ST JOSEPH HEALTH SYSTEM FOUNDATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: ST JOSEPH HEALTH SYSTEM FOUNDATION (EIN 33-0143024)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-11
IRS object ID: 202223159349301942
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-11T09:50:40-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2323 VICTORY AVENUE SUITE 2000	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	330143024	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST JOSEPH HEALTH SYSTEM FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STJO	BusinessNameControlTxt
Phone	9493814000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3345 MICHELSON DR SUITE 100	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAUL MONTGOMERY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9493814000	PhoneNum
Signature	2022-11-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	PAUL	PersonFirstNm
Person Last	MONTGOMERY	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RYAN MAYOR	PreparerPersonNm
PTIN	P01650740	PTIN
Phone	2149698000	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ST JOSEPH HLTH COMMUNITY PRTNSP FUND	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	GABRIELA ROBLES	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3345 MICHELSON DR SUITE 100	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$11,443,697	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PROVIDENCE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE OAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	4	TotalVolunteersCnt
Total Gross UBI	$16,478	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$11,608	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,666,985	PYContributionsGrantsAmt
CY Contributions Grants	$4,744,343	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$6,435,156	PYInvestmentIncomeAmt
CY Investment Income	$6,699,354	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$12,102,141	PYTotalRevenueAmt
CY Total Revenue	$11,443,697	CYTotalRevenueAmt
PY Grants And Similar Paid	$28,840,249	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$48,140,589	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,377,482	PYOtherExpensesAmt
CY Other Expenses	$2,724,976	CYOtherExpensesAmt
PY Total Expenses	$31,217,731	PYTotalExpensesAmt
CY Total Expenses	$50,865,565	CYTotalExpensesAmt
PY Revenues Less Expenses	-$19,115,590	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$39,421,868	CYRevenuesLessExpensesAmt
Total Assets BOY	$184,344,061	TotalAssetsBOYAmt
Total Assets EOY	$143,290,236	TotalAssetsEOYAmt
Total Liabilities BOY	$1,551,280	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,300,873	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$182,792,781	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$141,989,363	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$48,140,589	ExpenseAmt
Grant	$48,140,589	GrantAmt
Revenue	$0	RevenueAmt
Desc	SEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE PURSUE INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 52 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA2021 WAS MARKED BY THREE MAJOR SURGES IN COVID-19 VOLUMES, A NATIONAL SHORTAGE OF HEALTH CARE PERSONNEL, AS WELL AS DEFERRALS OF NON-EMERGENT CARE. EVEN WITH THESE TREMENDOUS CHALLENGES, THE PROVIDENCE FAMILY OF ORGANIZATIONS CONTINUED TO INVEST IN OUR COMMUNITIES, GUIDED BY OUR STRATEGIC PLAN AND OUR COMMUNITY BENEFIT PRIORITIES.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSOVER THE LAST TWO YEARS, PROVIDENCE ADVANCED A SOCIAL RESPONSIBILITY FRAMEWORK THAT INCLUDES A STRONGER COMMITMENT TO DIVERSITY, EQUITY, INCLUSION, AND ENVIRONMENTAL STEWARDSHIP. WE UPDATED OUR INTEGRATED STRATEGIC & FINANCIAL PLAN TO MORE CLEARLY EXPRESS OUR COMMITMENT AND ACCELERATION OF THIS IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES IN THE COMMUNITIES WE SERVE. PROVIDENCE'S SOCIAL RESPONSIBILITY FRAMEWORK AIMS TO DEPLOY THE ASSETS OF OUR SYSTEM TO SUPPORT COMMUNITY HEALTH IMPROVEMENT, STRENGTHEN LOCAL ECONOMIES AND REDUCE OUR CARBON FOOTPRINT. IN 2021, OUR SUSTAINABLE AND INCLUSIVE PURCHASING PROGRAM COMMITTED TO INCREASE OUR SPEND WITH WOMEN AND MINORITY OWNED BUSINESS ENTERPRISES BY OVER $300 MILLION ACROSS THE NEXT FIVE YEARS. WE ALSO DEPLOY AN INVESTING PORTFOLIO WHICH INCLUDES SHAREHOLDER ADVOCACY, IMPACT INVESTING, AND SOCIALLY CONSCIOUS PORTFOLIO SCREENS. IN 2021, PROVIDENCE MADE PROGRESS TOWARDS ITS CLIMATE COMMITMENT TO BECOME CARBON NEGATIVE BY 2030. WE ARE IMPLEMENTING AN ENVIRONMENTAL STEWARDSHIP SYSTEM STRATEGY THAT ENCOURAGES WASTE REDUCTIONS, EFFICIENT ENERGY AND WATER USE, LOCAL AGRICULTURE PARTNERSHIPS, LESS TOXIC AND FEWER CHEMICAL USE, AND A REDUCTION IN CARBON FROM TRAVEL.REALIZING OUR MISSIONESTABLISHED IN 1985, THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND WAS THE VISION OF THE SISTERS OF ST. JOSEPH OF ORANGE WITH A MISSION TO SERVE AS AN EXTENSION OF CHRIST'S HEALING MINISTRY, BY PROVIDING FUNDING AND ASSISTANCE FOR IMPROVING THE HEALTH AND WELLBEING OF THE ECONOMICALLY POOR, AND UTILIZING THE STRENGTHS AND DIVERSITY OF OUR NEIGHBORS TO BUILD VIBRANT COMMUNITIES.THIS IS ACCOMPLISHED BY MANAGING AND ALLOCATING RESOURCES TO COMMUNITIES AND PARTNERS OF GOODWILL ENGAGED IN INNOVATIVE AND EFFECTIVE INITIATIVES TO SERVE THE COMMON GOOD.PROGRAM SERVICE ACCOMPLISHMENTSST. JOSEPH COMMUNITY PARTNERSHIP FUND ORGANIZATIONAL COMMITMENT BELIEVES WE HAVE A SOCIAL RESPONSIBILITY AND A MORAL OBLIGATION TO RESPOND TO THE NEEDS OF LOW-INCOME FAMILIES AND INDIVIDUALS SERVED BY OUR MINISTRIES. IN 1986, ST. JOSEPH HEALTH (SJH) CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FREE CARE FOR THOSE IN NEED OF ACUTE CARE SERVICES, SJH CREATED THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND (THE FUND) TO IMPROVE THE LIVES OF LOW-INCOME INDIVIDUALS RESIDING IN ITS LOCAL COMMUNITIES. THE FUND HAS CONTRIBUTED OVER $336 MILLION TOWARD PROGRAMS THAT ADDRESS THE HEALTH AND WELL-BEING OF LOW-INCOME INDIVIDUALS AND FAMILIES IN AREAS SURROUNDING THE HOSPITALS. THROUGH THE FUND'S STRATEGIC GRANT MAKING PROGRAMS, SIGNIFICANT OUTCOMES HAVE BEEN ACHIEVED IN COMMUNITY HEALTH SETTINGS AND CLINICS, NONPROFIT ORGANIZATIONS, AND LOCAL SJH HOSPITAL MINISTRIES.THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND HAS A NUMBER OF FUNDING INITIATIVES, INCLUDING THE COMMUNITY BUILDING INITIATIVE, EMERGENCY FOOD AND SHELTER INITIATIVE, THE DISASTER RELIEF INITIATIVE AND UPCOMING EDUCATION INTIATIVE.COMMUNITY BUILDING INITIATIVETHE COMMUNITY BUILDING INITIATIVE (CBI) WAS CREATED IN 2000 AS A MAJOR COMMITMENT TO MEETING THE FUND'S MISSION. THE FUND'S DESIRED LONG-TERM VISION FOR ITS COMMUNITY BUILDING INITIATIVE IS THE DEVELOPMENT OF RESIDENT-BASED CAPACITY TO DETERMINE AND IMPLEMENT POSITIVE CHANGE IN LOW INCOME COMMUNITIES. THIS CAPACITY IS DEVELOPED THROUGH COMMUNITY-BASED WORK ON ONE ISSUE OF CONCERN TO THE COMMUNITY.INTERSECTIONS INITIATIVETHE INTERSECTIONS INITIATIVE BRINGS TOGETHER PARTNERSHIPS FROM SEVEN CALIFORNIA COMMUNITIES SERVED BY PROVIDENCE ST. JOSEPH HEALTH SYSTEM WITH THE GOAL OF ADVANCING EQUITY BY ADDRESSING THE COMMUNITY CONDITIONS THAT SHAPE HEALTH, SAFETY, AND WELLBEING. GUIDED BY INPUT FROM LOCAL RESIDENTS AND KEY STAKEHOLDERS, THE SEVEN INTERSECTIONS COMMUNITY PARTNERSHIPS ARE TAKING ON ISSUES AS DIVERSE AS AFFORDABLE HOUSING, EDUCATION, ECONOMIC AND WORKFORCE DEVELOPMENT, IMMIGRATION, COMMUNITY TRAUMA, AND CIVIC ENGAGEMENT. COMMUNITY RECOVERY AND RESILIENCE INITIATIVETHE COMMUNITY RECOVERY AND RESILIENCE INITIATIVE (CRRI) SUPPORTS COMMUNITIES SERVICED BY PROVIDENCE ST. JOSEPH HEALTH AS THEY CONTINUE TO FACE AND RECOVER FROM THE IMPACT OF THE COVID-19 PANDEMIC. IN SUPPORT OF THIS OBJECTIVE, THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND PROVIDES CAPACITY BUILDING GRANTS TO EXISTING REGIONAL COLLABORATIVES THAT WANT TO STRENGHTHEN THEIR ABILITY TO SERVE THEIR COMMUNITIES IN THE CONCEXT OF COVID-19 RECOVERY. SUPPORTING REGIONAL COLLABORATIVES AT THIS CRITICAL TIME WILL HELP REGIONS TO WORK EFFECTIVELY TOGETHER TO ADDRESS COMMUNITY ISSUES, WHICH IN TURN WILL STRENGTHEN BOTH THE COMMUNITY AND THE NONPROFIT SECTOR TO BE BETTER POSITIONED TOWARDS THE AIM OF EQUITY AND JUSTICE. COMMUNITY CAPACITY INITIATIVETHE COMMUNITY CAPACITY INITIATIVE SUPPORTS REGIONAL NONPROFITS OR COLLABORATIVES TO BUILD CAPACITY IN THE FORM OF INFRASTRUCTURES, PROCESSES, AND SYSTEMS. EACH EFFORT AIMS TO ADDRESS REGIONAL PRIORITIES AS IDENTIFIED BY THE PARTNERING HOSPITAL MINISTRIES' COMMUNITY HEALTH IMPROVEMENT PLAN IN ALIGNMENT WITH THE FUND'S FOCUS AREAS (HOUSING, EDUCATION, DISASTER RELIEF, AND CAPACITY BUILDING). THROUGH GRANTMAKING AND TECHINCAL ASSISTANCE, GRANTEE PARTNERS WILL REACH SUSTAINABILITY FOR DEISIRED PROGRAMS AND SERVICES TO MEET COMMUNITY NEEDS. DISASTER RELIEF FUNDINGTHE ST. JOSEPH COMMUNITY PARTNERSHIP FUND CONSIDERS NEEDS ARISING FROM THE OCCURRENCE OF DISASTERS AND UNFORESEEN EMERGENCY NEEDS NATIONALLY AND THROUGHOUT THE WORLD. THROUGH RESPONSIVE GRANTMAKING, THE FUND WORKS TO ADDRESS THE POVERTY AND SUFFERING THAT OFTEN FOLLOW CATASTROPHIC EVENTS.DISASTER RELIEF FUNDING WAS PROVIDED TO U.S.-BASED, NON-PROFIT ORGANIZATIONS THAT PROVIDE RELIEF EFFORTS IN THE U.S. AND ABROAD. THESE ORGANIZATIONS HAVE PROVEN EXPERTISE IN RECONSTRUCTION, DEVELOPMENT AID AND IN REBUILDING COMMUNITIES.EDUCATION INITIATIVE THE EDUCATION INITIATIVE IS A TARGETED INVESTMENT STRATEGY WITH FOCUS AREAS CENTERED ON THE SCHOOL-TO-PRISON PIPELINE, PRENATAL TO THREE, AND COMMUNITY WELLNESS, SAFETY, AND LIBERATION EDUCATION. THE FUND WILL SCALE THE WORK CENTERED ON CAPACITY BUILDING SO COMMUNITIES CAN SUSTAIN TRANSFORMATIVE MOVEMENTS.	Desc
Total Program Service Expenses	$48,140,589	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	0	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	12	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JIM MARTIN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4255253985	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98057	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	OfficerOfficerInd
DEBRA CANALES
DIRECTOR (PART YEAR)	0.50	64.50	Yes (X)	$0	$3,078,475	$427,939
ELAINE COUTURE
DIRECTOR (PART YEAR)	0.50	54.50	Yes (X)	$0	$2,718,645	$31,846
JOEL GILBERTSON
DIRECTOR - THRU 3/21	0.50	54.50	Yes (X)	$0	$1,775,625	$396,085
JO ANN ESCASA-HAIGH
FRMR OFF - PSJH EVP/ASST. TREAS.	0.00	65.00		$0	$1,456,676	$262,400	Yes (X)
PAUL MONTGOMERY
CFO	50.00	0.00		$0	$607,407	$104,599		Yes (X)
ROSARIO PEREZ
DIRECTOR/CHAIR - THRU 6/21	1.00	49.00	Yes (X)	$0	$677,866	$15,828		Yes (X)
PAUL OHTA
DIRECTOR	0.50	49.50	Yes (X)	$0	$429,415	$87,962
JUDY WAGNER
DIRECTOR	0.50	49.50	Yes (X)	$0	$278,443	$22,330
GABRIELA ROBLES
PRESIDENT & CEO	55.00	0.00	Yes (X)	$0	$256,654	$41,455		Yes (X)
AVA STEAFFENS
DIRECTOR	0.50	0.00	Yes (X)	$0	$0	$0
JOE LUMARDA
DIRECTOR/CHAIR	0.50	0.00	Yes (X)	$0	$0	$0		Yes (X)
SISTER SUZANNE SASSUS
DIRECTOR	0.50	0.50	Yes (X)	$0	$0	$0
MARY ANNE FOO
SECRETARY	1.00	0.50	Yes (X)	$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$11,279,206	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,390,444	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DRA	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7701 SE 162ND AVENUE	AddressLine1Txt
City	PORTLAND	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97236	ZIPCd

Field	Value	IRS element (for citing)
Services	CONSULTING SERVICES	ServicesDesc
Compensation	$115,000	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,744,343	RelatedOrganizationsAmt
Total Contributions	$4,744,343	TotalContributionsAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,031,962	TotalRevenueColumnAmt
Unrelated Business Revenue	$16,478	UnrelatedBusinessRevenueAmt
Exclusion	$3,015,484	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,667,392	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,667,392	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,667,392	TotalRevenueColumnAmt
Exclusion	$3,667,392	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,443,697	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$16,478	UnrelatedBusinessRevenueAmt
Exclusion	$6,682,876	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$47,890,589	TotalAmt
Program Services	$47,890,589	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$250,000	TotalAmt
Program Services	$250,000	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$837,460	TotalAmt
Management And General	$837,460	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$282,403	TotalAmt
Management And General	$282,403	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,580,363	TotalAmt
Management And General	$1,580,363	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Desc	OTHER DIRECT EXPENSES	Desc
Total	$24,750	TotalAmt
Management And General	$24,750	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$50,865,565	TotalAmt
Program Services	$48,140,589	ProgramServicesAmt
Management And General	$2,724,976	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,024,055	BOYAmt
EOY	$7,091,798	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$66	BOYAmt
EOY	$153	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$182,319,940	BOYAmt
EOY	$136,198,285	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$184,344,061	BOYAmt
EOY	$143,290,236	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$909,621	BOYAmt
EOY	$892,547	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$641,659	BOYAmt
EOY	$408,326	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,551,280	BOYAmt
EOY	$1,300,873	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$182,792,781	BOYAmt
EOY	$141,989,363	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$182,792,781	BOYAmt
EOY	$141,989,363	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$184,344,061	BOYAmt
EOY	$143,290,236	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$39,421,868	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,381,550	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$14,504,670	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$35,071,400	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$37,953,100	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,666,985	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,744,343	CurrentTaxYearAmt
Total	$97,940,498	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$14,504,670	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$35,071,400	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$37,953,100	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,666,985	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,744,343	CurrentTaxYearAmt
Total	$97,940,498	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$97,940,498	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,900,989	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,749,602	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,445,757	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,294,911	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,031,962	CurrentTaxYearAmt
Total	$18,423,221	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,900,989	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,749,602	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,445,757	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,294,911	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,031,962	CurrentTaxYearAmt
Total	$18,423,221	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$17,405,659	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$38,821,002	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$42,398,857	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$9,961,896	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,776,305	CurrentTaxYearAmt
Total	$116,363,719	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.84170	PublicSupportCY509Pct
Public Support PY509	0.87010	PublicSupportPY509Pct
Investment Income CY	0.15830	InvestmentIncomeCYPct
Investment Income PY	0.12990	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$0	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE TO AFFILIATES	Desc
Amt	$408,326	Amt

Field	Value	IRS element (for citing)
Total Liability	$408,326	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	SOUTH ASIA	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	GRANTS	TypeOfActivitiesConductedTxt
Region Total Expenditures	$250,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$250,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$250,000	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

Field	Value	IRS element (for citing)
Region	SOUTH ASIA	RegionTxt
Purpose Of Grant	DISASTER RELIEF FUNDS	PurposeOfGrantTxt
Cash Grant	$250,000	CashGrantAmt
Manner Of Cash Disbursement	CHECK	MannerOfCashDisbursementTxt
Non Cash Assistance	$0	NonCashAssistanceAmt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III ACCOUNTING METHOD:
PART I, LINE 2	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION.
PART I, LINE 3, COLUMN (F)	THE AMOUNTS REPORTED IN COLUMN F WERE REPORTED USING THE ACCRUAL METHOD OF ACCOUNTING.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (85 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
COVENANT MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	822913146	501(C)(3)	$30,530,055	$0	SPONSORSHIP
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	814791043	501(C)(3)	$7,264,991	$0	SPONSORSHIP
MISSION HOSPITAL REGIONAL MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643360	501(C)(3)	$2,129,675	$0	SPONSORSHIP
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643359	501(C)(3)	$1,476,683	$0	SPONSORSHIP
ST MARY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951914489	501(C)(3)	$1,358,671	$0	SPONSORSHIP
ST JUDE HOSPITAL INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643325	501(C)(3)	$1,225,395	$0	SPONSORSHIP
CHARITABLE VENTURES OF ORANGE COUNTY INC
1505 E 17TH ST STE 101	SANTA ANA	CA	92705	208756660	501(C)(3)	$167,500	$0	SPONSORSHIP
CAL STATE FULLERTON PHILANTROPIC
2600 NUTWOOD AVE 850	FULLERTON	CA	92831	330567945	501(C)(3)	$150,000	$0	SPONSORSHIP
OC UNITED TOGETHER MINISTRIES
418 W COMMONWEALTH AVE	FULLERTON	CA	92832	463761517	501(C)(3)	$150,000	$0	SPONSORSHIP
CATHOLIC CHARITIES USA
2050 BALLENGER AVE	ALEXANDRIA	VA	22314	530196620	501(C)(3)	$120,000	$0	OPERATIONAL SUPPORT
EL SOL NEIGHBORHOOD EDUCATIONAL CENTER
PO BOX 449	SAN BERNARDINO	CA	92404	330552297	501(C)(3)	$117,500	$0	SPONSORSHIP
WILLIAM D RUCKELSHAUS CENTER FOUNDATION
901 5TH AVE STE 2900	SEATTLE	WA	98164	204490085	501(C)(3)	$100,000	$0	OPERATIONAL SUPPORT
HIGH DESERT SECOND CHANCE
16666 SMOKE TREE ST BLDG B4	HESPERIA	CA	92345	464690286	501(C)(3)	$95,000	$0	SPONSORSHIP
THE RELEVANT YOU
625 NORTH BACON DRIVE	BOISE	ID	83712	842866167		$76,000	$0	OPERATIONAL SUPPORT
ORANGE COUNTY ASIAN PACIFIC ISLANDER COMMUNITY ALLIANCE - OCAPICA
12912 BROOKHURST ST STE 410	GARDEN GROVE	CA	92840	912047245	501(C)(3)	$75,000	$0	SPONSORSHIP
CATHOLIC CHARITIES DIOCESE OF LUBBOCK
102 AVE J	LUBBOCK	TX	79401	751966688	501(C)(3)	$75,000	$0	SPONSORSHIP
HUMBOLDT STATE UNIVERSITY SPONSORED PROGRAMS FOUNDATION
PO BOX 1185	ARCATA	CA	95518	946050071	501(C)(3)	$75,000	$0	SPONSORSHIP
CENTER FOR INTERCULTURAL ORGANIZING
1390 SE 122ND AVE	PORTLAND	OR	97233	743098100	501(C)(3)	$75,000	$0	SPONSORSHIP
COVENANT HOUSE ALASKA
755 A STREET	ANCHORAGE	AK	99501	133419755	501(C)(3)	$75,000	$0	SPONSORSHIP
THE POVERELLO CENTER INC
1110 W BROADWAY ST	MISSOULA	MT	59802	237439391	501(C)(3)	$75,000	$0	SPONSORSHIP
BETTER HEALTH TOGETHER
PO BOX 271	SPOKANE	WA	99210	900997482	501(C)(3)	$75,000	$0	SPONSORSHIP
TIDES CENTER
PO BOX 399385	SAN FRANCISCO	CA	94139	943213100	501(C)(3)	$75,000	$0	SPONSORSHIP
COMMUNITIES IN SCHOOLS OF RENTON- TUKWILA
1055 S GRADY WAY	RENTON	WA	98057	911689158	501(C)(3)	$75,000	$0	SPONSORSHIP
BAY AREA COMMUNITY RESOURCES
171 CARLOS DRIVER	SAN RAFAEL	CA	94903	942346815	501(C)(3)	$75,000	$0	SPONSORSHIP
VALLEY CARE COMMUNITY CONSORTIUM
7515 VAN NUYS BLVD	VAN NUYS	CA	91405	205569606	501(C)(3)	$75,000	$0	SPONSORSHIP
ORANGE COUNTY CONGREGATION
310 W BROADWAY	ANAHEIM	CA	92805	953196836	501(C)(3)	$70,000	$0	SPONSORSHIP
BETTY KWAN CHINN HOMELESS FOUNDATION
PO BOX 736	EUREKA	CA	95502	461413135	501(C)(3)	$55,000	$0	SPONSORSHIP
CATHOLIC RELIEF SERVICES
228 W LEXINGTON ST	BALTIMORE	MD	21201	135563422	501(C)(3)	$50,000	$0	OPERATIONAL SUPPORT
CATHOLIC CHARITIES OF OREGON
2740 SE POWELL BLVD 2	PORTLAND	OR	97202	930386801	501(C)(3)	$50,000	$0	OPERATIONAL SUPPORT
CENTER FOR DISASTER PHILANTHROPY
ONE THOMAS CIRCLE NW STE 700	WASHINGTON	DC	20005	455257937	501(C)(3)	$50,000	$0	OPERATIONAL SUPPORT
COMMUNITY ACTION OF NAPA VALLEY
2310 LAUREL ST	NAPA	CA	94559	941610851	501(C)(3)	$40,000	$0	SPONSORSHIP
CATHOLIC CHARITIES OF THE DIOCESE OF SANTA ROSA
PO BOX 4900 / 987 AIRWAY COURT	SANTA ROSA	CA	95402	942479393	501(C)(3)	$40,000	$0	SPONSORSHIP
FAMILY ASSISTANCE MINISTRIES
1030 CALLE NEGOCIO	SAN CLEMENTE	CA	92673	330864870	501(C)(3)	$37,500	$0	SPONSORSHIP
COMMUNITY HEALTH INITIATIVE
2140 JEFFERSON ST STE D	NAPA	CA	94559	251924934	501(C)(3)	$35,000	$0	SPONSORSHIP
LA LUZ CENTER
17560 GREGER ST	SONOMA	CA	95476	680228235	501(C)(3)	$35,000	$0	SPONSORSHIP
CHARLES DREW UNIVERSITY OF MEDICINE & SCIENCE
1731 E 120TH ST	LOS ANGELES	CA	90059	956151774	501(C)(3)	$35,000	$0	SPONSORSHIP
ALASKA PACIFIC UNIVERSITY
4101 UNIVERSITY DR	ANCHORAGE	AK	99508	920023588	501(C)(3)	$35,000	$0	SPONSORSHIP
UNIDOS SOUTH OC INC
PO BOX 1874	SAN JUAN CAPISTRANO	CA	92693	823510252	501(C)(3)	$35,000	$0	SPONSORSHIP
ALASKA NATIVE HERITAGE CENTER
8800 HERITAGE CENTER DR	ANCHORAGE	AK	99504	920127531	501(C)(3)	$35,000	$0	SPONSORSHIP
HUMBOLDT SENIOR RESOURCE CENTER
1910 CALIFORNIA ST	EUREKA	CA	95501	942261434	501(C)(3)	$20,000	$0	SPONSORSHIP
ARCATA HOUSE INC
1005 11TH ST	ARCATA	CA	95521	943163269	501(C)(3)	$20,000	$0	SPONSORSHIP
WOMENS TRANSITIONAL LIVING CENTER INC
PO BOX 916	FULLERTON	CA	92836	510201813	501(C)(3)	$20,000	$0	SPONSORSHIP
SECOND HARVEST FOOD BANK
8014 MARINE WAY	IRVINE	CA	92618	320362611	501(C)(3)	$20,000	$0	SPONSORSHIP
VICTOR VALLEY DOMESTIC VIOLENCE INC
PO BOX 2825	VICTORVILLE	CA	92393	931067826	501(C)(3)	$20,000	$0	SPONSORSHIP
CATHOLIC CHARITIES SAN BERNARDINO
1450 N D ST	SAN BERNARDINO	CA	92405	953293901	501(C)(3)	$20,000	$0	SPONSORSHIP
THOMAS HOUSE TEMPORARY SHELTER
PO BOX 2737	GARDEN GROVE	CA	92842	330204757	501(C)(3)	$20,000	$0	SPONSORSHIP
CASA TERESA INC
123 W MAPLE AVE	ORANGE	CA	92855	953251986	501(C)(3)	$20,000	$0	SPONSORSHIP
REDWOOD COMMUNITY ACTION AGENCY
904 G ST	EUREKA	CA	95501	942646370	501(C)(3)	$20,000	$0	SPONSORSHIP
ON THE MOVE
780 LINCOLN AVENUE	NAPA	CA	94558	753149095	501(C)(3)	$20,000	$0	SPONSORSHIP
COMMUNITY ACTION PARTNERSHIP OF ORANGE COUNTY
11870 MONARCH ST	GARDEN GROVE	CA	92841	952452787	501(C)(3)	$20,000	$0	SPONSORSHIP
ST VINCENT DE PAUL
PO BOX 1386	EUREKA	CA	95502	941573587	501(C)(3)	$20,000	$0	SPONSORSHIP
REDWOOD TEEN CHALLENGE
2212 2ND ST	EUREKA	CA	95501	680358004	501(C)(3)	$20,000	$0	SPONSORSHIP
FOOD FOR PEOPLE INC
307 WEST 14TH STREET	EUREKA	CA	95501	942772549	501(C)(3)	$20,000	$0	SPONSORSHIP
UPVALLEY FAMILY CENTER OF NAPA COUNTY
1440 SPRING ST	ST HELENA	CA	94574	800023012	501(C)(3)	$20,000	$0	SPONSORSHIP
REDWOOD EMPIRE FOOD BANK
3990 BRICKWAY BLVD	SANTA ROSA	CA	95403	680121855	501(C)(3)	$20,000	$0	SPONSORSHIP
MERCY HOUSE
PO BOX 1905	SANTA ANA	CA	92702	330315864	501(C)(3)	$20,000	$0	SPONSORSHIP
INSTITUTE FOR HEALTHCARE ADVANCEMENT
501 S IDAHO ST STE 300	LA HABRA	CA	90631	330483197	501(C)(3)	$20,000	$0	SPONSORSHIP
FAMILY ASSISTANCE PROGRAM
15075 SEVENTH ST	VICTORVILLE	CA	92395	330107971	501(C)(3)	$20,000	$0	SPONSORSHIP
FRIENDSHIP SHELTER INC
PO BOX 4252	LAGUNA BEACH	CA	92652	330219404	501(C)(3)	$20,000	$0	SPONSORSHIP
PATHWAYS OF HOPE
514 W AMERIGE AVE	FULLERTON	CA	92832	330147739	501(C)(3)	$20,000	$0	SPONSORSHIP
ORANGE COUNTY RESCUE MISSION
ONE HOPE DRIVE	TUSTIN	CA	92782	952479552	501(C)(3)	$20,000	$0	SPONSORSHIP
HIGH DESERT HOMELESS SERVICES INC
14049 AMARGOSA RD	VICTORVILLE	CA	92392	330459227	501(C)(3)	$20,000	$0	SPONSORSHIP
GRANDMAS HOUSE OF HOPE
174 W LINCOLN AVE STE 541	ANAHEIM	CA	92805	260391438	501(C)(3)	$20,000	$0	SPONSORSHIP
THE SALVATION ARMY
10200 PIONEER RD	TUSTIN	CA	92782	941156347	501(C)(3)	$20,000	$0	SPONSORSHIP
WEST COUNTY COMMUNITY SERVICES
16390 MAIN ST	GUERNEVILLE	CA	95446	942277740	501(C)(3)	$20,000	$0	SPONSORSHIP
COMMUNITY ACTION PARTNERSHIP OF SAN BERNARDINO COUNTY
696 S TIPPECANOE AVE	SAN BERNARDINO	CA	92408	952376882	501(C)(3)	$20,000	$0	SPONSORSHIP
SOUTH COUNTY OUTREACH
7 WHATNEY STE B	IRVINE	CA	92618	330330233	501(C)(3)	$20,000	$0	SPONSORSHIP
YWCA SONOMA COUNTY
PO BOX 3506	SANTA ROSA	CA	95402	942347428	501(C)(3)	$20,000	$0	SPONSORSHIP
THE LIVING ROOM CENTER INC
1207 CLEVELAND AVE	SANTA ROSA	CA	95401	582675876	501(C)(3)	$20,000	$0	SPONSORSHIP
FOOD FORWARDING INC
7412 FULTON AVE UNIT 3	NORTH HOLLYWOOD	CA	91605	900678872	501(C)(3)	$20,000	$0	SPONSORSHIP
GIVING CHILDREN HOPE
8332 COMMONWEALTH AVE	BUENA PARK	CA	90621	953464287	501(C)(3)	$20,000	$0	SPONSORSHIP
LAGUNA FOOD PANTRY
20652 LAGUNA CANYON RD	LAGUNA BEACH	CA	92651	330593551	501(C)(3)	$20,000	$0	SPONSORSHIP
WAYMAKERS
1221 E DYER RD SE 120	SANTA ANA	CA	92705	953167866	501(C)(3)	$20,000	$0	SPONSORSHIP
CASA YOUTH SHELTER
10911 REAGAN ST	LOS ALAMITOS	CA	90720	953218061	501(C)(3)	$20,000	$0	SPONSORSHIP
BUILD FUTURES
18822 BEACH BLVD STE 211	HUNTINGTON BEACH	CA	92648	900629740	501(C)(3)	$20,000	$0	SPONSORSHIP
WOMENS RECOVERY SERVICES A UNIQUE PLACE
PO BOX 1356	SANTA ROSA	CA	95402	510178620	501(C)(3)	$20,000	$0	SPONSORSHIP
ORANGE COUNTY FAMILY JUSTICE CENTER FOUNDATION
150 W VERMONT AVE	ANAHEIM	CA	92805	204088652	501(C)(3)	$20,000	$0	SPONSORSHIP
RESCUE MISSION ALLIANCE
315 NORTH A ST	OXNARD	CA	93030	237278002	501(C)(3)	$17,500	$0	SPONSORSHIP
ASIAN COUNSELING AND REFERRAL SERVICE
639 MARTIN LUTHER KING JR WAY S	SEATTLE	WA	98144	910916176	501(C)(3)	$17,500	$0	SPONSORSHIP
LIFELONG-HEALTH FOR ALL
210 S LUCILE ST	SEATTLE	WA	98108	911215715	501(C)(3)	$17,500	$0	SPONSORSHIP
FRIENDS OF ZENGER FARM
11741 SE FOSTER RD	PORTLAND	OR	97266	931269630	501(C)(3)	$15,000	$0	SPONSORSHIP
THE NATIVE AMERICAN REHABILITATION ASSOC OF THE NORTHWEST INC
1776 SW MADISON ST	PORTLAND	OR	97205	237098400	501(C)(3)	$15,000	$0	SPONSORSHIP
SHARE OUR STRENGTH
1030 15TH ST NW STE 1100W	WASHINGTON	DC	20005	521367538	501(C)(3)	$15,000	$0	SPONSORSHIP
AFGHAN LITERACY FOUNDATION
27 LOOKING GLASS	IRVINE	CA	92620	800376335	501(C)(3)	$15,000	$0	SPONSORSHIP
ACCESS CALIFORNIA SERVICES
631 S BROOKHURST ST STE 107	ANAHEIM	CA	92804	330826205	501(C)(3)	$15,000	$0	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	84	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DEBRA CANALES
DIRECTOR (PART YEAR)	$0	$1,103,566	$0	$671,005	$0	$1,303,904	$0	$410,295	$0	$17,644	$0	$3,506,414	$0	$1,251,780
ELAINE COUTURE
DIRECTOR (PART YEAR)	$0	$275,094	$0	$485,102	$0	$1,958,449	$0	$25,033	$0	$6,813	$0	$2,750,491	$0	$311,233
JOEL GILBERTSON
DIRECTOR - THRU 3/21	$0	$765,306	$0	$518,330	$0	$491,989	$0	$364,702	$0	$31,383	$0	$2,171,710	$0	$194,575
JO ANN ESCASA-HAIGH
FRMR OFF - PSJH EVP/ASST. TREAS.	$0	$810,289	$0	$339,019	$0	$307,368	$0	$235,035	$0	$27,365	$0	$1,719,076	$0	$266,274
PAUL MONTGOMERY
CFO	$0	$375,797	$0	$210,001	$0	$21,609	$0	$73,970	$0	$30,629	$0	$712,006	$0	$0
ROSARIO PEREZ
DIRECTOR/CHAIR - THRU 6/21	$0	$184,358	$0	$74,664	$0	$418,844	$0	$3,634	$0	$12,194	$0	$693,694	$0	$237,339
PAUL OHTA
DIRECTOR	$0	$325,747	$0	$82,373	$0	$21,295	$0	$74,243	$0	$13,719	$0	$517,377	$0	$0
JUDY WAGNER
DIRECTOR	$0	$239,430	$0	$35,554	$0	$3,459	$0	$11,152	$0	$11,178	$0	$300,773	$0	$0
GABRIELA ROBLES
PRESIDENT & CEO	$0	$214,692	$0	$28,504	$0	$13,458	$0	$20,229	$0	$21,226	$0	$298,109	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE 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. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE 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 TAXABLE WAGES AND ARE REPORTED AS SUCH. 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 PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE.
PART I, LINE 3	DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX-EXEMPT ORGANIZACION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE.
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING 2021: ROSARIO PEREZ - $151,331 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: DEBRA CANALES - $ 1,251,780 ELAINE COUTURE - $ 311,233 JOEL GILBERTSON - $ 194,575 JO ANN ESCASA-HAIGH - $ 266,274 ROSARIO PEREZ - $ 237,339
PART I, LINE 7	NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 15	INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATION'S SECTION 4960 TAX ANALYSIS AND REPORTING.
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HEALTH SYSTEM FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7A	CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. JOSEPH HEALTH SYSTEM FOUNDATION HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE ST. JOSEPH HEALTH SYSTEM FOUNDATION'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE ST. JOSEPH HEALTH SYSTEM FOUNDATION BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BT THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, EXEMPT PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. THE CORPORATE MEMBER, ST. JOSEPH HEALTH SYSTEM, RESERVES THE RIGHT TO APPROVE THE PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15	PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A RELATED TAX-EXCEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. 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 ENTITY 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 SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE 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 THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. 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 EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN 2021.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (110 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
COLLABRIA CARE
414 SOUTH JEFFERSON STREET	NAPA	CA	94559	680393144	HEALTHCARE	CA	501(C)(3)	10	SJHCN	Yes (1)
COVENANT ACO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	611573313	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	461259908	HEALTHCARE	CA	501(C)(3)	12, III	SJHS	Yes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	463516417	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes (1)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACE	LUBBOCK	TX	79410	752897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	844273963	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	822913146	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL GROUP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128	EVERETT	WA	982065128	943264605	TRANSITIONAL CARE	WA	501(C)(3)	10		0	N/A
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	201910170	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104	SEATAC	WA	98188	273133200	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	203856995	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
HMTS INC
1 HOAG DRIVE	NEWPORT BEACH	CA	92658	453583707	HEALTHCARE	CA	501(C)(3)	12, I	HMHP	Yes (1)
HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195	NEWPORT BEACH	CA	92663	452982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes (1)
HOAG CLINIC
1 HOAG DRIVE	NEWPORT BEACH	CA	92658	330676831	HEALTHCARE	CA	501(C)(3)	10	HMHP	Yes (1)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	Yes (1)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100	NEWPORT BEACH	CA	92663	951643327	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
HOSPICE OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752133781	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814260130	HEALTHCARE	WA	501(C)(3)	PF	PHS SJHS	Yes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	912003593	HEALTHCARE	WA	501(C)(3)	7	WHC	Yes (1)
KADLEC AUXILIARY INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	916033089	SUPPORT	WA	501(C)(3)	12, III	KRMC	Yes (1)
KADLEC FOUNDATION
888 SWIFT BLVD	RICHLAND	WA	99352	237005501	SUPPORT	WA	501(C)(3)	7	KRMC	Yes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	910655392	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330844408	IMAGING SERVICES	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	264021016	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
LUNDBERG ASSOCIATION PROVIDENCE HOUSE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911562797	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643360	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069	SEATTLE	WA	98116	200799737	SUPPORT	WA	501(C)(3)	12, I	SHS	Yes (1)
OPEN DOOR VENTURES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911608508	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PACMED CLINICS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	562290878	HEALTHCARE	WA	501(C)(3)	10	WHC	Yes (1)
PH&S FOUNDATIONSFVSA & SCVSA
501 SOUTH BUENA VISTA STREET	BURBANK	CA	915054809	953544877	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE ALASKA FOUNDATION
3760 PIPER STREET SUITE 2021	ANCHORAGE	AK	99508	920093565	HEALTHCARE	AK	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
540 SOUTH MAIN ST	MT ANGEL	OR	97362	911940286	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911789266	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
4805 NE GLISAN ST STE 2N35	PORTLAND	OR	97213	930800140	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
940 ROYAL AVE SUITE 410	MEDFORD	OR	97504	930692907	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	473385506	SUPPORT	WA	501(C)(3)	7		0	N/A
PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	954322584	SUPPORT	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311744654	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911549796	HEALTHCARE	WA	501(C)(3)	12, II	PSJH	0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810231793	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216587	HEALTHCARE	OR	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216586	HEALTHCARE	WA	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911303277	HEALTHCARE	WA	501(C)(3)	3	PMWHC	Yes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	550828701	MEDICAID HEALTHCARE PROVIDER	OR	501(C)(4)	N/A	PHP	Yes (1)
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
101 W 8TH AVE	SPOKANE	WA	99204	320014330	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	930863097	HEALTHCARE	OR	501(C)(4)	N/A	PPP	Yes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216589	HEALTHCARE	CA	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
810 12TH STREET PO BOX 149	HOOD RIVER	OR	97031	930921990	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY
1615 75TH ST SW SUITE 210	EVERETT	WA	98203	272552749	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
2811 SOUTH 102ND NO 220	TUKWILA	WA	98168	912077378	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
4101 TORRANCE BLVD	TORRANCE	CA	90503	510224944	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE MARIANWOOD FOUNDATION
3725 PROVIDENCE POINT DRIVE SE	ISSAQUAH	WA	980297219	931554288	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330283773	HEALTHCARE	CA	501(C)(3)	12, I	PHS SOCAL	Yes (1)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32ND AVE	MILWAUKIE	OR	97222	943079515	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057		RELIGIOUS ORG	WA	501(C)(3)	1		0	N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVE SW	SEATTLE	WA	981262799	911188119	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVE	NEWBERG	OR	97132	930889144	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311629656	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911861964	HEALTHCARE	WA	501(C)(4)	N/A	PHS OR	Yes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN ST	PORTLAND	OR	972132967	931231494	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311584166	SUPPORT	WA	501(C)(3)	10	PHS WA	Yes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951684082	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814542216	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA ROAD	SEASIDE	OR	97138	930927320	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN)
413 LILLY ROAD NE	OLYMPIA	WA	985065166	911097056	SUPPORT	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	912171539	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	943244854	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	811244422	HEALTHCARE	WA	501(C)(3)	12, III		0	N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
4400 NE HALSEY ST STE 599	PORTLAND	OR	97213	943078543	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810463482	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (1)
PROVIDENCE ST MARY FOUNDATION
401 W POPLAR STREET	WALLA WALLA	WA	99362	452841492	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
9205 SW BARNES ROAD STE MT2111	PORTLAND	OR	97225	930575982	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	953264139	HEALTHCARE	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
5315 TORRANCE BLVD NO B-1	TORRANCE	CA	90503	330261016	HEALTHCARE	CA	501(C)(3)	7	PTCH	Yes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1500 DIVISION STREET	OREGON CITY	OR	97045	931003750	HEALTHCARE	OR	501(C)(3)	12, I	PHS OR	Yes (1)
REDWOOD MEMORIAL FOUNDATION
2700 DOBEER STREET	EUREKA	CA	95501	942779313	HEALTHCARE	CA	501(C)(3)	7	SJHNC LLC	Yes (1)
SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	954291515	HEALTHCARE	CA	501(C)(3)	4	PSJHC	Yes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
2121 SANTA MONICA BLVD	SANTA MONICA	CA	90404	956100079	SUPPORT SAINT JOHN HEALTH CENTER & JWCI	CA	501(C)(3)	7	PSJHC	Yes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	611502822	PHYSICIAN COLLABORATION	WA	501(C)(3)	7	WHC	Yes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	262612415	SHELL CORPORATION	MT	501(C)(3)	1	PHS WA	0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643383	RELIGIOUS ORG	CA	501(C)(3)	1		0	N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	680395200	HEALTHCARE	CA	501(C)(3)	3	SJHNC LLC	Yes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO	0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814791043	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	953589356	HEALTHCARE	CA	501(C)(3)	12, I	PSJH	0
ST JOSEPH HOME CARE NETWORK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	680331084	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643359	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
ST JUDE HOSPITAL INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643325	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
ST LUKE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	943176618	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
ST MARY MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951914489	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
ST PATRICK HOSPITAL FOUNDATION
502 W SPRUCE STREET	MISSOULA	MT	59802	237056976	HEALTHCARE	MT	501(C)(3)	7	PHS WA	Yes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810233495	EDUCATION	MT	501(C)(3)	10	PHS WA	Yes (1)
SWEDISH EDMONDS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	272305304	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	910433740	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAY	SEATTLE	WA	98122	910983214	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	273139262	HOLDING COMPANY	WA	501(C)(3)	12, I	SHS	Yes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	833972614	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911180824	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911293869	SUPPORT	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911214491	SUPPORT	OR	501(C)(3)	10	PHS OR	Yes (1)
TRI-CITIES CANCER CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911594526	HEALTHCARE	WA	501(C)(3)	3	KRMC	Yes (1)
TRI-CITIES CANCER CENTER FOUNDATION
7350 W DESCHUTES AVE BUILDING A	KENNEWICK	WA	99336	911739024	SUPPORT	WA	501(C)(3)	7	KRMC	Yes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810231777	EDUCATION	MT	501(C)(3)	2	PHS	Yes (1)
WESTERN HEALTHCONNECT
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	454171900	SHELL CORPORATION	WA	501(C)(3)	12, II	PHS W WA	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (50 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	UBI Code VUBICodeVAmt
20TH STREET SURGERY LLC
1301 20TH STREET STE 140	SANTA MONICA	CA	90404	731735618	AMBULATORY SURGERY CENTER	CA	N/A	0	0
BRIDGEPORT MEDICAL IMAGING LLC (BMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	260796953	IMAGING - DIAGNOSTICS	OR	N/A	0	Yes (1)
BROADWAY IMAGING LLC
PO BOX 4587	MISSOULA	MT	598064587	522405971	MEDICAL IMAGING	MT	N/A	0	Yes (1)
CANBY MEDICAL CENTER I LLC
4800 SW MACADAM AVE STE 120	PORTLAND	OR	97239	205470937	REAL ESTATE - MOB	OR	N/A	0	Yes (1)
CENTER FOR MATERNAL NEWBORN AND CHILD HEALTH LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	813526875	HEALTHCARE	CA	N/A	0	0
CENTER FOR MEDICAL IMAGING LLC (CMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	200477972	IMAGING - DIAGNOSTICS	OR	N/A	0	Yes (1)
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	260381897	RADIATION ONCOLOGY	OR	N/A	0	Yes (1)
COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92663	810986844	HEALTHCARE	CA	N/A	0	Yes (1)
COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY
ONE CITY BLVD W STE 1100	ORANGE	CA	92868	264591502	HEALTHCARE	CA	N/A	0	Yes (1)
COVENANT LONG-TERM CARE LP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	205033419	HEALTHCARE	TX	N/A	0	0
CSS JV LLC
11782 SW BARNES ROAD STE 200 BLDG C	PORTLAND	OR	97225	263638838	AMBULATORY SURGERY CENTER	OR	N/A	0	0
FIRST HILL SURGERY CENTER LLC
1101 MADISON STREET STE 200	SEATTLE	WA	98104	472066485	AMBULATORY SURGERY CENTER	WA	N/A	0	Yes (1)
FULLERTON SURGICAL CENTER LP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	470927394	AMBULATORY SURGERY CENTER	CA	N/A	0	Yes (1)
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA ST	BURBANK	CA	91505	954570858	REAL ESTATE - MOB	CA	N/A	0	0
HCSA PROPERTIES LLC
1600 M STREET NW	AUBURN	WA	98001	460620892	REAL ESTATE RENTAL	WA	N/A	0	0
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000	ORANGE	CA	92868	271000061	INVESTMENTS	CA	N/A	0	0
HOAG ORTHOPEDIC INSTITUTE
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	611588294	HEALTHCARE	CA	N/A	0	Yes (1)
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE A	ANCHORAGE	AK	99508	203906048	MEDICAL IMAGING	AK	N/A	0	Yes (1)
INLAND IMAGING LLC
801 S STEVENS ST	SPOKANE	WA	99204	911855796	MEDICAL IMAGING	WA	N/A	0	Yes (1)
LSC REAL PROPERTY LLC
2301 QUAKER AVENUE	LUBBOCK	TX	79410	474646059	REAL ESTATE	TX	N/A	0	0
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREET	LUBBOCK	TX	79410	752343261	HEALTHCARE	TX	N/A	0	0
MISSION VIEJO PARTNERS II LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823943675	REAL ESTATE - MOB	CA	N/A	0	Yes (1)
NEWPORT IMAGING CENTER
360 SN MIGUEL	NEWPORT BEACH	CA	92660	330191776	HEALTHCARE	CA	N/A	0	Yes (1)
NORTH OC IMAGING JV HOLDINGS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	852444305	HEALTHCARE	CA	N/A	0	0
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAY	MEDFORD	OR	97504	450471748	MEDICAL IMAGING	OR	N/A	0	Yes (1)
OREGON OUTPATIENT SURGERY CENTER
7300 SW CHILDS RD	TIGARD	OR	97224	223883387	AMBULATORY SURGERY CENTER	OR	N/A	0	0
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREET	SEATTLE	WA	98104	203132044	MEDICAL IMAGING	WA	N/A	0	Yes (1)
PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC
19625 62ND AVENUE SOUTH SUITE 101	KENT	WA	98032	452901632	MEDICAL EQUIPMENT	WA	N/A	0	Yes (1)
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	812701056	INVESTMENTS	WA		0	0	PHS WA	EXCLUDED	$3,098,750	$85,256,820	0.49790
PROV RADIATION ONCOLOGY DEVELOP ASSN LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	260682491	REAL ESTATE - MOB	OR	N/A	0	0
PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	823765555	MEDICAL	AL	N/A	0	0
PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	823270499	MEDICAL	AL	N/A	0	Yes (1)
PROVIDENCE CHILDREN'S NEONATAL SVCS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	470918549	NEONATAL CARE	WA	N/A	0	0
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	920118807	MEDICAL IMAGING	AK	N/A	0	0
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823190634	INVESTMENTS	WA		0	0	PHS WA	EXCLUDED	$4,381,400	$47,519,420	0.00740	$16,478
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE ST	MISSOULA	MT	59802	841401625	AMBULATORY SURGERY CENTER	MT	N/A	0	0
PROVIDENCE UCLA USP SURGERY CENTER JV
14201 DALLAS PARKWAY	DALLAS	TX	75254	320503030	AMBULATORY SURGERY CENTER	CA	N/A	0	0
PROVIDENCEUSP SOUTH BAY SURGERY CENTERS
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	475064486	AMBULATORY SURGERY CENTER	CA	N/A	0	0
PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROAD 160	MISSION HILLS	CA	91345	200684116	AMBULATORY SURGERY CENTER	CA	N/A	0	0
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON ST 1ST FL	SEATTLE	WA	98104	300553035	HEALTHCARE	WA	N/A	0	Yes (1)
SANTA ANA MOB LLC
1800 QUAIL STREET STE 100	NEWPORT BEACH	CA	92660	753205306	REAL ESTATE - MOB	CA	N/A	0	Yes (1)
SJO ASC HOLDINGS LLC
1140 W LA VETA AVE	ORANGE	CA	92868	821655501	HEALTHCARE	CA	N/A	0	0
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVE	ORANGE	CA	92868	454521884	REAL ESTATE	CA	N/A	0	Yes (1)
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
300 SANTANA ROW SUITE 300	SAN JOSE	CA	95128	814657391	HEALTHCARE	CA	N/A	0	0
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823352570	AMBULATORY SURGERY CENTER	CA	N/A	0	Yes (1)
ST PETER-SOUTH SOUND REGIONAL MRI CENTER
3417 ENSIGN RD NE	OLYMPIA	WA	98506	911455338	MEDICAL IMAGING	WA	N/A	0	Yes (1)
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300	LEAWOOD	KS	66211	208187971	AMBULATORY SURGERY CENTER	KS	N/A	0	Yes (1)
TARZANA PEDIATRIC VENTURES LLC
18321 CLARK ST	TARZANA	CA	91356	821308306	HEALTHCARE	CA	N/A	0	0
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVD	SPOKANE	WA	99204	841606484	HOTEL SERVICES	WA	N/A	0	Yes (1)
WON-ONC LLC
1900 COOKS HILL RD	CENTRALIA	WA	98531	262181194	REAL ESTATE - MOB	WA	N/A	0	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (46 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
1221 MADISON STREET OWNERS ASSOC
747 BROADWAY	SEATTLE	WA	98122	201954319	OWNERS' ASSOCIATION	WA	N/A	C	0
ACCLARA SOLUTIONS GROUP LLC
10713 W SAM HOUSTON PKWY N 500	HOUSTON	TX	77064	870837184	HOLDING COMPANY	TX	N/A	C	0
ACCLARA SOLUTIONS INTERMEDIATE LLC
10713 W SAM HOUSTON PKWY N 500	HOUSTON	TX	77064	371783298	HEALTHCARE FINANCIAL SERVICES	TX	N/A	C	0
AMERICAN UNITY GROUP LTD
					CAPTIVE INSURANCE		N/A	C	0	90 PITTS BAY ROAD HM08 PEMBROKE	BD	BD
AYIN HEALTH SOLUTIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833037172	HEALTHCARE	DE	N/A	C	0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	911354431	CLINICAL/MEDICAL LAB	WA	N/A	C	0
CARON CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810486082	MEDICAL PHYSICIAN SERVICE	MT	N/A	C	0
COLBURN HILL GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	95057	863383433	HEALTHCARE	DE	N/A	C	0
COMMUNITY TECHNOLOGIES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844722399	IT SVCS	DE	N/A	C	0
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280	SANTA MONICA	CA	90404	952880495	HEALTHCARE	CA	N/A	S	0
HMR WEIGHT MANAGEMENT SERVICES CORP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	463598718	HEALTHCARE	WA	N/A	C	0
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587	HEALTHCARE	CA	N/A	C	0
HOAG PHYSICIAN PARTNERS
16148 SAND CANYON AVE	IRVINE	CA	92618	834276044	HEALTHCARE	CA	N/A	C	0
KENSCI INC
615 2ND AVE 700	SEATTLE	WA	98104	474048082	HEALTHCARE	WA	N/A	C	0
KENSCI TECH INDIA PRIVATE LIMITED
615 2ND AVE 700	SEATTLE	WA	98104		HEALTHCARE		N/A	C	0			IN
KENSCI ASIA PACIFIC PTE LTD
615 2ND AVE 700	SEATTLE	WA	98104		HEALTHCARE		N/A	C	0			SN
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752578995	INACTIVE	TX	N/A	C	0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752118585	HEALTHCARE	TX	N/A	C	0
LUMEDIC INC (FKA LUMEDIC ACQ CO INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833881097	HEALTHCARE	WA	N/A	C	0
MEDICAL SPECIALTIES MANAGERS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330406218	HEALTHCARE	WA	N/A	C	0
MEDIREVV INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208783763	HEALTHCARE	DE	N/A	C	0
MISSION VIEJO MEDICAL VENTURES INC
27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	HEALTHCARE	CA	N/A	C	0
PERFORMANCE HEALTH TECHNOLOGY LTD
3993 FAIRVIEW INDUSTRIAL DR SE	SALEM	OR	97302	931211733	HEALTHCARE	OR	N/A	C	0
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461814184	STRATEGIC PLANNING SERVICES	CA	N/A	C	0
PIONEER INNOVATIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	364818191	HEALTHCARE INNOVATIONS	WA	N/A	C	0
PROVIDENCE ASSURANCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208194071	CAPTIVE INSURANCE	AZ	N/A	C	0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	981516461	IT SVCS		N/A	C	0			IN
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	900155714	CLINICAL/MEDICAL LAB	WA	N/A	C	0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800886966	PREPAID HEALTHCARE	CA	N/A	C	0
PROVIDENCE HEALTH VENTURES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330122216	INVESTMENT	CA	N/A	C	0
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	911216033	HEALTHCARE	WA	N/A	C	0
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL ST	TORRANCE	CA	90503	823771547	HEALTHCARE	CA	N/A	C	0
QUIVIQ INC
1400-112TH AVENUE ST SUITE 100	BELLEVUE	WA	98004	833879444	HEALTHCARE ANALYTICS	WA	N/A	C	0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	462340232	HOLDING COMPANY	CA	N/A	C	0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461900168	HEALTHCARE	CA	N/A	C	0
ST JOSEPH PROF SVCS ENTERPRSES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330155323	HEALTHCARE	CA	N/A	C	0
TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	842092143	HOLDING COMPANY	DE	N/A	C	0
TEGRIA INSIGHTS GROUP HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	861400769	HOLDING COMPANY	WA	N/A	C	0
TEGRIA INSIGHTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	861532593	HEALTHCARE	WA	N/A	C	0
TEGRIA PRODUCTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	870995138	HOLDING COMPANY	DE	N/A	C	0
TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844686520	HOLDING COMPANY	DE	N/A	C	0
TEGRIA RCM GROUP US INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	863046450	HOLDING COMPANY	DE	N/A	C	0
TEGRIA SERVICES GROUP-CAN INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE		N/A	C	0			CA
TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844704409	HOLDING COMPANY	DE	N/A	C	0
TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	900872936	HEALTHCARE	WI	N/A	C	0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953943315	INVESTMENT	CA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HOSPITAL OF ORANGE
B	$1,686,514	ACCRUAL
ST JUDE HOSPITAL INC
B	$1,510,061	ACCRUAL
ST MARY MEDICAL CENTER
B	$2,710,672	ACCRUAL
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
B	$7,354,880	ACCRUAL
COVENANT HEALTH SYSTEM
B	$1,255,429	ACCRUAL
MISSION HOSPITAL REGIONAL MEDICAL CENTER
B	$2,283,363	ACCRUAL
COVENANT MEDICAL CENTER
B	$30,530,055	ACCRUAL
MISSION HOSPITAL REGIONAL MEDICAL CENTER
C	$238,688	ACCRUAL
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
C	$300,532	ACCRUAL
ST JOSEPH HOSPITAL OF ORANGE
C	$209,831	ACCRUAL
ST JUDE HOSPITAL INC
C	$284,840	ACCRUAL
ST MARY MEDICAL CENTER
C	$135,816	ACCRUAL
ST JOSEPH HEALTH SYSTEM
C	$4,695,599	ACCRUAL