2014-11-24T10:50:07-06:00 2013-12-31 911194016 Clark Nuber PS 10900 NE 4th Suite 1700 Bellevue WA 98004 990 2013-01-01 911861964 PROVIDENCE PLAN PARTNERS PROV 5035746330 4400 NE Halsey Bldg 2 Portland OR 97213 Jeffrey Butcher CFO 5035746330 2014-11-24 1 Sara Elizabeth J Hyre CPA P00235495 4254544919 2013 2015-11-30 17:44:51Z Jack Friedman 4400 NE Halsey Bldg 2 Portland OR 97213 11955380 0 X N/A X 1997 OR Health Care Services. 17 17 0 0 0 0 12000 0 4285943 3604122 851232 401793 0 0 5149175 4005915 0 28350 0 0 3532408 2595035 0 0 0 1989586 2721567 5521994 5344952 -372819 -1339037 18736860 17626466 16381567 16360530 2355293 1265936 X As People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Health Care Services. 0 0 2365431 17276 3165765 Providence Preferred Provider Program (PPO), as part of Providence Plan Partners (PPP), is a network of medical practitioners, hospitals and ancillary medical providers throughout Oregon and southwest Washington designed to manage the cost, delivery, and quality of healthcare in these communities. PPO offers employers, self-insured employers, health and welfare trusts and other healthcare purchasers a program for reducing the cost of healthcare services, while maintaining the quality of medical care to enrollees. PPO acts as a liaison between hospitals and payors by informing payors and enrollees of the agreements entered on their behalf by PPO. PPO neither assumes risk or responsibility for payment to hospitals or providers nor guarantees payment by payors or performance by hospitals or providers of any of the terms of conditions set forth in any payor agreements. 1516329 11074 438357 Providence MCO Program (MCO), as part of Providence Plan Partners (PPP), is an Oregon certified workers' compensation program designed to complement the claims management program of employers. As such, the program aims to provide coordinated, high quality medical care to workers who suffer work-related injuries or illnesses and focuses on early return-to-work strategies that keep employees productive during recovery. The program is functionally and structurally similar to Preferred Provider Program (PPO), although focused on workers' compensation only. 3881760 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 X 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 0 0 OR X Jeff Butcher CFO 5035746390 4400 NE Halsey Bldg 2 Portland OR 97213 X Michael Holcomb Chair of the Board 0.10 8.60 X X 0 60335 0 Lucille Dean SP Director 0.10 9.40 X 0 0 0 Mary Corita Heid RSM Director 0.10 5.00 X 0 0 0 Michael A Stein Director 0.10 6.00 X 0 18335 0 Eugene Al Parrish Director 0.10 5.00 X 0 15335 0 Dana A Rasmussen Director 0.10 4.30 X 0 18335 0 James S Roberts MD Director 0.10 9.00 X 0 30835 0 Peter J Snow Director 0.10 5.70 X 0 20835 0 Bob Wilson Director 0.10 5.00 X 0 15335 0 Sallye Liner Director 0.10 4.00 X 0 15335 0 Cheryl M Scott Director 0.10 4.60 X 0 15335 0 Ellen L Wolf Director 0.10 7.10 X 0 15335 0 Isiaah Crawford Director 0.10 4.10 X 0 15335 0 Martha Diaz Aszkenazy Director 0.10 7.70 X 0 15335 0 Kirby McDonald Director 0.10 4.60 X 0 15335 0 Dave Olsen Director 0.10 5.50 X 0 15335 0 Charles Chuck Watts Director 0.10 4.60 X 0 15335 0 Jeffrey W Rogers - Thru 513 Corporate Secretary 0.10 49.90 X 0 1040781 189880 Cindy Strauss - Eff 613 SVP/Chief Counsel/Corp. Secretary 0.10 59.90 X 0 955824 248254 Jack Friedman SVP/Account Care & Payor Rel. 1.00 54.00 X 0 826281 177752 Alison S Schrupp CSO 18.00 37.00 X 0 487934 106585 Barbara L Christensen Chief Sales & Mkt. Officer 15.00 30.00 X 0 355146 76433 Michael G White COO 17.00 33.00 X 0 378050 86302 Bruce W Wilkinson CIO 15.00 30.00 X 0 384006 102103 Robert A Gluckman CMO 17.00 33.00 X 0 431702 144340 Jeffrey Butcher CFO 17.00 33.00 X 0 285033 39452 Greg Van Pelt - Thru 413 SVP/CEO - OR. Region 1.00 59.00 X 0 1370941 383928 Dave Underriner - Eff 413 SVP/CEO - OR. Region 1.00 59.00 X 0 2910696 106590 Shelly M Handkins CFO - OR. Region 1.00 49.00 X 0 502246 368641 William Olson CFO 1.00 49.00 X 0 582354 125398 James H Mackay Medical Director 17.00 33.00 X 0 306324 85766 Carrie Smith Chief Compliance Officer 17.00 33.00 X 0 212994 38144 Stephanie C Dreyfuss Dir. Network Develop. 13.00 27.00 X 0 261560 29418 Susan Abate Dir. Quality Med. Mgr. 13.00 27.00 X 0 212592 81105 Katherine L Powell CIO 17.00 33.00 X 0 254473 34753 0 12060962 2424844 0 0 1 0 EBS Master LLC PO Box 572490 Murray UT 84157 Postage & Check Processing Service 2205415 Colibrium Partners LLC 3575 Piedmont Rd NE Ste 1550 Atlanta GA 30305 Computer Software & Support 2065532 Harrang Long Gary Rudnick PC PO Box 11620 Eugene OR 97440 Legal Services 709235 Edgelink LLC 115 SW Ash Street Suite 321 Portland OR 97204 Temp Services Agency 400478 Payer Connection LLC PO Box 1769 Lake Oswego OR 97035 Usage of Provider Network 309210 11 PPO Hospital Fees 900099 1458579 1458579 PPO Admin Fees 900099 1164944 1164944 PPO Physician Fees 900099 542242 542242 MCO Admin Fees 900099 437878 437878 MCO Hospital Fees 900099 479 479 3604122 154302 154302 8196956 7949465 247491 247491 247491 4005915 3604122 0 401793 X 28350 28350 1845076 1629094 215982 749959 660808 89151 34263 10294 23969 13634 13634 715527 430415 285112 18131 16815 1316 131494 84071 47423 306146 213966 92180 180282 162390 17892 28617 25634 2983 4067 2540 1527 677305 549862 127443 1817 1637 180 Bus. & Ins. Premium Tax 504970 504970 Electronic Claims 34306 34306 Regulatory Fees 17685 8843 8842 Dues & Memberships 12667 10535 2132 40656 12200 28456 5344952 3881760 1463192 0 6675633 1936142 362477 665052 24975 2952439 2490799 8011548 8649386 709788 3885087 18736860 17626466 6914874 5180915 198201 193404 9268492 10986211 16381567 16360530 X 9729010 9729010 -14413589 -14413589 7039872 5950515 2355293 1265936 18736860 17626466 -1339037 249680 0 X X 0 1 X 1 0 0 Due from Affiliates 3885087 3885087 Due to Affiliates 10986211 10986211 X Part X, Line 2: The Health System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained upon an audit by the taxing authority. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. 1 1 0 0 0 0 0 0 0 Jeffrey W Rogers - Thru 513 Corporate Secretary 0 442462 0 529200 0 69119 0 168789 0 21091 0 1230661 0 0 Cindy Strauss - Eff 613 SVP/Chief Counsel/Corp. Secretary 0 413323 0 525001 0 17500 0 223587 0 24667 0 1204078 0 0 Jack Friedman SVP/Account Care & Payor Rel. 0 508016 0 300765 0 17500 0 151382 0 26370 0 1004033 0 0 Alison S Schrupp CSO 0 318573 0 155745 0 13616 0 86463 0 20122 0 594519 0 0 Barbara L Christensen Chief Sales & Mkt. Officer 0 268116 0 56567 0 30463 0 56391 0 20042 0 431579 0 0 Michael G White COO 0 308739 0 51811 0 17500 0 80350 0 5952 0 464352 0 0 Bruce W Wilkinson CIO 0 231878 0 134628 0 17500 0 83215 0 18888 0 486109 0 0 Robert A Gluckman CMO 0 378905 0 52797 0 0 0 124125 0 20215 0 576042 0 0 Jeffrey Butcher CFO 0 247703 0 37330 0 0 0 20530 0 18922 0 324485 0 0 Greg Van Pelt - Thru 413 SVP/CEO - OR. Region 0 397517 0 537371 0 436053 0 367609 0 16319 0 1754869 0 0 Dave Underriner - Eff 413 SVP/CEO - OR. Region 0 558191 0 2335005 0 17500 0 80853 0 25737 0 3017286 0 580372 Shelly M Handkins CFO - OR. Region 0 393634 0 108612 0 0 0 345190 0 23451 0 870887 0 0 William Olson CFO 0 289334 0 293020 0 0 0 104559 0 20839 0 707752 0 0 James H Mackay Medical Director 0 288413 0 17911 0 0 0 67253 0 18513 0 392090 0 0 Carrie Smith Chief Compliance Officer 0 187424 0 25570 0 0 0 19762 0 18382 0 251138 0 0 Stephanie C Dreyfuss Dir. Network Develop. 0 211456 0 34220 0 15884 0 10815 0 18603 0 290978 0 0 Susan Abate Dir. Quality Med. Mgr. 0 192062 0 20530 0 0 0 62750 0 18355 0 293697 0 0 Katherine L Powell CIO 0 221837 0 32620 0 16 0 15792 0 18961 0 289226 0 0 Part I, Lines 4a-b NON-QUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) CBRP = Cash Balance Restoration Plan C) ESP = Elective Survivor Plan 1) Jeffrey W. Rogers a) Taxable SERP Earned but not Paid - $44,111 b) SERP Interest Credit- $97,420 c) ESP Interest Credit - $7,567 2) Cindy Strauss a) SERP Earned but not Vested - $190,313 b) SERP Interest Credit - $14,149 3) Jack Friedman a) Taxable SERP Earned but not Paid - $54,169 b) SERP Interest Credit - $100,470 4) Alison S. Schrupp a) SERP Interest Credit - $55,128 b) Taxable SERP Earned but Not Paid - $106,423 c) Taxable CBRP Earned but Not Paid - $1,656 d) ESP Interest Credit - $3,273 5) Barbara L. Christensen a) SERP Interest Credit - $5,276 b) Taxable SERP Earned but Not Paid - $16,237 c) ESP Interest Credit - $2,932 6) Michael G. White a) SERP Interest Credit - $2,741 b) SERP Earned but Not Vested - $52,954 7) Bruce W. Wilkinson a) SERP Interest Credit - $55,949 b) Taxable SERP Earned but Not Paid - $97,368 c) Taxable CBRP Earned but Not Paid - $50 8) Robert A. Gluckman a) SERP Interest Credit - $22,366 b) SERP Earned but not Vested - $69,788 c) Taxable CBRP - $138 9) Jeff Butcher a) SERP Earned but Not Vested - $8,603 b) SERP Interest Credit - $988 10) 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 11) 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 12) Shelly M. Handkins a) SERP Interest Credit - $92,880 b) SERP Earned but Not Vested - $217,913 13) William Olson a) SERP Interest Credit - $12,401 b) SERP Earned but Not Vested - $56,756 c) Taxable CBRP Earned but Not Paid - $4 d) Taxable SERP Earned but Not Paid - $220,167 14) James H. Mackay a) Taxable CBRP Earned but Not Paid - $9,359 b) Non-Taxable CBRP Earned but Not Paid - $1,311 Part I, Lines 4a-b Severance Greg Van Pelt - $367,890 FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS PROGRAM The Providence Executive Incentive Program provides a lump sum award annually as a percent of the executive's base pay. Percent opportunities are aligned with our total compensation philosophy as outlined in Part VI, Section B, Line 15 (Process for determining compensation of top management, officers & key employees). The performance award is based on the level of accomplishment of annual system objectives and personal objectives. In 2013, 50 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's five strategic priorities of: mission driven, financially responsible, people centered, service oriented and EPIC watchlist. In 2013 the percent allocation for each of these strategic priorities was: Mission driven 5% Financially responsible 15% People centered 10% Service oriented 10% EPIC Watchlist 10% To ensure affordability of the program, the organization (system, region or entity) must meet a threshold of 50 percent of budgeted net operating income. Form 990, Part VI, Section A, line 6 The Member of the Corporation is Providence Health & Services - Oregon. Form 990, Part VI, Section A, line 7a The Corporate Member has the power to: 1) Fix the number of Directors, select the Directors and to remove such Directors at any time with or without cause. 2) Appoint the Chairperson of the Board of Directors, determine the term of office and to remove such Chairperson with or without cause. Form 990, Part VI, Section A, line 7b The Corporate Member has the power: 1) To adopt or change the mission, philosophy, and values, including the strategic plan and mission statement. 2) To amend or repeal the Articles of Incorporation or Bylaws. 3) To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale transfer, assignment or encumbering of assets exceeding a specified threshold, or the sale or transfer of any property which may have historical or religions significance. 4) To approve the establishment of any new Corporation in which this Corporation has a controlling interest. 5) To approve the dissolution or liquidation. 6) To approve the annual operating and capital budgets. 7) To appoint the certified public accountants. 8) To approve, according to established guidelines, any joint venture of corporate affiliations. 9) To approve lending of corporate funds. 10) To approve the closure of any institution or major ministry or work of the Corporation. Form 990, Part VI, Section B, line 11 The Form 990 is prepared internally by experienced staff and reviewed by the internal Director of Taxes and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict. Form 990, Part VI, Section B, line 15 It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are determined by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Performance incentives allow executives to earn additional compensation if they achieve specific organizational and individual goals for furthering Providence operating principles - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated customer satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector. Form 990, Part VI, Section C, line 19 Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon written request. The consolidated financial statements are available on our public Internet site www2.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site. Form 990, Part VII Michael Holcomb - 1801 Lind Avenue SW, Renton, WA 98057. Lucille Dean, SP - 1801 Lind Avenue SW, Renton, WA 98057. Mary Corita Heid, RSM - 1801 Lind Avenue SW, Renton, WA 98057. Michael A. Stein - 1801 Lind Avenue SW, Renton, WA 98057. Eugene "Al" Parrish - 1801 Lind Avenue SW, Renton, WA 98057. Dana A. Rasmussen - 1801 Lind Avenue SW, Renton, WA 98057. James S. Roberts, MD - 1801 Lind Avenue SW, Renton, WA 98057. Peter J. Snow - 1801 Lind Avenue SW, Renton, WA 98057. Bob Wilson - 1801 Lind Avenue SW, Renton, WA 98057. Sallye Liner - 1801 Lind Avenue SW, Renton, WA 98057. Cheryl M. Scott - 1801 Lind Avenue SW, Renton, WA 98057. Ellen L. Wolf - 1801 Lind Avenue SW, Renton, WA 98057. Isiaah Crawford - 1801 Lind Avenue SW, Renton, WA 98057. Martha Diaz Aszkenazy - 1801 Lind Avenue SW, Renton, WA 98057. Kirby McDonald - 1801 Lind Avenue SW, Renton, WA 98057. Dave Olsen - 1801 Lind Avenue SW, Renton, WA 98057. Charles (Chuck) Watts - 1801 Lind Avenue SW, Renton, WA 98057. Jeffrey W. Rogers - Thru 5/13 - 1801 Lind Avenue SW, Renton, WA 98057. Cindy Strauss - Eff 6/13 - 1801 Lind Avenue SW, Renton, WA 98057. Form 990, Part IX, line 11g Consulting Fees: Program service expenses 213,525. Management and general expenses 169,907. Fundraising expenses 0. Total expenses 383,432. Network Fees: Program service expenses 81,467. Management and general expenses 0. Fundraising expenses 0. Total expenses 81,467. Other: Program service expenses 62,108. Management and general expenses 62,108. Fundraising expenses 0. Total expenses 124,216. Records Management: Program service expenses 4,970. Management and general expenses 548. Fundraising expenses 0. Total expenses 5,518. Contract Maintenance: Program service expenses 3,058. Management and general expenses 337. Fundraising expenses 0. Total expenses 3,395. Advisors: Program service expenses 2,005. Management and general expenses 19. Fundraising expenses 0. Total expenses 2,024. Professional Fees - Actuarial: Program service expenses 0. Management and general expenses 26,730. Fundraising expenses 0. Total expenses 26,730. Rx Admin Fee: Program service expenses 51,545. Management and general expenses 0. Fundraising expenses 0. Total expenses 51,545. ID Cards: Program service expenses 0. Management and general expenses 11,171. Fundraising expenses 0. Total expenses 11,171. Electronic Data Interchange: Program service expenses 9,850. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,850. On-Line Quoting: Program service expenses 0. Management and general expenses 9,454. Fundraising expenses 0. Total expenses 9,454. Translation: Program service expenses 1,887. Management and general expenses 1,887. Fundraising expenses 0. Total expenses 3,774. Surveys: Program service expenses 0. Management and general expenses 2,951. Fundraising expenses 0. Total expenses 2,951. FORM 990, PART XII, LINE 2C - AUDIT & COMPLIANCE The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. FORM 990, PART I, LINE 5 & PART V, LINE 2A - EMPLOYEE COMPENSATION The employees working Providence Plan Partners are paid by Providence Health & Services - Washington dba Health System Office EIN# 91-0725998 or Providence Health & Services - Oregon EIN# 51-0216587. Therefore, no W-2s are issued by the reporting organization. FORM 990, PART VII - RELIGIOUS COMMUNITY MEMBERS As members of the Religious Community, each Sister has taken a vow of poverty as a compulsory part of her religious life. Any compensation for services of a Sister inures only for the benefit of the Community, not the individual members. All payments for services are made directly to the Religious Community. Providence Health & Services - Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 510216586 Healthcare System WA 501( c)(3) Line 3 Providence Health & Services 0 Providence Health & Services - Oregon 1801 Lind Avenue SW 9016 Renton WA 980579016 510216587 Healthcare System OR 501( c)(3) Line 3 Providence Health & Services 0 Providence Health System - So California 1801 Lind Avenue SW 9016 Renton WA 980579016 510216589 Healthcare System CA 501( c)(3) Line 3 Providence Health & Services 0 Everett Transitional Care Services PO Box 5128 Everett WA 982065128 943264605 Transitional Care WA 501( c)(3) Line 9 N/A 0 Providence Oregon Management Corporation 1801 Lind Avenue SW 9016 Renton WA 980579016 930813977 Shell Corporation OR 501( c)(3) Line 1 PH & S - Oregon 0 Providence Health Plan 4400 NE Halsey Bldg 2 Portland OR 97213 930863097 Health Service Contractor OR 501( c)(4) N/A Providence Plan Partners 1 Providence Health Assurance 4400 NE Halsey Bldg 2 Portland OR 97213 550828701 Medicaid Healthcare Provider OR 501( c)(4) N/A Providence Health Plan 1 Providence Medical Institute 4101 Torrance Blvd Torrance CA 90503 330283773 Healthcare CA 501( c)(3) Line 11/Type I PHS - So California 0 Little Company of Mary Ancillary Services Corporation 4101 Torrance Blvd Torrance CA 90503 330844408 Imaging Services CA 501( c)(3) Line 9 PHS - So California 0 Providence TrinityCare Hospice 5315 Torrance Blvd Suite B1 Torrance CA 90503 953264139 Hospice CA 501( c)(3) Line 9 PHS - So California 0 Providence Blanchet Association 1700 Providence Pl Centralia WA 98531 911789266 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 St Luke Association 350 Washington Ave SE Chehalis WA 98352 943176618 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Rossi Association 1700 Providence Pl Centralia WA 98531 311584166 Housing WA 501( c)(3) Line 9 PH & S - Washington 0 Lundberg Association 5921 E Burnside Portland OR 97215 911562797 Housing OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Francis Association 3415 12th Avenue NE Olympia WA 98506 943244854 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Peter Claver Association 7101 38th Avenue South Seattle WA 98118 311629656 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence St Elizabeth House Association 3201 SW Graham St Seattle WA 98126 912171539 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Gamelin House Association 4515 MLK Jr Way S Ste 200 Seattle WA 98108 311744654 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 The Gamelin Association 312 North Fourth St Yakima WA 98901 911180824 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 The Gamelin Oregon Association 5520 NE Glisan Portland OR 97213 911214491 Housing OR 501( c)(3) Line 9 PH & S - Oregon 0 The Gamelin California Association 540 23rd St Oakland CA 94612 911293869 Housing CA 501( c)(3) Line 9 PHS - So California 0 Gamelin Washington Association 1423 First Avenue Seattle WA 98101 201910170 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Foundation 1801 Lind Avenue SW 9016 Renton WA 980579016 943078543 Support PH&S Institutions WA 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence Alaska Foundation 3300 Providence Drive - B Tower2 Anchorage AK 99508 920093565 Support PHS-Alaska AK 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence St Peter Foundation 413 Lilly Road NE Olympia WA 985065166 911097056 Support Affiliated Tax-Exempt Organization WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Health Care Foundation (Centralia) 914 S Scheuber Road Centralia WA 98531 911433382 Support Providence Centralia Hospital WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Mount St Vincent Foundation 4831 - 35th Avenue SW Seattle WA 981262799 911188119 Support Providence Mount St.Vincent WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Marianwood Foundation 3725 Providence Point Drive SE Issaquah WA 980297219 931554288 Support Providence Marianwood WA 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence Newberg Health Foundation 1001 Providence Drive Newberg OR 97132 930889144 Support Providence Newberg Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Seaside Hospital Foundation 725 S Wahanna Rd Seaside OR 97138 930927320 Support Providence Seaside Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Community Health Foundation 1111 Crater Lake Ave Medford OR 97504 930692907 Support Providence Medford Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Benedictine Nursing Center Foundation 540 South Main St Mt Angel OR 973629532 911940286 Support Providence Benedictine Nursing Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Portland Medical Foundation 4805 NE Glisan St Portland OR 972132967 931231494 Support Providence Portland Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Vincent Medical Foundation 9205 SW Barnes Rd Portland OR 97225 930575982 Support Providence St. Vincent Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Milwaukie Foundation 10150 SE 32nd Milwaukie OR 97222 943079515 Support Providence Milwaukie Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Child Center Foundation 830 NE 47th Portland OR 97213 930800140 Support Providence Child Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence TrinityCare Hospice Foundation 5315 Torrance Blvd Suite B1 Torrance CA 90503 330261016 Support TrinityCare Hospice CA 501( c)(3) Line 7 PHS - So California 0 Providence Little Company of Mary Foundation 4101 Torrance Blvd Torrance CA 90503 510224944 Support Little Company of Mary Service Area CA 501( c)(3) Line 7 PHS - So California 0 PH&S FoundationSFVSA & SCVSA 501 S Buena Vista Street Burbank CA 91505 953544877 Support Program & Activities of SFVSA & SCVSA CA 501( c)(3) Line 7 PHS - So California 0 Providence Hospice of Seattle Foundation 425 Pontius Avenue North 300 Seattle WA 981095452 912077378 Support Hospice of Seattle WA 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence Health & Services - Western Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 911303277 Healthcare WA 501( c)(3) Line 3 Providence MinistriesWHC 0 Providence Health & Services 1801 Lind Avenue SW 9016 Renton WA 980579016 911549796 Shell Corporation WA 501( c)(3) Line 11/Type I N/A 0 Providence Health & Services - Montana 500 W Broadway PO Box 4587 Missoula MT 598064587 810231793 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 0 Providence St Joseph Medical Center PO Box 1010 Polson MT 598601010 810463482 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 0 St Thomas Child and Family Center 1710 Benefis Court Great Falls MT 59405 810233495 Early Childhood Education MT 501( c)(3) Line 1 PH & S - Washington 0 Sisters of Providence of Montana Corporation 1801 Lind Avenue SW 9016 Renton WA 980579016 262612415 Shell Corporation MT 501( c)(3) Line 1 PH & S - Washington 0 Providence Health Care Foundation - Eastern Washington 101 W 8th Ave Spokane WA 99204 320014330 Support PH&S-WA. Ministries in E. WA. WA 501( c)(3) Line 7 PH & S - Washington 0 St Patrick Hospital Foundation 500 West Broadway PO Box 4587 Missoula MT 598064587 237056976 Support Healthcare in W. Montana MT 501( c)(3) Line 7 PH & S - Washington 0 University of Great Falls 1301 20th Street South Great Falls MT 59405 810231777 Post Secondary Education MT 501( c)(3) Line 2 PH & S - Washington 0 E WA & MT Unemployment Compensation Insurance Trust 1801 Lind Avenue SW 9016 Renton WA 980579016 911082119 Unemployment Benefits WA 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence Willamette Falls Medical Foundation 1500 Division Street Oregon City OR 97045 931003750 Support Willamette Falls Hospital OR 501( c)(3) Line 11/Type I PH & S - Oregon 0 Providence Hood River Memorial Hospital Foundation Inc 811 13th St Hood River OR 97031 930921990 Support Providence Hood River Memorial Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Hospice and Home Care Foundation 2731 Wetmore Avenue Suite 500 Everett WA 98201 272552749 Support Program & Ministries of PHHC WA 501(c )(3) Line 7 PH & S - Washington 0 Providence St Mary Foundation 401 W Poplar St Walla Walla WA 99362 452841492 Support Program & Ministries of SMMC WA 501(c )(3) Line 7 PH & S - Washington 0 Facey Medical Foundation 15451 San Fernando Mission Blvd 200 Mission Hills CA 913451420 954322584 Support Facey Medical Group CA 501(c )(3) Line 7 PHS - So California 0 Swedish Health Services 747 Broadway Seattle WA 98122 910433740 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Swedish Edmonds 21601 76th Ave W Edmonds WA 98026 272305304 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Swedish Medical Center Foundation 747 Broadway Seattle WA 98122 910983214 Support Swedish Health Services WA 501(c )(3) Line 7 Swedish Health Services 0 Global To Local Health Initiative 747 Broadway Seattle WA 98122 273133200 Healthcare WA 501(c )(3) Line 7 Swedish Health Services 0 Swedish MJM Holdings 747 Broadway Seattle WA 98122 273139262 Holding Company WA 501(c )(3) Line 11/Type I Swedish Health Services 0 Marsha Rivkin Center for Ovarian Cancer Research 747 Broadway Seattle WA 98122 912054035 Ovarian Cancer Research WA 501(c )(3) Line 7 Swedish Health Services 0 Western HealthConnect 747 Broadway Seattle WA 98122 454171900 Shell Corporation WA 501(c )(3) Line 11/Type I PH&S Western Washington 0 Inland Northwest Health Services 601 W 1st Avenue Spokane WA 99201 911307555 Healthcare WA 501( c)(3) Line 3 PH&S - 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Diagnostics OR N/A Greater Valley Medical Building LP 501 S Buena Vista St Burbank CA 91505 954570858 Real Estate - MOB CA N/A Medalia Healthcare LLC 1801 Lind Ave SW 9016 Renton WA 98057 911660459 Physician Benefits WA N/A Minor & James Medical PLLC 515 Minor Avenue 200 Seattle WA 98104 911340223 Physician Clinic WA N/A Mountainstar Clinical Laboratories LLC 611 N Perry Spokane WA 99202 261345983 Outpatient Lab MT N/A Oregon Advanced Imaging LLC 881 OHare Parkway Medford OR 97504 450471748 Medical Imaging OR N/A Oregon Outpatient Surgery Center 7300 SW Childs Rd Tigard OR 97224 223883387 Ambulatory Surgery Center OR N/A PacLab LLC 611 N Perry Spokane WA 99202 911743952 Outpatient Lab WA N/A Pathology Associates Medical Laboratories LLC 611 N Perry Spokane WA 99202 270943279 Outpatient Lab WA N/A PETCT Imaging at Swedish Cancer Institute LLC 1221 Madison Street Seattle WA 98104 203132044 Medical Imaging WA N/A Portland Medical Imaging LLC 4400 NE Halsey St Bldg II 495 Portland OR 97213 201054971 Imaging - 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