PROVIDENCE HEALTH & SERVICES OREGON: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE HEALTH & SERVICES OREGON (EIN 51-0216587)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201123199349306687
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T14:24:31-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510216587 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE HEALTH & SERVICES - OREGON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PROV | NameControl |
| Phone | 4255253985 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Avenue SW No 9016 | AddressLine1 |
| City | Renton | City |
| State | WA | State |
| ZIP Code | 980579016 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Michael L Butler | Name |
| Title | Exec VP/CFO | Title |
| Phone | 4255253985 | Phone |
| Date Signed | 2011-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Sara Elizabeth J Hyre CPA | Name |
| Phone | 4254544919 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | 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 | 3557565173 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www2.providence.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | OR | StateLegalDomicile |
| Activity Or Mission Description | Healthcare with special concern for the poor and vulnerable in Oregon. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 19514 | TotalNbrEmployees |
| Total Nbr Volunteers | 2703 | TotalNbrVolunteers |
| Total Gross UBI | 21464788 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 6131372 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 34613139 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 39315842 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1992881770 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 2101256533 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -66655657 | InvestmentIncomePriorYear |
| Investment Income Current Year | 28642418 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 97009287 | OtherRevenuePriorYear |
| Other Revenue Current Year | 100368224 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2057848539 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2269583017 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 7429459 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 5363975 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1161405992 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1221608252 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 4198502 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 831411061 | OtherExpensePriorYear |
| Other Expenses Current Year | 884506043 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2000246512 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2111478270 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 57602027 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 158104747 | RevenuesLessExpensesCY |
| Total Assets BOY | 2278746989 | TotalAssetsBOY |
| Total Assets EOY | 2406580840 | TotalAssetsEOY |
| Total Liabilities BOY | 605553965 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 571733439 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1673193024 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1834847401 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | As People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Healthcare with special concern for the poor and vulnerable in Oregon. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 748334582 | Expense |
| Grants | 0 | Grants |
| Revenue | 905206122 | Revenue |
| Description | Acute Care-Inpatient: Admissions - 64,008Patient Days - 280,168OUR CORE VALUES - Respect, Compassion, Justice, Excellence, and Stewardship OUR COMMITMENT As a not-for-profit health care ministry, Providence Health & Services - Oregon embraces our responsibility to respond to the needs of people in our communities, especially the poor and vulnerable. This commitment, this Mission rooted in God's love for all, began with the Sisters of Providence more than 150 years ago.The Heart of our MissionWe focus our community benefit outreach on four specific populations. These are low-income and uninsured people, diverse populations, older citizens, and people with behavioral needs. Our outreach can range from covering the medical bills of a husband and father disabled by diabetes, to financially supporting a nonprofit that embraces older refugees and immigrants.During these hard economic times in our neighborhoods and our nation, we reinforce our commitments to caring for the poor and vulnerable. This compassionate caring is, and always has been, the heart of our Mission. Providence Health & Services - Oregon is a not-for-profit network of hospitals, care centers, health plans, physicians, home health services, clinics and other services. We continue a tradition of caring that the Sisters of Providence began in the West 150 years ago.Our facilities include: Providence St. Vincent Medical Center, Providence Portland Medical Center, Providence Milwaukie Hospital, Providence Hood River Memorial Hospital, Providence Newberg Medical Center, Providence Seaside Hospital,Providence Medford Medical Center, Providence Child Center, Providence Elderplace, Providence Benedictine Nursing Center, Providence Senior Village, Providence Seaside Extended Care, Providence Home and Community Services, Providence Health Plans, Providence Medical Group clinics, Providence Graduate Medical Education clinics, Providence North Coast clinics and Providence Hood River clinicsResearch CentersProvidence physicians, scientists and research teams participate in basic research, applied research and clinical trial research. They have achieved national recognition for their work, some of which has led to revolutionary changes in health care:*Albert Starr Academic Center for Cardiac Surgery*Center for Outcomes Research and Education*Earle A. Chiles Research Institute*Oregon Medical Laser Center*Robert W. Franz Cancer Research Center*Women and Children's Health Research CenterProvidence Health & Services - OregonRegional Program Service Accomplishments in 2010Full accreditation: The Joint Commission has fully certified all Providence Health & Services hospitals in Oregon.Heart and stroke care: Providence Portland and Providence St. Vincent medical centers have been awarded Get With The Guidelines Gold Performance Achievement Awards by the American College of Cardiology and American Heart Association/American Stroke Association. Specifically:*PPMC received a gold plus award and PSVMC earned a gold award for stroke care. Providence Milwaukie Hospital was awarded a silver award for stroke care. And, as a group, Providence Newberg, Providence Seaside and Providence Hood River received a silver recognition in stroke care. *Providence Heart and Vascular Institute and Providence Stroke Center were recognized for excellence in coronary artery disease and stroke care. Magnet recognition for nursing excellence: Providence St. Vincent Medical Center and Providence Portland Medical Center are among 3 percent of national hospitals that have earned the American Nurses Credentialing Center honor more than once. LEED certification: Providence Office Park 2 in Portland, Ore., earned a Gold LEED (Leadership in Energy and Environmental Design) certification from the U.S. Green Building Council.Environmental leadership: The Oregon Region received 11 Practice Greenhealth Environmental Excellence Awards at the CleanMed 2010 conference, recognizing organizations making an exceptional effort to create a healthier environment. Providence Milwaukie Hospital this year joined Providence Portland and Providence St. Vincent medical centers in earning membership in the Environmental Leadership Circle, a rigorous national certification. In addition, Providence Willamette Falls earned a Partner Recognition Award.Baby friendly: Providence Newberg Medical Center earned certification as a "Baby Friendly" hospital from the World Health Organization and UNICEF. Providence Medford Medical Center was the first Providence hospital in Oregon to earn this distinction in 2000.National cancer leadership: Providence Cancer Center is recognized as one of the nation's best community cancer facilities by the National Cancer Institute. This is a two-year award, in its second year, with $2.8 million in funding for expansion of programs already making a difference in cancer care and research. Providence Cancer Center also was recognized by The Commission on Cancer, a consortium of some of the nation's leading public and private health agencies, as having established performance measures for the provision of high-quality cancer care.Most admired by business leaders Providence St. Vincent and Providence Portland Medical Centers also were voted to the top 10 list of most admired health care companies in Oregon.Network of stroke care: Providence Stroke Center has now extended its clinical services to 13 Northwest hospitals, including all eight Providence hospitals in Oregon, through the Providence Telestroke Network. The network allows physicians in community hospitals with acute stroke patients to consult with stroke experts at Providence Stroke Center through direct, two-way video communication over the Internet. The service is available 24 hours a day, seven days a week. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 683275342 | Expense |
| Grants | 0 | Grants |
| Revenue | 826508673 | Revenue |
| Description | Acute Care - Outpatient: Visits - 2,9,969,795See Line 4a Narrative. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 160663814 | Expense |
| Grants | 0 | Grants |
| Revenue | 194343374 | Revenue |
| Description | Primary Care: Visits - 1,186,325See Line 4a Narrative. | Description |
Activity Other ActivityOther (3 entries)
| ExpenseExpense | GrantsGrants | RevenueRevenue | DescriptionDescription |
|---|---|---|---|
| 180441277 | 0 | 218266739 | Long-Term Care, Homecare, Hospice, Housing & Assisted Living: LTC Patient Days - 59,840; Home & Hospice Visits - 224,877; Housing & Assisted Living Days - 167,832.Quality home care: For the fourth consecutive year, Providence Home Care in southern Oregon has been named as one of the top 500 home health agencies in the nation by HomeCare Elite, based on measures of quality and financial performance.Hospice services in rural area: Providence Hood River Memorial Hospital, a critical access facility, has expanded hospice care to serve residents in the Columbia Gorge area. |
| 5363975 | 5363975 | 0 | Grants & Allocations to Community Organizations - See Schedule I |
| 7724545 | 0 | 7286995 | Outpatient Retail Pharmacies |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 193529797 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 5363975 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 225553734 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 1785803535 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 0 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 1538 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 19514 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 1 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | OR | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Karl E Fritschel CPA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4255253339 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Ave SW 9016 | AddressLine1 |
| City | Renton | City |
| State | WA | State |
| ZIP Code | 980579016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (51 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 | 11.80 | X | X | 0 | 0 | 0 | |||
| M Adrian Davis LCM | |||||||||
| Director | 3.20 | X | 0 | 0 | 0 | ||||
| Mary Corita Heid RSM | |||||||||
| Director | 3.80 | X | 0 | 0 | 0 | ||||
| Michael A Stein | |||||||||
| Director | 4.70 | X | 0 | 18000 | 0 | ||||
| Michael Holcomb | |||||||||
| Director | 3.70 | X | 0 | 15000 | 0 | ||||
| Dana A Rasmussen | |||||||||
| Director | 3.40 | X | 0 | 15000 | 0 | ||||
| Paul A Redmond | |||||||||
| Director | 3.00 | X | 0 | 18000 | 0 | ||||
| James S Roberts MD | |||||||||
| Director | 6.00 | X | 0 | 15000 | 0 | ||||
| Peter J Snow | |||||||||
| Director | 4.10 | X | 0 | 15000 | 0 | ||||
| Jeffrey B Clode MD | |||||||||
| Director | 5.40 | X | 0 | 18000 | 0 | ||||
| Sallye Liner | |||||||||
| Director | 3.50 | X | 0 | 3750 | 0 | ||||
| Owen B Robinson | |||||||||
| Director | 5.50 | X | 0 | 15000 | 0 | ||||
| Cheryl M Scott | |||||||||
| Director | 3.00 | X | 0 | 15000 | 0 | ||||
| Ellen L Wolf | |||||||||
| Director | 6.80 | X | 0 | 15000 | 0 | ||||
| John F Koster MD | |||||||||
| President/CEO | 50.00 | X | 0 | 2346502 | 794703 | ||||
| Michael L Butler | |||||||||
| Exec. VP/CFO | 65.00 | X | 0 | 1038275 | 340314 | ||||
| Jeffrey W Rogers | |||||||||
| Corporate Secretary | 50.00 | X | 0 | 1259397 | 465326 | ||||
| Gregory Van Pelt | |||||||||
| CEO - OR. Region | 60.00 | X | 0 | 2314095 | 484343 | ||||
| Russell Danielson | |||||||||
| Former CEO - OR. Region | 50.00 | X | 0 | 4449992 | 397656 | ||||
| Terry L Smith | |||||||||
| COO - OR Region | 40.00 | X | 0 | 832532 | 306540 | ||||
| Shelly M Handkins | |||||||||
| CFO - OR Region | 50.00 | X | 0 | 429101 | 220384 | ||||
| Eugene Al Parrish | |||||||||
| CEO - AK. Region | 50.00 | 0 | 1047158 | 332492 | X | ||||
| John V Fletcher | |||||||||
| CEO - WA/MT. Region | 60.00 | 0 | 1277503 | 584795 | X | ||||
| Janice J Jones | |||||||||
| SVP/CAO | 55.00 | 0 | 1140032 | 349285 | X | ||||
| Arnold R Schaffer | |||||||||
| SVP/Reg. Ops | 60.00 | 0 | 1980618 | 371481 | X | ||||
| John O Mudd | |||||||||
| SVP/Mission Ldrship. | 55.00 | 0 | 856420 | 395919 | X | ||||
| Keith Marton MD | |||||||||
| VP/CMQO | 60.00 | 0 | 717815 | 215947 | X | ||||
| Claudia Haglund | |||||||||
| VP/Gov./Sponsorship | 50.00 | 0 | 501163 | 126574 | X | ||||
| Joel S Gilbertson | |||||||||
| VP/Gov.& Public Affairs | 50.00 | 0 | 454656 | 56288 | X | ||||
| Cindra R Syverson | |||||||||
| VP/CHRO | 55.00 | 0 | 485868 | 108238 | X | ||||
| John Kenagy | |||||||||
| VP/CIO | 60.00 | 0 | 447695 | 141020 | X | ||||
| Craig L Wright | |||||||||
| CEO -PPG | 55.00 | 0 | 585146 | 39201 | X | ||||
| David T Underriner | |||||||||
| CEO - PSA | 40.00 | 0 | 537819 | 128897 | X | ||||
| Myron Berdischewsky MD | |||||||||
| VP/CMQO | 60.00 | 0 | 609142 | 268959 | X | ||||
| David Brown | |||||||||
| VP/Strat. Mgmnt.Svces | 55.00 | 0 | 342030 | 110948 | X | ||||
| Glenn Rodriguez | |||||||||
| CMO - OR Region | 55.00 | 0 | 408323 | 232054 | X | ||||
| Michael Hunn | |||||||||
| CEO - CA. Region | 60.00 | 0 | 490880 | 166313 | X | ||||
| June Chrisman | |||||||||
| CHRO - OR Region | 40.00 | 0 | 398087 | 50986 | X | ||||
| Lisa Vance | |||||||||
| CEO - PPMC | 40.00 | 0 | 396805 | 209882 | X | ||||
| Janice Burger | |||||||||
| CEO - SVMC | 40.00 | 0 | 381903 | 98798 | X | ||||
| Tom Hanenburg | |||||||||
| CEO - SOSA | 40.00 | 0 | 342906 | 106235 | X | ||||
| Walter J Urba | |||||||||
| Clin. Research Admin. | 40.00 | 714401 | 0 | 80458 | X | ||||
| P Holbrook Howard | |||||||||
| Pathologist - Lab | 40.00 | 660299 | 0 | 68131 | X | ||||
| John A Schwartz | |||||||||
| Cardiology Physician | 40.00 | 615040 | 0 | 66170 | X | ||||
| Barry M Newman | |||||||||
| Pediatric Surgeon | 40.00 | 582400 | 0 | 66716 | X | ||||
| Erin J Allen | |||||||||
| PMG Dermatology | 40.00 | 525642 | 0 | 56803 | X | ||||
| Richard J Umbdenstock | |||||||||
| Former Director | 0.00 | 0 | 32220 | 0 | X | ||||
| Michael J Madden | |||||||||
| Former VP/Advocacy | 0.00 | 0 | 359717 | 0 | X | ||||
| Charles E Hawley | |||||||||
| Former VP/Public Affairs | 0.00 | 0 | 2137748 | 17773 | X | ||||
| Thomas Johnson | |||||||||
| Former VP/Communications | 0.00 | 0 | 325409 | 91452 | X | ||||
| Ted J Dodge | |||||||||
| Former HCE | 0.00 | 258462 | 0 | 796 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3356244 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 29089707 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 7551877 | TotalOtherCompensation |
| Number Individuals GT100 K | 1612 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Oregon Emergency Physicians PC | |||||
| 9340 Barnes Rd Ste 202 | Portland | OR | 97225 | Medical | 32419405 |
| JE Dunn Construction Group Inc | |||||
| 437 N Columbia Blvd | Portland | OR | 97217 | Construction | 22630290 |
| Andersen Construction Co Inc | |||||
| 6712 N Cutter Cir | Portland | OR | 97217 | Construction | 19712297 |
| Anethesia Assoc Northwest LLC | |||||
| 6400 SE Lake Rd Ste 130 | Portland | OR | 97222 | Medical | 8640629 |
| In Line Commercial Construction Inc | |||||
| 18880 SW Shaw | Aloha | OR | 97007 | Construction | 8242414 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 533 | NumberOfContractorsGT100K |
| Federated Campaigns | 7694 | FederatedCampaigns |
| Related Organizations | 17588473 | RelatedOrganizations |
| Government Grants | 17584591 | GovernmentGrants |
| All Other Contributions | 4135084 | AllOtherContributions |
| Total Contributions | 39315842 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Acute Care/Inpatient | 900099 | 890811945 | 890811945 |
| Acute Care/Outpatient | 621400 | 813366759 | 813366759 |
| LTC/HomeCare/Hospice | 621610 | 205824054 | 205824054 |
| Primary Care | 621110 | 191253775 | 191253775 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 2101256533 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20080427 | TotalRevenueColumn |
| Exclusion | $20,080,427 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 381351 | TotalRevenueColumn |
| Exclusion | $381,351 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 23833395 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 19376062 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4457333 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4457333 | TotalRevenueColumn |
| Exclusion | $4,457,333 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1245004473 | Securities |
| Other | 6630428 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1240000858 | Securities |
| Other | 3072052 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5003615 | Securities |
| Other | 3558376 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8561991 | TotalRevenueColumn |
| Exclusion | $8,561,991 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 43132513 | GrossSalesOfInventory |
| Cost Of Goods Sold | 25533184 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17599329 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16140547 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1458782 | UnrelatedBusinessRevenue |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Contracted Svc. Aff. | 900099 | 23511978 | 23511978 | ||
| Laboratory | 621500 | 21464788 | 21464788 | ||
| Cafeteria Revenue | 722210 | 12113001 | $12,113,001 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20840444 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10702845 | RelatedOrExemptFunctionIncome |
| Exclusion | $10,137,599 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 77930211 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2269583017 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2151611903 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 22923570 | UnrelatedBusinessRevenue |
| Exclusion | $55,731,702 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5363975 | Total |
| Program Services | 5363975 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4465406 | Total |
| Program Services | 626172 | ProgramServices |
| Management And General | 3839234 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 939501736 | Total |
| Program Services | 822491961 | ProgramServices |
| Management And General | 117009775 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60363307 | Total |
| Program Services | 53318495 | ProgramServices |
| Management And General | 7044812 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 144374996 | Total |
| Program Services | 125989942 | ProgramServices |
| Management And General | 18385054 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72902807 | Total |
| Program Services | 63619191 | ProgramServices |
| Management And General | 9283616 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 850346 | Total |
| Program Services | 242641 | ProgramServices |
| Management And General | 607705 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14363 | Total |
| Management And General | 14363 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94514 | Total |
| Management And General | 94514 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1100577 | Total |
| Management And General | 1100577 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190407326 | Total |
| Program Services | 161503782 | ProgramServices |
| Management And General | 28903544 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8471870 | Total |
| Program Services | 2018343 | ProgramServices |
| Management And General | 6453527 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 338765464 | Total |
| Program Services | 321278089 | ProgramServices |
| Management And General | 17487375 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37828147 | Total |
| Program Services | 6273032 | ProgramServices |
| Management And General | 31555115 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42437845 | Total |
| Program Services | 17540618 | ProgramServices |
| Management And General | 24897227 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4447099 | Total |
| Program Services | 3337868 | ProgramServices |
| Management And General | 1109231 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2502633 | Total |
| Program Services | 1680810 | ProgramServices |
| Management And General | 821823 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5536050 | Total |
| Program Services | 5536050 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28380282 | Total |
| Management And General | 28380282 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94391070 | Total |
| Program Services | 78063946 | ProgramServices |
| Management And General | 16327124 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17228604 | Total |
| Program Services | 16839976 | ProgramServices |
| Management And General | 388628 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | FundraisingFundraising | Management And GeneralManagementAndGeneral |
|---|---|---|---|---|
| Bad Debts | 52643744 | 52643744 | ||
| Provider Tax Expense | 38213496 | 38213496 | ||
| Research Expenses | 7782504 | 7782504 | ||
| Fundraising Expenses | 4198502 | 4198502 | ||
| UBI Taxes | 2020720 | 2020720 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7190887 | Total |
| Program Services | 1438900 | ProgramServices |
| Management And General | 5751987 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2111478270 | Total |
| Program Services | 1785803535 | ProgramServices |
| Management And General | 321476233 | ManagementAndGeneral |
| Fundraising | 4198502 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93074 | BOY |
| EOY | 105843 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15665823 | BOY |
| EOY | 14395726 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1801161 | BOY |
| EOY | 1432854 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 244349070 | BOY |
| EOY | 252284350 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3023049 | BOY |
| EOY | 3398644 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30837660 | BOY |
| EOY | 32403891 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12303752 | BOY |
| EOY | 13195774 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2381610456 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1243950288 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1198989402 | BOY |
| EOY | 1137660168 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 605686410 | BOY |
| EOY | 786127848 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 385905 | BOY |
| EOY | 385686 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76806322 | BOY |
| EOY | 82498385 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2346710 | BOY |
| EOY | 3263453 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86458651 | BOY |
| EOY | 79428218 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2278746989 | BOY |
| EOY | 2406580840 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 177675582 | BOY |
| EOY | 194522362 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11213044 | BOY |
| EOY | 22571701 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 316680000 | BOY |
| EOY | 314505000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7589919 | BOY |
| EOY | 7485336 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2864218 | BOY |
| EOY | 2189976 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89531202 | BOY |
| EOY | 30459064 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 605553965 | BOY |
| EOY | 571733439 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1620708801 | BOY |
| EOY | 1782287631 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27196512 | BOY |
| EOY | 27232794 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25287711 | BOY |
| EOY | 25326976 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1673193024 | BOY |
| EOY | 1834847401 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2278746989 | BOY |
| EOY | 2406580840 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 158104747 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 3549630 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 1 | MailingsMembers |
| Mailings Members | $5,958 | MailingsMembersAmount |
| Publications Or Broadcast | 1 | PublicationsOrBroadcast |
| Publications Or Broadcast | $6,798 | PublicationsOrBroadcastAmount |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $94,514 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $219,961 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 1 | RalliesDemonstrations |
| Rallies Demonstrations | $4,686 | RalliesDemonstrationsAmount |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 331917 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Other Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1i: | ReturnReference |
| Explanation | Lobbying activity includes: * Analysis of early draft legislation for 2010 Oregon Legislative Session * Visits, calls, e-mails, and letters to state legislators, legislative bodies, and members of Congress * Visits, calls, e-mails, and letters to legislative staff and government officials * Discussions and meetings with lobbyists * Ongoing analysis of legislation during the 2010 Legislative Session * Attending state, federal and local government hearings and meetings in the Portland area During 2010, Providence Health & Services, Oregon did not engage in discussions on any state and local government ballot measures. Major issues supported, opposed, or commented on to legislators/government officials/staffers by Providence Health & Services in Oregon, in 2010 include: * Federal funding levels for and cuts to Medicaid * Provider tax funds to support Oregon Health Plan Standard (Medicaid) * Department of Human Services budget * Employer/employee relations issues * Federal funding decisions for health care projects and grants * Medicare reimbursement to hospitals and other providers * Medicare Advantage * Health insurance mandates * Labor and union related issues * Columbia River crossing - I-5 replacement bridge * Health insurer regulatory, finance and legislative issues * Hospital regulatory, finance and legislative issues * Long term care facilities regulatory, finance and legislative issues * Health care reform * Formation of the Oregon Health Authority * Integrated health home * Health care workforce issues * Health information technology * End of life care * Certificate of need and capital project reporting * Rural hospital issues * Data security * Behavioral health issues * Local government: - Transportation and economic issues - Proposed housing project - Land use and signage | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 22682552 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 79990817 | OtherCostOrOtherBasis |
| Book Value | 102673369 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 2398321 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1055676707 | OtherCostOrOtherBasis |
| Depreciation | 488139701 | Depreciation |
| Book Value | 569935327 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27543456 | OtherCostOrOtherBasis |
| Depreciation | 16824720 | Depreciation |
| Book Value | 10718736 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 704579707 | OtherCostOrOtherBasis |
| Depreciation | 565104379 | Depreciation |
| Book Value | 139475328 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 488738896 | OtherCostOrOtherBasis |
| Depreciation | 173881488 | Depreciation |
| Book Value | 314857408 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1137660168 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Affiliates | $5,539,056 |
| Other Liabilities | $5,861 |
| Resident Trust Funds | $918,111 |
| LT Asset Retirement Obligation - FIN 47 | $4,220,631 |
| Third Party Reserves | $16,431,605 |
| Bond Premium Discount | $3,343,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 30459064 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X: | ReturnReference |
| Explanation | The Health System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 86283000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 86283000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04190 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 186085000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 149669000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 36416000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01770 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 958000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 826000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 132000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 273326000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 150495000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 122831000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05970 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5836632 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1117076 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4719556 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18515622 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5100894 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13414728 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00650 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25396874 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14920754 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10476120 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 31785246 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 31785246 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01540 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2731325 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 352497 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2378828 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 84265699 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21491221 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 62774478 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03050 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 357591699 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 171986221 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 185605478 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09020 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 500 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 300 | DirectOffsettingRevenue |
| Net Community Building Expense | 200 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 261979 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 45544 | DirectOffsettingRevenue |
| Net Community Building Expense | 216435 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 243205 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 22150 | DirectOffsettingRevenue |
| Net Community Building Expense | 221055 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 133751 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 8070 | DirectOffsettingRevenue |
| Net Community Building Expense | 125681 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 95494 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 600 | DirectOffsettingRevenue |
| Net Community Building Expense | 94894 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 66503 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 6000 | DirectOffsettingRevenue |
| Net Community Building Expense | 60503 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 802432 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 82664 | DirectOffsettingRevenue |
| Net Community Building Expense | 719768 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $23,515,960 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 610764000 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 705030000 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -94266000 | 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 | 7 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (7 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours | Critical Access HospitalCriticalAccessHospital | OtherOther |
|---|---|---|---|---|---|---|---|---|---|---|
| Providence Portland Medical Center | ||||||||||
| 1 | 4805 NE Glisan St | Portland | OR | 97213 | X | X | X | X | ||
| Providence St Vincent Medical Center | ||||||||||
| 2 | 9205 SW Barnes Rd | Portland | OR | 97225 | X | X | X | X | ||
| Providence Milwaukie Hospital | ||||||||||
| 3 | 10150 SE 32nd | Milwaukie | OR | 97222 | X | X | X | |||
| Providence Hood River Mem Hospital | ||||||||||
| 4 | 811 - 13th Street | Hood River | OR | 97031 | X | X | X | |||
| Providence Seaside Hospital | ||||||||||
| 5 | 725 S Wahanna Rd | Seaside | OR | 97138 | X | X | X | Nursing Facility | ||
| Providence Newberg Medical Center | ||||||||||
| 6 | 1001 Providence Drive | Newberg | OR | 97132 | X | X | X | |||
| Providence Medford Medical Center | ||||||||||
| 7 | 1111 Crater Lake Avenue | Medford | OR | 97504 | X | X | X | |||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (7 entries)
| Hospital Facility NumberHospitalFacilityNumber |
|---|
| Providence Portland Medical Center |
| 1 |
| Providence St Vincent Center |
| 2 |
| Providence Milwaukie Hospital |
| 3 |
| Providence Hood River Memorial Hospital |
| 4 |
| Providence Seaside Hospital |
| 5 |
| Providence Newberg Medical Center |
| 6 |
| Providence Medford Medical Center |
| 7 |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 20 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (20 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Prov Portland Med Ctr Dialysis Unit | ||||
| 4805 NE Glisan St | Portland | OR | 97213 | ESRD-End Stage Renal Disease |
| Providence St Vincent Kidney Dialysis | ||||
| 9450 SW Barnes Rd Suite 125 | Portland | OR | 97225 | ESRD-End Stage Renal Disease |
| PHRMH Ray Yasui Dialysis Center | ||||
| 1125 May Avenue | Hood River | OR | 97031 | ESRD-End Stage Renal Disease |
| Providence Home Health | ||||
| 6410 NE Halsey Suite 200 | Portland | OR | 97213 | Home Health Agency |
| Prov Benedictine Nursing Center HHA | ||||
| 570 S Main St | Mt Angel | OR | 97362 | Home Health Agency |
| Providence Home Care | ||||
| 2033 Commerce Drive | Medford | OR | 97504 | Home Health Agency |
| Providence Hospice | ||||
| 6410 NE Halsey Suite 300 | Portland | OR | 97213 | Hospice |
| Providence Medford Hospice | ||||
| 2033 Commerce Drive | Medford | OR | 97504 | Hospice |
| Surgery Center at Tanasbourne | ||||
| 18650 NW Cornell Rd Suite 110 | Hillsboro | OR | 97124 | Ambulatory Surgery Center |
| Center for Specialty Surgery | ||||
| 11782 SW Barnes Rd 200 Bldg C | Portland | OR | 97225 | Ambulatory Surgery Center |
| Oregon Outpatient Surgery | ||||
| 7300 SW Childs Rd | Tigard | OR | 97224 | Ambulatory Surgery Center |
| Providence Child Center | ||||
| 860 NE 47th Ave | Portland | OR | 97213 | Nursing Facility |
| Providence Benedictine Nursing Center | ||||
| 540 S Main St | Mt Angel | OR | 97362 | Nursing Facility |
| Providence Seaside Hospital | ||||
| 725 S Wahanna Rd | Seaside | OR | 97138 | Nursing Facility |
| Providence Benedictine Orchard House | ||||
| 550 S Main St | Mt Angel | OR | 97362 | Assisted Living Facility |
| Providence Brookside Manor | ||||
| 1550 Brookside Dr | Hood River | OR | 97031 | Assisted Living Facility |
| Prov Elderplace in Irvington Village | ||||
| 420 NE Mason | Portland | OR | 97211 | Assisted Living Facility |
| Providence Elderplace in Glendover | ||||
| 13007 NE Glisan St | Portland | OR | 97230 | Residential Care Facility |
| Providence Elderplace in Cully | ||||
| 5119 NE 57th Ave | Portland | OR | 97218 | Residential Care Facility |
| Providence Brookside Memory Care | ||||
| 1550 Brookside Dr | Hood River | OR | 97031 | Residential Care Facility |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 52643744. | ||
| Part II: COMMUNITY BUILDING ACTIVITIES:Basic needs including food, security and housingProvidence recognizes that the social determination of health needs includes adequate housing, food, transportation, utilities and primary education. These deficits fall disproportionately on low-income and multicultural populations and therefore Providence has aligned its community building and diversity programs to intersect with and advise our community benefit giving. Oregon ranks first in homelessness per capita according to the U.S. Department of Housing and Urban Development. Lack of adequate housing contributes to poor health; therefore, Providence supports a number of not-for-profit community organizations that help homeless people or work to prevent homelessness. In addition, we partner with organizations in multiple Oregon communities that provide or support low-income housing. Some important partners include: Central City Concern, St. Vincent De Paul, Catholic Charities, Transition Projects Incorporated, the Good Neighbor Center, Neighborhood Partnership Fund, Portland Rescue Mission, Share Outreach Vancouver and West Women's Shelter.Providence has been a leader in recognizing the significant impact of hunger on the health and well being of all residents in the state. Oregon ranks as one of the five "hungriest states," with nearly 50 percent of all school age children qualifying for free or reduced lunches. Providence works with the Oregon Food Bank, The Governor's Task Force to End Hunger and Farmer's Ending Hunger, as well as numerous food pantries in every ministry we serve. Economic DevelopmentEconomic development has an important impact on available housing and services for the underserved. An economically depressed area cannot easily support and care for the vulnerable. Providence looks for partnerships with like-minded organizations that will encourage a stable and strong economy. We participate in local and state organizations in each of our ministries, as well as provide executive leadership to city, county and state boards. Support for Healthy Lives and Healthy CommunitiesIt is critical that such needs as after school programs, neighborhood support groups and violence prevention be identified and addressed in communities. Providence has established an initiative - Healthy Lives, Healthy Communities - that reaches out to meet the needs of low income and diverse communities across our service areas. We have involved public and private partners such as Multnomah County Educational School district as well as the Portland Trailblazers and The Portland Timbers in collaborative health initiatives. In addition, we have many not-for-profit community partners with whom we work and support financially to reach populations who need these types of services. Leadership Development and Training for Community Members and Youth In this area, Providence has put a strong focus on diverse and low-income communities. For example, for some years we have provided scholarships for youth in multicultural and diverse populations, including Asian, African-American and Hispanic communities. Community partner include: Self Enhancement Incorporated, Hood River School District, De La Salle North School and Rosemary Anderson High School. Building Health Equity and Collaboration Providence has long known that, while we can do a great deal to help our communities, we often can get the best results in meeting health needs, and those basic needs that contribute to or affect health, by aligning with other organizations that have an established presence and expertise. Throughout our history, we have sought like-minded partners with a mission to care for the vulnerable in the communities we serve. During 2010, we provided financial support to more than 46 diverse organizations that are intent on building collaborative programs that will meet community health and build health equity. These include: the African-American Health Coalition, Asian Muslims in Need, Catholic Charities, Jefferson Regional Health Alliance, Asian Health and Service Center, La Clinica del Carinho, United Way of Jackson County and many more. Community Health Improvement AdvocacyIn keeping with our strong commitment to social justice, Providence is an advocate for those among us who do not have a voice in policy development and community decision making. During 2010, we joined with Community Connections, Community Health Partnerships, Parish Health Promoters, the Foundation for Medical Excellence, Ecumenical Ministries of Oregon, Oregon Primary Care Association, NAMI, Office of Health Equity and Ride Connection, among others, to ensure that the needs of those we serve have been articulated to policy makers. We actively supported initiatives to improve provider cultural competence in care giving with required continuing education courses. Workforce DevelopmentProvidence provided financial support to the Hood River County Health Department, the Oregon Center for Nursing, POIC and a workforce development initiative in Oregon City, all of which are working to enhance communitywide workforce issues in various part of Oregon. | ||
| Part III, Line 4: It is Providence's policy to exclude all bad debts from Community benefit information.The Consolidated Audited Financial Statements do not contain a footnote specific to Bad Debt Expense.Bad debt expense is reported in the audited financials as a separate line item within expenses from operations. Bad debt expense represents the amount of gross charges for patients who do not have insurance and which Providence was unable to qualify for assistance under either government programs or our internal charity care policy. | ||
| Part III, Line 8: It is Providence's policy to exclude any Medicare shortfall from Community Benefit information.The amount reported on Part III, Section B, line 6, was determined by applying the Cost-to-Charge Ratio to the Medicare revenue. | ||
| Part III, Line 9b: Billing and Collection PracticesProvidence has written policies about when and under whose authority patient debt is advanced for collection, and uses its best efforts to ensure that patient accounts are processed fairly and consistently.Providence ensures that practices to be used by their outside (non-hospital) collection agencies conform to the standards set forth in this policy, and obtains written commitments from such agencies that they will adhere to those standards. Providence also conducts an assessment of each collection agency's adherence to the policy. Such assessments are conducted at least annually.At time of billing, we provide to all low-income uninsured patients the same information concerning services and charges provided to all other patients who receive care at the hospital.When sending a bill to a patient, Providence includes a) a statement that indicates that if the patient meets certain income requirements the patient may be eligible for a government-sponsored program or for financial assistance from the hospital; and b) a statement that provides the patient with the name and telephone number of a hospital employee or office from whom or which the patient may obtain information about Providence's financial assistance policies for patients and how to apply for such assistance.Any patient (or the patient's legal representative) seeking financial assistance from Providence provides the individual facility with information concerning health benefits coverage, financial status (i.e. income, assets) and any other information that is necessary for the hospital to make a determination regarding the patient's status relative to Providence's financial assistance policy, discounted payment policy, or eligibility for government-sponsored programs.For patients who have an application pending determination for either government-sponsored coverage or for the hospitals' own financial assistance program, Providence will not knowingly send that patient's bill to a collection agency.Eligibility for financial assistance will be determined as closely as possible to the date of service. | ||
| PART III, SECTION A, LINE 1:The reporting entity reports bad debt expense in accordance with HFMA Statement #15 with the exception of the following sections: 8.1(b) and 9.1. | ||
| Part VI, Line 2: NEEDS ASSESSMENT:We recognize that caring for the poor and vulnerable is not a task we can do on our own. On a routine basis we conduct a formal community assessment to determine who in our communities is experiencing the greatest need. This outreach connects us to many not-for-profits and social service agencies as well as care providers and their clients in the communities. To ensure that we conduct a comprehensive assessment, our process includes research, meetings, interviews, focus groups and surveys.Additionally, Providence ministries have community and foundation boards. The civic leaders that serve on Providence Boards connect our Mission with a local perspective on community needs.Our assessment findings are assembled to make certain we understand and respond to local and regional needs, which often vary from one city or county to another. Identified areas of need not only guide our community benefit giving, but also guide our strategic planning. We believe meaningful community needs assessment provides insight into the complete community benefit that is required, beyond just free and discounted care. | ||
| Part VI, Line 3: COMMUNICATION TO THE PUBLIC:Providence hospitals post notices regarding the availability of financial assistance to low-income uninsured patients. These notices are posted in visible locations throughout the hospital such as admitting/registration, billing office, emergency department and other outpatient settings.Every posted notice regarding financial assistance policies contains brief instructions on how to apply for financial assistance or a discounted payment. The notices also include a contact telephone number that a patient or family member can call to obtain more information.Providence ensures that appropriate staff members are knowledgeable about the existence of the hospital's financial assistance policies. Training is provided to staff members (i.e., billing office, financial department, etc.) who directly interact with patients regarding their hospital bills.When communicating to patients regarding their financial assistance policies, Providence attempts to do so in the primary language of the patient, or his/her family, if reasonably possible, and in a manner consistent with all applicable federal and state laws and regulations.Providence shares their financial assistance policies with appropriate community health and human services agencies and other organizations that assist such patients. | ||
| Part VI, Line 4: COMMUNITY INFORMATION:Providence Health & Services in Oregon serves both urban and rural areas throughout a geographically diverse state, including with hospitals, health plans, physicians, clinics, home health services, long-term care and affiliated health services. Three of our hospitals in Oregon are rural and four are in urban settings; they range in size from 25 beds to 523 beds (licensed). Of our 94 clinics, seven are safety nets and many more provide a significant proportion of care to underserved populations. We continue our commitment to acute behavioral health care and have one of the only units for children less than 11 years in the entire state. We have the only long-term care facility for medically fragile children in the Pacific Northwest.Out of a total population of more than 3.82 million in Oregon:* More than 534,800 or 14 percent are covered by Medicare compared to a national average of 12 percent. * 611,200 were covered by Medicaid or 14 percent (December 2010) * An estimated 611,200 non-elderly people were uninsured or 17 percent. All of our hospitals, clinics and other facilities are open to these populations. Quick facts:* About 60 percent of the patients served by Providence Oregon's seven safety net clinics are uninsured or on Medicare or Medicaid. * Medicare represents about 14 percent of Oregon's population, but in 2009, 40 percent of the patient revenues at our seven hospitals were Medicare. * Providence provided 24 percent of all charity care in Oregon during 2010 - more than our entire market share of 20 percent in the state.* Providence facilities charity as a percent of gross charges averaged 6.5 percent compared to the state average of 4.7 percent* Almost all the children at Providence Child Center are covered by Medicaid.In September 2010, Oregon's unemployment was 10.6 percent; in September 2011, unemployment dropped only slightly to 9.6 percent, placing the state fifth highest in the nation. In 2010, Providence provided $91million in free or reduced cost medical care. Between 2006 and 2010 overall community benefits have increased 61.6 percent at Providence ministries in Oregon. | ||
| Part VI, Line 6: FURTHERANCE OF EXEMPT PURPOSE:As a not-for-profit Catholic health care ministry, Providence Health & Services embraces its responsibility to provide for the needs of the communities it serves - especially the poor and vulnerable. Providence's not-for-profit, tax-exempt status enables Providence to serve its communities, to solicit donations through its foundations and to access capital to respond to community needs that otherwise would go unmet. Health care is fundamentally different from most other goods and services. It is about the most human and intimate needs of people, their families and communities. This critical difference is why we should work together to preserve and strengthen the not-for-profit sector in health care.In each of the communities where we serve, our ministries are actively involved with public, private and other health systems in working towards better health outcomes for the entire community. Examples of this include: participation by all Portland area hospitals and four county health departments in Project Access NOW. Working as a founder and ongoing partner, Providence facilities represent four of fourteen participating hospitals and 3,300 providers who agree to provide needed medical care to low income Oregon community members with urgent needs. The stated goal of Project Access NOW is to become the recognized source for care for all low income uninsured in the metro community. Providence's participation and support helps to ensure that this is achievable. Another example is in Hood River County, where Providence Hood River hosts the county's community health collaborative, MOCHA, which brings together the hospital, the schools, the growers, the public health department, community health center and private providers to identify and work on community health needs in a collaborative manner. The group has championed the farm to school food program in 2010. | ||
| Part VI, Line 7: AFFILIATED HEALTH CARE SYSTEM:Providence Health & Services owns and operates 27 general acute care hospitals, six long-term care facilities, seven homecare and hospice entities, five assisted living facilities, a children's nursing center and Montessori school, a high school, a university, 12 low-income housing projects, the Health Plan, a health services contractor, two programs of all inclusive care for the elderly, and 20 controlled fundraising foundations.The Health System provides inpatient, outpatient, primary care, and home care services in Alaska, Washington, Montana, Oregon and Southern California. The Health System operates these businesses primarily in the greater metropolitan areas of Anchorage, Alaska; Everett, Seattle, Spokane and Olympia, Washington; Missoula, Montana; Portland and Medford, Oregon; and Los Angeles, California.The charitable purpose of Providence Health & Services and each of its ministries is guided by one Mission and set of core values based on Catholic health care and guided by the legacy of the Sisters of Providence. As one system committed to caring for the poor and vulnerable, Providence Health & Services has developed a single framework for consistently reporting charity care and community benefit. Our responsibility to stewardship drives us to a standardized approach to supply chain so that we can deliver excellent patient care while reducing the cost of delivered supplies. Our commitment to respect and fairness means Providence has a system-wide compensation policy. Locally, Providence ministries are empowered to apply these policies to meet the local needs of their community. Additionally, Providence ministries conduct local assessments to make sure the needs of the community are met. As an integrated health system, Providence Health & Services - Oregon Region and Providence Health Plans (based in Oregon) provide extensive services that support and promote the health needs of the communities we serve. In 2010, Providence Oregon provided more than $200 million in community benefits and charity care services including free and reduced-cost medical care, health services for underserved populations, Oregon Health Plan (Medicaid) and government sponsored medical care (such as OMIP, the Oregon high risk insurance pool), medical education and research, and community health grants and donations. These contributions and benefits to our Oregon communities are shared between our eight hospitals, our clinical programs and PMG medical group, and the Providence Health Plan. Throughout our more than 155-year-history, Providence has responded to community need, with special emphasis on helping the most vulnerable. In 2010, Providence Oregon provided more than $5 million in direct grants of support to at least 210 not-for-profit organizations and service agencies throughout Oregon. Thousands of adults and children received help and support through these grants, donations and community outreach. Our areas of focus include primary care and new models of team-based care delivery for uninsured, low-income and culturally diverse populations, as well as access to behavioral health care for underserved populations. We also help provide palliative care and safety net health care services for underserved populations.Providence in Oregon collaborates with community partners to help manage the cost of health care and change the way patients are cared for in our community. We believe patient-centered, team-based primary care is the foundation of health care transformation. Disparities are a feature of health care in Oregon as they are nationally. In fact, Oregon ranked 43rd in the country in overall equity dimensions (including income, insurance status and race/ethnicity) in the Commonwealth Fund's 2009 State Scorecard on Health System Performance. For race/ethnicity disparities, Oregon's rankings were among the lowest for access measures, including percent of children without a medical and dental preventive care visit in the past year and adults without a source of care. Overall for race and ethnicity measures, Oregon ranked 35th in the country. Providence's integrated delivery of care in Oregon allows us to provide leadership in developing new clinical models to coordinate care, standardize processes and improve patient outcomes. Providence is developing new patient centered primary care home models of health care delivery in Portland using employed physicians in partnership with Providence Health Plans, other commercial insurers and the Medicaid population. We currently have medical home models in 19 sites throughout the state. Many of these sites are targeted at underserved and high risk populations. Within Oregon, Providence has been an active participant in shaping the transformation of the state's health care system. Providence leaders were selected by the governor to participate in workshops that will help define the details of coordinated care organizations and make additional recommendations to the 2012 legislative session. Providence is already making changes internally and working with other health systems and community partners to begin this transformation. | ||
| OR,WA,CA,MT,AK | Reports Filed With States | Part VI, Line 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (64 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Providence St Vincent Medical Foundation | |||||||
| PO Box 13993 | Portland | OR | 97213 | 930575982 | 501 ( c ) 3 | 785359 | Community Health Support |
| Providence Portland Medical Foundation | |||||||
| 4805 NE Glisan St | Portland | OR | 97213 | 931231494 | 501 ( c ) 3 | 613758 | Community Health Support |
| Providence Community Health Foundation | |||||||
| 1111 Crater Lake Ave | Medford | OR | 97504 | 930692907 | 501 ( c ) 3 | 468460 | Community Health Support |
| Providence Child Center Foundation | |||||||
| 830 NE 47th | Portland | OR | 97213 | 930800140 | 501 ( c ) 3 | 459541 | Community Health Support |
| Providence Milwaukie Foundation | |||||||
| 10150 SE 32nd | Milwaukie | OR | 97222 | 943079515 | 501 ( c ) 3 | 264698 | Community Health Support |
| Providence Newberg Foundation | |||||||
| 1001 Providence Dr | Newberg | OR | 97132 | 930889144 | 501 ( c ) 3 | 247412 | Community Health Support |
| Providence Hood River Foundation | |||||||
| 811 13th St | Hood River | OR | 97031 | 930921990 | 501 ( c ) 3 | 195173 | Community Health Support |
| Central City Concern | |||||||
| 232 NW Everett St | Portland | OR | 97209 | 930728816 | 501 ( c ) 3 | 157150 | Family Alcohol and Drug Free Community Housing Network, respite care patients |
| Providence Benedictine Nursing Center Foundation | |||||||
| 540 S Main St | Mt Angel | OR | 97362 | 911940286 | 501 ( c ) 3 | 128017 | Community Health Support |
| Providence Health International | |||||||
| 1801 Lind Ave SW Suite 9016 | Renton | WA | 98057 | 910725998 | 501 ( c ) 3 | 116257 | International Mission Donation |
| Providence Seaside Foundation | |||||||
| 725 S Wahanna Rd | Seaside | OR | 97138 | 930927320 | 501 ( c ) 3 | 111625 | Community Health Support |
| Gorge Orthodontics PLLC | |||||||
| 1625 E 12th St | The Dalles | OR | 97058 | 753120828 | other | 109765 | Donated Dental Services |
| Virginia Garcia Memorial Health Center | |||||||
| PO Box 568 | Cornelius | OR | 97113 | 930717997 | 501 ( c ) 3 | 103392 | Community Health Support |
| Legacy Emanuel Hospital | |||||||
| PO Box 5939 | Portland | OR | 97228 | 930386823 | 501 ( c ) 3 | 100000 | CARES NW Program |
| Partnership Project | |||||||
| 5525 SE Milwaukie Ave | Portland | OR | 97202 | 931176109 | 501 ( c ) 3 | 80475 | Respite care patient support |
| St Joseph the Worker | |||||||
| 7528 N Fenwick Ave | Portland | OR | 97217 | 931322114 | 501 ( c ) 3 | 75000 | Corporate Internship Program |
| United Way of Columbia River Gorge | |||||||
| PO Box 2 | Hood River | OR | 97031 | 930582124 | 501 ( c ) 3 | 75000 | Community Health Support |
| Hood River County Health Department | |||||||
| 1109 June St | Hood River | OR | 97031 | 936002297 | Government | 73858 | School Health Services |
| Northwest Parish Nurse Ministries | |||||||
| 2801 N Gantenbein Ave Room 1072 | Portland | OR | 97227 | 943180955 | 501 ( c ) 3 | 69966 | Support for promoting Health and Wellness |
| Bruce Burton DMD | |||||||
| 1002 10th St Suite 1 | Hood River | OR | 97031 | 930888441 | other | 64950 | Donated dental services |
| Medical Teams International | |||||||
| PO Box 10 | Portland | OR | 97207 | 930878944 | 501 ( c ) 3 | 60000 | Great Adventure Dinner and Auction |
| La Clinica | |||||||
| 3617 S Pacific Hwy | Medford | OR | 97501 | 943096772 | 501 ( c ) 3 | 50000 | Support for Kid's Health Connection |
| Self Enhancement Inc | |||||||
| 3920 N Kerby Ave | Portland | OR | 97227 | 931086629 | 501 ( c ) 3 | 41000 | Student sponsorship, table at summer celebration |
| City of Hood River | |||||||
| PO Box 27 | Hood River | OR | 97031 | 936002186 | Government | 40900 | Community Health Support |
| Volunteers of America | |||||||
| 3910 SE Stark St | Portland | OR | 97214 | 930395591 | 501 ( c ) 3 | 35000 | DePriest Award for Excellence |
| Catholic Charities | |||||||
| 231 SE 12th Ave | Portland | OR | 97214 | 930386801 | 501 ( c ) 3 | 32000 | Sponsorship of annual celebration and El Programa Hispano |
| Loaves and Fishes Centers Inc | |||||||
| PO Box 19477 | Portland | OR | 97280 | 930584318 | 501 ( c ) 3 | 28820 | Meals & delivery services to those in need |
| Essential Health Clinic | |||||||
| 266 W Main Street MS 68 | Hillsboro | OR | 97123 | 383672046 | 501 ( c ) 3 | 28100 | Clinic Program-Treatment: urgent medical problem for uninsured individuals |
| Northwest Family Service | |||||||
| 6200 SE King Road | Portland | OR | 97222 | 930841022 | 501 ( c ) 3 | 26535 | Behavioral health for returning veterans, and low income people |
| Community Health Center | |||||||
| 19 Myrtle Street | Medford | OR | 97504 | 237366812 | 501 ( c ) 3 | 25000 | Access to primary care, serving low income, uninsured families in Jackson County |
| Foundation for Medical Excellence | |||||||
| One SW Columbia St Suite 860 | Portland | OR | 97258 | 930632522 | 501 ( c ) 3 | 25000 | Community health support |
| Kinship House | |||||||
| 1823 NE 8th Ave | Portland | OR | 97212 | 931180331 | 501 ( c ) 3 | 25000 | To help reduce number of children in foster care |
| Metropolitan Family Services | |||||||
| 1808 SE Belmont St | Portland | OR | 97214 | 930397825 | 501 ( c ) 3 | 25000 | Care for vulnerable seniors |
| Multnomah County Health Department | |||||||
| 421 SW Oak St Suite 510 | Portland | OR | 97204 | 936002309 | Government | 25000 | Community Health Support |
| Cascadia Behavioral Health | |||||||
| 847 NE 19th Avenue | Portland | OR | 97207 | 930770054 | 501 ( c ) 3 | 24075 | Community Health Support |
| Oregon Health Authority | |||||||
| PO Box 14260 | Portland | OR | 97293 | 936001752 | Government | 20060 | Immunization Program |
| Clackamas Services Center | |||||||
| 8800 SE 80th Ave | Portland | OR | 97206 | 930626175 | 501 ( c ) 3 | 20000 | For indigent services |
| Transition Projects | |||||||
| 475 NW Glisan | Portland | OR | 97209 | 930591582 | 501 ( c ) 3 | 17684 | Community Health Support, access to primary care |
| Community Action Organization | |||||||
| 1001 SW Baseline | Hillsboro | OR | 97123 | 930554941 | 501 ( c ) 3 | 17500 | Prenatal Care |
| Columbia Gorge Community College Foundation | |||||||
| 400 East Scenic Drive | The Dalles | OR | 97058 | 930700843 | 501 ( c ) 3 | 17366 | Nursing Occupations Program |
| Our House of Portland | |||||||
| 2727 SE Alder Street | Portland | OR | 97214 | 930986632 | 501 ( c ) 3 | 16831 | Our House Annual Dinner/Auction |
| Senior Citizens Council | |||||||
| 812 7th Street | Oregon City | OR | 97045 | 930693668 | 501 ( c ) 3 | 16320 | To help low income seniors |
| Rogue Community College Foundation | |||||||
| 3345 Redwood Highway | Grants Pass | OR | 97527 | 930777701 | 501 ( c ) 3 | 16000 | Health related scholarship |
| NAMI Oregon | |||||||
| 3550 SE Woodward Street | Portland | OR | 97202 | 930875209 | 501 ( c ) 3 | 15000 | Mental disability programs, NAMI Northwest Walk |
| Trillium Family Services | |||||||
| 3415 SE Powell Blvd | Portland | OR | 97202 | 931254344 | 501 ( c ) 3 | 15000 | Mental and behavioral support for children |
| Hood River County School District | |||||||
| 1011 Eugene Street | Hood River | OR | 97031 | 936000502 | 501 ( c ) 3 | 14700 | Community Health Support |
| Providence Pariseau | |||||||
| 1801 Lind Ave SW Suite 9016 | Renton | WA | 98057 | 911289932 | 501 ( c ) 3 | 13000 | Support pediatric long-term residential nursing care for medically fragile children |
| Oregon Food Bank | |||||||
| PO Box 55370 | Portland | OR | 97238 | 930785786 | 501 ( c ) 3 | 11000 | Funds for Food |
| Farmers Ending Hunger | |||||||
| PO Box 7361 | Salem | OR | 97303 | 800505305 | 501 ( c ) 3 | 10000 | Food services for needy |
| Friends of the Children | |||||||
| 44 NE Morris St | Portland | OR | 97212 | 931098105 | 501 ( c ) 3 | 10000 | Access to behavioral health |
| Northwest Portland Ministries | |||||||
| 2701 NW Vaught St 102 | Portland | OR | 97210 | 930923775 | 501 ( c ) 3 | 10000 | Food delivery to low income shut-ins |
| Oregon Center for Nursing | |||||||
| 5000 N Willamette Blvd MSC 192 | Portland | OR | 97203 | 743052430 | 501 ( c ) 3 | 10000 | Sponsorship for Annual OCN Fundraising Breakfast |
| Oregon Community Foundation | |||||||
| 1221 SW Yamhill St Suite 100 | Portland | OR | 97205 | 237315673 | 501 ( c ) 3 | 10000 | Community health initiative |
| Upper Rogue Community Center | |||||||
| PO Box 216 | Shady Cove | OR | 97539 | 930792553 | 501 ( c ) 3 | 10000 | Senior/handicapped medical transportation |
| Vernonia Education Foundation | |||||||
| 475 Bridge Street | Vernonia | OR | 97064 | 264001578 | 501 ( c ) 3 | 10000 | Community Support |
| Skanner Foundation | |||||||
| PO Box 5455 | Portland | OR | 97228 | 931109980 | 501 ( c ) 3 | 8500 | 24th Annual Dr Martin Luther King Jr Breakfast |
| St Francis House of Odell | |||||||
| 4960 York Hill Drive | Hood River | OR | 97031 | 261778553 | 501 ( c ) 3 | 8190 | Support expansion of ministry capacity |
| Northwest Senior and Disability | |||||||
| 3410 Cherry Ave | Salem | OR | 97309 | 930811191 | 501 ( c ) 3 | 7800 | Hospital discharge program for Clatsop county seniors |
| Oregon Association of Minority Entrepreneurs | |||||||
| 4134 N Vancouver Ave Suite 100 | Portland | OR | 97217 | 943058546 | 501 ( c ) 6 | 7500 | Sponsorship of tradeshow and conference |
| Snow Cap Community Charities | |||||||
| PO Box 160 | Fairview | OR | 97204 | 237121915 | 501 ( c ) 3 | 7000 | Food services for senior citizens |
| Hispanic Metropolitan Chamber | |||||||
| 333 SW 5th Ave Suite 100 | Portland | OR | 97204 | 931156358 | 501 ( c ) 3 | 6450 | Scholarship fund Employment and Business Fair, Hispanic Heritage Celebration Dinner |
| St Vincent de Paul | |||||||
| PO Box 42157 | Portland | OR | 97242 | 930831082 | 501 ( c ) 3 | 6406 | Community Health Support |
| Jackson County Medical Society | |||||||
| 204 Genessee St | Medford | OR | 97504 | 936039879 | 501 ( c ) 6 | 5500 | VolPACT Yearly Admin Support |
| Leukemia and Lymphoma Society | |||||||
| 1875 NE Ashberry Drive | Hillsboro | OR | 97124 | 135644916 | 501 ( c ) 3 | 5500 | Community Health Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 62 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 2 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: In the application for support, we request a detailed explanation of the kind of services provided to the community along with specific financial data. If the application for support is approved, we send a letter indicating the amount of the support along with a request for documentation of how the funds were used, along with a report of the number of children/families served over the year. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| 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 (37 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 | 1073328 | 0 | 1236674 | 0 | 36500 | 0 | 777729 | 0 | 16974 | 0 | 3141205 | 0 | 0 |
| Michael L Butler | |||||||||||||
| 0 | 734748 | 0 | 283527 | 0 | 20000 | 0 | 317186 | 0 | 23128 | 0 | 1378589 | 0 | 0 |
| Jeffrey W Rogers | |||||||||||||
| 0 | 418582 | 0 | 825815 | 0 | 15000 | 0 | 446566 | 0 | 18760 | 0 | 1724723 | 0 | 0 |
| Gregory Van Pelt | |||||||||||||
| 0 | 678198 | 0 | 1545235 | 0 | 90662 | 0 | 463313 | 0 | 21030 | 0 | 2798438 | 0 | 0 |
| Russell Danielson | |||||||||||||
| 0 | 511864 | 0 | 3879403 | 0 | 58725 | 0 | 373761 | 0 | 23895 | 0 | 4847648 | 0 | 0 |
| Terry L Smith | |||||||||||||
| 0 | 520305 | 0 | 277328 | 0 | 34899 | 0 | 294996 | 0 | 11544 | 0 | 1139072 | 0 | 0 |
| Shelly M Handkins | |||||||||||||
| 0 | 293958 | 0 | 103643 | 0 | 31500 | 0 | 206224 | 0 | 14160 | 0 | 649485 | 0 | 0 |
| Eugene Al Parrish | |||||||||||||
| 0 | 491513 | 0 | 535611 | 0 | 20034 | 0 | 310289 | 0 | 22203 | 0 | 1379650 | 0 | 0 |
| John V Fletcher | |||||||||||||
| 0 | 516196 | 0 | 708989 | 0 | 52318 | 0 | 564812 | 0 | 19983 | 0 | 1862298 | 0 | 0 |
| Janice J Jones | |||||||||||||
| 0 | 552837 | 0 | 534946 | 0 | 52249 | 0 | 326291 | 0 | 22994 | 0 | 1489317 | 0 | 0 |
| Arnold R Schaffer | |||||||||||||
| 0 | 609272 | 0 | 1144945 | 0 | 226401 | 0 | 349661 | 0 | 21820 | 0 | 2352099 | 0 | 0 |
| John O Mudd | |||||||||||||
| 0 | 325749 | 0 | 494171 | 0 | 36500 | 0 | 381188 | 0 | 14731 | 0 | 1252339 | 0 | 0 |
| Keith Marton MD | |||||||||||||
| 0 | 211843 | 0 | 237842 | 0 | 268130 | 0 | 198251 | 0 | 17696 | 0 | 933762 | 0 | 0 |
| Claudia Haglund | |||||||||||||
| 0 | 314668 | 0 | 142918 | 0 | 43577 | 0 | 109252 | 0 | 17322 | 0 | 627737 | 0 | 0 |
| Joel S Gilbertson | |||||||||||||
| 0 | 311580 | 0 | 97519 | 0 | 45557 | 0 | 38285 | 0 | 18003 | 0 | 510944 | 0 | 0 |
| Cindra R Syverson | |||||||||||||
| 0 | 365566 | 0 | 105302 | 0 | 15000 | 0 | 87877 | 0 | 20361 | 0 | 594106 | 0 | 0 |
| John Kenagy | |||||||||||||
| 0 | 324910 | 0 | 91285 | 0 | 31500 | 0 | 122409 | 0 | 18611 | 0 | 588715 | 0 | 0 |
| Craig L Wright | |||||||||||||
| 0 | 449858 | 0 | 120288 | 0 | 15000 | 0 | 25041 | 0 | 14160 | 0 | 624347 | 0 | 0 |
| David T Underriner | |||||||||||||
| 0 | 384957 | 0 | 104554 | 0 | 48308 | 0 | 114737 | 0 | 14160 | 0 | 666716 | 0 | 0 |
| Myron Berdischewsky MD | |||||||||||||
| 0 | 369222 | 0 | 182574 | 0 | 57346 | 0 | 245165 | 0 | 23794 | 0 | 878101 | 0 | 0 |
| David Brown | |||||||||||||
| 0 | 250803 | 0 | 76227 | 0 | 15000 | 0 | 93721 | 0 | 17227 | 0 | 452978 | 0 | 0 |
| Glenn Rodriguez | |||||||||||||
| 0 | 285840 | 0 | 90983 | 0 | 31500 | 0 | 217894 | 0 | 14160 | 0 | 640377 | 0 | 0 |
| Michael Hunn | |||||||||||||
| 0 | 363490 | 0 | 111813 | 0 | 15577 | 0 | 153028 | 0 | 13285 | 0 | 657193 | 0 | 0 |
| June Chrisman | |||||||||||||
| 0 | 271395 | 0 | 95192 | 0 | 31500 | 0 | 39442 | 0 | 11544 | 0 | 449073 | 0 | 0 |
| Lisa Vance | |||||||||||||
| 0 | 279176 | 0 | 86129 | 0 | 31500 | 0 | 202694 | 0 | 7188 | 0 | 606687 | 0 | 0 |
| Janice Burger | |||||||||||||
| 0 | 260136 | 0 | 76877 | 0 | 44890 | 0 | 84638 | 0 | 14160 | 0 | 480701 | 0 | 0 |
| Tom Hanenburg | |||||||||||||
| 0 | 241155 | 0 | 70251 | 0 | 31500 | 0 | 94691 | 0 | 11544 | 0 | 449141 | 0 | 0 |
| Walter J Urba | |||||||||||||
| 604368 | 0 | 110033 | 0 | 0 | 0 | 69432 | 0 | 11026 | 0 | 794859 | 0 | 0 | 0 |
| P Holbrook Howard | |||||||||||||
| 391451 | 0 | 268848 | 0 | 0 | 0 | 51229 | 0 | 16902 | 0 | 728430 | 0 | 0 | 0 |
| John A Schwartz | |||||||||||||
| 551915 | 0 | 46625 | 0 | 16500 | 0 | 54781 | 0 | 11389 | 0 | 681210 | 0 | 0 | 0 |
| Barry M Newman | |||||||||||||
| 469865 | 0 | 112458 | 0 | 77 | 0 | 49814 | 0 | 16902 | 0 | 649116 | 0 | 0 | 0 |
| Erin J Allen | |||||||||||||
| 509142 | 0 | 0 | 0 | 16500 | 0 | 40354 | 0 | 16449 | 0 | 582445 | 0 | 0 | 0 |
| Richard J Umbdenstock | |||||||||||||
| 0 | 0 | 0 | 32220 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32220 | 0 | 0 |
| Michael J Madden | |||||||||||||
| 0 | 0 | 0 | 343217 | 0 | 16500 | 0 | 0 | 0 | 0 | 0 | 359717 | 0 | 0 |
| Charles E Hawley | |||||||||||||
| 0 | 25690 | 0 | 2048448 | 0 | 63610 | 0 | 17773 | 0 | 0 | 0 | 2155521 | 0 | 0 |
| Thomas Johnson | |||||||||||||
| 0 | 8513 | 0 | 62573 | 0 | 254323 | 0 | 85036 | 0 | 6416 | 0 | 416861 | 0 | 0 |
| Ted J Dodge | |||||||||||||
| 0 | 0 | 0 | 0 | 258462 | 0 | 796 | 0 | 0 | 0 | 259258 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 1a | The Providence 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 2010, a total of four first-class tickets were purchased. 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 2010, the following Key Employees received gross-up payments: Russell Danielson Joel Gilbertson Orest Holubec Eugene "Al" Parrish Arnold R. Schaffer Myron Berdischewsky Terry L. Smith 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 vice president/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 2010, the following Key Employees received relocation payments: Joel Gilbertson Orest Holubec Arnold R. Schaffer Myron Berdischewsky 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 Vested but not Paid - $736,499 b) DCSERP Earned - $756,501 2) Michael L. Butler a) DBSERP Earned but not Vested - $1,296 b) DCSERP Earned - $292,794 3) Jeffrey W. Rogers a) Taxable DBSERP Vested but not Paid - $697,854 b) Non-Taxable DBSERP Vested but not Paid - $ 283,728 c) DCSERP Earned - $44,923 d) ESP Interest Credit - $73,103 4) Russell Danielson a) Taxable DBSERP Paid - $ 3,315,890 b) Non-Taxable DBSERP Vested but not Paid - $74,603 c) DCSERP Earned - $217,379 d) ESP Interest Credit - $69,081 5) Gregory Van Pelt a) Taxable DBSERP Vested but not Paid - $ 1,308,937 b) Non-Taxable DBSERP Vested but not Paid - $248,979 c) DCSERP Earned - $89,556 d) ESP Interest Credit - $80,697 e) SOP Paid - $54,162 6) Arnold R. Schaffer a) Taxable DBSERP Vested but not Paid - $873,172 b) DCSERP Earned - $333,896 7) John V. Fletcher a) Taxable DBSERP Vested but not Paid - $ 484,554 b) Non-Taxable DBSERP Vested but not Paid - $20,519 c) DCSERP Earned - $474,635 d) ESP Interest Credit - $42,239 e) SOP Paid - $15,818 8) Janice J. Jones a) Taxable DBSERP Vested but not Paid - $ 299,823 b) Taxable DBCBRP Vested but not Paid - $ 64 c) DCSERP Earned - $303,348 c) SOP Paid - $15,749 9) Eugene "Al" Parrish a) Taxable DBSERP Vested but not Paid - $288,259 b) DCSERP Earned - $295,970 10) John O. Mudd a) Taxable DBSERP Vested but not Paid - $362,132 b) DCSERP Earned - $372,693 11) Keith Marton, MD a) DBSERP Earned but not Vested - $180 b) DCSERP Earned - $193,810 12) Myron Berdischewsky, MD a) DCSERP Earned - $222,924 13) Claudia Haglund a) Taxable DBSERP Vested but not Paid - $41,847 b) DCSERP Earned - $43,139 c) ESP Interest Credit - $20,878 d) SOP Paid - $ 14,583 14) Michael Hunn a) DBSERP Earned but not Vested - $324 b) DCSERP Earned - $141,373 15) Cindra R. Syverson a) DCSERP Earned - $78,225 16) Joel S. Gilbertson a) DCSERP Earned - $25,015 17) John Kenagy a) DBSERP Earned but not Vested - $324 b) DCSERP Earned - $108,023 18) David S. Brown a) DCSERP Earned - $70,731 19) Deborah Burton a) DBSERP Earned but not Vested - $300 b) DCSERP Earned - $135,764 20) Orest Holubec a) DCSERP Earned - $6,543 21) Gary K. Flaming a) DCSERP Earned - $15,811 22) David H. Hunter a) DBCBRP Earned but not Paid - $203 b) DCSERP Earned - $110,680 23) Patricia A. Roscoe a) DCSERP Earned - $38,038 24) Charles E. Hawley a) Taxable DBSERP Paid - $ 1,947,717 b) DCSERP Earned - $12,926 c) SOP Paid - $ 28,456 25) Michael J. Madden a) Taxable DBSERP Paid - $ 343,217 26) Thomas Johnson a) DCSERP Earned - $82,979 27) Richard J. Umbdenstock a) DBSERP Paid - $ 32,220 28) Terry L. Smith a) Taxable DBSERP Vested but not Paid - $ 101,805 b) Non-Taxable DBSERP Vested but not Paid - $ 65,519 c) Taxable DBCBRP Vested but not Paid - $ 278 d) DCSERP Earned - $ 120,876 e) ESP Interest Credit - $ 56,258 29) Shelly M. Handkins a) DCSERP Earned - $ 180,181 30) Craig L. Wright a) DBSERP Earned - $ 744 31) David T. Underriner a) DCSERP Earned - $ 49,734 b) ESP Interest Credit - $ 28,963 32) Glenn Rodriguez a) DCSERP Earned - $ 195,465 33) June Chrisman a) Taxable DBCBRP Vested but not Paid - $ 2,367 b) DCSERP Earned - $ 19,904 34) Lisa Vance a) DBSERP Earned - $ 1,152 b) DCSERP Earned - $ 177,112 35) Janice Burger a) DBSERP Earned - $ 1,572 b) DCSERP Earned - $ 29,555 c) ESP Interest Credit - $ 25,932 36) Tom Hanenburg a) DBSERP Earned - $ 408 b) DCSERP Earned - $ 82,241 37) Walter J. Urba a) Taxable DBCBRP Vested but not Paid - $ 10,393 b) DCRP Earned - $ 47,122 38) P Holbrook Howard a) Taxable DBCBRP Vested but not Paid - $ 268,848 b) DCRP Earned - $ 18,651 39) John A. Schwartz a) Taxable DBCBRP Vested but not Paid - $ 6,218 b) Non-Taxable DBCBRP Vested but not Paid - $ 1,628 c) DCRP Earned - $ 36,341 40) Barry M. Newman a) DCRP Earned - $ 34,627 41) Erin J. Allen a) DCRP Earned - $ 28,132 | |
| Part I, Lines 4a-b | SEVERANCE 1)Keith Marton, MD - $201,412 2)Thomas Johnson - $223,731 3)Ted J. Dodge - $258,462 | |
| 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 2010, 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 2010 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 |
|---|---|---|---|---|---|---|---|
| Hospital Facility Authority of Clackamas County | |||||||
| 930847114 | 179027TU1 | 2003-05-16 | 213475000 | Refund Series 1987 & 1992 Bonds & Capital Construction | 0 | 0 | 0 |
| Hospital Facility Authority of Multnomah County | |||||||
| 931266280 | 62551PAV9 | 2004-07-21 | 104904239 | Construction of Patient Tower & Parking Structure at PPMC & Child Center | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | 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 |
|---|---|---|---|---|---|---|---|---|---|
| 13275000 | 213475000 | 2047481 | 198119726 | 13307793 | 2006 | 1 | 0 | 1 | 1 |
| 4005000 | 104904239 | 1094787 | 103809452 | 2007 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 1 | 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 | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|
| NA | ||||||
| 0 | 1 | 0 | 0 | NA | 0 | 0 |
| NA | ||||||
| 0 | 0 | 0 | 0 | NA | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | John F Koster MD | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Officer | Relationship |
| Amount Of Transaction | 222753818 | 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 (13 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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 | 1) To adopt or change the mission, philosophy, and values, including the strategic plan and mission statement 2) To amend or repeal the Articles of Incorporation or Bylaws 3) To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale transfer, assignment or encumbering of assets exceeding a specified threshold, or the sale or transfer of any property which may have historical or religions significance 4) To approve the dissolution or liquidation 5) To approve the annual operating and capital budgets 6) To appoint the certified public accountants 7) To approve the closure of any institution or major ministry or work of the Corporation | |
| Form 990, Part VI, Section B, line 11 | The Form 990 is prepared internally by experienced staff and reviewed by the internal Director of Taxes and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS. | |
| 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 12c | |
| 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 B, line 15 | |
| Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon written request. Financial statements are available on our public Internet site www.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site. | Form 990, Part VI, Section C, line 19 | |
| Contact Addresses for Officers, Directors, Etc | Gregory Van Pelt - 1235 NE 47th Ave., Portland, OR 97213. Russell Danielson - 1235 NE 47th Ave., Portland, OR 97213. Craig L. Wright - 1235 NE 47th Ave., Portland, OR 97213. David T. Underriner - 1235 NE 47th Ave., Portland, OR 97213. Glenn Rodriguez - 1235 NE 47th Ave., Portland, OR 97213. June Chrisman - 1235 NE 47th Ave., Portland, OR 97213. Lisa Vance - 1235 NE 47th Ave., Portland, OR 97213. Janice Burger - 1235 NE 47th Ave., Portland, OR 97213. Tom Hanenburg - 1235 NE 47th Ave., Portland, OR 97213. | Form 990, Part VII |
| Changes in Net Assets or Fund Balances: | Net unrealized gains on investments: 20,003,804. Cumulative Effect of FAS 136 221,990. Interaffiliate Transfers -17,122,694. Income on Medical Staff Funds -6,409. Minority Interest Reclassification 452,940. Rounding -1. Total to Form 990, Part XI, Line 5: 3,549,630. | Form 990, Part XI, line 5: |
| AUDIT & COMPLIANCE | The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. | Form 990, Part XII, Line 2c |
| HOURS WORKED | The average hours per week reflect hours worked for the entire Providence Health & Services healthcare system and are not allocated to the individual reporting entity. | FORM 990, PART VII, LINE 1A |
| VOLUNTEERS | Volunteers contribute to the quality of care for which Providence is noted. Volunteers provide assistance with activities, special projects, greeting visitors and patients, staffing the gift shops, delivering flowers and mail to patient rooms, running errands, offering clerical support and anything else that is asked of them. Our organization is truly blessed with a wonderful group of volunteers that help each and every day. Volunteer services include but are not limited to the following: * Greeting visitors and patients * Assist patients being admitted * Bond with medically fragile children to add quality of life and joy. * Chaplains-providing support for our patients and their families * Clerical support * Deliver flowers to rooms * Deliver incoming and outgoing mail * Give hospital tours * Greeting visitors and patients * Participate in fundraising and community events * Patient escort * Provide hand crafted items such as hats, booties and blankets for newborns. * Provide information and support for patients/families/visitors * Provide other support asked of them * Run errands as needed * Staffing the Gift Shops * Work on special projects for various departments as needed * Assist and support Blood Drives | FORM 990, PART I, LINE 6 |
| RELIGIOUS COMMUNITY MEMBERS | As members of the Religious Community, each Sister has taken a vow of poverty as a compulsory part of her religious life. Any compensation for services of a Sister inures only for the benefit of the Community, not the individual members. All payments for services are made directly to the Religious Community. | FORM 990, PART VII |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Providence Fairview Properties LLC | |||||||||
| 1235 NE 47th Avenue Suite 260 | Portland | OR | 97213 | 510216587 | Own & Manage Land for future development | OR | 0 | 1646195 | Providence Health & Services - Oregon |
| Providence Padden Properties LLC | |||||||||
| 1235 NE 47th Avenue Suite 260 | Portland | OR | 97213 | 510216587 | Own & Manage Land for future development | OR | 0 | 18433598 | Providence Health & Services - Oregon |
Form990 Schedule R Part II Form990ScheduleRPartII (56 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence Health & Services - Washington | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216586 | Healthcare System | WA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Providence Health System - So California | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216589 | Healthcare System | CA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Everett Transitional Care Services | |||||||||||
| PO Box 1067 | Everett | WA | 982061067 | 943264605 | Transitional Care | WA | 501( c)(3) | Line 9 | 0 | N/A | |
| Providence Oregon Management Corporation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 930813977 | Shell Corporation | OR | 501( c)(3) | Line 1 | PH & S - Oregon | 0 | |
| Providence Plan Partners | |||||||||||
| 3601 SW Murray Blvd 10 | Beaverton | OR | 97005 | 911861964 | Healthcare Services | OR | 501( c)(4) | N/A | PH & S - Oregon | 0 | |
| Providence Health Plan | |||||||||||
| 3601 SW Murray Blvd 10 | Beaverton | OR | 97005 | 930863097 | Health Service Contractor | OR | 501( c)(4) | N/A | Providence Plan Partners | 0 | |
| Providence Health Assurance | |||||||||||
| 3601 SW Murray Blvd 10 | Beaverton | OR | 97005 | 550828701 | Medicaid Healthcare Provider | OR | 501( c)(4) | N/A | Providence Health Plan | 0 | |
| Providence Medical Institute | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330283773 | Healthcare | CA | 501( c)(3) | Line 11/Type I | PHS - So California | 0 | |
| Little Company of Mary Ancillary Services Corporation | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330844408 | Imaging Services | CA | 501( c)(3) | Line 9 | PHS - So California | 0 | |
| Providence TrinityCare Hospice | |||||||||||
| 2601 Airport Drive 230 | Torrance | CA | 90505 | 953264139 | Hospice | CA | 501( c)(3) | Line 9 | PHS - So California | 0 | |
| Providence Health System Housing | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 943230587 | Assisted Living | AK | 501( c)(3) | Line 9 | PH & S - Washington | 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 | 1 | |
| 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 | 1 | |
| 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 | 1 | |
| 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 | 1 | |
| 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 | 1 | |
| 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 | 1 | |
| Providence Milwaukie Foundation | |||||||||||
| 10150 SE 32nd | Milwaukie | OR | 97222 | 943079515 | Support Providence Milwaukie Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 1 | |
| Providence Child Center Foundation | |||||||||||
| 830 NE 47th | Portland | OR | 97213 | 930800140 | Support Providence Child Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 1 | |
| 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 | |
| St Patrick Hospital and Health Sciences Center | |||||||||||
| 500 W Broadway PO Box 4587 | Missoula | MT | 598064587 | 810231793 | Healthcare | MT | 501( c)(3) | Line 3 | PH & S - Washington | 0 | |
| St Joseph Hospital Corporation | |||||||||||
| 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 and Health 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 | 1 | |
| 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 | 1 | |
| 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 | |
| Franz Foundation | |||||||||||
| 1211 SW Fifth Ave 300 | Portland | OR | 97204 | 931235821 | Philanthropy | OR | 501( c)(3) | Line 11/Type I | 0 | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII (27 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 | Percentage OwnershipPercentageOwnership | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence Imaging Center | |||||||||||||
| 3340 Providence Drive | Anchorage | AK | 99508 | 920118807 | Medical Imaging | AK | PH&S - WA | Related | 0 | 0 | 0.75000 | ||
| 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 | St Patrick Hospital & Health Sciences | Related | 0 | 0 | |||
| Center for Medical Imaging-Tanasbourne LLC | |||||||||||||
| 1235 NE 47th Ave 288 | Portland | OR | 97213 | 200477972 | Imaging - Diagnostics | OR | PH&S - OR | Related | 0 | 1 | 493856 | 1273462 | |
| Center for Medical Imaging-Bridgeport LLC | |||||||||||||
| 1235 NE 47th Ave 288 | Portland | OR | 97213 | 260796953 | Imaging - Diagnostics | OR | PH&S - OR | Related | 0 | 1 | 0.75000 | 77353 | 1154865 |
| Center for Specialty Surgery LLC | |||||||||||||
| 11782 SW Barnes Rd | Portland | OR | 97225 | 263638838 | Ambulatory Surgery Center | OR | PH&S - OR | Related | 0 | 1 | 0.92460 | 146599 | 2397182 |
| Clackamas Radiation Oncology Center LLC | |||||||||||||
| 1235 NE 47th Ave 288 | Portland | OR | 97213 | 260381897 | Radiation Oncology | OR | PH&S - OR | Related | 0 | 1 | 0.67000 | 9786 | 4198686 |
| Oregon Outpatient Surgery Center | |||||||||||||
| 7300 SW Childs Rd | Tigard | OR | 97224 | 223883387 | Ambulatory Surgery Center | OR | PH&S - OR | Related | 0 | 1 | 0.51000 | 856441 | 1232826 |
| Surgery Center at Tanasbourne LLC | |||||||||||||
| 1235 NE 47th Ave 260 | Portland | OR | 97213 | 208187971 | Ambulatory Surgery Center | OR | PH&S - OR | Related | 0 | 1 | 0.81000 | -153358 | 2747577 |
| ProvidenceSilverton Rehab LLC | |||||||||||||
| 1235 NE 47th Ave 260 | Portland | OR | 97213 | 481287267 | Rehab Services | OR | PH&S - OR | Related | 0 | 1 | 0.50000 | 67387 | 130512 |
| Portland Medical Imaging LLC | |||||||||||||
| 10538 SE Washington St | Portland | OR | 97216 | 201054971 | Imaging - Diagnostics | OR | PH&S - OR | Related | 0 | 1 | 0.75000 | 288738 | 2040971 |
| Providence Radiation Oncology Development Assn LLC | |||||||||||||
| 1235 NE 47th Ave 288 | Portland | OR | 97213 | 260682491 | Real Estate - MOB | OR | PH&S - OR | Investment | 0 | 1 | 0.50000 | -321222 | 4187044 |
| Central Point MRI LLC | |||||||||||||
| 870 S Front St | Central Point | OR | 97502 | 261975164 | MRI Services | OR | PH&S - OR | Related | 0 | 1 | 0.70000 | 174698 | 961016 |
| Greater Valley Medical Building LP | |||||||||||||
| 501 S Buena Vista St | Burbank | CA | 91505 | 954570858 | Real Estate - MOB | CA | PHS - So California | Investment | 0 | 0 | |||
| Pathology Associates Medical Laboratories LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 270943279 | Outpatient Lab | WA | Bourget Health Services Inc | Related | 0 | 0 | |||
| Southern Idaho Regional Laboratory LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 820511819 | Outpatient Lab | ID | PAML LLC | Related | 0 | 0 | |||
| Tri-Cities Laboratory LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 911773986 | Outpatient Lab | WA | PAML LLC | Related | 0 | 0 | |||
| Alpha Medical Laboratory LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 912017347 | Outpatient Lab | ID | PAML LLC | Related | 0 | 0 | |||
| PacLab LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 911743952 | Outpatient Lab | WA | PH&S - WA | Related | 0 | 0 | |||
| HealthServicesNW LLC | |||||||||||||
| PO Box 389672 | Seattle | WA | 98138 | 311750915 | Medical Billing | WA | PH&S - WA | Related | 0 | 0 | |||
| Medalia Healthcare LLC | |||||||||||||
| 1801 Lind Ave SW 9016 | Renton | WA | 98057 | 911660459 | Physician Benefits | WA | PH&S - WA | Investment | 0 | 0 | |||
| Distribution Operations Center LLC | |||||||||||||
| 1801 Lind Ave SW 9016 | Renton | WA | 98057 | 271054858 | Supplies Purchasing Agent | WA | PH&S - WA | Related | 0 | 0 | |||
| Oregon Advanced Imaging LLC | |||||||||||||
| 881 OHare Parkway | Medford | OR | 97504 | 450471748 | Medical Imaging | OR | PH&S - OR | Related | 0 | 0 | |||
| ProvidenceUSP Surgery Centers LLC | |||||||||||||
| 11550 Indian Hills Road 160 | Mission Hills | CA | 91345 | 200905938 | Ambulatory Surgery Center | CA | PHS - So California | Related | 0 | 0 | |||
| California Laboratory Associates LLC | |||||||||||||
| 501 Buena Vista | Burbank | CA | 91505 | 273888692 | Outpatient Lab | CA | PHS - So California | Related | 0 | 0 | |||
| Canby Medical Center I LLC | |||||||||||||
| 2747 Pence Loop SE | Salem | OR | 97302 | 205470937 | Real Estate - MOB | OR | Willamette Falls Hospital | Related | 0 | 0 | |||
Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Providence Health Ventures Inc | ||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330122216 | Investment | CA | N/A | C |
| Caron Health Corporation | ||||||||
| 510 West Front Street | Missoula | MT | 59802 | 810486082 | Medical Physician Service | MT | N/A | C |
| Providence Health Care Ventures Inc | ||||||||
| 101 West 8th Ave TAF C-9 | Spokane | WA | 99204 | 900155714 | Clinical/Medical Lab | WA | N/A | C |
| Providence Physician Services Co | ||||||||
| 101 West 8th Ave TAF C-9 | Spokane | WA | 99208 | 911216033 | Clinical/Medical Lab | WA | N/A | C |
| Yakima Medical Arts Inc | ||||||||
| 611 N Perry Suite 100 | Spokane | WA | 99202 | 910787963 | Rental Real Estate | WA | N/A | C |
| Bourget Health Services Inc | ||||||||
| PO Box 2687 | Spokane | WA | 99220 | 911354431 | Clinical/Medical Lab | WA | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (32 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Providence Benedictine Nursing Center Foundation | |
| C | 128426 |
| Providence Benedictine Nursing Center Foundation | |
| B | 128017 |
| Providence Benedictine Nursing Center Foundation | |
| P | 128000 |
| Providence Child Center Foundation | |
| C | 2647278 |
| Providence Child Center Foundation | |
| B | 459541 |
| Providence Child Center Foundation | |
| P | 459976 |
| Providence Community Health Foundation | |
| C | 1257212 |
| Providence Community Health Foundation | |
| B | 468460 |
| Providence Hood River Memorial Hospital Foundation | |
| C | 52625 |
| Providence Hood River Memorial Hospital Foundation | |
| B | 195173 |
| Providence Milwaukie Foundation | |
| C | 326611 |
| Providence Milwaukie Foundation | |
| B | 264698 |
| Providence Newberg Foundation | |
| C | 246321 |
| Providence Newberg Foundation | |
| B | 247412 |
| Providence Portland Medical Foundation | |
| C | 7818030 |
| Providence Portland Medical Foundation | |
| B | 613758 |
| Providence Seaside Foundation | |
| C | 688263 |
| Providence Seaside Foundation | |
| B | 111644 |
| Providence St Vincent Medical Foundation | |
| C | 4321678 |
| Providence St Vincent Medical Foundation | |
| B | 785359 |
| Providence Plan Partners | |
| N | 28146763 |
| Providence Plan Partners | |
| P | 9721662 |
| Providence Plan Partners | |
| M | 4356007 |
| Providence Health Plan | |
| P | 500531 |
| Providence Health Assurance | |
| P | 196935 |
| Oregon Outpatient Surgery Center | |
| A | 716206 |
| Central Point MRI LLC | |
| A | 217000 |
| Center for Medical Imaging LLC | |
| B | 485700 |
| Portland Medical Imaging LLC | |
| B | 1294601 |
| Oregon Advanced Imaging LLC | |
| B | 5865250 |
| Clackamas Radiation Oncology Center LLC | |
| A | 1005000 |
| Willamette Falls Hospital | |
| Q | 65187 |
Comments