PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA (EIN 51-0216589)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-14
IRS object ID: 201223199349303557
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-14T12:34:15-06:00	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	510216589	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE HEALTH SYSTEM -SO CALIFORNIA	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	1746339243	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www2.providence.org/california/Pages/default.aspx	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1903	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	Healthcare with special concern for the poor & vulnerable in So. California.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	11693	TotalNbrEmployees
Total Nbr Volunteers	2735	TotalNbrVolunteers
Total Gross UBI	700000	TotalGrossUBI
Net Unrelated Business Txbl Income	699000	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	13976543	ContributionsGrantsPriorYear
Contributions Grants Current Year	32258250	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1363669257	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1542061864	ProgramServiceRevenueCY
Investment Income Prior Year	6034226	InvestmentIncomePriorYear
Investment Income Current Year	8047853	InvestmentIncomeCurrentYear
Other Revenue Prior Year	88936155	OtherRevenuePriorYear
Other Revenue Current Year	25673650	OtherRevenueCurrentYear
Total Revenue Prior Year	1472616181	TotalRevenuePriorYear
Total Revenue Current Year	1608041617	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	5381160	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	3698520	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	837019951	SalariesEtcPriorYear
Salaries Etc Current Year	896995752	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	383723	TotalFundrsngExpCurrentYear
Other Expense Prior Year	562921450	OtherExpensePriorYear
Other Expenses Current Year	754617997	OtherExpensesCurrentYear
Total Expenses Prior Year	1405322561	TotalExpensesPriorYear
Total Expenses Current Year	1655312269	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	67293620	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-47270652	RevenuesLessExpensesCY
Total Assets BOY	3279160875	TotalAssetsBOY
Total Assets EOY	3422595451	TotalAssetsEOY
Total Liabilities BOY	2618522196	TotalLiabilitiesBOY
Total Liabilities EOY	2740654563	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	660638679	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	681940888	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 & vulnerable in Southern California.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	916956830	Expense
Grants	0	Grants
Revenue	1078768074	Revenue
Description	Acute Care - Inpatient Patient Days - 326,235Admissions - 73,064OUR MISSION - As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.OUR CORE VALUES - Respect, Compassion, Justice, Excellence, and StewardshipPROVIDENCE CARESWhether tenderly holding a special-needs child who requires round-the-clock care, or easing the way for a stroke patient who faces both physical and financial struggles, the people of Providence are called to a mission of service. Our lifework is to provide excellent care for everyone, at all stages of life, regardless of ability to pay. This has been the Providence mission since the Sisters of Providence arrived on the shores of the Columbia River 150 years ago, committed to the care and healing of poor and vulnerable frontier neighbors. Providence Health System-Southern California is a not-for-profit network of hospitals, care centers, physicians, clinics, home health services and affiliated services. We continue a tradition of caring that the Sisters of Providence began in the West 150 years ago.There is nothing more valuable than good health, but in 2011, when the unemployment rate in Los Angeles County surpassed 10 percent, many people were in need of help with not only basic healthcare needs, but critical needs.Providence Health & Services Southern California answered needs across the region, contributing nearly $138 million in charity care and in services to the under-served in 2011 through its community benefits program. Providence Cares.We care about school children who've never seen a dentist, about indigent emergency patients who desperately need follow-up care and for the elderly who need a ride to the doctor or just a friendly phone call to say hello.In the South Bay, employees collected boxes and boxes of Christmas gifts for families in need, many from working families who had lost their homes. In the San Fernando Valley, an outbreak of whooping cough prompted our School Nurse Program to provide free vaccinations to children. Providence Cares about the communities we serve.We understand the importance of preventive care and provide several programs aimed at keeping people out of the hospital by meeting their basic healthcare needs, diagnosing chronic illnesses and providing care before a treatable conditions become critical.We are driven by a commitment to the Providence Mission of compassionate care for all, especially the poor and vulnerable, and to our core values of Respect, Compassion, Justice, Stewardship and Excellence. Providence honored that tradition in 2011 by providing a total of $250,000 to 14 nonprofit groups in the San Fernando and Santa Clarita valleys that served the homeless, the uninsured in need of medical care, school children in low-income areas and others in need. The money came from the Mother Joseph Fund, which held a portion of proceeds from the Valley Service Area ministries.As part of the South Bay Service Area's community benefits programs, employees of Providence Little Company of Mary Medical Center San Pedro donated children's outfits to Barton School. Nearly 60 percent of the school's 800 children are from lower-income households. The ministry also collected more than 200 pairs of shoes to donate to a project that helped the homeless. Finally, a Christmas appeal drew gifts for 23 families in need. We help our neighbors across Southern California - and the West - because Providence Cares. OUR FACILITIES:Providence Saint Joseph Medical Center in BurbankProvidence Holy Cross Medical Center in Mission HillsProvidence Tarzana Medical Center in TarzanaProvidence Little Company of Mary Medical Center in TorranceProvidence Little Company of Mary Medical Center in San PedroProvidence Health System - Southern California has entered into a joint agreement with the Bioethics Institute at Loyola Marymount University in Westchester, California. Loyola Marymount faculty will now be available to Providence hospitals to assist with bioethics education and Little Company	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	333128492	Expense
Grants	0	Grants
Revenue	391864206	Revenue
Description	Acute Care - Outpatient - including emergency/trauma services. Patient Visits - 707,733 San Pedro Peninsula Hospital dba Little Company of Mary-San Pedro Hospital (LCM-SPH) provides care to the sick and dying and their families through the Catholic Health Ministry. In October 1992, LCM-SPH affiliated with Little Company of Mary Health Services (LCMHS) and became part of its integrated system. Due to the changing economic conditions of health care, LCMHS sought a strategic partner to be able to continue its commitment to meet the health needs of the community and remain financially strong. On September 1, 1999 LCMHS affiliated with Providence Health & Services, an exempt 501(c)(3) corporation headquartered in Renton, Washington. Providence Health & Services is a not - for - profit Catholic organization with the same mission and values as LCMHS and its affiliated organizations.LCM-SPH accomplishes its Mission of providing health care services to the community in a variety of hospital and ambulatory settings. LCM-SPH operates an acute general hospital that provides comprehensive inpatient, outpatient and emergency services. Major service areas within the acute hospital include medical/surgical, obstetrics, geropsychiatry, rehabilitation and chemical dependency. The hospital also has an outpatient diagnostic imaging center. In addition to its acute hospital, LCM-SPH provides sub-acute care services to the community .The Mission of Little Company of Mary Sisters and the Sisters of Providence is reflected in the historical significance of their names to continue the healing ministry of Jesus. They are committed to care for the sick, dying and needy.Providence Health & Services Southern California - LCM Services Area is committed to the fulfillment of the Mission of the Sisters through the delivery of expanded charitable services. In keeping with this mission it has established a Social Accountability budget to return the value of the system's tax exemption to the community.Providence Little Company of Mary San Pedro was among the first recipients of Press Ganey's new Best Place to Practice Award which was given to only six hospitals nationwide. This award recognizes hospitals who have reached and sustained the 95th percentile on their physician surveys for two consecutive reporting periods that are not more than twenty-four months apart.HealthGrades recognized Providence Tarzana Medical Center with 5-Star ratings for the treatment of heart attack and heart failure for the sixth consecutive year and Providence Saint Joseph Medical Center with a Maternity Care Excellence Award, ranking Providence Saint Joseph among the top five percent of rated hospitals in the nation for five years.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	58180196	Expense
Grants	0	Grants
Revenue	68426651	Revenue
Description	Long-Term Care, Subacute Skilled Nursing & Home Health Programs. Long-Term Care Days - 95,631; Home Health Visits - 57,918.	Description

Activity Other ActivityOther (2 entries)

ExpenseExpense	GrantsGrants	RevenueRevenue	DescriptionDescription
3931178	233410	4776134	Providence High School for children of the Northern San Fernando Valley and surrounding area. School Days - 185 Students - 375.Providence High School is a Catholic, accredited, college-preparatory school for young men and women. The School is located in the San Fernando Valley and serves the Greater Los Angeles area. The School offers a challenging college-preparatory academic program, carefully designed to give students opportunities for growth and experience in preparation for university course work. The School has received full accreditation from the Western Association of Schools and Colleges, and the Western Catholic Educational Association.
3465110	3465110	0	Grant & Allocations - See Schedule I.

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	7396288	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	3698520	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	4776134	TotalOfOtherProgramServiceRev
Total Program Service Expense	1315661806	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	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	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	1	FundraisingActivities
Gaming	1	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	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	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	1890	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	11693	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	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
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	CA	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
Karl J Carrier
CFO - CA. Region	55.00		X	0	2021039	306721
Michael Hunn
SVP/RCE So. CA. Region	60.00		X	0	1319956	257022
Gregory Van Pelt
SVP/OR. Region	55.00			0	3311411	947178	X
Arnold R Schaffer
SVP/Operations	60.00			0	2709303	779042	X
Kerry L Carmody
COO - CA.Region	40.00			0	2115765	378041	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
Larry S Bowe
CEO - PHCMC	40.00			0	1529106	479559	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
Cindra R Syverson
VP/CHRO	60.00			0	494955	174335	X
Nancy Carlson
CEO - LCMMCSP	50.00			0	981946	196743	X
Barry Wolfman
CEO - PSJMC	40.00			0	517387	182012	X
Dale Surowitz
CEO - PTMC	40.00			0	482520	147130	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
Bernard MD J Klein
CMO - HCMC	40.00			420353	0	47322		X
Glen Komatsu
CMO - TCH	40.00			414375	0	44141		X
Dan C Cusator
CMO - PMI	40.00			393955	0	17234		X
William C Scott
CMO - SJMC	40.00			388746	0	40680		X
David Mast
CFO - Hospital Group	40.00			362380	0	34328		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	1979809	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	40360893	TotalReportableCompFrmRltdOrgs
Total Other Compensation	11902789	TotalOtherCompensation
Number Individuals GT100 K	1508	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
Swinerton Builders
17731 Mitchell N Ste 200	Irvine	CA	926146028	Construction	13188044
Healthcare Partner Inc MED
19191 S Vermont Avenue 21F	Torrance	CA	90502	Medical Services	9291356
Crothall Services Group
955 Chesterbrook Blvd Ste 300	Wayne	PA	19087	Laundry/Housekeeping	6303314
Therapeutic Associates Inc
7100 Fort Dent Way Ste 220	Seattle	WA	98188	Physical/Occup. Therapy Svc	4961933
Perot Systems Healthcare
PO Box 31498	Hartford	CT	061501498	IT Consulting	4726722

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	480	NumberOfContractorsGT100K
Membership Dues	8554	MembershipDues
Fundraising Events	4105	FundraisingEvents
Related Organizations	24854230	RelatedOrganizations
Government Grants	6479724	GovernmentGrants
All Other Contributions	911637	AllOtherContributions
Total Contributions	32258250	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Acute - Inpatient	900099	1077475964	1077475964
Acute - Outpatient	621400	391444756	391444756
LTC/HomeCare/Hospice	623000	68365010	68365010
Tuition & Fees	611600	4776134	4776134

Field	Value	IRS element (for citing)
Total Program Service Revenue	1542061864	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	7173188	TotalRevenueColumn
Exclusion	$7,173,188	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	4456894	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	3298430	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1158464	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1158464	TotalRevenueColumn
Exclusion	$1,158,464	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	135329688	Securities
Other	309741	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	134511841	Securities
Other	252923	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	817847	Securities
Other	56818	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	874665	TotalRevenueColumn
Exclusion	$874,665	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	96776	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	4105	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	47987	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	48789	TotalRevenueColumn
Exclusion	$48,789	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	38152	GrossIncomeGaming
Gaming Direct Expenses	2822	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	35330	TotalRevenueColumn
Exclusion	$35,330	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	348298	GrossSalesOfInventory
Cost Of Goods Sold	183623	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	164675	TotalRevenueColumn
Exclusion	$164,675	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
Cafeteria	722210	4139968	$4,139,968
Pharmacy Services	446110	1422306	$1,422,306
Management Services	900099	700000		700000

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	18004118	TotalRevenueColumn
Related Or Exempt Function Income	1773201	RelatedOrExemptFunctionIncome
Exclusion	$16,230,917	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	24266392	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1608041617	TotalRevenueColumn
Related Or Exempt Function Income	1543835065	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	700000	UnrelatedBusinessRevenue
Exclusion	$31,248,302	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	3415110	Total
Program Services	3415110	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	283410	Total
Program Services	283410	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	10767941	Total
Management And General	10767941	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	589606898	Total
Program Services	485083713	ProgramServices
Management And General	104268695	ManagementAndGeneral
Fundraising	254490	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	39817077	Total
Program Services	31829838	ProgramServices
Management And General	7977801	ManagementAndGeneral
Fundraising	9438	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	212919266	Total
Program Services	178029243	ProgramServices
Management And General	34870832	ManagementAndGeneral
Fundraising	19191	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	43884570	Total
Program Services	35527488	ProgramServices
Management And General	8338840	ManagementAndGeneral
Fundraising	18242	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	10025890	Total
Program Services	2194971	ProgramServices
Management And General	7830919	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	7133	Total
Management And General	7133	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	44286	Total
Management And General	44286	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	143979106	Total
Program Services	109112686	ProgramServices
Management And General	34866420	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1838841	Total
Program Services	845530	ProgramServices
Management And General	949143	ManagementAndGeneral
Fundraising	44168	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	42337658	Total
Program Services	34388909	ProgramServices
Management And General	7915100	ManagementAndGeneral
Fundraising	33649	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	9353037	Total
Program Services	1249602	ProgramServices
Management And General	8103435	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	35586287	Total
Program Services	18970487	ProgramServices
Management And General	16615800	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1808478	Total
Program Services	713391	ProgramServices
Management And General	1095087	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1155481	Total
Program Services	397146	ProgramServices
Management And General	757393	ManagementAndGeneral
Fundraising	942	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	27131210	Total
Program Services	27071242	ProgramServices
Management And General	59968	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	32267521	Total
Program Services	2706525	ProgramServices
Management And General	29560996	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	70203055	Total
Program Services	42992522	ProgramServices
Management And General	27210533	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	9719732	Total
Program Services	9128442	ProgramServices
Management And General	591290	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical Supplies	177156075	175693829	1462246
Provider Tax	77316674	57192752	20123922
Bad Debts	57696351	57696351
UBI Taxes	428676	0	428676

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	56562506	Total
Program Services	41138619	ProgramServices
Management And General	15420284	ManagementAndGeneral
Fundraising	3603	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1655312269	Total
Program Services	1315661806	ProgramServices
Management And General	339266740	ManagementAndGeneral
Fundraising	383723	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3721548	BOY
EOY	5690631	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	83427057	BOY
EOY	51912765	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	1100568	BOY
EOY	667599	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	189554906	BOY
EOY	196218679	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	3442627	BOY
EOY	52856704	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	23059946	BOY
EOY	22661294	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	26040713	BOY
EOY	10183581	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1669231049	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	812372476	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	844668295	BOY
EOY	856858573	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	79849974	BOY
EOY	84211177	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	69548922	BOY
EOY	59432694	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1954746319	BOY
EOY	2081901754	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3279160875	BOY
EOY	3422595451	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	496158886	BOY
EOY	158168423	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	4554084	BOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	18250477	BOY
EOY	6113023	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	435840001	BOY
EOY	433935002	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	117469	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1663601279	BOY
EOY	2142438115	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2618522196	BOY
EOY	2740654563	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	601933824	BOY
EOY	639990616	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	37926383	BOY
EOY	22041981	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	20778472	BOY
EOY	19908291	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	660638679	BOY
EOY	681940888	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3279160875	BOY
EOY	3422595451	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-47270652	ReconcilationRevenueExpenses
Reconcilation Other Changes	68572861	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	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	0	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 activities, with the exception of advocacy, are limited to direct contact with government officials and mailings to the general public and legislators for the purpose of expressing opinions on legislative matters. Expenses include employee salaries, postage and incidental traveling expenditures. Providence Health System - Southern California does not allocate expenses to lobbying activities.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	357604	BeginningOfYearBalance
Contributions	10000	Contributions
Investment Earnings Or Losses	1737	InvestmentEarningsOrLosses
End Of Year Balance	369341	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	104970	BeginningOfYearBalance
Contributions	238850	Contributions
Investment Earnings Or Losses	13784	InvestmentEarningsOrLosses
End Of Year Balance	357604	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	103609	BeginningOfYearBalance
Investment Earnings Or Losses	1361	InvestmentEarningsOrLosses
End Of Year Balance	104970	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	103609	BeginningOfYearBalance
End Of Year Balance	103609	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	102843876	OtherCostOrOtherBasis
Book Value	102843876	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	790594731	OtherCostOrOtherBasis
Depreciation	296947949	Depreciation
Book Value	493646782	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	26415326	OtherCostOrOtherBasis
Depreciation	18477264	Depreciation
Book Value	7938062	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	677175630	OtherCostOrOtherBasis
Depreciation	496947263	Depreciation
Book Value	180228367	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	72201486	OtherCostOrOtherBasis
Book Value	72201486	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	856858573	TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescription	Book ValueBookValue
Unamortized Bond Financing Costs	6326903
Due from Affiliates	2022034164
Miscellaneous Receivables	19244649
Library Inventory	13000
Third Party Settlements	23157735
Bond Premium Discount	8572768
Trustee Held Funds	2552535

Field	Value	IRS element (for citing)
Total Book Value Other Assets	2081901754	TotalBookValueOtherAssets
Federal Income Tax Liability	39975	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescription	AmountAmount
Due to Affiliates	$2,043,039,105
Liability for Risk Sharing	$5,275,502
Miscellaneous Other Liabilities	$227,007
Capitalized Lease Obligation	$5,817,334
LT Asset Retirement Obligation - FIN 47	$13,774,031
IBNR Payable	$2,246,672
Taxable Bond Issue	$55,954,178
Third Party Settlements	$14,802,329
Liability for Unpaid Claims	$1,261,982

Field	Value	IRS element (for citing)
Total Of Amounts	2142438115	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	The School has one endowment fund established for scholarship purposes that is donor-restricted.
Description of Uncertain Tax Positions Under FIN 48:	Part X:	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.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GALA	NameOfEvent1
Gross Receipts Event1	77286	GrossReceiptsEvent1
Charitable Contributions Event1	4105	CharitableContributionsEvent1
Gross Revenue Event1	73181	GrossRevenueEvent1
Food And Beverage Event1	20395	FoodAndBeverageEvent1
Entertainment Event1	2000	EntertainmentEvent1
Other Direct Expenses Event1	10470	OtherDirectExpensesEvent1
Name Of Event2	Magazine Drive	NameOfEvent2
Gross Receipts Event2	22463	GrossReceiptsEvent2
Gross Revenue Event2	22463	GrossRevenueEvent2
Other Direct Expenses Event2	9717	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	1132	GrossReceiptsOtherEvents
Gross Revenue Other Events	1132	GrossRevenueOtherEvents
Other Direct Expenses Other Events	5405	OtherDirectExpensesOtherEvents
Gross Receipts Total	100881	GrossReceiptsTotal
Charitable Contributions Total	4105	CharitableContributionsTotal
Gross Revenue Total Events	96776	GrossRevenueTotalEvents
Food And Beverage Total Events	20395	FoodAndBeverageTotalEvents
Entertainment Total Events	2000	EntertainmentTotalEvents
Other Direct Expenses Total Events	25592	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	47987	DirectExpenseSummaryEvents
Net Income Summary	48789	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	38152	GrossRevenueOtherGaming
Non Cash Prizes Other Gaming	2822	NonCashPrizesOtherGaming
Volunteer Labor Other Gaming	1	VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming	1.00000	VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming	38152	GrossRevenueTotalGaming
Non Cash Prizes Total Gaming	2822	NonCashPrizesTotalGaming
Direct Expense Summary Gaming	2822	DirectExpenseSummaryGaming
Net Gaming Income Summary	35330	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	CA	StatesWhereGamingConducted
Licensed	1	Licensed
License Suspended Etc	0	LicenseSuspendedEtc
Gaming With Nonmembers	0	GamingWithNonmembers
Member Of Other Entity	0	MemberOfOtherEntity
Percentage Of Gaming Othr Facility	1.00000	PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper Person	Paula Green	NameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	511 S Buena Vista Street	AddressLine1
City	Burbank	City
State	CA	State
ZIP Code	91505	ZIPCode

Field	Value	IRS element (for citing)
Contract With3rd Party For Gam Rev	0	ContractWith3rdPartyForGamRev
Gaming Manager Name Person	Vickie Bagwell	GamingManagerNamePerson
Gaming Manager Compensation	0	GamingManagerCompensation
Gaming Manager Services Provided	All activities related to the raffle are coordinated through the Development Department.	GamingManagerServicesProvided
Gaming Manager Is Employee	X	GamingManagerIsEmployee
Charitable Distrib Required	0	CharitableDistribRequired

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

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	250.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	350.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
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	37669500	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8747564	DirectOffsettingRevenue
Net Community Benefit Expense	28921936	NetCommunityBenefitExpense
Percent Of Total Expense	0.01810	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	363140136	TotalCommunityBenefitExpense
Direct Offsetting Revenue	301515059	DirectOffsettingRevenue
Net Community Benefit Expense	61625077	NetCommunityBenefitExpense
Percent Of Total Expense	0.03860	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	400809636	TotalCommunityBenefitExpense
Direct Offsetting Revenue	310262623	DirectOffsettingRevenue
Net Community Benefit Expense	90547013	NetCommunityBenefitExpense
Percent Of Total Expense	0.05670	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9785443	TotalCommunityBenefitExpense
Direct Offsetting Revenue	171152	DirectOffsettingRevenue
Net Community Benefit Expense	9614291	NetCommunityBenefitExpense
Percent Of Total Expense	0.00600	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5519347	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4795	DirectOffsettingRevenue
Net Community Benefit Expense	5514552	NetCommunityBenefitExpense
Percent Of Total Expense	0.00350	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5336083	TotalCommunityBenefitExpense
Direct Offsetting Revenue	222014	DirectOffsettingRevenue
Net Community Benefit Expense	5114069	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1574583	TotalCommunityBenefitExpense
Net Community Benefit Expense	1574583	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	22215456	TotalCommunityBenefitExpense
Direct Offsetting Revenue	397961	DirectOffsettingRevenue
Net Community Benefit Expense	21817495	NetCommunityBenefitExpense
Percent Of Total Expense	0.01370	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	423025092	TotalCommunityBenefitExpense
Direct Offsetting Revenue	310660584	DirectOffsettingRevenue
Net Community Benefit Expense	112364508	NetCommunityBenefitExpense
Percent Of Total Expense	0.07040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$57,696,351	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	396631076	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	362012938	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	34618138	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
Number Of Hospital Facilities	5	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	Critical Access HospitalCriticalAccessHospital	Er OtherErOther
Providence St Joseph Medical Center
1	501 S Buena Vista St	Burbank	CA	91505	X	X	X
Providence LCM Med Ctr - Torrance
2	4101 Torrance Boulevard	Torrance	CA	90505	X	X	X
Providence Holy Cross Medical Center
3	15031 Rinaldi St	Mission Hills	CA	91345	X	X	X	X	X
Providence Tarzana Medical Center
4	18321 Clark Street	Tarzana	CA	91356	X	X	X
Providence LCM Med Ctr - San Pedro
5	1300 West Seventh Street	San Pedro	CA	90732	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (5 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	State RegulationStateRegulation	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Permit Report To Credit AgencyPermitReportToCreditAgency	Permit LawsuitPermitLawsuit	Permit Lien On ResidencePermitLienOnResidence	Permit Body AttachmentPermitBodyAttachment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Medicare RateMedicareRate	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges	Income LevelIncomeLevel
Providence St Joseph Medical Center
1	1	1	250.000000000000	1	350.000000000000	1	X	X	X	X	X	X	1	1	X	X	1	X	X	X	X	0	1	X	0	1
Providence LCM Med Ctr - Torrance
2	1	1	250.000000000000	1	350.000000000000	1	X	X	X	X	X	X	1	1	X	X	1	X	X	X	X	0	1	X	0	1	X
Providence Holy Cross Medical Center
3	1	1	250.000000000000	1	350.000000000000	1	X	X	X	X	X	X	1	1	X	X	1	X	X	X	X	0	1	X	0	1	X
Providence Tarzana Medical Center
4	1	1	250.000000000000	1	350.000000000000	1	X	X	X	X	X	X	1	1	X	X	1	X	X	X	X	0	1	X	0	1	X
Providence LCM Med Ctr - San Pedro
5	1	1	250.000000000000	1	350.000000000000	1	X	X	X	X	X	X	1	1	X	X	1	X	X	X	X	0	1	X	0	1	X

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	3	NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Providence St Elizabeth Care Center
10425 Magnolia Boulevard	North Hollywood	CA	91601	Skilled Nursing
Providence LCM Sub-Acute Care Center
1322 West Sixth Street	San Pedro	CA	90732	Skilled Nursing
Providence LCM Transitional Care Ctr
4320 Maricopa Street	Torrance	CA	90503	Transitional Care

Form990 Schedule H Part VI Form990ScheduleHPartVI (23 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 6a: In addition to having Community Benefit information included in the consolidated Providence Health & Services Community Benefit Report, this information is also included in the Providence Health System - Southern California Regional Community Benefit Report.
Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 57696351.
Part II: COMMUNITY BUILDING ACTIVITIES:Providence Health & Services, California Region did not track or report the financial impact of their community building activities.
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 & 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 1The 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 - LINE 4It 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: Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration.	Providence St. Joseph Medical Center
Part V, Section B, Line 13g: Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration.	Providence LCM Med. Ctr. - Torrance
Part V, Section B, Line 13g: Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration.	Providence Holy Cross Medical Center
Part V, Section B, Line 13g: Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration.	Providence Tarzana Medical Center
Part V, Section B, Line 13g: Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration.	Providence LCM Med. Ctr. - San Pedro
Part V, Section B, Line 21: For non medically necessary services a patient may be charged full billed charges.	Providence St. Joseph Medical Center
Part V, Section B, Line 21: For non medically necessary services a patient may be charged full billed charges.	Providence LCM Med. Ctr. - Torrance
Part V, Section B, Line 21: For non medically necessary services a patient may be charged full billed charges.	Providence Holy Cross Medical Center
Part V, Section B, Line 21: For non medically necessary services a patient may be charged full billed charges.	Providence Tarzana Medical Center
Part V, Section B, Line 21: For non medically necessary services a patient may be charged full billed charges.	Providence LCM Med. Ctr. - San Pedro
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, Southern California Region, operates five medical centers and outpatient centers, clinics, hospice and community outreach programs serving a wide area stretching from the northern reaches of Los Angeles County to the South Bay Area. The region is marked by great wealth, but also by large pockets of poverty. The region is composed of the coastal South Bay Service Area and the inland Valley Service Area. The service areas are separated by some 30 miles, but work as one sharing quality practices and commitment to the Providence Mission to serve those who are poor and vulnerable. The Providence Mission drives numerous programs aimed at easing those challenged by the continuing economic slump, providing free and low-cost health care, partnering with agencies with similar missions and focusing on preventive care with the hopes of improving the health of the communities served by Providence. In the California Region's Valley Service Area, home to more than 2.1 million, 39.4% of the population is Hispanic; 42.7%, white; 10%, Asian; and 3.6%, African-American. Nearly 20% of the population is uninsured, 17.9% receive Medi-Cal; 10.3%, Medicare; and 51.8%, private or other insurance. Approximately 11.2% of the population is age 65 and above. Children, newborn to age 13, represent 19% of the total population. The 65- to 84-year-old age group is projected to increase the most over the next five years while the 25- to 44-year-old age group is projected to decrease during that period. While Providence provides outreach to those who are poor and vulnerable across the service area, pockets of lower income households tend to be clustered in the northeastern San Fernando Valley. Our community benefit services are especially concentrated there and focused on preventive medicine and health education.The South Bay Service Area covers 14 separate municipalities with a total population of 824,038, of which 35.7% are Hispanic; 34%, white;16.8%, Asian; 9.7%, African-American; and 3.8%, other. The coastal area includes upper income and affluent communities, while the crescent of communities forming the eastern Service Area boundaries are among the most impoverished in Los Angeles County. Data show 18.9% of residents are uninsured; 14.1% receive Medi-Cal; 11.8%, Medicare; and 55.3% have private insurance. Twelve percent of the population is 65 and older; children, newborn to 13 years, represent 18.7% of the total population. South Bay Service Area ZIP code demographics vividly document significant disparities related to age, educational attainment, household income and home ownership. With the Providence Mission as our guide, community outreach resources are directed to six underserved communities in the South Bay Service Area: Gardena, Hawthorne and Lawndale on the northern boundaries and Harbor City, Wilmington and the 90731 ZIP code area of San Pedro along the southern boundaries.
Part VI, Line 5: PROMOTION OF COMMUNITY HEALTH:As a not-for-profit Catholic health care ministry, Providence Health & Services live out its Mission and 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. 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 those who are poor and vulnerable, Providence Health & Services has developed a single framework for consistently reporting charity care and community benefit. Locally, Providence ministries are empowered to apply these policies to meet the needs of their community. Additionally, Providence ministries conduct local assessments to make sure the needs of the community are met. The Greater Los Angeles Area has a growing population of poor, uninsured and under-insured in need of basic health care, and the safety net has been further stretched by the current economic slowdown. In each service area, access to low cost or free primary care is the top health care need identified by the separate needs assessments conducted in the San Fernando Valley and South Bay regions. As the home to a large number of immigrants, all of whom have immediate health care and health education needs, finding a medical home and connecting children and adults to health care remains our greatest challenge. Untreated diabetes is epidemic, and among the growing Latino population the ability to provide services in Spanish is critical to successful clinical outcomes. Providence plays a leadership role in providing program infrastructure to the most economically disadvantaged communities in the service area and seeks to improve management of these chronic conditions. Each hospital's emergency department is open 24 hours and no patient is ever denied emergency care regardless of ability to pay. Because more and more patients utilize emergency rooms as primary care, Providence medical centers provide fast-track service for routine health issues and bilingual lay people to guide and direct children and adults to appropriate community based follow up services. Providence Southern California coordinates programs for vulnerable populations and sponsors and recruits volunteers for efforts by other groups and government agencies that share the Providence Mission of outreach to the poor and vulnerable. A mobile health clinic travels the San Fernando Valley five days a week providing very low-cost medical care for those in need, focusing on those with chronic illnesses to help them manage their conditions. In the South Bay, a mobile clinic visits 10 schools each week and provides free primary care to uninsured children. Across both service areas, medical teams work also with patients to find low-cost medical care and resources, and Providence provides free and low-cost laboratory and imaging work to area community clinics. Providence also provides several outreach programs for vulnerable populations including the elderly, immigrants and children from low-income families. Those community benefit programs, funded by medical center operations and external grants, include: a school nurse program at 14 Catholic schools in lower-income areas; senior peer counseling; Latino Health Promoters who provide health screenings and education; free removal of anti-social tattoos for former gang members and others; a faith community nurse outreach program that brings health care services to our communities through partnerships with area faith congregations; and a team of promotoras who reach out to help parents enroll their children in Medi-Cal or Healthy Families. A portion of proceeds from each hospital ministry is held in the Mother Joseph Fund and distributed to support community benefit projects that support the Providence Mission of outreach to the poor and vulnerable. For example, Providence partnered over the summer with the Los Angeles County Department of Public Health to provide free T-DAP vaccinations (tetanus, diphtheria and pertussis) at a dozen schools in the San Fernando Valley and South Bay. The goal was not only preventive medicine but to help families meet the demands of a new state law requiring vaccinations for the 2011-12 school year and exclusion of students who could not provide evidence of TDAP vaccination. Based on the findings of the needs assessments conducted in each of the service areas, programs have been developed to address the needs of those who are poor and vulnerable and that run the spectrum from birth to the elderly. Providence funds programs for young parents; provides a developmental therapy program for infants with special needs; free flu shot campaigns for all ages; counseling for adolescents, teens and young adults who have strayed off their paths; and health screenings and health education programs for all ages. Providence has developed palliative care programs at all its medical centers and operates the largest hospice program in Southern California, one that includes the area's only children's hospice. In the San Fernando Valley, a new program, Providence Access to Care, was initiated in 2011. This program involves community care coordinators and other professionals who identify indigent and uninsured emergency department patients to ensure they have access to free or low-cost prescriptions, specialists and ongoing medical care. Access to Care staff members contact these patients after discharge from the emergency department to arrange for free or low-cost follow-up medical care and track their progress, reminding them of appointments and keeping records of the referrals made.In 2011, the Providence Access to Care Program had 2,998 patients referred to the program for assistance. Of this total, 2,502 were new client referrals to the program. In the first year that the program was operating, 50% of the patients referred to the Access to Care Program did not return to the emergency departments after being linked with a medical provider in the community. For those patients who did have a return visit to the emergency department during this time period, in the majority of cases their visit to the emergency department was justified as a serious or emergent condition. After factoring in the costs to operate the program compared to the financial benefits to the medical centers, there was a net benefit of more than $47,700 during this first year.In the South Bay Service Area, a program called Creating Opportunity for Physical Activity (COPA) is offered in partnership with 13 urban public schools across three public school districts and offers a "peer coach" training model to almost 200 classroom teachers who have little or no training in physical education. Over a two year period, these teacher peer coaches become independent in physical education instruction using a curriculum developed by Providence that is directly linked to California grade level physical education standards. At six Lawndale elementary schools, a new pilot program known as "Instant Recess," in partnership with the UCLA School of Public Health, uses the same peer coach training model to help teachers integrate 10 minute bursts of physical activity into the classroom schedule. COPA trains teachers to provide P.E. instruction, using fun, skill and compassion to create a culture of daily physical activity. Preliminary evaluation by an independent evaluator has documented statistically significant increases in the number of students achieving the Healthy Fitness Zone, as measured by Fitnessgram.The other major program improvement, directly linked to the needs assessment, was the implementation of a pilot project, Get Out and Live (GOAL), designed to help adults improve their ability to manage their diabetes. This program is offered at the Vasek Polak Health Clinic, a primary care clinic for uninsured adults, sponsored by Providence Southern California. The clinic uses a low cost, fixed price service delivery model staffed by nurse practitioners and in 2011, was a medical home for 4,869 adults. The GOAL project, for adults with diabetes, involves the modification of a standardized self care curriculum to incorporate three additional classes that include group visits. During the group visit, one of the clinicians that the patient normally sees in the clinic provides both medical education and a one on one visit with the patient to go over lab results and answer any questions.
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.Providence Southern California continuously looks toward more efficient processes to ensure funding is available for community outreach programs to help those most in need. The poor and vulnerable run the spectrum from birth to the elderly, all with specific needs that are addressed by the Providence's outreach efforts. Providence funds programs for young parents; provides a developmental therapy program for infants with special needs; free flu shot campaigns for all ages; counseling for adolescents, teens and young adults who have strayed off their paths; and health screenings and health education programs for all ages. Providence has developed palliative care programs at all its medical centers and operates the largest hospice program in Southern California, one that includes the area's only children's hospice.In terms of community outreach, each of the five medical centers serves vastly different populations and tailors programs appropriately. In many cases, Providence Southern California partners with local charities such as Meet Each Need with Dignity (MEND) in the northern San Fernando Valley, the Burbank Temporary Aid Center (BTAC) in Burbank and Harbor Interfaith in San Pedro, which supports the working poor with shelter, food, job training, life skills education and other services.
CA,WA,OR,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 (12 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Providence Little Company of Mary Foundation
4101 Torrance Blvd	Torrance	CA	91505	510224944	501 ( c)(3)	1699086	Operating Support/Emilie Gamelin Fund
Providence Health & Services Foundation
501 S Buena Vista St	Burbank	CA	91505	953544877	501 ( c)(3)	1574631	Operational Support/Contribution
Westfield America
PO Box 57187	Los Angeles	CA	90074	361127608	Other	19088	Mall Walker Sponsorship
Valley Economic Alliance
5121 Van Nuys Blvd 200	Sherman Oaks	CA	91403	954524503	501 ( c)(3)	25000	Community Support
Children'S Hospital Los Angeles Foundation
4650 Sunset Blvd Mail Stop 29	Los Angeles	CA	90027	951690977	501 ( C)(3)	10000	Operational Support
City of Burbank Parks & Recreation
275 East Olive Ave	Burbank	CA	91502	956000683	Government	10000	Centennial Sponsorship
Cystic Fibrosis Foundation
6931 Arlington Rd 200	Bethesda	MD	20814	131930701	501( c)(3)	10000	Memorial Donation
National Health Foundation
515 S Figueroa St 1300	Los Angeles	CA	90071	237314808	501 ( c)(3)	5250	Recuperative Care
American Heart Association
PO Box 4002030	Des Moines	IA	50340	135613797	501 ( C)(3)	5000	LA Heart Walk
Arthritis Foundation
800 West 6Th St Suite 1250	Los Angeles	CA	90017	951885447	501 ( C)(3)	5000	Arthritis Walk Sponsorship
Valley Cultural Center
21550 Oxnard St 470	Woodland Hills	CA	91367	510172702	501 ( c)(3)	5000	Sponsorship July 4th & First Aid Booth
Valley Industry & Commerce Assn
5121 Van Nuys Blvd 203	Sherman Oaks	CA	91403	237182039	Other	5000	Community Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	10	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	2	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (7 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Family Allowance - 2nd Student	30	37250	FMV	Tuition Reduction
Scholarship - Department $100	33	3300	FMV	Tuition Reduction
Employee Discount	16	47400	FMV	Tuition Reduction
Academic Scholarships	20	5200	FMV	Scholarships
Financial Aid	48	75200	FMV	Tuition Reduction
Scholarships	50	1000	FMV	Scholarships
Charity	8	18260	FMV	Tuition Reduction

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
Karl J Carrier
0	403837	0	1585702	0	31500	0	284164	0	22557	0	2327760	0	0
Michael Hunn
0	470781	0	829175	0	20000	0	239155	0	17867	0	1576978	0	0
Gregory Van Pelt
0	690516	0	2584395	0	36500	0	925680	0	21498	0	4258589	0	0
Arnold R Schaffer
0	667785	0	1931749	0	109769	0	756443	0	22599	0	3488345	0	0
Kerry L Carmody
0	448846	0	1635419	0	31500	0	355132	0	22909	0	2493806	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
Larry S Bowe
0	340957	0	1173149	0	15000	0	455630	0	23929	0	2008665	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
Cindra R Syverson
0	377057	0	102898	0	15000	0	153119	0	21216	0	669290	0	0
Nancy Carlson
0	307577	0	654858	0	19511	0	177975	0	18768	0	1178689	0	0
Barry Wolfman
0	368202	0	117685	0	31500	0	161216	0	20796	0	699399	0	0
Dale Surowitz
0	357378	0	110142	0	15000	0	126950	0	20180	0	629650	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
Bernard MD J Klein
348303	0	72050	0	0	0	32460	0	14862	0	467675	0	0	0
Glen Komatsu
329910	0	67965	0	16500	0	29225	0	14916	0	458516	0	0	0
Dan C Cusator
165183	0	50000	0	178772	0	3620	0	13614	0	411189	0	0	0
William C Scott
318088	0	70658	0	0	0	25594	0	15086	0	429426	0	0	0
David Mast
308383	0	53997	0	0	0	27436	0	6892	0	396708	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) 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 22) Russell Danielson a) Taxable DBSERP Paid - $ 108,402 b) ESP Paid - $57,407 23) Karl J. Carrier a) Taxable DBSERP Earned but not Paid - $1,439,533 b) Non-Taxable DBSERP Earned but not Paid - $37,214 c) DBSERP Interest Credit - $127,985 d) Taxable DCSERP Earned but not Paid - $8,200 e) Non-Taxable DCSERP Earned - $106,408 24) Kerry L. Carmody a) Taxable DBSERP Earned but not Paid - $1,488,241 b) Non-Taxable DBSERP Earned but not Paid - $48,658 c) DBSERP Interest Credit - $143,906 d) Non-Taxable DCSERP Earned - $112,149 25) Larry S. Bowe a) Taxable DBSERP Earned but not Paid - $927,429 b) Non-Taxable DBSERP Earned but not Paid - $119,792 c) DBSERP Interest Credit - $98,507 d) Taxable DCSERP Earned but not Paid - $128,857 e) Non-Taxable DCSERP Earned - $226,393 26) Nancy Carlson a) Taxable DBSERP Earned but not Paid - $533,995 b) Non-Taxable DBSERP Earned but not Paid - $25,682 c) DBSERP Interest Credit - $57,312 d) Taxable DBCBRP Earned but not Paid - $300 e) Non-Taxable DCSERP Earned - $85,111 27) Barry Wolfman a) DBSERP Interest Credit - $11,200 b) Non-Taxable DCSERP Earned - $138,142 28) Dale Surowitz a) DBSERP Interest Credit - $4,636 b) Non-Taxable DCSERP Earned - $118,217
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 (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CA Health Facilities Financing Authority
521643828	13033LLC9	2008-11-06	284698621	Refinance bank loan used for Acquisition of Providence Tarzana Medical Ctr.	1	0	0
CA Health Facilities Financing Authority
521643828	13033LBZ9	2009-07-29	145060500	Construction of Patient Tower @ Holy Cross Med. Ctr.	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Refunding EscrowRefundingEscrow	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	Amount UnspentAmountUnspent
7900000	2070000	284698621	59	1644982	4582212	68711930	3011850	2008	1	0	1	1
		145060500	30		2072500	127000577	13434940	2011	0	0	1	1	2552423

Form990 Schedule K Part III Form990ScheduleKPartIII (2 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	1	0	0	0.00010	0.00000	0.00010	1
0	0	0	0	0.00000	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	0
0	0	0	0	0	0

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

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K, PART III, LINE 2	Identifier
Return Reference	PRIVATE BUSINESS USE	ReturnReference
Explanation	Lease of Pediatric Services to Children's Hospital of Los Angeles.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	John F Koster MD	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	Officer	Relationship
Amount Of Transaction	169050781	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 (12 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 are reserved exclusively to the Corporate Member: A) To adopt and amend the Articles of Incorporation and the Bylaws of the Foundation after consultation with the Foundation's Board of Directors. B) To approve the merger, consolidation, or affiliation of the Foundation with another corporation, organization or program, or the dissolution of the Foundation. C) To approve any strategic plan of the Foundation. D) To approve the annual fundraising plan including special events, annual, capital and planned giving activities. E) To approve the acceptance of any gift that carries conditions or limitations or any gift restricted to services, programs or facilities not currently offered or approved to be offered by the Corporate Member's Board of Directors.
Form 990, Part VI, Section B, line 11	The Form 990 is prepared internally by experienced staff and reviewed by the internal Director of Taxes and external tax advisors. The Board 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 www2.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site.
Form 990, Part VII	Karl J. Carrier - 501 S. Buena Vista St., Burbank, CA 91505. Kerry L. Carmody - 501 S. Buena Vista St., Burbank, CA 91505. Larry S. Bowe - 15031 Rinaldi St., Mission Hills, CA 91346. Michael Hunn - 501 S. Buena Vista St., Burbank, CA 91505. Nancy Carlson - 1300 West 7th Street, San Pedro, CA 90732. Barry Wolfman - 501 S. Buena Vista St., Burbank, CA 91505. Dale Surowitz - 18321 Clark Street, Tarzana, CA 91356.	Contact Addresses for Officers, Directors, Etc
Form 990, Part XI, line 5:	Net unrealized gains on investments: 1,002,920. FAS 136 -2,458,909. IAF Consolidated Equity Transfers 70,180,910. Effects of Auxiliary Income -165,432. Rounding 1. Effects of Auxiliary Expenses 13,371. Total to Form 990, Part XI, Line 5: 68,572,861.	Changes in Net Assets or Fund Balances:
FORM 990, PART I, LINE 6	Our volunteers provide valuable assistance to all of our ministries through a variety of services. Some specific examples include the following: BEYOND FIFTY VOLUNTEER In conjunction with the Beyond Fifty Program, volunteers may sign up to work on Beyond Fifty projects with the Beyond Fifty Program manager. These projects usually involve mailings and/or filing. CLERICAL VOLUNTEERS Clerical volunteers perform general office work such as filing, mailing, data entry, word processing, answering phones, making charts and copying forms. They work in most of the business and clinical offices throughout the hospital. CLINICAL VOLUNTEERS Clinical volunteers work on the nursing floors in 4 hour shifts. They help with trays and feeding, check on patients to be sure they are comfortable. They also put away clean linens, make beds, run errands for the nurses, keep the nurse's kitchen in order, take patients for wheelchair walks and discharge patients. EMERGENCY ROOM VOLUNTEERS These volunteers work a four hours shift once a week. Duties include making phone calls to recently discharged patients checking on their condition and asking a few brief questions regarding the care they received while a patient, helping at the registration desk, checking on each patient to see if they need anything, running errands for the staff, answering phones, discharging patients by wheel chair, making beds, etc. INFORMATION DESK They must be able to multi-task answer phones, direct patients and be willing to walk patients to their destinations. They must have excellent customer relation skills. MESSENGER CENTER Volunteers work a four hours shift answering the messenger phone, carrying lab samples, charts, x-rays, etc. and transporting ambulatory patients by wheel chair within the hospital. The messengers also work on mailing projects for various departments. This is an opportunity for those who like to walk and enjoy a variety of experiences as well as enjoying the constant contact with others. MUSIC PROGRAM Volunteers who sing or play a musical instrument schedule four hours per week to visit patients and sing or play for them. Harpists and guitar players are needed as well as other movable instruments which can be played individually. PATIENT VISITOR These volunteers visit the newly admitted patients to welcome them and provide a friendly ear for requests, complaints or just a brief visit. The volunteer must be outgoing and friendly, able to make easy conversation. PETS WITH A PURPOSE This program is in conjunction with Recreation Therapy. Pet volunteers visit patients with their dogs. The dogs are chosen for their friendly personalities and must pass behavioral tests and training to qualify. Visiting is done on a rotating schedule. All applications must be approved by Recreation Therapy Manager. SPIRITUAL CARE VOLUNTEERS Eucharistic Ministers visit the sick and bring Holy Communion to patients requesting the service. This is done on a rotating basis as the volunteer is available. Other volunteers work on projects such as little gifts and handouts for patients. SURGERY WAITING ROOM DESK Another customer service job places the volunteer in the Surgery Waiting room. He/she must keep track of all patients' family members and other visitors and dispense information regarding the patient in surgery. Duties include keeping the room neat, monitoring the television, making and service coffee and tea and cleaning up at the end of the shift. The volunteer must also maintain a pleasant, helpful attitude at all times. Volunteers with Providence High School assist in the following capacities: Clerical work Chaperoning field trips Staffing athletic snack shop Aiding teachers in the classroom or on extracurricular activities	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 VII, SECTION A	Hours shown reflect the hours worked for the entire Health System and have not been allocated to the individual reporting entity.	HOURS WORKED

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (55 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 & Services - Oregon
1801 Lind Avenue SW 9016	Renton	WA	980579016	510216587	Healthcare System	OR	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

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	0
Ctr for Med Imaging-Bridgeport LLC
1235 NE 47th Ave	Portland	OR	97213	260796953	Imaging - Diagnostics	OR	PH&S - OR	Related	0	0
Center for Specialty Surgery LLC
11782 SW Barnes Rd	Portland	OR	97225	263638838	Ambulatory Surgery Center	OR	PH&S - OR	Related	0	0
Clackamas Radiation Oncology Center LLC
1235 NE 47th Ave 288	Portland	OR	97213	260381897	Radiation Oncology	OR	PH&S - OR	Related	0	0
Oregon Outpatient Surgery Center
7300 SW Childs Rd	Tigard	OR	97224	223883387	Ambulatory Surgery Center	OR	PH&S - OR	Related	0	0
Surgery Ctr at Tanasbourne LLC
1235 NE 47th Ave 260	Portland	OR	97213	208187971	Ambulatory Surgery Center	OR	PH&S - OR	Related	0	0
ProvidenceSilverton Rehab LLC
1235 NE 47th Ave 260	Portland	OR	97213	481287267	Rehab Services	OR	PH&S - OR	Related	0	0
Portland Medical Imaging LLC
10538 SE Washington St	Portland	OR	97216	201054971	Imaging - Diagnostics	OR	PH&S - OR	Related	0	0
Prov Radiation Oncology Develop Assn LLC
1235 NE 47th Ave	Portland	OR	97213	260682491	Real Estate - MOB	OR	PH&S - OR	Investment	0	0
Central Point MRI LLC
870 S Front St	Central Point	OR	97502	261975164	MRI Services	OR	PH&S - OR	Related	0	0
Greater Valley Medical Building LP
501 S Buena Vista St	Burbank	CA	91505	954570858	Real Estate - MOB	CA	PHS - So California	Investment	0	1	659403	2957046	0.50000
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	0
California Laboratory Associates LLC
501 Buena Vista	Burbank	CA	91505	273888692	Outpatient Lab	CA	PHS - So California	Related	0	0		-1018247
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
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
Providence Health Ventures Inc
4101 Torrance Blvd	Torrance	CA	90503	330122216	Investment	CA	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	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	1	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	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Providence Health & Services Foundation
C	21638579	Cost
Providence Little Company of Mary Foundation
C	2993576	Cost
Providence Little Company of Mary Foundation
B	1699086	Cost
Providence Health & Services Foundation
B	1574631	Cost