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PROVIDENCE HEALTH & SERVICES WASHINGTON: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON (EIN 51-0216586)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201213209349306711
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-15T14:25:48-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN911194016EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Clark Nuber PSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4th Suite 1700AddressLine1
CityBellevueCity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN510216586EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE HEALTH & SERVICES - WASHINGTONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPROVNameControl
Phone4255253985Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameTodd HofheinsName
TitleVP/CFOTitle
Phone4255253985Phone
Date Signed2012-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSara Elizabeth J Hyre CPAName
PTINP00235495PTIN
Phone4254544919Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJohn F Koster MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11801 Lind Ave SW No 9016AddressLine1
CityRentonCity
StateWAState
ZIP Code980579016ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5363442294GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww2.providence.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1859YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionHealthcare with special concern for the poor and vulnerable in WA. & AK.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees25449TotalNbrEmployees
Total Nbr Volunteers4763TotalNbrVolunteers
Total Gross UBI9411808TotalGrossUBI
Net Unrelated Business Txbl Income2124719NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year26384935ContributionsGrantsPriorYear
Contributions Grants Current Year38316774ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3026006930ProgramServiceRevenuePriorYear
Program Service Revenue CY3118429863ProgramServiceRevenueCY
Investment Income Prior Year50267367InvestmentIncomePriorYear
Investment Income Current Year56985162InvestmentIncomeCurrentYear
Other Revenue Prior Year341671989OtherRevenuePriorYear
Other Revenue Current Year404613548OtherRevenueCurrentYear
Total Revenue Prior Year3444331221TotalRevenuePriorYear
Total Revenue Current Year3618345347TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year13924007GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY17040598GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1686837618SalariesEtcPriorYear
Salaries Etc Current Year1840064916SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1498139TotalFundrsngExpCurrentYear
Other Expense Prior Year1710954254OtherExpensePriorYear
Other Expenses Current Year1655387808OtherExpensesCurrentYear
Total Expenses Prior Year3411715879TotalExpensesPriorYear
Total Expenses Current Year3512493322TotalExpensesCurrentYear
Revenues Less Expenses Prior Year32615342RevenuesLessExpensesPriorYear
Revenues Less Expenses CY105852025RevenuesLessExpensesCY
Total Assets BOY5026204416TotalAssetsBOY
Total Assets EOY5566177800TotalAssetsEOY
Total Liabilities BOY3395073104TotalLiabilitiesBOY
Total Liabilities EOY3820671312TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1631131312NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1745506488NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAs People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Healthcare with special concern for the poor & vulnerable in WA. & AK.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1372166829Expense
Grants0Grants
Revenue1680350451Revenue
DescriptionAcute Care - Inpatient 520,122 Adult & Pediatric Admissions 113,758 Patient DaysOUR MISSION - As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service. OUR CORE VALUES - Respect, Compassion, Justice, Excellence, and Stewardship Providence cares Whether tenderly holding a special-needs child who requires round-the-clock care, or easing the way for a stroke patient who faces both physical and financial struggles, the people of Providence are called to a mission of service. Our lifework is to provide excellent care for everyone, at all stages of life, regardless of ability to pay. This has been the Providence mission since the Sisters of Providence arrived on the shores of the Columbia River 150 years ago, committed to the care and healing of poor and vulnerable frontier neighbors. Providence Health & Services - Washington is a not-for-profit network of hospitals, care centers, physicians, clinics, home health services and affiliated services. We continue a tradition of caring that the Sisters of Providence began in the West 150 years ago.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense831084184Expense
Grants0Grants
Revenue1017742635Revenue
DescriptionAcute Care - Outpatient 1,577,756 Emergency & Ancillary VisitsDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense199511409Expense
Grants0Grants
Revenue244320938Revenue
DescriptionLTC/Hospice/Housing & Assisted Living - 410,918 Days for Long-Term Care/Asst. Living; 243,339 Home Health Visits; 325,217 Hospice DaysDescription

Activity Other ActivityOther (3 entries)

ExpenseExpenseGrantsGrantsRevenueRevenueDescriptionDescription
1190451850145782296Primary Care 993,835 Clinic Visits
38558256047218299Healthcare Joint Ventures
17040598170405980Grant & Allocations - See Schedules F & I
FieldValueIRS element (for citing)
Total Of Other Program Service Exp174644039TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt17040598TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev193000595TotalOfOtherProgramServiceRev
Total Program Service Expense2577406461TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations1MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming1Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962950NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees25449NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (47 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Lucille Dean SP
Chair of the Board16.70XX000
M Adrian Davis LCM
Director5.10X000
Mary Corita Heid RSM
Director4.70X000
Michael A Stein
Director6.40X1927100
Michael Holcomb
Director6.50X1604500
Dana A Rasmussen
Director5.50X1642000
James S Roberts MD
Director6.00X2156400
Peter J Snow
Director5.40X2164300
Jeffrey B Clode MD
Director7.40X2154500
Sallye Liner
Director2.60X1989300
Owen B Robinson
Director5.50X1606500
Cheryl M Scott
Director4.70X1614300
Ellen L Wolf
Director9.00X1606500
John F Koster MD
President/CEO54.00X477657301602882
Jeffrey W Rogers
Corporate Secretary50.00X16145790524852
Todd Hofheins
VP/CFO56.00X330772044868
Michael L Butler
EVP/COO/Treasurer65.00X11625650582548
John V Fletcher
SVP/Chief Ops. Int.Ofc.55.00X18255050613859
Eugene Al Parrish
SVP/RCE Alaska Region50.00X10516320489361
Daniel T Harris
CFO - WA/MT. Region50.00X5158430216022
Anthony J Dorsch
CFO - AK. Region50.00X345555066323
Gregory Van Pelt
SVP/OR. Region55.0033114110947178X
Arnold R Schaffer
SVP/Operations60.0027093030779042X
Janice J Jones
SVP/CAO55.0027200210566298X
John O Mudd
SVP/Mission Ldrship55.008609430408169X
Myron Berdischewsky MD
SVP/CMQO65.006745290464404X
Claudia Haglund
VP/Governance & Spons.50.0019099270456179X
Michael Hunn
SVP/RCE So. CA. Region60.0013199560257022X
Cindra R Syverson
VP/CHRO60.004949550174335X
Joel S Gilbertson
VP/Gov't & Public Affairs50.00455568074143X
David Brown
VP/Strat. & Bus. Develop.55.003642260120281X
Orest Holubec
VP/ Communications50.00313390041419X
Terry L Smith
SVP/Management Svcs.60.0032161320671539X
Craig L Wright MD
CE/OR. Amb.Clin. Svc.60.006387870284670X
Bruce Lamoureux
VP/ COO - AK. Region60.005996850217743X
Andy Agwunobi MD Thru 1130
RCE/PHC50.006938750198720X
David T Brooks
RCE/NWW Region60.005655510207530X
Medrice Coluccio
RCE/SWW Region55.005835840380601X
Elaine S Couture
CEO/SHMC50.005059460158179X
Michael Wilson
CEO/PHC50.0043419100X
Andrew T Howlett
Physician40.001423471019817X
Steven A Burdick
CEO/SEWSA40.0011300930180058X
James N Dunlap
Physician40.001122942019817X
Atul Thakker
Physician40.001059251099042X
Thomas Corley
COO - PHC40.0010483130325099X
Keith Marton
Former VP/CMQO0.0012348020157078X
Russell Danielson
Former CEO - OR. Region0.0023338900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org41431919TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation11349078TotalOtherCompensation
Number Individuals GT100 K2147NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
M A Mortenson Company
14719 NE 29th PlaceBellevueWA98007Construction45643099
Inland NW Health Services
PO Box 469SpokaneWA99210Staffing25278877
Health Services NW
2201 Lind Ave Suite 300RentonWA98057AR Collections12221846
Philips Medical Systems
PO Box 100355AtlantaGA30384Technology Support10013970
GE Healthcare
PO Box 843553DallasTX75284R&M Equipment9349810
FieldValueIRS element (for citing)
Number Of Contractors GT100 K521NumberOfContractorsGT100K
Federated Campaigns67236FederatedCampaigns
Fundraising Events763463FundraisingEvents
Related Organizations7071829RelatedOrganizations
Government Grants17958333GovernmentGrants
All Other Contributions12455913AllOtherContributions
Noncash Contributions19900NoncashContributions
Total Contributions38316774TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Acute Care/Inpatient90009916691676361669167636
Acute Care/Outpatient62140010109695081010969508
LTC/Homecare/Hospice621610242694970242694970
Primary Care6211101448170701448121084962
Healthcare JVs900099469292404690405925181

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column3851439TotalRevenueColumn
Related Or Exempt Function Income3851439RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3118429863TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column40629955TotalRevenueColumn
Exclusion$40,629,955ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real32280730Real
Personal20789Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real15205376Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real17075354Real
Personal20789Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column17096143TotalRevenueColumn
Unrelated Business Revenue1405520UnrelatedBusinessRevenue
Exclusion$15,690,623ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1734064778Securities
Other9748487Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1717163066Securities
Other10294992Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities16901712Securities
Other-546505Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column16355207TotalRevenueColumn
Exclusion$16,355,207ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events286768GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events763463CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses486754FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-199986TotalRevenueColumn
Exclusion-$199,986ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming28564GrossIncomeGaming
Gaming Direct Expenses8669GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column19895TotalRevenueColumn
Exclusion$19,895ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory2691271GrossSalesOfInventory
Cost Of Goods Sold1938090CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column753181TotalRevenueColumn
Exclusion$753,181ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Laboratory Revenue62150019154203933402156546$16,904,317
Pharmacy Revenue4461101716804276718235034228$4,461,991
Cafeteria Revenue72221015588034627774$14,960,260

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column335034036TotalRevenueColumn
Related Or Exempt Function Income9249736RelatedOrExemptFunctionIncome
Unrelated Business Revenue157597UnrelatedBusinessRevenue
Exclusion$325,626,703ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue386944315TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3618345347TotalRevenueColumn
Related Or Exempt Function Income3135414619RelatedOrExemptFunctionIncome
Unrelated Business Revenue9411808UnrelatedBusinessRevenue
Exclusion$435,202,146ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total15524735Total
Program Services15524735ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total308532Total
Program Services308532ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total1207331Total
Program Services1207331ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total23323413Total
Program Services1686789ProgramServices
Management And General21636624ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1358220248Total
Program Services1024473963ProgramServices
Management And General333034257ManagementAndGeneral
Fundraising712028Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total135644983Total
Program Services79309702ProgramServices
Management And General56148339ManagementAndGeneral
Fundraising186942Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total220439905Total
Program Services153330185ProgramServices
Management And General66934113ManagementAndGeneral
Fundraising175607Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total102436367Total
Program Services75336939ProgramServices
Management And General27033737ManagementAndGeneral
Fundraising65691Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total29071Total
Program Services29071ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5704487Total
Program Services648984ProgramServices
Management And General5055503ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3115793Total
Management And General3115793ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total735101Total
Management And General735101ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total4726208Total
Management And General4726208ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total401586086Total
Program Services230809359ProgramServices
Management And General170726394ManagementAndGeneral
Fundraising50333Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total7614024Total
Program Services5358867ProgramServices
Management And General2245558ManagementAndGeneral
Fundraising9599Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total104203596Total
Program Services71902906ProgramServices
Management And General32151374ManagementAndGeneral
Fundraising149316Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total44181373Total
Program Services6790188ProgramServices
Management And General37390132ManagementAndGeneral
Fundraising1053Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total73185772Total
Program Services47830750ProgramServices
Management And General25349844ManagementAndGeneral
Fundraising5178Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total12143308Total
Program Services5345938ProgramServices
Management And General6778634ManagementAndGeneral
Fundraising18736Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9577416Total
Program Services1972739ProgramServices
Management And General7589988ManagementAndGeneral
Fundraising14689Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total37481194Total
Program Services35428174ProgramServices
Management And General2053020ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total2583293Total
Management And General2583293ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total184562557Total
Program Services110435132ProgramServices
Management And General74127425ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total26248728Total
Program Services18219499ProgramServices
Management And General8029229ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Medical Supplies445649212445263601385611
Bad Debt Expense17730747817686920640858129691
Prof. Liab. Trust3395584733955847
UBI Taxes311500311500

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total80485764Total
Program Services69323871ProgramServices
Management And General11082617ManagementAndGeneral
Fundraising79276Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3512493322Total
Program Services2577406461ProgramServices
Management And General933588722ManagementAndGeneral
Fundraising1498139Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11471118BOY
EOY3215809EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY432605628BOY
EOY311383408EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1250712BOY
EOY3790569EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY398880521BOY
EOY459916247EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY30028902BOY
EOY36399969EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY56491834BOY
EOY56501907EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY29576566BOY
EOY35990863EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4112228897LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1811042934LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1967752143BOY
EOY2301185963EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1073682884BOY
EOY1192019340EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY88778494BOY
EOY82941176EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY12189344BOY
EOY17428673EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY923496270BOY
EOY1065403876EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5026204416BOY
EOY5566177800EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY424425773BOY
EOY478586680EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY7636121BOY
EOY6346535EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY737200000BOY
EOY845889999EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY200322BOY
EOY172499EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY252924980BOY
EOY252618042EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1972685908BOY
EOY2237057557EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3395073104BOY
EOY3820671312EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1577741340BOY
EOY1700467739EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY43738253BOY
EOY42507244EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9651719BOY
EOY2531505EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1631131312BOY
EOY1745506488EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5026204416BOY
EOY5566177800EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses105852025ReconcilationRevenueExpenses
Reconcilation Other Changes8523151ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements1MediaAdvertisements
Media Advertisements$299,000MediaAdvertisementsAmount
Mailings Members1MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$278,357GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$221,456OtherActivitiesAmount
Total Lobbying Expenditures IIB798813TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationAs a not-for-profit Catholic health care ministry, Providence Health & Services continues to answer the call for greater social justice. We urged Congress to preserve the reforms passed with the Patient Protection and Affordable Care Act and to continue the important work to truly reform our nation's health care system. We must ensure access to those people still uninsured, stabilize and strengthen the Medicaid program and empower a redesign of the delivery of health care to improve quality and efficiency. Providence accepts its role in leading health care reform in the communities we serve. We embrace our accountability as a health care provider to deliver higher quality and lower cost care. A better, more sustainable health care system requires improvements in both care delivery and public policy. The following issues were a priority for 2011. Protect the Poor and Vulnerable If health care reform is to be successful, it is vital that hospitals, physicians and other providers have the resources necessary to meet the increased demand created by millions more insured people after 2014. Continued Medicare payment reductions will undermine access to services for Medicare beneficiaries and others in our communities. We urged Congress to prevent further cuts to the Medicare program so that access to necessary services in our communities is preserved. * Prevent any additional cuts to Medicare providers beyond those included in the Affordable Care Act. * Preserve seniors' ability to access care with a permanent solution for the Medicare physician payment schedule that doesn't finance the solution with cuts to other providers. Remove barriers to coordinate care In order to truly improve quality and make health care more affordable, doctors, hospitals and other providers must change the way they provide care to their patients. This means both changing the practice of medicine and how government and private insurers pay for health care. Patients will receive better care when providers are paid to coordinate and collaborate with each other. We urged Congress and federal regulatory agencies to continue the important work of redesigning how health care is paid for so that providers are rewarded for delivering the right care at the right time, in the right setting. * Eliminate legal barriers to new care models that prevent providers from working together to coordinate care and improve quality. * Create opportunities through the Center for Medicare and Medicaid Innovation for a broad range of payment models that include various types of health care providers and diverse geographic areas, versus limiting experimentation to high-cost areas and narrowly defined participants. * Protect Medicaid and Medicare funding for electronic medical record adoption and ensure regulations empower collaboration and the sharing of information between clinicians. Preserve not-for-profit health care. Providence's tax exempt status represents far more than a legal designation: it is an enduring commitment to not only provide high-quality health care, but to go beyond our care settings and partner with our community to meet the needs of the most vulnerable among us. We urged Congress to recognize and preserve the vital role not-for-profit health care providers play in health care delivery. * Protect local, state and federal tax exemptions that are essential to meet the needs of the communities we serve. * Utilize standards that recognize diverse approaches to delivering community benefit that are based on meeting each community's unique needs for improving health. Ensure everyone has access to health care. We believe access to quality, affordable health care is a basic human right. No one should ever become sick- or worse, lose their life -because they couldn't access health care services. Everyone, whether they are covered by private insurance or a government program, should have a primary care provider and access to necessary specialty care. We urged Congress to ensure everyone has access to affordable, high quality health care services. * Develop federal and state solutions that ensure immigrants, the homeless and other vulnerable people receive needed care. * Provide the necessary funding support for safety net providers and programs, including Medicaid, to ensure appropriate access to health care. Strengthen the health care workforce. Our nation is facing a worsening shortage of health care workers, driven by both an aging workforce and the increased health care needs of an aging baby boomer generation. Federal policy to strengthen and expand the capacity of the health care workforce has the potential to significantly impact the success of implementing the reform legislation. We urged Congress and federal agencies to continue their efforts to meet the demand for health care professionals through reforms that expand education, enrollment and training. * Expand medical education, increase enrollment in nursing programs and increase training of new health care workers through focused funding, grants and other mechanisms. * Streamline the application processes for workforce training grants to encourage the collaboration between health care organizations and educational institutions.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance8463851BeginningOfYearBalance
Contributions51311Contributions
Investment Earnings Or Losses75538InvestmentEarningsOrLosses
Grants Or Scholarships8107177GrantsOrScholarships
End Of Year Balance483523EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance7596645BeginningOfYearBalance
Contributions364798Contributions
Investment Earnings Or Losses677288InvestmentEarningsOrLosses
Grants Or Scholarships174880GrantsOrScholarships
End Of Year Balance8463851EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6401153BeginningOfYearBalance
Contributions106633Contributions
Investment Earnings Or Losses1289282InvestmentEarningsOrLosses
Grants Or Scholarships162845GrantsOrScholarships
Other Expenditures7578OtherExpenditures
Administrative Expenses30000AdministrativeExpenses
End Of Year Balance7596645EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8854708BeginningOfYearBalance
Contributions287226Contributions
Investment Earnings Or Losses-2413940InvestmentEarningsOrLosses
Grants Or Scholarships326841GrantsOrScholarships
End Of Year Balance6401153EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis39372087InvestmentCostOrOtherBasis
Other Cost Or Other Basis134315860OtherCostOrOtherBasis
Book Value173687947BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis195970743InvestmentCostOrOtherBasis
Other Cost Or Other Basis1810959284OtherCostOrOtherBasis
Depreciation783434782Depreciation
Book Value1223495245BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis104553104OtherCostOrOtherBasis
Depreciation73380916Depreciation
Book Value31172188BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis51911216InvestmentCostOrOtherBasis
Other Cost Or Other Basis1329430703OtherCostOrOtherBasis
Depreciation954227236Depreciation
Book Value427114683BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2707769InvestmentCostOrOtherBasis
Other Cost Or Other Basis443008131OtherCostOrOtherBasis
Book Value445715900BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2301185963TotalOfBookValueLandBuildings

Other Assets OtherAssets (11 entries)

DescriptionDescriptionBook ValueBookValue
Due From Affiliates658239657
Trustee Held Funds220859373
Unamortized Finance Costs13233155
Assets Held Under Securities Lending86986894
Other Long-Term Receivables51649354
Third Party Settlements27623726
Charitable Trusts & Gift Annuities572700
CSV of Life Insurance353586
Deferred Compensation 457F4477390
Bond Premium Discount1388041
Chihuly Studio Artwork(glass)20000
FieldValueIRS element (for citing)
Total Book Value Other Assets1065403876TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescriptionAmountAmount
Self-Insured Trusts$230,639,373
Due To Affiliates$666,591,454
Taxable Bond Issues$250,765,821
Accrued Pension Costs$909,518,189
LT Asset Retirement Obligation - FIN 47$18,781,811
Liabilities Under Securities Lending$89,183,210
Other Long-Term Payables$21,636,353
Third Party Settlements$49,941,346
FieldValueIRS element (for citing)
Total Of Amounts2237057557TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:The Endowment Funds are intended to be used to support the mission and programs of Providence Sacred Heart Medical Center.
Description of Uncertain Tax Positions Under FIN 48:Part X: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.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained1GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (3 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
Central America and the Caribbean00Grantmaking762989
Sub-Saharan Africa00Grantmaking61546
South America00Grantmaking382796
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent1207331SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent1207331TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS (9 entries)

RegionRegionPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceDescription Of Non Cash AssistanceDescriptionOfNonCashAssistanceMethod Of ValuationMethodOfValuationAmount Of Cash GrantAmountOfCashGrantManner Of Cash DisbursementMannerOfCashDisbursement
Central America and the CaribbeanMedical Supplies212496Medical SuppliesCost
Central America and the CaribbeanMedical Supplies59614Medical SuppliesCost
Central America and the CaribbeanMedical Supplies149653Medical SuppliesCost
Central America and the CaribbeanMedical Supplies189931Medical SuppliesCost
Central America and the CaribbeanMedical Supplies121081Medical SuppliesCost
Sub-Saharan AfricaMedical Supplies61546Medical SuppliesCost
Central America and the CaribbeanMedical Supplies17365Medical SuppliesCost
South AmericaRebuild Church382796Check & Wire Transfer
Central America and the CaribbeanPost Flood Relief12849Wire
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs9TotalNumberOf501c3Orgs
Total Number Of Other Orgs0TotalNumberOfOtherOrgs
Transfer To Foreign Corp1TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

IdentifierIdentifierExplanationExplanation
Procedure for Monitoring Grants Outside the U.S.:Schedule F, Part I, Line 2: We only provide grants to non-governmental, charitable organizations that conduct foreign activities. For the donations we require a potential recipient to first complete an application. We have two types of applications; one for donations that will be taken by a person on a plane and part of medical team, the other for container donations that will be shipped. The type of information gathered is different for each application. We always ask for the name of the specific clinic, program or hospital that will be at the clinic. We also ask for information about who will be served/benefit from these donations. We also ask that the recipient provide us feedback on how useful the donations were and what problems they may have encountered.
Form 926 is not required to be filed because the transfer to a foreign corporation does not meet the reporting requirements in IRC Section 6038B(a)(1)(A).

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Providence O'Christmas TreesNameOfEvent1
Gross Receipts Event1828264GrossReceiptsEvent1
Charitable Contributions Event1593856CharitableContributionsEvent1
Gross Revenue Event1234408GrossRevenueEvent1
Rent Facility Costs Event130649RentFacilityCostsEvent1
Food And Beverage Event1102886FoodAndBeverageEvent1
Other Direct Expenses Event1251001OtherDirectExpensesEvent1
Name Of Event2The PourNameOfEvent2
Gross Receipts Event2108627GrossReceiptsEvent2
Charitable Contributions Event298102CharitableContributionsEvent2
Gross Revenue Event210525GrossRevenueEvent2
Rent Facility Costs Event28359RentFacilityCostsEvent2
Food And Beverage Event236499FoodAndBeverageEvent2
Other Direct Expenses Event23242OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events113340GrossReceiptsOtherEvents
Charitable Contrib Other Events71505CharitableContribOtherEvents
Gross Revenue Other Events41835GrossRevenueOtherEvents
Non Cash Prizes Other Events1340NonCashPrizesOtherEvents
Rent Facility Costs Other Events19707RentFacilityCostsOtherEvents
Food And Beverage Other Events11569FoodAndBeverageOtherEvents
Entertainment Other Events500EntertainmentOtherEvents
Other Direct Expenses Other Events21002OtherDirectExpensesOtherEvents
Gross Receipts Total1050231GrossReceiptsTotal
Charitable Contributions Total763463CharitableContributionsTotal
Gross Revenue Total Events286768GrossRevenueTotalEvents
Non Cash Prizes Total Events1340NonCashPrizesTotalEvents
Rent Facility Costs Total Events58715RentFacilityCostsTotalEvents
Food And Beverage Total Events150954FoodAndBeverageTotalEvents
Entertainment Total Events500EntertainmentTotalEvents
Other Direct Expenses Total Events275245OtherDirectExpensesTotalEvents
Direct Expense Summary Events486754DirectExpenseSummaryEvents
Net Income Summary-199986NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming28564GrossRevenueOtherGaming
Non Cash Prizes Other Gaming1850NonCashPrizesOtherGaming
Rent Facility Costs Other Gaming1170RentFacilityCostsOtherGaming
Other Direct Expenses Other Gaming5649OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming1VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming28564GrossRevenueTotalGaming
Non Cash Prizes Total Gaming1850NonCashPrizesTotalGaming
Rent Facility Costs Total Gaming1170RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming5649OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming8669DirectExpenseSummaryGaming
Net Gaming Income Summary19895NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedWAStatesWhereGamingConducted
Licensed1Licensed
License Suspended Etc0LicenseSuspendedEtc
Gaming With Nonmembers0GamingWithNonmembers
Member Of Other Entity0MemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonPatricia L SzaboNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line14831 35th Avenue SWAddressLine1
CitySeattleCity
StateWAState
ZIP Code98126ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam Rev0ContractWith3rdPartyForGamRev
Gaming Manager Name PersonPatricia L SzaboGamingManagerNamePerson
Gaming Manager Compensation0GamingManagerCompensation
Gaming Manager Services ProvidedProvided oversight of sale of raffle tickets and accounting for proceeds received.GamingManagerServicesProvided
Gaming Manager Is EmployeeXGamingManagerIsEmployee
Charitable Distrib Required0CharitableDistribRequired

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense80771036TotalCommunityBenefitExpense
Net Community Benefit Expense80771036NetCommunityBenefitExpense
Percent Of Total Expense0.02300PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense518833553TotalCommunityBenefitExpense
Direct Offsetting Revenue398547403DirectOffsettingRevenue
Net Community Benefit Expense120286150NetCommunityBenefitExpense
Percent Of Total Expense0.03420PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense9931456TotalCommunityBenefitExpense
Direct Offsetting Revenue7418320DirectOffsettingRevenue
Net Community Benefit Expense2513136NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense609536045TotalCommunityBenefitExpense
Direct Offsetting Revenue405965723DirectOffsettingRevenue
Net Community Benefit Expense203570322NetCommunityBenefitExpense
Percent Of Total Expense0.05790PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4655667TotalCommunityBenefitExpense
Direct Offsetting Revenue543714DirectOffsettingRevenue
Net Community Benefit Expense4111953NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense30780814TotalCommunityBenefitExpense
Direct Offsetting Revenue9634002DirectOffsettingRevenue
Net Community Benefit Expense21146812NetCommunityBenefitExpense
Percent Of Total Expense0.00600PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense77653508TotalCommunityBenefitExpense
Direct Offsetting Revenue48195728DirectOffsettingRevenue
Net Community Benefit Expense29457780NetCommunityBenefitExpense
Percent Of Total Expense0.00840PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense2857343TotalCommunityBenefitExpense
Direct Offsetting Revenue814723DirectOffsettingRevenue
Net Community Benefit Expense2042620NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense5690432TotalCommunityBenefitExpense
Direct Offsetting Revenue22654DirectOffsettingRevenue
Net Community Benefit Expense5667778NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense121637764TotalCommunityBenefitExpense
Direct Offsetting Revenue59210821DirectOffsettingRevenue
Net Community Benefit Expense62426943NetCommunityBenefitExpense
Percent Of Total Expense0.01780PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense731173809TotalCommunityBenefitExpense
Direct Offsetting Revenue465176544DirectOffsettingRevenue
Net Community Benefit Expense265997265NetCommunityBenefitExpense
Percent Of Total Expense0.07570PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense18678TotalCommunityBuildingExpense
Net Community Building Expense18678NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense4500TotalCommunityBuildingExpense
Net Community Building Expense4500NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense16540TotalCommunityBuildingExpense
Net Community Building Expense16540NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense31852TotalCommunityBuildingExpense
Net Community Building Expense31852NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense8582TotalCommunityBuildingExpense
Net Community Building Expense8582NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense8149TotalCommunityBuildingExpense
Net Community Building Expense8149NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense88301TotalCommunityBuildingExpense
Net Community Building Expense88301NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$177,307,478BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare1047540535AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare1290330106CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-242789571MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities11NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (11 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalChildrens HospitalChildrensHospitalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursCritical Access HospitalCriticalAccessHospital
Providence Alaska Medical Center
13200 Providence DriveAnchorageAK99508XXXXX
Providence SHMC & Children's Hospital
2101 West 8th AvenueSpokaneWA99204XXXX
Providence St Peter Hospital
3413 Lilly Road NEOlympiaWA98506XXX
Providence Regional Med Ctr-Colby
41321 Colby AvenueEverettWA98201XXX
Providence Regional Med Ctr-Pacific
5916 Pacific AvenueEverettWA98208XXX
Providence Holy Family Hospital
65633 North Lidgerwood StreetSpokaneWA99208XXX
Providence Centralia Hospital
7914 S Scheuber RoadCentraliaWA98531XX
Providence St Mary Medical Center
8401 W Poplar StWalla WallaWA99362XXX
Providence Mt Carmel Hospital
9982 East ColumbiaColvilleWA99114XXXX
Providence St Joseph's Hospital
10500 East Webster StreetChewelahWA99109XXX
Providence Kodiak Is Medical Center
111915 Rezanof DriveKodiak IslandAK99615XX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (11 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsitePosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossChargesOther PublicityOtherPublicity
Providence Alaska Medical Center
111200.0000000000001400.0000000000001XXXXXXX11XXXXX101X01
Providence SHMC & Children's Hopsital
211200.0000000000001400.0000000000001XXXXXXX11XX101X01X
Providence St Peter Hospital
311200.0000000000001400.0000000000001XXXXXXX11XX101X01X
Providence Regional Med Ctr Colby
411200.0000000000001400.0000000000001XXXXXXX11XX101X01X
Providence Regional Med Ctr Pacific
511200.0000000000001400.0000000000001XXXXXXX11XX101X01X
Providence Holy Family Hospital
611200.0000000000001400.0000000000001XXXXXXX11XX101X01X
Providence Centralia Hospital
711200.0000000000001400.0000000000001XXXXXXX11XX101X01X
Providence St Mary Medical Center
811200.0000000000001400.0000000000001XXXXXXX11XX10101X
Providence Mt Carmel Hospital
911200.0000000000001400.0000000000001XXXXXXX11XX101X01X
Providence St Joseph's Hospital
1011200.0000000000001400.0000000000001XXXXXXX11XX101X01X
Providence Kodiak Is Medical Center
1111200.0000000000001400.0000000000001XXXXXXX11XXXXX101X01

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities42NumberOfOtherFacilities

Other Facilities OtherFacilities (42 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
Providence Marianwood
3725 Providence Pt Dr SEIssaquahWA98029Long-Term Care
Providence Elderplace
4515 Martin Luther King Jr Way SSeattleWA98108In-Home Service Agency
Prov St Peter Chemical Dependency Cter
2505 Olympic Highway N Suite 140SheltonWA98584Chemical Dependency Center
Prov St Peter Chemical Dependency Cter
24070 NE Highway 3 Suite ABelfairWA98528Chemical Dependency Center
Prov St Peter Chemical Dependency Cter
508 1/2 Eighth StreetHoquiamWA98550Chemical Dependency Center
Prov Internal Medicine Hawks Prairie
8645 Martin Way ELaceyWA98516Internal Medicine Clinic
Prov South Sound Internal Medicine
3425 Ensign Rd NEOlympiaWA98506Internal Medicine Clinic
Prov Family Medicine West Olympia
1217 Cooper Pt Road SWOlympiaWA98502Family Medicine Clinic
Providence Clinic at Panorama
1450 Northwest Lane SWOlympiaWA98502Family Medicine Clinic
Providence Internal Medicine
1010 S Scheuber RoadCentraliaWA98531Internal Medicine Clinic
Providence Imaging Center
908 S Scheuber RoadCentraliaWA98531Patient Diagnostic Imaging
Prov Rochester Family Pract Clinic
18313 Paulson St SWRochesterWA98579Family Practice Medicine
Providence Centralia Womens Center
1000 S Scheuber RoadCentraliaWA98531Comprehensive Women's Health Care
Providence Physical Therapy
1809 Cooks Hill RoadCentraliaWA98531Patient Physical Therapy Service
Prov Western WA Oncology-Lacey
4525 Third Avenue Suite 200LaceyWA98503Outpatient Oncology Services
Prov Western WA Oncology-Aberdeen
954 Anderson St Suite 102AberdeenWA98520Outpatient Oncology Services
Prov Western WA Oncology-Centralia
2015 Cooks Hill Road Suite 200CentraliaWA98531Outpatient Oncology Services
Providence SoundHomeCare & Hospice
3432 South Bay Road NEOlympiaWA98506Home Care and Hospice Services
Providence Mother Joseph Care Center
3333 Ensign Road NEOlympiaWA98506Long-Term Care
Providence Mount St Vincent
4831 35th Ave SWSeattleWA98126Long-Term Care/Assisted Living
Prov Infusion & Pharmacy Services
2201 Lind Ave SWRentonWA98057Pharmaceutical Services
Providence Hospice of Seattle
425 Pontius Avenue NorthSeattleWA98109Hospice Services
Providence Home Services
2201 Lind Ave SW Suite 160RentonWA98057Home Health Services
Providence Mill Creek Medical Bldg
12800 Bothell-Everett HighwayEverettWA98208Medical Building
Providence Everett Healthcare Clinic
1001 N BroadwayEverettWA98201Clinic
Pavillion for Women & Children
900 Pacific AvenueEverettWA98201Clinic
Prov Physician Group-Harbour Point
4112 Harbour Pointe Blvd SW Ste 100MukilteoWA98275Clinic
Prov Physician Group-North Everett
1330 RockefellerEverettWA98201Clinic
Prov Physician Group-Marysville
11603 State Avenue Suite GMarysvilleWA98272Clinic
Prov Physician Group-Monroe
14692 179th Avenue SE Suite 100MonroeWA98272Clinic
Millcreek OBGYN
12800 Bothell-Everett Hywy SuiteEverettWA98208Clinic110
Pacific Campus OBGYN
900 Pacific Avenue Suite 501EverettWA98201OB/Gyn Services
Providence Dominicare
110 South Third Street EastChewelahWA99109Home Health
Providence VNA Home Health
611 N Perry Bldg 2 Suite 202SpokaneWA99202Home Health
Prov Emily Court Assisted Living
34 East 8th AvenueSpokaneWA99202Assisted Living
Providence St Joseph Care Center
17 East 8th AvenueSpokaneWA99202Skilled Nursing Facility
Providence Adult Day Health
6018 North AstorSpokaneWA99208Adult Day Health
Providence Extended Care Center
4900 Eagle StreetAnchorageAK99503Skilled Nursing Facility
Providence Alaska Physician Service Org
3200 Providence DriveAnchorageAK99508Behavioral & Family Medicine
Providence Kodiak Island Counseling Ctr
717 E Rezanof DriveKodiak IslandAK99615Behavioral Medicine
Providence Residential Treatment Program
3400 E 20th AvenueAnchorageAK99508Adolescent Residential Treatment
Providence Crisis Recovery Center
3760 Piper StreetAnchorageAK99508Behavioral Medicine

Form990 Schedule H Part VI Form990ScheduleHPartVI (57 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 7, COL. FOur total expense from Form 990, Part IX, Line 25, column (A) was $3,512,493,322,. The bad debt expense included in this amount was $177,307,478. This left us with total expense of $3,335,185,844 for purposes of calculating line 7, column f.
Part II: COMMUNITY BUILDING ACTIVITIES:WESTERN WASHINGTON REGION:In Thurston County, Providence St. Peter Hospital sponsored a program called Grief Works, which assists people who are grieving from the loss of a spouse, child or sibling. The work involves pastoral care support and counseling in both individual and group sessions. In addition, Providence leaders serve on local boards. Examples include the board of Behavioral Health Resources, a not-for-profit mental health provider; CHOICE Regional Health Network; local college boards; service organizations; chamber of commerce boards; school board of directors; and the Hands-On Children's Museum, which promotes healthy family living.SOUTHEAST WASHINGTON REGION:Providence St. Mary Medical Center provides many free, preventative, diagnostic and educational services in the communities it serves. In 2011, it provided free screening mammograms to 66 uninsured and underinsured women, home health visits to 370 insured and underinsured people, and free guest house lodging to 154 cancer patients and their families. The medical center offered a free post-partum clinic to new mothers and babies, which was used by 698 women. Numerous free classes and educational events were offered on topics including child birth, colon cancer awareness, diabetes, smoking cessation and prevention of head and spinal cord injuries among youth. Free screenings were provided for skin cancer, prostate cancer and baseline concussion testing for teen athletes. In collaboration with other community agencies, Providence St. Mary donated funds and supplies to a school-based health clinic, which allowed around 200 high-risk students to receive medical care and mental health counseling at the school throughout the school year. The staff of Providence St. Mary also conducted a project along with several other agencies to provide backpacks full of emergency food and hygiene items for homeless youths and distributed the backpacks through a local school. PROVIDENCE HEALTH CARE/EASTERN WASHINGTON REGION:Many of the activities reported in Part II demonstrate the eastern Washington Providence hospitals' efforts to actively engage and partner with the community to help address specific needs. We collaborate with more than 80 community partners in Spokane and Stevens counties that share our commitment to serving the poor and vulnerable. Together, we are able to maximize resources to reach the greatest number of people, providing needed services such as immunizations, screenings, education, medication, shelter and food. Below is a list of a few of the many organizations Providence hospitals support in eastern Washington: *Catholic Charities*Christ Clinic*Community Detox Services of Spokane*Daybreak (rehabilitation services for adolescents with substance abuse issues)*Life Services of Spokane (support services for pregnant women to help them carry babies to term and provision of parenting education)*Northeast Tri-County Health District (Colville)*Partners with Children and Families*Prescriptions for Life (Chewelah)*Project Access (involves doctors and hospitals in the community volunteering to provide needed health care services and surgeries for patients who cannot pay)*Ronald McDonald House*Rural Resources Family Center (Colville)*Spokane Prescription Access Program*Transitional Programs for Women*Tri-County Community Health Fund (Stevens County)*Second Harvest (food bank)*Community Health Association Spokane dental program (a federally quality health center)*Washington Poison Control CenterIn addition, many Providence Health Care leaders and staff participate in community collaboration efforts through their membership on boards and advisory groups such as the Homeless Coalition and the Spokane Mental Health Advisory Board. Other boards include the United Way, YWCA, Women Helping Women, domestic and family violence organizations, educational boards, stroke conference boards, domestic terrorism training and many more where the expertise of the local hospital staff and administration can offer valuable information to the group for partnership and collaborative efforts in attempts to improve the health and wellbeing of the community. Often the hospital has been asked to provide a representative for the board or advisory group by the community. Providence Sacred Heart, Children's Hospital, and Holy Family also participate as major sponsors of community events that benefit the community at large. Examples include: *American Brain Tumor Association*American Heart Association*American Cancer Society*American Red Cross*Cancer Patient Care*Catholic Charities*Hope House*Inland NW Blood Center*March of Dimes*Special Olympics*Women Helping Women*YWCA
Part III, Line 4: The consolidated Health System financial statements do not contain a specific footnote describing bad debt expense.
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 (or the patient's legal representative) seeking financial assistance from Providence 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, 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 SHMC & Children's Hopsital
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. Peter Hospital
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 Regional Med. Ctr. Colby
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 Regional Med. Ctr. Pacific
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 Holy Family Hospital
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 Centralia Hospital
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. Mary Medical Center
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 Mt. Carmel Hospital
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. Joseph's Hospital
Part V, Section B, Line 17e: Financial Assistance information along with payment options are given on each billing statement to the patient.Providence SHMC & Children's Hopsital
Part V, Section B, Line 17e: Financial Assistance information along with payment options are given on each billing statement to the patient.Providence St. Peter Hospital
Part V, Section B, Line 17e: Financial Assistance information along with payment options are given on each billing statement to the patient.Providence Regional Med. Ctr. Colby
Part V, Section B, Line 17e: Financial Assistance information along with payment options are given on each billing statement to the patient.Providence Regional Med. Ctr. Pacific
Part V, Section B, Line 17e: Financial Assistance information along with payment options are given on each billing statement to the patient.Providence Holy Family Hospital
Part V, Section B, Line 17e: Financial Assistance information along with payment options are given on each billing statement to the patient.Providence Centralia 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. Mary Medical Center
Part V, Section B, Line 17e: Financial Assistance information along with payment options are given on each billing statement to the patient.Providence Mt. Carmel 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. Joseph's Hospital
Part V, Section B, Line 19d: All individuals are charged the same rate.Providence Alaska Medical Center
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 SHMC & Children's Hopsital
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. Peter 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 Regional Med. Ctr. Colby
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 Regional Med. Ctr. Pacific
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 Holy Family 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 Centralia 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. Mary Medical Center
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 Mt. Carmel 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. Joseph's Hospital
Part V, Section B, Line 19d: All individuals are charged the same rate.Providence Kodiak Is. Medical Center
Part V, Section B, Line 21: Gross charges are the same as the amounts generally billed to those having insurance.Providence Alaska Medical Center
Part V, Section B, Line 21: For non medically necessary services a patient may be charged full billed charges.Providence SHMC & Children's Hopsital
Part V, Section B, Line 21: For non medically necessary services a patient may be charged full billed charges.Providence St. Peter Hospital
Part V, Section B, Line 21: For non medically necessary services a patient may be charged full billed charges.Providence Regional Med. Ctr. Colby
Part V, Section B, Line 21: For non medically necessary services a patient may be charged full billed charges.Providence Regional Med. Ctr. Pacific
Part V, Section B, Line 21: For non medically necessary services a patient may be charged full billed charges.Providence Holy Family Hospital
Part V, Section B, Line 21: For non medically necessary services a patient may be charged full billed charges.Providence Centralia Hospital
Part V, Section B, Line 21: For non medically necessary services a patient may be charged full billed charges.Providence St. Mary Medical Center
Part V, Section B, Line 21: For non medically necessary services a patient may be charged full billed charges.Providence Mt. Carmel Hospital
Part V, Section B, Line 21: For non medically necessary services a patient may be charged full billed charges.Providence St. Joseph's Hospital
Part V, Section B, Line 21: Gross charges are the same as the amounts generally billed to those having insurance.Providence Kodiak Is. Medical Center
Part VI, Line 2: NEEDS ASSESSMENT: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.These general guidelines are applied across all service areas covered in Providence Health & Services - Washington. These include: Northwest Washington Service Area, Southwest Washington Service Area, Southeast Washington Service Area, Providence Health Care in Eastern Washington and PH & S - WA. in Alaska.Providence Sacred Heart Medical Center and Providence Holy Family Hospital partnered with the Spokane Regional Health District and the Institute for Public Policy and Economic Analysis at Eastern Washington University and their Community Indicators Initiative as part of our comprehensive needs assessment. In addition, focus groups were held to gather information from organizations directly addressing the needs of the low income and uninsured. Quantitative and qualitative data were also used to identify the issues the hospitals should target to address in the Spokane community for the next three years, beginning in 2010.Providence Mount. Carmel Hospital and Providence St. Joseph's Hospital partnered with the Northeast Health District and the Institute for Public Policy and Economic Analysis at Eastern Washington University and their Northeast Trends Initiative. In addition, focus groups were held to gather information from organizations directly addressing the needs of the low income and uninsured. Quantitative and qualitative data were also used to identify the issues the hospitals should target to address in the Stevens County community for the next three years, beginning in 2011.Providence ministries in eastern Washington are governed by a community ministry board. In addition, our foundation boards are composed of community members. The results of our needs assessments are presented to these boards for their review and input. The civic leaders that serve on Providence boards connect the Providence Mission with a local perspective on community needs. The Providence Health Care Eastern Washington Community Ministry Board approves the community needs assessments.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 and broad needs of the community, beyond just the need for free and discounted health care services.
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: COMMUNITY INFORMATION:ALASKA REGION:The geographic difficulties of a vast land mass, relatively undeveloped infrastructure and often extreme weather conditions make meeting the health care needs of Alaskans a unique challenge. Providence Health & Services Alaska serves the health needs of all people across the vast state of Alaska (population of 710,231). Providence Alaska has 15 ministries. Most facilities are located in the Anchorage area, yet Providence Alaska expands it services through a presence in four rural communities as well as telemedicine and electronic intensive care unit (eICU) services extended to communities in Alaska and Oregon. Alaska's population is diverse (28 percent minority) and is widely distributed across great distances (only half the population is accessible by road). Alaska has a significant number of high-need communities as ranked by the Thompson Reuters Community Need Index. Alaska is a demographically young state with 51 percent of the population under age 35, although the fastest growing age group is the over 55 population. Providence Alaska Medical Center (PAMC) is the only comprehensive tertiary referral center serving all Alaskans, regardless of their ability to pay. In addition to PAMC, Providence Alaska has a family practice residency program, a continuum of post-acute care services, and a developing medical group located in Anchorage. Anchorage is the second most-diverse city in the nation with more than 90 languages spoken within the Anchorage school district. Thirty-four percent of the Anchorage community is a minority. While PAMC's primary service area is the Municipality of Anchorage, it serves residents throughout the state. By percentage of gross revenue in 2011, approximately 27.1 percent of revenue was from Medicare, 20.1 percent from Medicaid and the remainder from other payers. The percentage of bad debt, charity care and self pay continues to remain high, at nearly 7.9 percent of gross revenue. While the economic recession has impacted Alaska to a lesser degree than other states, the unemployment rate in Anchorage averaged 6.1 percent in 2011. In 2010, 7.9 percent of Anchorage residents lived below the poverty line, which is lower than the comparable state measure at 9.5 percent.Providence Alaska manages four critical access hospitals located in the remote communities of Cordova, Kodiak, Seward and Valdez, all co-located with skilled nursing facilities. Community mental health centers are operated in Kodiak and Valdez. Each hospital serves as the primary health care provider for their community. Providence Kodiak Island Medical Center serves the Kodiak Island Borough, which has a population of just over 13,000. Geographically isolated, the island can only be accessed by air or sea. More than half of the population on Kodiak Island was white in 2010 (55 percent). The next largest ethnic groups were Asian (20 percent) and then American Indian/Native Alaskan (13 percent). Commercial fishing is of historic and current economic importance and employment swings seasonally - with lower unemployment rates in the summer and higher rates in winter months. For peak employment period in July, the unemployment rate was 6.1 percent in 2011, yet the entire year averaged 6.9 percent. Providence Seward Medical Center serves the communities of Seward and Moose Pass. Seward is located at the head of Resurrection Bay on the Kenai Peninsula. The town is 126 road miles south of Anchorage. The majority of the population in Seward was white in 2010 (76 percent). The next largest ethnic groups were American Indian/Native Alaskan (23 percent) and then black (three percent). The median age was 38 years old. In the 2012 needs assessment, 87% of the respondents needed care in the previous 12 months, yet 10 percent were unable to receive care. When asked, the primary reasons cited from not receiving care were "no insurance/could not afford it" (43%), "services not available" (18%), and "needed a specialist that was not available in Seward" (14%). Although the trends show a decrease by each question, access continues to be an issue and an area of focus for Providence within the community. Providence Valdez Medical Center serves the community of Valdez. Valdez is one of Alaska's most important port cities. It is located approximately 120 air miles and 305 road miles east of Anchorage. The population is close to 4,000 and is located within 222 square miles of land area. According to the 2010 census, the majority (87 percent) of the population in the City of Valdez were white, with 13 percent of the population American Indian/Alaska Native. The median age was 37 years old in Valdez according to the 2010 census, a slightly older median age than its statewide counterpart (34 years old). In the 2011 community health needs assessment, approximately one in 12 community survey respondents reported that they or their family had to go without basic needs in the year prior to the survey. Of those who went without basic needs, almost half said they went without dental care (49 percent) and/or health care (46 percent).Cordova Medical Center is the newest addition to the Providence Alaska family. Providence Alaska began management of the 13-bed critical access hospital and 10-bed long term care center on March 1, 2012. The City of Cordova is a community of about 2,500 people, which swells to 5,000 or more during the summer months. The city of Cordova sits on Prince William Sound and is only accessible by plane or boat (it is a 30 minute commercial flight from Anchorage). Cordova is a community best known for its commercial fishing and has a rich culture of Eyak Athabascan heritage. The median age was 42 years old according to the 2010 census. The majority of the population is white (79 percent) and American Indian/Alaska Native 15.4 percent. A community needs assessment completed in 2010 identified that the people of Cordova had low satisfaction with the availability of health services (54 percent total satisfaction) and physicians (40 percent total satisfaction) in the community. Just under two-thirds (61 percent) of the respondents had traveled outside of Cordova for medical care for themselves (or a household member) in the last five years. Providence has made a long-term commitment to meet the health care needs of the community through periodic formal community needs assessments and program service expansion to meet those needs. WESTERN WASHINGTON REGION - NORTHWEST: The Western Washington Region - Northwest includes Providence Regional Medical Center Everett (PRMCE), which is the only tertiary provider in Snohomish County and is located on two campuses in Everett, Washington. The hospital's primary service area is Snohomish County, with a population of 708,683. Within this geography, the average age is 36.5 years and only 10% of the population is over age 65, although this is estimated to grow to 12.5% by 2016. The average household income is $76,219, and approximately 10% of people are living in poverty in Snohomish County. As of March 2012, 8.4% of Snohomish County residents are unemployed, which is higher than the national unemployment rate. The secondary service area includes Skagit, Island, San Juan and Whatcom counties, totaling an additional 491,631 people. Within this geography, the average age is 39.2 years, with 16% of the population over age 65. The average household income is $63,777. The unemployment rates for the secondary service area include: Skagit (10.2%), Island (9.1%), San Juan (8.5%) and Whatcom (8.1%). In 2011, PRMCE provided almost $65.8 million in charity care and community benefits.WESTERN WASHINGTON REGION - SOUTHWEST: The Western Washington Region - Southwest includes Providence St. Peter Hospital in Olympia, Washington and Providence Centralia Hospital in Centralia, Washington. The hospitals deliver care to a five-county area including Thurston, Mason, Lewis, Grays Harbor and Pacific counties. For Providence St. Peter Hospital, the hospital serves 484,679 people in its primary and secondary service area. The average age of the population in this geography is 39.5 years, with 15.7% of the population over age 65. The average household income is $61,515. Providence Centralia Hospital serves 121,894 people in its service area, and the average age is 39.5 years, with 16.6% of the population over age 65. The average household income is $54,776. Within the Western Washington Region - Southwest, the percentage of people living in poverty includes: Thurston (10.7%), Lewis (16.5%), Mason (16.0%), Grays Harbor (17.9%) and Pacific (17.9%). The unemployment rates for the counties include Thurston (8.4%), Lewis (14.1%), Mason (11.6%), Grays Harbor (14.2%) and Pacific (13.6%). In 2011, the Western Washington Region - Southwest provided more than $51.1 million in charity care and community benefits. (SEE CONTINUATION)
Part VI, Line 4: COMMUNITY INFORMATION - CONTINUED:SOUTHEAST WASHINGTON REGION:The Southeast Washington Region includes Providence St. Mary Medical Center in Walla Walla, Washington. The hospital serves a population totaling 78,506 people in its primary service area in Walla Walla County and Columbia County in Washington, and five towns in Umatilla County, Oregon. Within this geography, 15.9% of the population is over age 65 and the average household income is $54,016. The unemployment rate in Walla Walla County is 8.1% and Columbia County is 11.6%. The hospital also serves 92,739 people in its secondary service area, which is comprised of Garfield County, Washington and Union, Wallowa and Umatilla counties in Oregon. Within the secondary market, 14.9% of the population is over age 65 and the average household income is $53,372. In total, 15.7% of people in Walla Walla County are living in poverty, as well as 14.6% in Columbia County. In 2011, the Southeast Washington Region provided almost $8.5 million in charity care and community benefits.PROVIDENCE HEALTH CARE/EASTERN WASHINGTON REGION:Spokane County is the furthest east county along Interstate 90, located on the Idaho border. It is largely urban with the second most populated city in the state, Spokane, with a population of 460,000. Providence Sacred Heart Medical Center & Children's Hospital and Providence Holy Family Hospital are located in Spokane County. About 12.5% of its population is over the age of 65. The leading causes of death in Spokane County are cancer, heart disease and stroke. The maternal smoking rate is two times higher than the state average.Stevens County is a largely rural region in northeast Washington, north of Spokane County with Pend Orielle County to the east and Ferry County to the west. Providence Mount Carmel Hospital in Colville is 75 miles north of Spokane and Providence St. Joseph's Hospital in Chewelah is 25 miles north of Spokane. The Stevens County population is 44,300. A high percentage of the rural population (17%) is over the age of 65. The leading causes of hospitalizations are unintended injury and heart disease, which are above the state average. The drug crime rate has continued to increase and is higher than the state average.The primary service area for these five Providence hospitals is defined as Spokane and Stevens counties. As the region's major quaternary hospital, Providence Sacred Heart Medical Center & Children's Hospital serves a much broader tertiary market which spans eastern Washington, northern Idaho, western Montana and northeastern Oregon, with a population of more than 1.6 million. Approximately 43% of patients are covered by Medicare, 25% are covered by Medicaid and nearly 5% uninsured or self-pay. With approximately 15% of the population for most of the counties served living in poverty, this service area is characterized by lower income levels than the state average.
Part VI, Line 5: FURTHERANCE OF EXEMPT PURPOSE:As a not-for-profit Catholic health care ministry, Providence Health & Services embraces its responsibility to provide for the needs of the communities it serves - especially those who are poor and vulnerable. Providence's not-for-profit, tax-exempt status enables Providence to serve its communities, to solicit donations through its foundations and to access capital to respond to community needs that otherwise would go unmet. Health care is fundamentally different from most other goods and services. It is about the most human and intimate needs of people, their families and communities. This critical difference is why we work together with other community organizations to preserve and strengthen the not-for-profit sector in health care.ALASKA REGION:In Alaska, access to health care is one of the most critical community needs. To address this need, Providence Alaska and its local ministries are involved in and supportive of many programs, activities and services. In addition to having 24/7 emergency room care, each community is pursuing trauma designation to ensure every Alaskan receives exemplary and timely care. Providence Alaska is governed by a community ministry board made up of independent community members from across the state. Additionally, each hospital has an advisory board made up of local community members. Providence Alaska Medical Center has an electronic intensive care unit (eICU) that serves communities across Alaska and one community in Oregon. PAMC is also expanding its telemedicine capabilities to provide stroke care to local and distant communities. Within the community of Anchorage, Providence is a long-time partner of Anchorage Project Access (APA). The volunteer network provides medical services, accepting and treating APA-referred patients as any other insured patients. PAMC will continue to provide funding and office space for the program. Providence Senior Care Center and the Pediatric Sub-Specialty Clinic are two more examples of how Providence promotes a healthy, well-cared for community. The Senior Care Center opened in January 2011 with the goal of providing Alaskans 55 and older with whole-health primary care. The program is subsidized by Providence Health & Services Alaska and currently treats more than 1,500 patients. The Pediatric Sub-Specialty Clinic at Providence has served children from birth to the age of 21 since 1998. This clinic is subsidized by the health system to ensure that these children have services and treatment not otherwise available to help them manage chronic illnesses.To address access to health care in Kodiak, Providence Kodiak Island Medical Center is partnering with the Healthy Tomorrows coalition to improve the mental and physical wellness of local youth. Programs include: safe-and-sober activities for students, student skill-building groups, physical activities at schools, Yellow Ribbon suicide prevention and an online "get-fit" challenge.To address access to care in Seward, Providence Seward Medical Center is partnering with the Seward Health and Wellness coalition. Programs include: Free primary care for up to 70 residents, expanding availability of charity care/sliding fee scale in the clinic, expanding the Know Your Numbers campaign and increasing access to dietary support and physical activities.To address access to care in Valdez, Providence Valdez Medical Center is partnering with the Sound Wellness Advisory Network (SWAN) and Valdez Parks and Rec to improve health in Valdez. Programs include: Healthier You Campaign, increased access to healthy activities, wellness education and biometric screenings. WESTERN WASHINGTON REGION - NORTHWEST: In Snohomish County, Providence Regional Medical Center Everett promotes the health of the community in a number of unique ways, one of which is the Providence Everett Healthcare Clinic. Opened in 2004, the clinic serves those with limited financial means and offers medical, dental and mental health care on a sliding fee scale, based on each patient's ability to pay. The clinic came about as the result of what started as a simple conversation between two single moms and a physician. These moms had government coupons to pay for health care, but no clinic or physician was willing to accept the coupons, and as a result, they were denied access. One mom had a son who experienced a simple earache. Because no one would see her son, the earache progressed until his ear drum burst, necessitating an emergency visit to the hospital. Upon hearing this story, the Providence physician realized there had to be a better way to meet the needs of this patient population. He developed a unique care delivery model in which Providence partnered with the schools of nursing at University of Washington Bothell and Everett Community College to deliver care. The clinic has grown in both size and scope several times since opening in 2004. It has expended from initially providing only medical care, to now providing mental and dental care as well. Another example is the community outreach program called Inside Out: The Original Organ Show. This innovative health education program, directed primarily at middle and high-school students, provides audiences with compelling health information - presented in a truly unique way - that empowers them to make informed decisions about behaviors and lifestyle choices that impact their long-term well-being. Inside Out takes viewers on a fantastic voyage through the human body. Actual human organs, such as hearts, lungs, brains, livers, kidneys and aortas are shown. Some are healthy; others have been damaged by substance abuse, poor eating habits and unsafe behaviors. Comparing healthy and cancerous lungs, clinical educators show the effects of smoking. Holding up a heart with a bullet hole through it, they describe the danger of gun violence. Using an aorta covered with hard, jagged plaque, they talk about how high cholesterol can lead to heart attacks. Displaying the shattered remains of a human brain, they talk about the unintended consequences of accidental prescription drug overdose. This program has been offered to the community for more than 20 years and in that time, thousands of people have written to tell how it changed, and possibly saved, their life.WESTERN WASHINGTON REGION - SOUTHWEST: Providence in Southwest Washington provided more than $50 million in total community benefits, including $16 million in charity care and $24 million to cover the difference between the costs of providing care for people insured by government-sponsored programs and the amount paid by the government for those services.Providence Southwest Washington hospitals subsidize a broad range of services that provide health benefits to the community but do not generate enough income to be financially self-sustaining. Examples include more than $5 million in programs such as psychiatry, chemical dependency, a sexual assault clinic and pediatrics.Here is more detail on key subsidized programs:*Providence is proud to collaborate with community partners to offer an intervention program that helps guide treatment decisions for frequent emergency department patients with chronic conditions and, in many cases, an addiction to pain medication. The Emergency Department Consistent Care Program (EDCCP) has assisted more than 1,100 patients, expanded to include five hospitals in a five-county region and dramatically reduced emergency visits. This program helps provide a safety net for patients who would otherwise have nowhere to turn.*Based in Lacey, the Providence St. Peter Chemical Dependency Center offers a complete continuum of treatment options to diagnose, treat and provide ongoing recovery support. Our medically supervised programs offer excellence in clinical counseling, comprehensive education and a safe environment for recovery. In 2011, the Chemical Dependency Center was subsidized with $2.5 million from Providence. This support helped improve the quality of life for more than 4,100 substance abuse inpatients, 16,500 outpatients and their families.*The physicians, nurses, nurse practitioners and social workers at the Sexual Assault Clinic are always there for the victims of sexual abuse. Serving residents of Thurston, Lewis, Mason, Grays Harbor, Pacific and Wahkiakum counties, our specialists are on call 24 hours a day, seven days a week to provide medical evaluations for children, adolescents and adults when they are in crisis. In 2011, the clinic provided nearly $400,000 in subsidized services for 349 patients.(SEE CONTINUATION)
Part VI, Line 5: FURTHERANCE OF EXEMPT PURPOSE - CONTINUED: (WESTERN WASHINGTON REGION - SOUTHWEST)*Providence provided more than $1.25 million in non-funded psychiatric services in 2011, including inpatient and outpatient services. The 18-bed voluntary acute care unit housed more than 700 admitted patients. More than 1,700 patients took advantage of the Partial Hospitalization Program. Other Providence psychiatric services include social workers and professional counselors who provide crisis intervention, counseling and support in the Emergency Center; psychiatric nurses who provide home mental health services; specialized services for those 55 and older in our Older Adult Mental Health Program; and psychiatrists and ARNPs who offer treatment in our psychiatric medical clinic.*Providence St. Peter Hospital provided $3.3 million in training support of 18 family medicine physicians, other medical education programs and research.*More than 1,000 people benefited from free blood pressure checks, glucose and cholesterol screenings and low-cost high school sports physicals. Providence also provided free community education events, including "The Flex Diet", "The Smart Women's Guide to Heart Health", "Providence Parenting University", "Cancer Survivors' Celebration", "Harmony and Hope concerts" and "Wellness Roundup".PROVIDENCE HEALTH CARE/EASTERN WASHINGTON REGION:Providence Health Care formed an innovative collaboration 17 years ago with the other local hospital system (then Empire Health System) to better serve the community needs by jointly sponsoring Inland Northwest Health Services (INHS) - a not-for-profit organization that provides vital community services including air ambulance service, inpatient rehabilitation services, community health education, and an extensive medical information system that connects more than 30 hospitals across the inland northwest region. INHS represents a collaborative approach to health care that is unlike any other and brings unique partnerships and innovative technologies and more cost-effective care to Spokane and the Northwest. While the original sponsors have changed following the acquisition of Empire Health Services by a national for-profit system, Providence Health Care has found the ability to continue the community collaborative approach through a new joint sponsorship with the foundation that was formed by the sale of Empire Health Services.The Providence Health Care Community Ministry Board is made up of volunteer community leaders. The Board's primary delegated responsibilities include quality of care and service (including oversight of medical staff privileging), strategic planning and Mission effectiveness. In its role in Mission effectiveness, the Board is responsible for reviewing and approving the community needs assessment and selection of priority community needs. In addition, the Board approves recommendations for financial support of community programs and services (representing a $1.94 million investment in 2011).Providence hospitals in Spokane are also the sole providers of many essential services in Spokane. Many of these services are subsidized as they operate at a loss. For example, Providence Sacred Heart Medical Center is the only inpatient psychiatric program in the region, and Providence Holy Family Hospitals provides the only inpatient detox program in the community. Other unique services include an inpatient maternity clinic for uninsured, low income women located at Sacred Heart, transplant services (heart, kidney, pancreas) and numerous pediatric subspecialties. In addition, all Providence Health Care hospitals operate 24/7 emergency departments that serve all patients, regardless of ability to pay. And, as the only level II trauma center in the inland northwest region, Providence Sacred Heart medical Center serves a unique role of caring for the most critically ill and injured patients from the vast service area. Other examples of how Providence Health Care and its Eastern Washington ministries further its tax exempt status in support of the health of the community include:*Mobile mammography van that provides mammography services to underserved populations in outlying communities.*Tele-medicine and tele-continuing medical education for physicians and nurses throughout the region.*Providing educational opportunities for medical professionals throughout the community, including management oversight and subsidy of the graduate medical education residency programs, including family medicine, internal medicine, radiology and psychiatry, as well as funding for medical research through the Providence Medical Research Center.*Medical staff at Providence hospitals have open privileges across all hospital facilities in the area.*Level I heart attack and level I stroke programs collaborate with rural hospitals throughout the vast inland northwest region to support the delivery of high quality, prompt medical care for patients suffering a stroke or heart attack.
Part VI, Line 6: AFFILIATED HEALTH CARE SYSTEM: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, OregonThe charitable purpose of Providence Health & Services and each of its ministries is guided by one Mission and set of core values based on Catholic health care and guided by the legacy of the Sisters of Providence. As one system committed to caring for those who are poor and vulnerable, Providence Health & Services has developed a single framework for consistently reporting charity care and community benefit. Our commitment to respect and fairness means Providence has a system-wide compensation policy. Locally, Providence ministries are empowered to apply these policies to meet the local needs of their community. Additionally, Providence ministries conduct local assessments to make sure the needs of the community are met. ALASKA REGION:Providence Alaska has 15 ministries. Most facilities are located in the Anchorage area, yet Providence Alaska expands it services through a presence in three rural communities as well as telemedicine and electronic intensive care unit (eICU) services extended to communities in Alaska and Oregon. The ministries in Providence Alaska work to care for each patient as they need care across the full continuum of health care services. Providence Alaska Medical Center is the only comprehensive tertiary referral center serving all Alaskans. The medical center features the Children's Hospital at Providence (the only one of its kind in Alaska), the states only Level III NICU, Heart and Cancer Centers, the state's largest emergency department, full diagnostic, rehab and surgical services as well as both inpatient and outpatient mental health and substance abuse services for adults and children. Providence Alaska has a family practice residency program that trains physicians in primary care with the intent of increasing providers in distant Alaskan communities. A continuum of post acute care services, including home health, hospice, assisted living and a skilled nursing facility provides care for patients as close to home as possible. A developing medical group provides primary and specialty care in the community. The three critical access hospitals located in the remote communities of Kodiak, Seward, Valdez and Cordova are all co-located with skilled nursing facilities. Community mental health centers are operated in Kodiak and Valdez. These services combined in these communities provide a solid foundation for access to health care. Providence Alaska also partners to provide additional services through five joint ventures including: Providence Imaging Center in both Anchorage and Soldotna, St. Elias Long Term Acute Care Hospital, Imaging Associates of Providence in both Anchorage and Wasilla, LifeMed Alaska (a medical transport / air ambulance service), and Creekside Surgery Center.WESTERN WASHINGTON REGION - NORTHWEST: One example in Snohomish County was the Hands-On Health Fair, a free monthly community health fair. At the health fair, visitors had the chance to learn about and improve their health from all aspects of Providence. From Providence Physician Group primary care, attendees were able to get free heel scans to test for osteoporosis. From Providence Physician Group specialty care, they were able to learn about new treatments for debilitating vein health issues. From Providence Regional Medical Center Everett, they learned about heart and brain health, including exercise, how to perform CPR, and the warning signs of stroke. From the Providence Regional Cancer Partnership, they learned about breast and prostate health. From Providence Hospice and Home Care, they learned about the life-saving benefits of the Lifeline program. From the Providence Health & Services regional Revenue Cycle team, they were able to get information to assist them in paying for medical care. And from the Providence Health Plan, they were informed of new options for Medicare Advantage. Working individually, none of these ministries of Providence could have created or presented a comprehensive health fair. By collaborating, they were able to join together and promote the health of the community in more than 30 individual topic areas to a group of over 500 attendees for the first event alone.PROVIDENCE HEALTH CARE/EASTERN WASHINGTON:In the Eastern Washington Region, Providence Health Care is made up of 11 ministries offering comprehensive, coordinated health care across the full continuum of care. In addition to five hospitals, Providence Health Care includes home health care, skilled nursing/long term care and transitional care, an assisted living facility, home chore services, a physician group with more than 200 physicians, a medical laboratory and the region's only adult day health program. All of these ministries serve the Providence Mission and provide care for all, especially to those who are poor and vulnerable. This coordinated system of care ensures patients receive the right care from the right provider, at the right time, at the right cost. While the Providence physician group is at the core of coordinating patient care, patients may enter the Providence Health Care system at any ministry level depending on need. This comprehensive, open system ensures patients receive a full spectrum of coordinated care, regardless of their ability to pay.WESTERN WASHINGTON REGION - SOUTHWEST: Providence Health & Services in Southwest Washington touches more lives in Thurston, Mason, Lewis, Grays Harbor and Pacific counties than any other health care provider.*Providence St. Peter Hospital is a 390-bed, not-for-profit regional teaching hospital founded by the Sisters of Providence in 1887. Located in Olympia, the hospital offers comprehensive medical, surgical and behavioral health services to residents of Southwest Washington. St. Peter is a regional leader in cardiology, oncology, orthopedics and neuro-sciences. The Joint Commission has designated the hospital a Stroke Center of Excellence since 2007.*Providence Centralia Hospital is a 127-bed, not-for-profit community- based hospital. The services the hospital provides make it the heart of medical care in Lewis County. As a community hospital with outstanding technology, Providence Centralia Hospital is large enough to provide state-of-the-art services such as MRI, 64-slice CT scans and digital mammography. The hospital is also small enough to offer personal, compassionate care to everyone it serves*Providence Medical Group operates more than 20 clinics, with more than 135 specialized providers in Lewis, Thurston and Grays Harbor counties. The group provides primary and specialty care, including family medicine, internal medicine, cardiology, neurosurgery, oncology, diabetes care, general surgery, endocrinology, obstetrics/gynecology, physiatry, psychiatry and urology.*Providence Senior and Community Services provide a full continuum of health care services for those living with chronic and/or life-limiting conditions. Offering access and choice through innovative, customer-centered options, services are provided in the home or in a variety of facility settings including Providence SoundHomeCare and Hospice and Providence Mother Joseph Care Center and through supportive housing, including Providence St. Francis House (Olympia); Providence Blanchet House (Centralia); Providence Rossi House (Centralia) and Providence Place (Chehalis).
WA,OR,CA,MT,AKReports Filed With StatesPart VI, Line 7
Providence Valdez Medical Center serves the community of Valdez. Valdez is one of Alaska's most important port cities. It is located about 120 air miles and 305 road miles east of Anchorage. The population is close to 4,000 and is located within 222 square miles of land area. In 2010, the majority (79 percent) of the population in the City of Valdez were white, with 8 percent of the population American Indian/Alaska Native. The median age was 37 years old in Valdez according to the 2010 Census, a slightly older median age than its statewide counterpart (34 years old). In the 2011 community health needs assessment, approximately one in 12 community survey respondents reported that they or their family had to go without basic needs in the year prior to the survey. Of those who went without basic needs, almost half said they went without dental care (49 percent) and/or health care (46 percent).CONTINUATION OF COMMUNITY INFORMATIONSCHEDULE H, PART VI, LINE 4
In Walla Walla County, Providence St. Mary Medical Center participates with other health, education, governmental and social service agencies in a community health assessment, sponsored by the Walla Walla County Health Department. The assessment identifies the areas of greatest need in the health of the community. Providence St. Mary uses this data in addition to other information to guide its community outreach. In recent years, the most critical need identified through this process is at-risk youth access to health care and services. To meet this need, Providence St. Mary provided funding to establish eastern Washington's first school-based health clinic, which operates as an independent not-for-profit at an alternative high school in Walla Walla. Providence St. Mary now provides annual funding to the clinic. The medical center also donates the use of a building to Trilogy Recovery Community, an independent not-for-profit youth drug and alcohol recovery center.Providence St. Mary utilizes the Providence Telestroke Network, run through the Providence Brain Institute in Portland, Oregon, to ensure that every patient coming into the emergency department with symptoms of stroke can be seen by a neurologist, regardless of the hour. With strokes, the faster a patient is diagnosed and treated, the less damage the stroke can do. Receiving the right treatment quickly can mean the difference between life and death, and between a good recovery and a lifelong disability. In Alaska, access to health care is one of the most critical community needs. To address this need, Providence Alaska and its local ministries are involved in and supportive of many programs, activities and services. In addition to having 24/7 emergency room care, each community is pursuing trauma designation to ensure every Alaskan receives exemplary and timely care. Providence Alaska is governed by a community ministry board made up of independent community members from across the state. Additionally, each hospital has an advisory board made up of local community members. Providence Alaska Medical Center has an electronic intensive care unit (eICU) that serves communities across Alaska and one community in Oregon. PAMC is also expanding its telemedicine capabilities to provide stroke care to local and distant communities. Within the community of Anchorage, Providence is a long-time partner of Anchorage Project Access (APA). The volunteer network provides medical services, accepting and treating APA-referred patients as any other insured patients. PAMC will continue to provide funding and office space for the program. To address access to health care in Kodiak, Providence Kodiak Island Medical Center is partnering with the Healthy Tomorrows (HT) coalition to improve the mental and physical wellness of local youth. Programs include: safe-and-sober activities for students, student skill-building groups, physical activities at schools, Yellow Ribbon suicide prevention and an online "get-fit" challenge.To address access to care in Seward, Providence Seward Medical Center is partnering with the Seward Health and Wellness coalition. Programs include: Free primary care for up to 70 residents, expanding availability of charity care/sliding fee scale in the clinic, expanding the Know Your Numbers campaign and increasing access to dietary support and physical activities.To address access to care in Valdez, Providence Valdez Medical Center is partnering with the Sound Wellness Advisory Network (SWAN) and Valdez Parks and Rec to improve health in Valdez. Programs include: Healthier You Campaign, increased access to healthy activities, wellness education, and biometric screenings.CONTINUATION OF PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VI, LINE 5

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (100 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Inland Empire Hospital Services Assoc
104 West Fifth Ave Suite 200WSpokaneWA99204237385639501(C )(3)8156833Physician Residency Program
Providence Alaska Foundtion
3211 Providence Dr K101AAnchorageAK99508920093565501(C )(3)1178699Administrative Support of the Foundation
Inland Northwest Health Partners
PO Box 469SpokaneWA99210911307555501(C )(3)1021073Community Health Education Outreach
Providence St Peter Foundation
413 Lilly Road NEOlympiaWA98506911097056501(C )(3)752499Administrative Support of the Foundation
University of Washington
School of Medicine Box 358047SeattleWA98195916001537Other617892Physician Residency Program
Providence Hospice of Seattle Foundation
425 Pontius Ave N 300SeattleWA98109912077378501(C)(3)276688Administrative Support of the Foundation
Catholic Relief Services
PO Box 17090BaltimoreMD21203135563422501( C)(3)250000Community
Providence Health Care Foundation
914 S Scheuber RdCentraliaWA98531911433382501(C)(3)235321Administrative Support of the Foundation
Sacred Heart Children's Foundation
101 W 8th AvenueSpokaneWA99220320014330501( C)(3)206757Administrative Support of the Foundation
Providence Marianwood Foundation
3725 Providence Point Drive SEIssaquahWA98029931554288501(C)(3)190629Administrative Support of the Foundation
Christ Clinic
914 W CarlisleSpokaneWA99205911435174501( C)(3)165735Building Expansion Campaign & Psychiatric Nurse Practi.
Providence Mount St Vincent Foundation
4831 35th Avenue SouthwestSeattleWA98126911188119501(C)(3)160361Administrative Support of the Foundation
Anchorage Project Access
PO Box 196604AnchorageAK99519920152080501( C)(3)106300Community Support
Christian Health Associates
1825 Academy DriveAnchorageAK995075391920152088501(C)(3)106050Community Support
Catholic Charities
PO Box 2253SpokaneWA99210910569880501( C)(3)102205Donation for Land Purchase & House of Charity Mental Health
Partners with Families & Children
613 S Washington StSpokaneWA99204680576560501(C)(3)96786Monthly Operational Support/Financial Assistance to Families
Prescription Drug Assistance Foundation
200 Broadway Suite 100SeattleWA98122331134368501( C)(3)71043Prescription Drug Assistance/Operational Support
Choice Regional Health Network
2409 Pacific Avenue SEOlympiaWA98501911704039501(C)(3)60000Thurston County Project Access
Municipality Of Anchorage
715 L St Ste 200AnchorageAK995013359920059987Government50875Community Support
Alaska Destination Specialist
639 W International Airport Rd 26AnchorageAK99518920156608Other50000Community Support
Alaska Sports Hall of Fame Inc
1415 Echo Canyon RdAnchorageAK995166908810649085501(C)(3)50000Community Support
Alaskans For Access To Healthcare
4120 Laurel St Ste 206AnchorageAK995085392202234578Other50000Community Support
Lincoln Health Center
342 Catherine StreetWalla WallaWA98362910793597501(C)(3)50000Community Benefit Donation
Project Access Spokane
104 S Freya Street Suite 114SpokaneWA99202910827958501(C)(3)46000Operational Support
University of Washington
1959 NE Pacific St NW125SeattleWA98195916001537Other45000Financial support
Economic Alliance Snohomish County
728 134th Street SW Ste 128EverettWA98204910647005Other36210Donation for the summer networking and roll out event.
Community Detox Services of Spokane
PO Box 2845SpokaneWA99220911108762501(C)(3)33000Operational Support
The American Heart Association
3700 Woodland Avenue 700AnchorageAK99517135613797501(C)(3)32500Community Support
American Heart Association
140 S Arthur Street Suite 610SpokaneWA99202135613797501(C)(3)30000Sponsorship
Anchorage School District
1805 Academy Dr Ste 101AnchorageAK995075301928000078501(C)(3)27500Community Support
Covenant House Of Alaska
PO Box 104640AnchorageAK995104640133419755501(C)(3)27241Community Support
Providence Pariseau Corp
1801 Lind Ave SW 9016RentonWA98057911289932501(C)(3)25950Ministry Support/Community
Alaska EHR Alliance
4120 Laurel St Ste 206AnchorageAK99508202141045501(C)(3)25000Community Support
University of Washington Foundation
PO Box 357230SeattleWA98195943079432501(C)(3)25000Leo Greenwalt Professorship Health Pol.
University Of Alaska
3211 Providence Dr K101AAnchorageAK99508926000147Other22500Community Support
Beans Cafe
PO Box 100940AnchorageAK99510920072522501(C)(3)22270Community Support
Alaska Medicare Clinic
11260 Old Seward Highway Ste 107AnchorageAK995153038270542419501(C)(3)20000Community Support
Catholic Cemeteries of Spokane
PO Box 18006SpokaneWA98228910564968501(C)(3)20000Memorial in Holy Cross Cemetery
King County Project Access
1111 Harvard AvenueSeattleWA98122204377921501(C)(3)20000Donation to Snohomish County portion of Project Access Northwest
United Way of King County
720 2nd AveSeattleWA98104912131783501(C)(3)20000Annual Sponsorship
March of Dimes Foundation
1904 Third Aveue Suite 230SeattleWA98101131846366501(C)(3)19000Signature chefs auction-table sponsorship, nurse of the year awards, march for babies.
Spokane County Medical Society Foundation
104 S Freya St Suite 114SpokaneWA99202911728909501(C)(3)18300Project Access/Patient Transport
Alaska State Medical Association
PO Box 230630AnchorageAK99523926002176501(C)(6)17500Community Support
Rotary Club of Everett
PO Box 1225EverettWA98201916032628501(C)(4)15100Student Scholarship
Group Health Foundation
320 Westlake Ave N Ste 100SeattleWA98109911246278501(C)(3)15000Gift of Health Gala Sponsorship
March of Dimes Foundation
222 W Mission Ave Suite 119SpokaneWA99201131846366501(C)(3)15000March for Babies Sponsorship/Event donation
Washington State Medical Association
2033 Sixth Ave Suite 1100SeattleWA98121916074463501(C)(6)15000Annual Corporate Sponsorship
American Red Cross - Snohomish County Chapter
2530 LombardEverettWA98201910581658501(C)(3)13000Support for the Real Heroes Breakfast and humanitarian efforts such as a CRP event.
WSU Extension
PO Box 1495SpokaneWA99210916001108Other13000Primary Care and Rural Health Sponsorship
March of Dime Foundation
255 E Fireweed Ln Ste 102AnchorageAK99503131846366501(C)(3)12500Community Support
Rural Resources
956 S Main StColvilleWA99114910793447501(C)(3)12226Child Protection Resources
Providence General Foundation
PO Box 1067EverettWA98206911041617501(C)(3)11900Memorial gifts to various PRMCE employees.
Catholic Social Services Inc
225 Cordova St Bldg BAnchorageAK995012409920037322501(C)(3)11300Community Support
Breast Cancer Focus Inc
PO Box 242464AnchorageAK99524911842524501(C)(3)10600Community Support
Everett Silvertips Hockey Club
2000 Hewitt Avenue Suite 100EverettWA98201980376631Other10380Sponsorship total for hockey club.
Bethel Christian Life Center
226 Shiloh DrColvilleWA99114943143251501(C)(3)10360Support Hunger Initiative
5 Miler For Mens Cancer Research
PO Box 100225AnchorageAK995100225920158284501(C)(3)10000Community Support
AK Inaugural Committee
PO Box 100719AnchorageAK99510680534095501(C)(3)10000Community Support
American College Of Physicians
4120 Laurel St Ste 204AnchorageAK99508920136701501( C)(3)10000Community Support
American Heart Association
PO Box 4002030Des MoinesIA50340135613797501(C)(3)10000Annual Sponsorship
Daybreak Youth Services
11711 E Sprague Ave Suite D-4Spokane ValleyWA99206911083936501(C )(3)10000Youth Services Program
Health For All
25 W Main Ave Suite 310SpokaneWA99201911764236501(C)(3)10000Community Services
Life Services of Spokane
2659 N AshSpokaneWA99205911494402501(C )(3)10000Parenting Support Group
Lilac Bloomsday Assoc
1610 W RiversideSpokaneWA99201911054846501(C)(3)10000Bloomsday Sponsorship
Lincoln County Fire Protection
PO Box 279SpragueWA99032911542456Other10000Emergency Response Building Expansion
Medical Teams International
9680-153rd Ave NERedmondWA98052930878944501(C)(3)10000Donation to support MTI dental Van for visits to Marysville and Everett Gospel Woman's mission.
The Foraker Group
161 Klevin St Ste 101AnchorageAK995081506920177787501(C)(3)10000Community Support
United Way of Snohomish County
3120 McDougal Avenue Suite 200EverettWA98201910606507501(C)(3)10000Premier sponsorship-year Round United Way events.
United Way of Spokane County
920 N Washington St Suite 100SpokaneWA99201910606058501(C)(3)10000Our Kids: Our Business Sponsorship
YWCA of Spokane
930 N Monroe StSpokaneWA99201910565025501(C)(3)10000Women of Achievement Sponsorship
Big BrothersBig Sisters Inland NW
222 W Mission Ave Suite 40SpokaneWA99201916061587501(C)(3)9000Mentoring Program/Sponsorship
Oregon Health & Sciences University Foundation
Mail Stop 45 PO Box 4000PortlandOR97208237083114501(C)(3)9000Community
Tri County Comm Health
1200 E ColumbiaColvilleWA99114431992627Government9000Operational Support
Holy Family Foundation
5633 N LidgerwoodSpokaneWA99028911107079501(C)(3)8750ER clothing bank program
The Anchorage Running Club
PO Box 243362AnchorageAK995243362920085126501(C)(3)8000Community Support
Alaskan Aids Assistance
1057 W Fireweed Ste 102AnchorageAK99503920113788501(C)(3)7550Community Support
Anchorage Economic Development
510 L St Ste 603AnchorageAK995011959920123006501(C)(3)7500Community Support
Washington Center for Nursing
1101 Andova Park W Suite 105TukwilaWA98188680568743501(C)(3)7500Annual Sponsorship
United Way Of Valdez
PO Box 707ValdezAK996860707920090499501(C)(3)6034Community Support
Natl Multiple Sclerosis Society
192 Nickerson St Ste 100SeattleWA981091632135661935501(C)(3)6000Community Support
St Joseph Family Center
1016 N Superior StSpokaneWA99202910564989501(C)(3)6000Operational Support
Washington Poison Center
155 NE 100th St Suite 100SeattleWA98125943214597501(C)(3)6000Operational Support
Sisters of Providence
1801 Lind Ave SW 9016RentonWA98057911549820501(C)(6)5600Annual Sponsorship
Alaska Associaton Of Health Underwriters
PO Box 244065AnchorageAK99524920165384501(C)(3)5500Community Support
American Red Cross
235 E 8TH Avenue Ste 200AnchorageAK99501951643964501(C)(3)5366Community Support
Tri County Health District
240 E DominionCollvilleWA99114911358169Government5320Immunization clinic/program
Inland Northwest Blood Center
210 West Cataldo AveSpokaneWA99201910499130501(C)(3)5186Sponsorship
American Diabetes Association
801 W Fireweed Suite 103AnchorageAK99503131623888501(C)(3)5050Community Support
Alaska Pacific University
401 University DrAnchorageAK995084625920023588501(C)(3)5000Community Support
Heart to Heart
6033 W Century Blvd Ste 350Los AngelesCA90045043367888501(C)(3)5000Event donation/sponsorship
Helps International Inc
15301 Dallas Pkwy Suite 200AddisonTX75001751966419501(C)(3)5000Community
Housing Hope
5830 Evergreen WayEverettWA98203943060709501(C)(3)5000Sponsorship of Housing hope Stone Soup Event
Interfaith Hospitality
608 S Richard Allen Ct 5SpokaneWA99202911707988501(C)(3)5000Assistance to Families
Ride For Life Alaska
2600 Denali St Ste 450AnchorageAK99503562458726501(C)(3)5000Community Support
Seattle University
901 12th Avenue PO Box 222000SeattleWA98122910565006501(C)(3)5000Community
The Alaska Run For Women
PO Box 230929AnchorageAK99523920149312501(C)(3)5000Community Support
The Childrens Place
PO Box 871788WasillaAK99687911817911501(C)(3)5000Community Support
The Walla Walla Valley Chamber of Commerce
29 E SumachWalla WallaWA98362910457015501(C)(6)5000Community Development Sponsorship
Transitions
3104 W Fort George Wright DrSpokaneWA99204911307272501(C)(3)5000Transitional program for women
Valley General Hospital Foundation
PO Box 1522MonroeWA98272943115593501(C)(3)5000Annual Joseph Feek Memorial Golf Tournament
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants85TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations15TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (10 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistanceAmount Of Cash GrantAmountOfCashGrant
Patient Transport386456730FMVPatient Transport
Medical Supplies499938CostDME Assistance
Prescription Medications21786207CostMedication
Housing Assistance1019086CostHousing
Medical Education Assistance2732945CostFinancial Assistance
Life Saver Program662720FMVMammograms for low-income patients
Indigents - Food112111776CostBase amount for food plus supply cost used
Medical Mission Grants151CostMedical Mission Trips91341
Light of Hope Program114418CostHelp young mothers with Utility bills & Food
Patient other Needs93371CostInterpreter for patients & Other Assistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Discretionary Spending AccountXDiscretionarySpendingAccount
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Payments For Use Of ResidenceXPaymentsForUseOfResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (34 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
John F Koster MD
1128700036113730365000158548801739406379455000
Jeffrey W Rogers
42837201171207015000050540901944302139431000
Todd Hofheins
2604300578030125390246880201800375640000
Michael L Butler
7750910367474020000055676802578001745113000
John V Fletcher
534720011501300140655059314102071802439364000
Eugene Al Parrish
5073950524212020025046652802283301540993000
Daniel T Harris
39357401072690150000207719083030731865000
Anthony J Dorsch
2443880861420150250484070179160411878000
Gregory Van Pelt
69051602584395036500092568002149804258589000
Arnold R Schaffer
667785019317490109769075644302259903488345000
Janice J Jones
57238602081316066319054250702379103286319000
John O Mudd
3369060487537036500038979301837601269112000
Myron Berdischewsky MD
4773100138533058686044239502200901138933000
Claudia Haglund
323326014853330101268043815201802702366106000
Michael Hunn
4707810829175020000023915501786701576978000
Cindra R Syverson
377057010289801500001531190212160669290000
Joel S Gilbertson
32113101029370315000553050188380529711000
David Brown
2598990893270150000992850209960484507000
Orest Holubec
2614290291240228370208570205620354809000
Terry L Smith
59736602544661074105064954002199903887671000
Craig L Wright MD
460242016354501500002632840213860923457000
Bruce Lamoureux
442134012371803383301961910215520817428000
Andy Agwunobi MD Thru 1130
473492012843009195301788360198840892595000
David T Brooks
407789014276201500001868740206560773081000
Medrice Coluccio
402506014957803150003670790135220964185000
Elaine S Couture
341676013277003150001404850176940664125000
Michael Wilson
434191000000000434191000
Andrew T Howlett
89614904519460753760980001001701443288000
Steven A Burdick
2577390840511031843016387401618401310151000
James N Dunlap
52412005824270163950980001001701142759000
Atul Thakker
772160024918603790508513201391001158293000
Thomas Corley
3174690715844015000030944701565201373412000
Keith Marton
007860860448716014631401076401391880000
Russell Danielson
00108402012498700000233389000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aProvidence 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-bNONQUALIFIED 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) Daniel T. Harris a) DBSERP Interest Credit - $22,083 b) Non-Taxable DCSERP Earned - $161,459 27) Anthony J. Dorsch a) Non-Taxable DCSERP Earned - $28,336 28) Elaine S. Couture a) DBSERP Interest Credit - $7,483 b) Taxable DBCBRP Earned but not Paid - $202 c) Non-Taxable DCSERP Earned - $125,652
Part I, Lines 4a-bSEVERANCE 1) Keith Marton, MD - $428,716
Part IIIFORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS PROGRAM The Providence Executive Performance Awards Program provides a lump sum award annually as a percent of the executive's base pay. Percent opportunities are aligned with our total compensation philosophy as outlined in Part VI, Section B, Line 15 (Process for determining compensation of top management, officers & key employees). The performance award is based on the level of accomplishment of annual system objectives and personal objectives. In 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 (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Washington Health Care Facilities Authority
91110892993978EA772006-06-22208792185Refund WHCFA Series 1999 & Capital projects in Washinton100
Washington Health Care Facilities Authority
91110892993978EB272006-06-22165050000Refund WHCFA Series 2002A & B and Series 1994 & 1995000
Washington Health Care Facilities Authority
91110892993978E7V82010-07-01173543991To Finance a Portion of construction of a Tower in Everett000
Washington Health Care Facilities Authority
91110892993978HDAO2011-07-13101296076Proceeds were used to currently refund all outstanding Series 2001A bonds000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
16100002087921851241651096198003933363121463533425792932520090111
1650500001081660244246556216092419420021011
173543991145254399117100000020110011
10129607664498106033910023573720041011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000.000100.000000.000101
00000.000000.000000.000001
00000.000000.000000.000001
00000.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000
000000
000000
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Alaska Industrial Development and Export
926001185011903BEO2003-09-0437426100Reimburse Alaska Region for Capital expenditures made in 2002 & 2003000
Alaska Industrial Development and Export
926004485011903CT62006-11-3057177110Reimburse Alaska Medical Center for portion of costs to construct cancer ctr000
Alaska Industrial Development and Export
926004485011903DZI2011-11-17126601436Fund portion of expansion & renovation at PAMC & Portion of construction000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount UnspentAmountUnspent
8200000374261001565017783692432220030011
57177110376467755653033520080011
126601436160143694513131000130515523

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000.000000.000000.000001
00000.000000.000000.000001
00000.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000
000000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1John F Koster MDBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipOfficerRelationship
Amount Of Transaction374113813AmountOfTransaction
Description Of TransactionPurchase of Supplies through cooperative of which Dr. Koster is a DirectorDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6Providence Health & Services is the sole Corporate Member.
Form 990, Part VI, Section A, line 7aThe powers of the Corporate Member include the provision to appoint the number of Directors, appoint the Board of Directors and to remove such Directors at any time with or without cause.
Form 990, Part VI, Section A, line 7bOther powers of the Corporate Member include the power: 1) To adopt or change the mission, philosophy, and values, including the strategic plan and mission statement. 2) To amend or repeal the Articles of Incorporation or Bylaws. 3) To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale transfer, assignment or encumbering of assets exceeding a specified threshold, or the sale or transfer of any property which may have historical or religions significance. 4) To approve the dissolution or liquidation. 5) To approve the annual operating and capital budgets. 6) To appoint the certified public accountants. 7) To approve the closure of any institution or major ministry or work of the Corporation.
Form 990, Part VI, Section B, line 11The Form 990 is prepared internally by experienced staff and reviewed by the internal Director of Taxes and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cProvidence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict.
Form 990, Part VI, Section B, line 15It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are determined by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Each year, the Board Chair conducts a formal performance evaluation of the President/CEO that considers input from the other directors and senior leaders reporting to the President. The evaluation is discussed with the Human Resources Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Human Resources Committee also meet with an independent consultant to develop a salary recommendation; which is reviewed and approved first by the committee and then by the Board of Directors. Additionally, the President/CEO utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for other senior executives. This process includes a rigorous analysis of those recommendations with the Human Resources Committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational and individual goals for furthering Providence operating principles - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated customer satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector.
Form 990, Part VI, Section C, line 19Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon written request. The consolidated financial statements are available on our public Internet site www2.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site.
Form 990, Part XI, line 5:Net unrealized gains on investments: 8,375,520. Investment expenses: 51,860. Prior period adjustments: 37,043. Consolidating Entity Transfers 131,964,438. FAS 136 8,456,973. Net Assets Transferred from Merger -16,237,638. Revenue Reclassifications 446,280. Expense Reclassifications 117,211. Pension Adjustment -124,688,533. Rounding -3. Total to Form 990, Part XI, Line 5: 8,523,151.Changes in Net Assets or Fund Balances:
FORM 990, PART VII, LINE 1AThe 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 XII, LINE 2CThe Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation.AUDIT & COMPLIANCE
FORM 990, PART I, LINE 6ALASKA REGION: PAMC-Volunteers share their time and talents as they serve patients and their families, as well as staff in one or more of the seventy-plus volunteer opportunities at Providence Alaska Medical Center. Volunteers bring the Providence mission to life everyday; whether it is greeting individuals as they enter the facility, baking cookies for Hickel House guests, rocking a NICU baby, providing warm blankets in the Emergency Department, lending a book to read from the hospitality book cart, or sitting vigil with a patient as a NODA (No One Dies Alone) volunteer. Volunteers enhance the patient experience across the continuum of care at Providence Alaska Medical Center. PKIMC- Volunteers assisted our Extended Care Facility Activities Coordinator, clerical duties, distributing mail, purging medical charts, providing chaplain services, and visiting our Extended Care Center residents. PECC-Volunteers provide valuable services to our residents. Volunteers spend 1:1 time with the residents, assist programs offered through the Activity Therapy Department, operate out gift shop, musical entertainment and provide religious services and programs. HOSPICE OF SEATTLE: Patient Care Volunteers help to support the hospice patient and their family during the course of their illness meeting a variety of needs including respite, companionship, helping with light household tasks and providing personal services such as letter writing, reading and running errands. Transitions Volunteers help to support clients and their family facing a life limiting illness with a prognosis of 12 months or less with a variety of needs. Duties are similar to those of patient care volunteers. Bereavement Volunteers help surviving families/significant others of Hospice patients for up to 15 months following the death of the patient. Safe Crossings Volunteers provide support services to children connected with Providence Hospice of Seattle regarding issues around terminal illness and assist with bereavement support. Complementary therapy volunteers perform the same services as patient care volunteers with the addition of offering a licensed modality such as massage, music therapy or animal-assisted activities (animal/animal handler must be Delta Certified) if requested by the patient, family and care team. Stepping Stones volunteers help support children and their families facing a life limiting illness in a variety of ways. Volunteers may read books, play games or serve as one-to-one support to families. Camp Erin volunteers assist with an annual weekend grief camp sponsored by Providence Hospice and The Moyer Foundation for children ages 5-17. MOTHER JOSEPH CARE CENTER: Assist with resident activities,(Groups, Outings, Special Events, Communion, One to One, Ride along to Doctor appointments), Through Job programs (Morningside, SCSEP), they work closely with staff on Job retraining. PROVIDENCE CENTRALIA HOSPITAL: The regular hospital volunteers fill a variety of job duties that include: Patient Support Services, Hospitality/Guest Services and Clerical Assistance, Information Desk, including "way-finding" for patients and visitors.We also had 90 volunteers, who worked all day to paint 4 homes on September 10,2011 for our annual community service event, Paint the Town, which is administered jointly by Volunteer Services and Foundation, included in the total above. PROVIDENCE HOSPICE & HOMECARE OF SNOHOMISH COUNTY: PHHC Volunteers offer many vital services. Those who provide office help at our agency work in Records & Reimbursement, Home Care, Hospice, Volunteer Services, Lifeline, Finance, and Development. In these roles, the volunteers become our support staff in terms of filing, labeling, keeping documents together, sending out bills to subscribers, addressing envelopes, stuffing envelopes, and numerous other tasks that keep us all so busy. Our Development Volunteers assist us with the fundraisers that sustain our Mission based programs. They are runners at Brunch, traffic-directors during Cruizin' Colby, assemblers for auction baskets, support staff for Angel Ride, and tree decorators for Light up a Life. Sewing volunteers provide us with the tangible mementos and comfort items that we present to our patients and families with: prayer shawls, comfort shawls, decorative hospital gowns, butterfly pillows, memorial pillows, and transfer pads. Patient Care Volunteers are highly trained members of our direct patient care teams. They provide respite for weary caregivers, companionship to patients in facilities, notary services for the housebound, Life Review to capture a lifetime of stories, Tuck-In services for delivery of supplies and / or medications. We also have a volunteer Barber, a Pet Therapy visitor and her 3 dogs, and a volunteer Master Gardener for those special services. Vigil volunteers are patient care volunteers who have additional training in order to be with patients / families within the last 48 hours of the patient's life -often a time of intense emotion. PROVIDENCE MOUNT ST. VINCENT: In 2011, the Mount's volunteer program involved 278 community members, ranging in age from 14 to 93, as official volunteers. Together they contributed 29,447.50 hours of service (up from 27,828.75 in 2010 - an increase of 1,618.75 hours). According to the national volunteer wage, the financial value of these hours is $ 628,998.60. In addition to the gift of their time, volunteers contributed to The Mount community in numerous ways - as donors, as word-of-mouth champions, as genuine friends and good neighbors. Three volunteer groups (the PMSV Auxiliary, Emilie's Treasures, and the Sewing Ladies) raised funds for the PMSV foundation as part of their mission. The Mount also partnered with Our Lady of Guadalupe School to bring the 8th grade class here once a month for visits with residents. PROVIDENCE MARIANWOOD: Departments utilizing and supervising volunteers: *Auxiliary *Dietary *Foundation *Human Resources *Medical Records *Nursing *Pastoral Care *Physical Therapy *Plant Services *Staffing *Therapeutic Recreation *Volunteers PROVIDENCE REGIONAL MEDICAL CENTER EVERETT: CAMP PROV: Volunteers ages 14 and up perform a variety of support activities to special needs children ages 2-10 and their siblings at a day camp located at Forest Park in Everett. Tasks include swimming, art projects, reading, preparing food, singing and fun. Call Volunteer Services to sign up for an information packet. CLERICAL AND OFFICE SUPPORT: Assist staff with clerical and office duties in clinical and administrative departments. Duties may include filing and collating, answering phones, using office machines and using a computer. EXPERIENCE SPECIFIC: Provide Comfort Dog services (if dog is certified by Delta Society); join the Heart to Heart volunteers to talk with others experiencing open heart surgery; personal interactions and clerical work at the Cancer Center & Breast Center regarding cancer survivors and provide an understanding ear for patients fighting cancer. FAMILY CARE AND GUEST SERVICES: Family care volunteers act as a liaison between hospital staff and families in public areas like our surgery waiting lounge and information desks. These volunteers provide information and support to families while a loved one is being cared for. GIFT SHOP: Customer service, cashier duties, and re-stocking merchandise. Minimum age is 18 years or 16 if you work with another 16-year-old friend. PROVIDENCE MEDICAL GROUP: Volunteer assists the Providence Medical Group Midwifery Clinic by compiling information packets, educational material, and forms for distribution to patients. PROVIDENCE SENIOR & COMMUNITY SERVICES: Volunteers helped with the execution of our special events: Providence Golf Classic, O'Christmas Trees Procurement Party, Signature Cocktail Contest, Designer Day, Christmas Carnival, Silver Bells Luncheon, and Gala Dinner & Auction. (SEE CONTINUATION)VOLUNTEERS
FORM 990, PART I, LINE 6PROVIDENCE SOUND HOMECARE: We have a vibrant volunteer program that serves Thurston, Mason and Lewis counties. Our hospice volunteers provided a variety of services including but not limited to respite, companionship, light housekeeping and gardening for patients and their caregivers. Our volunteers also provided 11th Hour vigiling at the bedside of our patients who were actively dying when caregivers requested a loving, calming presence. We also had volunteers assist with our annual "Coping with the Holidays" and "Light Up A Life" programs for the community. Volunteers made lap quilts and gowns for patients. The quilts and gowns were then disseminated by our Bath Aides to patients in need. Bereavement volunteers made calls to survivors to provide support and information about our grief support services. Volunteers in our children's bereavement program, SoundCareKids, assisted children and adults process their grief. PROVIDENCE ST. PETER HOSPITAL: Volunteer Services Department provides support placing between 300-400 on boarded volunteers up to 51 departments at Providence St. Peters Hospital. Volunteers perform many routine and repetitive tasks that allow paid, licensed, certified, experienced staff to provide more attention to more affordable and comprehensive patient care. The following customer service functions are provided for PSPH and/or the patients and their families: Gift shop clerks, gift grant fundraising, and department volunteer placement in needed areas doing variety of tasks with the most common being: greeters, assisting individuals to get to their desired area in the hospital, delivering flowers, mail, answering phones/taking messages, putting packets together, stocking areas, taking inventory, blowing up balloons, entering non confidential data into computer, filing, mass mailings. PROVIDENCE WASHINGTON/MONTANA REGIONAL SERVICES: Providence Regina House runs both a food and clothing bank which is open twice per week. We not only provide food and clothing, but also household items, bus passes, and many other referrals and resources to our families in need. In 2011, we fulfilled over 90,000 individual requests for food. In 2011, approximately 300 volunteers gave 4,200 hours of their time at Providence Regina House. (SEE CONTINUATION)VOLUNTEERS - CONTINUED
FORM 990, PART I, LINE 6DOMINICARE: The volunteers at Dominicare helped maintain a memorial book, answered phone calls during staff meetings, made satisfaction survey calls once a month, and helped with a December 2011 mailing. EMILIE COURT: Assisted Residents to music in the gardens, and bingo. Assisted with Activities. Pet Therapy Visits. Assisted with Reception. One on one visits. Lead Bible Study every Tuesday. Assisted with Walking Group, Beauty Basket, and medical appointments. AssistED with ice cream social and baking buddies. Assisted with Wii Bowling, Penny Bingo, and Cookies with Santa. Daily Communion and daily rosary. ADULT DAY HEALTH: Volunteers at Adult Day Health work directly with the clients. They help serve lunch and assist the activity director in playing games, doing crafts etc. with our clients. SACRED HEART & HOLY FAMILY: As major medical centers, Sacred Heart and Holy Family have many activities and services needing volunteers. Below is a sampling of the types of services: Children's Hospital Kids need a hospital that understands children and we need volunteers who have a heart for children. Our volunteers in the Sacred Heart Children's Hospital provide comfort and care for children of all ages, from holding and soothing infants and toddlers to simply hanging out with older kids. Volunteers help our staff meet the special needs of our littlest patients and their families. Other opportunities include: Children's Clubhouse: in a special partnership with the Spokane Association of Realtors', realtors and others donate their time to watch over children in the Clubhouse while their parents and/or siblings attend to medical needs. Pediatric Services: Whether on a patient floor or in the pediatric surgery center, you can help ease the way for our youngest patients, whether it be reading to them, volunteering in a play area or sitting by their bedside so they are not alone. Ronald McDonald Family Room: An overnight satellite facility within the Children's Hospital is hosted by the Ronald McDonald House and staffed during the daytime by volunteers. This added benefit provides families with overnight accommodations while they deal with difficult situations with their child who is hospitalized for specialty care. Clerical Services If you have clerical and organizational skills, we have several opportunities for you to help out, whether in medical records, an office setting or our Foundation offices. Family Services Serving as a greeter at any of our information desks requires sensitivity, compassion and hospitality. You'll provide information and assistance to families and friends who have loved ones in the hospital. Various areas available for volunteers include: Greeter / Information Desk, Main Floor Greeter / Information Desk, Heart Institute Greeter / Information Desk, Surgery & Family Waiting Room Greeter / Information Desk, Skybridge Family Waiting Room Concierge, the Madison Inn Gift Shop Become a "retail therapist" by volunteering in one of the best boutique gift shops in the city with unique and unusual gifts and a full-service floral shop. Greet customers and help them shop for that special something. If you like helping people and shopping, you have what it takes! Music Music plays an important part in healing the mind and body, with several programs available. One of the most popular is playing the grand piano in the lobby. Auditions required. Patient Services Cancer Resource Center: Together with the American Cancer Society, you can volunteer in the Cancer Resource Center to help patients navigate their way. Emergency Department: This is a perfect opportunity for those 18 and over who are considering a medical or nursing career. Sacred Heart has the busiest emergency room in the city and is also a level II trauma center and houses the only pediatric trauma care in the region. Errands & Assistants: Enjoy helping people and getting lots of exercise? Then this is the assignment for you! Your shift will include assisting patients and families as they are admitted and discharged, running errands, delivering flowers, plus helping staff by delivering patient records, laboratory specimens and much more. Intensive Care Unit: Another great opportunity for those considering a medical or nursing career is to help in the critical care units by stocking supplies or transporting specimens, X-rays, etc. as directed. Patient Visitation Program: Visit patients who may not have family or friends nearby to provide assistance and a listening ear. Surgery Admit Unit: Volunteers in this busy unit assist clinical staff with various duties to help patients prior to surgery. Pet Visitation (must be Delta-certified dogs) If you love animals and want to experience the special gift a pet visit brings to patients and families in the hospital consider this assignment. Our Pet Visitation Program cannot exist without escorts, who assist the Delta-certified dogs and handlers in making patient visits and brightening the day for patients young and old. Pharmacy Volunteers in the Pharmacy must have a Level B Pharmacy license to assist with prescription drop-offs/pick-ups, sorting and a variety of other duties. It provides a professional environment and exposure to a Pharmacy career in a realistic setting. Retired Physicians and RNs (with current licenses) House of Charity Medical Clinic: If you are a retired physician or nurse, your expertise is needed in providing medical care to the homeless at the House of Charity medical clinic in downtown Spokane. Spiritual Care Eucharistic Ministers: Many of our patients request daily Communion and/or a blessing or prayer while they are in the hospital. Our volunteer Eucharistic ministers work closely with Pastoral Care staff to provide this service as part of their health care ministry. Special Projects Inevitable in a hospital of this size, there are special projects where volunteers can help make a difference! These projects are usually of shorter duration, whether in medical records, radiology or helping with a United Way campaign! Once you are a volunteer, you are eligible to add extra hours by way of a special project as needs are identified! Supply Chain Management From bandages to heart valves, this department makes sure the right item is given to the right caregiver at the right time, every time. Walking is involved, including stocking and delivering items to medical floors. MOUNT CARMEL HOSPITAL Volunteer activities are provided in the following categories: Fund Raisers -Annual Christmas Swag Fund Raiser Gift Shop - operate Vending Machines & purchase and stock Hospital Support- Admitting Desk Volunteer Chart Volunteer Blood Pressure Booth at local fairs Baby T-Shirts Auxiliary Operations ST. JOSEPH HOSPITAL: We have three types of volunteers who serve us including Auxiliary, Support, and Youth. There has been a change in how we label our volunteers. Some of the groups (entertainers, and church groups for example) were previously identified as volunteers, the definition of volunteer has been reassessed and we have determined that these individuals and groups should be termed "facility guests". The reduction in the numbers of our volunteer force reflects this new interpretation of "volunteers". *Assisting Wheel Chair Transport, Crafting, Letter Writing *Companion Visiting, Shopping, Outings, Patio Sitting, Adopt-A-Resident *Creative Nail Painting, Baking Projects, Decorating, Writing *Diversions Reading, Playing Games, Exercise, Coffee Conversation *Entertaining Assisting with Celebrations, Performing, Special Events *Fundraising Gift Shop Attendant, Baking, Organizing, Creating *Leading Horticulture, Sharing Special Talents, Creating Special Interest Groups *Supportive Greeters, Ministry of Presence, Education, Eucharistic MinistryVOLUNTEERS - CONTINUED
FORM 990, PART VIIAs members of the Religious Community, each Sister has taken a vow of poverty as a compulsory part of her religious life. Any compensation for services of a Sister inures only for the benefit of the Community, not the individual members. All payments for services are made directly to the Religious Community.RELIGIOUS COMMUNITY MEMBERS

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Providence Assurance Inc
3131 Camelback Road Ste 400PhoenixAZ85016208194071Insurance CaptiveAZ20727074205Providence Health & Services - Washington
Legacy LLC
PO Box 196606AnchorageAK99519320252199Real EstateAK409167947929510Providence Health & Services - Washington
Health Services Asset Management LLC
1801 Lind Ave SW 9016RentonWA98057271698016A/R & CollectionsWA1763164581267Providence Health & Services - Washington

Form990 Schedule R Part II Form990ScheduleRPartII (55 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Providence Health & Services - Oregon
1801 Lind Avenue SW 9016RentonWA980579016510216587Healthcare SystemOR501( c)(3)Line 3Providence Health & Services0
Providence Health System - So California
1801 Lind Avenue SW 9016RentonWA980579016510216589Healthcare SystemCA501( c)(3)Line 3Providence Health & Services0
Everett Transitional Care Services
PO Box 1067EverettWA982061067943264605Transitional CareWA501( c)(3)Line 90N/A
Providence Oregon Management Corporation
1801 Lind Avenue SW 9016RentonWA980579016930813977Shell CorporationOR501( c)(3)Line 1PH & S - Oregon0
Providence Plan Partners
3601 SW Murray Blvd 10BeavertonOR97005911861964Healthcare ServicesOR501( c)(4)N/APH & S - Oregon0
Providence Health Plan
3601 SW Murray Blvd 10BeavertonOR97005930863097Health Service ContractorOR501( c)(4)N/AProvidence Plan Partners0
Providence Health Assurance
3601 SW Murray Blvd 10BeavertonOR97005550828701Medicaid Healthcare ProviderOR501( c)(4)N/AProvidence Health Plan0
Providence Medical Institute
4101 Torrance BlvdTorranceCA90503330283773HealthcareCA501( c)(3)Line 11/Type IPHS - So California0
Little Company of Mary Ancillary Services Corporation
4101 Torrance BlvdTorranceCA90503330844408Imaging ServicesCA501( c)(3)Line 9PHS - So California0
Providence TrinityCare Hospice
2601 Airport Drive 230TorranceCA90505953264139HospiceCA501( c)(3)Line 9PHS - So California0
Providence Blanchet Association
1700 Providence PlCentraliaWA98531911789266HousingWA501( c)(3)Line 7PH & S - Washington0
St Luke Association
350 Washington Ave SEChehalisWA98352943176618HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Rossi Association
1700 Providence PlCentraliaWA98531311584166HousingWA501( c)(3)Line 9PH & S - Washington0
Lundberg Association
5921 E BurnsidePortlandOR97215911562797HousingOR501( c)(3)Line 7PH & S - Oregon0
Providence St Francis Association
3415 12th Avenue NEOlympiaWA98506943244854HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Peter Claver Association
7101 38th Avenue SouthSeattleWA98118311629656HousingWA501( c)(3)Line 7PH & S - Washington0
Providence St Elizabeth House Association
3201 SW Graham StSeattleWA98126912171539HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Gamelin House Association
4515 MLK Jr Way S Ste 200SeattleWA98108311744654HousingWA501( c)(3)Line 7PH & S - Washington0
The Gamelin Association
312 North Fourth StYakimaWA98901911180824HousingWA501( c)(3)Line 1PH & S - Washington0
The Gamelin Oregon Association
5520 NE GlisanPortlandOR97213911214491HousingOR501( c)(3)Line 9PH & S - Oregon0
The Gamelin California Association
540 23rd StOaklandCA94612911293869HousingCA501( c)(3)Line 9PHS - So California0
Gamelin Washington Association
1423 First AvenueSeattleWA98101201910170HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Foundation
1801 Lind Avenue SW 9016RentonWA980579016943078543Support PH&S InstitutionsWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Alaska Foundation
3300 Providence Drive - B Tower2AnchorageAK99508920093565Support PHS-AlaskaAK501( c)(3)Line 11/Type IPH & S - Washington0
Providence St Peter Foundation
413 Lilly Road NEOlympiaWA985065166911097056Support Affiliated Tax-Exempt OrganizationWA501( c)(3)Line 7PH & S - Washington0
Providence Health Care Foundation (Centralia)
914 S Scheuber RoadCentraliaWA98531911433382Support Providence Centralia HospitalWA501( c)(3)Line 7PH & S - Washington0
Providence Mount St Vincent Foundation
4831 - 35th Avenue SWSeattleWA981262799911188119Support Providence Mount St.VincentWA501( c)(3)Line 7PH & S - Washington0
Providence Marianwood Foundation
3725 Providence Point Drive SEIssaquahWA980297219931554288Support Providence MarianwoodWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Newberg Health Foundation
1001 Providence DriveNewbergOR97132930889144Support Providence Newberg Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Seaside Hospital Foundation
725 S Wahanna RdSeasideOR97138930927320Support Providence Seaside HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Community Health Foundation
1111 Crater Lake AveMedfordOR97504930692907Support Providence Medford Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Benedictine Nursing Center Foundation
540 South Main StMt AngelOR973629532911940286Support Providence Benedictine Nursing CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Portland Medical Foundation
4805 NE Glisan StPortlandOR972132967931231494Support Providence Portland Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence St Vincent Medical Foundation
9205 SW Barnes RdPortlandOR97225930575982Support Providence St. Vincent Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Milwaukie Foundation
10150 SE 32ndMilwaukieOR97222943079515Support Providence Milwaukie HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Child Center Foundation
830 NE 47thPortlandOR97213930800140Support Providence Child CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence TrinityCare Hospice Foundation
2601 Airport Drive 230TorranceCA90505330261016Support TrinityCare HospiceCA501( c)(3)Line 7PHS - So California0
Providence Little Company of Mary Foundation
4101 Torrance BlvdTorranceCA90503510224944Support Little Company of Mary Service AreaCA501( c)(3)Line 7PHS - So California0
PH&S FoundationSFVSA & SCVSA
501 S Buena Vista StreetBurbankCA91505953544877Support Program & Activities of SFVSA & SCVSACA501( c)(3)Line 7PHS - So California0
Providence Hospice of Seattle Foundation
425 Pontius Avenue North 300SeattleWA981095452912077378Support Hospice of SeattleWA501( c)(3)Line 11/Type IPH & S - Washington0
The John Gabriel Ryan Association
1801 Lind Avenue SW 9016RentonWA980579016911303277HealthcareWA501( c)(3)Line 3PH & S - Washington0
Providence Health & Services
1801 Lind Avenue SW 9016RentonWA980579016911549796Shell CorporationWA501( c)(3)Line 11/Type I0N/A
Providence Health & Services - Montana
500 W Broadway PO Box 4587MissoulaMT598064587810231793HealthcareMT501( c)(3)Line 3PH & S - Washington0
Providence St Joseph Medical Center
PO Box 1010PolsonMT598601010810463482HealthcareMT501( c)(3)Line 3PH & S - Washington0
St Thomas Child and Family Center
1710 Benefis CourtGreat FallsMT59405810233495Early Childhood EducationMT501( c)(3)Line 1PH & S - Washington0
Sisters of Providence of Montana Corporation
1801 Lind Avenue SW 9016RentonWA980579016262612415Shell CorporationMT501( c)(3)Line 1PH & S - Washington0
Sacred Heart Children's Foundation
PO Box 2555SpokaneWA99220320014330Support Sacred Heart Children's HospitalWA501( c)(3)Line 7PH & S - Washington0
St Patrick Hospital Foundation
500 West Broadway PO Box 4587MissoulaMT598064587237056976Support Healthcare in W. MontanaMT501( c)(3)Line 7PH & S - Washington0
University of Great Falls
1301 20th Street SouthGreat FallsMT59405810231777Post Secondary EducationMT501( c)(3)Line 2PH & S - Washington0
E WA & MT Unemployment Compensation Insurance Trust
1801 Lind Avenue SW 9016RentonWA980579016911082119Unemployment BenefitsWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Willamette Falls Medical Foundation
1500 Division StreetOregon CityOR97045931003750Support Willamette Falls HospitalOR501( c)(3)Line 11/Type IPH & S - Oregon0
Willamette Falls Hospital dba Providence Willamette Falls Medical Center
1500 Division StreetOregon CityOR97045930426018HealthcareOR501(c )(3)Line 3PH & S - Oregon0
Providence Hood River Memorial Hospital Foundation Inc
811 13th StHood RiverOR97031930921990Support Providence Hood River Memorial HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Hospice and Home Care Foundation
2731 Wetmore Avenue Suite 500EverettWA98201272552749Support Program & Activities of PHHCWA501(c )(3)Line 7PH & S - Washington0
Providence St Mary Foundation
401 W Poplar StWalla WallaWA99362452841492Support Program & Activities of SMMCWA501(c )(3)Line 7PH & S - Washington0

Form990 Schedule R Part III Form990ScheduleRPartIII (26 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Providence Imaging Center
3340 Providence DriveAnchorageAK99508920118807Medical ImagingAKPH&S - WARelated1237994420072513000.99000
Providence Surgery Centers LLC
PO Box 233889AnchorageAK99523203567411SurgeryAKPH&S - WARelated00
Mountainstar Clinical Laboratories LLC
611 N PerrySpokaneWA99202261345983Outpatient LabMTPAML LLCRelated00
Broadway Imaging LLC
500 W BroadwayMissoulaMT59802522405971Medical ImagingMTPH&S - MTRelated00
Ctr for MedImaging-Tanasbourne LLC
1235 NE 47th AvePortlandOR97213200477972Imaging - DiagnosticsORPH&S - ORRelated00
Ctr for Med Imaging-Bridgeport LLC
1235 NE 47th AvePortlandOR97213260796953Imaging - DiagnosticsORPH&S - ORRelated00
Center for Specialty Surgery LLC
11782 SW Barnes RdPortlandOR97225263638838Ambulatory Surgery CenterORPH&S - ORRelated00
Clackamas Radiation Oncology Center LLC
1235 NE 47th Ave 288PortlandOR97213260381897Radiation OncologyORPH&S - ORRelated00
Oregon Outpatient Surgery Center
7300 SW Childs RdTigardOR97224223883387Ambulatory Surgery CenterORPH&S - ORRelated00
Surgery Ctr at Tanasbourne LLC
1235 NE 47th Ave 260PortlandOR97213208187971Ambulatory Surgery CenterORPH&S - ORRelated00
ProvidenceSilverton Rehab LLC
1235 NE 47th Ave 260PortlandOR97213481287267Rehab ServicesORPH&S - ORRelated00
Portland Medical Imaging LLC
10538 SE Washington StPortlandOR97216201054971Imaging - DiagnosticsORPH&S - ORRelated00
Prov Radiation Oncology Develop Assn LLC
1235 NE 47th AvePortlandOR97213260682491Real Estate - MOBORPH&S - ORInvestment00
Central Point MRI LLC
870 S Front StCentral PointOR97502261975164MRI ServicesORPH&S - ORRelated00
Greater Valley Medical Building LP
501 S Buena Vista StBurbankCA91505954570858Real Estate - MOBCAPHS - So CaliforniaInvestment00
Pathology Associates Medical Laboratories LLC
611 N PerrySpokaneWA99202270943279Outpatient LabWABourget Health Services IncRelated00
Southern Idaho Regional Laboratory LLC
611 N PerrySpokaneWA99202820511819Outpatient LabIDPAML LLCRelated00
Tri-Cities Laboratory LLC
611 N PerrySpokaneWA99202911773986Outpatient LabWAPAML LLCRelated00
Alpha Medical Laboratory LLC
611 N PerrySpokaneWA99202912017347Outpatient LabIDPAML LLCRelated00
PacLab LLC
611 N PerrySpokaneWA99202911743952Outpatient LabWAPH&S - WARelated00
HealthServicesNW LLC
PO Box 389672SeattleWA98138311750915Medical BillingWAPH&S - WARelated-31445000
Medalia Healthcare LLC
1801 Lind Ave SW 9016RentonWA98057911660459Physician BenefitsWAPH&S - WAInvestment711430000.51000
Distribution Operations Center LLC
1801 Lind Ave SW 9016RentonWA98057271054858Supplies Purchasing AgentWAPH&S - WARelated49846011475345000.40000
Oregon Advanced Imaging LLC
881 OHare ParkwayMedfordOR97504450471748Medical ImagingORPH&S - ORRelated00
California Laboratory Associates LLC
501 Buena VistaBurbankCA91505273888692Outpatient LabCAPHS - So CaliforniaRelated00
Canby Medical Center I LLC
2747 Pence Loop SESalemOR97302205470937Real Estate - MOBORWillamette Falls HospitalRelated00

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Providence Health Ventures Inc
4101 Torrance BlvdTorranceCA90503330122216InvestmentCAN/AC
Caron Health Corporation
510 West Front StreetMissoulaMT59802810486082Medical Physician ServiceMTN/AC
Providence Health Care Ventures Inc
101 West 8th Ave TAF C-9SpokaneWA99204900155714Clinical/Medical LabWAN/AC
Providence Physician Services Co
101 West 8th Ave TAF C-9SpokaneWA99208911216033Clinical/Medical LabWAN/AC
Yakima Medical Arts Inc
611 N Perry Suite 100SpokaneWA99202910787963Rental Real EstateWAN/AC
Bourget Health Services Inc
PO Box 2687SpokaneWA99220911354431Clinical/Medical LabWAN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (22 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Providence Alaska Foundation
B1178699Cost
Providence Alaska Foundation
C2395896Cost
Providence Health Care Foundation
B235321Cost
Providence Health Care Foundation
C205179Cost
Providence Hospice & Home Care Foundation Snohomish County
B2750Cost
Providence Hospice & Home Care Foundation Snohomish County
C425679Cost
Providence Hospice & Home Care Foundation Snohomish County
P307699Cost
Providence Hospice of Seattle Foundation
B276688Cost
Providence Hospice of Seattle Foundation
C859414Cost
Providence Hospice of Seattle Foundation
P207368Cost
Providence Marianwood Foundation
B190629Cost
Providence Marianwood Foundation
C165846Cost
Providence Marianwood Foundation
P166918Cost
Providence Mount St Vincent Foundation
B160361Cost
Providence Mount St Vincent Foundation
C669187Cost
Providence Mount St Vincent Foundation
P510595Cost
Providence St Peter Foundation
B752499Cost
Providence St Peter Foundation
C2044664Cost
Providence St Peter Foundation
P197432Cost
Sacred Heart Children's Foundation
B206757Cost
Sacred Heart Children's Foundation
C127446Cost
Sacred Heart Children's Foundation
P164763Cost