COVENANT PHYSICIAN PARTNERS INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: COVENANT PHYSICIAN PARTNERS INC (EIN 46-3516417)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-13
IRS object ID: 202033189349313503
Schema version: 2019v5.1
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
Form 990
Schedule A
Schedule D
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-13T19:26:47-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4365 EXECUTIVE DRIVE SUITE 1600	AddressLine1Txt
City	SAN DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92121	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	463516417	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COVENANT HEALTH PARTNERS INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	COVE	BusinessNameControlTxt
Phone	8067250711	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL ROBERTSON	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	8067250711	PhoneNum
Signature	2020-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RYAN MAYOR	PreparerPersonNm
PTIN	P01650740	PTIN
Phone	8585357200	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	99.132.79.23	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-13	IPDt
IP Tm	19:01:48	IPTm
IP Timezone	PS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	C03E818AF5564214394D8BCBF65FFCB8F048BD21	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	MICHAEL ROBERTSON	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$19,745,208	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.COVENANTHEALTHPARTNERS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2013	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	180	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$21,850,718	PYProgramServiceRevenueAmt
CY Program Service Revenue	$19,577,948	CYProgramServiceRevenueAmt
PY Investment Income	$51,012	PYInvestmentIncomeAmt
CY Investment Income	$167,260	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$21,901,730	PYTotalRevenueAmt
CY Total Revenue	$19,745,208	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$11,417,983	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$10,361,052	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$8,777,384	PYOtherExpensesAmt
CY Other Expenses	$8,625,150	CYOtherExpensesAmt
PY Total Expenses	$20,195,367	PYTotalExpensesAmt
CY Total Expenses	$18,986,202	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,706,363	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$759,006	CYRevenuesLessExpensesAmt
Total Assets BOY	$10,222,617	TotalAssetsBOYAmt
Total Assets EOY	$11,296,867	TotalAssetsEOYAmt
Total Liabilities BOY	$6,189,359	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,821,961	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,033,258	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$6,474,906	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$12,899,327	ExpenseAmt
Revenue	$19,577,948	RevenueAmt
Desc	SEE 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 OUR MISSION IS REALIZED THROUGH THE DELIVERY OF QUALITY IN-PATIENT AND OUT-PATIENT SERVICES, AND FOCUSED COMMUNITY INITIATIVES AND PROGRAMS THAT ARE DEDICATED TO IMPROVING THE LIVES OF ALL WE SERVE. PROGRAM SERVICE ACCOMPLISHMENTS COVENANT HEALTH PARTNERS IS A JOINT VENTURE BETWEEN MORE THAN 300 PHYSICIANS AND THE FOUR HOSPITALS IN THE COVENANT HEALTH SYSTEM IN A UNIQUE COLLABORATION KNOWN AS CLINICAL INTEGRATION. THE PROGRAM IS DESIGNED TO IMPROVE HEALTH OUTCOMES AND INCREASE THE VALUE RECEIVED FOR THE DOLLARS SPENT BY AREA EMPLOYERS ON EMPLOYEE HEALTH BENEFITS. THE COVENANT HEALTH PARTNERS CLINICAL INTEGRATION PROGRAM JOINS TOGETHER WHAT WOULD OTHERWISE BE A FRAGMENTED GROUP OF INDEPENDENTLY PRACTICING PHYSICIANS INTO A COMPREHENSIVE CARE MANAGEMENT PROGRAM, COMPRISED OF A COMMON SET OF QUALITY GOALS AND MEASURES ACROSS ALL INSURANCE CARRIERS, WITH A FOCUS ON IMPROVED HEALTH CARE OUTCOMES AND REDUCING THE LONG TERM COST OF CARE. UNLIKE OTHER DISEASE MANAGEMENT OR PREVENTIVE HEALTH PROGRAMS, THE CLINICAL INTEGRATION PROGRAM PROVIDES EXTENSIVE INFRASTRUCTURE AND SUPPORT TO PHYSICIANS PARTICIPATING IN THE PROGRAM, AS WELL AS A PAY-FOR-PERFORMANCE INCENTIVE SYSTEM, TO DRIVE AN OUTSTANDING LEVEL OF PERFORMANCE.COVENANT HEALTH PARTNERS (CHP) BEGAN IN 2013 WHEN A NUMBER OF PHYSICIANS SUPPORTED BY COVENANT HEALTH SYSTEM, HAD THE VISION TO IMPROVE THE CURRENT MEDICAL DELIVERY SYSTEM IN THE COMMUNITY THROUGH A MODEL NOT WIDELY USED, KNOWN AS CLINICAL INTEGRATION. THE VISION RESULTED IN THE FORMING OF COVENANT HEALTH PARTNERS; A COLLABORATION BETWEEN COVENANT HEALTH SYSTEM, COVENANT MEDICAL GROUP (WHICH EMPLOYS ABOUT 150 PHYSICIANS), AND 160 INDEPENDENT PHYSICIANS.FOR MORE INFORMATION ON COVENANT HEALTH PARTNERS, PLEASE VISITHTTPS://WWW.COVENANTHEALTHPARTNERS.ORG/ FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH, PLEASE VISITWWW.STJHS.ORG.FOR MORE INFORMATION ABOUT PROVIDENCE ST. JOSEPH HEALTH, PLEASE VISITHTTPS://WWW.PROVIDENCE.ORG/	Desc
Total Program Service Expenses	$12,899,327	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	180	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	8067251011	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3615 19TH STREET	AddressLine1Txt
City	LUBBOCK	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	79410	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
DAVID BLANN MD
BOARD MEMBER	2.00	48.00	Yes (X)	$0	$835,219	$24,273
NILESH PATEL MD
BOARD MEMBER	2.00	48.00	Yes (X)	$0	$787,275	$37,204
JOHN GRIGSON
FORMER REGIONAL CFO	12.00	38.00		$0	$718,138	$91,266	Yes (X)
MICHAEL ROBERTSON MD
CHP CEO	2.00	48.00		$584,980	$0	$41,153		Yes (X)
RICHARD HENDERSON MD
BOARD MEMBER	2.00	48.00	Yes (X)	$0	$544,456	$37,139
FREDERICK HENSAL MD
BOARD MEMBER	2.00	48.00	Yes (X)	$0	$480,211	$35,553
AMANDA BACKLUND MD
BOARD MEMBER	2.00	48.00	Yes (X)	$0	$360,921	$8,420
DAVID STOWERS
EXEC DIR, CHP ENTERPRISE CARE MGMT	50.00	0.00		$282,400	$0	$31,188			Yes (X)
DAVID GRAY DO
BOARD MEMBER	2.00	48.00	Yes (X)	$0	$265,855	$30,461
WILLIAM B SNODGRASS MD
BOARD MEMBER/VICE CHAIR	2.00	48.00	Yes (X)	$0	$269,470	$24,848		Yes (X)
ANGELA FERGUSON MD
BOARD MEMBER	2.00	48.00	Yes (X)	$0	$266,154	$20,167
WALTER BIGIT MD
BOARD MEMBER	2.00	48.00	Yes (X)	$0	$235,762	$26,450
RALPH PETTINGELL
CHIEF OPERATING OFFICER - CHP	50.00	0.00		$210,465	$0	$17,918				Yes (X)
RACHAEL STEHLING
DIR, CARE MANAGEMENT	50.00	0.00		$172,886	$0	$38,764			Yes (X)
JENNIFER LE
DIR, FINANCE PSJH	50.00	0.00		$154,795	$0	$23,398			Yes (X)
TERI PIERCE
DIR, CARE MANAGEMENT	50.00	0.00		$131,179	$0	$27,628			Yes (X)
SHERRY PROCK
MGR, CARE MANAGEMENT	50.00	0.00		$123,719	$0	$30,251			Yes (X)
ADAM SPIVEY
CFO	12.00	38.00		$0	$105,130	$11,315		Yes (X)
JOSEPH DIXON MD
BOARD MEMBER	2.00	48.00	Yes (X)	$0	$1,575	$0
CHETLEN CROSSNOE MD
BOARD MEMBER	2.00	48.00	Yes (X)	$0	$700	$0
CHRISTOPHER ROSE MD
BOARD MEMBER/CHAIRMAN	2.00	2.00	Yes (X)	$0	$0	$0		Yes (X)
BRENT NALL MD
BOARD MEMBER	2.00	48.00	Yes (X)	$0	$0	$0
DAVID E MANGOLD MD
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
KAREN SORIANO MD
BOARD MEMBER	2.00	48.00	Yes (X)	$0	$0	$0
KELLY KENSING MD
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
LAKHU ROHRA MD
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
RANDY ROZEAN MD
BOARD MEMBER	2.00	48.00	Yes (X)	$0	$0	$0
SUSAN DEVINE MD
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,660,424	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,870,866	TotReportableCompRltdOrgAmt
Total Other Compensation	$557,396	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	8	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MI CASITA NURSING HOME AND REHAB	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	24400 QUAKER AVE	AddressLine1Txt
City	LUBBOCK	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	79410	ZIPCd

Field	Value	IRS element (for citing)
Services	MEDICAL SERVICES	ServicesDesc
Compensation	$188,195	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PHYSICIAN SVC REV FROM	Desc
Business	622110	BusinessCd
Total Revenue Column	$19,577,948	TotalRevenueColumnAmt
Related Or Exempt Func Income	$19,577,948	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$19,577,948	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$167,260	TotalRevenueColumnAmt
Exclusion	$167,260	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,745,208	TotalRevenueColumnAmt
Related Or Exempt Func Income	$19,577,948	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$167,260	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$854,516	TotalAmt
Program Services	$528,359	ProgramServicesAmt
Management And General	$326,157	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$8,411,910	TotalAmt
Program Services	$5,201,202	ProgramServicesAmt
Management And General	$3,210,708	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$401,021	TotalAmt
Program Services	$291,929	ProgramServicesAmt
Management And General	$109,092	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$44,487	TotalAmt
Program Services	$20,305	ProgramServicesAmt
Management And General	$24,182	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$649,118	TotalAmt
Program Services	$435,484	ProgramServicesAmt
Management And General	$213,634	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$687,820	TotalAmt
Program Services	$687,820	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,825,948	TotalAmt
Program Services	$4,478,274	ProgramServicesAmt
Management And General	$1,347,674	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$7,327	TotalAmt
Program Services	$5,348	ProgramServicesAmt
Management And General	$1,979	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$42,092	TotalAmt
Program Services	$24,031	ProgramServicesAmt
Management And General	$18,061	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$158,953	TotalAmt
Program Services	$83,480	ProgramServicesAmt
Management And General	$75,473	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$21,329	TotalAmt
Program Services	$15,529	ProgramServicesAmt
Management And General	$5,800	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,520	TotalAmt
Program Services	$19,520	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SYSTEM COST ALLOCATION	$1,682,639	$970,469	$712,170
MEDICAL SUPPLIES	$96,726	$92,018	$4,708
OTHER DIRECT EXPENSES	$76,133	$43,910	$32,223
DUES & SUBSCRIPTIONS	$6,663	$1,649	$5,014

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,986,202	TotalAmt
Program Services	$12,899,327	ProgramServicesAmt
Management And General	$6,086,875	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,679,562	BOYAmt
EOY	$9,545,064	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$142,802	BOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$131,678	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$81,724	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$69,475	BOYAmt
EOY	$49,954	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,330,778	BOYAmt
EOY	$1,701,849	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,222,617	BOYAmt
EOY	$11,296,867	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,995,376	BOYAmt
EOY	$4,250,769	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$571,192	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,193,983	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,189,359	BOYAmt
EOY	$4,821,961	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,033,258	BOYAmt
EOY	$6,474,906	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,033,258	BOYAmt
EOY	$6,474,906	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,222,617	BOYAmt
EOY	$11,296,867	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$759,006	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$1,682,642	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type1	Yes (X)	SupportingOrgType1Ind
Supported Organizations	1	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	COVENANT HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
EIN	752765566	EIN
Organization Type	3	OrganizationTypeCd
Governing Document Listed	Yes (1)	GoverningDocumentListedInd
Support	$0	SupportAmt
Other Support	$0	OtherSupportAmt

Field	Value	IRS element (for citing)
Supported Organizations Total	1	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (1)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	0	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	0	SupportedOrgSectionC456Ind
Supported Org Not Organized US	0	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	0	OrganizationChangeSuprtOrgInd
Support Non Supported Org	0	SupportNonSupportedOrgInd
Payment Substantial Contribtr	0	PaymentSubstantialContribtrInd
Loan Disqualified Person	0	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	0	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	0	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	0	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	0	ExcessBusinessHoldingsRulesInd
Contribution Controller	0	ContributionControllerInd
Contribution Family	0	ContributionFamilyInd
Contribution35 Controlled	0	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	Yes (1)	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	0	OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part I, LIne 12G, Column (VI)	FormAndLineReferenceDesc
Explanation	COVENANT HEALTH PARTNERS IS UNDER A CONTRACTUAL RELATIONSHIP WITH MORE THAN 300 PHYSICIANS AND THE FOUR HOSPITALS IN THE COVENANT HEALTH SYSTEM IN A UNIQUE COLLABORATION KNOWN AS CLINICAL INTEGRATION. THE COVENANT HEALTH PARTNERS CLINICAL INTEGRATION PROGRAM JOINS TOGETHER WHAT WOULD OTHERWISE BE A FRAGMENTED GROUP OF INDEPENDENTLY PRACTICING PHYSICIANS INTO A COMPREHENSIVE CARE MANAGEMENT PROGRAM, COMPRISED OF A COMMON SET OF QUALITY GOALS AND MEASURES ACROSS ALL INSURANCE CARRIERS, WITH A FOCUS ON IMPROVED HEALTH CARE OUTCOMES AND REDUCING THE LONG TERM COST OF CARE.	ExplanationTxt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$131,678	OtherCostOrOtherBasisAmt
Depreciation	$81,724	DepreciationAmt
Book Value	$49,954	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$49,954	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE FROM AFFILIATES	Desc
Book Value	$1,701,849	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,701,849	TotalBookValueOtherAssetsAmt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID BLANN MD
BOARD MEMBER	$0	$562,715	$0	$265,080	$0	$7,424	$0	$10,000	$0	$14,273	$0	$859,492	$0	$0
NILESH PATEL MD
BOARD MEMBER	$0	$308,756	$0	$471,247	$0	$7,272	$0	$10,000	$0	$27,204	$0	$824,479	$0	$0
JOHN GRIGSON
FORMER REGIONAL CFO	$0	$509,152	$0	$197,097	$0	$11,889	$0	$61,357	$0	$29,909	$0	$809,404	$0	$0
MICHAEL ROBERTSON MD
CHP CEO	$389,819	$0	$185,500	$0	$9,661	$0	$11,200	$0	$29,953	$0	$626,133	$0	$0	$0
RICHARD HENDERSON MD
BOARD MEMBER	$0	$263,205	$0	$274,344	$0	$6,907	$0	$10,000	$0	$27,139	$0	$581,595	$0	$0
FREDERICK HENSAL MD
BOARD MEMBER	$0	$462,432	$0	$6,041	$0	$11,738	$0	$10,000	$0	$25,553	$0	$515,764	$0	$0
AMANDA BACKLUND MD
BOARD MEMBER	$0	$193,632	$0	$161,834	$0	$5,455	$0	$6,500	$0	$1,920	$0	$369,341	$0	$0
DAVID STOWERS
EXEC DIR, CHP ENTERPRISE CARE MGMT	$212,552	$0	$67,483	$0	$2,365	$0	$8,758	$0	$22,430	$0	$313,588	$0	$0	$0
DAVID GRAY DO
BOARD MEMBER	$0	$192,018	$0	$37,994	$0	$35,843	$0	$10,000	$0	$20,461	$0	$296,316	$0	$0
WILLIAM B SNODGRASS MD
BOARD MEMBER/VICE CHAIR	$0	$177,407	$0	$86,362	$0	$5,701	$0	$8,000	$0	$16,848	$0	$294,318	$0	$0
ANGELA FERGUSON MD
BOARD MEMBER	$0	$176,195	$0	$85,374	$0	$4,585	$0	$8,000	$0	$12,167	$0	$286,321	$0	$0
WALTER BIGIT MD
BOARD MEMBER	$0	$227,605	$0	$2,976	$0	$5,181	$0	$2,000	$0	$24,450	$0	$262,212	$0	$0
RALPH PETTINGELL
CHIEF OPERATING OFFICER - CHP	$158,642	$0	$50,033	$0	$1,790	$0	$0	$0	$17,918	$0	$228,383	$0	$0	$0
RACHAEL STEHLING
DIR, CARE MANAGEMENT	$131,433	$0	$39,905	$0	$1,548	$0	$12,102	$0	$26,662	$0	$211,650	$0	$0	$0
JENNIFER LE
DIR, FINANCE PSJH	$128,152	$0	$25,309	$0	$1,334	$0	$5,382	$0	$18,016	$0	$178,193	$0	$0	$0
TERI PIERCE
DIR, CARE MANAGEMENT	$111,663	$0	$18,262	$0	$1,254	$0	$9,308	$0	$18,320	$0	$158,807	$0	$0	$0
SHERRY PROCK
MGR, CARE MANAGEMENT	$105,819	$0	$13,476	$0	$4,424	$0	$10,682	$0	$19,569	$0	$153,970	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3	DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS TAX-EXEMPT PARENT, COVENANT HEALTH SYSTEM, 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 4b	ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(iii) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. NO INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR.
Part I, Line 7	NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN, 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	CLASSES OF MEMBERS OR STOCKHOLDERS COVENANT HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF COVENANT HEALTH PARTNERS.
Form 990, Part VI, Section A, line 7a	CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS COVENANT HEALTH PARTNERS HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBER RESERVES THE RIGHT TO APPOINT TRUSTEES TO THE COVENANT HEALTH PARTNERS BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE COVENANT HEALTH PARTNERS BOARD AS NOMINATIONS MUST BE APPROVED BY COVENANT HEALTH SYSTEM, AS THE CORPORATE MEMBER.
Form 990, Part VI, Section A, line 7b	CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE COVENANT HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, EXEMPT PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. THE COVENANT HEALTH SYSTEM, RESERVES THE RIGHT TO APPROVE THE PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
Form 990, Part VI, Section B, line 11b	PROCESS TO REVIEW 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. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
Form 990, Part VI, Section B, line 12c	PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY 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 15b	PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, COVENANT HEALTH SYSTEM, 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 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
Form 990, Part IX, line 11g	AGENCY & CONTRACT LABOR: Program service expenses 0. Management and general expenses 3,306. Fundraising expenses 0. Total expenses 3,306. GENERAL CONSULTING FEES: Program service expenses 3,838,370. Management and general expenses 1,344,368. Fundraising expenses 0. Total expenses 5,182,738. MEDICAL DIRECTOR & MED PHYSICIAN FEES: Program service expenses 581,251. Management and general expenses 0. Fundraising expenses 0. Total expenses 581,251. REPAIRS & MAINTENANCE: Program service expenses 58,653. Management and general expenses 0. Fundraising expenses 0. Total expenses 58,653.
Form 990, Part XI, line 9:	Net Asset Transfers between related tax-exempt organizations 1,682,642.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (116 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
COVENANT ACO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	611573313	HEALTHCARE	TX	501(c)(3)	12,I	CHS	Yes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461259908	HEALTHCARE	CA	501(c)(3)	12,III	SJHS	Yes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752765566	HEALTHCARE	TX	501(c)(3)	3	SJHS	Yes (1)
COVENANT HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752897026	HEALTHCARE	TX	501(c)(3)	7	CHS	Yes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844273963	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
COVENANT MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	822913146	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
COVENANT MEDICAL GROUP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752743883	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
E WA & MT UNEMPLOYMENT COMPENSATION INSURANCE TRUST
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911082119	UNEMPLOYMENT	WA	501(c)(3)	12,I	PHS WA	Yes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128	EVERETT	WA	982065128	943264605	TRANS. CARE	WA	501(c)(3)	10		0	N/A
FACEY MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	954322584	SUPPORT	CA	501(c)(3)	7	PHS SOCAL	Yes (1)
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	201910170	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104	SEATAC	WA	98188	273133200	HEALTHCARE	WA	501(c)(3)	7	SHS	Yes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	203856995	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
HMTS INC
1 HOAG DRIVE	NEWPORT BEACH	CA	92658	453583707	HEALTHCARE	CA	501(c)(3)	12,I	HMHP	Yes (1)
HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195	NEWPORT BEACH	CA	92663	452982422	SUPPORT	CA	501(c)(3)	7	HHF	Yes (1)
HOAG CLINIC
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330676831	HEALTHCARE	CA	501(c)(3)	10	HMHP	Yes (1)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(c)(3)	7	HMHP	Yes (1)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100	NEWPORT BEACH	CA	92663	951643327	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
HOSPICE OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752133781	HEALTHCARE	TX	501(c)(3)	10	CHS	Yes (1)
INLAND NORTHWEST HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911307555	HEALTHCARE	WA	501(c)(3)	3	PHS WA	Yes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	814260130	HEALTHCARE	WA	501(c)(3)	7	PHS SJHS	Yes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	912003593	HEALTHCARE	WA	501(c)(3)	7	WHC	Yes (1)
JOHN WAYNE CANCER INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	954291515	HEALTHCARE	CA	501(c)(3)	4	PSJHC	Yes (1)
KADLEC AUXILIARY INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	916033089	SUPPORT	WA	501(c)(3)	12,III	KRMC	Yes (1)
KADLEC FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	237005501	SUPPORT	WA	501(c)(3)	7	KRMC	Yes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	910655392	HEALTHCARE	WA	501(c)(3)	3	WHC	Yes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330844408	IMAGING SVCS	CA	501(c)(3)	10	PHS SOCAL	Yes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	264021016	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
LUBBOCK METHODIST HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752220963	HEALTHCARE	TX	501(c)(3)	7	CHS	Yes (1)
LUNDBERG ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911562797	SUPPORT	OR	501(c)(3)	7	PHS OR	Yes (1)
MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	912054035	RESEARCH	WA	501(c)(3)	7	SHS	Yes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752428911	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752246348	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752426010	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643360	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
NORTHWEST HOPE & HEALING FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	200799737	SUPPORT	WA	501(c)(3)	12,I	SHS	Yes (1)
PACMED CLINICS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	562290878	HEALTHCARE	WA	501(c)(3)	10	WHC	Yes (1)
PH&S FOUNDATIONSFVSA & SCVSA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953544877	HEALTHCARE	CA	501(c)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE ALASKA FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	920093565	HEALTHCARE	AK	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911940286	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911789266	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930800140	SUPPORT	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930692907	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	473385506	SUPPORT	WA	501(c)(3)	7		0	N/A
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	311744654	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911549796	HEALTHCARE	WA	501(c)(3)	12,II	PSJH	0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810231793	HEALTHCARE	MT	501(c)(3)	3	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510216587	HEALTHCARE	OR	501(c)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510216586	HEALTHCARE	WA	501(c)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911303277	HEALTHCARE	WA	501(c)(3)	3	PMWHC	Yes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	550828701	MEDICAID	OR	501(c)(4)	N/A	PHP	Yes (1)
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	320014330	HEALTHCARE	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911433382	HEALTHCARE	WA	501(c)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930863097	HEALTHCARE	OR	501(c)(4)	N/A	PPP	Yes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510216589	HEALTHCARE	CA	501(c)(3)	3	PHS	Yes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930921990	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	272552749	HEALTHCARE	WA	501(c)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	912077378	HEALTHCARE	WA	501(c)(3)	7	PHS W WA	Yes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510224944	HEALTHCARE	CA	501(c)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE MARIANWOOD FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	931554288	HEALTHCARE	WA	501(c)(3)	7	PHS W WA	Yes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330283773	HEALTHCARE	CA	501(c)(3)	12,I	PHS SOCAL	Yes (1)
PROVIDENCE MILWAUKIE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	943079515	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE MINISTRIES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		RELIGIOUS ORG	WA	501(c)(3)	1		0	N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911188119	HEALTHCARE	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930889144	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	311629656	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911861964	HEALTHCARE	WA	501(c)(4)	N/A	PHS OR	Yes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	931231494	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	311584166	SUPPORT	WA	501(c)(3)	10	PHS WA	Yes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951684082	HEALTHCARE	CA	501(c)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	814542216	HEALTHCARE	CA	501(c)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930927320	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	912171539	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	943244854	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	811244422	HEALTHCARE	WA	501(c)(3)	12,III		0	N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	943078543	HEALTHCARE	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810463482	HEALTHCARE	MT	501(c)(3)	3	PHS WA	Yes (1)
PROVIDENCE ST MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	452841492	HEALTHCARE	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST PETER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911097056	SUPPORT	WA	501(c)(3)	7	PHS W WA	Yes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930575982	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953264139	HEALTHCARE	CA	501(c)(3)	10	PHS SOCAL	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330261016	HEALTHCARE	CA	501(c)(3)	7	PTCH	Yes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	931003750	HEALTHCARE	OR	501(c)(3)	12, I	PHS OR	Yes (1)
QUEEN OF THE VALLEY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	941243669	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
REDWOOD MEMORIAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	942779313	HEALTHCARE	CA	501(c)(3)	7	RMH	Yes (1)
REDWOOD MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	941384665	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	956100079	SUPPORT	CA	501(c)(3)	7	PSJHC	Yes (1)
SANTA ROSA MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	941231005	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	611502822	PHYSN COLLAB	WA	501(c)(3)	7	WHC	Yes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	262612415	SHELL CORP	MT	501(c)(3)	1	PHS WA	0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643383	RELIGIOUS ORG	CA	501(c)(3)	1		0	N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	680395200	HEALTHCARE	CA	501(c)(3)	3	SRMH	Yes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	271666576	RELIGIOUS ORG	CA	501(c)(3)	1	SSJO	0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	814791043	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953589356	HEALTHCARE	CA	501(c)(3)	12,I	PSJH	0
ST JOSEPH HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330143024	HEALTHCARE	CA	501(c)(3)	10	SJHS	Yes (1)
ST JOSEPH HERITAGE HEALTHCARE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330185031	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	680331084	HEALTHCARE	CA	501(c)(3)	10	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF EUREKA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	941156596	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643359	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
ST JUDE HOSPITAL INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643324	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
ST LUKE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	943176618	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
ST MARY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951914489	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
ST MARY OF THE PLAINS HOSPITAL FDN
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	751653181	HEALTHCARE	TX	501(c)(3)	7	CHS	Yes (1)
ST PATRICK HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	237056976	HEALTHCARE	MT	501(c)(3)	7	PHS WA	Yes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810233495	EDUCATION	MT	501(c)(3)	10	PHS WA	Yes (1)
SWEDISH EDMONDS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	272305304	HEALTHCARE	WA	501(c)(3)	3	WHC	Yes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	910433740	HEALTHCARE	WA	501(c)(3)	3	WHC	Yes (1)
SWEDISH MEDICAL CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	910983214	HEALTHCARE	WA	501(c)(3)	7	SHS	Yes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	273139262	HOLDING CO	WA	501(c)(3)	12,I	SHS	Yes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833972614	HEALTHCARE	CA	501(c)(3)	3	PHS SOCAL	Yes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911180824	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911293869	SUPPORT	CA	501(c)(3)	10	PHS SOCAL	Yes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911214491	SUPPORT	OR	501(c)(3)	10	PHS OR	Yes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810231777	EDUCATION	MT	501(c)(3)	2	PHS	Yes (1)
WESTERN HEALTHCONNECT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	454171900	SHELL CORPORATION	WA	501(c)(3)	12,II	PHS W WA	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (45 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
20TH STREET SURGERY LLC
1301 20TH STREET STE 140	SANTA MONICA	CA	90404	731735618	AMBULATORY SURG	CA	N/A
BROADWAY IMAGING LLC
500 W BROADWAY	MISSOULA	MT	59802	522405971	MEDICAL IMAGING	MT	N/A
CENTER FOR MATERNAL NEWBORN AND CHILD
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	813526875	HEALTHCARE	CA	N/A
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY ST BLDG II 495	PORTLAND	OR	97213	260381897	RADIATION ONCOL	OR	N/A
COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92663	810986844	HEALTHCARE	CA	N/A
COVENANT LONG-TERM CARE LP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	205033419	HEALTHCARE	TX	N/A
BRIDGEPORT MEDICAL IMAGING (BMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	260796953	IMAGING DIAG.	OR	N/A
CENTER FOR MEDICAL IMAGING (CMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	200477972	IMAGING DIAG.	OR	N/A
FULLERTON SURGICAL CENTER LP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	470927394	AMBULATORY SURG	CA	N/A
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA ST	BURBANK	CA	91505	954570858	REAL ESTATE - MOB	CA	N/A
HCSA PROPERTIES LLC
1600 M STREET NW	AUBURN	WA	98001	460620892	REAL ESTATE RENT	WA	N/A
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000	ORANGE	CA	92868	271000061	INVESTMENTS	CA	N/A
HOAG ORTHOPEDIC INSTITUTE
ONE HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	611588294	HEALTHCARE	CA	N/A
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE A	ANCHORAGE	AK	99508	203906048	MEDICAL IMAGING	AK	N/A
INLAND IMAGING LLC
801 S STEVENS ST	SPOKANE	WA	99204	911855796	MEDICAL IMAGING	WA	N/A
LSC REAL PROPERTY LLC
2301 QUAKER AVENUE	LUBBOCK	TX	79410	474646059	REAL ESTATE	TX	N/A
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREET	LUBBOCK	TX	79410	752343261	HEALTHCARE	TX	N/A
NEWPORT IMAGING CENTER
360 SAN MIGUEL	NEWPORT BEACH	CA	92660	330191776	HEALTHCARE	CA	N/A
NEWPORT SURGICAL PARTNERS LLC
27271 LAS RAMBLAS 350	MISSION VIEJO	CA	92691	392060266	HEALTHCARE	CA	N/A
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAY	MEDFORD	OR	97504	450471748	MEDICAL IMAGING	OR	N/A
OREGON OUTPATIENT SURGERY CENTER
7300 SW CHILDS RD	TIGARD	OR	97224	223883387	AMBULATORY SURG	OR	N/A
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREET	SEATTLE	WA	98104	203132044	MEDICAL IMAGING	WA	N/A
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	812701056	INVESTMENTS	WA	N/A
PROV RADIATION ONCOLOGY DEVELOP ASSN
4400 NE HALSEY 495	PORTLAND	OR	97213	260682491	REAL ESTATE - MOB	OR	N/A
PROVIDENCE CHILDREN'S NEONATAL SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	470918549	NEONATAL CARE	WA	N/A
PROVIDENCE HOUSE HEARING HEALTH CENTERS LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE	CA	N/A
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	920118807	MEDICAL IMAGING	AK	N/A
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	823190634	INVESTMENTS	WA	N/A
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE ST	MISSOULA	MT	59802	841401625	AMBULATORY SURG	MT	N/A
PROVIDENCESILVERTON REHAB LLC
4400 NE HALSEY 425	PORTLAND	OR	97213	481287267	REHAB SERVICES	OR	N/A
PROVIDENCE UCLA USP SURGERY CENTER JV
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	320503030	AMBULATORY SURG	CA	N/A
PROVIDENCEUSP SOUTH BAY SURGERY CENTERS
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	475064486	AMBULATORY SURG	CA	N/A
PROVIDENCEUSP SURGERY CENTERS LLC
11550 INDIAN HILLS ROAD 160	MISSION HILLS	CA	91345	200684116	AMBULATORY SURG	CA	N/A
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON STREET 1ST FL	SEATTLE	WA	98104	300553035	HEALTHCARE	WA	N/A
REDMOND AMBULATORY SURGERY CENTER LLC
805 MADISON ST STE 901	SEATTLE	WA	98104	813558711	AMBULATORY SURG	WA	N/A
SANTA ANA MOB LLC
1800 QUAIL STREET STE 100	NEWPORT BEACH	CA	92660	753205306	REAL ESTATE - MOB	CA	N/A
SHA LLC
12940 NORTH HIGHWAY 183	AUSTIN	TX	78750	752569094	HEALTHCARE	TX	N/A
SJO ASC HOLDINGS LLC
1140 W LA VETA AVE	ORANGE	CA	92868	821655501	HEALTHCARE	CA	N/A
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVE	ORANGE	CA	92868	454521884	REAL ESTATE	CA	N/A
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
300 SANTANA ROW STE 300	SAN JOSE	CA	95128	814657391	HEALTHCARE	CA	N/A
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	823352570	AMBULATORY SURG	CA	N/A
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300	LEAWOOD	KS	66211	208187971	AMBULATORY SURG	KS	N/A
TARZANA PEDIATRIC VENTURES LLC
18321 CLARK ST	TARZANA	CA	91356	821308306	HEALTHCARE	CA	N/A
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVD	SPOKANE	WA	99204	841606484	HOTEL SERVICES	WA	N/A
YELM MEDICAL OFFICE BUILDING
2840 CRITES ST SW STE 104	TUMATER	WA	98512	263685020	REAL ESTATE - MOB	WA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (35 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
1221 MADISON STREET OWNERS ASSOC
747 BROADWAY	SEATTLE	WA	98122	201954319	OWNERS' ASSOC.	WA	N/A	C	0
AMERICAN UNITY GROUP LTD
					CAPTIVE INSURANCE		N/A	C	0	90 PITTS BAY ROAD PEMBROKE	BD	BD
AYIN HEALTH SOLUTIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833037172	HEALTHCARE	DE	N/A	C	0
BLUETREE NETWORK INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	900872936	HEALTHCARE	WI	N/A	C	0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99220	911354431	CLIN/MED LAB	WA	N/A	C	0
CARON HEALTH CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810486082	MED PHYS SVCS	MT	N/A	C	0
COMMUNITY TECHNOLOGIES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844722399	IT SVCS	DE	N/A	C	0
DATU HEALTH INC AND SUBSIDIARIES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	463070062	IT SVCS	DE	N/A	C	0
ENGAGE IT SERVICES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844058573	IT SVCS	DE	N/A	C	0
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587	HEALTHCARE	CA	N/A	C	0
HOAG PHYSICIAN PARTNERS
16148 SAND CANYON AVE	IRVINE	CA	92618	834276044	HEALTHCARE	CA	N/A	C	0
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752578995	INACTIVE	TX	N/A	C	0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752118585	HEALTHCARE	TX	N/A	C	0
LUMEDIC ACQUISITION CO INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833881097	HEALTHCARE	WA	N/A	C	0
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD	MISSION VIEJO	CA	92691	330212905	HEALTHCARE	CA	N/A	C	0
PERFORMANCE HEALTH TECHNOLOGY LTD
3993 FAIRVIEW INDUSTRIAL DR SE	SALEM	OR	97302	931211733	HEALTHCARE	OR	N/A	C	0
MEDIREVV INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208783763	HEALTHCARE	DE	N/A	C	0
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461814184	STRAT PLAN SVCS	CA	N/A	C	0
PIONEER INNOVATIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	364818191	HEALTH INNOVATNS	WA	N/A	C	0
PROVIDENCE ASSURANCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208194071	CAPTIVE INSURANCE	AZ	N/A	C	0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	981516461	IT SVCS		N/A	C	0			IN
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99220	900155714	CLIN/MED LAB	WA	N/A	C	0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800886966	PREPAID HEALTH	CA	N/A	C	0
PROVIDENCE HEALTH VENTURES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330122216	INVESTMENT	CA	N/A	C	0
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE TAF C-9	SPOKANE	WA	99220	911216033	HEALTHCARE	WA	N/A	C	0
PROVIDENCE RCM GROUP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844686520	HOLDING COMPANY	DE	N/A	C	0
PROVIDENCE SERVICES GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844704409	HOLDING COMPANY	DE	N/A	C	0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	462340232	HOLDING COMPANY	CA	N/A	C	0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461900168	HEALTHCARE	CA	N/A	C	0
ST JOSEPH PROF SVCS ENTERPRSES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330155323	HEALTHCARE	CA	N/A	C	0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953943315	INVESTMENTS	CA	N/A	C	0
WESTERN HEALTHCONNECT VENTURES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800953654	INVESTMENTS	WA	N/A	C	0
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280	SANTA MONICA	CA	90404	952880495	HEALTHCARE	CA	N/A	S	0
GRADY BLOCKER LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	842092143	HOLDING COMPANY	DE	N/A	C	0
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL ST	TORRANCE	CA	90503	823771547	HEALTHCARE	CA	N/A	C	0

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

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COVENANT HEALTH SYSTEM
S	$14,550,654	COST
COVENANT HEALTH SYSTEM
L	$13,082,350	COST
COVENANT MEDICAL CENTER
P	$8,393,087	COST
COVENANT MEDICAL CENTER
S	$7,298,806	COST
COVENANT MEDICAL CENTER
Q	$5,380,866	COST
COVENANT MEDICAL CENTER
L	$4,627,520	COST
COVENANT MEDICAL CENTER
R	$4,531,985	COST
COVENANT HEALTH SYSTEM
P	$3,041,781	COST
COVENANT HEALTH SYSTEM
R	$2,355,904	COST
COVENANT ACO
Q	$1,321,922	COST
COVENANT HEALTH SYSTEM
Q	$1,124,714	COST
COVENANT ACO
L	$582,502	COST
COVENANT MEDICAL CENTER
M	$500,468	COST
COVENANT ACO
P	$264,616	COST
COVENANT MEDICAL CENTER
O	$60,712	COST