PROVIDENCE HEALTH & SERVICES MT: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: PROVIDENCE HEALTH & SERVICES MT (EIN 81-0231793)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-15
IRS object ID: 201743199349315519
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-15T16:49:07-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	911194016	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Clark Nuber PS	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	10900 NE 4th Suite 1400	AddressLine1Txt
City	Bellevue	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	810231793	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE HEALTH & SERVICES - MONTANA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PROV	BusinessNameControlTxt
Phone	4255253985	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 Lind Avenue SW No 9016	AddressLine1Txt
City	Renton	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	980579016	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Jo Ann Escasa-Haigh	PersonNm
Person Title	EVP/CFO - Operations	PersonTitleTxt
Phone	4255253985	PhoneNum
Signature	2017-11-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Sara Elizabeth J Hyre CPA	PreparerPersonNm
PTIN	P00235495	PTIN
Phone	4254544919	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	170.173.0.16	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-11-15	IPDt
IP Tm	14:48:52	IPTm
IP Timezone	PS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF	AtSubmissionCreationDeviceId
At Submission Filing Device Id	C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Providence St Patrick Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Mike Butler	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 Lind Avenue SW No 9016	AddressLine1Txt
City	Renton	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	980579016	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$463,348,214	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	http://montana.providence.org/hospitals/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1991	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	Healthcare with special concern for the poor and vulnerable in Missoula, MT.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	2366	TotalEmployeeCnt
Total Volunteers	223	TotalVolunteersCnt
Total Gross UBI	$272,340	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$59,656	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,683,716	PYContributionsGrantsAmt
CY Contributions Grants	$1,026,678	CYContributionsGrantsAmt
PY Program Service Revenue	$330,809,446	PYProgramServiceRevenueAmt
CY Program Service Revenue	$436,386,880	CYProgramServiceRevenueAmt
PY Investment Income	$156,473	PYInvestmentIncomeAmt
CY Investment Income	$2,027,634	CYInvestmentIncomeAmt
PY Other Revenue	$4,353,030	PYOtherRevenueAmt
CY Other Revenue	$4,518,825	CYOtherRevenueAmt
PY Total Revenue	$337,002,665	PYTotalRevenueAmt
CY Total Revenue	$443,960,017	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,936,060	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,025,589	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$114,397,395	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$130,762,136	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$210,711,414	PYOtherExpensesAmt
CY Other Expenses	$327,326,779	CYOtherExpensesAmt
PY Total Expenses	$328,044,869	PYTotalExpensesAmt
CY Total Expenses	$459,114,504	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,957,796	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$15,154,487	CYRevenuesLessExpensesAmt
Total Assets BOY	$306,869,501	TotalAssetsBOYAmt
Total Assets EOY	$254,404,251	TotalAssetsEOYAmt
Total Liabilities BOY	$161,351,881	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$113,964,805	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$145,517,620	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$140,439,446	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	As People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Healthcare with special concern for the poor and vulnerable in Missoula, MT.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$262,532,147	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$292,283,413	RevenueAmt
Desc	Acute Care - Inpatient & OutpatientTotal Admissions: 9,988Total Patient Days: 47,107Total Outpatient Visits: 261,297HIGHLIGHTS/ACHIEVEMENTS:In 2015 St. Patrick Hospital opened a Family Maternity Center and started delivering babies for the first time in over 40 years. In 2016 there were 483 babies delivered at the hospital.* Mountain-Pacific Quality Health presented Providence St. Patrick Hospital with the 2016 Hospital Commitment to Quality Award. Mountain-Pacific Quality Health's quality awards reflect continued expectations of engaging patients and families in improving care as well as top performance on quality indicators and system changes, as promoted by today's health care industry. Strong leadership support is considered, since it is vital for achieving and sustaining excellent patient safety and improvements in patient care. In addition, St. Pat's earned Mountain Pacific's new award called Chasing Zero, for demonstrating sustained periods of zero infections for specific hospital-acquired infections. * Providence St. Patrick Hospital was named one of the nation's 50 Top Cardiovascular Hospitals by Truven Health Analytics. This is the ninth time Providence St. Patrick Hospital has been recognized with this honor. The 50 Top Cardiovascular Hospitals study evaluates performance in key areas: risk-adjusted mortality, risk-adjusted complications, core measures (a group of measures that assess process of care), percentage of coronary bypass patients with internal mammary artery use, 30-day mortality rates, 30-day readmission rates, severity-adjusted average length of stay, and wage- and severity-adjusted average cost.* St. Patrick Hospital's Emergency Department and Catheterization Laboratory received the 2016 Mission: Lifeline Receiving Center GOLD Recognition Award Mission from the American Heart Association/American Stroke Association for our quality of heart attack care as demonstrated through the 2015 ACTION Registry -GWTG data. This award recognizes success in implementing a high quality care program, ensuring that our ST-Elevation Myocardial Infarction (STEMI) program treats patients according to nationally accepted guidelines. STEMI is a serious heart attack during which one of the heart's major arteries is blocked, and must be treated quickly and appropriately for the patient to survive. * Providence St. Patrick Hospital was one of 844 hospitals to receive an "A" ranking among the safest hospitals in the United States according to Leapfrog Hospital Safety Grades, a national patient safety watchdog. Leapfrog Safety Grades assign A, B, C, D and F letter grades to hospitals nationwide and provide the most complete picture of patient safety in the U.S. * St. Patrick Hospital received recognition from US News and World Report for being a top 50 Hospital for urology care in 2016. Hospitals are scored on volume of high-risk patients, nurse staffing and patient survival. Specific criteria that contributed to the ranking included our patient's 30-day survival rate (score 10/10), the use of advanced technologies (score 6/6), patient services (score 8/9), Magnet recognition, serving as a Level II trauma center and having an Intensivist program. In addition, St. Pat's was recognized as "high performing" in aortic valve surgery, heart bypass surgery and pulmonology.* Providence St. Patrick Hospital was awarded the Partner for Change Award from Practice Greenhealth for implementation of a significant number of environmental stewardship programs and best practices, and continuously improving and expanding upon these programs on the path to sustainability.* Providence St. Patrick Hospital was given the Women's Choice Award for one of America's 100 Best Hospitals for Patient Experience in Montana. The hospitals are highly rated by women for creating an extraordinary patient experience for women and their families. The process begins with scores derived for each hospital in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) database. The score takes a subset of the questions HCAHPS uses that research and experience shows are more important to women than to men. WomenCertified applies weight to each of those questions to adjust for relative importance to arrive at a numerical score. The scoring is objective and uniform. The 100 best scores in each of the four categories determine the America's 100 Best Hospitals for Outstanding Patient Experience by WomenCertified award winners.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$87,056,906	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$87,283,338	RevenueAmt
Desc	Capitation Revenue - See Line 4a Narrative	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$71,350,933	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$49,599,364	RevenueAmt
Desc	Primary CareTotal Visits: 281,450* Nine Western Montana Providence Medical Group medical clinics received national recognition as Level 3 Patient-Centered Medical Homes, the highest accreditation possible, by the National Committee of Quality Assurance (NCQA). Level 3 status involves meeting and documenting requisite elements in six categories, such as tracking and coordinating patient care, easing access to providers through improved hours and scheduling, and measuring and improving clinic/provider performance. NCQA recognition ensures that these clinics use evidence-based, patient-centered processes that focus on highly coordinated care and long?term interactive relationships between the care teams and the patient. A patient-centered medical home is a model of primary care that combines teamwork and information technology to improve care, improve the patient's care experience, and reduce costs. Medical homes foster ongoing partnerships between patients and their clinicians using multi-disciplinary care teams to coordinate treatment, follow-up and support. Research confirms that medical homes advance the "triple aim" of higher quality, better patient experience and cost containment.In Missoula, the PMG clinics include: * Broadway Internal Medicine* Grant Creek Family Medicine* Montana Internal Medicine* Women's Care & Family Wellness * Missoula Family MedicalPMG clinics outside of Missoula include:* Florence Family Medicine in Florence* Lifespan Family Medicine in Stevensville* St. Joseph Medical Clinic in Polson * St. Joseph Medical Clinic in Ronan* With a grant from The Montana Health Foundation, Grant Creek Family Practice, a patient-centered medical home, began to integrate behavioral health into the primary care setting. The practice hired a licensed clinical social worker, with the goal of providing patients seamless, effective, mental health care. Following Grant Creek's lead, this service will be implemented into the eight other Western Montana Providence patient-centered medical homes, with specialty support from Providence Western Montana psychiatric services.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$1,025,589	$1,025,589	$0	Grants and Allocations.See Schedule I.
$0	$0	$9,971,334	Healthcare Joint VenturesThrough partnerships, St. Patrick's is able to provide additional healthcare services to the community.

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,025,589	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$1,025,589	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$9,971,334	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$421,965,575	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	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
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	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	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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 With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2366	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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	Yes (1)	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MT	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Karl E Fritschel CPA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4255253339	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 Lind Ave SW 9016	AddressLine1Txt
City	Renton	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	980579016	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (57 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Richard Blair
Chair - Eff. 7/16	0.10	4.60	Yes (X)	Yes (X)	$0	$30,180	$0
Dave Olsen
Vice Chair - Eff. 7/16	0.10	5.50	Yes (X)	Yes (X)	$0	$24,135	$0
Dick P Allen
Director - Eff. 7/16	0.10	2.00	Yes (X)		$0	$15,180	$0
Isiaah Crawford
Director	0.10	4.10	Yes (X)		$0	$24,360	$0
Sister Lucille Dean SP
Director - Eff. 7/16	0.10	2.10	Yes (X)		$0	$0	$0
Sister Diane Hejna CSJ RN
Director - Eff. 7/16	0.10	1.90	Yes (X)		$0	$0	$0
Michael Holcomb
Director /Chair Thru 6/16	0.10	5.30	Yes (X)	Yes (X)	$0	$45,360	$0
Phyllis Hughes RSM
Director	0.10	5.00	Yes (X)		$0	$0	$0
Sallye Liner
Director	0.10	4.70	Yes (X)		$0	$20,360	$0
Mary Lyons PhD
Director - Eff. 7/16	0.10	1.50	Yes (X)		$0	$15,180	$0
Walter Noce Jr
Director - Eff. 7/16	0.10	2.00	Yes (X)		$0	$15,180	$0
Carolina Reyes MD
Director	0.10	4.60	Yes (X)		$0	$22,860	$0
Phoebe Yang
Director - Eff. 7/16	0.10	2.00	Yes (X)		$0	$12,680	$0
Fr Tom Kopfensteiner
Director - Res. 12/16	0.10	2.00	Yes (X)		$0	$6,400	$0
Chauncey Boyle SP
Director - Thru 6/16	0.10	3.10	Yes (X)		$0	$0	$0
Marian Schubert CSJ
Director - Thru 6/16	0.10	2.80	Yes (X)		$0	$0	$0
Michael A Stein
Director - Thru 6/16	0.10	3.10	Yes (X)		$0	$7,680	$0
Eugene Al Parrish
Director - Thru 6/16	0.10	2.80	Yes (X)		$0	$7,680	$0
Bob Wilson
Director - Thru 6/16	0.10	2.90	Yes (X)		$0	$9,120	$0
Martha Diaz Aszkenazy
Director - Thru 6/16	0.10	3.90	Yes (X)		$0	$9,180	$0
Kirby McDonald
Director - Thru 6/16	0.10	2.80	Yes (X)		$0	$7,680	$0
Charles Chuck Watts
Director - Thru 6/16	0.10	2.80	Yes (X)		$0	$9,180	$0
Rod F Hochman MD
President / CEO - Thru 6/16	1.00	64.00		Yes (X)	$0	$4,060,921	$43,543
Mike Butler
President - Eff. 7/16	1.00	59.00		Yes (X)	$0	$6,906,693	$349,633
Todd Hofheins
EVP/CFO /Treas. Thru 11/16	1.00	59.00		Yes (X)	$0	$1,571,440	$60,670
Jo Ann Escasa-Haigh
Interim CFO/Treasurer - Eff.12/16	1.00	49.00		Yes (X)	$0	$755,416	$168,190
Cindy Strauss
EVP/Chief Legal Officer	1.00	59.00		Yes (X)	$0	$1,462,780	$58,266
Jeffrey Fee
CE/Western MT. Region	40.00	10.00		Yes (X)	$0	$599,953	$102,582
Kirk Bodlovic
CFO/St. Patrick Hospital	50.00	0.00		Yes (X)	$0	$270,622	$43,819
Debra Canales
EVP/CAO	1.00	59.00			$0	$2,092,357	$611,609	Yes (X)
Janice Newell
SVP/Chief Information Officer	1.00	59.00			$0	$1,137,493	$34,098	Yes (X)
Joel Gilbertson
SVP/Community Partnerships	1.00	59.00			$0	$842,027	$247,847	Yes (X)
Orest Holubec
SVP/Chief Comm./Ext. Affairs Officer	1.00	54.00			$0	$782,688	$207,806	Yes (X)
Greg Till
VP/Chief Talent Officer	1.00	64.00			$0	$776,011	$122,367	Yes (X)
Sharon Toncray
SVP / Chief Labor Employee Counsel	1.00	59.00			$0	$764,977	$243,728	Yes (X)
Jack Mudd - Thru 316
SVP/Mission Leadership	1.00	28.00			$0	$718,728	$157,778	Yes (X)
Paul Stoddart - Thru 916
VP/Marketing	1.00	54.00			$0	$641,423	$22,381	Yes (X)
Robert Hellrigel
SVP-CE / Senior & Comm. Services	1.00	54.00			$0	$620,281	$196,789	Yes (X)
Mark Gargett
VP/Digital Integration	1.00	49.00			$0	$610,787	$65,970	Yes (X)
David Brown
VP/Strategy & Business Development	1.00	54.00			$0	$700,461	$226,430	Yes (X)
Debbie Burton
SVP/ Chief Nrsg. Officer	1.00	59.00			$0	$713,480	$90,015	Yes (X)
Mary Cranstoun
VP/Total Rewards	1.00	59.00			$0	$663,031	$114,417	Yes (X)
Aaron Martin
SVP/Strategy & Innovation	1.00	69.00			$0	$852,934	$219,285	Yes (X)
Tom McDonagh
VP/Chief Investment Officer	1.00	57.00			$0	$849,462	$53,521	Yes (X)
Rhonda Medows MD
EVP/Population Health	1.00	59.00			$0	$1,565,700	$320,279	Yes (X)
Harvey Smith
SVP/Chief Customer Svc. Officer	1.00	49.00			$0	$1,226,156	$23,791	Yes (X)
Lisa Vance
SVP/Clinical Program Services	1.00	59.00			$0	$1,220,348	$125,445	Yes (X)
Mike Waters
VP,CAO/Physician Services	1.00	64.00			$0	$703,777	$184,023	Yes (X)
Amy Compton-Phillips
EVP/Chief Clinical Officer	1.00	54.00			$0	$1,113,493	$278,894	Yes (X)
Simone Musco MD
Physician	50.00	0.00			$936,561	$0	$38,820		Yes (X)
Michael Yerkey MD
Physician	50.00	0.00			$853,135	$0	$34,483		Yes (X)
Mark L Sanz MD
Physician - Cardiology	50.00	0.00			$726,265	$0	$49,022		Yes (X)
James Maddux MD
Physician	50.00	0.00			$711,616	$0	$46,510		Yes (X)
James M Maxwell MD
Physician	50.00	0.00			$696,073	$0	$53,606		Yes (X)
Randy Axelrod MD
EVP/Clinical & Patient Services	0.00	0.00			$0	$1,419,333	$0			Yes (X)
Craig Wright MD
SVP/Physician Services	0.00	0.00			$0	$1,119,939	$20,455			Yes (X)
Jack Friedman
SVP/Accountable Care & Payor Rel.	0.00	0.00			$0	$299,327	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,923,650	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$37,344,433	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,616,072	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	201	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 (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Broadway Imaging LLC
500 West Broadway	Missoula	MT	59802	Imaging Services	$20,737,680
Western MT Emergency Phys
500 West Broadway	Missoula	MT	59802	ER Physicians	$6,861,694
Montana Cancer Specialists
PO Box 7877	Missoula	MT	59807	Cancer Specialist Services	$3,786,011
Bouten Construction
PO Box 3507	Spokane	WA	99220	Construction Services	$1,436,769
Cross Country Staffing
File 50941	Los Angeles	CA	90074	Staffing	$1,436,658

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	32	CntrctRcvdGreaterThan100KCnt
Related Organizations	$556,717	RelatedOrganizationsAmt
Government Grants	$469,362	GovernmentGrantsAmt
All Other Contributions	$599	AllOtherContributionsAmt
Total Contributions	$1,026,678	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Acute Care	622110	$289,549,520	$289,549,520
Capitation Revenue	900099	$87,283,338	$87,283,338
Primary Care	621110	$48,969,751	$48,969,751
Healthcare JVs	900099	$9,971,334	$9,971,334
Pharmacy	900099	$358,428	$358,428

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$254,509	TotalRevenueColumnAmt
Related Or Exempt Func Income	$254,509	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$436,386,880	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$922,753	TotalRevenueColumnAmt
Exclusion	$922,753	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,998,768	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,629,626	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$1,630,858	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,630,858	TotalRevenueColumnAmt
Exclusion	-$1,630,858	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$15,960,128	SecuritiesAmt
Other	$818,600	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$15,381,063	SecuritiesAmt
Other	$292,784	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$579,065	SecuritiesAmt
Other	$525,816	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,104,881	TotalRevenueColumnAmt
Exclusion	$1,104,881	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$127,811	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$84,724	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$43,087	TotalRevenueColumnAmt
Exclusion	$43,087	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
BIC Outside Services	900099	$1,948,784	$1,948,784
Gain on Debt Refinanci	900099	$625,860		$625,860
Laundry & Linen	900099	$357,129		$84,789	$272,340

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,174,823	TotalRevenueColumnAmt
Related Or Exempt Func Income	$801,785	RelatedOrExemptFuncIncomeAmt
Exclusion	$2,373,038	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,106,596	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$443,960,017	TotalRevenueColumnAmt
Related Or Exempt Func Income	$439,137,449	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$272,340	UnrelatedBusinessRevenueAmt
Exclusion	$3,523,550	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$943,963	TotalAmt
Program Services	$943,963	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$81,626	TotalAmt
Program Services	$81,626	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$974,862	TotalAmt
Management And General	$974,862	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$119,365,521	TotalAmt
Program Services	$105,708,383	ProgramServicesAmt
Management And General	$13,657,138	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,338,980	TotalAmt
Program Services	$2,052,533	ProgramServicesAmt
Management And General	$286,447	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$99,176	TotalAmt
Program Services	$91,054	ProgramServicesAmt
Management And General	$8,122	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,983,597	TotalAmt
Program Services	$6,969,754	ProgramServicesAmt
Management And General	$1,013,843	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$95,213	TotalAmt
Management And General	$95,213	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,290	TotalAmt
Management And General	$2,290	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$74,974	TotalAmt
Management And General	$74,974	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$133,677	TotalAmt
Management And General	$133,677	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$54,083,899	TotalAmt
Program Services	$50,797,853	ProgramServicesAmt
Management And General	$3,286,046	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$117,770	TotalAmt
Program Services	$117,770	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,084,201	TotalAmt
Program Services	$3,473,908	ProgramServicesAmt
Management And General	$610,293	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$459,347	TotalAmt
Program Services	$235,457	ProgramServicesAmt
Management And General	$223,890	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,789,445	TotalAmt
Program Services	$4,266,721	ProgramServicesAmt
Management And General	$522,724	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$724,527	TotalAmt
Program Services	$490,922	ProgramServicesAmt
Management And General	$233,605	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$322,554	TotalAmt
Program Services	$253,418	ProgramServicesAmt
Management And General	$69,136	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,790,353	TotalAmt
Program Services	$1,790,353	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$86,654,463	TotalAmt
Program Services	$73,069,662	ProgramServicesAmt
Management And General	$13,584,801	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,329,829	TotalAmt
Program Services	$7,109,057	ProgramServicesAmt
Management And General	$1,220,772	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,939	TotalAmt
Program Services	$7,939	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Cost Care Svc Claims	$86,370,915	$86,370,915
Medical Supplies	$70,609,453	$70,568,119	$41,334
Bad Debts	$5,073,068	$5,073,068
UBI Tax	$25,000		$25,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,577,862	TotalAmt
Program Services	$2,493,100	ProgramServicesAmt
Management And General	$1,084,762	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$459,114,504	TotalAmt
Program Services	$421,965,575	ProgramServicesAmt
Management And General	$37,148,929	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$166,262	BOYAmt
EOY	$191,721	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,235,629	BOYAmt
EOY	$1,845,992	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$46,545,090	BOYAmt
EOY	$42,192,567	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$10,349,916	BOYAmt
EOY	$9,997,498	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,779,315	BOYAmt
EOY	$4,928,964	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$123,561	BOYAmt
EOY	$281,425	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$253,134,087	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$172,124,352	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$86,013,896	BOYAmt
EOY	$81,009,735	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$35,890,435	BOYAmt
EOY	$37,586,490	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$16,534,851	BOYAmt
EOY	$19,034,962	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$105,230,546	BOYAmt
EOY	$57,334,897	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$306,869,501	BOYAmt
EOY	$254,404,251	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$23,335,872	BOYAmt
EOY	$21,393,079	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$113,383	BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$46,331,231	BOYAmt
EOY	$43,198,256	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$91,571,395	BOYAmt
EOY	$49,373,470	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$161,351,881	BOYAmt
EOY	$113,964,805	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$139,954,617	BOYAmt
EOY	$134,102,326	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,690,421	BOYAmt
EOY	$4,516,030	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,872,582	BOYAmt
EOY	$1,821,090	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$145,517,620	BOYAmt
EOY	$140,439,446	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$306,869,501	BOYAmt
EOY	$254,404,251	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$15,154,487	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$555,617	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$9,520,696	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$25,474	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$49,500	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$74,974	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	The portion of monthly dues paid to the Montana Hospital Association designated for lobbying. Initiative Support. Costs associated with the direct contact with legislators.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,388,753	OtherCostOrOtherBasisAmt
Book Value	$12,388,753	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$111,099,915	OtherCostOrOtherBasisAmt
Depreciation	$69,601,073	DepreciationAmt
Book Value	$41,498,842	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,007,299	OtherCostOrOtherBasisAmt
Depreciation	$2,335,152	DepreciationAmt
Book Value	$672,147	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$124,320,035	OtherCostOrOtherBasisAmt
Depreciation	$100,188,127	DepreciationAmt
Book Value	$24,131,908	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,318,085	OtherCostOrOtherBasisAmt
Book Value	$2,318,085	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$81,009,735	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Invest in Prov. Surgery Center, LLC	$2,271,803	C
Invest in Broadway Imaging, LLC	$3,333,183	C
Invest in Partners in Home Care, Inc.	$3,965,187	C
Invest in Tamarack Management, Inc.	$1,572,404	C
Invest in Foundation	$7,460,519	C
Invest in N. Rockies Health Assoc.	$431,866	C

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$19,034,962	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
Unamortized Bond Financing Costs	$136,804
Cash Surrender Value of Life Insurance	$55,975
Due from Affiliates	$52,303,904
Other Receivables	$584,327
Third Party Settlements	$4,217,726
Trustee Held Funds	$36,161

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$57,334,897	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Due to Affiliates	$44,292,762
Obligation for Financing Lease	$4,927,500
Capitalized Lease Obligation	$43,211
Third Party Settlements	$109,997

Field	Value	IRS element (for citing)
Total Liability	$49,373,470	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	759	PersonsServedCnt
Total Community Benefit Expns	$3,470,020	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,470,020	NetCommunityBenefitExpnsAmt
Total Expense	0.00760	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	10458	PersonsServedCnt
Total Community Benefit Expns	$45,198,159	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,514,571	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,683,588	NetCommunityBenefitExpnsAmt
Total Expense	0.03230	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	7	PersonsServedCnt
Total Community Benefit Expns	$28,089	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,121	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,968	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	11224	PersonsServedCnt
Total Community Benefit Expns	$48,696,268	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,535,692	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,160,576	NetCommunityBenefitExpnsAmt
Total Expense	0.03990	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	2667	PersonsServedCnt
Total Community Benefit Expns	$283,762	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$283,762	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	4	PersonsServedCnt
Total Community Benefit Expns	$4,942,142	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,942,142	NetCommunityBenefitExpnsAmt
Total Expense	0.01090	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	95344	PersonsServedCnt
Total Community Benefit Expns	$25,066,601	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,152,629	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,913,972	NetCommunityBenefitExpnsAmt
Total Expense	0.02620	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Persons Served	208	PersonsServedCnt
Total Community Benefit Expns	$28,085	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,085	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	112	PersonsServedCnt
Total Community Benefit Expns	$27,708	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,708	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	98335	PersonsServedCnt
Total Community Benefit Expns	$30,348,298	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,152,629	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,195,669	NetCommunityBenefitExpnsAmt
Total Expense	0.03790	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	109559	PersonsServedCnt
Total Community Benefit Expns	$79,044,566	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,688,321	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,356,245	NetCommunityBenefitExpnsAmt
Total Expense	0.07780	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Persons Served	233423	PersonsServedCnt
Total Community Benefit Expns	$25,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	2	PersonsServedCnt
Total Community Benefit Expns	$60,720	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$60,720	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Persons Served	2	PersonsServedCnt
Total Community Benefit Expns	$17,160	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,160	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Persons Served	1828	PersonsServedCnt
Total Community Benefit Expns	$44,279	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,279	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	235255	PersonsServedCnt
Total Community Benefit Expns	$147,159	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$147,159	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,073,068	BadDebtExpenseAmt
Reimbursed By Medicare	$134,081,883	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$173,814,397	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$39,732,514	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	2 Providence Surgery Center LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	Outpatient surgical services	PrimaryActivitiesTxt
Org Profit Or Ownership	0.76560	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.20310	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Providence St Patrick Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 West Broadway	AddressLine1Txt
City	Missoula	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59802	ZIPCd

Field	Value	IRS element (for citing)
Website Address	montana.providence.org/hospitals/	WebsiteAddressTxt
State License	13200	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	Rehab and Psych	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Providence St Patrick Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	14	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See part V, Section C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	http://www.missoulacounty.us/home/showdocument?id=82	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	communitybenefit.providence.org/community-health-needs-assessments/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www2.providence.org/obp/docs/mt-charity-care-policy.pdf	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www2.providence.org/obp/docs/financialassistancerequest(english).pdf	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.providence.org/obp/mt/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Providence St. Patrick Hospital	Part V, Section B, Line 5: The Community Health Assessment workgroup met throughout 2014, collecting and talking about data so that we can better understand health status, community assets and resources, and challenges in Missoula County. The workgroup included the following representatives: Carol Bensen, Providence St. Patrick HospitalChris Coburn, Planned ParenthoodCindy Hotchkiss, MCCHDClaire Francoeur, APRN, Grant Creek Family MedicineCody Bradwell, VolunteerEllen Leahy, MCCHDGuy Hanson, MCCHD Air Quality Advisory CouncilIan Magruder, MCCHD Water Quality Advisory CouncilJeff Darrah, Animal Control, MCCHDKaren Myers, Providence St. Patrick HospitalKim Mansch, Partnership Health CenterMary Windecker, Community Medical CenterMerry Hutton, Providence St. Patrick HospitalLeeAnn Johnson, Missoula Indian CenterPeter Chap, University of Montana InternRobin Nielson-Cerquone, MCCHDStacy Rye, United Way of Missoula CountySteve Schmidt, Missoula Forum for Children and YouthSusan Kohler, Missoula Aging Services
Providence St. Patrick Hospital	Part V, Section B, Line 6a: Community Medical Center
Providence St. Patrick Hospital	Part V, Section B, Line 6b: Missoula City-County Health Department, Grant Creek Family Medicine, Missoula Aging Services, Missoula Forum for Children & Youth, Missoula Indian Center, Partnership Health Center, United Way of Missoula County.
Providence St. Patrick Hospital	Part V, Section B, Line 11: Based on the data, input from the community, and group discussion, the two priority issues are: improving access to healthcare and reducing obesity. There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them during this cycle due to funding and resource availability. There are other community organizations focusing on such issues, and PH&S-MT will be an engaged partner with other community led collaborative efforts.Please see "Community Health Improvement Plan" located at communitybenefit.providence.org/community-health-needs-assessments/
Providence St. Patrick Hospital	Part V, Section B, Line 16j: Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Providence St. Patrick Hospital	Part V, Section B, Line 20e: Financial Assistance information along with payment options are given on each billing statement to the patient.
Providence St. Patrick Hospital	Part V, Section B, Line 24: For non medically necessary services a patient may be charged full billed charges.
Part V, Section B, Line 7a	communitybenefit.providence.org/community-health-needs-assessments/

Field	Value	IRS element (for citing)
Facility	22	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Florence Family Medicine
5549 Old Highway 93	Florence	MT	59833	Outpatient Services
2 - Montana Spine and Pain Center
1103 Westwood Drive Suite 200	Hamilton	MT	59840	Outpatient Services
3 - Bariatric Services
500 West Broadway 5th Floor	Missoula	MT	59802	Outpatient Services
4 - Broadway Internal Medicine
500 W Broadway Broadway Bldg 4th Fl	Missoula	MT	59802	Outpatient Services
5 - Endocrinology Diabetes and Nutrition
900 N Orange St Suite 304	Missoula	MT	59802	Outpatient Services
6 - Grant Creek Family Medicine
3075 N Reserve Street Suite Q	Missoula	MT	59808	Outpatient Services
7 - Infectious Disease
902 N Orange Street	Missoula	MT	59802	Outpatient Services
8 - Long Term Mobility Care
500 W Broadway	Missoula	MT	59802	Outpatient Services
9 - Missoula Family Medical
900 N Orange Street Suite 303	Missoula	MT	59802	Outpatient Services
10 - Missoula Midwives
601 W Spruce Street Suite D	Missoula	MT	59802	Outpatient Services
11 - Montana Internal Medicine
2819 Great Northern Loop Suite 200	Missoula	MT	59808	Outpatient Services
12 - Montana Nephrology
500 W Broadway Broadway Bldg 4th Fl	Missoula	MT	59802	Outpatient Services
13 - Montana Neurosurgical Specialists
500 W Broadway Suite 310	Missoula	MT	59802	Outpatient Services
14 - Montana Spine and Pain Center
500 W Broadway 3rd Fl	Missoula	MT	59802	Outpatient Services
15 - Occupational Health
3055 N Reserve Street Suite D	Missoula	MT	59808	Outpatient Services
16 - Providence Neurology Specialists
601 W Spruce Street Suite J	Missoula	MT	59802	Outpatient Services
17 - Providence Palliative Care
900 N Orange Street Suite 205	Missoula	MT	59802	Outpatient Services
18 - Providence Psychiatry
900 N Orange Street Suite 202	Missoula	MT	59802	Outpatient Services
19 - Urgent Mental Health Clinic
900 N Orange Street Suite 102	Missoula	MT	59802	Outpatient Services
20 - Women's Care and Family Wellness
1211 S Reserve Street Suite 101	Missoula	MT	59801	Outpatient Services
21 - Wound Care Center
902 N Orange Street	Missoula	MT	59802	Outpatient Services
22 - Lifespan Family Medicine
715 South Main Street Suite A	Stevensville	MT	59870	Outpatient Services

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	The PH&S sliding fee scale set forth in Attachment B 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 6a:	In addition to providing its own smaller Community Benefit Report, St. Patrick's Community Benefit information is included in the consolidated report for Providence Health & Services.http://montana.providence.org/hospitals/st-patrick/community-support/
Part I, Line 7:	Costs for table 7 are from actual expenses incurred.
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 5,073,068.
Part II, Community Building Activities:	United WayUnited Way of Missoula County builds a better community for all, specifically in the areas of education, income, and health. We collaborate with diverse community partners to identify important social issues and bring together resources to address them. We give donors a trusted, one-stop way to support critical services for people in need, and we make sure that donated dollars are invested wisely and well.Childhood ObesityCATCH stands for a Coordinated Approach to Child Health. By uniting multiple players in a child's life to create a community of health, CATCH is proven to prevent childhood obesity and supported by 25 years and 120 academic papers indicating as much as 11% decrease in overweight children and obesity. Our community health programs aim to impact the messaging a child receives in physical education, the lunchroom, the classroom, and at home, to influence a child's choices not only in school, but lifelong.Let's Move! Missoula (LM!M) is a local initiative that is part of the national Let's Move! campaign to combat the epidemic of childhood obesity. Nationally, the vision of Let's Move! is to raise a healthier generation of kids. Locally, many community partners take part in LM!M. The mission of LM!M is to mobilize projects and partnerships that build healthy kids and residents of all ages - no matter where they live, work, play, or go to school. Projects focus on improving physical activity opportunities, nutrition, and access to healthy foods.Community Support: Kids TableSt. Patrick Hospital is supporting early childhood development by partnering with the Missoula Food Bank Kids Table to nourish Missoula children during their time of critical physical, cognitive, social and emotional development. The collaboration addresses local childhood hunger, especially during the summer months when kids may otherwise go hungry without school-sponsored meals. Community Health Improvement/Advocacy: Medication and enrollment assistance for health coverageUninsured patients often do not fill critical prescriptions due to cost and forego care due to lack of coverage, which affects their long term health. This program assists low income and self pay patients with the assistance they need to access patient assistance programs of pharmaceutical companies and state/federal coverage options. With the high uninsured rate in Missoula County at 19%, the total number of seniors living in poverty at 69% and the many patients with mental illness that St. Patrick Hospital serves, we work to bridge patient needs with programs that can support them.In addition to the free and discounted care that we provide, we also have State Health Insurance certified counselors trained to assist uninsured and underinsured residents in our community in securing options for both medical (ACA) and pharmaceutical coverage. This program is not done for marketing purposes and meets a necessary public health objective.Community Health Improvement: Environmental StewardshipGreen 4 Good (G4G) is an initiative at St. Patrick Hospital to decrease the environmental impacts of our daily healthcare work. As a hospital, we are charged with caring for people in times of need; requiring resources such as supplies, heat, and electricity to do so. At the same time, healthcare causes pollution through its energy use, waste creation, and use of toxic chemicals. Through G4G, St. Patrick Hospital works to reduce impacts to the natural environment, in turn creating a healthier environment for patients, staff members, and communities. This Environmental Stewardship Report highlights G4G's accomplishments in 2016. Energy ReductionIn 2016 we continued our work to decrease the hospital's energy use. In 2016 we saw an increased average daily census, seeing more patients and offering more services, and were still able to decrease electricity use by 173,615 kwh from the previous year.Goals 4 GoodIn May 2016 we introduced a new program called Goals 4 Good. Each month we ask that caregivers pledge to complete a certain goal designed to reduce their environmental impact both at home and at work. These goals can help to reduce CO2 emissions, save water, decrease waste, use less energy, or increase engagement. Below are a few accomplishments from 2016.--Saved 16,569 gallons of water by turning off the water while brushing teeth--Sustainably commuted 2,597 miles which saved 2,281 pounds of CO2--Diverted 30 pounds of plastic from the landfill by shopping with reusable bagsProvidence Garden 2016 was our third successful growing season at the Providence Garden. Each week throughout the summer our garden coordinators harvest produce and deliver it to the Missoula Food Bank, in 2016 we donated 916 pounds. That garden saw increased use by patients and caregivers alike. Caregivers often ate lunch at the picnic table or strolled through the garden on their way home. Several therapists held sessions with their patients in the garden. On August 5th we hosted a first Friday celebration in the garden that included food and beverages accompanied by music from a local folk musician and clay creations from a local artist. Engagement This year we --Installed seven water bottle fill stations throughout the hospital and encouraged caregivers to bring their own bottles to work and reduce plastic bottle waste. We logged 22,302 bottle fills in 2016.--Celebrated Earth Week by focusing on the Pope's encyclical, Laudato Si': On Care for our Common Home. We had games, prizes, lunchtime lectures, and free giveaways. --Sponsored a Providence team to volunteer at the annual Clark Fork River Cleanup. Thirteen caregivers and their families spent a Saturday cleaning up a section of the river near the hospital.--Offered on-site delivery of Community Supported Agriculture (CSA) shares from Western Montana Grower's Cooperative. We had 60 caregivers participate in the summer and 14 participate in the fall. --Met with department leaders to discuss environmental stewardship successes and opportunities in their respective areas.--Developed a quarterly dashboard to report on energy use, Goals 4 Good results, and other program highlights.--Installed an announcement board in the cafe to share information related to environmental stewardship.--Volunteered with Climate Smart Missoula to "green" the River City Roots Festival. A group of employees helped with recycling efforts, answered questions, and helped to educate the community about sustainability efforts.--Educated the community through Healthbreak and Nurse's Notes.
Part III, Line 2:	Bad debt expense represents the amount of gross charges for patients who do not have insurance and which PH&S-MT 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 Providence's policy to exclude any Medicare shortfall from Community Benefit information. The amount reported on Part III, Section B, line 6, was determined by applying the Cost-to-Charge Ratio to the Medicare revenue.
Part III, Line 9b:	Billing and Collection PracticesProvidence has written policies about when and under whose authority patient debt is advanced for collection, and uses its best efforts to ensure that patient accounts are processed fairly and consistently.Providence ensures that practices to be used by their outside (non-hospital) collection agencies conform to the standards set forth in this policy, and obtains written commitments from such agencies that they will adhere to those standards. Providence also conducts an assessment of each collection agency's adherence to the policy. Such assessments are conducted at least annually.At time of billing, we provide to all low-income uninsured patients the same information concerning services and charges provided to all other patients who receive care at the hospital.When sending a bill to a patient, Providence includes a) a statement that indicates that if the patient meets certain income requirements the patient may be eligible for a government-sponsored program or for financial assistance from the hospital; and b) a statement that provides the patient with the name and telephone number of a hospital employee or office from whom or which the patient may obtain information about Providence's financial assistance policies for patients and how to apply for such assistance.Any patient seeking financial assistance from Providence (or the patient's legal representative) provides the individual facility with information concerning health benefits coverage, financial status (i.e. income, assets) and any other information that is necessary for the hospital to make a determination regarding the patient's status relative to Providence's financial assistance policy, discounted payment policy, or eligibility for government-sponsored programs.For patients who have an application pending determination for either government-sponsored coverage or for the hospitals own financial assistance program, Providence will not knowingly send that patient's bill to a collection agency.Eligibility for financial assistance will be determined as closely as possible to the date of service.
Part VI, Line 2:	We recognize that caring for the poor and vulnerable is not a task we can do on our own. On a routine basis we conduct a formal community assessment to determine who in our communities is experiencing the greatest need. This outreach connects us to many not-for-profits and social service agencies as well as care providers and their clients in the communities. To ensure that we conduct a comprehensive assessment, our process includes research, meetings, interviews, focus groups and surveys.Additionally, Providence ministries have community and foundation boards. The civic leaders that serve on Providence Boards connect our Mission with a local perspective on community needs.Our assessment findings are assembled to make certain we understand and respond to local and regional needs, which often vary from one city or county to another. Identified areas of need not only guide our community benefit giving, but also guide our strategic planning. We believe meaningful community needs assessment provides insight into the complete community benefit that is required, beyond just free and discounted care.The Missoula County 'Community Health Assessment Committee' with input from the Providence St. Patrick Hospital Board's Mission and Community Needs Committee met over 12 months to discuss the most pressing health concerns as well as to gather and review data to identify the greatest community needs. CHA Work Group members collected community input specifically for use in the report. Two focus groups for the community at large, conducted by St. Patrick Hospital in collaboration with Community Medical Center and Partnership Health Center, held on May 14 and 16, 2014. Community survey administered by St. Patrick Hospital in May 2014. Focus group at Missoula Aging Services, conducted by MCCHD and Partnership Health Center, held on September 16, 2014. Focus group at Missoula Indian Center, conducted by MCCHD, held on September 16, 2014. Survey posted with CHA report on MCCHD website, October through November 2014. Presentations at community council meetings in Bonner, East Missoula, and Frenchtown, conducted by MCCHD in November 2014. Community input meeting, conducted by MCCHD, held at the Missoula Public Library on November 19, 2014. Missoula County CHA was approved December 2014. The CHA group identified two priority areas to address in the CHIP (Community Health Improvement Plan) December 2014. The SPH Mission and Community Needs Committee met to approve the priority areas identified for the CHIP and the additional objectives that Providence will work on to address community needs.
Part VI, Line 3:	Communication to the Public:Providence hospitals post notices regarding the availability of financial assistance to low-income uninsured patients. These notices are posted in visible locations throughout the hospital such as admitting/registration, billing office, emergency department and other outpatient settings.Every posted notice regarding financial assistance policies contains brief instructions on how to apply for financial assistance or a discounted payment. The notices also include a contact telephone number that a patient or family member can call to obtain more information.Providence ensures that appropriate staff members are knowledgeable about the existence of the hospital's financial assistance policies. Training is provided to staff members (i.e., billing office, financial department, etc.) who directly interact with patients regarding their hospital bills. The financial counselors are available to meet with patients or families if they have a question about their bill or those needing assistance in filling out applications for coverage for a variety of programs such as Medicaid, CHIP or ACA-market place plans. The financial counselors are available every day of the week.When communicating to patients regarding their financial assistance policies, Providence attempts to do so in the primary language of the patient, or his/her family, if reasonably possible, and in a manner consistent with all applicable federal and state laws and regulations.Providence shares their financial assistance policies with appropriate community health and human services agencies and other organizations that assist such patients.
Part VI, Line 4:	St. Patrick Hospital is a Catholic, not-for-profit acute care tertiary medical center located in Missoula, Montana. The hospital serves a primary service area of about 200,000 people in western Montana and 400,000 others in contiguous areas. St. Patrick Hospital provides cardiac and neurosurgical services along with other acute inpatient medical/surgical services and inpatient rehabilitation and neurobehavioral medicine. St. Patrick Hospital operates the only level 2 Trauma Center in Western Montana and has accredited chest pain, stroke and child advocacy programs (FirstSTEP).The US Census estimates Missoula County's 2013 population at 111,807, the second most populous county in Montana. The City of Missoula is the county seat and has an estimated 2013 population of 69,122, almost 62% of the total county population. The US census estimated growth rate for Missoula County between 2010 and 2013 is 2.3%.Poverty levels are high in Missoula County, and wages are low. The US census 2013 estimates are that 18% of county residents living in poverty, compared to 15% in Montana.
Part VI, Line 5:	St. Patrick Hospital, St. Joseph Medical Center and Providence Medical Group collectively build and support coordinated services across the continuum of care to meet regional residents' needs, while mutually supporting organizational, operational, and fiscal health. Joint ventures include research collaborations (cardiac, neuroscience, and oncology) with the University of Montana; affiliations with long term care facilities; a federally qualified health center and a surgery center, among others. St. Patrick Hospital management is directed by an independent governing board which helps direct the hospital in its Mission to serve the community. The composition of the governing board represents the diversity of the community by having representatives from local government, social service agencies, medical providers, independent business representatives and interested community members. The St. Patrick Hospital Board reviews and develops the community benefit plan, providing information and insight into community needs and resources and helping set priorities for what community needs are to be addressed. They also receive regular updates on the overall community benefit strategy and specific programs to assess whether the organization is having an impact on the health of the community. As a ministry of Providence Health & Services, St. Patrick Hospital is guided by a Mission and set of core values based on Catholic health care and inspired by the legacy of the Sisters of Providence. As one Catholic health system committed to caring for the poor and vulnerable, Providence Health & Services has developed a single framework for consistently reporting charity care and community benefit. Our responsibility to stewardship drives us to a standardized approach to supply chain so that we can deliver excellent patient care while reducing the cost of delivered supplies. Our commitment to respect and fairness means Providence has a system-wide compensation policy. Locally, Providence St. Joseph Medical Center is empowered to apply these policies to meet the local needs of their community. St. Patrick Hospital has affiliate relationships with the following critical access hospitals in western Montana: Community Medical Hospital in Anaconda; Clark Fork Valley Hospital in Plains and Granite County Hospital in Phillipsburg. These critical access hospitals are limited service hospitals designed to provide essential services to rural communities. St. Patrick Hospital supports its rural community hospitals by allowing them to purchase supplies and medical equipment at a very low cost due to the purchasing abilities of the whole Providence system. These critical access hospitals are able to maintain access to critical medical services in very rural counties by Providence's support, in fact, every one of these hospitals is located in a county that has the federal designation as health provider shortage areas. The Institute of Medicine and Humanities is a joint program of The University of Montana and St. Patrick Hospital. The institute fosters the human dimensions of health care by working at the interface of the humanities and medicine. Since its inception in 1987, the Institute of Medicine and Humanities has employed both the traditional humanities and the fine arts to illuminate and understand major issues that confront health care in contemporary society. As medicine has changed, the institute has also evolved its focus to look more broadly at opportunities to make a difference through education in the health care environment with an emphasis on health, as opposed to health care specifically. This includes education of the public about important health care issues; education of undergraduates interested in the health care profession; and education of graduate level nursing, pharmacy and medical students in ethics, collaborative care and team building and conflict resolution.St. Patrick Hospital conducts local assessments to make sure the needs of the community are met. The community board of directors oversees and approves the annual community benefit plan that addresses the health care disparities within the community. The community benefit plan is developed and reviewed annually to ensure that the proposed outcomes are being met. This plan is implemented in concert with others in the community to increase the accountability that we share with them to improve the health of our community and to not duplicate services.
Part VI, Line 6:	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	MT

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
St Patrick Hospital Foundation dba Providence Montana Health Foundation
900 N Orange Suite 201	Missoula	MT	59802	237056976	501 (C)(3)	$662,520	Contribution for Operational Support
University of Montana Foundation
PO Box 7159	Missoula	MT	59807	810362989	501 (C)(3)	$60,000	Pledge to Missoula College Building Fund
Catholic Social Services Of Montana
PO Box 907	Helena	MT	59624	920037322	501 (C)(3)	$35,000	Serving Catholic social services in MT
Missoula County Public Schools
215 South 6th West	Missoula	MT	59801	810504312	Government	$30,000	Sponsor Health Science Academy at Big Sky High School
Special Olympics Montana
PO Box 3507	Great Falls	MT	59403	810367064	501 (C)(3)	$25,000	Montana Special Olympics Sponsorship
Missoula County United Way
412 W Alder St	Missoula	MT	59807	810287854	501 (C)(3)	$25,000	Support Healthcare in Community
American Heart Association
PO Box 50085	Prescott	AZ	86304	135613797	501 (C)(3)	$17,500	Building healthier lives free of cardiovascular disease & stroke
Missoula Community Foundation
PO Box 8806	Missoula	MT	59807	810539830	501 (C)(3)	$15,000	Sponsor Climate Smart Missoula
North Missoula Community Development Corporation
1500 Burns Street	Missoula	MT	59802	810509941	501 (C)(3)	$15,000	Burns Street nutrition program support
City of Missoula
435 Ryman St	Missoula	MT	59802	816001293	Government	$15,000	Support Let's Move Missoula before school program
Missoula Aging Service
337 Stephens Ave	Missoula	MT	59801	810379543	501 (C)(3)	$10,000	Support care transitions program
Missoula Food Bank
219 South Third Street West	Missoula	MT	59801	810414143	501 (C)(3)	$6,000	Support for community programs
St Francis Xavier Parish
420 West Pine Street	Missoula	MT	59802	810233122	501 (C)(3)	$5,500	Support for 125th Anniversary Celebration
Tamarack Grief Resource Center
405 S 1st St W	Missoula	MT	59801	262278278	501 (C)(3)	$5,000	Support for bereavement and trauma care

Field	Value	IRS element (for citing)
Total501c3 Org	14	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Tuition Assistance	GrantTypeTxt
Recipient	25	RecipientCnt
Non Cash Assistance	$81,626	NonCashAssistanceAmt
Valuation Method Used	Cost	ValuationMethodUsedDesc
Non Cash Assistance	Tuition for Nursing Program Students at UGF	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	In general those donation requests come directly to the Administrative team. If appropriate in nature, the Admin team may hand off to the Mission and Community needs assessment subcommittee of the Board for their recommendation. If it goes to the subcommittee the requesting party comes before the subcommittee to present their need which includes intended use of the funds. Either way the Admin team must give final approval. The Admin team either sees the deployment of the funds in specific Community projects and/or they will ask for reports from the group on how the funds impacted the specific community project. Most of them come with some sort of formal recognition of St. Pats as a primary donor. Scholarships are awarded based on need and other criteria. Specific follow up is monitored through the affiliated University of Great Falls.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (35 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
Rod F Hochman MD
President / CEO - Thru 6/16	$0	$1,912,650	$0	$2,130,271	$0	$18,000	$0	$25,159	$0	$18,384	$0	$4,104,464	$0	$0
Mike Butler
President - Eff. 7/16	$0	$1,241,463	$0	$5,618,732	$0	$46,498	$0	$324,347	$0	$25,286	$0	$7,256,326	$0	$2,182,191
Todd Hofheins
EVP/CFO /Treas. Thru 11/16	$0	$765,052	$0	$762,582	$0	$43,806	$0	$33,684	$0	$26,986	$0	$1,632,110	$0	$0
Jo Ann Escasa-Haigh
Interim CFO/Treasurer - Eff.12/16	$0	$284,195	$0	$465,096	$0	$6,125	$0	$158,719	$0	$9,471	$0	$923,606	$0	$0
Cindy Strauss
EVP/Chief Legal Officer	$0	$657,902	$0	$762,672	$0	$42,206	$0	$35,775	$0	$22,491	$0	$1,521,046	$0	$0
Jeffrey Fee
CE/Western MT. Region	$0	$367,073	$0	$214,880	$0	$18,000	$0	$79,978	$0	$22,604	$0	$702,535	$0	$0
Kirk Bodlovic
CFO/St. Patrick Hospital	$0	$223,638	$0	$46,909	$0	$75	$0	$24,308	$0	$19,511	$0	$314,441	$0	$0
Debra Canales
EVP/CAO	$0	$801,127	$0	$1,168,376	$0	$122,854	$0	$598,119	$0	$13,490	$0	$2,703,966	$0	$0
Janice Newell
SVP/Chief Information Officer	$0	$576,214	$0	$517,269	$0	$44,010	$0	$18,550	$0	$15,548	$0	$1,171,591	$0	$0
Joel Gilbertson
SVP/Community Partnerships	$0	$443,246	$0	$350,838	$0	$47,943	$0	$224,819	$0	$23,028	$0	$1,089,874	$0	$0
Orest Holubec
SVP/Chief Comm./Ext. Affairs Officer	$0	$396,372	$0	$343,782	$0	$42,534	$0	$185,290	$0	$22,516	$0	$990,494	$0	$0
Greg Till
VP/Chief Talent Officer	$0	$396,660	$0	$378,331	$0	$1,020	$0	$99,936	$0	$22,431	$0	$898,378	$0	$0
Sharon Toncray
SVP / Chief Labor Employee Counsel	$0	$408,183	$0	$308,273	$0	$48,521	$0	$221,561	$0	$22,167	$0	$1,008,705	$0	$0
Jack Mudd - Thru 316
SVP/Mission Leadership	$0	$249,590	$0	$426,247	$0	$42,891	$0	$141,404	$0	$16,374	$0	$876,506	$0	$0
Paul Stoddart - Thru 916
VP/Marketing	$0	$239,356	$0	$306,938	$0	$95,129	$0	$11,537	$0	$10,844	$0	$663,804	$0	$0
Robert Hellrigel
SVP-CE / Senior & Comm. Services	$0	$393,690	$0	$222,195	$0	$4,396	$0	$174,041	$0	$22,748	$0	$817,070	$0	$0
Mark Gargett
VP/Digital Integration	$0	$386,259	$0	$224,528	$0	$0	$0	$42,448	$0	$23,522	$0	$676,757	$0	$0
David Brown
VP/Strategy & Business Development	$0	$388,819	$0	$311,642	$0	$0	$0	$203,986	$0	$22,444	$0	$926,891	$0	$0
Debbie Burton
SVP/ Chief Nrsg. Officer	$0	$355,010	$0	$315,852	$0	$42,618	$0	$66,297	$0	$23,718	$0	$803,495	$0	$0
Mary Cranstoun
VP/Total Rewards	$0	$372,857	$0	$272,174	$0	$18,000	$0	$91,147	$0	$23,270	$0	$777,448	$0	$0
Aaron Martin
SVP/Strategy & Innovation	$0	$542,637	$0	$292,297	$0	$18,000	$0	$210,328	$0	$8,957	$0	$1,072,219	$0	$0
Tom McDonagh
VP/Chief Investment Officer	$0	$478,005	$0	$330,119	$0	$41,338	$0	$28,774	$0	$24,747	$0	$902,983	$0	$0
Rhonda Medows MD
EVP/Population Health	$0	$824,899	$0	$698,359	$0	$42,442	$0	$299,110	$0	$21,169	$0	$1,885,979	$0	$0
Harvey Smith
SVP/Chief Customer Svc. Officer	$0	$579,168	$0	$628,988	$0	$18,000	$0	$7,950	$0	$15,841	$0	$1,249,947	$0	$0
Lisa Vance
SVP/Clinical Program Services	$0	$571,069	$0	$606,964	$0	$42,315	$0	$110,502	$0	$14,943	$0	$1,345,793	$0	$0
Mike Waters
VP,CAO/Physician Services	$0	$426,739	$0	$274,903	$0	$2,135	$0	$172,012	$0	$12,011	$0	$887,800	$0	$0
Amy Compton-Phillips
EVP/Chief Clinical Officer	$0	$713,661	$0	$303,268	$0	$96,564	$0	$251,731	$0	$27,163	$0	$1,392,387	$0	$0
Simone Musco MD
Physician	$578,045	$0	$340,441	$0	$18,075	$0	$17,360	$0	$21,460	$0	$975,381	$0	$0	$0
Michael Yerkey MD
Physician	$560,895	$0	$274,165	$0	$18,075	$0	$13,197	$0	$21,286	$0	$887,618	$0	$0	$0
Mark L Sanz MD
Physician - Cardiology	$430,661	$0	$277,529	$0	$18,075	$0	$28,173	$0	$20,849	$0	$775,287	$0	$0	$0
James Maddux MD
Physician	$646,041	$0	$47,500	$0	$18,075	$0	$25,044	$0	$21,466	$0	$758,126	$0	$0	$0
James M Maxwell MD
Physician	$627,998	$0	$50,000	$0	$18,075	$0	$33,125	$0	$20,481	$0	$749,679	$0	$0	$0
Randy Axelrod MD
EVP/Clinical & Patient Services	$0	$0	$0	$564,384	$0	$854,949	$0	$0	$0	$0	$0	$1,419,333	$0	$0
Craig Wright MD
SVP/Physician Services	$0	$14,760	$0	$551,522	$0	$553,657	$0	$2,107	$0	$18,348	$0	$1,140,394	$0	$0
Jack Friedman
SVP/Accountable Care & Payor Rel.	$0	$0	$0	$299,327	$0	$0	$0	$0	$0	$0	$0	$299,327	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	The reporting organization did not provide any of the benefits listed in Part I, Line 1a. However, as part of Providence's philosophy of transparency, the narrative that follows relates to the compensation and benefits provided by the related organization. Providence Health & Services Expense Reimbursement Procedures include the following policies: Travel or Charter Travel or Travel of Companions Air travel is reimbursable and should be at the least expensive airfare; which permits departures and arrivals at reasonable times and reasonable distance traveled. Employees are encouraged to plan in advance to get available discounts. Airline frequent flyer upgrades will never be reimbursed. First class full fare tickets and charter must be approved by a senior level supervisor. Companion travel will only be reimbursed by the organization for travel related to relocation, and should not exceed two relocation-related visits, unless approved by the Executive Vice President, Chief Administrative Officer (EVP, CAO) of Providence St. Joseph Health. Spouse or Companion Travel. Travel expenses incurred by a PH&S employee's spouse or companion will not be reimbursed by PH&S unless the spouse or companion is required to, or invited to attend a PH&S System-sponsored meeting. These expenses may be considered a taxable benefit by the IRS and if so, will be included on the employee's W- 2. During 2016, there were 23 First Class tickets utilized by Officers, Directors or Key Employees listed on Form 990, Part VII. Tax Indemnifications or Gross-Up Payments - Relocation Providence Health & Services follows the federal and state taxation laws related to relocation expenses paid to the employee or to a third party on the employee's behalf. They are considered income and are therefore subject to payroll taxes. Based on the way Providence has chosen to pay the relocation expenses, Providence reports reimbursements and payments to vendors as income and these expense payments are reflected on the executive's Form W-2. Providence will gross-up the relocation benefits to offset the personal tax burden to the employee for IRS allowable expenses. During 2016, there were 3 Key Employees receiving gross-up payments. The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation on the Form 990. Tax Indemnifications or Gross-Up Payments - Financial/Retirement Planning Providence Health & Services follows the federal and state taxation laws related to other expenses paid to the employee or to a third party on the employee's behalf. They are considered income and are therefore subject to payroll taxes. Based on the way Providence has chosen to pay these other expenses, Providence reports reimbursements and payments to vendors as income and these expense payments are reflected on the executive's Form W-2. Providence will gross-up the financial/retirement planning benefits, during 2016 only, to offset the personal tax burden to the employee for IRS allowable expenses. During 2016, there were 4 Officers, 13 Key Employees and 1 Former Key Employee receiving this type of gross-up payment. The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation on the Form 990. Housing Allowance or Residence for Personal Use Providence Health & Services provides housing allowances for purposes of relocation assistance only. Providence may pay temporary living expenses for the employee up to a maximum of 90 calendar days. Covered expenses are rent (excluding "rent" which may be paid in order to occupy a new permanent residence until the title clears) and utilities, including heat, electricity, gas, water, local internet and local telephone and garbage services. The EVP, CAO PSJH may approve temporary housing assistance for up to six months when family relocation is delayed to accommodate the school year or equivalent circumstances. Only in extenuating circumstances is housing extended beyond this six month period. During 2016, there were 3 Key Employees receiving relocation/housing program payments. The amounts reported for these relocation/housing payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation on the Form 990.
Part I, Lines 4a-b	NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan 1) Rod Hochman, MD a) SERP Earned but not Paid - $71,434 2) Cindy Strauss a) SERP Earned but not Paid - $23,073 3) Michael Butler a) SERP Vested but not Paid - $4,194,363 b) SERP Interest Credit - $280,622 4) Jo Ann Escasa-Haigh a) SERP Earned but not Vested - $144,759 5) Jeff Fee a) SERP Interest Credit - $54,517 6) Debra Canales a) SERP Earned but not Vested - $578,244 7) Rhonda Medows, MD a) SERP Earned but not Vested - $267,369 b) SERP Interest Credit - $11,866 8) Lisa Vance a) SERP Interest Credit - $79,015 9) Janice Newell a) SERP Earned but not Paid - $23,422 10) Amy Compton-Phillips a) SERP Earned but not Vested - $223,438 b) SERP Interest Credit - $8,418 11) Aaron Martin a) SERP Earned but not Vested - $188,376 12) Joel Gilbertson a) SERP Earned but not Vested - $160,455 b) SERP Interest Credit - $39,169 13) Orest Holubec a) SERP Earned but not Vested - $144,707 b) SERP Interest Credit - $19,483 14) Greg Till a) SERP Earned but not Vested - $78,010 b) SERP Interest Credit - $10,002 15) Sharon Toncray a) SERP Earned but not Vested- $172,369 b) SERP Interest Credit - $22,823 16) Jack Mudd a) SERP Earned but not Paid - $5,896 b) SERP Interest Credit - $115,845 17) Debbie Burton a) SERP Earned but not Paid - $16,879 b) SERP Interest Credit - $37,391 18) Mike Waters a) SERP Earned but not Vested - $143,129 b) SERP Interest Credit - $10,334 19) David Brown a) SERP Earned but not Vested - $134,921 b) SERP Interest Credit - $42,528 20) Mary Cranstoun a) SERP Earned but not Vested - $77,234 21) Paul Stoddart a) SERP Interest Credit - $8,530 22) Robert Hellrigel a) SERP Earned but not Vested - $136,978 b) SERP Interest Credit - $10,404 23) Mark Gargett a) SERP Earned but not Paid - $12,295 b) SERP Interest Credit - $11,400 24) Randy Axelrod, MD a) SERP Paid - $564,384 25) Craig Wright, MD a) SERP Earned but not Paid - $233,982
Part I, Lines 4a-b	SEVERANCE 1) Paul Stoddart - $77,130 2) Randy Axelrod - $850,776 3) Craig Wright, MD - $525,300
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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Montana Facility Finance Authority	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	810302402	BondIssuerEIN
CUSIP	61204KCB5	CUSIPNum
Bond Issued	2016-09-28	BondIssuedDt
Issue Price	$43,198,256	IssuePriceAmt
Purpose	See Part VI	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$43,198,255	TotalProceedsAmt
Issuance Costs From Proceeds	$113,566	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$43,057,974	OtherSpentProceedsAmt
Unspent	$26,715	UnspentAmt
Substantial Completion	2002	SubstantialCompletionYr
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Issue A. Part I, Question (f)

Current refunding of the Montana Facility Finance Authority Series 2006B bonds.

SCHEDULE K - PART I - BOND ISSUES

The 2016F Series issued by the Montana Facility Finance Authority was issued to cover the refunding of the 2006B Series bonds for both Providence Health & Services - Montana and Providence St. Joseph Medical Center located in Polson, MT. Since this bond issue is spread across two separate legal entities, the amounts shown reflect only the portion allocated directly to Providence Health & Services - Montana.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	The sole Member of the Corporation is Providence Health & Services, a Washington not-for-profit 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 with or without cause. Additionally, the Member may appoint and remove the President/CEO with or without cause, after requesting a recommendation for the Board of Directors.
Form 990, Part VI, Section A, line 7b	The following powers reside with the Member: * To adopt or change the mission, philosophy, and values of the Corporation. * To amend or repeal the Articles of Incorporation and the Bylaws of the Corporation. * To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale, transfer, assignment or encumbering of the assets, in excess of a specified amount. * To approve the dissolution and/or liquidation or the consolidation or merger of the Corporation. * To approve the annual operating and capital budget and approval any deviations from the budget exceeding a specified amount. * To appoint the Corporation's certified public accountants after receiving recommendation of the Board of Directors. * To approve the closure of any institution or major ministry or work within this Corporation.
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 PH&S Director of Taxes 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	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 15	It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its officers, including our senior executives. Salaries for senior executives are reviewed by the Providence St. Joseph Health 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. Additionally, Providence's labor market continues to spread across health care and into general industry. Because of this, Providence also takes into consideration general industry for-profit market data, where applicable. Base salaries for Providence executives are generally targeted to the median level of the market, as identified by the independent consultant and reviewed with the Executive Compensation 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 Executive Compensation Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Executive Compensation 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 Executive Compensation 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. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate market practices. The Board's process for executive compensation fully complies with IRS standards and mirrors best practices.
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	Jeffrey Fee - 500 West Broadway, Missoula, MT 59802. Kirk Bodlovic - 500 West Broadway, Missoula, MT 59802.
Form 990, Part IX, line 11g	Agency/Contract Labor: Program service expenses 746,611. Management and general expenses 7,744. Fundraising expenses 0. Total expenses 754,355. Medical Director & Med Physician Fees: Program service expenses 18,232,107. Management and general expenses 42,834. Fundraising expenses 0. Total expenses 18,274,941. Repairs & Maintenance: Program service expenses 3,034,289. Management and general expenses 500,326. Fundraising expenses 0. Total expenses 3,534,615. Billing & Collections: Program service expenses 0. Management and general expenses 3,222. Fundraising expenses 0. Total expenses 3,222. Transcription & Translation Services: Program service expenses 37,782. Management and general expenses 0. Fundraising expenses 0. Total expenses 37,782. Dietary: Program service expenses 5,383. Management and general expenses 3,990. Fundraising expenses 0. Total expenses 9,373. Other Patient Services: Program service expenses 20,514,168. Management and general expenses 2,157. Fundraising expenses 0. Total expenses 20,516,325. Other Administrative Services: Program service expenses 5,473,327. Management and general expenses 1,128,302. Fundraising expenses 0. Total expenses 6,601,629. General Consulting Fees: Program service expenses 2,754,186. Management and general expenses 1,597,471. Fundraising expenses 0. Total expenses 4,351,657.
Form 990, Part XI, line 9:	Recipient Organization Adjustment 954,787. IAF Rent Revenue 1,035,434. IAF Rent Expenses -1,036,308. Rounding 1. Affiliate Transfers 8,566,782.
FORM 990, PART XII, LINE 2C - AUDIT & COMPLIANCE	The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the System's 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 IX, COLUMN D FUNDRAISING EXPENSES	This entity had no fundraising expenses as all fundraising is handled through an affiliated Foundation.
FORM 990, PART I, LINE 6 - VOLUNTEERS	Volunteers with St. Patrick Hospital provide staffing in the following areas. Shifts are usually three and half to four hours in length. * Broadway Building Outpatient Pharmacy - Assist Pharmacy staff and serve customers of the Broadway Building Pharmacy. * Day Surgery - Act as hostess or host to patients' families. * Distribution and Delivery - Make supply deliveries throughout hospital on the even hour or as directed for rush orders. * First Class Crew - Work on special projects as requested by hospital departments. * Foot Clinic - Greet patients and visitors of St. Pat's Foot Care Service Clinics. * Gift Shop, Broadway Building "Shamrock Shop" - Customer service volunteer provides necessities and gift items to patients, visitors and staff of St. Patrick Hospital. * Information Center-Broadway Building - Provide hospitality by greeting and escorting patients and visitors to desired locations in the Broadway Building or Hospital, or provide clear directions for them. * Information Desk - Hospital - Provide hospitality by greeting hospital patients and visitors. Volunteers at the Information Desk provide the front door first impression of our hospital. * International Heart Institute-Provide information and assistance to patients and families seeking a particular location or service. Additional tasks include stocking supplies in exam rooms and recycling. * Intensive Care Unit Information - Serve as a hostess or host, and thoughtfully and considerately provide help to families of critically ill patients. * Mended Hearts Patient Visitation- Offer help, support and encouragement to heart disease patients and their families. Mended Heart Volunteers are members of Mended Hearts Chapter 324 and are heart disease survivors. * Cancer Center- Provides support to patients by offering non-medical assistance to enhance perception of quality care and hospitality. * Neurobehavioral Medicine Visitor Registration- Assist Neurobehavioral Health (NBH) staff and serve patients and visitors of the facility. * Patient and Guest Escort Services- Help hospital visitors find their way from one location to another within St. Patrick Hospital and the Broadway Building. Assist patients upon admission or discharge. * Stocking Patient Room Cabinets-Times are flexible, determined by the nursing floor. * Sunrise Coffee Service- Early morning service offering hospital patients by coffee, tea or juice and a newspaper. * St. Patrick House - Assist staff of St. Patrick House by offering excellent hospitality to visitors and residents of the house and by completing routine tasks required for efficient operation of St. Patrick House. In addition, volunteers serve in many of our hospital departments. Requests are often for special one-time clerical projects but some departments need volunteer help weekly: - Providence Montana Health Foundation Office - Learning Center (Library) - Print Shop - Volunteer Services Office
FORM 990, PART VII - RELIGIOUS COMMUNITY MEMBERS	As members of the Religious Community, each Sister has taken a vow of poverty as a compulsory part of her religious life. Any compensation for services of a Sister inures only for the benefit of the Community, not the individual members. All payments for services are made directly to the Religious Community.
FORM 990, PART V, LINE 1 - ISSUANCE OF FORM 1099	All 1099s for 2016 were issued by Providence Health & Services - Washington #51-0216586. Therefore, none are shown for the reporting organization.
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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (110 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
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		0	N/A
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		0	N/A
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 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	Yes (1)
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
Inland Northwest Health Services
601 W 1st Avenue	Spokane	WA	99201	911307555	Healthcare	WA	501( c)(3)	Line 3	PH&S - 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
Saint John's HospitalHealth Center Foundation
2121 Santa Monica Blvd	Santa Monica	CA	90404	956100079	Support Saint John Health Center & JWCI	CA	501(c )(3)	Line 7	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		0	N/A
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		0	N/A
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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (40 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
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		PH&S - MT	Related	$7,767,813	$4,439,581	0	Yes (1)	0.75000
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		PH&S - MT	Related	$1,019,002	$2,391,091	0	0	0.76560
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (23 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
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
					Captive Insurance		N/A	C	0	90 Pitts Bay Road HM08 Pembroke	BD	BD
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

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
St Patrick Hospital Foundation dba Providence Montana Health Foundation
B	$662,520	Cost
St Patrick Hospital Foundation dba Providence Montana Health Foundation
C	$556,717	Cost
Broadway Imaging LLC
M	$1,948,784	Cost