TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Michael Holcomb........................................................................ Chair of the Board	8.60 ........................10	X	X	60,335
(2) Lucille Dean SP........................................................................ Director	9.40 ........................10	X		0
(3) Mary Corita Heid RSM........................................................................ Director	5.00 ........................10	X		0
(4) Michael A Stein........................................................................ Director	6.00 ........................10	X		18,335
(5) Eugene Al Parrish........................................................................ Director	5.00 ........................10	X		15,335
(6) Dana A Rasmussen........................................................................ Director	4.30 ........................10	X		18,335
(7) James S Roberts MD........................................................................ Director	9.00 ........................10	X		30,835
(8) Peter J Snow........................................................................ Director	5.70 ........................10	X		20,835
(9) Bob Wilson........................................................................ Director	5.00 ........................10	X		15,335
(10) Sallye Liner........................................................................ Director	4.00 ........................10	X		15,335
(11) Cheryl M Scott........................................................................ Director	4.60 ........................10	X		15,335
(12) Ellen L Wolf........................................................................ Director	7.10 ........................10	X		15,335
(13) Isiaah Crawford........................................................................ Director	4.10 ........................10	X		15,335
(14) Martha Diaz Aszkenazy........................................................................ Director	7.70 ........................10	X		15,335
(15) Kirby McDonald........................................................................ Director	4.60 ........................10	X		15,335
(16) Dave Olsen........................................................................ Director	5.50 ........................10	X		15,335
(17) Charles Chuck Watts........................................................................ Director	4.60 ........................10	X		15,335

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) John F Koster MD - Thru 0313........................................................................ President / CEO	21.00 .......................33.00	X				3,202,727	247,248
(19) Rod F Hochman MD - Eff 0413........................................................................ President / CEO	25.00 .......................40.00	X				1,402,907	515,903
(20) Todd Hofheins........................................................................ EVP/CFO	23.00 .......................37.00	X				570,367	90,110
(21) Jeffrey W Rogers - Thru 513........................................................................ Corporate Secretary	19.00 .......................31.00	X				1,040,781	189,880
(22) Cindy Strauss - Eff 613........................................................................ SVP/Chief Counsel/Corp. Secretary	23.00 .......................37.00	X				955,824	248,254
(23) Bruce Lamoureux........................................................................ SVP/CEO - AK. Region	58.00 .......................0.00	X				907,279	95,774
(24) Anthony Dorsch........................................................................ CFO/AK. Region	48.00 .......................0.00	X				345,451	91,536
(25) Terry L Smith........................................................................ SVP/Management Svcs	23.00 .......................37.00		X			1,612,950	226,158
(26) Deborah Burton........................................................................ SVP/Chief Nrsg. Officer	25.00 .......................40.00		X			1,347,109	66,039
(27) Michael L Butler........................................................................ President/Operations & Services	23.00 .......................37.00		X			1,272,743	742,629
(28) Randy Axelrod MD........................................................................ EVP/Clinical & Patient Svcs	23.00 .......................37.00		X			1,055,259	219,690
(29) Janice J Jones........................................................................ SVP/CAO	21.00 .......................34.00		X			999,701	159,493
(30) Myron Berdischewsky MD........................................................................ SVP/CMQO	23.00 .......................37.00		X			855,510	158,577
(31) Jack Friedman........................................................................ SVP/Account Care & Payor Rel.	21.00 .......................34.00		X			826,281	177,752
(32) Ray Williams........................................................................ SVP/Physicians Svcs	21.00 .......................34.00		X			761,267	203,589
(33) Cindra R Syverson........................................................................ SVP/CHRO	23.00 .......................37.00		X			717,450	292,188
(34) Craig L Wright MD........................................................................ SVP/Physicians Svcs	23.00 .......................37.00		X			708,798	451,637
(35) John O Mudd........................................................................ SVP/Mission Leadership	21.00 .......................34.00		X			542,246	208,258
(36) Claudia Haglund........................................................................ VP/Governance & Sponsorship	19.00 .......................31.00		X			494,375	157,049
(37) Joel S Gilbertson........................................................................ SVP/Comm.Ptrshp & External Affairs	21.00 .......................34.00		X			456,594	126,245
(38) David Brown........................................................................ VP/Strategy & Innovation	21.00 .......................34.00		X			434,606	168,959
(39) Orest Holubec........................................................................ SVP/Marketing & Communications	23.00 .......................37.00		X			423,960	61,310
(40) Gary Flaming........................................................................ SVP/Chief Risk Officer	22.00 .......................35.00		X			381,771	94,294
(41) Arnold Schaffer........................................................................ EVP/W. WA. Region	23.00 .......................37.00		X			1,441,657	233,992
(42) Elaine Couture........................................................................ SVP/CEO - PHC	54.00 .......................1.00		X			723,792	104,285
(43) Preston Simmons........................................................................ CEO - NW WA. Region	40.00 .......................0.00		X			698,142	67,019
(44) Medrice Coluccio........................................................................ CEO - SW WA. Region	60.00 .......................0.00		X			545,901	498,343
(45) Atul Thakker........................................................................ Physician Surgeon	55.00 .......................0.00			X		1,339,221	32,638
(46) David Yam........................................................................ Neurosurgeon	55.00 .......................0.00			X		1,045,952	25,997
(47) John Fletcher........................................................................ VP/Operations	55.00 .......................0.00			X		1,078,053	286,772
(48) Paul Anderson........................................................................ CIO/WA-MT Region	55.00 .......................0.00			X		986,220	4,709
(49) Jeffrey Roaten........................................................................ Pediatric Surgeon	55.00 .......................0.00			X		927,829	34,291
(50) Karl Carrier........................................................................ Former CFO - CA. Region	0.00 .......................0.00				X	181,409	201,988
(51) Kerry L Carmody........................................................................ Former COO - CA. Region	0.00 .......................0.00				X	757,578	357,950

(A) Name and business address	(B) Description of services	(C) Compensation
The Everett Clinic3901 Hoyt AvenueEverettWA98201	Medical Services	19,926,225
Inland Imaging LLC122 W 7th Avenue Suite 410SpokaneWA99202	Imaging Services	11,740,137
Inland Northwest Blood Center203 W Cataldo AvenueSpokaneWA99201	Medical Services	10,207,827
W3 LLC925 North Point Pkwy Suite 160AlpharettaGA30005	IT Consulting & Management	8,804,767
Pathology Associates Medical LabsPO Box 2720SpokaneWA99220	Lab Services	7,774,146
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 869

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	14,268,326	14,268,326
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	442,057	442,057
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	957,017	957,017
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	18,595,225	1,652,744	16,942,481
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	1,772,655,757	1,135,631,678	636,627,509	396,570
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	152,867,865	85,286,748	67,539,434	41,683
9	Other employee benefits .......	812,492,097	228,043,197	583,882,302	566,598
10	Payroll taxes ...........	123,014,849	78,918,303	44,059,996	36,550
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	6,528,204	632,928	5,895,276
c	Accounting ...........	2,859,262		2,859,262
d	Lobbying ...........	158,675		158,675
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,424,602		1,424,602
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	509,502,437	262,498,409	247,004,028
12	Advertising and promotion ....	9,099,735	6,587,753	2,511,982
13	Office expenses .......	112,390,906	68,879,196	43,440,855	70,855
14	Information technology ......	39,621,591	3,358,753	36,262,838
15	Royalties ..
16	Occupancy ...........	87,613,202	45,928,579	41,684,623
17	Travel ............	22,941,471	5,918,266	17,004,847	18,358
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	8,292,129	2,334,008	5,944,917	13,204
20	Interest ...........	51,114,241	50,983,249	130,992
21	Payments to affiliates .......	2,854,978		2,854,978
22	Depreciation, depletion, and amortization .....	220,123,125	120,028,167	100,094,958
23	Insurance ..............	53,164,124	33,850,433	19,313,691
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies	479,072,178	479,014,743	57,435
b	Bad Debt Expense	97,577,879	97,572,309	5,570
c	Prof. Liab. Trust	70,975,000		70,975,000
d	UBI Taxes	744,000		744,000
e	All other expenses	82,323,591	51,040,977	31,261,429	21,185
25	Total functional expenses. Add lines 1 through 24e	4,753,674,523	2,773,827,840	1,978,681,680	1,165,003
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	3,903,073	1	2,904,419
2	Savings and temporary cash investments .........	347,716,675	2	388,720,402
3	Pledges and grants receivable, net ...........	3,556,265	3	5,954,684
4	Accounts receivable, net .............	489,647,879	4	535,291,965
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............	31,562,946	7	33,304,865
8	Inventories for sale or use ..............	55,335,834	8	53,101,746
9	Prepaid expenses and deferred charges ..........	41,394,819	9	41,171,987
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	4,852,075,634
b	Less: accumulated depreciation .....	10b	2,228,905,606	2,488,430,486	10c	2,623,170,028
11	Investments—publicly traded securities ..........	1,334,579,669	11	1,542,049,367
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....	98,870,848	13	105,753,444
14	Intangible assets ...............	21,349,593	14	21,720,654
15	Other assets. See Part IV, line 11 ...........	2,271,587,998	15	1,764,993,072
16	Total assets. Add lines 1 through 15 (must equal line 34)......	7,187,936,085	16	7,118,136,633
	17	Accounts payable and accrued expenses .........	500,334,779	17	577,934,307
18	Grants payable .................		18
19	Deferred revenue ................	7,414,775	19	10,845,286
20	Tax-exempt bond liabilities .............	828,765,001	20	811,205,001
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	143,088	23	1,582,735
24	Unsecured notes and loans payable to unrelated third parties ....	281,958,940	24	609,605
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	3,426,275,840	25	3,277,993,911
26	Total liabilities. Add lines 17 through 25.........	5,044,892,423	26	4,680,170,845
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	2,085,155,320	27	2,376,578,881
28	Temporarily restricted net assets ...........	47,032,095	28	48,068,173
29	Permanently restricted net assets ...........	10,856,247	29	13,318,734
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	2,143,043,662	33	2,437,965,788
34	Total liabilities and net assets/fund balances ........	7,187,936,085	34	7,118,136,633

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization PROVIDENCE HEALTH & SERVICES - WASHINGTON

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization PROVIDENCE HEALTH & SERVICES - WASHINGTON

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Yes

Mailings to members, legislators, or the public? .........................

Yes

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Yes

154,952

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

128,772

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

3,723

Total. Add lines 1c through 1i ...............................

287,447

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B, Line 1:	Our Mission of compassionate care is grounded in our Catholic heritage. Our special focus on serving the poor and vulnerable compels us to advocate for a better and more just health care delivery system. We believe that health care is a basic human right. When individuals and families have access to health care, quality of life improves. As health reform opens the door to more coverage, we can't lose sight of the need for real change in every neighborhood and every city across our nation. Together, we are working to improve health for all we serve. Our 2013 Advocacy Agenda Providence has long advocated for important healthcare and social programs in our communities. As we maintain our special focus on serving the poor and vulnerable, we also remain committed to delivering higher-quality, affordable care to all we serve. Across our system, we are pursuing innovative models of care and ways to quickly implement best practices in an increasingly collaborative, connected setting. In an environment of high unemployment and increasing individual and community need, we urge policy leaders to maintain the stability, scope and purpose of programs supporting the most vulnerable among us. While health care cost increases are slowing, we recognize that we need to do even more to reduce the cost of care. We believe it is possible to realize further cost savings in a thoughtful, sustainable way and are committed to partnering with others, including the government, to achieve that goal. Our experience as an integrated, multi-state system can help inform the development of policy solutions. Work for affordable and lasting health reform * As Medicare and Medicaid reforms emerge, we urged policy makers to take a longer-term and balanced approach - rather than using a shortsighted, budget-driven perspective. Cutting in one area to pay for an increase in another frequently damages integrated systems that are deeply connecting services, and could disrupt large collaborative efforts, such as accountable care models that are in early development. * Health reform should contribute meaningful reductions to the federal deficit and state budget planning. We see continued opportunities through improved efficiency and innovation, such as coordinated, community-based care focused on the Triple Aim. Preserve and advance coverage expansion * The Affordable Care Act creates a significant opportunity to achieve higher levels of insurance coverage. We support Medicaid expansion in every state, with funding levels preserved to ensure broad access to quality care. * We support the development of effective health insurance exchanges that offer affordable insurance options to the largest number of individuals and families who are eligible to participate. We believe these exchanges must establish incentives for provider-payer collaboration to assist in the development of new payment models and redesigned care. * An adequate supply of clinicians is needed to meet the demands of coverage expansion and to address shortages of nurses, physicians and other health care workers. We advocate for strengthening graduate medical education, nursing education and other health care worker training programs. Care for the most vulnerable among us * Although insurance coverage levels will dramatically increase in 2014, we cannot forget those who will need extra support to improve their access to care. Individuals and families living in rural communities experience barriers to a full continuum of care in their local areas. There are many who live in isolation due to frailty, chronic disease or behavioral health challenges. We will continue to speak for all those who are marginalized and unable to access the health care they need. Expand clinical transformation * Health care is evolving rapidly and dramatically - there is no more important time than now to work on improving care and outcomes through transformative change. Payment model reform, in both Medicare and Medicaid, must advance in alignment with and support of care model changes. * We ask policy makers to support proposals that promote the use of new technologies and greater clinical integration across providers and care settings. This includes expanding telemedicine, advancing the adoption of interoperable electronic health records and reducing barriers to clinical integration and participation in collaborative care models. Work for the common good and social justice * We ask policy makers to ensure that comprehensive immigration reform includes ways to improve access to health care for immigrants, regardless of legal status. * We support medical malpractice reforms that promote justice for patients harmed, improve health care quality and reduce liability insurance premiums. Working together to provide the best care Providence caregivers work collaboratively to develop leading care practices and employ those practices to deliver quality, affordable care to every patient in every community served. Working together, the combined health systems employ more than 64,000 people who serve millions of people across five states. Partnering to fulfill community need Providence reaches out beyond the walls of our hospitals and clinic settings to touch lives in the places where relief, comfort and care are needed. Guided by a willingness to adapt to meet changing times and unmet community needs, Providence collaborates with a diverse range of partners to provide a lasting community benefit. In 2013, Providence provided $951 million in community benefit. The cornerstone of the Providence Mission is to provide quality care that is accessible for all in the community. This Mission is firmly rooted in the work started more than 157 years ago by the Sisters of Providence and we honor and live by their commitment every day. Meeting the needs of our communities remains at the heart of what we do.

Return Reference

Explanation

Part II-B, Line 1:

Our Mission of compassionate care is grounded in our Catholic heritage. Our special focus on serving the poor and vulnerable compels us to advocate for a better and more just health care delivery system. We believe that health care is a basic human right. When individuals and families have access to health care, quality of life improves. As health reform opens the door to more coverage, we can't lose sight of the need for real change in every neighborhood and every city across our nation. Together, we are working to improve health for all we serve. Our 2013 Advocacy Agenda Providence has long advocated for important healthcare and social programs in our communities. As we maintain our special focus on serving the poor and vulnerable, we also remain committed to delivering higher-quality, affordable care to all we serve. Across our system, we are pursuing innovative models of care and ways to quickly implement best practices in an increasingly collaborative, connected setting. In an environment of high unemployment and increasing individual and community need, we urge policy leaders to maintain the stability, scope and purpose of programs supporting the most vulnerable among us. While health care cost increases are slowing, we recognize that we need to do even more to reduce the cost of care. We believe it is possible to realize further cost savings in a thoughtful, sustainable way and are committed to partnering with others, including the government, to achieve that goal. Our experience as an integrated, multi-state system can help inform the development of policy solutions. Work for affordable and lasting health reform * As Medicare and Medicaid reforms emerge, we urged policy makers to take a longer-term and balanced approach - rather than using a shortsighted, budget-driven perspective. Cutting in one area to pay for an increase in another frequently damages integrated systems that are deeply connecting services, and could disrupt large collaborative efforts, such as accountable care models that are in early development. * Health reform should contribute meaningful reductions to the federal deficit and state budget planning. We see continued opportunities through improved efficiency and innovation, such as coordinated, community-based care focused on the Triple Aim. Preserve and advance coverage expansion * The Affordable Care Act creates a significant opportunity to achieve higher levels of insurance coverage. We support Medicaid expansion in every state, with funding levels preserved to ensure broad access to quality care. * We support the development of effective health insurance exchanges that offer affordable insurance options to the largest number of individuals and families who are eligible to participate. We believe these exchanges must establish incentives for provider-payer collaboration to assist in the development of new payment models and redesigned care. * An adequate supply of clinicians is needed to meet the demands of coverage expansion and to address shortages of nurses, physicians and other health care workers. We advocate for strengthening graduate medical education, nursing education and other health care worker training programs. Care for the most vulnerable among us * Although insurance coverage levels will dramatically increase in 2014, we cannot forget those who will need extra support to improve their access to care. Individuals and families living in rural communities experience barriers to a full continuum of care in their local areas. There are many who live in isolation due to frailty, chronic disease or behavioral health challenges. We will continue to speak for all those who are marginalized and unable to access the health care they need. Expand clinical transformation * Health care is evolving rapidly and dramatically - there is no more important time than now to work on improving care and outcomes through transformative change. Payment model reform, in both Medicare and Medicaid, must advance in alignment with and support of care model changes. * We ask policy makers to support proposals that promote the use of new technologies and greater clinical integration across providers and care settings. This includes expanding telemedicine, advancing the adoption of interoperable electronic health records and reducing barriers to clinical integration and participation in collaborative care models. Work for the common good and social justice * We ask policy makers to ensure that comprehensive immigration reform includes ways to improve access to health care for immigrants, regardless of legal status. * We support medical malpractice reforms that promote justice for patients harmed, improve health care quality and reduce liability insurance premiums. Working together to provide the best care Providence caregivers work collaboratively to develop leading care practices and employ those practices to deliver quality, affordable care to every patient in every community served. Working together, the combined health systems employ more than 64,000 people who serve millions of people across five states. Partnering to fulfill community need Providence reaches out beyond the walls of our hospitals and clinic settings to touch lives in the places where relief, comfort and care are needed. Guided by a willingness to adapt to meet changing times and unmet community needs, Providence collaborates with a diverse range of partners to provide a lasting community benefit. In 2013, Providence provided $951 million in community benefit. The cornerstone of the Providence Mission is to provide quality care that is accessible for all in the community. This Mission is firmly rooted in the work started more than 157 years ago by the Sisters of Providence and we honor and live by their commitment every day. Meeting the needs of our communities remains at the heart of what we do.

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	489,517	483,523	8,463,851	7,596,645	6,401,153
b	Contributions ........	1,055,736	2,500	51,311	364,798	106,633
c	Net investment earnings, gains, and losses	37,278	3,494	75,538	677,288	1,289,282
d	Grants or scholarships .....			8,107,177	174,880	162,845
e	Other expenditures for facilities and programs ........					7,578
f	Administrative expenses ....					30,000
g	End of year balance ......	1,582,531	489,517	483,523	8,463,851	7,596,645

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

0 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	22,491,197	139,163,897		161,655,094
b	Buildings ................	193,485,862	1,946,701,383	935,598,838	1,204,588,407
c	Leasehold improvements ............		160,216,774	86,084,764	74,132,010
d	Equipment ................	52,015,596	1,903,970,639	1,207,222,004	748,764,231
e	Other .................	101,971	433,928,315		434,030,286
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......					2,623,170,028

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) Due From Affiliates				1,479,654,474
(2) Trustee Held Funds				190,240,194
(3) Unamortized Finance Costs				16,357,171
(4) Assets Held Under Securities Lending				9,385,869
(5) Other Long-Term Receivables				49,133,156
(6) Third Party Settlements				9,535,377
(7) Charitable Trusts & Gift Annuities				117,372
(8) CSV of Life Insurance				160,912
(9) Deferred Compensation 457F				5,141,269
(10) Bond Premium Discount				1,141,582
(11) Donated Assets				20,000
(12) Accrued Rebates				4,105,696
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				1,764,993,072

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
Self-Insured Trusts		229,327,805
Due To Affiliates		1,371,515,686
Taxable Bond Issues		820,923,814
Accrued Pension Costs		745,607,363
LT Asset Retirement Obligation - FIN 47		15,617,221
Liabilities Under Securities Lending		11,306,755
Other Long-Term Payables		29,074,684
Third Party Settlements		54,596,583
Bank Loan Reserve		24,000
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		3,277,993,911
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Part V, Line 4:	The Endowment Funds are intended to be used to provide home health services to the poor & vulnerable in Eastern Washington & Alaska.
Part X, Line 2:	The Health System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained upon an audit by the taxing authority. 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 D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? ...............................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Sub-Saharan Africa	0	0	Grantmaking	437,031
	Central America and the Caribbean	0	0	Grantmaking	254,192
	Middle East & North Africa	0	0	Grantmaking	196,216
	Russia & Neighboring States	0	0	Grantmaking	62,476
	East Asia & The Pacific	0	0	Grantmaking	5,340
	North America	0	0	Grantmaking	1,180
	South America	0	0	Grantmaking	338
	South Asia	0	0	Grantmaking	244









3a	Sub-total .....	0	0		957,017
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		957,017

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013

Schedule F (Form 990) 2013

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

(c) Region	(d) Purpose of grant	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)
Central America and the Caribbean	Medical Supplies	245,097	Medical Supplies	Cost
Middle East & North Africa	Medical Supplies	89,153	Medical Supplies	Cost
Middle East & North Africa	Medical Supplies	104,471	Medical Supplies	Cost
Russia & Neighboring States	Medical Supplies	62,476	Medical Supplies	Cost
Sub-Saharan Africa	Medical Supplies	58,239	Medical Supplies	Cost
Sub-Saharan Africa	Medical Supplies	243,531	Medical Supplies	Cost
Sub-Saharan Africa	Medical Supplies	121,783	Medical Supplies	Cost

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2013

Schedule F (Form 990) 2013Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2013

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2013

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
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.
Schedule F, Part IV, Line 1	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 F (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total .................

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2013

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 Providence O'Christmas Trees (event type)	(b) Event #2 Golf Classic (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	808,305	60,709	869,014
2	Less: Contributions . .	573,010	39,409	612,419
3	Gross income (line 1 minus line 2) . . .	235,295	21,300	256,595
4	Cash prizes . . .
5	Noncash prizes . .		5,160	5,160
6	Rent/facility costs . .	17,882	16,336	34,218
7	Food and beverages .	199,201	8,190	207,391
8	Entertainment . . .
9	Other direct expenses .	439,803	9,064	448,867
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........			695,636
11	Net income summary. Subtract line 10 from line 3, column (d)...........			-439,041

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

31,589

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

1,532

Other direct expenses . .

14,233

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes100.000 %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

15,765

Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow

15,824

Enter the state(s) in which the organization operates gaming activities: WA

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2013

Page 3

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

100.000 %

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Patricia L Szabo

Address

4831 35th Avenue SW
Seattle,WA98126

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Patricia L Szabo

Gaming manager compensation right arrow

$ 0

Description of services provided right arrow

Provided oversight of sale of raffle tickets and accounting for proceeds received.

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	0	0	118,728,691		118,728,691	2.550 %
b	Medicaid (from Worksheet 3, column a) ....	0	0	425,914,055	291,855,214	134,058,841	2.880 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	0	0	4,057,407	3,163,029	894,378	0.020 %
d	Total Financial Assistance and Means-Tested Government Programs .			548,700,153	295,018,243	253,681,910	5.450 %
Other Benefits		0	0	8,178,191	1,315,538	6,862,653	0.150 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	0	0	8,178,191	1,315,538	6,862,653	0.150 %
f	Health professions education (from Worksheet 5) ..	0	0	24,604,422	10,533,577	14,070,845	0.300 %
g	Subsidized health services (from Worksheet 6) ..	0	0	73,099,621	45,316,233	27,783,388	0.600 %
h	Research (from Worksheet 7)	0	0	3,324,177	1,159,096	2,165,081	0.050 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	0	0	5,457,667	8,950	5,448,717	0.120 %
j	Total. Other Benefits ..			114,664,078	58,333,394	56,330,684	1.220 %
k	Total. Add lines 7d and 7j .			663,364,231	353,351,637	310,012,594	6.670 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	0	0	1,132	1,132	0 %
2	Economic development	0	0	76,453	76,453	0 %
3	Community support	0	0	16,296	16,296	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	0	0	49,775	49,775	0 %
8	Workforce development
9	Other
10	Total			143,656	143,656

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

97,577,879

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

1,039,589,468

Enter Medicare allowable costs of care relating to payments on line 5.....

1,045,879,979

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-6,290,511

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?11 Name, address, primary website address, and state license number								Facility reporting group
1	Providence Alaska Medical Center 3200 Providence Drive Anchorage,AK99508 alaska.providence.org/ GACH-007	X	X	X	X		X	B
2	Providence SHMC & Children's Hospital 101 West 8th Avenue Spokane,WA99204 washington.providence.org/ 00000162	X	X	X			X	A
3	Providence St Peter Hospital 413 Lilly Road NE Olympia,WA98506 washington.providence.org/ 00000159	X	X				X	A
4	Providence Regional Med CtrColby 1321 Colby Avenue Everett,WA98201 washington.providence.org/ 00000084	X	X				X	A
5	Providence Regional Med CtrPacific 916 Pacific Avenue Everett,WA98208 washington.providence.org/ 00000084	X	X				X	A
6	Providence Holy Family Hospital 5633 North Lidgerwood Street Spokane,WA99208 washington.providence.org/ 00000139	X	X				X	A
7	Providence Centralia Hospital 914 S Scheuber Road Centralia,WA98531 washington.providence.org/ 00000191	X					X	A
8	Providence St Mary Medical Center 401 W Poplar St Walla Walla,WA99362 washington.providence.org/ 00000050	X	X				X	A
9	Providence Mt Carmel Hospital 982 East Columbia Colville,WA99114 washington.providence.org/ 00000030	X	X			X	X	A
10	Providence St Joseph's Hospital 500 East Webster Street Chewelah,WA99109 washington.providence.org/ 00000194	X	X				X	A
11	Providence Kodiak Is Medical Center 1915 Rezanof Drive Kodiak Island,AK99615 alaska.providence.org/ GACH-008	X				X		B

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Providence Health & Services - WA
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): http://washington.providence.org

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Yes

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 100.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

Yes

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Providence Health & Services - Alaska
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): http://alaska.providence.org

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 100.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

Yes

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 3: Providence St. Peter Hospital, - Facility 7: Providence Centralia Hospital, - Facility 8: Providence St. Mary Medical Center, - Facility 4: Providence Regional Med. Ctr.,Colby, - Facility 5: Providence Regional Med. Ctr.,Pacific, - Facility 9: Providence Mt. Carmel Hospital, - Facility 6: Providence Holy Family Hospital, - Facility 2: Providence SHMC & Children's Hospital, - Facility 10: Providence St. Joseph's Hospital
Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 3:	Over 70 representatives from various agencies participated. 170 invitations were sent out to community leaders and organization representatives. A complete list of those participating is available in the Community Health Needs Assessment.
Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 4:	Providence Holy Family Hospital
Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 7:	The other issues mentioned in the needs assessment including; nutrition & physical activity, vaccine preventable disease, falls in the elderly, responsible sexual behavior, and asthma were not pulled out to specifically be addressed because they were either too narrow of a focus where our hospital data did not show this to be a high magnitude issue or they would be covered under the identified issues of mental health & substance abuse, care coordination & access to care, and obesity & diabetes.
Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 3:	The hospital facility designated workgroups to make recommendations of Community Benefit to Southwest Washington Board Strategy Committee, which, in turn, shared proposals to full board. The workgroups reviewed existing community needs, past community allocations and funding, identified primary focus areas for 2013 and success measures for each area. Each workgroup included a representative from the community.
Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 3:	The Providence Mission Committee of the Board, which has broad representation from the community, provides guidance to the CHNA work group as the assessment is developed. Providence is also an active participant in community partnerships in order to create healthier communities together. One such partnership, the Snohomish County Public Health Advisory Council, presented data and obtained input from the community through various venues including a public forum, media releases, posting on the Snohomish Health District web page and distribution through community leaders. Other noteworthy partnerships that enabled Providence to obtain information and input to help inform the community needs assessment include:Providence Regional Medical Center Everett CHNA Work Group (Senior Leadership Team)Providence Mission Committee of the BoardSnohomish County Health Leadership CoalitionSnohomish County Public Health Advisory CouncilSnohomish County Health Policy Group
Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 7:	Physical Abuse, Obesity, Suicide and Dental Decay are not areas of emphasis and focus for Providence during this cycle due to funding and resource availability. In addition there are other community organizations focusing on these issues. Providence will be an engaged partner with other community led collaborative efforts.
Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 3:	The Providence Mission Committee of the Board, which has broad representation from the community, provides guidance to the CHNA work group as the assessment is developed. Providence is also an active participant in community partnerships in order to create healthier communities together. One such partnership, the Snohomish County Public Health Advisory Council, presented data and obtained input from the community through various venues including a public forum, media releases, posting on the Snohomish Health District web page and distribution through community leaders. Other noteworthy partnerships that enabled Providence to obtain information and input to help inform the community needs assessment include:Providence Regional Medical Center Everett CHNA Work Group (Senior Leadership Team)Providence Mission Committee of the BoardSnohomish County Health Leadership CoalitionSnohomish County Public Health Advisory CouncilSnohomish County Health Policy Group
Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 7:	Physical Abuse, Obesity, Suicide and Dental Decay are not areas of emphasis and focus for Providence during this cycle due to funding and resource availability. In addition there are other community organizations focusing on these issues. Providence will be an engaged partner with other community led collaborative efforts.
Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 3:	Over 70 representatives from various agencies participated. 170 invitations were sent out to community leaders and organization representatives. A complete list of those participating is available in the Community Health Needs Assessment.
Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 4:	Providence Sacred Heart Medical Center
Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 7:	The other issues mentioned in the needs assessment including; nutrition & physical activity, vaccine preventable disease, falls in the elderly, responsible sexual behavior, and asthma were not pulled out to specifically be addressed because they were either too narrow of a focus where our hospital data did not show this to be a high magnitude issue or they would be covered under the identified issues of mental health & substance abuse, care coordination & access to care, and obesity & diabetes.
Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 7 -- Providence Centralia Hospital Part V, Section B, line 3:	The hospital facility designated workgroups to make recommendations of Community Benefit to Southwest Washington Board Strategy Committee, which, in turn, shared proposals to full board. The workgroups reviewed existing community needs, past community allocations and funding, identified primary focus areas for 2013 and success measures for each area. Each workgroup included a representative from the community.
Facility 7 -- Providence Centralia Hospital Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 7 -- Providence Centralia Hospital Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 7 -- Providence Centralia Hospital Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 3:	We have a Community Ministry Board comprised of community business leaders that meets throughout the year. The members go over the CHNA and they make suggestions to Administration and the Mission Council on the community needs they think we should address during the year. The Mission Council gives input to administration on community health needs and the amount of in kind donations that could be disbursed.
Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 7:	Public Health (mobilization for action through planning and partnerships) community coalition and PSMMC was an active participant at identifying, reviewing, and prioritizing health risks and gaps through the CHNA. Needs that were identified that the hospital did not address includes: Teen Pregnancy, STD rates because there was already an active group of agencies in the community willing to continue strategic planning in this area. Health needs that the hospital developed planning for included other areas of youth at risk, access to mental health services, and reduction of communicable diseases through improved immunization rates and reporting community coalition to improve mental health care and access. Donations to Lincoln School Free Health Care Clinic, back pack program for homeless teens. Donations to SOS free health care clinic, and partnership with Public health department to provide mass influenza vaccinations (600) that were free to the public.
Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 3:	Survey to community members placed in local newspapers. Over 55 representatives from various agencies participated. A complete list of those participating is available in the Community Health Needs Assessment.
Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 4:	Providence St. Joseph Hospital
Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 7:	Facility for whole person: resources in one place - Many services are looking to consolidate in Spokane. Providence is not situated to lead this effort.Employment Opportunities - This continues to be an issue in this region. Providence is not situated to lead this effort.
Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 3:	Survey to community members placed in local newspapers. Over 55 representatives from various agencies participated. A complete list of those participating is available in the Community Health Needs Assessment.
Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 4:	Providence Mount Carmel Hospital
Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 7:	Facility for whole person: resources in one place - Many services are looking to consolidate in Spokane. Providence is not situated to lead this effort.Employment Opportunities - This continues to be an issue in this region. Providence is not situated to lead this effort.
Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Part V, Section B	Facility Reporting Group B
Facility Reporting Group B consists of:	- Facility 1: Providence Alaska Medical Center, - Facility 11: Providence Kodiak Is. Medical Center
Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 3:	PAMC, in collaboration with the United Way of Anchorage, initiated a diverse 30 member CHNA Advisory Committee to establish and oversee the CHNA process, analyze the assessment data and prioritize community needs.
Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 4:	The CHNA for Providence Alaska Medical Center was prepared in collaboration with United Way of Anchorage and the Municipality of Anchorage.
Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 7:	Although there was an identified need related to Alcohol/Substance Abuse, prevention was not addressed. While there was an identified need related to Poverty, the focus was on homelessness.
Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 11 -- Providence Kodiak Is. Medical Center Part V, Section B, line 3:	PKIMC initiated a diverse 11 member CHNA Advisory Committee to establish and oversee the CHNA process, analyze the assessment data and prioritize community needs. The Advisory Committee consisted of the following members:1. Donald Rush, CEO, Providence Kodiak Island Medical Center2. Bud Cassidy, Manager, Kodiak Island Borough3. Carol Juergens, MD, Owner, Kodiak Island Medical Associates4. Elsa DeHart, RN, Director, State of Alaska Kodiak Public Health Center5. JC Rathje, Executive Director, Kodiak Community Health Center6. Julie A. Tierney, Clinic Supervisor, U.S. Coast Guard Rockmore King Medical Clinic7. Mary Guilas Hawver, Director, Providence Kodiak Island Counseling Center (PKICC) and President, Filipino American Association8. Pat Branson, Executive Director, Senior Citizens of Kodiak9. Stewart McDonald, Superintendent, Kodiak Island Borough School District10. Tammy Hansen, Vice President of Health Services, Kodiak Area Native Association11. TC Kamai, Kodiak Chief of Police, City of KodiakThe CHNA Advisory group selected a diverse group of key informants from the community for an in depth interview in addition to conducting a community wide resident health needs survey. Representatives from the following list of organizations participated in the community input process of the CHNA.1. ALMA - the Latin Association of Women in Alaska2. State of Alaska Public Health Center3. Brother Francis Shelter4. Kodiak Island Housing Authority5. Filipino American Association6. Kodiak Island Medical Associates7. Kodiak Area Native Association8. Kodiak Community Health Center9. Kodiak Chamber of Commerce10. Senior Citizens of Kodiak, Inc.11. Alaska Housing Finance Corporation12. U.S. Coast Guard Rockmore?King Medical Clinic
Facility 11 -- Providence Kodiak Is. Medical Center Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 11 -- Providence Kodiak Is. Medical Center Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?43
Name and address		Type of Facility (describe)
1	Providence Marianwood 3725 Providence Pt Dr SE Issaquah,WA98029	Long-Term Care
2	Providence Elderplace 4515 Martin Luther King Jr Way S Seattle,WA98108	In-Home Service Agency
3	Prov St Peter Chemical Dependency Cter 2505 Olympic Highway N Suite 140 Shelton,WA98584	Chemical Dependency Center
4	Prov St Peter Chemical Dependency Cter 24070 NE Highway 3 Suite A Belfair,WA98528	Chemical Dependency Center
5	Prov St Peter Chemical Dependency Cter 508 1/2 Eighth Street Hoquiam,WA98550	Chemical Dependency Center
6	Prov Internal Medicine Hawks Prairie 8645 Martin Way E Lacey,WA98516	Internal Medicine Clinic
7	Prov South Sound Internal Medicine 3425 Ensign Rd NE Olympia,WA98506	Internal Medicine Clinic
8	Prov Family Medicine West Olympia 1217 Cooper Pt Road SW Olympia,WA98502	Family Medicine Clinic
9	Providence Clinic at Panorama 1450 Northwest Lane SW Olympia,WA98502	Family Medicine Clinic
10	Providence Internal Medicine 1010 S Scheuber Road Centralia,WA98531	Internal Medicine Clinic
11	Providence Imaging Center 908 S Scheuber Road Centralia,WA98531	Patient Diagnostic Imaging
12	Prov Rochester Family Pract Clinic 18313 Paulson St SW Rochester,WA98579	Family Practice Medicine
13	Providence Centralia Womens Center 1000 S Scheuber Road Centralia,WA98531	Comprehensive Women's Health Care
14	Providence Physical Therapy 1809 Cooks Hill Road Centralia,WA98531	Patient Physical Therapy Service
15	Prov Western WA Oncology-Lacey 4525 Third Avenue Suite 200 Lacey,WA98503	Outpatient Oncology Services
16	Prov Western WA Oncology-Aberdeen 954 Anderson St Suite 102 Aberdeen,WA98520	Outpatient Oncology Services
17	Prov Western WA Oncology-Centralia 2015 Cooks Hill Road Suite 200 Centralia,WA98531	Outpatient Oncology Services
18	Providence SoundHomeCare & Hospice 3432 South Bay Road NE Olympia,WA98506	Home Care and Hospice Services
19	Providence Mother Joseph Care Center 3333 Ensign Road NE Olympia,WA98506	Long-Term Care
20	Providence Mount St Vincent 4831 35th Ave SW Seattle,WA98126	Long-Term Care/Assisted Living
21	Prov Infusion & Pharmacy Services 2201 Lind Ave SW Renton,WA98057	Pharmaceutical Services
22	Providence Hospice of Seattle 425 Pontius Avenue North Seattle,WA98109	Hospice Services
23	Providence Home Services 2201 Lind Ave SW Suite 160 Renton,WA98057	Home Health Services
24	Providence Mill Creek Medical Bldg 12800 Bothell-Everett Highway Everett,WA98208	Medical Building
25	Providence Everett Healthcare Clinic 1001 N Broadway Everett,WA98201	Clinic
26	Pavillion for Women & Children 900 Pacific Avenue Everett,WA98201	Clinic
27	Prov Physician Group-Harbour Point 4112 Harbour Pointe Blvd SW Ste 100 Mukilteo,WA98275	Clinic
28	Prov Physician Group-North Everett 1330 Rockefeller Everett,WA98201	Clinic
29	Prov Physician Group-Marysville 11603 State Avenue Suite G Marysville,WA98272	Clinic
30	Prov Physician Group-Monroe 14692 179th Avenue SE Suite 100 Monroe,WA98272	Clinic
31	Mill Creek OBGYN 12800 Bothell-Everett Hywy Suite 110 Everett,WA98208	Clinic
32	Pacific Campus OBGYN 900 Pacific Avenue Suite 501 Everett,WA98201	OB/Gyn Services
33	Providence Dominicare 110 South Third Street East Chewelah,WA99109	Home Health
34	Providence VNA Home Health 611 N Perry Bldg 2 Suite 202 Spokane,WA99202	Home Health
35	Prov Emily Court Assisted Living 34 East 8th Avenue Spokane,WA99202	Assisted Living
36	Providence St Joseph Care Center 17 East 8th Avenue Spokane,WA99202	Skilled Nursing Facility
37	Providence Adult Day Health 6018 North Astor Spokane,WA99208	Adult Day Health
38	Providence Extended Care Center 4900 Eagle Street Anchorage,AK99503	Skilled Nursing Facility
39	Providence Alaska Physician Service Org 3200 Providence Drive Anchorage,AK99508	Behavioral & Family Medicine
40	Providence Kodiak Island Counseling Ctr 717 E Rezanof Drive Kodiak Island,AK99615	Behavioral Medicine
41	Providence Residential Treatment Program 3400 E 20th Avenue Anchorage,AK99508	Adolescent Residential Treatment
42	Providence Crisis Recovery Center 3760 Piper Street Anchorage,AK99508	Behavioral Medicine
43	PMG - Urgent Care & Family Medicine 2902 164th Street SW Lynnwood,WA98087	Clinic

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 3: Providence St. Peter Hospital, - Facility 7: Providence Centralia Hospital, - Facility 8: Providence St. Mary Medical Center, - Facility 4: Providence Regional Med. Ctr.,Colby, - Facility 5: Providence Regional Med. Ctr.,Pacific, - Facility 9: Providence Mt. Carmel Hospital, - Facility 6: Providence Holy Family Hospital, - Facility 2: Providence SHMC & Children's Hospital, - Facility 10: Providence St. Joseph's Hospital
Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 3:	Over 70 representatives from various agencies participated. 170 invitations were sent out to community leaders and organization representatives. A complete list of those participating is available in the Community Health Needs Assessment.
Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 4:	Providence Holy Family Hospital
Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 7:	The other issues mentioned in the needs assessment including; nutrition & physical activity, vaccine preventable disease, falls in the elderly, responsible sexual behavior, and asthma were not pulled out to specifically be addressed because they were either too narrow of a focus where our hospital data did not show this to be a high magnitude issue or they would be covered under the identified issues of mental health & substance abuse, care coordination & access to care, and obesity & diabetes.
Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 3:	The hospital facility designated workgroups to make recommendations of Community Benefit to Southwest Washington Board Strategy Committee, which, in turn, shared proposals to full board. The workgroups reviewed existing community needs, past community allocations and funding, identified primary focus areas for 2013 and success measures for each area. Each workgroup included a representative from the community.
Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 3:	The Providence Mission Committee of the Board, which has broad representation from the community, provides guidance to the CHNA work group as the assessment is developed. Providence is also an active participant in community partnerships in order to create healthier communities together. One such partnership, the Snohomish County Public Health Advisory Council, presented data and obtained input from the community through various venues including a public forum, media releases, posting on the Snohomish Health District web page and distribution through community leaders. Other noteworthy partnerships that enabled Providence to obtain information and input to help inform the community needs assessment include:Providence Regional Medical Center Everett CHNA Work Group (Senior Leadership Team)Providence Mission Committee of the BoardSnohomish County Health Leadership CoalitionSnohomish County Public Health Advisory CouncilSnohomish County Health Policy Group
Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 7:	Physical Abuse, Obesity, Suicide and Dental Decay are not areas of emphasis and focus for Providence during this cycle due to funding and resource availability. In addition there are other community organizations focusing on these issues. Providence will be an engaged partner with other community led collaborative efforts.
Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 3:	The Providence Mission Committee of the Board, which has broad representation from the community, provides guidance to the CHNA work group as the assessment is developed. Providence is also an active participant in community partnerships in order to create healthier communities together. One such partnership, the Snohomish County Public Health Advisory Council, presented data and obtained input from the community through various venues including a public forum, media releases, posting on the Snohomish Health District web page and distribution through community leaders. Other noteworthy partnerships that enabled Providence to obtain information and input to help inform the community needs assessment include:Providence Regional Medical Center Everett CHNA Work Group (Senior Leadership Team)Providence Mission Committee of the BoardSnohomish County Health Leadership CoalitionSnohomish County Public Health Advisory CouncilSnohomish County Health Policy Group
Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 7:	Physical Abuse, Obesity, Suicide and Dental Decay are not areas of emphasis and focus for Providence during this cycle due to funding and resource availability. In addition there are other community organizations focusing on these issues. Providence will be an engaged partner with other community led collaborative efforts.
Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 3:	Over 70 representatives from various agencies participated. 170 invitations were sent out to community leaders and organization representatives. A complete list of those participating is available in the Community Health Needs Assessment.
Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 4:	Providence Sacred Heart Medical Center
Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 7:	The other issues mentioned in the needs assessment including; nutrition & physical activity, vaccine preventable disease, falls in the elderly, responsible sexual behavior, and asthma were not pulled out to specifically be addressed because they were either too narrow of a focus where our hospital data did not show this to be a high magnitude issue or they would be covered under the identified issues of mental health & substance abuse, care coordination & access to care, and obesity & diabetes.
Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 7 -- Providence Centralia Hospital Part V, Section B, line 3:	The hospital facility designated workgroups to make recommendations of Community Benefit to Southwest Washington Board Strategy Committee, which, in turn, shared proposals to full board. The workgroups reviewed existing community needs, past community allocations and funding, identified primary focus areas for 2013 and success measures for each area. Each workgroup included a representative from the community.
Facility 7 -- Providence Centralia Hospital Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 7 -- Providence Centralia Hospital Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 7 -- Providence Centralia Hospital Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 3:	We have a Community Ministry Board comprised of community business leaders that meets throughout the year. The members go over the CHNA and they make suggestions to Administration and the Mission Council on the community needs they think we should address during the year. The Mission Council gives input to administration on community health needs and the amount of in kind donations that could be disbursed.
Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 7:	Public Health (mobilization for action through planning and partnerships) community coalition and PSMMC was an active participant at identifying, reviewing, and prioritizing health risks and gaps through the CHNA. Needs that were identified that the hospital did not address includes: Teen Pregnancy, STD rates because there was already an active group of agencies in the community willing to continue strategic planning in this area. Health needs that the hospital developed planning for included other areas of youth at risk, access to mental health services, and reduction of communicable diseases through improved immunization rates and reporting community coalition to improve mental health care and access. Donations to Lincoln School Free Health Care Clinic, back pack program for homeless teens. Donations to SOS free health care clinic, and partnership with Public health department to provide mass influenza vaccinations (600) that were free to the public.
Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 3:	Survey to community members placed in local newspapers. Over 55 representatives from various agencies participated. A complete list of those participating is available in the Community Health Needs Assessment.
Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 4:	Providence St. Joseph Hospital
Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 7:	Facility for whole person: resources in one place - Many services are looking to consolidate in Spokane. Providence is not situated to lead this effort.Employment Opportunities - This continues to be an issue in this region. Providence is not situated to lead this effort.
Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 3:	Survey to community members placed in local newspapers. Over 55 representatives from various agencies participated. A complete list of those participating is available in the Community Health Needs Assessment.
Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 4:	Providence Mount Carmel Hospital
Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 7:	Facility for whole person: resources in one place - Many services are looking to consolidate in Spokane. Providence is not situated to lead this effort.Employment Opportunities - This continues to be an issue in this region. Providence is not situated to lead this effort.
Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 14g:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Part V, Section B	Facility Reporting Group B
Facility Reporting Group B consists of:	- Facility 1: Providence Alaska Medical Center, - Facility 11: Providence Kodiak Is. Medical Center
Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 3:	PAMC, in collaboration with the United Way of Anchorage, initiated a diverse 30 member CHNA Advisory Committee to establish and oversee the CHNA process, analyze the assessment data and prioritize community needs.
Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 4:	The CHNA for Providence Alaska Medical Center was prepared in collaboration with United Way of Anchorage and the Municipality of Anchorage.
Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 7:	Although there was an identified need related to Alcohol/Substance Abuse, prevention was not addressed. While there was an identified need related to Poverty, the focus was on homelessness.
Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.
Facility 11 -- Providence Kodiak Is. Medical Center Part V, Section B, line 3:	PKIMC initiated a diverse 11 member CHNA Advisory Committee to establish and oversee the CHNA process, analyze the assessment data and prioritize community needs. The Advisory Committee consisted of the following members:1. Donald Rush, CEO, Providence Kodiak Island Medical Center2. Bud Cassidy, Manager, Kodiak Island Borough3. Carol Juergens, MD, Owner, Kodiak Island Medical Associates4. Elsa DeHart, RN, Director, State of Alaska Kodiak Public Health Center5. JC Rathje, Executive Director, Kodiak Community Health Center6. Julie A. Tierney, Clinic Supervisor, U.S. Coast Guard Rockmore King Medical Clinic7. Mary Guilas Hawver, Director, Providence Kodiak Island Counseling Center (PKICC) and President, Filipino American Association8. Pat Branson, Executive Director, Senior Citizens of Kodiak9. Stewart McDonald, Superintendent, Kodiak Island Borough School District10. Tammy Hansen, Vice President of Health Services, Kodiak Area Native Association11. TC Kamai, Kodiak Chief of Police, City of KodiakThe CHNA Advisory group selected a diverse group of key informants from the community for an in depth interview in addition to conducting a community wide resident health needs survey. Representatives from the following list of organizations participated in the community input process of the CHNA.1. ALMA - the Latin Association of Women in Alaska2. State of Alaska Public Health Center3. Brother Francis Shelter4. Kodiak Island Housing Authority5. Filipino American Association6. Kodiak Island Medical Associates7. Kodiak Area Native Association8. Kodiak Community Health Center9. Kodiak Chamber of Commerce10. Senior Citizens of Kodiak, Inc.11. Alaska Housing Finance Corporation12. U.S. Coast Guard Rockmore?King Medical Clinic
Facility 11 -- Providence Kodiak Is. Medical Center Part V, Section B, line 20d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Facility 11 -- Providence Kodiak Is. Medical Center Part V, Section B, line 22:	For non medically necessary services a patient may be charged full billed charges.

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number
51-0216586

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance
(1) Providence Alaska Foundation PO Box 196604 Anchorage,AK99519	92-0093565	501(C)(3)	1,147,209	0			Operational Support
(2) PHC Foundation - Eastern Washington PO Box 2555 Spokane,WA99220	32-0014330	501(c)(3)	949,570	0			Operational Support
(3) Providence St Peter Foundation 413 Lilly Road NE Olympia,WA98506	91-1097056	501(C)(3)	796,395	0			Operational Support
(4) Catholic Social Services Inc 225 Cordova St Bldg B Anchorage,AK99501	92-0037322	501(C)(3)	506,000	0			Community Support
(5) Inland Northwest Health Services PO Box 469 Spokane,WA99210	91-1307555	501(c)(3)	468,327	0			Community Health Education Outreach
(6) Project Access Northwest 1111 Harvard Ave Seattle,WA98122	20-4377921	501(c)(3)	365,292	0			Operational Support/Premium assistance for low income, uninsured & underinsured residents of King & Kitsap Counties.
(7) University of Washington - School of Medicine Box 358047 Seattle,WA98195	91-6001537	Government	338,907	0			Physician Residency Program
(8) University of Alaska 3211 Providence Dr K101A Anchorage,AK99508	92-6000147	Government	305,000	0			Community Support
(9) Providence Hospice and Home Care Foundation Snohomish County 2731 Wetmore Suite 500 Everett,WA98201	27-2552749	501(c)(3)	304,599	0			Operational Support
(10) Providence Marianwood Foundation 3725 Providence Point Drive SE Issaquah,WA98029	93-1554288	501(c)(3)	277,698	0			Operational Support
(11) Providence Hospice of Seattle Foundation 425 Pontius Ave N 300 Seattle,WA98109	91-2077378	501(C)(3)	275,189	0			Operational Support
(12) Providence Academy Preservation 750 Anderson Street Vancouver,WA98661	91-1937645	501 (C )(3)	250,000	0			Historical Preservation
(13) Providence Mount St Vincent Foundation 4831 35th Avenue Southwest Seattle,WA98126	91-1188119	501(C)(3)	213,138	0			Operational Support
(14) Swedish Medical Center Foundation 747 Broadway Seattle,WA98122	91-0983214	501 (C )(3)	212,500	0			Global To Local Fund/Award/Sponsorship
(15) Anchorage Project Access PO Box 196604 Anchorage,AK99519	92-0152088	501(C)(3)	205,000	0			Community Support
(16) Providence St Mary Foundation 401 W Poplar St Walla Walla,WA99362	45-2841492	501(c ) (3)	203,243	0			Operational Support
(17) Providence Health Care Foundation 914 S Scheuber Rd Centralia,WA98531	91-1433382	501(c ) (3)	200,587	0			Operational Support
(18) Alaska Sports Hall Of Fame Inc 1415 Echo Canyon Rd Anchorage,AK99516	81-0649085	501(C)(3)	200,000	0			Community Support
(19) Coalition To Protect America's Healthcare PO Box 30211 Bethesda,MD20824	52-2253225	501 (C )(4)	200,000	0			Community Health
(20) Catholic Charities of Spokane PO Box 2253 Spokane,WA99210	91-0569880	501(c)(3)	183,140	3,427,876	Cost	Forgiveness of Debt	Operational Support/Operational Support for St. Margaret's Shelter
(21) Alaska School Activities Association 4048 Laurel St 203 Anchorage,AK99508	92-0116510	501(C)(3)	180,000	0			Community Support
(22) City of Cordova PO Box 1210 Cordova,AK99574	92-6000138	Government	150,000	0			Community Support
(23) Kodiak Island Health Care Foundation 1911 E Rezanof Drive Kodiak,AK99615	92-0146203	501(C)(3)	125,000	0			Operational Support
(24) Washington State University Foundation PO Box 641927 Pullman,WA99164	91-1075542	501(c)(3)	125,000	0			Community Benefit SNAP-Ed food grant and WWAMI.
(25) Covenant House of Alaska PO Box 104640 Anchorage,AK99510	13-3419755	501(C)(3)	123,260	0			Community Support
(26) Partners with Families & Children 613 S Washington St Spokane,WA99204	68-0576560	501(c)(3)	116,692	0			Monthly Support
(27) Everett Community College 2000 Tower Street Everett,WA98201	91-0759103	Government	100,000	0			Increase the availability of registered nurses to serve Snohomish County.
(28) Christ Clinic 914 W Carlisle Spokane,WA99204	91-1435174	501(c)(3)	98,040	0			Operational Support/Psychiatric Nurse Practitioner Program
(29) Better Health Together PO Box 271 Spokane,WA99210	90-0997482	501(c)(3)	95,000	0			Operational Support
(30) United Way of Anchorage 701 W 8th Avenue Ste 230 Anchorage,AK99501	92-0027948	501(C)(3)	90,595	0			Community Support
(31) Faith in Practice 7500 Beechnut Street Suite 208 Houston,TX77074	76-0415986	501 (C )(3)	89,093	0			Community Health/Gala/Capital Campaign
(32) Community Health Association of Spokane 203 N Washington St Suite 300 Spokane,WA99201	91-1641797	501(c)(3)	75,000	0			Operational Support
(33) Prescription Drug Assistance Foundation 1111 Harvard Ave Seattle,WA98122	33-1134368	501(c)(3)	75,000	0			Operational Support/Medication Access to Underinsured
(34) Spokane County Medical Society 104 S Fraya St Suite 114 Spokane,WA99202	91-6053239	501(c )(6)	71,175	0			Operational Support/Sponsorship
(35) Tukwila School District NO406 4640 S 144th Street Tukwila,WA98168	91-6001638	Government	60,000	0			Success Coordinator
(36) The American Heart Association 140 S Arthur Street Suite 610 Spokane,WA99202	13-5613797	501(c)(3)	57,500	0			Medical Research
(37) Anchorage Orthopedic Society Inc 1200 Airport Heights Way 195 Anchorage,AK99508	56-2513639	501( C) (6)	50,000	0			Community Support
(38) Catholic Relief Services PO Box 17090 Baltimore,MD21297	13-5563422	501 (C )(3)	50,000	0			Philippines Disaster Relief
(39) Daybreak Youth Service 960 E Third Ave Spokane,WA99202	91-1083936	501(c)(3)	50,000	0			Youth Services Program/Rapid Response Project
(40) Hospice And Palliative Care of Kodiak Inc PO Box 8682 Kodiak,AK99615	45-2208200	501(C)(3)	50,000	0			Community Support
(41) Seaview Community Services PO Box 1045 Seward,AK99664	92-0043803	501(C)(3)	50,000	0			Community Support
(42) Seward Community Health Center 417 1st Ave Ste 2895 Seward,AK99664	27-3912808	501(C)(3)	50,000	0			Community Support
(43) Spokane Regional Health District 1101 W College Ave Rm 330 Spokane,WA99201	91-1527532	Government	50,000	0			Operational Support
(44) Choice Regional Health Network 2409 Pacific Ave SE Olympia,WA98501	91-1704039	501(C)(3)	45,000	0			Mental Health Program Grant & Thurston County Project
(45) Providence General Foundation 916 Pacific Avenue Everett,WA98201	91-1041617	501(c ) (3)	37,282	0			Operational Support
(46) University of Great Falls 1301 20th St South Great Falls,MT89405	81-0231777	501(c ) (3)	36,664	0			Nursing Program Support
(47) Community Detox Services of Spokane PO Box 2845 Spokane,WA99220	91-1108762	501(c)(3)	36,000	0			Operational Support
(48) Snohomish County Economic Development Council 728 134th Street SW Ste 128 Everett,WA98204	91-0647005	501(c ) (4)	30,000	0			Assist the Economic Alliance fulfill its mission as a catalyst for economic growth.
(49) The Health Center 534 So 3rd Ave Suite 16 Walla Walla,WA99362	27-0401462	501(c ) (3)	30,000	0			Health Center Support
(50) Project Access Spokane 104 S Freya Suite 114 Spokane,WA99202	91-6053239	501(c)(3)	28,750	0			Helps feed underprivileged children
(51) The Waterfall Foundation PO Box 70049 Fairbanks,AK99707	54-1980898	501 (C )(3)	28,000	0			2013 Charity Event Sponsorship
(52) Spokane Addiction Recovery Centers 812 S Walnut St Spokane,WA99204	91-0793707	501(c)(3)	27,360	0			Operational Support
(53) Bethel Christian Life Center PO Box 639 Colville,WA99114	94-3143251	501(c)(3)	26,400	0			Operational Support
(54) Alaska Dental Society 9170 Jewel Lake Road Anchorage,AK99502	92-0064057	501( C) (6)	25,000	0			Community Support
(55) Christian Health Associates 1825 Academy Drive Anchorage,AK99507	92-0152088	501(C)(3)	25,000	0			Community Support
(56) Hospice of Spokane PO Box 2215 Spokane,WA99210	91-0995069	501(c)(3)	25,000	0			Operational Support
(57) YWCA of Spokane 930 N Monroe St Spokane,WA99201	91-0565025	501(c)(3)	23,720	0			Community Health/Counseling for Domestic Abuse
(58) Medical Teams International 9680-153rd Avenue NE Redmond,WA98052	93-0878944	501(c ) (3)	22,229	0			Support the MTI Mobile Dental Van for visits to the Marysville site and the Everett Gospel Women's shelter.
(59) Sisters of Providence Pariseau 1801 Lind Avenue SW 9016 Renton,WA98057	91-1289932	501 (C )(3)	21,100	0			Sponsorship
(60) Indiana Institute For Global Health Inc Wishard Hospital OPW M200 1001 W 10th Street Indianapolis,IN46202	20-3210232	501 (C )(3)	20,885	0			International Residency Program
(61) American Heart Association 708 Broadway Tacoma,WA98402	13-5613797	501(c ) (3)	20,000	0			Snohomish County Heart Chase
(62) Washington Business Alliance 2401 Elliot Avenue Suite 375 Seattle,WA98121	35-2460900	501 (C )(4)	20,000	0			Sponsorship
(63) University of Washington 1959 NE Pacific St NW125 Seattle,WA98195	91-6001537	Government	18,750	0			Funding for the Program Director of the Palliative Medicine Fellowship to develop, implement and manage the Palliative Medicine Fellowship.
(64) Rural Resources Community Action 956 S Main St Colville,WA99114	91-0793447	501(c)(3)	16,463	0			Operational Support/Darkness to Light Program
(65) Diocese of Spokane - Nazareth Guild PO Box 1453 Spokane,WA99210	91-0564957	501(c)(3)	15,000	0			Operational Support
(66) Group Health Foundation PO Box 34015 Seattle,WA98124	91-1246278	501 (C )(3)	15,000	0			Support Health Gala
(67) March of Dimes 904 3rd Avenue Suite 230 Seattle,WA98101	13-1846366	501(c ) (3)	15,000	0			Sponsorship of March of Babies annual walk and Relay for Life.
(68) March of Dimes Foundation 222 W Mission Ave Suite 119 Spokane,WA99201	13-1846366	501(c)(3)	15,000	0			Medical Research
(69) 2013 National League of Cities Conference Organizing Committee 603 Stewart Street 819 Seattle,WA98101	46-1531018	Other	12,500	0			Sponsorship
(70) United Way of Spokane County 920 N Washington St Suite 100 Spokane,WA99201	91-0606058	501(c)(3)	12,500	0			Operational Support
(71) Washington State University Extension PO Box 1495 Spokane,WA99210	91-6001108	Government	11,500	0			Community Education
(72) Beans Cafe PO Box 100940 Anchorage,AK99510	92-0072522	501(C)(3)	10,300	0			Community Support
(73) Northport School District #211 PO Box 1280 Northport,WA99157	91-1086089	Government	10,125	0			Putting Kids First Program
(74) Cancer Patient Care of Spokane County 1507 E Sprague Ave Spokane,WA99202	91-6055019	501(c)(3)	10,000	0			Community Education
(75) School Health Care Association of Spokane City PO Box 8755 Spokane,WA99203	27-4299158	501(c)(3)	10,000	0			Sunset School Health Center
(76) St Joseph Family Center 1016 N Superior St Spokane,WA99202	91-0564989	501(c)(3)	10,000	0			Operational Support
(77) The American Heart Association PO Box 4002030 Des Moines,IA50340	13-5613797	501 (C )(3)	10,000	0			Sponsorship - Puget Sound 2013 Heart Walk
(78) The Foraker Group 161 Klevin ST Ste 101 Anchorage,AK99508	92-0177787	501(C)(3)	10,000	0			Community Support
(79) United Way of Snohomish County 3120 McDougal Avenue Suite 200 Everett,WA98201	91-0606507	501(c ) (3)	10,000	0			Premier sponsorship-year round United Way Events
(80) YMCA SeattleKingSnohomish Development Dept 1118 Fifth Ave Seattle,WA98101	91-0482890	501 (C )(3)	10,000	0			Sponsorship
(81) Refugee Connections Spokane 500 S Stone St 189 Spokane,WA99202	90-0652201	501(c)(3)	9,910	0			Refugee Patient Passport Project
(82) Greater Spokane Inc PO Box 822 Spokane,WA99210	91-0418800	501(c )(6)	8,730	0			Sponsorship
(83) Spokane School District #81 200 N Bernard St Spokane,WA99201	91-6001582	Government	8,600	0			Maps Program computers
(84) American Cancer Society 728 134th Street SW Ste 101 Everett,WA98204	84-1316555	501(c ) (3)	8,500	0			Relay for life sponsorships
(85) Providence Heritage House at the Market 1533 Western Avenue Seattle,WA98101	51-0216586	501(C)(3)	8,000	0			Ministry Support
(86) NW Business Press dba Journal of Business 429 East Third Ave Spokane,WA99204	91-1387421	Other	7,745	0			Community Education
(87) Municipality of Anchorage 715 L St Ste 200 Anchorage,AK99501	92-0059987	Government	7,585	0			Community Support
(88) Washington Center for Nursing 1101 Andover Park W Ste 105 Tukwila,WA98188	68-0568743	501 (C )(3)	7,500	0			Sponsorship
(89) Inland Northwest Blood Center 210 West Cataldo Ave Spokane,WA99201	91-0499130	501(c)(3)	7,000	0			Sponsorship
(90) First Covenant Church 212 S Division Spokane,WA99202	91-6000748	501(c)(3)	6,637	0			Community Benefit
(91) Lilac Bloomsday Association 1610 W Riverside Spokane,WA99201	91-1054846	501(c)(3)	6,500	0			Sponsorship
(92) Providence NEW Hunger Coalition PO Box 64 Loon Lake,WA99148	46-3051292	501(c)(3)	6,190	0			Operational Support
(93) National Multiple Sclerosis Society 192 Nickerson St Ste 100 Seattle,WA98109	13-5661935	501(C)(3)	6,000	0			Community Support
(94) American Cancer Society 920 N Washington Suite 200 Spokane,WA99201	84-1316555	501(c)(3)	5,500	0			Medical Research
(95) Providence Pariseau 1801 Lind Ave SW 9016 Renton,WA98057	91-1289932	501(C)(3)	5,300	0			Ministry Support
(96) AFACT - Anchorage Faith & Action Congregations Together PO Box 143294 Anchorage,AK99514	05-0591944	501(C)(3)	5,000	0			Community Support
(97) Blue Mountain Community Foundation 8 So 2nd St Suite 618 Walla Walla,WA99362	91-1250104	501(c ) (3)	5,000	0			Community Health Support
(98) Cataldo Catholic School 455 W 18th Ave Spokane,WA99203	91-1427965	501(c)(3)	5,000	0			Summer of Service and Exercise
(99) Children's Miracle Network PO Box 304 Spokane,WA99210	91-1307555	501(c)(3)	5,000	0			Sponsorship
(100) Comprehensive Health Education Foundation 419 3rd Avenue West Seattle,WA98119	91-6186093	501 (C )(3)	5,000	0			Sponsorship
(101) Cook Inlet Tribal Council Inc 3600 San Jeronimo Drive Anchorage,AK99508	92-0094184	501(C)(3)	5,000	0			Community Support
(102) Everett Public Schools PO Box 3112 Everett,WA98213	91-1329342	Government	5,000	0			STEM Partnership Center
(103) First Night Spokane 211 N Wall Spokane,WA99203	91-2126547	501(c)(3)	5,000	0			Sponsorship
(104) Mid City Concerns 1222 W 2nd Ave Spokane,WA99201	91-0833015	501(c)(3)	5,000	0			Operational Support
(105) Reach Out and Read 56 Roland St Ste 100D Boston,MA02129	04-3481253	501(c ) (3)	5,000	0			Purchase books for Reach Out and Read Program.
(106) Second Harvest Inland Northwest 1234 E Front Ave Spokane,WA99202	23-7173826	501(c)(3)	5,000	0			Operational Support
(107) SOS Clinic 1200 SE 12th Street College Place,WA99324	73-1626280	501(c ) (3)	5,000	0			Health Center Support
(108) State of Alaska PO Box 110204 Juneau,AK99811	92-6001185	Government	5,000	0			Community Support
(109) Volunteers of America 2802 Broadway Avenue Everett,WA98201	91-0577129	501(c ) (3)	5,000	0			Inspire Hope luncheon sponsorship.
(110) Woman Making A Difference 956 S Main St Colville,WA99114	91-0793447	501(c)(3)	5,000	0			Rural Resources Community Action
(111) Women's and Children's Free Restaurant 1620 N Monroe Spokane,WA99205	91-1399742	501(c)(3)	5,000	0			Operational Support
(112) Zak Foundation PO Box 19188 Spokane,WA99219	27-1771407	501(c)(3)	5,000	0			Sponsorship
(113)							Sponsorship

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

103

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance
(1) Employee emergency assistance	1		132	FMV	Financial assistance of employees paid to Providence St. Peter FDN.
(2) Prescription Medication	1538		125,598	Cost	Medication
(3) Patient Healthcare	1		444	Cost	Resident Bed-Hold
(4) Transportation Assistance	2251		56,073	Cost	Patient Transport
(5) Housing Assistance	9		3,858	Cost	Housing
(6) Home Care	38		1,897	Cost	Home Care
(7) Merchant Card for Purchases	1380		16,494	Cost	Merchant Purchase Cards to assist poor & needy patients
(8) Meals	2		56	Cost	Meals or food purchased to assist poor & needy patients
(9) Garment	4		317	Cost	Gauntlets for Breast Cancer Patients
(10) Gas Cards	225		5,625	Cost	Gas Cards for poor and needy patients
(11) Gifts	16		1,102	Cost	Misc gifts for cancer patients
(12) Fabric	15		245	Cost	Fabric purchased for poor/needy patient
(13) Utilities	7		572	Cost	Utilities paid for poor & needy patients
(14) Wig/Scarves for Cancer Patient	98		848	Cost	Wig purchased for a cancer patient
(15) Mammograms	106		3,753	Cost	Mammograms for poor & needy Patients
(16) Backpacks for Needy Children	4		177	Cost	Backpacks provided for needy children
(17) Student Tuition	16	122,212			University of Great Falls
(18) Wheelchair transport	1915		46,381	Cost	American Medical Response
(19) Medical Mission Grants	88	56,273			Medical Mission Trips

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
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.

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)John F Koster MD - Thru 0313President / CEO	(i) (ii)	1,316,766 0	1,868,461 0	17,500 0	215,651 0	31,597 0	3,449,975 0	0 0
(2)Rod F Hochman MD - Eff 0413President / CEO	(i) (ii)	1,051,406 0	334,001 0	17,500 0	486,988 0	28,915 0	1,918,810 0	0 0
(3)Todd HofheinsEVP/CFO	(i) (ii)	432,363 0	120,504 0	17,500 0	65,303 0	24,807 0	660,477 0	0 0
(4)Jeffrey W Rogers - Thru 513Corporate Secretary	(i) (ii)	442,462 0	529,200 0	69,119 0	168,789 0	21,091 0	1,230,661 0	0 0
(5)Cindy Strauss - Eff 613SVP/Chief Counsel/Corp. Secretary	(i) (ii)	413,323 0	525,001 0	17,500 0	223,587 0	24,667 0	1,204,078 0	0 0
(6)Bruce LamoureuxSVP/CEO - AK. Region	(i) (ii)	493,658 0	396,121 0	17,500 0	69,618 0	26,156 0	1,003,053 0	0 0
(7)Anthony DorschCFO/AK. Region	(i) (ii)	269,745 0	75,706 0	0 0	69,457 0	22,079 0	436,987 0	0 0
(8)Terry L SmithSVP/Management Svcs	(i) (ii)	639,022 0	906,428 0	67,500 0	202,105 0	24,053 0	1,839,108 0	0 0
(9)Deborah BurtonSVP/Chief Nrsg. Officer	(i) (ii)	323,817 0	1,005,792 0	17,500 0	42,736 0	23,303 0	1,413,148 0	296,416 0
(10)Michael L ButlerPresident/Operations & Services	(i) (ii)	954,645 0	300,598 0	17,500 0	713,468 0	29,161 0	2,015,372 0	0 0
(11)Randy Axelrod MDEVP/Clinical & Patient Svcs	(i) (ii)	613,884 0	315,700 0	125,675 0	192,796 0	26,894 0	1,274,949 0	0 0
(12)Janice J JonesSVP/CAO	(i) (ii)	604,348 0	377,853 0	17,500 0	132,205 0	27,288 0	1,159,194 0	0 0
(13)Myron Berdischewsky MDSVP/CMQO	(i) (ii)	527,449 0	310,561 0	17,500 0	134,979 0	23,598 0	1,014,087 0	0 0
(14)Jack FriedmanSVP/Account Care & Payor Rel.	(i) (ii)	508,016 0	300,765 0	17,500 0	151,382 0	26,370 0	1,004,033 0	0 0
(15)Ray WilliamsSVP/Physicians Svcs	(i) (ii)	120,595 0	200,000 0	440,672 0	179,162 0	24,427 0	964,856 0	0 0
(16)Cindra R SyversonSVP/CHRO	(i) (ii)	404,069 0	312,381 0	1,000 0	267,888 0	24,300 0	1,009,638 0	0 0
(17)Craig L Wright MDSVP/Physicians Svcs	(i) (ii)	509,167 0	128,777 0	70,854 0	432,646 0	18,991 0	1,160,435 0	0 0
(18)John O MuddSVP/Mission Leadership	(i) (ii)	368,604 0	158,842 0	14,800 0	189,558 0	18,700 0	750,504 0	0 0
(19)Claudia HaglundVP/Governance & Sponsorship	(i) (ii)	342,176 0	134,699 0	17,500 0	136,830 0	20,219 0	651,424 0	0 0
(20)Joel S GilbertsonSVP/Comm.Ptrshp & External Affairs	(i) (ii)	354,361 0	84,733 0	17,500 0	103,698 0	22,547 0	582,839 0	0 0
(21)David BrownVP/Strategy & Innovation	(i) (ii)	303,119 0	131,437 0	50 0	146,627 0	22,332 0	603,565 0	0 0
(22)Orest HolubecSVP/Marketing & Communications	(i) (ii)	328,545 0	77,915 0	17,500 0	39,407 0	21,903 0	485,270 0	0 0
(23)Gary FlamingSVP/Chief Risk Officer	(i) (ii)	266,837 0	97,434 0	17,500 0	75,446 0	18,848 0	476,065 0	0 0
(24)Arnold SchafferEVP/W. WA. Region	(i) (ii)	280,756 0	525,624 0	635,277 0	220,482 0	13,510 0	1,675,649 0	0 0
(25)Elaine CoutureSVP/CEO - PHC	(i) (ii)	462,244 0	244,048 0	17,500 0	79,886 0	24,399 0	828,077 0	0 0
(26)Preston SimmonsCEO - NW WA. Region	(i) (ii)	327,192 0	362,233 0	8,717 0	44,501 0	22,518 0	765,161 0	0 0
(27)Medrice ColuccioCEO - SW WA. Region	(i) (ii)	424,188 0	104,213 0	17,500 0	473,973 0	24,370 0	1,044,244 0	0 0
(28)Atul ThakkerPhysician Surgeon	(i) (ii)	1,078,540 0	228,615 0	32,066 0	6,293 0	26,345 0	1,371,859 0	0 0
(29)David YamNeurosurgeon	(i) (ii)	591,709 0	454,243 0	0 0	3,825 0	22,172 0	1,071,949 0	0 0
(30)John FletcherVP/Operations	(i) (ii)	564,903 0	495,650 0	17,500 0	259,901 0	26,871 0	1,364,825 0	0 0
(31)Paul AndersonCIO/WA-MT Region	(i) (ii)	8,833 0	570,297 0	407,090 0	2,603 0	2,106 0	990,929 0	0 0
(32)Jeffrey RoatenPediatric Surgeon	(i) (ii)	770,261 0	157,534 0	34 0	11,475 0	22,816 0	962,120 0	0 0
(33)Karl CarrierFormer CFO - CA. Region	(i) (ii)	5,542 0	175,407 0	460 0	200,502 0	1,486 0	383,397 0	106,408 0
(34)Kerry L CarmodyFormer COO - CA. Region	(i) (ii)	19,669 0	207,213 0	530,696 0	333,783 0	24,167 0	1,115,528 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
Part I, Line 1a	Providence Health & Services Expense Reimbursement Procedures include the following policies: First Class Travel or Charter Travel or Travel of Companions Air travel is reimbursable for tourist or economy class and should be at the least expensive airfare; which permits departures and arrivals at reasonable times and reasonable distance traveled. Employees are encouraged to plan in advance to get available discounts. Airline frequent flyer upgrades will never be reimbursed. First class air travel will only be reimbursed when tourist or economy class air travel is not available and business travel is mandated by a supervisor. In the rare circumstance that an executive must fly on a first class full fare ticket, their senior level supervisor must approve this expense. Companion travel will only be reimbursed by the organization for travel related to relocation, and should not exceed two relocation-related visits, unless approved by the Executive Vice President, Chief Human Resource Officer. Spouse or Companion Travel. Travel expenses incurred by a PH&S employee's spouse or companion will not be reimbursed by PH&S unless the spouse or companion is required to, or invited to attend a PH&S System-sponsored meeting. These expenses may be considered a taxable benefit by the IRS and if so, will be included on the employee's W- 2. During 2013, none of the Officers, Directors or Key Employees listed on Form 990, Part VII utilized First Class or Companion Travel. 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 2013, the following Key Employee received gross-up payments: Craig Wright, MD - Relocation The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. 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 Executive Vice President/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 2013, the following Key Employees received relocation/housing program payments: Craig Wright, MD Ray Williams Terry Smith Randy Axelrod The amounts reported for these relocation/housing payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation.
Part I, Lines 4a-b	NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) CBRP = Cash Balance Restoration Plan C) ESP = Elective Survivor Plan 1) John F. Koster, MD a) Taxable SERP Earned but not Paid- $350,711 b) SERP Interest Credit - $191,190 2) Rod Hochman, MD a) SERP Earned but not Vested- $444,760 b) SERP Interest Credit - $24,378 3) Todd Hofheins a) SERP Earned but not Vested - $57,974 4) Jeffrey W. Rogers a) Taxable SERP Earned but not Paid - $44,111 b) SERP Interest Credit- $97,420 c) ESP Interest Credit - $7,567 5) Cindy Strauss a) SERP Earned but not Vested - $190,313 b) SERP Interest Credit - $14,149 6) Terry Smith a) Taxable SERP Earned but not Paid - $67,662 b) Taxable CBRP Earned but not Paid - $147 c) Non-Taxable CBRP Earned but not Paid - $353 d) ESP Interest Credit - $5,823 e) SERP Interest Credit - $118,609 7) Debbie Burton a) Taxable SERP Earned but not Paid - $915,149 b) SERP Interest Credit - $20,728 8) Mike Butler a) SERP Earned but not Vested - $478,094 b) SERP Interest Credit - $201,306 9) Randy Axelrod, MD a) SERP Earned but not Vested- $181,321 10) Jan Jones a) Taxable CBRP Earned but not Paid - $84 b) Taxable SERP Earned but not Paid - $148,227 c) Non-Taxable CBRP Earned - $101 d) SERP Interest Credit - $100,997 11) Myron Berdischewsky, MD a) Taxable CBRP Earned but not Paid - $2,548 b) Taxable SERP Earned but not Paid - $108,227 c) Non-Taxable CBRP Earned - $2,060 d) SERP Interest Credit - $105,170 12) Ray Williams a) SERP Interest Credit - $12,906 b) SERP Earned but not Vested - $153,506 13) Cindra Syverson a) SERP Earned but not Vested - $144,043 b) SERP Interest Credit - $103,147 14) Craig Wright, MD a) SERP Earned but not Vested - $221,797 b) SERP Interest Credit - $181,734 15) Jack Mudd a) Taxable SERP Earned but not Paid - $50,004 b) SERP Interest Credit - $165,857 16) Claudia Haglund a) Taxable SERP Earned but not Paid - $35,007 b) SERP Interest Credit - $70,109 c) ESP Interest Credit - $2,161 17) Joel Gilbertson a) SERP Earned but not Vested - $52,868 b) SERP Interest Credit - $32,392 18) David Brown a) SERP Interest Credit - $39,209 b) SERP Earned but not Vested - $80,917 19) Orest Holubec a) SERP Interest Credit - $6,443 b) SERP Earned but not Vested - $21,490 20) Gary Flaming a) SERP Interest Credit - $4,233 b) Taxable SERP Earned but not Paid - $17,362 c) Taxable CBRP Earned but not Paid - $1,640 d) Non-Taxable CBRP Earned - $4,730 21) Bruce Lamoureux a) Taxable CBRP Earned but Not Paid - $682 b) SERP Interest Credit - $50,757 c) Taxable SERP Earned but Not Paid - $190,527 22) Anthony J. Dorsch a) SERP Interest Credit - $16,592 b) SERP Earned but Not Vested - $28,496 23) Arnold Schaffer a) Taxable SERP Earned but Not Paid - $243,622 b) Non-Taxable SERP Earned but Not Paid - $72,587 24) Elaine Couture a) Interest Credit - $58,648 b) Taxable SERP Earned but Not Paid - $136,763 c) Taxable CBRP Earned but Not Paid - $267 25) Preston Simmons a) Interest Credit - $24,473 b) Taxable SERP - $38,189 26) Medrice Coluccio a) SERP Interest Credit - $128,452 b) Non-Taxable SERP Earned but Not Paid - $324,770 27) Atul Thakker a) Taxable CBRP Earned but Not Paid - $79,370 28) John Fletcher a) Taxable CBRP Earned but Not Paid - $6,261 b) SERP Interest Credit - $197,142 c) Taxable SERP Earned but Not Paid - $343,192 d) ESP Interest Credit - $4,372 29) Paul Anderson a) Taxable SERP Earned but Not Paid - $455,600 b) Taxable CBRP Earned but Not Paid - $33,292 30) Karl Carrier a) Taxable SERP Earned but not Paid - $33,144 b) Non-Taxable SERP Earned - $193,497 31) Kerry L. Carmody a) Taxable SERP Earned but not Paid - $67,254 b) SERP Interest Credit - $47,294 c) Non-Taxable SERP Earned - $250,674
Part I, Lines 4a-b	SEVERANCE 1) Ray Williams - $376,916 2) Arnold Schaffer - $461,542 3) Paul Anderson - $324,835 4) Kerry L. Carmody - $456,910
FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS PROGRAM	The Providence Executive Incentive 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 2013, 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 EPIC watchlist. In 2013 the percent allocation for each of these strategic priorities was: Mission driven 5% Financially responsible 15% People centered 10% Service oriented 10% EPIC Watchlist 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.

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number
51-0216586

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Washington Health Care Facilities Authority	91-1108929	93978EA77	06-22-2006	208,792,185	Refund WHCFA Series 1999 & Capital projects in Washington	X			X		X
B	Washington Health Care Facilities Authority	91-1108929	93978EA93	06-22-2006	165,050,000	Refund WHCFA Series 2002A & B and Series 1994 & 1995		X		X		X
C	Washington Health Care Facilities Authority	91-1108929	93978E7V8	07-01-2010	173,543,991	To Finance a Portion of construction of a Tower in Everett		X		X		X
D	Washington Health Care Facilities Authority	91-1108929	93978HDAO	07-13-2011	101,296,076	Proceeds were used to currently refund all outstanding Series 2001A Bonds		X		X		X
	Alaska Industrial Development and Export	92-6001185	011903BEO	09-04-2003	37,426,100	Reimburse Alaska Region for Capital expenditures		X		X		X
	Alaska Industrial Development and Export	92-6001185	011903CT6	11-30-2006	57,177,110	Reimburse Alaska Medical Ctr for portion of costs to construct cancer center		X		X		X
	Alaska Industrial Development and Export	92-6001185	011903DZI	11-17-2011	126,601,436	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	15,385,000						15,385,000
2 Amount of bonds legally defeased . . . . . . . . . . .	1,610,000
3 Total proceeds of issue . . . . . . . . . . . . . .	215,938,735		165,050,000		173,548,413		101,296,076
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	1,980,039		1,660,244		2,543,991		1,060,339
8 Credit enhancement from proceeds . . . . . . . . . . .	3,336,312		2,465,562
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	146,353,342		56,530,335		171,004,472
11 Other spent proceeds . . . . . . . . . . . . . .	64,269,042		160,924,194				100,235,737
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2009		2002		2011		2004
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X	X			X	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .	X			X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X			X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %		0 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .	X			X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.600 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .	X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X	X		X
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . .	X		X			X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Date Rebate Computation Performed	Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 06/22/2011 Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 06/22/2011 Issuer Name: Alaska Industrial Development and Export Date the Rebate Computation was Performed: 11/13/2008 Issuer Name: Alaska Industrial Development and Export Date the Rebate Computation was Performed: 12/01/2011
ENTITY 1- ISSUE A - PART IV, Question 2c	The most recent rebate computation for the bonds was completed through 6/22/2011.
ENTITY 1- ISSUE B - PART IV, Question 2c	The most recent rebate computation for the bonds was completed through 6/22/2011.
ENTITY 1 - ISSUE D - PART I, Question (f)	Proceeds were used to currently refund all outstanding Series 2001A Bonds.
ENTITY 2 - ISSUE A - PART IV, Question 2c	The most recent rebate computation for the bonds was completed through 11/13/2008.
ENTITY 2 - ISSUE B - PART IV, Question 2c	The most recent rebate computation for the bonds was completed through 12/01/2011.
ENTITY 2 - ISSUE B - PART I, Question (f)	Reimburse Providence Alaska Medical Center for portion of costs to construct cancer center.
ISSUE C, Part I, Question (f)	Fund portion of expansion & renovation at PAMC & Portion of construction of long-term care facility.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number
51-0216586

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Washington Health Care Facilities Authority	91-1108929	93978EA77	06-22-2006	208,792,185	Refund WHCFA Series 1999 & Capital projects in Washington	X			X		X
B	Washington Health Care Facilities Authority	91-1108929	93978EA93	06-22-2006	165,050,000	Refund WHCFA Series 2002A & B and Series 1994 & 1995		X		X		X
C	Washington Health Care Facilities Authority	91-1108929	93978E7V8	07-01-2010	173,543,991	To Finance a Portion of construction of a Tower in Everett		X		X		X
D	Washington Health Care Facilities Authority	91-1108929	93978HDAO	07-13-2011	101,296,076	Proceeds were used to currently refund all outstanding Series 2001A Bonds		X		X		X
	Alaska Industrial Development and Export	92-6001185	011903BEO	09-04-2003	37,426,100	Reimburse Alaska Region for Capital expenditures		X		X		X
	Alaska Industrial Development and Export	92-6001185	011903CT6	11-30-2006	57,177,110	Reimburse Alaska Medical Ctr for portion of costs to construct cancer center		X		X		X
	Alaska Industrial Development and Export	92-6001185	011903DZI	11-17-2011	126,601,436	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	15,385,000						15,385,000
2 Amount of bonds legally defeased . . . . . . . . . . .	1,610,000
3 Total proceeds of issue . . . . . . . . . . . . . .	215,938,735		165,050,000		173,548,413		101,296,076
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	1,980,039		1,660,244		2,543,991		1,060,339
8 Credit enhancement from proceeds . . . . . . . . . . .	3,336,312		2,465,562
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	146,353,342		56,530,335		171,004,472
11 Other spent proceeds . . . . . . . . . . . . . .	64,269,042		160,924,194				100,235,737
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2009		2002		2011		2004
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X	X			X	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .	X			X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X			X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %		0 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .	X			X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.600 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .	X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X	X		X
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . .	X		X			X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Date Rebate Computation Performed	Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 06/22/2011 Issuer Name: Washington Health Care Facilities Authority Date the Rebate Computation was Performed: 06/22/2011 Issuer Name: Alaska Industrial Development and Export Date the Rebate Computation was Performed: 11/13/2008 Issuer Name: Alaska Industrial Development and Export Date the Rebate Computation was Performed: 12/01/2011
ENTITY 1- ISSUE A - PART IV, Question 2c	The most recent rebate computation for the bonds was completed through 6/22/2011.
ENTITY 1- ISSUE B - PART IV, Question 2c	The most recent rebate computation for the bonds was completed through 6/22/2011.
ENTITY 1 - ISSUE D - PART I, Question (f)	Proceeds were used to currently refund all outstanding Series 2001A Bonds.
ENTITY 2 - ISSUE A - PART IV, Question 2c	The most recent rebate computation for the bonds was completed through 11/13/2008.
ENTITY 2 - ISSUE B - PART IV, Question 2c	The most recent rebate computation for the bonds was completed through 12/01/2011.
ENTITY 2 - ISSUE B - PART I, Question (f)	Reimburse Providence Alaska Medical Center for portion of costs to construct cancer center.
ISSUE C, Part I, Question (f)	Fund portion of expansion & renovation at PAMC & Portion of construction of long-term care facility.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Return Reference	Explanation
Form 990, Part VI, Section A, line 6	Providence Health & Services is the sole Corporate Member.
Form 990, Part VI, Section A, line 7a	The powers of the Corporate Member include the provision to appoint the number of Directors, appoint the Board of Directors and to remove such Directors at any time with or without cause.
Form 990, Part VI, Section A, line 7b	Other 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 11	The Form 990 is prepared internally by experienced staff and reviewed by the internal Director of Taxes and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS.
Form 990, Part VI, Section B, line 12c	Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict.
Form 990, Part VI, Section B, line 15	It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are determined by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Each year, the Board Chair conducts a formal performance evaluation of the President/CEO that considers input from the other directors and senior leaders reporting to the President. The evaluation is discussed with the Human Resources Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Human Resources Committee also meet with an independent consultant to develop a salary recommendation; which is reviewed and approved first by the committee and then by the Board of Directors. Additionally, the President/CEO utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for other senior executives. This process includes a rigorous analysis of those recommendations with the Human Resources Committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering Providence operating commitments and strategic objectives - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated patient satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector.
Form 990, Part VI, Section C, line 19	Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon written request. The consolidated financial statements are available on our public Internet site www2.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site.
Form 990, Part IX, line 11g	Agency/Contract Labor: Program service expenses 43,654,821. Management and general expenses 36,257,642. Fundraising expenses 0. Total expenses 79,912,463. Medical Director & Med Physician Fees: Program service expenses 72,998,067. Management and general expenses 37,359. Fundraising expenses 0. Total expenses 73,035,426. Repairs & Maintenance: Program service expenses 27,971,578. Management and general expenses 88,999,420. Fundraising expenses 0. Total expenses 116,970,998. Billing & Collections: Program service expenses 0. Management and general expenses 19,509,202. Fundraising expenses 0. Total expenses 19,509,202. Records Management: Program service expenses 1,440,397. Management and general expenses 1,208,979. Fundraising expenses 0. Total expenses 2,649,376. Transcription & Translation Services: Program service expenses 2,398,842. Management and general expenses 4,711,184. Fundraising expenses 0. Total expenses 7,110,026. Dietary: Program service expenses 1,120,531. Management and general expenses 1,931,543. Fundraising expenses 0. Total expenses 3,052,074. Other Patient Services: Program service expenses 82,091,436. Management and general expenses 1,112,167. Fundraising expenses 0. Total expenses 83,203,603. Other Administrative Services: Program service expenses 25,842,785. Management and general expenses 36,214,955. Fundraising expenses 0. Total expenses 62,057,740. General Consulting Fees: Program service expenses 4,979,952. Management and general expenses 57,021,577. Fundraising expenses 0. Total expenses 62,001,529.
Form 990, Part XI, line 9:	Interaffiliate Transactions 413,644,325. Recipient Organization Adjustments 7,344,911. Revenue Reclassifications -3,395,810. Expense Reclassifications 968,986. Pension Adjustment 205,354,703. Net Assets Transfers -13,825,643. Assets Released for Operations 550. Rounding -10,070.
FORM 990, PART XII, LINE 2C - AUDIT & COMPLIANCE	The 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.
FORM 990, PART I, LINE 6 - VOLUNTEERS	ALASKA REGION: Examples of volunteer activities: Volunteers plan and implement arts and craft activities with the elders every other week; A volunteer offers service in case of an emergency situation to assist with the use of radios; A volunteer visits PVMC Extended Care and provides big smiles and conversation to the residents; participates in Bible Study with residents to whom this is of interest; joins in almost every Sunday Worship, providing music and kind words; available when there is a need for a 1:1 with residents; A volunteer serves as both the Chairperson of the PVMC Health Advisory Council, and as our representative to the Community Ministry Board in Anchorage; volunteers at the hospital and helps to coordinate the visiting pediatric clinic at the hospital; acts as an advocate for the community of Valdez, working with the Local Emergency Planning Committee within the community of Valdez and in this role advocates for our local disaster planning at the hospital; Pet Partners visit through every cottage and visit with all residents and patients every month; Musicians visit in the evenings and play a variety of music for our residents; Licenced beauticians and one hair washing volunteer are available for all residents and patients and have very flexible schedules to meet everyone's needs; Various religious services are offered, including an Orthodox Priest who visits regularly; Teachers, principals, and parents from a local elementary school spend time interacting with residents at Providence Extended Care; Shoppers are available to those residents that cannot get out (monitored and accounted for by the banker).
FORM 990, PART I, LINE 6 - VOLUNTEERS CONTINUED	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 (Work Source), they work closely with staff on Job retraining. PROVIDENCE CENTRALIA HOSPITAL: The regular hospital 108 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 had 306 volunteers who helped with the Wellness Round-Up & the Festival of Trees in 2013. We also had 76 volunteers who worked all day to paint homes on August 3rd, 2013, for our annual community service event, Paint the Town, which is administered jointly by Volunteer Services and Foundation. PROVIDENCE HOSPICE & HOMECARE OF SNOHOMISH COUNTY: Our volunteers provide the following services to patients and their families of our agency: Patient companionship Family respite Notary services Barbers Tuck-ins (supply deliveries, prescription pick up & delivery) Vigils Life Review (recorded conversations provided to family on CD) Office Sewing Development events Transport Handyman Special projects Standing Together (Children's grief group) Camp Erin Bereavement interns Lifeline Palliative Care PROVIDENCE MOUNT ST. VINCENT: 205 volunteers donated their time and talents at The Mount in a wide variety of ways, offering 30,616 hours of service. The largest group of volunteers worked directly with residents. This includes volunteers who provided one-on-one visits, assisted with recreational groups (e.g. art class, field trips) and/or collaborated with staff to put on large special events (summer concert series, Valentine's Day dance, etc). Another large recipient of volunteer hours was the Sewing Ladies shop (providing free sewing services to residents and selling items in a shop); Emilie's Treasures (The Mount's on-site thrift boutique), the Auxiliary (fundraising for the PMSV foundation) and the Gift Shop. Volunteers also supported staff in several offices, including human resources, admissions, resident records and volunteer services. Volunteers also worked in the Intergenerational Learning Center (with children), dining services, the hair salon, laundry and housekeeping, etc. Volunteers taught writing classes, made home cooked meals for Ladies Luncheon, tended bar at Happy Hour, assisted residents with eating, and provided countless hours of weeding and plant watering services. Mount volunteers range in age from 14 to 100, adding to the rich intergenerational mix of The Mount. 53 of these 205 volunteers have been active for more than 5 years, adding to the genuine sense of connection and community that is so evident here. According to the national volunteer wage, the financial value of the hours donated is $677,838. PROVIDENCE MARIANWOOD: Volunteers at Providence Marianwood are highly valuable in many positions and many departments. The positions vary between direct contact with the residents and those who prefer to help behind the scenes. Volunteer positions include: Group Activities, Nurturing Visitor, Dining Room Assistant, Dining Room Host/Hostess, Clerical, TCU Leisure Cart, Special entertainment Groups, Special Event Groups, Inter Generational Groups, Sammamish Garden Club, the Needle Brigade and Special Project Groups. The Departments utilizing volunteers this past year were: Activities, Admissions, Auxiliary, Dietary, Human Resources, Nursing, Plant Services, Reception, Occupational Therapy, Physical therapy, and Volunteers. The volunteers at Providence Marianwood meaningfully impact the quality of life for our residents. They are truly a vital component in the compassionate care that we provide every day. 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. HIGH SCHOOL SUMMER PROGRAM - NEW! Our high school summer volunteer program is a great fit for students who are friendly, have a good way with people and are dedicated to volunteer service. If that sounds like you, we encourage you to apply. Here are the basic requirements: * Commit to volunteer a minimum of 40 hours * Currently a high school sophomore, junior or senior (must be 16 - 18 years old) We recently changed the program from a year-round schedule to a 10-week summer schedule to ensure that students can complete their volunteer service commitment. Information packets will be sent to students that are signed up in February. PATIENT AND FAMILY ADVISOR Work collaboratively with staff, physicians and other volunteers to make a difference in our patients' healthcare experience. Meet with hospital leadership to enhance the patient care experience; serve on committees to bring the patient and family perspective to hospital operations; evaluate programs, forms and materials. PATIENT SUPPORT Patient support volunteers provide support to patients, families and staff in clinical areas. Tasks include talking and walking with patients and families, running errands, filling charts, stocking rooms and much more.
FORM 990, PART I, LINE 6 - VOLUNTEERS CONTINUED	PROVIDENCE SOUND HOMECARE: Providence Sound Homecare and Hospice utilizes volunteers in our Hospice program and in our bereavement programs. The Hospice volunteers provide direct and indirect patient care and bereavement. Volunteers provide direct patient care such as: respite, companionship for patients and caregivers, run errands, light housekeeping, gardening, hair care, etc. For indirect patient care the volunteers make gowns, participate in our annual fundraising program, training, assist with our volunteer newsletter, attend support groups and assist with our adult bereavement programs, etc. 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 300-400 on boarded volunteers up to 46 departments at Providence St. Peters Hospital. Volunteers perform many routine and repetitive tasks that allow paid, licensed, certified and experienced staff to provide more attention to more affordable and comprehensive patient care. The following customer service functions are provided for Providence St. Peter Hospital 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 and mass mailings. PROVIDENCE STRATEGIC & MANAGEMENT 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 have other duties included organizing food and clothing donations, food distribution, assistance with our plant/greenhouse program, food demonstrations, and janitorial duties as assigned. In 2013, approximately 300 volunteers gave 5,200 hours of their time at Providence Regina House 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. PROVIDENCE HOME INFUSION Here's a summary of what students do when they rotate through Oral Dose pharmacy - 1. Observation of Order Entry duties 2. Observation of Pyxis duties 3. Observation of ordering process from our drug wholesaler 4. Learn the responsibilities of the "daily fill" medication packaging counter and work online during their rotation as one of our regular staff would. 5. Learn the responsibilities of the "cycle fill" counter and work online during their rotation as one of our regular staff would. - This includes cycle bubble cards, as well as medi-sets. 6. Filing of prescriptions by number. (SEE CONTINUATION)
FORM 990, PART I, LINE 6 - VOLUNTEERS CONTINUED	SAINT MARY MEDICAL CENTER COMFORT VOLUNTEERS - offer comfort items to patients including blankets, pillows and magazines, place the telephone and remote within reach, visit with patients, stock supplies and assist staff with errands. EMERGENCY DEPARTMENT LIAISON - greet visitors and patients, escort visitors to patient rooms, provide some comfort measurers, such as blankets, pillows and magazines, stock supplies, run errand assist with miscellaneous clerical projects. FAMILY BIRTH CENTER - assist with newborn care, provide comfort services to new moms and visitors, stock supplies, assist staff with errands. SAME DAY SURGERY LIAISON - serve as a "go-between" the reception and pre-operative areas, update family on the location of their loved one and teach them to use the OR tracker board, offer comfort measures, preparing supplies and assist with errands. CANCER CENTER - taking orders and delivering meals to patients, stocking supplies, making coffee, cleaning and tidying, transporting charts from main desk to nurse's station, transporting specimens, running errands to/from the Pharmacy. GIFT SHOP - ringing up purchases, providing excellent customer service, keeping shelves stocked with product, answering the telephone, delivering Gift Shop flowers to patient rooms. EMERGENCY ROOM - stocking supplies, bring patients warm blankets, assisting with errands, other misc. tasks as assigned by nursing/physician staff. INFORMATION DESK/ERRAND - answering the Errand Desk telephone, transporting specimens, delivering flowers and mail, preparing various mailings, as directed by staff, making coffee, tidying the waiting area, making reminder calls for the Cancer Center. CARDIAC REHABILITATION - Assist staff in Rehab department with filing and tidying, assisting with recording results for exercise equipment, explaining how to properly use exercise equipment. DIETARY - Washing and stocking dishes, stocking juices, milk and ready-to-eat foods, tidying the Dining Room area, assisting with other tasks, as directed by Kitchen staff. PET THERAPY - Limited to dogs and their owners. Visits patients and other visitors in waiting areas, and, with permission of nursing staff, in the Medical and Surgical Units. Must have proof of immunizations and letter of good behavior prior to volunteering. MEDICAL RECORDS: Ensure that medical records ready to be shredded have been electronically scanned, run errands for staff, may assist with some scanning. CANCER RESOURCE CENTER - Work with the American Cancer Society to connect cancer patients with resources including the Look Good, Feel Better program, transportation services, support groups and financial assistance. SPIRITUAL CARE - Works with the Chaplaincy department to offer communion and spiritual support for patients that request it. EMILIE COURT: * Arts & Crafts Assistant * Beauty Basket Assistant * Bible Study Leader * Bingo Caller or Helper * Birthday Party Assistant * Bridge Assistant * Current Events Leader * Decorating Assistant * Entertainment Assistant * Exercise Leader * One on One Companion * Outing Assistant/Escort * Pet Visitation * Special Event Assistant * Story Time Leader * Wine & Cheese Assistant 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. 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 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 & Escorts: 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. No One Dies Alone Program: Volunteers sit vigil with patients who have no one by their side at the end of life. Surgery Admit Unit: Volunteers in this busy unit assist clinical staff with various duties to help patients prior to surgery. Pet Visitation (must be Pet Partner-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. Walking is involved, including stocking and delivering items to medical floors. (SEE CONTINUATION)
FORM 990, PART I, LINE 6 - VOLUNTEERS CONTINUED	DOMINICARE: Plan and gather employee appreciation treats for quarterly staff meetings and make monthly satisfaction survey phone calls to clients. ST. JOSEPH CARE CENTER Our volunteers provide a variety of services for our residents. These include one to one visitations, religious services, medical appointment companion, activity assistance, pet therapy, outing companions, decorating, and musical entertainment. The one to one visitations have included conversation, sensory stimulation, reading, prayer; computer assistance; manicures, jigsaw puzzle partner, etc. The activity department has built a working relationship with Career Path Services where by volunteers are paid through the state to be part of a work-site training. These volunteers are here to gain experience in a long-term care setting before enrolling Nursing Assistant classes. MOUNT CARMEL HOSPITAL The volunteers are Providence Mount Carmel Hospital provide the following for the hospital: * Manage the onsite gift shop * Provide blood pressures are various community functions * Stock the vending machines on site * Provide a variety of clerical support for several departments in the hospital. * Greeters at the Patient Access desk - Escort patients to the various departments as requested * Baby Stockings for the first baby born in the new year 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 Ministry
FORM 990 - EXPLANATION FOR AMENDED RETURN	The return is being amended for $20,130 of Bad Debt Expense omitted on the original filing of the 2013 Form 990-T. This results in a decrease of Net Unrelated Business Taxable Income reported on Part I, Line 7b. Additionally, Schedule R, Part I - Disregarded Entites has been revised to reflect information related to two entities omitted on the original filing.
FORM 990, PART VII - RELIGIOUS COMMUNITY MEMBERS	As members of the Religious Community, each Sister has taken a vow of poverty as a compulsory part of her religious life. Any compensation for services of a Sister inures only for the benefit of the Community, not the individual members. All payments for services are made directly to the Religious Community.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) Providence Assurance Inc 3131 Camelback Road Ste 400 Phoenix,AZ85016 20-8194071	Insurance Captive	AZ	261	33,991,040	Providence Health & Services - Washington
(2) Legacy LLC PO Box 196606 Anchorage,AK99519 32-0252199	Real Estate	AK	207,548	47,995,831	Providence Health & Services - Washington
(3) Health Services Asset Management LLC 1801 Lind Ave SW 9016 Renton,WA98057 27-1698016	A/R & Collections	WA	220,134	1,040,715	Providence Health & Services - Washington
(4) Auxillium LLC 1801 Lind Ave SW 9016 Renton,WA98057 31-1750915	Nurse Staffing	WA	0	0	Providence Health & Services - Washington
(5) Providence Joseph House GP LLC 1801 Lind Ave SW 9016 Renton,WA98057 27-3678218	Supportive Housing	WA	47,489	8,327,026	Providence Health & Services - Washington

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Providence Health & Services - Oregon 1801 Lind Avenue SW 9016 Renton,WA980579016 51-0216587	Healthcare System	OR	501( c)(3)	Line 3	Providence Health & Services		No
(2) Providence Health System - So California 1801 Lind Avenue SW 9016 Renton,WA980579016 51-0216589	Healthcare System	CA	501( c)(3)	Line 3	Providence Health & Services		No
(3) Everett Transitional Care Services PO Box 5128 Everett,WA982065128 94-3264605	Transitional Care	WA	501( c)(3)	Line 9	N/A		No
(4) Providence Oregon Management Corporation 1801 Lind Avenue SW 9016 Renton,WA980579016 93-0813977	Shell Corporation	OR	501( c)(3)	Line 1	PH & S - Oregon		No
(5) Providence Plan Partners 4400 NE Halsey Bldg 2 Portland,OR97213 91-1861964	Healthcare Services	OR	501( c)(4)	N/A	PH & S - Oregon		No
(6) Providence Health Plan 4400 NE Halsey Bldg 2 Portland,OR97213 93-0863097	Health Service Contractor	OR	501( c)(4)	N/A	Providence Plan Partners		No
(7) Providence Health Assurance 4400 NE Halsey Bldg 2 Portland,OR97213 55-0828701	Medicaid Healthcare Provider	OR	501( c)(4)	N/A	Providence Health Plan		No
(8) Providence Medical Institute 4101 Torrance Blvd Torrance,CA90503 33-0283773	Healthcare	CA	501( c)(3)	Line 11/Type I	PHS - So California		No
(9) Little Company of Mary Ancillary Services Corporation 4101 Torrance Blvd Torrance,CA90503 33-0844408	Imaging Services	CA	501( c)(3)	Line 9	PHS - So California		No
(10) Providence TrinityCare Hospice 5315 Torrance Blvd Suite B1 Torrance,CA90503 95-3264139	Hospice	CA	501( c)(3)	Line 9	PHS - So California		No
(11) Providence Blanchet Association 1700 Providence Pl Centralia,WA98531 91-1789266	Housing	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(12) St Luke Association 350 Washington Ave SE Chehalis,WA98352 94-3176618	Housing	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(13) Providence Rossi Association 1700 Providence Pl Centralia,WA98531 31-1584166	Housing	WA	501( c)(3)	Line 9	PH & S - Washington	Yes
(14) Lundberg Association 5921 E Burnside Portland,OR97215 91-1562797	Housing	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(15) Providence St Francis Association 3415 12th Avenue NE Olympia,WA98506 94-3244854	Housing	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(16) Providence Peter Claver Association 7101 38th Avenue South Seattle,WA98118 31-1629656	Housing	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(17) Providence St Elizabeth House Association 3201 SW Graham St Seattle,WA98126 91-2171539	Housing	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(18) Providence Gamelin House Association 4515 MLK Jr Way S Ste 200 Seattle,WA98108 31-1744654	Housing	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(19) The Gamelin Association 312 North Fourth St Yakima,WA98901 91-1180824	Housing	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(20) The Gamelin Oregon Association 5520 NE Glisan Portland,OR97213 91-1214491	Housing	OR	501( c)(3)	Line 9	PH & S - Oregon		No
(21) The Gamelin California Association 540 23rd St Oakland,CA94612 91-1293869	Housing	CA	501( c)(3)	Line 9	PHS - So California		No
(22) Gamelin Washington Association 1423 First Avenue Seattle,WA98101 20-1910170	Housing	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(23) Providence Foundation 1801 Lind Avenue SW 9016 Renton,WA980579016 94-3078543	Support PH&S Institutions	WA	501( c)(3)	Line 11/Type I	PH & S - Washington	Yes
(24) Providence Alaska Foundation 3300 Providence Drive - B Tower2 Anchorage,AK99508 92-0093565	Support PHS-Alaska	AK	501( c)(3)	Line 11/Type I	PH & S - Washington	Yes
(25) Providence St Peter Foundation 413 Lilly Road NE Olympia,WA985065166 91-1097056	Support Affiliated Tax-Exempt Organization	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(26) Providence Health Care Foundation (Centralia) 914 S Scheuber Road Centralia,WA98531 91-1433382	Support Providence Centralia Hospital	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(27) Providence Mount St Vincent Foundation 4831 - 35th Avenue SW Seattle,WA981262799 91-1188119	Support Providence Mount St.Vincent	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(28) Providence Marianwood Foundation 3725 Providence Point Drive SE Issaquah,WA980297219 93-1554288	Support Providence Marianwood	WA	501( c)(3)	Line 11/Type I	PH & S - Washington	Yes
(29) Providence Newberg Health Foundation 1001 Providence Drive Newberg,OR97132 93-0889144	Support Providence Newberg Medical Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(30) Providence Seaside Hospital Foundation 725 S Wahanna Rd Seaside,OR97138 93-0927320	Support Providence Seaside Hospital	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(31) Providence Community Health Foundation 1111 Crater Lake Ave Medford,OR97504 93-0692907	Support Providence Medford Medical Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(32) Providence Benedictine Nursing Center Foundation 540 South Main St Mt Angel,OR973629532 91-1940286	Support Providence Benedictine Nursing Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(33) Providence Portland Medical Foundation 4805 NE Glisan St Portland,OR972132967 93-1231494	Support Providence Portland Medical Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(34) Providence St Vincent Medical Foundation 9205 SW Barnes Rd Portland,OR97225 93-0575982	Support Providence St. Vincent Medical Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(35) Providence Milwaukie Foundation 10150 SE 32nd Milwaukie,OR97222 94-3079515	Support Providence Milwaukie Hospital	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(36) Providence Child Center Foundation 830 NE 47th Portland,OR97213 93-0800140	Support Providence Child Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(37) Providence TrinityCare Hospice Foundation 5315 Torrance Blvd Suite B1 Torrance,CA90503 33-0261016	Support TrinityCare Hospice	CA	501( c)(3)	Line 7	PHS - So California		No
(38) Providence Little Company of Mary Foundation 4101 Torrance Blvd Torrance,CA90503 51-0224944	Support Little Company of Mary Service Area	CA	501( c)(3)	Line 7	PHS - So California		No
(39) PH&S FoundationSFVSA & SCVSA 501 S Buena Vista Street Burbank,CA91505 95-3544877	Support Program & Activities of SFVSA & SCVSA	CA	501( c)(3)	Line 7	PHS - So California		No
(40) Providence Hospice of Seattle Foundation 425 Pontius Avenue North 300 Seattle,WA981095452 91-2077378	Support Hospice of Seattle	WA	501( c)(3)	Line 11/Type I	PH & S - Washington	Yes
(41) Providence Health & Services - Western Washington 1801 Lind Avenue SW 9016 Renton,WA980579016 91-1303277	Healthcare	WA	501( c)(3)	Line 3	Providence MinistriesWHC	Yes
(42) Providence Health & Services 1801 Lind Avenue SW 9016 Renton,WA980579016 91-1549796	Shell Corporation	WA	501( c)(3)	Line 11/Type I	N/A	Yes
(43) Providence Health & Services - Montana 500 W Broadway PO Box 4587 Missoula,MT598064587 81-0231793	Healthcare	MT	501( c)(3)	Line 3	PH & S - Washington		No
(44) Providence St Joseph Medical Center PO Box 1010 Polson,MT598601010 81-0463482	Healthcare	MT	501( c)(3)	Line 3	PH & S - Washington		No
(45) St Thomas Child and Family Center 1710 Benefis Court Great Falls,MT59405 81-0233495	Early Childhood Education	MT	501( c)(3)	Line 1	PH & S - Washington		No
(46) Sisters of Providence of Montana Corporation 1801 Lind Avenue SW 9016 Renton,WA980579016 26-2612415	Shell Corporation	MT	501( c)(3)	Line 1	PH & S - Washington	Yes
(47) Providence Health Care Foundation - Eastern Washington 101 W 8th Ave Spokane,WA99204 32-0014330	Support PH&S-WA. Ministries in E. WA.	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(48) St Patrick Hospital Foundation 500 West Broadway PO Box 4587 Missoula,MT598064587 23-7056976	Support Healthcare in W. Montana	MT	501( c)(3)	Line 7	PH & S - Washington	Yes
(49) University of Great Falls 1301 20th Street South Great Falls,MT59405 81-0231777	Post Secondary Education	MT	501( c)(3)	Line 2	PH & S - Washington	Yes
(50) E WA & MT Unemployment Compensation Insurance Trust 1801 Lind Avenue SW 9016 Renton,WA980579016 91-1082119	Unemployment Benefits	WA	501( c)(3)	Line 11/Type I	PH & S - Washington	Yes
(51) Providence Willamette Falls Medical Foundation 1500 Division Street Oregon City,OR97045 93-1003750	Support Willamette Falls Hospital	OR	501( c)(3)	Line 11/Type I	PH & S - Oregon		No
(52) Providence Hood River Memorial Hospital Foundation Inc 811 13th St Hood River,OR97031 93-0921990	Support Providence Hood River Memorial Hospital	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(53) Providence Hospice and Home Care Foundation 2731 Wetmore Avenue Suite 500 Everett,WA98201 27-2552749	Support Program & Ministries of PHHC	WA	501(c )(3)	Line 7	PH & S - Washington	Yes
(54) Providence St Mary Foundation 401 W Poplar St Walla Walla,WA99362 45-2841492	Support Program & Ministries of SMMC	WA	501(c )(3)	Line 7	PH & S - Washington	Yes
(55) Facey Medical Foundation 15451 San Fernando Mission Blvd 200 Mission Hills,CA913451420 95-4322584	Support Facey Medical Group	CA	501(c )(3)	Line 7	PHS - So California		No
(56) Swedish Health Services 747 Broadway Seattle,WA98122 91-0433740	Healthcare	WA	501(c )(3)	Line 3	Western HealthConnect		No
(57) Swedish Edmonds 21601 76th Ave W Edmonds,WA98026 27-2305304	Healthcare	WA	501(c )(3)	Line 3	Western HealthConnect		No
(58) Swedish Medical Center Foundation 747 Broadway Seattle,WA98122 91-0983214	Support Swedish Health Services	WA	501(c )(3)	Line 7	Swedish Health Services		No
(59) Global To Local Health Initiative 747 Broadway Seattle,WA98122 27-3133200	Healthcare	WA	501(c )(3)	Line 7	Swedish Health Services		No
(60) Swedish MJM Holdings 747 Broadway Seattle,WA98122 27-3139262	Holding Company	WA	501(c )(3)	Line 11/Type I	Swedish Health Services		No
(61) Marsha Rivkin Center for Ovarian Cancer Research 747 Broadway Seattle,WA98122 91-2054035	Ovarian Cancer Research	WA	501(c )(3)	Line 7	Swedish Health Services		No
(62) Western HealthConnect 747 Broadway Seattle,WA98122 45-4171900	Shell Corporation	WA	501(c )(3)	Line 11/Type I	PH&S Western Washington		No
(63) Inland Northwest Health Services 601 W 1st Avenue Spokane,WA99201 91-1307555	Healthcare	WA	501( c)(3)	Line 3	PH&S - Washington		No
(64) PHN Holdings 20555 Earl Street Torrance,CA90503 46-1814184	Strategic/Planning services for PHN	CA	501( c)(4)	Pending	PHS - So California		No
(65) Providence Health Network 20555 Earl Street Torrance,CA90503 80-0886966	Prepaid Healthcare	CA	501( c)(4)	Pending	PHN Holdings		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Alpha Medical Laboratory LLC 611 N Perry Spokane,WA99202 91-2017347	Outpatient Lab	ID	PAML LLC	Related				No			No	50.000 %
(2) Broadway Imaging LLC 500 W Broadway Missoula,MT59802 52-2405971	Medical Imaging	MT	PH&S - MT	Related				No			No	75.000 %
(3) California Laboratory Associates LLC 501 Buena Vista Burbank,CA91505 27-3888692	Outpatient Lab	CA	PHS - So California	Related				No			No	85.900 %
(4) Center for Specialty Surgery LLC 11782 SW Barnes Rd Portland,OR97225 26-3638838	Ambulatory Surgery Center	OR	PH&S - OR	Related				No			No	51.000 %
(5) Clackamas Radiation Oncology Center LLC 4400 NE Halsey St Bldg II 495 Portland,OR97213 26-0381897	Radiation Oncology	OR	PH&S - OR	Related				No			No	67.000 %
(6) Ctr for Med Imaging-Bridgeport LLC 4400 NE Halsey St Bldg II 495 Portland,OR97213 26-0796953	Imaging - Diagnostics	OR	PH&S - OR	Related				No			No	75.000 %
(7) Ctr for MedImaging-Tanasbourne LLC 4400 NE Halsey St Bldg II 495 Portland,OR97213 20-0477972	Imaging - Diagnostics	OR	PH&S - OR	Related				No			No	75.000 %
(8) Greater Valley Medical Building LP 501 S Buena Vista St Burbank,CA91505 95-4570858	Real Estate - MOB	CA	PHS - So California	Investment				No			No	50.000 %
(9) Medalia Healthcare LLC 1801 Lind Ave SW 9016 Renton,WA98057 91-1660459	Physician Benefits	WA	PH&S - WA	Investment				No			No	50.000 %
(10) Minor & James Medical PLLC 515 Minor Avenue 200 Seattle,WA98104 91-1340223	Physician Clinic	WA	Swedish MJM Holdings Inc	N/A				No			No	69.500 %
(11) Mountainstar Clinical Laboratories LLC 611 N Perry Spokane,WA99202 26-1345983	Outpatient Lab	MT	PAML LLC	Related				No			No	49.000 %
(12) Oregon Advanced Imaging LLC 881 OHare Parkway Medford,OR97504 45-0471748	Medical Imaging	OR	PH&S - OR	Related				No			No	70.000 %
(13) Oregon Outpatient Surgery Center 7300 SW Childs Rd Tigard,OR97224 22-3883387	Ambulatory Surgery Center	OR	PH&S - OR	Related				No			No	51.000 %
(14) PacLab LLC 611 N Perry Spokane,WA99202 91-1743952	Outpatient Lab	WA	PH&S - WA	Related				No			No	61.000 %
(15) Pathology Associates Medical Laboratories LLC 611 N Perry Spokane,WA99202 27-0943279	Outpatient Lab	WA	Bourget Health Services Inc	Related				No			No	75.000 %
(16) PETCT Imaging at Swedish Cancer Institute LLC 1221 Madison Street Seattle,WA98104 20-3132044	Medical Imaging	WA	Swedish Health Services	Related				No			No	63.000 %
(17) Portland Medical Imaging LLC 4400 NE Halsey St Bldg II 495 Portland,OR97213 20-1054971	Imaging - Diagnostics	OR	PH&S - OR	Related				No			No	75.000 %
(18) Prov Radiation Oncology Develop Assn LLC 4401 NE Halsey St Bldg II 495 Portland,OR97213 26-0682491	Real Estate - MOB	OR	PH&S - OR	Investment				No			No	50.000 %
(19) Providence Imaging Center 3340 Providence Drive Anchorage,AK99508 92-0118807	Medical Imaging	AK	PH&S - WA	Related	13,011,277	20,077,220		No			No	99.000 %
(20) Providence Partners for Health LLC 501 S Buena Vista St Burbank,CA91505 45-4041798	Clinical Quality & Integration	CA	PHS - So California	Related				No			No	50.000 %
(21) ProvidenceUSP Santa Clarita GP LLC 11550 Indian Hills Road 160 Mission Hills,CA91345 20-2829660	Ambulatory Surgery Center	CA	PHS - So California	Related				No			No	51.000 %
(22) ProvidenceUSP Surgery Ctrs LLC 11550 Indian Hills Road 160 Mission Hills,CA91345 20-0905938	Ambulatory Surgery Center	CA	PHS - So California	Related				No			No	51.000 %
(23) Southern Idaho Regional Laboratory LLC 611 N Perry Spokane,WA99202 82-0511819	Outpatient Lab	ID	PAML LLC	Related				No			No	50.000 %
(24) Tri-Cities Laboratory LLC 611 N Perry Spokane,WA99202 91-1773986	Outpatient Lab	WA	PAML LLC	Related				No			No	25.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) Providence Health Ventures Inc 4101 Torrance Blvd Torrance,CA90503 33-0122216	Investment	CA	N/A	C				No
(2) Caron Health Corporation 510 W Front St Missoula,MT59802 81-0486082	Medical Physician Service	MT	N/A	C				No
(3) Providence Health Care Ventures Inc 101 W 8th Ave TAF C-9 Spokane,WA99204 90-0155714	Clinical/Medical Lab	WA	N/A	C				No
(4) Providence Physician Services Co 101 W 8th Ave TAF C-9 Spokane,WA99204 91-1216033	Clinical/Medical Lab	WA	N/A	C				No
(5) Yakima Medical Arts Inc 611 N Perry 100 Spokane,WA99202 91-0787963	Rental Real Estate	WA	N/A	C				No
(6) Bourget Health Services Inc PO Box 2687 Spokane,WA99220 91-1354431	Clinical/Medical Lab	WA	N/A	C				No
(7) 1221 Madison Street Owners Assoc 747 Broadway Seattle,WA98122 20-1954319	Owners' Association	WA	N/A	C				No
(8) Washington Cancer Centers PC 1560 N 115th G-16 Seattle,WA98133 91-1792791	Cancer Treatment	WA	N/A	C				No
(9) Western HealthConnect Ventures Inc 1801 Lind Ave SW 9016 Renton,WA98057 80-0953654	Investment	WA	N/A	C				No

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Providence Alaska Foundation	B	1,147,209	Cost
(2) Providence Alaska Foundation	C	2,709,950	Cost
(3) Providence Health Care Foundation	C	611,043	Cost
(4) Providence Health Care Foundation	B	200,587	Cost
(5) Providence Health Care Foundation - Eastern Washington	B	949,570	Cost
(6) Providence Health Care Foundation - Eastern Washington	C	3,252,877	Cost
(7) Providence Hospice & Home Care Foundation Snohomish County	C	724,069	Cost
(8) Providence Hospice & Home Care Foundation Snohomish County	L	304,599	Cost
(9) Providence Hospice of Seattle Foundation	B	275,189	Cost
(10) Providence Hospice of Seattle Foundation	C	1,009,509	Cost
(11) Providence Hospice of Seattle Foundation	Q	249,255	Cost
(12) Providence Marianwood Foundation	B	277,698	Cost
(13) Providence Marianwood Foundation	C	477,074	Cost
(14) Providence Mount St Vincent Foundation	B	213,138	Cost
(15) Providence Mount St Vincent Foundation	C	1,258,635	Cost
(16) Providence St Mary Foundation	B	203,243	Cost
(17) Providence St Mary Foundation	C	377,173	Cost
(18) Providence St Mary Foundation	Q	106,301	Cost
(19) Providence St Peter Foundation	C	1,198,846	Cost
(20) Providence St Peter Foundation	B	796,395	Cost
(21) Swedish Medical Center Foundation	B	212,500	Cost

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Healthcare with special concern for the poor and vulnerable in WA. & AK.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	17
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	26,884
6	Total number of volunteers (estimate if necessary) .............	6	5,108
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	6,391,810
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	1,822,350

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	46,183,482	43,114,695
9	Program service revenue (Part VIII, line 2g) .........	3,246,968,295	3,316,627,725
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	69,253,173	58,156,447
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	398,076,606	999,083,666
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	3,760,481,556	4,416,982,533
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	13,902,077	15,667,400
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	2,093,041,728	2,879,625,793
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 1,165,003
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,697,104,707	1,858,381,330
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	3,804,048,512	4,753,674,523
19	Revenue less expenses. Subtract line 18 from line 12.......	-43,566,956	-336,691,990
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	7,187,936,085	7,118,136,633
21	Total liabilities (Part X, line 26).............	5,044,892,423	4,680,170,845
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,143,043,662	2,437,965,788

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,456,207,961 including grants of $ 0 ) (Revenue $ 1,754,493,500 )
	Acute Care - Inpatient 536,538 Adult & Pediatric Admissions 114,790 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. As a not-for-profit health care ministry, Providence Health & Services - Washington embraces our responsibility to respond to the needs of people in our communities, especially the poor and vulnerable. In the face of rapidly changing health care, our commitment to our Mission to care for everyone remains unchanged. When the Sisters of Providence began our tradition of caring 158 years ago, their ministry greatly depended on partnering with others in the community who were committed to doing good. This same pioneering spirit continues today as our calling and our promise. Together with our community partners, we identify where the greatest unmet needs are among people in the communities we serve. Many of these services provide access to: mental health and substance abuse services, preventive care and emergency department coordination, chronic disease management, support and education, meeting basic needs such as hunger, housing and transportation.Providence Health & Services - Washington is a not-for-profit network of hospitals, senior care centers, physicians, home health services, clinics and other services operating in Alaska and Washington. The hospitals included in this return include the following:1) Providence Alaska Medical Center - Anchorage, AK.2) Providence Sacred Heart Medical Center & Children's Hospital - Spokane, WA.3) Providence St. Peter Hospital - Olympia, WA.4) Providence Regional Medical Center - Everett, WA.5) Providence Holy Family Hospital - Spokane, WA.6) Providence Centralia Hospital - Centralia, WA.7) Providence St. Mary Medical Center - Walla Walla, WA.8) Providence Mt. Carmel Hospital - Colville, WA.9) Providence St. Joseph Hospital - Chewelah, WA.10) Providence Kodiak Island Medical Center - Kodiak, AK.Examples of 2013 achievements:Providence Regional Medical Center received designation as a Level II Trauma Center.Providence Centralia Hospital coordinated the largest health education event in Lewis County - about 2,000 attended.Providence St. Peter Hospital provided $3.25 million in training support of 19 family medicine physicians and $1.7 million to support student internships.Cordova Community Medical Center created electronic connection eICU - two-way video and audio system helping providers in remote locations 24 hours a day, seven days a week.Providence Valdez Medical Center's Sound Wellness Alliance Network offered biometric screening to more than 500 people.For the 13th time, Providence Sacred Heart Medical Center & Children's Hospital has received the Consumer Choice Award from the National Research Corporation.For the 13th consecutive year, Providence Sacred Heart Medical Center & Children's Hospital made the list of "100 Most Wired Hospitals and Health Systems".Providence St. Mary Medical Center received several awards in 2013. The hospital was named by Healthgrades in the top 15 percent in the nation for the experience we provide patients, and in the top 10 percent of the nation for patient safety. Consumer Reports gave us its highest possible rating for surgery in 2013 as well. We were the only hospital in the region to earn an excellent rating, and one of only seven in the state.The ministries of Providence in Washington and Alaska have a shared vision to create an experience of connected care for each patient. We also work to achieve the Triple Aim, which calls us to:Improve our population's healthGive our patients the best care experience*Make sure our services are affordable

4b	(Code: ) (Expenses $ 864,219,256 including grants of $ 0 ) (Revenue $ 1,041,243,495 )
	Acute Care - Outpatient 1,962,355 Emergency & Ancillary VisitsSEE LINE 4A NARRATIVE

4c	(Code: ) (Expenses $ 231,967,678 including grants of $ 0 ) (Revenue $ 279,483,284 )
	LTC/Hospice/Housing & Assisted Living - 390,447 Days for Long-Term Care/Asst. Living; 304,056 Home Health Visits; 366,058 Hospice DaysAdult day programs provide a supportive and stimulating environment for older adults and others who would benefit from extra care, activities, and social stimulation. Social opportunities include exercise, gardening, arts and crafts, cooking, games, music, guest speakers, field trips, and celebrations. Assisted living facilities support independent lifestyles with many outstanding amenities and a full array of daily activities. Our residents can access the services they need such as meals, laundry, housekeeping, and personal assistance and still enjoy the privacy of their own apartments with their own furnishings.We provide comprehensive professional skilled nursing and rehabilitation including physical, emotional, and spiritual care for the whole person. We take pride in giving compassionate care and services with dignity and respect for the individual.Providence ElderPlace is an innovative program of health care and social services for older adults. Our model of care is known as PACE (Program of All Inclusive Care for the Elderly). PACE programs keep older adults as healthy as possible in the community by providing comprehensive health care and social services.We offer exceptional skilled care for patients of all ages, with all medical diagnoses, within the comfort of their home. Home Health patients are those who find it taxing to leave their home. They may have a new diagnosis or illness, be coping with a chronic condition, such as heart failure or diabetes, or recovering from surgery, such as a total hip or knee replacement, or hospitalization.Providence Hospice provides comprehensive and compassionate physical, emotional, and spiritual care to people of all ages nearing the end of their lives, including support for their family and friends.

	(Code: ) (Expenses $ 185,025,941 including grants of $ 0 ) (Revenue $ 222,926,134 )
	Primary Care 1,535,758 Clinic VisitsSEE LINE 4A NARRATIVE

	(Code: ) (Expenses $ 20,739,604 including grants of $ 0 ) (Revenue $ 24,987,846 )
	Healthcare Joint Ventures

	(Code: ) (Expenses $ 15,667,400 including grants of $ 15,667,400 ) (Revenue $ 0 )
	Grant & Allocations - See Schedules F & I

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 221,432,945 including grants of $ 15,667,400 ) (Revenue $ 247,913,980 )
4e	Total program service expenses2,773,827,840

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	31,343,735	0	6,840,556

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a		38,065
b	Membership dues....1b
c	Fundraising events....1c		612,419
d	Related organizations...1d		11,693,676
e	Government grants (contributions)1e		25,738,867

f	All other contributions, gifts, grants, and similar amounts not included above1f		5,031,668

g	Noncash contributions included in lines 1a-1f:$		7,000
h	Total. Add lines 1a-1f.......			43,114,695
			Business Code
2a	Acute Care/Inpatient		900099	1,748,002,550	1,748,002,550
b	Acute Care/Outpatient		621400	1,037,391,295	1,037,391,295
c	LTC/Homecare/Hospice		621610	278,449,303	278,449,303
d	Primary Care		621110	222,101,393	222,101,393
e	Healthcare JVs		900099	27,397,686	24,895,401	2,502,285
f	All other program service revenue .			3,285,498	3,285,498
g	Total. Add lines 2a–2f........			3,316,627,725
3	Investment income (including dividends, interest, and other similar amounts).......			32,536,763			32,536,763
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	29,977,125	25,892
b	Less: rental expenses	13,667,832	110,394
c	Rental income or (loss)	16,309,293	-84,502
d	Net rental income or (loss).......			16,224,791		799,978	15,424,813
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	870,318,610	8,663,923
b	Less: cost or other basis and sales expenses	846,964,439	6,398,410
c	Gain or (loss)	23,354,171	2,265,513
d	Net gain or (loss)..........			25,619,684			25,619,684
8a	Gross income from fundraising events (not including $ 612,419 of contributions reported on line 1c). See Part IV, line 18 ..
	a		256,595
b	Less: direct expenses ...b		695,636
c	Net income or (loss) from fundraising events..			-439,041			-439,041
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		31,589
b	Less: direct expenses ...b		15,765
c	Net income or (loss) from gaming activities...			15,824			15,824
10a	Gross sales of inventory, less returns and allowances .
	a		2,421,354
b	Less: cost of goods sold ..b		1,499,162
c	Net income or (loss) from sales of inventory..			922,192			922,192
Miscellaneous Revenue			Business Code
11a	Pharmacy Revenue		446110	20,613,995	605,620	1,890,128	18,118,247
b	Cafeteria Revenue		722210	18,785,843	0	173,763	18,612,080
c	Laboratory Revenue		621500	16,296,024	83,006	945,386	15,267,632
d	All other revenue ....			926,664,038	8,320,193	80,270	918,263,575
e	Total. Add lines 11a–11d ......			982,359,900
12	Total revenue. See Instructions......			4,416,982,533	3,323,134,259	6,391,810	1,044,341,769


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			3,903,073	1	2,904,419
2	Savings and temporary cash investments .........			347,716,675	2	388,720,402
3	Pledges and grants receivable, net ...........			3,556,265	3	5,954,684
4	Accounts receivable, net .............			489,647,879	4	535,291,965
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............			31,562,946	7	33,304,865
8	Inventories for sale or use ..............			55,335,834	8	53,101,746
9	Prepaid expenses and deferred charges ..........			41,394,819	9	41,171,987
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	4,852,075,634
b	Less: accumulated depreciation .....	10b	2,228,905,606	2,488,430,486	10c	2,623,170,028
11	Investments—publicly traded securities ..........			1,334,579,669	11	1,542,049,367
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....			98,870,848	13	105,753,444
14	Intangible assets ...............			21,349,593	14	21,720,654
15	Other assets. See Part IV, line 11 ...........			2,271,587,998	15	1,764,993,072
16	Total assets. Add lines 1 through 15 (must equal line 34)......			7,187,936,085	16	7,118,136,633
17	Accounts payable and accrued expenses .........			500,334,779	17	577,934,307
18	Grants payable .................				18
19	Deferred revenue ................			7,414,775	19	10,845,286
20	Tax-exempt bond liabilities .............			828,765,001	20	811,205,001
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			143,088	23	1,582,735
24	Unsecured notes and loans payable to unrelated third parties ....			281,958,940	24	609,605
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			3,426,275,840	25	3,277,993,911
26	Total liabilities. Add lines 17 through 25.........			5,044,892,423	26	4,680,170,845
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			2,085,155,320	27	2,376,578,881
28	Temporarily restricted net assets ...........			47,032,095	28	48,068,173
29	Permanently restricted net assets ...........			10,856,247	29	13,318,734
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			2,143,043,662	33	2,437,965,788
34	Total liabilities and net assets/fund balances ........			7,187,936,085	34	7,118,136,633

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................	Yes	No