2023-11-15T12:43:16-06:00 2022-12-31 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2022-01-01 930863097 PROVIDENCE HEALTH PLAN PROV 5035747500 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 LINA SAADZOI TREASURER/VP 5035747500 2023-11-15 1 LINA SAADZOI 999009999 0 EMILY UPSTROM P01765498 4142748740 2023-11-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LINA SAADZOI 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 6320529498 0 X PROVIDENCEHEALTHPLAN.COM/INDIVIDUALS-AND-FAMILIES X 1984 OR AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 8 3 0 0 485649081 3381059 0 0 2079776241 2237501223 8041896 -51307215 2148899 2414475 2089967036 2188608483 819113 374598 0 0 91591027 98708591 0 0 0 1954396493 2117972991 2046806633 2217056180 43160403 -28447697 1424937219 1353250976 561347390 538454868 863589829 814796108 X AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 0 0 2125334546 374598 2237501223 SEE SCHEDULE OPROVIDENCEAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA REALIZING OUR MISSIONTO DELIVER TRUE HEALTH TO OUR MEMBERS, PHP FOCUSES ON INNOVATION, PERSONALIZED MEDICINE, COLLABORATION AMONG DIVERSE PARTNERS, AND STABILITY. PHP ALSO PARTICIPATES IN HEALTH MEASUREMENT PROGRAMS, INCLUDING HEALTHCARE EFFECTIVENESS DATA AND INFORMATION SET (HEDIS), WHICH ALLOW US TO BENCHMARK OUR CARE AND SERVICE, AND IMPLEMENT A TARGETED APPROACH TO IMPROVING MEMBER HEALTH AND SERVICE. PHP'S OREGON COMMERCIAL LINE OF BUSINESS RECEIVED A 4.0 RATING FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) FOR THE 2021-2022 RATINGS. PROVIDENCE CONTINUES TO BE RECOGNIZED AS THE HIGHEST RATED COMMERCIAL PPO PLAN IN OREGON. FOR PLAN YEAR 2021, PHP'S OREGON EXCHANGE LINE OF BUSINESS RECEIVED A 4.0 RATING FOR THE QUALITY RATING SYSTEM (QRS). PROVIDENCE OFFERS PROVIDENCE ADMINISTRATIVE SERVICES ONLY (ASO) FOR LARGE GROUPS CAPABLE OF SELF-FUNDING THE RISK EXPERIENCE OF THE GROUP, BUT ALSO WANT THE DEDICATED AND COMPASSIONATE SERVICE THAT PROVIDENCE DELIVERS FOR CLAIMS ADMINISTRATION, MEMBER SERVICE, AND SKILLED MEDICAL MANAGEMENT. ASO GROUPS ARE OFFERED OPTIONS FOR A WIDE ARRAY OF PLAN BENEFITS, INCLUDING PREVENTATIVE CHOICES AIMED AT IMPROVING EMPLOYEE HEALTH AND WELLNESS, ALTERNATIVE CARE, GROUP HEALTH REPORTING AND METRICS, ACCESS TO PROVIDENCE PROVIDER NETWORKS AND PROPRIETARY HEALTH INNOVATIONS, AND CONSUMER CHOICE PLANS WHICH OFFER QUALIFIED HEALTH SAVINGS ACCOUNT (HSA) OPTIONS. GRANTS AND ALLOCATIONS TO 501(C)(4) ORGANIZATIONS: SEE SCHEDULE IAT PROVIDENCE, RESPONDING TO COMMUNITY NEEDS, ESPECIALLY IN TIMES OF CRISIS, HAS ALWAYS BEEN AT THE HEART OF THE HEALING CARE PROVIDED BY OUR FAMILY OF ORGANIZATIONS. PROVIDENCE HEALTH PLAN'S PRIORITY REMAINS THE HEALTH OF OUR MEMBERS AND OUR COMMUNITIES. PROVIDENCE HEALTH PLANS COMMUNITY BENEFIT GIVING FOCUS AREAS ARE:1. SOCIAL DETERMINANTS OF HEALTH AND WELLBEING FOCUSED AREAS INCLUDE HOUSING , TRANSFORMATION AND FOOD SECURITY.A. EXAMPLES INCLUDE ENSURING THE FOOD PANTRY AT FAMILY PROMISE OF TUALATIN VALLEY WAS STOCKED THROUGH $9K IN DONATIONS AND CREATING GIFT BASICS FOR NEW MOTHERS TO HELP CARE FOR THE BASIC NEEDS OF NEWBORNS AND CHILDREN WITH $5K IN DONATIONS TO THE FAMILY BUILDING BLOCKS ORGANIZATION.2. CHRONIC CONDITIONSFOCUSED ON PREVENTION OF OBESITY, DIABETES, HYPERTENSION AND DEPRESSION.3. BEHAVIORAL HEALTH/WELLBEING AND SUBSTANCE USE DISORDERSFOCUSED ON PREVENTION (PARTICULARLY FOR YOUTH), CULTURALLY RESPONSIVE CARE AND HEALTH EDUCATION, SOCIAL ISOLATION AND COMMUNITY BUILDING.A. IN THIS AREA, PROVIDENCE HEALTH PLAN SUPPORTED 7+ COMMUNITY ORGANIZATIONS INCLUDING $25K TO ROSE HAVEN, A PORTLAND METRO AREA RECOVERY CENTER FOR THOSE SUFFERING FROM SUBSTANCE USE DISORDERS. PROVIDENCE HEALTH PLAN ALSO DONATED $12.5K TO THE FOR A SUBSTANCE USE TREATMENT CENTER AND MORE THAN $20K TO PORTLAND METRO AREA COMMUNITY ORG, CENTRAL CITY CONCERN.4. ACCESS TO CARE FOCUSED ON SERVICES NAVIGATION AND COORDINATION, CULTURALLY RESPONSIVE CARE AND ORAL HEALTH.A. PHP DONATED $75K TO THE BLACK PARENT INITIATIVE TO SUPPORT ACCESS TO HIGH-QUALITY HEALTHCARE.IN 2022 PROVIDENCE HEALTH PLAN GAVE MORE THAN $600K IN FUNDS TO SUPPORT THESE FOCUS AREAS.IN 2022 WE COMPLETED SEVERAL COMMUNITY OUTREACH PROJECTS AND PILOTS AIMED AT IMPROVING QUALITY OF LIFE FOR THOSE WE SERVE AS WELL AS ACCESS TO CARE.TARGETED DIABETES INTERVENTIONIN 2022, THE PROVIDENCE HEALTH PLAN CARE MANAGEMENT TEAM COMPLETED TARGETED OUTREACH TO IDENTIFIED MEMBERS FROM A HEALTH EQUITY LENS THAT WERE AT RISK FOR OR CURRENTLY LIVING WITH DIABETES. MEMBERS WERE OFFERED INTERVENTIONS INCLUDING: - ENROLLMENT INTO BOTH CARE MANAGEMENT AND HEALTH COACHING TO WORK WITH A CERTIFIED DIABETES EDUCATOR AND REGISTERED DIETICIAN.- TARGETED EDUCATION SPECIFIC TO DIABETES AND/OR HYPERTENSION.- DIABETES GOAL SETTING.- MEDICATION INTERVENTIONS INCLUDING IDENTIFICATION OF BARRIERS AND GOAL SETTING.- COORDINATION OF MEMBER COMMUNITY OR RESOURCE NEEDS AS IDENTIFIED.- PROVIDER INTERVENTIONS TO SUPPORT IDENTIFYING BARRIERS AND CONNECTING MEMBERS TO PRIMARY CARE, SPECIALTY OR BEHAVIORAL HEALTH PROVIDERS.- ADDITIONAL AREAS OF FOCUS IN COHORT 2:- STATIN THERAPY: IDENTIFYING AND EDUCATING MEMBERS ON IMPORTANCE OF STATIN THERAPY.- FOOD DISPARITY INTERVENTION REFERRAL TO MEMBERS WITH FOOD INSECURITIES WHO LIVED IN GEOGRAPHIC SCOPE.- RETINAL EYE SCREENING: ENSURING MEMBERS COMPLETED OR HAVE SCHEDULED APPOINTMENTS FOR RETINAL EYE SCREENS.FOOD DISPARITY PILOTPROVIDENCE CARE MANAGEMENT FOOD DISPARITY PILOT OFFERED A TIERED APPROACH TO PROVIDING MEALS. ENROLLED MEMBERS RECEIVED 8 WEEKS OF SUPPORT FROM CARE MANAGEMENT AND/OR HEALTH COACHING, INCLUDING WEEKLY ONE-ON-ONE ASSESSMENT AND INTERVENTION. MORE THAN 90 MEMBERS RECEIVED SUPPORT IN ONE OR MORE OF THE FOLLOWING WAYS:- INDEPENDENT MEAL PREP/GIFT CARD TIER.- MEMBER MAILED A $50/WEEK GIFT CARD TO USE ON FOOD (GIFT CARD RESTRICTIONS: TOBACCO, ALCOHOL, FIREARMS, LOTTERY).- PARTIAL DEPENDENT MEAL PREP/READY TO PREPARE MEALS TIER.- MEMBER RECEIVED READY TO PREPARE FOOD BOXES, DELIVERED BY ALBERTSONS/SAFEWAY CONTAINING 6 MEALS/WEEK (BOXES WILL CONTAIN 3 MEALS/2 SERVINGS = 6 MEALS AND CHOICE OF FRUIT).- UNABLE TO PREPARE MEALS/READY TO CONSUME MEALS.- MEMBER RECEIVED 6 READY TO EAT MEALS/WEEK AND CHOICE OF FRUIT, DELIVERED BY ALBERTSONS/SAFEWAY (CONTAINS 3 FRESH MEALS AND 3 FROZEN MEALS).82% OF MEMBERS WHO COMPLETED THE PROGRAM HAD AN IMPROVEMENT IN THEIR FOOD DISPARITY SCORE AND 90% OF MEMBERS SAID THAT THE INTERVENTION GAVE THEM CONFIDENCE TO PREPARE MEALS AND UTILIZE COMMUNITY RESOURCES.OUR TELEHEALTH PROVIDER POLICIES WERE SIGNIFICANTLY EXPANDED TO REDUCE BARRIERS TO CARE AND TO ENCOURAGE THE USE OF TELEHEALTH SERVICES BY OUR MEMBERS AND PROVIDER PARTNERS. WE ALSO ADDED VIRTUAL CAPACITY SO THAT MORE OF OUR PROVIDERS CAN BE SEEN QUICKLY.THE BEHAVIORAL HEALTH CONCIERGE PROGRAM ALLOWED MEMBERS SUFFERING FROM BEHAVIORAL HEALTH ISSUES TO BE SEEN MORE QUICKLY MORE THAN 70% OF PEOPLE UTILIZING THE SERVICE WERE SEEN WITHING 48HRS OF THEIR REQUEST. BECAUSE THIS PROGRAM IS VIRTUAL WITH EXPANDED HOURS, IT INCREASED ACCESS AND REDUCED BARRIERS TO CARE. 2125334546 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 X 22067 0 1 0 1 1 0 0 0 0 0 0 0 X 8 3 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 OR X LINA SAADZOI 5035747500 4400 NE HALSEY BLDG 2 PORTLAND OR 97213 DEBRA CANALES DIRECTOR 0.50 64.50 X 0 3335977 472282 RHONDA MEDOWS MD CHAIR 0.50 64.50 X 0 3000545 320205 DONALD ANTONUCCI PRESIDENT/CEO 27.50 27.50 X X 0 1852789 227584 ROBERT A GLUCKMAN CHIEF MEDICAL OFFICER 18.00 37.00 X 0 923992 181309 MICHAEL G WHITE FRMR PRESIDENT/CEO 0.00 0.00 X 0 1014618 21537 BRADLEY GARRIGUES CHIEF SALES-UNDERWRITING OFFCR 18.00 37.00 X 0 617363 88824 NATE PERRIZO CHIEF STRA & OPS OFCR PHP - THRU 5/22 17.00 33.00 X 0 654189 9816 GREG ZAMUDIO SECRETARY 17.00 33.00 X 0 506481 71038 PAUL T GIGER MED DIRECTOR BEHAVIORAL HEALTH 17.00 33.00 X 0 471055 72939 DANIEL W RYAN TREASURER/VP 17.00 33.00 X 0 429045 89173 LAUREL SOOT VP MEDICAL MANAGEMENT PHP 17.00 33.00 X 0 450263 38518 STEPHANIE C DREYFUSS VP PHP NETWORK DEVELOPMENT 17.00 33.00 X 0 400532 61600 CHERYL MORRISON COO PHP (PART YEAR) 18.00 37.00 X 0 300072 123005 THERESA A MUDAY MED DIR QUALITY MGMT ADMIN 17.00 33.00 X 0 359684 38739 AARON BALS CHIEF COMP. /RISK OFC. 19.00 36.00 X 0 353853 25554 ANDREW TARAB VP INFORMATICS PHP 17.00 33.00 X 0 352676 20089 MARK JENSEN CHIEF SERVICE OPS OFFICER 18.00 37.00 X 0 301658 45927 MICHAEL MATHIAS CHIEF INFORMATION OFF. PHP (PT YR) 18.00 37.00 X 0 152466 44590 ISIAAH CRAWFORD PHD DIRECTOR 0.50 15.00 X 0 50000 0 JOSEPH BLANKENSHIP DIRECTOR 0.50 1.00 X 0 35250 0 CECILIA SUN DIRECTOR (PART YEAR) 0.50 1.00 X 0 8750 0 BYRON SCOTT DIRECTOR 0.50 1.00 X 0 0 0 HEATH SCHIESSER DIRECTOR - THRU 3/22 0.50 1.00 X 0 0 0 KERRY WEEMS DIRECTOR 0.50 1.00 X 0 0 0 0 15571258 1952729 0 1 1 0 KIBBLE & PRENTICE HOLDING COMPANY PO BOX 62949 VIRGINIA BEACH VA 23466 INSURANCE COMMISSIONS 1200866 THE PARTNERS GROUP 11850 SW 67TH AVE STE 100 PORTLAND OR 97223 INSURANCE COMMISSIONS 800170 HUB INTERNATIONAL NORTHWEST LLC PO BOX 749083 LOS ANGELES CA 90074 INSURANCE COMMISSIONS 796948 LEONARD ADAMS INSURANCE INC 5201 SW WESTGATE DR STE 300 PORTLAND OR 97221 INSURANCE COMMISSIONS 779630 MJI INC PO BOX 847 MCMINNVILLE OR 97128 INSURANCE COMMISSIONS 657602 63 PPO PREMIUMS 524114 1147011203 697754334 449256869 ASSUMED MEDICARE REINS 524130 783818224 783818224 ASSUMED MEDICAID REINS 524130 228161124 228161124 ASO FEES 524114 78510672 42118460 36392212 2237501223 19976760 19976760 2414475 0 2414475 2414475 2414475 4060637040 4131921015 -71283975 -71283975 -71283975 2188608483 1751852142 485649081 -48892740 374598 374598 3520715 3277565 243150 94700660 88160368 6540292 487216 477160 10056 150892 102493 48399 179241 121749 57492 1051861 1051861 29580655 25468673 4111982 2270120 2260557 9563 6316581 3381075 2935506 13698285 9417276 4281009 7894496 2860263 5034233 145135 140581 4554 819676 799510 20166 3281034 3281034 3240377 3240377 MEDICAL CLAIMS 972077183 972077183 0 MED CLAIMS ASSUMED PHA 895927607 895927607 0 COMMISSIONS ASSUMED PHA 116051741 92320888 23730853 UBI TAXES 248940 0 248940 65039167 28167000 36872167 2217056180 2125334546 91721634 0 115241980 229197874 123247 0 138659921 87450323 55363482 51209598 936139460 806011917 64610637 61835505 253458413 204996082 1424937219 1353250976 7827491 9681823 23036103 25105182 530483796 503667863 561347390 538454868 X 0 0 73716441 71900684 789873388 742895424 863589829 814796108 1424937219 1353250976 X -28447697 -18099584 -2246440 X 0 1 X 1 0 3032282 3032282 84634104 45172313 39461791 1862000 1507287 354713 44608233 40770723 3837510 4523302 4523302 51209598 PREMIUM RECEIVABLES 96435888 HEALTHCARE RECEIVABLES 23543722 DUE FROM AFFILIATES 43188075 REINSURANCE RECEIVABLES 27924921 UNINSURED PLAN RECEIVABLES 9761772 INVESTMENT INCOME ACCRUALS 4141704 204996082 -729068 UNPAID CLAIMS AND WITHHOLDINGS 210903815 DUE TO GOVERNMENT AGENCIES 143192482 AGGREGATE HEALTH POLICY RESERVES 69888000 FUNDS HELD UNDER CONTRACTS 66457923 DUE TO AFFILIATES 13954711 503667863 X 2109045953 0 2109045953 1051861 78510669 79562530 2188608483 2137112815 0 2137112815 1051861 78891504 79943365 2217056180 PART X, LINE 2: PHP HAS RECEIVED A DETERMINATION LETTER FROM THE IRS THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR UNRELATED BUSINESS INCOME AND POLITICAL EXPENDITURES, IN ACCORDANCE WITH SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE. PHP'S MANAGEMENT EVALUATES TAX POSITIONS TAKEN BY PHP AND RECOGNIZES A TAX LIABILITY IF PHP HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY PHP AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE STATUTORY FINANCIAL STATEMENTS. PHP IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 4B - OTHER ADJUSTMENTS: ASO FEES 78,510,672. ROUNDING -3. PART XII, LINE 4B - OTHER ADJUSTMENTS: ASO FEES 78,510,672. OTHER GAAP/STAT ADJUSTMENT 380,832. CENTRAL AMERICA AND CARIBBEAN INVESTMENTS 17590964 EUROPE INVESTMENTS 34421438 NORTH AMERICA INVESTMENTS 3026953 EAST ASIA INVESTMENTS 4280333 0 0 0 0 0 0 59319688 0 59319688 0 0 0 0 0 0 PART III ACCOUNTING METHOD: 1 PROVIDENCE PLAN PARTNERS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911861964 501(C)(4) 0 374598 SEE PART IV 1 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION. PART II, LINE 1, COLUMN (H): NAME OF ORGANIZATION OR GOVERNMENT: PROVIDENCE PLAN PARTNERS (H) PURPOSE OF GRANT OR ASSISTANCE: TO FUND CONTRIBUTIONS IN SUPPORT OF ACCESS TO CARE, BEHAVIOR HEALTH, AND SOCIAL DETERMINANTS OF HEALTH AND WELL-BEING 1 1 0 0 0 0 0 1 0 DEBRA CANALES DIRECTOR 0 1147661 0 1738480 0 449836 0 426885 0 45397 0 3808259 0 396202 RHONDA MEDOWS MD CHAIR 0 1137413 0 1525631 0 337501 0 306676 0 13529 0 3320750 0 279201 DONALD ANTONUCCI PRESIDENT/CEO 0 805488 0 1044679 0 2622 0 216937 0 10647 0 2080373 0 0 ROBERT A GLUCKMAN CHIEF MEDICAL OFFICER 0 489418 0 273012 0 161562 0 158120 0 23189 0 1105301 0 126584 MICHAEL G WHITE FRMR PRESIDENT/CEO 0 220604 0 341000 0 453014 0 16697 0 4840 0 1036155 0 130372 BRADLEY GARRIGUES CHIEF SALES-UNDERWRITING OFFCR 0 281630 0 291622 0 44111 0 62460 0 26364 0 706187 0 22028 NATE PERRIZO CHIEF STRA & OPS OFCR PHP - THRU 5/2 0 165737 0 171500 0 316952 0 1510 0 8306 0 664005 0 61237 GREG ZAMUDIO SECRETARY 0 303834 0 141880 0 60767 0 62724 0 8314 0 577519 0 59185 PAUL T GIGER MED DIRECTOR BEHAVIORAL HEALTH 0 325846 0 50250 0 94959 0 46219 0 26720 0 543994 0 7768 DANIEL W RYAN TREASURER/VP 0 269727 0 136007 0 23311 0 58855 0 30318 0 518218 0 0 LAUREL SOOT VP MEDICAL MANAGEMENT PHP 0 336314 0 100556 0 13393 0 24084 0 14434 0 488781 0 10074 STEPHANIE C DREYFUSS VP PHP NETWORK DEVELOPMENT 0 291343 0 83042 0 26147 0 33040 0 28560 0 462132 0 5647 CHERYL MORRISON COO PHP (PART YEAR) 0 224554 0 75000 0 518 0 102717 0 20288 0 423077 0 0 THERESA A MUDAY MED DIR QUALITY MGMT ADMIN 0 283419 0 48404 0 27861 0 13268 0 25471 0 398423 0 0 AARON BALS CHIEF COMP. /RISK OFC. 0 278249 0 74977 0 627 0 15483 0 10071 0 379407 0 0 ANDREW TARAB VP INFORMATICS PHP 0 260235 0 73326 0 19115 0 16130 0 3959 0 372765 0 0 MARK JENSEN CHIEF SERVICE OPS OFFICER 0 221128 0 64607 0 15923 0 30535 0 15392 0 347585 0 0 MICHAEL MATHIAS CHIEF INFORMATION OFF. PHP (PT YR) 0 124641 0 25000 0 2825 0 34681 0 9909 0 197056 0 0 PART I, LINE 3 DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS TAX-EXEMPT PARENT, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING THE CURRENT YEAR: MICHAEL G. WHITE - $250,546 NATE PERRIZO - $215,518 NONQUALIFIED RETIREMENT PLAN ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: DEBRA CANALES - $396,202 RHONDA MEDOWS, M.D. - $279,201 ROBERT A. GLUCKMAN - $126,584 MICHAEL G. WHITE - $130,372 BRADLEY GARRIGUES - $22,028 NATE PERRIZO - $61,237 GREG ZAMUDIO - $59,185 PAUL T. GIGER - $7,768 LAUREL SOOT - $10,074 STEPHANIE C. DREYFUSS - $5,647 PART I, LINE 7 NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY. FORM 990, PART V, LINE 15 INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATION'S SECTION 4960 TAX ANALYSIS AND REPORTING. FORM 990, PART VI, SECTION A, LINE 4 IN 2022, THE ARTICLES OF INCORPORATION AND BY-LAWS FOR PROVIDENCE HEALTH PLAN WERE RESTATED TO REPLACE THE SOLE CORPORATE MEMBER TO PROVIDENCE HEALTH GROUP, LLC, A WASHINGTON LIMITED COMPANY AND DISREGARDED ENTITY UNDER ITS PARENT CORPORATION, PROVIDENCE ST. JOSEPH HEALTH. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH GROUP, LLC IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH PLAN. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH PLAN HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE HEALTH PLAN'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH PLAN BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH GROUP, LLC, AS THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 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 RELIGIOUS 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 ENTITY OR WORK OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. MANAGEMENT PRESENTED THE RETURNS TO THE FINANCE AND AUDIT COMMITTEE, AND DISCUSSED KEY DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, REVISED IN 2023, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS RECUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY ITS TAX-EXEMPT PARENT, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY 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 SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE 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 THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN JUNE 2023. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE. FORM 990, PART XI, LINE 9: ADJUSTMENT TO NET ASSETS TIE TO INVESTMENT IN PHA TO PHA NET ASSETS -651,742. GAAP/STAT ADJUSTMENTS -1,594,698. COLLABRIA CARE 414 SOUTH JEFFERSON STREET NAPA CA 94559 680393144 HEALTHCARE CA 501(C)(3) 10 SJHCN 1 COVENANT ACO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT CHILDREN'S PHYSICIANS GROUP 3615 19TH STREET LUBBOCK TX 79410 881290850 HEALTHCARE TX 501(C)(3) PENDING CHS 1 COVENANT HEALTH NETWORK INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 461259908 HEALTHCARE CA 501(C)(3) 12, III SJHS 1 COVENANT HEALTH PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 463516417 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS 1 COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS 1 COVENANT HOME AND COMMUNITY CARE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 920275096 HEALTHCARE TX 501(C)(3) 10 CHS 1 COVENANT HOSPITAL HOBBS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 844273963 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 822913146 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL GROUP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752743883 HEALTHCARE TX 501(C)(3) 3 CHS 1 EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANSITIONAL CARE WA 501(C)(3) 10 N/A 0 GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 201910170 SUPPORT WA 501(C)(3) 7 PHS WA 1 GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC WA 98188 273133200 HEALTHCARE WA 501(C)(3) 7 SHS 1 GRACE CLINIC OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 203856995 HEALTHCARE TX 501(C)(3) 3 CHS 1 HMTS INC 1 HOAG DRIVE NEWPORT BEACH CA 92658 453583707 HEALTHCARE CA 501(C)(3) 12, I HMHP 1 HOAG CHARITY SPORTS 2081 BUSINESS CENTER DR STE 195 NEWPORT BEACH CA 92663 452982422 SUPPORT CA 501(C)(3) 7 HHF 1 HOAG CLINIC 1 HOAG DRIVE NEWPORT BEACH CA 92658 330676831 HEALTHCARE CA 501(C)(3) 10 HMHP 1 HOAG HOSPITAL FOUNDATION 330 PLACENTIA AVE NEWPORT BEACH CA 92663 953222343 FUNDRAISING CA 501(C)(3) 7 HMHP 1 HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG ROAD BOX 6100 NEWPORT BEACH CA 92663 951643327 HEALTHCARE CA 501(C)(3) 3 CHN 1 HOSPICE OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752133781 HEALTHCARE TX 501(C)(3) 10 CHS 1 INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 814260130 HEALTHCARE WA 501(C)(3) PF PHS SJHS 1 INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 912003593 HEALTHCARE WA 501(C)(3) 7 WHC 1 KADLEC AUXILIARY INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 916033089 SUPPORT WA 501(C)(3) 12, III KRMC 1 KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND WA 99352 237005501 SUPPORT WA 501(C)(3) 7 KRMC 1 KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 910655392 HEALTHCARE WA 501(C)(3) 3 WHC 1 LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330844408 IMAGING SERVICES CA 501(C)(3) 10 PHS SOCAL 1 LUBBOCK HERITAGE HOSPITAL LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 264021016 HEALTHCARE TX 501(C)(3) 3 CHS 1 LUNDBERG ASSOCIATION PROVIDENCE HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911562797 SUPPORT OR 501(C)(3) 7 PHS OR 1 METHODIST CHILDREN'S HOSPITAL 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752428911 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL LEVELLAND 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752246348 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL PLAINVIEW 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752426010 HEALTHCARE TX 501(C)(3) 3 CHS 1 MISSION HOSPITAL REGIONAL MEDICAL CTR 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951643360 HEALTHCARE CA 501(C)(3) 3 CHN 1 NORTHWEST HOPE & HEALING FOUNDATION PO BOX 16069 SEATTLE WA 98116 200799737 SUPPORT WA 501(C)(3) 12, I SHS 1 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911303277 HEALTHCARE WA 501(C)(3) 3 PMWHC 1 PROVIDENCE HEALTH ASSURANCE 4400 NE HALSEY ST STE 609 ATTN ACCO PORTLAND OR 97213 550828701 MEDICAID HEALTHCARE PROVIDER OR 501(C)(4) N/A PHP 1 PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA) 101 W 8TH AVE SPOKANE WA 99204 320014330 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE HEALTH PLAN 4400 NE HALSEY ST STE 609 ATTN ACCO PORTLAND OR 97213 930863097 HEALTHCARE OR 501(C)(4) N/A PPP 1 PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216589 HEALTHCARE CA 501(C)(3) 3 PHS 1 PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC 810 12TH STREET PO BOX 149 HOOD RIVER OR 97031 930921990 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY 1615 75TH ST SW SUITE 210 EVERETT WA 98203 272552749 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 2811 SOUTH 102ND NO 220 TUKWILA WA 98168 912077378 HEALTHCARE WA 501(C)(3) 7 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