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INLAND NORTHWEST HEALTH SERVICES: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
INLAND NORTHWEST HEALTH SERVICES (EIN 91-1307555)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-09
IRS object ID
202143139349303954
Schema version
2020v4.1
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)
Return2021-11-09T13:43:13-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line155 IVAN ALLEN JR BLVD SUITE 1000AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30308ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911307555EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INLAND NORTHWEST HEALTH SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlINLABusinessNameControlTxt
Phone5092328100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHELEN ANDRUSPersonNm
Person TitleCFOPersonTitleTxt
Phone5092328100PhoneNum
Signature2021-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstHELENPersonFirstNm
Person LastANDRUSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAERRIAL ORRPreparerPersonNm
PTINP01598400PTIN
Phone4048748300PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Final ReturnYes (X)FinalReturnInd
Principal OfficerELAINE COUTUREPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$80,565,854GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.INHS.INFOWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OTO PROVIDE UNIQUE, EFFECTIVE, AFFORDABLE SERVICES USING COLLABORATIVE AND INNOVATIVE APPROACHES.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee904TotalEmployeeCnt
Total Volunteers85TotalVolunteersCnt
Total Gross UBI$363,908TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$43,294NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$229,233PYContributionsGrantsAmt
CY Contributions Grants$1,868,180CYContributionsGrantsAmt
PY Program Service Revenue$88,508,392PYProgramServiceRevenueAmt
CY Program Service Revenue$63,239,615CYProgramServiceRevenueAmt
PY Investment Income-$226,010PYInvestmentIncomeAmt
CY Investment Income$113,718CYInvestmentIncomeAmt
PY Other Revenue$15,953,531PYOtherRevenueAmt
CY Other Revenue$15,344,341CYOtherRevenueAmt
PY Total Revenue$104,465,146PYTotalRevenueAmt
CY Total Revenue$80,565,854CYTotalRevenueAmt
PY Grants And Similar Paid$6,750PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,948CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$77,155,839PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$55,929,166CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$22,924,301PYOtherExpensesAmt
CY Other Expenses$14,255,647CYOtherExpensesAmt
PY Total Expenses$100,086,890PYTotalExpensesAmt
CY Total Expenses$70,187,761CYTotalExpensesAmt
PY Revenues Less Expenses$4,378,256PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,378,093CYRevenuesLessExpensesAmt
Total Assets BOY$132,955,986TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$12,109,841TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$120,846,145NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE UNIQUE, AFFORDABLE SERVICES USING COLLABORATIVE AND INNOVATIVE APPROACHES FOR THE BENEFIT OF THE ENTIRE HEALTH CARE CONTINUUM.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$65,508,218ExpenseAmt
Grant$2,948GrantAmt
Revenue$64,972,085RevenueAmt
DescSEE SCHEDULE OPROVIDENCEON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT TO FORM PROVIDENCE ST. JOSEPH HEALTH (PROVIDENCE). BY COMING TOGETHER, PROVIDENCE SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS, 1,085 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.THE FOUNDERS OF BOTH ORGANIZATIONS WERE COURAGEOUS WOMEN AHEAD OF THEIR TIME. THE SISTERS OF PROVIDENCE AND THE SISTERS OF ST. JOSEPH OF ORANGE BROUGHT HEALTH CARE AND OTHER SOCIAL SERVICES TO THE AMERICAN WEST WHEN IT WAS STILL A RUGGED, UNTAMED FRONTIER. NOW, AS WE FACE A DIFFERENT LANDSCAPE A CHANGING HEALTH CARE ENVIRONMENT WE DRAW UPON THEIR PIONEERING AND COMPASSIONATE SPIRIT TO PLAN FOR THE NEXT CENTURY OF HEALTH CARE.PROVIDENCE HEALTH & SERVICESIN 1856, MOTHER JOSEPH AND FOUR SISTERS OF PROVIDENCE ESTABLISHED HOSPITALS, SCHOOLS AND ORPHANAGES ACROSS THE NORTHWEST. OVER THE YEARS, OTHER CATHOLIC SISTERS TRANSFERRED SPONSORSHIP OF THEIR MINISTRIES TO PROVIDENCE, INCLUDING THE LITTLE COMPANY OF MARY, DOMINICANS AND CHARITY OF LEAVENWORTH. RECENTLY, SWEDISH HEALTH SERVICES, KADLEC REGIONAL MEDICAL CENTER AND PACIFIC MEDICAL CENTERS HAVE JOINED PROVIDENCE AS SECULAR PARTNERS WITH A COMMON COMMITMENT TO SERVING ALL MEMBERS OF THE COMMUNITY. ST. JOSEPH HEALTH SYSTEMIN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIFORNIA TO PROVIDE EDUCATION AND HEALTH CARE. THEY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK, TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA.REALIZING OUR MISSION INLAND NORTHWEST HEALTH SERVICESST. LUKE'S REHABILITATION INSTITUTE SPECIALIZES IN COMPREHENSIVE INPATIENT AND OUTPATIENT THERAPY SESSIONS FOR CHILDREN AND ADULTS AND PROVIDES REHABILITATION TREATMENT FOR STROKE, SPINAL CORD INJURIES, ORTHOPEDIC ISSUES AND BRAIN INJURIES. CONVENIENTLY LOCATED IN SPOKANE, WASHINGTON, ST. LUKE'S REHABILITATION INSTITUTE SERVES PATIENTS IN MANY AREAS OF THE NORTHWEST INCLUDING PATIENTS FROM CENTRAL AND EASTERN WASHINGTON, NORTHERN IDAHO, WESTERN MONTANA, AND ALASKA.COMMITTED TO PROVIDING HOPE, QUALITY OF CARE AND RECOVERY, ST. LUKE'S IS THE STATE'S LARGEST PROVIDER OF REHABILITATION SERVICES FOR STROKE, SPINAL CORD INJURY, HEAD INJURY AND INJURY OR DISEASES TO BONES, JOINTS OR MUSCLES. AFTER ILLNESS OR INJURY, THERE IS A NEED TO GAIN STRENGTH, SKILLS AND FUNCTION TO ALLOW PEOPLE TO RETURN TO THE HIGHEST QUALITY OF LIFE POSSIBLE. ST. LUKE'S WORKS AS A TEAM WITH PATIENTS AND THEIR FAMILIES TO ACHIEVE THIS GOAL. WITH A MAIN CAMPUS LOCATED IN DOWNTOWN SPOKANE, ST. LUKE'S COMBINES COMPASSIONATE CARE WITH EXPERTISE TO PROVIDE INPATIENT PHYSICAL REHABILITATION SERVICES TO PATIENTS OF ALL AGES. IN ADDITION TO INPATIENT SERVICES AT THE MAIN CAMPUS, ST. LUKE'S ALSO OFFERS HIGH QUALITY OUTPATIENT REHABILITATION SERVICES AT SEVERAL CONVENIENT LOCATIONS.WITH THE GOAL OF REDUCING DISABILITY AND HELPING INJURED WORKERS RETURN TO WORK SAFELY WHILE PROVIDING OCCUPATIONAL HEALTH BEST PRACTICES, COHE COMMUNITY OF EASTERN WASHINGTON IS A COLLABORATIVE EFFORT BETWEEN WASHINGTON STATE DEPARTMENT OF LABOR & INDUSTRIES AND ST. LUKE'S REHABILITATION INSTITUTE. ENGAGE PROVIDES A COMPLETE SOLUTION FOR IT HEALTHCARE CONSULTING, IMPLEMENTATION MANAGEMENT HOSTING AND LONG-TERM SYSTEM SUPPORT RELATED TO THE MEDITECH HOSPITAL ELECTRONIC HEALTH RECORD. ENGAGE IS DRIVEN BY A PASSION FOR EMBRACING THE TOUGHEST CHALLENGES ON BEHALF OF ALL THEIR CUSTOMERS. AS A LONG TIME MEDITECH COLLABORATIVE SOLUTIONS HARDWARE HOSTING PROVIDER AND READY-CERTIFIED PARTNER, ENGAGE ASSISTS HOSPITALS ACHIEVE THE BEST EHR POSSIBLE ALLOWING THE PEACE OF MIND AND FREEDOM THEY NEED TO FOCUS ON THE BUSINESS OF PROVIDING THE BEST CARE FOR THEIR PATIENTS.IN APRIL 2020, INLAND NORTHWEST HEALTH SERVICES CONTRIBUTED CERTAIN ASSETS, PROPERTIES AND RIGHTS USED IN THE ENGAGE BUSINESS DIVISION TO ENGAGE IT SERVICES, INC., A WHOLLY SUBSIDIARY OF INLAND NORTHWEST HEALTH SERVICES. THEN, IN DECEMBER 2020, AS PART OF THE TEGRIA SERVICES GROUP BUSINESS CONSOLIDATION, ENGAGE IT SERVICES, INC., ALONG WITH COMMUNITY TECHNOLOGIES, MERGED WITH AND INTO TEGRIA SERVICES GROUP U.S., INC. (FORMERLY KNOWN AS BLUETREE NETWORKS).LIFEFLIGHT NETWORK IS A NETWORK OF CRITICAL CARE TRANSPORT SERVICES THROUGHOUT THE PACIFIC NORTHWEST AND INTERMOUNTAIN WEST. LIFE FLIGHT NETWORK IS AN OREGON-BASED, PARTNERSHIP OF NOT-FOR-PROFIT ORGANIZATIONS TO PROVIDE AIR MEDICAL SERVICES.INHS COMMUNITY WELLNESS SERVES AS A RESOURCE FOR PREVENTATIVE HEALTHCARE THROUGHOUT THE REGION. INHS OFFERS A VARIETY OF SERVICES TO IMPROVE HEALTH, WELL-BEING, AND QUALITY OF LIFE INCLUDING HEALTH SCREENINGS, CLASSES, AND CONSULTS FOR BOTH COMMUNITY MEMBERS AND AT WORKSITES.INHS HEALTH TRAINING SERVES HEALTH CARE PROFESSIONALS IN THE COMMUNITY TO EITHER MAINTAIN THEIR CREDENTIALS OR ADVANCE IN THEIR SKILLS. AS AN AMERICAN HEART ASSOCIATION COMMUNITY TRAINING CENTER, INHS HEALTH TRAINING PROVIDED CPR CERTIFICATION TO NEARLY 39,000 COMMUNITY MEMBERS. IN ADDITION, INHS HEALTH TRAINING TEACHES EMERGENCY MEDICAL TECHNICIAN (EMT) CLASSES, ADVANCED EMT CLASSES AND RUNS A CAAHEP ACCREDITED PARAMEDIC PROGRAM. SINCE 2019, INHS HEALTH TRAINING HAS ACCEPTED GI BILL FUNDING ALLOWING VETERANS TO TRAIN TO BE EMT PROVIDERS. NORTHWEST TELEHEALTH IS A ROBUST VIDEO CONFERENCE NETWORK PROVIDING A PLATFORM FOR COLLABORATIVE HEALTH CARE THROUGHOUT THE REGION. THE NETWORK DELIVERS SECURE AND CONFIDENTIAL CONNECTIVITY FOR INTERACTION BETWEEN TWO OR MORE LOCATIONS INVOLVED IN HEALTH CARE ADMINISTRATION, MEDICAL EDUCATION, TRAINING AND TELEMEDICINE SERVICES, IMPROVING ACCESS FOR PATIENTS AND PROVIDERS IN RURAL COMMUNITIES AND OTHER RELATED ACTIVITIES. AS OF DECEMBER 31, 2020, THE REMAINING ASSETS AND OPERATION OF INLAND NORTHWEST HEALTH SERVICES WERE MERGED INTO PROVIDENCE HEALTH & SERVICES WASHINGTON AND THE INLAND NORTHWEST HEALTH SERVICES 501(C)(3) WAS DISSOLVED.Desc
Total Program Service Expenses$65,508,218TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate OperationsYes (1)TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document83IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee904EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JO ANN ESCASA-HAIGHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9493814000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13345 MICHELSON DRIVE SUITE 100AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARY SELECKY
DIRECTOR - THRU 12/202.000.00Yes (X)$0$1,394$0
JEFF CLODE MD
DIRECTOR - THRU 7/202.000.00Yes (X)$0$185$0
BEN SMALL
DIRECTOR - THRU 12/202.000.00Yes (X)$0$0$0
COURTNEY LAW
DIRECTOR - THRU 6/202.000.00Yes (X)$0$1,125$0
DAVE PEDEN
DIRECTOR - THRU 12/202.000.00Yes (X)$0$0$0
FAWN SCHOTT
DIRECTOR - THRU 12/202.000.00Yes (X)$0$0$0
GLORA OCHOA-BRUCK
DIRECTOR - THRU 12/202.000.00Yes (X)$0$0$0
JEFF PHILIPS
VICE CHAIR - THRU 12/202.000.00Yes (X)$0$0$0Yes (X)
KEVIN CHRISTIE
DIRECTOR - THRU 12/202.000.00Yes (X)$0$0$0
LARRY SOEHREN
CHAIR - THRU 12/202.000.00Yes (X)$0$0$0Yes (X)
MARK SCHEMMEL MD
DIRECTOR - THRU 12/202.000.00Yes (X)$0$0$0
MICHAEL O'MALLEY
DIRECTOR - THRU 1/202.000.00Yes (X)$0$0$0
MIKE MOORE MD
DIRECTOR - THRU 12/202.000.00Yes (X)$0$0$0
RICH HADLEY
DIRECTOR - THRU 12/202.000.00Yes (X)$0$0$0
ROBIN HINES MD
DIRECTOR - THRU 12/202.000.00Yes (X)$0$0$0
ELAINE COUTURE
EVP CHIEF EXEC. WA & MT - THRU 12/202.0058.00$0$1,622,417$248,898Yes (X)
HELEN ANDRUS
CFO WA AND MT REGION - THRU 12/202.0058.00$0$542,854$84,428Yes (X)
FREDERICK LEE GALUSHA
CHIEF EXECUTIVE ENGAGE - THRU 3/2050.000.00$499,588$0$31,247Yes (X)
GREGORY CARTER
CMO - THRU 12/2040.000.00$372,890$0$35,125Yes (X)
MICHAEL SMYLY
CHIEF BUS. DEV. OFFICER - THRU 3/2040.000.00$336,076$0$29,292Yes (X)
NANCY WEBSTER
ADMINISTRATOR ST. LUKES - THRU 12/2040.000.00$287,698$0$30,987Yes (X)
DANIEL ENGLE
SENIOR DIRECTOR - THRU 3/2040.000.00$224,839$0$26,082Yes (X)
MARCIA CHEADLE
SENIOR DIRECTOR - THRU 3/2040.000.00$223,207$0$25,621Yes (X)
SEAN REIS
SENIOR DIRECTOR - THRU 3/2040.000.00$200,468$0$19,048Yes (X)
BRIAN MALONE
GENERAL MANAGER EAST - THRU 3/2040.000.00$341,693$0$30,297Yes (X)
STACIA TAYLOR
CHIEF HR OFFICER40.000.00$205,696$0$20,411Yes (X)
CHAD SKIDMORE
VP TECHNICAL SERVICES40.000.00$197,841$0$24,128Yes (X)
FRANK TOLLEFSON
SENIOR DIRECTOR TECHNICAL SERVICES40.000.00$189,430$0$30,579Yes (X)
REBECCA VAN BRUNT
DIRECTOR FINANCE AND ACCOUNTING40.000.00$191,064$0$25,672Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,270,490TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,167,975TotReportableCompRltdOrgAmt
Total Other Compensation$661,815TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K249IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WELLSKY FINANCIAL SERVICES LLC
11300 SWITZER ROADOVERLAND PARKKS66210MAINTENANCE CONTRACTS$599,228
SOLUTIONS II
8822 SOUTH RIDGELINE BLVD SUITE 1LITTLETONCO80129HEALTHCARE IT SERVICES$438,983
MEDICAL INFORMATION TECHNOLOGY
MEDITECH CIRCLEWESTWOODMA02090MAINTENANCE CONTRACTS$398,283
J&H INC
2013 HAGGERTY LANKEBOZEMANMT59715MAINTENANCE CONTRACTS$301,108
HOPE DROWN
81964 CORTE VALDREMOINDIOCA92203PROFESSIONAL SERVICES$232,988
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Related Organizations$139,750RelatedOrganizationsAmt
Government Grants$1,706,512GovernmentGrantsAmt
All Other Contributions$21,918AllOtherContributionsAmt
Total Contributions$1,868,180TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
ACUTE CARE621400$42,637,716$42,637,716
INFO RESOURCE MGMNT.541519$10,316,497$9,952,589$363,908
OTHER SERVICE REVENUE900099$8,500,988$8,500,988
LIFEFLIGHT NETWORK JV900099$1,784,414$1,784,414
FieldValueIRS element (for citing)
Total Program Service Revenue$63,239,615TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$96,872TotalRevenueColumnAmt
Exclusion$96,872ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$16,846OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$16,846OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,846TotalRevenueColumnAmt
Exclusion$16,846ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACT STAFF SERVICE900099$10,315,327$10,315,327
TRAINING CENTER900099$1,524,552$1,524,552
PROVIDER TAX900099$1,145,737$1,145,737

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,358,725TotalRevenueColumnAmt
Related Or Exempt Func Income$586,733RelatedOrExemptFuncIncomeAmt
Exclusion$1,771,992ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$15,344,341OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$80,565,854TotalRevenueColumnAmt
Related Or Exempt Func Income$64,608,177RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$363,908UnrelatedBusinessRevenueAmt
Exclusion$13,725,589ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,948TotalAmt
Program Services$2,948ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,714,159TotalAmt
Program Services$2,513,222ProgramServicesAmt
Management And General$200,937ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$41,026,092TotalAmt
Program Services$38,512,870ProgramServicesAmt
Management And General$2,513,222ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,922,591TotalAmt
Program Services$6,410,093ProgramServicesAmt
Management And General$512,498ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,535,724TotalAmt
Program Services$2,347,997ProgramServicesAmt
Management And General$187,727ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,730,600TotalAmt
Program Services$2,528,446ProgramServicesAmt
Management And General$202,154ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,231TotalAmt
Management And General$8,231ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,951,115TotalAmt
Program Services$6,436,505ProgramServicesAmt
Management And General$514,610ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$26,003TotalAmt
Program Services$24,078ProgramServicesAmt
Management And General$1,925ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,515,881TotalAmt
Program Services$1,403,656ProgramServicesAmt
Management And General$112,225ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$471,902TotalAmt
Program Services$436,966ProgramServicesAmt
Management And General$34,936ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$828,639TotalAmt
Program Services$767,293ProgramServicesAmt
Management And General$61,346ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$273,526TotalAmt
Program Services$253,276ProgramServicesAmt
Management And General$20,250ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$60,923TotalAmt
Program Services$56,413ProgramServicesAmt
Management And General$4,510ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,020TotalAmt
Program Services$3,722ProgramServicesAmt
Management And General$298ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,818,466TotalAmt
Program Services$1,683,840ProgramServicesAmt
Management And General$134,626ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,483,878$1,374,022$109,856
DIETARY SUPPLIES/FOOD$439,118$406,609$32,509
TAXES & LICENSES$194,683$180,270$14,413
DUES & SUBSCRIPTIONS$78,369$72,567$5,802

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$100,893TotalAmt
Program Services$93,425ProgramServicesAmt
Management And General$7,468ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$70,187,761TotalAmt
Program Services$65,508,218ProgramServicesAmt
Management And General$4,679,543ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$24,160,414BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$15,744,809BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,447,093BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,255BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$197,447BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$39,828BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$26,194,471BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$51,263,912BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,905,757BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$132,955,986BOYAmt
EOY$0EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,519,507BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$80,899BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,509,435BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,109,841BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$120,550,392BOYAmt
EOY$0EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$295,753BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$120,846,145BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$132,955,986BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,378,093ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$81,442NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$131,305,680OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$2,790OtherActivitiesAmt
Total Lobbying Expenditures$2,790TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES ALLOCATED TO INLAND NORTHWEST HEALTH SERVICES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,570BeginningYearBalanceAmt
Other Expenditures$21,570OtherExpendituresAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,570BeginningYearBalanceAmt
End Year Balance$21,570EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,570BeginningYearBalanceAmt
End Year Balance$21,570EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,570BeginningYearBalanceAmt
End Year Balance$21,570EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,570BeginningYearBalanceAmt
End Year Balance$21,570EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationFUNDS TO BE USED FOR TEAM ST. LUKE'S (WHEELCHAIR SPORTS) ACTIVITIES.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$248,254TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$248,254NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,713,796TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,657,199DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,056,597NetCommunityBenefitExpnsAmt
Total Expense0.02930TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,962,050TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,657,199DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,304,851NetCommunityBenefitExpnsAmt
Total Expense0.03280TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,185,494TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,822DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,108,672NetCommunityBenefitExpnsAmt
Total Expense0.01580TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$96,525TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$96,525NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$224,790TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$224,790NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,401TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,401NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,508,210TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,822DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,431,388NetCommunityBenefitExpnsAmt
Total Expense0.02040TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,470,260TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,734,021DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,736,239NetCommunityBenefitExpnsAmt
Total Expense0.05320TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,683TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,683NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,683TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,683NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$0BadDebtExpenseAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S REHABILITATION INSTITUTEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 S COWLEY STREETAddressLine1Txt
CitySPOKANECityNm
State AbbreviationWAStateAbbreviationCd
ZIP99202ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.ST-LUKES.ORGWebsiteAddressTxt
State License157StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S REHABILITATION INSTITUTEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.ST-LUKES.ORG/WHY-ST-LUKES/ABOUT-US/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.ST-LUKES.ORG/WHY-ST-LUKES/ABOUT-US/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.ST-LUKES.ORG/PATIENTS-VISITORS/PAY-YOUR-BILL-ONLINE/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.ST-LUKES.ORG/PATIENTS-VISITORS/PAY-YOUR-BILL-ONLINE/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.ST-LUKES.ORG/PATIENTS-VISITORS/PAY-YOUR-BILL-ONLINE/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ST. LUKE'S REHABILITATION INSTITUTEPART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
ST. LUKE'S REHABILITATION INSTITUTEPART V, SECTION B, LINE 5: ST. LUKE'S REHABILITATION INSTITUTE PARTNERED WITH THE SPOKANE REGIONAL HEALTH DISTRICT (SRHD), PRIORITY SPOKANE, AND OTHERS IN THE COMMUNITY TO CONDUCT THE 2018 COMMUNITY NEEDS ASSESSMENT USING THE MOST RECENT DATA AVAILABLE. THE PURPOSE WAS TO PRIORITIZE THE NEEDS OF THE COMMUNITY, ESPECIALLY AMONG THOSE LIVING IN POVERTY AND WITH THE LEAST ACCESS TO RESOURCES, AND TO PROMOTE COLLABORATIVE OPPORTUNITIES TO IMPROVE HEALTH AND WELL-BEING IN SPOKANE COUNTY. OVER 400 EMAIL INVITATIONS WERE EXTENDED TO COMMUNITY MEMBERS TO PARTICIPATE IN ONE OF SIX TASK FORCE COMMITTEES: HEALTHY PEOPLE, EDUCATION, ECONOMIC VITALITY, PUBLIC SAFETY, ENVIRONMENT, AND HOUSING AND TRANSPORTATION.THE PROCESS TO IDENTIFY COMMUNITY HEALTH NEEDS BEGAN WITH A BROAD COMMUNITY-WIDE COORDINATED ASSESSMENT PROCESS IN ORDER TO ALIGN THE NEEDS OF THE MANY ORGANIZATIONS, INCLUDING ST. LUKE'S, WHO ARE REQUIRED TO PERFORM PERIODIC ASSESSMENTS OF COMMUNITY NEEDS. IN 2017-2018, SRHD CONVENED STAKEHOLDERS FROM ACROSS SPOKANE COUNTY IN A MULTI-MEETING ASSESSMENT PROCESS IN WHICH TASK FORCES ON ECONOMIC VITALITY (72 PARTICIPANTS), EDUCATION (68 PARTICIPANTS), ENVIRONMENT (51 PARTICIPANTS), HEALTHY PEOPLE (146 PARTICIPANTS), HOUSING/TRANSPORTATION (115 PARTICIPANTS), AND PUBLIC SAFETY (77 PARTICIPANTS) IDENTIFIED THE MOST PRESSING NEEDS IN THE COMMUNITY WITHIN THEIR DOMAINS, ALL OF WHICH ARE DETERMINANTS OF COMMUNITY HEALTH. ST. LUKE'S PARTICIPATED IN THE 2018 HEALTHY PEOPLE TASK FORCE AS AN INITIAL EVENT IN ITS CHNA PROCESS. A SCHEMATIC SUPPLIED BY SRHD OF THE BROAD COMMUNITY-WIDE COORDINATED ASSESSMENT PROCESS IS LOCATED IN APPENDIX 1.COMMUNITY INPUT TASK FORCES WERE UTILIZED TO OBTAIN THE VOICE OF THOSE WORKING AND LIVING IN OUR COMMUNITY. MULTIPLE MEETINGS WERE SET FOR EACH TASK FORCE TO GAIN INPUT FROM OTHERS EXPERIENCING OR SPECIALIZING IN THAT SPECIFIC AREA. AN EXPLANATION OF DIRECT COMMUNITY INPUT CAN BE FOUND ON THE SPOKANE REGIONAL HEALTH DISTRICT WEBSITE, HTTPS://SRHD.ORG/DATA-AND-REPORTS FOR THE JOINT NEEDS ASSESSMENT DOCUMENT.SECONDARY DATA DATA REVIEWED BY THE COMMUNITY AND USED TO PRIORITIZE THE COMMUNITY NEEDS CAN BE FOUND AT: HTTP://WWW.COMMUNITYINDICATORS.EWU.EDU/CATEGORY.CFM?ID=0.
ST. LUKE'S REHABILITATION INSTITUTEPART V, SECTION B, LINE 6A: PROVIDENCE HEALTH & SERVICES - WASHINGTON DBA INLAND NORTHWEST HEALTH SERVICES 91-1307555PROVIDENCE HEALTH CARE
ST. LUKE'S REHABILITATION INSTITUTEPART V, SECTION B, LINE 11: AS A RESULT OF THE FINDINGS OF OUR 2018 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, ST. LUKE'S REHABILITATION INSTITUTE WILL FOCUS ON THE FOLLOWING AREAS FOR ITS 2019 - 2021 COMMUNITY BENEFIT EFFORTS:1. INITIATIVE/COMMUNITY NEED BEING ADDRESSED: REDUCE SUICIDE RATES BY IMPROVING LIFE PRESERVATION STRATEGIES GOAL (ANTICIPATED IMPACT): INCREASE DETECTION OF THOSE INTENDING/ATTEMPTING SUICIDE OR WITH DEPRESSION IN OUR COMMUNITY WHILE INCREASING ACCESS TO COMMUNITY PARTNERS WHO PROVIDE MENTAL HEALTH SERVICES.SCOPE (TARGET POPULATION): THOSE NEEDING MENTAL HEALTH SERVICES FOR SUICIDAL IDEATION/ATTEMPT OR DEPRESSION WHILE IN ST. LUKE'S CARE.2020 ACCOMPLISHMENTS: 1. PROGRESS BY ST. LUKE'S SCHOOL-BASED LICENSED ATHLETIC TRAINERS TO REFER YOUTH REPORTING SUICIDAL BEHAVIOR OR DEPRESSION TO SCHOOL MENTAL HEALTH COUNSELING RESOURCES WAS CURTAILED FROM MARCH 2020 TO CURRENT DUE TO COVID-19 RELATED CLOSURE OF SPORTS PROGRAMS. HOWEVER, FROM JAN 2019 TO MARCH 2020, 3 PRIMARY CARE REFERRALS WERE MADE FOR SUSPECTED DEPRESSION IN HIGH SCHOOL STUDENTS. ANOTHER 15 STUDENTS WERE REFERRED TO SCHOOL-BASED COUNSELORS AND OTHER ADMINISTRATIVE STAFF FOR ANTECEDENTS TO MENTAL HEALTH CONDITIONS, SUCH AS FOOD INSECURITY, HOMELESSNESS, AND SUSPECTED ABUSE. ENHANCED TRAINING IN SCREENING FOR MENTAL HEALTH CONDITIONS WAS OBTAINED THROUGH THE MENTAL HEALTH FIRST AID COURSE BY ONE ATHLETIC TRAINED WITH ANOTHER ATHLETIC TRAINER REGISTERED TO COMPLETE THE COURSE. AS A GOAL, ALL ST. LUKE'S ATHLETIC TRAINERS WILL COMPLETE THE ONLINE MENTAL HEALTH FIRST AID COURSE IN 2021.2. REFERRALS AT INPATIENT DISCHARGE TO THE PROVIDENCE RESOURCES INSIGHT SUPPORT EMPOWERMENT (RISE) IS A BEHAVIORAL HEALTH INTENSIVE OUTPATIENT PROGRAM FOR ADOLESCENTS AND ADULTS DEALING WITH MENTAL HEALTH CONCERNS WHO ARE AT RISK FOR INPATIENT PSYCHIATRIC HOSPITALIZATION OR ARE BEING DISCHARGED FROM INPATIENT CARE.3. IN 2019, ST. LUKE'S STAFF PSYCHOLOGIST, DR. ALICIA HEGIE, PSYD, ABPP-RP, CONDUCTED A SUICIDE PREVENTION TRAINING SEMINAR FOR ST. LUKE'S STAFF. CONTENT OF THE PRESENTATION INCLUDED STRATEGIES FOR MANAGING AND MITIGATING RISK IN PATIENTS WITH SUICIDAL IDEATION OR ATTEMPTS AND EDUCATION ABOUT RESOURCES FOR STAFF, PATIENT CAREGIVERS, AND PATIENTS THEMSELVES. THE SUICIDE PREVENTION TRAINING WAS SO WELL RECEIVED THAT IT HAS BEEN ADDED TO THE STAFF TRAINING BUNDLE FOR ST. LUKE'S PARENT HEALTH SYSTEM, PROVIDENCE ST. JOSEPH HEALTHCARE.4. DURING THE INPATIENT STAY, OUR INPATIENT SOCIAL WORKERS ARE ESTABLISHING APPOINTMENTS FOR HIGH RISK PATIENTS WITH THE LOCAL PROVIDER OF HIGH-RISK SERVICES FOR ALL AGES, FRONTIER BEHAVIORAL HEALTH (FBH). FBH IS ACCREDITED BY THE AMERICAN ASSOCIATION OF SUICIDOLOGY.5. TWO MEMBERS OF ST. LUKE'S STAFF PSYCHOLOGIST, DR. ALICIA HEGIE, PSYD, ABPP-RP, AND DOUGLAS WEEKS, PHD, HAVE BECOME MEMBERS OF A LOCAL COALITION WITH THE MISSION TO REDUCE SUICIDE ATTEMPTS AND RATES IN OUR COMMUNITY, PREVENT SUICIDE SPOKANE COALITION. DRS. HEGIE AND WEEKS HAVE PARTICIPATED THROUGH THE COALITION IN A STRATEGIC PLANNING INITIATIVE TO DEVELOP A THREE-YEAR COMMUNITY-IMPACT PLAN TO ADDRESS THE SUICIDE RATES IN SPOKANE COUNTY. THE SPOKANE COUNTY-WIDE STRATEGIC PLAN IS TARGETED FOR COMPLETION AND IMPLEMENTATION IN 2022. BOTH ST. LUKE'S STAFF MEMBERS ARE VOTING MEMBERS OF THE COALITION.2. INITIATIVE/COMMUNITY NEED BEING ADDRESSED: DEVELOP A MORE EDUCATED WORKFORCEGOAL (ANTICIPATED IMPACT): INCREASE NUMBER OF INDIVIDUALS BEING EDUCATED FOR CAREERS IN HEALTH CARE.SCOPE (TARGET POPULATION): THOSE IN SPOKANE COUNTY SEEKING A CAREER IN HEALTH CARE.2020 ACCOMPLISHMENTS:1. IMPLEMENTED A REGION-WIDE DOH ACCREDITED NURSING ASSISTANT CERTIFIED (NAC) TRAINING PROGRAM IN PARTNERSHIP WITH PROVIDENCE HEALTH CARE.2. ENGAGED IN JOB FAIRS AND SPEAKING EVENTS AT HIGH SCHOOLS AND COMMUNITY COLLEGES.3. CONTINUED THE ENGLISH LANGUAGE LEARNER (ELL) CLASSES AT ST. LUKE'S.4. OBTAINED ACCREDITATION FROM THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) TO INITIATE A PHYSICAL MEDICINE & REHABILITATION RESIDENCY PROGRAM AT ST. LUKE'S WITH THE FIRST COHORT STARTING IN JULY 2021.5. IMPLEMENTED A REGIONAL PHARMACY TECHNICIAN PROGRAM IN PARTNERSHIP WITH UNIVERSITY OF PROVIDENCE.THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE COMMUNITY-WIDE CHNA PROCESS WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW:- NEEDS DELINEATED UNDER EDUCATION, ENVIRONMENT, HOUSING AND INLAND NORTHWEST HEALTH SERVICES 91-1307555 TRANSPORTATION, AND PUBLIC SAFETY WILL NOT BE ADDRESSED BY ST. LUKE'S AS THIS IS BEYOND THE SCOPE OF OUR EXPERTISE. HOWEVER, AS AN ORGANIZATION, WE ARE COMMITTED TO PARTNERING WITH LIKEMINDED ORGANIZATIONS IN THE COMMUNITY WHO ARE EXPERIENCED IN ADDRESSING AFOREMENTIONED NEEDS.- ST. LUKE'S WILL BE ADDRESSING THE HEALTHY PEOPLE SUB-CATEGORY OF REDUCING SUICIDE RATES BY IMPROVING LIFE PRESERVATION STRATEGIES AND ECONOMIC VITALITY SUB-CATEGORY OF DEVELOPING A MORE EDUCATED WORKFORCE. OTHER SUB-CATEGORIES OF THESE DOMAINS ARE BEYOND OUR CURRENT SCOPE OFEXPERTISE.PART V, SECTION B, LINE 9: THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 22, 2019, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).
ST. LUKE'S REHABILITATION INSTITUTEPART V, SECTION B, LINE 13B: THE ORGANIZATION USES FPG TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FREE OR DISCOUNTED CARE. IN ADDITION, THE ORGANIZATION WILL REVIEW FAMILY ASSETS, INCLUDING BANK STATEMENTS; THE PATIENT'S FUTURE EARNING CAPACITY; THE EXISTENCE OF OTHER EXTRAORDINARY FAMILY EXPENSES, INCLUDING RENT EXPENSES; AND THE PATIENT'S ABILITY TO MAKE PAYMENTS OVER TIME, AS REFLECTED BY A THIRD PARTY CREDIT REPORT OR OTHER DOCUMENTATION.
FieldValueIRS element (for citing)
Facility8FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - OCCUPATIONAL REHABILITATION - SOUTH
421 SOUTH DIVISION STSPOKANEWA99202OUTPATIENT
2 - MUV FITNESS - DOWNTOWN
809 WEST MAIN STSPOKANEWA99201PHYSICAL THERAPY
3 - MUV FITNESS - SOUTH
5501 SOUTH REGAL STSPOKANEWA99223PHYSICAL THERAPY
4 - ST LUKE'S NORTH
235 E ROWAN AVE SUITE 210SPOKANEWA99207OUTPATIENT
5 - MUV FITNESS - NORTH
603 EAST HOLLAND AVESPOKANEWA99218PHYSICAL THERAPY
6 - OCCUPATIONAL REHABILITATION - NORTH
551 E HAWTHORNE RDSPOKANEWA99218OUTPATIENT
7 - OCCUPATIONAL REHABILITATION VALLEY
16528 E DESMET COURT SUITE 1600SPOKANEWA99016OUTPATIENT
8 - MUV FITNESS - VALLEY
14927 EAST SPRAGUE AVESPOKANEWA99216PHYSICAL THERAPY

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
PART I, LINE 6A:INLAND NORTHWEST HEALTH SERVICES PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.INHS.INFO/NEWS/ANNUAL_REPORTS/2018_COMMUNITY_REPORT/
PART I, LINE 7:THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING ACTUAL EXPENSES INCURRED.
PART I, LINE 7G:NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
PART II, COMMUNITY BUILDING ACTIVITIES:INHS EMBRACES ITS RESPONSIBILITY TO PROVIDE FOR THE NEEDS OF THE COMMUNITIES IT SERVES. 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.INHS IS ACTIVELY INVOLVED WITH PUBLIC, PRIVATE AND OTHER HEALTH SYSTEMS IN WORKING TOWARDS BETTER HEALTH OUTCOMES FOR THE ENTIRE COMMUNITY.INHS OVERSEES A VARIETY OF HEALTH CARE DIVISIONS AND SERVICES THAT WORK TOGETHER TO IMPROVE OUTCOMES, LEAD THE WAY IN HEALTH CARE INNOVATION AND CREATE HEALTHIER COMMUNITIES:- ST. LUKE'S REHABILITATION INSTITUTE: PROVIDES ACCREDITED INPATIENT AND OUTPATIENT PHYSICAL REHABILITATION SERVICES AT THE STATE'S ONLY FREESTANDING HOSPITAL.- ENGAGE: SETS THE NATIONAL STANDARD IN HOW HEALTH INFORMATION TECHNOLOGY IMPROVES A COMMUNITY'S PATIENT CARE AND LOWERS COSTS.- COMMUNITY WELLNESS: IMPROVES THE HEALTH OF THE COMMUNITY THROUGH SCREENINGS, ASSESSMENTS, INVOLVEMENT AND EDUCATION.- NORTHWEST TELEHEALTH: LINKS THE REGION TO A VARIETY OF RESOURCES AT 115 LOCATIONS OVER A ROBUST TELEMEDICINE, VIDEO-CONFERENCING NETWORK.- HEALTH TRAINING: PROVIDES AND COORDINATES MEDICAL TRAINING FOR HEALTH CARE PROFESSIONALS THROUGHOUT THE INLAND NORTHWEST.- COHE COMMUNITY OF EASTERN WASHINGTON: WORKS COOPERATIVELY IN DEVELOPING PROGRAMS TO IMPROVE THE QUALITY, COST EFFECTIVENESS AND CONSISTENCY OF CARE FOR INJURED WORKERS.
PART III, LINE 2:THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE.
PART III, LINE 3:THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, AFTER THE ORGANIZATION IDENTIFIED AND QUALIFIED THESE PATIENTS, COLLECTION ACTIONS WERE NOT PURSUED. INSTEAD, THESE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION, THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4:AS A RESULT OF ADOPTING ASU 2014-09 , THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2020.THE HEALTH SYSTEM PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE HEALTH SYSTEM ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
PART III, LINE 8:THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
PART III, LINE 9B:PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE.
PART VI, LINE 2:ST. LUKE'S REHABILITATION INSTITUTE PARTNERED WITH THE SPOKANE REGIONAL HEALTH DISTRICT (SRHD), PRIORITY SPOKANE, AND OTHERS IN THE COMMUNITY TO CONDUCT THE 2018 COMMUNITY NEEDS ASSESSMENT USING THE MOST RECENT DATA AVAILABLE.
PART VI, LINE 3:INHS POSTS 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.INHS 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, INHS 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.INHS SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS.
PART VI, LINE 4:IN 2016, SPOKANE COUNTY WAS THE FOURTH MOST POPULOUS COUNTY IN THE STATE WITH 492,530. THE CITY OF SPOKANE WAS THE STATE'S SECOND MOST POPULOUS INCORPORATED CITY WITH 214,500 INDIVIDUALS. IN 2016, SENIORS MADE UP THE SMALLEST PROPORTION OF THE COUNTY POPULATION; ALTHOUGH, THIS AGE SEGMENT SAW THE LARGEST INCREASE IN PROPORTION OVER THE LAST DECADE AT 3%. IN 2016 THE POPULATION COMPRISED:- 22.8% YOUTH (0-17 YEARS)- 23.8% YOUNG ADULTS (18-34 YEARS)- 37.8% OLDER ADULTS (35-64 YEARS)- 15.6% SENIORS (65 YEARS AND OLDER)AMONG SPOKANE COUNTY RESIDENTS IN 2015, 88.7% PERCENT WERE WHITE, 4.5% WERE OF TWO OR MORE RACES, 2.2% WERE ASIAN, 1.6% WERE AFRICAN AMERICAN/BLACK, 1.3% WERE AMERICAN INDIAN/ALASKA NATIVE, AND 0.5% WERE NATIVE HAWAIIAN/PACIFIC ISLANDER. RESIDENTS OF HISPANIC ETHNICITY COMPRISED 5.4% OF SPOKANE COUNTY'S POPULATION.AMONG SPOKANE COUNTY ADULTS 25 YEARS OF AGE OR OLDER IN 2015, 25.8% OBTAINED AT LEAST A HIGH SCHOOL EDUCATION/GED, WHILE ANOTHER 39% OBTAINED SOME COLLEGE OR AN AA DEGREE, AND 28.4% OBTAINED A BACHELOR'S DEGREE OR HIGHER. ONLY 6.8% DID NOT GRADUATE FROM HIGH SCHOOL.IN 2016, THE PROJECTED MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY WAS $49,482, COMPARED TO $65,500 STATEWIDE. IN 2015, 15.5% OF INDIVIDUALS IN THE COUNTY LIVED BELOW 100% FEDERAL POVERTY LEVEL (FPL), AND 36.5% LIVED BELOW 200% FPL. THE PROPORTION OF SPOKANE COUNTY RESIDENTS LIVING IN POVERTY (BELOW 200% FPL) WAS SIGNIFICANTLY HIGHER THAN THE STATEWIDE PROPORTION (28.6%).THE TOP THREE CAUSES OF DEATH IN SPOKANE COUNTY IN 2016 WERE CANCER AT 22.2%, HEART DISEASE AT 17.4%, AND UNINTENTIONAL INJURY AT 7.7%. STROKE WAS THE 6TH LEADING CAUSE OF DEATH AT 5.1%. SUICIDE WAS THE 8TH LEADING CAUSE OF DEATH AT 2.0%. AMONG THOSE 12-24 YEARS OF AGE, SUICIDE ACCOUNTED FOR 24.5% OF ALL DEATHS, AND FOR THOSE 25-44 YEARS OF AGE, 18.3% OF ALL DEATHS.SPOKANE COUNTY ENCOMPASSED 6.8% OF THE STATE'S POPULATION WITH A DISABILITY. DISABILITY INCLUDES THOSE WITH IMPAIRMENTS COMMON TO ST. LUKE'S PATIENTS, INCLUDING LIMITATIONS IN HEARING, VISION, COGNITION, AMBULATION, SELF-CARE, AND INDEPENDENT LIVING. AMONG THOSE 75 YEARS OF AGE OR OLDER, 57.5% WERE LIVING WITH A DISABILITY. OVERALL, SPOKANE COUNTY HAS HIGHER DISABILITY RATES THAN THE STATE.THE FOLLOWING ARE HOSPITALS WITHIN SPOKANE COUNTY OTHER THAN ST. LUKE'S REHABILITATION INSTITUTE. PROVIDENCE SACRED HEART MEDICAL CENTER, PROVIDENCE HOLY FAMILY HOSPITAL, DEACONESS HOSPITAL, VALLEY HOSPITAL, SHRINERS HOSPITAL FOR CHILDREN.
PART VI, LINE 5:INHS PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERSINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. INHS IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) OPEN MEDICAL STAFF 2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.SEE COMMUNITY HEALTH IMPLEMENTATION PLAN POSTED AT:WWW. PROVIDENCE.ORG/ABOUT.ANNUAL-REPORT/CHINA-AND-CHIP-REPORTS
PART VI, LINE 6:AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING 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 HEALTH 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 51 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:PROVIDENCE ACROSS FIVE WESTERN STATESCOVENANT HEALTH IN WEST TEXASFACEY MEDICAL FOUNDATION IN LOS ANGELES, CAHOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CAKADLEC IN SOUTHEAST WASHINGTONPACIFIC MEDICAL CENTERS IN SEATTLE, WASWEDISH HEALTH SERVICES IN SEATTLE, WA2020 AN UNPRECEDENTED YEAROVER THE PAST YEAR, OUR COMMUNITIES HAVE FACED EXTRAORDINARY CHALLENGES. BUT EVEN DURING THE MOST DIFFICULT PUBLIC HEALTH CRISIS OF OUR TIME, COMMUNITIES HAVE ALSO SHOWN REMARKABLE STRENGTH AND RESOLVE. THERE IS SO MUCH GOOD THAT CAN BE ACCOMPLISHED AT THE COMMUNITY LEVEL, ESPECIALLY WHEN LIKE-MINDED ORGANIZATIONS WORK TOGETHER. IN SERVICE TO OUR MISSION, PROVIDENCE PARTNERS WITH COMMUNITY BASED ORGANIZATIONS TO IDENTIFY URGENT HEALTH NEEDS AND ENVIRONMENTAL FACTORS THAT ARE IMPACTING THE WELL-BEING OF OUR COMMUNITIES. WE ACT TO PROVIDE SHORT-TERM SOLUTIONS AND ENVISION LONG-TERM RESULTS BY WISELY INVESTING IN OUR COMMUNITIES TO HELP BUILD A MORE EQUITABLE AND SUSTAINABLE FUTURE.
PART VI, LINE 7, REPORTS FILED WITH STATESWA

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ELAINE COUTURE
EVP CHIEF EXEC. WA & MT - THRU 12/20$0$810,687$0$564,482$0$247,248$0$228,894$0$20,004$0$1,871,315$0$213,222
HELEN ANDRUS
CFO WA AND MT REGION - THRU 12/20$0$343,491$0$118,241$0$81,122$0$69,404$0$15,024$0$627,282$0$55,841
FREDERICK LEE GALUSHA
CHIEF EXECUTIVE ENGAGE - THRU 3/20$408,134$0$77,147$0$14,307$0$17,875$0$13,372$0$530,835$0$0$0
GREGORY CARTER
CMO - THRU 12/20$368,448$0$0$0$4,442$0$16,827$0$18,298$0$408,015$0$0$0
BRIAN MALONE
GENERAL MANAGER EAST - THRU 3/20$201,279$0$140,414$0$0$0$11,999$0$18,298$0$371,990$0$0$0
MICHAEL SMYLY
CHIEF BUS. DEV. OFFICER - THRU 3/20$235,486$0$97,930$0$2,660$0$15,920$0$13,372$0$365,368$0$0$0
NANCY WEBSTER
ADMINISTRATOR ST. LUKES - THRU 12/20$233,494$0$44,554$0$9,650$0$16,907$0$14,080$0$318,685$0$0$0
DANIEL ENGLE
SENIOR DIRECTOR - THRU 3/20$220,255$0$2,146$0$2,438$0$7,784$0$18,298$0$250,921$0$0$0
MARCIA CHEADLE
SENIOR DIRECTOR - THRU 3/20$209,088$0$14,119$0$0$0$14,353$0$11,268$0$248,828$0$0$0
STACIA TAYLOR
CHIEF HR OFFICER$146,641$0$58,601$0$454$0$12,189$0$8,222$0$226,107$0$0$0
CHAD SKIDMORE
VP TECHNICAL SERVICES$192,262$0$5,579$0$0$0$12,860$0$11,268$0$221,969$0$0$0
FRANK TOLLEFSON
SENIOR DIRECTOR TECHNICAL SERVICES$183,946$0$5,000$0$484$0$12,281$0$18,298$0$220,009$0$0$0
SEAN REIS
SENIOR DIRECTOR - THRU 3/20$200,468$0$0$0$0$0$12,352$0$6,696$0$219,516$0$0$0
REBECCA VAN BRUNT
DIRECTOR FINANCE AND ACCOUNTING$136,570$0$52,661$0$1,833$0$12,300$0$13,372$0$216,736$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AMEMBERSHIP FEES ARE PAID TO THE SPOKANE CLUB FOR KEY EMPLOYEES FOR THE SOLE PURPOSE OF HOLDING BUSINESS MEETINGS WITH CUSTOMERS, CLIENTS AND VENDOR. AMOUNTS ARE NOT INCLUDED AS TAXABLE COMPENSATION FOR THE KEY EMPLOYEES. 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. TRAVEL FOR COMPANIONS SPOUSE OR COMPANION TRAVEL. TRAVEL EXPENSES INCURRED BY A PROVIDENCE EMPLOYEE'S SPOUSE OR COMPANION WILL NOT BE REIMBURSED BY PROVIDENCE UNLESS THE SPOUSE OR COMPANION IS REQUIRED TO, OR INVITED TO ATTEND A PROVIDENCE SYSTEM-SPONSORED MEETING, OR FOR TRAVEL RELATED TO RELOCATION. RELOCATION-RELATED VISITS SHOULD NOT EXCEED TWO RELOCATION-RELATED VISITS, UNLESS APPROVED BY THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE. REIMBURSEMENT OF THESE EXPENSES IS LIMITED AND MAY BE CONSIDERED A TAXABLE BENEFIT BY THE IRS AND IF SO, ARE INCLUDED ON THE EMPLOYEE'S FORM W-2. 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 3DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS TAX EXEMPT PARENT, 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, LINE 4BENTITIES 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: ELAINE COUTURE - $213,222 HELEN ANDRUS - $55,841
PART I, LINE 7NON-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, WHICH IS A PERFORMANCE-BASED ANNUAL INCENTIVE PLAN THAT AFFORDS 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 N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidTRANSFER OF NET ASSETS DUE TO MERGERAssetsDistriOrExpnssPaidDesc
Distribution2020-12-31DistributionDt
Fair Market Value Of Asset$131,305,680FairMarketValueOfAssetAmt
Method Of FMV DeterminationBOOK VALUEMethodOfFMVDeterminationTxt
EIN510216586EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE HEALTH & SVCS - WABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of Successor0DirectorOfSuccessorInd
Employee Of SuccessorYes (1)EmployeeOfSuccessorInd
Owner Of Successor0OwnerOfSuccessorInd
Receive Compensation0ReceiveCompensationInd
Assets DistributedYes (1)AssetsDistributedInd
Required To Notify AGYes (1)RequiredToNotifyAGInd
Attorney General NotifiedYes (1)AttorneyGeneralNotifiedInd
Liabilities PaidYes (1)LiabilitiesPaidInd
Bonds Outstanding0BondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 2E:EXPLANATION OF INVOLVEMENT: GREGORY CARTER, CMO, AND NANCY WEBSTER, ADMINISTRATOR - ST. LUKE'S, BECAME EMPLOYEES OF PROVIDENCE HEALTH & SERVICES - WASHINGTON UPON THE MERGER AS OF 12/31/2020.HELEN ANDRUS AND ELAINE COUTURE CONTINUED TO BE EMPLOYED BY PROVIDENCE HEALTH & SERVICES WASHINGTON UPON THE MERGER AS OF 12/31/2020.
SCHEDULE NEFFECTIVE DECEMBER 31, 2020, INLAND NORTHWEST HEALTH SERVICES MERGED INTO PROVIDENCE HEALTH & SERVICES-WASHINGTON, A RELATED WASHINGTON NONPROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3). PROVIDENCE HEALTH & SERVICES-WASHINGTON IS THE SURVIVING ENTITY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3INLAND NORTHWEST HEALTH SERVICES MERGED INTO PROVIDENCE HEALTH & SERVICES - WASHINGTON, A RELATED 501(C)(3) ORGANIZATION, EFFECTIVE DECEMBER 31, 2020.
FORM 990, PART V, LINE 15INDIVIDUALS 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 ORGANIZATIONS SECTION 4960 TAX ANALYSIS AND REPORTING.
FORM 990, PART VI, SECTION A, LINE 6CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES - WASHINGTON IS THE SOLE CORPORATE MEMBER OF INLAND NORTHWEST HEALTH SERVICES.
FORM 990, PART VI, SECTION A, LINE 7ACLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS INLAND NORTHWEST HEALTH SERVICES HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBER RESERVES THE RIGHT TO APPOINT DIRECTORS TO THE INLAND NORTHWEST HEALTH SERVICES BOARD. ALL DIRECTOR NOMINATIONS THAT COME FROM THE INLAND NORTHWEST HEALTH SERVICES BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH & SERVICES - WASHINGTON, AS THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BCLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 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 RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS TO REVIEW FORM 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. MANAGEMENT PRESENTED THE RETURNS TO THE [FINANCE OR AUDIT] COMMITTEE, AND DISCUSSED KEY DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS 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 EMPLOYEES 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 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 REGULARLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15BPROCESS FOR DETERMINING COMPENSATION FOR OFFICERS AND KEY EMPLOYEES PAID BY INHS, COMPENSATION PACKAGES ARE CALCULATED BY THE PROVIDENCE COMPENSATION TEAM AND THEN REVIEWED AND APPROVED BY INHS HUMAN RESOURCES. FOR OFFICERS AND KEY EMPLOYEES PAID THROUGH PROVIDENCE, THE FOLLOWING DISCUSSES THE PROCESS UTILIZED. THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, 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 2020.
FORM 990, PART VI, SECTION C, LINE 19THE 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.
FORM 990, PART XI, LINE 9:TRANSFER TO PROVIDENCE HEALTH & SERVICES - WASHINGTON FOR MERGER -131,305,680.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (111 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
COVENANT ACO
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057611573313HEALTHCARETX501(C)(3)12,ICHSYes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461259908HEALTHCARECA501(C)(3)12,IIISJHSYes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057463516417HEALTHCARETX501(C)(3)12,ICHSYes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752765566HEALTHCARETX501(C)(3)3SJHSYes (1)
COVENANT HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752897026HEALTHCARETX501(C)(3)7CHSYes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844273963HEALTHCARETX501(C)(3)3CHSYes (1)
COVENANT MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057822913146HEALTHCARETX501(C)(3)3CHSYes (1)
COVENANT MEDICAL GROUP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752743883HEALTHCARETX501(C)(3)3CHSYes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128EVERETTWA982065128943264605TRANS. CAREWA501(C)(3)100N/A
PROVIDENCE FACEY MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057954322584SUPPORTCA501(C)(3)7PHS SOCALYes (1)
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057201910170SUPPORTWA501(C)(3)7PHS WAYes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104SEATACWA98188273133200HEALTHCAREWA501(C)(3)7SHSYes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057203856995HEALTHCARETX501(C)(3)3CHSYes (1)
HMTS INC
1 HOAG DRIVENEWPORT BEACHCA92658453583707HEALTHCARECA501(C)(3)12,IHMHPYes (1)
HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195NEWPORT BEACHCA92663452982422SUPPORTCA501(C)(3)7HHFYes (1)
HOAG CLINIC
1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658330676831HEALTHCARECA501(C)(3)10HMHPYes (1)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVENEWPORT BEACHCA92663953222343FUNDRAISINGCA501(C)(3)7HMHPYes (1)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100NEWPORT BEACHCA92663951643327HEALTHCARECA501(C)(3)3CHNYes (1)
HOSPICE OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752133781HEALTHCARETX501(C)(3)10CHSYes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057814260130HEALTHCAREWA501(C)(3)7PHS SJHSYes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057912003593HEALTHCAREWA501(C)(3)7WHCYes (1)
JOHN WAYNE CANCER INSTITUTE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057954291515HEALTHCARECA501(C)(3)4PSJHCYes (1)
KADLEC AUXILIARY INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057916033089SUPPORTWA501(C)(3)12,IIIKRMCYes (1)
KADLEC FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057237005501SUPPORTWA501(C)(3)7KRMCYes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057910655392HEALTHCAREWA501(C)(3)3WHCYes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330844408IMAGING SVCSCA501(C)(3)10PHS SOCALYes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057264021016HEALTHCARETX501(C)(3)3CHSYes (1)
LUBBOCK METHODIST HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752220963HEALTHCARETX501(C)(3)7CHSYes (1)
LUNDBERG ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911562797SUPPORTOR501(C)(3)7PHS ORYes (1)
MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057912054035RESEARCHWA501(C)(3)7SHSYes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752428911HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752246348HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752426010HEALTHCARETX501(C)(3)3CHSYes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057951643360HEALTHCARECA501(C)(3)3CHNYes (1)
NORTHWEST HOPE & HEALING FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057200799737SUPPORTWA501(C)(3)12,ISHSYes (1)
PACMED CLINICS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057562290878HEALTHCAREWA501(C)(3)10WHCYes (1)
PH&S FOUNDATIONSFVSA & SCVSA
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057953544877HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE ALASKA FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057920093565HEALTHCAREAK501(C)(3)7PHS WAYes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911940286HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911789266SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057930800140SUPPORTOR501(C)(3)7PHS ORYes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057930692907HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057473385506SUPPORTWA501(C)(3)70N/A
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057311744654SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911549796HEALTHCAREWA501(C)(3)12,IIPSJH0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057810231793HEALTHCAREMT501(C)(3)3PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057510216587HEALTHCAREOR501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057510216586HEALTHCAREWA501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911303277HEALTHCAREWA501(C)(3)3PMWHCYes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057550828701MEDICAIDOR501(C)(4)N/APHPYes (1)
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057320014330HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911433382HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057930863097HEALTHCAREOR501(C)(4)N/APPPYes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057510216589HEALTHCARECA501(C)(3)3PHSYes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057930921990HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057272552749HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057912077378HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057510224944HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE MARIANWOOD FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057931554288HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330283773HEALTHCARECA501(C)(3)12,IPHS SOCALYes (1)
PROVIDENCE MILWAUKIE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057943079515HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE MINISTRIES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057RELIGIOUS ORGWA501(C)(3)10N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911188119HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057930889144HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057311629656SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911861964HEALTHCAREWA501(C)(4)N/APHS ORYes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057931231494HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057311584166SUPPORTWA501(C)(3)10PHS WAYes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057951684082HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057814542216HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057930927320HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057912171539SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057943244854SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057811244422HEALTHCAREWA501(C)(3)12,III0N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057943078543HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057810463482HEALTHCAREMT501(C)(3)3PHS WAYes (1)
PROVIDENCE ST MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057452841492HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE SOUTHWEST WASHINGTON FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911097056SUPPORTWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057930575982HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057953264139HEALTHCARECA501(C)(3)10PHS SOCALYes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330261016HEALTHCARECA501(C)(3)7PTCHYes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057931003750HEALTHCAREOR501(C)(3)12, IPHS ORYes (1)
REDWOOD MEMORIAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057942779313HEALTHCARECA501(C)(3)7RMHYes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057956100079SUPPORTCA501(C)(3)7PSJHCYes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057611502822PHYSN COLLABWA501(C)(3)7WHCYes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057262612415SHELL CORPMT501(C)(3)1PHS WA0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057951643383RELIGIOUS ORGCA501(C)(3)10N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057680395200HEALTHCARECA501(C)(3)3SRMHYes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057271666576RELIGIOUS ORGCA501(C)(3)1SSJO0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057814791043HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057953589356HEALTHCARECA501(C)(3)12,IPSJH0
ST JOSEPH HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330143024HEALTHCARECA501(C)(3)10SJHSYes (1)
PROVIDENCE MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330185031HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057680331084HEALTHCARECA501(C)(3)10SJHSYes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057951643359HEALTHCARECA501(C)(3)3CHNYes (1)
ST JUDE HOSPITAL INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057951643324HEALTHCARECA501(C)(3)3CHNYes (1)
ST LUKE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057943176618SUPPORTWA501(C)(3)7PHS WAYes (1)
ST MARY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057951914489HEALTHCARECA501(C)(3)3CHNYes (1)
ST MARY OF THE PLAINS HOSPITAL FDN
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057751653181HEALTHCARETX501(C)(3)7CHSYes (1)
ST PATRICK HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057237056976HEALTHCAREMT501(C)(3)7PHS WAYes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057810233495EDUCATIONMT501(C)(3)10PHS WAYes (1)
SWEDISH EDMONDS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057272305304HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057910433740HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH MEDICAL CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057910983214HEALTHCAREWA501(C)(3)7SHSYes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057273139262HOLDING COWA501(C)(3)12,ISHSYes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057833972614HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911180824SUPPORTWA501(C)(3)7PHS WAYes (1)
THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911293869SUPPORTCA501(C)(3)10PHS SOCALYes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911214491SUPPORTOR501(C)(3)10PHS ORYes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057810231777EDUCATIONMT501(C)(3)2PHSYes (1)
WESTERN HEALTHCONNECT
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057454171900SHELL CORPORATIONWA501(C)(3)12,IIPHS W WAYes (1)

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NEWPORT SURGICAL PARTNERS LLC
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PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREETSEATTLEWA98104203132044MEDICAL IMAGINGWAN/A00
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MEDICAL SPECIALTIES MANAGERS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330406218HEALTHCAREWAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
C$139,750COST
PROVIDENCE HEALTH & SERVICES - WASHINGTON
R$131,305,680COST