PROVIDENCE HEALTH & SERVICES WASHINGTON: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON (EIN 51-0216586)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201133199349306688
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T14:22:11-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Clark Nuber PSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4th Suite 1700AddressLine1
CityBellevueCity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN510216586EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE HEALTH & SERVICES - WASHINGTONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPROVNameControl
Phone4255253985Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 Lind Ave SW No 9016AddressLine1
CityRentonCity
StateWAState
ZIP Code980579016ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael L ButlerName
TitleExecVP/CFOTitle
Phone4255253985Phone
Date Signed2011-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSara Elizabeth J Hyre CPAName
Phone4254544919Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJohn F Koster MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11801 Lind Ave SW No 9016AddressLine1
CityRentonCity
StateWAState
ZIP Code980579016ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5445843673GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww2.providence.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1859YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionHealthcare with special concern for the poor and vulnerable in WA. & AK.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees20514TotalNbrEmployees
Total Nbr Volunteers4445TotalNbrVolunteers
Total Gross UBI7168602TotalGrossUBI
Net Unrelated Business Txbl Income2121731NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year26982046ContributionsGrantsPriorYear
Contributions Grants Current Year26384935ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2853487457ProgramServiceRevenuePriorYear
Program Service Revenue CY3026006930ProgramServiceRevenueCY
Investment Income Prior Year-106535625InvestmentIncomePriorYear
Investment Income Current Year50267367InvestmentIncomeCurrentYear
Other Revenue Prior Year404263172OtherRevenuePriorYear
Other Revenue Current Year341671989OtherRevenueCurrentYear
Total Revenue Prior Year3178197050TotalRevenuePriorYear
Total Revenue Current Year3444331221TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year8775310GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY13924007GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1630936059SalariesEtcPriorYear
Salaries Etc Current Year1686837618SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1860224TotalFundrsngExpCurrentYear
Other Expense Prior Year1575609655OtherExpensePriorYear
Other Expenses Current Year1710954254OtherExpensesCurrentYear
Total Expenses Prior Year3215321024TotalExpensesPriorYear
Total Expenses Current Year3411715879TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-37123974RevenuesLessExpensesPriorYear
Revenues Less Expenses CY32615342RevenuesLessExpensesCY
Total Assets BOY4398800953TotalAssetsBOY
Total Assets EOY5026204416TotalAssetsEOY
Total Liabilities BOY2851020875TotalLiabilitiesBOY
Total Liabilities EOY3395073104TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1547780078NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1631131312NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAs People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Healthcare with special concern for the poor & vulnerable in WA. & AK.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1279230065Expense
Grants0Grants
Revenue1595335831Revenue
DescriptionAcute Care - Inpatient 514,529 Adult & Pediatric Admissions 113,869 Patient DaysOUR MISSION - As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service. OUR CORE VALUES - Respect, Compassion, Justice, Excellence, and Stewardship Providence cares Whether tenderly holding a special-needs child who requires round-the-clock care, or easing the way for a stroke patient who faces both physical and financial struggles, the people of Providence are called to a mission of service. Our lifework is to provide excellent care for everyone, at all stages of life, regardless of ability to pay. This has been the Providence mission since the Sisters of Providence arrived on the shores of the Columbia River 150 years ago, committed to the care and healing of poor and vulnerable frontier neighbors. Providence Health & Services - Washington is a not-for-profit network of hospitals, care centers, physicians, clinics, home health services and affiliated services. We continue a tradition of caring that the Sisters of Providence began in the West 150 years ago.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense845101719Expense
Grants0Grants
Revenue1053931649Revenue
DescriptionAcute Care - Outpatient 1,605,246 Emergency & Ancillary VisitsDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense204295853Expense
Grants0Grants
Revenue254778638Revenue
DescriptionLTC/Hospice/Housing & Assisted Living - 392,541 Days for Long-Term Care/Asst. Living; 254,806 Home Health Visits; 298,176 Hospice DaysDescription

Activity Other ActivityOther (3 entries)

ExpenseExpenseGrantsGrantsRevenueRevenueDescriptionDescription
951458940118657041Primary Care 643,466 Clinic Visits
26417942032945981Healthcare Joint Ventures
13924007139240070Grant & Allocations - See Schedules F & I
FieldValueIRS element (for citing)
Total Of Other Program Service Exp135487843TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt13924007TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev151603022TotalOfOtherProgramServiceRev
Total Program Service Expense2464115480TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations1MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming1Gaming
Hospital1Hospital
Financial Stmt Attached0FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10961910NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees20514NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Karl E Fritschel CPABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4255253339TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11801 Lind Ave SW 9016AddressLine1
CityRentonCity
StateWAState
ZIP Code980579016ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (52 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Lucille Dean SP
Chair of the Board11.80XX000
M Adrian Davis LCM
Director3.20X000
Mary Corita Heid RSM
Director3.80X000
Michael A Stein
Director4.70X1800000
Michael Holcomb
Director3.70X1500000
Dana A Rasmussen
Director3.40X1500000
Paul A Redmond
Director3.00X1800000
James S Roberts MD
Director6.00X1500000
Peter J Snow
Director4.10X1500000
Jeffrey B Clode MD
Director5.40X1800000
Sallye Liner
Director3.50X375000
Owen B Robinson
Director5.50X1500000
Cheryl M Scott
Director3.00X1500000
Ellen L Wolf
Director6.80X1500000
John F Koster MD
President/CEO50.00X23465020794703
Michael L Butler
Exec. VP/CFO65.00X10382750340314
Jeffrey W Rogers
Corporate Secretary50.00X12593970465326
Eugene Al Parrish
CEO - AK. Region50.00X10471580332492
John V Fletcher
CEO - WA/MT. Region60.00X12775030584795
Dan T Harris
CFO - WA/MT. Region50.00X5150500225105
Anthony J Dorsch
CFO - AK Region50.00X341283057131
Janice J Jones
SVP/CAO55.0011400320349285X
Gregory Van Pelt
CEO - OR. Region60.0023140950484343X
Russell Danielson
Former CEO - OR. Region50.0044499920397656X
Arnold R Schaffer
SVP/Reg. Ops60.0019806180371481X
John O Mudd
SVP/Mission Ldrship.55.008564200395919X
Keith Marton MD
VP/CMQO60.007178150215947X
Claudia Haglund
VP/Gov./Sponsorship50.005011630126574X
Joel S Gilbertson
VP/Gov.& Public Affairs50.00454656056288X
Cindra R Syverson
VP/CHRO55.004858680108238X
John Kenagy
VP/CIO60.004476950141020X
James N Leonard
Interim CEO/SHMC50.0010902460191655X
Deborah Burton
VP/Chief Nursing Officer60.003414760168307X
Myron Berdischewsky MD
VP/CMQO60.006091420268959X
David Brown
VP/Strat. Mgmnt.Svces55.003420300110948X
Andrew C Agwunobi
CEO/PHC50.006394210169960X
Michael Hunn
CEO - CA. Region60.004908800166313X
Bruce Lamoureux
VP/COO AK. Region50.005818080187925X
David T Brooks
CEO/NWSA50.005274000173114X
Medrice Coluccio
CEO/SWSA50.005054600325144X
Elaine Couture
CEO/SHMC50.00459702088274X
Andrew T Howlett
Physician40.001537020026640X
Atul Thakker
Physician40.009752690101971X
Perry E Camp
Neurosurgeon40.00863789012978X
Steven A Burdick
CEO/SEWSA40.00849622067623X
James N Dunlap
Physician40.00843443026640X
Richard J Umbdenstock
Former Director0.003222000X
Michael J Madden
Former VP/Advocacy0.0035971700X
Charles E Hawley
Former VP/Public Affairs0.002137748017773X
Thomas Johnson
Former VP/Communications0.00325409091452X
Michael Wilson
Former CEO/SHMC0.00855851038187X
Ryland Davis
Former VP/Strat. Svcs.0.00530000093000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org36233925TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation7773480TotalOtherCompensation
Number Individuals GT100 K1834NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
M A Mortenson Company
14719 NE 29th PlaceBellevueWA98007Construction159419718
Health Services NW
2201 Lind Ave Suite 300RentonWA98057AR Collections21567695
Emergency Physician Services PS
5633 N LidgerwoodSpokaneWA99208ER Services8160482
Everett Clinic
3901 Hoyt AvenueEverettWA98201Hospitalists5042251
Hospital Specialists PLLC
2815 W Horizon Rdg CtSpokaneWA99208Med. Director Prof Fees4785251
FieldValueIRS element (for citing)
Number Of Contractors GT100 K595NumberOfContractorsGT100K
Federated Campaigns97083FederatedCampaigns
Fundraising Events685186FundraisingEvents
Related Organizations9319950RelatedOrganizations
Government Grants7110446GovernmentGrants
All Other Contributions9172270AllOtherContributions
Noncash Contributions3900NoncashContributions
Total Contributions26384935TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Acute Care/Inpatient90009915783857991578385799
Acute Care/Outpatient62140010427338961042733896
LTC/Homecare/Hospice621610252071680252071680
Primary Care6211101173991271173963402787
Healthcare JVs90009934120408325959381524470

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1296020TotalRevenueColumn
Related Or Exempt Function Income1296020RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3026006930TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column37580649TotalRevenueColumn
Exclusion$37,580,649ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real32335682Real
Personal17335Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real13204025Real
Personal7353Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real19131657Real
Personal9982Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column19141639TotalRevenueColumn
Unrelated Business Revenue1132621UnrelatedBusinessRevenue
Exclusion$18,009,018ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1946414960Securities
Other51909586Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1932666316Securities
Other52971512Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities13748644Securities
Other-1061926Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column12686718TotalRevenueColumn
Exclusion$12,686,718ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events290181GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events685186CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses459874FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-169693TotalRevenueColumn
Exclusion-$169,693ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming29215GrossIncomeGaming
Gaming Direct Expenses10534GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column18681TotalRevenueColumn
Exclusion$18,681ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory2787995GrossSalesOfInventory
Cost Of Goods Sold2192838CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column595157TotalRevenueColumn
Exclusion$595,157ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Laboratory Revenue6215001718487516611560573315
Pharmacy Revenue4461101539618061606843165993$6,069,503
Cafeteria Revenue72221015163059479039$14,684,020

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column274342091TotalRevenueColumn
Related Or Exempt Function Income8397223RelatedOrExemptFunctionIncome
Unrelated Business Revenue290366UnrelatedBusinessRevenue
Exclusion$265,654,502ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue322086205TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3444331221TotalRevenueColumn
Related Or Exempt Function Income3055649140RelatedOrExemptFunctionIncome
Unrelated Business Revenue7168591UnrelatedBusinessRevenue
Exclusion$355,128,555ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total12275094Total
Program Services12275094ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total464682Total
Program Services464682ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total1184231Total
Program Services1184231ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total18956648Total
Program Services2208171ProgramServices
Management And General16748477ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1265153578Total
Program Services978268422ProgramServices
Management And General285955985ManagementAndGeneral
Fundraising929171Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total94986402Total
Program Services64735024ProgramServices
Management And General30132010ManagementAndGeneral
Fundraising119368Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total212634298Total
Program Services145589272ProgramServices
Management And General66781491ManagementAndGeneral
Fundraising263535Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total95106692Total
Program Services70013516ProgramServices
Management And General25024333ManagementAndGeneral
Fundraising68843Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total23540Total
Program Services22834ProgramServices
Management And General706ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5464204Total
Program Services563566ProgramServices
Management And General4900638ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2182709Total
Management And General2182709ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total740670Total
Management And General740670ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total4576644Total
Management And General4576644ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total369824148Total
Program Services222229217ProgramServices
Management And General147505008ManagementAndGeneral
Fundraising89923Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total8224126Total
Program Services4742997ProgramServices
Management And General3449545ManagementAndGeneral
Fundraising31584Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total544775591Total
Program Services516541610ProgramServices
Management And General28089279ManagementAndGeneral
Fundraising144702Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total37714213Total
Program Services6023558ProgramServices
Management And General31657767ManagementAndGeneral
Fundraising32888Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total62098201Total
Program Services43805372ProgramServices
Management And General18259077ManagementAndGeneral
Fundraising33752Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total11538731Total
Program Services5043854ProgramServices
Management And General6465510ManagementAndGeneral
Fundraising29367Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6301222Total
Program Services1917893ProgramServices
Management And General4368058ManagementAndGeneral
Fundraising15271Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total32086707Total
Program Services26873142ProgramServices
Management And General5213565ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total14826391Total
Program Services6956493ProgramServices
Management And General7869898ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total175850182Total
Program Services111411610ProgramServices
Management And General64433368ManagementAndGeneral
Fundraising5204Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total34063307Total
Program Services25322460ProgramServices
Management And General8734262ManagementAndGeneral
Fundraising6585Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServicesFundraisingFundraising
Prof. Liab. Trust/Pensi161015933161015933
Bad Debt Expense160106907109597515899493915993
Licenses & Taxes544810872743800517372852
Dues & Memberships77363545008675270992717752
UBI Taxes28772432877243

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total14446144Total
Program Services4480311ProgramServices
Management And General9909549ManagementAndGeneral
Fundraising56284Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3411715879Total
Program Services2464115480ProgramServices
Management And General945740175ManagementAndGeneral
Fundraising1860224Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10012560BOY
EOY11471118EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY304633739BOY
EOY432605628EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2336203BOY
EOY1250712EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY372551034BOY
EOY398880521EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY30249917BOY
EOY30028902EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY53426797BOY
EOY56491834EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY26416553BOY
EOY29576566EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3606649189LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1638897046LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1761674668BOY
EOY1967752143EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY987879784BOY
EOY1073682884EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY80046362BOY
EOY88778494EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY8027870BOY
EOY12189344EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY761545466BOY
EOY923496270EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4398800953BOY
EOY5026204416EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY404237970BOY
EOY424425773EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY7559811BOY
EOY7636121EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY579280000BOY
EOY737200000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY225728BOY
EOY200322EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY253166673BOY
EOY252924980EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1606550693BOY
EOY1972685908EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2851020875BOY
EOY3395073104EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1503834909BOY
EOY1577741340EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY34679662BOY
EOY43738253EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9265507BOY
EOY9651719EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1547780078BOY
EOY1631131312EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4398800953BOY
EOY5026204416EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses32615342ReconcilationRevenueExpenses
Reconcilation Other Changes50735892ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements1MediaAdvertisements
Media Advertisements$12,856MediaAdvertisementsAmount
Mailings Members1MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$348,942GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$193,136DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$378,872OtherActivitiesAmount
Total Lobbying Expenditures IIB933806TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Other Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1i:ReturnReference
ExplanationWith passage of the Patient Protection and Affordable Care Act, Congress moved our nation forward toward a more equitable, sustainable and higher quality health care system. This historic legislation addresses many of the critical issues limiting access to health coverage and driving unsustainable costs. Reforming health care is a continuing journey and important work remains. Congress must preserve the reforms passed this year and work to ensure access to those people still uninsured, stabilize and strengthen access to the Medicaid program and empower a redesign of the delivery of health care to improve quality and efficiency. Providence accepts its role in leading health care reform in the communities we serve. We embrace our accountability as a health care provider to deliver high-quality, low-cost care. A better, more sustainable health care system requires a partnership between improvements in both care delivery and public policy. The following issues were a priority for 2010: ENSURE EVERYONE HAS ACCESS TO HEALTHCARE. We believe access to quality, affordable health care is a basic human right. No one should ever become sick - or worse, lose their life - because they couldn't access health care services. Everyone, whether they are covered by private insurance or a government program, should have a primary care provider and access to necessary specialty care. We urged Congress to create mechanisms that will make coverage available to those not included in the health exchanges or public programs. * Provide an option for immigrants to purchase coverage with private dollars through the health insurance exchanges. * Create funding sources to strengthen the role of community resources, such as the Healthy Communities Access Program and Project Access, that link remaining uninsured individuals and families with health care providers in their communities. TRANSFORM THE DELIVERY OF HEALTH CARE. Making health care more affordable requires a change in how health care is organized and delivered to patients. Current reimbursement models do not support this redesign of care. Patients will receive better care when health care providers are paid to coordinate with each other. We urged Congress to continue to promote the development of new payment models that create financial incentives to reduce over-utilization and improve quality and care coordination. * Provide necessary oversight to the dialogue between stakeholders and CMS to ensure smooth and rapid implementation of new delivery models, such as bundled payment, accountable care organizations, the patient- centered health home and other concepts through the CMS Innovation Center. * Continue to reform physician payments to focus on quality and outcomes, rather than the quantity of tests and treatments performed. * Ensure federal funding spreads the adoption of electronic health records equally across all types of providers in both rural and urban areas. REMOVE BARRIERS TO COORDINATED CARE. Increased collaboration among health care providers means patients and their families receive more efficient and higher quality care. Some existing rules, however, restrict the ability of providers to deliver this coordinated care. We urged Congress to address legal and regulatory barriers to collaboration. * Establish permanent waivers or exemptions to requirements of the civil monetary penalties, anti-kickback and Stark laws and regulations for provider organizations participating in bundled payment, accountable care organizations and other new collaborative delivery models. * Require the Department of Justice and the Federal Trade Commission to update their joint statement of enforcement to reflect the development of new collaborative care models. PROTECT THE POOR AND VULNERABLE. During times of economic crisis, safety-net programs have become increasingly more important to ensuring access to care. State budget challenges threaten the stability of Medicaid programs across the country - putting at risk vital services to the most needy. We urged Congress to ensure sufficient federal funding for state Medicaid programs to preserve safety-net services. * Design Medicaid eligibility expansions to include mechanisms that ensure access for enrollees by requiring states to maintain adequate payment rates for providers - particularly primary care. * Increase federal Medicaid funding to bridge the gap for states until the reform legislation goes into effect and develop new financing solutions to ensure the long-term stability of the program. STRENGHTEN THE HEALTH CARE WORKFORCE. We are facing a worsening shortage of health care workers in this nation, driven by an aging workforce and growing community need. We urged Congress to continue the federal effort to increase the number of primary care physicians, nurses and other health care professionals through reforms that expand medical education, including focused funding through grants and other mechanisms that increase enrollment in nursing schools and train new health care workers. * Streamline the application process for workforce training grants and other funding mechanisms to ensure that funds are made available to organizations in a timely, straightforward manner and encourage collaboration between health care organizations and educational institutions. * Refine policies as necessary to increase the number of health care professionals practicing in our communities, including scholarships, loan forgiveness for physicians and other health care professionals who meet a primary care service obligation, and loan deferment for medical residents going into primary care.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance7596645BeginningOfYearBalance
Contributions364798Contributions
Investment Earnings Or Losses677288InvestmentEarningsOrLosses
Grants Or Scholarships174880GrantsOrScholarships
End Of Year Balance8463851EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance6401153BeginningOfYearBalance
Contributions106633Contributions
Investment Earnings Or Losses1289282InvestmentEarningsOrLosses
Grants Or Scholarships162845GrantsOrScholarships
Other Expenditures7578OtherExpenditures
Administrative Expenses30000AdministrativeExpenses
End Of Year Balance7596645EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8854708BeginningOfYearBalance
Contributions287226Contributions
Investment Earnings Or Losses-2413940InvestmentEarningsOrLosses
Grants Or Scholarships326841GrantsOrScholarships
End Of Year Balance6401153EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis11082216InvestmentCostOrOtherBasis
Other Cost Or Other Basis136575536OtherCostOrOtherBasis
Book Value147657752BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis162047075InvestmentCostOrOtherBasis
Other Cost Or Other Basis1431549453OtherCostOrOtherBasis
Depreciation722119246Depreciation
Book Value871477282BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis13295473InvestmentCostOrOtherBasis
Other Cost Or Other Basis94491718OtherCostOrOtherBasis
Depreciation65556135Depreciation
Book Value42231056BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis33071534InvestmentCostOrOtherBasis
Other Cost Or Other Basis1196559671OtherCostOrOtherBasis
Depreciation851221665Depreciation
Book Value378409540BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis57302933InvestmentCostOrOtherBasis
Other Cost Or Other Basis470673580OtherCostOrOtherBasis
Book Value527976513BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1967752143TotalOfBookValueLandBuildings

Other Assets OtherAssets (10 entries)

DescriptionDescriptionBook ValueBookValue
Due From Affiliates503481520
Trustee Held Funds209885914
Unamortized Finance Costs12862915
Assets Held Under Securities Lending139919935
Other Long-Term Receivables12507359
Third Party Settlements34826113
Charitable Trusts & Gift Annuities2011437
CSV of Life Insurance394100
Deferred Compensation 457F4807817
Bond Premium Discount2799160
FieldValueIRS element (for citing)
Total Book Value Other Assets923496270TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescriptionAmountAmount
Self-Insured Trusts$219,981,687
Due To Affiliates$535,206,915
Taxable Bond Issues$254,170,821
Accrued Pension Costs$755,308,166
LT Asset Retirement Obligation - FIN 47$17,953,102
Liabilities Under Securities Lending$142,344,783
Other Long-Term Payables$13,662,890
Third Party Settlements$34,057,544
FieldValueIRS element (for citing)
Total Of Amounts1972685908TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:The Endowment Funds are intended to be used to support the mission and programs of Providence Sacred Heart 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.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained1GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (4 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
Central America and the Caribbean00Grantmaking914955
Russia & Newly Independent States00Grantmaking123926
Sub-Saharan Africa00Grantmaking20350
North America00Grantmaking125000
FieldValueIRS element (for citing)
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent1184231SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent1184231TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS (7 entries)

RegionRegionPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceDescription Of Non Cash AssistanceDescriptionOfNonCashAssistanceMethod Of ValuationMethodOfValuation
Central America and the CaribbeanMedical Supplies534384Medical SuppliesCost
Central America and the CaribbeanMedical Supplies124488Medical SuppliesCost
Russia & Newly Independent StatesMedical Supplies123926Medical SuppliesCost
Central America and the CaribbeanMedical Supplies105040Medical SuppliesCost
Sub-Saharan AfricaMedical Supplies20350Medical SuppliesCost
Central America and the CaribbeanMedical Supplies151043Medical SuppliesCost
North AmericaMedical Supplies125000Medical SuppliesCost
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs7TotalNumberOf501c3Orgs
Total Number Of Other Orgs0TotalNumberOfOtherOrgs
Transfer To Foreign Corp1TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Procedure for Monitoring Grants Outside the U.S.:Schedule F, Part I, Line 2: We only provide grants to non-governmental, charitable organizations that conduct foreign activities. For the donations we require a potential recipient to first complete an application. We have two types of applications; one for donations that will be taken by a person on a plane and part of medical team, the other for container donations that will be shipped. The type of information gathered is different for each application. We always ask for the name of the specific clinic, program or hospital that will be at the clinic. We also ask for information about who will be served/benefit from these donations. We also ask that the recipient provide us feedback on how useful the donations were and what problems they may have encountered.
Other InformationForm 926 is not required to be filed because the transfer to a foreign corporation does not meet the reporting requirements in IRC Section 6038B(a)(1)(A).Schedule F, Part V

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Providence O'Christmas TreesNameOfEvent1
Gross Receipts Event1768211GrossReceiptsEvent1
Charitable Contributions Event1539549CharitableContributionsEvent1
Gross Revenue Event1228662GrossRevenueEvent1
Rent Facility Costs Event129241RentFacilityCostsEvent1
Food And Beverage Event198885FoodAndBeverageEvent1
Other Direct Expenses Event1273045OtherDirectExpensesEvent1
Name Of Event2Golf ClassicNameOfEvent2
Gross Receipts Event297565GrossReceiptsEvent2
Charitable Contributions Event267847CharitableContributionsEvent2
Gross Revenue Event229718GrossRevenueEvent2
Non Cash Prizes Event21843NonCashPrizesEvent2
Rent Facility Costs Event218946RentFacilityCostsEvent2
Food And Beverage Event213136FoodAndBeverageEvent2
Other Direct Expenses Event215994OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events109591GrossReceiptsOtherEvents
Charitable Contrib Other Events77790CharitableContribOtherEvents
Gross Revenue Other Events31801GrossRevenueOtherEvents
Non Cash Prizes Other Events519NonCashPrizesOtherEvents
Rent Facility Costs Other Events363RentFacilityCostsOtherEvents
Food And Beverage Other Events650FoodAndBeverageOtherEvents
Entertainment Other Events500EntertainmentOtherEvents
Other Direct Expenses Other Events6752OtherDirectExpensesOtherEvents
Gross Receipts Total975367GrossReceiptsTotal
Charitable Contributions Total685186CharitableContributionsTotal
Gross Revenue Total Events290181GrossRevenueTotalEvents
Non Cash Prizes Total Events2362NonCashPrizesTotalEvents
Rent Facility Costs Total Events48550RentFacilityCostsTotalEvents
Food And Beverage Total Events112671FoodAndBeverageTotalEvents
Entertainment Total Events500EntertainmentTotalEvents
Other Direct Expenses Total Events295791OtherDirectExpensesTotalEvents
Direct Expense Summary Events459874DirectExpenseSummaryEvents
Net Income Summary-169693NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming29215GrossRevenueOtherGaming
Non Cash Prizes Other Gaming2793NonCashPrizesOtherGaming
Rent Facility Costs Other Gaming1673RentFacilityCostsOtherGaming
Other Direct Expenses Other Gaming6068OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming1VolunteerLaborOtherGaming
Gross Revenue Total Gaming29215GrossRevenueTotalGaming
Non Cash Prizes Total Gaming2793NonCashPrizesTotalGaming
Rent Facility Costs Total Gaming1673RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming6068OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming10534DirectExpenseSummaryGaming
Net Gaming Income Summary18681NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedWAStatesWhereGamingConducted
Licensed1Licensed
License Suspended Etc0LicenseSuspendedEtc
Gaming With Nonmembers0GamingWithNonmembers
Member Of Other Entity0MemberOfOtherEntity
Percentage Of Gaming Own Facility0.00000PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonPatricia L SzaboNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line14831 35th Avenue SWAddressLine1
CitySeattleCity
StateWAState
ZIP Code98126ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam Rev0ContractWith3rdPartyForGamRev
Gaming Manager Name PersonPatricia L SzaboGamingManagerNamePerson
Gaming Manager Compensation0GamingManagerCompensation
Gaming Manager Services ProvidedProvided oversight of sale of raffle tickets and accounting for proceeds received.GamingManagerServicesProvided
Gaming Manager Is EmployeeXGamingManagerIsEmployee
Charitable Distrib Required0CharitableDistribRequired

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense86006660TotalCommunityBenefitExpense
Net Community Benefit Expense86006660NetCommunityBenefitExpense
Percent Of Total Expense0.02650PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense487832308TotalCommunityBenefitExpense
Direct Offsetting Revenue398672821DirectOffsettingRevenue
Net Community Benefit Expense89159487NetCommunityBenefitExpense
Percent Of Total Expense0.02740PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense11674794TotalCommunityBenefitExpense
Direct Offsetting Revenue9918196DirectOffsettingRevenue
Net Community Benefit Expense1756598NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense585513762TotalCommunityBenefitExpense
Direct Offsetting Revenue408591017DirectOffsettingRevenue
Net Community Benefit Expense176922745NetCommunityBenefitExpense
Percent Of Total Expense0.05440PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense5961134TotalCommunityBenefitExpense
Direct Offsetting Revenue691450DirectOffsettingRevenue
Net Community Benefit Expense5269684NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense30650381TotalCommunityBenefitExpense
Direct Offsetting Revenue7021911DirectOffsettingRevenue
Net Community Benefit Expense23628470NetCommunityBenefitExpense
Percent Of Total Expense0.00730PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense65831292TotalCommunityBenefitExpense
Direct Offsetting Revenue42710847DirectOffsettingRevenue
Net Community Benefit Expense23120445NetCommunityBenefitExpense
Percent Of Total Expense0.00710PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense2793254TotalCommunityBenefitExpense
Direct Offsetting Revenue667538DirectOffsettingRevenue
Net Community Benefit Expense2125716NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense7262879TotalCommunityBenefitExpense
Direct Offsetting Revenue31035DirectOffsettingRevenue
Net Community Benefit Expense7231844NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense112498940TotalCommunityBenefitExpense
Direct Offsetting Revenue51122781DirectOffsettingRevenue
Net Community Benefit Expense61376159NetCommunityBenefitExpense
Percent Of Total Expense0.01890PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense698012702TotalCommunityBenefitExpense
Direct Offsetting Revenue459713798DirectOffsettingRevenue
Net Community Benefit Expense238298904NetCommunityBenefitExpense
Percent Of Total Expense0.07330PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense25640TotalCommunityBuildingExpense
Net Community Building Expense25640NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1000TotalCommunityBuildingExpense
Net Community Building Expense1000NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense32845TotalCommunityBuildingExpense
Net Community Building Expense32845NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense76783TotalCommunityBuildingExpense
Net Community Building Expense76783NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense4159TotalCommunityBuildingExpense
Net Community Building Expense4159NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense4668TotalCommunityBuildingExpense
Net Community Building Expense4668NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense145095TotalCommunityBuildingExpense
Net Community Building Expense145095NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$43,519,340BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare608176503AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare799965504CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-191789001MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities11NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (11 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalChildrens HospitalChildrensHospitalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursCritical Access HospitalCriticalAccessHospital
Providence Alaska Medical Center
13200 Providence DriveAnchorageAK99508XXXXX
Providence SHMC & Children's Hospital
2101 West 8th AvenueSpokaneWA99204XXXX
Providence St Peter Hospital
3413 Lilly Road NEOlympiaWA98506XXX
Providence Regional Med Ctr-Colby
41321 Colby AvenueEverettWA98201XXX
Providence Regional Med Ctr-Pacific
5916 Pacific AvenueEverettWA98208XXX
Providence Holy Family Hospital
65633 North Lidgerwood StreetSpokaneWA99208XXX
Providence Centralia Hospital
7914 S Scheuber RoadCentraliaWA98531XX
Providence St Mary Medical Center
8401 W Poplar StWalla WallaWA99362XXX
Providence Mt Carmel Hospital
9982 East ColumbiaColvilleWA99114XXXX
Providence St Joseph's Hospital
10500 East Webster StreetChewelahWA99109XXX
Providence Kodiak Is Medical Center
111915 Rezanof DriveKodiak IslandAK99615XX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (11 entries)

Hospital Facility NumberHospitalFacilityNumber
Providence Alaska Medical Center
1
Providence SHMC & Children's Hopsital
2
Providence St Peter Hospital
3
Providence Regional Med Ctr Colby
4
Providence Regional Med Ctr Pacific
5
Providence Holy Family Hospital
6
Providence Centralia hospital
7
Providence St Mary Medical Center
8
Providence Mt Carmel Hospital
9
Providence St Joseph's Hospital
10
Providence Kodiak Is Medical Center
11

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities42NumberOfOtherFacilities

Other Facilities OtherFacilities (42 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
Providence Marianwood
3725 Providence Pt Dr SEIssaquahWA98029Long-Term Care
Providence Elderplace
4515 Martin Luther King Jr Way SSeattleWA98108In-Home Service Agency
Prov St Peter Chemical Dependency Cter
2505 Olympic Highway N Suite 140SheltonWA98584Chemical Dependency Center
Prov St Peter Chemical Dependency Cter
24070 NE Highway 3 Suite ABelfairWA98528Chemical Dependency Center
Prov St Peter Chemical Dependency Cter
508 1/2 Eighth StreetHoquiamWA98550Chemical Dependency Center
Prov Internal Medicine Hawks Prairie
8645 Martin Way ELaceyWA98516Internal Medicine Clinic
Prov South Sound Internal Medicine
3425 Ensign Rd NEOlympiaWA98506Internal Medicine Clinic
Prov Family Medicine West Olympia
1217 Cooper Pt Road SWOlympiaWA98502Family Medicine Clinic
Providence Clinic at Panorama
1450 Northwest Lane SWOlympiaWA98502Family Medicine Clinic
Providence Internal Medicine
1010 S Scheuber RoadCentraliaWA98531Internal Medicine Clinic
Providence Imaging Center
908 S Scheuber RoadCentraliaWA98531Patient Diagnostic Imaging
Prov Rochester Family Pract Clinic
18313 Paulson St SWRochesterWA98579Family Practice Medicine
Providence Centralia Womens Center
1000 S Scheuber RoadCentraliaWA98531Comprehensive Women's Health Care
Providence Physical Therapy
1809 Cooks Hill RoadCentraliaWA98531Patient Physical Therapy Service
Prov Western WA Oncology-Lacey
4525 Third Avenue Suite 200LaceyWA98503Outpatient Oncology Services
Prov Western WA Oncology-Aberdeen
954 Anderson St Suite 102AberdeenWA98520Outpatient Oncology Services
Prov Western WA Oncology-Centralia
2015 Cooks Hill Road Suite 200CentraliaWA98531Outpatient Oncology Services
Providence SoundHomeCare & Hospice
3432 South Bay Road NEOlympiaWA98506Home Care and Hospice Services
Providence Mother Joseph Care Center
3333 Ensign Road NEOlympiaWA98506Long-Term Care
Providence Mount St Vincent
4831 35th Ave SWSeattleWA98126Long-Term Care/Assisted Living
Prov Infusion & Pharmacy Services
2201 Lind Ave SWRentonWA98057Pharmaceutical Services
Providence Hospice of Seattle
425 Pontius Avenue NorthSeattleWA98109Hospice Services
Providence Home Services
2201 Lind Ave SW Suite 160RentonWA98057Home Health Services
Providence Millcreek Medical Bldg
12800 Bothell-Everett HighwayEverettWA98208Medical Building
Providence Everett Healthcare Clinic
1001 N BroadwayEverettWA98201Clinic
Pavillion for Women & Children
900 Pacific AvenueEverettWA98201Clinic
Prov Physician Group-Harbour Point
4112 Harbour Pointe Blvd SW Ste 100MukilteoWA98275Clinic
Prov Physician Group-North Everett
1330 RockefellerEverettWA98201Clinic
Prov Physician Group-Marysville
11603 State Avenue Suite GMarysvilleWA98272Clinic
Prov Physician Group-Monroe
14692 179th Avenue SE Suite 100MonroeWA98272Clinic
Millcreek OBGYN
12800 Bothell-Everett Hywy SuiteEverettWA98208Clinic110
Pacific Campus OBGYN
900 Pacific Avenue Suite 501EverettWA98201OB/Gyn Services
Providence Dominicare
110 South Third Street EastChewelahWA99109Home Health
Providence VNA Home Health
611 N Perry Bldg 2 Suite 202SpokaneWA99202Home Health
Prov Emily Court Assisted Living
34 East 8th AvenueSpokaneWA99202Assisted Living
Providence St Joseph Care Center
17 East 8th AvenueSpokaneWA99202Skilled Nursing Facility
Providence Adult Day Health
6018 North AstorSpokaneWA99208Adult Day Health
Providence Extended Care Center
4900 Eagle StreetAnchorageAK99503Skilled Nursing Facility
Providence Alaska Physician Service Org
3200 Providence DriveAnchorageAK99508Behavioral & Family Medicine
Providence Kodiak Island Counseling Ctr
717 E Rezanof DriveKodiak IslandAK99615Behavioral Medicine
Providence Residential Treatment Program
3400 E 20th AvenueAnchorageAK99508Adolescent Residential Treatment
Providence Crisis Recovery Center
3760 Piper StreetAnchorageAK99508Behavioral Medicine

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

ExplanationExplanationIdentifierIdentifierReturn 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 $ XXX-XX-XXXX.
Part II: COMMUNITY BUILDING ACTIVITIES:Many of the activities reported in Part II demonstrate the eastern Washington Providence hospitals' efforts to actively engage and partner with the community to help address specific needs. We collaborate with more than 80 community partners in Spokane and Stevens counties that share our commitment to serving the poor and vulnerable. Together, we are able to maximize resources to reach the greatest number of people, providing needed services such as immunizations, screenings, education, medication, shelter and food. Below is a list of a few of the many organizations Providence hospitals support in eastern Washington:* Catholic Charities* Christ Clinic* Community Detox Services of Spokane* Northeast Tri-County Health District (Colville)* Partners with Children and Families* Prescriptions for Life (Chewelah)* Project Access* Ronald McDonald House* Rural Resources Family Center (Colville)* Spokane Prescription Access Program* Tri-County Community Health Fund (Stevens county)* Second Harvest (food bank)* Community Health Association Spokane dental program (a federally quality health center)* Washington Poison Control CenterIn addition, many Providence Health Care leaders and staff participate in community collaboration efforts through their membership on boards and advisory groups. These boards include United Way, domestic and family violence organizations, educational boards, stroke conference boards, domestic terrorism training, and many more where the expertise of the local hospital staff and administration can offer valuable information to the group for partnership and collaborative efforts in attempts to improve the health and wellbeing of the community. Often the hospital has been asked to provide a representative for the board or advisory group by the community.Providence Sacred Heart, Children's Hospital, and Holy Family also participate as major sponsors of community events that benefit the community at large. Examples include:* American Brain Tumor Association* American Heart Association* American Cancer Society* American Red Cross* Cancer Patient Care* March of Dimes* Special Olympics* Women Helping Women* YWCAProvidence St. Peter Hospital, in the Southwest Washington Service Area, sponsors a program called Grief Works, which assists people who are grieving from the loss of a spouse, child, or sibling. The work involves pastoral care support and counseling in both individual and group sessions. In addition, Providence leaders serve on local boards. Examples include the board of Behavioral Health Resources, a not-for-profit mental health provider, and the Hands On Children's Museum, which promotes healthy family living.
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 1The reporting entity reports bad debt expense in accordance with HFMA Statement #15 with the exception of the following sections: 8.1(b) and 9.1.
PART I, LINE 7, COL. FOur total expense from Form 990, Part IX, Line 25, column (A) was $3,289,815,715. The bad debt expense included in this amount was $160,106,907. This left us with total expense of $3,129,708,808 for purposes of calculating line 7, column f.
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.These general guidelines are applied across all service areas covered in Providence Health & Services - Washington. These include: Northwest Washington Service Area, Southwest Washington Service Area, Southeast Washington Service Area, Providence Health Care in Eastern Washington and PH & S - WA. in Alaska.Providence Sacred Heart Medical Center and Providence Holy Family Hospital partnered with the Spokane Regional Health District and the Institute for Public Policy and Economic Analysis at Eastern Washington University and their Community Indicators Initiative as part of our comprehensive needs assessment. In addition, focus groups were held to gather information from organizations directly addressing the needs of the low income and uninsured. Quantitative and qualitative data were also used to identify the issues the hospitals should target to address in the Spokane community for the next three years, beginning in 2010.Providence Mount. Carmel Hospital and Providence St. Joseph's Hospital partnered with the Northeast Health District and the Institute for Public Policy and Economic Analysis at Eastern Washington University and their Northeast Trends Initiative. In addition, focus groups were held to gather information from organizations directly addressing the needs of the low income and uninsured. Quantitative and qualitative data were also used to identify the issues the hospitals should target to address in the Stevens County community for the next three years, beginning in 2011.Providence ministries in eastern Washington are governed by a community ministry board. In addition, our foundation boards are composed of community members. The results of our needs assessments are presented to these boards for their review and input. The civic leaders that serve on Providence boards connect the Providence Mission with a local perspective on community needs. The Providence Health Care Eastern Washington Community Ministry Board approves the community needs assessments.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 and broad needs of the community, beyond just the need for free and discounted health care services.
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:The Northwest Washington Region includes Providence Regional Medical Center Everett (PRMCE), which is the only tertiary provider in Snohomish County and is located on two campuses in Everett, Washington. The hospital's primary service area is Snohomish County, with a population of 708,683. Within this geography, the average age is 36.5 years and only 10% of the population is over age 65, although this is estimated to grow to 12.5% by 2016. The average household income is $76,219, and approximately 7% of households are living below the poverty line in Snohomish County. In addition, 9.5% of Snohomish County residents are unemployed, which is higher than the national unemployment rate. The secondary service area includes Skagit, Island, San Juan and Whatcom counties, totaling an additional 491,631 people. Within this geography, the average age is 39.2 years, with 16% of the population over age 65. The average household income is $63,777. In 2010, PRMCE provided more than $52 million in charity care and community benefit.Spokane County is the furthest east county along Interstate 90, and located on the Idaho border. It is largely urban with the second most populated city in the state - Spokane - with a population of 460,000. Providence Sacred Heart Medical Center & Children's Hospital and Providence Holy Family Hospital are located in Spokane County. About 12.5% of its population is over the age of 65. The leading causes of death in Spokane County are cancer, heart disease and stroke. The maternal smoking rate is two times higher than the state average.Stevens County is in northeast Washington, north of Spokane County with Pend Orielle County to the east and Ferry County to the west. It is largely rural, with a number of miles between health care facilities. Providence Mount Carmel Hospital (75 miles north of Spokane) and Providence St. Joseph's Hospital are about 25 miles apart in Colville and Chewelah, Washington respectively. The Stevens County population is around 44,300 people. A high percentage of the rural population is over the age of 65, at nearly 17%. The leading causes of hospitalizations are unintended injury and heart disease, which are above the state average. The drug crime rate has continued to increase and is higher than the state average.The primary service area for these five Providence hospitals is defined as Spokane and Stevens counties. As the region's major quaternary hospital, Providence Sacred Heart Medical Center & Children's Hospital serves a much broader tertiary market which spans eastern Washington, north Idaho, western Montana and northeastern Oregon, with a population over 1.6 million. Approximately 43% of patients are covered by Medicare, 25% are covered by Medicaid and just over 2% are uninsured. With approximately 15% of the population for most of the counties served living in poverty, this service area is characterized by lower income levels than the state average.The Southwest Washington Region includes Providence St. Peter Hospital in Olympia, Washington and Providence Centralia Hospital in Centralia Washington. The hospitals deliver care to a five-county area including Thurston, Mason, Lewis, Grays Harbor and Pacific counties. For Providence St. Peter Hospital, the hospital serves 484,679 people in its primary and secondary service area; the average age of the population in this geography is 39.5 years, with 15.7% of the population over age 65. The average household income is $61,515. Providence Centralia Hospital serves 121,894 people in its service area, and the average age is 39.5 years, with 16.6% of the population over age 65. The average household income is $54,776. Within the Southwest Washington Region, 7.4% of households are below the poverty line. The unemployment rates for the counties served by the Southwest Washington Region include Thurston County (7.5%), Lewis County (12.6%), Mason County (10.3%), Grays Harbor County (12.6%) and Pacific County (12.2%).The Southeast Washington Region includes Providence St. Mary Medical Center in Walla Walla, Washington. The hospital serves a population totaling 83,226 people in its primary service area in Walla Walla County and Columbia County in Washington and five towns in Umatilla County, Oregon. Within this geography, 16% of the population is over age 65 and the average household income is $54,032. The unemployment rate in Walla Walla County is 6.5% and Columbia County is 10.5%. The hospital also serves 92,739 people in its secondary service area, which is comprised of Garfield County, Washington and Union, Wallowa and Umatilla counties in Oregon. Within the secondary market, 15% of the population is over age 65 and the average household income is $53,372. In total, almost 10 percent of households are living below the poverty line.The geographic difficulties of a vast land mass, relatively undeveloped infrastructure and often extreme weather conditions make meeting the health care needs of Alaskans a unique challenge. Providence Health & Services Alaska serves the health needs of all people across the vast state of Alaska (population of 710,231). Providence Alaska has 14 ministries. Most facilities are located in the Anchorage area, yet Providence Alaska expands it services through a presence in three rural communities as well as telemedicine and electronic intensive care unit (eICU) services extended to communities in Alaska and Oregon. Alaska's population is diverse (28 percent is a minority) and is widely distributed across great distances (only half the population accessible by road). Alaska has a significant number of high-need communities as ranked by the Thompson Reuters Community Need Index. Alaska is a demographically young state with 51 percent of the population under age 35, although the fastest growing age group is the over 55 population. Providence Alaska Medical Center (PAMC) is the only comprehensive tertiary referral center serving all Alaskans. In addition to PAMC, Providence Alaska has a family practice residency program, a continuum of post-acute care services, and a developing medical group located in Anchorage. Anchorage is the second most-diverse city in the nation with more than 90 languages spoken within the Anchorage school district. Thirty-five percent of the Anchorage community is a minority. While PAMC's primary market is the Municipality of Anchorage, it serves residents throughout the state. By percentage of gross revenue in 2010, approximately 27.8 percent of revenue was from Medicare, 18.8 percent from Medicaid and the remainder from other payers. The percentage of bad debt/charity care/self pay discount continues to remain high, at nearly 8.6 percent. While the economic recession has impacted Alaska to a lesser degree than other states, the unemployment rate in Anchorage was 6.2 percent in September. Of families with children under 18 years old, 7.6 percent are below the poverty line. Providence Alaska manages three critical access hospitals located in the remote communities of Kodiak, Seward and Valdez, all co-located with skilled nursing facilities. Community mental health centers are operated in Kodiak and Valdez. Each hospital serves as the primary health care provider for their community. Providence Kodiak Island Medical Center serves the Kodiak Island Borough, which has a population of just over 13,000. Geographically isolated, the island can only be accessed by air or sea. More than half of the population on Kodiak Island was white in 2010 (51 percent). The next largest ethnic groups were Asian (20 percent) and then American Indian/Native Alaskan (13 percent). Commercial fishing is of historic and current economic importance and employment swings seasonally - with lower unemployment rates in the summer and higher rates in winter months. For July, peak employment period, the unemployment rate was 6.4 percent in 2010. Providence Seward Medical Center serves the communities of Seward and Moose Pass. Seward is located at the head of Resurrection Bay on the Kenai Peninsula. The town is 126 miles south of Anchorage. The majority of the population in Seward was white in 2010 (75 percent). The next largest ethnic groups were American Indian/Native Alaskan (18 percent) and then Black (3 percent). In the 2008 needs assessment, 13 percent of respondents went without basic needs such as food, child care, health care or clothing in the last 12 months. When asked what specifically they went without, most respondents reported "health care" and "dental care" (61 percent each). SEE CONTINUATION.
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 Snohomish County, Providence Regional Medical Center promotes the health of the community in a number of unique ways, one of which is a community outreach program called Inside Out: The Original Organ Show. This innovative health education program, directed primarily at middle and high-school students, provides audiences with compelling health information-presented in a truly unique way-that empowers them to make informed decisions about behaviors and lifestyle choices that impact their long-term well-being. Inside Out takes viewers on a fantastic voyage through the human body. Actual human organs, such as hearts, lungs, brains, livers, kidneys and aortas are shown. Some are healthy; others have been damaged by substance abuse, poor eating habits and unsafe behaviors. Comparing healthy and cancerous lungs, clinical educators show the effects of smoking. Holding up a heart with a bullet hole through it, they describe the danger of gun violence. Using an aorta covered with hard, jagged plaque, they talk about how high cholesterol can lead to heart attacks. Displaying the shattered remains of a human brain, they talk about the unintended consequences of accidental prescription drug overdose. This program has been offered to the community for more than 20 years and in that time, thousands of people have written to tell how it changed, and possibly saved, their life.Providence Health Care, in Eastern Washington, formed an innovative collaboration 17 years ago with the other hospital system (then Empire health System) to better serve the community needs by jointly sponsoring Inland Northwest Health Services (INHS) - a not-for-profit organization that provides vital community services including air ambulance service, inpatient rehabilitation services, community health education, medical transpiration (non-ambulance), and an extensive medical information system that connects 38 hospitals across the inland northwest region. INHS represents a collaborative approach to health care that is unlike any other and brings unique partnerships and innovative technologies and more cost-effective care to Spokane and the Northwest. The Providence Health Care Community Ministry Board is made up of volunteer community leaders. The board's primary delegated responsibilities include quality of care and service (including oversight of medical staff privileging), strategic planning, and Mission effectiveness. In its role in Mission effectiveness, the board is responsible for reviewing and approving the community needs assessment and selection of priority community needs. In addition, the board approves recommendations for financial support of community programs and services (representing a $2.5 million investment in 2010).Providence hospitals in Spokane are also the sole providers of many essential services in Spokane. Many of these services are subsidized as they operate at a loss. For example, Providence Sacred Heart Medical Center is the only inpatient psychiatric program in the region, and Providence Holy Family Hospital provides the only inpatient detox program in the community. Other unique services include an inpatient maternity clinic for uninsured, low income women located at Sacred Heart, transplant services (heart, kidney, pancreas) and numerous pediatric subspecialties. In addition, all Providence Health Care hospitals operate 24/7 emergency departments that serve all patients, regardless of ability to pay. And, as the only Level II Trauma Center in the inland northwest region, Providence Sacred Heart medical Center serves a unique role of caring for the most critically ill and injured patients from the vast service area. Other examples of how Providence Health Care and its eastern Washington ministries further its tax exempt status in support of the health of the community include:* Mobile Mammography van that provides mammography services to underserved populations in outlying communities.* Tele-medicine, and tele-continuing medical education for physicians and nurses throughout the region.* Providing educational opportunities for medical professionals throughout the community, including management oversight and subsidizes residency programs including family medicine, internal medicine, radiology and psychiatry as well as funding for medical research.* Medical staff at Providence hospitals have open privileges across all hospital facilities in the area.* Level I heart attack and Level I stroke programs collaborate with rural hospitals throughout the vast inland northwest region to support the delivery of high quality, prompt medical care for patients suffering a stroke or heart attack. Providence in Southwest Washington provided more than $39.6 million in total community benefits including $16.6 million in charity care and $14 million to cover the difference between the costs of providing care for people insured by government-sponsored programs and the amount paid by the government for those services.Providence Southwest Washington hospitals subsidize a broad range of services that provide health benefits to the community but do not generate enough income to be financially self-sustaining. Examples include more than $4 million in programs such as psychiatry, chemical dependency, sexual assault clinic and pediatrics.* Providence is proud to collaborate with community partners to offer an intervention program that helps guide treatment decisions for frequent emergency department patients with chronic conditions and, in many cases, an addiction to pain medication. The Emergency Department Consistent Care Program (EDCCP) has assisted nearly 700 patients, expanded to include five hospitals in a five-county region and dramatically reduced emergency visits. This program helps provide a safety net for patients who would otherwise have nowhere to turn* Based in Olympia and Centralia, the Providence Chemical Dependency and Psychiatric Centers provide structured treatments designed to empower patients with knowledge and support so they can achieve abstinence from drug and alcohol addictions. In 2010, Providence subsidized the centers with more than $2.5 million, providing 13,000 inpatient days for chemical dependency patients and 5,536 patient days for psychiatry patients. Another 14,000 outpatient substance abuse patients and their families received services that would not be available without Providence.* In 2010, the Providence Centralia Hospital Emergency Department was crowded with patients who were using it for primary care and as a dental clinic. The hospital collaborated with local agencies and providers and donated space near the emergency department to support a federally- qualified health center - Valley View Health Centers. As a result, nearly 6,000 local patients were able to access primary medical care and establish a medical home in the new clinic.* The physicians, nurses, nurse practitioners and medical social workers at the Providence St. Peter Sexual Assault Clinic work with physicians, law enforcement and Child Protective Services on behalf of victims of sexual abuse. Serving residents of Thurston, Lewis, Mason, Grays Harbor, Pacific and Cowlitz counties, our specialists are on call 24 hours a day, seven days a week to provide medical evaluations for children, adolescents and adults. In 2010, the clinic provided more than $381,000 in subsidized medical services for nearly 300 individuals.*In 2010, Providence donated $101,000 to Thurston County Project Access. This community-based, physician- led program helps low- income, uninsured residents with acute, urgent medical conditions find access to health care services. Project Access is a best-practice initiative that has been successfully replicated in more than 30 communities nationwide. It is coordinated locally through the CHOICE Regional Health Network. Last year, Providence and other Thurston County partners in the program helped 487 patients gain access to more than $2 million in diagnostic testing and specialty services they would otherwise not receive. SEE CONTINUATION.
Part VI, Line 6:
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, OrThe 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. From a local ministry perspective, one of the benefits of being affiliated with a larger system is the ability to collaborate on community health initiatives. One recent example in Snohomish County was the Hands-On Health Fair, a free monthly community health fair. At the health fair, visitors had the chance to learn about and improve their health from all aspects of Providence. From Providence Physician Group primary care, attendees were able to get free heel scans to test for osteoporosis. From Providence Physician Group specialty care, they were able to learn about new treatments for debilitating vein health issues. From Providence Regional Medical Center Everett, they learned about heart and brain health, including exercise, how to perform CPR, and the warning signs of stroke. From the Providence Regional Cancer Partnership, they learned about breast and prostate health. From Providence Hospice and Home Care, they learned about the life-saving benefits of the Lifeline program. From the Providence Health & Services regional Revenue Cycle team, they were able to get information to assist them in paying for medical care. And from the Providence Health Plan, they were informed of new options for Medicare Advantage. Working individually, none of these ministries of Providence could have created or presented a comprehensive health fair. By collaborating, they were able to join together and promote the health of the community in more than 30 individual topic areas to a group of over 500 attendees for the first event alone.In the eastern Washington Region, Providence Health Care is made up of 11 ministries offering comprehensive, coordinated health care across the full continuum of care. In addition to our five hospitals, Providence Health Care includes home health care, skilled nursing/long term care and transitional care, an assisted living facility, home chore services, a physician group with more than 140 physicians, a medical laboratory and the region's only adult day health program. All of these ministries serve the Providence Mission and provide care for all, especially to those who are poor and vulnerable. This coordinated system of care ensures patients receive the right care from the right provider, at the right time, at the right cost. While the Providence physician group is at the core of coordinating patient care, patients may enter the Providence Health Care system at any ministry level depending on need. This comprehensive, open system ensures patients receive a full spectrum of coordinated care, regardless of their ability to pay.Providence Health & Services in Southwest Washington touches more lives in Thurston, Mason, Lewis, Grays Harbor and Pacific counties than any other health care provider.* Providence St. Peter Hospital is a 390-bed, not-for-profit regional teaching hospital founded by the Sisters of Providence in 1887. Located in Olympia, the hospital offers comprehensive medical, surgical and behavioral health services to residents of Southwest Washington. St. Peter is a regional leader in cardiology, oncology, orthopedics and neuro-sciences. The Joint Commission has designated the hospital a Stroke Center of Excellence since 2007.* Providence Centralia Hospital is a 127-bed, not-for-profit community- based hospital. The services the hospital provides make it the heart of medical care in Lewis County. As a community hospital with outstanding technology, Providence Centralia Hospital is large enough to provide state-of-the-art services such as MRI, 64-slice CT scans and digital mammography. The hospital is also small enough to offer personal, compassionate care to everyone it serves* Providence Medical Group operates more than 20 clinics, with more than 135 specialized providers in Lewis, Thurston and Grays Harbor counties. The group provides primary and specialty care, including family medicine, internal medicine, cardiology, neurosurgery, oncology, diabetes care, general surgery, endocrinology, obstetrics/gynecology, physiatry, psychiatry and urology.* Providence Senior and Community Services provide a full continuum of health care services for those living with chronic and/or life-limiting conditions. Offering access and choice through innovative, customer-centered options, services are provided in the home or in a variety of facility settings including Providence SoundHomeCare and Hospice and Providence Mother Joseph Care Center and through supportive housing, including Providence St. Francis House (Olympia); Providence Blanchet House (Centralia); Providence Rossi House (Centralia) and Providence Place (Chehalis).Providence St. Mary Medical Center provides a comprehensive range of medical care to the residents of a rural area in southeastern Washington and northeastern Oregon, with a special emphasis on caring for the poor and vulnerable. The medical center bases its decisions on what services or specialists to bring to the community based on community needs studies. For some services, most notably chemotherapy and radiation treatment for cancer, Providence St. Mary offers the only care available in a 45 mile radius. A guest house provides free lodging for low income patients driving great distances for care.Providence Alaska has 14 ministries. Most facilities are located in the Anchorage area, yet Providence Alaska expands it services through a presence in three rural communities as well as telemedicine and electronic intensive care unit (eICU) services extended to communities in Alaska and Oregon. The ministries in Providence Alaska work to care for each patient as they need care across the full continuum of health care services. Providence Alaska Medical Center is the only comprehensive tertiary referral center serving all Alaskans. The medical center features the Childrens Hospital at Providence (the only one of its kind in Alaska), the states only Level III NICU, Heart and Cancer Centers, the states largest emergency department, full diagnostic, rehab and surgical services as well as both inpatient and outpatient mental health and substance abuse services for adults and children. Providence Alaska has a family practice residency program that trains physicians in primary care with the intent of increasing providers in distant Alaskan communities. A continuum of post acute care services, including home health, hospice, assisted living and a skilled nursing facility provides care for patients as close to home as possible. A developing medical group provides primary and specialty care in the community. The three critical access hospitals located in the remote communities of Kodiak, Seward and Valdez are all co-located with skilled nursing facilities. Community mental health centers are operated in Kodiak and Valdez. These services combined in these communities provide a solid foundation for access to health care. Providence Alaska also partners to provide additional services through five joint ventures including: Providence Imaging Center in both Anchorage and Soldotna, St. Elias Long Term Acute Care Hospital, Imaging Associates of Providence in both Anchorage and Wasilla, LifeMed Alaska (a medical transport / air ambulance service), and Creekside Surgery Center.
Part VI, Line 7:
WA,OR,CA,MT,AKReports Filed With StatesPart VI, Line 7
Providence Valdez Medical Center serves the community of Valdez. Valdez is one of Alaska's most important port cities. It is located about 120 air miles and 305 road miles east of Anchorage. The population is close to 4,000 and is located within 222 square miles of land area. In 2010, the majority (79 percent) of the population in the City of Valdez were white, with 8 percent of the population American Indian/Alaska Native. The median age was 37 years old in Valdez according to the 2010 Census, a slightly older median age than its statewide counterpart (34 years old). In the 2011 community health needs assessment, approximately one in 12 community survey respondents reported that they or their family had to go without basic needs in the year prior to the survey. Of those who went without basic needs, almost half said they went without dental care (49 percent) and/or health care (46 percent).CONTINUATION OF COMMUNITY INFORMATIONSCHEDULE H, PART VI, LINE 4
In Walla Walla County, Providence St. Mary Medical Center participates with other health, education, governmental and social service agencies in a community health assessment, sponsored by the Walla Walla County Health Department. The assessment identifies the areas of greatest need in the health of the community. Providence St. Mary uses this data in addition to other information to guide its community outreach. In recent years, the most critical need identified through this process is at-risk youth access to health care and services. To meet this need, Providence St. Mary provided funding to establish eastern Washington's first school-based health clinic, which operates as an independent not-for-profit at an alternative high school in Walla Walla. Providence St. Mary now provides annual funding to the clinic. The medical center also donates the use of a building to Trilogy Recovery Community, an independent not-for-profit youth drug and alcohol recovery center.Providence St. Mary utilizes the Providence Telestroke Network, run through the Providence Brain Institute in Portland, Oregon, to ensure that every patient coming into the emergency department with symptoms of stroke can be seen by a neurologist, regardless of the hour. With strokes, the faster a patient is diagnosed and treated, the less damage the stroke can do. Receiving the right treatment quickly can mean the difference between life and death, and between a good recovery and a lifelong disability. In Alaska, access to health care is one of the most critical community needs. To address this need, Providence Alaska and its local ministries are involved in and supportive of many programs, activities and services. In addition to having 24/7 emergency room care, each community is pursuing trauma designation to ensure every Alaskan receives exemplary and timely care. Providence Alaska is governed by a community ministry board made up of independent community members from across the state. Additionally, each hospital has an advisory board made up of local community members. Providence Alaska Medical Center has an electronic intensive care unit (eICU) that serves communities across Alaska and one community in Oregon. PAMC is also expanding its telemedicine capabilities to provide stroke care to local and distant communities. Within the community of Anchorage, Providence is a long-time partner of Anchorage Project Access (APA). The volunteer network provides medical services, accepting and treating APA-referred patients as any other insured patients. PAMC will continue to provide funding and office space for the program. To address access to health care in Kodiak, Providence Kodiak Island Medical Center is partnering with the Healthy Tomorrows (HT) coalition to improve the mental and physical wellness of local youth. Programs include: safe-and-sober activities for students, student skill-building groups, physical activities at schools, Yellow Ribbon suicide prevention and an online "get-fit" challenge.To address access to care in Seward, Providence Seward Medical Center is partnering with the Seward Health and Wellness coalition. Programs include: Free primary care for up to 70 residents, expanding availability of charity care/sliding fee scale in the clinic, expanding the Know Your Numbers campaign and increasing access to dietary support and physical activities.To address access to care in Valdez, Providence Valdez Medical Center is partnering with the Sound Wellness Advisory Network (SWAN) and Valdez Parks and Rec to improve health in Valdez. Programs include: Healthier You Campaign, increased access to healthy activities, wellness education, and biometric screenings.CONTINUATION OF PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VI, LINE 5

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (90 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Providence General Foundation
PO Box 1067EverettWA98206911041617501(c)(3)2016711Employee Assistance Fund, Operational Support
Providence Alaska Foundation
3200 Providence DriveAnchorageAK99508920093565501(c)(3)1308104Ministry Support
INHS - Health Partners & IRM
PO Box 469SpokaneWA99210911307555501(c)(3)1293292Comm Health Education
United Way of Anchorage
701 W 8th Avenue Ste 230AnchorageAK99501920027948501(c)(3)1267378Community Benefit
University of Alaska
3211 Providence Dr K101AAnchorageAK99508926000147Other757500Community Benefit
Providence St Peter Foundation
413 Lilly Road NEOlympiaWA98506911097056501(c)(3)672211Ministry Support
Providence Mount St Vincent Foundation
4831 35th Avenue SouthwestSeattleWA98126911188119501(c)(3)551942Ministry Support
Providence Hospice of Seattle Foundation
425 Pontius Ave N 300SeattleWA981095452912077378501(c)(3)491191Ministry Support
Providence Health Care Foundation
914 S Scheuber RdCentraliaWA98531911433382501(c)(3)292577Ministry Support
Everett Community College
2000 Tower StreetEverettWA98201910759103Other271500The Registered Nurse Residency Program
Anchorage Neighborhood Health Center
PO Box 201849AnchorageAK995201849920047965501(c)(3)250000Community Health
Sacred Heart Childrens Foundation
101 W 8th AvenueSpokaneWA99220320014330501(c)(3)174569Ministry Support
Christ Clinic
914 W CarlisleSpokaneWA99205911435174501(c)(3)170500Building Expansion Campaign & Psychiatric Nurse Practitioner
Providence Marianwood Foundation
3725 Providence Point Drive SEIssaquahWA98029931554288501(c)(3)106253Ministry Support
Anchorage Project Access
PO Box 196604AnchorageAK99519920152080501(c)(3)101250Healthcare Access
Alaska Sports Hall of Fame Inc
1415 Echo Canyon RdAnchorageAK995166908810649085501(c)(3)100000Community Benefit
Partners with Families & Children
613 S WashingtonSpokaneWA99204680576560501(c)(3)96792Financial & Child Assistance / Monthly Sponsorship
Ronald McDonald House
1015 W Fifth AveSpokaneWA99204911176115501(c)(3)96500Building Expansion Campaign
The American Heart Association
3700 Woodland Avenue 700AnchorageAK99517135613797501(c)(3)96217Healthcare
Lincoln Health Center
534 South 3rd ST Suite 16Walla WallaWA99362270401462501(c)(3)90000School Based Clinic
Catholic Charities Spokane
PO Box 2253SpokaneWA99210910569880501(c)(3)77456Land Purchase & House of Charity
Prescription Drug Assistance Foundation
200 Broadway Suite 100SeattleWA98122331134368501(c)(3)72400Prescription Drug Assistance
University of Washington
1959 NE Pacific St NW125SeattleWA98195916001537Other71250Palliative Medicine Fellowship
Medical Team International
PO Box 10PortlandOR97207930878944501 (c)(3)63250Haiti Medical Assistance
Catholic Medical Mission Board Inc
10 West 17th StreetNew YorkNY100115765135602319501(c)(3)50000Community Health
Catholic Relief Services
PO Box 17090BaltimoreMD212037090135563422501(c)(3)50000Community Benefit
Alaska EHR Alliance
4120 Laurel St Ste 206AnchorageAK995085392202141045501 (c)(3)72574Community Health
American Cancer Society
3851 Piper Street Suite U240AnchorageAK99508841316555501(c)(3)46962Community Health
American Cancer Society
728 134th Street SW Ste 101EverettWA98204841316555501(c)(3)42500Community Benefit
Inland NW Genetics
2607 S SE Blvd Bldg A100SpokaneWA99223910937457501(c)(3)39273Community Health
Community Detox Services of Spokane
PO Box 2845SpokaneWA99220911108762501(c)(3)37800Community Health
Project Access
104 S Freya Street Suite 114SpokaneWA99202910827958501(c)(3)36000Building Expansion Campaign
March of Dimes
1904 Third Avenue Suite 230SeattleWA98101131846366501(c)(3)35000Community Benefit
The Foraker Group
161 Klevin Street Ste 101AnchorageAK995081506920177787501(c)(3)35000Community Benefit
Choice Regional Health Network
2409 Pacific Avenue SEOlympiaWA98501911704039501(c)(3)30000Thurston County Project Access
Sisters of Providence Pariseau
1801 Lind Avenue SWRentonWA98057911289932501(c)(3)27750Community Benefit
YWCA
930 N Monroe StSpokaneWA99201910565025501(c)(3)25634Community Benefit
March of Dimes Foundation
255 E Firewood Ln Ste 102AnchorageAK99503131846366501(c)(3)25350Healthcare
American Heart Association
140 S Arthur Street Suite 610SpokaneWA99202135613797501(c)(3)25000Community Benefit
Anchorage School District
1805 Academy Dr Ste 101AnchorageAK995075301928000078Other25000Health Education
Christian Health Associates
1825 Academy DriveAnchorageAK995075391920152088501(c)(3)25000Community Health
Covenant House of Alaska
PO Box 104640AnchorageAK995104640133419755501(c)(3)24002Community Benefit
Alaska Native Tribal Health Co
4000 Ambassador DrAnchorageAK99508920162721501(c)(3)24000Community Health
Mill Creek Business Association
13300 Bothell Everett HighwayMill CreekWA98012911852335501(c)(6)22000Community Benefit
Catholic Social Services Inc
225 Cordova Street Bldg BAnchorageAK995012409920037322501(c)(3)20150Community Benefit
Alaska School Activities Association
4048 Laurel St 203AnchorageAK99508920116510501(c)(3)20000Community Benefit
Run of The Mill Committee
15418 Main Street Suite 102Mill CreekWA98012743178567501(c)(3)20000Cancer Patient Assistance
Spokane County Medical Society Foundation
104 S Freva St Suite 114SpokaneWA99202911728909501(c)(3)18300Patient Transportation
St Joseph Family Center
1016 N SuperiorSpokaneWA99202910564989501(c)(3)15850Care for Working Poor
King County Project Access
1111 Harvard AvenueSeattleWA98122204377921501(c)(3)15000Project Access provides labs, imaging, and other hospital based or clinic based services for low income people or the uninsured
Seward Community Foundation
400 L Street Ste 100AnchorageAK995011900920155067501(c)(3)15000Community Health
Washington State Medical Association
2033 Sixth Ave Suite 1100SeattleWA98121916074463501 (c)(6)15000Community Health
Women Helping Women Fund
1325 W First Ave Suite 318SpokaneWA99201911561874501(c)(3)15000Families/Youth Suicide Prevention Program
Meals on Wheels
1222 W 2nd AveSpokaneWA99201910833015501(c)(3)14400Feed Bodies, Nurturing Souls & Saving Lives Program
YWCA of Snohomish County
2720 RockefellerEverettWA98201910565561501(c)(3)13250Community Benefit
United Way of Snohomish County
3120 McDougal Avenue Suite 200EverettWA98201910606507501(c)(3)11000Helping Hands For Hard Times
American Red Cross Snohomish Co Chapter
2530 LombardEverettWA98201910581658501(c)(3)10405First Aid Kits for Migrants
Everett Silver Tips Hockey Club
2000 Hewitt Avenue Suite 100EverettWA98201980376631Other10380Community Benefit
Breast Cancer Focus Inc
PO Box 242464AnchorageAK99524911842524501(c)(3)10100Healthcare Education
The Leukemia and Lymphoma Society
530 Dexter Avenue N 300SeattleWA98109135644916501(c)(3)10100Healthcare
The Wall Walla Valley Chamber of Commerce
29 E SumachWalla WallaWA98362910457015501(c)(3)10100Community Development
Rotary Club of Everett
PO Box 1225EverettWA98201916032628501(c)(4)10050Student Scholarship
5 Miler for Mens Cancer Research
PO Box 100225AnchorageAK995100225920158284501(c)(3)10000Community Health
Alaska State Medical Association
PO Box 230630AnchorageAK99523926002176501(c)(6)10000Community Health
Group Health Foundation
320 Westlake Ave N Ste 100SeattleWA98109911246278501 (c)(3)10000Health Gala Sponsorship
Lilac Bloomsday Association
1610 W RiversideSpokaneWA99201911054846501(c)(3)10000Bloomsday Sponsorship/Trade Show
Rasmuson Foundation
301 W Northern Lights Blvd 400AnchorageAK995032648916340739501(c)(3)10000Community Benefit
Spokane District Dental Society Foundation
PO Box 4432SpokaneWA99220208248281501(c)(3)10000Community Education
The Anchorage Running Club
PO Box 243362AnchorageAK995243362920085126501(c)(3)10000Community Health
Life Services of Spokane
2659 N AshSpokaneWA99205911494402501(c)(3)9950Maternity Home/Young Lives/HOPE Program
St Anne's Children's & Family Center
25 W 5th AveSpokaneWA99204910569880501(c)(3)9920Support Preschool Childhood Education
Tri County Health - TCCHF Get Fit Colville
1200 E ColumbiaColvilleWA99114431992627501(c)(3)9000Community Health
Holy Family Foundation
5633 N LidgerwoodSpokaneWA99028911107079501(c)(3)8000ER Clothing Bank Program
National Multiple Sclerosis Society
192 Nickerson Street Suite 100SeattleWA98109910742424501(c)(3)8000Healthcare
Rural Resources
956 S Main StColvilleWA99114910793447501(c)(3)7950Community Services
United Way of Valdez
PO Box 707ValdezAK996860707920090499501(c)(3)7927Community Benefit
Alaska State Hospital & Nursing Home Association
943 W Sixth Avenue Ste 120AnchorageAK99501920034538501(c)(6)7500Healthcare
Rainier View Elementary
3015 S 368th StreetFederal WayWA98003911572095Other7500Community Benefit
Washington Center for Nursing
1101 Andover Park W Suite 105TukwilaWA98188680568743501 (c)(3)7500Community Health
Mid-City Concerns
1222 W Second AveSpokaneWA99201910833015501(c)(3)7320Meals on Wheels
Pope Kids Place
230 Washington WayCentraliaWA98531911685519501(c)(3)7000Support Cost of Respite Care
Providence Heritage House at the Market
1533 Western AvenueSeattleWA98101510216586501(c)(3)6690Ministry Support
Municipality of Anchorage
715 L Street Ste 200AnchorageAK995013359920059987Government6100Community Education
American Cancer Society
920 N Washington Ste 200SpokaneWA99201841316555501(c)(3)6000Relay for Life
The WaterFall Foundation
PO Box 70049FairbanksAK997070049541980898501(c)(3)6000Community Benefit
Washington Poison Center
155 NE 100th St 100SeattleWA98125943214597501(c)(3)6000Community Education
Beans Cafe
PO Box 100940AnchorageAK99510920072522501(c)(3)5900Community Benefit
Northeast Tri County Health District
240 E Dominion AveColvilleWA99114911358169Other5900Pertussis Outbreak Assistance
Catholic Charities
PO Box 2253SpokaneWA99210202823241501(c)(3)5750House of Charity Mental Health
UW School of Nursing
PO Box 357260SeattleWA98195916001537Other5480Nursing Education
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants77TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations13TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (9 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistanceAmount Of Cash GrantAmountOfCashGrant
Patient Transport364565076FMVPatient Transport
Medical Supplies373507CostDME Assistance
Prescription Medications7070585CostMedication
Housing Assistance1095470CostHousing
Employee Assistance313218422CostAssistance for Necessities of Life
Life Saver Program301500FMVMammograms for Uninsured or Underinsured
Indigents - Food342413258CostBase amount for food plus supply cost used
00
Medical Mission Grants113CostMedical Mission Trips96864

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Discretionary Spending AccountXDiscretionarySpendingAccount
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Payments For Use Of ResidenceXPaymentsForUseOfResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (38 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
John F Koster MD
107332801236674036500077772901697403141205000
Michael L Butler
7347480283527020000031718602312801378589000
Jeffrey W Rogers
4185820825815015000044656601876001724723000
Eugene Al Parrish
4915130535611020034031028902220301379650000
John V Fletcher
5161960708989052318056481201998301862298000
Dan T Harris
38023901198110150000222393027120740155000
Anthony J Dorsch
2367710894780150340430510140800398414000
Janice J Jones
5528370534946052249032629102299401489317000
Gregory Van Pelt
67819801545235090662046331302103002798438000
Russell Danielson
51186403879403058725037376102389504847648000
Arnold R Schaffer
609272011449450226401034966102182002352099000
John O Mudd
3257490494171036500038118801473101252339000
Keith Marton MD
2118430237842026813001982510176960933762000
Claudia Haglund
314668014291804357701092520173220627737000
Joel S Gilbertson
3115800975190455570382850180030510944000
Cindra R Syverson
36556601053020150000878770203610594106000
John Kenagy
32491009128503150001224090186110588715000
James N Leonard
1238750868855097516018159901005601281901000
Deborah Burton
25222506161202763901530090152980509783000
Myron Berdischewsky MD
369222018257405734602451650237940878101000
David Brown
2508030762270150000937210172270452978000
Andrew C Agwunobi
481918014250301500001558000141600809381000
Michael Hunn
363490011181301557701530280132850657193000
Bruce Lamoureux
393724015655003153401737650141600769733000
David T Brooks
392584011981601500001589540141600700514000
Medrice Coluccio
3910090829510315000317956071880830604000
Elaine Couture
32000301081990315000767300115440547976000
Andrew T Howlett
90047606365440001650001014001563660000
Atul Thakker
87014408862501650008969901227201077240000
Perry E Camp
556637029065201650003675093030876767000
Steven A Burdick
25610205785200150000561150115080917245000
James N Dunlap
5021410341302000165000101400870083000
Richard J Umbdenstock
0032220000000032220000
Michael J Madden
0034321701650000000359717000
Charles E Hawley
25690020484480636100177730002155521000
Thomas Johnson
85130625730254323085036064160416861000
Michael Wilson
003973190458532032415057720894038000
Ryland Davis
220203955690132229090238027620623000000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aThe 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 Officers & Key Employees received gross-up payments: Russell Danielson Joel Gilbertson Orest Holubec Eugene "Al" Parrish Arnold R. Schaffer Myron Berdischewsky Anthony J. Dorsch Bruce Lamoureux 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-bNONQUALIFIED 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) Daniel T. Harris a) DBSERP Earned - $ 1,332 b) DCSERP Earned - $ 198,809 29) Anthony J. Dorsch a) DCSERP Earned - $ 27,985 30) James N. Leonard a) Taxable DBSERP Vested but not Paid - $ 868,855 b) DCSERP Earned - $ 179,404 31) Andrew C. Agwunobi a) DBSERP Earned - $ 240 b) DCSERP Earned - $ 145,788 32)Bruce Lamoureux a) Taxable DBCBRP Vested but not Paid - $ 23,755 b) DBSERP Earned - $ 408 c) DCSERP Earned - $ 160,161 33) David T. Brooks a) DBSERP Earned - $ 636 b) DCSERP Earned - $ 143,874 34) Medrice Coluccio a) DBSERP Earned - $ 300 b) DCSERP Earned - $ 299,232 35) Elaine S. Couture a) Taxable DBCBRP Vested but not Paid - $ 9,294 b) DCSERP Earned - $ 56,452 36) Atul Thakker a) DCRP Earned - $73,337 37) Steven A. Burdick a) Taxable DBSERP Vested but not Paid - $ 482,268 b) DCSERP Earned - $ 29,376 c) ESP Interest Credit - $ 15,592 38) Michael Wilson a) Taxable DBSERP Paid- $ 362,173 b) Non-Taxable DBSERP Vested but not Paid - $ 31,411 c) DCRP Earned - $ 951 39) Ryland Davis a) Taxable DBSERP Paid - $ 395,569 b) DCSERP Earned - $ 89,882
Part I, Lines 4a-bSEVERANCE 1)Keith Marton, MD - $201,412 2)Thomas Johnson - $223,731 3)James N. Leonard - $ 83,313 4)Michael Wilson - $ 458,532 5)Ryland Davis - $ 132,229
Part IIIFORM 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 (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Washington Health Care Facilities Authority
91110892993978EA772006-06-22208792185Refund WHCFA Series 1999 & Capital projects in Washinton100
Washington Health Care Facilities Authority
91110892993978EB272006-06-22165050000Refund WHCFA Series 2002A & B and Series 1994 & 1995000
Washington Health Care Facilities Authority
91110892993978E7V82010-07-01173543991To Finance a Portion of construction of a Tower in Everett000
Alaska Industrial Development and Export
926001185011903AW12003-05-1624968713Refund Municipality of Anchorage Series 1987 and Bonds & Series 1991000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetired
16100002087921851651096198003933363121463533425712249220090111
1650500001660244246556216092419420021011
173543991254399117100000020110011
24968713305852246628611987101122995000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
010010.000100.000000.000101
000010.000000.000000.000001
000010.000000.000000.000001
000010.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000
000000
000000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Alaska Industrial Development and Export
926001185011903BEO2003-09-0437426100Reimburse Alaska Region for Capital expenditures made in 2002 & 2003000
Alaska Industrial Development and Export
926004485011903CT62006-11-3057177110Reimburse Alaska Medical Center for portion of costs to construct cancer ctr000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
8200000374261005017783692432220030011
571771106467755653033520080011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000010.000000.000000.000001
000010.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1John F Koster MDBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipOfficerRelationship
Amount Of Transaction346569745AmountOfTransaction
Description Of TransactionPurchase of Supplies through cooperative of which Dr. Koster is a DirectorDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6Providence Health & Services is the sole Corporate Member.
Form 990, Part VI, Section A, line 7aThe 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 7bOther powers of the Corporate Member include the power: 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 appoint the certified public accountants 8) To approve the closure of any institution or major ministry or work of the Corporation
Form 990, Part VI, Section B, line 11The 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. 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.Form 990, Part VI, Section C, line 19
Changes in Net Assets or Fund Balances:Net unrealized gains on investments: 8,229,418. Investment expenses: 1,188. Prior period adjustments: -115,960. FAS 136 4,051,294. Interaffiliate Transactions 44,081,375. Net Assets Transfers -5,511,453. Rounding 30. Total to Form 990, Part XI, Line 5: 50,735,892.Form 990, Part XI, line 5:
HOURS WORKEDThe 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
AUDIT & COMPLIANCEThe 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
VOLUNTEERSVolunteers do a variety of routine, non-direct patient care tasks designed to enhance and make the patient and visitor hospital experience positive and comfortable, as well as, to provide trained staff more time for direct patient care such as: Routine clerical duties such as filing, sorting, stuffing, labeling, compiling large mailings or packets, copying, faxing & inputting routine data into databases Answering phones, taking messages, and making phone calls with scripted information Greeting people and directing/escorting to correct areas Volunteering in gift shop by helping customers find items and ringing up sales Assisting in counting and labeling items or equipment during large inventory projects Visiting with patients and families, getting warm blankets for patients & delivering flowers and mail to patients and departments Providing coffee, current magazines, newspapers and puzzles to patient families in waiting rooms Make pillows for rehab, cardiac and family birth center patients Make bread for oncology patients and families Keeping brochure and education racks full VOLUNTEERS INVOLVED WITH HOSPICE CARE: Patient Care Volunteers help to support the hospice patient and their family during the course of their illness meeting a variety of needs including respite, companionship, helping with light household tasks and providing personal services such as letter writing, reading and running errands. Transitions Volunteers help to support clients and their family facing a life limiting illness with a prognosis of 12 months or less with a variety of needs. Duties are similar to those of patient care volunteers. Bereavement Volunteers help surviving families/significant others of Hospice patients for 13 months following the death of the patient. Safe Crossings Volunteers provide support services to children connected with Providence Hospice of Seattle regarding issues around terminal illness and assist with bereavement support. Complementary therapy volunteers perform the same services as patient care volunteers with the addition of offering a licensed modality such as massage, Reiki, music therapy or animal-assisted activities (animal/animal handler must be Delta Certified) if requested by the patient, family and care team. Stepping Stones volunteers help support children and their families facing a life limiting illness in a variety of ways. Volunteers may read books, play games or serve as one-to-one support to families. Camp Erin volunteers assist with an annual weekend grief camp sponsored by Providence Hospice and The Moyer Foundation for children ages 5-17.FORM 990, PART I, LINE 6
RELIGIOUS COMMUNITY MEMBERSAs 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 (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Providence Assurance Inc
3131 Camelback Road Ste 400PhoenixAZ85016208194071Insurance CaptiveAZ027178338Providence Health & Services - Washington
Legacy LLC
PO Box 196606AnchorageAK99519320252199Real EstateAK354757356080023Providence Health & Services - Washington
Health Services Asset Management LLC
1801 Lind Ave SW 9016RentonWA98057271698016A/R & CollectionsWA588835498257Providence Health & Services - Washington

Form990 Schedule R Part II Form990ScheduleRPartII (55 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Providence Health & Services - Oregon
1801 Lind Avenue SW 9016RentonWA980579016510216587Healthcare SystemOR501( c)(3)Line 3Providence Health & Services0
Providence Health System - So California
1801 Lind Avenue SW 9016RentonWA980579016510216589Healthcare SystemCA501( c)(3)Line 3Providence Health & Services0
Everett Transitional Care Services
PO Box 1067EverettWA982061067943264605Transitional CareWA501( c)(3)Line 90N/A
Providence Oregon Management Corporation
1801 Lind Avenue SW 9016RentonWA980579016930813977Shell CorporationOR501( c)(3)Line 1PH & S - Oregon0
Providence Plan Partners
3601 SW Murray Blvd 10BeavertonOR97005911861964Healthcare ServicesOR501( c)(4)N/APH & S - Oregon0
Providence Health Plan
3601 SW Murray Blvd 10BeavertonOR97005930863097Health Service ContractorOR501( c)(4)N/AProvidence Plan Partners0
Providence Health Assurance
3601 SW Murray Blvd 10BeavertonOR97005550828701Medicaid Healthcare ProviderOR501( c)(4)N/AProvidence Health Plan0
Providence Medical Institute
4101 Torrance BlvdTorranceCA90503330283773HealthcareCA501( c)(3)Line 11/Type IPHS - So California0
Little Company of Mary Ancillary Services Corporation
4101 Torrance BlvdTorranceCA90503330844408Imaging ServicesCA501( c)(3)Line 9PHS - So California0
Providence TrinityCare Hospice
2601 Airport Drive 230TorranceCA90505953264139HospiceCA501( c)(3)Line 9PHS - So California0
Providence Health System Housing
1801 Lind Avenue SW 9016RentonWA980579016943230587Assisted LivingAK501( c)(3)Line 9PH & S - Washington0
Providence Blanchet Association
1700 Providence PlCentraliaWA98531911789266HousingWA501( c)(3)Line 7PH & S - Washington0
St Luke Association
350 Washington Ave SEChehalisWA98352943176618HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Rossi Association
1700 Providence PlCentraliaWA98531311584166HousingWA501( c)(3)Line 9PH & S - Washington0
Lundberg Association
5921 E BurnsidePortlandOR97215911562797HousingOR501( c)(3)Line 7PH & S - Oregon0
Providence St Francis Association
3415 12th Avenue NEOlympiaWA98506943244854HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Peter Claver Association
7101 38th Avenue SouthSeattleWA98118311629656HousingWA501( c)(3)Line 7PH & S - Washington0
Providence St Elizabeth House Association
3201 SW Graham StSeattleWA98126912171539HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Gamelin House Association
4515 MLK Jr Way S Ste 200SeattleWA98108311744654HousingWA501( c)(3)Line 7PH & S - Washington0
The Gamelin Association
312 North Fourth StYakimaWA98901911180824HousingWA501( c)(3)Line 1PH & S - Washington0
The Gamelin Oregon Association
5520 NE GlisanPortlandOR97213911214491HousingOR501( c)(3)Line 9PH & S - Oregon0
The Gamelin California Association
540 23rd StOaklandCA94612911293869HousingCA501( c)(3)Line 9PHS - So California0
Gamelin Washington Association
1423 First AvenueSeattleWA98101201910170HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Foundation
1801 Lind Avenue SW 9016RentonWA980579016943078543Support PH&S InstitutionsWA501( c)(3)Line 11/Type IPH & S - Washington1
Providence Alaska Foundation
3300 Providence Drive - B Tower2AnchorageAK99508920093565Support PHS-AlaskaAK501( c)(3)Line 11/Type IPH & S - Washington1
Providence St Peter Foundation
413 Lilly Road NEOlympiaWA985065166911097056Support Affiliated Tax-Exempt OrganizationWA501( c)(3)Line 7PH & S - Washington1
Providence Health Care Foundation (Centralia)
914 S Scheuber RoadCentraliaWA98531911433382Support Providence Centralia HospitalWA501( c)(3)Line 7PH & S - Washington1
Providence Mount St Vincent Foundation
4831 - 35th Avenue SWSeattleWA981262799911188119Support Providence Mount St.VincentWA501( c)(3)Line 7PH & S - Washington1
Providence Marianwood Foundation
3725 Providence Point Drive SEIssaquahWA980297219931554288Support Providence MarianwoodWA501( c)(3)Line 11/Type IPH & S - Washington1
Providence Newberg Health Foundation
1001 Providence DriveNewbergOR97132930889144Support Providence Newberg Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Seaside Hospital Foundation
725 S Wahanna RdSeasideOR97138930927320Support Providence Seaside HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Community Health Foundation
1111 Crater Lake AveMedfordOR97504930692907Support Providence Medford Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Benedictine Nursing Center Foundation
540 South Main StMt AngelOR973629532911940286Support Providence Benedictine Nursing CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Portland Medical Foundation
4805 NE Glisan StPortlandOR972132967931231494Support Providence Portland Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence St Vincent Medical Foundation
9205 SW Barnes RdPortlandOR97225930575982Support Providence St. Vincent Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Milwaukie Foundation
10150 SE 32ndMilwaukieOR97222943079515Support Providence Milwaukie HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Child Center Foundation
830 NE 47thPortlandOR97213930800140Support Providence Child CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence TrinityCare Hospice Foundation
2601 Airport Drive 230TorranceCA90505330261016Support TrinityCare HospiceCA501( c)(3)Line 7PHS - So California0
Providence Little Company of Mary Foundation
4101 Torrance BlvdTorranceCA90503510224944Support Little Company of Mary Service AreaCA501( c)(3)Line 7PHS - So California0
PH&S FoundationSFVSA & SCVSA
501 S Buena Vista StreetBurbankCA91505953544877Support Program & Activities of SFVSA & SCVSACA501( c)(3)Line 7PHS - So California0
Providence Hospice of Seattle Foundation
425 Pontius Avenue North 300SeattleWA981095452912077378Support Hospice of SeattleWA501( c)(3)Line 11/Type IPH & S - Washington1
The John Gabriel Ryan Association
1801 Lind Avenue SW 9016RentonWA980579016911303277HealthcareWA501( c)(3)Line 3PH & S - Washington0
Providence Health & Services
1801 Lind Avenue SW 9016RentonWA980579016911549796Shell CorporationWA501( c)(3)Line 11/Type I0N/A
St Patrick Hospital and Health Sciences Center
500 W Broadway PO Box 4587MissoulaMT598064587810231793HealthcareMT501( c)(3)Line 3PH & S - Washington0
St Joseph Hospital Corporation
PO Box 1010PolsonMT598601010810463482HealthcareMT501( c)(3)Line 3PH & S - Washington0
St Thomas Child and Family Center
1710 Benefis CourtGreat FallsMT59405810233495Early Childhood EducationMT501( c)(3)Line 1PH & S - Washington0
Sisters of Providence of Montana Corporation
1801 Lind Avenue SW 9016RentonWA980579016262612415Shell CorporationMT501( c)(3)Line 1PH & S - Washington0
Sacred Heart Children's Foundation
PO Box 2555SpokaneWA99220320014330Support Sacred Heart Children's HospitalWA501( c)(3)Line 7PH & S - Washington1
St Patrick Hospital and Health Foundation
500 West Broadway PO Box 4587MissoulaMT598064587237056976Support Healthcare in W. MontanaMT501( c)(3)Line 7PH & S - Washington0
University of Great Falls
1301 20th Street SouthGreat FallsMT59405810231777Post Secondary EducationMT501( c)(3)Line 2PH & S - Washington0
E WA & MT Unemployment Compensation Insurance Trust
1801 Lind Avenue SW 9016RentonWA980579016911082119Unemployment BenefitsWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Willamette Falls Medical Foundation
1500 Division StreetOregon CityOR97045931003750Support Willamette Falls HospitalOR501( c)(3)Line 11/Type IPH & S - Oregon0
Willamette Falls Hospital dba Providence Willamette Falls Medical Center
1500 Division StreetOregon CityOR97045930426018HealthcareOR501(c )(3)Line 3PH & S - Oregon0
Providence Hood River Memorial Hospital Foundation Inc
811 13th StHood RiverOR97031930921990Support Providence Hood River Memorial HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Hospice and Home Care Foundation
2731 Wetmore Avenue Suite 500EverettWA98201272552749Support Program & Activities of PHHCWA501(c )(3)Line 7PH & S - Washington1

Form990 Schedule R Part III Form990ScheduleRPartIII (28 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Providence Imaging Center
3340 Providence DriveAnchorageAK99508920118807Medical ImagingAKPH&S - WARelated2613900013286000010.99000
Providence Surgery Centers LLC
PO Box 233889AnchorageAK99523203567411SurgeryAKPH&S - WARelated00
Mountainstar Clinical Laboratories LLC
611 N PerrySpokaneWA99202261345983Outpatient LabMTPAML LLCRelated00
Broadway Imaging LLC
500 W BroadwayMissoulaMT59802522405971Medical ImagingMTSt Patrick Hospital & Health SciencesRelated00
Center for Medical Imaging-Tanasbourne LLC
1235 NE 47th Ave 288PortlandOR97213200477972Imaging - DiagnosticsORPH&S - ORRelated00
Center for Medical Imaging-Bridgeport LLC
1235 NE 47th Ave 288PortlandOR97213260796953Imaging - DiagnosticsORPH&S - ORRelated00
Center for Specialty Surgery LLC
11782 SW Barnes RdPortlandOR97225263638838Ambulatory Surgery CenterORPH&S - ORRelated00
Clackamas Radiation Oncology Center LLC
1235 NE 47th Ave 288PortlandOR97213260381897Radiation OncologyORPH&S - ORRelated00
Oregon Outpatient Surgery Center
7300 SW Childs RdTigardOR97224223883387Ambulatory Surgery CenterORPH&S - ORRelated00
Surgery Center at Tanasbourne LLC
1235 NE 47th Ave 260PortlandOR97213208187971Ambulatory Surgery CenterORPH&S - ORRelated00
ProvidenceSilverton Rehab LLC
1235 NE 47th Ave 260PortlandOR97213481287267Rehab ServicesORPH&S - ORRelated00
Portland Medical Imaging LLC
10538 SE Washington StPortlandOR97216201054971Imaging - DiagnosticsORPH&S - ORRelated00
Providence Radiation Oncology Development Assn LLC
1235 NE 47th Ave 288PortlandOR97213260682491Real Estate - MOBORPH&S - ORInvestment00
Central Point MRI LLC
870 S Front StCentral PointOR97502261975164MRI ServicesORPH&S - ORRelated00
Greater Valley Medical Building LP
501 S Buena Vista StBurbankCA91505954570858Real Estate - MOBCAPHS - So CaliforniaInvestment00
Pathology Associates Medical Laboratories LLC
611 N PerrySpokaneWA99202270943279Outpatient LabWABourget Health Services IncRelated00
Southern Idaho Regional Laboratory LLC
611 N PerrySpokaneWA99202820511819Outpatient LabIDPAML LLCRelated00
Tri-Cities Laboratory LLC
611 N PerrySpokaneWA99202911773986Outpatient LabWAPAML LLCRelated00
Alpha Medical Laboratory LLC
611 N PerrySpokaneWA99202912017347Outpatient LabIDPAML LLCRelated00
PacLab LLC
611 N PerrySpokaneWA99202911743952Outpatient LabWAPH&S - WARelated00
HealthServicesNW LLC
PO Box 389672SeattleWA98138311750915Medical BillingWAPH&S - WARelated7086845096811010.50000
Medalia Healthcare LLC
1801 Lind Ave SW 9016RentonWA98057911660459Physician BenefitsWAPH&S - WAInvestment-22508294352010.51000
Distribution Operations Center LLC
1801 Lind Ave SW 9016RentonWA98057271054858Supplies Purchasing AgentWAPH&S - WARelated-21592763963141010.44440
Oregon Advanced Imaging LLC
881 OHare ParkwayMedfordOR97504450471748Medical ImagingORPH&S - ORRelated00
ProvidenceUSP Surgery Centers LLC
11550 Indian Hills Road 160Mission HillsCA91345200905938Ambulatory Surgery CenterCAPHS - So CaliforniaRelated00
California Laboratory Associates LLC
501 Buena VistaBurbankCA91505273888692Outpatient LabCAPHS - So CaliforniaRelated00
Canby Medical Center I LLC
2747 Pence Loop SESalemOR97302205470937Real Estate - MOBORWillamette Falls HospitalRelated00
ProvidenceUSP Santa Clarita GP LLC
11550 Indian Hills Road 160Mission HillsCA91345202829660Ambulatory Surgery CenterCAPHS - So CaliforniaRelated00

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Providence Health Ventures Inc
4101 Torrance BlvdTorranceCA90503330122216InvestmentCAN/AC
Caron Health Corporation
510 West Front StreetMissoulaMT59802810486082Medical Physician ServiceMTN/AC
Providence Health Care Ventures Inc
101 West 8th Ave TAF C-9SpokaneWA99204900155714Clinical/Medical LabWAN/AC
Providence Physician Services Co
101 West 8th Ave TAF C-9SpokaneWA99208911216033Clinical/Medical LabWAN/AC
Yakima Medical Arts Inc
611 N Perry Suite 100SpokaneWA99202910787963Rental Real EstateWAN/AC
Bourget Health Services Inc
PO Box 2687SpokaneWA99220911354431Clinical/Medical LabWAN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Providence St Peter Foundation
B672211Cost
Providence St Peter Foundation
C3350208Cost
Providence Alaska Foundation
B1308104Cost
Providence Alaska Foundation
C2772605Cost
Providence Mount St Vincent Foundation
B551942Cost
Providence Mount St Vincent Foundation
C1092720Cost
Providence Hospice of Seattle Foundation
B491191Cost
Providence Hospice of Seattle Foundation
C825893Cost
Providence Health Care Foundation
B292577Cost
Providence Health Care Foundation
C813681Cost
Providence Marianwood Foundation
B106253Cost
Providence Marianwood Foundation
C373805Cost
Providence Hospice & Home Care Foundation Snohomish County
C76995Cost
Sacred Heart Children's Foundation
B174569Cost
Sacred Heart Children's Foundation
C37474Cost

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