2014-11-17T11:32:08-06:00 2013-12-31 911194016 Clark Nuber PS 10900 NE 4th Suite 1700 Bellevue WA 98004 990 2013-01-01 510224944 Providence Little Company of Mary Foundation PROV 8188473024 4101 Torrance Blvd Torrance CA 90503 Patricia Modrzejewski President 8188473024 2014-11-17 1 Sara Elizabeth J Hyre CPA P00235495 4254544919 2013 2015-11-30 17:44:51Z Patricia Modrzejewski 501 S Buena Vista St Burbank CA 91505 17011101 0 X www.ProvidencePowerOfGiving.org X 1975 CA The Foundation provides institutional support to the Providence Little Company of Mary medical centers in the South Bay Region. 40 39 0 92 -23532 -23532 5600593 6381960 0 0 938377 2024743 186008 141635 6724978 8548338 4882698 7068216 0 0 1692001 1928166 0 4163 1604700 698562 836860 7273261 9837405 -548283 -1289067 50665097 52150859 3330382 2228645 47334715 49922214 X As People of Providence, we reveal God's love for all, especially the poor and the vulnerable, through our compassionate service. The Foundation supports the Little Company of Mary Service Area in Southern California. 0 0 4454149 4454149 0 Support Providence Little Company of Mary Medical Center San Pedro and Providence Medical Institute. The purpose of Providence Little Company of Mary Foundation is to raise funds for medical centers in the South Bay area of Los Angeles. The medical centers are owned and operated by the Sisters of Providence, DBA Providence Health System - Southern California. The medical centers are committed to their missions of continuing the healing ministry of Jesus in the world of today, with special concern for those who are poor and vulnerable. The medical centers work in partnership with community organizations to reach out to those in need. Through these collaborative efforts, they improve access to health care and provide health education resources in the surrounding communities. Two of the organizations supported are Providence Little Company of Mary Medical Center San Pedro and Providence Medical Institute. During 2013, some of the grants paid to Providence Little Company of Mary Medical Center San Pedro were used for capital support ($2,000,000), Partners for Healthy Kids ($545,936), Welcome Baby Program ($298,808), Diabetes Education ($230,170) and many other programs to benefit the community. During 2013, the grants paid to Providence Medical Institute were to support the Vasek Polak Clinic, which provides health care and education for the uninsured and underinsured ($300,000). 2425421 2425421 0 Support Providence Little Company of Mary Medical Center Torrance. Providence Little Company of Mary Foundation also raised funds for Providence Little Company of Mary Medical Center Torrance. During 2013, some of the grants paid to the medical center were used for capital support ($2,000,000), Nursing Education ($134,583), Palliative Care programs ($50,000), and other programs to benefit the community. 78095 78095 0 Nursing scholarships - To assist 18 individuals working to advance their medical education. The Al and Mary Centofante Nursing Education Endowment provides financial support to registered nurses, licensed vocational nurses and interested unlicensed employees of Little Company of Mary Service Area, enabling them to return to school and pursue a higher degree in nursing. The scholarship recipients are chosen on a competitive basis, based on their commitment to Providence Little Company of Mary, their commitment to advance their education, and their personal financial needs. 59901 59901 0 Support community outreach programs - Charitable clinical services are provided to those in the service area who are underinsured, uninsured or unable to pay for their own medical care. These programs were made possible through funding by the Foundation. 50650 50650 0 Support Providence TrinityCare Hospice - The hospice provides hospice services to terminally ill patients in Los Angeles and Orange counties in California. During 2013, the ministry provided care to 1,533 patients. Providence TrinityCare Hospice's TrinityKids Care program, established in 2001, remains the only dedicated pediatric hospice program in Los Angeles and Orange counties. The program helps children with life-limiting conditions live as normal a life as possible, for as long as possible, in their own homes. In 2013, TrinityKids Care served over 240 children and their families. 110551 110551 7068216 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 X 1 1 1 0 1 1 0 0 0 0 1 1 0 0 0 0 0 X 40 39 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 0 0 CA X Karl E Fritschel CPA 4255253339 1801 Lind Ave SW 9016 Renton WA 980579016 X Cathy Alessandra Director 1.00 0.00 X 0 0 0 David Alverson Vice Chair 1.00 0.00 X X 0 0 0 Anthony Arminio Vice Chair 1.00 0.00 X X 0 0 0 Sean Armstrong Treasurer 1.00 0.00 X X 0 0 0 Ed Balazs Director 1.00 0.00 X 0 0 0 Barbara Beaupre Director 1.00 0.00 X 0 0 0 Richard Brombach Director 1.00 0.00 X 0 0 0 Caroline Burke Director 1.00 0.00 X 0 0 0 David Conforti Director 1.00 0.00 X 0 0 0 Thomas Connaghan Chair 1.00 0.00 X X 0 0 0 Paula Del Vicario Director 1.00 0.00 X 0 0 0 David Fong Director 1.00 0.00 X 0 0 0 Edward Fountain Jr Director 1.00 0.00 X 0 0 0 Stephen Gale Vice Chair 1.00 0.00 X X 0 0 0 Scott Gregory Director 1.00 0.00 X 0 0 0 Cindy Hagelstein Director 1.00 0.00 X 0 0 0 Jim Hunter Director 1.00 0.00 X 0 0 0 Jon Jacobson Director 1.00 0.00 X 0 0 0 Shelley Joyce Director 1.00 0.00 X 0 0 0 Alex Kouzmanoff Director 1.00 0.00 X 0 0 0 Sr Terrence Landini LCM Director 1.00 0.00 X 0 0 0 Sandra A Lash Director 1.00 0.00 X 0 0 0 James C Lester Vice Chair 1.00 0.00 X X 0 0 0 Yvonne Liu Director 1.00 0.00 X 0 0 0 Dennis McGoldrick Director 1.00 0.00 X 0 0 0 Timothy McOsker Director 1.00 0.00 X 0 0 0 Betsy Miller Secretary 1.00 0.00 X X 0 0 0 Patricia Modrzejewski-Eff 813 President 14.00 41.00 X X 0 393931 34581 Steve Morikawa Director 1.00 0.00 X 0 0 0 Tracy Nickl Director 1.00 0.00 X 0 0 0 Karen Olds Director 1.00 0.00 X 0 0 0 Ann Norris Ozer Director 1.00 0.00 X 0 0 0 Mark Paullin Director 1.00 0.00 X 0 0 0 Marilyn Prindle Director 1.00 0.00 X 0 0 0 Shannon Ryan Director 1.00 0.00 X 0 0 0 Paul Sanford Director 1.00 0.00 X 0 0 0 C Edward Simpson III Director 1.00 0.00 X 0 0 0 Patty Sullivan Vice Chair 1.00 0.00 X X 0 0 0 Juan Torres Esq Director 1.00 0.00 X 0 0 0 Linda Wenglikowski Director 1.00 0.00 X 0 0 0 Joseph M Zanetta-Res 813 President 40.00 0.00 X X 0 285134 44554 0 679065 79135 0 0 1 0 0 107 357218 2945631 656155 2422849 47460 6381960 952252 952252 386308 307587 78721 78721 -23532 102253 8985376 7912885 1072491 1072491 1072491 305205 357218 242291 62914 62914 8548338 0 -23532 2189910 6929570 6929570 138646 138646 410838 180768 230070 1046705 466627 580078 393380 174866 218514 77243 17994 59249 28434 394 28040 4845 4845 4163 4163 147471 147471 165071 13994 151077 9306 9306 76366 42811 33555 20802 20802 25018 13432 11586 107959 54285 53674 191046 191046 Donor Recognition 50723 50723 Dues & Subscriptions 6302 3427 2875 3517 3517 9837405 7068216 1164489 1604700 1026 604 2154384 2012767 910549 369852 361442 713692 2383 7904 5636500 737654 5089932 4898846 38354976 41034987 3790405 3112207 50665097 52150859 19943 72345 233308 944971 904179 2365468 1018813 3330382 2228645 X 22575662 22586176 8451282 10591721 16307771 16744317 47334715 49922214 50665097 52150859 X -1289067 3924026 -47460 X X 0 1 X 1 1 1 X 6150146 7406582 7758229 5600593 6381960 33297510 6150146 7406582 7758229 5600593 6381960 33297510 623303 32674207 991729 1522992 1002388 1274248 1247544 6038901 35116 4075 46111 39382 124684 39461095 0.82800 0.84620 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 27333882 487645 5329752 950277 32201002 23173596 1542687 3329459 711860 27333882 22086255 747716 730405 390780 23173596 20560828 1039659 725603 239835 22086255 19466139 972888 306924 185123 20560828 0.35000 0.51000 0.14000 0 0 1891000 1891000 3669284 708438 2960846 76216 29216 47000 4898846 Charitable Trust 1952311 Gift Annuities 1090496 Accrued Interest on Investments 62965 Stock Contributions 6435 3112207 Due to Affiliates 188535 Liabilities under Unitrusts 505808 Gift Annuity Obligations 303790 Security Deposits Payable 20680 1018813 X 12575000 3924026 3924026 8650974 147471 -250107 -102636 8548338 9989482 307587 307587 9681895 147471 8039 155510 9837405 Part V, Line 4: Income from the investment of permanently restricted endowment funds are used in accordance with the donor stipulations, either towards program expense or added back to the Endowment. Board-designated endowments are to be utilized as the board deems fit, but primarily they are intended for capital projects. During 2013, funds were provided for numerous health services provided to the poor & vulnerable. 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. Part XI, Line 4b - Other Adjustments: Reclass Credit Card charges from Revenue to Expense 8,039. Auto Donation Not on Books 47,460. Rounding 1,981. Rental Expenses -307,587. Part XII, Line 2d - Other Adjustments: Rental Expenses 307,587. Part XII, Line 4b - Other Adjustments: Reclass Credit Card charges from Revenue to Expense 8,039. Women's Conference 316129 157923 158206 47143 15000 55852 Golf Classic 306544 169231 137313 86838 26058 1 39750 30064 9686 3138 8262 662423 357218 305205 133981 3138 15000 90172 242291 62914 1 PHS-So Cal dba Providence LCM Medical Center Torrance 4101 Torrance Blvd Torrance CA 90505 510216589 501(C)(3) 2425421 Support various charitable programs PHS-So Cal dba Providence LCM Medical Center San Pedro 1300 W 7th Street San Pedro CA 90732 510216589 501(C)(3) 4154149 Support various charitable programs Providence Medical Institute 4101 Torrance Blvd Torrance CA 90505 330283773 501(C)(3) 300000 Support various charitable programs Providence TrinityCare Hospice 5315 Torrance Blvd Suite B-1 Torrance CA 90503 953264139 501(C)(3) 50000 Support various charitable programs 3 0 Community Outreach Programs 16 49216 Cost Support for various programs including funding for charitable clinical services for those who were underinsured, uninsured or unable to pay for their care. Nursing Education Scholarships 18 78095 Scholarship Other Education Scholarships 7 4750 Scholarship Patient/Family Assistance 40 6585 Cost Grocery gift cards for needy families served by the medical centers during the holidays. Part I, Line 2: Since all grants go to affiliated companies, the Foundation has direct access to the financial reports of the funded organizations and reviews them for appropriate use of the funds. Scholarship funds are granted based on an application process that determines need of the individuals. Follow-up is provided by the Board Finance Committee and President. 0 1 0 0 0 0 0 0 0 Patricia Modrzejewski-Eff 813 President 0 308595 0 67836 0 17500 0 27682 0 6899 0 428512 0 0 Joseph M Zanetta-Res 813 President 0 238800 0 46334 0 0 0 25760 0 18794 0 329688 0 0 Part I, Line 4b NONQUALIFIED RETIREMENT PLANS A) CBRP = Cash Balance Restoration Plan 1) Patricia E. Modrzejewski a) Taxable CBRP Earned but not Paid - $4,492 b) Non-taxable CBRP Earned but not Paid - $511 FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS 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. X 1 47460 FMV 0 0 1 0 Part I, Column (b): The amounts shown on Part I, Col. B reflect the number of donations received of the specific type of item. Form 990, Part VI, Section A, line 6 Providence Health System - Southern California, a CA nonprofit religious corporation is the sole Corporate Member. Form 990, Part VI, Section A, line 7a The powers of the corporate Member include the provision to approve the number of Trustees if less than 20 or greater than 60, appoint the Board of Trustees of the Foundation, and to remove such Trustees at anytime with or without cause. Form 990, Part VI, Section A, line 7b The following powers are reserved exclusively to the Corporate Member: A) To adopt and amend the Articles of the Incorporation and Bylaws of the Foundation after consultation with the Foundation Board of Trustees. B) To approve merger, consolidation, or affiliation of the Foundation with another corporation, organization or program, or the dissolution of the Foundation. C) To approve any strategic plan of the Foundation. D) To approve the annual fundraising plan including special events, annual capital and planned giving activities. E) To approve the acceptance of any gift that carries conditions or limitations or any gift restricted to services, programs or facilities not currently offered or approved to be offered by the Corporate Member's Board of Directors. 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 and signing Officer reviewed the Form 990 in detail. Once approved, an electronic copy of the Form 990 is emailed to the Board prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict. Form 990, Part VI, Section B, line 15 It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are determined by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. 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. The Foundation President is compensated by a related organization which uses a market based compensation program utilizing several independent third party compensation market surveys to establish pay ranges for the position. The related organization then establishes the individual rate of pay within the range based on relevant experience, skills and competencies. The rate offered to the President at the time of hire was determined through discussion between the Regional CEO, Regional Director of HR and the Administrative Director of HR. The ranges and rate of pay are reviewed on an annual basis by Regional HR. 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 Patricia Modrzejewski-Eff. 8/13 - 501 S. Buena Vista Street, Burbank, CA 91505. Form 990, Part XI, line 9: Auto Donation Not on Books -47,460. Form 990, Part I, Line 6 - VOLUNTEERS A significant portion of volunteer service once again supported our special events. We held two major events during 2013 - the 33rd Annual Golf Classic and the Women's Wellness Conference. We utilized 20 volunteers during the Golf Classic and 10 volunteers during the Women's Wellness Conference. During the special events the volunteers play a critical role in all aspects of the events. We have participants throughout the day, from the beginning of the event until the end. Volunteer duties at events range from setup to breakdown and everything in between. They help with registration, directions, assisting the participants and presenters throughout the day. The volunteers also play a large role in our auctions at both events. We have silent and live auctions during the golf tourney. The volunteers help with the setup, execution and breakdown of the event. They help in keeping track of who won the auctions and distributing the items to the winners. They also assist in selling opportunity tickets for our live drawing. We have also utilized auxiliary members to help with some administrative tasks in the office. They have helped to cover phones when Foundation staff was out of the office as well as filing letters in our archives. As always, our Board of Trustees has been extremely active and helpful, generously offering their time and talents to help make the Foundation and our fundraising campaigns a success. All the volunteers in all the different capacities in which they serve are an integral part of the success of the Foundation and we wouldn't be as successful as we are without them. Form 990, Part XII, Line 2c - AUDIT & COMPLIANCE The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the System's consolidated financial statements and reporting, the audit process and the System's internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the System's internal and external auditors; the System's investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. FORM 990, PART V, LINE 2A - EMPLOYEE COMPENSATION The Foundation employees are compensated by a related organization, Providence Health Services - Southern California #51-0216589, therefore, no W-2s were issued by the reporting organization. Providence LCM Foundation Real Estate Holdings LLC 4101 Torrance Blvd Torrance CA 91505 270799595 Real Estate Holdings CA 386308 4898846 Providence Little Company of Mary Foundation Providence Health & Services - Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 510216586 Healthcare System WA 501( c)(3) Line 3 Providence Health & Services 0 Providence Health & Services - Oregon 1801 Lind Avenue SW 9016 Renton WA 980579016 510216587 Healthcare System OR 501( c)(3) Line 3 Providence Health & Services 0 Providence Health System - So California 1801 Lind Avenue SW 9016 Renton WA 980579016 510216589 Healthcare System CA 501( c)(3) Line 3 Providence Health & Services 0 Everett Transitional Care Services PO Box 5128 Everett WA 982065128 943264605 Transitional Care WA 501( c)(3) Line 9 N/A 0 Providence Oregon Management Corporation 1801 Lind Avenue SW 9016 Renton WA 980579016 930813977 Shell Corporation OR 501( c)(3) Line 1 PH & S - Oregon 0 Providence Plan Partners 4400 NE Halsey Bldg 2 Portland OR 97213 911861964 Healthcare Services OR 501( c)(4) N/A PH & S - Oregon 0 Providence Health Plan 4400 NE Halsey Bldg 2 Portland OR 97213 930863097 Health Service Contractor OR 501( c)(4) N/A Providence Plan Partners 0 Providence Health Assurance 4400 NE Halsey Bldg 2 Portland OR 97213 550828701 Medicaid Healthcare Provider OR 501( c)(4) N/A Providence Health Plan 0 Providence Medical Institute 4101 Torrance Blvd Torrance CA 90503 330283773 Healthcare CA 501( c)(3) Line 11/Type I PHS - So California 0 Little Company of Mary Ancillary Services Corporation 4101 Torrance Blvd Torrance CA 90503 330844408 Imaging Services CA 501( c)(3) Line 9 PHS - So California 0 Providence TrinityCare Hospice 5315 Torrance Blvd Suite B1 Torrance CA 90503 953264139 Hospice CA 501( c)(3) Line 9 PHS - So California 0 Providence Blanchet Association 1700 Providence Pl Centralia WA 98531 911789266 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 St Luke Association 350 Washington Ave SE Chehalis WA 98352 943176618 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Rossi Association 1700 Providence Pl Centralia WA 98531 311584166 Housing WA 501( c)(3) Line 9 PH & S - Washington 0 Lundberg Association 5921 E Burnside Portland OR 97215 911562797 Housing OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Francis Association 3415 12th Avenue NE Olympia WA 98506 943244854 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Peter Claver Association 7101 38th Avenue South Seattle WA 98118 311629656 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence St Elizabeth House Association 3201 SW Graham St Seattle WA 98126 912171539 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Gamelin House Association 4515 MLK Jr Way S Ste 200 Seattle WA 98108 311744654 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 The Gamelin Association 312 North Fourth St Yakima WA 98901 911180824 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 The Gamelin Oregon Association 5520 NE Glisan Portland OR 97213 911214491 Housing OR 501( c)(3) Line 9 PH & S - Oregon 0 The Gamelin California Association 540 23rd St Oakland CA 94612 911293869 Housing CA 501( c)(3) Line 9 PHS - So California 0 Gamelin Washington Association 1423 First Avenue Seattle WA 98101 201910170 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Foundation 1801 Lind Avenue SW 9016 Renton WA 980579016 943078543 Support PH&S Institutions WA 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence Alaska Foundation 3300 Providence Drive - B Tower2 Anchorage AK 99508 920093565 Support PHS-Alaska AK 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence St Peter Foundation 413 Lilly Road NE Olympia WA 985065166 911097056 Support Affiliated Tax-Exempt Organization WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Health Care Foundation (Centralia) 914 S Scheuber Road Centralia WA 98531 911433382 Support Providence Centralia Hospital WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Mount St Vincent Foundation 4831 - 35th Avenue SW Seattle WA 981262799 911188119 Support Providence Mount St.Vincent WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Marianwood Foundation 3725 Providence Point Drive SE Issaquah WA 980297219 931554288 Support Providence Marianwood WA 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence Newberg Health Foundation 1001 Providence Drive Newberg OR 97132 930889144 Support Providence Newberg Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Seaside Hospital Foundation 725 S Wahanna Rd Seaside OR 97138 930927320 Support Providence Seaside Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Community Health Foundation 1111 Crater Lake Ave Medford OR 97504 930692907 Support Providence Medford Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Benedictine Nursing Center Foundation 540 South Main St Mt Angel OR 973629532 911940286 Support Providence Benedictine Nursing Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Portland Medical Foundation 4805 NE Glisan St Portland OR 972132967 931231494 Support Providence Portland Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Vincent Medical Foundation 9205 SW Barnes Rd Portland OR 97225 930575982 Support Providence St. Vincent Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Milwaukie Foundation 10150 SE 32nd Milwaukie OR 97222 943079515 Support Providence Milwaukie Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Child Center Foundation 830 NE 47th Portland OR 97213 930800140 Support Providence Child Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence TrinityCare Hospice Foundation 5315 Torrance Blvd Suite B1 Torrance CA 90503 330261016 Support TrinityCare Hospice CA 501( c)(3) Line 7 PHS - So California 0 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 - Washington 0 PHN Holdings 20555 Earl Street Torrance CA 90503 461814184 Strategic/Planning services for PHN CA 501( c)(4) Pending PHS - So California 0 Providence Health Network 20555 Earl Street Torrance CA 90503 800886966 Prepaid Healthcare CA 501( c)(4) Pending PHN Holdings 0 Alpha Medical Laboratory LLC 611 N Perry Spokane WA 99202 912017347 Outpatient Lab ID N/A Broadway Imaging LLC 500 W Broadway Missoula MT 59802 522405971 Medical Imaging MT N/A California Laboratory Associates LLC 501 Buena Vista Burbank CA 91505 273888692 Outpatient Lab CA N/A Center for Specialty Surgery LLC 11782 SW Barnes Rd Portland OR 97225 263638838 Ambulatory Surgery Center OR N/A Clackamas Radiation Oncology Center LLC 1235 NE 47th Ave 288 Portland OR 97213 260381897 Radiation Oncology OR N/A Ctr for Med Imaging-Bridgeport LLC 1235 NE 47th Ave Portland OR 97213 260796953 Imaging - Diagnostics OR N/A Ctr for MedImaging-Tanasbourne LLC 1235 NE 47th Ave Portland OR 97213 200477972 Imaging - 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 10538 SE Washington St Portland OR 97216 201054971 Imaging - Diagnostics OR N/A Prov Radiation Oncology Develop Assn LLC 1235 NE 47th Ave Portland OR 97213 260682491 Real Estate - 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