2024-11-14T13:13:09-06:00 2023-12-31 346565596 ERNST & YOUNG US LLP 2323 VICTORY AVENUE SUITE 2000 DALLAS TX 75219 990 2023-01-01 550828701 PROVIDENCE HEALTH ASSURANCE PROV 5035747500 CO PSJH TAX DEPT 1801 LIND AVE S RENTON WA 98057 LINA SAADZOI CFO 5035746390 2024-11-14 1 1 RYAN MAYOR P01650740 2149698000 2024-11-07 2023 2024-10-15 13:58:12Z DONALD ANTONUCCI C/O PSJH TAX DEPT 1801 LIND AVE SW RENTON WA 98057 85970992 0 X HTTPS://WWW.PROVIDENCEHEALTHPLAN.COM/MEDICARE X 2003 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. 6 3 0 0 0 0 0 0 0 0 -1390552 4495526 0 0 -1390552 4495526 296650 2261024 0 0 47942339 58607700 0 0 0 -48353358 -60682569 -114369 186155 -1276183 4309371 369981271 255810165 308145766 189156986 61835505 66653179 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 0 2261024 0 SEE SCHEDULE O 0 0 0 0 0 0 0 0 0 0 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 3663 0 1 0 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 OR CA X LINA SAADZOI 5035747500 4400 NE HALSEY BLDG 2 PORTLAND OR 97213 DEBRA CANALES DIRECTOR 0.50 64.50 X 0 5026633 69939 RHONDA MEDOWS MD CHAIR 0.50 64.50 X 0 4437916 32662 DONALD ANTONUCCI PRESIDENT/CEO 27.00 28.00 X X 0 1757814 315072 ROBERT A GLUCKMAN CHIEF MEDICAL OFCR HEALTH PLAN 18.00 37.00 X 0 1146922 70820 BRADLEY GARRIGUES CHIEF GROWTH OFF. PHP 18.00 37.00 X 0 820074 119701 CHERYL MORRISON COO PHP 18.00 37.00 X 0 668025 179022 DANIEL W RYAN TREASURER/VP - THRU 6/23 17.00 33.00 X 0 716116 30424 MICHAEL MATHIAS CHIEF INFORMATION OFF. PHP 18.50 36.50 X 0 626804 112399 GREG ZAMUDIO SECRETARY 17.00 33.00 X 0 605120 98953 SCOTT BURTON MARKET PRESIDENT PHP 16.00 34.00 X 0 466540 51942 SALLY MARSH DIRECTOR SALES 17.00 33.00 X 0 393561 63796 PAUL T GIGER PHYSICIAN MEDICAL DIRECTOR I 17.00 33.00 X 0 386877 70328 STEPHANIE C DREYFUSS VP PHP NETWORK DEVELOPMENT 17.00 33.00 X 0 378134 53539 LINA SAADZOI TREASURER (PART YEAR) 17.00 33.00 X 0 349685 77270 MEGAN HEIAR CHIEF OF STAFF AYIN HEALTH SOLUTIONS 16.00 34.00 X 0 365675 19086 AARON BALS CHIEF COMP./RISK OFFICER 18.00 37.00 X 0 339881 40984 MICHAEL G WHITE FRMR PRESIDENT/CEO 0.00 0.00 X 0 375820 0 MARK JENSEN CHIEF SERVICE OPS OFF. - THRU 4/23 18.00 37.00 X 0 306112 22230 NATE PERRIZO FRMR CHIEF STRA & OPS OFCR PHP 0.00 0.00 X 0 176333 0 ISIAAH CRAWFORD PHD DIRECTOR 0.50 14.50 X 0 50000 0 JOSEPH BLANKENSHIP DIRECTOR 0.50 1.00 X 0 35000 0 BYRON SCOTT DIRECTOR 0.50 1.00 X 0 0 0 KERRY WEEMS DIRECTOR - THRU 8/23 0.50 1.00 X 0 0 0 0 19429042 1428167 0 1 1 0 PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVENUE SW RENTON WA 98057 MEDICAL SERVICES 412732423 PEACEHEALTH PO BOX 748636 LOS ANGELES CA 90074 MEDICAL SERVICES 23325472 SALEM HEALTH PO BOX 2747 PORTLAND OR 97208 MEDICAL SERVICES 21662696 OREGON HEALTH SCIENCES UNIVERSITY PO BOX 3595 PORTLAND OR 97208 MEDICAL SERVICES 20302043 THE OREGON CLINIC PC 541 NE 20TH AVE STE 225 PORTLAND OR 97232 MEDICAL SERVICES 18803089 386 MEDICARE REVENUE 524114 849925626 849925626 MEDICAID REVENUE 524114 271484423 271484423 CEDED REINSURANCE 524114 -3226816 -3226816 CEDED REINS TO PHP 524114 -1118183233 -1118183233 4562976 4562976 81408016 81475466 -67450 -67450 -67450 4495526 0 0 4495526 X 2261024 2261024 3070330 3012414 57916 53568141 52557685 1010456 1969229 1355954 613275 28107 19092 9015 46212 31389 14823 186155 186155 20079624 17636866 2442758 10501122 9184912 1316210 3593697 2475093 1118604 7504275 6303852 1200423 1271855 1189 1270666 262967 213869 49098 1972301 1339684 632617 2000139 2000139 13825 13825 MEDICAL CLAIMS 1044673740 1044673740 COMMISSIONS AND OTHER 12047189 11244020 803169 COMMISSIONS CEDED - PHP -120190037 -107637043 -12552994 MED CLAIMS CEDED TO PHP -1044673740 -1044673740 186155 0 186155 0 49179369 2396354 5000 5000 41601320 44079481 279195582 209329330 369981271 255810165 103427 980605 1025189 307165161 188028370 308145766 189156986 X 0 0 2775132 -3977694 59060373 70630873 61835505 66653179 369981271 255810165 X 4309371 839980 -331677 X 0 1 X 1 0 0 PREMIUM RECEIVABLE 160965179 HEALTHCARE RECEIVABLE 30445322 DUE FROM AFFILIATES 15527184 AMOUNTS RECOVERABLE FROM REINSURANCE 1731702 RECEIVABLE FOR SECURITIES 355898 INVESTMENT INCOME RECEIVABLE 304045 209329330 OTHER CURRENT LIABILITIES 87261140 POLICY RESERVE 48704670 ACCRUED MEDICAL INCENTIVES 32548430 DUE TO THIRD PARTY 18197072 PAYABLE FOR SECURITIES 872956 OTHER PAYABLES 444102 188028370 X 4309371 0 4309371 186155 186155 4495526 0 0 0 186155 186155 186155 PART X, LINE 2: PHA 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. PHA'S MANAGEMENT EVALUATES TAX POSITIONS TAKEN BY PHA AND RECOGNIZES A TAX LIABILITY IF PHA 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 PHA AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2023, 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. PHA IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. CENTRAL AMERICA AND CARIBBEAN 0 0 INVESTMENTS 894057 EUROPE 0 0 INVESTMENTS 1214507 NORTH AMERICA 0 0 INVESTMENTS 102917 0 0 0 0 0 0 2211481 0 2211481 1 0 1 0 0 0 1 PROVIDENCE PLAN PARTNERS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 911861964 501(C)(4) 0 2261024 SEE PART IV 0 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 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 1184847 0 3373872 0 467914 0 25456 0 44483 0 5096572 0 411575 RHONDA MEDOWS MD CHAIR 0 586192 0 2482541 0 1369183 0 17325 0 15337 0 4470578 0 450986 DONALD ANTONUCCI PRESIDENT/CEO 0 828320 0 926873 0 2621 0 272823 0 42249 0 2072886 0 0 ROBERT A GLUCKMAN CHIEF MEDICAL OFCR HEALTH PLAN 0 503890 0 471464 0 171568 0 29700 0 41120 0 1217742 0 131370 BRADLEY GARRIGUES CHIEF GROWTH OFF. PHP 0 302723 0 482465 0 34886 0 87343 0 32358 0 939775 0 10689 CHERYL MORRISON COO PHP 0 451276 0 215707 0 1042 0 83266 0 95756 0 847047 0 71207 DANIEL W RYAN TREASURER/VP - THRU 6/23 0 156001 0 284460 0 275655 0 17325 0 13099 0 746540 0 104060 MICHAEL MATHIAS CHIEF INFORMATION OFF. PHP 0 426216 0 187916 0 12672 0 80542 0 31857 0 739203 0 23485 GREG ZAMUDIO SECRETARY 0 314675 0 248943 0 41502 0 65673 0 33280 0 704073 0 39855 SCOTT BURTON MARKET PRESIDENT PHP 0 294012 0 171514 0 1014 0 19254 0 32688 0 518482 0 0 SALLY MARSH DIRECTOR SALES 0 123316 0 269688 0 557 0 42396 0 21400 0 457357 0 0 PAUL T GIGER PHYSICIAN MEDICAL DIRECTOR I 0 336143 0 27676 0 23058 0 37168 0 33160 0 457205 0 6587 STEPHANIE C DREYFUSS VP PHP NETWORK DEVELOPMENT 0 299910 0 46504 0 31720 0 30509 0 23030 0 431673 0 8650 LINA SAADZOI TREASURER (PART YEAR) 0 257100 0 75000 0 17585 0 55740 0 21530 0 426955 0 0 MEGAN HEIAR CHIEF OF STAFF AYIN HEALTH SOLUTIONS 0 363801 0 0 0 1874 0 15864 0 3222 0 384761 0 0 AARON BALS CHIEF COMP./RISK OFFICER 0 294459 0 43643 0 1779 0 25614 0 15370 0 380865 0 1126 MICHAEL G WHITE FRMR PRESIDENT/CEO 0 0 0 0 0 375820 0 0 0 0 0 375820 0 0 MARK JENSEN CHIEF SERVICE OPS OFF. - THRU 4/23 0 72318 0 30000 0 203794 0 10006 0 12224 0 328342 0 608 NATE PERRIZO FRMR CHIEF STRA & OPS OFCR PHP 0 0 0 0 0 176333 0 0 0 0 0 176333 0 0 PART I, LINE 3 SUPPLEMENTAL COMPENSATION INFORMATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, 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: RHONDA MEDOWS, M.D. - $560,170 MICHAEL G. WHITE - $375,820 NATE PERRIZO - $176,333 MARK JENSEN - $171,907 DANIEL W RYAN - $142,963 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: RHONDA MEDOWS, M.D. - $450,986 DEBRA CANALES - $411,575 ROBERT A. GLUCKMAN - $131,370 DANIEL W RYAN - $104,060 GREG ZAMUDIO - $39,855 BRADLEY GARRIGUES - $10,689 STEPHANIE C. DREYFUSS - $8,650 PAUL T. GIGER - $6,587 AARON BALS - $1,126 MARK JENSEN - $608 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 III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: AT 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 AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND. THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES. WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDS PROVIDENCE CONTINUES TO EXECUTE ON OUR INTEGRATED STRATEGIC AND FINANCIAL PLAN, WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THE IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES AND REDUCE OUR CARBON FOOTPRINT IN THE COMMUNITIES WE SERVE. PROVIDENCE ADVANCES PROGRESS ON OUR CARBON NEGATIVE GOAL AND IN 2023 WE ESTIMATED THAT WE DECREASED EMISSIONS BY OVER 12 PERCENT COMPARED TO OUR 2019 BASELINE. IN ADDITION, OUR EFFORTS LED TO THE INTRODUCTION OF THE GREEN HOSPITALS ACT, LEGISLATION MODELED AFTER PROVIDENCE THAT WOULD PROVIDE CRITICAL FEDERAL FUNDING TO WEATHERIZE AND MODERNIZE HEALTH CARE FACILITIES. PROVIDENCE COMPLETED A COMPREHENSIVE CLIMATE RESILIENCE PLAN IN ALIGNMENT WITH OUR COMMITMENT TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES CLIMATE PLEDGE. WE CONTINUE TO REDUCE GREENHOUSE GAS EMISSIONS WITH A FOCUS ON LED LIGHTING UPGRADES, WATER CONSERVATION, MORE EFFICIENT DELIVERY OF NITROUS OXIDE GAS DURING ANESTHESIA, AND ADVANCING OUR WASTE OPTIMIZATION WORK ACROSS ALL HOSPITALS AND CLINICS. REALIZING OUR MISSION PROVIDENCE MEDICARE ADVANTAGE PLANS ARE SOLUTIONS FOR PEOPLE WHO ARE ELIGIBLE FOR MEDICARE, SUPPORTING AFFORDABLE ACCESS AND EASIER ADMINISTRATION FOR MEMBERS LOCATED IN OREGON AND SW WASHINGTON. PHA ADVOCATES FOR EVIDENCE-BASED AND COST EFFECTIVE TREATMENTS FOR PATIENTS AND APPROPRIATE PAYMENT LEVELS TO PROVIDERS TO KEEP ACCESS TO HEALTH CARE AVAILABLE TO PEOPLE WHO ARE ELIGIBLE FOR MEDICARE. TO DELIVER TRUE HEALTH TO OUR MEMBERS, PHP FOCUSES ON INNOVATION, PERSONALIZED MEDICINE, COLLABORATION AMONG DIVERSE PARTNERS, AND STABILITY. IN RECOGNITION OF OUTSTANDING SERVICE AND QUALITY, THE PROGRAM EARNED 86% OF ALL AVAILBLE CLINICAL AND PHARMACY QUALITY MEASURE POINTS. THE OVERALL CONTRACT WAS AWARDED A 3.5 MEDICARE STAR RATING. PROVIDENCE HEALTH ASSURANCE (PHA) PROVIDES COVERAGE FOR HEALTH CARE SERVICES TO MEDICAID-ELIGIBLE MEMBERS OF THE PUBLIC IN THE GREATER PORTLAND AREA WITHOUT REGARD TO RACE, ETHNICITY, GENDER, SEXUAL ORIENTATION, AGE, ABILITY, RELIGION OR SOCIOECONOMIC STATUS. AS PART OF PROVIDENCE HEALTH PLAN (PHP), PHA FULFILLS ITS SOCIAL WELFARE PURPOSE BY FURTHERING THE HEALTH CARE SERVICES AND HEALTH EDUCATION IN THE COMMUNITY - SPECIFICALLY BY COMMITTING RESOURCES OF EMPLOYEE TIME AND ABILITY, AS WELL AS A PERCENTAGE OF NET INCOME, TO BENEFIT THE COMMUNITY THROUGH AGENCIES ESTABLISHED TO SUPPORT THE NEEDS OF THE MOST VULNERABLE AMONG US. THESE INCLUDE MEDICALLY FRAGILE AND AT-RISK CHILDREN; PEOPLE WITH MENTAL HEALTH NEEDS AND ISSUES; PEOPLE IN OUR COMMUNITIES FOR WHOM BARRIERS EXIST BECAUSE OF LANGUAGE, CULTURE AND POVERTY; AND PEOPLE LIVING IN RURAL AREAS, FOR WHOM ACCESS TO HEALTH CARE AND HEALTH PROMOTING ACTIVITIES MAY BE LIMITED. 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 $10K IN DONATIONS TO HABITAT FOR HUMANITY PORTLAND AND $30K IN DONATIONS TO MEALS ON WHEELS IN OREGON. IN 2023, PHP ALSO PROVIDED MORE THAN $130K AND 1000 HR. VOLUNTEER COMMITMENT TO OREGON FOOD BANK AS PART OF PHP'S HEALTH FOR ALL INITIATIVE. 2. CHRONIC CONDITIONS - FOCUSED ON PREVENTION OF OBESITY, DIABETES, HYPERTENSION AND DEPRESSION. A. ALSO PART OF THE HEALTH FOR ALL INITIATIVE, PHP GAVE MORE THAN $130K TO NORTH BY NORTHEAST COMMUNITY HEALTH CENTER. AN ORGANIZATION THAT WORKS DIRECTLY WITH UNDERSERVED POPULATIONS WITH A FOCUS ON CHRONIC CONDITION TREATMENT, EDUCATION AND PREVENTION. 3. BEHAVIORAL HEALTH/WELLBEING AND SUBSTANCE USE DISORDERS - FOCUSED ON PREVENTION (PARTICULARLY FOR YOUTH), CULTURALLY RESPONSIVE CARE AND HEALTH EDUCATION, SOCIAL ISOLATION AND COMMUNITY BUILDING. A. IN THIS AREA, PROVIDENCE HEALTH PLAN SUPPORTED SEVERAL COMMUNITY ORGANIZATIONS INCLUDING $30K TO ROSE HAVEN, A PORTLAND METRO AREA RECOVERY CENTER FOR THOSE SUFFERING FROM SUBSTANCE USE DISORDERS. PROVIDENCE HEALTH PLAN ALSO DONATED $15K TO THE FORA SUBSTANCE USE TREATMENT CENTER AND MORE THAN $130K 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. AN EXAMPLE OF THIS COMMUNITY BENEFIT IN ACTION IS THE $30K DONATED TO ADELANTE MUJERES AND $100K TO THE PATIENT ASSISTANCE FUND (PANOW). IN 2023 PROVIDENCE HEALTH PLAN GAVE MORE THAN $900K IN FUNDS TO SUPPORT THESE FOCUS AREAS. IN 2023 WE COMPLETED SEVERAL COMMUNITY OUTREACH PROJECTS AND PILOTS AIMED AT IMPROVING QUALITY OF LIFE FOR THOSE WE SERVE AS WELL AS ACCESS TO CARE. -PROVIDENCE CARE MANAGEMENT OFFERS MEMBERS WITH A POTENTIAL FOOD INSECURITY OR INEQUITY PARTICIPATION IN THE FOOD DISPARITY INTERVENTION. ENROLLED MEMBERS RECEIVE 8 WEEKS OF FOOD IN THE FORM OF A GIFT CARD, PRODUCE/PANTRY BOXES OR READY TO EAT MEALS DEPENDING ON THE MEMBER'S PREFERENCES. DURING THE INTERVENTION, CARE MANAGEMENT SUPPORTS MEMBERS THROUGH WEEKLY ASSESSMENT AND INTERVENTIONS WHICH MAY INCLUDE NAVIGATION TO COMMUNITY RESOURCES OR PROVIDERS, HEALTH CARE NAVIGATION, ADDRESSING BARRIERS TO CARE AND/OR SOCIAL DETERMINANTS OF HEALTH, PERSONALIZED CARE MANAGEMENT EDUCATION, DISCUSSION AROUND MEALS RECEIVED/FOOD PURCHASED (WITH AN EMPHASIS ON STRETCHING DOLLARS WHEN BUYING FOOD), AND REFERRAL TO HEALTH COACHING FOR MEMBERS IN NEED OF LOWER-ACUITY SUPPORT. -CARE MANAGEMENT IDENTIFIES MEMBERS IN NEED OF COMPREHENSIVE MEDICATION REVIEWS (CMR) AND REFERS TO OUR INTERNAL PHARMACY TEAM. THE FOCUS OF CMRS IS TO COMPILE AN ACCURATE MEDICATION LIST, INCLUDING SELF-REPORTED OVER-THE-COUNTER MEDICATIONS AND SUPPLEMENTS. ADDITIONAL CMR INTERVENTIONS INCLUDE PROVIDING MEDICATION AND CHRONIC DISEASE EDUCATION, REINFORCING MEDICATION ADHERENCE, AND ASSESSING FOR ANY DRUG THERAPY PROBLEMS (DTPS). PHARMACISTS MAY OUTREACH TO THE PRESCRIBER TO COMMUNICATE DTP RECOMMENDATIONS WHEN APPROPRIATE. GOALS OF THE TOC ARE TO: -PROVIDE EFFECTIVE MEDICATION RECONCILIATION FOR MEMBERS AT HIGH-RISK OF HOSPITAL READMISSION THROUGH IMPROVED COLLABORATION AND EFFICIENCY BETWEEN CM AND PHARMACY. -REDUCE HOSPITAL READMISSIONS DURING FIRST 30 DAYS FOLLOWING A MEMBER'S HOSPITAL DISCHARGE. 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 6 CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH PLAN IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH ASSURANCE. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH ASSURANCE HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE HEALTH ASSURANCE'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH ASSURANCE BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH PLAN, 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. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES. 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 A RELATED TAX-EXEMPT ORGANIZATION, 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 2024. 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 IX, LINE 11G OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,346,188. MANAGEMENT AND GENERAL EXPENSES 537,481. TOTAL EXPENSES 8,883,669. CONSULTING FEES: PROGRAM SERVICE EXPENSES 4,587,593. MANAGEMENT AND GENERAL EXPENSES 1,900,623. TOTAL EXPENSES 6,488,216. PHARMACY ADMIN FEES: PROGRAM SERVICE EXPENSES 2,193,000. TOTAL EXPENSES 2,193,000. ACTUARIAL FEES: PROGRAM SERVICE EXPENSES 531,513. TOTAL EXPENSES 531,513. NETWORK FEES: PROGRAM SERVICE EXPENSES 1,457,017. TOTAL EXPENSES 1,457,017. ID CARDS: PROGRAM SERVICE EXPENSES 501,699. TOTAL EXPENSES 501,699. RECORDS MANAGEMENT: PROGRAM SERVICE EXPENSES 9,855. MANAGEMENT AND GENERAL EXPENSES 4,654. TOTAL EXPENSES 14,509. ELECTRONIC DATA INTERCHANGE: PROGRAM SERVICE EXPENSES 10,001. TOTAL EXPENSES 10,001. FORM 990, PART XI, LINE 9: AMORTIZED COST ADJUSTMENT -331,677. 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 LHH LLC 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 SJHS 1 NORTHWEST HOPE & HEALING FOUNDATION PO BOX 16069 SEATTLE WA 98116 200799737 SUPPORT WA 501(C)(3) 12, I SHS 1 OPEN DOOR VENTURES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911608508 SUPPORT WA 501(C)(3) 7 PHS WA 1 PACMED CLINICS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 562290878 HEALTHCARE WA 501(C)(3) 10 WHC 1 PH&S FOUNDATIONSFVSA & SCVSA 501 SOUTH BUENA VISTA STREET BURBANK CA 915054809 953544877 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE ALASKA FOUNDATION 3760 PIPER STREET SUITE 2021 ANCHORAGE AK 99508 920093565 HEALTHCARE AK 501(C)(3) 7 PHS WA 1 PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION 540 SOUTH MAIN ST MT ANGEL OR 97362 911940286 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE BLANCHET ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911789266 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE CHILDREN'S HEALTH FOUNDATION 4805 NE GLISAN ST STE 2N35 PORTLAND OR 97213 930800140 SUPPORT OR 501(C)(3) 7 PHS OR 1 PROVIDENCE COMMUNITY HEALTH FOUNDATION 940 ROYAL AVE SUITE 410 MEDFORD OR 97504 930692907 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE DETHMAN HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 473385506 SUPPORT WA 501(C)(3) 7 N/A 0 PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 954322584 SUPPORT CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311744654 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE HEALTH & SERVICES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911549796 HEALTHCARE WA 501(C)(3) 12, II PSJH 0 PROVIDENCE HEALTH & SERVICES - MONTANA 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 810231793 HEALTHCARE MT 501(C)(3) 3 PHS WA 1 PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216587 HEALTHCARE OR 501(C)(3) 3 PHS 1 PROVIDENCE HEALTH & SERVICES - WASHINGTON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216586 HEALTHCARE WA 501(C)(3) 3 PHS 1 PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911303277 HEALTHCARE WA 501(C)(3) 3 PMWHC 1 PROVIDENCE HEALTH PLAN 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 930863097 HEALTHCARE OR 501(C)(4) N/A PH GROUP LLC 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 PHS W WA 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 LITTLE COMPANY OF MARY FOUNDATION 4101 TORRANCE BLVD TORRANCE CA 90503 510224944 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE MARIANWOOD FOUNDATION 3725 PROVIDENCE POINT DRIVE SE ISSAQUAH WA 980297219 931554288 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330185031 HEALTHCARE CA 501(C)(3) 3 SJHS 1 PROVIDENCE MEDICAL INSTITUTE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330283773 HEALTHCARE CA 501(C)(3) 12, I PHS SOCAL 1 PROVIDENCE MILWAUKIE FOUNDATION 10150 SE 32ND AVE MILWAUKIE OR 97222 943079515 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE MINISTRIES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 RELIGIOUS ORG WA 501(C)(3) 1 N/A 0 PROVIDENCE MOUNT ST VINCENT FOUNDATION 4831 35TH AVE SW SEATTLE WA 981262799 911188119 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE NEWBERG HEALTH FOUNDATION 1001 PROVIDENCE DRIVE NEWBERG OR 97132 930889144 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE PETER CLAVER ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311629656 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE PLAN PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911861964 HEALTHCARE WA 501(C)(4) N/A PHS OR 1 PROVIDENCE PORTLAND MEDICAL FOUNDATION 4805 NE GLISAN ST PORTLAND OR 972132967 931231494 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE ROSSI ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311584166 SUPPORT WA 501(C)(3) 10 PHS WA 1 PROVIDENCE SAINT JOHN'S HEALTH CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951684082 HEALTHCARE CA 501(C)(3) 3 PHS SOCAL 1 PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 814542216 HEALTHCARE CA 501(C)(3) 3 PHS SOCAL 1 PROVIDENCE SEASIDE HOSPITAL FOUNDATION 725 S WAHANNA ROAD SEASIDE OR 97138 930927320 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 912171539 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE ST FRANCIS ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 943244854 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE ST JOSEPH HEALTH 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 811244422 HEALTHCARE WA 501(C)(3) 12, III N/A 0 PROVIDENCE ST JOSEPH HEALTH FOUNDATION 4400 NE HALSEY ST STE 599 PORTLAND OR 97213 943078543 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE ST JOSEPH MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 810463482 HEALTHCARE MT 501(C)(3) 3 PHS WA 1 PROVIDENCE ST MARY FOUNDATION 401 W POPLAR STREET WALLA WALLA WA 99362 452841492 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE ST VINCENT MEDICAL FOUNDATION 9205 SW BARNES ROAD STE MT2111 PORTLAND OR 97225 930575982 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN) 413 LILLY ROAD NE OLYMPIA WA 985065166 911097056 SUPPORT WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE TRINITYCARE HOSPICE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 953264139 HEALTHCARE CA 501(C)(3) 10 PHS SOCAL 1 PROVIDENCE TRINITYCARE HOSPICE FOUNDATION 5315 TORRANCE BLVD NO B-1 TORRANCE CA 90503 330261016 HEALTHCARE CA 501(C)(3) 7 PTCH 1 PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION 1500 DIVISION STREET OREGON CITY OR 97045 931003750 HEALTHCARE OR 501(C)(3) 12, I PHS OR 1 REDWOOD MEMORIAL FOUNDATION 2700 DOBEER STREET EUREKA CA 95501 942779313 HEALTHCARE CA 501(C)(3) 7 SJHNC LLC 1 SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 954291515 HEALTHCARE CA 501(C)(3) 4 PSJHC 1 SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 956100079 SUPPORT SAINT JOHN HEALTH CENTER & JWCI CA 501(C)(3) 7 PSJHC 1 SEATTLE SCIENCE FOUNDATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 611502822 PHYSICIAN COLLABORATION WA 501(C)(3) 7 WHC 1 SISTERS OF PROVIDENCE OF MONTANA CORPORATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 262612415 SHELL CORPORATION MT 501(C)(3) 1 PHS WA 0 SISTERS OF ST JOSEPH OF ORANGE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951643383 RELIGIOUS ORG CA 501(C)(3) 1 N/A 0 SRM ALLIANCE HOSPITAL SERVICES (PVH) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 680395200 HEALTHCARE CA 501(C)(3) 3 SJHNC LLC 1 ST JOSEPH HEALTH MINISTRY 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 271666576 RELIGIOUS ORG CA 501(C)(3) 1 SSJO 0 ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 814791043 HEALTHCARE CA 501(C)(3) 3 SJHS 1 ST JOSEPH HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 953589356 HEALTHCARE CA 501(C)(3) 12, I PSJH 0 ST JOSEPH HEALTH SYSTEM FOUNDATION 3345 MICHELSON DRIVE SUITE 100 IRVINE CA 92612 330143024 HEALTHCARE CA 501(C)(3) 10 SJHS 1 ST JOSEPH HOME CARE NETWORK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 680331084 HEALTHCARE CA 501(C)(3) 10 SJHS 1 ST JOSEPH HOSPITAL OF ORANGE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951643359 HEALTHCARE CA 501(C)(3) 3 SJHS 1 ST JUDE HOSPITAL INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951643325 HEALTHCARE CA 501(C)(3) 3 SJHS 1 ST LUKE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 943176618 SUPPORT WA 501(C)(3) 7 PHS WA 1 ST MARY MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951914489 HEALTHCARE CA 501(C)(3) 3 SJHS 1 ST PATRICK HOSPITAL FOUNDATION 502 W SPRUCE STREET MISSOULA MT 59802 237056976 HEALTHCARE MT 501(C)(3) 7 PHS WA 1 ST THOMAS CHILD AND FAMILY CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 810233495 EDUCATION MT 501(C)(3) 10 PHS WA 1 SWEDISH EDMONDS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 272305304 HEALTHCARE WA 501(C)(3) 3 WHC 1 SWEDISH HEALTH SERVICES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 910433740 HEALTHCARE WA 501(C)(3) 3 WHC 1 SWEDISH MEDICAL CENTER FOUNDATION 747 BROADWAY SEATTLE WA 98122 910983214 HEALTHCARE WA 501(C)(3) 7 SHS 1 SWEDISH MJM HOLDINGS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 273139262 HOLDING COMPANY WA 501(C)(3) 12, I SHS 1 TARZANA MEDICAL CENTER LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 833972614 HEALTHCARE CA 501(C)(3) 3 PHS SOCAL 1 THE GAMELIN ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911180824 SUPPORT WA 501(C)(3) 7 PHS WA 1 THE GAMELIN OREGON ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911214491 SUPPORT OR 501(C)(3) 10 PHS OR 1 TRI-CITIES CANCER CENTER FOUNDATION 7350 W DESCHUTES AVE BUILDING A KENNEWICK WA 99336 911739024 SUPPORT WA 501(C)(3) 7 KRMC 1 UNIVERSITY OF PROVIDENCE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 810231777 EDUCATION MT 501(C)(3) 2 PHS 1 WESTERN HEALTHCONNECT 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 454171900 HEALTHCARE WA 501(C)(3) 3 PHS W WA 1 20TH STREET SURGERY LLC 1301 20TH STREET STE 140 SANTA MONICA CA 90404 731735618 AMBULATORY SURGERY CENTER CA N/A 0 0 BRIDGEPORT MEDICAL IMAGING LLC (BMI) 4400 NE HALSEY 495 PORTLAND OR 97213 260796953 IMAGING - DIAGNOSTICS OR N/A 0 1 BROADWAY IMAGING LLC PO BOX 4587 MISSOULA MT 598064587 522405971 MEDICAL IMAGING MT N/A 0 1 CANBY MEDICAL CENTER I LLC 4800 SW MACADAM AVE STE 120 PORTLAND OR 97239 205470937 REAL ESTATE - MOB OR N/A 0 1 CENTER FOR MEDICAL IMAGING LLC (CMI) 4400 NE HALSEY 495 PORTLAND OR 97213 200477972 IMAGING - DIAGNOSTICS OR N/A 0 1 CLACKAMAS RADIATION ONCOLOGY CENTER LLC 4400 NE HALSEY 495 PORTLAND OR 97213 260381897 RADIATION ONCOLOGY OR N/A 0 1 COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY 1031 W CHAPMAN AVE 101 ORANGE CA 92868 264591502 HEALTHCARE CA N/A 0 1 COVENANT HIGH PLAINS SURGERY CENTER LLC 40 VALLEY STREAM PKWY MALVERN PA 19355 752177401 HEALTHCARE PA N/A 0 1 COVENANT PARK PHASE I VENTURE LLC 3615 19TH ST LUBBOCK TX 79410 871464045 REAL ESTATE TX N/A 0 0 CSS JV LLC 11782 SW BARNES ROAD STE 200 BLDG C PORTLAND OR 97225 263638838 AMBULATORY SURGERY CENTER OR N/A 0 0 FIRST HILL SURGERY CENTER LLC 1101 MADISON STREET STE 200 SEATTLE WA 98104 472066485 AMBULATORY SURGERY CENTER WA N/A 0 1 FULLERTON SURGICAL CENTER LP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 470927394 AMBULATORY SURGERY CENTER CA N/A 0 1 GREATER VALLEY MEDICAL BUILDING LP 501 S BUENA VISTA ST BURBANK CA 91505 954570858 REAL ESTATE - MOB CA N/A 0 1 HERITAGE INVESTMENT GROUP I LLC 500 S MAIN STREET STE 1000 ORANGE CA 92868 271000061 INVESTMENTS CA N/A 0 0 IMAGING ASSOCIATES LLC 3650 PIPER STREET STE A ANCHORAGE AK 99508 203906048 MEDICAL IMAGING AK N/A 0 1 LSC REAL PROPERTY LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 474646059 REAL ESTATE TX N/A 0 1 METHODIST DIAGNOSTIC IMAGING 4005 24TH STREET LUBBOCK TX 79410 752343261 HEALTHCARE TX N/A 0 1 MISSION VIEJO PARTNERS II LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 823943675 REAL ESTATE - MOB CA N/A 0 1 NORTH OC IMAGING JV HOLDINGS LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 852444305 HEALTHCARE CA N/A 0 0 OREGON ADVANCED IMAGING LLC 881 OHARE PARKWAY MEDFORD OR 97504 450471748 MEDICAL IMAGING OR N/A 0 1 PAVILION SURGERY CENTER LLC 1140 WEST LAVETA AVE ORANGE CA 92868 814376492 AMBULATORY SURGERY CENTER CA N/A 0 0 PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC 19625 62ND AVENUE SOUTH SUITE 101 KENT WA 98032 452901632 MEDICAL EQUIPMENT WA N/A 0 1 PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC 1221 MADISON STREET SEATTLE WA 98104 203132044 MEDICAL IMAGING WA N/A 0 1 PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 812701056 INVESTMENTS WA N/A 0 0 PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 823765555 MEDICAL AL N/A 0 0 PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 823270499 MEDICAL AL N/A 0 1 PROVIDENCE ALASKA HOUSE I OWNER LP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 882819223 SUPPORTIVE HOUSING AK N/A 0 0 PROVIDENCE HOUSE OAKLAND LP 540 23RD ST OAKLAND CA 94612 811441264 SUPPORTIVE HOUSING CA N/A 0 1 PROVIDENCE IMAGING CENTER JOINT VENTURE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 920118807 MEDICAL IMAGING AK N/A 0 0 PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 823190634 INVESTMENTS WA N/A 0 0 PROVIDENCE SURGERY CENTER LLC 902 N ORANGE ST MISSOULA MT 59802 841401625 AMBULATORY SURGERY CENTER MT N/A 0 0 PROVIDENCEUSP SPOKANE SURGERY CENTERS LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 881149413 AMBULATORY SURGERY CENTER WA N/A 0 0 PROVIDENCEUSP SURGERY CTRS LLC 11550 INDIAN HILLS ROAD 160 MISSION HILLS CA 91345 200684116 AMBULATORY SURGERY CENTER CA N/A 0 0 RADIATION THERAPY INNOVATIONS LLC 1221 MADISON ST 1ST FL SEATTLE WA 98104 300553035 HEALTHCARE WA N/A 0 1 RIVERSIDE HEALTHCARE 1107 HAZELTINE BLVD 200 CHASKA MN 55318 411594648 HEALTHCARE MN N/A 0 1 ST JOSEPH PHYSICIAN VENTURES I LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 454521884 REAL ESTATE CA N/A 0 1 ST JOSEPHSATELLITE DIALYSIS CENTERS LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 814657391 HEALTHCARE CA N/A 0 0 ST JUDE SURGICAL CENTERS LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 823352570 AMBULATORY SURGERY CENTER CA N/A 0 1 ST PETER-SOUTH SOUND REGIONAL MRI CENTER 3417 ENSIGN RD NE OLYMPIA WA 98506 911455338 MEDICAL IMAGING WA N/A 0 1 SURGERY CENTER AT TANASBOURNE LLC 11221 ROE AVE STE 300 LEAWOOD KS 66211 208187971 AMBULATORY SURGERY CENTER KS N/A 0 1 THE MADISON SPOKANE INN LLC 15 WEST ROCKWOOD BLVD SPOKANE WA 99204 841606484 HOTEL SERVICES WA N/A 0 1 WON-ONC LLC 1900 COOKS HILL RD CENTRALIA WA 98531 262181194 REAL ESTATE - MOB WA N/A 0 1 1221 MADISON STREET OWNERS ASSOC 747 BROADWAY SEATTLE WA 98122 201954319 OWNERS' ASSOCIATION WA N/A C 0 ADVATA INC (FKA KENSCI INC) 615 2ND AVE 700 SEATTLE WA 98104 474048082 HEALTHCARE WA N/A C 0 AMERICAN UNITY GROUP LTD 90 PITTS BAY ROAD PEMBROKE BD HM08 CAPTIVE INSURANCE BD N/A C 0 AYIN HEALTH HOLDINGS INC 4400 NE HALSEY ST STE 609 ATTN ACCO PORTLAND OR 97213 833037172 HEALTHCARE DE N/A C 0 AYIN HEALTH SOLUTIONS INC 4400 NE HALSEY ST STE 609 ATTN ACCO PORTLAND OR 97213 931211733 HEALTHCARE OR N/A C 0 BOURGET HEALTH SERVICES INC 101 W 8TH AVE TAF C-9 SPOKANE WA 99204 911354431 CLINICAL/MEDICAL LAB WA N/A C 0 CARON CORPORATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 810486082 MEDICAL PHYSICIAN SERVICE MT N/A C 0 CLOUD 21 LIMITED 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 HEALTHCARE UK N/A C 0 ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA 1301 20TH ST STE 280 SANTA MONICA CA 90404 952880495 HEALTHCARE CA N/A S 0 HCSA PROPERTIES LLC 1600 M STREET NW AUBURN WA 98001 460620892 REAL ESTATE RENTAL WA N/A C 0 KENSCI ASIA PACIFIC PTE LTD 615 2ND AVE 700 SEATTLE WA 98104 HEALTHCARE SN N/A C 0 KENSCI TECH INDIA PRIVATE LIMITED 615 2ND AVE 700 SEATTLE WA 98104 HEALTHCARE IN N/A C 0 LUBBOCK METHODIST HOSP PRACTICE MGMT 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752578995 INACTIVE TX N/A C 0 LUBBOCK METHODIST HOSPITAL SVCS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752118585 HEALTHCARE TX N/A C 0 MEDICAL SPECIALTIES MANAGERS INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 330406218 HEALTHCARE WA N/A C 0 MISSION VIEJO MEDICAL VENTURES INC 27800 MEDICAL CENTER RD 354 MISSION VIEJO CA 92691 330212905 HEALTHCARE CA N/A C 0 PHN HOLDINGS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 461814184 STRATEGIC PLANNING SERVICES CA N/A C 0 PRAIA HEALTH INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 990552297 HEALTHCARE DE N/A C 0 PROVIDENCE GLOBAL CENTER LLP 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 981516461 IT SVCS IN N/A C 0 PROVIDENCE HEALTH CARE VENTURES INC 101 W 8TH AVE TAF C-9 SPOKANE WA 99204 900155714 CLINICAL/MEDICAL LAB WA N/A C 0 PROVIDENCE HEALTH NETWORK 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 800886966 PREPAID HEALTHCARE CA N/A C 0 PROVIDENCE PARTNERS HOLDINGS INC 4400 NE HALSEY ST STE 609 ATTN ACCO PORTLAND OR 97213 882962549 INVESTMENT DE N/A C 0 PROVIDENCE PHYSICIAN SERVICES CO 101 W 8TH AVE TAF C-9 SPOKANE WA 99204 911216033 HEALTHCARE WA N/A C 0 PROVIDENCE ST JOSEPH HEALTH NETWORK 20555 EARL ST TORRANCE CA 90503 823771547 HEALTHCARE CA N/A C 0 PROVSOURCE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 902318536 HEALTHCARE DE N/A C 0 ST JOSEPH HEALTH 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 462340232 HOLDING COMPANY CA N/A C 0 ST JOSEPH HEALTH SOURCE INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 461900168 HEALTHCARE CA N/A C 0 ST JOSEPH MEDICAL PLAZA ASSOCIATION 1140 W LA VETA STE 400 ORANGE CA 92868 330621539 CONDO ASSOCIATION CA N/A C 0 ST JOSEPH PROF SVCS ENTERPRSES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 330155323 HEALTHCARE CA N/A C 0 TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC) 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 842092143 HOLDING COMPANY DE N/A C 0 TEGRIA INSIGHTS GROUP HOLDINGS INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 861400769 HOLDING COMPANY WA N/A C 0 TEGRIA INSIGHTS GROUP INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 861532593 HEALTHCARE WA N/A C 0 TEGRIA PRODUCTS GROUP INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 870995138 HOLDING COMPANY DE N/A C 0 TEGRIA RCM GROUP US INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 863046450 HOLDING COMPANY DE N/A C 0 TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC) 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 844686520 HOLDING COMPANY DE N/A C 0 TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP) 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 844704409 HOLDING COMPANY DE N/A C 0 TEGRIA SERVICES GROUP-CAN INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 HEALTHCARE CA N/A C 0 TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC) 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 900872936 HEALTHCARE WI N/A C 0 TRUSANA INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 922370159 HEALTHCARE DE N/A C 0 VINSERRA INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 953943315 INVESTMENT CA N/A C 0 WEIGHT LOSS INC (FKA HMR WEIGHT MANAGEMENT SERVICES CORP) 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 463598718 HEALTHCARE WA N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 PROVIDENCE HEALTH & SERVICES - OREGON P 499509437 FMV PROVIDENCE PLAN PARTNERS P 110503886 FMV PROVIDENCE HEALTH PLAN Q 98413972 FMV AYIN HEALTH SOLUTIONS INC M 1795873 FMV PROVIDENCE PLAN PARTNERS B 2261024 FMV PROVIDENCE HEALTH PLAN P 789744 FMV