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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-21T17:20:50-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN911194016PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Clark Nuber PSBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4th Suite 1700AddressLine1
CityBellevueCity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN510216587EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE HEALTH & SERVICES - OREGONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlPROVBusinessNameControlTxt
Phone4255253985PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTodd HofheinsPersonNm
Person TitleEVP/CFOPersonTitleTxt
Phone4255253985PhoneNum
Signature2014-11-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMegan R Ryan CPAPreparerPersonNm
PTINP00737884PTIN
Phone4254544919PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRod Hochman MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 Lind Avenue SW No 9016AddressLine1
CityRentonCity
StateWAState
ZIP Code980579016ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$3,292,759,502GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressoregon.providence.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionHealthcare with special concern for the poor and vulnerable in Oregon.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee19845TotalEmployeeCnt
Total Volunteers2837TotalVolunteersCnt
Total Gross UBI$14,288,527TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$2,453,090NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$34,966,074PYContributionsGrantsAmt
CY Contributions Grants$47,476,606CYContributionsGrantsAmt
PY Program Service Revenue$2,397,230,618PYProgramServiceRevenueAmt
CY Program Service Revenue$2,466,879,477CYProgramServiceRevenueAmt
PY Investment Income$62,898,021PYInvestmentIncomeAmt
CY Investment Income$80,017,363CYInvestmentIncomeAmt
PY Other Revenue$101,574,543PYOtherRevenueAmt
CY Other Revenue$102,492,382CYOtherRevenueAmt
PY Total Revenue$2,596,669,256PYTotalRevenueAmt
CY Total Revenue$2,696,865,828CYTotalRevenueAmt
PY Grants And Similar Paid$7,004,623PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,412,456CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,340,357,818PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,316,621,620CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,095,074CYTotalFundraisingExpenseAmt
PY Other Expenses$1,119,817,360PYOtherExpensesAmt
CY Other Expenses$1,231,951,480CYOtherExpensesAmt
PY Total Expenses$2,467,179,801PYTotalExpensesAmt
CY Total Expenses$2,554,985,556CYTotalExpensesAmt
PY Revenues Less Expenses$129,489,455PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$141,880,272CYRevenuesLessExpensesAmt
Total Assets BOY$2,593,067,944TotalAssetsBOYAmt
Total Assets EOY$2,595,771,221TotalAssetsEOYAmt
Total Liabilities BOY$629,244,906TotalLiabilitiesBOYAmt
Total Liabilities EOY$599,427,644TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,963,823,038NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,996,343,577NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAs 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$866,850,020ExpenseAmt
Grant$0GrantAmt
Revenue$1,042,420,747RevenueAmt
DescAcute 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 residentsDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$583,673,450ExpenseAmt
Grant$0GrantAmt
Revenue$701,809,005RevenueAmt
DescAcute Care - Outpatient: Visits - 2,664,701See Line 4a Narrative.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$227,876,799ExpenseAmt
Grant$0GrantAmt
Revenue$274,134,327RevenueAmt
DescPrimary Care: Visits - 1,897,393See Line 4a Narrative.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$232,885,080$0$279,951,082Long-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$0Grants & Allocations to Community Organizations - See Schedule I
$171,324,956$0$205,892,230Physician Fees
$4,173,569$0$5,121,540Healthcare Joint Ventures
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$414,796,061TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$6,412,456TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$490,964,852TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$2,093,196,330TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document1358IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee19845EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing AddressYes (1)OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Karl E Fritschel CPABusinessNameLine1
FieldValueIRS element (for citing)
Phone4255253339PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (51 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Michael Holcomb
Chair of the Board0.108.60Yes (X)Yes (X)$0$60,335$0
Lucille Dean SP
Director0.109.40Yes (X)$0$0$0
Mary Corita Heid RSM
Director0.105.00Yes (X)$0$0$0
Michael A Stein
Director0.106.00Yes (X)$0$18,335$0
Eugene Al Parrish
Director0.105.00Yes (X)$0$15,335$0
Dana A Rasmussen
Director0.104.30Yes (X)$0$18,335$0
James S Roberts MD
Director0.109.00Yes (X)$0$30,835$0
Peter J Snow
Director0.105.70Yes (X)$0$20,835$0
Bob Wilson
Director0.105.00Yes (X)$0$15,335$0
Sallye Liner
Director0.104.00Yes (X)$0$15,335$0
Cheryl M Scott
Director0.104.60Yes (X)$0$15,335$0
Ellen L Wolf
Director0.107.10Yes (X)$0$15,335$0
Isiaah Crawford
Director0.104.10Yes (X)$0$15,335$0
Martha Diaz Aszkenazy
Director0.107.70Yes (X)$0$15,335$0
Kirby McDonald
Director0.104.60Yes (X)$0$15,335$0
Dave Olsen
Director0.105.50Yes (X)$0$15,335$0
Charles Chuck Watts
Director0.104.60Yes (X)$0$15,335$0
John F Koster MD - Thru 0313
President / CEO14.0040.00Yes (X)$0$3,202,727$247,248
Rod F Hochman MD - Eff 0413
President / CEO17.0048.00Yes (X)$0$1,402,907$515,903
Todd Hofheins
EVP/CFO16.0044.00Yes (X)$0$570,367$90,110
Jeffrey W Rogers - Thru 513
Corporate Secretary13.0037.00Yes (X)$0$1,040,781$189,880
Cindy Strauss - Eff 613
SVP/Chief Counsel/Corp. Secretary16.0044.00Yes (X)$0$955,824$248,254
Greg Van Pelt - Thru 0413
SVP/CEO - OR. Region57.003.00Yes (X)$0$1,370,941$383,928
Dave Underriner - Eff 0413
SVP/CEO - OR. Region57.003.00Yes (X)$0$2,910,696$106,590
Shelly Handkins - Thru 613
CFO/OR. Region47.003.00Yes (X)$0$502,246$368,641
William Olson - Eff 713
CFO/OR. Region47.003.00Yes (X)$181,668$400,686$125,398
Terry L Smith
SVP/Management Svcs16.0044.00$0$1,612,950$226,158Yes (X)
Deborah Burton
SVP/Chief Nrsg. Officer17.0048.00$0$1,347,109$66,039Yes (X)
Michael L Butler
President/Operations & Services16.0044.00$0$1,272,743$742,629Yes (X)
Randy Axelrod MD
EVP/Clinical & Patient Svcs16.0044.00$0$1,055,259$219,690Yes (X)
Janice J Jones
SVP/CAO14.0041.00$0$999,701$159,493Yes (X)
Myron Berdischewsky MD
SVP/CMQO16.0044.00$0$855,510$158,577Yes (X)
Jack Friedman
SVP/Account Care & Payor Rel.14.0041.00$0$826,281$177,752Yes (X)
Ray Williams
SVP/Physicians Svcs14.0041.00$0$761,267$203,589Yes (X)
Cindra R Syverson
SVP/CHRO16.0044.00$0$717,450$292,188Yes (X)
Craig L Wright MD
SVP/Physicians Svcs16.0044.00$0$708,798$451,637Yes (X)
John O Mudd
SVP/Mission Leadership14.0041.00$0$542,246$208,258Yes (X)
Claudia Haglund
VP/Governance & Sponsorship13.0037.00$0$494,375$157,049Yes (X)
Joel S Gilbertson
SVP/Comm. Ptrshp & External Affairs14.0041.00$0$456,594$126,245Yes (X)
David Brown
VP/Strategy & Innovation14.0041.00$0$434,606$168,959Yes (X)
Orest Holubec
SVP/Marketing & Communications16.0044.00$0$423,960$61,310Yes (X)
Gary Flaming
SVP/Chief Risk Officer15.0042.00$0$381,771$94,294Yes (X)
Doug Walta
CEO/OR. Clinical Programs40.000.00$289,286$348,337$170,535Yes (X)
Theron Park
CEO/OR. Delivery System40.000.00$0$450,208$72,365Yes (X)
Doug Koekkoek
CEO/OR. Clinical Services40.000.00$0$436,757$90,957Yes (X)
Joe Siemienczuk
CEO/Portland Med. Group40.000.00$0$436,431$222,674Yes (X)
Walter Urba
Administrator/Clinical Research40.000.00$790,449$0$56,652Yes (X)
Emery Douville
Surgeon - Cardiology40.000.00$723,160$0$33,653Yes (X)
Jeffrey Swanson
Surgeon - Cardiology40.000.00$720,896$0$34,732Yes (X)
Gary Ott
Surgeon - Cardiology40.000.00$719,063$0$31,492Yes (X)
Eric Kirker
Surgeon - Cardiology40.000.00$716,911$0$34,497Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,141,433TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$27,221,553TotReportableCompRltdOrgAmt
Total Other Compensation$6,537,376TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2202IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Oregon Emergency Physicians PC
9155 Barnes Rd Ste 420PortlandOR972256631Medical Services$31,789,582
Andersen Construction Co Inc
6712 N Cutter CirPortlandOR972173933Construction Services$19,676,038
Cross Country Travcorps Incorporated
File 50941Los AngelesCA900740941Outside Staffing$14,934,718
Anesthesia Assoc Northwest LLC
6400 SE Lake Rd Ste 130PortlandOR972222129Medical Services$10,138,660
The Oregon Clinic PC
847 NE 19th Avenue Ste 300PortlandOR972322684Medical Services$8,999,506
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K232CntrctRcvdGreaterThan100KCnt
Federated Campaigns$5,305FederatedCampaignsAmt
Related Organizations$15,045,404RelatedOrganizationsAmt
Government Grants$24,218,637GovernmentGrantsAmt
All Other Contributions$8,207,260AllOtherContributionsAmt
Noncash Contributions$250,984NoncashContributionsAmt
Total Contributions$47,476,606TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Acute Care/Inpatient900099$1,030,205,330$1,030,205,330
Acute Care/Outpatient621400$693,584,037$693,584,037
Primary Care621110$270,923,148$270,923,148
LTC/HomeCare/Hospice621610$263,626,270$263,626,270
Physician Fees900099$203,477,965$203,477,965

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,062,727TotalRevenueColumnAmt
Related Or Exempt Func Income$5,062,727RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,466,879,477TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,489,742TotalRevenueColumnAmt
Exclusion$17,489,742ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$680,108TotalRevenueColumnAmt
Exclusion$680,108ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$30,811,215RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$18,799,535RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$12,011,680RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,011,680TotalRevenueColumnAmt
Exclusion$12,011,680ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$609,648,263SecuritiesAmt
Other$422,002OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$547,128,059SecuritiesAmt
Other$414,585OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$62,520,204SecuritiesAmt
Other$7,417OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,527,621TotalRevenueColumnAmt
Exclusion$62,527,621ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$45,043,681GrossSalesOfInventoryAmt
Cost Of Goods Sold$29,551,495CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,492,186TotalRevenueColumnAmt
Related Or Exempt Func Income$13,043,057RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,449,129UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Contracted Services900099$23,968,180$23,968,180
Cafeteria Revenue722210$14,217,820$14,217,820
Laboratory621500$11,839,398$11,839,398

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,283,010TotalRevenueColumnAmt
Related Or Exempt Func Income$5,438,217RelatedOrExemptFuncIncomeAmt
Exclusion$18,844,793ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$74,308,408OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,696,865,828TotalRevenueColumnAmt
Related Or Exempt Func Income$2,509,328,931RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$14,288,527UnrelatedBusinessRevenueAmt
Exclusion$125,771,764ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,412,456TotalAmt
Program Services$6,412,456ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$9,542,861TotalAmt
Management And General$9,542,861ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$978,273,567TotalAmt
Program Services$883,914,475ProgramServicesAmt
Management And General$94,359,092ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$84,993,228TotalAmt
Program Services$76,191,881ProgramServicesAmt
Management And General$8,801,347ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$158,154,604TotalAmt
Program Services$143,387,242ProgramServicesAmt
Management And General$14,767,362ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$85,657,360TotalAmt
Program Services$76,787,240ProgramServicesAmt
Management And General$8,870,120ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$945,316TotalAmt
Program Services$338,375ProgramServicesAmt
Management And General$606,941ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,150TotalAmt
Management And General$25,150ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$409,597TotalAmt
Management And General$409,597ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,221,786TotalAmt
Management And General$1,221,786ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$201,879,632TotalAmt
Program Services$185,404,208ProgramServicesAmt
Management And General$16,475,424ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,224,674TotalAmt
Program Services$1,489,234ProgramServicesAmt
Management And General$6,735,440ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$41,094,045TotalAmt
Program Services$22,462,401ProgramServicesAmt
Management And General$18,631,644ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$122,963,270TotalAmt
Program Services$35,345,785ProgramServicesAmt
Management And General$87,617,485ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$50,317,894TotalAmt
Program Services$37,367,467ProgramServicesAmt
Management And General$12,950,427ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,031,376TotalAmt
Program Services$4,196,302ProgramServicesAmt
Management And General$835,074ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,655,543TotalAmt
Program Services$1,826,005ProgramServicesAmt
Management And General$829,538ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,237,892TotalAmt
Program Services$6,237,892ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$161,456,248TotalAmt
Program Services$60,226ProgramServicesAmt
Management And General$161,396,022ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$96,504,746TotalAmt
Program Services$92,756,617ProgramServicesAmt
Management And General$3,748,129ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$25,116,580TotalAmt
Program Services$24,756,861ProgramServicesAmt
Management And General$359,719ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement 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

FieldValueIRS element (for citing)
Total$26,834,707TotalAmt
Program Services$14,525,801ProgramServicesAmt
Management And General$9,213,832ManagementAndGeneralAmt
Fundraising$3,095,074FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,554,985,556TotalAmt
Program Services$2,093,196,330ProgramServicesAmt
Management And General$458,694,152ManagementAndGeneralAmt
Fundraising$3,095,074FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,925,346BOYAmt
EOY$1,775,926EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$87,970,232BOYAmt
EOY$142,637,785EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,719,357BOYAmt
EOY$6,556,131EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$298,013,045BOYAmt
EOY$332,044,811EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,434,252BOYAmt
EOY$1,691,281EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$35,149,498BOYAmt
EOY$35,238,931EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$24,956,608BOYAmt
EOY$20,614,183EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,733,883,176LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,618,320,405LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,176,011,108BOYAmt
EOY$1,115,562,771EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$800,753,018BOYAmt
EOY$784,489,935EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$83,450,817BOYAmt
EOY$90,084,988EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,201,817BOYAmt
EOY$4,050,539EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$75,482,846BOYAmt
EOY$61,023,940EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,593,067,944BOYAmt
EOY$2,595,771,221EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$232,731,831BOYAmt
EOY$210,842,463EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$27,441,149BOYAmt
EOY$28,564,063EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$311,990,000BOYAmt
EOY$266,250,001EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,657,984BOYAmt
EOY$4,022,327EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$1,351,619BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$49,072,323BOYAmt
EOY$89,748,790EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$629,244,906BOYAmt
EOY$599,427,644EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,906,061,097BOYAmt
EOY$1,933,767,515EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,571,341BOYAmt
EOY$32,711,866EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,190,600BOYAmt
EOY$29,864,196EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,963,823,038BOYAmt
EOY$1,996,343,577EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,593,067,944BOYAmt
EOY$2,595,771,221EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$141,880,272ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$53,313,116NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$56,046,617OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Mailings Members$11,665MailingsMembersAmt
Publications Or BroadcastYes (1)PublicationsOrBroadcastInd
Publications Or Broadcast$9,835PublicationsOrBroadcastAmt
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$149,518GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$226,224DirectContactLegislatorsAmt
Rallies DemonstrationsYes (1)RalliesDemonstrationsInd
Rallies Demonstrations$12,355RalliesDemonstrationsAmt
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$409,597TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationLobbying 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 fluoridationExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$41,390,485InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$68,316,509OtherCostOrOtherBasisAmt
Book Value$109,706,994BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$5,178,471InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,225,705,371OtherCostOrOtherBasisAmt
Depreciation$668,727,269DepreciationAmt
Book Value$562,156,573BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$51,578,463OtherCostOrOtherBasisAmt
Depreciation$34,769,860DepreciationAmt
Book Value$16,808,603BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$818,015,201OtherCostOrOtherBasisAmt
Depreciation$700,797,457DepreciationAmt
Book Value$117,217,744BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$523,698,676OtherCostOrOtherBasisAmt
Depreciation$214,025,819DepreciationAmt
Book Value$309,672,857BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,115,562,771TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
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
FieldValueIRS element (for citing)
Total Liability$89,748,790TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationThe 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$96,173,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$96,173,000NetCommunityBenefitExpnsAmt
Total Expense0.03830TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$265,849,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$198,972,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$66,877,000NetCommunityBenefitExpnsAmt
Total Expense0.02660TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$362,022,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$198,972,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$163,050,000NetCommunityBenefitExpnsAmt
Total Expense0.06490TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$4,135,817TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$218,789DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,917,028NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$26,392,736TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,743,613DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,649,123NetCommunityBenefitExpnsAmt
Total Expense0.00780TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$22,816,915TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,088,293DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,728,622NetCommunityBenefitExpnsAmt
Total Expense0.00430TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$30,807,379TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,254,948DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,552,431NetCommunityBenefitExpnsAmt
Total Expense0.00460TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$3,779,241TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$603,950DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,175,291NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$87,932,088TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,909,593DirectOffsettingRevenueAmt
Net Community Benefit Expns$49,022,495NetCommunityBenefitExpnsAmt
Total Expense0.01960TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$449,954,088TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$237,881,593DirectOffsettingRevenueAmt
Net Community Benefit Expns$212,072,495NetCommunityBenefitExpnsAmt
Total Expense0.08450TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$3,300TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,300NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$23,838TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,620DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,218NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$262,428TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$49,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$212,928NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$22,100TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,260DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,840NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$155,047TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,450DirectOffsettingRevenueAmt
Net Community Benefit Expns$118,597NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$187,383TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,100DirectOffsettingRevenueAmt
Net Community Benefit Expns$182,283NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$189,032TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$181,532NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$843,128TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$116,430DirectOffsettingRevenueAmt
Net Community Benefit Expns$726,698NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$43,054,965BadDebtExpenseAmt
Reimbursed By Medicare$797,914,000ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$945,863,000CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$147,949,000MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 Oregon Outpatient Surgery CenterBusinessNameLine1
FieldValueIRS element (for citing)
Primary ActivitiesAmbulatory Surgery CenterPrimaryActivitiesTxt
Org Profit Or Ownership0.51000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.49000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities8HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (8 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdCritical Access HospitalCriticalAccessHospitalIndOtherOtherDesc
Providence Portland Medical Center
14805 NE Glisan StPortlandOR97213oregon.providence.org14-0012Yes (X)Yes (X)Yes (X)Yes (X)A
Providence St Vincent Medical Center
29205 SW Barnes RdPortlandOR97225oregon.providence.org14-0912Yes (X)Yes (X)Yes (X)Yes (X)A
Providence Milwaukie Hospital
310150 SE 32ndMilwaukieOR97222oregon.providence.org14-1430Yes (X)Yes (X)Yes (X)A
Providence Hood River Mem Hospital
4811 - 13th StreetHood RiverOR97031oregon.providence.org14-1452Yes (X)Yes (X)AYes (X)
Providence Seaside Hospital
5725 S Wahanna RdSeasideOR97138oregon.providence.org14-1231Yes (X)Yes (X)AYes (X)Nursing Facility
Providence Newberg Medical Center
61001 Providence DriveNewbergOR97132oregon.providence.org14-1438Yes (X)Yes (X)Yes (X)A
Providence Medford Medical Center
71111 Crater Lake AvenueMedfordOR97504oregon.providence.org14-0734Yes (X)Yes (X)Yes (X)A
Providence Willamette Falls Med Ctr
81500 Division StreetOregon CityOR97045oregon.providence.org14-1471Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Providence Health & Services - OregonBusinessNameLine1
FieldValueIRS element (for citing)
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://oregon.providence.org/about-UsOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (1)AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
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Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
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FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (31 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Section BFacility 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.
FieldValueIRS element (for citing)
Facility25FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
Prov Portland Med Ctr Dialysis Unit
4805 NE Glisan StPortlandOR97213ESRD-End Stage Renal Disease
Providence St Vincent Kidney Dialysis
9450 SW Barnes Rd Suite 125PortlandOR97225ESRD-End Stage Renal Disease
PHRMH Ray Yasui Dialysis Center
1125 May AvenueHood RiverOR97031ESRD-End Stage Renal Disease
Providence Home Health
6410 NE Halsey Suite 200PortlandOR97213Home Health Agency
Prov Benedictine Nursing Center HHA
570 S Main StMt AngelOR97362Home Health Agency
Providence Home Care
2033 Commerce DriveMedfordOR97504Home Health Agency
Providence Hospice
6410 NE Halsey Suite 300PortlandOR97213Hospice
Providence Medford Hospice
2033 Commerce DriveMedfordOR97504Hospice
Surgery Center at Tanasbourne
18650 NW Cornell Rd Suite 110HillsboroOR97124Ambulatory Surgery Center
Center for Specialty Surgery
11782 SW Barnes Rd 200 Bldg CPortlandOR97225Ambulatory Surgery Center
Oregon Outpatient Surgery
7300 SW Childs RdTigardOR97224Ambulatory Surgery Center
Providence Child Center
860 NE 47th AvePortlandOR97213Nursing Facility
Providence Benedictine Nursing Center
540 S Main StMt AngelOR97362Nursing Facility
Providence Seaside Hospital
725 S Wahanna RdSeasideOR97138Nursing Facility
Providence Benedictine Orchard House
550 S Main StMt AngelOR97362Assisted Living Facility
Providence Brookside Manor
1550 Brookside DrHood RiverOR97031Assisted Living Facility
Prov Elderplace in Irvington Village
420 NE MasonPortlandOR97211Assisted Living Facility
Providence Elderplace in Glendover
13007 NE Glisan StPortlandOR97230Residential Care Facility
Providence Elderplace in Cully
5119 NE 57th AvePortlandOR97218Residential Care Facility
Providence Brookside Memory Care
1550 Brookside DrHood RiverOR97031Residential Care Facility
Providence Willamette Falls Hospice
1505 Division StreetOregon CityOR97045Hospice Services
Providence WF - Canby Place
200 S Hazel Dell WayCanbyOR97013Urgent Care & Diagnostic Imaging
Providence WF Med Grp-OR City
1510 Division StreetOregon CityOR97045Primary Care Spine Center/General Surgery
Providence WF MedGrp-Sunnyside
9775 SE Sunnyside RoadClackamasOR97015Primary Care & Occupational Health
Proviodence WF Med Group - West Linn
18676 Willamette Dr Suite 100West LinnOR97068Primary Care

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 6The 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 StatesOR,WA,CA,MT,AK

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (54 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2
Providence St Vincent Medical Foundation
PO Box 13993PortlandOR97213930575982501 (c) 3$1,220,498Community health support
Providence Portland Medical Foundation
4805 NE Glisan StreetPortlandOR97213931231494501 (c) 3$1,075,995Community health support
Virginia Garcia Memorial Clinic
PO Box 568CorneliusOR97313930717997501 (c) 3$420,675Community health support
Providence Child Center Foundation
830 NE 47thPortlandOR97213930800140501 (c) 3$368,289Community health support
Providence Community Health Foundation
1111 Crater Lake AvenueMedfordOR97504930692907501 (c) 3$336,443Community health support
Central City Concern
232 NW Everett StreetPortlandOR97209930728816501 (c) 3$279,990Family alcohol and drug free Comm Housing
Providence Newberg Foundation
1001 Providence DriveNewbergOR97213930889144501 (c) 3$238,545Community health support
Providence Milwaukie Foundation
10150 SE 32ndMilwaukieOR97222943079515501 (c) 3$207,230Community health support
Oregon Health Science University
3181 SW Sam Jackson Park RoadPortlandOR97239931176109501 (c) 3$151,000Donation partnership project
Providence Benedictine Nursing Center Fdn
540 S Main StreetMt AngelOR97362911940286501 (c) 3$136,085Community health support
Providence Seaside Foundation
725 S Wahanna RoadSeasideOR97138930927320501 (c) 3$135,389Community health support
Project Access Now
1311 NW 21st AvenuePortlandOR97296208928388501 (c) 3$130,000Community health support
Providence Hood River Foundation
811 13th StreetHood RiverOR97031930921990501 (c) 3$127,953Community health support
Medical Teams International
PO Box 10PortlandOR97207930878944501 (c) 3$125,000Community health support
Providence Willamette Falls Foundation
1500 Division StreetOregon CityOR97225931003750501 (c) 3$122,144Community health support
Southwest Community Health Center
7754 SW Capital HighwayPortlandOR97219743050497501 (c) 3$114,800Support for chronic disease management
Legacy Emanuel Hospital
PO Box 5939PortlandOR97228930386823501 (c) 3$100,000Cares NW program
Hood River County Health Department
1109 June StreetHood RiverOR97031936002297Government$67,340School health services
Catholic Charities
231 SE 12th AvenuePortlandOR97214930386801501 (c) 3$57,069Sponsorship of El Programa Hispano
Multnomah County Health Department
421 SW Oak StreetPortlandOR97204936002309Government$51,988Support Southeast clinic
Mid-Columbia Children
1101 E Marina Way Suite 215Hood RiverOR97031930951908501 (c) 3$41,240Funding for Collective Impact Health Spc
NW Parish Nurse Ministries
2801 N Gantenbein Avenue Room 1072PortlandOR97227943180955501 (c) 3$40,000Support for promoting health and wellness
Partners for a Hunger Free Oregon
712 SE Hawthorne Boulevard SuitePortlandOR97214204970868501 (c) 3$36,000Hunger task force, Summer foods program202
Essential Health Clinic
9155 SW Barnes Road Suite 435PortlandOR97225383672046501 (c) 3$35,000Develop transition plan and start up costs
The Canby Center
681 SW 2nd AvenueCanbyOR97013510603464501 (c) 3$30,000Dental health sponsorship program
Columbia Gorge Community College
400 East Scenic DriveThe DallesOR97058930700843501 (c) 3$26,600Nursing occupations program
Clatsop Community Action
364 9TH StreetAstoriaOR97103931010260501 (c) 3$26,500Basic living needs Housing First
Adelante Mujeres
2420 19th AvenueForest GroveOR97116030473181501 (c) 3$25,000Rx assistance - Diet related diseases
DePaul Industries
4950 NE MLK Jr BlvdPortlandOR97211930607857501 (c) 3$25,000Encourage healthy lifestyle choices
Human Solutions Inc
12350 SE Powell BoulevardPortlandOR97236930977166501 (c) 3$25,000Healthy Homes proj, improve chronic hlth
La Clinica Del Valley
3617 S Pacific HwyMedfordOR97501943096772501 (c) 3$25,000Support for kids health connection
Volunteers of America
3910 SE Stark StreetPortlandOR97214930395591501 (c) 3$25,000Community health support
Urban League of Portland
10 N RussellPortlandOR97232930395590501 (c) 3$23,230Black asthma intervention program
The Next Door Inc
965 Tucker RoadHood RiverOR97031930600421501 (c) 3$23,075Educational material: Healthy families in OR
Society of St Vincent De Paul
PO Box 42157PortlandOR97242930831082501 (c) 3$21,440Community health support
Hood River County School District
1011 Eugene StreetHood RiverOR97031936000502Government$18,360Community health support
Community Action Organization
1001 SW BaselineHillsboroOR97123930554941501 (c) 3$17,500Support of prenatal care
St Joseph the Worker
7528 N Fenwick AvenuePortlandOR97217931322114501 (c) 3$17,418Corporate internship program
Rogue Community College
3345 Redwood HighwayGrants PassOR97527930777701501 (c) 3$16,000Sr Acosta scholarship fund
Vision Action Network
3700 SW Murray Boulevard Suite 190BeavertonOR97005931317190501 (c) 3$15,000Homeless cost study, Facilitating sponsor
Albertina Kerr Centers Foundation
424 NE 22nd AvenuePortlandOR97232931297104501 (c) 3$11,250Pledge, Spotlight on Kerr Sponsorship
World Arts Foundation Inc
PO Box 12384PortlandOR97212930830736501 (c) 3$10,002Sponsorship "Keep the Dream Alive"
Ministry Leadership Center
1215 K Street Suite 2000SacramentoCA95814270096756501 (c) 3$10,000MLC Senior Leadership sessions
Oregon Center for Nursing
5000 N Willamette Boulevard MSC 192PortlandOR97203743052430501 (c) 3$10,000Sponsorship annual fundraising breakfast192
Sonrise Baptist Church
6701 NE Campus WayHillsboroOR97124930785442501 (c) 3$10,000Project Homeless Connect
Skanner Foundation
PO Box 5455PortlandOR97228931109980501 (c) 3$8,500MLK breakfast sponsorship
Hispanic Metropolitan Chamber
333 SW 5th Avenue Suite 100PortlandOR97204931156358501 (c) 3$7,850Scholarships, employment , Business fair
Trillium Family Services
3415 SE Powell BoulevardPortlandOR97202931254344501 (c) 3$7,500Mental and behavioral support for children
Oregon Partnership Inc
5100 SW Macadam Avenue Suite 400PortlandOR97239930725294501 (c) 3$7,000Prevention of substance abuse and suicide
Health Care Coalition of Southern Oregon
4286 Pioneer RoadMedfordOR97501931065133501 (c) 3$6,500Community health support
St Francis House of Oregon
1368 Rawson RoadHood RiverOR97031261778558501 (c) 3$6,450St Francis House building repairs
Oregon Food Bank
PO Box 55370PortlandOR97238930785786501 (c) 3$6,161Food drive donations
March of Dimes Foundation
1275 Mamaroneck AvenueWhite PlainsNY10605131846366501 (c) 3$6,000Greater OR March for Babies
Vietnamese Community of Oregon
PO Box 55416PortlandOR97238320263661501 (c) 3$5,500Healthcare fair at TET festival
FieldValueIRS element (for citing)
Total501c3 Org54Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationIn 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

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (34 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aThe 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-bNONQUALIFIED 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-bSeverance 1) Ray Williams - $376,916 2) Greg VanPelt - $367,890
FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS PROGRAMThe 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
State of Oregon Oregon Facilities Authority Revenue Bonds
A93600178768608JPT22011-11-17$24,927,615Refund Series 1999 & Adv. Refund Series 2002 & Refunding Series 2005 (WFH)000
State of Oregon (Oregon Facilities Authority)
B93600178768608JRH62013-09-18$86,048,852See Part VI000
State of Oregon (Oregon Facilities Authority)
C93600178768608JRL72013-09-18$161,675,000See Part VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$24,927,658$345,182$24,582,4762005Yes (1)Yes (1)Yes (1)Yes (1)
B$86,048,855$910,360$85,138,49520070Yes (1)Yes (1)Yes (1)
C$161,675,005$1,475,000$160,200,0052003Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ContractsEngageBondCounselContractsIndEngage Bond Counsel ResearchEngageBondCounselResearchInd
A00000.000000.000000.0000000Yes (1)
B0Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)Yes (1)Yes (1)
C00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
NA
A0Yes (1)0000000NA00Yes (1)
NA
B0Yes (1)0000000NA00Yes (1)
NA
C0Yes (1)00Yes (1)0000NA00Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Generator1$225,000FMV
Yes (X)Minor Equip.7$25,984FMV
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationThe 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The sole Member of the Corporation is Providence Health & Services.
Form 990, Part VI, Section A, line 7aThe 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 7bThe 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 11The 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 12cProvidence 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 15It 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 19Public 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 VIIGreg 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 & COMPLIANCEThe 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 - VOLUNTEERSVolunteers 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 MEMBERSAs members of the Religious Community, each Sister has taken a vow of poverty as a compulsory part of her religious life. Any compensation for services of a Sister inures only for the benefit of the Community, not the individual members. All payments for services are made directly to the Religious Community.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Providence Fairview Properties LLC
1235 NE 47th Avenue Suite 260PortlandOR97213510216587Own & Manage Land for future developmentOR$0$1,646,195Providence Health & Services - Oregon
Providence Padden Properties LLC
1235 NE 47th Avenue Suite 260PortlandOR97213510216587Own & Manage Land for future developmentOR$0$19,305,321Providence Health & Services - Oregon

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (65 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Providence Health & Services - Washington
1801 Lind Avenue SW 9016RentonWA980579016510216586Healthcare SystemWA501( c)(3)Line 3Providence Health & Services0
Providence Health System - So California
1801 Lind Avenue SW 9016RentonWA980579016510216589Healthcare SystemCA501( c)(3)Line 3Providence Health & Services0
Everett Transitional Care Services
PO Box 5128EverettWA982065128943264605Transitional CareWA501( c)(3)Line 90N/A
Providence Oregon Management Corporation
1801 Lind Avenue SW 9016RentonWA980579016930813977Shell CorporationOR501( c)(3)Line 1PH & S - Oregon0
Providence Plan Partners
4400 NE Halsey Bldg 2PortlandOR97213911861964Healthcare ServicesOR501( c)(4)N/APH & S - OregonYes (1)
Providence Health Plan
4400 NE Halsey Bldg 2PortlandOR97213930863097Health Service ContractorOR501( c)(4)N/AProvidence Plan PartnersYes (1)
Providence Health Assurance
4400 NE Halsey Bldg 2PortlandOR97213550828701Medicaid Healthcare ProviderOR501( c)(4)N/AProvidence Health PlanYes (1)
Providence Medical Institute
4101 Torrance BlvdTorranceCA90503330283773HealthcareCA501( c)(3)Line 11/Type IPHS - So California0
Little Company of Mary Ancillary Services Corporation
4101 Torrance BlvdTorranceCA90503330844408Imaging ServicesCA501( c)(3)Line 9PHS - So California0
Providence TrinityCare Hospice
5315 Torrance Blvd Suite B1TorranceCA90503953264139HospiceCA501( c)(3)Line 9PHS - So California0
Providence Blanchet Association
1700 Providence PlCentraliaWA98531911789266HousingWA501( c)(3)Line 7PH & S - Washington0
St Luke Association
350 Washington Ave SEChehalisWA98352943176618HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Rossi Association
1700 Providence PlCentraliaWA98531311584166HousingWA501( c)(3)Line 9PH & S - Washington0
Lundberg Association
5921 E BurnsidePortlandOR97215911562797HousingOR501( c)(3)Line 7PH & S - OregonYes (1)
Providence St Francis Association
3415 12th Avenue NEOlympiaWA98506943244854HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Peter Claver Association
7101 38th Avenue SouthSeattleWA98118311629656HousingWA501( c)(3)Line 7PH & S - Washington0
Providence St Elizabeth House Association
3201 SW Graham StSeattleWA98126912171539HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Gamelin House Association
4515 MLK Jr Way S Ste 200SeattleWA98108311744654HousingWA501( c)(3)Line 7PH & S - Washington0
The Gamelin Association
312 North Fourth StYakimaWA98901911180824HousingWA501( c)(3)Line 7PH & S - Washington0
The Gamelin Oregon Association
5520 NE GlisanPortlandOR97213911214491HousingOR501( c)(3)Line 9PH & S - OregonYes (1)
The Gamelin California Association
540 23rd StOaklandCA94612911293869HousingCA501( c)(3)Line 9PHS - So California0
Gamelin Washington Association
1423 First AvenueSeattleWA98101201910170HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Foundation
1801 Lind Avenue SW 9016RentonWA980579016943078543Support PH&S InstitutionsWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Alaska Foundation
3300 Providence Drive - B Tower2AnchorageAK99508920093565Support PHS-AlaskaAK501( c)(3)Line 11/Type IPH & S - Washington0
Providence St Peter Foundation
413 Lilly Road NEOlympiaWA985065166911097056Support Affiliated Tax-Exempt OrganizationWA501( c)(3)Line 7PH & S - Washington0
Providence Health Care Foundation (Centralia)
914 S Scheuber RoadCentraliaWA98531911433382Support Providence Centralia HospitalWA501( c)(3)Line 7PH & S - Washington0
Providence Mount St Vincent Foundation
4831 - 35th Avenue SWSeattleWA981262799911188119Support Providence Mount St.VincentWA501( c)(3)Line 7PH & S - Washington0
Providence Marianwood Foundation
3725 Providence Point Drive SEIssaquahWA980297219931554288Support Providence MarianwoodWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Newberg Health Foundation
1001 Providence DriveNewbergOR97132930889144Support Providence Newberg Medical CenterOR501( c)(3)Line 7PH & S - OregonYes (1)
Providence Seaside Hospital Foundation
725 S Wahanna RdSeasideOR97138930927320Support Providence Seaside HospitalOR501( c)(3)Line 7PH & S - OregonYes (1)
Providence Community Health Foundation
1111 Crater Lake AveMedfordOR97504930692907Support Providence Medford Medical CenterOR501( c)(3)Line 7PH & S - OregonYes (1)
Providence Benedictine Nursing Center Foundation
540 South Main StMt AngelOR973629532911940286Support Providence Benedictine Nursing CenterOR501( c)(3)Line 7PH & S - OregonYes (1)
Providence Portland Medical Foundation
4805 NE Glisan StPortlandOR972132967931231494Support Providence Portland Medical CenterOR501( c)(3)Line 7PH & S - OregonYes (1)
Providence St Vincent Medical Foundation
9205 SW Barnes RdPortlandOR97225930575982Support Providence St. Vincent Medical CenterOR501( c)(3)Line 7PH & S - OregonYes (1)
Providence Milwaukie Foundation
10150 SE 32ndMilwaukieOR97222943079515Support Providence Milwaukie HospitalOR501( c)(3)Line 7PH & S - OregonYes (1)
Providence Child Center Foundation
830 NE 47thPortlandOR97213930800140Support Providence Child CenterOR501( c)(3)Line 7PH & S - OregonYes (1)
Providence TrinityCare Hospice Foundation
5315 Torrance Blvd Suite B1TorranceCA90503330261016Support TrinityCare HospiceCA501( c)(3)Line 7PHS - So California0
Providence Little Company of Mary Foundation
4101 Torrance BlvdTorranceCA90503510224944Support Little Company of Mary Service AreaCA501( c)(3)Line 7PHS - So California0
PH&S FoundationSFVSA & SCVSA
501 S Buena Vista StreetBurbankCA91505953544877Support Program & Activities of SFVSA & SCVSACA501( c)(3)Line 7PHS - So California0
Providence Hospice of Seattle Foundation
425 Pontius Avenue North 300SeattleWA981095452912077378Support Hospice of SeattleWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Health & Services - Western Washington
1801 Lind Avenue SW 9016RentonWA980579016911303277HealthcareWA501( c)(3)Line 3Providence MinistriesWHC0
Providence Health & Services
1801 Lind Avenue SW 9016RentonWA980579016911549796Shell CorporationWA501( c)(3)Line 11/Type I0N/A
Providence Health & Services - Montana
500 W Broadway PO Box 4587MissoulaMT598064587810231793HealthcareMT501( c)(3)Line 3PH & S - Washington0
Providence St Joseph Medical Center
PO Box 1010PolsonMT598601010810463482HealthcareMT501( c)(3)Line 3PH & S - Washington0
St Thomas Child and Family Center
1710 Benefis CourtGreat FallsMT59405810233495Early Childhood EducationMT501( c)(3)Line 1PH & S - Washington0
Sisters of Providence of Montana Corporation
1801 Lind Avenue SW 9016RentonWA980579016262612415Shell CorporationMT501( c)(3)Line 1PH & S - Washington0
Providence Health Care Foundation - Eastern Washington
101 W 8th AveSpokaneWA99204320014330Support PH&S-WA. Ministries in E. WA.WA501( c)(3)Line 7PH & S - Washington0
St Patrick Hospital Foundation
500 West Broadway PO Box 4587MissoulaMT598064587237056976Support Healthcare in W. MontanaMT501( c)(3)Line 7PH & S - Washington0
University of Great Falls
1301 20th Street SouthGreat FallsMT59405810231777Post Secondary EducationMT501( c)(3)Line 2PH & S - Washington0
E WA & MT Unemployment Compensation Insurance Trust
1801 Lind Avenue SW 9016RentonWA980579016911082119Unemployment BenefitsWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Willamette Falls Medical Foundation
1500 Division StreetOregon CityOR97045931003750Support Willamette Falls HospitalOR501( c)(3)Line 11/Type IPH & S - OregonYes (1)
Providence Hood River Memorial Hospital Foundation Inc
811 13th StHood RiverOR97031930921990Support Providence Hood River Memorial HospitalOR501( c)(3)Line 7PH & S - OregonYes (1)
Providence Hospice and Home Care Foundation
2731 Wetmore Avenue Suite 500EverettWA98201272552749Support Program & Ministries of PHHCWA501(c )(3)Line 7PH & S - Washington0
Providence St Mary Foundation
401 W Poplar StWalla WallaWA99362452841492Support Program & Ministries of SMMCWA501(c )(3)Line 7PH & S - Washington0
Facey Medical Foundation
15451 San Fernando Mission Blvd 200Mission HillsCA913451420954322584Support Facey Medical GroupCA501(c )(3)Line 7PHS - So California0
Swedish Health Services
747 BroadwaySeattleWA98122910433740HealthcareWA501(c )(3)Line 3Western HealthConnect0
Swedish Edmonds
21601 76th Ave WEdmondsWA98026272305304HealthcareWA501(c )(3)Line 3Western HealthConnect0
Swedish Medical Center Foundation
747 BroadwaySeattleWA98122910983214Support Swedish Health ServicesWA501(c )(3)Line 7Swedish Health Services0
Global To Local Health Initiative
747 BroadwaySeattleWA98122273133200HealthcareWA501(c )(3)Line 7Swedish Health Services0
Swedish MJM Holdings
747 BroadwaySeattleWA98122273139262Holding CompanyWA501(c )(3)Line 11/Type ISwedish Health Services0
Marsha Rivkin Center for Ovarian Cancer Research
747 BroadwaySeattleWA98122912054035Ovarian Cancer ResearchWA501(c )(3)Line 7Swedish Health Services0
Western HealthConnect
747 BroadwaySeattleWA98122454171900Shell CorporationWA501(c )(3)Line 11/Type IPH&S Western Washington0
Inland Northwest Health Services
601 W 1st AvenueSpokaneWA99201911307555HealthcareWA501( c)(3)Line 3PH&S - Washington0
PHN Holdings
20555 Earl StreetTorranceCA90503461814184Strategic/Planning services for PHNCA501( c)(4)PendingPHS - So California0
Providence Health Network
20555 Earl StreetTorranceCA90503800886966Prepaid HealthcareCA501( c)(4)PendingPHN Holdings0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (24 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Alpha Medical Laboratory LLC
611 N PerrySpokaneWA99202912017347Outpatient LabIDN/A
Broadway Imaging LLC
500 W BroadwayMissoulaMT59802522405971Medical ImagingMTN/A
California Laboratory Associates LLC
501 Buena VistaBurbankCA91505273888692Outpatient LabCAN/A
Center for Specialty Surgery LLC
11782 SW Barnes RdPortlandOR97225263638838Ambulatory Surgery CenterORPH&S - ORRelated$1,033,449$2,663,066000.51000
Clackamas Radiation Oncology Center LLC
4400 NE Halsey St Bldg II 495PortlandOR97213260381897Radiation OncologyORPH&S - ORRelated$513,984$1,643,046000.67000
Ctr for Med Imaging-Bridgeport LLC
4400 NE Halsey St Bldg II 495PortlandOR97213260796953Imaging - DiagnosticsORPH&S - ORRelated$118$1,035,509000.75000
Ctr for MedImaging-Tanasbourne LLC
4400 NE Halsey St Bldg II 495PortlandOR97213200477972Imaging - DiagnosticsORPH&S - ORRelated$343,748$1,555,836000.75000
Greater Valley Medical Building LP
501 S Buena Vista StBurbankCA91505954570858Real Estate - MOBCAN/A
Medalia Healthcare LLC
1801 Lind Ave SW 9016RentonWA98057911660459Physician BenefitsWAN/A
Minor & James Medical PLLC
515 Minor Avenue 200SeattleWA98104911340223Physician ClinicWAN/A
Mountainstar Clinical Laboratories LLC
611 N PerrySpokaneWA99202261345983Outpatient LabMTN/A
Oregon Advanced Imaging LLC
881 OHare ParkwayMedfordOR97504450471748Medical ImagingORPH&S - ORRelated$2,400,461$5,840,985000.70000
Oregon Outpatient Surgery Center
7300 SW Childs RdTigardOR97224223883387Ambulatory Surgery CenterORPH&S - ORRelated$630,042$1,221,441000.51000
PacLab LLC
611 N PerrySpokaneWA99202911743952Outpatient LabWAN/A
Pathology Associates Medical Laboratories LLC
611 N PerrySpokaneWA99202270943279Outpatient LabWAN/A
PETCT Imaging at Swedish Cancer Institute LLC
1221 Madison StreetSeattleWA98104203132044Medical ImagingWAN/A
Portland Medical Imaging LLC
4400 NE Halsey St Bldg II 495PortlandOR97213201054971Imaging - DiagnosticsORPH&S - ORRelated-$71,352$1,583,880000.75000
Prov Radiation Oncology Develop Assn LLC
4401 NE Halsey St Bldg II 495PortlandOR97213260682491Real Estate - MOBORPH&S - ORInvestment-$291,456$3,448,911000.50000
Providence Imaging Center
3340 Providence DriveAnchorageAK99508920118807Medical ImagingAKN/A
Providence Partners for Health LLC
501 S Buena Vista StBurbankCA91505454041798Clinical Quality & IntegrationCAN/A
ProvidenceUSP Santa Clarita GP LLC
11550 Indian Hills Road 160Mission HillsCA91345202829660Ambulatory Surgery CenterCAN/A
ProvidenceUSP Surgery Ctrs LLC
11550 Indian Hills Road 160Mission HillsCA91345200905938Ambulatory Surgery CenterCAN/A
Southern Idaho Regional Laboratory LLC
611 N PerrySpokaneWA99202820511819Outpatient LabIDN/A
Tri-Cities Laboratory LLC
611 N PerrySpokaneWA99202911773986Outpatient LabWAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Providence Health Ventures Inc
4101 Torrance BlvdTorranceCA90503330122216InvestmentCAN/AC0
Caron Health Corporation
510 W Front StMissoulaMT59802810486082Medical Physician ServiceMTN/AC0
Providence Health Care Ventures Inc
101 W 8th Ave TAF C-9SpokaneWA99204900155714Clinical/Medical LabWAN/AC0
Providence Physician Services Co
101 W 8th Ave TAF C-9SpokaneWA99204911216033Clinical/Medical LabWAN/AC0
Yakima Medical Arts Inc
611 N Perry 100SpokaneWA99202910787963Rental Real EstateWAN/AC0
Bourget Health Services Inc
PO Box 2687SpokaneWA99220911354431Clinical/Medical LabWAN/AC0
1221 Madison Street Owners Assoc
747 BroadwaySeattleWA98122201954319Owners' AssociationWAN/AC0
Washington Cancer Centers PC
1560 N 115th G-16SeattleWA98133911792791Cancer TreatmentWAN/AC0
Western HealthConnect Ventures Inc
1801 Lind Ave SW 9016RentonWA98057800953654InvestmentWAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (29 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Providence Benedictine Nursing Center Foundation
C$414,118Cost
Providence Benedictine Nursing Center Foundation
B$136,085Cost
Providence Benedictine Nursing Center Foundation
Q$136,400Cost
Providence Child Center Foundation
C$1,593,643Cost
Providence Child Center Foundation
B$368,289Cost
Providence Child Center Foundation
Q$416,126Cost
Providence Community Health Foundation
C$1,064,005Cost
Providence Community Health Foundation
B$336,443Cost
Providence Hood River Memorial Hospital Foundation
C$286,911Cost
Providence Hood River Memorial Hospital Foundation
B$127,953Cost
Providence Milwaukie Foundation
C$65,980Cost
Providence Milwaukie Foundation
B$207,230Cost
Providence Newberg Foundation
C$245,643Cost
Providence Newberg Foundation
B$238,545Cost
Providence Portland Medical Foundation
C$7,688,264Cost
Providence Portland Medical Foundation
B$1,075,995Cost
Providence Seaside Foundation
C$215,114Cost
Providence Seaside Foundation
B$135,389Cost
Providence St Vincent Medical Foundation
C$3,289,547Cost
Providence St Vincent Medical Foundation
B$1,220,498Cost
Providence Willamette Falls Foundation
C$135,496Cost
Providence Willamette Falls Foundation
B$122,144Cost
Providence Plan Partners
O$68,795,768Cost
Providence Plan Partners
Q$18,923,187Cost
Providence Plan Partners
J$4,864,048Cost
Providence Health Plan
Q$811,290Cost
Providence Health Assurance
Q$50,980Cost
Oregon Outpatient Surgery Center
A$799,829Cost
Plaza Ambulatory Surgery Center LLC
B$779,000Cost

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