PROVIDENCE HEALTH & SERVICES OREGON: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: PROVIDENCE HEALTH & SERVICES OREGON (EIN 51-0216587)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-14
IRS object ID: 201223199349302992
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-14T12:25:38-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	911194016	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Clark Nuber PS	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	10900 NE 4th Suite 1700	AddressLine1
City	Bellevue	City
State	WA	State
ZIP Code	98004	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	510216587	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE HEALTH & SERVICES - OREGON	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PROV	NameControl
Phone	4255253985	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 Lind Avenue SW No 9016	AddressLine1
City	Renton	City
State	WA	State
ZIP Code	980579016	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Todd Hofheins	Name
Title	VP/CFO	Title
Phone	4255253985	Phone
Date Signed	2012-11-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Sara Elizabeth J Hyre CPA	Name
PTIN	P00235495	PTIN
Phone	4254544919	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	John F Koster MD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1801 Lind Avenue SW No 9016	AddressLine1
City	Renton	City
State	WA	State
ZIP Code	980579016	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	3730756339	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www2.providence.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1986	YearFormation
State Legal Domicile	OR	StateLegalDomicile
Activity Or Mission Description	Healthcare with special concern for the poor and vulnerable in Oregon.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	19676	TotalNbrEmployees
Total Nbr Volunteers	1166	TotalNbrVolunteers
Total Gross UBI	22625070	TotalGrossUBI
Net Unrelated Business Txbl Income	2904969	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	39315842	ContributionsGrantsPriorYear
Contributions Grants Current Year	38675796	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2101256533	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2256603295	ProgramServiceRevenueCY
Investment Income Prior Year	28642418	InvestmentIncomePriorYear
Investment Income Current Year	36241093	InvestmentIncomeCurrentYear
Other Revenue Prior Year	100368224	OtherRevenuePriorYear
Other Revenue Current Year	106676444	OtherRevenueCurrentYear
Total Revenue Prior Year	2269583017	TotalRevenuePriorYear
Total Revenue Current Year	2438196628	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	5363975	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	9635621	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1221608252	SalariesEtcPriorYear
Salaries Etc Current Year	1299171785	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	2579592	TotalFundrsngExpCurrentYear
Other Expense Prior Year	884506043	OtherExpensePriorYear
Other Expenses Current Year	965698773	OtherExpensesCurrentYear
Total Expenses Prior Year	2111478270	TotalExpensesPriorYear
Total Expenses Current Year	2274506179	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	158104747	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	163690449	RevenuesLessExpensesCY
Total Assets BOY	2406580840	TotalAssetsBOY
Total Assets EOY	2616453424	TotalAssetsEOY
Total Liabilities BOY	571733439	TotalLiabilitiesBOY
Total Liabilities EOY	632972466	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1834847401	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1983480958	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	As People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Healthcare with special concern for the poor and vulnerable in Oregon.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	819696414	Expense
Grants	0	Grants
Revenue	980724968	Revenue
Description	Acute Care-Inpatient: Admissions - 64,938Patient Days - 280,725OUR CORE VALUES - Respect, Compassion, Justice, Excellence, and Stewardship OUR COMMITMENT As 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 SurgeryCenter for Outcomes Research and EducationEarle A. Chiles Research InstituteOregon Medical Laser CenterRobert W. Franz Cancer Research CenterWomen 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 healthGive our patients the best care experienceMake sure our services are affordableIn 2011, Providence in Oregon:Operated seven hospitals, more than 90 clinics and Oregon's largest neonatal intensive care unitProvided primary, preventive and specialty care to nearly 1.3 million children and adultsWelcomed 10,482 babies - more than any other health system in OregonCared for 281,335 emergency patientsGave 442,608 home health and hospice visits/days of care to community residents	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	715259308	Expense
Grants	0	Grants
Revenue	855782141	Revenue
Description	Acute Care - Outpatient: Visits - 3,000,998See Line 4a Narrative.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	189990754	Expense
Grants	0	Grants
Revenue	227298759	Revenue
Description	Primary Care: Visits - 1,278,251See Line 4a Narrative.	Description

Activity Other ActivityOther (3 entries)

ExpenseExpense	GrantsGrants	RevenueRevenue	DescriptionDescription
201937434	0	241734998	Long-Term Care, Homecare, Hospice, Housing & Assisted Living: LTC Patient Days - 60,263; Home & Hospice Visits - 402,430; Housing & Assisted Living Days - 154,581.Quality home care: For the fourth 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.
9635621	9635621	0	Grants & Allocations to Community Organizations - See Schedule I
			Outpatient Retail Pharmacies

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	211573055	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	9635621	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	241734998	TotalOfOtherProgramServiceRev
Total Program Service Expense	1936519531	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	1561	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	19676	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	1	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Karl E Fritschel CPA	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	4255253339	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1801 Lind Ave SW 9016	AddressLine1
City	Renton	City
State	WA	State
ZIP Code	980579016	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (46 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Lucille Dean SP
Chair of the Board	16.70	X	X	0	0	0
M Adrian Davis LCM
Director	5.10	X		0	0	0
Mary Corita Heid RSM
Director	4.70	X		0	0	0
Michael A Stein
Director	6.40	X		0	19271	0
Michael Holcomb
Director	6.50	X		0	16045	0
Dana A Rasmussen
Director	5.50	X		0	16420	0
James S Roberts MD
Director	6.00	X		0	21564	0
Peter J Snow
Director	5.40	X		0	21643	0
Jeffrey B Clode MD
Director	7.40	X		0	21545	0
Sallye Liner
Director	2.60	X		0	19893	0
Owen B Robinson
Director	5.50	X		0	16065	0
Cheryl M Scott
Director	4.70	X		0	16143	0
Ellen L Wolf
Director	9.00	X		0	16065	0
John F Koster MD
President/CEO	54.00		X	0	4776573	1602882
Jeffrey W Rogers
Corporate Secretary	50.00		X	0	1614579	524852
Todd Hofheins
VP/CFO	56.00		X	0	330772	44868
Michael L Butler
EVP/COO/Treasurer	65.00		X	0	1162565	582548
Gregory Van Pelt
SVP/OR. Region	55.00		X	0	3311411	947178
Shelly M Handkins
CFO - OR Region	50.00		X	0	476073	252920
Arnold R Schaffer
SVP/Operations	60.00			0	2709303	779042	X
John V Fletcher
SVP/Chief Ops. Int.Ofc.	55.00			0	1825505	613859	X
Janice J Jones
SVP/CAO	55.00			0	2720021	566298	X
Eugene Al Parrish
SVP/RCE Alaska Region	50.00			0	1051632	489361	X
John O Mudd
SVP/Mission Ldrship	55.00			0	860943	408169	X
Myron Berdischewsky MD
SVP/CMQO	65.00			0	674529	464404	X
Claudia Haglund
VP/Governance & Spons.	50.00			0	1909927	456179	X
Michael Hunn
SVP/RCE So. CA. Region	60.00			0	1319956	257022	X
Cindra R Syverson
VP/CHRO	60.00			0	494955	174335	X
Joel S Gilbertson
VP/Gov't & Public Affairs	50.00			0	455568	74143	X
Janice Burger
CEO - SVMC	40.00			0	410745	156243	X
June Chrisman
CHRO - OR Region	40.00			0	408557	81797	X
Terry L Smith
SVP/Management Svcs.	60.00			0	3216132	671539	X
Craig L Wright MD
CE/OR. Amb.Clin. Svc.	60.00			0	638787	284670	X
Bruce Lamoureux
VP/ COO - AK. Region	60.00			0	599685	217743	X
Andy Agwunobi MD Thru 1130
RCE/PHC	50.00			0	693875	198720	X
David T Brooks
RCE/NWW Region	60.00			0	565551	207530	X
Medrice Coluccio
RCE/SWW Region	55.00			0	583584	380601	X
David T Underriner
CEO - PSA	40.00			0	613255	250034	X
Tom Hanenburg
CEO - SOSA	40.00			0	465629	149438	X
Blair D Halperin
Physician - Cardiology	40.00			783301	0	28467		X
Darren R Jones
Physician - Cardiology	40.00			780814	0	28467		X
Daniel S Oseran
Physician - Cardiology	40.00			780799	0	28467		X
Erin J Allen
PMG Dermatology	40.00			777962	0	83889		X
Walter J Urba
Clin.Research Admin.	40.00			754185	0	105158		X
Keith Marton
Former VP/CMQO	0.00			0	1234802	157078			X
Russell Danielson
Former CEO - OR. Region	0.00			0	233389	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3877061	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	35542957	TotalReportableCompFrmRltdOrgs
Total Other Compensation	11267901	TotalOtherCompensation
Number Individuals GT100 K	1930	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Oregon Emergency Physicians PC
9340 Barnes Rd Ste 202	Portland	OR	97225	Medical	33926484
JE Dunn Construction Group Inc
437 N Columbia Blvd	Portland	OR	97217	Construction	25992804
Andersen Construction Co Inc
6712 N Cutter Cir	Portland	OR	97217	Construction	19152013
Philips Electronics N A Co
3000 Minuteman Road MS 0400	Andover	MA	01810	Service Agreements	16408523
The Oregon Clinic PC
975 SE Sandy Blvd Ste 201	Portland	OR	97214	Medical	10092536

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	381	NumberOfContractorsGT100K
Federated Campaigns	6579	FederatedCampaigns
Related Organizations	19253610	RelatedOrganizations
Government Grants	14321748	GovernmentGrants
All Other Contributions	5093859	AllOtherContributions
Total Contributions	38675796	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Acute Care/Inpatient	900099	965341884	965341884
Acute Care/Outpatient	621400	842359007	842359007
LTC/HomeCare/Hospice	621610	225169165	225169165
Primary Care	621110	223733239	223733239

Field	Value	IRS element (for citing)
Total Program Service Revenue	2256603295	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	24036769	TotalRevenueColumn
Exclusion	$24,036,769	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	392467	TotalRevenueColumn
Exclusion	$392,467	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	25559771	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	18883778	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	6675993	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	6675993	TotalRevenueColumn
Exclusion	$6,675,993	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1259416209	Securities
Other	955213	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	1246811901	Securities
Other	1355197	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	12604308	Securities
Other	-399984	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	12204324	TotalRevenueColumn
Exclusion	$12,204,324	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	41388777	GrossSalesOfInventory
Cost Of Goods Sold	25508835	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	15879942	TotalRevenueColumn
Related Or Exempt Function Income	12776112	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3103830	UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Contracted Services	900099	24463805	24463805
Laboratory	621500	19521240		19521240
Cafeteria Revenue	722210	12941948			$12,941,948

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	26801049	TotalRevenueColumn
Related Or Exempt Function Income	11697654	RelatedOrExemptFunctionIncome
Exclusion	$15,103,395	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	83728042	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2438196628	TotalRevenueColumn
Related Or Exempt Function Income	2305540866	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	22625070	UnrelatedBusinessRevenue
Exclusion	$71,354,896	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	9635621	Total
Program Services	9635621	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4074564	Total
Management And General	4074564	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	992342988	Total
Program Services	872403794	ProgramServices
Management And General	119939194	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	72879905	Total
Program Services	63877350	ProgramServices
Management And General	9002555	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	151394280	Total
Program Services	133623560	ProgramServices
Management And General	17770720	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	78480048	Total
Program Services	68785730	ProgramServices
Management And General	9694318	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1434099	Total
Program Services	612280	ProgramServices
Management And General	821819	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	28313	Total
Management And General	28313	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	306581	Total
Management And General	306581	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1239600	Total
Management And General	1239600	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	223528514	Total
Program Services	184788309	ProgramServices
Management And General	38740205	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	9438480	Total
Program Services	1919190	ProgramServices
Management And General	7519290	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	47246947	Total
Program Services	30340100	ProgramServices
Management And General	16906847	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	42417574	Total
Program Services	5330393	ProgramServices
Management And General	37087181	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	48722993	Total
Program Services	29908898	ProgramServices
Management And General	18814095	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	5084703	Total
Program Services	3926218	ProgramServices
Management And General	1158485	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	3014963	Total
Program Services	2018631	ProgramServices
Management And General	996332	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5308485	Total
Program Services	5308485	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	31154431	Total
Management And General	31154431	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	92045045	Total
Program Services	81770224	ProgramServices
Management And General	10274821	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	12956678	Total
Program Services	12490363	ProgramServices
Management And General	466315	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical Supplies	313537995	313332173	205822
Provider Tax Expense	57385557	57385557
Bad Debts	50036297	50036297
UBI Taxes	2656237		2656237

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	18155281	Total
Program Services	9026358	ProgramServices
Management And General	6549331	ManagementAndGeneral
Fundraising	2579592	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2274506179	Total
Program Services	1936519531	ProgramServices
Management And General	335407056	ManagementAndGeneral
Fundraising	2579592	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	105843	BOY
EOY	114650	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	14395726	BOY
EOY	60572429	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	1432854	BOY
EOY	999977	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	252284350	BOY
EOY	289811342	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	3398644	BOY
EOY	3956288	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	32403891	BOY
EOY	35832779	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	13195774	BOY
EOY	24399659	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	2614341077	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1404774917	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1137660168	BOY
EOY	1209566160	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	786127848	BOY
EOY	835693287	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	385686	BOY
EOY	142280	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	82498385	BOY
EOY	82445818	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	3263453	BOY
EOY	4452069	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	79428218	BOY
EOY	68466686	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2406580840	BOY
EOY	2616453424	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	194522362	BOY
EOY	221057350	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	22571701	BOY
EOY	24885041	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	314505000	BOY
EOY	317970000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	7485336	BOY
EOY	4967098	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	2189976	BOY
EOY	1474931	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	30459064	BOY
EOY	62618046	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	571733439	BOY
EOY	632972466	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1782287631	BOY
EOY	1929703471	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	27232794	BOY
EOY	26040932	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	25326976	BOY
EOY	27736555	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1834847401	BOY
EOY	1983480958	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2406580840	BOY
EOY	2616453424	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	163690449	ReconcilationRevenueExpenses
Reconcilation Other Changes	-15056892	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$13,418	MailingsMembersAmount
Publications Or Broadcast	1	PublicationsOrBroadcast
Publications Or Broadcast	$10,501	PublicationsOrBroadcastAmount
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$173,086	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$274,124	DirectContactLegislatorsAmount
Rallies Demonstrations	1	RalliesDemonstrations
Rallies Demonstrations	$6,616	RalliesDemonstrationsAmount
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	477745	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	Lobbying activity included: * Analysis of early draft legislation for 2011 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 2011 Legislative Session * Attending state, federal and local government hearings and meetings in the Portland area Issues Advocacy: Major issues supported, opposed, or commented on to legislators/government officials/staffers by Providence in Oregon, in 2011 included: * Federal funding levels for and cuts to Medicaid * Provider tax funds to support Oregon Health Plan Standard (Medicaid) * Department of Human Services budget * Employer/employee relations issues * Federal funding decisions for health care projects and grants * Medicare reimbursement to hospitals and other providers * Medicare Advantage * Health insurance mandates * Columbia River crossing - I-5 replacement bridge * Health insurer regulatory, finance and legislative issues * Hospital regulatory, finance and legislative issues * Changes to the hospital provider tax and insurer premium tax * Long term care facilities regulatory, finance and legislative issues * Health care reform * Medicaid health care transformation and coordinated care organizations * Oregon health insurance exchange * Health care workforce issues * Health information technology * End of life care * Reorganization and regulation of emergency services * Pharmacy benefit management issues * Patient advocacy for un-befriended patients * Rural hospital issues * Data security * Behavioral health issues * Local government: - Transportation and economic issues - Proposed housing project	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	26564859	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	82941836	OtherCostOrOtherBasis
Book Value	109506695	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	3590000	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	1155085977	OtherCostOrOtherBasis
Depreciation	577690630	Depreciation
Book Value	580985347	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	45447629	OtherCostOrOtherBasis
Depreciation	28427377	Depreciation
Book Value	17020252	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	2598	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	761467230	OtherCostOrOtherBasis
Depreciation	618182812	Depreciation
Book Value	143287016	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	539240948	OtherCostOrOtherBasis
Depreciation	180474098	Depreciation
Book Value	358766850	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1209566160	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
Due to Affiliates	$13,116,691
Other Liabilities	$712
Resident Trust Funds	$1,183,598
LT Asset Retirement Obligation - FIN 47	$4,009,967
Third Party Reserves	$22,647,216
Bond Premium Discount	$5,644,644
Capitalized Lease Obligations	$230,900
Pension Benefit Obligation	$15,784,318

Field	Value	IRS element (for citing)
Total Of Amounts	62618046	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Description of Uncertain Tax Positions Under FIN 48:	Identifier
Return Reference	Part X:	ReturnReference
Explanation	The Health System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. 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.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	78546000	TotalCommunityBenefitExpense
Net Community Benefit Expense	78546000	NetCommunityBenefitExpense
Percent Of Total Expense	0.03530	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	231848000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	181657000	DirectOffsettingRevenue
Net Community Benefit Expense	50191000	NetCommunityBenefitExpense
Percent Of Total Expense	0.02260	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1079000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	811000	DirectOffsettingRevenue
Net Community Benefit Expense	268000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	311473000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	182468000	DirectOffsettingRevenue
Net Community Benefit Expense	129005000	NetCommunityBenefitExpense
Percent Of Total Expense	0.05800	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5033632	TotalCommunityBenefitExpense
Direct Offsetting Revenue	897270	DirectOffsettingRevenue
Net Community Benefit Expense	4136362	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	26068578	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6024626	DirectOffsettingRevenue
Net Community Benefit Expense	20043952	NetCommunityBenefitExpense
Percent Of Total Expense	0.00900	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23817951	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12713301	DirectOffsettingRevenue
Net Community Benefit Expense	11104650	NetCommunityBenefitExpense
Percent Of Total Expense	0.00500	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	31462017	TotalCommunityBenefitExpense
Net Community Benefit Expense	31462017	NetCommunityBenefitExpense
Percent Of Total Expense	0.01410	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4043096	TotalCommunityBenefitExpense
Direct Offsetting Revenue	252982	DirectOffsettingRevenue
Net Community Benefit Expense	3790114	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	90425274	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19888179	DirectOffsettingRevenue
Net Community Benefit Expense	70537095	NetCommunityBenefitExpense
Percent Of Total Expense	0.03170	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	401898274	TotalCommunityBenefitExpense
Direct Offsetting Revenue	202356179	DirectOffsettingRevenue
Net Community Benefit Expense	199542095	NetCommunityBenefitExpense
Percent Of Total Expense	0.08970	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	6604	TotalCommunityBuildingExpense
Direct Offsetting Revenue	1800	DirectOffsettingRevenue
Net Community Building Expense	4804	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	26500	TotalCommunityBuildingExpense
Direct Offsetting Revenue	3900	DirectOffsettingRevenue
Net Community Building Expense	22600	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	483989	TotalCommunityBuildingExpense
Direct Offsetting Revenue	68520	DirectOffsettingRevenue
Net Community Building Expense	415469	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	137758	TotalCommunityBuildingExpense
Direct Offsetting Revenue	13650	DirectOffsettingRevenue
Net Community Building Expense	124108	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	153916	TotalCommunityBuildingExpense
Direct Offsetting Revenue	3000	DirectOffsettingRevenue
Net Community Building Expense	150916	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	92762	TotalCommunityBuildingExpense
Direct Offsetting Revenue	2200	DirectOffsettingRevenue
Net Community Building Expense	90562	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	173597	TotalCommunityBuildingExpense
Direct Offsetting Revenue	6000	DirectOffsettingRevenue
Net Community Building Expense	167597	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	11498	TotalCommunityBuildingExpense
Net Community Building Expense	11498	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	1086624	TotalCommunityBuildingExpense
Direct Offsetting Revenue	99070	DirectOffsettingRevenue
Net Community Building Expense	987554	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$50,036,297	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	690893000	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	798684000	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-107791000	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 Oregon Outpatient Surgery Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Ambulatory Surgery Center	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.51000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.49000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	7	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (7 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	Critical Access HospitalCriticalAccessHospital	OtherOther
Providence Portland Medical Center
1	4805 NE Glisan St	Portland	OR	97213	X	X	X	X
Providence St Vincent Medical Center
2	9205 SW Barnes Rd	Portland	OR	97225	X	X	X	X
Providence Milwaukie Hospital
3	10150 SE 32nd	Milwaukie	OR	97222	X		X	X
Providence Hood River Mem Hospital
4	811 - 13th Street	Hood River	OR	97031	X			X	X
Providence Seaside Hospital
5	725 S Wahanna Rd	Seaside	OR	97138	X			X	X	Nursing Facility
Providence Newberg Medical Center
6	1001 Providence Drive	Newberg	OR	97132	X	X		X
Providence Medford Medical Center
7	1111 Crater Lake Avenue	Medford	OR	97504	X	X		X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (7 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	State RegulationStateRegulation	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
Providence Portland Medical Center
1	1	1	200.000000000000	1	400.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	X	0	0	1	X	0	1
Providence St Vincent Center
2	1	1	200.000000000000	1	400.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	X	0	0	1	X	0	1
Providence Milwaukie Hospital
3	1	1	200.000000000000	1	400.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	X	0	0	1	X	0	1
Providence Hood River Memorial Hospital
4	1	1	200.000000000000	1	400.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	X	0	0	1	X	0	1
Providence Seaside Hospital
5	1	1	200.000000000000	1	400.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	X	0	0	1	X	0	1
Providence Newberg Medical Center
6	1	1	200.000000000000	1	400.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	X	0	0	1	X	0	1
Providence Medford Medical Center
7	1	1	200.000000000000	1	400.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	X	0	0	1	X	0	1

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	20	NumberOfOtherFacilities

Other Facilities OtherFacilities (20 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Prov Portland Med Ctr Dialysis Unit
4805 NE Glisan St	Portland	OR	97213	ESRD-End Stage Renal Disease
Providence St Vincent Kidney Dialysis
9450 SW Barnes Rd Suite 125	Portland	OR	97225	ESRD-End Stage Renal Disease
PHRMH Ray Yasui Dialysis Center
1125 May Avenue	Hood River	OR	97031	ESRD-End Stage Renal Disease
Providence Home Health
6410 NE Halsey Suite 200	Portland	OR	97213	Home Health Agency
Prov Benedictine Nursing Center HHA
570 S Main St	Mt Angel	OR	97362	Home Health Agency
Providence Home Care
2033 Commerce Drive	Medford	OR	97504	Home Health Agency
Providence Hospice
6410 NE Halsey Suite 300	Portland	OR	97213	Hospice
Providence Medford Hospice
2033 Commerce Drive	Medford	OR	97504	Hospice
Surgery Center at Tanasbourne
18650 NW Cornell Rd Suite 110	Hillsboro	OR	97124	Ambulatory Surgery Center
Center for Specialty Surgery
11782 SW Barnes Rd 200 Bldg C	Portland	OR	97225	Ambulatory Surgery Center
Oregon Outpatient Surgery
7300 SW Childs Rd	Tigard	OR	97224	Ambulatory Surgery Center
Providence Child Center
860 NE 47th Ave	Portland	OR	97213	Nursing Facility
Providence Benedictine Nursing Center
540 S Main St	Mt Angel	OR	97362	Nursing Facility
Providence Seaside Hospital
725 S Wahanna Rd	Seaside	OR	97138	Nursing Facility
Providence Benedictine Orchard House
550 S Main St	Mt Angel	OR	97362	Assisted Living Facility
Providence Brookside Manor
1550 Brookside Dr	Hood River	OR	97031	Assisted Living Facility
Prov Elderplace in Irvington Village
420 NE Mason	Portland	OR	97211	Assisted Living Facility
Providence Elderplace in Glendover
13007 NE Glisan St	Portland	OR	97230	Residential Care Facility
Providence Elderplace in Cully
5119 NE 57th Ave	Portland	OR	97218	Residential Care Facility
Providence Brookside Memory Care
1550 Brookside Dr	Hood River	OR	97031	Residential Care Facility

Form990 Schedule H Part VI Form990ScheduleHPartVI (33 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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 $ 50036297.
Part II: 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 (Jan., 2011). 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, 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 2011, 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 2011, 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. 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 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 PracticesProvidence has written policies about when and under whose authority patient debt is advanced for collection, and uses its best efforts to ensure that patient accounts are processed fairly and consistently.Providence ensures that practices to be used by their outside (non-hospital) collection agencies conform to the standards set forth in this policy, and obtains written commitments from such agencies that they will adhere to those standards. Providence also conducts an assessment of each collection agency's adherence to the policy. Such assessments are conducted at least annually.At time of billing, we provide to all low-income uninsured patients the same information concerning services and charges provided to all other patients who receive care at the hospital.When sending a bill to a patient, Providence includes a) a statement that indicates that if the patient meets certain income requirements the patient may be eligible for a government-sponsored program or for financial assistance from the hospital; and b) a statement that provides the patient with the name and telephone number of a hospital employee or office from whom or which the patient may obtain information about Providence's financial assistance policies for patients and how to apply for such assistance.Any patient (or the patient's legal representative) seeking financial assistance from Providence provides the individual facility with information concerning health benefits coverage, financial status (i.e. income, assets) and any other information that is necessary for the hospital to make a determination regarding the patient's status relative to Providence's financial assistance policy, discounted payment policy, or eligibility for government-sponsored programs.For patients who have an application pending determination for either government-sponsored coverage or for the hospitals' own financial assistance program, Providence will not knowingly send that patient's bill to a collection agency.Eligibility for financial assistance will be determined as closely as possible to the date of service.
PART III, SECTION A, LINE 1:The reporting entity reports bad debt expense in accordance with HFMA Statement #15 with the exception of the following sections: 8.1(b) and 9.1.
PART III, SECTION A, 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 V, Section B, Line 13g: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.	Providence Portland Medical Center
Part V, Section B, Line 13g: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.	Providence St. Vincent Center
Part V, Section B, Line 13g: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.	Providence Milwaukie Hospital
Part V, Section B, Line 13g: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.	Providence Hood River Memorial Hospital
Part V, Section B, Line 13g: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.	Providence Seaside Hospital
Part V, Section B, Line 13g: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.	Providence Newberg Medical Center
Part V, Section B, Line 13g: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.	Providence Medford Medical Center
Part V, Section B, Line 19d: Charges are based on full billed charges and the uninsured discount is taken and then Financial Assistance off the full billed charges.	Providence Portland Medical Center
Part V, Section B, Line 19d: Charges are based on full billed charges and the uninsured discount is taken and then Financial Assistance off the full billed charges.	Providence St. Vincent Center
Part V, Section B, Line 19d: Charges are based on full billed charges and the uninsured discount is taken and then Financial Assistance off the full billed charges.	Providence Milwaukie Hospital
Part V, Section B, Line 19d: Charges are based on full billed charges and the uninsured discount is taken and then Financial Assistance off the full billed charges.	Providence Hood River Memorial Hospital
Part V, Section B, Line 19d: Charges are based on full billed charges and the uninsured discount is taken and then Financial Assistance off the full billed charges.	Providence Seaside Hospital
Part V, Section B, Line 19d: Charges are based on full billed charges and the uninsured discount is taken and then Financial Assistance off the full billed charges.	Providence Newberg Medical Center
Part V, Section B, Line 19d: Charges are based on full billed charges and the uninsured discount is taken and then Financial Assistance off the full billed charges.	Providence Medford Medical Center
Part V, Section B, Line 21: When services are deemed medically unnecessary a patient would be charged normal charges.	Providence Portland Medical Center
Part V, Section B, Line 21: When services are deemed medically unnecessary a patient would be charged normal charges.	Providence St. Vincent Center
Part V, Section B, Line 21: When services are deemed medically unnecessary a patient would be charged normal charges.	Providence Milwaukie Hospital
Part V, Section B, Line 21: When services are deemed medically unnecessary a patient would be charged normal charges.	Providence Hood River Memorial Hospital
Part V, Section B, Line 21: When services are deemed medically unnecessary a patient would be charged normal charges.	Providence Seaside Hospital
Part V, Section B, Line 21: When services are deemed medically unnecessary a patient would be charged normal charges.	Providence Newberg Medical Center
Part V, Section B, Line 21: When services are deemed medically unnecessary a patient would be charged normal charges.	Providence Medford Medical Center
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:Providence Health & Services in Oregon serves both urban and rural areas throughout a geographically diverse state, including with hospitals, health plans, physicians, clinics, home health services, long-term care and affiliated health services. Three of our hospitals in Oregon are rural and five are in urban settings; they range in size from 25 beds to 523 beds (licensed). Of our 94 clinics, six are safety nets and many more provide a significant proportion of care to underserved populations. We continue our commitment to acute behavioral health care and have one of the only units for children less than 12 years in the entire state. We have the only long-term care facility for medically fragile children in the Pacific Northwest.Out of a total population of more than 3.87 million in Oregon (2011):* 625,594 or 16% are covered by Medicare compared to a national average of 15%.* 665,000 or 17% are covered by Medicaid.* An estimated 633,100 or 19% non-elderly people were uninsured. All of our hospitals, clinics and other facilities are open to these populations. Below are some quick facts:* About 60% of the patients served by Providence Oregon's six safety net clinics are uninsured or on Medicare or Medicaid. * Medicare represents about 16% of Oregon's population, but in 2011, 41.3% of the patient revenues at our eight hospitals were Medicare.* Providence provided 23% of all charity care in Oregon during 2011 - more than our entire market share of 20% in the state. * Providence facilities charity as a percentage of gross charges averaged 6.5% compared to the state average of 4.7%. * Almost all the children at Providence Child Center are covered by Medicaid. In December 2011, Oregon's unemployment rate was 10.6%, placing the state thirteenth highest in the nation. In 2011, Providence provided more than $78 million in free or reduced cost care.
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 and operates 27 general acute care hospitals, six long-term care facilities, seven homecare and hospice entities, five assisted living facilities, a children's nursing center and Montessori school, a high school, a university, 12 low-income housing projects, the Health Plan, a health services contractor, two programs of all inclusive care for the elderly, and 20 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, 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 2011, Providence Oregon provided more than $215 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 2011, Providence Oregon provided more than $4 million in direct grants of support to at least 123 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 2012 legislative session. Providence is already making changes internally and working with other health systems and community partners to begin this transformation.
OR,WA,CA,MT,AK	Reports Filed With States	Part VI, Line 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (81 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Address Line2AddressUS/AddressLine2
Providence St Vincent Medical Foundation
PO Box 13993	Portland	OR	97213	930575982	501(c) 3	2221833	Community Health Support
Providence Portland Medical Foundation
4805 NE Glisan	Portland	OR	97213	931231494	501(c) 3	2217757	Community Health Support
Central City Concern
232 NW Everett St	Portland	OR	97209	930728816	501(c) 3	502170	Family alcohol and drug free Comm Housing
Virginia Garcia Memorial Clinic
PO Box 568	Cornelius	OR	97113	930717997	501(c) 3	491750	Community Health Support
Providence Child Center Foundation
830 NE 47th	Portland	OR	97213	930800140	501(c) 3	459341	Community Health Support
Providence Community Health Foundation
1111 Crater Lake Ave	Medford	OR	97504	930692907	501(c) 3	354768	Community Health Support
Providence Newberg Foundation
1001 Providence Drive	Newberg	OR	97132	930889144	501(c) 3	274963	Community Health Support
Providence Milwaukie Foundation
10150 SE 32nd	Milwaukie	OR	97222	943079515	501(c) 3	190069	Community Health Support
Clackamas County Dept of Health Housing
2051 Kaen Road	Oregon City	OR	97045	930626175	Government	170000	H3S RN Crisis Clinic support
Providence Hood River Foundation
811 13th St	Hood River	OR	97031	930921990	501(c) 3	144435	Community Health Support
Project Access Now
1311 NW 21st Ave	Portland	OR	97296	208928388	501(c) 3	135000	2010/2011 Stakeholder Contribution
Providence Seaside Foundation
725 S Wahanna Rd	Seaside	OR	97138	930927320	501(c) 3	126164	Community Health Support
Providence Benedictine Nursing Center Fndn
540 S Main St	Mt Angel	OR	97362	911940286	501(c) 3	125589	Community Health Support
Medical Teams International
PO Box 10	Portland	OR	97207	930878944	501(c) 3	100250	Great Adventure Dinner and Auction
Catholic Charities
231 SE 12th Ave	Portland	OR	97214	930386801	501(c) 3	95650	Sponsorship of El Programa Hispano
Oregon Health & Science University
3181 SW Sam Jackson Park Rd	Portland	OR	97239	931176109	501(c) 3	80000	Donation Partnership Project
Legacy Emanuel Hospital
PO Box 5939	Portland	OR	97228	930386823	501(c) 3	75000	Cares NW program
United Way Columbia-Washington
619 SW 11th Ave Suite 300	Portland	OR	97205	930582124	501(c) 3	75000	Community Health Support
Neighborhood Health Center ER Dental Access
19029 S Beavercreek Road	Oregon City	OR	97045	273524752	501(c) 3	70000	Support for oral health access
Oregon Assoc of Hospitals and Health System
4000 Kruse Way Place Bldg 2 Ste 100	Lake Oswego	OR	97035	930554950	501(c) 3	65000	Support for Metro wide needs assessment	100
Partners for a Hunger Free Oregon
712 SE Hawthorne Blvd Suite 202	Portland	OR	97214	204970868	501(c) 3	65000	Hunger Task Force-Summer Foods program
Hood River County School District
1011 Eugene Street	Hood River	OR	97031	936000502	501(c) 3	64270	Community health support
Oregon Community Foundation
1221 SW Yamhill St Suite 100	Portland	OR	97205	237915673	501(c) 3	60000	Support for 2012 community based hlth collabs
Hood River County Health Department
1109 June St	Hood River	OR	97031	936002297	Government	56502	School health services
La Clinica del Valley
3617 S Pacific Hwy	Medford	OR	97501	943096772	501(c) 3	50000	Support for Kids Health Connection
James Bickler Gorge Orthodontics
1625 E 12th St	The Dalles	OR	97058	753120828	Other	49520	Donated Dental services
Society of St Vincent De Paul
PO Box 42157	Portland	OR	97242	930831082	501(c) 3	49071	Community Health Support
Self Enhancement Inc
3920 N Kervy Ave	Portland	OR	97227	931086629	501(c) 3	41000	Student sponsorship, summer celebration
City of Hood River
PO Box 27	Hood River	OR	97031	936002186	Government	40000	Community Health support
Northwest Parish Nurse Ministries
2801 N Gantenbein Ave Room 1072	Portland	OR	97227	943180955	501(c) 3	40000	Support for promoting Health and Wellness
Vernonia Education Foundation
475 Bridge St	Vernonia	OR	97064	264001578	501(c) 3	40000	Community Support
Friends of the Children
44 NE Morris St	Portland	OR	97212	931098105	501(c) 3	35000	Access to behavioral health
Volunteers of America
3910 SE Stark St	Portland	OR	97214	930395591	501(c) 3	35000	Community Health Support
Oregon Food Bank
PO Box 55370	Portland	OR	97238	930785786	501(c) 3	34529	Food drive donations
Foundation for Medical Excellence
One SW Columbia St Suite 860	Portland	OR	97258	930632522	501(c) 3	27500	Community Health support
Columbia Gorge Community College
400 East Scenic Drive	The Dalles	OR	97058	930700843	501(c) 3	26574	Nursing occupations program
Addictions Recovery
1003 W Main St	Medford	OR	97501	930645605	501(c) 3	25000	Community Health support
Clatsop Community Action
364 9th St	Astoria	OR	97103	931010260	501(c) 3	25000	PIH support for access to BH and Addiction trt
Clatsop Community College
1651 Lexington Ave	Astoria	OR	97103	237100856	501(c) 3	25000	Support for Clatsop CC Nursing program
Dental Foundation of Oregon
PO Box 2448	Wilsonville	OR	97070	930818476	501(c) 3	25000	PCGC 2011 Fall Funding preventative oral care
De La Salle North Catholic High School
7528 N Fenwick Ave	Portland	OR	97217	931287554	501(c) 3	25000	To support student intern program
Folktime Inc
4837 NE Couch	Portland	OR	97213	931222522	501(c) 3	25000	Support for Day Treatment for CMI
Health Matters of Central Oregon
2525 NE Twin Knolls Dr Suite 7	Bend	OR	97701	208230296	501(c) 3	25000	PCGC 2011 Funding for Stanford CDSM
Impact Northwest
4610 SE Belmont	Portland	OR	97215	930557964	501(c) 3	25000	Support for Healthy Aging for Vulnerable Senior
Join
1435 NE 81st Ave Suite 100	Portland	OR	97213	931090005	501(c) 3	25000	PCGC 2011 Fall Funding Access to Prim care
North by Northeast Community Health Center
3030 NE MLK Jr Blvd	Portland	OR	97212	721618287	501(c) 3	25000	PCGC 2011 Funding chronic disease registry
OCHIN Epic for Safety Net
707 SW Washington St Ste 1200	Portland	OR	97205	200195556	501(c) 3	25000	Support for access to primary care
OR Cascades West Council of Governments
1400 Queen Ave SE Suite 201	Albany	OR	97322	930584306	501(c) 3	25000	PCGC 2011 Funding for Taking Control of Hlth
Oregon Health Authority
800 NE Oregon St Suite 550	Portland	OR	97232	936001752	Government	25000	Support for the study of community health work
Free Clinic of SW Washington
4100 Plomondon St	Vancouver	WA	98661	911707542	501(c) 3	22000	PCGC 2011 Fall Funding Access to Prim care
Centro Latino Americano
944 W 5th Ave	Eugene	OR	97402	930638731	501(c) 3	21551	PCGC 2011 Funding for Asthma outreach
Rogue Valley Council of Governments
PO Box 3275	Central Point	OR	97502	930611406	Government	20427	Support of outreach for chronic disease
Chehalem Youth & Family Services
501 E First Street	Newberg	OR	97132	930764541	501(c) 3	20000	To provide behavioral health medication assist
Love Inc
209 South Main Street	Newberg	OR	97132	260068805	501(c) 3	20000	Support for free dental services in Yamhill Cnty
North Clackamas School District
4444 SE Lake Rd	Milwaukie	OR	97222	930599524	501(c) 3	20000	PCGC 2011 Funding Access to Prim/Oral care
The Next Door Inc
PO Box 661	Hood River	OR	97031	930600421	501(c) 3	20000	Support providing access to care
Portland Community College Foundation
PO Box 19000	Portland	OR	97280	930811291	501(c) 3	17495	Healthcare related scholarship funding
St Joseph the Worker
7528 N Fenwick Ave	Portland	OR	97217	931322114	501(c) 3	16668	Corporate internship program
Rogue Community College Foundation
3345 Redwood Hwy	Grants Pass	OR	97527	930777701	501(c) 3	16000	Healthcare related scholarship funding
Community Action Organization
1001 SW Baseline	Hillsboro	OR	97123	930554941	501(c) 3	15300	Support of prenatal care
Bruce Burton DMD
102 10th St Suite 1	Hood River	OR	97031	930888441	Other	15280	Donated dental services
Farmers Ending Hunger
PO Box 7361	Salem	OR	97303	800505305	501(c) 3	15000	Food services for needy
NAMI Oregon
3550 SE Woodward Street	Portland	OR	97202	930875209	501(c) 3	15000	NAMI NW Walk, mental disability programs
Providence Pariseau
1801 Lind Ave SW 9016	Renton	WA	98057	911289932	501(c) 3	15000	Community Health support
Restoration House Inc
208 N Holladay	Seaside	OR	97138	931271134	501(c) 3	15000	Support for counseling and rehab services
Trillium Family Services
3415 SE Powell Blvd	Portland	OR	97202	931254344	501(c) 3	15000	Mental and behavioral support for children
Our House of Portland
2727 SE Alder Street	Portland	OR	97214	930986632	501(c) 3	13000	Our House annual dinner, auction
Southwest Community Health Clinic
7754 SW Capital Hwy	Portland	OR	97219	743050497	501(c) 3	11000	Support for chronic disease mgmt pilot project
Hearts and Vines Foundation
PO Box 1441	Medford	OR	97501	931226903	501(c) 3	10250	2011 Sponsorship Premier Grand Cru
Assoc of Minority Entrepreneurs
4134 N Vancouver Ave Suite 100	Portland	OR	97217	943058546	501(c) 3	10000	Sponsorship for trade show and conference
Boys-Girls Clubs Rogue Valley
203 SE 9th St	Grants Pass	OR	97526	930588108	501(c) 3	10000	PCGC 2011 Funding Preventative Hlth care
Ecumenical Ministries
0245 SW Bancroft Street Suite B	Portland	OR	97239	930625359	501(c) 3	10000	Tribute grant honoring Mary Jo Tully
Oregon Center for Nursing
5000 N Willamette Blvd MSC 192	Portland	OR	97203	743052430	501(c) 3	10000	Sponsorship for annual fundraising breakfast
The Dougy Center Inc
3909 SE 52nd Ave	Portland	OR	97286	930833241	501(c) 3	10000	Support for grief counseling
Our Lady of Victory Catholic Church
120 Oceanway St	Seaside	OR	97138	930427369	501(c) 3	7500	PIH support for Sunday Supper Seaside
Essential Health Clinic
266 W Main Street MS 68	Hillsboro	OR	97123	383672046	501(c) 3	6500	Treatment of urgent med problems for uninsured
Hood River County Chamber of Commerce
720 E Port Marina Dr	Hood River	OR	97031	930620829	501(c) 6	6395	Harvest Fest sponsorship
Hispanic Metropolitan Chamber
333 SW 5th Ave Suite 100	Portland	OR	97204	931156358	501(c) 3	6250	Scholarships, Employment and Business fair
Basic Rights Oregon
PO Box 40625	Portland	OR	97240	931266613	501(c) 3	6000	Annual dinner and Auction sponsorship
OHSU Foundation
3181 SW Sam Jackson Park Rd	Portland	OR	97239	237083114	501(c) 3	6000	20 EMS Apple a day grants
Portland Gay Men's Chorus
PO Box 3223	Portland	OR	97208	930776616	501(c) 3	5600	Sponsor Holiday Concert Dec, 2011

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	78	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	3	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: In the application for support, we request a detailed explanation of the kind of services provided to the community along with specific financial data. If the application for support is approved, we send a letter indicating the amount of the support along with a request for documentation of how the funds were used, along with a report of the number of children/families served over the year.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (33 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
John F Koster MD
0	1128700	0	3611373	0	36500	0	1585488	0	17394	0	6379455	0	0
Jeffrey W Rogers
0	428372	0	1171207	0	15000	0	505409	0	19443	0	2139431	0	0
Todd Hofheins
0	260430	0	57803	0	12539	0	24688	0	20180	0	375640	0	0
Michael L Butler
0	775091	0	367474	0	20000	0	556768	0	25780	0	1745113	0	0
Gregory Van Pelt
0	690516	0	2584395	0	36500	0	925680	0	21498	0	4258589	0	0
Shelly M Handkins
0	344831	0	116242	0	15000	0	233358	0	19562	0	728993	0	0
Arnold R Schaffer
0	667785	0	1931749	0	109769	0	756443	0	22599	0	3488345	0	0
John V Fletcher
0	534720	0	1150130	0	140655	0	593141	0	20718	0	2439364	0	0
Janice J Jones
0	572386	0	2081316	0	66319	0	542507	0	23791	0	3286319	0	0
Eugene Al Parrish
0	507395	0	524212	0	20025	0	466528	0	22833	0	1540993	0	0
John O Mudd
0	336906	0	487537	0	36500	0	389793	0	18376	0	1269112	0	0
Myron Berdischewsky MD
0	477310	0	138533	0	58686	0	442395	0	22009	0	1138933	0	0
Claudia Haglund
0	323326	0	1485333	0	101268	0	438152	0	18027	0	2366106	0	0
Michael Hunn
0	470781	0	829175	0	20000	0	239155	0	17867	0	1576978	0	0
Cindra R Syverson
0	377057	0	102898	0	15000	0	153119	0	21216	0	669290	0	0
Joel S Gilbertson
0	321131	0	102937	0	31500	0	55305	0	18838	0	529711	0	0
Janice Burger
0	267302	0	73114	0	70329	0	137260	0	18983	0	566988	0	0
June Chrisman
0	278360	0	98697	0	31500	0	64588	0	17209	0	490354	0	0
Terry L Smith
0	597366	0	2544661	0	74105	0	649540	0	21999	0	3887671	0	0
Craig L Wright MD
0	460242	0	163545	0	15000	0	263284	0	21386	0	923457	0	0
Bruce Lamoureux
0	442134	0	123718	0	33833	0	196191	0	21552	0	817428	0	0
Andy Agwunobi MD Thru 1130
0	473492	0	128430	0	91953	0	178836	0	19884	0	892595	0	0
David T Brooks
0	407789	0	142762	0	15000	0	186874	0	20656	0	773081	0	0
Medrice Coluccio
0	402506	0	149578	0	31500	0	367079	0	13522	0	964185	0	0
David T Underriner
0	393184	0	123464	0	96607	0	229373	0	20661	0	863289	0	0
Tom Hanenburg
0	248082	0	186047	0	31500	0	133655	0	15783	0	615067	0	0
Blair D Halperin
473969	0	292832	0	16500	0	11025	0	17442	0	811768	0	0	0
Darren R Jones
471382	0	292932	0	16500	0	11025	0	17442	0	809281	0	0	0
Daniel S Oseran
471467	0	292832	0	16500	0	11025	0	17442	0	809266	0	0	0
Erin J Allen
761462	0	0	0	16500	0	66447	0	17442	0	861851	0	0	0
Walter J Urba
624262	0	129923	0	0	0	93772	0	11386	0	859343	0	0	0
Keith Marton
0	0	0	786086	0	448716	0	146314	0	10764	0	1391880	0	0
Russell Danielson
0	0	0	108402	0	124987	0	0	0	0	0	233389	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 1a	The reporting organization did not provide any of the benefits listed in 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 approval by the VP/Chief Human Resources Officer. During 2011, a total of three first-class tickets were purchased for disclosed personnel. 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 2011, the following Key Employees received gross-up payments: Arnold R. Schaffer Myron Berdischewsky Terry L. Smith Orest Holubec The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. Discretionary Spending Account Providence Health & Services provides an executive flex spending allowance per year (paid bi-weekly). This benefit is provided as discretionary spending because the organization does not reimburse for or provide additional executive benefits, such as a car allowance, additional executive life or disability insurance, or other market-based executive benefits practices. 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 VP/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 2011, the following Key Employees received relocation payments: Arnold R. Schaffer Myron Berdischewsky Terry L. Smith Orest Holubec The amounts reported for these relocation payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation.
Part I, Lines 4a-b	NONQUALIFIED RETIREMENT PLANS A) DBSERP = Defined Benefit Supplemental Executive Retirement Plan B) DCSERP = Defined Contribution Supplemental Executive Retirement Plan C) DBCBRP = Defined Benefit Cash Balance Restoration Plan D) DCRP = Defined Contribution Restoration Plan E) ESP = Elective Survivor Plan F) SOP = Share Option Plan 1) John F. Koster, MD a) Taxable DBSERP Earned but not Paid- $3,063,813 b) Non-Taxable DBSERP Earned but not Paid - $781,587 c) Non-Taxable DCSERP Earned - $339,126 d) DBSERP Interest Credit - $439,580 2) Jeffrey W. Rogers a) Taxable DBSERP Earned but not Paid - $1,005,741 b) Non-Taxable DBSERP Earned but not Paid - $135,144 c) Taxable DCSERP Earned but not Paid - $8,561 d) Non-Taxable DCSERP Earned - $48,099 e) ESP Interest Credit - $79,952 f) DBSERP Interest Credit - $202,199 3) Todd Hofheins a) Non-Taxable DCRP Earned - $9,603 4) Gregory Van Pelt a) Taxable DBSERP Earned but not Paid - $ 2,008,828 b) Non-Taxable DBSERP Earned but not Paid - $185,993 c) Taxable DCSERP Earned but not Paid - $276,749 d) Non-Taxable DCSERP Earned - $292,233 e) ESP Interest Credit - $88,256 f) DBSERP Interest Credit - $319,032 5) Terry L. Smith a) Taxable DBSERP Earned but not Paid - $2,293,039 b) Non-Taxable DBSERP Earned but not Paid - $236,604 c) Taxable DCSERP Earned but not Paid - $21,722 d) Taxable DBCBRP Earned - $400 e) Non-Taxable DCSERP Earned - $69,165 f) ESP Interest Credit - $61,528 g) DBSERP Interest Credit - $231,388 6) Janice J. Jones a) Taxable DBSERP Earned but not Paid - $ 1,844,829 b) Non-Taxable DBSERP Earned but not Paid - $189,772 c) Taxable DBCBRP Earned but not Paid - $ 142 d) Non-Taxable DCSERP Earned - $154,703 e) SOP Paid - $29,819 f) DBSERP Interest Credit - $184,939 7) Arnold R. Schaffer a) Taxable DBSERP Earned but not Paid - $750,268 b) Non-Taxable DBSERP Earned but not Paid - $33,694 c) Taxable DCSERP Earned but not Paid - $832,896 d) Non-Taxable DCSERP Earned - $630,732 e) DBSERP Interest Credit - $82,122 8) Claudia Haglund a) Taxable DBSERP Earned but not Paid - $1,339,590 b) Non-Taxable DBSERP Earned but not Paid - $195,498 c) Taxable DCSERP Earned but not Paid - $29,245 d) Non-Taxable DCSERP Earned - $37,706 e) ESP Interest Credit - $22,834 f) SOP Paid - $ 69,768 g) DBSERP Interest Credit - $141,491 9) John V. Fletcher a) Taxable DBSERP Earned but not Paid - $648,808 b) Non-Taxable DBSERP Earned but not Paid - $52,905 c) Taxable DCSERP Earned but not Paid - $290,961 d) Non-Taxable DCSERP Earned - $388,497 e) ESP Interest Credit - $46,196 f) SOP Paid - $104,155 g) DBSERP Interest Credit - $86,372 10) Michael Hunn a) Taxable DBSERP Earned but not Paid - $327,914 b) Taxable DCSERP Earned but not Paid - $370,385 c) Non-Taxable DCSERP Earned - $216,958 d) DBSERP Interest Credit - $20,014 11) Michael L. Butler a) Non-Taxable DCSERP Earned - $435,962 b) DBSERP Interest Credit - $95,665 12) Eugene "Al" Parrish a) Taxable DBSERP Earned but not Paid - $346,852 b) Non-Taxable DBSERP Earned but not Paid - $268,971 c) Non-Taxable DCSERP Earned - $56,382 d) DBSERP Interest Credit - $128,312 13) John O. Mudd a) Taxable DBSERP Earned but not Paid - $226,235 b) Non-Taxable DBSERP Earned but not Paid - $71,542 c) Taxable DCSERP Earned but not Paid - $125,304 d) Non-Taxable DCSERP Earned - $254,702 e) DBSERP Interest Credit - $53,501 14) Andrew Agwunobi, MD a) Non-Taxable DCSERP Earned - $158,816 b) DBSERP Interest Credit - $8,147 15) Myron Berdischewsky, MD a) Non-Taxable DCSERP Earned - $404,844 b) DBSERP Interest Credit - $12,137 16) Craig L. Wright, MD a) Non-Taxable DCSERP Earned - $199,302 b) DBSERP Interest Credit - $38,604 17) Bruce Lamoureux a) Taxable DBCBRP Earned - $518 b) Non-Taxable DCSERP Earned - $166,650 c) DBSERP Interest Credit - $22,275 18) Medrice Coluccio a) Non-Taxable DCSERP Earned - $344,898 b) DBSERP Interest Credit - $4,529 19) David T. Brooks a) Non-Taxable DCSERP Earned - $149,660 b) DBSERP Interest Credit - $21,641 20) Cindra R. Syverson a) Non-Taxable DCSERP Earned - $130,173 b) DBSERP Interest Credit - $14,305 21) Joel S. Gilbertson a) Non-Taxable DCSERP Earned - $48,086 23) Keith Marton, MD a) Taxable DBSERP Earned but not Paid - $501,372 b) Taxable DCSERP Earned but not Paid - $284,714 c) Non-Taxable DCSERP Earned - $114,423 d) DBSERP Interest Credit - $30,600 24) Russell Danielson a) Taxable DBSERP Paid - $ 108,402 b) ESP Paid - $57,407 25) Shelly M. Handkins a) Non-Taxable DCSERP Earned - $204,337 26) Janice Burger a) Non-Taxable DCSERP Earned - $29,849 b) DBSERP Interest Credit - $63,689 c) ESP Interest Credit - $29,376 d) SOP Paid - $38,829 27) June Chrisman a) Taxable DBCBRP Earned but not Paid - $3,397 b) Non-Taxable DCSERP Earned - $20,428 28) David T. Underriner a) DBSERP Interest Credit - $88,361 b) Non-Taxable DCSERP Earned but not Paid - $92,761 c) ESP Interest Credit - $31,677 29) Tom Hanenburg a) DBSERP Interest Credit - $9,754 b) Non-Taxable DCSERP Earned but not Paid - $109,285
Part I, Lines 4a-b	SEVERANCE 1) Keith Marton, MD - $428,716
Part III	FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS PROGRAM The Providence Executive Performance Awards 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 2011, 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 quality focused. In 2011 the percent allocation for each of these strategic priorities was: Mission driven 10% Financially responsible 10% People centered 10% Service oriented 10% Quality focused 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.	Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Hospital Facility Authority of Clackamas County
930847114	179027TU1	2003-05-16	213475000	Refund Series 1987 & 1992 Bonds & Capital Construction	0	0	0
Hospital Facility Authority of Multnomah County
931266280	62551PAV9	2004-07-21	104904239	Construction of Patient Tower & Parking Structure at PPMC & Child Center	0	0	0
State of Oregon Oregon Facilities Authority Revenue Bonds
936001787	68608JPT2	2011-11-17	24927615	Refund Series 1999 & Adv. Refund Series 2002 & Refunding Series 2005 (WFH)	1	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Refunding EscrowRefundingEscrow
13275000	213475000	3986	2047481	198119726	13307793	2003	1	0	1	1
10645000	104904239	228	1094787	103809452		2007	0	0	1	1
	24927615		345182		4880990		1	1	1	1	19701443

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	0.00000	0.00000	0.00000	1
0	0	0	0	0.00000	0.00000	0.00000	1
0	0	0	0	0.00000	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
NA
0	1	0	0	0	0	NA	0	0	0
NA
0	0	0	0	0	0	NA	0	0	0
NA
0	0	0	0	0	0	NA	0	0	0

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	John F Koster MD	NamePerson

Field	Value	IRS element (for citing)
Relationship	Officer	Relationship
Amount Of Transaction	235042409	AmountOfTransaction
Description Of Transaction	Purchase of supplies through cooperative of which Dr. Koster is a Director.	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VI, Section A, line 6	The sole Member of the Corporation is Providence Health & Services.
Form 990, Part VI, Section A, line 7a	The powers of the Corporate Member include the provision to appoint the number of Directors, appoint the Board of Directors and to remove such Directors at any time with or without cause.
Form 990, Part VI, Section A, line 7b	The following powers reside with the Corporate Member: 1) To adopt or change the mission, philosophy, and values, including the strategic plan and mission statement. 2) To amend or repeal the Articles of Incorporation or Bylaws. 3) To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale transfer, assignment or encumbering of assets exceeding a specified threshold, or the sale or transfer of any property which may have historical or religious significance. 4) To approve the dissolution or liquidation. 5) To approve the annual operating and capital budgets. 6) To appoint the certified public accountants. 7) To approve the closure of any institution or major ministry or work of the Corporation.
Form 990, Part VI, Section B, line 11	The Form 990 is prepared internally by experienced staff and reviewed by the internal Director of Taxes and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS.
Form 990, Part VI, Section B, line 12c	Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict.
Form 990, Part VI, Section B, line 15	It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are determined by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Each year, the Board Chair conducts a formal performance evaluation of the President/CEO that considers input from the other directors and senior leaders reporting to the President. The evaluation is discussed with the Human Resources Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Human Resources Committee also meet with an independent consultant to develop a salary recommendation; which is reviewed and approved first by the committee and then by the Board of Directors. Additionally, the President/CEO utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for other senior executives. This process includes a rigorous analysis of those recommendations with the Human Resources Committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational and individual goals for furthering Providence operating principles - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated customer satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector.
Form 990, Part VI, Section C, line 19	Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon written request. The consolidated Health System financial statements are available on our public Internet site www.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site.
Form 990, Part VII	Gregory Van Pelt - 4400 NE Halsey, Bldg.2, #599, Portland, OR 97213. Shelly M. Handkins - 4400 NE Halsey, Bldg.2, #599, Portland, OR 97213. Janice Burger - 4400 NE Halsey, Bldg.2, #599, Portland, OR 97213. June Chrisman - 4400 NE Halsey, Bldg.2, #599, Portland, OR 97213. David T. Underriner - 4400 NE Halsey, Bldg.2, #599, Portland, OR 97213. Tom Hanenburg - 4400 NE Halsey, Bldg.2, #599, Portland, OR 97213.	Contact Addresses for Officers, Directors, Etc
Form 990, Part XI, line 5:	Net unrealized gains on investments: 31,213,497. Cumulative Effect of FAS 136 -2,249,012. Interaffiliate Transfers -54,649,877. Income on Medical Staff Funds -9,234. Minority Interest Reclassification -343,530. Research Related Net Asset Transfers 1,378,120. Net Asset Transfers from Merger 9,603,144. Total to Form 990, Part XI, Line 5: -15,056,892.	Changes in Net Assets or Fund Balances:
Form 990, Part XII, Line 2c	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.	AUDIT & COMPLIANCE
FORM 990, PART VII, LINE 1A	The average hours per week reflect hours worked for the entire Providence Health & Services healthcare system and are not allocated to the individual reporting entity.	HOURS WORKED
FORM 990, PART I, LINE 6	Volunteers contribute to the quality of care for which Providence is noted and exemplify the Providence Mission. Volunteers provide assistance with activities, special projects, greeting visitors and patients, staffing the gift shops, delivery of flowers and mail 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	VOLUNTEERS
FORM 990, PART VII	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.	RELIGIOUS COMMUNITY MEMBERS
FORM 990, PART X & XI	Effective December 31, 2011, Willamette Falls Hospital dba Providence Willamette Falls Medical Center - EIN 93-0426018, merged with Providence Health & Services - Oregon - EIN 51-0216587 pursuant to the terms of the Articles of Merger filed with the Oregon Secretary of State, Providence Health & Services - Oregon is a nonprofit organization that is tax-exempt under IRC Sec. 501(C )(3). In connection with the Articles of Merger, Willamette Falls Hospital dba Providence Willamette Falls Medical Center transferred its assets and related liabilities to Providence Health & Services - Oregon, Balances transferred were: Assets: $ 69,393,313 Liabilities: $ 59,790,169 Net Assets: $ 9,603,144 The overall operations and services of Willamette Falls Hospital dba Providence Willamette Falls Medical Center remain unchanged after the merger.	WILLAMETTE FALLS HOSPITAL MERGER

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Providence Fairview Properties LLC
1235 NE 47th Avenue Suite 260	Portland	OR	97213	510216587	Own & Manage Land for future development	OR	1646195	Providence Health & Services - Oregon
Providence Padden Properties LLC
1235 NE 47th Avenue Suite 260	Portland	OR	97213	510216587	Own & Manage Land for future development	OR	19268448	Providence Health & Services - Oregon

Form990 Schedule R Part II Form990ScheduleRPartII (56 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
Providence Health & Services - Washington
1801 Lind Avenue SW 9016	Renton	WA	980579016	510216586	Healthcare System	WA	501( c)(3)	Line 3	Providence Health & Services	0
Providence Health System - So California
1801 Lind Avenue SW 9016	Renton	WA	980579016	510216589	Healthcare System	CA	501( c)(3)	Line 3	Providence Health & Services	0
Everett Transitional Care Services
PO Box 1067	Everett	WA	982061067	943264605	Transitional Care	WA	501( c)(3)	Line 9		0	N/A
Providence Oregon Management Corporation
1801 Lind Avenue SW 9016	Renton	WA	980579016	930813977	Shell Corporation	OR	501( c)(3)	Line 1	PH & S - Oregon	0
Providence Plan Partners
3601 SW Murray Blvd 10	Beaverton	OR	97005	911861964	Healthcare Services	OR	501( c)(4)	N/A	PH & S - Oregon	0
Providence Health Plan
3601 SW Murray Blvd 10	Beaverton	OR	97005	930863097	Health Service Contractor	OR	501( c)(4)	N/A	Providence Plan Partners	0
Providence Health Assurance
3601 SW Murray Blvd 10	Beaverton	OR	97005	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
2601 Airport Drive 230	Torrance	CA	90505	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 1	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
2601 Airport Drive 230	Torrance	CA	90505	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
The John Gabriel Ryan Association
1801 Lind Avenue SW 9016	Renton	WA	980579016	911303277	Healthcare	WA	501( c)(3)	Line 3	PH & S - Washington	0
Providence Health & Services
1801 Lind Avenue SW 9016	Renton	WA	980579016	911549796	Shell Corporation	WA	501( c)(3)	Line 11/Type I		0	N/A
Providence Health & Services - Montana
500 W Broadway PO Box 4587	Missoula	MT	598064587	810231793	Healthcare	MT	501( c)(3)	Line 3	PH & S - Washington	0
Providence St Joseph Medical Center
PO Box 1010	Polson	MT	598601010	810463482	Healthcare	MT	501( c)(3)	Line 3	PH & S - Washington	0
St Thomas Child and Family Center
1710 Benefis Court	Great Falls	MT	59405	810233495	Early Childhood Education	MT	501( c)(3)	Line 1	PH & S - Washington	0
Sisters of Providence of Montana Corporation
1801 Lind Avenue SW 9016	Renton	WA	980579016	262612415	Shell Corporation	MT	501( c)(3)	Line 1	PH & S - Washington	0
Sacred Heart Children's Foundation
PO Box 2555	Spokane	WA	99220	320014330	Support Sacred Heart Children's Hospital	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
Willamette Falls Hospital dba Providence Willamette Falls Medical Center
1500 Division Street	Oregon City	OR	97045	930426018	Healthcare	OR	501(c )(3)	Line 3	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 & Activities 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 & Activities of SMMC	WA	501(c )(3)	Line 7	PH & S - Washington	0
Franz Foundation
1211 SW Fifth Avenue 300	Portland	OR	97204	931235821	Philanthropy	OR	501( c)(3)	Line 11/Type I		0	N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (26 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
Providence Imaging Center
3340 Providence Drive	Anchorage	AK	99508	920118807	Medical Imaging	AK	PH&S - WA	Related	0	0
Providence Surgery Centers LLC
PO Box 233889	Anchorage	AK	99523	203567411	Surgery	AK	PH&S - WA	Related	0	0
Mountainstar Clinical Laboratories LLC
611 N Perry	Spokane	WA	99202	261345983	Outpatient Lab	MT	PAML LLC	Related	0	0
Broadway Imaging LLC
500 W Broadway	Missoula	MT	59802	522405971	Medical Imaging	MT	PH&S - MT	Related	0	0
Ctr for MedImaging-Tanasbourne LLC
1235 NE 47th Ave	Portland	OR	97213	200477972	Imaging - Diagnostics	OR	PH&S - OR	Related	0	1	669810	1185352	0.75000
Ctr for Med Imaging-Bridgeport LLC
1235 NE 47th Ave	Portland	OR	97213	260796953	Imaging - Diagnostics	OR	PH&S - OR	Related	0	1	132004	990406	0.75000
Center for Specialty Surgery LLC
11782 SW Barnes Rd	Portland	OR	97225	263638838	Ambulatory Surgery Center	OR	PH&S - OR	Related	0	0	335003	2726363	0.51000
Clackamas Radiation Oncology Center LLC
1235 NE 47th Ave 288	Portland	OR	97213	260381897	Radiation Oncology	OR	PH&S - OR	Related	0	1	675448	2349845	0.67000
Oregon Outpatient Surgery Center
7300 SW Childs Rd	Tigard	OR	97224	223883387	Ambulatory Surgery Center	OR	PH&S - OR	Related	0	1	163298	1223664	0.51000
Surgery Ctr at Tanasbourne LLC
1235 NE 47th Ave 260	Portland	OR	97213	208187971	Ambulatory Surgery Center	OR	PH&S - OR	Related	0	1	134978	2933830	0.83400
ProvidenceSilverton Rehab LLC
1235 NE 47th Ave 260	Portland	OR	97213	481287267	Rehab Services	OR	PH&S - OR	Related	0	1	4549	132989	0.50000
Portland Medical Imaging LLC
10538 SE Washington St	Portland	OR	97216	201054971	Imaging - Diagnostics	OR	PH&S - OR	Related	0	1	355492	1674921	0.75000
Prov Radiation Oncology Develop Assn LLC
1235 NE 47th Ave	Portland	OR	97213	260682491	Real Estate - MOB	OR	PH&S - OR	Investment	0	1	-142522	3934338	0.50000
Central Point MRI LLC
870 S Front St	Central Point	OR	97502	261975164	MRI Services	OR	PH&S - OR	Related	0	1	187167	784202	0.70000
Greater Valley Medical Building LP
501 S Buena Vista St	Burbank	CA	91505	954570858	Real Estate - MOB	CA	PHS - So California	Investment	0	0
Pathology Associates Medical Laboratories LLC
611 N Perry	Spokane	WA	99202	270943279	Outpatient Lab	WA	Bourget Health Services Inc	Related	0	0
Southern Idaho Regional Laboratory LLC
611 N Perry	Spokane	WA	99202	820511819	Outpatient Lab	ID	PAML LLC	Related	0	0
Tri-Cities Laboratory LLC
611 N Perry	Spokane	WA	99202	911773986	Outpatient Lab	WA	PAML LLC	Related	0	0
Alpha Medical Laboratory LLC
611 N Perry	Spokane	WA	99202	912017347	Outpatient Lab	ID	PAML LLC	Related	0	0
PacLab LLC
611 N Perry	Spokane	WA	99202	911743952	Outpatient Lab	WA	PH&S - WA	Related	0	0
HealthServicesNW LLC
PO Box 389672	Seattle	WA	98138	311750915	Medical Billing	WA	PH&S - WA	Related	0	0
Medalia Healthcare LLC
1801 Lind Ave SW 9016	Renton	WA	98057	911660459	Physician Benefits	WA	PH&S - WA	Investment	0	0
Distribution Operations Center LLC
1801 Lind Ave SW 9016	Renton	WA	98057	271054858	Supplies Purchasing Agent	WA	PH&S - WA	Related	0	0
Oregon Advanced Imaging LLC
881 OHare Parkway	Medford	OR	97504	450471748	Medical Imaging	OR	PH&S - OR	Related	0	1	2262021	4812008	0.70000
California Laboratory Associates LLC
501 Buena Vista	Burbank	CA	91505	273888692	Outpatient Lab	CA	PHS - So California	Related	0	0
Canby Medical Center I LLC
2747 Pence Loop SE	Salem	OR	97302	205470937	Real Estate - MOB	OR	Willamette Falls Hospital	Related	0	0

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity
Providence Health Ventures Inc
4101 Torrance Blvd	Torrance	CA	90503	330122216	Investment	CA	N/A	C
Caron Health Corporation
510 West Front Street	Missoula	MT	59802	810486082	Medical Physician Service	MT	N/A	C
Providence Health Care Ventures Inc
101 West 8th Ave TAF C-9	Spokane	WA	99204	900155714	Clinical/Medical Lab	WA	N/A	C
Providence Physician Services Co
101 West 8th Ave TAF C-9	Spokane	WA	99208	911216033	Clinical/Medical Lab	WA	N/A	C
Yakima Medical Arts Inc
611 N Perry Suite 100	Spokane	WA	99202	910787963	Rental Real Estate	WA	N/A	C
Bourget Health Services Inc
PO Box 2687	Spokane	WA	99220	911354431	Clinical/Medical Lab	WA	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (31 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Providence Benedictine Nursing Center Foundation
C	125265	Cost
Providence Benedictine Nursing Center Foundation
B	125589	Cost
Providence Benedictine Nursing Center Foundation
P	125265	Cost
Providence Child Center Foundation
C	2166446	Cost
Providence Child Center Foundation
B	434341	Cost
Providence Child Center Foundation
P	434341	Cost
Providence Community Health Foundation
C	253298	Cost
Providence Community Health Foundation
B	354768	Cost
Providence Hood River Memorial Hospital Foundation
C	376017	Cost
Providence Hood River Memorial Hospital Foundation
B	144435	Cost
Providence Milwaukie Foundation
C	351299	Cost
Providence Milwaukie Foundation
B	190069	Cost
Providence Newberg Foundation
C	308346	Cost
Providence Newberg Foundation
B	274963	Cost
Providence Portland Medical Foundation
C	5283318	Cost
Providence Portland Medical Foundation
B	2209007	Cost
Providence Seaside Foundation
C	111122	Cost
Providence Seaside Foundation
B	126164	Cost
Providence St Vincent Medical Foundation
C	9718087	Cost
Providence St Vincent Medical Foundation
B	721833	Cost
Providence Plan Partners
N	56955389	Cost
Providence Plan Partners
P	18311814	Cost
Providence Plan Partners
M	5384406	Cost
Providence Health Plan
P	510384	Cost
Providence Health Assurance
P	191670	Cost
Oregon Outpatient Surgery Center
A	376591	Cost
Central Point MRI LLC
A	221900	Cost
Center for Medical Imaging LLC
B	492761	Cost
Portland Medical Imaging LLC
B	56250	Cost
Oregon Advanced Imaging LLC
C	1655172	Cost
Surgery Center at Tanasbourne
B	363000	Cost