2018-01-19T11:15:25-06:00 2016-12-31 911194016 Clark Nuber PS 10900 NE 4th Suite 1400 Bellevue WA 98004 990 2016-01-01 911307555 INLAND NORTHWEST HEALTH SERVICES INLA 5092328100 PO BOX 469 SPOKANE WA 992100469 Helen Andrus CFO 5092328100 2018-01-19 1 Sara Elizabeth J Hyre CPA P00235495 4254544919 170.173.0.16 2018-01-19 09:14:55 PS P C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF 2016 2021-01-29 14:40:06Z Elaine Couture PO BOX 469 SPOKANE WA 992100469 119280697 0 X www.inhs.info X 1994 WA To provide unique, effective, affordable services using collaborative and innovative approaches for the benefit of the entire health care continuum. 5 3 1249 63 948529 59141 105432 314047 117868859 91133445 38052 -571797 31279247 26146955 149291590 117022650 1262100 29136 0 0 82548168 73279237 0 0 0 49307404 32618924 133117672 105927297 16173918 11095353 124665190 130796093 28564585 24239025 96100605 106557068 X To provide unique, effective, affordable services using collaborative and innovative approaches for the benefit of the entire health care continuum. 0 1 58083652 0 57679430 Acute Inpatient/Outpatient Serivces (19,952 Acute Patient Days, 75,416 Acute Outpatient Visits)Inland Northwest Health Services (INHS) is a non-profit 501(c) (3) organization in Spokane, Washington providing collaboration in health care services on behalf of the community and its member organization Providence Health Care. INHS's mission is to provide unique, effective, affordable services using collaborative and innovative approaches for the benefit of the entire health care continuum. INHS divisions and services include: St. 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 throughout the Inland Northwest including patients in central and eastern Washington, northern Idaho and western Montana. 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.In 2016, St. Luke's Rehabilitation Institute partnered with Eastern Washington University (EWU) and opened the Spokane Teaching Health Clinic offering clinical care and educational learning at one location. The 5,400 square foot clinic with state-of-the-art physical, occupational and sports injury rehabilitation equipment will serve patients from the community while St. Luke's therapists collaborate with EWU faculty to incorporate student learning into their daily routine.In 2016, Northwest MedStar critical care transport service (previously operated within INHS) integrated its program into Life Flight Network creating an expanded network of critical care transport services throughout the Pacific Northwest and Intermountain West. Life Flight Network is an Oregon-based, not-for-profit air medical service. As part of the integration, Providence increased its ownership interests in Life Flight Network. 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. In 2016, COHE Community of Eastern Washington, serving in 20 counties throughout eastern Washington, processed 22,694 injured worker claims for employers initiated by 1,314 participating providers. INHS Community Wellness serves as a resource for preventative healthcare throughout the region. INHS offers a variety of services to improve health, wellbeing, and quality of life including health screenings, classes, and consults for both the community and at the worksite. In 2016, INHS helped over 3,500 people either manage or prevent diabetes through our CDC Recognized Diabetes Prevention Program. INHS Community Wellness provided health screening and flu shots for over 7,500 area employees to assess their health risks and provide easy access to vaccines. In total, INHS Community Wellness served 18,565 people in the community to lead healthier lives and improve their health. 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 utilized 2,025 instructors to teach CPR to over 32,000 community members. In addition, INHS Health Training teaches Emergency Medical Technician (EMT) classes, advanced EMT classes and runs a CAAHEP accredited Paramedic program. INHS also offers continuing education by providing conferences, ongoing training and skills updates for healthcare professionals.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. 28965317 0 29652127 Information Resource Management - See Line 4a 1728997 0 1716964 Engage provides a complete solution for IT consulting, implementation and management, and is driven by a passion for embracing the toughest challenges. As a MEDITECH collaborative solutions 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 2016, Engage secured 12 percent of the U.S. MEDITECH market share, working with 155 hospitals across the country, and is the first vendor in the nation to implement MEDITECH's new consolidated acute & ambulatory software. In addition, Engage successfully implemented the Lawson ERP system with multiple Providence Health & Services EPIC Community Connect sites. Engage also went live in two new geographic regions with Grapevine, our integrated HIE product. Grapevine enables the integration of data sharing across disparate technology platforms such as MEDITECH, GE Centricity, eClinicalWorks, Allscripts, NextGen, Epic, and AthenaHealth. To meet the growing demand for hosting and cloud backup services, Engage built a new East Coast data center and has two customers operating their full EHR systems from this new location. 0 0 4379006 Life Flight Network Joint Venture Income - see line 4a. 29136 29136 0 Grants & Allocations - See Schedule I. 29136 29136 4379006 88807102 1 1 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 143 0 1 1249 1 1 1 0 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 CA X Karl E Fritschel CPA 4255253339 1801 Lind Avenue SW 9016 Renton WA 980579016 X R Ronald Wells Chair and Treasurer 2.00 0.00 X X 0 0 0 Gary A Livingston PhD Vice Chair & Secretary 2.00 0.00 X X 0 0 0 Mike Reilly Director 2.00 0.00 X 0 0 0 Jeff Collins MD Director 2.00 48.00 X 0 497593 42857 Todd Hofheins Director - Thru 6/16 0.10 64.90 X 0 1571440 60670 Aaron Martin Director 0.10 64.90 X 0 852934 219285 Elaine Couture CEO 2.00 58.00 X 0 1142564 113213 Helen Andrus CFO 2.00 48.00 X 0 322793 69919 Frederick Lee Galusha Engage Chief Executive 50.00 0.00 X 475313 0 18377 Nancy Vorhees Chief Administrative Officer 50.00 0.00 X 267000 0 16633 Michael Smyly Chief Bus. Dev. Officer 40.00 0.00 X 289006 0 15006 Daniel Engle Senior Director 40.00 0.00 X 212450 0 8697 Nancy Webster Administrator, St. Lukes 40.00 0.00 X 239820 0 16705 Marcia Cheadle Senior Director 40.00 0.00 X 200477 0 12188 Gregory Carter CMO 40.00 0.00 X 362416 0 15958 Sean Reis Senior Director 40.00 0.00 X 168150 0 10397 Valerie Jones Physiatrist 40.00 0.00 X 330692 0 9100 Patrice Stevenson Physiatrist 40.00 0.00 X 296821 0 17587 Mark Steven Gordon Physiatrist 40.00 0.00 X 281822 0 13050 Vivian Moise Physiatrist 40.00 0.00 X 278420 0 16405 Erik Ensrud Physiatrist 40.00 0.00 X 229901 0 829 3632288 4387324 676876 45 0 1 0 Metro Aviation Inc 1214 Hawn Avenue Shreveport LA 71107 Aviation Services 2980020 Medical Information Technology Meditech Circle Westwood MA 02090 Healthcare IT Services 1530068 Solutions II 811 1st Avenue Suite 260 Seattle WA 98104 Healthcare IT Services 988484 Mediware Information Systems Inc 11711 W 79th Street Lenexa KS 66214 Healthcare IT Services 554874 GE Healthcare IITS USA Corp 40 IDX Drive South Burlington VT 05403 Healthcare IT Services 492109 57 163091 150956 7660 314047 Acute Care 621400 56234121 56234121 Info Resource Mgmnt. 541519 28931377 28042987 888390 LifeFlight Network JV 900099 4379006 4379006 Medical Directorships 900099 1588941 1588941 91133445 7672 7672 2361385 1678078 683307 683307 683307 500 579969 -579469 -579469 -579469 Affil. Info. Res. Mgmt 541519 11876348 11876348 Contract Staff Service 900099 8838699 8838699 Provider Tax 900099 1058608 1058608 3689993 1235474 60139 2394380 25463648 117022650 92539137 948529 23220937 X 29136 29136 2320863 632817 1688046 59175416 51450676 7724740 2939106 2510521 428585 4346730 3710901 635829 4497122 3818425 678697 172558 172558 2293 2293 10750946 9251186 1499760 60305 46282 14023 4888871 3720021 1168850 1928701 1388665 540036 1021454 840138 181316 1043585 807103 236482 50625 45612 5013 81942 81942 2674573 2072521 602052 3322765 2227736 1095029 300812 258274 42538 Bad Debts 2112764 2112764 Medical Supplies 1481454 1481454 Taxes & Licenses 1188278 897347 290931 UBIT 7000 7000 1529998 1423581 106417 105927297 88807102 17120195 0 3108827 2990968 5196076 5073469 31744 6644 9535932 8720225 719 175379 191574 497494 99673 110932455 51309713 96970130 59622742 578304 37868208 8571304 16221871 124665190 130796093 10584422 10491629 16482 20843 3743742 578489 5633405 5202163 8586534 7945901 28564585 24239025 X 95507924 106053389 571111 482109 21570 21570 96100605 106557068 124665190 130796093 X 11095353 -161600 -477290 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 21570 21570 21570 21570 21570 21570 21570 21570 21570 21570 0.00000 1.00000 0.00000 0 0 2744583 2744583 76550862 22371479 54179383 51379 42412 8967 30410422 28895822 1514600 1175209 1175209 59622742 Investment in LifeFlight Network 37379006 C Investment held by Foundation 489059 C Investment in LifeNexus 143 C 37868208 Other Miscellaneous Receivables 450045 Unamortized Finance Costs 107446 Due from Affiliates 10998160 Non-Patient Accounts Receivable 4666220 16221871 7095223 Third Party Settlements 850678 7945901 Part V, Line 4: Funds to be used for Team St. Luke's (Wheelchair Sports) activities. 1 1 1 X 300.000000000000 1 X 1 1 0 1 1 97 500415 500415 0.00480 9150085 7056934 2093151 0.02020 97 9650500 7056934 2593566 0.02500 5850 3725300 3500 3721800 0.03590 349 231457 231457 0.00220 195393 195393 0.00190 73 40508 40508 0.00040 6272 4192658 3500 4189158 0.04040 6369 13843158 7060434 6782724 0.06540 3 9729 9729 0.00010 5 29970 29970 0.00030 8 39699 39699 0.00040 1 2112764 39817804 45300339 -5482535 X 1 1 1 1 St Luke's Rehabilitation Institute 711 S Cowley Street Spokane WA 99202 www.st-lukes.org 157 X St Luke's Rehabilitation Institute 1 0 0 1 X X X X X X X X X 15 1 0 1 1 X www.st-lukes.org/uploadedFiles/About_Us/CHNA/2015%20CHNA.pdf X 1 16 0 1 0 1 X 300.000000000000 350.000000000000 X X X X X X 1 1 X X X 1 X www.st-lukes.org/patients-visitors/pay-your-bill-online/ X www.st-lukes.org/patients-visitors/pay-your-bill-online/ X www.st-lukes.org/patients-visitors/pay-your-bill-online/ X X X X X X 1 X 0 X X X X 0 X X 0 0 St. Luke's Rehabilitation Institute Part V, Section B, Line 5: In September 2013 a consortium of community partners, including members from the parent organization for St. Luke's, Providence Health Care, met with staff from Priority Spokane and the Spokane Regional Health District to begin planning for the 2015 needs assessment. Priority Spokane had conducted a community needs assessment at the end of 2013. The community consortium agreed to use this data and enhance it with newer data including preliminary quality of life survey data, hospital homeless and marginalized patient data and the Spokane Counts report. The purpose of the 2013 needs assessment was to prioritize the needs of the community, especially among those living in poverty and with least access to resources, and to promote collaborative opportunities to improve health and well-being in Spokane County. Over 300 email invitations were extended to community members, including the corporation of which St. Luke's is a division, Inland Northwest Health Services, to participate in one of five task force committees: Healthy People; Education; Economic Vitality; Public Safety; and Environment. Each task force was headed by members of Priority Spokane with expertise in that area. Each committee reviewed the community indicators initiative for their area. Participants were encouraged to consider root causes or closely correlating factors behind the indicators. Votes were obtained and the top three priorities from each committee were forwarded to the final meeting. About 75 individuals and organizations from the 150 who participated in the committee process attended the final assembly. The 15 committee priorities were presented and thoroughly discussed. The three areas that received the most votes were: mental health, high quality jobs, and early intervention programs.To update this to 2015 data, Providence Health Care, the organization for which St. Luke's is an affiliate, conducted an electronic survey of those individuals and organizations who participated in the task force vote of the top needs for the 2013 CHNA (see list of participants in Appendix 3 at https://www.st-lukes.org/why-st-lukes/about-us/community-health-needs-assessment.aspx). There was overwhelming support for all of the needs remaining as issues to continue to be addressed. The Spokane Regional Health District also conducted a quality of life survey of Spokane County residents to supplement the 2013 data with current data. Over 1,600 residents responded. The survey is yet to be published. However, the district released preliminary mental health data in mid-April 2015 to enhance available data on mental health.This information was brought to an internal Providence work group including leadership from St. Luke's for consideration and to identify the top needs Providence and its affiliates should address within the community. With broad community endorsement for the needs identified by Providence to address with implementation strategies, St. Luke's augmented the 2015 Providence CHNA with additional information from further community input on health issues affecting the community that St. Luke's serves. St. Luke's sought input from organizations serving and representing the interests of our defined community - patients across the lifespan from Spokane County with rehabilitation needs arising from neurological or orthopedic injuries or conditions. Input was sought from public and private agencies providing health or related services within the County, including societies and support groups. The inclusion of societies and support groups was deemed critical since it allowed, in many cases, for us to hear directly from patients and family members of the vulnerable populations St. Luke's serves. These stakeholders and organizations were invited to provide feedback via surveys and focus group interviews. They were specifically tasked with ranking the five priorities as identified by Providence in terms of priority health needs for the community St. Luke's serves: Dental Care, Diabetes, Immunizations, Mental Health, and Stable Housing. In addition to ranking needs by priority, participants were asked to justify their selection of priority health needs. The list of stakeholders invited to respond to St. Luke's survey and participate in focus groups is in Appendix 4 at https://www.st-lukes.org/why-st-lukes/about-us/community-health-needs-assessment.aspx. St. Luke's Rehabilitation Institute Part V, Section B, Line 6b: Providence Health Care St. Luke's Rehabilitation Institute Part V, Section B, Line 11: St. Luke's Rehabilitation Institute has developed a community health improvement plan designed to address key health needs identified in our community health needs assessment. In the community health needs assessment, the prioritized needs were chosen based on surveys and focus groups with our community stakeholders, community health data, and identifiable gaps in available care and services. In the course of our collaborative work, we determined that emphasis on these needs would have the greatest impact on the community's overall health with significant opportunities for collaboration. The ranking of priorities by stakeholders, in order from most important to least important as a health need for St. Luke's to consider, were:(1) Mental Health(2) Diabetes(3) Immunizations(4) Dental Care(5) Stable HousingPrioritized health need #1: Mental health* Continue screening our inpatients at admission with the PHQ-9 depression screening tool.* Continue providing a list of local mental health resources to all of our inpatients in the Journey Forward patient binder provided to each inpatient.* Continue to include results of the PHQ-9 screening status on discharge documentation for our inpatients.* Increase the frequency of patients screened for depression in the outpatient cardiac and pulmonary rehabilitation program.* Provide a list of local mental health resources to patients who screen positive for depression in the outpatient cardiac and pulmonary rehabilitation program.* Include results of the PHQ-9 screening status in electronic medical record for patients in our outpatient cardiac and pulmonary rehabilitation program, and for a PHQ-9 score of 10 or greater, staff will communicate results to primary care providers or specialists of patients.Prioritized health need #2: Diabetes* Coordinate with Providence Medical Group (PMG) primary care providers to access diabetes care and seamless transition on discharge through Community Wellness at INHS.* For patients with primary care providers outside of PMG, refer to other diabetes education providers in the community.* Refer patients with prediabetes (e.g., metabolic syndrome, metabolic risks from rehabilitation conditions, high body mass index, or recognized pre-diabetes) to INHS pre-diabetes classes held monthly in the community.* Perform blood glucose screenings in conjunction with Community Wellness at St. Luke's Awareness Day events for brain injury, spinal cord injury, and stroke.* Change inpatient hypoglycemic protocol to initiate early treatment of low blood sugar and reduce critical values at a blood glucose threshold of 60 mg/di (previously was 70 mg/di).Prioritized health need #3: Stable Housing* Provide in-home assessments to ensure stable housing before we discharge inpatients to home.* Continue building a relationship with Catholic Charities to provide stable housing for St. Luke's patients with housing needs at discharge.* Continue home safety education sessions and fall recovery education sessions with members of Spokane Tribe of Indians.* Identify adult family homes willing to take complex patients at discharge to assure safe housing alternatives for St. Luke's patients.* Educate adult family homes about what constitutes a safe environment for patients with complex rehabilitation conditions.* Conduct in-home safety assessments for fall risks for members of Spokane Tribe of Indians.Dental Care and Immunization needs are not currently being addressed because both of these needs are out of the scope of care for St. Luke's Rehabilitation Institute. However, St. Luke's is committed to working with other facilities and organizations in the community who are addressing these needs. St. Luke's Rehabilitation Institute Part 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. 9 1 - Northwest MedStar 6315 E Rutter Ave Spokane WA 99212 Air and ground ambulance 2 - Occupational Rehabilitation - South 421 South Division St Spokane WA 99202 Outpatient 3 - MUV Fitness - Downtown 809 West Main St Spokane WA 99201 Physical therapy 4 - MUV Fitness - South 5501 South Regal St Spokane WA 99223 Physical therapy 5 - St Luke's North 235 E Rowan Ave Suite 210 Spokane WA 99207 Outpatient 6 - MUV Fitness - North 603 East Holland Ave Spokane WA 99218 Physical therapy 7 - Occupational Rehabilitation - North 551 E Hawthorne Rd Spokane WA 99218 Outpatient 8 - Occupational Rehabilitation Valley 16528 E Desmet Court Suite 1600 Spokane WA 99016 Outpatient 9 - MUV Fitness - Valley 14927 East Sprague Ave Spokane WA 99216 Physical therapy Part I, Line 3c: The sliding fee scale will be used to determine the amount of financial assistance to be provided in the form of a discount of 75 percent for patients or guarantors with incomes between 301% and 350% of the current federal poverty level after all funding possibilities available to the patient or guarantor have been exhausted or denied and personal financial resources and assets have been reviewed for possible funding to pay for billed charges. Financial assistance may be offered to patients or guarantors with family income in excess of 350% of the federal poverty level when circumstances indicate severe financial hardship or personal loss. Part I, Line 7: Costs for Table 7 are from actual expenses incurred. Part I, Ln 7 Col(f): Bad debt expense represents the amount of gross charges for patients who do not have insurance and which INHS was unable to qualify for assistance under either government programs or our internal charity care policy. The Bad Debt expense included on Form 990, Part IX, Line 25(A), but subtracted for purposes of calculating the percentage in this column is $2,112,764. 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.-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: Bad debt expense represents the amount of gross charges for patients who do not have insurance and which INHS was unable to qualify for assistance under either government programs or our internal charity care policy. Part III, Line 4: 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: It is organization's policy to exclude any Medicare shortfall from Community Benefit information.The amount reported on Part III, Section B, line 6, was determined by applying the Cost-to-Charge Ratio to the Medicare revenue. Part III, Line 9b: INHS follows standard collection practices and complies with governing laws, regulations and authorities, including WAC Title 246 Chapter 453, Hospital Charity Care.Charity is re-screened throughout the revenue cycle when account events, such as patient-initiated contact requesting alternative payment options, trigger review. A guarantor may submit a charity care discount application at any point in the revenue cycle, from pre-admission to final payment of the bill. The patient application process is not a requirement for charity eligibility review of accounts with characteristics identified for charity approval. Part VI, Line 2: A consortium of community partners, including members from the parent organization for St. Luke's, Providence Health Care, met with staff from Priority Spokane and the Spokane Regional Health District to begin planning for a 2015 needs assessment. There is a significant desire for the community to come together for one communitywide needs assessment, in which health would be one factor. Priority Spokane had conducted a community needs assessment at the end of 2013. The community consortium agreed to use this data and enhance it with newer data including preliminary quality of life survey data, hospital homeless and marginalized patient data and the Spokane Counts report.The purpose of the needs assessment was to prioritize the needs of the community, especially among those living in poverty and with least access to resources, and to promote collaborative opportunities to improve health and well-being in Spokane County. Over 300 email invitations were extended to community members, including the corporation of which St. Luke's is a division, Inland Northwest Health Services, to participate in one of five task force committees: Healthy People; Education; Economic Vitality; Public Safety; and Environment.Each task force was headed by members of Priority Spokane with expertise in that area. Each committee reviewed the community indicators initiative for their area. Committee members engaged in lively and thought-provoking conversations about how to prioritize their indicators. Participants were encouraged to consider root causes or closely correlating factors behind the indicators. Votes were obtained and the top three priorities from each committee were forwarded to the final meeting. About 75 individuals and organizations from the 150 who participated in the committee process attended the final assembly. The 15 committee priorities were presented and thoroughly discussed. The three areas that received the most votes were: mental health, high quality jobs, and early intervention programs.The community was asked to prioritize the current identified needs to reduce duplication and community burnout. Through an electronic survey, respondents were asked to prioritize with the same criteria they were asked to prioritize in 2013. This information was brought to an internal Providence work group including leadership from St. Luke's for consideration and to identify the top needs Providence and its affiliates should address within the community. 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: St. Luke's is located in Spokane County, the fourth-largest county in Washington State. Geographically, the county is located on the eastern side of the state, bordering Idaho.The total population of Spokane County is about 485,000, with an annual growth rate of about 0.9 percent in 2014. Age demographics are fairly evenly distributed, with the oldest age group comprising the smallest proportion of the population. In 2013 the population comprised:* 22.9 percent youth (0-17 years)* 24.6 percent young adults (18-39 years)* 38.4 percent older adults (40-64 years)* 14.1 percent seniors (65 years and older)Among Spokane County residents in 2013, 90 percent were white, 2.2 percent African American, 1 percent American Indian, 2.8 percent Asian/Pacific Islander, and 4.5 percent were of two or more races.In 2013, the median household income for Spokane County was $47,576, and the county's unemployment rate was 7.8 percent. The share of those with incomes below the federal poverty line for all ages in Spokane County was 15.9 percent in 2012. In the same time frame, 19 percent of Spokane County youth under age 18 were living below the federal poverty line. This represents an increase of 1.6 percent since 2009, and is higher than the state average but lower than the national average.The ZIP codes with the highest Community Needs Index (CNI) within the county are 99201, 99202, and 99207. These all have a total CNI of four out of five. Within these ZIP codes there is a high of 38.68 percent of youth in poverty and 60.55 percent of single parents in poverty. In this population area, 18.9 percent are unemployed, 42.99 percent are uninsured and 74.52 percent are renting. The 2014 Spokane Regional Point-in-Time Count found 1,149 homeless persons, including 146 families with children. The 2012-13 school year counted 3,148 school-aged children as homeless in Spokane County.The share of Spokane county residents who are ages 64 and younger and uninsured was 16.5 percent in 2012. The top three causes of death in Spokane County were heart disease at 23 percent, cancer at 20.1 percent, and stroke at 4.4 percent. Heart disease and strokes are on a decreasing trend while cancer is increasing. Avoidable hospital admissions in Spokane County have decreased to 8.8 percent in 2012. Part VI, Line 5: INHS provides medical care to the community regardless of the patients' ability to pay. The mission of INHS includes charitable activities such as free care to the needy and care at discounted charges to below cost for Federal and state government sponsored programs. INHS promotes the health of the community by offering many health education programs and support groups.INHS Community Wellness serves as a resource for preventative healthcare throughout the region. INHS offers a variety of services to improve health, wellbeing, and quality of life including health screenings, classes, and consults for both the community and at the worksite. In 2016, INHS helped over 3,500 people either manage or prevent diabetes through our CDC Recognized Diabetes Prevention Program. INHS Community Wellness provided health screening and flu shots for over 7,500 area employees to assess their health risks and provide easy access to vaccines. In total, INHS Community Wellness served 18,565 people in the community to lead healthier lives and improve their health. 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 utilized 2,025 instructors to teach CPR to over 32,000 community members. In addition, INHS Health Training teaches Emergency Medical Technician (EMT) classes, advanced EMT classes and runs a CAAHEP accredited Paramedic program. INHS also offers continuing education by providing conferences, ongoing training and skills updates for healthcare professionals. Part VI, Line 6: AFFILIATED HEALTH CARE SYSTEM:Effective July 1, 2016, Providence Health & Services and St. Joseph Health came together to serve more people in a partnership that joins two remarkable organizations with rich heritages. We are now connected by a new parent organization, Providence St. Joseph Health. Together, over 100,000 of our caregivers (employees) now serve in 50 hospitals, over 800 clinics and a comprehensive range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. All hospitals and other ministries will maintain their current names and identities. This parent structure allows our family of diverse organizations to work together to meet the needs of our communities both today and into the future. Part VI, Line 7, Reports Filed With States WA 1 Valley View Hospital Foundation PO Box 1970 Glenwood Springs CO 81601 731664673 501 (c)(3) 10000 Event Sponsorship 1 0 Part I, Line 2: In the application for support/financial aid, we request a detailed explanation of the kind of services provided to the community along with specific financial data. If the application for support is approved, we send a letter indicating the amount of the support along with a request for documentation of how the funds were used. X 1 1 0 1 0 0 0 0 0 0 0 Jeff Collins MD Director 0 378952 0 90167 0 28474 0 27040 0 15817 0 540450 0 0 Todd Hofheins Director - Thru 6/16 0 765052 0 762582 0 43806 0 33684 0 26986 0 1632110 0 0 Aaron Martin Director 0 542637 0 292297 0 18000 0 210328 0 8957 0 1072219 0 0 Elaine Couture CEO 0 600492 0 512951 0 29121 0 90944 0 22269 0 1255777 0 0 Helen Andrus CFO 0 252080 0 52713 0 18000 0 56674 0 13245 0 392712 0 0 Frederick Lee Galusha Engage Chief Executive 371154 0 102129 0 2030 0 17207 0 1170 0 493690 0 0 0 Nancy Vorhees Chief Administrative Officer 218734 0 41309 0 6957 0 15687 0 946 0 283633 0 0 0 Michael Smyly Chief Bus. Dev. Officer 201225 0 87781 0 0 0 14074 0 932 0 304012 0 0 0 Daniel Engle Senior Director 212450 0 0 0 0 0 7722 0 975 0 221147 0 0 0 Nancy Webster Administrator, St. Lukes 201973 0 37485 0 362 0 15795 0 910 0 256525 0 0 0 Marcia Cheadle Senior Director 200477 0 0 0 0 0 11309 0 879 0 212665 0 0 0 Gregory Carter CMO 350341 0 12075 0 0 0 14786 0 1172 0 378374 0 0 0 Sean Reis Senior Director 162542 0 0 0 5608 0 9651 0 746 0 178547 0 0 0 Valerie Jones Physiatrist 280692 0 50000 0 0 0 9100 0 0 0 339792 0 0 0 Patrice Stevenson Physiatrist 288321 0 8500 0 0 0 16417 0 1170 0 314408 0 0 0 Mark Steven Gordon Physiatrist 183154 0 7000 0 91668 0 12465 0 585 0 294872 0 0 0 Vivian Moise Physiatrist 278420 0 0 0 0 0 15235 0 1170 0 294825 0 0 0 Erik Ensrud Physiatrist 219325 0 10000 0 576 0 0 0 829 0 230730 0 0 0 Part I, Line 1a Membership fees are paid to The Spokane Club for Key Employees for the sole purpose of holding business meetings with customers, clients and vendors. Amounts are not included as taxable compensation for the Key Employees. Part I, Line 4b NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) DCRP = Defined Contribution Restoration Plan 1) Elaine Couture a) SERP Earned but not Paid - $17,660 b) SERP Interest Credit - $67,094 2) Aaron Martin a) SERP Earned but not Vested - $188,376 4) Jeff Collins a) Taxable DCRP Earned but not Paid - $21,455 SCHEDULE J - PART II - COMPENSATION The Officers and Directors shown with compensation from a related organization are paid by Providence Health & Services - Washington for their respective positions at Providence related ministries. None are compensated for their services to INHS. SCHEDULE J, PART II - BONUSES Some Officers and Key Employees of the reporting organization receive bonuses based on the annual performance in meeting goals, overall performance, divisional financial information and community service involvement. FORM 990, SCHEDULE J, PART II - EXECUTIVE INCENTIVE PROGRAM The Providence Executive Incentive Program provides a lump sum award annually as a percent of the executive's base pay. Percent opportunities are aligned with our total compensation philosophy as outlined in Part VI, Section B, Line 15 (Process for determining compensation of top management, officers & key employees). For Providence leaders, the performance award is based on the level of accomplishment of annual system and functional (or market) objectives. In 2016, 60 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's strategic priorities. In 2016 the percent allocation for each of these strategic priorities was as outlined below: System Goals: First-year Turnover - 10% Inpatient Experience - 5% Patient Experience - 5% Medical Group Patient Experience - 5% Community Benefit - 10% Clinical Excellence - 15% Free Cash Flow - 10% The remaining 40% was based on a robust set of function specific goals designed to align critical mission and business drivers. A Washington Health Care Facilities Authority 911108929 2009-06-18 7462500 Condominiumized Portion of Building 0 0 0 A 1500000 7462500 7462500 2009 0 0 1 1 A 0 0 0 0 0.01730 0.01730 0 0 1 A 0 0 1 0 0 0 0 0 1 A 1 SCHEDULE K, PART IV, LINE 2 Since the proceeds were expended within the first six months and there is no reserve fund, no rebate calculations are required. Form 990, Part III, line 3 INHS's Northwest MedStar Division which offered air ambulance services was sold to Oregon-based Life Flight Network in April of 2016. Form 990, Part VI, Section A, line 6 The sole Corporate Member is Providence Health & Services-Washington, a Washington nonprofit corporation. Form 990, Part VI, Section A, line 7a The powers of the Corporate Member include the provision to appoint the number of Directors, appoint the Board of Directors and to remove such Directors at any time. Form 990, Part VI, Section A, line 7b Powers reserved to the Corporate Member: 1) To move the corporation's health care facility. 2) To add one or more Members. 3) To amend or revoke the Articles of Incorporation or to repeal, alter or substitute Bylaws. 4) To sell, lease, transfer, or otherwise dispose of all or substantially all of the assets. 5) To merge or consolidate the Corporation. 6) To dissolve the Corporation. 7) To change the Mission of the Corporation. 8) To approve the acquisition of assets, the incurrence of indebtedness, or the lease, sale, transfer, assignment or encumbering of assets for any transaction in excess of an amount specified by the Member. 9) To undertake any activity or to perform or permit any medical procedure which the Member believes offends the moral or ethical values or directives of the Member. Form 990, Part VI, Section B, line 11b The Form 990 is prepared internally by experienced Providence Health & Services staff and reviewed by the internal Director of Taxes of Providence Health & Services and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS. Form 990, Part VI, Section B, line 12c As an affiliate of Providence St. Joseph Health (PSJH), INHS is subject to the provisions of the Conflict of Interest Policy of PSJH. Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict. Form 990, Part VI, Section B, line 15b For officers and key employees paid by INHS, compensation packages are calculated by an outside third party and then reviewed and approved by the Board of Directors. For officers and key employees paid through Providence Health & Services, the following discusses the process utilized. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are reviewed by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Each year, the Board Chair conducts a formal performance evaluation of the President/CEO that considers input from the other directors and senior leaders reporting to the President. The evaluation is discussed with the Human Resources Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Human Resources Committee also meet with an independent consultant to develop a salary recommendation; which is reviewed and approved first by the committee and then by the Board of Directors. Additionally, the President/CEO utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for other senior executives. This process includes a rigorous analysis of those recommendations with the Human Resources Committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering Providence operating commitments and strategic objectives - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated patient satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector. Form 990, Part VI, Section C, line 19 Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon request. The consolidated financial statements are available on our public Internet site www2.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site. Form 990, Part VII Contact Addresses for Officers, Directors, Etc Todd Hofheins - 1801 Lind Avenue SW, Renton, WA 98057. Aaron Martin - 1801 Lind Avenue SW, Renton, WA 98057. Form 990, Part IX, line 11g Aircraft Services: Program service expenses 3,083,567. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,083,567. Repairs & Maintenance: Program service expenses 3,122,984. Management and general expenses 968,072. Fundraising expenses 0. Total expenses 4,091,056. Other Patient Services: Program service expenses 1,032,997. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,032,997. Consulting Fees: Program service expenses 334,073. Management and general expenses 114,979. Fundraising expenses 0. Total expenses 449,052. Agency/Contract Labor: Program service expenses 1,277,021. Management and general expenses 124,720. Fundraising expenses 0. Total expenses 1,401,741. Transportation Services: Program service expenses 400,544. Management and general expenses 0. Fundraising expenses 0. Total expenses 400,544. Billing & Collections: Program service expenses 0. Management and general expenses 70,742. Fundraising expenses 0. Total expenses 70,742. Other Admin Services: Program service expenses 0. Management and general expenses 221,247. Fundraising expenses 0. Total expenses 221,247. Form 990, Part XI, line 9: FAS 136 Adjustment -89,002. Net Assets/Liabilities Assumed - LifeFlight Networks Sale -227,779. Contribution Reclassification -160,511. Rounding 2. FORM 990, PART XII, LINE 2C - AUDIT & COMPLIANCE As part of the Consolidated Providence Health & Services Audited Financial Statements, the following applies: The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the System's consolidated financial statements and reporting, the audit process and the System's internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the System's internal and external auditors; the System's investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. FORM 990, PART I, LINE 6 - VOLUNTEERS Volunteers provided approximately 1485 hours of services. Tasks ranged from clerical assistance, hospital greeters, nursing unit assistants, St. Luke's advisory board and event assistance, including the Halloween Carnival and the Team St. Luke's events. FORM 990, SCHEDULE R - RELATED ORGANIZATIONS AFFILIATION AGREEMENTS Effective April 1, 2016, the Health System (Providence Health & Services) entered into a business combination agreement with the Institute for Systems Biology (ISB). The transaction was accounted for as an acquisition under ASC 958-805. On July 1, 2016, Providence Health & Services (PHS) and St. Joseph Health System (SJHS) entered into a business combination agreement, the purpose of which was to better serve both organizations' communities, maintain strong traditions of Catholic healthcare, and provide greater affordability and access to healthcare services. As part of the business combination, PHS and SJHS aligned under a single parent corporation, Providence St. Joseph Health, with a consolidated board of directors and cosponsorship from the public juridic persons Providence Ministries and St. Joseph Health Ministry. SJHS provides a full range of care facilities including 16 acute care hospitals, home health agencies, hospice care, outpatient services, skilled nursing facilities, community clinics, and physician groups spanning California, west Texas, and eastern New Mexico. The results of operations of these entities have been included in the combined statements of operations of the Health System since July 1, 2016, the effective date of the business combination. IHNS Leasing CO LLC 601 W 1st Avenue Spokane WA 99201 912010377 Leasing of Aircraft to INHS WA 710997 0 INHS Providence Health & Services - Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 510216586 Healthcare System WA 501( c)(3) Line 3 Providence Health & Services 0 Providence Health & Services - Oregon 1801 Lind Avenue SW 9016 Renton WA 980579016 510216587 Healthcare System OR 501( c)(3) Line 3 Providence Health & Services 0 Providence Health System - So California 1801 Lind Avenue SW 9016 Renton WA 980579016 510216589 Healthcare System CA 501( c)(3) Line 3 Providence Health & Services 0 Everett Transitional Care Services PO Box 5128 Everett WA 982065128 943264605 Transitional Care WA 501( c)(3) Line 10 N/A 0 Providence Plan Partners 4400 NE Halsey Bldg 2 Portland OR 97213 911861964 Healthcare Services WA 501( c)(4) N/A PH & S - Oregon 0 Providence Health Plan 4400 NE Halsey Bldg 2 Portland OR 97213 930863097 Health Service Contractor OR 501( c)(4) N/A Providence Plan Partners 0 Providence Health Assurance 4400 NE Halsey Bldg 2 Portland OR 97213 550828701 Medicaid Healthcare Provider OR 501( c)(4) N/A Providence Health Plan 0 Providence Medical Institute 4101 Torrance Blvd Torrance CA 90503 330283773 Healthcare CA 501( c)(3) Line 12/Type I PHS - So California 0 Little Company of Mary Ancillary Services Corporation 4101 Torrance Blvd Torrance CA 90503 330844408 Imaging Services CA 501( c)(3) Line 10 PHS - So California 0 Providence TrinityCare Hospice 5315 Torrance Blvd Suite B1 Torrance CA 90503 953264139 Hospice CA 501( c)(3) Line 10 PHS - So California 0 Providence Blanchet Association 1700 Providence Pl Centralia WA 98531 911789266 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 St Luke Association 350 Washington Ave SE Chehalis WA 98352 943176618 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Rossi Association 1700 Providence Pl Centralia WA 98531 311584166 Supportive Housing WA 501( c)(3) Line 10 PH & S - Washington 0 Lundberg Association 5921 E Burnside Portland OR 97215 911562797 Supportive Housing OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Francis Association 3415 12th Avenue NE Olympia WA 98506 943244854 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Peter Claver Association 7101 38th Avenue South Seattle WA 98118 311629656 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence St Elizabeth House Association 3201 SW Graham St Seattle WA 98126 912171539 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Gamelin House Association 4515 MLK Jr Way S Ste 200 Seattle WA 98108 311744654 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 The Gamelin Association 312 North Fourth St Yakima WA 98901 911180824 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 The Gamelin Oregon Association 5520 NE Glisan Portland OR 97213 911214491 Supportive Housing OR 501( c)(3) Line 10 PH & S - Oregon 0 The Gamelin California Association 540 23rd St Oakland CA 94612 911293869 Supportive Housing CA 501( c)(3) Line 10 PHS - So California 0 Gamelin Washington Association 1423 First Avenue Seattle WA 98101 201910170 Supportive Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Dethman House 1205 Montello Ave Hood River OR 97031 473385506 Supportive Housing WA 501( c)(3) Line 7 N/A 0 Providence Foundation 1801 Lind Avenue SW 9016 Renton WA 980579016 943078543 Support PH&S and W. HealthConnect WA 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence Alaska Foundation 3300 Providence Drive - B Tower2 Anchorage AK 99508 920093565 Support PHS-Alaska AK 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence St Peter Foundation 413 Lilly Road NE Olympia WA 985065166 911097056 Support Affiliated Tax-Exempt Organization WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Health Care Foundation (Centralia) 914 S Scheuber Road Centralia WA 98531 911433382 Support Providence Centralia Hospital WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Mount St Vincent Foundation 4831 - 35th Avenue SW Seattle WA 981262799 911188119 Support Providence Mount St.Vincent WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Marianwood Foundation 3725 Providence Point Drive SE Issaquah WA 980297219 931554288 Support Providence Marianwood WA 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence Newberg Health Foundation 1001 Providence Drive Newberg OR 97132 930889144 Support Providence Newberg Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Seaside Hospital Foundation 725 S Wahanna Rd Seaside OR 97138 930927320 Support Providence Seaside Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Community Health Foundation 1111 Crater Lake Ave Medford OR 97504 930692907 Support Providence Medford Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Benedictine Nursing Center Foundation 540 South Main St Mt Angel OR 973629532 911940286 Support Providence Benedictine Nursing Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Portland Medical Foundation 4805 NE Glisan St Portland OR 972132967 931231494 Support Providence Portland Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Vincent Medical Foundation 9205 SW Barnes Rd Portland OR 97225 930575982 Support Providence St. Vincent Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Milwaukie Foundation 10150 SE 32nd Milwaukie OR 97222 943079515 Support Providence Milwaukie Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Child Center Foundation 830 NE 47th Portland OR 97213 930800140 Support Providence Child Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence TrinityCare Hospice Foundation 5315 Torrance Blvd Suite B1 Torrance CA 90503 330261016 Support TrinityCare Hospice CA 501( c)(3) Line 7 Providence TrinityCare Hospice 0 Providence Little Company of Mary Foundation 4101 Torrance Blvd Torrance CA 90503 510224944 Support Little Company of Mary Service Area CA 501( c)(3) Line 7 PHS - So California 0 PH&S FoundationSFVSA & SCVSA 501 S Buena Vista Street Burbank CA 91505 953544877 Support Program & Activities of SFVSA & SCVSA CA 501( c)(3) Line 7 PHS - So California 0 Providence Hospice of Seattle Foundation 425 Pontius Avenue North 300 Seattle WA 981095452 912077378 Support Hospice of Seattle WA 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence Health & Services - Western Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 911303277 Healthcare WA 501( c)(3) Line 3 Providence MinistriesWHC 0 Providence Health & Services 1801 Lind Avenue SW 9016 Renton WA 980579016 911549796 Support Providence Institutions WA 501( c)(3) Line 12/Type II Providence St Joseph Health 0 Providence Health & Services - Montana 500 W Broadway PO Box 4587 Missoula MT 598064587 810231793 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 0 Providence St Joseph Medical Center PO Box 1010 Polson MT 598601010 810463482 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 0 St Thomas Child and Family Center 1710 Benefis Court Great Falls MT 59405 810233495 Early Childhood Education MT 501( c)(3) Line 10 PH & S - Washington 0 Sisters of Providence of Montana Corporation 1801 Lind Avenue SW 9016 Renton WA 980579016 262612415 Shell Corporation MT 501( c)(3) Line 1 PH & S - Washington 0 Providence Health Care Foundation - Eastern Washington 101 W 8th Ave Spokane WA 99204 320014330 Support PH&S-WA. Ministries in E. WA. WA 501( c)(3) Line 7 PH & S - Washington 0 St Patrick Hospital Foundation 500 West Broadway PO Box 4587 Missoula MT 598064587 237056976 Support Healthcare in W. Montana MT 501( c)(3) Line 7 PH & S - Montana 0 University of Great Falls 1301 20th Street South Great Falls MT 59405 810231777 Post Secondary Education MT 501( c)(3) Line 2 Providence Health & Services 0 E WA & MT Unemployment Compensation Insurance Trust 1801 Lind Avenue SW 9016 Renton WA 980579016 911082119 Unemployment Benefits WA 501( c)(3) Line 12/Type I PH & S - Washington 0 Providence Willamette Falls Medical Foundation 1500 Division Street Oregon City OR 97045 931003750 Support Willamette Falls Hospital OR 501( c)(3) Line 12/Type I PH & S - Oregon 0 Providence Hood River Memorial Hospital Foundation Inc 811 13th St Hood River OR 97031 930921990 Support Providence Hood River Memorial Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Hospice and Home Care Foundation 2731 Wetmore Avenue Suite 500 Everett WA 98201 272552749 Support Program & Ministries of PHHC WA 501(c )(3) Line 7 PH & S - Washington 0 Providence St Mary Foundation 401 W Poplar St Walla Walla WA 99362 452841492 Support Program & Ministries of SMMC WA 501(c )(3) Line 7 PH & S - Washington 0 Facey Medical Foundation 15451 San Fernando Mission Blvd 200 Mission Hills CA 913451420 954322584 Support Facey Medical Group CA 501(c )(3) Line 7 PHS - So California 0 Swedish Health Services 747 Broadway Seattle WA 98122 910433740 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Swedish Edmonds 21601 76th Ave W Edmonds WA 98026 272305304 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Swedish Medical Center Foundation 747 Broadway Seattle WA 98122 910983214 Support Swedish Health Services WA 501(c )(3) Line 7 Swedish Health Services 0 Global To Local Health Initiative 2800 South 192nd St 104 SeaTac WA 98188 273133200 Healthcare WA 501(c )(3) Line 7 Swedish Health Services 0 Swedish MJM Holdings 747 Broadway Seattle WA 98122 273139262 Holding Company WA 501(c )(3) Line 12/Type I Swedish Health Services 0 Marsha Rivkin Center for Ovarian Cancer Research 747 Broadway Seattle WA 98122 912054035 Ovarian Cancer Research WA 501(c )(3) Line 7 Swedish Health Services 0 Western HealthConnect 747 Broadway Seattle WA 98122 454171900 Shell Corporation WA 501(c )(3) Line 12/Type II PH&S Western Washington 0 Kadlec Regional Medical Center 888 Swift Blvd Richland WA 99352 910655392 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Kadlec Neurological Resource Center 1268 Lee Blvd Richland WA 99352 911266345 Healthcare WA 501(c )(3) Line 10 Western HealthConnect 0 Kadlec Foundation 888 Swift Blvd Richland WA 99352 237005501 Support Kadlec Regional Medical Center WA 501(c )(3) Line 12/Type I Kadlec Regional Medical Center 0 PacMed Clinics 1200 12th Ave S Seattle WA 98144 562290878 Healthcare WA 501(c )(3) Line 10 Western HealthConnect 0 Seattle Science Foundation 550 17th Ave Seattle WA 98122 611502822 Physician Collaboration WA 501(c )(3) Line 7 Western HealthConnect 0 Providence Saint John's Health Center 2121 Santa Monica Blvd Santa Monica CA 90404 951684082 Healthcare CA 501(c )(3) Line 3 PHS - So California 0 John Wayne Cancer Institute 2200 Santa Monica Blvd Santa Monica CA 90404 954291515 Cancer Treatment CA 501(c )(3) Line 4 Providence Saint John's Health Center 0 Providence St Joseph Health 1801 Lind Avenue SW 9016 Renton WA 98057 811244422 Support PH&S and St. Joseph Health System WA 501(c )(3) Line 12, Type III N/A 0 Institute for Systems Biology 401 Terry Ave N Seattle WA 98109 912003593 Predict, prevent & cure disease WA 501(c )(3) Line 7 Western HealthConnect 0 Providence Saint John's Medical Foundation 20555 Earl St Torrance CA 90503 814542216 Healthcare CA 501(c )(3) Pending PHS - So California 0 Institute for Mental Health & Wellness 1801 Lind Avenue SW 9016 Renton WA 98057 814260130 Mental Healthcare WA 501(c )(3) Line 7 PH&SSt Joseph Health System 0 Covenant Health Network Inc 3345 Michelson Drive Suite 100 Irvine CA 92612 461259908 Healthcare CA 501 (C )(3) Line 12, Type III St Joseph Health System 0 Covenant ACO 3615 19th Street Lubbock TX 79410 611573313 Healthcare TX 501 (C )(3) Line 12, Type I Covenant Health System 0 Covenant Health System 3615 19th Street Lubbock TX 79410 752765566 Healthcare TX 501 (C )(3) Line 3 St Joseph Health System 0 Covenant Health System Foundation 3623 22nd Place Lubbock TX 79410 752897026 Healthcare TX 501 (C )(3) Line 7 Covenant Health System 0 Covenant Medical Group 3420 22nd Place Lubbock TX 79410 752743883 Healthcare TX 501 (C )(3) Line 3 Covenant Health System 0 Covenant Health Partners 3615 19Th Street Lubbock TX 79410 463516417 Healthcare TX 501 (C )(3) Line 12, Type I Covenant Health System 0 HMTS Inc 1 Hoag Drive Newport Beach CA 92658 453583707 Healthcare CA 501 (C )(3) Line 12, Type I Hoag Memorial Hospital Presbyterian 0 Hoag Charity Sports 330 Placentia Ave Newport Beach CA 92663 452982422 Support CA 501 (C )(3) Line 7 Hoag Hospital Foundation 0 Hoag Hospital Foundation 330 Placentia Ave Newport Beach CA 92663 953222343 Fundraising CA 501 (C )(3) Line 7 Hoag Memorial Hospital Presbyterian 0 Hoag Memorial Hospital Presbyterian 1 Hoag Road Box 6100 Newport Beach CA 92663 951643327 Healthcare CA 501 (C )(3) Line 3 Covenant Health Network 0 Home Care Partners 1165 Montgomery Dr Santa Rosa CA 95405 680318656 Inactive CA 501 (C )(3) Line 3 Santa Rosa Memorial Hospital 0 Hospice Of Lubbock 3702 21st Street Lubbock TX 79410 752133781 Healthcare TX 501 (C )(3) Line 10 Covenant Health System 0 Lubbock Methodist Hospital Foundation 3615 19th Street Lubbock TX 79410 752220963 Healthcare TX 501 (C )(3) Line 7 Covenant Health System 0 Methodist Children's Hospital 3610 21st Street Lubbock TX 79410 752428911 Healthcare TX 501 (C )(3) Line 3 Covenant Health System 0 Methodist Hospital Levelland 1900 College Avenue Levelland TX 79336 752246348 Healthcare TX 501 (C )(3) Line 3 Covenant Health System 0 Methodist Hospital Plainview 2601 Dimmitt Road Plainview TX 79072 752426010 Healthcare TX 501 (C )(3) Line 3 Covenant Health System 0 Mission Hospital Regional Medical Ctr 27700 Medical Center Road Mission Viejo CA 92691 951643360 Healthcare CA 501 (C )(3) Line 3 Covenant Health Network 0 Queen Of The Valley Medical Center 1000 Trancas Street Napa CA 94558 941243669 Healthcare CA 501 (C )(3) Line 3 St Joseph Health System 0 Redwood Memorial Foundation 3300 Renner Drive Fortuna CA 95540 942779313 Healthcare CA 501 (C )(3) Line 7 Redwood Memorial Hospital 0 Redwood Memorial Hospital 3300 Renner Drive Fortuna CA 95540 941384665 Healthcare CA 501 (C )(3) Line 3 St Joseph Health System 0 Santa Rosa Memorial Hospital 1165 Montgomery Dr Santa Rosa CA 95405 941231005 Healthcare CA 501 (C )(3) Line 3 St Joseph Health System 0 SRM Alliance Hospital Services (Pvh) 400 North McDowell Blvd Petaluma CA 94954 680395200 Healthcare CA 501 (C )(3) Line 3 Santa Rosa Memorial Hospital 0 St Joseph Health System 3345 Michelson Drive Suite 100 Irvine CA 92612 953589356 Healthcare CA 501 (C )(3) Line 12, Type I Providence St Joseph Health 0 St Joseph Health System Foundation 3345 Michelson Drive Suite 100 Irvine CA 92612 330143024 Healthcare CA 501 (C )(3) Line 7 St Joseph Health System 0 St Joseph Home Care Network 1111 Sonoma Ste 308 Santa Rosa CA 95405 680331084 Healthcare CA 501 (C )(3) Line 10 St Joseph Health System 0 St Joseph Hospital Of Eureka 2700 Dolbeer Street Eureka CA 95501 941156596 Healthcare CA 501 (C )(3) Line 3 St Joseph Health System 0 St Joseph Hospital Of Orange 1100 West Stewart Drive Orange CA 92868 951643359 Healthcare CA 501 (C )(3) Line 3 Covenant Health Network 0 St Jude Hospital Yorba Linda 200 West Center St Promenade Anaheim CA 92805 330185031 Healthcare CA 501 (C )(3) Line 3 St Joseph Health System 0 St Jude Hospital Inc 101 East Valencia Mesa Drive Fullerton CA 92635 951643324 Healthcare CA 501 (C )(3) Line 3 Covenant Health Network 0 St Mary Medical Center 18300 Highway 18 Apple Valley CA 92307 951914489 Healthcare CA 501 (C )(3) Line 3 Covenant Health Network 0 St Mary Of The Plains Hospital Fdn 4000 24th Street Lubbock TX 79410 751653181 Healthcare TX 501 (C )(3) Line 7 Covenant Health System 0 St Joseph Health Northern California LLC 3345 Michelson Drive Irvine CA 92612 814791043 Healthcare CA 501 (C )(3) Line 3 St Joseph Health System 0 Sisters Of St Joseph Of Orange 480 S Batavia Orange CA 92868 951643383 Religious Org CA 501 (C )(3) Line 1 N/A 0 St Joseph Health Ministry 3345 Michelson Drive Suite 100 Irvine CA 92612 271666576 Religious Org CA 501 (C )(3) Line 1 Sisters of St Joseph of Orange 0 Kadlec Auxiliary Inc 888 Swift Blvd Richland WA 99352 916033089 Support Kadlec Regional Medical Center WA 501 (C )(3) Line 12, Type III Kadlec Regional Medical Center 0 Alpha Medical Laboratory LLC 611 N Perry Spokane WA 99202 912017347 Outpatient Lab ID N/A Broadway Imaging LLC 500 W Broadway Missoula MT 59802 522405971 Medical Imaging MT N/A California Laboratory Associates LLC 501 Buena Vista Burbank CA 91505 273888692 Outpatient Lab CA N/A Center for Specialty Surgery LLC 11782 SW Barnes Rd Portland OR 97225 263638838 Ambulatory Surgery Center OR N/A Clackamas Radiation Oncology Center LLC 4400 NE Halsey St Bldg II 495 Portland OR 97213 260381897 Radiation Oncology OR N/A Ctr for Med Imaging-Bridgeport LLC 4400 NE Halsey 495 Portland OR 97213 260796953 Imaging - Diagnostics OR N/A Ctr for Med Imaging-Tanasbourne LLC 4400 NE Halsey 495 Portland OR 97213 200477972 Imaging - Diagnostics OR N/A Greater Valley Medical Building LP 501 S Buena Vista St Burbank CA 91505 954570858 Real Estate - MOB CA N/A Minor & James Medical PLLC 515 Minor Avenue 200 Seattle WA 98104 911340223 Physician Clinic WA N/A Mountainstar Clinical Laboratories LLC 611 N Perry Spokane WA 99202 261345983 Outpatient Lab MT 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 Surgery Center OR N/A PacLab LLC 611 N Perry Spokane WA 99202 911743952 Outpatient Lab WA N/A Pathology Associates Medical Laboratories LLC 611 N Perry Spokane WA 99202 270943279 Outpatient Lab WA N/A PETCT Imaging at Swedish Cancer Institute LLC 1221 Madison Street Seattle WA 98104 203132044 Medical Imaging WA N/A Portland Medical Imaging LLC 4400 NE Halsey 495 Portland OR 97213 201054971 Imaging - Diagnostics OR N/A Prov Radiation Oncology Develop Assn LLC 4400 NE Halsey 495 Portland OR 97213 260682491 Real Estate - MOB OR N/A Providence Imaging Center 3340 Providence Drive Anchorage AK 99508 920118807 Medical Imaging AK N/A Providence Partners for Health LLC 501 S Buena Vista St Burbank CA 91505 454041798 Clinical Quality & Integration CA N/A Providence Surgery Center LLC 902 N Orange St Missoula MT 59802 841401625 Ambulatory Surgery Center MT N/A ProvidenceSilverton Rehab LLC 4400 NE Halsey 425 Portland OR 97213 481287267 Rehab Services OR N/A ProvidenceUSP Santa Clarita GP LLC 11550 Indian Hills Road 160 Mission Hills CA 91345 202829660 Ambulatory Surgery Center CA N/A ProvidenceUSP Surgery Ctrs LLC 11550 Indian Hills Road 160 Mission Hills CA 91345 200905938 Ambulatory Surgery Center CA N/A Southern Idaho Regional Laboratory LLC 611 N Perry Spokane WA 99202 820511819 Outpatient Lab ID N/A The Madison Spokane Inn LLC 15 West Rockwood Blvd Spokane WA 99204 841606484 Hotel Services WA N/A Tri-Cities Laboratory LLC 611 N Perry Spokane WA 99202 911773986 Outpatient Lab WA N/A HCSA Properties LLC 1600 M Street NW Auburn WA 98001 460620892 Real estate rental WA N/A Covenant Long-Term Care LP 4000 24th Street Lubbock TX 79410 205033419 Healthcare TX N/A Heritage Investment Group I LLC 500 S Main Street Ste 1000 Orange CA 92868 271000061 Investments CA N/A Hoag Orthopedic Institute 1 Hoag Drive Box 6100 Newport Beach CA 92658 611588294 Healthcare CA N/A Lubbock Surgery Center Ltd 4000 24th Street Lubbock TX 79410 752177401 Healthcare TX N/A Methodist Diagnostic Imaging 4000 24th Street Lubbock TX 79410 752343261 Healthcare TX N/A Mission Ambulatory Surgicenter Ltd 27800 Medical Center Road Ste 362 Mission Viejo CA 92691 330355575 Healthcare CA N/A Newport Imaging Center 360 San Miguel Newport Beach CA 92660 330191776 Healthcare CA N/A SHA LLC 12940 North Highway 183 Austin TX 78750 752569094 Healthcare TX N/A St Joseph Physician Ventures I LLC 1100 West Stewart Drive Orange CA 92868 454521884 Real Estate CA N/A North Bay Endoscopy Center 1383 N McDowell Blvd Suite 110 Petaluma CA 94954 611559876 Healthcare CA N/A Southern California Surgery Center LLC 18321 Ventura Blvd Ste 740 Tarzana CA 91356 330939000 Healthcare CA N/A Mission Viejo Physician Partners I LLC 27700 Medical Center Road Mission Viejo CA 92691 471559873 Healthcare CA N/A Advanced Surgery Institute LLC 1739 4th Street Santa Rosa CA 95404 262299255 Healthcare CA N/A Providence Health Ventures Inc 4101 Torrance Blvd Torrance CA 90503 330122216 Investment CA N/A C 0 Caron Health Corporation 510 W Front St Missoula MT 59802 810486082 Medical Physician Service MT N/A C 0 Providence Health Care Ventures Inc 101 W 8th Ave TAF C-9 Spokane WA 99204 900155714 Clinical/Medical Lab WA N/A C 0 Providence Physician Services Co 101 W 8th Ave TAF C-9 Spokane WA 99204 911216033 Clinical/Medical Lab WA N/A C 0 Yakima Medical Arts Inc 611 N Perry 100 Spokane WA 99202 910787963 Rental Real Estate WA N/A C 0 Bourget Health Services Inc PO Box 2687 Spokane WA 99220 911354431 Clinical/Medical Lab WA N/A C 0 1221 Madison Street Owners Assoc 747 Broadway Seattle WA 98122 201954319 Owners' Association WA N/A C 0 Western HealthConnect Ventures Inc 1801 Lind Ave SW 9016 Renton WA 98057 800953654 Investment WA N/A C 0 PHN Holdings 20555 Earl Street Torrance CA 90503 461814184 Strategic Planning Services CA N/A C 0 Providence Health Network 20555 Earl Street Torrance CA 90503 800886966 Prepaid Healthcare CA N/A C 0 Pioneer Innovations Inc 800 5th Ave 10th Floor Seattle WA 98104 364818191 Healthcare Innovations WA N/A C 0 Vinserra Inc 1328 22nd Street Santa Monica CA 90404 953943315 Investment CA N/A C 0 American Unity Group Ltd 90 Pitts Bay Road HM08 Pembroke BD Captive Insurance BD N/A C 0 Coastal Management Services Organization 1 Hoag Drive Box 6100 Newport Beach CA 92658 330676831 Healthcare CA N/A C 0 Datu Health Inc 16150 Main Circle Dr Suite 250 Chesterfield MO 63017 463070062 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 Lubbock Methodist Hosp Practice Mgmt 2107 Oxford Street Ste 300 Lubbock TX 79410 752578995 Inactive TX N/A C 0 Lubbock Methodist Hospital Svcs PO Box 120 Lubbock TX 79410 752118585 Healthcare TX N/A C 0 Mission Viejo Medical Ventures 27800 Medical Center Rd 354 Mission Viejo CA 92691 330212905 Healthcare CA N/A C 0 St Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 462340232 Holding Company CA N/A C 0 St Joseph Health Source Inc 3345 Michelson Drive Suite 100 Irvine CA 92612 461900168 Healthcare CA N/A C 0 St Joseph Prof Svcs Enterprses Inc 3345 Michelson Drive Suite 100 Irvine CA 92612 330155323 Healthcare CA N/A C 0 Ophie Healthcare Services Inc 3345 Michelson Drive Suite 100 Irvine CA 92612 271002825 Healthcare CA N/A C 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0