PROVIDENCE HEALTH & SERVICES MT: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE HEALTH & SERVICES MT (EIN 81-0231793)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-12
- IRS object ID
- 201213179349301641
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-12T12:35:29-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911194016 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Clark Nuber PS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4th Suite 1700 | AddressLine1 |
| City | Bellevue | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810231793 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE HEALTH & SERVICES - MONTANA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PROV | NameControl |
| Phone | 4255253985 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Avenue SW No 9016 | AddressLine1 |
| City | Renton | City |
| State | WA | State |
| ZIP Code | 980579016 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Todd Hofheins | Name |
| Title | VP/CFO | Title |
| Phone | 4255253985 | Phone |
| Date Signed | 2012-11-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Sara Elizabeth J Hyre CPA | Name |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Providence St Patrick Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | John F Koster MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Avenue SW No 9016 | AddressLine1 |
| City | Renton | City |
| State | WA | State |
| ZIP Code | 980579016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 280588166 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.saintpatrick.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | MT | StateLegalDomicile |
| Activity Or Mission Description | Healthcare with special concern for the poor and vulnerable in Missoula, MT. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1988 | TotalNbrEmployees |
| Total Nbr Volunteers | 250 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1549836 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 560335 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 246088910 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 249465667 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1563405 | InvestmentIncomePriorYear |
| Investment Income Current Year | 7614660 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5595733 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4764135 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 254797884 | TotalRevenuePriorYear |
| Total Revenue Current Year | 262404797 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 728409 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 7052927 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 103862142 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 109974663 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 134419077 | OtherExpensePriorYear |
| Other Expenses Current Year | 138624037 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 239009628 | TotalExpensesPriorYear |
| Total Expenses Current Year | 255651627 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 15788256 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6753170 | RevenuesLessExpensesCY |
| Total Assets BOY | 213565446 | TotalAssetsBOY |
| Total Assets EOY | 219934546 | TotalAssetsEOY |
| Total Liabilities BOY | 96414498 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 96294472 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 117150948 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 123640074 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | As People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Healthcare with special concern for the poor and vulnerable in Missoula, MT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 89103762 | Expense |
| Grants | 0 | Grants |
| Revenue | 122491467 | Revenue |
| Description | Acute Care - InpatientTotal Admissions: 7,908Total Patient Days: 37,902HistorySt. 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 changed our name from "St. Patrick Hospital" to "St. Patrick Hospital and Health Sciences Center" to reflect our increasing involvement 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:* St. Patrick Hospital received the Healthy Hospital Award for saving $352,293 and diverting 5,413 pounds of medical waste from landfills in 2010. The 'healthy hospital' designation is reserved for hospitals that demonstrate outstanding efforts to reduce the environmental footprint of healthcare delivery and improve hospital quality through medical device re-manufacturing and reprocessing. * 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 69765732 | Expense |
| Grants | 0 | Grants |
| Revenue | 95907363 | Revenue |
| Description | Acute Care - OutpatientTotal Visits: 154,272 See Line 4a Narrative | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 40670510 | Expense |
| Grants | 0 | Grants |
| Revenue | 26983914 | Revenue |
| Description | Primary CareTotal Visits: 158,971In 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.Grant Creek Family Medicine is Montana's First Patient-Centered MedicalHome. A patient-centered medical home is a clinic staffed by healthcareproviders who work as a team. Led by your primary care provider, your teammanages all of your healthcare needs, including routine and urgent care,preventive care and referrals to outside providers or specialists when necessary. | Description |
Activity Other ActivityOther (2 entries)
| ExpenseExpense | GrantsGrants | RevenueRevenue | DescriptionDescription |
|---|---|---|---|
| 7052927 | 7052927 | 0 | Grants and Allocations.See Schedule I. |
| 5724374 | 0 | 7869331 | Healthcare Joint VenturesThrough partnerships, St. Patrick's is able to provide additional healthcare services to the community. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 12777301 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 7052927 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 7869331 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 212317305 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1988 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 1 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MT | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Karl E Fritschel CPA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4255253339 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Ave SW 9016 | AddressLine1 |
| City | Renton | City |
| State | WA | State |
| ZIP Code | 980579016 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (46 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Lucille Dean SP | |||||||||
| Chair of the Board | 16.70 | X | X | 0 | 0 | 0 | |||
| M Adrian Davis LCM | |||||||||
| Director | 5.10 | X | 0 | 0 | 0 | ||||
| Mary Corita Heid RSM | |||||||||
| Director | 4.70 | X | 0 | 0 | 0 | ||||
| Michael A Stein | |||||||||
| Director | 6.40 | X | 0 | 19271 | 0 | ||||
| Michael Holcomb | |||||||||
| Director | 6.50 | X | 0 | 16045 | 0 | ||||
| Dana A Rasmussen | |||||||||
| Director | 5.50 | X | 0 | 16420 | 0 | ||||
| James S Roberts MD | |||||||||
| Director | 6.00 | X | 0 | 21564 | 0 | ||||
| Peter J Snow | |||||||||
| Director | 5.40 | X | 0 | 21643 | 0 | ||||
| Jeffrey B Clode MD | |||||||||
| Director | 7.40 | X | 0 | 21545 | 0 | ||||
| Sallye Liner | |||||||||
| Director | 2.60 | X | 0 | 19893 | 0 | ||||
| Owen B Robinson | |||||||||
| Director | 5.50 | X | 0 | 16065 | 0 | ||||
| Cheryl M Scott | |||||||||
| Director | 4.70 | X | 0 | 16143 | 0 | ||||
| Ellen L Wolf | |||||||||
| Director | 9.00 | X | 0 | 16065 | 0 | ||||
| John F Koster MD | |||||||||
| President/CEO | 54.00 | X | 0 | 4776573 | 1602882 | ||||
| Jeffrey W Rogers | |||||||||
| Corporate Secretary | 50.00 | X | 0 | 1614579 | 524852 | ||||
| Todd Hofheins | |||||||||
| VP/CFO | 56.00 | X | 0 | 330772 | 44868 | ||||
| Michael L Butler | |||||||||
| Exec. VP/COO/Treasurer | 65.00 | X | 0 | 1162565 | 582548 | ||||
| Jeffrey Fee | |||||||||
| President/CEO SPHHSC | 50.00 | X | 0 | 473328 | 128412 | ||||
| Bruce E Whitfield | |||||||||
| CFO - SPHHSC | 50.00 | X | 266872 | 0 | 31045 | ||||
| Gregory Van Pelt | |||||||||
| SVP/OR. Region | 55.00 | 0 | 3311411 | 947178 | X | ||||
| Arnold R Schaffer | |||||||||
| SVP/Operations | 60.00 | 0 | 2709303 | 779042 | X | ||||
| John V Fletcher | |||||||||
| SVP/Chief Ops. Int.Ofc. | 55.00 | 0 | 1825505 | 613859 | X | ||||
| Janice J Jones | |||||||||
| SVP/CAO | 55.00 | 0 | 2720021 | 566298 | X | ||||
| Eugene Al Parrish | |||||||||
| SVP/RCE Alaska Region | 50.00 | 0 | 1051632 | 489361 | X | ||||
| John O Mudd | |||||||||
| SVP/Mission Ldrship | 55.00 | 0 | 860943 | 408169 | X | ||||
| Myron Berdischewsky MD | |||||||||
| SVP/CMQO | 65.00 | 0 | 674529 | 464404 | X | ||||
| Claudia Haglund | |||||||||
| VP/Governance & Spons. | 50.00 | 0 | 1909927 | 456179 | X | ||||
| Michael Hunn | |||||||||
| SVP/RCE So. CA. Region | 60.00 | 0 | 1319956 | 257022 | X | ||||
| Cindra R Syverson | |||||||||
| VP/CHRO | 60.00 | 0 | 494955 | 174335 | X | ||||
| Joel S Gilbertson | |||||||||
| VP/Gov't & Public Affairs | 50.00 | 0 | 455568 | 74143 | X | ||||
| David Brown | |||||||||
| VP/Strat. & Bus. Develop. | 55.00 | 0 | 364226 | 120281 | X | ||||
| Orest Holubec | |||||||||
| VP/ Communications | 50.00 | 0 | 313390 | 41419 | X | ||||
| Terry L Smith | |||||||||
| SVP/Management Svcs. | 60.00 | 0 | 3216132 | 671539 | X | ||||
| Craig L Wright MD | |||||||||
| CE/OR. Amb.Clin. Svc. | 60.00 | 0 | 638787 | 284670 | X | ||||
| Bruce Lamoureux | |||||||||
| VP/ COO - AK. Region | 60.00 | 0 | 599685 | 217743 | X | ||||
| Andy Agwunobi MD Thru 1130 | |||||||||
| RCE/PHC | 50.00 | 0 | 693875 | 198720 | X | ||||
| David T Brooks | |||||||||
| RCE/NWW Region | 60.00 | 0 | 565551 | 207530 | X | ||||
| Medrice Coluccio | |||||||||
| RCE/SWW Region | 55.00 | 0 | 583584 | 380601 | X | ||||
| Mark H Wakai | |||||||||
| Reg. Chief Strategy Ops. | 50.00 | 337814 | 0 | 34065 | X | ||||
| Mark L Sanz MD | |||||||||
| Physician - Cardiology | 50.00 | 858854 | 0 | 74962 | X | ||||
| James M Maxwell MD | |||||||||
| Physician - Surgical | 50.00 | 669247 | 0 | 84264 | X | ||||
| James T Maddux MD | |||||||||
| Physician - Cardiology | 50.00 | 662256 | 0 | 63218 | X | ||||
| William Hull | |||||||||
| Physician - Cardiology | 50.00 | 581838 | 0 | 24505 | X | ||||
| George T Bandow MD | |||||||||
| Physician - Cardiology | 50.00 | 571655 | 0 | 20687 | X | ||||
| Keith Marton | |||||||||
| Former VP/CMQO | 0.00 | 0 | 1234802 | 157078 | X | ||||
| Russell Danielson | |||||||||
| Former CEO - OR. Region | 0.00 | 0 | 233389 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3948536 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 34319642 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 10725879 | TotalOtherCompensation |
| Number Individuals GT100 K | 116 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Western MT Emergency Phys | |||||
| POBox 4506 | Missoula | MT | 59802 | ER Physicians | 5731746 |
| Metro Aviation Inc | |||||
| PO Box 7008 | Shreveport | LA | 71137 | Helicopter Maintenance | 2449398 |
| Health Services Northwest | |||||
| 2201 Lind Avenue SW Ste 300 | Renton | WA | 98057 | AR Collections | 1406914 |
| McKesson Technologies in E1222 | |||||
| PO Box 98374 | Chicago | IL | 60693 | Consulting Services | 1295110 |
| GE Healthcare | |||||
| PO Box 843553 | Dallas | TX | 75284 | R&M Equipment | 1071937 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 62 | NumberOfContractorsGT100K |
| Federated Campaigns | 17162 | FederatedCampaigns |
| Related Organizations | 464830 | RelatedOrganizations |
| Government Grants | 66764 | GovernmentGrants |
| All Other Contributions | 11579 | AllOtherContributions |
| Total Contributions | 560335 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Acute Care - Inpatient | 622110 | 120953146 | 120953146 |
| Acute Care -Outpatient | 621400 | 94702900 | 94702900 |
| Primary Care | 621110 | 26039118 | 26039118 |
| Joint Ventures | 900099 | 7770503 | 7770503 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 249465667 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1146774 | TotalRevenueColumn |
| Exclusion | $1,146,774 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3105974 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3721847 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -615873 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -615873 | TotalRevenueColumn |
| Exclusion | -$615,873 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 13548454 | Securities |
| Other | 7200000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 13342199 | Securities |
| Other | 938369 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 206255 | Securities |
| Other | 6261631 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6467886 | TotalRevenueColumn |
| Exclusion | $6,467,886 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 204280 | GrossSalesOfInventory |
| Cost Of Goods Sold | 180954 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23326 | TotalRevenueColumn |
| Exclusion | $23,326 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| BIC Outside Services | 900099 | 1362542 | 1362542 |
| Dialysis Maintenance | 900099 | 676014 | 676014 |
| Occupational Health Sv | 900099 | 648920 | 648920 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2669206 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1098932 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,570,274 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 5356682 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 262404797 | TotalRevenueColumn |
| Related Or Exempt Function Income | 253252075 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $8,592,387 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7042487 | Total |
| Program Services | 7042487 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10440 | Total |
| Program Services | 10440 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1529553 | Total |
| Program Services | 359544 | ProgramServices |
| Management And General | 1170009 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85527234 | Total |
| Program Services | 75403945 | ProgramServices |
| Management And General | 10123289 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5749684 | Total |
| Program Services | 5100493 | ProgramServices |
| Management And General | 649191 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11073460 | Total |
| Program Services | 9653205 | ProgramServices |
| Management And General | 1420255 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6094732 | Total |
| Program Services | 5087783 | ProgramServices |
| Management And General | 1006949 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 368632 | Total |
| Program Services | 79392 | ProgramServices |
| Management And General | 289240 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1310 | Total |
| Management And General | 1310 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59207 | Total |
| Management And General | 59207 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83627 | Total |
| Management And General | 83627 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40255630 | Total |
| Program Services | 35353923 | ProgramServices |
| Management And General | 4901707 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1335849 | Total |
| Program Services | 1317468 | ProgramServices |
| Management And General | 18381 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3978015 | Total |
| Program Services | 3235035 | ProgramServices |
| Management And General | 742980 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1432686 | Total |
| Program Services | 444099 | ProgramServices |
| Management And General | 988587 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4105157 | Total |
| Program Services | 3121671 | ProgramServices |
| Management And General | 983486 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 569165 | Total |
| Program Services | 439450 | ProgramServices |
| Management And General | 129715 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 153330 | Total |
| Program Services | 124304 | ProgramServices |
| Management And General | 29026 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3039599 | Total |
| Program Services | 3039599 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17597250 | Total |
| Management And General | 17597250 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8626658 | Total |
| Program Services | 5975779 | ProgramServices |
| Management And General | 2650879 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1452179 | Total |
| Program Services | 1155711 | ProgramServices |
| Management And General | 296468 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Supplies | 38461331 | 38461331 | |
| Bad Debts | 14178932 | 14178932 | |
| License and Taxes | 2021044 | 2020026 | 1018 |
| Dues & Subscriptions | 402505 | 309838 | 92667 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 501931 | Total |
| Program Services | 402850 | ProgramServices |
| Management And General | 99081 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 255651627 | Total |
| Program Services | 212317305 | ProgramServices |
| Management And General | 43334322 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2876903 | BOY |
| EOY | 2648766 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1908127 | BOY |
| EOY | 84819 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17500 | BOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33809578 | BOY |
| EOY | 36502334 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12976034 | BOY |
| EOY | 12393034 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5447484 | BOY |
| EOY | 5346671 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2558040 | BOY |
| EOY | 2763834 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 209314835 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 124405593 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86676816 | BOY |
| EOY | 84909242 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29333719 | BOY |
| EOY | 31305095 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12380653 | BOY |
| EOY | 12268871 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25580592 | BOY |
| EOY | 31711880 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 213565446 | BOY |
| EOY | 219934546 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19951612 | BOY |
| EOY | 19503598 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1786093 | BOY |
| EOY | 1677967 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58178662 | BOY |
| EOY | 58178662 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16498131 | BOY |
| EOY | 16934245 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96414498 | BOY |
| EOY | 96294472 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112111652 | BOY |
| EOY | 119585391 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3836140 | BOY |
| EOY | 2780296 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1203156 | BOY |
| EOY | 1274387 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117150948 | BOY |
| EOY | 123640074 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 213565446 | BOY |
| EOY | 219934546 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6753170 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -264044 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $56,863 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $2,344 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 59207 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | The portion of monthly dues paid to the Montana Hospital Association designated for lobbying. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10594524 | OtherCostOrOtherBasis |
| Book Value | 10594524 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 97505399 | OtherCostOrOtherBasis |
| Depreciation | 53534078 | Depreciation |
| Book Value | 43971321 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2260959 | OtherCostOrOtherBasis |
| Depreciation | 1893996 | Depreciation |
| Book Value | 366963 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 98815712 | OtherCostOrOtherBasis |
| Depreciation | 68977519 | Depreciation |
| Book Value | 29838193 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 138241 | OtherCostOrOtherBasis |
| Book Value | 138241 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 84909242 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (5 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Invest in Prov. Surgery Center, LLC | 932231 | C |
| Invest in Broadway Imaging, LLC | 2562957 | C |
| Invest in Partners in Home Care, Inc. | 1564705 | C |
| Invest in Tamarack Management, Inc. | 3030675 | C |
| Invest in Foundation | 4178303 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 12268871 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Unamortized Bond Financing Costs | 467384 |
| Cash Surrender Value of Life Insurance | 130486 |
| Due from Affiliates | 31000316 |
| Other Receivables | 16694 |
| Due from Medicare 2011 | 97000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 31711880 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Other Payables | $8,794 |
| Due to Affiliates | $5,129,246 |
| Bond Premium Discount | $1,390,579 |
| Obligation for Financing Lease | $6,142,500 |
| Capitalized Lease Obligation | $3,395,027 |
| Third Party Settlements | $868,099 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 16934245 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X: | ReturnReference |
| Explanation | The 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 10179813 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 10179813 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04220 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 15838372 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10911344 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4927028 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02040 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 140250 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 115272 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 24978 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 26158435 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11026616 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15131819 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06270 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 394545 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 394545 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 197380 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 197380 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 27743324 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12657150 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15086174 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06250 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 66682 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 66682 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 41850 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 41850 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 28443781 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12657150 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15786631 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06540 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 54602216 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23683766 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 30918450 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12810 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 1000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 4224 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4224 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 5224 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5224 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $14,178,932 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 85106392 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 106818645 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -21712253 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 NONE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Providence St Patrick Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 West Broadway | AddressLine1 |
| City | Missoula | City |
| State | MT | State |
| ZIP Code | 59802 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
| Other | Rehab and Psych | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Providence St Patrick Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Broadway Building | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 West Broadway | AddressLine1 |
| City | Missoula | City |
| State | MT | State |
| ZIP Code | 59802 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | Outpatient Services | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| 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 $ 14178932. | |
| 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 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 III, SECTION A, LINE 1The reporting entity reports bad debt expense in accordance with HFMA Statement #15 with the exception of the following sections: 8.1(b) and 9.1. | |
| PART III, SECTION A, LINE 4It 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 V, Section B, Line 13g: 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 17e: 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 19d: 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 21: 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 154,709 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 and operates 27 general acute care hospitals, 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, 12 low-income housing projects, the Health Plan, a health services contractor, two programs of all inclusive care for the elderly, and 20 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, 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| St Patrick Hospital Foundation | |||||||
| 900 N Orange Suite 201 | Missoula | MT | 59801 | 237056976 | 501 (C)(3) | 6855095 | Contribution for Operational Support |
| Partnership Health Care | |||||||
| 323 W Alder | Missoula | MT | 59802 | 363843543 | 501 (C)(3) | 38046 | Support basic primary care for low income & uninsured residents |
| Catholic Social Services Of Montana | |||||||
| PO Box 907 | Helena | MT | 59624 | 920037322 | 501 (C)(3) | 35000 | Serving Catholic social services across Montana |
| Missoula Aging Service | |||||||
| 337 Stephens Ave | Missoula | MT | 59801 | 810379543 | 501 (C)(3) | 25000 | Support community services for the aging |
| United Way of Missoula County | |||||||
| 534 North Higgins Ave | Missoula | MT | 59802 | 810287854 | 501 (C)(3) | 20800 | Support community of Missoula |
| Brian Grant Foundation | |||||||
| PO Box 82270 | Portland | OR | 97282 | 271628944 | 501 (C)(3) | 10000 | Sponsorship - Summit for Parkinson's |
| Missoula City County Health Department | |||||||
| 301 West Alder | Missoula | MT | 59802 | 816001397 | Government | 7469 | Community support for reducing childhood obesity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 7 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Medication Assistance to low income patients | TypeOfGrant |
| Number Of Recipients | 120 | NumberOfRecipients |
| Amount Of Non Cash Assistance | 10440 | AmountOfNonCashAssistance |
| Method Of Valuation | Cost | MethodOfValuation |
| Description Of Non Cash Assistance | Medication Assistance to low income patients. | DescriptionOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (33 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John F Koster MD | |||||||||||||
| 0 | 1128700 | 0 | 3611373 | 0 | 36500 | 0 | 1585488 | 0 | 17394 | 0 | 6379455 | 0 | 0 |
| Jeffrey W Rogers | |||||||||||||
| 0 | 428372 | 0 | 1171207 | 0 | 15000 | 0 | 505409 | 0 | 19443 | 0 | 2139431 | 0 | 0 |
| Todd Hofheins | |||||||||||||
| 0 | 260430 | 0 | 57803 | 0 | 12539 | 0 | 24688 | 0 | 20180 | 0 | 375640 | 0 | 0 |
| Michael L Butler | |||||||||||||
| 0 | 775091 | 0 | 367474 | 0 | 20000 | 0 | 556768 | 0 | 25780 | 0 | 1745113 | 0 | 0 |
| Jeffrey Fee | |||||||||||||
| 0 | 332170 | 0 | 126158 | 0 | 15000 | 0 | 109210 | 0 | 19202 | 0 | 601740 | 0 | 0 |
| Bruce E Whitfield | |||||||||||||
| 194617 | 0 | 55655 | 0 | 16600 | 0 | 14419 | 0 | 16626 | 0 | 297917 | 0 | 0 | 0 |
| Gregory Van Pelt | |||||||||||||
| 0 | 690516 | 0 | 2584395 | 0 | 36500 | 0 | 925680 | 0 | 21498 | 0 | 4258589 | 0 | 0 |
| Arnold R Schaffer | |||||||||||||
| 0 | 667785 | 0 | 1931749 | 0 | 109769 | 0 | 756443 | 0 | 22599 | 0 | 3488345 | 0 | 0 |
| John V Fletcher | |||||||||||||
| 0 | 534720 | 0 | 1150130 | 0 | 140655 | 0 | 593141 | 0 | 20718 | 0 | 2439364 | 0 | 0 |
| Janice J Jones | |||||||||||||
| 0 | 572386 | 0 | 2081316 | 0 | 66319 | 0 | 542507 | 0 | 23791 | 0 | 3286319 | 0 | 0 |
| Eugene Al Parrish | |||||||||||||
| 0 | 507395 | 0 | 524212 | 0 | 20025 | 0 | 466528 | 0 | 22833 | 0 | 1540993 | 0 | 0 |
| John O Mudd | |||||||||||||
| 0 | 336906 | 0 | 487537 | 0 | 36500 | 0 | 389793 | 0 | 18376 | 0 | 1269112 | 0 | 0 |
| Myron Berdischewsky MD | |||||||||||||
| 0 | 477310 | 0 | 138533 | 0 | 58686 | 0 | 442395 | 0 | 22009 | 0 | 1138933 | 0 | 0 |
| Claudia Haglund | |||||||||||||
| 0 | 323326 | 0 | 1485333 | 0 | 101268 | 0 | 438152 | 0 | 18027 | 0 | 2366106 | 0 | 0 |
| Michael Hunn | |||||||||||||
| 0 | 470781 | 0 | 829175 | 0 | 20000 | 0 | 239155 | 0 | 17867 | 0 | 1576978 | 0 | 0 |
| Cindra R Syverson | |||||||||||||
| 0 | 377057 | 0 | 102898 | 0 | 15000 | 0 | 153119 | 0 | 21216 | 0 | 669290 | 0 | 0 |
| Joel S Gilbertson | |||||||||||||
| 0 | 321131 | 0 | 102937 | 0 | 31500 | 0 | 55305 | 0 | 18838 | 0 | 529711 | 0 | 0 |
| David Brown | |||||||||||||
| 0 | 259899 | 0 | 89327 | 0 | 15000 | 0 | 99285 | 0 | 20996 | 0 | 484507 | 0 | 0 |
| Orest Holubec | |||||||||||||
| 0 | 261429 | 0 | 29124 | 0 | 22837 | 0 | 20857 | 0 | 20562 | 0 | 354809 | 0 | 0 |
| Terry L Smith | |||||||||||||
| 0 | 597366 | 0 | 2544661 | 0 | 74105 | 0 | 649540 | 0 | 21999 | 0 | 3887671 | 0 | 0 |
| Craig L Wright MD | |||||||||||||
| 0 | 460242 | 0 | 163545 | 0 | 15000 | 0 | 263284 | 0 | 21386 | 0 | 923457 | 0 | 0 |
| Bruce Lamoureux | |||||||||||||
| 0 | 442134 | 0 | 123718 | 0 | 33833 | 0 | 196191 | 0 | 21552 | 0 | 817428 | 0 | 0 |
| Andy Agwunobi MD Thru 1130 | |||||||||||||
| 0 | 473492 | 0 | 128430 | 0 | 91953 | 0 | 178836 | 0 | 19884 | 0 | 892595 | 0 | 0 |
| David T Brooks | |||||||||||||
| 0 | 407789 | 0 | 142762 | 0 | 15000 | 0 | 186874 | 0 | 20656 | 0 | 773081 | 0 | 0 |
| Medrice Coluccio | |||||||||||||
| 0 | 402506 | 0 | 149578 | 0 | 31500 | 0 | 367079 | 0 | 13522 | 0 | 964185 | 0 | 0 |
| Mark H Wakai | |||||||||||||
| 260369 | 0 | 72416 | 0 | 5029 | 0 | 21730 | 0 | 12335 | 0 | 371879 | 0 | 0 | 0 |
| Mark L Sanz MD | |||||||||||||
| 638161 | 0 | 204168 | 0 | 16525 | 0 | 59539 | 0 | 15423 | 0 | 933816 | 0 | 0 | 0 |
| James M Maxwell MD | |||||||||||||
| 645222 | 0 | 0 | 0 | 24025 | 0 | 68157 | 0 | 16107 | 0 | 753511 | 0 | 0 | 0 |
| James T Maddux MD | |||||||||||||
| 634931 | 0 | 10800 | 0 | 16525 | 0 | 55943 | 0 | 7275 | 0 | 725474 | 0 | 0 | 0 |
| William Hull | |||||||||||||
| 370626 | 0 | 194687 | 0 | 16525 | 0 | 14038 | 0 | 10467 | 0 | 606343 | 0 | 0 | 0 |
| George T Bandow MD | |||||||||||||
| 369230 | 0 | 202400 | 0 | 25 | 0 | 7616 | 0 | 13071 | 0 | 592342 | 0 | 0 | 0 |
| Keith Marton | |||||||||||||
| 0 | 0 | 0 | 786086 | 0 | 448716 | 0 | 146314 | 0 | 10764 | 0 | 1391880 | 0 | 0 |
| Russell Danielson | |||||||||||||
| 0 | 0 | 0 | 108402 | 0 | 124987 | 0 | 0 | 0 | 0 | 0 | 233389 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 1a | The reporting organization did not provide any of the benefits listed in Part I, Line 1a. However, as part of Providence's philosophy of transparency, the narrative that follows relates to the compensation and benefits provided by the related organization. Providence Health & Services Expense Reimbursement Procedures include the following policies: 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 VP/Chief Human Resources Officer. During 2011, a total of three first-class tickets were 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 2011, the following Key Employees received gross-up payments: Arnold R. Schaffer Myron Berdischewsky Terry L. Smith Orest Holubec 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. 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 VP/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 2011, the following Key Employees received relocation payments: Arnold R. Schaffer Myron Berdischewsky Terry L. Smith Orest Holubec The amounts reported for these relocation payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. | |
| Part I, Lines 4a-b | NONQUALIFIED RETIREMENT PLANS A) DBSERP = Defined Benefit Supplemental Executive Retirement Plan B) DCSERP = Defined Contribution Supplemental Executive Retirement Plan C) DBCBRP = Defined Benefit Cash Balance Restoration Plan D) DCRP = Defined Contribution Restoration Plan E) ESP = Elective Survivor Plan F) SOP = Share Option Plan 1) John F. Koster, MD a) Taxable DBSERP Earned but not Paid- $3,063,813 b) Non-Taxable DBSERP Earned but not Paid - $781,587 c) Non-Taxable DCSERP Earned - $339,126 d) DBSERP Interest Credit - $439,580 2) Jeffrey W. Rogers a) Taxable DBSERP Earned but not Paid - $1,005,741 b) Non-Taxable DBSERP Earned but not Paid - $135,144 c) Taxable DCSERP Earned but not Paid - $8,561 d) Non-Taxable DCSERP Earned - $48,099 e) ESP Interest Credit - $79,952 f) DBSERP Interest Credit - $202,199 3) Todd Hofheins a) Non-Taxable DCRP Earned - $9,603 4) Gregory Van Pelt a) Taxable DBSERP Earned but not Paid - $ 2,008,828 b) Non-Taxable DBSERP Earned but not Paid - $185,993 c) Taxable DCSERP Earned but not Paid - $276,749 d) Non-Taxable DCSERP Earned - $292,233 e) ESP Interest Credit - $88,256 f) DBSERP Interest Credit - $319,032 5) Terry L. Smith a) Taxable DBSERP Earned but not Paid - $2,293,039 b) Non-Taxable DBSERP Earned but not Paid - $236,604 c) Taxable DCSERP Earned but not Paid - $21,722 d) Taxable DBCBRP Earned - $400 e) Non-Taxable DCSERP Earned - $69,165 f) ESP Interest Credit - $61,528 g) DBSERP Interest Credit - $231,388 6) Janice J. Jones a) Taxable DBSERP Earned but not Paid - $ 1,844,829 b) Non-Taxable DBSERP Earned but not Paid - $189,772 c) Taxable DBCBRP Earned but not Paid - $ 142 d) Non-Taxable DCSERP Earned - $154,703 e) SOP Paid - $29,819 f) DBSERP Interest Credit - $184,939 7) Arnold R. Schaffer a) Taxable DBSERP Earned but not Paid - $750,268 b) Non-Taxable DBSERP Earned but not Paid - $33,694 c) Taxable DCSERP Earned but not Paid - $832,896 d) Non-Taxable DCSERP Earned - $630,732 e) DBSERP Interest Credit - $82,122 8) Claudia Haglund a) Taxable DBSERP Earned but not Paid - $1,339,590 b) Non-Taxable DBSERP Earned but not Paid - $195,498 c) Taxable DCSERP Earned but not Paid - $29,245 d) Non-Taxable DCSERP Earned - $37,706 e) ESP Interest Credit - $22,834 f) SOP Paid - $ 69,768 g) DBSERP Interest Credit - $141,491 9) John V. Fletcher a) Taxable DBSERP Earned but not Paid - $648,808 b) Non-Taxable DBSERP Earned but not Paid - $52,905 c) Taxable DCSERP Earned but not Paid - $290,961 d) Non-Taxable DCSERP Earned - $388,497 e) ESP Interest Credit - $46,196 f) SOP Paid - $104,155 g) DBSERP Interest Credit - $86,372 10) Michael Hunn a) Taxable DBSERP Earned but not Paid - $327,914 b) Taxable DCSERP Earned but not Paid - $370,385 c) Non-Taxable DCSERP Earned - $216,958 d) DBSERP Interest Credit - $20,014 11) Michael L. Butler a) Non-Taxable DCSERP Earned - $435,962 b) DBSERP Interest Credit - $95,665 12) Eugene "Al" Parrish a) Taxable DBSERP Earned but not Paid - $346,852 b) Non-Taxable DBSERP Earned but not Paid - $268,971 c) Non-Taxable DCSERP Earned - $56,382 d) DBSERP Interest Credit - $128,312 13) John O. Mudd a) Taxable DBSERP Earned but not Paid - $226,235 b) Non-Taxable DBSERP Earned but not Paid - $71,542 c) Taxable DCSERP Earned but not Paid - $125,304 d) Non-Taxable DCSERP Earned - $254,702 e) DBSERP Interest Credit - $53,501 14) Andrew Agwunobi, MD a) Non-Taxable DCSERP Earned - $158,816 b) DBSERP Interest Credit - $8,147 15) Myron Berdischewsky, MD a) Non-Taxable DCSERP Earned - $404,844 b) DBSERP Interest Credit - $12,137 16) Craig L. Wright, MD a) Non-Taxable DCSERP Earned - $199,302 b) DBSERP Interest Credit - $38,604 17) Bruce Lamoureux a) Taxable DBCBRP Earned - $518 b) Non-Taxable DCSERP Earned - $166,650 c) DBSERP Interest Credit - $22,275 18) Medrice Coluccio a) Non-Taxable DCSERP Earned - $344,898 b) DBSERP Interest Credit - $4,529 19) David T. Brooks a) Non-Taxable DCSERP Earned - $149,660 b) DBSERP Interest Credit - $21,641 20) Cindra R. Syverson a) Non-Taxable DCSERP Earned - $130,173 b) DBSERP Interest Credit - $14,305 21) Joel S. Gilbertson a) Non-Taxable DCSERP Earned - $48,086 22) David S. Brown a) Non-Taxable DCSERP Earned - $74,666 23) Orest Holubec a) Non-Taxable DCSERP Earned - $9,236 24) Keith Marton, MD a) Taxable DBSERP Earned but not Paid - $501,372 b) Taxable DCSERP Earned but not Paid - $284,714 c) Non-Taxable DCSERP Earned - $114,423 d) DBSERP Interest Credit - $30,600 25) Russell Danielson a) Taxable DBSERP Paid - $ 108,402 b) ESP Paid - $57,407 26) Jeffrey Fee a) Non-Taxable DCSERP Earned - $86,619 b) DBSERP Interest Credit - $8,183 27) Bruce E. Whitfield a) Non-Taxable DCRP Earned - $2,546 28) Mark H. Wakai a) Non-Taxable DCRP Earned - $9,857 | |
| Part I, Lines 4a-b | SEVERANCE 1) Keith Marton, MD - $428,716 | |
| Part III | FORM 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 2011, 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 2011 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
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Montana Facility Finance Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 810302402 | IssuerEIN |
| CUSIP Number | 61204KCB5 | CUSIPNumber |
| Date Issued | 2006-06-22 | DateIssued |
| Issue Price | 60083957 | IssuePrice |
| Description Of Purpose | Refunded Series 1999 Bonds - 7/20/99; Refunded Series 2002 Bonds - 8/7/02 | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 60083957 | TotalProceeds |
| Amount In Reserve Fund | 35 | AmountInReserveFund |
| Refunding Escrow | 26960973 | RefundingEscrow |
| Issuance Costs From Proceeds | 642236 | IssuanceCostsFromProceeds |
| Year Of Subst Completion | 2002 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 1 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | John F Koster MD | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Officer | Relationship |
| Amount Of Transaction | 29157638 | AmountOfTransaction |
| Description Of Transaction | Purchase of supplies through cooperative on which Dr. Koster is a Director. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | The sole Member of the Corporation is Providence Health & Services, a Washington not-for-profit corporation. | |
| Form 990, Part VI, Section A, line 7a | The powers of the Corporate Member include the provision to appoint the number of Directors, appoint the Board of Directors and to remove such Directors at any time with or without cause. Additionally, the Member may appoint and remove the President/CEO with or without cause, after requesting a recommendation for the Board of Directors. | |
| Form 990, Part VI, Section A, line 7b | The following powers reside with the Member: * To adopt or change the mission, philosophy, and values of the Corporation. * To amend or repeal the Articles of Incorporation and the Bylaws of the Corporation. * To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale, transfer, assignment or encumbering of the assets, in excess of a specified amount. * To approve the dissolution and/or liquidation or the consolidation or merger of the Corporation. * To approve the annual operating and capital budget and approval any deviations from the budget exceeding a specified amount. * To appoint the Corporation's certified public accountants after receiving recommendation of the Board of Directors. * To approve the closure of any institution or major ministry or work within this Corporation. | |
| Form 990, Part VI, Section B, line 11 | The 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 12c | Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict. | |
| Form 990, Part VI, Section B, line 15 | It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its 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 19 | Public 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 VII | Jeffrey Fee - 500 West Broadway, Missoula, MT 59802. Bruce E. Whitfield - 500 West Broadway, Missoula, MT 59802. Mark H. Wakai - 500 West Broadway, Missoula, MT 59802. | Contact Addresses for Officers, Directors, Etc |
| Form 990, Part XI, line 5: | Net unrealized gains on investments: 793,555. FAS 136 -984,613. Grant Reclassifications -72,970. Rounding -16. Total to Form 990, Part XI, Line 5: -264,044. | Changes in Net Assets or Fund Balances: |
| FORM 990, PART VII, LINE 1A | The average hours per week reflect hours worked for the entire Providence Health & Services healthcare system and are not allocated to the individual reporting entity. | HOURS WORKED |
| FORM 990, PART IX, COLUMN D | This entity had no fundraising expenses as all fundraising is handled through an affiliated Foundation. | FUNDRAISING EXPENSES |
| FORM 990, PART I, LINE 6 | Volunteers 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 * Fundraising included two See's Candy sales, one "Books are Fun" sale, one Bake sale * Archiving * Hospitality, social events & special projects | VOLUNTEERS |
| FORM 990, PART VII | As members of the Religious Community, each Sister has taken a vow of poverty as a compulsory part of her religious life. Any compensation for services of a Sister inures only for the benefit of the Community, not the individual members. All payments for services are made directly to the Religious Community. | RELIGIOUS COMMUNITY MEMBERS |
| FORM 990, PART V, LINE 1 | All 1099s for 2011 were issued by Providence Health & Services - Washington #51-0216586. Therefore, none are shown for the reporting organization. | ISSUANCE OF FORM 1099 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (55 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence Health & Services - Washington | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216586 | Healthcare System | WA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Providence Health & Services - Oregon | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216587 | Healthcare System | OR | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Providence Health System - So California | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216589 | Healthcare System | CA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Everett Transitional Care Services | |||||||||||
| PO Box 1067 | Everett | WA | 982061067 | 943264605 | Transitional Care | WA | 501( c)(3) | Line 9 | 0 | N/A | |
| Providence Oregon Management Corporation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 930813977 | Shell Corporation | OR | 501( c)(3) | Line 1 | PH & S - Oregon | 0 | |
| Providence Plan Partners | |||||||||||
| 3601 SW Murray Blvd 10 | Beaverton | OR | 97005 | 911861964 | Healthcare Services | OR | 501( c)(4) | N/A | PH & S - Oregon | 0 | |
| Providence Health Plan | |||||||||||
| 3601 SW Murray Blvd 10 | Beaverton | OR | 97005 | 930863097 | Health Service Contractor | OR | 501( c)(4) | N/A | Providence Plan Partners | 0 | |
| Providence Health Assurance | |||||||||||
| 3601 SW Murray Blvd 10 | Beaverton | OR | 97005 | 550828701 | Medicaid Healthcare Provider | OR | 501( c)(4) | N/A | Providence Health Plan | 0 | |
| Providence Medical Institute | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330283773 | Healthcare | CA | 501( c)(3) | Line 11/Type I | PHS - So California | 0 | |
| Little Company of Mary Ancillary Services Corporation | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330844408 | Imaging Services | CA | 501( c)(3) | Line 9 | PHS - So California | 0 | |
| Providence TrinityCare Hospice | |||||||||||
| 2601 Airport Drive 230 | Torrance | CA | 90505 | 953264139 | Hospice | CA | 501( c)(3) | Line 9 | PHS - So California | 0 | |
| Providence Blanchet Association | |||||||||||
| 1700 Providence Pl | Centralia | WA | 98531 | 911789266 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| St Luke Association | |||||||||||
| 350 Washington Ave SE | Chehalis | WA | 98352 | 943176618 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Rossi Association | |||||||||||
| 1700 Providence Pl | Centralia | WA | 98531 | 311584166 | Housing | WA | 501( c)(3) | Line 9 | PH & S - Washington | 0 | |
| Lundberg Association | |||||||||||
| 5921 E Burnside | Portland | OR | 97215 | 911562797 | Housing | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence St Francis Association | |||||||||||
| 3415 12th Avenue NE | Olympia | WA | 98506 | 943244854 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Peter Claver Association | |||||||||||
| 7101 38th Avenue South | Seattle | WA | 98118 | 311629656 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence St Elizabeth House Association | |||||||||||
| 3201 SW Graham St | Seattle | WA | 98126 | 912171539 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Gamelin House Association | |||||||||||
| 4515 MLK Jr Way S Ste 200 | Seattle | WA | 98108 | 311744654 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| The Gamelin Association | |||||||||||
| 312 North Fourth St | Yakima | WA | 98901 | 911180824 | Housing | WA | 501( c)(3) | Line 1 | PH & S - Washington | 0 | |
| The Gamelin Oregon Association | |||||||||||
| 5520 NE Glisan | Portland | OR | 97213 | 911214491 | Housing | OR | 501( c)(3) | Line 9 | PH & S - Oregon | 0 | |
| The Gamelin California Association | |||||||||||
| 540 23rd St | Oakland | CA | 94612 | 911293869 | Housing | CA | 501( c)(3) | Line 9 | PHS - So California | 0 | |
| Gamelin Washington Association | |||||||||||
| 1423 First Avenue | Seattle | WA | 98101 | 201910170 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Foundation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 943078543 | Support PH&S Institutions | WA | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence Alaska Foundation | |||||||||||
| 3300 Providence Drive - B Tower2 | Anchorage | AK | 99508 | 920093565 | Support PHS-Alaska | AK | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence St Peter Foundation | |||||||||||
| 413 Lilly Road NE | Olympia | WA | 985065166 | 911097056 | Support Affiliated Tax-Exempt Organization | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Health Care Foundation (Centralia) | |||||||||||
| 914 S Scheuber Road | Centralia | WA | 98531 | 911433382 | Support Providence Centralia Hospital | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Mount St Vincent Foundation | |||||||||||
| 4831 - 35th Avenue SW | Seattle | WA | 981262799 | 911188119 | Support Providence Mount St.Vincent | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Marianwood Foundation | |||||||||||
| 3725 Providence Point Drive SE | Issaquah | WA | 980297219 | 931554288 | Support Providence Marianwood | WA | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence Newberg Health Foundation | |||||||||||
| 1001 Providence Drive | Newberg | OR | 97132 | 930889144 | Support Providence Newberg Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Seaside Hospital Foundation | |||||||||||
| 725 S Wahanna Rd | Seaside | OR | 97138 | 930927320 | Support Providence Seaside Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Community Health Foundation | |||||||||||
| 1111 Crater Lake Ave | Medford | OR | 97504 | 930692907 | Support Providence Medford Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Benedictine Nursing Center Foundation | |||||||||||
| 540 South Main St | Mt Angel | OR | 973629532 | 911940286 | Support Providence Benedictine Nursing Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Portland Medical Foundation | |||||||||||
| 4805 NE Glisan St | Portland | OR | 972132967 | 931231494 | Support Providence Portland Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence St Vincent Medical Foundation | |||||||||||
| 9205 SW Barnes Rd | Portland | OR | 97225 | 930575982 | Support Providence St. Vincent Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Milwaukie Foundation | |||||||||||
| 10150 SE 32nd | Milwaukie | OR | 97222 | 943079515 | Support Providence Milwaukie Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Child Center Foundation | |||||||||||
| 830 NE 47th | Portland | OR | 97213 | 930800140 | Support Providence Child Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence TrinityCare Hospice Foundation | |||||||||||
| 2601 Airport Drive 230 | Torrance | CA | 90505 | 330261016 | Support TrinityCare Hospice | CA | 501( c)(3) | Line 7 | PHS - So California | 0 | |
| Providence Little Company of Mary Foundation | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 510224944 | Support Little Company of Mary Service Area | CA | 501( c)(3) | Line 7 | PHS - So California | 0 | |
| PH&S FoundationSFVSA & SCVSA | |||||||||||
| 501 S Buena Vista Street | Burbank | CA | 91505 | 953544877 | Support Program & Activities of SFVSA & SCVSA | CA | 501( c)(3) | Line 7 | PHS - So California | 0 | |
| Providence Hospice of Seattle Foundation | |||||||||||
| 425 Pontius Avenue North 300 | Seattle | WA | 981095452 | 912077378 | Support Hospice of Seattle | WA | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| The John Gabriel Ryan Association | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911303277 | Healthcare | WA | 501( c)(3) | Line 3 | PH & S - Washington | 0 | |
| Providence Health & Services | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911549796 | Shell Corporation | WA | 501( c)(3) | Line 11/Type I | 0 | N/A | |
| Providence St Joseph Medical Center | |||||||||||
| PO Box 1010 | Polson | MT | 598601010 | 810463482 | Healthcare | MT | 501( c)(3) | Line 3 | PH & S - Washington | 0 | |
| St Thomas Child and Family Center | |||||||||||
| 1710 Benefis Court | Great Falls | MT | 59405 | 810233495 | Early Childhood Education | MT | 501( c)(3) | Line 1 | PH & S - Washington | 0 | |
| Sisters of Providence of Montana Corporation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 262612415 | Shell Corporation | MT | 501( c)(3) | Line 1 | PH & S - Washington | 0 | |
| Sacred Heart Children's Foundation | |||||||||||
| PO Box 2555 | Spokane | WA | 99220 | 320014330 | Support Sacred Heart Children's Hospital | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| St Patrick Hospital Foundation | |||||||||||
| 500 West Broadway PO Box 4587 | Missoula | MT | 598064587 | 237056976 | Support Healthcare in W. Montana | MT | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| University of Great Falls | |||||||||||
| 1301 20th Street South | Great Falls | MT | 59405 | 810231777 | Post Secondary Education | MT | 501( c)(3) | Line 2 | PH & S - Washington | 0 | |
| E WA & MT Unemployment Compensation Insurance Trust | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911082119 | Unemployment Benefits | WA | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence Willamette Falls Medical Foundation | |||||||||||
| 1500 Division Street | Oregon City | OR | 97045 | 931003750 | Support Willamette Falls Hospital | OR | 501( c)(3) | Line 11/Type I | PH & S - Oregon | 0 | |
| Willamette Falls Hospital dba Providence Willamette Falls Medical Center | |||||||||||
| 1500 Division Street | Oregon City | OR | 97045 | 930426018 | Healthcare | OR | 501(c )(3) | Line 3 | PH & S - Oregon | 0 | |
| Providence Hood River Memorial Hospital Foundation Inc | |||||||||||
| 811 13th St | Hood River | OR | 97031 | 930921990 | Support Providence Hood River Memorial Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Hospice and Home Care Foundation | |||||||||||
| 2731 Wetmore Avenue Suite 500 | Everett | WA | 98201 | 272552749 | Support Program & Activities of PHHC | WA | 501(c )(3) | Line 7 | PH & S - Washington | 0 | |
| Providence St Mary Foundation | |||||||||||
| 401 W Poplar St | Walla Walla | WA | 99362 | 452841492 | Support Program & Activities of SMMC | WA | 501(c )(3) | Line 7 | PH & S - Washington | 0 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (28 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| Providence Imaging Center | ||||||||||
| 3340 Providence Drive | Anchorage | AK | 99508 | 920118807 | Medical Imaging | AK | PH&S - WA | Related | 0 | 0 |
| Providence Surgery Centers LLC | ||||||||||
| PO Box 233889 | Anchorage | AK | 99523 | 203567411 | Surgery | AK | PH&S - WA | Related | 0 | 0 |
| Mountainstar Clinical Laboratories LLC | ||||||||||
| 611 N Perry | Spokane | WA | 99202 | 261345983 | Outpatient Lab | MT | PAML LLC | Related | 0 | 0 |
| Broadway Imaging LLC | ||||||||||
| 500 W Broadway | Missoula | MT | 59802 | 522405971 | Medical Imaging | MT | PH&S - MT | Related | 0 | 0 |
| Ctr for MedImaging-Tanasbourne LLC | ||||||||||
| 1235 NE 47th Ave | Portland | OR | 97213 | 200477972 | Imaging - Diagnostics | OR | PH&S - OR | Related | 0 | 0 |
| Ctr for Med Imaging-Bridgeport LLC | ||||||||||
| 1235 NE 47th Ave | Portland | OR | 97213 | 260796953 | Imaging - Diagnostics | OR | PH&S - OR | Related | 0 | 0 |
| Center for Specialty Surgery LLC | ||||||||||
| 11782 SW Barnes Rd | Portland | OR | 97225 | 263638838 | Ambulatory Surgery Center | OR | PH&S - OR | Related | 0 | 0 |
| Clackamas Radiation Oncology Center LLC | ||||||||||
| 1235 NE 47th Ave 288 | Portland | OR | 97213 | 260381897 | Radiation Oncology | OR | PH&S - OR | Related | 0 | 0 |
| Oregon Outpatient Surgery Center | ||||||||||
| 7300 SW Childs Rd | Tigard | OR | 97224 | 223883387 | Ambulatory Surgery Center | OR | PH&S - OR | Related | 0 | 0 |
| Surgery Ctr at Tanasbourne LLC | ||||||||||
| 1235 NE 47th Ave 260 | Portland | OR | 97213 | 208187971 | Ambulatory Surgery Center | OR | PH&S - OR | Related | 0 | 0 |
| ProvidenceSilverton Rehab LLC | ||||||||||
| 1235 NE 47th Ave 260 | Portland | OR | 97213 | 481287267 | Rehab Services | OR | PH&S - OR | Related | 0 | 0 |
| Portland Medical Imaging LLC | ||||||||||
| 10538 SE Washington St | Portland | OR | 97216 | 201054971 | Imaging - Diagnostics | OR | PH&S - OR | Related | 0 | 0 |
| Prov Radiation Oncology Develop Assn LLC | ||||||||||
| 1235 NE 47th Ave | Portland | OR | 97213 | 260682491 | Real Estate - MOB | OR | PH&S - OR | Investment | 0 | 0 |
| Central Point MRI LLC | ||||||||||
| 870 S Front St | Central Point | OR | 97502 | 261975164 | MRI Services | OR | PH&S - OR | Related | 0 | 0 |
| Greater Valley Medical Building LP | ||||||||||
| 501 S Buena Vista St | Burbank | CA | 91505 | 954570858 | Real Estate - MOB | CA | PHS - So California | Investment | 0 | 0 |
| Pathology Associates Medical Laboratories LLC | ||||||||||
| 611 N Perry | Spokane | WA | 99202 | 270943279 | Outpatient Lab | WA | Bourget Health Services Inc | Related | 0 | 0 |
| Southern Idaho Regional Laboratory LLC | ||||||||||
| 611 N Perry | Spokane | WA | 99202 | 820511819 | Outpatient Lab | ID | PAML LLC | Related | 0 | 0 |
| Tri-Cities Laboratory LLC | ||||||||||
| 611 N Perry | Spokane | WA | 99202 | 911773986 | Outpatient Lab | WA | PAML LLC | Related | 0 | 0 |
| Alpha Medical Laboratory LLC | ||||||||||
| 611 N Perry | Spokane | WA | 99202 | 912017347 | Outpatient Lab | ID | PAML LLC | Related | 0 | 0 |
| PacLab LLC | ||||||||||
| 611 N Perry | Spokane | WA | 99202 | 911743952 | Outpatient Lab | WA | PH&S - WA | Related | 0 | 0 |
| HealthServicesNW LLC | ||||||||||
| PO Box 389672 | Seattle | WA | 98138 | 311750915 | Medical Billing | WA | PH&S - WA | Related | 0 | 0 |
| Medalia Healthcare LLC | ||||||||||
| 1801 Lind Ave SW 9016 | Renton | WA | 98057 | 911660459 | Physician Benefits | WA | PH&S - WA | Investment | 0 | 0 |
| Distribution Operations Center LLC | ||||||||||
| 1801 Lind Ave SW 9016 | Renton | WA | 98057 | 271054858 | Supplies Purchasing Agent | WA | PH&S - WA | Related | 0 | 0 |
| Oregon Advanced Imaging LLC | ||||||||||
| 881 OHare Parkway | Medford | OR | 97504 | 450471748 | Medical Imaging | OR | PH&S - OR | Related | 0 | 0 |
| ProvidenceUSP Surgery Ctrs LLC | ||||||||||
| 11550 Indian Hills Road 160 | Mission Hills | CA | 91345 | 200905938 | Ambulatory Surgery Center | CA | PHS - So California | Related | 0 | 0 |
| California Laboratory Associates LLC | ||||||||||
| 501 Buena Vista | Burbank | CA | 91505 | 273888692 | Outpatient Lab | CA | PHS - So California | Related | 0 | 0 |
| Canby Medical Center I LLC | ||||||||||
| 2747 Pence Loop SE | Salem | OR | 97302 | 205470937 | Real Estate - MOB | OR | Willamette Falls Hospital | Related | 0 | 0 |
| ProvidenceUSP Santa Clarita GP LLC | ||||||||||
| 11550 Indian Hills Road 160 | Mission Hills | CA | 91345 | 202829660 | Ambulatory Surgery Center | CA | PHS - So California | Related | 0 | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|
| Providence Health Ventures Inc | ||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330122216 | Investment | CA | N/A | C | ||
| Providence Health Care Ventures Inc | ||||||||||
| 101 West 8th Ave TAF C-9 | Spokane | WA | 99204 | 900155714 | Clinical/Medical Lab | WA | N/A | C | ||
| Providence Physician Services Co | ||||||||||
| 101 West 8th Ave TAF C-9 | Spokane | WA | 99208 | 911216033 | Clinical/Medical Lab | WA | N/A | C | ||
| Yakima Medical Arts Inc | ||||||||||
| 611 N Perry Suite 100 | Spokane | WA | 99202 | 910787963 | Rental Real Estate | WA | N/A | C | ||
| Bourget Health Services Inc | ||||||||||
| PO Box 2687 | Spokane | WA | 99220 | 911354431 | Clinical/Medical Lab | WA | N/A | C | ||
| Caron Health Corporation | ||||||||||
| 510 West Front Street | Missoula | MT | 59802 | 810486082 | Medical Physician Service | MT | C | PH & S - MT dba Providence St Patrick Hospital | 1.00000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| St Patrick Hospital Foundation | ||
| B | 6855095 | Cost |
| St Patrick Hospital Foundation | ||
| C | 984993 | Cost |
| St Patrick Hospital Foundation | ||
| P | 107600 | Cost |
| Caron Health Corporation | ||
| P | 1078160 | Cost |
| Caron Health Corporation | ||
| O | 355778 | Cost |
| Providence St Joseph Medical Center | ||
| O | 12345 | Cost |
| Providence Health & Services - Washington | ||
| C | 202700 | Cost |
| Providence Health & Services - Washington | ||
| L | 3214982 | Cost |