2012-10-24T14:32:53-05:00 2011-12-31 911194016 Clark Nuber PS 10900 NE 4th Suite 1700 Bellevue WA 98004 990 2011-01-01 953544877 PROVIDENCE HEALTH & SERVICES FOUNDATION SAN FERNANDO & SANTA CLARITA VALLEYS SA PROV 8188473024 501 SOUTH BUENA VISTA STREET BURBANK CA 915054809 PATRICIA MODRZEJEWSKI 8188473024 2012-10-24 1 Sara Elizabeth J Hyre CPA P00235495 4254544919 2011 2016-02-24 21:20:13Z PATRICIA MODRZEJEWSKI 501 SOUTH BUENA VISTA STREET BURBANK CA 915054809 37494194 0 X www.providencepowerofgiving.org X 1980 CA Support Providence St.Joseph Med. Center, Holy Cross Med. Center and Tarzana Med. Center. 21 15 0 375 0 0 16600084 12090110 0 0 1165702 1075577 157150 238391 17922936 13404078 7823031 21626575 0 0 2612786 3002028 55000 3983 3423165 1454422 1014366 11945239 25646952 5977697 -12242874 57261908 44294320 2190147 1732974 55071761 42561346 X Support Providence St. Joseph Medical Center, Providence Holy Cross Medical Center and Providence Tarzana Medical Center. As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service. 0 0 21626575 21626575 0 Providence Health & Services Foundation San Fernando & Santa Clarita Valleys Services Areas raises funds for three medical centers, including Providence Saint Joseph Medical Center, Providence Holy Cross Medical Center and Providence Tarzana Medical Center. The Providence spirit of compassionate care radiated throughout every corner of the Valleys in 2011, as the three supported medical centers went about the business of healing and changing lives through excellence in healthcare each and every day. As the dedicated people at the medical centers embrace patients and families with care, and reach out to help the poor and vulnerable in the community, Providence Health & Services Foundation is a strong pillar of support that transforms the Mission of Providence into reality in so many ways each year. Despite the challenges evident in the economic climate during 2011, the Foundation's resourceful philanthropic initiatives and dedication distributed over $21 million to the Valley hospital ministries during the year. The tangible impacts are seen clearly in the wonders of medical technology, new services and programs, and capital projects that are born from the seeds of this giving in pursuit of the Providence Mission. Saint Joseph Medical CenterThe Medical Center was recognized for excellence in 2011 by earning five-star ratings in the following treatment areas - cardiac, orthopedic, appendectomy, bariatric, maternity care and GYN surgery. In addition, it was ranked among the top 10% in the nation for gynecologic surgery.The Foundation's fundraising gala netted almost $600,000 for the Medical Center in 2011, which is a significant increase over prior year events.The Roy and Patricia Disney Family Cancer Center, which opened in 2010, continues to provide comprehensive cancer treatment to meet the needs of each patient.Holy Cross Medical CenterThe beautiful four-story expansion was opened in 2011, a project that sparked wide community and employee support through the Foundation. The 138-bed South Wing brings much-needed beds to alleviate frequent overcrowding, this community's first neonatal ICU and a new chapel. Nationally recognized for clinical performance and trauma care, it is the only community hospital in Los Angeles County to receive Magnet Status for Nursing Excellence.It has one of the only round-the-clock trauma centers in the San Fernando Valley.The Medical Center was recognized for excellence in 2011 by earning five-star ratings in the following treatment areas - cardiac, neurosciences, pulmonary, gastrointestinal, critical care, and emergency medicine. It was also ranked among the top 5% in the nation for emergency medicine and the top 10% in the nation for treatment of stroke. Tarzana Medical CenterAs the only Providence ministry in the San Fernando Valley with a pediatric intensive care unit, the Tarzana Medical Center continues to support upgrading of its pediatric department, including a planned expansion and relocation of the Pediatric ICU. The Medical Center was recognized for excellence in 2011 by earning five-star ratings in the following treatment areas - cardiac, pulmonary, vascular, critical care, and maternity care. It was also ranked among the top 5% in the nation for vascular surgery, and the top 10% in the nation for maternity care. GeneralThe success of the programs at all the medical centers is a result of two things - the extraordinary health care provided by Providence medical centers and the very generous donors who have contributed funding to ensure expansion of offerings to serve the growing population and to equip the hospitals with the latest technology.Touching in their generosity have been the physicians, employees, volunteers, Guild members and former patients and their family members who reached out to thank the medical centers for the care they received.The work at the Valley ministries of Providence Southern California relies on the Foundation's continuing commitment to giving, and its unwavering belief in the Mission, just as the patients and those who are not as fortunate in the community rely on the People of Providence to deliver the gift of high quality care. 2011 Areas of Program/Capital Support* PSJMC - Cancer treatment, education, and research programs continue to grow at the Disney Family Cancer Center* PHCMC - Emergency and trauma equipment and services, ensuring the best possible care in times of critical need* Palliative care, including a dedicated medical director for the program* Integrative medicine programs and services* Ongoing training and education for clinicians* New equipment for head and neck clinic* Mobile clinic and community health education* PHCMC - New patient wing expanding labor, delivery and care for newborns* Electronic EKG, syringe pump and other vital pediatric care equipment* Infant CPR and CPAP equipment for the Newborn Intensive Care Unit 21626575 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 X 13 2 1 0 0 0 0 0 0 1 1 0 0 0 1 0 X 21 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X GERTIE MCDEVITT 8188473024 501 S Buena Vista Street Burbank CA 91505 Norman Coulson 3.00 X X 0 0 0 Bradley D Howard 3.00 X X 0 0 0 Michael S Overing Esq 3.00 X X 0 0 0 Edward A Romano 3.00 X X 0 0 0 Patricia E Modrzejewski 55.00 X X 0 347499 37168 Albert J Ghirardelli Esq 3.00 X 0 0 0 Mary B Persic - Res0211 3.00 X 0 0 0 Maria O Uribe 3.00 X 0 0 0 Earl Greinetz 3.00 X 0 0 0 Kerry L Carmody 3.00 X 0 2115765 378041 Michael J Madden 3.00 X 0 0 0 Gerald S Puchlik 3.00 X 0 0 0 Dale Surowitz 3.00 X 0 482520 147130 Barry Wolfman 3.00 X 0 517387 182012 Larry Bowe 3.00 X 0 1529106 479559 Sister Sheila Browne 3.00 X 0 0 0 Robert J Kelley 3.00 X 0 0 0 Bryan Lewitt 3.00 X 0 0 0 Michael Hunn 3.00 X 0 1319956 257022 Martha Diaz Aszkenazy -Eff111 3.00 X 0 0 0 Hon Mitch Englander - Eff511 3.00 X 0 0 0 Thomas Bruehl - Eff 811 3.00 X 0 0 0 0 6312233 1480932 0 0 1 0 0 1044 1104853 5193247 16559 5774407 224855 12090110 1133038 1133038 22632150 22689611 -57461 -57461 -57461 563903 1104853 555013 8890 8890 109280 0 109280 109280 965713 845492 120221 120221 13404078 0 0 1313968 21626575 21626575 381510 38151 343359 2051761 205176 1846585 568757 56876 511881 15114 3023 12091 45193 33895 11298 3983 3983 96846 72635 24211 149527 15770 133757 191593 191593 236357 66289 170068 29683 2968 26715 130426 13042 117384 70008 70008 19715 1971 17744 Dues & Subscriptions 13884 1388 12496 Pass Thru Invest. Exp. 10472 10472 Miscellaneous 5548 5548 25646952 21626575 597212 3423165 1330545 900154 916736 215258 8511583 7497391 80175 296410 40116 140552 133351 29256 2833982 251049 2495024 2582933 37420773 23887296 6337264 8741411 57261908 44294320 199043 212622 14812 10437 1976292 1509915 2190147 1732974 X 28075761 23567346 23847000 15922000 3149000 3072000 55071761 42561346 57261908 44294320 X -12242874 -267541 X X 0 1 1 X 1 1 X 7388097 7121547 6799417 16600084 12090110 49999255 7388097 7121547 6799417 16600084 12090110 49999255 6675277 43323978 1353890 1297082 1158187 833103 1133038 5775300 712 58995 99040 24019 118170 300936 56075491 3678873 0.77260 0.78410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 2797588 0 2797588 1 1 2184148 88000 87000 70000 214148 2075000 1948380 189942 45826 2184148 1729568 155630 63182 1948380 1169311 610405 -50148 1729568 0.00000 0.92340 0.07660 0 0 2493812 2493812 340170 251049 89121 2582933 Artwork, Books 185094 Gift Annuities and Trust Funds 5396940 Life Insurance 20015 Mother Joseph Receivables 3139362 8741411 Due To Affiliates 183948 Reserve-Gift Annuities & Trust Funds 1245283 Other Payables 80684 1509915 13404078 25646952 -12242874 -214258 -53283 -267541 -12510415 8996000 -214258 -145846 -360104 9356104 4047974 4047974 13404078 25819000 317731 317731 25501269 145683 145683 25646952 Description of Intended Use of Endowment Funds: Part V, Line 4: There are three main endowments. At Holy Cross Medical Center there is a nursing excellence endowment. The investment income from this endowment supports nursing education and excellence. At Saint Joseph there is a patient care endowment. The investment income from this endowment supports patient care technology. The third endowment is a cancer center endowment. The investment income from this is used to fund operating and capital costs for the cancer center. 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. Part XI, Line 8 - Other Adjustments: Auto/Vacation Donations -53,282. Rounding -1. Total to Schedule D, Part XI, Line 8: -53,283. Part XII, Line 2d - Other Adjustments: Bank Charges -145,923. Rounding 77. Part XII, Line 4b - Other Adjustments: Gift/Guild Expenses -317,731. Non-Cash Auto Donation 53,282. Reclass of Affiliate transfer from change in Net Assets to Contributions 4,312,423. Part XIII, Line 2d - Other Adjustments: Gift/Guild Expenses 317,731. Part XIII, Line 4b - Other Adjustments: Bank Charges 145,923. Rounding -240. Golf Tourney 379265 249935 129330 29675 29018 31820 23268 Gala 686217 443361 242856 10198 54270 11585 80775 4 603274 411557 191717 20316 27377 117164 2500 117047 1668756 1104853 563903 49991 66593 203254 14085 221090 555013 8890 109280 1 0.95000 109280 109280 CA 1 0 0 0 1.00000 Gertie McDevitt 501 S Buena Vista St Burbank CA 91505 0 Jacqueline Jordan 0 Event planner and coordinator X 0 1 PHS-SO CAL dba Providence St Joseph Medical Center 501 S Buena Vista Street Burbank CA 91505 510216589 501(C)(3) 19587907 Support Medical Center PHS-SO CAL dba Providence Holy Cross Medical Center 15031 Rinaldi Street Mission Hills CA 91346 510216589 501(C)(3) 1528994 Support Medical Center PHS-SO CAL dba Providence Tarzana Medical Center 18321 Clark Street Tarzana CA 91356 510216589 501(C)(3) 509674 Support Medical Center 1 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Since all grants go to affiliated companies, the Foundation has direct access to the financial reports of the funded organizations and reviews them for appropriate use of the funds. 0 1 0 0 0 0 0 0 0 Patricia E Modrzejewski 0 270577 0 63196 0 13726 0 34011 0 3157 0 384667 0 0 Kerry L Carmody 0 448846 0 1635419 0 31500 0 355132 0 22909 0 2493806 0 0 Dale Surowitz 0 357378 0 110142 0 15000 0 126950 0 20180 0 629650 0 0 Barry Wolfman 0 368202 0 117685 0 31500 0 161216 0 20796 0 699399 0 0 Larry Bowe 0 340957 0 1173149 0 15000 0 455630 0 23929 0 2008665 0 0 Michael Hunn 0 470781 0 829175 0 20000 0 239155 0 17867 0 1576978 0 0 Part I, Line 4b 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 1) Patricia E. Modrzejewski a) Non-Taxable DCRP Earned - $10,016 2) 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 3) 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 4) 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 5) Barry Wolfman a) DBSERP Interest Credit - $11,200 b) Non-Taxable DCSERP Earned - $138,142 6) Dale Surowitz a) DBSERP Interest Credit - $4,636 b) Non-Taxable DCSERP Earned - $118,217 Supplemental Information 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 Providences 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. X 1 23576 Fair Market X 7 171573 Fair Market X Vacation Trip to Disneyworld 1 29706 Fair Market 0 0 1 0 Method for Determining Number of Contributors: Part I, Column (b): The amounts shown on Part I, Col. B reflect the number of donations received of the specific type of item. Non Reporting of Revenue: Part I, Line 33: In-kind donations are received for raffles/auctions. These donations are not valued and recorded as revenue as the values are not readily ascertainable. The donor's estimate of value is used to set a value for silent auction purposes only, since the value is not otherwise verifiable. Form 990, Part VI, Section A, line 6 The Corporate Member of the Foundation is Providence Health System - Southern California, a California nonprofit religious corporation. Form 990, Part VI, Section A, line 7a The Powers of the Corporate Member include the provision to approve 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 the annual fundraising plan and strategic plan of the Foundation. 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 Foundation President reviewed the Form 990 in detail. Once approved, an electronic copy of the Form 990 is emailed to the Board prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict. Form 990, Part VI, Section B, line 15 It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are determined by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Performance incentives allow executives to earn additional compensation if they achieve specific organizational and individual goals for furthering Providence operating principles - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated customer satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector. The Foundation President is compensated by a related organization which uses a market based compensation program utilizing several independent third party compensation market surveys to establish pay ranges for the position. The related organization then establishes the individual rate of pay within the range based on relevant experience, skills and competencies. The rate offered to the President at the time of hire was determined through discussion between the Regional CEO, Regional Director of HR and the Administrative Director of HR. The ranges and rate of pay are reviewed on an annual basis by Regional HR. Form 990, Part VI, Section C, line 19 Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon written request. The consolidated 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -214,258. Auto/Vacation Donations -53,282. Rounding -1. Total to Form 990, Part XI, Line 5: -267,541. VOLUNTEERS Form 990, Part I, Line 6 Volunteers provide a variety of services for the Foundation, including but not limited to: *Clerical - copying, collating, stuffing envelopes, deliveries within the facilities. *Special events - assist with registration, greeting, answering questions, selling tickets to silent auctions/raffles, running errands, set up, clean up, decorating. *Appreciation events and activities - organize and put on fashion shows, teas and other events, and thank you calls to show appreciation to donors. *Gift shop - accounting, retail clerks, cashiers, purchasing, organization. *Board - board meetings, committee meetings, prospect introductions and cultivation meetings. EMPLOYEE COMPENSATION Form 990, Part VII, Section A The employees working at the Foundation are paid by Providence Health System - Southern California EIN# 51-0216589. Therefore, no W-2s are issued by the reporting organization. The executives serving as Board Members are compensated by PH & S - Washington dba Health System Office EIN# 91-0725998. AUDIT & COMPLIANCE Form 990, Part XII, Line 2c The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. Providence Health & Services - Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 510216586 Healthcare System WA 501( c)(3) Line 3 Providence Health & Services 0 Providence Health & Services - Oregon 1801 Lind Avenue SW 9016 Renton WA 980579016 510216587 Healthcare System OR 501( c)(3) Line 3 Providence Health & Services 0 Providence Health System - So California 1801 Lind Avenue SW 9016 Renton WA 980579016 510216589 Healthcare System CA 501( c)(3) Line 3 Providence Health & Services 0 Everett Transitional Care Services PO Box 1067 Everett WA 982061067 943264605 Transitional Care WA 501( c)(3) Line 9 N/A 0 Providence Oregon Management Corporation 1801 Lind Avenue SW 9016 Renton WA 980579016 930813977 Shell Corporation OR 501( c)(3) Line 1 PH & S - Oregon 0 Providence Plan Partners 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 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 N/A 0 Providence Health & Services - Montana 500 W Broadway PO Box 4587 Missoula MT 598064587 810231793 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 0 Providence St Joseph Medical Center PO Box 1010 Polson MT 598601010 810463482 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 0 St Thomas Child and Family Center 1710 Benefis Court Great Falls MT 59405 810233495 Early Childhood Education MT 501( c)(3) Line 1 PH & S - Washington 0 Sisters of Providence of Montana Corporation 1801 Lind Avenue SW 9016 Renton WA 980579016 262612415 Shell Corporation MT 501( c)(3) Line 1 PH & S - Washington 0 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. 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