisAmt |
| Depreciation | $668,727,269 | DepreciationAmt |
| Book Value | $562,156,573 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,578,463 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,769,860 | DepreciationAmt |
| Book Value | $16,808,603 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $818,015,201 | OtherCostOrOtherBasisAmt |
| Depreciation | $700,797,457 | DepreciationAmt |
| Book Value | $117,217,744 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $523,698,676 | OtherCostOrOtherBasisAmt |
| Depreciation | $214,025,819 | DepreciationAmt |
| Book Value | $309,672,857 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,115,562,771 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Resident Trust Funds | $1,804,389 |
| LT Asset Retirement Obligation - FIN 47 | $3,171,363 |
| Third Party Reserves | $23,978,455 |
| Bond Premium Discount | $9,823,510 |
| Capitalized Lease Obligations | $133,285 |
| Pension Benefit Obligation | $9,195,546 |
| Taxable Bonds | $41,642,242 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $89,748,790 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Health System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained upon an audit by the taxing authority. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $96,173,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $96,173,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03830 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $265,849,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $198,972,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $66,877,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02660 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $362,022,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $198,972,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $163,050,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06490 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $4,135,817 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $218,789 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,917,028 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $26,392,736 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,743,613 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,649,123 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00780 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $22,816,915 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,088,293 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,728,622 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $30,807,379 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,254,948 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,552,431 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $3,779,241 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $603,950 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,175,291 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $87,932,088 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,909,593 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $49,022,495 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01960 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $449,954,088 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $237,881,593 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $212,072,495 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08450 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $3,300 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $23,838 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,620 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,218 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $262,428 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $212,928 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $22,100 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,260 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,840 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $155,047 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,450 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $118,597 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $187,383 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,100 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $182,283 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $189,032 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $181,532 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $843,128 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $116,430 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $726,698 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $43,054,965 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $797,914,000 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $945,863,000 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$147,949,000 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 Oregon Outpatient Surgery Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Ambulatory Surgery Center | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.51000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.49000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 8 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (8 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Critical Access HospitalCriticalAccessHospitalInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence Portland Medical Center | |||||||||||||
| 1 | 4805 NE Glisan St | Portland | OR | 97213 | oregon.providence.org | 14-0012 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | ||
| Providence St Vincent Medical Center | |||||||||||||
| 2 | 9205 SW Barnes Rd | Portland | OR | 97225 | oregon.providence.org | 14-0912 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | ||
| Providence Milwaukie Hospital | |||||||||||||
| 3 | 10150 SE 32nd | Milwaukie | OR | 97222 | oregon.providence.org | 14-1430 | Yes (X) | Yes (X) | Yes (X) | A | |||
| Providence Hood River Mem Hospital | |||||||||||||
| 4 | 811 - 13th Street | Hood River | OR | 97031 | oregon.providence.org | 14-1452 | Yes (X) | Yes (X) | A | Yes (X) | |||
| Providence Seaside Hospital | |||||||||||||
| 5 | 725 S Wahanna Rd | Seaside | OR | 97138 | oregon.providence.org | 14-1231 | Yes (X) | Yes (X) | A | Yes (X) | Nursing Facility | ||
| Providence Newberg Medical Center | |||||||||||||
| 6 | 1001 Providence Drive | Newberg | OR | 97132 | oregon.providence.org | 14-1438 | Yes (X) | Yes (X) | Yes (X) | A | |||
| Providence Medford Medical Center | |||||||||||||
| 7 | 1111 Crater Lake Avenue | Medford | OR | 97504 | oregon.providence.org | 14-0734 | Yes (X) | Yes (X) | Yes (X) | A | |||
| Providence Willamette Falls Med Ctr | |||||||||||||
| 8 | 1500 Division Street | Oregon City | OR | 97045 | oregon.providence.org | 14-1471 | Yes (X) | Yes (X) | A | ||||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Providence Health & Services - Oregon | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://oregon.providence.org/about-Us | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (31 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section B | Facility Reporting Group A |
| Facility Reporting Group A consists of: | - Facility 1: Providence Portland Medical Center, - Facility 2: Providence St Vincent Medical Center, - Facility 3: Providence Milwaukie Hospital, - Facility 4: Providence Hood River Mem. Hospital, - Facility 5: Providence Seaside Hospital, - Facility 6: Providence Newberg Medical Center, - Facility 7: Providence Medford Medical Center, - Facility 8: Providence Willamette Falls Med. Ctr. |
| Facility 1 -- Providence Portland Medical Center Part V, Section B, line 3: | Community listening sessions and local community health system assessment conducted as part of the Healthy Columbia Willamette Collaborative (HCWC). Included input from school districts, mental health providers, social service agencies, culturally-specific organizations, medical providers, social workers, public health officials, and others. A full list of those represented is available on the HCWC website. |
| Facility 1 -- Providence Portland Medical Center Part V, Section B, line 4: | Providence Portland Medical Center participated in HCWC as well as a more specific facility-based assessment. Other hospital participants in HCWC were Adventist Medical Center, Kaiser Sunnyside Hospital, Kaiser Westside Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek Medical Center, OHSU, PeaceHealth Southwest Medical Center, Providence Milwaukie Hospital, Providence St. Vincent Medical Center, Providence Willamette Falls Medical Center, Tuality Community Hospital |
| Facility 1 -- Providence Portland Medical Center Part V, Section B, line 20d: | The hospitals used the average of the largest negotiated commercial insurance rate. |
| Facility 1 -- Providence Portland Medical Center Part V, Section B, line 22: | If the services were not medically necessary or were not covered under the financial assistance policy, they were billed at the gross charge. |
| Facility 2 -- Providence St. Vincent Medical Center Part V, Section B, line 3: | Community listening sessions and local community health system assessment conducted as part of the Healthy Columbia Willamette Collaborative (HCWC). Included input from school districts, mental health providers, social service agencies, culturally-specific organizations, medical providers, social workers, public health officials, and others. A full list of those represented is available on the HCWC website. |
| Facility 2 -- Providence St. Vincent Medical Center Part V, Section B, line 4: | Providence St. Vincent Medical Center participated in HCWC as well as a more specific facility-based assessment. Other hospital participants in HCWC were Adventist Medical Center, Kaiser Sunnyside Hospital, Kaiser Westside Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek Medical Center, OHSU, PeaceHealth Southwest Medical Center, Providence Milwaukie Hospital, Providence Portland Medical Center, Providence Willamette Falls Medical Center, Tuality Community Hospital |
| Facility 2 -- Providence St. Vincent Medical Center Part V, Section B, line 20d: | The hospitals used the average of the largest negotiated commercial insurance rate. |
| Facility 2 -- Providence St. Vincent Medical Center Part V, Section B, line 22: | If the services were not medically necessary or were not covered under the financial assistance policy, they were billed at the gross charge. |
| Facility 3 -- Providence Milwaukie Hospital Part V, Section B, line 3: | Community listening sessions and local community health system assessment conducted as part of the Healthy Columbia Willamette Collaborative (HCWC). Included input from school districts, mental health providers, social service agencies, culturally-specific organizations, medical providers, social workers, public health officials, and others. A full list of those represented is available on the HCWC website. |
| Facility 3 -- Providence Milwaukie Hospital Part V, Section B, line 4: | Providence Milwaukie Hospital participated in HCWC as well as a more specific facility-based assessment. Other hospital participants in HCWC were Adventist Medical Center, Kaiser Sunnyside Hospital, Kaiser Westside Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek Medical Center, OHSU, PeaceHealth Southwest Medical Center, Providence Portland Medical Center, Providence St. Vincent Medical Center, Providence Willamette Falls Medical Center, Tuality Community Hospital |
| Facility 3 -- Providence Milwaukie Hospital Part V, Section B, line 20d: | The hospitals used the average of the largest negotiated commercial insurance rate. |
| Facility 3 -- Providence Milwaukie Hospital Part V, Section B, line 22: | If the services were not medically necessary or were not covered under the financial assistance policy, they were billed at the gross charge. |
| Facility 4 -- Providence Hood River Mem. Hospital Part V, Section B, line 3: | Key stakeholder interviews with community leaders and focus groups with specific populations of concern (<200% FPL, MSFW, LEP, elderly/disabled). Stakeholder interviews and focus groups were conducted as part of the Columbia Gorge Regional Community Health Assessment; Cascade Orthopedics, Columbia Gorge Family Medicine, Columbia River Women's Center, Deschutes Rim Clinic, Hood River County, Mid-Columbia Center for Living, North Central Public Health District, NORCOR, One Community Health, OHSU, FISH Food Bank, Hood River Fire and EMS, Kickitat County, Warming Shelter, Mid-Columbia Council of Governments, Meals on Wheels, Sherman County, Wasco County |
| Facility 4 -- Providence Hood River Mem. Hospital Part V, Section B, line 4: | Providence Hood River participated in the Columbia Gorge Regional Health Assessment as well as producing its own. Other hospital participants included Klickitat Valley Hospital, Skyline Hospital, and Mid-Columbia Medical Center |
| Facility 4 -- Providence Hood River Mem. Hospital Part V, Section B, line 20d: | The hospitals used the average of the largest negotiated commercial insurance rate. |
| Facility 4 -- Providence Hood River Mem. Hospital Part V, Section B, line 22: | If the services were not medically necessary or were not covered under the financial assistance policy, they were billed at the gross charge. |
| Facility 5 -- Providence Seaside Hospital Part V, Section B, line 3: | Key stakeholder interviews with community leaders and focus groups with specific populations of concern (<200% FPL, MSFW, LEP, elderly/disabled). List of organizations represented in interviews: City of Seaside, Clatsop Community Action, Coastal Health Center, Clatsop Behavioral Health, Lower Columbia Hispanic Council, Clatsop County Public Health, Clatsop Care Center, Sunset Empire Transportation District, Seaside School District, Neawanna by the Sea, Clatsop County Sheriff, Our Lady of Victory Church, NW Senior and Disability Services, Clatsop County Commissioner, Providence Medical Group, Union Health District, Restoration House |
| Facility 5 -- Providence Seaside Hospital Part V, Section B, line 20d: | The hospitals used the average of the largest negotiated commercial insurance rate. |
| Facility 5 -- Providence Seaside Hospital Part V, Section B, line 22: | If the services were not medically necessary or were not covered under the financial assistance policy, they were billed at the gross charge. |
| Facility 6 -- Providence Newberg Medical Center Part V, Section B, line 3: | Key stakeholder interviews with community leaders and focus groups with specific populations of concern (<200% FPL, MSFW, LEP, elderly/disabled). List of organizations represented in interviews: A-Dec, City of Dundee, City of Newberg, City of Yamhill, George Fox University, Faith in Action, Love In the Name of Christ, Newberg Public Schools, Newberg Fire Department, St. Peter Catholic Church, Yamhill County Health & Human Services |
| Facility 6 -- Providence Newberg Medical Center Part V, Section B, line 20d: | The hospitals used the average of the largest negotiated commercial insurance rate. |
| Facility 6 -- Providence Newberg Medical Center Part V, Section B, line 22: | If the services were not medically necessary or were not covered under the financial assistance policy, they were billed at the gross charge. |
| Facility 7 -- Providence Medford Medical Center Part V, Section B, line 3: | Key stakeholder interviews with community leaders and focus groups with specific populations of concern (<200% FPL, MSFW, LEP, elderly/disabled). |
| Facility 7 -- Providence Medford Medical Center Part V, Section B, line 20d: | The hospitals used the average of the largest negotiated commercial insurance rate. |
| Facility 7 -- Providence Medford Medical Center Part V, Section B, line 22: | If the services were not medically necessary or were not covered under the financial assistance policy, they were billed at the gross charge. |
| Facility 8 -- Providence Willamette Falls Med. Ctr. Part V, Section B, line 3: | Community listening sessions and local community health system assessment conducted as part of the Healthy Columbia Willamette Collaborative (HCWC). Included input from school districts, mental health providers, social service agencies, culturally-specific organizations, medical providers, social workers, public health officials, and others. A full list of those represented is available on the HCWC website. |
| Facility 8 -- Providence Willamette Falls Med. Ctr. Part V, Section B, line 4: | Providence Willamette Falls Medical Center participated in HCWC as well as a more specific facility-based assessment. Other hospital participants in HCWC were Adventist Medical Center, Kaiser Sunnyside Hospital, Kaiser Westside Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek Medical Center, OHSU, PeaceHealth Southwest Medical Center, Providence Milwaukie Hospital, Providence Portland Medical Center, Providence St. Vincent Medical Center, Tuality Community Hospital |
| Facility 8 -- Providence Willamette Falls Med. Ctr. Part V, Section B, line 20d: | The hospitals used the average of the largest negotiated commercial insurance rate. |
| Facility 8 -- Providence Willamette Falls Med. Ctr. Part V, Section B, line 22: | If the services were not medically necessary or were not covered under the financial assistance policy, they were billed at the gross charge. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 25 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| Prov Portland Med Ctr Dialysis Unit | ||||
| 4805 NE Glisan St | Portland | OR | 97213 | ESRD-End Stage Renal Disease |
| Providence St Vincent Kidney Dialysis | ||||
| 9450 SW Barnes Rd Suite 125 | Portland | OR | 97225 | ESRD-End Stage Renal Disease |
| PHRMH Ray Yasui Dialysis Center | ||||
| 1125 May Avenue | Hood River | OR | 97031 | ESRD-End Stage Renal Disease |
| Providence Home Health | ||||
| 6410 NE Halsey Suite 200 | Portland | OR | 97213 | Home Health Agency |
| Prov Benedictine Nursing Center HHA | ||||
| 570 S Main St | Mt Angel | OR | 97362 | Home Health Agency |
| Providence Home Care | ||||
| 2033 Commerce Drive | Medford | OR | 97504 | Home Health Agency |
| Providence Hospice | ||||
| 6410 NE Halsey Suite 300 | Portland | OR | 97213 | Hospice |
| Providence Medford Hospice | ||||
| 2033 Commerce Drive | Medford | OR | 97504 | Hospice |
| Surgery Center at Tanasbourne | ||||
| 18650 NW Cornell Rd Suite 110 | Hillsboro | OR | 97124 | Ambulatory Surgery Center |
| Center for Specialty Surgery | ||||
| 11782 SW Barnes Rd 200 Bldg C | Portland | OR | 97225 | Ambulatory Surgery Center |
| Oregon Outpatient Surgery | ||||
| 7300 SW Childs Rd | Tigard | OR | 97224 | Ambulatory Surgery Center |
| Providence Child Center | ||||
| 860 NE 47th Ave | Portland | OR | 97213 | Nursing Facility |
| Providence Benedictine Nursing Center | ||||
| 540 S Main St | Mt Angel | OR | 97362 | Nursing Facility |
| Providence Seaside Hospital | ||||
| 725 S Wahanna Rd | Seaside | OR | 97138 | Nursing Facility |
| Providence Benedictine Orchard House | ||||
| 550 S Main St | Mt Angel | OR | 97362 | Assisted Living Facility |
| Providence Brookside Manor | ||||
| 1550 Brookside Dr | Hood River | OR | 97031 | Assisted Living Facility |
| Prov Elderplace in Irvington Village | ||||
| 420 NE Mason | Portland | OR | 97211 | Assisted Living Facility |
| Providence Elderplace in Glendover | ||||
| 13007 NE Glisan St | Portland | OR | 97230 | Residential Care Facility |
| Providence Elderplace in Cully | ||||
| 5119 NE 57th Ave | Portland | OR | 97218 | Residential Care Facility |
| Providence Brookside Memory Care | ||||
| 1550 Brookside Dr | Hood River | OR | 97031 | Residential Care Facility |
| Providence Willamette Falls Hospice | ||||
| 1505 Division Street | Oregon City | OR | 97045 | Hospice Services |
| Providence WF - Canby Place | ||||
| 200 S Hazel Dell Way | Canby | OR | 97013 | Urgent Care & Diagnostic Imaging |
| Providence WF Med Grp-OR City | ||||
| 1510 Division Street | Oregon City | OR | 97045 | Primary Care Spine Center/General Surgery |
| Providence WF MedGrp-Sunnyside | ||||
| 9775 SE Sunnyside Road | Clackamas | OR | 97015 | Primary Care & Occupational Health |
| Proviodence WF Med Group - West Linn | ||||
| 18676 Willamette Dr Suite 100 | West Linn | OR | 97068 | Primary Care |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | The PH&S sliding fee scale will be used to determine the amount to be written off as charity care for guarantors with income between 201% and 400% of the current federal poverty level after all funding possibilities available to the guarantor have been exhausted or denied and personal financial resources and assets have been reviewed for possible funding to pay for billing charges. |
| Part I, Line 6a: | In addition to the PH&S - Oregon Community Benefit Report, the information is also included in the Providence Health & Services Health System Community Benefit Report. |
| 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 $ 43,054,965. |
| FORM 990, SCHEDULE H, PART V , LINE 6 | The implementation policy is included in the CHNA found on the entity's website at http://oregon.providence.org/about-Us. |
| Part II, Community Building Activities: | COMMUNITY BUILDING ACTIVITIES:Basic needs including food security and housing:Providence recognizes that the social determination of health needs includes adequate housing, food, transportation, utilities and primary education. These deficits fall disproportionately on low-income and multicultural populations and therefore Providence has aligned its community building and diversity programs to intersect with and advise our community benefit giving. Oregon ranks third in homelessness per capita according to the U.S. Department of Housing and Urban Development. Lack of adequate housing contributes to poor health; therefore, Providence supports a number of not-for-profit community organizations that help homeless people or work to prevent homelessness. Providence is the only health system asked to participate on the 10 Year Plan Homelessness Reset Committee. In addition, we partner with organizations in multiple Oregon communities that provide or support low-income housing. Some important partners include: Central City Concern, St. Vincent De Paul, Catholic Charities, Transition Projects Incorporated, the Good Neighbor Center, Neighborhood Partnership Fund, Portland Rescue Mission, Share Outreach Vancouver and West Women's Shelter.Providence has been a leader in recognizing the significant impact of hunger on the health and well-being of all residents in the state. Oregon ranks as one of the five "hungriest states," with nearly 65% of eligible children qualifying for free or reduced lunches. Providence works with the Oregon Food Bank, The Children's Nutrition Network, The Governor's Task Force to End Hunger and Farmer's Ending Hunger, Oregon childhood hunger task force, as well as numerous food pantries in communities we serve. Economic Development:Economic development has an important impact on available housing and services for the underserved. An economically depressed area cannot easily support and care for the vulnerable. Providence looks for partnerships with like-minded organizations that will encourage a stable and strong economy. We participate in local and state organizations in each of our ministries, as well as provide executive leadership to city, county and state boards. Support for Healthy Lives and Healthy Communities:It is critical that such needs as after school programs, neighborhood support groups and violence prevention be identified and addressed in communities. We have involved public and private partners such as Self-Enhancement, Inc. as well as the Portland Trailblazers and The Portland Timbers in collaborative health initiatives. In addition, we have many not-for-profit community partners with whom we work and support financially to reach populations who need these types of services. Leadership Development and Training for Community Members and Youth:In this area, Providence has put a strong focus on diverse and low-income communities. For example, for some years we have provided scholarships for youth in multicultural and diverse populations, including Asian, African-American and Hispanic communities. Community partners include: Self Enhancement Incorporated, Hood River School District, De La Salle North School and Rosemary Anderson High School. Building Health Equity and Collaboration: Providence has long known that, while we can do a great deal to help our communities, we often can get the best results in meeting health needs, and those basic needs that contribute to or affect health, by aligning with other organizations that have an established presence and expertise. Throughout our history, we have sought like-minded partners with a mission to care for the vulnerable in the communities we serve. During 2013, we continued our financial support to an array of diverse organizations that are intent on building collaborative programs that will meet community health and build health equity. These include: the African-American Health Coalition, Asian Muslims in Need, Catholic Charities, Jefferson Regional Health Alliance, Asian Health and Service Center, La Clinica del Carinho, United Way of Jackson County and many more. In addition, Providence's Office of Community Services and Development meets regularly with the head of the state office of Health Equity and Diversity. Community Health Improvement Advocacy:In keeping with our strong commitment to social justice, Providence is an advocate for those among us who do not have a voice in policy development and community decision making. During 2013, we worked with Community Connections, Upstream Public Health, Public Health Institute, Community Health Partnerships, El Program Hispano, Ecumenical Ministries of Oregon, Northwest Health Foundation, Oregon Primary Care Association, NAMI, Office of Health Equity and Ride Connection, among others, to ensure that the needs of those we serve have been articulated to policy makers. We actively supported initiatives to improve provider cultural competence in care giving with required continuing education courses. We have a responsibility to care for people who come to us for services and also to seek out the unmet needs of people who lack basic essentials every day. As a not-for-profit health care system, Providence Health & Services reinvests its income into the communities we serve. We partner with local organizations to help improve health and quality of life for those who are poor, marginalized and vulnerable. To ensure that we use our resources responsibly - where they can help those most in need - we attempt to match our giving to areas of greatest need, as identified in our Oregon Community Health Needs Assessment. We invite you to review how we're working with our community partners to ease some of these greatest needs per our 2013 Oregon Region Community Benefit report.Access to mental health and substance abuse services With some of the highest rates of youth suicide, depression, substance abuse and gang involvement in the state, Jackson County and its network of nonprofit organizations knew there was no time to lose in supporting this vulnerable population. Thanks to a grant from Providence Health Plan, southern Oregon's new Life Track program is helping these young people start new, healthier lives.Access to primary medical careThe new Virginia Garcia Memorial Health Center couldn't come at a better time for an estimated 18,000 low-income and uninsured residents of Yamhill County. When the Newberg Clinic opens in March 2014, it will become a medical home for those who need primary care and other health services. It's the growing fulfillment of a dream for the Virginia Garcia center and community partners, such as Providence Newberg Medical Center.Access to preventive careIt's virtually impossible to stand still in a Zumba class. The popular Latin-based exercise class features a dizzying combo of merengue, salsa, mambo and other energetic dance moves. But who knew it also could help a group of Hood River women learn to eat healthier, manage their diabetes, enjoy physical fitness and build a community of social support?Access to essential health servicesThe partnership between Project Access NOW and Providence gives patients the surgery they need to live a pain-free life again, even though they have no means to pay for the care. Workforce Development:Providence provided financial support to the De La Salle North Catholic High School, Albertina Kerr, De Paul Industries, University of Portland, Portland State University, Hood River County Health Department, the Oregon Center for Nursing, POIC and a workforce development initiative in Oregon City, all of which are working to enhance communitywide workforce issues in various parts of Oregon. |
| Part III, Line 4: | It is Providence's policy to exclude all bad debts from Community benefit information.The Consolidated Audited Financial Statements do not contain a footnote specific to Bad Debt Expense.Bad debt expense is reported in the audited financials as a separate line item within expenses from operations. Bad debt expense represents the amount of gross charges for patients who do not have insurance and which Providence was unable to qualify for assistance under either government programs or our internal charity care policy. |
| Part III, Line 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 Practices1. Providence makes all reasonable attempts to confirm that patients are not eligible for assistance programs prior to collection agency assignment. 2. Providence activity prior to transferring an account - Prior to transfer to a collection agency, Providence will send a minimum of 3 statements and make two phone attempts to the patient at the address and phone number provided by the patient. Statements and communications will inform the patient of their financial responsibility and of Financial Assistance. 3. In cases where a voluntary trust deed has secured a Providence debt, Providence does not execute a lien that forces the sale, vacancy or foreclosure of an assistance patient's primary residence to pay for outstanding medical bills. |
| 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. |
| 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:Hospital locations include four within the Portland metropolitan area as well as four others across the state, providing services for over 1.5 million people in 2013:Portland Service Area (PSA):o Providence Milwaukie Hospitalo Providence Portland Medical Centero Providence St. Vincent Medical Centero Providence Willamette Falls Medical CenterNon-Portland Service Areas:o Providence Hood River Memorial Hospital (PHRMH, Gorge Service Area)o Providence Medford Medical Center (PMMC, Southern Oregon Service Area)o Providence Newberg Medical Center (PNMC, Yamhill Service Area)o Providence Seaside Hospital (PSH, North Coast Service Area)Providence Medford and Providence Newberg are both accredited "baby-friendly" hospitals, with the remaining six seeking accreditation by 2015.The state population is approaching 4,000,000 and is seeing growth in populations of all ethnicities and races. As a whole, nearly half of the state (44.9%) lives at or below 250% FPL by 2012 guidelines, though there are concentrated pockets of higher saturation.Life expectancy is increasing and Oregon as a state is therefore aging, while concurrently becoming more diverse. Oregon has one of the highest percentages of uninsured persons in the country, and this varies drastically by county. Oregon is a predominantly White state, with slightly over 88% identifying as "White only" in 2012. Only 2% identify as Black or African American (compared with 13.1% nationally), 12.2% as Hispanic or Latino, and 1.8% as American Indian or Alaskan Native.The Office of Equity and Inclusion notes that Oregon is home to 174,000 migrant and seasonal workers, many of whom have lesser income than non-migrant counterparts and reduced access to social services and healthcare.Oregon's overall measures of health have decreased since 2011 according to both America's Health Rankings (then ranked at #8) as well as the Gallup-Healthways Well-Being Index. Due to different approaches and methodology, AHR now ranks the State of Oregon as #13 in the country, whereas Gallup-Healthways ranks Oregon at #24. Oregon's strongest measures are in healthy behaviors, low prevalence of low birth-weight babies and teen birth rate. It also has a low infant mortality rate, low prevalence of sedentary lifestyle, a comparatively low rate of preventable hospitalizations, and the highest percentage of social support in the nation and rate of breastfeeding initiation. Some key challenges for the state as a whole include the high rate of uninsured (20% of the population), low per capita public health funding, low immunization rates, and one of the highest suicide rates in the country.In the past 10 years, the rate of preventable hospitalizations has decreased 20%, from 53.6 discharges per 1,000 Medicare enrollees to just under 43, which is a reflection of increased efficiency in how the population uses various healthcare delivery options to access care.Oregon has one of the highest rates of food insecurity, with 29% of households with children having experienced food insecurity in the past year (compared with the national average of 20.2%). As mentioned above, suicide rates are 36% higher in the state of Oregon than the national average. The Oregon Health Authority found that behavioral patterns relate directly to 40% of premature deaths in the state. Although injury, which includes intentional self-injury leading to death, is ranked third in Cause of Death data, it is the leading contributor to Years of Potential Life Lost (YPLL) in the state. With regard to oral health, Oregon is ranked #48 nationally for access to fluoridated water supplies.Oregon is a relatively poor state, with a Gross Domestic Product of $44,447 per capita in 2012.It is the 26th ranked state in terms of GSP in contribution to the national GDP, contributing approximately 1.16%. The national average of GDP per capita is $51,144.Recent studies have found that poverty itself may lead to poorer cognitive abilities, and that those with the co-occurring condition of poverty are more likely to suffer from high blood pressure, high cholesterol, or elevated rates of obesity and diabetes. Not only are these issues due to high levels of stress, but also through limited access to nutritious food, a higher likelihood to smoke, and poorer living environments.Oregon has slightly lower than average unemployment rates and lower per capita income compared to national averages. The median household income for 2012 was lower than the national average at $45,758 (national average of $51,371) and Oregon had a property rental rate of approximately 34 percent (56% owner-occupied, 9% vacant). Oregon has one of the lowest expenditures on public health per capita in the nation, yet generally achieves median health outcomes.The Federal Poverty Level (FPL) was assessed as measure of relative poverty. Each year, the United States updates their poverty guidelines to reflect 100% of the Federal Poverty Level based upon the number of persons in a household. Household income can then be assessed as a percentage of the Federal Poverty Level, and is frequently used to determine eligibility for social service programs. African-American women are 10% more likely to deliver a low birth-weight baby than other mothers and have a 50% higher infant mortality rate than their White counterparts in the state of Oregon. African-Americans have double the rate of teenage pregnancy (34.1) compared to White mothers, as well as reporting the highest rates of unintended pregnancies.Hispanic/Latino mothers report the highest teenage pregnancy rates in the state, with 53.7 pregnancies per thousand women aged 15-19. In 2010, The Oregon Health Authority partnered with OMEP and other agencies to produce the State of Equity report. The committee found ethnic disparities in 20 out of 31 identified Key Performance Measures and noted a startlingly consistent pattern of disparity despite varied methods of collection and data sources.Although the low prevalence of sedentary lifestyle is a strength for the state, there are substantial ethnic disparities in the measure. For example, Hispanics are more likely to report being sedentary (21.3%) than their non-Hispanic white counterparts at 17.3%. African Americans are significantly more likely than Whites to die from heart disease, stroke, diabetes, and cancer. In 2010, cancer was reported as the overall leading cause of death in the state. Of those diagnosed, 55% of invasive cancers were diagnosed in persons over age 65 (an age-group that makes up 14% of the population) and Hispanics were less likely than non-Hispanics to have cancer (352.1 compared to 439.5 per 100,000 population).America's Health Rankings note that seniors with less than a high school degree have a lower prevalence of social support and are less likely to rate their own health as "very good or excellent" relative to individuals in the same age cohort who received a college degree. The Office of Equity and Inclusion notes that the 174,000 migrant or seasonal workers in the state experience higher rates of diabetes, hypertension, cardiovascular disease, and cancer than their non-migrant counterparts.The Annie E. Casey Foundation and their KIDS COUNT Data Project has collected data on children for the past several years, and in Oregon have partnered with Children First for Oregon. They rank Oregon #17 of the 50 states for Child Health (an improvement from #20 in 2012), but only 32 in overall rank (including #41 in Economic Well-Being). Their findings indicate that since 2008, childhood poverty has been consistently increasing at the county level, as has childhood abuse and neglect. The highest rates reported in 2011 were in Wheeler and Gilliam counties. Oregon has a rate that is 5% higher than the national average of children in households who spend more than 30% of their income on housing and a low rate of 3-6 year olds enrolled in preschool. Nearly 70% of Hispanic children lived in households that were under 200% of the Federal Poverty Level in 2011, compared to 40% of non-Hispanic Whites. However, Oregon also has some key strengths: a lower-than-average percentage of low birth weight babies and a consistently lower teenage birth rate.The Oregon Department of Human Services published the Child Welfare Data Book in 2012. In it, they recognize that only half of all reports to Child Protective Services were investigated and that over 55% of children who entered foster care had four or more reasons for being removed from their home. These reasons include physical abuse, parent or child drug or alcohol abuse, inadequate housing, child's disability or behavior or sexual abuse. |
| 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 each of the communities where we serve, our ministries are actively involved with public, private and other health systems in working towards better health outcomes for the entire community. Examples of this include: participation by all Portland area hospitals and all four county health departments in a single collaborative community health needs assessment. In addition, with working as a founder and ongoing partner of Portland Project Access NOW, Providence facilities represent four of fourteen participating hospitals and 3,300 providers who agree to provide needed medical care to Oregon community members with low incomes and with urgent needs. Providence's participation and support helps to ensure that this is achievable. Another example of our collaborative participation is in Hood River County, where Providence Hood River is working with a collaboration of community agencies to form a Project Access model that is called Gorge Access Project (GAP). In addition, we still are home to the county's community health collaborative, MOCHA, which brings together the hospital, the schools, the growers, the public health department, community health center and private providers to identify and work on community health needs in a collaborative manner. |
| Part VI, Line 6: | AFFILIATED HEALTH CARE SYSTEM:Providence Health & Services owns or operates 32 general acute care hospitals, three ambulatory care centers, five medical groups, six long-term care facilities, seven homecare and hospice entities, five assisted living facilities, a children's nursing center, a high school, a university, 13 low-income housing projects, the Health Plan, a health services contractor, two programs of all inclusive care for the elderly, and 22 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, Edmonds, Issaquah, Spokane and Olympia, Washington; Missoula, Montana; Portland and Medford, Oregon; and Los Angeles, California.The 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 the poor and vulnerable, Providence Health & Services has developed a single framework for consistently reporting charity care and community benefit. Our responsibility to stewardship drives us to a standardized approach to supply chain so that we can deliver excellent patient care while reducing the cost of delivered supplies. Our commitment to respect and fairness means Providence has a system-wide compensation policy. Locally, Providence 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. As an integrated health system, Providence Health & Services - Oregon Region and Providence Health Plans (based in Oregon) provide extensive services that support and promote the health needs of the communities we serve. In 2013, Providence Oregon provided more than $243 million in community benefits and charity care services including: free and reduced-cost medical care; health services for underserved populations; Oregon Health Plan (Medicaid) and government sponsored medical care (such as OMIP, the Oregon high risk insurance pool); medical education and research; and community health grants and donations. These contributions and benefits to our Oregon communities are shared between our eight hospitals, our clinical programs and Providence Medical Group, and the Providence Health Plan. Throughout our more than 155-year-history, Providence has responded to community need, with special emphasis on helping the most vulnerable. In 2013, Providence Oregon provided more than $16 million in direct grants of support to numerous not-for-profit organizations and service agencies throughout Oregon. Thousands of adults and children received help and support through these grants, donations and community outreach. Our areas of focus include primary care and new models of team-based care delivery for uninsured, low-income and culturally diverse populations, as well as access to behavioral health care for underserved populations. We also help provide palliative care and safety net health care services for underserved populations.Providence in Oregon collaborates with community partners to help manage the cost of health care and change the way patients are cared for in our community. We believe patient-centered, team-based primary care is the foundation of health care transformation. Disparities are a feature of health care in Oregon as they are nationally. Providence's integrated delivery of care in Oregon allows us to provide leadership in developing new clinical models to coordinate care, standardize processes and improve patient outcomes. Providence is developing new patient centered primary care home models of health care delivery in Portland using employed physicians in partnership with Providence Health Plans, other commercial insurers and the Medicaid population. We currently have medical home models in 19 sites throughout the state. Many of these sites are targeted at underserved and high risk populations. Within Oregon, Providence has been an active participant in shaping the transformation of the state's health care system. Providence leaders were selected by the governor to participate in workshops that will help define the details of coordinated care organizations and make additional recommendations to the 2013 legislative session. Providence is already making changes internally and working with other health systems and community partners to begin this transformation. |
| Part VI, Line 7, Reports Filed With States | OR,WA,CA,MT,AK |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (54 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2 |
|---|---|---|---|---|---|---|---|---|
| Providence St Vincent Medical Foundation | ||||||||
| PO Box 13993 | Portland | OR | 97213 | 930575982 | 501 (c) 3 | $1,220,498 | Community health support | |
| Providence Portland Medical Foundation | ||||||||
| 4805 NE Glisan Street | Portland | OR | 97213 | 931231494 | 501 (c) 3 | $1,075,995 | Community health support | |
| Virginia Garcia Memorial Clinic | ||||||||
| PO Box 568 | Cornelius | OR | 97313 | 930717997 | 501 (c) 3 | $420,675 | Community health support | |
| Providence Child Center Foundation | ||||||||
| 830 NE 47th | Portland | OR | 97213 | 930800140 | 501 (c) 3 | $368,289 | Community health support | |
| Providence Community Health Foundation | ||||||||
| 1111 Crater Lake Avenue | Medford | OR | 97504 | 930692907 | 501 (c) 3 | $336,443 | Community health support | |
| Central City Concern | ||||||||
| 232 NW Everett Street | Portland | OR | 97209 | 930728816 | 501 (c) 3 | $279,990 | Family alcohol and drug free Comm Housing | |
| Providence Newberg Foundation | ||||||||
| 1001 Providence Drive | Newberg | OR | 97213 | 930889144 | 501 (c) 3 | $238,545 | Community health support | |
| Providence Milwaukie Foundation | ||||||||
| 10150 SE 32nd | Milwaukie | OR | 97222 | 943079515 | 501 (c) 3 | $207,230 | Community health support | |
| Oregon Health Science University | ||||||||
| 3181 SW Sam Jackson Park Road | Portland | OR | 97239 | 931176109 | 501 (c) 3 | $151,000 | Donation partnership project | |
| Providence Benedictine Nursing Center Fdn | ||||||||
| 540 S Main Street | Mt Angel | OR | 97362 | 911940286 | 501 (c) 3 | $136,085 | Community health support | |
| Providence Seaside Foundation | ||||||||
| 725 S Wahanna Road | Seaside | OR | 97138 | 930927320 | 501 (c) 3 | $135,389 | Community health support | |
| Project Access Now | ||||||||
| 1311 NW 21st Avenue | Portland | OR | 97296 | 208928388 | 501 (c) 3 | $130,000 | Community health support | |
| Providence Hood River Foundation | ||||||||
| 811 13th Street | Hood River | OR | 97031 | 930921990 | 501 (c) 3 | $127,953 | Community health support | |
| Medical Teams International | ||||||||
| PO Box 10 | Portland | OR | 97207 | 930878944 | 501 (c) 3 | $125,000 | Community health support | |
| Providence Willamette Falls Foundation | ||||||||
| 1500 Division Street | Oregon City | OR | 97225 | 931003750 | 501 (c) 3 | $122,144 | Community health support | |
| Southwest Community Health Center | ||||||||
| 7754 SW Capital Highway | Portland | OR | 97219 | 743050497 | 501 (c) 3 | $114,800 | Support for chronic disease management | |
| Legacy Emanuel Hospital | ||||||||
| PO Box 5939 | Portland | OR | 97228 | 930386823 | 501 (c) 3 | $100,000 | Cares NW program | |
| Hood River County Health Department | ||||||||
| 1109 June Street | Hood River | OR | 97031 | 936002297 | Government | $67,340 | School health services | |
| Catholic Charities | ||||||||
| 231 SE 12th Avenue | Portland | OR | 97214 | 930386801 | 501 (c) 3 | $57,069 | Sponsorship of El Programa Hispano | |
| Multnomah County Health Department | ||||||||
| 421 SW Oak Street | Portland | OR | 97204 | 936002309 | Government | $51,988 | Support Southeast clinic | |
| Mid-Columbia Children | ||||||||
| 1101 E Marina Way Suite 215 | Hood River | OR | 97031 | 930951908 | 501 (c) 3 | $41,240 | Funding for Collective Impact Health Spc | |
| NW Parish Nurse Ministries | ||||||||
| 2801 N Gantenbein Avenue Room 1072 | Portland | OR | 97227 | 943180955 | 501 (c) 3 | $40,000 | Support for promoting health and wellness | |
| Partners for a Hunger Free Oregon | ||||||||
| 712 SE Hawthorne Boulevard Suite | Portland | OR | 97214 | 204970868 | 501 (c) 3 | $36,000 | Hunger task force, Summer foods program | 202 |
| Essential Health Clinic | ||||||||
| 9155 SW Barnes Road Suite 435 | Portland | OR | 97225 | 383672046 | 501 (c) 3 | $35,000 | Develop transition plan and start up costs | |
| The Canby Center | ||||||||
| 681 SW 2nd Avenue | Canby | OR | 97013 | 510603464 | 501 (c) 3 | $30,000 | Dental health sponsorship program | |
| Columbia Gorge Community College | ||||||||
| 400 East Scenic Drive | The Dalles | OR | 97058 | 930700843 | 501 (c) 3 | $26,600 | Nursing occupations program | |
| Clatsop Community Action | ||||||||
| 364 9TH Street | Astoria | OR | 97103 | 931010260 | 501 (c) 3 | $26,500 | Basic living needs Housing First | |
| Adelante Mujeres | ||||||||
| 2420 19th Avenue | Forest Grove | OR | 97116 | 030473181 | 501 (c) 3 | $25,000 | Rx assistance - Diet related diseases | |
| DePaul Industries | ||||||||
| 4950 NE MLK Jr Blvd | Portland | OR | 97211 | 930607857 | 501 (c) 3 | $25,000 | Encourage healthy lifestyle choices | |
| Human Solutions Inc | ||||||||
| 12350 SE Powell Boulevard | Portland | OR | 97236 | 930977166 | 501 (c) 3 | $25,000 | Healthy Homes proj, improve chronic hlth | |
| La Clinica Del Valley | ||||||||
| 3617 S Pacific Hwy | Medford | OR | 97501 | 943096772 | 501 (c) 3 | $25,000 | Support for kids health connection | |
| Volunteers of America | ||||||||
| 3910 SE Stark Street | Portland | OR | 97214 | 930395591 | 501 (c) 3 | $25,000 | Community health support | |
| Urban League of Portland | ||||||||
| 10 N Russell | Portland | OR | 97232 | 930395590 | 501 (c) 3 | $23,230 | Black asthma intervention program | |
| The Next Door Inc | ||||||||
| 965 Tucker Road | Hood River | OR | 97031 | 930600421 | 501 (c) 3 | $23,075 | Educational material: Healthy families in OR | |
| Society of St Vincent De Paul | ||||||||
| PO Box 42157 | Portland | OR | 97242 | 930831082 | 501 (c) 3 | $21,440 | Community health support | |
| Hood River County School District | ||||||||
| 1011 Eugene Street | Hood River | OR | 97031 | 936000502 | Government | $18,360 | Community health support | |
| Community Action Organization | ||||||||
| 1001 SW Baseline | Hillsboro | OR | 97123 | 930554941 | 501 (c) 3 | $17,500 | Support of prenatal care | |
| St Joseph the Worker | ||||||||
| 7528 N Fenwick Avenue | Portland | OR | 97217 | 931322114 | 501 (c) 3 | $17,418 | Corporate internship program | |
| Rogue Community College | ||||||||
| 3345 Redwood Highway | Grants Pass | OR | 97527 | 930777701 | 501 (c) 3 | $16,000 | Sr Acosta scholarship fund | |
| Vision Action Network | ||||||||
| 3700 SW Murray Boulevard Suite 190 | Beaverton | OR | 97005 | 931317190 | 501 (c) 3 | $15,000 | Homeless cost study, Facilitating sponsor | |
| Albertina Kerr Centers Foundation | ||||||||
| 424 NE 22nd Avenue | Portland | OR | 97232 | 931297104 | 501 (c) 3 | $11,250 | Pledge, Spotlight on Kerr Sponsorship | |
| World Arts Foundation Inc | ||||||||
| PO Box 12384 | Portland | OR | 97212 | 930830736 | 501 (c) 3 | $10,002 | Sponsorship "Keep the Dream Alive" | |
| Ministry Leadership Center | ||||||||
| 1215 K Street Suite 2000 | Sacramento | CA | 95814 | 270096756 | 501 (c) 3 | $10,000 | MLC Senior Leadership sessions | |
| Oregon Center for Nursing | ||||||||
| 5000 N Willamette Boulevard MSC 192 | Portland | OR | 97203 | 743052430 | 501 (c) 3 | $10,000 | Sponsorship annual fundraising breakfast | 192 |
| Sonrise Baptist Church | ||||||||
| 6701 NE Campus Way | Hillsboro | OR | 97124 | 930785442 | 501 (c) 3 | $10,000 | Project Homeless Connect | |
| Skanner Foundation | ||||||||
| PO Box 5455 | Portland | OR | 97228 | 931109980 | 501 (c) 3 | $8,500 | MLK breakfast sponsorship | |
| Hispanic Metropolitan Chamber | ||||||||
| 333 SW 5th Avenue Suite 100 | Portland | OR | 97204 | 931156358 | 501 (c) 3 | $7,850 | Scholarships, employment , Business fair | |
| Trillium Family Services | ||||||||
| 3415 SE Powell Boulevard | Portland | OR | 97202 | 931254344 | 501 (c) 3 | $7,500 | Mental and behavioral support for children | |
| Oregon Partnership Inc | ||||||||
| 5100 SW Macadam Avenue Suite 400 | Portland | OR | 97239 | 930725294 | 501 (c) 3 | $7,000 | Prevention of substance abuse and suicide | |
| Health Care Coalition of Southern Oregon | ||||||||
| 4286 Pioneer Road | Medford | OR | 97501 | 931065133 | 501 (c) 3 | $6,500 | Community health support | |
| St Francis House of Oregon | ||||||||
| 1368 Rawson Road | Hood River | OR | 97031 | 261778558 | 501 (c) 3 | $6,450 | St Francis House building repairs | |
| Oregon Food Bank | ||||||||
| PO Box 55370 | Portland | OR | 97238 | 930785786 | 501 (c) 3 | $6,161 | Food drive donations | |
| March of Dimes Foundation | ||||||||
| 1275 Mamaroneck Avenue | White Plains | NY | 10605 | 131846366 | 501 (c) 3 | $6,000 | Greater OR March for Babies | |
| Vietnamese Community of Oregon | ||||||||
| PO Box 55416 | Portland | OR | 97238 | 320263661 | 501 (c) 3 | $5,500 | Healthcare fair at TET festival | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 54 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | In the application for support, we request a detailed explanation of the kind of services provided to the community along with specific financial data. If the application for support is approved, we send a letter indicating the amount of the support along with a request for documentation of how the funds were used, along with a report of the number of children/families served over the year. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (34 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John F Koster MD - Thru 0313 | ||||||||||||||
| President / CEO | $0 | $1,316,766 | $0 | $1,868,461 | $0 | $17,500 | $0 | $215,651 | $0 | $31,597 | $0 | $3,449,975 | $0 | $0 |
| Rod F Hochman MD - Eff 0413 | ||||||||||||||
| President / CEO | $0 | $1,051,406 | $0 | $334,001 | $0 | $17,500 | $0 | $486,988 | $0 | $28,915 | $0 | $1,918,810 | $0 | $0 |
| Todd Hofheins | ||||||||||||||
| EVP/CFO | $0 | $432,363 | $0 | $120,504 | $0 | $17,500 | $0 | $65,303 | $0 | $24,807 | $0 | $660,477 | $0 | $0 |
| Jeffrey W Rogers - Thru 513 | ||||||||||||||
| Corporate Secretary | $0 | $442,462 | $0 | $529,200 | $0 | $69,119 | $0 | $168,789 | $0 | $21,091 | $0 | $1,230,661 | $0 | $0 |
| Cindy Strauss - Eff 613 | ||||||||||||||
| SVP/Chief Counsel/Corp. Secretary | $0 | $413,323 | $0 | $525,001 | $0 | $17,500 | $0 | $223,587 | $0 | $24,667 | $0 | $1,204,078 | $0 | $0 |
| Greg Van Pelt - Thru 0413 | ||||||||||||||
| SVP/CEO - OR. Region | $0 | $397,517 | $0 | $537,371 | $0 | $436,053 | $0 | $367,609 | $0 | $16,319 | $0 | $1,754,869 | $0 | $0 |
| Dave Underriner - Eff 0413 | ||||||||||||||
| SVP/CEO - OR. Region | $0 | $558,191 | $0 | $2,335,005 | $0 | $17,500 | $0 | $80,853 | $0 | $25,737 | $0 | $3,017,286 | $0 | $580,372 |
| Shelly Handkins - Thru 613 | ||||||||||||||
| CFO/OR. Region | $0 | $393,634 | $0 | $108,612 | $0 | $0 | $0 | $345,190 | $0 | $23,451 | $0 | $870,887 | $0 | $0 |
| William Olson - Eff 713 | ||||||||||||||
| CFO/OR. Region | $148,818 | $140,516 | $32,850 | $260,170 | $0 | $0 | $0 | $104,559 | $0 | $20,839 | $181,668 | $526,084 | $0 | $0 |
| Terry L Smith | ||||||||||||||
| SVP/Management Svcs | $0 | $639,022 | $0 | $906,428 | $0 | $67,500 | $0 | $202,105 | $0 | $24,053 | $0 | $1,839,108 | $0 | $0 |
| Deborah Burton | ||||||||||||||
| SVP/Chief Nrsg. Officer | $0 | $323,817 | $0 | $1,005,792 | $0 | $17,500 | $0 | $42,736 | $0 | $23,303 | $0 | $1,413,148 | $0 | $296,416 |
| Michael L Butler | ||||||||||||||
| President/Operations & Services | $0 | $954,645 | $0 | $300,598 | $0 | $17,500 | $0 | $713,468 | $0 | $29,161 | $0 | $2,015,372 | $0 | $0 |
| Randy Axelrod MD | ||||||||||||||
| EVP/Clinical & Patient Svcs | $0 | $613,884 | $0 | $315,700 | $0 | $125,675 | $0 | $192,796 | $0 | $26,894 | $0 | $1,274,949 | $0 | $0 |
| Janice J Jones | ||||||||||||||
| SVP/CAO | $0 | $604,348 | $0 | $377,853 | $0 | $17,500 | $0 | $132,205 | $0 | $27,288 | $0 | $1,159,194 | $0 | $0 |
| Myron Berdischewsky MD | ||||||||||||||
| SVP/CMQO | $0 | $527,449 | $0 | $310,561 | $0 | $17,500 | $0 | $134,979 | $0 | $23,598 | $0 | $1,014,087 | $0 | $0 |
| Jack Friedman | ||||||||||||||
| SVP/Account Care & Payor Rel. | $0 | $508,016 | $0 | $300,765 | $0 | $17,500 | $0 | $151,382 | $0 | $26,370 | $0 | $1,004,033 | $0 | $0 |
| Ray Williams | ||||||||||||||
| SVP/Physicians Svcs | $0 | $120,595 | $0 | $200,000 | $0 | $440,672 | $0 | $179,162 | $0 | $24,427 | $0 | $964,856 | $0 | $0 |
| Cindra R Syverson | ||||||||||||||
| SVP/CHRO | $0 | $404,069 | $0 | $312,381 | $0 | $1,000 | $0 | $267,888 | $0 | $24,300 | $0 | $1,009,638 | $0 | $0 |
| Craig L Wright MD | ||||||||||||||
| SVP/Physicians Svcs | $0 | $509,167 | $0 | $128,777 | $0 | $70,854 | $0 | $432,646 | $0 | $18,991 | $0 | $1,160,435 | $0 | $0 |
| John O Mudd | ||||||||||||||
| SVP/Mission Leadership | $0 | $368,604 | $0 | $158,842 | $0 | $14,800 | $0 | $189,558 | $0 | $18,700 | $0 | $750,504 | $0 | $0 |
| Claudia Haglund | ||||||||||||||
| VP/Governance & Sponsorship | $0 | $342,176 | $0 | $134,699 | $0 | $17,500 | $0 | $136,830 | $0 | $20,219 | $0 | $651,424 | $0 | $0 |
| Joel S Gilbertson | ||||||||||||||
| SVP/Comm. Ptrshp & External Affairs | $0 | $354,361 | $0 | $84,733 | $0 | $17,500 | $0 | $103,698 | $0 | $22,547 | $0 | $582,839 | $0 | $0 |
| David Brown | ||||||||||||||
| VP/Strategy & Innovation | $0 | $303,119 | $0 | $131,437 | $0 | $50 | $0 | $146,627 | $0 | $22,332 | $0 | $603,565 | $0 | $0 |
| Orest Holubec | ||||||||||||||
| SVP/Marketing & Communications | $0 | $328,545 | $0 | $77,915 | $0 | $17,500 | $0 | $39,407 | $0 | $21,903 | $0 | $485,270 | $0 | $0 |
| Gary Flaming | ||||||||||||||
| SVP/Chief Risk Officer | $0 | $266,837 | $0 | $97,434 | $0 | $17,500 | $0 | $75,446 | $0 | $18,848 | $0 | $476,065 | $0 | $0 |
| Doug Walta | ||||||||||||||
| CEO/OR. Clinical Programs | $212,886 | $321,334 | $58,900 | $27,003 | $17,500 | $0 | $0 | $148,036 | $0 | $22,499 | $289,286 | $518,872 | $0 | $0 |
| Theron Park | ||||||||||||||
| CEO/OR. Delivery System | $0 | $350,722 | $0 | $81,956 | $0 | $17,530 | $0 | $49,972 | $0 | $22,393 | $0 | $522,573 | $0 | $0 |
| Doug Koekkoek | ||||||||||||||
| CEO/OR. Clinical Services | $0 | $350,369 | $0 | $86,388 | $0 | $0 | $0 | $67,935 | $0 | $23,022 | $0 | $527,714 | $0 | $0 |
| Joe Siemienczuk | ||||||||||||||
| CEO/Portland Med. Group | $0 | $352,646 | $0 | $83,785 | $0 | $0 | $0 | $199,293 | $0 | $23,381 | $0 | $659,105 | $0 | $0 |
| Walter Urba | ||||||||||||||
| Administrator/Clinical Research | $634,781 | $0 | $138,168 | $0 | $17,500 | $0 | $34,577 | $0 | $22,075 | $0 | $847,101 | $0 | $0 | $0 |
| Emery Douville | ||||||||||||||
| Surgeon - Cardiology | $508,148 | $0 | $215,012 | $0 | $0 | $0 | $10,631 | $0 | $23,022 | $0 | $756,813 | $0 | $0 | $0 |
| Jeffrey Swanson | ||||||||||||||
| Surgeon - Cardiology | $505,885 | $0 | $215,011 | $0 | $0 | $0 | $11,475 | $0 | $23,257 | $0 | $755,628 | $0 | $0 | $0 |
| Gary Ott | ||||||||||||||
| Surgeon - Cardiology | $504,052 | $0 | $215,011 | $0 | $0 | $0 | $8,235 | $0 | $23,257 | $0 | $750,555 | $0 | $0 | $0 |
| Eric Kirker | ||||||||||||||
| Surgeon - Cardiology | $501,900 | $0 | $215,011 | $0 | $0 | $0 | $11,475 | $0 | $23,022 | $0 | $751,408 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | The reporting organization did not provide any of the benefits listed in 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: First Class Travel or Charter Travel or Travel of Companions Air travel is reimbursable for tourist or economy class and should be at the least expensive airfare; which permits departures and arrivals at reasonable times and reasonable distance traveled. Employees are encouraged to plan in advance to get available discounts. Airline frequent flyer upgrades will never be reimbursed. First class air travel will only be reimbursed when tourist or economy class air travel is not available and business travel is mandated by a supervisor. In the rare circumstance that an executive must fly on a first class full fare ticket, their senior level supervisor must approve this expense. Companion travel will only be reimbursed by the organization for travel related to relocation, and should not exceed two relocation-related visits, unless approved by the Executive Vice President, Chief Human Resource Officer.VP, CHRO. Spouse or Companion Travel. Travel expenses incurred by a PH&S employee's spouse or companion will not be reimbursed by PH&S unless the spouse or companion is required to, or invited to attend a PH&S System-sponsored meeting. These expenses may be considered a taxable benefit by the IRS and if so, will be included on the employee's W- 2. During 2013, none of the Officers, Directors or Key Employees listed on Form 990, Part VII utilized First Class or Companion Travel. 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 Key Employee received gross-up payments: Craig Wright, MD - 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 Key Employees received relocation/housing program payments: Craig Wright, MD Ray Williams Terry Smith Randy Axelrod The amounts reported for these relocation/housing payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. |
| Part I, Lines 4a-b | NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) CBRP = Cash Balance Restoration Plan C) ESP = Elective Survivor Plan 1) John F. Koster, MD a) Taxable SERP Earned but not Paid- $350,711 b) SERP Interest Credit - $191,190 2) Rod Hochman, MD a) SERP Earned but not Vested- $444,760 b) SERP Interest Credit - $24,378 3) Todd Hofheins a) SERP Earned but not Vested - $57,974 4) Jeffrey W. Rogers a) Taxable SERP Earned but not Paid - $44,111 b) SERP Interest Credit- $97,420 c) ESP Interest Credit - $7,567 5) Cindy Strauss a) SERP Earned but not Vested - $190,313 b) SERP Interest Credit - $14,149 6) Terry Smith a) Taxable SERP Earned but not Paid - $67,662 b) Taxable CBRP Earned but not Paid - $147 c) Non-Taxable CBRP Earned but not Paid - $353 d) ESP Interest Credit - $5,823 e) SERP Interest Credit - $118,609 7) Debbie Burton a) Taxable SERP Earned but not Paid - $915,149 b) SERP Interest Credit - $20,728 8) Mike Butler a) SERP Earned but not Vested - $478,094 b) SERP Interest Credit - $201,306 9) Randy Axelrod, MD a) SERP Earned but not Vested- $181,321 10) Jan Jones a) Taxable CBRP Earned but not Paid - $84 b) Taxable SERP Earned but not Paid - $148,227 c) Non-Taxable CBRP Earned - $101 d) SERP Interest Credit - $100,997 11) Myron Berdischewsky, MD a) Taxable CBRP Earned but not Paid - $2,548 b) Taxable SERP Earned but not Paid - $108,227 c) Non-Taxable CBRP Earned - $2,060 d) SERP Interest Credit - $105,170 12) Jack Friedman a) Taxable SERP Earned but not Paid - $54,169 b) SERP Interest Credit - $100,470 13) Ray Williams a) SERP Interest Credit - $12,906 b) SERP Earned but not Vested - $153,506 14) Cindra Syverson a) SERP Earned but not Vested - $144,043 b) SERP Interest Credit - $103,147 15) Craig Wright, MD a) SERP Earned but not Vested - $221,797 b) SERP Interest Credit - $181,734 16) Jack Mudd a) Taxable SERP Earned but not Paid - $50,004 b) SERP Interest Credit - $165,857 17) Claudia Haglund a) Taxable SERP Earned but not Paid - $35,007 b) SERP Interest Credit - $70,109 c) ESP Interest Credit - $2,161 18) Joel Gilbertson a) SERP Earned but not Vested - $52,868 b) SERP Interest Credit - $32,392 19) David Brown a) SERP Interest Credit - $39,209 b) SERP Earned but not Vested - $80,917 20) Orest Holubec a) SERP Interest Credit - $6,443 b) SERP Earned but not Vested - $21,490 21) Gary Flaming a) SERP Interest Credit - $4,233 b) Taxable SERP Earned but not Paid - $17,362 c) Taxable CBRP Earned but not Paid - $1,640 d) Non-Taxable CBRP Earned - $4,730 22) Greg VanPelt a) Interest Credit - $22,874 b) Taxable SERP Earned but Not Paid - $123,019 c) Non-taxable SERP Earned but Not Paid - $294,235 23) David T. Underriner a) SERP Interest Credit - $22,874 b) Taxable SERP Earned but Not Paid - $2,199,418 c) ESP Interest Credit - $2,998 24) William Olson a) SERP Interest Credit - $12,401 b) Taxable CBRP Earned but Not Paid - $4 c) Taxable SERP Earned but Not Paid - $220,167 25) Shelly M. Handkins a) SERP Interest Credit - $92,880 b) SERP Earned but Not Vested - $217,913 26) Theron Park a) SERP Interest Credit - $5,115 b) SERP Earned but Not Vested - $29,715 27) Doug Koekkoek a) SERP Interest Credit - $7,476 b) SERP Earned but Not Vested - $43,895 28) Joseph Siemienczuk a) SERP Earned but not Vested - $131,570 b) Taxable CBRP Earned but Not Paid - $1,017 c) Non-Taxable CBRP Earned but Not Paid - $1,326 d) SERP Interest Credit - $20,129 29) Doug Walta a) Taxable CBRP Earned but Not Paid - $27,003 b) Non-Taxable CBRP Earned but Not Paid - $740 c) SERP Earned but Not Vested - $143,159 30) Walter J. Urba a) Taxable CBRP Earned but Not Paid - $54,869 b) Non-Taxable CBRP Earned but Not Paid - $5,379 |
| Part I, Lines 4a-b | Severance 1) Ray Williams - $376,916 2) Greg VanPelt - $367,890 |
| 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. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| State of Oregon Oregon Facilities Authority Revenue Bonds | ||||||||
| A | 936001787 | 68608JPT2 | 2011-11-17 | $24,927,615 | Refund Series 1999 & Adv. Refund Series 2002 & Refunding Series 2005 (WFH) | 0 | 0 | 0 |
| State of Oregon (Oregon Facilities Authority) | ||||||||
| B | 936001787 | 68608JRH6 | 2013-09-18 | $86,048,852 | See Part VI | 0 | 0 | 0 |
| State of Oregon (Oregon Facilities Authority) | ||||||||
| C | 936001787 | 68608JRL7 | 2013-09-18 | $161,675,000 | See Part VI | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|
| A | $24,927,658 | $345,182 | $24,582,476 | 2005 | Yes (1) | Yes (1) | Yes (1) | Yes (1) |
| B | $86,048,855 | $910,360 | $85,138,495 | 2007 | 0 | Yes (1) | Yes (1) | Yes (1) |
| C | $161,675,005 | $1,475,000 | $160,200,005 | 2003 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) | ||
| B | 0 | Yes (1) | Yes (1) | Yes (1) | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) | Yes (1) | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1 | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NA | |||||||||||||
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | NA | 0 | 0 | Yes (1) |
| NA | |||||||||||||
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | NA | 0 | 0 | Yes (1) |
| NA | |||||||||||||
| C | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | NA | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, ISSUE B PART I, QUESTION (F) | Advance refund the Hospital Facilities Authority of Multnomah County, Oregon, Series 2004 |
| SCHEDULE K, ISSUE C PART I, QUESTION (F) | Currently refund Hospital Authority of Clackamas County, Oregon Series 2003D, E, F & G Bonds (PROVIDENCE HEALTH SYSTEM). |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | Generator | 1 | $225,000 | FMV |
| Yes (X) | Minor Equip. | 7 | $25,984 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Column (b): | FormAndLineReferenceDesc |
| Explanation | The amounts shown on Part I, Col. B reflect the number of donations received of the specific type of item. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The sole Member of the Corporation is Providence Health & Services. |
| Form 990, Part VI, Section A, line 7a | The powers of the Corporate Member include the provision to appoint the number of Directors, appoint the Board of Directors and to remove such Directors at any time with or without cause. |
| Form 990, Part VI, Section A, line 7b | The following powers reside with the Corporate Member: 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 religious 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 B, line 11 | The Form 990 is prepared internally by experienced staff and reviewed by the internal Director of Taxes and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict. |
| Form 990, Part VI, Section B, line 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 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 C, line 19 | Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon written request. The consolidated Health System financial statements are available on our public Internet site www.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site. |
| Form 990, Part VII | Greg Van Pelt - Thru 04/13 - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Dave Underriner - Eff 04/13 - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Shelly Handkins - Thru 6/13 - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. William Olson - Eff. 7/13 - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Doug Walta - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Theron Park - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Doug Koekkoek - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Joe Siemienczuk - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. |
| Form 990, Part XI, line 9: | Recipient Organization Adjustments 4,172,148. Interaffiliate Transfers -67,867,628. Income on Medical Staff Funds -12,910. Minority Interest Reclassification -584,742. Change in PWFMC Pension Liability 8,246,518. Rounding -3. |
| Form 990, Part XII, Line 2c AUDIT & COMPLIANCE | The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. |
| FORM 990, PART I, LINE 6 - VOLUNTEERS | Volunteers contribute to the quality of care for which Providence is noted and exemplify the Providence Mission. Volunteers enhance the patient experience, providing assistance with activities, special projects, greeting, staffing the gift shops, delivery of flowers to patient rooms, running errands, offering clerical support and anything else that is asked of them. Our organization is truly blessed with a wonderful group of volunteers that help each and every day. Volunteer services include but are not limited to the following: * Greeting visitors and patients * Assist patients being admitted/check-in and scheduling * Bond with medically fragile children to add quality of life and joy * Chaplains-providing support for our patients and their families * Clerical support * Deliver flowers to rooms * Deliver incoming and outgoing mail * Give hospital tours * Participate in fundraising and community events * Patient escort * Provide hand crafted items such as hats, booties and blankets for newborns * Provide toy bags for children * Provide information and support for patients/families/visitors * Run errands as needed * Staffing the Gift Shops * Work on special projects for various departments as needed * Assist and support Blood Drives * Help with Blood Pressure clinic * Pet Therapy * Assist nursing and assisted living residents to and from daily activities such as Bingo, Chapel, Game times, Music Programs, Outings, etc. * Provide other support asked of them |
| FORM 990, PART VII - RELIGIOUS COMMUNITY MEMBERS | As members of the Religious Community, each Sister has taken a vow of poverty as a compulsory part of her religious life. Any compensation for services of a Sister inures only for the benefit of the Community, not the individual members. All payments for services are made directly to the Religious Community. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Providence Fairview Properties LLC | |||||||||
| 1235 NE 47th Avenue Suite 260 | Portland | OR | 97213 | 510216587 | Own & Manage Land for future development | OR | $0 | $1,646,195 | Providence Health & Services - Oregon |
| Providence Padden Properties LLC | |||||||||
| 1235 NE 47th Avenue Suite 260 | Portland | OR | 97213 | 510216587 | Own & Manage Land for future development | OR | $0 | $19,305,321 | Providence Health & Services - Oregon |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (65 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence Health & Services - Washington | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216586 | Healthcare System | WA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Providence Health System - So California | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216589 | Healthcare System | CA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Everett Transitional Care Services | |||||||||||
| PO Box 5128 | Everett | WA | 982065128 | 943264605 | Transitional Care | WA | 501( c)(3) | Line 9 | 0 | N/A | |
| Providence Oregon Management Corporation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 930813977 | Shell Corporation | OR | 501( c)(3) | Line 1 | PH & S - Oregon | 0 | |
| Providence Plan Partners | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 911861964 | Healthcare Services | OR | 501( c)(4) | N/A | PH & S - Oregon | Yes (1) | |
| Providence Health Plan | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 930863097 | Health Service Contractor | OR | 501( c)(4) | N/A | Providence Plan Partners | Yes (1) | |
| Providence Health Assurance | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 550828701 | Medicaid Healthcare Provider | OR | 501( c)(4) | N/A | Providence Health Plan | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| Providence Milwaukie Foundation | |||||||||||
| 10150 SE 32nd | Milwaukie | OR | 97222 | 943079515 | Support Providence Milwaukie Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | Yes (1) | |
| Providence Child Center Foundation | |||||||||||
| 830 NE 47th | Portland | OR | 97213 | 930800140 | Support Providence Child Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | Yes (1) | |
| 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 | 0 | N/A | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| Providence Hospice and Home Care Foundation | |||||||||||
| 2731 Wetmore Avenue Suite 500 | Everett | WA | 98201 | 272552749 | Support Program & Ministries of PHHC | WA | 501(c )(3) | Line 7 | PH & S - Washington | 0 | |
| Providence St Mary Foundation | |||||||||||
| 401 W Poplar St | Walla Walla | WA | 99362 | 452841492 | Support Program & Ministries of SMMC | WA | 501(c )(3) | Line 7 | PH & S - Washington | 0 | |
| Facey Medical Foundation | |||||||||||
| 15451 San Fernando Mission Blvd 200 | Mission Hills | CA | 913451420 | 954322584 | Support Facey Medical Group | CA | 501(c )(3) | Line 7 | PHS - So California | 0 | |
| Swedish Health Services | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 910433740 | Healthcare | WA | 501(c )(3) | Line 3 | Western HealthConnect | 0 | |
| Swedish Edmonds | |||||||||||
| 21601 76th Ave W | Edmonds | WA | 98026 | 272305304 | Healthcare | WA | 501(c )(3) | Line 3 | Western HealthConnect | 0 | |
| Swedish Medical Center Foundation | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 910983214 | Support Swedish Health Services | WA | 501(c )(3) | Line 7 | Swedish Health Services | 0 | |
| Global To Local Health Initiative | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 273133200 | Healthcare | WA | 501(c )(3) | Line 7 | Swedish Health Services | 0 | |
| Swedish MJM Holdings | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 273139262 | Holding Company | WA | 501(c )(3) | Line 11/Type I | Swedish Health Services | 0 | |
| Marsha Rivkin Center for Ovarian Cancer Research | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 912054035 | Ovarian Cancer Research | WA | 501(c )(3) | Line 7 | Swedish Health Services | 0 | |
| Western HealthConnect | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 454171900 | Shell Corporation | WA | 501(c )(3) | Line 11/Type I | PH&S Western Washington | 0 | |
| Inland Northwest Health Services | |||||||||||
| 601 W 1st Avenue | Spokane | WA | 99201 | 911307555 | Healthcare | WA | 501( c)(3) | Line 3 | PH&S - Washington | 0 | |
| PHN Holdings | |||||||||||
| 20555 Earl Street | Torrance | CA | 90503 | 461814184 | Strategic/Planning services for PHN | CA | 501( c)(4) | Pending | PHS - So California | 0 | |
| Providence Health Network | |||||||||||
| 20555 Earl Street | Torrance | CA | 90503 | 800886966 | Prepaid Healthcare | CA | 501( c)(4) | Pending | PHN Holdings | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (24 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alpha Medical Laboratory LLC | ||||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 912017347 | Outpatient Lab | ID | N/A | |||||||
| Broadway Imaging LLC | ||||||||||||||
| 500 W Broadway | Missoula | MT | 59802 | 522405971 | Medical Imaging | MT | N/A | |||||||
| California Laboratory Associates LLC | ||||||||||||||
| 501 Buena Vista | Burbank | CA | 91505 | 273888692 | Outpatient Lab | CA | N/A | |||||||
| Center for Specialty Surgery LLC | ||||||||||||||
| 11782 SW Barnes Rd | Portland | OR | 97225 | 263638838 | Ambulatory Surgery Center | OR | PH&S - OR | Related | $1,033,449 | $2,663,066 | 0 | 0 | 0.51000 | |
| Clackamas Radiation Oncology Center LLC | ||||||||||||||
| 4400 NE Halsey St Bldg II 495 | Portland | OR | 97213 | 260381897 | Radiation Oncology | OR | PH&S - OR | Related | $513,984 | $1,643,046 | 0 | 0 | 0.67000 | |
| Ctr for Med Imaging-Bridgeport LLC | ||||||||||||||
| 4400 NE Halsey St Bldg II 495 | Portland | OR | 97213 | 260796953 | Imaging - Diagnostics | OR | PH&S - OR | Related | $118 | $1,035,509 | 0 | 0 | 0.75000 | |
| Ctr for MedImaging-Tanasbourne LLC | ||||||||||||||
| 4400 NE Halsey St Bldg II 495 | Portland | OR | 97213 | 200477972 | Imaging - Diagnostics | OR | PH&S - OR | Related | $343,748 | $1,555,836 | 0 | 0 | 0.75000 | |
| Greater Valley Medical Building LP | ||||||||||||||
| 501 S Buena Vista St | Burbank | CA | 91505 | 954570858 | Real Estate - MOB | CA | N/A | |||||||
| Medalia Healthcare LLC | ||||||||||||||
| 1801 Lind Ave SW 9016 | Renton | WA | 98057 | 911660459 | Physician Benefits | WA | N/A | |||||||
| Minor & James Medical PLLC | ||||||||||||||
| 515 Minor Avenue 200 | Seattle | WA | 98104 | 911340223 | Physician Clinic | WA | N/A | |||||||
| Mountainstar Clinical Laboratories LLC | ||||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 261345983 | Outpatient Lab | MT | N/A | |||||||
| Oregon Advanced Imaging LLC | ||||||||||||||
| 881 OHare Parkway | Medford | OR | 97504 | 450471748 | Medical Imaging | OR | PH&S - OR | Related | $2,400,461 | $5,840,985 | 0 | 0 | 0.70000 | |
| Oregon Outpatient Surgery Center | ||||||||||||||
| 7300 SW Childs Rd | Tigard | OR | 97224 | 223883387 | Ambulatory Surgery Center | OR | PH&S - OR | Related | $630,042 | $1,221,441 | 0 | 0 | 0.51000 | |
| PacLab LLC | ||||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 911743952 | Outpatient Lab | WA | N/A | |||||||
| Pathology Associates Medical Laboratories LLC | ||||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 270943279 | Outpatient Lab | WA | N/A | |||||||
| PETCT Imaging at Swedish Cancer Institute LLC | ||||||||||||||
| 1221 Madison Street | Seattle | WA | 98104 | 203132044 | Medical Imaging | WA | N/A | |||||||
| Portland Medical Imaging LLC | ||||||||||||||
| 4400 NE Halsey St Bldg II 495 | Portland | OR | 97213 | 201054971 | Imaging - Diagnostics | OR | PH&S - OR | Related | -$71,352 | $1,583,880 | 0 | 0 | 0.75000 | |
| Prov Radiation Oncology Develop Assn LLC | ||||||||||||||
| 4401 NE Halsey St Bldg II 495 | Portland | OR | 97213 | 260682491 | Real Estate - MOB | OR | PH&S - OR | Investment | -$291,456 | $3,448,911 | 0 | 0 | 0.50000 | |
| Providence Imaging Center | ||||||||||||||
| 3340 Providence Drive | Anchorage | AK | 99508 | 920118807 | Medical Imaging | AK | N/A | |||||||
| Providence Partners for Health LLC | ||||||||||||||
| 501 S Buena Vista St | Burbank | CA | 91505 | 454041798 | Clinical Quality & Integration | CA | N/A | |||||||
| ProvidenceUSP Santa Clarita GP LLC | ||||||||||||||
| 11550 Indian Hills Road 160 | Mission Hills | CA | 91345 | 202829660 | Ambulatory Surgery Center | CA | N/A | |||||||
| ProvidenceUSP Surgery Ctrs LLC | ||||||||||||||
| 11550 Indian Hills Road 160 | Mission Hills | CA | 91345 | 200905938 | Ambulatory Surgery Center | CA | N/A | |||||||
| Southern Idaho Regional Laboratory LLC | ||||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 820511819 | Outpatient Lab | ID | N/A | |||||||
| Tri-Cities Laboratory LLC | ||||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 911773986 | Outpatient Lab | WA | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Providence Health Ventures Inc | |||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330122216 | Investment | CA | N/A | C | 0 |
| Caron Health Corporation | |||||||||
| 510 W Front St | Missoula | MT | 59802 | 810486082 | Medical Physician Service | MT | N/A | C | 0 |
| Providence Health Care Ventures Inc | |||||||||
| 101 W 8th Ave TAF C-9 | Spokane | WA | 99204 | 900155714 | Clinical/Medical Lab | WA | N/A | C | 0 |
| Providence Physician Services Co | |||||||||
| 101 W 8th Ave TAF C-9 | Spokane | WA | 99204 | 911216033 | Clinical/Medical Lab | WA | N/A | C | 0 |
| Yakima Medical Arts Inc | |||||||||
| 611 N Perry 100 | Spokane | WA | 99202 | 910787963 | Rental Real Estate | WA | N/A | C | 0 |
| Bourget Health Services Inc | |||||||||
| PO Box 2687 | Spokane | WA | 99220 | 911354431 | Clinical/Medical Lab | WA | N/A | C | 0 |
| 1221 Madison Street Owners Assoc | |||||||||
| 747 Broadway | Seattle | WA | 98122 | 201954319 | Owners' Association | WA | N/A | C | 0 |
| Washington Cancer Centers PC | |||||||||
| 1560 N 115th G-16 | Seattle | WA | 98133 | 911792791 | Cancer Treatment | WA | N/A | C | 0 |
| Western HealthConnect Ventures Inc | |||||||||
| 1801 Lind Ave SW 9016 | Renton | WA | 98057 | 800953654 | Investment | WA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (29 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Providence Benedictine Nursing Center Foundation | ||
| C | $414,118 | Cost |
| Providence Benedictine Nursing Center Foundation | ||
| B | $136,085 | Cost |
| Providence Benedictine Nursing Center Foundation | ||
| Q | $136,400 | Cost |
| Providence Child Center Foundation | ||
| C | $1,593,643 | Cost |
| Providence Child Center Foundation | ||
| B | $368,289 | Cost |
| Providence Child Center Foundation | ||
| Q | $416,126 | Cost |
| Providence Community Health Foundation | ||
| C | $1,064,005 | Cost |
| Providence Community Health Foundation | ||
| B | $336,443 | Cost |
| Providence Hood River Memorial Hospital Foundation | ||
| C | $286,911 | Cost |
| Providence Hood River Memorial Hospital Foundation | ||
| B | $127,953 | Cost |
| Providence Milwaukie Foundation | ||
| C | $65,980 | Cost |
| Providence Milwaukie Foundation | ||
| B | $207,230 | Cost |
| Providence Newberg Foundation | ||
| C | $245,643 | Cost |
| Providence Newberg Foundation | ||
| B | $238,545 | Cost |
| Providence Portland Medical Foundation | ||
| C | $7,688,264 | Cost |
| Providence Portland Medical Foundation | ||
| B | $1,075,995 | Cost |
| Providence Seaside Foundation | ||
| C | $215,114 | Cost |
| Providence Seaside Foundation | ||
| B | $135,389 | Cost |
| Providence St Vincent Medical Foundation | ||
| C | $3,289,547 | Cost |
| Providence St Vincent Medical Foundation | ||
| B | $1,220,498 | Cost |
| Providence Willamette Falls Foundation | ||
| C | $135,496 | Cost |
| Providence Willamette Falls Foundation | ||
| B | $122,144 | Cost |
| Providence Plan Partners | ||
| O | $68,795,768 | Cost |
| Providence Plan Partners | ||
| Q | $18,923,187 | Cost |
| Providence Plan Partners | ||
| J | $4,864,048 | Cost |
| Providence Health Plan | ||
| Q | $811,290 | Cost |
| Providence Health Assurance | ||
| Q | $50,980 | Cost |
| Oregon Outpatient Surgery Center | ||
| A | $799,829 | Cost |
| Plaza Ambulatory Surgery Center LLC | ||
| B | $779,000 | Cost |
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