2011-07-25T12:51:27-05:00 2010-12-31 Clark Nuber PS 10900 NE 4th Suite 1700 Bellevue WA 98004 990 2010-01-01 930575982 PROVIDENCE ST VINCENT MEDICAL FOUNDATION PROV 5038936460 9205 SW BARNES ROAD PORTLAND OR 97225 Eli Morgan 5038936460 2011-07-25 1 Sara Elizabeth J Hyre CPA 4254544919 2010 2016-03-07 17:11:31Z Richard Clark 9205 SW BARNES ROAD PORTLAND OR 97225 54683455 0 X www.providencefoundations.org/foundations/pages/ X 1969 OR To support Providence St. Vincent Medical Center. 30 29 0 120 0 0 9236104 7586764 0 0 1806411 9158800 178012 292990 11220527 17038554 14086102 7699261 0 0 359251 346983 0 352 362999 387623 473643 14832976 8520239 -3612449 8518315 130703937 148802707 5362996 4635844 125340941 144166863 X Providence St. Vincent Medical Foundation is organized for charitables, scientific and educational purposes that are consistent with the mission and purposes of Providence Health & Services, primarily for the benefit of Providence St. Vincent Medical Center. 0 0 5101922 5101922 0 Funding of operations at Providence St Vincent Medical Center and PH&S-Oregon.2010 Projects Supported with Foundation Grants:* Some 2.5 million Americans have atrial fibrillation (a-fib), an irregular heart rhythm that can progressively damage the heart and can cause stroke. Thanks to the vision and generosity of Dick and Jeanie Reiten, the Reiten Family Heart and Vascular Diagnostic Center was completed within Providence Center for the Advanced Treatment of Atrial Fibrillation. The Reiten facility enhances the diagnostic capabilities and patient experience within the a-fib center, located at Providence St. Vincent Medical Center, and helps Providence set the pace in cardiovascular care. * Neurologists from Providence Stroke Center can now be "in the room" with patients who are hundreds of miles away, thanks to telestroke. This novel new technology provides a secure two-way videoconferencing system that should dramatically improve the treatment and outcomes for stroke patients living in Oregon's rural communities. Gifts to Providence Brain Institute have established Providence Telestroke Network in 11 community hospitals, and ambitious plans for expansion are under way.* Thanks to the energy of founders Amy Paterson and Melissa Moore, and generous support from hundreds of donors, the child care center known as My Little Waiting Room opened with much fanfare in April 2010. This innovative drop-in center, located in the East Pavilion lobby, offers free on-site child care as a service to parents receiving medical treatment. Operated by Volunteers of America, My Little Waiting Room provided more than 5,500 hours of child care during nearly 3,000 child visits in 2010. * The Pollock Family Interventional Recovery Unit features a new look and an increased capacity to meet the needs of patients. The compassionate staff provides pre- and post-procedural care for patients undergoing many cardiac procedures, such as angiograms and pacemaker insertions, and consistently receives exceptional patient satisfaction scores. The unit was named in honor of Don and Gail Pollock for their longstanding and generous support of heart programs at Providence St. Vincent Medical Center.Living Our Mission . . .Charity CareThe economy continues to struggle and unemployment is still high. Quality and affordable health care is an essential need for all people. St. Vincent Medical Center experienced an increase from $50 million in charity care in 2008 to $55 million in 2009 - a 10% rise. Despite these challenging trends, we are committed to our Mission to serve the poor and vulnerable of our community, especially during times such as these. We have done so for 154 years and we will continue to do so. Community support for those less fortunate is vital to keeping our Mission alive.Center for Health Care EthicsEstablished in 2000, the Ethics Center strives to promote the fields of clinical ethics and palliative care through development and application of exemplary practices, particularly in the areas of clinical ethics consultation, palliative care education and cross-cultural competencies at the end-of-life. The Center's work has been recognized regularly, setting standards for Health Care Ethics not only at St. Vincent, but statewide, nationally, and now internationally. The work has earned the team the honor of hosting an international Ethics conference in May 2010, when ethicists from 26 countries will convene in Portland. The growing success has lead the Ethics Center team to be called upon more and more for support, increasing the need for staffing, services and foundation funding. A second full-time ethicist joined the regional ethics staff to serve growing needs in June 2010.My Little Waiting Room - Drop-In Child CareA lack of childcare is a major obstacle for many families seeking and receiving timely and professional medical attention. Providence St. Vincent is leading the way in this area, partnering with two dedicated community volunteers to open drop-in child care in early 2010 in the East Pavilion for those here for medical care. The center will allow more patients to make and keep their appointments, offer greater continuity of care and fewer treatment disruptions. We will be the pilot site and serve as a model for similar centers at other medical facilities.Cancer Support ServicesProvidence Cancer Center and its Ruth J. Spear Breast Center want to set the standards for cutting edge and compassionate care for patients and families. We provide free counselors and patient navigators and a "buddy" program linking newly diagnosed patients with survivors. At the same time, we have our eye on the future with an internationally-renowned cancer research program and a Breast Health Registry that measures outcomes and will help connect the care experience for patients and care providers. Preparing for the Future . . .Heart and Vascular InstituteHeart and Vascular treatment continues to evolve at a rapid pace and with Foundation support, the Heart & Vascular Institute intends to be at the forefront of care. * A new minimally invasive surgical procedure that will revolutionize the replacement of failing heart valves is entering clinical trials. With funding, a new Center for Valvular Heart Disease will be launched with a dedicated Medical Director and support staff to provide the training, research and infrastructure needed for success in this hybrid procedure. Estimated $3 million goal over three years.* Arrhythmias (abnormal heartbeat) can seriously compromise quality of life. As one of the Top 100 cardio hospitals in the nation, St. Vincent is a leader in treating patients with this challenging condition. Because of demand on services, we need to expand the Center for the Advanced Treatment of Atrial Fibrillation to more effectively provide a multidisciplinary approach to diagnose, treat and educate patients with arrhythmias. This $3.8 million project needs another $2.1 million in support. * In 2009, we reopened our cardiac rehabilitation center for patients recovering from heart surgeries. The center is outfitted with specially designed exercise equipment and staffed by trained health professionals who plan routines for patients to regain their quality of life. The annual operation need is $300,000.Research & Education . . .Providence Brain InstituteProvidence Brain Institute seeks to expand its research and educational outreach presence with key projects funded by individual support. * Providence Stroke Center is involved in critical research to learn why the incidence of death from strokes is so high in Oregon and to discover new and more effective drug and interventional therapies. * The Providence Telestroke Program will bring primary stroke center care to our medically underserved rural communities: Lives will be saved, patients will stay close to home in their community hospitals and local doctors, nurses and emergency medical teams will receive stroke care education. * Providence Cognitive Assessment Clinic seeks support for an innovative research study to develop a reliable method for diagnosing Alzheimer's disease long before symptoms are present. Early diagnosis is critical as disease modifying drugs in late stage clinical trials must be administered at the earliest opportunity.* Providence Multiple Sclerosis Center continues to develop the Pacific Northwest MS Registry project to improve and standardize care for MS patients. The incidence of MS in the Pacific Northwest is among the highest in the United States. The Registry, now with over 3,500 participants, will accurately estimate the prevalence and geographic distribution of MS patients and collect data for research studies to discover why the incidence of MS is so high. The MS Center is seeking funding for recruitment of Registry participants, ongoing analysis of Registry results, completion of the on-line textbook, and continuing education.The New Providence Institute of Orthopedic ExcellenceMuscle and skeletal conditions cost society more in money and disability than any other health concern. The total estimated costs to society for the care of these conditions in 2004 were $840 billion, according to the American Medical Association. The new Providence Institute of Orthopedic Excellence seeks to create a one-stop medical experience for patients by offering a complete line of services from diagnosis to treatment to rehabilitation. The physicians and researchers will also establish a patient registry to examine past outcomes and use this information to foster rapid adoption of practices nationally that offer best results, cost effectiveness and safety. The Institute will recruit staffing to coordinate all clinical research projects, and establish resident education in orthopedics and the opportunity to train fellows in orthopedic sub-specialties. 2542339 2542339 0 Nursing scholarships and loans. The Foundation has entered into student loan agreements with nursing students at a local university. Under these agreements, the Foundation pays for nursing student tuition. If the nursing student is subsequently employed by Providence Health & Services (PH & S),the student loan agreements are forgiven over a three-year period by the Foundation. In the event the nursing students are not employed by PH & S, the student loan agreements become due.ProvScholar monies provided assistance for 80 students during 2010. 31 students graduated from the program during 2010. 50000 50000 0 Donation to Catholic Charities for employee assistance. 5000 5000 0 Scholarships to Providence employees to further their education 5000 5000 7699261 1 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 X 19 0 1 0 0 0 0 0 0 0 0 0 0 0 X 30 29 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X Steve Cassell 5032154773 1235 NE 47th St 260 Portland OR 97213 X L Martin Brantley 2.00 X X 0 48000 0 Eli Morgan 2.00 X X 0 0 0 John Miner 2.00 X X 0 0 0 Kevin Kelly 2.00 X X 0 0 0 Barbara L Alberty 1.00 X 0 0 0 Henry Hank Ashforth 1.00 X 0 0 0 Timothy Boyle 1.00 X 0 0 0 Mary Brophy 1.00 X 0 0 0 Andy D Bryant 1.00 X 0 0 0 Sister Rita Ferschweiler 1.00 X 0 0 0 Storm Floten MD 1.00 X 0 0 0 Ed Jensen 1.00 X 0 0 0 Lynn Johnson 1.00 X 0 0 0 Patricia Karamanos 1.00 X 0 0 0 Bruce J Korter 1.00 X 0 0 0 Stefan Kurschner 1.00 X 0 0 0 Irving J Levin 1.00 X 0 0 0 Susan B Paulsell 1.00 X 0 0 0 Norma Paulus 1.00 X 0 0 0 Steve Plambeck 1.00 X 0 0 0 Bill Reiersgaard 1.00 X 0 0 0 Paul Rosenbaum 1.00 X 0 0 0 Jon Salquist 1.00 X 0 0 0 Ronald A Sauer 1.00 X 0 0 0 Steve Shepard 1.00 X 0 0 0 James Z Snow 1.00 X 0 0 0 Laura J Spear 1.00 X 0 0 0 Donald Vollum 1.00 X 0 0 0 Rick Waller MD 1.00 X 0 0 0 Donald Washburn 1.00 X 0 0 0 Dick Clark 40.00 X 0 146334 25411 0 194334 25411 0 0 1 0 0 5647 3029719 4551398 697273 7586764 527512 527512 45581348 280150 36865210 365000 8716138 -84850 8631288 8631288 707681 414691 292990 292990 17038554 0 0 9451790 7699261 7699261 155782 46735 109047 118021 35406 82615 73180 21954 51226 352 352 311677 311677 29567 8870 20697 10977 10977 77904 23371 54533 782 236 546 28093 8428 19665 Donor Recognition 11013 11013 Dues & Subscriptions 1612 484 1128 State of OR Annual Fee 1200 1200 Miscellaneous 818 818 8520239 7699261 457979 362999 1166690 4926807 6191239 3242659 7694354 6821390 44580 40664 2521940 2815000 2521940 106683079 125100641 6108995 6148606 130703937 148802707 17678 9711 1862476 1853046 3482842 2773087 5362996 4635844 X 86812260 105165238 27685720 28152403 10842961 10849222 125340941 144166863 130703937 148802707 X 8518315 10307607 X X 0 1 1 X 0 X 9403309 10324270 6848030 9236104 7586764 43398477 9403309 10324270 6848030 9236104 7586764 43398477 2343497 41054980 2500013 3198293 632186 524064 527512 7382068 50780545 3605411 0.80850 0.76100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12178000 6000 1691000 318000 13557000 11098000 15000 1217000 152000 12178000 10863000 241000 -1000 5000 11098000 0.00000 0.80000 0.20000 0 0 2521940 2521940 2521940 Gift Annuity and Trust Liabilities 2773087 2773087 17038554 8520239 8518315 10309000 -1393 10307607 18825922 27012000 10309000 -750000 9559000 17453000 -414446 -414446 17038554 8185000 414761 414761 7770239 750000 750000 8520239 Description of Intended Use of Endowment Funds: Part V, Line 4: The endowment funds provide for research, patient care and capital needs of Providence St Vincent Medical Center. Description of Uncertain Tax Positions Under FIN 48: Part X: The Health System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. Part XI, Line 8 - Other Adjustments: Rounding -1,393. Part XII, Line 2d - Other Adjustments: Interaffiliate Transfer -750,000. Part XII, Line 4b - Other Adjustments: Gift Shop Expenses -414,691. Rounding difference (Audit was in thousands) 245. Part XIII, Line 2d - Other Adjustments: Gift Shop Expenses 414,691. Rounding difference (Audit was in thousands) 70. Part XIII, Line 4b - Other Adjustments: Audit Grant Offset 750,000. 1 PH&S-OR dba Providence St Vincent Medical Center 9205 SW Barnes Rd Portland OR 97225 930575982 501 (c)(3) 3769922 general support PH&S-OR dba Providence Shared Services PO Box 13993 Portland OR 97213 930823489 501 (c)(3) 1332000 general support University of Portland 5000 N Willamette Blvd Portland OR 97203 930401259 501 (c)(3) 2542339 Nursing Loans Catholic Charities 231 SE 12th Ave Portland OR 97214 930386801 501 (c)(3) 50000 Donation 3 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: As most grants go to an affiliated company, the Foundation has access to the Financial reports of Providence St. Vincent Medical Center and can review these records for appropriate use of funds. Providence's regional nursing manager works with all educational institutions to monitor the nursing education funds provided to each school. X X X X 0 0 0 0 0 0 0 0 0 Dick Clark 0 142039 0 4295 0 0 0 9448 0 15963 0 171745 0 0 X 3549 Estimated Values X 17 634457 Sales Value X 1 54344 Appraisal X 1 1423 Estimated Values X Gift Cards 5 2500 Face Value X Toys 24 1000 Estimated Values 0 0 1 0 Method for Determining Number of Contributors: Part I, Column (b): The amounts shown in Part I, Col. B reflect the number of donations received of the specific type of item. Form 990, Part VI, Section A, line 6 The Corporate Member of the Foundation is Providence Health & Services - Oregon, a not-for-profit corporation. Form 990, Part VI, Section A, line 7a The Corporate Member has the power to approve the number of Directors, appoint the Board of Directors of the Foundation and remove such Directors at any time with or without cause. Form 990, Part VI, Section A, line 7b The following powers are reserved exclusively to the Corporate Member: * Adopt and amend the Articles of Incorporation and the Bylaws of the Foundation after consultation with the Foundation's Board of Directors * Approve the merger, consolidation, or affiliation of the Foundation with another corporation, organization or program, or the dissolution of the Foundation * Approve any strategic plan of the Foundation * Approve the annual fundraising plan including special events, annual, capital and planned giving activities * Approve the acceptance of any gift that carries conditions or limitations or any gift restricted to services, programs or facilities not currently offered or approved to be offered by the Corporate Member's Board * Develop and implement investment policies and/or guidelines that will be used by the Foundation in determining appropriate investments Form 990, Part VI, Section B, line 11 The Form 990 is prepared internally by experienced staff and reviewed by the internal Director of Taxes and external tax advisors. The Foundation Director and signing Board Officer will review the Form 990 in detail. Once approved, an electronic copy of the Form 990 is emailed to the Board prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict. Form 990, Part VI, Section B, line 15 It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are determined by the Providence Boards 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 consultants role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Performance incentives allow executives to earn additional compensation if they achieve specific organizational and individual goals for furthering Providence operating principles - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated customer satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector. The Foundation Executive Director is compensated by a related organization which uses a market based compensation program utilizing several independent third party compensation market surveys to establish pay ranges for the position. The related organization then establishes the individual rate of pay within the range based on relevant experience, skills and competencies. The rate offered to the Executive Director at the time of hire was determined through discussion between the Regional CEO, Regional Director of HR and the Administrative Director of HR. The ranges and rate of pay are reviewed on an annual basis by Regional HR. Form 990, Part VI, Section C, line 19 Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon written request. The consolidated financial statements are available on our public Internet site www2.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 11,055,391. Donated services and use of facilities: 2,215. Rounding 1. Net Asset Transfer from Hospital -750,000. Total to Form 990, Part XI, Line 5: 10,307,607. VOLUNTEERS FORM 990, PART I, LINE 6 Our Foundation volunteers are crucial for the successful operation of our two gift shops, which provide net proceeds for important Foundation-funded hospital projects. Additionally, we have some community volunteer leaders who actively participate as ambassadors on our Advisory Boards for the Institutes for Heart and Vascular, Cancer, Brain, Ethics and Breast Center. Lastly, we have two volunteers who offer clerical support for the Foundation office. AUDIT & COMPLIANCE Form 990, PART XII, LINE 2c The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. EMPLOYEE COMPENSATION Form 990, PART I, LINE 5 & Part V, Line 2a The employees working at the Foundation are paid by Providence Health & Services - Oregon EIN# 51-0216587. Therefore, no W-2s are issued by the reporting organization. RELIGIOUS COMMUNITY MEMBERS Form 990, PART VII As members of the Religious Community, each Sister has taken a vow of poverty as a compulsory part of her religious life. Any compensation for services of a Sister inures only for the benefit of the Community, not the individual members. All payments for services are made directly to the Religious Community. Providence Health & Services - Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 510216586 Healthcare System WA 501( c)(3) Line 3 Providence Health & Services 0 Providence Health & Services - Oregon 1801 Lind Avenue SW 9016 Renton WA 980579016 510216587 Healthcare System OR 501( c)(3) Line 3 Providence Health & Services 0 Providence Health System - So California 1801 Lind Avenue SW 9016 Renton WA 980579016 510216589 Healthcare System CA 501( c)(3) Line 3 Providence Health & Services 0 Everett Transitional Care Services PO Box 1067 Everett WA 982061067 943264605 Transitional Care WA 501( c)(3) Line 9 N/A 0 Providence Oregon Management Corporation 1801 Lind Avenue SW 9016 Renton WA 980579016 930813977 Shell Corporation OR 501( c)(3) Line 1 PH & S - Oregon 0 Providence Plan Partners 3601 SW Murray Blvd 10 Beaverton OR 97005 911861964 Healthcare Services OR 501( c)(4) N/A PH & S - Oregon 0 Providence Health Plan 3601 SW Murray Blvd 10 Beaverton OR 97005 930863097 Health Service Contractor OR 501( c)(4) N/A Providence Plan Partners 0 Providence Health Assurance 3601 SW Murray Blvd 10 Beaverton OR 97005 550828701 Medicaid Healthcare Provider OR 501( c)(4) N/A Providence Health Plan 0 Providence Medical Institute 4101 Torrance Blvd Torrance CA 90503 330283773 Healthcare CA 501( c)(3) Line 11/Type I PHS - 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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 N/A 0 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 0 Willamette Falls Hospital dba Providence Willamette Falls Medical Center 1500 Division Street Oregon City OR 97045 930426018 Healthcare OR 501(c )(3) Line 3 PH & S - Oregon 0 Providence Hood River Memorial Hospital Foundation Inc 811 13th St Hood River OR 97031 930921990 Support Providence Hood River Memorial Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Hospice & Home Care Foundation Snohomish County 2731 Wetmore Ave 500 Everett WA 98201 272552749 Support Providence Hospice & Home Care of Snohomish County WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Imaging Center 3340 Providence Drive Anchorage AK 99508 920118807 Medical Imaging AK N/A Providence Surgery Centers LLC PO Box 233889 Anchorage AK 99523 203567411 Surgery AK N/A Mountainstar Clinical Laboratories LLC 611 N Perry Spokane WA 99202 261345983 Outpatient Lab MT N/A Broadway Imaging LLC 500 W Broadway Missoula MT 59802 522405971 Medical Imaging MT N/A Providence Surgery Center LLC 902 N Orange Street Missoula MT 59802 841401625 Outpatient Surgery MT N/A Center for Medical Imaging-Tanasbourne LLC 1235 NE 47th Ave 288 Portland OR 97213 200477972 Imaging - Diagnostics OR N/A Center for Medical Imaging-Bridgeport LLC 1235 NE 47th Ave 288 Portland OR 97213 260796953 Imaging - Diagnostics OR N/A Center for Specialty Surgery LLC 11782 SW Barnes Rd Portland OR 97225 263638838 Ambulatory Surgery Center OR N/A Clackamas Radiation Oncology Center LLC 1235 NE 47th Ave 288 Portland OR 97213 260381897 Radiation Oncology OR N/A Oregon Outpatient Surgery Center 7300 SW Childs Rd Tigard OR 97224 223883387 Ambulatory Surgery Center OR N/A Surgery Center at Tanasbourne LLC 1235 NE 47th Ave 260 Portland OR 97213 208187971 Ambulatory Surgery Center OR N/A ProvidenceSilverton Rehab LLC 1235 NE 47th Ave 260 Portland OR 97213 481287267 Rehab Services OR N/A Portland Medical Imaging LLC 10538 SE Washington St Portland OR 97216 201054971 Imaging - Diagnostics OR N/A Providence Radiation Oncology Development Assn LLC 1235 NE 47th Ave 288 Portland OR 97213 260682491 Real Estate - MOB OR N/A Central Point MRI LLC 870 S Front St Central Point OR 97502 261975164 MRI Services OR N/A Greater Valley Medical Building LP 501 S Buena Vista St Burbank CA 91505 954570858 Real Estate - MOB CA N/A Pathology Associates Medical Laboratories LLC 611 N Perry Spokane WA 99202 270943279 Outpatient Lab WA N/A Southern Idaho Regional Laboratory LLC 611 N Perry Spokane WA 99202 820511819 Outpatient Lab ID N/A Tri-Cities Laboratory LLC 611 N Perry Spokane WA 99202 911773986 Outpatient Lab WA N/A Alpha Medical Laboratory LLC 611 N Perry Spokane WA 99202 912017347 Outpatient Lab ID N/A PacLab LLC 611 N Perry Spokane WA 99202 911743952 Outpatient Lab WA N/A HealthServicesNW LLC PO Box 389672 Seattle WA 98138 311750915 Medical Billing WA N/A Medalia Healthcare LLC 1801 Lind Ave SW 9016 Renton WA 98057 911660459 Physician Benefits WA N/A Distribution Operations Center LLC 1801 Lind Ave SW 9016 Renton WA 98057 271054858 Supplies Purchasing Agent WA N/A Oregon Advanced Imaging LLC 881 OHare Parkway Medford OR 97504 450471748 Medical Imaging OR N/A ProvidenceUSP Surgery Centers LLC 11550 Indian Hills Road 160 Mission Hills CA 91345 200905938 Ambulatory Surgery Center CA N/A California Laboratory Associates LLC 501 Buena Vista Burbank CA 91505 273888692 Outpatient Lab CA N/A 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 0 1 1 0 0 0 0 1 0 0 0 0 1 1 1 1 1 1