PACMED CLINICS: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: PACMED CLINICS (EIN 56-2290878)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-07
IRS object ID: 201623129349301242
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-07T13:51:05-06:00	ReturnTs
Tax Period End	2015-12-31	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 1700	AddressLine1Txt
City	Bellevue	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	562290878	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	PACM	BusinessNameControlTxt
Phone	2066214448	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 12TH AVENUE SOUTH	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98144	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Dan Harris	PersonNm
Person Title	VP/Treasurer	PersonTitleTxt
Phone	2066214448	PhoneNum
Signature	2016-11-07	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

Field	Value	IRS element (for citing)
Tax	2015	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	PACIFIC MEDICAL CENTERS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Linda Marzano	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 12TH AVENUE SOUTH	AddressLine1Txt
City	SEATTLE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98144	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$211,212,447	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.pacificmedicalcenters.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2003	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	Respectful, high-quality, patient-focused healthcare to persons & communities we serve.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	935	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$82,725	CYContributionsGrantsAmt
PY Program Service Revenue	$198,186,429	PYProgramServiceRevenueAmt
CY Program Service Revenue	$207,328,025	CYProgramServiceRevenueAmt
PY Investment Income	$1,383,666	PYInvestmentIncomeAmt
CY Investment Income	$378,901	CYInvestmentIncomeAmt
PY Other Revenue	$540,149	PYOtherRevenueAmt
CY Other Revenue	$392,481	CYOtherRevenueAmt
PY Total Revenue	$200,110,244	PYTotalRevenueAmt
CY Total Revenue	$208,182,132	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,068,134	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$82,500	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$79,041,430	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$81,097,248	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$129,106,783	PYOtherExpensesAmt
CY Other Expenses	$129,795,826	CYOtherExpensesAmt
PY Total Expenses	$213,216,347	PYTotalExpensesAmt
CY Total Expenses	$210,975,574	CYTotalExpensesAmt
PY Revenues Less Expenses	-$13,106,103	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,793,442	CYRevenuesLessExpensesAmt
Total Assets BOY	$121,710,587	TotalAssetsBOYAmt
Total Assets EOY	$116,901,897	TotalAssetsEOYAmt
Total Liabilities BOY	$41,482,054	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$40,994,796	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$80,228,533	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$75,907,101	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Our mission is to provide respectful, high-quality, patient-focused healthcare to each person and to the communities we serve. PacMed welcomes patients from the well insured to those who cannot afford healthcare.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$176,883,329	ExpenseAmt
Revenue	$207,328,025	RevenueAmt
Desc	Care for medically underserved or underinsured. Pacific Medical Centers has a mission to provide care for those who are medically underserved or unable to pay for health care services. In 2015, these individuals accounted for 7.9% of our total patient visits. We serve this population in many ways.- PacMed provides specialty care for underinsured patients in King and Snohomish Counties, an ongoing commitment throughout our 80-year history. In 2015, the top specialty services most utilized by these individuals were infusion services, otolaryngology, physical therapy, gastroenterology, diagnostic imaging, ophthalmology and dermatology.- As a founding member of Project Access Northwest, we have helped develop additional networks in communities surrounding King County to open doors to medical and dental care for individuals with limited access.- PacMed serves Medicare and Medicaid patients. With many area physicians closing their doors to these patients, the need for care is great. Pacific Medical Centers is proud of its track record in providing care to those in need and supporting community efforts to expand access.- PacMed is committed to supporting medical education including the training of the next generation of physicians and allied health professionals such as nurse practitioners and physician assistants. PacMed has over 50 providers who are actively teaching, and over half have clinical faculty status at the University of Washington. We also participate in extern programs for medical assistant and medical technician programs. The medical teaching program at PacMed is a team effort and demonstrates our belief in service to our community, excellence and continuous learning, and stewardship of our resources."	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$632,973	ExpenseAmt
Desc	Interpreter services. The interpreter services department at PacMed facilitates communication between our providers and their patients who speak limited or no English. Our service area includes a ZIP code that the US Census Bureau reported had 59 spoken languages in 2012, so interpretive services are critical. Through our innovative use of video-conferencing technology, we can connect distant certified medical interpreters with providers and patients in the exam room. This sophisticated and efficient use of our resources enables us to continue providing such services.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$398,220	ExpenseAmt
Desc	Project Access Northwest. In 2015, PacMed spent $200,000 in order to renew the contract with Northwest Project Access for enrollment, verification and care coordination of charity care for low-income residents of King County who get primary care services in the safety net clinics and need specialty services.Community outreach. Our physicians and staff provide health screening events for the underserved and uninsured in King and Pierce counties. Through these programs, we have reached out to hundreds of underserved individuals and families and provided basic medical care and health risk assessment screenings.In addition, Pacific Medical Centers' Living Well Alliance program is a group of health professionals dedicated to the prevention and cure of diabetes and heart disease. Today, the alliance influences the health outcomes of the overall Puget Sound community by providing hundreds of employees with complimentary health risk assessments, screenings and educational programs in the workplace. The LWA program has also served as a vehicle to educate employers on health issues that impact their staff. Also, the LWA has supported underinsured community groups by providing education and screenings through nonprofits such as Mercy Housing, Dress for Success, the YMCA and the International Rescue Committee.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$82,500	ExpenseAmt
Grant	$82,500	GrantAmt
Desc	Grants & Allocations:- In 2015, PacMed made a donation of $25,000 to Prescription Drug Association.- In 2015, PacMed gifted $50,000 to Pacific Science Center to support Professor Wellbody's Academy of Health & Wellness exhibit.- Since 2008, PacMed has made small grants to non-profits that enrich and improve the local community. Organizations are nominated by an employee who is an active volunteer. In 2015, PacMed gave 30 grants of $250 each.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$82,500	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$82,500	TotalOtherProgSrvcGrantAmt
Total Program Service Expenses	$177,997,022	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	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln 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	0	RelatedOrganizationCtrlEntInd
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	91	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	935	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	14	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	0	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	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WA	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	2001 Lind Ave SW	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 (46 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
Michael Holcomb
Chair of the Board	0.10	7.60	Yes (X)	Yes (X)	$0	$60,360	$0
Chauncey Boyle SP
Director	0.10	5.50	Yes (X)		$0	$0	$0
Marian Schubert CSJ
Director	0.10	4.30	Yes (X)		$0	$0	$0
Phyllis Hughes RSM
Director	0.10	5.00	Yes (X)		$0	$0	$0
Carolina Reyes MD
Director	0.10	4.60	Yes (X)		$0	$15,360	$0
Michael A Stein
Director	0.10	6.00	Yes (X)		$0	$15,360	$0
Eugene Al Parrish
Director	0.10	5.00	Yes (X)		$0	$15,360	$0
Bob Wilson
Director	0.10	5.00	Yes (X)		$0	$18,360	$0
Sallye Liner
Director	0.10	4.30	Yes (X)		$0	$15,360	$0
Isiaah Crawford
Director	0.10	4.10	Yes (X)		$0	$18,360	$0
Martha Diaz Aszkenazy
Director	0.10	7.70	Yes (X)		$0	$18,360	$0
Kirby McDonald
Director	0.10	4.60	Yes (X)		$0	$15,360	$0
Dave Olsen
Director	0.10	5.50	Yes (X)		$0	$17,860	$0
Charles Chuck Watts
Director	0.10	4.60	Yes (X)		$0	$18,360	$0
Joel Gilbertson
SVP, Comm. Partnrshp. & Ext. Affairs	1.00	59.00		Yes (X)	$0	$566,699	$203,896
Dan Harris
VP/Treasurer	1.00	39.00		Yes (X)	$0	$604,624	$52,848
Cindy Strauss
EVP/Chief Legal Officer/Secretary	1.00	59.00		Yes (X)	$0	$1,526,357	$64,699
Linda Marzano
CEO	50.00	0.00		Yes (X)	$560,407	$0	$32,250
Scott Combs
CFO	50.00	0.00		Yes (X)	$377,243	$0	$50,742
Randy Axelrod MD Thru 315
EVP/Clinical & Patient Services	1.00	59.00			$0	$1,416,580	$35,750	Yes (X)
Mike Butler
President/Operations & Services	1.00	59.00			$0	$1,572,348	$740,248	Yes (X)
David Brown
VP/Strategy & Business Development	1.00	54.00			$0	$516,263	$200,297	Yes (X)
Debbie Burton
SVP/ Chief Nrsg. Officer	1.00	59.00			$0	$683,302	$55,602	Yes (X)
Debra Canales
EVP/Chief People & Experience Officer	1.00	59.00			$0	$1,650,655	$458,130	Yes (X)
Gary Flaming
SVP/Chief Risk Officer	1.00	54.00			$0	$518,559	$91,255	Yes (X)
Jack Friedman Thru 615
SVP/Accountable Care & Payor Relations	1.00	49.00			$0	$770,782	$117,919	Yes (X)
Mark Gargett
VP/Digital Integration	1.00	49.00			$0	$632,716	$82,292	Yes (X)
Orest Holubec
SVP/Marketing & Communications	1.00	54.00			$0	$510,687	$166,197	Yes (X)
Aaron Martin
SVP/Strategy & Innovation	1.00	64.00			$0	$681,696	$189,399	Yes (X)
Rhonda Medows MD
EVP/Population Health	1.00	59.00			$0	$667,975	$188,508	Yes (X)
Janice Newell
SVP/Chief Information Officer	1.00	59.00			$0	$1,535,323	$37,767	Yes (X)
Harvey Smith
SVP/Chief Customer Svc. Officer	50.00	0.00			$844,548	$0	$41,905	Yes (X)
Vikram Dabhi MD
CMO	50.00	0.00			$799,924	$0	$30,787	Yes (X)
Teresa Spalding
VP/Revenue Cycle	1.00	59.00			$0	$691,899	$45,132	Yes (X)
Greg Till
VP/Chief Talent Officer	1.00	59.00			$0	$534,186	$99,744	Yes (X)
Sharon Toncray
SVP/HR Strat. Partners	1.00	54.00			$0	$563,982	$196,084	Yes (X)
Lisa Vance
SVP/Clinical Program Services	1.00	64.00			$0	$786,086	$51,186	Yes (X)
Mike Waters
VP,CAO/Physician Services	1.00	64.00			$0	$517,949	$126,125	Yes (X)
Craig Wright MD
SVP/Physician Services	1.00	59.00			$0	$2,795,040	$125,380	Yes (X)
Chad Marion
Orthopedic Surgeon	50.00	0.00			$1,173,700	$0	$48,141		Yes (X)
Thomas Lamperti
Otolaryngologist	50.00	0.00			$1,054,048	$0	$45,726		Yes (X)
Susan Leu
Dermatologist	50.00	0.00			$810,032	$0	$27,041		Yes (X)
Tony Huynh
Ophthamologist	50.00	0.00			$790,358	$0	$39,180		Yes (X)
David White
General Surgeon	50.00	0.00			$218,608	$0	$42,695		Yes (X)
John Fletcher
Former VP/Operations Support	0.00	0.00			$0	$583,850	$18,778			Yes (X)
Jan Jones
Former SVP/CAO	0.00	0.00			$0	$759,461	$33,986			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,628,868	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$21,315,479	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,739,689	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	158	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
Swinerton Builders
14432 SE Eastgate Way Ste 230	Bellevue	WA	98007	Construction	$2,268,951
Inland Imaging Associates PS
801 S Stevens	Spokane	WA	99204	Staffing	$1,266,712
GE Healthcare
15724 Collections Center Dr	Chicago	IL	60693	Maintenance	$667,371
Nuvodia LLC
850 E Spokane Falls Blvd Ste 124	Spokane	WA	99202	MRI Scan reading/storage	$504,090
Environment Control
11121 SE Kent-Kangley Rd	Kent	WA	98030	Maintenance	$444,686

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	33	CntrctRcvdGreaterThan100KCnt
Government Grants	$82,725	GovernmentGrantsAmt
Total Contributions	$82,725	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Medical Group Practice	Desc
Business	621110	BusinessCd
Total Revenue Column	$207,328,025	TotalRevenueColumnAmt
Related Or Exempt Func Income	$207,328,025	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$207,328,025	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$786,067	TotalRevenueColumnAmt
Exclusion	$786,067	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$996,353	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$621,052	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$375,301	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$375,301	TotalRevenueColumnAmt
Exclusion	$375,301	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$2,002,097	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$2,409,263	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$407,166	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$407,166	TotalRevenueColumnAmt
Exclusion	-$407,166	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Miscellaneous	Desc
Business	900099	BusinessCd
Total Revenue Column	$17,180	TotalRevenueColumnAmt
Exclusion	$17,180	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$17,180	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$208,182,132	TotalRevenueColumnAmt
Related Or Exempt Func Income	$207,328,025	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$771,382	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	$82,500	TotalAmt
Program Services	$82,500	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,806,375	TotalAmt
Program Services	$821,091	ProgramServicesAmt
Management And General	$985,284	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$67,844,267	TotalAmt
Program Services	$50,281,150	ProgramServicesAmt
Management And General	$17,563,117	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$338,936	TotalAmt
Program Services	$248,818	ProgramServicesAmt
Management And General	$90,118	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,205,296	TotalAmt
Program Services	$6,787,087	ProgramServicesAmt
Management And General	$2,418,209	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,902,374	TotalAmt
Program Services	$1,396,561	ProgramServicesAmt
Management And General	$505,813	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$8,918	TotalAmt
Management And General	$8,918	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$28,241	TotalAmt
Management And General	$28,241	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$28,999	TotalAmt
Management And General	$28,999	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$79,042,160	TotalAmt
Program Services	$74,516,338	ProgramServicesAmt
Management And General	$4,525,822	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$653,358	TotalAmt
Program Services	$42,973	ProgramServicesAmt
Management And General	$610,385	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,177,439	TotalAmt
Program Services	$686,732	ProgramServicesAmt
Management And General	$490,707	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,060,890	TotalAmt
Program Services	$1,512,930	ProgramServicesAmt
Management And General	$547,960	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,429,321	TotalAmt
Program Services	$4,369,247	ProgramServicesAmt
Management And General	$2,060,074	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$223,945	TotalAmt
Program Services	$57,840	ProgramServicesAmt
Management And General	$166,105	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$779,854	TotalAmt
Program Services	$676,082	ProgramServicesAmt
Management And General	$103,772	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$353	TotalAmt
Management And General	$353	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,500,139	TotalAmt
Program Services	$4,461,235	ProgramServicesAmt
Management And General	$2,038,904	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$982,177	TotalAmt
Program Services	$550,964	ProgramServicesAmt
Management And General	$431,213	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$29,052,861	$29,052,861
Bad Debts	$1,392,033	$1,392,033
Tax & Licenses	$1,142,749	$969,364	$173,385
Dues & Subscriptions	$77,753	$34,359	$43,394

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$214,636	TotalAmt
Program Services	$56,857	ProgramServicesAmt
Management And General	$157,779	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$210,975,574	TotalAmt
Program Services	$177,997,022	ProgramServicesAmt
Management And General	$32,978,552	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$21,133,243	BOYAmt
EOY	$25,194,285	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$24,395,387	BOYAmt
EOY	$3,693,735	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,695,283	BOYAmt
EOY	$5,126,887	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$384,755	BOYAmt
EOY	$426,319	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,217,671	BOYAmt
EOY	$1,954,687	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$48,855,663	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$11,284,711	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$38,410,554	BOYAmt
EOY	$37,570,952	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$27,800,676	BOYAmt
EOY	$41,244,194	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,673,018	BOYAmt
EOY	$1,690,838	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$121,710,587	BOYAmt
EOY	$116,901,897	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$36,532,071	BOYAmt
EOY	$37,289,104	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,421,662	BOYAmt
EOY	$2,357,284	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,528,321	BOYAmt
EOY	$1,348,408	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$41,482,054	BOYAmt
EOY	$40,994,796	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$80,228,533	BOYAmt
EOY	$75,907,101	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$80,228,533	BOYAmt
EOY	$75,907,101	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$121,710,587	BOYAmt
EOY	$116,901,897	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$2,793,442	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,577,988	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$49,998	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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,156,093	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$15,152	CurrentTaxYearMinus3YearsAmt
Current Tax Year	$82,725	CurrentTaxYearAmt
Total	$1,253,970	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$190,637,742	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$190,465,075	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$183,647,156	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$198,186,429	CurrentTaxYearMinus1YearAmt
Current Tax Year	$207,328,025	CurrentTaxYearAmt
Total	$970,264,427	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$191,793,835	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$190,480,227	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$183,647,156	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$198,186,429	CurrentTaxYearMinus1YearAmt
Current Tax Year	$207,410,750	CurrentTaxYearAmt
Total	$971,518,397	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

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

Substantial Contributors Amt SubstantialContributorsAmtGrp

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

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

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

Field	Value	IRS element (for citing)
Public Support Total509	$971,518,397	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,182,329	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,949,519	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,139,831	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,434,988	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,782,420	CurrentTaxYearAmt
Total	$8,489,087	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,182,329	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,949,519	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,139,831	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,434,988	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,782,420	CurrentTaxYearAmt
Total	$8,489,087	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$10,156	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year	$172,940	CurrentTaxYearMinus1YearAmt
Current Tax Year	$17,180	CurrentTaxYearAmt
Total	$200,276	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$193,976,164	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$192,439,902	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$184,786,987	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$199,794,357	CurrentTaxYearMinus1YearAmt
Current Tax Year	$209,210,350	CurrentTaxYearAmt
Total	$980,207,760	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99110	PublicSupportCY509Pct
Public Support PY509	0.99070	PublicSupportPY509Pct
Investment Income CY	0.00870	InvestmentIncomeCYPct
Investment Income PY	0.00890	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part III, Line 12, Explanation of Other Income:	FormAndLineReferenceDesc
Explanation	Miscellaneous Revenue - 2012 Amount: $ 10,156. 2014 Amount: $ 172,940. 2015 Amount: $ 17,180.	ExplanationTxt

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	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$0	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	Pacific Medical Centers' USFHP is a TriCare Prime Provider, and is in fact, the highest rated plan in the military health system. We frequently meet with our Washington state delegates to update them on important issues regarding Pacific Medical Centers and the USFHP contract. We also update them regarding strategies we are taking to continue our partnership with the Department of Defense to improve healthcare in the military health systems.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,360,000	OtherCostOrOtherBasisAmt
Book Value	$5,360,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,723,244	OtherCostOrOtherBasisAmt
Depreciation	$3,733,877	DepreciationAmt
Book Value	$19,989,367	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,217,568	OtherCostOrOtherBasisAmt
Depreciation	$7,550,834	DepreciationAmt
Book Value	$11,666,734	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$554,851	OtherCostOrOtherBasisAmt
Book Value	$554,851	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$37,570,952	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Due to Affiliates	$422,583
General Reserve	$925,825

Field	Value	IRS element (for citing)
Total Liability	$1,348,408	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X, Line 2:	FormAndLineReferenceDesc
Explanation	The Health System (Providence Health & Services) recognizes the effect of income tax positions only if those positions are more likely than not of being sustained upon an audit by the taxing authority. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs.	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Prescription Drug Assistance Foundation
1111 Harvard Ave	Seattle	WA	98122	331134368	501(C)(3)	$25,000	Prescription Assistance to WA. State Residents
Pacific Science Center
200 2nd Ave N	Seattle	WA	98109	910750867	501(C)(3)	$50,000	Program Support

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	Pacific Medical Centers provides grants and support to organizations that have a current 501(C)(3) exempt status and whose mission is consistent with the exempt purpose of Pacific Medical Centers.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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 (32 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
Joel Gilbertson
SVP, Comm. Partnrshp. & Ext. Affairs	$0	$421,859	$0	$126,840	$0	$18,000	$0	$181,114	$0	$22,782	$0	$770,595	$0	$0
Dan Harris
VP/Treasurer	$0	$459,056	$0	$145,568	$0	$0	$0	$39,105	$0	$13,743	$0	$657,472	$0	$0
Cindy Strauss
EVP/Chief Legal Officer/Secretary	$0	$526,875	$0	$981,482	$0	$18,000	$0	$40,075	$0	$24,624	$0	$1,591,056	$0	$524,784
Linda Marzano
CEO	$478,612	$0	$67,273	$0	$14,522	$0	$23,818	$0	$8,432	$0	$592,657	$0	$0	$0
Scott Combs
CFO	$299,242	$0	$39,053	$0	$38,948	$0	$23,817	$0	$26,925	$0	$427,985	$0	$0	$0
Randy Axelrod MD Thru 315
EVP/Clinical & Patient Services	$0	$190,509	$0	$679,339	$0	$546,732	$0	$11,925	$0	$23,825	$0	$1,452,330	$0	$0
Mike Butler
President/Operations & Services	$0	$1,151,688	$0	$402,660	$0	$18,000	$0	$710,959	$0	$29,289	$0	$2,312,596	$0	$0
David Brown
VP/Strategy & Business Development	$0	$389,093	$0	$127,170	$0	$0	$0	$177,846	$0	$22,451	$0	$716,560	$0	$0
Debbie Burton
SVP/ Chief Nrsg. Officer	$0	$365,287	$0	$300,015	$0	$18,000	$0	$31,695	$0	$23,907	$0	$738,904	$0	$0
Debra Canales
EVP/Chief People & Experience Office	$0	$772,941	$0	$715,960	$0	$161,754	$0	$444,164	$0	$13,966	$0	$2,108,785	$0	$0
Gary Flaming
SVP/Chief Risk Officer	$0	$294,399	$0	$206,160	$0	$18,000	$0	$72,712	$0	$18,543	$0	$609,814	$0	$0
Jack Friedman Thru 615
SVP/Accountable Care & Payor Relatio	$0	$364,689	$0	$388,093	$0	$18,000	$0	$103,565	$0	$14,354	$0	$888,701	$0	$0
Mark Gargett
VP/Digital Integration	$0	$387,625	$0	$245,091	$0	$0	$0	$58,688	$0	$23,604	$0	$715,008	$0	$0
Orest Holubec
SVP/Marketing & Communications	$0	$380,347	$0	$112,340	$0	$18,000	$0	$143,917	$0	$22,280	$0	$676,884	$0	$0
Aaron Martin
SVP/Strategy & Innovation	$0	$512,696	$0	$151,000	$0	$18,000	$0	$182,349	$0	$7,050	$0	$871,095	$0	$0
Rhonda Medows MD
EVP/Population Health	$0	$524,152	$0	$100,000	$0	$43,823	$0	$176,410	$0	$12,098	$0	$856,483	$0	$0
Janice Newell
SVP/Chief Information Officer	$0	$578,517	$0	$938,806	$0	$18,000	$0	$23,307	$0	$14,460	$0	$1,573,090	$0	$185,427
Harvey Smith
SVP/Chief Customer Svc. Officer	$591,345	$0	$235,203	$0	$18,000	$0	$23,818	$0	$18,087	$0	$886,453	$0	$0	$0
Vikram Dabhi MD
CMO	$654,770	$0	$96,163	$0	$48,991	$0	$21,167	$0	$9,620	$0	$830,711	$0	$0	$0
Teresa Spalding
VP/Revenue Cycle	$0	$328,808	$0	$345,091	$0	$18,000	$0	$32,190	$0	$12,942	$0	$737,031	$0	$0
Greg Till
VP/Chief Talent Officer	$0	$374,064	$0	$159,900	$0	$222	$0	$77,595	$0	$22,149	$0	$633,930	$0	$0
Sharon Toncray
SVP/HR Strat. Partners	$0	$413,272	$0	$132,710	$0	$18,000	$0	$173,585	$0	$22,499	$0	$760,066	$0	$0
Lisa Vance
SVP/Clinical Program Services	$0	$479,541	$0	$203,545	$0	$103,000	$0	$37,359	$0	$13,827	$0	$837,272	$0	$0
Mike Waters
VP,CAO/Physician Services	$0	$398,289	$0	$119,660	$0	$0	$0	$114,645	$0	$11,480	$0	$644,074	$0	$0
Craig Wright MD
SVP/Physician Services	$0	$552,895	$0	$2,237,145	$0	$5,000	$0	$105,811	$0	$19,569	$0	$2,920,420	$0	$835,177
Chad Marion
Orthopedic Surgeon	$987,654	$0	$149,007	$0	$37,039	$0	$21,168	$0	$26,973	$0	$1,221,841	$0	$0	$0
Thomas Lamperti
Otolaryngologist	$709,514	$0	$344,250	$0	$284	$0	$18,518	$0	$27,208	$0	$1,099,774	$0	$0	$0
Susan Leu
Dermatologist	$672,697	$0	$135,959	$0	$1,376	$0	$18,518	$0	$8,523	$0	$837,073	$0	$0	$0
Tony Huynh
Ophthamologist	$646,666	$0	$114,079	$0	$29,613	$0	$21,167	$0	$18,013	$0	$829,538	$0	$0	$0
David White
General Surgeon	$56,114	$0	$162,356	$0	$138	$0	$21,168	$0	$21,527	$0	$261,303	$0	$0	$0
John Fletcher
Former VP/Operations Support	$0	$0	$0	$102,560	$0	$481,290	$0	$773	$0	$18,005	$0	$602,628	$0	$0
Jan Jones
Former SVP/CAO	$0	$0	$0	$106,169	$0	$653,292	$0	$8,197	$0	$25,789	$0	$793,447	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	Providence Health & Services Expense Reimbursement Procedures include the following policies: First Class Travel or Charter Travel or Travel of Companions Air travel is reimbursable for tourist or economy class 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 air travel will only be reimbursed when tourist or economy class air travel is not available and business travel is mandated by a supervisor. In the rare circumstance that an executive must fly on a first class full fare ticket, their senior level supervisor must approve this expense. 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 People and Experience Officer. 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 2015, there were 6 First Class tickets utilized by Officers, Directors or Key Employees listed on Form 990, Part VII. Tax Indemnifications or Gross-Up Payments 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 2015, the following Listed Persons received gross-up payments: Debra Canales Greg Till The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. 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 Executive Vice President/Chief People and Experience Officer 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 2015, the following Listed Persons received relocation/housing program payments: Debra Canales Greg Till The amounts reported for these relocation/housing payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation.
Part I, Lines 4a-b	NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) CBRP = Cash Balance Restoration Plan C) ESP = Elective Survivor Plan 1) Joel Gilbertson a) SERP Earned but not Vested - $143,438 b) SERP Interest Credit - $13,113 2) Dan Harris a) Taxable CBRP Earned but Not Paid - $961 b) Taxable SERP Earned but Not Paid - $14,747 c) SERP Interest Credit - $9,572 d) Non-Taxable CBRP Earned - $24 3) Cindy Strauss a) SERP Vested but not Paid - $796,632 b) SERP Interest Credit - $20,200 4) Craig Wright, MD a) SERP Vested but not Paid - $2,047,185 b) SERP Interest Credit - $75,356 5) Debra Canales a) SERP Earned but not Vested - $432,239 6) Michael Butler a) SERP Earned but not Vested - $590,423 b) SERP Interest Credit - $84,804 7) Janice Newell a) SERP Vested but not Paid - $772,706 b) SERP Interest Credit - $4,758 8) Lisa Vance a) SERP Earned but not Paid - $22,291 b) SERP Interest Credit - $5,164 c) Taxable CBRP Earned - $63 d) Non-Taxable CBRP Earned - $2 9) Jack Friedman a) Taxable SERP Earned but not Paid - $69,453 b) SERP Interest Credit - $54,261 10) Teresa Spalding a) Taxable SERP Earned but not Paid - $245,180 b) Taxable CBRP Paid - $2 11) Debbie Burton a) SERP Earned but not Paid - $191,285 b) SERP Interest Credit - $5,020 12) Aaron Martin a) SERP Earned but not Vested - $170,424 13) Rhonda Medows a) SERP Earned but not Vested - $164,484 14) Mark Gargett a) Taxable SERP Earned but not Paid - $136,029 b) Taxable CBRP Paid - $42 c) SERP Interest Credit - $22,957 15) Sharon Toncray a) SERP Earned but not Vested- $135,371 b) SERP Interest Credit - $11,848 16) Greg Till a) SERP Earned but not Vested - $65,670 17) Gary Flaming a) SERP Earned but not Paid - $118,151 b) Non-Taxable SERP Earned - $32 c) Taxable CBRP Paid - $118 b) SERP Interest Credit - $1,640 18) Mike Waters a) SERP Earned but not Vested - $95,852 b) SERP Interest Credit - $243 19) David Brown a) SERP Earned but not Vested - $130,902 b) SERP Interest Credit - $19,770 20) Orest Holubec a) SERP Earned but not Vested - $129,454 b) SERP Interest Credit - $1,332 21) John Fletcher a) Taxable SERP Paid - $102,560 b) Non-Taxable SERP Paid - $773 22) Jan Jones a) Taxable SERP Paid - $106,169 b) SERP Interest Credit - $8,197
Part I, Lines 4a-b	SEVERANCE 1) Randy Axelrod - $ 515,897 2) John Fletcher - $ 476,515 3) Jan Jones - $ 653,292
Part I, Lines 4a-b	OTHER NONQUALIFIED PLANS: 457(f) The following individuals participated in the 457(f) supplemental compensation plan: 1) Linda Marzano - $14,522 2) Scott Combs - $27,448 3) Vikram Dabhi, MD - $28,799 4) Chad Marion - $37,039 5) Tony Huynh - $29,613
FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS 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). The performance award is based on the level of accomplishment of annual system objectives, in combination with personal goals for top executives. In 2015, 50 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's six strategic priorities of: creating healthier communities together, inspire and develop our people, building enduring relationships with consumers, create alignment with clinicians & care teams, develop and thrive under new care delivery & economic models, and grow by optimizing expert-to-expert capabilities. The remaining 50% was based on a robust set of personal goals designed to align critical mission and business drivers, executive team talent development (deepening talent pipeline for top 200+leaders) and professional development. In 2015 the percent allocation for each of these strategic priorities was as outlined below: * Success Measures - System Goals : 50% Community Benefit - 5% Caregiver (Employee) Engagement - 7.5% MyChart Activations - 5% Patient Loyalty Index - 5% Clinical Excellence Index - 7.5% Free Cash Flow - 5% Salary Expense / Net Operating Revenue - 2.5% Primary Care Panel Size - 5% Total Growth in Operating Revenue - 7.5% * Success Measures - Personal Goals : 50% Mission/Business Driver - 15% Exec Talent Development - 20% Professional Development - 15% TOTAL ALLOCATION: 100%

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	The sole Corporate Member is Western HealthConnect, a Washington nonprofit corporation.
Form 990, Part VI, Section A, line 7b	The following powers are reserved to and exercised exclusively by the Corporate Member: 1) To amend or repeal the Articles of Incorporation or Bylaws. 2) To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale, transfer, assignment or encumbering of the assets. 3) To approve the dissolution, liquidation, consolidation or merger with another corporation or entity with concurrence of the PacMed Community Board. 4) To approve the annual operating and capital budgets. 5) To appoint certified public accountants and receive the annual audit report from such accountants.
Form 990, Part VI, Section B, line 11	The Form 990 is prepared internally by experienced Providence Health & Services staff and reviewed by the Tax Director of Providence Health & Services and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS.
Form 990, Part VI, Section B, line 12c	The compliance committee of the board is charged with monitoring proposed or ongoing transactions for conflicts of interest and addressing any potential or actual conflicts. Pursuant to the conflicts of interest policy, an annual conflict of interest questionnaire, aimed at determining any family and business relationships and transactions or other transactions that may pose a potential conflict, is distributed to all covered persons (i.e., board members, officers and executive leadership or key employees). Covered persons are required to disclose real or potential conflicts at the time when such conflicts arise. When someone becomes a covered person and annually thereafter, each covered person is required to sign a statement affirming that he/she: (1) has received a copy of the conflicts of interest policy; (2) has read the policy and understands said policy; and (3) agrees to comply with all requirements of the policy, including completing the conflicts of interest questionnaire. The completed questionnaires are reviewed by the compliance committee and any persons with actual or potential conflicts are informed via written communication. The procedures for addressing any conflict of interest include, but are not limited to, the following: (1) the conflicting interest is fully disclosed to the board; (2) the interested person responds to factual questions related to the substance of the transaction or arrangement being considered, after which he/she shall leave the meeting; (3) the person with the conflict of interest is excluded from the discussion and approval of such transaction; (4) alternatives to the proposed transaction are investigated, competitive bids or comparable valuations are obtained; (5) any conflicting issues during the course of a board meeting which cannot be resolved is referred to the governance committee; and (6) the transaction or action must be approved by a majority of disinterested persons.
Form 990, Part VI, Section B, line 15	The board, through its compensation committee charter adopted April 27, 2006, established a requirement that any compensation arrangement for the CEO or any other "disqualified persons" (as defined in section 4958 of the internal revenue code of 1986, as amended (the "IRC") be established pursuant to a process that is consistent with the organization's status as an entity described in section 501(c) (3) of the IRC. The process established by the committee requires that compensation paid to such individuals be reasonable, that decisions with respect to such individuals' compensation be determined by disinterested persons based on appropriate comparability data, and that the organization contemporaneously document the basis for such decisions.
Form 990, Part VI, Section C, line 19	The organization makes its governing documents and conflict of interest policy available upon request. The financial statements are summarized in the company's community service report which is also available upon request.
Form 990, Part VII	Michael Holcomb - 1801 Lind Avenue SW, Renton, WA 98057. Chauncey Boyle, SP - 1801 Lind Avenue SW, Renton, WA 98057. Marian Schubert, CSJ - 1801 Lind Avenue SW, Renton, WA 98057. Phyllis Hughes, RSM - 1801 Lind Avenue SW, Renton, WA 98057. Carolina Reyes, MD - 1801 Lind Avenue SW, Renton, WA 98057. Michael A. Stein - 1801 Lind Avenue SW, Renton, WA 98057. Eugene "Al" Parrish - 1801 Lind Avenue SW, Renton, WA 98057. Bob Wilson - 1801 Lind Avenue SW, Renton, WA 98057. Sallye Liner - 1801 Lind Avenue SW, Renton, WA 98057. Isiaah Crawford - 1801 Lind Avenue SW, Renton, WA 98057. Martha Diaz Aszkenazy - 1801 Lind Avenue SW, Renton, WA 98057. Kirby McDonald - 1801 Lind Avenue SW, Renton, WA 98057. Dave Olsen - 1801 Lind Avenue SW, Renton, WA 98057. Charles (Chuck) Watts - 1801 Lind Avenue SW, Renton, WA 98057. Joel Gilbertson - 1801 Lind Avenue SW, Renton, WA 98057. Dan Harris - 1801 Lind Avenue SW, Renton, WA 98057. Cindy Strauss - 1801 Lind Avenue SW, Renton, WA 98057. Randy Axelrod, MD (Thru 3/15) - 1801 Lind Avenue SW, Renton, WA 98057. Mike Butler - 1801 Lind Avenue SW, Renton, WA 98057. David Brown - 1801 Lind Avenue SW, Renton, WA 98057. Debbie Burton - 1801 Lind Avenue SW, Renton, WA 98057. Debra Canales - 1801 Lind Avenue SW, Renton, WA 98057. Gary Flaming - 1801 Lind Avenue SW, Renton, WA 98057. Jack Friedman (Thru 6/15) - 1801 Lind Avenue SW, Renton, WA 98057. Mark Gargett - 1801 Lind Avenue SW, Renton, WA 98057. Orest Holubec - 1801 Lind Avenue SW, Renton, WA 98057. Aaron Martin - 1801 Lind Avenue SW, Renton, WA 98057. Rhonda Medows, MD - 1801 Lind Avenue SW, Renton, WA 98057. Janice Newell - 1801 Lind Avenue SW, Renton, WA 98057. Harvey Smith - 1801 Lind Avenue SW, Renton, WA 98057. Teresa Spalding - 1801 Lind Avenue SW, Renton, WA 98057. Greg Till - 1801 Lind Avenue SW, Renton, WA 98057. Sharon Toncray - 1801 Lind Avenue SW, Renton, WA 98057. Lisa Vance - 1801 Lind Avenue SW, Renton, WA 98057. Mike Waters - 1801 Lind Avenue SW, Renton, WA 98057. Craig Wright, MD - 1801 Lind Avenue SW, Renton, WA 98057. John Fletcher - 1801 Lind Avenue SW, Renton, WA 98057. Jan Jones - 1801 Lind Avenue SW, Renton, WA 98057.
Form 990, Part IX, line 11g	Purchased Services - Non Medical: Program service expenses 2,100,047. Management and general expenses 2,674,691. Fundraising expenses 0. Total expenses 4,774,738. Purchased Services - Medical: Program service expenses 65,574,356. Management and general expenses 0. Fundraising expenses 0. Total expenses 65,574,356. Transcription: Program service expenses 255,844. Management and general expenses 2,246. Fundraising expenses 0. Total expenses 258,090. Agency/Contract Labor: Program service expenses 2,383,403. Management and general expenses 517,739. Fundraising expenses 0. Total expenses 2,901,142. Professional Services/Consultants: Program service expenses 2,884,979. Management and general expenses 542,585. Fundraising expenses 0. Total expenses 3,427,564. Repairs & Maintenance: Program service expenses 1,139,845. Management and general expenses 788,561. Fundraising expenses 0. Total expenses 1,928,406. Physician Fees: Program service expenses 177,864. Management and general expenses 0. Fundraising expenses 0. Total expenses 177,864.
Form 990, Part XI, line 9:	Grant paid in 2015 but expensed in prior years 50,000. Rounding -2.
FORM 990, PART XII, LINE 2C - AUDIT & COMPLIANCE	As a result of the Affiliation with Providence Health & Services, the financial information for Pacific Medical Center was included in the consolidated financial statements of the Providence Health System and under the supervision of the Audit & Compliance Committee. The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the System's consolidated financial statements and reporting, the audit process and the System's internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the System's internal and external auditors; the System's investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (73 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 9		0	N/A
Providence Oregon Management Corporation
1801 Lind Avenue SW 9016	Renton	WA	980579016	930813977	Shell Corporation	OR	501( c)(3)	Line 1	PH & S - Oregon	0
Providence Plan Partners
4400 NE Halsey Bldg 2	Portland	OR	97213	911861964	Healthcare Services	OR	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 11/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 9	PHS - So California	0
Providence TrinityCare Hospice
5315 Torrance Blvd Suite B1	Torrance	CA	90503	953264139	Hospice	CA	501( c)(3)	Line 9	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 9	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 9	PH & S - Oregon	0
The Gamelin California Association
540 23rd St	Oakland	CA	94612	911293869	Supportive Housing	CA	501( c)(3)	Line 9	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)	Pending		0	N/A
Providence Foundation
1801 Lind Avenue SW 9016	Renton	WA	980579016	943078543	Support PH&S Institutions	WA	501( c)(3)	Line 11/Type II	PH & S - Washington	0
Providence Alaska Foundation
3300 Providence Drive - B Tower2	Anchorage	AK	99508	920093565	Support PHS-Alaska	AK	501( c)(3)	Line 11/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 11/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 11/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	Shell Corporation	WA	501( c)(3)	Line 11/Type II	Providence Ministries	0
Providence Health & Services - Montana
500 W Broadway PO Box 4587	Missoula	MT	598064587	810231793	Healthcare	MT	501( c)(3)	Line 3	PH & S - Washington	0
Providence St Joseph Medical Center
PO Box 1010	Polson	MT	598601010	810463482	Healthcare	MT	501( c)(3)	Line 3	PH & S - Washington	0
St Thomas Child and Family Center
1710 Benefis Court	Great Falls	MT	59405	810233495	Early Childhood Education	MT	501( c)(3)	Line 9	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 - Washington	0
University of Great Falls
1301 20th Street South	Great Falls	MT	59405	810231777	Post Secondary Education	MT	501( c)(3)	Line 2	Providence Health & Services	0
E WA & MT Unemployment Compensation Insurance Trust
1801 Lind Avenue SW 9016	Renton	WA	980579016	911082119	Unemployment Benefits	WA	501( c)(3)	Line 11/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 11/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 11/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 11/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 9	Western HealthConnect	0
Kadlec Foundation
888 Swift Blvd	Richland	WA	99352	237005501	Support Kadlec Regional Medical Center	WA	501(c )(3)	Line 11/Type I	Kadlec Regional Medical Center	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	Shell Corporation	WA	501(c )(3)	Pending		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (26 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
Providence Imaging Center
3340 Providence Drive	Anchorage	AK	99508	920118807	Medical Imaging	AK	N/A
California Laboratory Associates LLC
501 Buena Vista	Burbank	CA	91505	273888692	Outpatient Lab	CA	N/A
Broadway Imaging LLC
500 W Broadway	Missoula	MT	59802	522405971	Medical Imaging	MT	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
Pathology Associates Medical Laboratories LLC
611 N Perry	Spokane	WA	99202	270943279	Outpatient Lab	WA	N/A
Portland Medical Imaging LLC
4400 NE Halsey 495	Portland	OR	97213	201054971	Imaging - Diagnostics	OR	N/A
Oregon Advanced Imaging LLC
881 OHare Parkway	Medford	OR	97504	450471748	Medical Imaging	OR	N/A
Minor & James Medical PLLC
515 Minor Avenue 200	Seattle	WA	98104	911340223	Physician Clinic	WA	N/A
Providence Surgery Center LLC
902 N Orange St	Missoula	MT	59802	841401625	Ambulatory Surgery Center	MT	N/A
Clackamas Radiation Oncology Center LLC
4400 NE Halsey St Bldg II 495	Portland	OR	97213	260381897	Radiation Oncology	OR	N/A
PETCT Imaging at Swedish Cancer Institute LLC
1221 Madison Street	Seattle	WA	98104	203132044	Medical Imaging	WA	N/A
PacLab LLC
611 N Perry	Spokane	WA	99202	911743952	Outpatient Lab	WA	N/A
The Madison Spokane Inn LLC
15 West Rockwood Blvd	Spokane	WA	99204	841606484	Hotel Services	WA	N/A
Center for Specialty Surgery LLC
11782 SW Barnes Rd	Portland	OR	97225	263638838	Ambulatory Surgery Center	OR	N/A
Oregon Outpatient Surgery Center
7300 SW Childs Rd	Tigard	OR	97224	223883387	Ambulatory Surgery Center	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
Alpha Medical Laboratory LLC
611 N Perry	Spokane	WA	99202	912017347	Outpatient Lab	ID	N/A
Greater Valley Medical Building LP
501 S Buena Vista St	Burbank	CA	91505	954570858	Real Estate - MOB	CA	N/A
Prov Radiation Oncology Develop Assn LLC
4400 NE Halsey 495	Portland	OR	97213	260682491	Real Estate - MOB	OR	N/A
Providence Partners for Health LLC
501 S Buena Vista St	Burbank	CA	91505	454041798	Clinical Quality & Integration	CA	N/A
ProvidenceSilverton Rehab LLC
4400 NE Halsey 425	Portland	OR	97213	481287267	Rehab Services	OR	N/A
Southern Idaho Regional Laboratory LLC
611 N Perry	Spokane	WA	99202	820511819	Outpatient Lab	ID	N/A
Mountainstar Clinical Laboratories LLC
611 N Perry	Spokane	WA	99202	261345983	Outpatient Lab	MT	N/A
Tri-Cities Laboratory LLC
611 N Perry	Spokane	WA	99202	911773986	Outpatient Lab	WA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
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
Washington Cancer Centers PC
1560 N 115th G-16	Seattle	WA	98133	911792791	Cancer Treatment	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

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	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd