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PROVIDENCE HEALTH & SERVICES MT: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PROVIDENCE HEALTH & SERVICES MT (EIN 81-0231793)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201343199349310604
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T17:13:02-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN911194016EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Clark Nuber PSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4th Suite 1700AddressLine1
CityBellevueCity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN810231793EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE HEALTH & SERVICES - MONTANABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPROVNameControl
Phone4255253985Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 Lind Avenue SW No 9016AddressLine1
CityRentonCity
StateWAState
ZIP Code980579016ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTodd HofheinsName
TitleEVP/CFOTitle
Phone4255253985Phone
Date Signed2013-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSara Elizabeth J Hyre CPAName
PTINP00235495PTIN
Phone4254544919Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Providence St Patrick HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonRod Hochman MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11801 Lind Avenue SW No 9016AddressLine1
CityRentonCity
StateWAState
ZIP Code980579016ZIPCode
FieldValueIRS element (for citing)
Gross Receipts303219061GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.saintpatrick.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileMTStateLegalDomicile
Activity Or Mission DescriptionHealthcare with special concern for the poor and vulnerable in Missoula, MT.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees2036TotalNbrEmployees
Total Nbr Volunteers225TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year560335ContributionsGrantsPriorYear
Contributions Grants Current Year705281ContributionsGrantsCurrentYear
Program Service Revenue Prior Year249465667ProgramServiceRevenuePriorYear
Program Service Revenue CY271705062ProgramServiceRevenueCY
Investment Income Prior Year7614660InvestmentIncomePriorYear
Investment Income Current Year3080516InvestmentIncomeCurrentYear
Other Revenue Prior Year4764135OtherRevenuePriorYear
Other Revenue Current Year5125451OtherRevenueCurrentYear
Total Revenue Prior Year262404797TotalRevenuePriorYear
Total Revenue Current Year280616310TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year7052927GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY953157GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year109974663SalariesEtcPriorYear
Salaries Etc Current Year115375865SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year138624037OtherExpensePriorYear
Other Expenses Current Year149363894OtherExpensesCurrentYear
Total Expenses Prior Year255651627TotalExpensesPriorYear
Total Expenses Current Year265692916TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6753170RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14923394RevenuesLessExpensesCY
Total Assets BOY219934546TotalAssetsBOY
Total Assets EOY232956044TotalAssetsEOY
Total Liabilities BOY96294472TotalLiabilitiesBOY
Total Liabilities EOY111822956TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY123640074NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY121133088NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAs 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense91842702Expense
Grants0Grants
Revenue134463749Revenue
DescriptionAcute Care - InpatientTotal Admissions: 8,586Total Patient Days: 41,757HistorySt. Patrick Hospital opened in 1873 under the sponsorship of the Sisters of Providence. The present facility opened in 1984, the fourth St. Pat's on this site above the Clark Fork River. In May 2000, we became more involved with national medical research and education. The hospital has 253 licensed beds. Approximately 95% of our patients come from our 17-county service area. In November 1999, after imploding the old hospital facility titled the Broadway Building, construction began for a new outpatient services building next to our present hospital facility. The Broadway Building opened in March 2002, with two underground floors of parking and six stories of physician offices and outpatient services. Physicians include but are not limited to those from the Western Montana Clinic, the Montana Neuroscience Institute, the Montana Cancer Center and the International Heart Institute. We offer a variety of outpatient therapy services including physical, occupational, speech, diabetic, and cardiac rehabilitation.Sponsorship In April 1873, the Sisters of Providence came to the Missoula valley to compassionately serve those in need, especially the poor and vulnerable. They opened St. Patrick Hospital, a not-for-profit mission, which quickly grew from a one-room structure to its current state-of-the-art medical center. St. Pat's continues to be sponsored by Providence Ministries, with a commitment to reveal God's healing presence to those who come to us for care. HIGHLIGHTS:* Truven Health Analytics named St. Patrick Hospital one of the Top 50 Cardiovascular Hospitals in the nation. * U.S. News & World Report released its Best Hospitals issue. St. Patrick Hospital ranked as "High Performing" in two adult specialties: Gastroenterology and Orthopedics. Also, in one year of patient survey responses, our patients would definitely recommend St. Pat's to friends and family. * Becker's Hospital Review announced St. Patrick Hospital as one of 100 Great Community Hospitals. These hospitals are high-performing community leaders of health and employment. * In 2012, St. Patrick Hospital's Outpatient Cardiac Rehab led the way in outcomes performance and received the Cardiac Rehab Outcomes Award from the Regional Cardiac Rehabilitation Montana Outcomes Project. Of the 13 quality indicators tracked, St. Patrick's cardiac rehab met or exceeded the regional benchmark in 11 of those indicators. This is the fifth consecutive year that St. Patrick Cardiac Rehabilitation has tied or won this award. The project is sponsored by the Montana Association of Cardiovascular and Pulmonary Rehabilitation and the Cardiovascular Health Program within the Department of Public Health & Human Services. * St. Patrick Hospital received the honor of being voted as one of the top three best employers in the Missoula's Choice awards, an annual community contest held by the Missoulian to recognize the best businesses in town. * St. Pat's is #1 in the nation for lowest heart failure readmission by making sure that we treat patients correctly the first time, in addition to preparing them for discharge, St. Patrick Hospital has the lowest heart failure readmission rate in the nation. * St. Patrick Hospital's in-patient rehabilitation facility earned the Gold Standard Accreditation from The Commission on Accreditation of Rehabilitation Facilities, CARF, an independent, non-profit accreditor of health and human services. * The hospital is a leader in the Best Place Project. The project will unite the expertise of the City of Missoula with the experience and skills of some of our largestemployers to recruit businesses, retain existing businesses and redevelop facilities andinfrastructure to support businesses in Missoula. As one of the larger employers in the area, this program provides much needed community benefit.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense71020043Expense
Grants0Grants
Revenue103978007Revenue
DescriptionAcute Care - OutpatientTotal Visits: 153,022 See Line 4a NarrativeDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense44592228Expense
Grants0Grants
Revenue29194220Revenue
DescriptionPrimary CareTotal Visits: 153,461Grant Creek Family Medicine is Montana's First Patient-Centered Medical Home. A patient-centered medical home is a clinic staffed by healthcare providers who work as a team. Led by your primary care provider, your team manages all of your healthcare needs, including routine and urgent care,preventive care and referrals to outside providers or specialists when necessary.In order to improve the health of our employees and dependents, St. Pat's developed Home Base, an employee healthcare program. Employees and dependents are connected with a primary care provider and a healthcare team to work with patients who have cardiometabolic risk factors to improve their health and wellness.Description

Activity Other ActivityOther (2 entries)

ExpenseExpenseGrantsGrantsRevenueRevenueDescriptionDescription
9531579531570Grants and Allocations.See Schedule I.
504349207384003Healthcare Joint VenturesThrough partnerships, St. Patrick's is able to provide additional healthcare services to the community.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp5996649TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt953157TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev7384003TotalOfOtherProgramServiceRev
Total Program Service Expense213451622TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2036NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address1OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMTStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Karl E Fritschel CPABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4255253339TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11801 Lind Ave SW 9016AddressLine1
CityRentonCity
StateWAState
ZIP Code980579016ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (52 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Lucille Dean SP
Chair of the Board0.2012.90XX000
M Adrian Davis LCM -Dcd 512
Director0.202.70X000
Mary Corita Heid RSM
Director0.205.40X000
Michael A Stein
Director0.206.10X0183000
Michael Holcomb
Director0.207.50X0190500
Dana A Rasmussen
Director0.205.80X0183000
James S Roberts MD
Director0.208.90X0205000
Peter J Snow
Director0.205.60X0205000
Jeffrey B Clode MD -Thru 612
Director0.206.90X087500
Sallye Liner
Director0.204.00X0153000
Owen B Robinson
Director0.205.30X0153000
Cheryl M Scott
Director0.204.50X0150000
Ellen L Wolf
Director0.207.60X0153000
Isiaah Crawford
Director0.204.00X0150000
Martha Diaz Aszkenazy
Director0.207.60X0151750
Kirby McDonald
Director0.204.50X0151750
Dave Olsen
Director0.205.40X0151750
Charles Chuck Watts
Director0.206.00X0151750
John Nordstrom - Thru 712
Director0.200.60X000
John F Koster MD
President/CEO PH&S0.2053.80X04069812382715
Jeffrey W Rogers
Corporate Secretary0.2049.80X0623631319793
Todd Hofheins
SVP/CFO0.2059.80X055572540426
Jeffrey Fee
CEO/St. Patrick Hospital50.000.00X0448279155906
Kirk Bodlovic - Eff 512
Interim CFO/St. Patrick Hospital50.000.00X140800030575
Bruce E Whitfield - Thru 512
CFO/St.Patrick Hospital50.000.00X293683018214
Michael L Butler
Group President0.0065.0001406031890844X
Rod Hochman MD
Group President0.0065.0001438710332177X
John V Fletcher
VP/Operations Support0.0055.0001575373259253X
Janice J Jones
SVP/CAO0.0055.0001031256204051X
Myron Berdischewsky MD
SVP/CMQO0.0060.0002359308166605X
Cindra R Syverson
SVP/CHRO0.0060.000562260220668X
Terry L Smith
SVP/Management Svcs.0.0060.0001012414349119X
Craig L Wright MD
CE/OR. Ambulatory Clin. Svc.0.0060.000773915392058X
Ray Williams
SVP/Physician Svcs0.0055.0001240435162999X
Cindy Strauss
VP/Legal Affairs0.0055.000621810205922X
Phil Jackson
VP/Physician Svc. & PMG0.0055.000609104157689X
John O Mudd
SVP/Mission Leadership0.0055.000505083114350X
Claudia Haglund
VP/Governance & Spons.0.0050.000501085219670X
Joel S Gilbertson
VP/Gov't & Public Affairs0.0060.000456934105567X
David Brown
VP/Strat. & Bus. Develop.0.0055.000360109137998X
Orest Holubec
VP/ Communications0.0055.00041049953484X
Debbie Burton
VP/CNO0.0065.000405452233827X
Mark Wakai
Reg.Chief Strategy Ofc.50.000.00322371034068X
Joyce Dombrouski
Chief Acute Svc. Ofc50.000.00285993039547X
Craig E Aasved
Reg.Chief Mgmt.Svcs. Ofc.58.002.00282766031085X
Mark L Sanz MD
Physician - Cardiology50.000.00697589033154X
James M Maxwell MD
Physician - Surgical50.000.008909910163471X
James T Maddux MD
Physician - Cardiology50.000.00677525035214X
William Hull
Physician - Cardiology50.000.00650674042522X
Steward M Long III MD
Physician50.000.00620293035960X
Eugene AL Parrish
Former/SVP/RCE Alaska Region0.000.00048551957205X
John Kenagy
Former VP/CIO0.000.00085867414815X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4862685TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs22553418TotalReportableCompFrmRltdOrgs
Total Other Compensation5640951TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Western MT Emergency Phys
POBox 4506MissoulaMT59802ER Physicians5720346
Metro Aviation Inc
PO Box 7008ShreveportLA71137Helicopter Maintenance2239246
Tamarack Management Inc
PO Box 7609MissoulaMT59807Management Services798960
Neurological Associates PC
554 E Broadway StreetMissoulaMT59802Surgery Services732000
Intranerve
13 South Tejon Suite 501Colorado SpringsCO80903Intraoperative Monitoring Services675200
FieldValueIRS element (for citing)
Number Of Contractors GT100 K46NumberOfContractorsGT100K
Federated Campaigns5465FederatedCampaigns
Related Organizations517058RelatedOrganizations
Government Grants181583GovernmentGrants
All Other Contributions1175AllOtherContributions
Total Contributions705281TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Acute Care - Inpatient622110133153095133153095
Acute Care -Outpatient621400102964506102964506
Primary Care6211102820345828203458
Joint Ventures90009973840037384003
FieldValueIRS element (for citing)
Total Program Service Revenue271705062TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1090268TotalRevenueColumn
Exclusion$1,090,268ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3165402Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real3594425Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-429023Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-429023TotalRevenueColumn
Exclusion-$429,023ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities19467111Securities
Other1296342Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities18773205Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities693906Securities
Other1296342Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1990248TotalRevenueColumn
Exclusion$1,990,248ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory229668GrossSalesOfInventory
Cost Of Goods Sold235121CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-5453TotalRevenueColumn
Exclusion-$5,453ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
BIC Outside Services90009918296781829678
Occupational Health900099618492618492
Laboratory900099246867246867

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2864890TotalRevenueColumn
Related Or Exempt Function Income619880RelatedOrExemptFunctionIncome
Exclusion$2,245,010ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue5559927TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column280616310TotalRevenueColumn
Related Or Exempt Function Income275019979RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,891,050ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total926121Total
Program Services926121ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total27036Total
Program Services27036ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1983422Total
Program Services650656ProgramServices
Management And General1332766ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total87349868Total
Program Services77283797ProgramServices
Management And General10066071ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6822386Total
Program Services5976144ProgramServices
Management And General846242ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13025172Total
Program Services11151858ProgramServices
Management And General1873314ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6195017Total
Program Services5172401ProgramServices
Management And General1022616ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total601132Total
Management And General601132ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total732653Total
Program Services34168ProgramServices
Management And General698485ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11578Total
Management And General11578ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total1361Total
Management And General1361ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total87459Total
Management And General87459ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total43243799Total
Program Services35538104ProgramServices
Management And General7705695ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1005449Total
Program Services1005449ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3998064Total
Program Services2763714ProgramServices
Management And General1234350ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4609601Total
Program Services523715ProgramServices
Management And General4085886ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4295311Total
Program Services3159234ProgramServices
Management And General1136077ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total588691Total
Program Services354128ProgramServices
Management And General234563ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total183603Total
Program Services96508ProgramServices
Management And General87095ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2555927Total
Program Services2555927ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total17161717Total
Management And General17161717ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9643146Total
Program Services6383254ProgramServices
Management And General3259892ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1347992Total
Program Services1318967ProgramServices
Management And General29025ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies4123943641239436
Bad Debts1448718214487182
License and Taxes21018642101266598
Dues & Subscriptions481746236228245518

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total986183Total
Program Services466329ProgramServices
Management And General519854ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total265692916Total
Program Services213451622ProgramServices
Management And General52241294ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2648766BOY
EOY113329EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY84819BOY
EOY1544081EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY36502334BOY
EOY42486445EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY12393034BOY
EOY11889664EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5346671BOY
EOY5044127EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2763834BOY
EOY1629555EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis214757496LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec133936136LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY84909242BOY
EOY80821360EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY31305095BOY
EOY32907447EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY12268871BOY
EOY13172722EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY31711880BOY
EOY43347314EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY219934546BOY
EOY232956044EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19503598BOY
EOY21829396EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1677967BOY
EOY74396EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY58178662BOY
EOY55411286EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY16934245BOY
EOY34507878EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY96294472BOY
EOY111822956EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY119585391BOY
EOY117230295EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2780296BOY
EOY2984846EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1274387BOY
EOY917947EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY123640074BOY
EOY121133088EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY219934546BOY
EOY232956044EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses14923394ReconcilationRevenueExpenses
Reconciliation Unrealized Invest6563ReconciliationUnrealizedInvest
Reconcilation Other Changes-17436943ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$1,361GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Total Lobbying Expenditures IIB1361TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationThe portion of monthly dues paid to the Montana Hospital Association designated for lobbying.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10594524OtherCostOrOtherBasis
Book Value10594524BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis97781454OtherCostOrOtherBasis
Depreciation57000466Depreciation
Book Value40780988BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2464633OtherCostOrOtherBasis
Depreciation1962143Depreciation
Book Value502490BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis100392814OtherCostOrOtherBasis
Depreciation74973527Depreciation
Book Value25419287BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3524071OtherCostOrOtherBasis
Book Value3524071BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings80821360TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Invest in Prov. Surgery Center, LLC1079102C
Invest in Broadway Imaging, LLC3242845C
Invest in Partners in Home Care, Inc.1810924C
Invest in Tamarack Management, Inc.3013440C
Invest in Foundation4026411C
FieldValueIRS element (for citing)
Total Of Book Value Program Related13172722TotalOfBookValueProgramRelated

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
Unamortized Bond Financing Costs435629
Cash Surrender Value of Life Insurance53509
Due from Affiliates42712019
Other Receivables14531
Third Party Settlements23500
Trustee Held Funds126
EHR Medicare Incentive Receivable108000
FieldValueIRS element (for citing)
Total Book Value Other Assets43347314TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Due to Affiliates$24,123,960
Bond Premium Discount$1,296,101
Obligation for Financing Lease$5,940,000
Capitalized Lease Obligation$2,420,717
Third Party Settlements$727,100
FieldValueIRS element (for citing)
Total Of Amounts34507878TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationThe Health System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. 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.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense10762535TotalCommunityBenefitExpense
Net Community Benefit Expense10762535NetCommunityBenefitExpense
Percent Of Total Expense0.04280PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense17385050TotalCommunityBenefitExpense
Direct Offsetting Revenue11515755DirectOffsettingRevenue
Net Community Benefit Expense5869295NetCommunityBenefitExpense
Percent Of Total Expense0.02340PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense77668TotalCommunityBenefitExpense
Direct Offsetting Revenue77695DirectOffsettingRevenue
Net Community Benefit Expense-27NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense28225253TotalCommunityBenefitExpense
Direct Offsetting Revenue11593450DirectOffsettingRevenue
Net Community Benefit Expense16631803NetCommunityBenefitExpense
Percent Of Total Expense0.06620PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense292983TotalCommunityBenefitExpense
Net Community Benefit Expense292983NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense410662TotalCommunityBenefitExpense
Net Community Benefit Expense410662NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense25721505TotalCommunityBenefitExpense
Direct Offsetting Revenue12498970DirectOffsettingRevenue
Net Community Benefit Expense13222535NetCommunityBenefitExpense
Percent Of Total Expense0.05260PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense81862TotalCommunityBenefitExpense
Net Community Benefit Expense81862NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense15610TotalCommunityBenefitExpense
Net Community Benefit Expense15610NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense26522622TotalCommunityBenefitExpense
Direct Offsetting Revenue12498970DirectOffsettingRevenue
Net Community Benefit Expense14023652NetCommunityBenefitExpense
Percent Of Total Expense0.05580PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense54747875TotalCommunityBenefitExpense
Direct Offsetting Revenue24092420DirectOffsettingRevenue
Net Community Benefit Expense30655455NetCommunityBenefitExpense
Percent Of Total Expense0.12200PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense11152TotalCommunityBuildingExpense
Net Community Building Expense11152NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense11152TotalCommunityBuildingExpense
Net Community Building Expense11152NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$14,487,182BadDebtExpenseAmount
Amount Reimbursed By Medicare94301240AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare117455972CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-23154732MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 NONEBusinessNameLine1
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Providence St Patrick HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1500 West BroadwayAddressLine1
CityMissoulaCity
StateMTState
ZIP Code59802ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours
OtherRehab and PsychOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Providence St Patrick HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1Broadway BuildingBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1500 West BroadwayAddressLine1
CityMissoulaCity
StateMTState
ZIP Code59802ZIPCode
FieldValueIRS element (for citing)
Facility TypeOutpatient ServicesFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationIdentifierIdentifier
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.www.saintpatrick.org/index.aspx/Serving_Our_Community/Community_Benefit_Reports
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 $ 14487182.
Part II: Physical Improvements/Housing: Habitat for HumanityAnalysis of Need: The 2009-2013 Consolidated Plan for the City's Community Development Block Grant indicates that the development of supportive housing initiatives for special populations, e.g. single income families, people with disabilities, seniors and persons with HIV/AIDS, present the greatest need in Missoula County. In 2000, 25% of area owners and 51% of renters paid more than 30% of their incomes for housing; by 2007, 40% of homeowners and more than 59% of renters paid more than 30% of their incomes on housing in Missoula County. In 2007, an estimated 23.3% of the city's residents were living at or below the federal poverty standard. Half of all the single parent families headed by women live below the poverty threshold and more than 70% of the female headed families with children younger than six live in poverty. Having a safe and affordable place to live is critical to the overall health of the individual, family and community, therefore supporting housing initiatives for vulnerable populations is enhancing public health. The funding provided by St. Patrick Hospital for the Habitat Home was for addressing the need of a family of three. Additionally, St. Patrick Hospital participates and supports other community-wide housing efforts, such as the At Risk Housing Coalition and the North Missoula Community Land Trust housing program. Community Support: Lowell Summer Reading Program and Kids Ride FreeAnalysis of Need: Lowell Elementary School, the hospital's neighborhood school is located in the most vulnerable neighborhood in Missoula County. Key statistics about this neighborhood include; 26% of children live in poverty, 48% of single head of households live in poverty and 27% of all individuals are uninsured. The Summer Reading program provides critical academic support for those children in the Title 1 program and attempts to address the high percentage of neighborhood residents who don't have a high school diploma. Additionally, St. Patrick Hospital partners with the Kid's Cafe, a program of the Missoula Food Bank that provides a nutritious meal for children in this program. The Kids Ride Free program is a community sponsored program of Mountain Line public transportation system that seeks to provide children transportation that removes barriers for participation in educational, summer feeding programs and other critical services in the community. St. Patrick Hospital also sees the Kids Ride Free program as an important part of our Green for Good environmental initiative as well. The support of both of these programs is meeting a public health objective and not done for marketing purposes. Community Support: Leadership MissoulaAnalysis of Need: The Missoula community needs to identify and motivate new leaders to sustain changes for creating a healthier community.We want to identify and motivate potential leaders to address community needs and problems and offer them alternatives for dealing with these issues. The participation of the hospital in this training is not for marketing, rather it is to benefit the larger community. In fact, over 50% of those participating in Leadership Missoula are from the social service sector and this allows for greater collaboration amongst them. Community Health Improvement/Advocacy: Medication and Medical Coverage Assistance Analysis of Need: Uninsured 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 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 and pharmaceutical coverage. This program is not done for marketing purposes and meets a necessary public health objective.
Part III, Line 4: It is Providence's policy to exclude all bad debts from Community benefit information.The Consolidated Audited Financial Statements do not contain a footnote specific to Bad Debt Expense.Bad debt expense is reported in the audited financials as a separate line item within expenses from operations. Bad debt expense represents the amount of gross charges for patients who do not have insurance and which Providence was unable to qualify for assistance under either government programs or our internal charity care policy.
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 V, Section B, Line 14g: 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 18e: 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 20d: The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.Providence St. Patrick Hospital
Part V, Section B, Line 22: For non medically necessary services a patient may be charged full billed charges.Providence St. Patrick Hospital
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.
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.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).At St. Patrick Hospital, 55% of patients are covered by Medicare, another 8% are covered by Medicaid and 8% are self-pay and uninsured. St. Patrick Hospital serves a higher percentage of older adults, with 15% of the primary service area's population over the age of 65. With approximately 19% of the population living in poverty, the community is characterized by lower income levels than the national average.
Part VI, Line 5: Providence Medical Group manages 32 primary care and specialty provider practices, employing 133 total providers. 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. The associated providers with Providence Medical Group ensured increased access to primary care with 153,461 patient encounters and have made those services affordable through a patient financial assistance program. 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. 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.
Part VI, Line 6: Providence Health & Services owns or operates 32 general acute care hospitals, three ambulatory care centers, five medical groups, six long-term care facilities, seven homecare and hospice entities, five assisted living facilities, a children's nursing center and Montessori school, a high school, a university, 13 low-income housing projects, the Health Plan, a health services contractor, two programs of all inclusive care for the elderly, and 21 controlled fundraising foundations.The Health System provides inpatient, outpatient, primary care, and home care services in Alaska, Washington, Montana, Oregon and Southern California. The Health System operates these businesses primarily in the greater metropolitan areas of Anchorage, Alaska; Everett, Seattle, Edmonds, Spokane and Olympia, Washington; Missoula, Montana; Portland and Medford, Oregon; and Los Angeles, California.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. 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
St Patrick Hospital Foundation
900 N Orange Suite 201MissoulaMT59802237056976501 (C)(3)549115Contribution for Operational Support
Missoula Economic Partnership
PO Box 7457MissoulaMT59807273994460501 (C)(6)114316Contribution for Operational Support
Loyola Sacred Heart High School
320 EdithMissoulaMT59801810244544501 (C)(3)50000Fund Bonus for HS Faculty and Staff
The Poverello Center
535 Ryman StMissoulaMT59802237439391501 (C)(3)50000Support service to hungry & homeless
Partnership Health Care
323 W AlderMissoulaMT59802363843543501 (C)(3)38308Support Healthcare in Community
Catholic Social Services Of Montana
PO Box 907HelenaMT59624920037322501 (C)(3)35000Serving Catholic social services in MT
Missoula Aging Service
337 Stephens AveMissoulaMT59801810379543501 (C)(3)25000Support community service for the aging
Missoula City County Health Department
301 West AlderMissoulaMT59802816001397Government16469Catch Contract with Health Department
American Heart Association
7272 Greenville AveDallasTX75231135613797501 (C)(3)75002012 Missoula Heart 5k Run Sponsor
Friends of Missoula Parks
12 Contour RdMissoulaMT59802810570189501 (C)(3)5000Playground for Special Needs Children
North Missoula Community Dev Corp
1500 Burns StMissoulaMT59802810509941501 (C)(3)5000Contribution for Operational Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants10TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantMedication Assistance to low income patientsTypeOfGrant
Number Of Recipients359NumberOfRecipients
Amount Of Non Cash Assistance27036AmountOfNonCashAssistance
Method Of ValuationCostMethodOfValuation
Description Of Non Cash AssistanceMedication Assistance to low income patients.DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: In the application for support, we request a detailed explanation of the kind of services provided to the community along with specific financial data. If the application for support is approved, we send a letter indicating the amount of the support along with a request for documentation of how the funds were used.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (33 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
John F Koster MD
President/CEO PH&S01257618027944250177690353700029015044525270339126
Jeffrey W Rogers
Corporate Secretary04446460178408057703007350190580943424048099
Todd Hofheins
SVP/CFO03623600175788017577018701021725059615100
Jeffrey Fee
CEO/St. Patrick Hospital035361309408905770134089021817060418500
Kirk Bodlovic - Eff 512
Interim CFO/St. Patrick Hospital123361011962054770128700177050171375000
Bruce E Whitfield - Thru 512
CFO/St.Patrick Hospital139319055635098729046640135500311897000
Michael L Butler
Group President087349505161680163680863387027457022968750435962
Rod Hochman MD
Group President09863100250000020240003070760251010177088700
John V Fletcher
VP/Operations Support0547460010101440177690238549020704018346260388497
Janice J Jones
SVP/CAO059345803705910672070180325023726012353070154703
Myron Berdischewsky MD
SVP/CMQO0496463018280760347690142532024073025259130404844
Cindra R Syverson
SVP/CHRO039697501647080577019723102343707829280130173
Terry L Smith
SVP/Management Svcs.06200950326004066315032685402226501361533069195
Craig L Wright MD
CE/OR. Ambulatory Clin. Svc.0482963029037505770368118023940011659730199302
Ray Williams
SVP/Physician Svcs04918040452500029613101372530257460140343400
Cindy Strauss
VP/Legal Affairs037681001800000650000173813032109082773200
Phil Jackson
VP/Physician Svc. & PMG039391901651180500670134924022765076679300
John O Mudd
SVP/Mission Leadership03590510128263017769094957019393061943300
Claudia Haglund
VP/Governance & Spons.033871501447930175770202296017374072075500
Joel S Gilbertson
VP/Gov't & Public Affairs03372090102148017577084156021411056250100
David Brown
VP/Strat. & Bus. Develop.027952908000305770117392020606049810700
Orest Holubec
VP/ Communications02790420119255012202033565019919046398300
Debbie Burton
VP/CNO03035180843570175770214734019093063927900
Mark Wakai
Reg.Chief Strategy Ofc.2612030508700102980182950157730356439000
Joyce Dombrouski
Chief Acute Svc. Ofc2185650491980182300239970155500325540000
Craig E Aasved
Reg.Chief Mgmt.Svcs. Ofc.233709049057000156140154710313851000
Mark L Sanz MD
Physician - Cardiology5972410833480170000133350198190730743000
James M Maxwell MD
Physician - Surgical7154490151542024000014469401877701054462000
James T Maddux MD
Physician - Cardiology611487000660380186270165870712739000
William Hull
Physician - Cardiology6106600230140170000278350146870693196000
Steward M Long III MD
Physician578293000420000177150182450656253000
Eugene AL Parrish
Former/SVP/RCE Alaska Region083787039984201890049393078120542724056382
John Kenagy
Former VP/CIO07522805185350264911080470676808734890115387

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aThe 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: 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 approval by the SVP/Chief Human Resources Officer. During 2012, a total of one first-class ticket was purchased for disclosed personnel. 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 2012, the following Key Employees received gross-up payments: Arnold R. Schaffer - Relocation Phil Jackson - Relocation Bruce Lamoureux - Gift Card The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. Discretionary Spending Account Providence Health & Services provides an executive flex spending allowance per year (paid bi-weekly). This benefit is provided as discretionary spending because the organization does not reimburse for or provide additional executive benefits, such as a car allowance, additional executive life or disability insurance, or other market-based executive benefits practices. This benefit was discontinued for Calendar Year 2012. 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 SVP/Chief Human Resources 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 2012, the following Key Employees received relocation/housing program payments: Arnold R. Schaffer Phil Jackson Terry L. Smith Ray Williams The amounts reported for these relocation payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation.
Part I, Lines 4a-bNONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) CBRP = Cash Balance Restoration Plan C) ESP = Elective Survivor Plan D) SOP = Share Option Plan E) NQ = Non-Qualified 409(a) Payout 1) John F. Koster, MD a) Taxable SERP Earned but not Paid- $1,872,867 b) SERP Interest Credit - $327,363 2) Jeffrey W. Rogers a) Taxable SERP Earned but not Paid - $44,273 b) ESP Interest Credit - $87,150 c) SERP Interest Credit - $136,048 3) Michael L. Butler a) SERP Interest Credit - $301,732 b) SERP Earned but not Vested - $527,516 4) Rod Hochman, MD a) NQ - $202,400 b) SERP Earned but not Vested - $284,676 5) Gregory Van Pelt a) Taxable SERP Earned but not Paid - $183,330 b) ESP Interest Credit - $96,202 c) SERP Interest Credit - $240,115 6) Arnold R. Schaffer a) Taxable SERP Earned but not Paid - $819,315 b) SERP Interest Credit - $157,753 7) John V. Fletcher a) Taxable SERP Earned but not Paid - $511,574 b) Taxable CBRP Earned but not Paid - $5,997 c) ESP Interest Credit - $50,355 d) SERP Interest Credit - $122,030 8) Janice J. Jones a) Taxable SERP Earned but not Paid - $147,676 b) Taxable CBRP Earned but not Paid - $264 c) Non-Taxable SERP Earned - $1 d) SERP Interest Credit - $144,057 9) Myron Berdischewsky, MD a) Taxable SERP Earned but not Paid - $1,522,140 b) Non-Taxable SERP Earned - $43,658 c) SERP Interest Credit - $82,406 10) Michael Hunn a) Taxable SERP Earned but not Paid - $222,462 b) SERP Interest Credit - $44,426 11) Cindra R. Syverson a) SERP Interest Credit - $33,544 b) SERP Earned but not Vested - $148,036 12) Terry L. Smith a) Taxable SERP Earned but not Paid - $68,857 b) Taxable CBRP Earned but not Paid - $673 c) ESP Interest Credit - $67,068 d) SERP Interest Credit - $164,038 13) Craig L. Wright, MD a) SERP Interest Credit - $95,974 b) SERP Earned but not Vested - $241,654 14) Bruce Lamoureux a) Taxable SERP Earned but not Paid - $895,277 b) Taxable CBRP Earned but not Paid - $970 c) Non-Taxable SERP Earned - $1 d) SERP Interest Credit - $47,391 15) Ray Williams a) SERP Earned but not Vested - $119,753 16) Kevin Brown a) NQ - $60,000 b) SERP Earned but not Vested - $114,573 17) Jack Friedman a) Taxable SERP Earned but not Paid - $47,618 b) SERP Interest Credit - $144,595 18) Cindy Strauss a) NQ - $48,000 b) SERP Earned but not Vested - $161,294 19) Phil Jackson a) SERP Interest Credit - $9,748 b) SERP Earned but not Vested - $85,986 20) David T. Brooks a) SERP Interest Credit - $44,009 b) SERP Earned but not Vested - $161,703 21) Medrice Coluccio a) SERP Interest Credit - $55,860 b) SERP Earned but not Vested - $341,617 22) Eugene "Al" Parrish a) Taxable SERP Earned but not Paid - $293,361 b) Non-Taxable SERP Earned - $39,762 23) John Kenagy a) Taxable SERP Earned but not Paid - $417,225 24) Jeffrey Fee a) Taxable SERP Earned but not Vested- $82,159 b) DBSERP Interest Credit - $18,108 c) DCSERP Interest Credit - $14,742 25) Bruce E. Whitfield a) Taxable CBRP Earned - $7,320 B) Taxable DCSERP Earned - $5,263
Part I, Lines 4a-bSEVERANCE 1) John Kenagy - $188,084 2) Bruce Whitfield - $54,074
Part IIIFORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS PROGRAM The Providence Executive Performance Awards 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 and personal objectives. In 2012, 50 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's five strategic priorities of: mission driven, financially responsible, people centered, service oriented and quality focused. In 2012 the percent allocation for each of these strategic priorities was: Mission driven 10% Financially responsible 10% People centered 10% Service oriented 10% Quality focused 10%. To ensure affordability of the program, the organization (system, region or entity) must meet a threshold of 50 percent of budgeted net operating income.Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Montana Facility Finance AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN810302402IssuerEIN
CUSIP Number61204KCB5CUSIPNumber
Date Issued2006-06-22DateIssued
Issue Price60097553IssuePrice
Description Of PurposeRefunded Series 1999 Bonds - 7/20/99; Refunded Series 2002 Bonds - 8/7/02DescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds60097553TotalProceeds
Issuance Costs From Proceeds642382IssuanceCostsFromProceeds
Other Spent Proceeds59455171OtherSpentProceeds
Year Of Subst Completion2002YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs1NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due1NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs1WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action1ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSchedule K Part IV, Arbitrage, Line 2cIdentifier
Return ReferenceDate Rebate Computation PerformedReturnReference
ExplanationIssuer Name: Montana Facility Finance Authority Date the Rebate Computation was Performed: 07/21/2011Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6The sole Member of the Corporation is Providence Health & Services, a Washington not-for-profit corporation.
Form 990, Part VI, Section A, line 7aThe 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 7bThe 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 11The Form 990 is prepared internally by experienced staff and reviewed by the internal 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 12cProvidence 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 15It 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 employees, including our senior executives. Salaries for senior executives are determined by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Each year, the Board Chair conducts a formal performance evaluation of the President/CEO that considers input from the other directors and senior leaders reporting to the President. The evaluation is discussed with the Human Resources Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Human Resources Committee also meet with an independent consultant to develop a salary recommendation; which is reviewed and approved first by the committee and then by the Board of Directors. Additionally, the President/CEO utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for other senior executives. This process includes a rigorous analysis of those recommendations with the Human Resources Committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational and individual goals for furthering Providence operating principles - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated customer satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector.
Form 990, Part VI, Section C, line 19Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon written 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 VIIJeffrey Fee - 500 West Broadway, Missoula, MT 59802. Kirk Bodlovic - Eff 5/12 - 500 West Broadway, Missoula, MT 59802. Bruce E. Whitfield - Thru 5/12 - 500 West Broadway, Missoula, MT 59802. Mark Wakai - 500 West Broadway, Missoula, MT 59802. Joyce Dombrouski - 500 West Broadway, Missoula, MT 59802. Craig E. Aasved - 500 West Broadway, Missoula, MT 59802.Contact Addresses for Officers, Directors, Etc
Form 990, Part IX, line 11gAgency/Contract Labor: Program service expenses 1,865,622. Management and general expenses 461,320. Fundraising expenses 0. Total expenses 2,326,942. Medical Director & Med Physician Fees: Program service expenses 8,285,658. Management and general expenses 20,050. Fundraising expenses 0. Total expenses 8,305,708. Repairs & Maintenance: Program service expenses 2,116,200. Management and general expenses 718,643. Fundraising expenses 0. Total expenses 2,834,843. Billing & Collections: Program service expenses 0. Management and general expenses 5,120,507. Fundraising expenses 0. Total expenses 5,120,507. Transcription & Translation Services: Program service expenses 444,036. Management and general expenses 0. Fundraising expenses 0. Total expenses 444,036. Dietary: Program service expenses 2,970. Management and general expenses 14,193. Fundraising expenses 0. Total expenses 17,163. Other Patient Services: Program service expenses 17,489,003. Management and general expenses 12,347. Fundraising expenses 0. Total expenses 17,501,350. Other Administrative Services: Program service expenses 4,250,955. Management and general expenses 589,355. Fundraising expenses 0. Total expenses 4,840,310. General Consulting Fees: Program service expenses 1,083,660. Management and general expenses 769,280. Fundraising expenses 0. Total expenses 1,852,940.Other Fees
Form 990, Part XI, line 9:Recipient Organization Adjustment -151,892. Capital Asset Affiliate Transfer -17,267,345. Foundation Revenue from Balance Sheet -17,710. Rounding 4.Changes in Net Assets or Fund Balances:
FORM 990, PART IX, COLUMN DThis entity had no fundraising expenses as all fundraising is handled through an affiliated Foundation.FUNDRAISING EXPENSES
FORM 990, PART I, LINE 6Volunteers are engaged in the following activities: * Guild Spring Luncheon * Guild Regional Meeting (selected & prepared favors, arranged breakfast & menus) * New service in International Heart Institute * Shamrock Shops * Guild Annual Meeting and Luncheon * Archiving * Hospitality, social events & special projectsVOLUNTEERS
FORM 990, PART VIIAs 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.RELIGIOUS COMMUNITY MEMBERS
FORM 990, PART V, LINE 1All 1099s for 2012 were issued by Providence Health & Services - Washington #51-0216586. Therefore, none are shown for the reporting organization.ISSUANCE OF FORM 1099
FORM 990, PART XII, LINE 2CThe Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the Systems 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 Systems internal and external auditors; the Systems investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation.AUDIT & COMPLIANCE
FORM 990, SCHEDULE R - RELATED ORGANIZATIONSOn February 1, 2012, Providence Health & Services (the Health System) and Swedish Health Services (Swedish) effected an affiliation Agreement, which integrated the operations of the two health systems. The Health System and Swedish have affiliated to create a fully integrated, nonprofit, charitable health care system serving the communities throughout Western Washington. No cash or other purchase consideration was transferred to effect the affiliation. Effective July 1, 2012, Providence Health System - Southern California entered into an affiliation agreement with Facey Medical Foundation and Facey Medical Group. The Facey Medical Foundation is a nonprofit medical foundation, which operates ten clinics in the North San Fernando, Santa Clarita, San Gabriel and Simi Valleys. These sites are staffed by the Facey Medical Group physicians pursuant to a professional services agreement. No cash or other purchase consideration was transferred to effect the affiliation.AFFILIATION AGREEMENTS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (62 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Providence Health & Services - Washington
1801 Lind Avenue SW 9016RentonWA980579016510216586Healthcare SystemWA501( c)(3)Line 3Providence Health & Services0
Providence Health & Services - Oregon
1801 Lind Avenue SW 9016RentonWA980579016510216587Healthcare SystemOR501( c)(3)Line 3Providence Health & Services0
Providence Health System - So California
1801 Lind Avenue SW 9016RentonWA980579016510216589Healthcare SystemCA501( c)(3)Line 3Providence Health & Services0
Everett Transitional Care Services
PO Box 5128EverettWA982065128943264605Transitional CareWA501( c)(3)Line 90N/A
Providence Oregon Management Corporation
1801 Lind Avenue SW 9016RentonWA980579016930813977Shell CorporationOR501( c)(3)Line 1PH & S - Oregon0
Providence Plan Partners
4400 NE Halsey Bldg 2PortlandOR97213911861964Healthcare ServicesOR501( c)(4)N/APH & S - Oregon0
Providence Health Plan
4400 NE Halsey Bldg 2PortlandOR97213930863097Health Service ContractorOR501( c)(4)N/AProvidence Plan Partners0
Providence Health Assurance
4400 NE Halsey Bldg 2PortlandOR97213550828701Medicaid Healthcare ProviderOR501( c)(4)N/AProvidence Health Plan0
Providence Medical Institute
4101 Torrance BlvdTorranceCA90503330283773HealthcareCA501( c)(3)Line 11/Type IPHS - So California0
Little Company of Mary Ancillary Services Corporation
4101 Torrance BlvdTorranceCA90503330844408Imaging ServicesCA501( c)(3)Line 9PHS - So California0
Providence TrinityCare Hospice
5315 Torrance Blvd Suite B1TorranceCA90503953264139HospiceCA501( c)(3)Line 9PHS - So California0
Providence Blanchet Association
1700 Providence PlCentraliaWA98531911789266HousingWA501( c)(3)Line 7PH & S - Washington0
St Luke Association
350 Washington Ave SEChehalisWA98352943176618HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Rossi Association
1700 Providence PlCentraliaWA98531311584166HousingWA501( c)(3)Line 9PH & S - Washington0
Lundberg Association
5921 E BurnsidePortlandOR97215911562797HousingOR501( c)(3)Line 7PH & S - Oregon0
Providence St Francis Association
3415 12th Avenue NEOlympiaWA98506943244854HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Peter Claver Association
7101 38th Avenue SouthSeattleWA98118311629656HousingWA501( c)(3)Line 7PH & S - Washington0
Providence St Elizabeth House Association
3201 SW Graham StSeattleWA98126912171539HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Gamelin House Association
4515 MLK Jr Way S Ste 200SeattleWA98108311744654HousingWA501( c)(3)Line 7PH & S - Washington0
The Gamelin Association
312 North Fourth StYakimaWA98901911180824HousingWA501( c)(3)Line 7PH & S - Washington0
The Gamelin Oregon Association
5520 NE GlisanPortlandOR97213911214491HousingOR501( c)(3)Line 9PH & S - Oregon0
The Gamelin California Association
540 23rd StOaklandCA94612911293869HousingCA501( c)(3)Line 9PHS - So California0
Gamelin Washington Association
1423 First AvenueSeattleWA98101201910170HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Foundation
1801 Lind Avenue SW 9016RentonWA980579016943078543Support PH&S InstitutionsWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Alaska Foundation
3300 Providence Drive - B Tower2AnchorageAK99508920093565Support PHS-AlaskaAK501( c)(3)Line 11/Type IPH & S - Washington0
Providence St Peter Foundation
413 Lilly Road NEOlympiaWA985065166911097056Support Affiliated Tax-Exempt OrganizationWA501( c)(3)Line 7PH & S - Washington0
Providence Health Care Foundation (Centralia)
914 S Scheuber RoadCentraliaWA98531911433382Support Providence Centralia HospitalWA501( c)(3)Line 7PH & S - Washington0
Providence Mount St Vincent Foundation
4831 - 35th Avenue SWSeattleWA981262799911188119Support Providence Mount St.VincentWA501( c)(3)Line 7PH & S - Washington0
Providence Marianwood Foundation
3725 Providence Point Drive SEIssaquahWA980297219931554288Support Providence MarianwoodWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Newberg Health Foundation
1001 Providence DriveNewbergOR97132930889144Support Providence Newberg Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Seaside Hospital Foundation
725 S Wahanna RdSeasideOR97138930927320Support Providence Seaside HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Community Health Foundation
1111 Crater Lake AveMedfordOR97504930692907Support Providence Medford Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Benedictine Nursing Center Foundation
540 South Main StMt AngelOR973629532911940286Support Providence Benedictine Nursing CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Portland Medical Foundation
4805 NE Glisan StPortlandOR972132967931231494Support Providence Portland Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence St Vincent Medical Foundation
9205 SW Barnes RdPortlandOR97225930575982Support Providence St. Vincent Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Milwaukie Foundation
10150 SE 32ndMilwaukieOR97222943079515Support Providence Milwaukie HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Child Center Foundation
830 NE 47thPortlandOR97213930800140Support Providence Child CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence TrinityCare Hospice Foundation
5315 Torrance Blvd Suite B1TorranceCA90503330261016Support TrinityCare HospiceCA501( c)(3)Line 7PHS - So California0
Providence Little Company of Mary Foundation
4101 Torrance BlvdTorranceCA90503510224944Support Little Company of Mary Service AreaCA501( c)(3)Line 7PHS - So California0
PH&S FoundationSFVSA & SCVSA
501 S Buena Vista StreetBurbankCA91505953544877Support Program & Activities of SFVSA & SCVSACA501( c)(3)Line 7PHS - So California0
Providence Hospice of Seattle Foundation
425 Pontius Avenue North 300SeattleWA981095452912077378Support Hospice of SeattleWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Health & Services - Western Washington
1801 Lind Avenue SW 9016RentonWA980579016911303277HealthcareWA501( c)(3)Line 3Providence MinistriesWHC0
Providence Health & Services
1801 Lind Avenue SW 9016RentonWA980579016911549796Shell CorporationWA501( c)(3)Line 11/Type I0N/A
Providence St Joseph Medical Center
PO Box 1010PolsonMT598601010810463482HealthcareMT501( c)(3)Line 3PH & S - Washington0
St Thomas Child and Family Center
1710 Benefis CourtGreat FallsMT59405810233495Early Childhood EducationMT501( c)(3)Line 1PH & S - Washington0
Sisters of Providence of Montana Corporation
1801 Lind Avenue SW 9016RentonWA980579016262612415Shell CorporationMT501( c)(3)Line 1PH & S - Washington0
Providence Health Care Foundation - Eastern Washington
101 W 8th AveSpokaneWA99204320014330Support PH&S-WA. Ministries in E. WA.WA501( c)(3)Line 7PH & S - Washington0
St Patrick Hospital Foundation
500 West Broadway PO Box 4587MissoulaMT598064587237056976Support Healthcare in W. MontanaMT501( c)(3)Line 7PH & S - Washington0
University of Great Falls
1301 20th Street SouthGreat FallsMT59405810231777Post Secondary EducationMT501( c)(3)Line 2PH & S - Washington0
E WA & MT Unemployment Compensation Insurance Trust
1801 Lind Avenue SW 9016RentonWA980579016911082119Unemployment BenefitsWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Willamette Falls Medical Foundation
1500 Division StreetOregon CityOR97045931003750Support Willamette Falls HospitalOR501( c)(3)Line 11/Type IPH & S - Oregon0
Providence Hood River Memorial Hospital Foundation Inc
811 13th StHood RiverOR97031930921990Support Providence Hood River Memorial HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Hospice and Home Care Foundation
2731 Wetmore Avenue Suite 500EverettWA98201272552749Support Program & Ministries of PHHCWA501(c )(3)Line 7PH & S - Washington0
Providence St Mary Foundation
401 W Poplar StWalla WallaWA99362452841492Support Program & Ministries of SMMCWA501(c )(3)Line 7PH & S - Washington0
Facey Medical Foundation
15451 San Fernando Mission Blvd 200Mission HillsCA913451420954322584Support Facey Medical GroupCA501(c )(3)Line 7PHS - So California0
Swedish Health Services
747 BroadwaySeattleWA98122910433740HealthcareWA501(c )(3)Line 3Western HealthConnect0
Swedish Edmonds
21601 76th Ave WEdmondsWA98026272305304HealthcareWA501(c )(3)Line 3Western HealthConnect0
Swedish Medical Center Foundation
747 BroadwaySeattleWA98122910983214Support Swedish Health ServicesWA501(c )(3)Line 7Swedish Health Services0
Global To Local Health Initiative
747 BroadwaySeattleWA98122273133200HealthcareWA501(c )(3)Line 7Swedish Health Services0
Swedish MJM Holdings
747 BroadwaySeattleWA98122273139262Holding CompanyWA501(c )(3)Line 11/Type ISwedish Health Services0
Marsha Rivkin Center for Ovarian Cancer Research
747 BroadwaySeattleWA98122912054035Ovarian Cancer ResearchWA501(c )(3)Line 7Swedish Health Services0
Western HealthConnect
747 BroadwaySeattleWA98122454171900Shell CorporationWA501(c )(3)Line 11/Type IProvidence Ministries0

Form990 Schedule R Part III Form990ScheduleRPartIII (28 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssets
Providence Imaging Center
3340 Providence DriveAnchorageAK99508920118807Medical ImagingAKPH&S - WARelated000.99000
Pathology Associates Medical Laboratories LLC
611 N PerrySpokaneWA99202270943279Outpatient LabWABourget Health Services IncRelated000.90000
California Laboratory Associates LLC
501 Buena VistaBurbankCA91505273888692Outpatient LabCAPHS - So CaliforniaRelated000.89500
Surgery Ctr at Tanasbourne LLC
1235 NE 47th Ave 260PortlandOR97213208187971Ambulatory Surgery CenterORPH&S - ORRelated000.83400
Distribution Operations Center LLC
1801 Lind Ave SW 9016RentonWA98057271054858Supplies Purchasing AgentWAPH&S - WARelated000.80000
Broadway Imaging LLC
500 W BroadwayMissoulaMT59802522405971Medical ImagingMTPH&S - MTRelated000.7500063957233235403
Ctr for Med Imaging-Bridgeport LLC
1235 NE 47th AvePortlandOR97213260796953Imaging - DiagnosticsORPH&S - ORRelated000.75000
Ctr for MedImaging-Tanasbourne LLC
1235 NE 47th AvePortlandOR97213200477972Imaging - DiagnosticsORPH&S - ORRelated000.75000
Portland Medical Imaging LLC
10538 SE Washington StPortlandOR97216201054971Imaging - DiagnosticsORPH&S - ORRelated000.75000
Oregon Advanced Imaging LLC
881 OHare ParkwayMedfordOR97504450471748Medical ImagingORPH&S - ORRelated000.70000
Minor & James Medical PLLC
515 Minor Avenue 200SeattleWA98104911340223Physician ClinicWASwedish MJM Holdings IncN/A000.69500
Clackamas Radiation Oncology Center LLC
1235 NE 47th Ave 288PortlandOR97213260381897Radiation OncologyORPH&S - ORRelated000.67000
PETCT Imaging at Swedish Cancer Institute LLC
1221 Madison StreetSeattleWA98104203132044Medical ImagingWASwedish Health ServicesRelated000.63000
Mountainstar Clinical Laboratories LLC
611 N PerrySpokaneWA99202261345983Outpatient LabMTPAML LLCRelated000.61300
PacLab LLC
611 N PerrySpokaneWA99202911743952Outpatient LabWAPH&S - WARelated000.61000
Center for Specialty Surgery LLC
11782 SW Barnes RdPortlandOR97225263638838Ambulatory Surgery CenterORPH&S - ORRelated000.51000
Oregon Outpatient Surgery Center
7300 SW Childs RdTigardOR97224223883387Ambulatory Surgery CenterORPH&S - ORRelated000.51000
ProvidenceUSP Santa Clarita GP LLC
11550 Indian Hills Road 160Mission HillsCA91345202829660Ambulatory Surgery CenterCAPHS - So CaliforniaRelated000.51000
ProvidenceUSP Surgery Ctrs LLC
11550 Indian Hills Road 160Mission HillsCA91345200905938Ambulatory Surgery CenterCAPHS - So CaliforniaRelated000.51000
Alpha Medical Laboratory LLC
611 N PerrySpokaneWA99202912017347Outpatient LabIDPAML LLCRelated000.50000
Canby Medical Center I LLC
2747 Pence Loop SESalemOR97302205470937Real Estate - MOBORPH&S - ORRelated000.50000
Greater Valley Medical Building LP
501 S Buena Vista StBurbankCA91505954570858Real Estate - MOBCAPHS - So CaliforniaInvestment000.50000
Medalia Healthcare LLC
1801 Lind Ave SW 9016RentonWA98057911660459Physician BenefitsWAPH&S - WAInvestment000.50000
Prov Radiation Oncology Develop Assn LLC
1235 NE 47th AvePortlandOR97213260682491Real Estate - MOBORPH&S - ORInvestment000.50000
ProvidenceSilverton Rehab LLC
1235 NE 47th Ave 260PortlandOR97213481287267Rehab ServicesORPH&S - ORRelated000.50000
Southern Idaho Regional Laboratory LLC
611 N PerrySpokaneWA99202820511819Outpatient LabIDPAML LLCRelated000.50000
Tri-Cities Laboratory LLC
611 N PerrySpokaneWA99202911773986Outpatient LabWAPAML LLCRelated000.25000
Providence Partners for Health LLC
501 S Buena Vista StBurbankCA91505454041798Clinical Quality & IntegrationCAPHS - So CaliforniaRelated000.82800

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrg
Providence Health Ventures Inc
4101 Torrance BlvdTorranceCA90503330122216InvestmentCAN/AC0
Caron Health Corporation
510 W Front StMissoulaMT59802810486082Medical Physician ServiceMTN/AC0
Providence Health Care Ventures Inc
101 W 8th Ave TAF C-9SpokaneWA99204900155714Clinical/Medical LabWAN/AC0
Providence Physician Services Co
101 W 8th Ave TAF C-9SpokaneWA99204911216033Clinical/Medical LabWAN/AC0
Yakima Medical Arts Inc
611 N Perry 100SpokaneWA99202910787963Rental Real EstateWAN/AC0
Bourget Health Services Inc
PO Box 2687SpokaneWA99220911354431Clinical/Medical LabWAN/AC0
1221 Madison Street Owners Assoc
747 BroadwaySeattleWA98122201954319Owners' AssociationWAN/AC0
Washington Cancer Centers PC
1560 N 115th G-16SeattleWA98133911792791Cancer TreatmentWAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
St Patrick Hospital Foundation
B549115Cost
St Patrick Hospital Foundation
C460665Cost
Caron Health Corporation
P2485464Cost
Providence St Joseph Medical Center
O14177Cost
Providence Health & Services - Washington
C56393Cost
Providence Health & Services - Washington
L2373235Cost
Providence Health & Services - Washington
M2143020Cost
Providence Health & Services - Washington
P26548594Cost