Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 01-01-2014 , and ending 12-31-2014
BCheck if applicable:
CName of organization
PROVIDENCE HEALTH & SERVICES - OREGON
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1801 Lind Avenue SW No 9016
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Renton, WA980579016
D Employer identification number

51-0216587
E Telephone number

G Gross receipts $ 3,345,772,076
F Name and address of principal officer:
Rod Hochman MD
1801 Lind Avenue SW No 9016
Renton,WA980579016
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
oregon.providence.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1986
M State of legal domicile: OR
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: Healthcare with special concern for the poor and vulnerable in Oregon.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 16
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 16
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 19,691
6 Total number of volunteers (estimate if necessary) ............. 6 3,170
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 17,940,864
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 4,231,272
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 47,476,606 46,585,121
9 Program service revenue (Part VIII, line 2g) ......... 2,466,879,477 1,702,858,348
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 80,017,363 64,751,337
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 102,492,382 997,784,459
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 2,696,865,828 2,811,979,265
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 6,412,456 10,212,782
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) 1,316,621,620 1,181,767,807
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet2,506,680    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,231,951,480 1,387,139,180
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,554,985,556 2,579,119,769
19 Revenue less expenses. Subtract line 18 from line 12....... 141,880,272 232,859,496
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,595,771,221 2,786,653,641
21 Total liabilities (Part X, line 26)............. 599,427,644 580,807,040
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,996,343,577 2,205,846,601
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2014)
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: As People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Healthcare with special concern for the poor and vulnerable in Oregon.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 740,992,334 including grants of $ 0 ) (Revenue $ 660,012,189 )
Acute Care - Inpatient: Admissions 65,962; Patient Days 282,235OUR CORE VALUES - Respect, Compassion, Justice, Excellence, and Stewardship OUR COMMITMENTAs a not-for-profit health care ministry, Providence Health & Services - Oregon embraces our responsibility to respond to the needs of people in our communities, especially the poor and vulnerable. This commitment, this Mission rooted in God's love for all, began with the Sisters of Providence more than 158 years ago.The Heart of our MissionWe focus our community benefit outreach on four specific populations. These are low-income and uninsured people, diverse populations, older citizens, and people with behavioral needs. Our outreach can range from covering the medical bills of a husband and father disabled by diabetes, to financially supporting a nonprofit that embraces older refugees and immigrants.During these hard economic times in our neighborhoods and our nation, we reinforce our commitments to caring for the poor and vulnerable. This compassionate caring is, and always has been, the heart of our Mission.Providence Health & Services - Oregon is a not-for-profit network of hospitals, care centers, health plans, physicians, home health services, clinics and other services. We continue a tradition of caring that the Sisters of Providence began in the West 158 years ago.Our facilities include: Providence St. Vincent Medical Center, Providence Portland Medical Center, Providence Milwaukie Hospital, Providence Hood River Memorial Hospital, Providence Willamette Falls Medical Center, Providence Newberg Medical Center, Providence Seaside Hospital, Providence Medford Medical Center, Providence Child Center, Providence Elderplace, Providence Benedictine Nursing Center, Providence Seaside Extended Care, Providence Home and Community Services, Providence Health Plans, Providence Medical Group clinics, Providence Graduate Medical Education clinics, Providence North Coast clinics and Providence Hood River clinicsResearch CentersProvidence physicians, scientists and research teams participate in basic research, applied research, outcomes research, and clinical trial research. They have achieved national recognition for their work through federally funded grants, peer-reviewed publications, and presentations at national and international meetings. This research has led to revolutionary changes in health care, as well as the establishment of several start-up companies:*Brain and Spine Institute*Center for Outcomes Research and Education*Heart and Vascular Institute/ Medical Data Research Center*Orthopedics Institute*Earle A. Chiles Research Institute/ Robert W. Franz Cancer Research Center/ Providence Cancer Center*Women and Children's Health Research CenterThe ministries of Providence in Oregon 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 health*Give our patients the best care experience*Make sure our services are affordableIn 2014, Providence in Oregon:*Operated eight hospitals, more than 90 clinics and Oregon's largest neonatal intensive care unit*Provided primary, preventive and specialty care to nearly 1.9 million children and adults*Welcomed 9,485 babies - more than any other health system in Oregon*Cared for 272,161 emergency patients*Gave 442,766 home health and hospice visits/days of care to community residents
4b (Code:   ) (Expenses $ 455,262,122 including grants of $ 0 ) (Revenue $ 405,565,893 )
Acute Care - Outpatient: Visits - 2,740,686See Line 4a Narrative.
4c (Code:   ) (Expenses $ 567,404,640 including grants of $ 0 ) (Revenue $ 505,342,246 )
Primary Care: Visits - 1,846,529See Line 4a Narrative.
(Code:   ) (Expenses $ 259,570,386 including grants of $ 0 ) (Revenue $ 231,171,189 )
Long-Term Care, Homecare, Hospice, Housing & Assisted Living: LTC Patient Days 52,735; Housing & Assisted Living Days 143,574Quality home care: For the sixth consecutive year, Providence Home Care in southern Oregon has been named as one of the top 500 home health agencies in the nation by HomeCare Elite, based on measures of quality and financial performance.Hospice services in rural area: Providence Hood River Memorial Hospital, a critical access facility, also provided needed hospice care to residents in the Columbia Gorge area.
(Code:   ) (Expenses $ 10,212,782 including grants of $ 10,212,782 ) (Revenue $ 0 )
Grants & Allocations to Community Organizations - See Schedule I
(Code:   ) (Expenses $ 4,664,155 including grants of $ 0 ) (Revenue $ 4,069,044 )
Healthcare Joint Ventures
4d Other program services (Describe in Schedule O.)
(Expenses $ 274,447,323 including grants of $ 10,212,782 ) (Revenue $ 235,240,233 )
4e Total program service expensesMediumBullet2,038,106,419
Form 990 (2014)
Form 990 (2014)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
1,363
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
19,691
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?
.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2014)
Form 990 (2014)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
16
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
16
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
Yes
 
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
OR , CA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletKarl E Fritschel CPA

2001 Lind Ave SW 9016
Renton,WA980579016 (425) 525-3339
Form 990 (2014)
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Michael Holcomb........................................................................
Chair of the Board
0.10
.......................7.30
X   X       0 60,360 0
(2) Chauncey Boyle SP........................................................................
Director
0.10
.......................5.50
X           0 0 0
(3) Marian Schubert CSJ - Eff914........................................................................
Director
0.10
.......................4.50
X           0 0 0
(4) Phyllis Hughes RSM........................................................................
Director
0.10
.......................5.00
X           0 0 0
(5) Carolina Reyes MD........................................................................
Director
0.10
.......................4.20
X           0 15,360 0
(6) Michael A Stein........................................................................
Director
0.10
.......................6.00
X           0 15,360 0
(7) Eugene Al Parrish........................................................................
Director
0.10
.......................5.00
X           0 15,360 0
(8) Peter J Snow........................................................................
Director
0.10
.......................5.70
X           0 20,860 0
(9) Bob Wilson........................................................................
Director
0.10
.......................5.00
X           0 18,360 0
(10) Sallye Liner........................................................................
Director
0.10
.......................4.20
X           0 15,360 0
(11) Ellen L Wolf........................................................................
Director
0.10
.......................7.10
X           0 15,360 0
(12) Isiaah Crawford........................................................................
Director
0.10
.......................4.10
X           0 15,360 0
(13) Martha Diaz Aszkenazy........................................................................
Director
0.10
.......................7.70
X           0 18,360 0
(14) Kirby McDonald........................................................................
Director
0.10
.......................4.60
X           0 15,360 0
(15) Dave Olsen........................................................................
Director
0.10
.......................5.50
X           0 17,860 0
(16) Charles Chuck Watts........................................................................
Director
0.10
.......................4.60
X           0 15,360 0
(17) Rod F Hochman MD........................................................................
President / CEO
15.00
.......................50.00
    X       0 1,951,887 494,326
Form 990 (2014)
Form 990 (2014)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Todd Hofheins........................................................................
EVP/CFO
14.00
.......................46.00
    X       0 607,162 112,921
(19) Cindy Strauss........................................................................
SVP/Chief Legal Officer
14.00
.......................46.00
    X       0 488,042 234,850
(20) Dave Underriner........................................................................
CE/OR.Region
50.00
.......................15.00
    X       0 661,297 95,855
(21) William Olson........................................................................
CFO/OR. Region
38.00
.......................12.00
    X       0 502,797 122,968
(22) Michael L Butler........................................................................
President/Operations & Services
14.00
.......................46.00
      X     0 1,540,500 492,128
(23) Debra Canales........................................................................
EVP/Chief People & Experience Ofc.
13.00
.......................43.00
      X     0 1,076,219 23,317
(24) Lisa Vance........................................................................
SVP/Clinical Program Services
14.00
.......................46.00
      X     0 709,715 58,431
(25) Randy Axelrod MD........................................................................
EVP/Clinical & Patient Svcs
14.00
.......................46.00
      X     0 701,506 245,640
(26) Doug Walta........................................................................
CEO/Clinical Programs
40.00
.......................0.00
      X     0 629,845 255,088
(27) Jack Friedman........................................................................
SVP/Account Care & Payor Rel.
12.00
.......................38.00
      X     0 596,381 177,566
(28) Aaron Martin........................................................................
SVP/Strategy & Innovation
15.00
.......................50.00
      X     0 563,108 18,041
(29) Craig L Wright MD........................................................................
SVP/Physician Svcs
14.00
.......................46.00
      X     0 549,952 312,082
(30) Janice Newell........................................................................
SVP/Chief Information Officer
13.00
.......................42.00
      X     0 529,442 220,834
(31) Deborah Burton........................................................................
SVP/Chief Nrsg. Officer
14.00
.......................46.00
      X     0 519,689 55,382
(32) Robert Hellrigel........................................................................
CE/Senior & Community Services
13.00
.......................42.00
      X     0 518,936 95,905
(33) David Brown........................................................................
VP/Strategy & Business Development
13.00
.......................42.00
      X     0 493,612 143,130
(34) Orest Holubec........................................................................
SVP/Marketing & Communications
13.00
.......................42.00
      X     0 486,207 53,563
(35) Mark Gargett........................................................................
VP/Digital Integration
12.00
.......................38.00
      X     0 476,541 80,347
(36) Doug Koekkoek........................................................................
CEO/PMG/Patient Services
40.00
.......................0.00
      X     0 424,084 149,551
(37) Joel S Gilbertson........................................................................
SVP/Comm. Ptnrshp. / Ext. Affairs
14.00
.......................46.00
      X     0 419,681 103,211
(38) John O Mudd........................................................................
SVP/Mission Leadership
13.00
.......................42.00
      X     0 418,054 95,818
(39) Gary Flaming........................................................................
SVP/Chief Risk Officer
13.00
.......................42.00
      X     0 415,719 89,217
(40) Teresa Spalding........................................................................
VP/Revenue Cycle
14.00
.......................46.00
      X     0 414,859 44,903
(41) Theron Park........................................................................
CEO/Oregon Delivery System
40.00
.......................0.00
      X     0 398,881 65,034
(42) Brendan Curti........................................................................
Physician - Oncology
40.00
.......................0.00
        X   811,366 0 40,732
(43) Erin Allen........................................................................
Physician - Dermatology
40.00
.......................0.00
        X   806,524 0 37,556
(44) Walter Urba........................................................................
Administrator/Clinical Research
40.00
.......................0.00
        X   804,265 0 57,884
(45) Jeffrey Swanson........................................................................
Surgeon - Cardiology
40.00
.......................0.00
        X   789,464 0 29,438
(46) Emery Douville........................................................................
Surgeon - Cardiology
40.00
.......................0.00
        X   787,947 0 33,506
(47) John F Koster MD........................................................................
Former President & CEO
0.00
.......................0.00
          X 0 896,255 766,217
(48) Jeff W Rogers........................................................................
Former Corporate Secretary
0.00
.......................0.00
          X 0 231,112 390,991
(49) Cindra R Syverson........................................................................
Former SVP/CHRO
0.00
.......................0.00
          X 0 2,068,293 18,318
(50) Ray Williams........................................................................
Former SVP/Physicians Svcs
0.00
.......................0.00
          X 0 1,060,879 4,597
(51) Greg Van Pelt........................................................................
Former CE/OR. Region
0.00
.......................0.00
          X 0 1,054,305 148,715
(52) John Fletcher........................................................................
Former VP/Operations Support
0.00
.......................0.00
          X 0 1,042,943 431,091
(53) Jan J Jones........................................................................
Former SVP/CAO
0.00
.......................0.00
          X 0 879,104 330,527
(54) Terry L Smith........................................................................
Former SVP/Management Svcs
0.00
.......................0.00
          X 0 180,427 310,927
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 3,999,566 23,766,114 6,440,607
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet2,471
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
Oregon Emergency Physicians PC

9155 SW Barnes Rd 420
Portland,OR97225
Medical Services 31,571,819
Anesthesia Associates Northwest

6400 SE Lake Rd 130
Milwaukie,OR97222
Medical Services 9,854,953
Cross Country Staffing

6551 Park of Commerce Blvd
Boca Raton,FL33487
Staffing 9,614,075
INLINE Commercial Construction Inc

18880 SW Shaw Street
Aloha,OR97007
Construction Services 6,957,114
Portland Hospital Services Corporation

18440 NE Portal Way
Portland,OR97230
Medical Services 6,432,870
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet230
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 2,673
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 18,458,481
e Government grants (contributions)1e 24,489,596
f All other contributions, gifts, grants, and
similar amounts not included above
1f
3,634,371
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 46,585,121
 Program Service RevenueAmt Business Code
2a Acute Care/Inpatient 900099 622,265,560 622,265,560    
b Primary Care 621110 476,438,287 476,438,287    
c Acute Care/Outpatient 621400 382,374,547 382,374,547    
d LTC/HomeCare/Hospice 621610 217,948,506 217,948,506    
e Healthcare JVs 900099 3,831,448 3,831,448    
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,702,858,348
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 15,001,610     15,001,610
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet 722,581     722,581
(i) Real (ii) Personal
6a Gross rents 32,839,467  
b Less: rental expenses 24,845,552  
c Rental income or (loss) 7,993,915  
d Net rental income or (loss).......MediumBullet 7,993,915     7,993,915
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 528,722,300 589,510
b Less: cost or other basis and sales expenses 478,918,351 643,732
c Gain or (loss) 49,803,949 -54,222
d Net gain or (loss)..........MediumBullet 49,749,727     49,749,727
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a 38,826,422
b Less: cost of goods sold ..b 29,385,176
c Net income or (loss) from sales of inventory..MediumBullet 9,441,246   3,127,978 6,313,268
Miscellaneous Revenue Business Code
11a Pharmacy 446110 595,236,764     595,236,764
b Laboratory 621500 249,649,874   14,812,886 234,836,988
c IAF - Contracted Svcs. 900099 99,509,078 99,509,078    
d All other revenue .... 35,231,001 3,793,135   31,437,866
e Total. Add lines 11a–11d ...... MediumBullet 979,626,717
12 Total revenue. See Instructions......MediumBullet 2,811,979,265 1,806,160,561 17,940,864 941,292,719
Form 990 (2014)
Form 990 (2014)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 domestic organizations and domestic governments. See Part IV, line 21 .... 10,212,782 10,212,782
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ....    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............    
4 Benefits paid to or for members ....    
5 Compensation of current officers, directors, trustees, and key employees .... 3,190,786   3,190,786  
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 .... 1,070,041,812 924,651,104 145,390,708  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 24,659,719 21,308,624 3,351,095  
9 Other employee benefits ....... 8,821,235 7,319,893 1,501,342  
10 Payroll taxes ........... 75,054,255 64,854,872 10,199,383  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,149,135 272,063 877,072  
c Accounting ........... 17,217   17,217  
d Lobbying ........... 260,746   260,746  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 1,054,741   1,054,741  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 204,012,855 185,976,136 18,036,719  
12 Advertising and promotion .... 5,861,084 144,901 5,716,183  
13 Office expenses ....... 48,564,608 29,431,262 19,133,346  
14 Information technology ...... 99,240,432 85,528,379 13,712,053  
15 Royalties ..        
16 Occupancy ........... 47,102,386 33,442,694 13,659,692  
17 Travel ............ 5,760,526 4,568,876 1,191,650  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 3,195,191 2,376,313 818,878  
20 Interest ........... 6,049,839 6,049,839    
21 Payments to affiliates ....... 409,508,425 143,774,528 265,733,897  
22 Depreciation, depletion, and amortization ..... 92,022,221 65,335,777 26,686,444  
23 Insurance .............. 294,600 209,166 85,434  
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 402,541,981 401,954,098 587,883  
b Bad Debts 23,109,062 23,094,707 14,355  
c Provider Tax Expense 13,905,606 13,905,606    
d UBI Taxes 832,816   832,816  
e All other expenses 22,655,709 13,694,799 6,454,230 2,506,680
25 Total functional expenses. Add lines 1 through 24e 2,579,119,769 2,038,106,419 538,506,670 2,506,680
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2014)
Form 990 (2014)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 1,775,926 1 920,094
2 Savings and temporary cash investments ......... 142,637,785 2 434,478,856
3 Pledges and grants receivable, net ........... 6,556,131 3 7,368,316
4 Accounts receivable, net ............. 332,044,811 4 289,723,283
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 ............. 1,691,281 7 1,247,936
8 Inventories for sale or use .............. 35,238,931 8 36,501,589
9 Prepaid expenses and deferred charges .......... 20,614,183 9 16,281,856
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,766,383,320
b Less: accumulated depreciation ..... 10b 1,707,829,563 1,115,562,771 10c 1,058,553,757
11 Investments—publicly traded securities .......... 784,489,935 11 754,896,082
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 ..... 90,084,988 13 118,007,214
14 Intangible assets ............... 4,050,539 14 3,021,105
15 Other assets. See Part IV, line 11 ........... 61,023,940 15 65,653,553
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 2,595,771,221 16 2,786,653,641
Liabilities 17 Accounts payable and accrued expenses ......... 210,842,463 17 218,790,689
18 Grants payable .................   18  
19 Deferred revenue ................ 28,564,063 19 30,309,610
20 Tax-exempt bond liabilities ............. 266,250,001 20 244,580,000
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 .. 4,022,327 23 44,706,814
24 Unsecured notes and loans payable to unrelated third parties ....   24  
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.................... 89,748,790 25 42,419,927
26 Total liabilities. Add lines 17 through 25......... 599,427,644 26 580,807,040
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 1,933,767,515 27 2,118,062,884
28 Temporarily restricted net assets ........... 32,711,866 28 56,078,913
29 Permanently restricted net assets ........... 29,864,196 29 31,704,804
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet 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 ........... 1,996,343,577 33 2,205,846,601
34 Total liabilities and net assets/fund balances ........ 2,595,771,221 34 2,786,653,641
Form 990 (2014)
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
2,811,979,265
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
2,579,119,769
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
232,859,496
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
1,996,343,577
5
Net unrealized gains (losses) on investments ...............
5
-46,623,876
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
23,267,404
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
2,205,846,601
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? .................
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
Additional Data


Software ID:  
Software Version:  
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.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
PROVIDENCE HEALTH & SERVICES - OREGON
 
Employer identification number

51-0216587
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
a
b
c
d
e
f
Enter the number of supported organizations .............................  
g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total    

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.)..            
11 Total support Add lines 7 through 10.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors (explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7   Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
 
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions
 
9 Distributable amount for 2014 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2014
(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6
 
2 Underdistributions, if any, for years prior to 2014
(reasonable cause required--see instructions)
 
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2014 distributable amount  
i Carryover from 2009 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2014 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2014 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2014, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)
 
6 Remaining underdistributions for 2014. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)
 
7 Excess distributions carryover to 2015. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Name of the organization
PROVIDENCE HEALTH & SERVICES - OREGON
 
Employer identification number

51-0216587
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




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
Special Rules
......... 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 2
Name of organization
PROVIDENCE HEALTH & SERVICES - OREGON
 
Employer identification number

51-0216587
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


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 3
Name of organization
PROVIDENCE HEALTH & SERVICES - OREGON
 
Employer identification number

51-0216587
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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 4
Name of organization
PROVIDENCE HEALTH & SERVICES - OREGON
 
Employer identification number

51-0216587
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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 (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2014)

Additional Data


Software ID:  
Software Version:  
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 Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
PROVIDENCE HEALTH & SERVICES - OREGON
 
Employer identification number

51-0216587
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
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) 2014

Schedule C (Form 990 or 990-EZ) 2014
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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(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? ......................................

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2011 (b) 2012 (c) 2013 (d) 2014 (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) 2014


Schedule C (Form 990 or 990-EZ) 2014
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)
No
Yes
(b)
Amount
1
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:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
 
e
Publications, or published or broadcast statements? .......................
Yes
 
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
159,461
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
101,285
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
Yes
 
 
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
260,746
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
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."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Part II-B, Line 1: Lobbying activity includes: * Analysis of early draft legislation for 2015 Oregon Legislative Session * Visits, calls, e-mails, and letters to state legislators, legislative bodies, and members of Congress * Visits, calls, e-mails, and letters to legislative staff and government officials * Discussions and meetings with lobbyists * Ongoing analysis of legislation during the 2014 Legislative Session * Attending state, federal and local government hearings and meetings in the Portland area Ballot measures * During 2014, Providence in Oregon did not engage in discussions on any state and local government ballot measures. We did engage in preliminary discussions on prospective initiative petitions which were ultimately withdrawn. * We contributed financially to school district and community health ballot measures, but did not engage in advocacy. Issues advocacy Major issues supported, opposed, or commented on to legislators/government officials/staffers by Providence in Oregon, in 2014 include: * Employer/employee relations issues * Health insurance mandates * Health insurer regulatory, finance and legislative issues * Hospital regulatory, finance and legislative issues * Long term care facilities regulatory, finance and legislative issues * Medicaid health care transformation and coordinated care organizations * Oregon health insurance exchange * Health care workforce issues * Provider reimbursement and alternative payment methods * Pharmacy benefit management issues * Pharmacy prescribing practices and coverage * Cultural competency and eliminating disparities in health care * Patient privacy and notification * Mental health integration and benefit * Community health needs assessment * Local government: - Transportation and economic issues - Community outreach and education - Paid sick leave
Schedule C (Form 990 or 990EZ) 2014

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
PROVIDENCE HEALTH & SERVICES - OREGON
 
Employer identification number

51-0216587
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 value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .......................................
9
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.
1a
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.
b
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)
Revenue included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
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:
a
Revenue included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2014

Schedule D (Form 990) 2014
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
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 ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 ................. 41,341,450 68,636,684 109,978,134
b Buildings ................ 5,094,978 1,243,692,652 714,576,621 534,211,009
c Leasehold improvements ............   51,517,394 36,631,464 14,885,930
d Equipment ................   821,999,720 720,953,014 101,046,706
e Other .................   534,100,442 235,668,464 298,431,978
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 1,058,553,757
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 3
Part VII
Investments—Other 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.)Small Bullet  
Part VIII
Investments—Program 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.)Small Bullet  
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








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
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  
Resident Trust Funds 790,153
LT Asset Retirement Obligation - FIN 47 3,124,089
Third Party Reserves 14,340,025
Bond Premium Discount 8,942,934
Capitalized Lease Obligations 82,625
Pension Benefit Obligation 14,618,616
EHR Incentive Settlement Payable 521,485


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 42,419,927
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) 2014

Schedule D (Form 990) 2014
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 (losses) 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 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) 2014

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the TreasuryInternal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
PROVIDENCE HEALTH & SERVICES - OREGON
 
Employer identification number

51-0216587
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.
4
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"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
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? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
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 45,399,955   45,399,955 1.780 %
b Medicaid (from Worksheet 3,
column a) ....
0 0 506,221,415 405,412,576 100,808,839 3.940 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
0 0 207,413 84,028 123,385 0 %
d Total Financial Assistance
and Means-Tested
Government Programs .
    551,828,783 405,496,604 146,332,179 5.720 %
Other Benefits
0 0 5,105,111 315,542 4,789,569 0.190 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
0 0 27,362,316 7,820,749 19,541,567 0.760 %
g Subsidized health services
(from Worksheet 6) ..
0 0 23,161,546 13,042,422 10,119,124 0.400 %
h Research (from Worksheet 7)     31,777,603 19,821,475 11,956,128 0.470 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
0 0 7,015,550 657,453 6,358,097 0.250 %
j Total. Other Benefits ..     94,422,126 41,657,641 52,764,485 2.070 %
k Total. Add lines 7d and 7j .     646,250,909 447,154,245 199,096,664 7.790 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing 0 0 11,000 600 10,400 0 %
2 Economic development 0 0 26,000 2,400 23,600 0 %
3 Community support 0 0 316,070 47,180 268,890 0.010 %
4 Environmental improvements            
5 Leadership development and training for community members 0 0 68,150 25,290 42,860 0 %
6 Coalition building 0 0 173,235 40,200 133,035 0.010 %
7 Community health improvement advocacy 0 0 82,056 18,000 64,056 0 %
8 Workforce development 0 0 219,551 8,700 210,851 0.010 %
9 Other 0 0 3,000   3,000 0 %
10 Total     899,062 142,370 756,692 0.030 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
23,109,062
3
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. ......
3
 
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
879,464,592
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
1,041,507,850
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-162,043,258
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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.......................

9b

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 %
11 Oregon Outpatient Surgery Center
 
Ambulatory Surgery Center 51.000 % 0 % 49.000 %
22 Plaza Ambulatory Surgery Center LLC
 
Ambulatory Surgery Center 41.620 % 0 % 48.220 %
33 Surgery Center at Tanasbourne LLC
 
Ambulatory Surgery Center 76.500 % 0 % 18.500 %
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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?8
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Providence Portland Medical Center
4805 NE Glisan St
Portland,OR97213
oregon.providence.org
14-0012
X X   X     X     A
2 Providence St Vincent Medical Center
9205 SW Barnes Rd
Portland,OR97225
oregon.providence.org
14-0912
X X   X     X     A
3 Providence Milwaukie Hospital
10150 SE 32nd
Milwaukie,OR97222
oregon.providence.org
14-1430
X     X     X     A
4 Providence Hood River Mem Hospital
811 - 13th Street
Hood River,OR97031
oregon.providence.org
14-1452
X       X   X     A
5 Providence Seaside Hospital
725 S Wahanna Rd
Seaside,OR97138
oregon.providence.org
14-1231
X       X   X   Nursing Facility A
6 Providence Newberg Medical Center
1001 Providence Drive
Newberg,OR97132
oregon.providence.org
14-1438
X X         X     A
7 Providence Medford Medical Center
1111 Crater Lake Avenue
Medford,OR97504
oregon.providence.org
14-0734
X X         X     A
8 Providence Willamette Falls Med Ctr
1500 Division Street
Oregon City,OR97045
oregon.providence.org
14-1471
X           X     A
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 - Oregon
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): http://oregon.providence.org/about-us/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Providence Health & Services - Oregon
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Providence Health & Services - Oregon
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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.
a
b
c
d
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24 Yes  
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Part V, Section B Facility Reporting Group A
Facility Reporting Group A consists of: - Facility 1: Providence Portland Medical Center, - Facility 2: Providence St Vincent Medical Center, - Facility 3: Providence Milwaukie Hospital, - Facility 4: Providence Hood River Mem. Hospital, - Facility 5: Providence Seaside Hospital, - Facility 6: Providence Newberg Medical Center, - Facility 7: Providence Medford Medical Center, - Facility 8: Providence Willamette Falls Med. Ctr.
Group A-Facility 1 -- Providence Portland Medical Center Part V, Section B, line 5: Community listening sessions and local community health system assessment conducted as part of the Healthy Columbia Willamette Collaborative (HCWC). Included input from school districts, mental health providers, social service agencies, culturally-specific organizations, medical providers, social workers, public health officials, and others. A full list of those represented is available on the HCWC website.
Group A-Facility 1 -- Providence Portland Medical Center Part V, Section B, line 6a: Providence Portland Medical Center participated in HCWC as well as a more specific facility-based assessment. Other hospital participants in HCWC were Adventist Medical Center, Kaiser Sunnyside Hospital, Kaiser Westside Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek Medical Center, OHSU, PeaceHealth Southwest Medical Center, Providence Milwaukie Hospital, Providence St. Vincent Medical Center, Providence Willamette Falls Medical Center, Tuality Community Hospital
Group A-Facility 1 -- Providence Portland Medical Center Part V, Section B, line 6b: HealthShare of Oregon, Family Care Health Plans, Clackamas County Public Health Division, Clark County Public Health, Multnomah County Health Department, Washington County Public Health Division.
Group A-Facility 1 -- Providence Portland Medical Center Part V, Section B, line 11: PPMC is working both internally and with community partners to address the significant needs identified. The key identified needs listed in the facility's CHNA were grouped into four major categories to take advantage of Providence's regional assets in Oregon: Access to Preventive and Primary Care, Mental Health and Substance Use, Chronic Conditions, and Oral Health. These categories include basic needs, such as food security, stable housing, and transportation. The key strategies for addressing these health needs are available online with the CHNA at http://oregon.providence.org/about-us/. Some specific examples of activities taken in 2014 include a significant partnership with Impact NW, a social service agency that was awarded a two-year grant through a Request for Proposals process. Impact NW was awarded funds in 2014 to provide bi-lingual and bi-cultural Community Resource Specialists in two of Providence's highest needs clinics in Multnomah County, available to patients and community members alike. Providence also continued support for Lifeworks NW Project Network program, providing targeted parenting classes, respite and recovery services for mothers and their children. Providence Medical Group began rolling out a Persistent Pain curriculum across the Oregon region, training providers, patients, and community members about persistent pain and how to better engage in its treatment beyond opiate prescription. Across the Portland Metropolitan area, Providence provided funding for Central City Concern, Partners for a Hunger-Free Oregon summer meal sites as well as funding for regional planning to expand their programs, continued our partnership with Medical Teams International to provide mobile dental services for the remaining uninsured, and continued partnering with Project Access NOW on several programs, including their core services (care for the remaining uninsured and connection with volunteer physicians and/or specialists) as well as the Premium Assistance Program to support individuals with co-occurring chronic conditions who are not eligible for the Oregon Health Plan to purchase a silver-level plan in the Marketplace. An additional program with Project Access NOW also took shape in Multnomah County, as the backbone organization of the Rockwood Pathways Project. Providence is the lead health system funder of this work, which is seeking to coordinate the navigation services of over 23 social service agencies in one of the state's highest needs neighborhoods (Rockwood). Portland area executives were deeply engaged with the CMMI Health Commons grants as well as with the HealthShare of Oregon Board and subcommittees.
Group A-Facility 1 -- Providence Portland Medical Center Part V, Section B, line 16i: The FAP signage and information are included on billing statements.
Group A-Facility 1 -- Providence Portland Medical Center Part V, Section B, line 22d: The hospitals used the average of the largest negotiated commercial insurance rate.
Group A-Facility 1 -- Providence Portland Medical Center Part V, Section B, line 24: If the services were not medically necessary or were not covered under the financial assistance policy, they were billed at the gross charge.
Group A-Facility 2 -- Providence St. Vincent Medical Center Part V, Section B, line 5: Community listening sessions and local community health system assessment conducted as part of the Healthy Columbia Willamette Collaborative (HCWC). Included input from school districts, mental health providers, social service agencies, culturally-specific organizations, medical providers, social workers, public health officials, and others. A full list of those represented is available on the HCWC website.
Group A-Facility 2 -- Providence St. Vincent Medical Center Part V, Section B, line 6a: Providence St. Vincent Medical Center participated in HCWC as well as a more specific facility-based assessment. Other hospital participants in HCWC were Adventist Medical Center, Kaiser Sunnyside Hospital, Kaiser Westside Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek Medical Center, OHSU, PeaceHealth Southwest Medical Center, Providence Milwaukie Hospital, Providence Portland Medical Center, Providence Willamette Falls Medical Center, Tuality Community Hospital
Group A-Facility 2 -- Providence St. Vincent Medical Center Part V, Section B, line 6b: HealthShare of Oregon, Family Care Health Plans, Clackamas County Public Health Division, Clark County Public Health, Multnomah County Health Department, Washington County Public Health Division.
Group A-Facility 2 -- Providence St. Vincent Medical Center Part V, Section B, line 11: Providence St. Vincent is working both internally and with community partners to address the significant needs identified. The key identified needs listed in the facility's CHNA were grouped into four major categories to take advantage of Providence's regional assets in Oregon: Access to Preventive and Primary Care, Mental Health and Substance Use, Chronic Conditions, and Oral Health. These categories include basic needs, such as food security, stable housing, and transportation. The key strategies for addressing these health needs are available online with the CHNA at http://oregon.providence.org/about-us/. Some specific examples of activities taken in 2014 include continued partnership with Southwest Community Health Center, Virginia Garcia Memorial Health Center for the Community Coordinated Care Team providing high-touch community-based services for high-needs complex patients, as well as a large donation for the expansion of their primary care, chronic disease management, and oral health services in western Washington County. Providence Medical Group began rolling out a Persistent Pain curriculum across the Oregon region, training providers, patients, and community members about persistent pain and how to better engage in its treatment beyond opiate prescription. Across the Portland Metropolitan area, Providence provided funding for Central City Concern, Partners for a Hunger-Free Oregon summer meal sites as well as funding for regional planning to expand their programs, continued our partnership with Medical Teams International to provide mobile dental services for the remaining uninsured, and continued partnering with Project Access NOW on several programs, including their core services (care for the remaining uninsured and connection with volunteer physicians and/or specialists) as well as the Premium Assistance Program to support individuals with co-occurring chronic conditions who are not eligible for the Oregon Health Plan to purchase a silver-level plan in the Marketplace. Portland area executives were deeply engaged with the CMMI Health Commons grants as well as with the HealthShare of Oregon Board and subcommittees.
Group A-Facility 2 -- Providence St. Vincent Medical Center Part V, Section B, line 16i: The FAP signage and information are included on billing statements.
Group A-Facility 2 -- Providence St. Vincent Medical Center Part V, Section B, line 22d: The hospitals used the average of the largest negotiated commercial insurance rate.
Group A-Facility 2 -- Providence St. Vincent Medical Center Part V, Section B, line 24: If the services were not medically necessary or were not covered under the financial assistance policy, they were billed at the gross charge.
Group A-Facility 3 -- Providence Milwaukie Hospital Part V, Section B, line 5: Community listening sessions and local community health system assessment conducted as part of the Healthy Columbia Willamette Collaborative (HCWC). Included input from school districts, mental health providers, social service agencies, culturally-specific organizations, medical providers, social workers, public health officials, and others. A full list of those represented is available on the HCWC website.
Group A-Facility 3 -- Providence Milwaukie Hospital Part V, Section B, line 6a: Providence Milwaukie Hospital participated in HCWC as well as a more specific facility-based assessment. Other hospital participants in HCWC were Adventist Medical Center, Kaiser Sunnyside Hospital, Kaiser Westside Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek Medical Center, OHSU, PeaceHealth Southwest Medical Center, Providence Portland Medical Center, Providence St. Vincent Medical Center, Providence Willamette Falls Medical Center, Tuality Community Hospital
Group A-Facility 3 -- Providence Milwaukie Hospital Part V, Section B, line 6b: HealthShare of Oregon, Family Care Health Plans, Clackamas County Public Health Division, Clark County Public Health, Multnomah County Health Department, Washington County Public Health Division.
Group A-Facility 3 -- Providence Milwaukie Hospital Part V, Section B, line 11: PMH is working both internally and with community partners to address the significant needs identified. The key identified needs listed in the facility's CHNA were grouped into four major categories to take advantage of Providence's regional assets in Oregon: Access to Preventive and Primary Care, Mental Health and Substance Use, Chronic Conditions, and Oral Health. These categories include basic needs, such as food security, stable housing, and transportation. The key strategies for addressing these health needs are available online with the CHNA at http://oregon.providence.org/about-us/. Some specific examples of activities taken in 2014 include continued partnership and co-location of Neighborhood Health Center for primary care, chronic conditions management, and oral health services, as well as planning for a Community Teaching Kitchen and rolling out a Screen-and-Intervene protocol in the Family Medicine and residency clinic in partnership with the Oregon Food Bank to identify children and families at-risk for food insecurity and connect them to a navigator and appropriate resources. Providence Medical Group began rolling out a Persistent Pain curriculum across the Oregon region, training providers, patients, and community members about persistent pain and how to better engage in its treatment beyond opiate prescription. Across the Portland Metropolitan area, Providence provided funding for Central City Concern, Partners for a Hunger-Free Oregon summer meal sites as well as funding for regional planning to expand their programs, continued our partnership with Medical Teams International to provide mobile dental services for the remaining uninsured, and continued partnering with Project Access NOW on several programs, including their core services (care for the remaining uninsured and connection with volunteer physicians and/or specialists) as well as the Premium Assistance Program to support individuals with co-occurring chronic conditions who are not eligible for the Oregon Health Plan to purchase a silver-level plan in the Marketplace. Portland area executives were deeply engaged with the CMMI Health Commons grants as well as with the HealthShare of Oregon Board and subcommittees.
Group A-Facility 3 -- Providence Milwaukie Hospital Part V, Section B, line 16i: The FAP signage and information are included on billing statements.
Group A-Facility 3 -- Providence Milwaukie Hospital Part V, Section B, line 22d: The hospitals used the average of the largest negotiated commercial insurance rate.
Group A-Facility 3 -- Providence Milwaukie Hospital Part V, Section B, line 24: If the services were not medically necessary or were not covered under the financial assistance policy, they were billed at the gross charge.
Group A-Facility 4 -- Providence Hood River Mem. Hospital Part V, Section B, line 5: Key stakeholder interviews with community leaders and focus groups with specific populations of concern (<200% FPL, MSFW, LEP, elderly/disabled). Stakeholder interviews and focus groups were conducted as part of the Columbia Gorge Regional Community Health Assessment; Cascade Orthopedics, Columbia Gorge Family Medicine, Columbia River Women's Center, Deschutes Rim Clinic, Hood River County, Mid-Columbia Center for Living, North Central Public Health District, NORCOR, One Community Health, OHSU, FISH Food Bank, Hood River Fire and EMS, Kickitat County, Warming Shelter, Mid-Columbia Council of Governments, Meals on Wheels, Sherman County, Wasco County
Group A-Facility 4 -- Providence Hood River Mem. Hospital Part V, Section B, line 6a: Providence Hood River participated in the Columbia Gorge Regional Health Assessment as well as producing its own. Other hospital participants included Klickitat Valley Hospital, Skyline Hospital, and Mid-Columbia Medical Center
Group A-Facility 4 -- Providence Hood River Mem. Hospital Part V, Section B, line 6b: Columbia Gorge Health Council, Hood River County Health Department, Klickitat Valley Health, Klickitat Valley Health Department, Mic-Columbia Center for Living, North Central Public Health District, One Community Health, PacificSource Community Solutions.
Group A-Facility 4 -- Providence Hood River Mem. Hospital Part V, Section B, line 11: PHRMH is working both internally and with community partners to address the significant needs identified. The key identified needs listed in the facility's CHNA were grouped into four major categories to take advantage of Providence's regional assets in Oregon: Access to Preventive and Primary Care, Mental Health and Substance Use, Chronic Conditions, and Oral Health. These categories include basic needs, such as food security, stable housing, and transportation. The key strategies for addressing these health needs in Hood River are available online with the CHNA at http://oregon.providence.org/about-us/. Some specific examples of activities taken in 2014 include funding a community-based Collective Impact Health Specialist, who has been funded through Providence to serve as a grant-writer for the community at-large for project that address needs identified in the Regional Health Needs Assessment. Additionally, Providence has been deeply engaged with local social service agencies, the Columbia Gorge Health Council, and the Coordinated Care Organization in the area, PacificSource Community Solutions. Providence Medical Group began rolling out a Persistent Pain curriculum across the Oregon region, training providers, patients, and community members about persistent pain and how to better engage in its treatment beyond opiate prescription.
Group A-Facility 4 -- Providence Hood River Mem. Hospital Part V, Section B, line 16i: The FAP signage and information are included on billing statements.
Group A-Facility 4 -- Providence Hood River Mem. Hospital Part V, Section B, line 22d: The hospitals used the average of the largest negotiated commercial insurance rate.
Group A-Facility 4 -- Providence Hood River Mem. Hospital Part V, Section B, line 24: If the services were not medically necessary or were not covered under the financial assistance policy, they were billed at the gross charge.
Group A-Facility 5 -- Providence Seaside Hospital Part V, Section B, line 5: Key stakeholder interviews with community leaders and focus groups with specific populations of concern (<200% FPL, MSFW, LEP, elderly/disabled). List of organizations represented in interviews: City of Seaside, Clatsop Community Action, Coastal Health Center, Clatsop Behavioral Health, Lower Columbia Hispanic Council, Clatsop County Public Health, Clatsop Care Center, Sunset Empire Transportation District, Seaside School District, Neawanna by the Sea, Clatsop County Sheriff, Our Lady of Victory Church, NW Senior and Disability Services, Clatsop County Commissioner, Providence Medical Group, Union Health District, Restoration House
Group A-Facility 5 -- Providence Seaside Hospital Part V, Section B, line 6a: Providence Milwaukie Hospital, Providence Portland Medical Center, Providence St. Vincent Medical Center, Providence Willamette Falls Medical Center, Providence Hood River Memorial Hospital, Providence Medford Medical Center, and Providence Newberg Medical Center.
Group A-Facility 5 -- Providence Seaside Hospital Part V, Section B, line 11: PSH is working both internally and with community partners to address the significant needs identified. The key identified needs listed in the facility's CHNA were grouped into four major categories to take advantage of Providence's regional assets in Oregon: Access to Preventive and Primary Care, Mental Health and Substance Use, Chronic Conditions, and Oral Health. These categories include basic needs, such as food security, stable housing, and transportation. The key strategies for addressing these health needs are available online with the CHNA at http://oregon.providence.org/about-us/. Some specific examples of activities taken in 2014 include in-kind staff time to lead and convene a community-based gap analysis for mental health services, resulting in a local Crisis Respite Center for which Providence provided direct operational funding through Greater Oregon Behavioral Health, Inc. PSH also applied for and received a planning award from the Oregon Community Foundation for community-based planning to expand access to oral health services in partnership with the school-based health center. Additionally, PSH provided support to the Clatsop Community College Foundation to continue local nursing education programs. Medical Teams International dental van continues to provide mobile dental services to the community through Providence, and PSH executives were extensively engaged with Columbia Pacific CCO. Partnerships were deepened with Clatsop Community Action and Helping Hands Re-Entry through programs funded in 2013 with plans to review opportunities for partnership in 2015 upon completion of current funding. These programs specifically address food security through the Regional Food Bank as well as rent and utility assistance, temporary housing, addiction recovery programs, insurance enrollment, and job support as appropriate. Providence Medical Group began rolling out a Persistent Pain curriculum across the Oregon region, training providers, patients, and community members about persistent pain and how to better engage in its treatment beyond opiate prescription.
Group A-Facility 5 -- Providence Seaside Hospital Part V, Section B, line 16i: The FAP signage and information are included on billing statements.
Group A-Facility 5 -- Providence Seaside Hospital Part V, Section B, line 22d: The hospitals used the average of the largest negotiated commercial insurance rate.
Group A-Facility 5 -- Providence Seaside Hospital Part V, Section B, line 24: If the services were not medically necessary or were not covered under the financial assistance policy, they were billed at the gross charge.
Group A-Facility 6 -- Providence Newberg Medical Center Part V, Section B, line 5: Key stakeholder interviews with community leaders and focus groups with specific populations of concern (<200% FPL, MSFW, LEP, elderly/disabled). List of organizations represented in interviews: A-Dec, City of Dundee, City of Newberg, City of Yamhill, George Fox University, Faith in Action, Love In the Name of Christ, Newberg Public Schools, Newberg Fire Department, St. Peter Catholic Church, Yamhill County Health & Human Services
Group A-Facility 6 -- Providence Newberg Medical Center Part V, Section B, line 6a: Providence Milwaukie Hospital, Providence Portland Medical Center, Providence St. Vincent Medical Center, Providence Willamette Falls Medical Center, Providence Hood River Memorial Hospital, Providence Medford Medical Center, and Providence Seaside Hospital.
Group A-Facility 6 -- Providence Newberg Medical Center Part V, Section B, line 11: PNMC is working both internally and with community partners to address the significant needs identified. The key identified needs listed in the facility's CHNA were grouped into four major categories to take advantage of Providence's regional assets in Oregon: Access to Preventive and Primary Care, Mental Health and Substance Use, Chronic Conditions, and Oral Health. These categories include basic needs, such as food security, stable housing, and transportation. The key strategies for addressing these health needs are available online with the CHNA at http://oregon.providence.org/about-us/. Some specific examples of activities taken in 2014 include contracting with local staff to begin a local parish-based Community Health program (Las promotores de salud de la iglesia), partnering with Virginia Garcia Memorial Health Center to open a new clinic in Yamhill County, in-kind staff time to provide convening and planning for oral and behavioral health services, and extensive executive engagement with the Yamhill Community Care Organization. Faith in Action (now Community Connections) is a program embedded in the Operations of PNMC that provides transportation, social interaction, group exercise, and caregiver respite for families and care givers with a focus on low-income individuals and families. Providence Medical Group began rolling out a Persistent Pain curriculum across the Oregon region, training providers, patients, and community members about persistent pain and how to better engage in its treatment beyond opiate prescription.
Group A-Facility 6 -- Providence Newberg Medical Center Part V, Section B, line 16i: The FAP signage and information are included on billing statements.
Group A-Facility 6 -- Providence Newberg Medical Center Part V, Section B, line 22d: The hospitals used the average of the largest negotiated commercial insurance rate.
Group A-Facility 6 -- Providence Newberg Medical Center Part V, Section B, line 24: If the services were not medically necessary or were not covered under the financial assistance policy, they were billed at the gross charge.
Group A-Facility 7 -- Providence Medford Medical Center Part V, Section B, line 5: Key stakeholder interviews with community leaders and focus groups with specific populations of concern (<200% FPL, MSFW, LEP, elderly/disabled).
Group A-Facility 7 -- Providence Medford Medical Center Part V, Section B, line 6a: Providence Milwaukie Hospital, Providence Portland Medical Center, Providence St. Vincent Medical Center, Providence Willamette Falls Medical Center, Providence Hood River Memorial Hospital, Providence Newberg Medical Center, and Providence Seaside Hospital.
Group A-Facility 7 -- Providence Medford Medical Center Part V, Section B, line 11: PMMC is working both internally and with community partners to address the significant needs identified. The key identified needs listed in the facility's CHNA were grouped into four major categories to take advantage of Providence's regional assets in Oregon: Access to Preventive and Primary Care, Mental Health and Substance Use, Chronic Conditions, and Oral Health. These categories include basic needs, such as food security, stable housing, and transportation. The key strategies for addressing these health needs in Medford are available online with the CHNA at http://oregon.providence.org/about-us/. Some specific examples of activities taken in 2014 include executive engagement in two of the local Coordinated Care Organizations (Jackson Care Connect and AllCare Health), continued funding to OnTrack to reach out to Latina youth for art and enrichment programs to reduce suicidal ideation and completion, as well as partnering with Addictions Recovery Center, Compass House, Inc, and La Clinica to provide access to programs and services for those suffering from substance use disorders, mental/behavioral health challenges, and lacking basic primary care. Providence also supported the local St. Vincent de Paul chapter to bring mobile dental vans to the community in partnership with Medical Teams International, in addition to the days already funded directly by Providence in the area. Providence Medical Group began rolling out a Persistent Pain curriculum across the Oregon region, training providers, patients, and community members about persistent pain and how to better engage in its treatment beyond opiate prescription.
Group A-Facility 7 -- Providence Medford Medical Center Part V, Section B, line 16i: The FAP signage and information are included on billing statements.
Group A-Facility 7 -- Providence Medford Medical Center Part V, Section B, line 22d: The hospitals used the average of the largest negotiated commercial insurance rate.
Group A-Facility 7 -- Providence Medford Medical Center Part V, Section B, line 24: If the services were not medically necessary or were not covered under the financial assistance policy, they were billed at the gross charge.
Group A-Facility 8 -- Providence Willamette Falls Med. Ctr. Part V, Section B, line 5: Community listening sessions and local community health system assessment conducted as part of the Healthy Columbia Willamette Collaborative (HCWC). Included input from school districts, mental health providers, social service agencies, culturally-specific organizations, medical providers, social workers, public health officials, and others. A full list of those represented is available on the HCWC website.
Group A-Facility 8 -- Providence Willamette Falls Med. Ctr. Part V, Section B, line 6a: Providence Willamette Falls Medical Center participated in HCWC as well as a more specific facility-based assessment. Other hospital participants in HCWC were Adventist Medical Center, Kaiser Sunnyside Hospital, Kaiser Westside Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek Medical Center, OHSU, PeaceHealth Southwest Medical Center, Providence Milwaukie Hospital, Providence Portland Medical Center, Providence St. Vincent Medical Center, Tuality Community Hospital
Group A-Facility 8 -- Providence Willamette Falls Med. Ctr. Part V, Section B, line 6b: HealthShare of Oregon, Family Care Health Plans, Clackamas County Public Health Division, Clark County Public Health, Multnomah County Health Department, Washington County Public Health Division.
Group A-Facility 8 -- Providence Willamette Falls Med. Ctr. Part V, Section B, line 11: Providence Willamette Falls is working both internally and with community partners to address the significant needs identified. The key identified needs listed in the facility's CHNA were grouped into four major categories to take advantage of Providence's regional assets in Oregon: Access to Preventive and Primary Care, Mental Health and Substance Use, Chronic Conditions, and Oral Health. These categories include basic needs, such as food security, stable housing, and transportation. The key strategies for addressing these health needs are available online with the CHNA at http://oregon.providence.org/about-us/. Some specific examples of activities taken in 2014 include continued partnership with The Canby Center to provide additional mobile dental services. Providence Medical Group began rolling out a Persistent Pain curriculum across the Oregon region, training providers, patients, and community members about persistent pain and how to better engage in its treatment beyond opiate prescription. Across the Portland Metropolitan area, Providence provided funding for Central City Concern, Partners for a Hunger-Free Oregon summer meal sites as well as funding for regional planning to expand their programs, continued our partnership with Medical Teams International to provide mobile dental services for the remaining uninsured, and continued partnering with Project Access NOW on several programs, including their core services (care for the remaining uninsured and connection with volunteer physicians and/or specialists) as well as the Premium Assistance Program to support individuals with co-occurring chronic conditions who are not eligible for the Oregon Health Plan to purchase a silver-level plan in the Marketplace. Portland area executives were deeply engaged with the CMMI Health Commons grants as well as with the HealthShare of Oregon Board and subcommittees.
Group A-Facility 8 -- Providence Willamette Falls Med. Ctr. Part V, Section B, line 16i: The FAP signage and information are included on billing statements.
Group A-Facility 8 -- Providence Willamette Falls Med. Ctr. Part V, Section B, line 22d: The hospitals used the average of the largest negotiated commercial insurance rate.
Group A-Facility 8 -- Providence Willamette Falls Med. Ctr. Part V, Section B, line 24: If the services were not medically necessary or were not covered under the financial assistance policy, they were billed at the gross charge.
Providence Health & Services - Oregon Part V, Section B, line 16a website: www2.providence.org/obp/docs/or-charity-care-policy.pdf
Providence Health & Services - Oregon Part V, Section B, line 16b website: oregon.providence.org/about-us/financial-services/
Providence Health & Services - Oregon Part V, Section B, line 16c website: oregon.providence.org/about-us/financial-services/
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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?25
Name and address Type of Facility (describe)
1 Prov Portland Med Ctr Dialysis Unit
4805 NE Glisan St
Portland,OR97213
ESRD-End Stage Renal Disease
2 Providence St Vincent Kidney Dialysis
9450 SW Barnes Rd Suite 125
Portland,OR97225
ESRD-End Stage Renal Disease
3 PHRMH Ray Yasui Dialysis Center
1125 May Avenue
Hood River,OR97031
ESRD-End Stage Renal Disease
4 Providence Home Health
6410 NE Halsey Suite 200
Portland,OR97213
Home Health Agency
5 Prov Benedictine Nursing Center HHA
570 S Main St
Mt Angel,OR97362
Home Health Agency
6 Providence Home Care
2033 Commerce Drive
Medford,OR97504
Home Health Agency
7 Providence Hospice
6410 NE Halsey Suite 300
Portland,OR97213
Hospice
8 Providence Medford Hospice
2033 Commerce Drive
Medford,OR97504
Hospice
9 Surgery Center at Tanasbourne
18650 NW Cornell Rd Suite 110
Hillsboro,OR97124
Ambulatory Surgery Center
10 Center for Specialty Surgery
11782 SW Barnes Rd 200 Bldg C
Portland,OR97225
Ambulatory Surgery Center
11 Oregon Outpatient Surgery
7300 SW Childs Rd
Tigard,OR97224
Ambulatory Surgery Center
12 Providence Child Center
860 NE 47th Ave
Portland,OR97213
Nursing Facility
13 Providence Benedictine Nursing Center
540 S Main St
Mt Angel,OR97362
Nursing Facility
14 Providence Seaside Hospital
725 S Wahanna Rd
Seaside,OR97138
Nursing Facility
15 Providence Benedictine Orchard House
550 S Main St
Mt Angel,OR97362
Assisted Living Facility
16 Providence Brookside Manor
1550 Brookside Dr
Hood River,OR97031
Assisted Living Facility
17 Prov Elderplace in Irvington Village
420 NE Mason
Portland,OR97211
Assisted Living Facility
18 Providence Elderplace in Glendover
13007 NE Glisan St
Portland,OR97230
Residential Care Facility
19 Providence Elderplace in Cully
5119 NE 57th Ave
Portland,OR97218
Residential Care Facility
20 Providence Brookside Memory Care
1550 Brookside Dr
Hood River,OR97031
Residential Care Facility
21 Providence Willamette Falls Hospice
1505 Division Street
Oregon City,OR97045
Hospice Services
22 Providence WF - Canby Place
200 S Hazel Dell Way
Canby,OR97013
Urgent Care & Diagnostic Imaging
23 Providence WF Med Grp-OR City
1510 Division Street
Oregon City,OR97045
Primary Care Spine Center/General Surgery
24 Providence WF MedGrp-Sunnyside
9775 SE Sunnyside Road
Clackamas,OR97015
Primary Care & Occupational Health
25 Proviodence WF Med Group - West Linn
18676 Willamette Dr Suite 100
West Linn,OR97068
Primary Care
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 I, Line 3c: The PH&S sliding fee scale will be used to determine the amount to be written off as charity care for guarantors with income between 201% and 400% of the current federal poverty level after all funding possibilities available to the guarantor have been exhausted or denied and personal financial resources and assets have been reviewed for possible funding to pay for billing charges.
Part I, Line 6a: In addition to the PH&S - Oregon Community Benefit Report, the information is also included in the Providence Health & Services Health System Community Benefit Report.
Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 23,109,062.
Part II, Community Building Activities: COMMUNITY BUILDING ACTIVITIES:Basic needs including food security and housing:Providence recognizes that the social determinant of health needs includes adequate housing, food, transportation, utilities and primary education. These deficits fall disproportionately on low-income and multicultural populations and therefore Providence has aligned its community building and diversity programs to intersect with and advise our community benefit giving. In many cases, programs supporting housing, food, and transportation are reported as Community Health Improvement Services as they were specifically identified in the Community Health Needs Assessment.Oregon ranks third in homelessness per capita according to the U.S. Department of Housing and Urban Development. Lack of adequate housing contributes to poor health; therefore, Providence supports a number of not-for-profit community organizations that help homeless people or work to prevent homelessness. Providence is the only health system asked to participate on the 10 Year Plan Homelessness Reset Committee. In addition, we partner with organizations in multiple Oregon communities that provide or support low-income housing. Some important partners include: Central City Concern, St. Vincent De Paul, Catholic Charities, Transition Projects Incorporated, the Good Neighbor Center, Neighborhood Partnership Fund, Portland Rescue Mission, Share Outreach Vancouver and West Women's Shelter.Providence has been a leader in recognizing the significant impact of hunger on the health and well-being of all residents in the state. Oregon ranks as one of the five "hungriest states," with nearly 65% of eligible children qualifying for free or reduced lunches. Providence works with the Oregon Food Bank, Partners for a Hunger-Free Oregon, The Children's Nutrition Network, The Governor's Task Force to End Hunger and Farmer's Ending Hunger, Oregon childhood hunger task force, as well as numerous food pantries in communities we serve. Economic Development:Economic development has an important impact on available housing and services for the underserved. An economically depressed area cannot easily support and care for the vulnerable. Providence looks for partnerships with like-minded organizations that will encourage a stable and strong economy. We participate in local and state organizations in each of our ministries, as well as provide executive leadership to city, county and state boards. Support for Healthy Lives and Healthy Communities:It is critical that such needs as after school programs, neighborhood support groups and violence prevention be identified and addressed in communities. We have involved public and private partners such as Self-Enhancement, Inc. as well as the Portland Trailblazers and The Portland Timbers in collaborative health initiatives. In addition, we have many not-for-profit community partners with whom we work and support financially to reach populations who need these types of services. Leadership Development and Training for Community Members and Youth:In this area, Providence has put a strong focus on diverse and low-income communities. For example, for some years we have provided scholarships for youth in multicultural and diverse populations, including Asian, African-American and Hispanic communities. Community partners include: Self Enhancement Incorporated, Hood River School District, De La Salle North School and Rosemary Anderson High School. Building Health Equity and Collaboration: Providence has long known that, while we can do a great deal to help our communities, we often can get the best results in meeting health needs, and those basic needs that contribute to or affect health, by aligning with other organizations that have an established presence and expertise. Throughout our history, we have sought like-minded partners with a mission to care for the vulnerable in the communities we serve. During 2014, we continued our financial support to an array of diverse organizations that are intent on building collaborative programs that will meet community health and build health equity. These include: Oregon Public Health Institute, Oregon Health Equity Alliance, Impact NW, Familias en Accion, the African-American Health Coalition, Asian Muslims in Need, Catholic Charities, Jefferson Regional Health Alliance, Asian Health and Service Center, La Clinica del Carinho, United Way of Jackson County and many more. Community Health Improvement Advocacy:In keeping with our strong commitment to social justice, Providence is an advocate for those among us who do not have a voice in policy development and community decision making. During 2014, we worked with Upstream Public Health, Oregon Public Health Institute, El Program Hispano, Ecumenical Ministries of Oregon, Northwest Health Foundation, Oregon Primary Care Association, NAMI, Office of Health Equity, Children First for Oregon, and Ride Connection, among others, to ensure that the needs of those we serve have been articulated to policy makers. We actively supported initiatives to improve provider cultural competence in care giving with required continuing education courses. We have a responsibility to care for people who come to us for services and also to seek out the unmet needs of people who lack basic essentials every day. As a not-for-profit health care system, Providence Health & Services reinvests its income into the communities we serve. We partner with local organizations to help improve health and quality of life for those who are poor, marginalized and vulnerable. To ensure that we use our resources responsibly - where they can help those most in need - we attempt to match our giving to areas of greatest need, as identified in our Oregon Community Health Needs Assessment. We invite you to review how we're working with our community partners to ease some of these greatest needs per our 2014 Oregon Region Community Benefit report, available online at http://oregon.providence.org/about-us/community-benefit-report/.Workforce Development:Providence provided financial support to the De La Salle North Catholic High School, Albertina Kerr, De Paul Industries, University of Portland, Portland State University, Clatsop Community College, Hood River County Health Department, the Oregon Center for Nursing, POIC and a workforce development initiative in Oregon City, all of which are working to enhance communitywide workforce issues in various parts of Oregon.
Part III, Line 2: Bad debt expense represents the amount of gross charges for patients who do not have insurance and which Providence was unable to qualify for assistance under either government programs or our internal charity care policy.
Part III, Line 4: The Health System provides for an allowance against patient accounts receivable for amounts that could become uncollectible. The Health System estimates this allowance based on the aging of accounts receivable, historical collection experience by payor, and other relevant factors. There are various factors that can impact the collection trends, such as changes in the economy, which in turn have an impact on unemployment rates and the number of uninsured and underinsured patients, the increased burden of copayments to be made by patients with insurance coverage and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the estimation process used by the Health System. The provision for bad debts in 2014 has decreased from 2013 as a result of the expansion of Medicaid programs and initiatives to assist patients in their Medicaid enrollment. The Health System records a provision for bad debts in the period of services on the basis of past experience, which has historically indicated that many patients are unresponsive or are otherwise unwilling to pay the portion of their bill for which they are financially responsible.
Part III, Line 8: It is Providence's policy to exclude any Medicare shortfall from Community Benefit information.The amount reported on Part III, Section B, line 6, was determined by applying the Cost-to-Charge Ratio to the Medicare revenue.
Part III, Line 9b: Billing and Collection Practices1. Providence makes all reasonable attempts to confirm that patients are not eligible for assistance programs prior to collection agency assignment. 2. Providence activity prior to transferring an account - Prior to transfer to a collection agency, Providence will send a minimum of 3 statements and make two phone attempts to the patient at the address and phone number provided by the patient. Statements and communications will inform the patient of their financial responsibility and of Financial Assistance. 3. In cases where a voluntary trust deed has secured a Providence debt, Providence does not execute a lien that forces the sale, vacancy or foreclosure of an assistance patient's primary residence to pay for outstanding medical bills.
Part VI, Line 2: NEEDS ASSESSMENT:We recognize that caring for the poor and vulnerable is not a task we can do on our own. On a routine basis we conduct a formal community assessment to determine who in our communities is experiencing the greatest need. This outreach connects us to many not-for-profits and social service agencies as well as care providers and their clients in the communities. To ensure that we conduct a comprehensive assessment, our process includes research, meetings, interviews, focus groups and surveys.Additionally, Providence ministries have community and foundation boards. The civic leaders that serve on Providence Boards connect our Mission with a local perspective on community needs.Our assessment findings are assembled to make certain we understand and respond to local and regional needs, which often vary from one city or county to another. Identified areas of need not only guide our community benefit giving, but also guide our strategic planning. We believe meaningful community needs assessment provides insight into the complete community benefit that is required, beyond just free and discounted care.
Part VI, Line 3: COMMUNICATION TO THE PUBLIC:Providence hospitals post notices regarding the availability of financial assistance to low-income uninsured patients. These notices are posted in visible locations throughout the hospital such as admitting/registration, billing office, emergency department and other outpatient settings.Every posted notice regarding financial assistance policies contains brief instructions on how to apply for financial assistance or a discounted payment. The notices also include a contact telephone number that a patient or family member can call to obtain more information.Providence ensures that appropriate staff members are knowledgeable about the existence of the hospital's financial assistance policies. Training is provided to staff members (i.e., billing office, financial department, etc.) who directly interact with patients regarding their hospital bills.When communicating to patients regarding their financial assistance policies, Providence attempts to do so in the primary language of the patient, or his/her family, if reasonably possible, and in a manner consistent with all applicable federal and state laws and regulations.Providence shares their financial assistance policies with appropriate community health and human services agencies and other organizations that assist such patients.
Part VI, Line 4: COMMUNITY INFORMATION: this information is from Providence's 2013 Community Health Needs Assessment. The next CHNA will be conducted and completed in 2016.Hospital locations include four within the Portland metropolitan area as well as four others across the state, providing services for over 1.5 million people in 2013:Portland Service Area (PSA):o Providence Milwaukie Hospitalo Providence Portland Medical Centero Providence St. Vincent Medical Centero Providence Willamette Falls Medical CenterNon-Portland Service Areas:o Providence Hood River Memorial Hospital (PHRMH, Gorge Service Area)o Providence Medford Medical Center (PMMC, Southern Oregon Service Area)o Providence Newberg Medical Center (PNMC, Yamhill Service Area)o Providence Seaside Hospital (PSH, North Coast Service Area)Providence Medford and Providence Newberg are both accredited "baby-friendly" hospitals, with the remaining six seeking accreditation by 2015.The state population is approaching 4,000,000 and is seeing growth in populations of all ethnicities and races. As a whole, nearly half of the state (44.9%) lives at or below 250% FPL by 2012 guidelines, though there are concentrated pockets of higher saturation.Life expectancy is increasing and Oregon as a state is therefore aging, while concurrently becoming more diverse. Oregon has one of the highest percentages of uninsured persons in the country, and this varies drastically by county. Oregon is a predominantly White state, with slightly over 88% identifying as "White only" in 2012. Only 2% identify as Black or African American (compared with 13.1% nationally), 12.2% as Hispanic or Latino, and 1.8% as American Indian or Alaskan Native.The Office of Equity and Inclusion notes that Oregon is home to 174,000 migrant and seasonal workers, many of whom have lesser income than non-migrant counterparts and reduced access to social services and healthcare.Oregon's overall measures of health have decreased since 2011 according to both America's Health Rankings (then ranked at #8) as well as the Gallup-Healthways Well-Being Index. Due to different approaches and methodology, AHR now ranks the State of Oregon as #13 in the country, whereas Gallup-Healthways ranks Oregon at #24. Oregon's strongest measures are in healthy behaviors, low prevalence of low birth-weight babies and teen birth rate. It also has a low infant mortality rate, low prevalence of sedentary lifestyle, a comparatively low rate of preventable hospitalizations, and the highest percentage of social support in the nation and rate of breastfeeding initiation. Some key challenges for the state as a whole include the high rate of uninsured (20% of the population), low per capita public health funding, low immunization rates, and one of the highest suicide rates in the country.In the past 10 years, the rate of preventable hospitalizations has decreased 20%, from 53.6 discharges per 1,000 Medicare enrollees to just under 43, which is a reflection of increased efficiency in how the population uses various healthcare delivery options to access care.Oregon has one of the highest rates of food insecurity, with 29% of households with children having experienced food insecurity in the past year (compared with the national average of 20.2%). As mentioned above, suicide rates are 36% higher in the state of Oregon than the national average. The Oregon Health Authority found that behavioral patterns relate directly to 40% of premature deaths in the state. Although injury, which includes intentional self-injury leading to death, is ranked third in Cause of Death data, it is the leading contributor to Years of Potential Life Lost (YPLL) in the state. With regard to oral health, Oregon is ranked #48 nationally for access to fluoridated water supplies.Oregon is a relatively poor state, with a Gross Domestic Product of $44,447 per capita in 2012.It is the 26th ranked state in terms of GSP in contribution to the national GDP, contributing approximately 1.16%. The national average of GDP per capita is $51,144.Recent studies have found that poverty itself may lead to poorer cognitive abilities, and that those with the co-occurring condition of poverty are more likely to suffer from high blood pressure, high cholesterol, or elevated rates of obesity and diabetes. Not only are these issues due to high levels of stress, but also through limited access to nutritious food, a higher likelihood to smoke, and poorer living environments.Oregon has slightly lower than average unemployment rates and lower per capita income compared to national averages. The median household income for 2012 was lower than the national average at $45,758 (national average of $51,371) and Oregon had a property rental rate of approximately 34 percent (56% owner-occupied, 9% vacant). Oregon has one of the lowest expenditures on public health per capita in the nation, yet generally achieves median health outcomes.The Federal Poverty Level (FPL) was assessed as measure of relative poverty. Each year, the United States updates their poverty guidelines to reflect 100% of the Federal Poverty Level based upon the number of persons in a household. Household income can then be assessed as a percentage of the Federal Poverty Level, and is frequently used to determine eligibility for social service programs. African-American women are 10% more likely to deliver a low birth-weight baby than other mothers and have a 50% higher infant mortality rate than their White counterparts in the state of Oregon. African-Americans have double the rate of teenage pregnancy (34.1) compared to White mothers, as well as reporting the highest rates of unintended pregnancies.Hispanic/Latino mothers report the highest teenage pregnancy rates in the state, with 53.7 pregnancies per thousand women aged 15-19. In 2010, The Oregon Health Authority partnered with OMEP and other agencies to produce the State of Equity report. The committee found ethnic disparities in 20 out of 31 identified Key Performance Measures and noted a startlingly consistent pattern of disparity despite varied methods of collection and data sources.Although the low prevalence of sedentary lifestyle is a strength for the state, there are substantial ethnic disparities in the measure. For example, Hispanics are more likely to report being sedentary (21.3%) than their non-Hispanic white counterparts at 17.3%. African Americans are significantly more likely than Whites to die from heart disease, stroke, diabetes, and cancer. In 2010, cancer was reported as the overall leading cause of death in the state. Of those diagnosed, 55% of invasive cancers were diagnosed in persons over age 65 (an age-group that makes up 14% of the population) and Hispanics were less likely than non-Hispanics to have cancer (352.1 compared to 439.5 per 100,000 population).America's Health Rankings note that seniors with less than a high school degree have a lower prevalence of social support and are less likely to rate their own health as "very good or excellent" relative to individuals in the same age cohort who received a college degree. The Office of Equity and Inclusion notes that the 174,000 migrant or seasonal workers in the state experience higher rates of diabetes, hypertension, cardiovascular disease, and cancer than their non-migrant counterparts.The Annie E. Casey Foundation and their KIDS COUNT Data Project has collected data on children for the past several years, and in Oregon have partnered with Children First for Oregon. They rank Oregon #17 of the 50 states for Child Health (an improvement from #20 in 2012), but only 32 in overall rank (including #41 in Economic Well-Being). Their findings indicate that since 2008, childhood poverty has been consistently increasing at the county level, as has childhood abuse and neglect. The highest rates reported in 2011 were in Wheeler and Gilliam counties. Oregon has a rate that is 5% higher than the national average of children in households who spend more than 30% of their income on housing and a low rate of 3-6 year olds enrolled in preschool. Nearly 70% of Hispanic children lived in households that were under 200% of the Federal Poverty Level in 2011, compared to 40% of non-Hispanic Whites. However, Oregon also has some key strengths: a lower-than-average percentage of low birth weight babies and a consistently lower teenage birth rate.The Oregon Department of Human Services published the Child Welfare Data Book in 2012. In it, they recognize that only half of all reports to Child Protective Services were investigated and that over 55% of children who entered foster care had four or more reasons for being removed from their home. These reasons include physical abuse, parent or child drug or alcohol abuse, inadequate housing, child's disability or behavior or sexual abuse.
Part VI, Line 5: FURTHERANCE OF EXEMPT PURPOSE:As a not-for-profit Catholic health care ministry, Providence Health & Services embraces its responsibility to provide for the needs of the communities it serves - especially the poor and vulnerable. Providence's not-for-profit, tax-exempt status enables Providence to serve its communities, to solicit donations through its foundations and to access capital to respond to community needs that otherwise would go unmet. Health care is fundamentally different from most other goods and services. It is about the most human and intimate needs of people, their families and communities. This critical difference is why we should work together to preserve and strengthen the not-for-profit sector in health care.In each of the communities where we serve, our ministries are actively involved with public, private and other health systems in working towards better health outcomes for the entire community. Examples of this include: participation by all Portland area hospitals in two coordinated care organizations, and all four county health departments in a single collaborative community health needs assessment through the Healthy Columbia Willamette Collaborative, as well as joint community initiatives regarding opiate misuse reduction and access to breast milk.In addition, with working as a founder and ongoing partner of Portland Project Access NOW, Providence facilities represent four of fourteen participating hospitals and 3,300 providers who agree to provide needed medical care to Oregon community members with low incomes and with urgent needs. Providence's participation and support helps to ensure that this is achievable. In the Gorge, Providence is actively engaged in the Columbia Gorge Health Council, as well as the Regional Health Needs Assessment and Health Improvement Plan. This collaboration includes other hospitals, federally-qualified health centers, social service agencies, and county health departments. In addition, we still are home to the county's community health collaborative, MOCHA, which brings together the hospital, the schools, the growers, the public health department, community health center and private providers to identify and work on community health needs in a collaborative manner.
Part VI, Line 6: AFFILIATED HEALTH CARE SYSTEM:The Health System owns or operates 34 general acute care hospitals, three ambulatory care centers, six medical groups, six long term care facilities, seven homecare and hospice entities, five assisted living facilities, a high school, a university, 13 low income housing projects, the Health Plan, a health services contractor, two programs of all inclusive care for the elderly, and 23 controlled fundraising foundations.The Health System provides inpatient, outpatient, primary care, and home care services in Alaska, Washington, Montana, Oregon, and Southern California. The Health System operates these businesses primarily in the greater metropolitan areas of Anchorage, Alaska; Seattle, Spokane, Kennewick, and Olympia, Washington; Missoula, Montana; Portland and Medford, Oregon; and Los Angeles, CaliforniaThe charitable purpose of Providence Health & Services and each of its ministries is guided by one Mission and set of core values based on Catholic health care and guided by the legacy of the Sisters of Providence. As one system committed to caring for the poor and vulnerable, Providence Health & Services has developed a single framework for consistently reporting charity care and community benefit. Our responsibility to stewardship drives us to a standardized approach to supply chain so that we can deliver excellent patient care while reducing the cost of delivered supplies. Our commitment to respect and fairness means Providence has a system-wide compensation policy. Locally, Providence ministries are empowered to apply these policies to meet the local needs of their community. Additionally, Providence ministries conduct local assessments to make sure the needs of the community are met. As an integrated health system, Providence Health & Services - Oregon Region and Providence Health Plans (based in Oregon) provide extensive services that support and promote the health needs of the communities we serve. In 2014, Providence Oregon provided more than $378 million in community benefits and charity care services including: free and reduced-cost medical care; health services for underserved populations; Oregon Health Plan (Medicaid) and government sponsored medical care; medical education and research; and community health grants and donations. These contributions and benefits to our Oregon communities are shared between our eight hospitals, our clinical programs and Providence Medical Group, and the Providence Health Plan. Throughout our more than 155-year-history, Providence has responded to community need, with special emphasis on helping the most vulnerable. In 2014, Providence in Oregon provided nearly $16 million in direct grants and subsidized services in the communities we serve. Thousands of adults and children received help and support through these grants, donations and community outreach. Our areas of focus include primary care and new models of team-based care delivery for uninsured, low-income and culturally diverse populations, as well as access to behavioral health care for underserved populations. Additional priorities, as identified in our 2013 CHNA, include access to oral health services and chronic conditions prevention and management. We also help provide palliative care and safety net health care services for underserved populations.Providence in Oregon collaborates with community partners to help manage the cost of health care and change the way patients are cared for in our community. We believe patient-centered, team-based primary care is the foundation of health care transformation. Disparities are a feature of health care in Oregon as they are nationally. Providence's integrated delivery of care in Oregon allows us to provide leadership in developing new clinical models to coordinate care, standardize processes and improve patient outcomes. Providence has implemented new patient centered primary care home models of health care delivery across the state using employed physicians in partnership with Providence Health Plans, other commercial insurers and the Medicaid population. Many of these sites are targeted at underserved and high risk populations. Within Oregon, Providence has been an active participant in shaping the transformation of the state's health care system. Providence leaders were selected by the governor to participate in workshops that will help define the details of coordinated care organizations and make additional recommendations to the 2013 legislative session. Providence is already making changes internally and working with other health systems and community partners to begin this transformation and has executives appointed to the Board and/or sub-committees of the Coordinated Care Organizations within our service areas.
Part VI, Line 7, Reports Filed With States OR,WA,CA,MT,AK
Schedule H (Form 990) 2014
Additional Data


Software ID:  
Software Version:  
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
2014
Open to Public
Inspection
Name of the organization
PROVIDENCE HEALTH & SERVICES - OREGON
 
Employer identification number
51-0216587
Part I
General Information on Grants and Assistance
1
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? ....................................
2
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 Domestic Organizations and Domestic Governments. 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 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 Portland Medical Foundation
4805 NE Glisan St
Portland,OR97213
93-1231494 501 (c) 3 1,847,213       Community health support
(2) Virginia Garcia Memorial Clinic
PO Box 568
Cornelius,OR97313
93-0717997 501 (c) 3 1,165,750       Community health support
(3) The Oregon Community Foundation
1221 SW Yamhill 100
Portland,OR97205
23-7315673 501 (c) 3 802,000       Community health support
(4) Project Access Now
1311 NW 21st Avenue
Portland,OR97296
20-8928388 501 (c) 3 771,678       Community health support
(5) Providence St Vincent Medical Foundation
9205 SE Barnes Rd
Portland,OR97225
93-0575982 501 (c) 3 636,389       Community health support
(6) Providence Child Center Foundation
830 NE 47th
Portland,OR97213
93-0800140 501 (c) 3 373,948       Community health support
(7) Providence Community Health Foundation
1111 Crater Lake Ave
Medford,OR97504
93-0692907 501 (c) 3 362,615       Community health support
(8) Providence Willamette Falls Foundation
1500 Division Street
Oregon City,OR97045
93-1003750 501 (c) 3 220,104       Community health support
(9) Providence Milwaukie Foundation
10150 SE 32nd
Milwaukie,OR97222
94-3079515 501 (c) 3 208,953       Community health support
(10) Providence Newberg Foundation
1001 Providence Dr
Newberg,OR97132
93-0889144 501 (c) 3 188,384       Community health support
(11) Oregon Health Science University
3181 SW Sam Jackson Park Road
Portland,OR97239
93-1176109 501 (c) 3 152,000       Community health support
(12) Medical Teams International
PO Box 10
Portland,OR97207
93-0878944 501 (c) 3 151,250       Community health support
(13) Tualatin Hills Park Foundation
15707 SW Walker Road
Beaverton,OR97006
93-6033838 501 (c) 3 150,000       Community health support
(14) Southwest Community Health Center
7754 SW Capital Highway
Portland,OR97219
74-3050497 501 (c) 3 133,000       Community health support
(15) Partners for a Hunger Free Oregon
712 SE Hawthorne Boulevard Suite 2
Portland,OR97214
20-4970868 501 (c) 3 130,000       Community health support
(16) Legacy Emanuel Hospital
PO Box 5939
Portland,OR97228
93-0386823 501 (c) 3 125,000       Community health support
(17) Impact NW
PO Box 33530
Portland,OR97292
93-0557964 501 (c) 3 121,950       Community health support
(18) Providence Benedictine Nursing Center Foundation
540 S Main Street
Mt Angel,OR97362
91-1940286 501 (c) 3 116,110       Community health support
(19) Providence Seaside Foundation
725 S Wahanna Rd
Seaside,OR97138
93-0927320 501 (c) 3 114,089       Community health support
(20) Providence Hood River Memorial Hospital Foundation
811 13th St
Hood River,OR97031
93-0921990 501 (c) 3 113,993       Community health support
(21) Meals on Wheels People Inc
PO Box 19477
Portland,OR97280
93-0584318 501 (c) 3 100,000       Community health support
(22) Lifeworks NW
14600 NW Cornell Road
Portland,OR97229
93-0502822 501 (c) 3 76,000       Community health support
(23) Greater Oregon Behavioral Health
309 East Second St
Portland,OR97058
93-1144014 501 (c) 4 70,000       Community health support
(24) Hood River County Health Department
1109 June Street
Hood River,OR97031
93-6002297 Government 59,030       Community health support
(25) Catholic Charities
231 SE 12th Avenue
Portland,OR97214
93-0386801 501 (c) 3 50,000       Community health support
(26) NAMI - Oregon
4701 SE 24th Ave No E
Portland,OR97202
93-0875209 501 (c) 3 50,000       Community health support
(27) Oregon Business Council
1100 SW 6th Ave Ste 1608
Portland,OR97204
93-0884244 501 (c) 6 50,000       Community health support
(28) St Joseph the Worker
7528 N Fenwick Avenue
Portland,OR97217
93-1322114 501 (c) 3 46,489       Community health support
(29) The Next Door Inc
965 Tucker Road
Hood River,OR97031
93-0600421 501 (c) 3 43,000       Community health support
(30) Mid-Columbia Children
1101 E Marina Way Suite 215
Hood River,OR97031
93-0951908 501 (c) 3 40,000       Community health support
(31) NW Parish Nurse Ministries
2801 N Gantenbein Avenue Room 107
Portland,OR97227
94-3180955 501 (c) 3 40,000       Community health support
(32) Central City Concern
232 NW Everett Street
Portland,OR97209
93-0728816 501 (c) 3 37,270       Community health support
(33) Society of St Vincent De Paul
PO Box 42157
Portland,OR97242
93-0831082 501 (c) 3 33,098       Community health support
(34) The Foundation for Medical Excellence
1 SW Columbia Street 860
Portland,OR97258
93-0632522 501 (c) 3 26,750       Community health support
(35) Columbia Gorge Health Council
511 Washington St
The Dalles,OR97058
46-0911202 501 (c) 3 26,500       Community health support
(36) Rogue Community College
3345 Redwood Highway
Grant Pass,OR97527
93-0777701 501 (c) 3 26,000       Community health support
(37) Addictions Recovery Center Inc
1003 W Main St
Medford,OR97501
93-0645605 501 (c) 3 25,000       Community health support
(38) Self Enhancement Inc
3920 N Kerby Ave
Portland,OR97227
93-1086629 501 (c) 3 25,000       Community health support
(39) Oregon Health Authority
800 NE Oregon St Suite 550
Portland,OR97232
93-6001752 Government 21,357       Community health support
(40) Albertina Kerr Centers Foundation
424 NE 22nd Avenue
Portland,OR97232
93-1297104 501 (c) 3 20,000       Community health support
(41) City of Hood River
PO Box 27
Hood River,OR97031
93-6002186 Government 20,000       Community health support
(42) La Clinica Del Valley
3617 S Pacific Hwy
Medford,OR97501
94-3096772 501 (c) 3 20,000       Community health support
(43) Columbia Gorge Community College
400 East Scenic Drive
The Dalles,OR97058
93-0700843 501 (c) 3 17,440       Community health support
(44) March of Dimes Foundation
1275 Mamaroneck Avenue
White Plains,NY10605
13-1846366 501 (c) 3 16,000       Community health support
(45) Oregon Food Bank
PO Box 55370
Portland,OR97238
93-0785786 501 (c) 3 15,129       Community health support
(46) Community Action Organization
1001 SW Baseline
Hillsboro,OR97123
93-0554941 501 (c) 3 15,000       Community health support
(47) Compass House Inc
332 W 6th Street
Medford,OR97501
93-1294230 501 (c) 3 15,000       Community health support
(48) Jackson County SART
43 Morninglight Dr
Ashland,OR97520
81-0650183 501 (c) 3 15,000       Community health support
(49) Oregon Historical Society
1200 SW Park Avenue
Portland,OR97205
93-0391599 501 (c) 3 15,000       Community health support
(50) Volunteers of America
3910 SE Stark Street
Portland,OR97214
93-0395591 501 (c) 3 15,000       Community health support
(51) Portland State University Foundation
1600 SW Fourth Ave Ste 730
Portland,OR97201
93-0619733 501 (c) 3 11,500       Community health support
(52) Clatsop Community College Foundation
1651 Lexington Ave
Astoria,OR97103
23-7100856 501 (c) 3 11,000       Community health support
(53) Portland-Guadalajara Sister City Assoc
PO Box 728
Portland,OR97207
93-0906775 501 (c) 3 11,000       Community health support
(54) All Hands Raised
2069 NE Hoyt St
Portland,OR97232
93-1149789 501 (c) 3 10,000       Community health support
(55) Hearts & Vines Foundation
221 Stewart Ave Ste 301
Medford,OR97501
93-1226903 501 (c) 3 10,000       Community health support
(56) NAMI Clark County
8019 NE 13th Ave
Vancouver,WA98665
91-1065027 501 (c) 3 10,000       Community health support
(57) Oregon Center for Nursing
5000 N Willamette Boulevard MSC 1
Portland,OR97203
74-3052430 501 (c) 3 10,000       Community health support
(58) Oregon Public Health Institute
310 SW 4th Ave Ste 900
Portland,OR97204
93-1259522 501 (c) 3 10,000       Community health support
(59) Pacific University
2043 College Way
Forest Grove,OR97116
93-0386892 501 (c) 3 10,000       Community health support
(60) Spenser's Heartstrong Foundation
214 Northridge Lane
Longview,WA98632
46-1147794 501 (c) 3 10,000       Community health support
(61) The Oregon Zoo Foundation
4001 SW Canyon Road
Portland,OR97221
93-0718337 501 (c) 3 10,000       Community health support
(62) KOBI
125 S Fir Street
Medford,OR97501
93-0879130 Other 8,500       Community health support
(63) Skanner Foundation
PO Box 5455
Portland,OR97228
93-1109980 501 (c) 3 8,500       Community health support
(64) Hispanic Metropolitan Chamber
333 SW 5th Avenue Suite 100
Portland,OR97204
93-1156358 501 (c) 3 7,850       Community health support
(65) Jesuit Volunteer Corps Northwest
PO Box 3928
Portland,OR97208
23-7361814 501 (c) 3 7,350       Community health support
(66) Sunset Empire Park & Recreation District Foundation
PO Box 514
Seaside,OR97138
93-1251337 501 (c) 3 7,300       Community health support
(67) Helping Hands Against Violence Inc
PO Box 441
Hood River,OR97031
93-0756833 501 (c) 3 7,000       Community health support
(68) Oregon Latino Health
240 N Broadway St Ste 215
Portland,OR97227
26-1530127 501 (c) 3 7,000       Community health support
(69) The Canby Center
681 SW 2nd Avenue
Canby,OR97013
51-0603464 501 (c) 3 7,000       Community health support
(70) Vietnamese Community of Oregon
PO Box 55416
Portland,OR97238
32-0263661 501 (c) 3 6,570       Community health support
(71) Clatsop Community Action
364 9TH Street
Astoria,OR97103
93-1010260 501 (c) 3 6,500       Community health support
(72) Volunteer Physicians for Access to Treatment
PO Box 4
Medford,OR97501
90-0861727 501 (c) 3 6,500       Community health support
(73) Our House of Portland Inc
2727 SE Alder Street
Portland,OR97214
93-0986632 501 (c) 3 5,500       Community health support
(74) Wisdom of the Elders
3203 SE 109th Ave
Portland,OR97266
93-1164114 501 (c) 3 5,200       Community health support
(75) Black Parent Initiative
6325 NE 27th Ave
Portland,OR97211
20-5686374 501 (c) 3 5,000       Community health support
(76) CASA of Jackson County Inc
613 Market Street
Medford,OR97504
94-3215621 501 (c) 3 5,000       Community health support
(77) Children First for Oregon
PO Box 14914
Portland,OR97293
94-3168157 501 (c) 3 5,000       Community health support
(78) Coalition for Community Health Clinics
619 SW 11th Ave Ste 106
Portland,OR97205
91-1829239 501 (c) 3 5,000       Community health support
(79) Jackson County Child Abuse Task Force
816 W 10th Street
Medford,OR97501
94-3079497 501 (c) 3 5,000       Community health support
(80) Jefferson Regional Healthcare Alliance
670 Superior Court
Medford,OR97504
59-3813059 501 (c) 3 5,000       Community health support
(81) Oregon Partnership Inc
5100 SW Macadam Avenue Suite 400
Portland,OR97239
93-0725294 501 (c) 3 5,000       Community health support
(82) Portland State University - Oregon Solutions
506 SW Mill St
Portland,OR97207
48-1278529 Government 5,000       Community health support
(83) Sonrise Baptist Church
6701 NE Campus Way
Hillsboro,OR97124
93-0785442 501 (c) 3 5,000       Community health support
(84) University of Portland
5000 N Willamette Blvd
Portland,OR97203
93-0401259 501 (c) 3 5,000       Community health support
(85) Vision Action Network
3700 SW Murray Boulevard Suite 190
Beaverton,OR97005
93-1317190 501 (c) 3 5,000       Community health support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
82
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
3
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. 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












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, along with a report of the number of children/families served over the year.
Schedule I (Form 990) 2014


Additional Data


Software ID:  
Software Version:  


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 Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
PROVIDENCE HEALTH & SERVICES - OREGON
 
Employer identification number

51-0216587
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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....
1b
 
 
2
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? ..
2
 
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
 
No
8
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 .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
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 in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Rod F Hochman MDPresident / CEO (i)
(ii)
0
...............................
1,184,387
0
...............................
750,000
0
...............................
17,500
0
...............................
473,741
0
...............................
20,585
0
...............................
2,446,213
0
...............................
0
2Todd HofheinsEVP/CFO (i)
(ii)
0
...............................
589,662
0
...............................
0
0
...............................
17,500
0
...............................
89,039
0
...............................
23,882
0
...............................
720,083
0
...............................
0
3Cindy StraussSVP/Chief Legal Officer (i)
(ii)
0
...............................
470,542
0
...............................
0
0
...............................
17,500
0
...............................
212,878
0
...............................
21,972
0
...............................
722,892
0
...............................
0
4Dave UnderrinerCE/OR.Region (i)
(ii)
0
...............................
579,486
0
...............................
64,286
0
...............................
17,525
0
...............................
69,322
0
...............................
26,533
0
...............................
757,152
0
...............................
0
5William OlsonCFO/OR. Region (i)
(ii)
0
...............................
365,263
0
...............................
137,374
0
...............................
160
0
...............................
102,032
0
...............................
20,936
0
...............................
625,765
0
...............................
0
6Michael L ButlerPresident/Operations & Services (i)
(ii)
0
...............................
983,000
0
...............................
540,000
0
...............................
17,500
0
...............................
466,289
0
...............................
25,839
0
...............................
2,032,628
0
...............................
0
7Debra CanalesEVP/Chief People & Experience Ofc. (i)
(ii)
0
...............................
706,646
0
...............................
265,000
0
...............................
104,573
0
...............................
11,700
0
...............................
11,617
0
...............................
1,099,536
0
...............................
0
8Lisa VanceSVP/Clinical Program Services (i)
(ii)
0
...............................
434,708
0
...............................
246,809
0
...............................
28,198
0
...............................
38,628
0
...............................
19,803
0
...............................
768,146
0
...............................
0
9Randy Axelrod MDEVP/Clinical & Patient Svcs (i)
(ii)
0
...............................
681,191
0
...............................
0
0
...............................
20,315
0
...............................
222,505
0
...............................
23,135
0
...............................
947,146
0
...............................
0
10Doug WaltaCEO/Clinical Programs (i)
(ii)
0
...............................
575,097
0
...............................
37,248
0
...............................
17,500
0
...............................
231,972
0
...............................
23,116
0
...............................
884,933
0
...............................
0
11Jack FriedmanSVP/Account Care & Payor Rel. (i)
(ii)
0
...............................
531,342
0
...............................
47,539
0
...............................
17,500
0
...............................
151,650
0
...............................
25,916
0
...............................
773,947
0
...............................
0
12Aaron MartinSVP/Strategy & Innovation (i)
(ii)
0
...............................
463,108
0
...............................
100,000
0
...............................
0
0
...............................
11,700
0
...............................
6,341
0
...............................
581,149
0
...............................
0
13Craig L Wright MDSVP/Physician Svcs (i)
(ii)
0
...............................
519,920
0
...............................
0
0
...............................
30,032
0
...............................
293,065
0
...............................
19,017
0
...............................
862,034
0
...............................
0
14Janice NewellSVP/Chief Information Officer (i)
(ii)
0
...............................
511,942
0
...............................
0
0
...............................
17,500
0
...............................
208,385
0
...............................
12,449
0
...............................
750,276
0
...............................
0
15Deborah BurtonSVP/Chief Nrsg. Officer (i)
(ii)
0
...............................
346,075
0
...............................
156,114
0
...............................
17,500
0
...............................
31,767
0
...............................
23,615
0
...............................
575,071
0
...............................
0
16Robert HellrigelCE/Senior & Community Services (i)
(ii)
0
...............................
373,982
0
...............................
144,954
0
...............................
0
0
...............................
73,345
0
...............................
22,560
0
...............................
614,841
0
...............................
0
17David BrownVP/Strategy & Business Development (i)
(ii)
0
...............................
354,112
0
...............................
139,500
0
...............................
0
0
...............................
121,500
0
...............................
21,630
0
...............................
636,742
0
...............................
0
18Orest HolubecSVP/Marketing & Communications (i)
(ii)
0
...............................
348,449
0
...............................
120,258
0
...............................
17,500
0
...............................
31,673
0
...............................
21,890
0
...............................
539,770
0
...............................
0
19Mark GargettVP/Digital Integration (i)
(ii)
0
...............................
360,689
0
...............................
115,852
0
...............................
0
0
...............................
57,037
0
...............................
23,310
0
...............................
556,888
0
...............................
0
20Doug KoekkoekCEO/PMG/Patient Services (i)
(ii)
0
...............................
424,084
0
...............................
0
0
...............................
0
0
...............................
126,113
0
...............................
23,438
0
...............................
573,635
0
...............................
0
21Joel S GilbertsonSVP/Comm. Ptnrshp. / Ext. Affairs (i)
(ii)
0
...............................
402,181
0
...............................
0
0
...............................
17,500
0
...............................
81,301
0
...............................
21,910
0
...............................
522,892
0
...............................
0
22John O MuddSVP/Mission Leadership (i)
(ii)
0
...............................
371,637
0
...............................
34,705
0
...............................
11,712
0
...............................
77,766
0
...............................
18,052
0
...............................
513,872
0
...............................
0
23Gary FlamingSVP/Chief Risk Officer (i)
(ii)
0
...............................
264,317
0
...............................
133,902
0
...............................
17,500
0
...............................
70,770
0
...............................
18,447
0
...............................
504,936
0
...............................
0
24Teresa SpaldingVP/Revenue Cycle (i)
(ii)
0
...............................
312,558
0
...............................
84,801
0
...............................
17,500
0
...............................
32,445
0
...............................
12,458
0
...............................
459,762
0
...............................
0
25Theron ParkCEO/Oregon Delivery System (i)
(ii)
0
...............................
381,381
0
...............................
0
0
...............................
17,500
0
...............................
44,443
0
...............................
20,591
0
...............................
463,915
0
...............................
0
26Brendan CurtiPhysician - Oncology (i)
(ii)
349,899
...............................
0
443,967
...............................
0
17,500
...............................
0
20,689
...............................
0
20,043
...............................
0
852,098
...............................
0
0
...............................
0
27Erin AllenPhysician - Dermatology (i)
(ii)
789,024
...............................
0
0
...............................
0
17,500
...............................
0
17,030
...............................
0
20,526
...............................
0
844,080
...............................
0
0
...............................
0
28Walter UrbaAdministrator/Clinical Research (i)
(ii)
652,076
...............................
0
134,689
...............................
0
17,500
...............................
0
39,354
...............................
0
18,530
...............................
0
862,149
...............................
0
0
...............................
0
29Jeffrey SwansonSurgeon - Cardiology (i)
(ii)
730,412
...............................
0
45,821
...............................
0
13,231
...............................
0
11,700
...............................
0
17,738
...............................
0
818,902
...............................
0
0
...............................
0
30Emery DouvilleSurgeon - Cardiology (i)
(ii)
742,126
...............................
0
45,821
...............................
0
0
...............................
0
11,700
...............................
0
21,806
...............................
0
821,453
...............................
0
0
...............................
0
31John F Koster MDFormer President & CEO (i)
(ii)
0
...............................
49,738
0
...............................
624,015
0
...............................
222,502
0
...............................
762,492
0
...............................
3,725
0
...............................
1,662,472
0
...............................
1,162,929
32Jeff W RogersFormer Corporate Secretary (i)
(ii)
0
...............................
0
0
...............................
12,493
0
...............................
218,619
0
...............................
390,991
0
...............................
0
0
...............................
622,103
0
...............................
467,812
33Cindra R SyversonFormer SVP/CHRO (i)
(ii)
0
...............................
23,967
0
...............................
1,162,497
0
...............................
881,829
0
...............................
10,140
0
...............................
8,178
0
...............................
2,086,611
0
...............................
651,475
34Ray WilliamsFormer SVP/Physicians Svcs (i)
(ii)
0
...............................
1,424
0
...............................
434,467
0
...............................
624,988
0
...............................
0
0
...............................
4,597
0
...............................
1,065,476
0
...............................
286,164
35Greg Van PeltFormer CE/OR. Region (i)
(ii)
0
...............................
915
0
...............................
76,369
0
...............................
977,021
0
...............................
129,107
0
...............................
19,608
0
...............................
1,203,020
0
...............................
0
36John FletcherFormer VP/Operations Support (i)
(ii)
0
...............................
32,671
0
...............................
215,075
0
...............................
795,197
0
...............................
408,292
0
...............................
22,799
0
...............................
1,474,034
0
...............................
739,867
37Jan J JonesFormer SVP/CAO (i)
(ii)
0
...............................
30,294
0
...............................
153,867
0
...............................
694,943
0
...............................
303,683
0
...............................
26,844
0
...............................
1,209,631
0
...............................
595,726
38Terry L SmithFormer SVP/Management Svcs (i)
(ii)
0
...............................
35,751
0
...............................
39,958
0
...............................
104,718
0
...............................
309,097
0
...............................
1,830
0
...............................
491,354
0
...............................
320,288
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
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 The reporting organization did not provide any of the benefits listed in Schedule J, Part I, Line 1a. However, as part of Providence's philosophy of transparency, the narrative that follows relates to the compensation and benefits provided by the related organization. Providence Health & Services Expense Reimbursement Procedures include the following policies: First Class Travel or Charter Travel or Travel of Companions Air travel is reimbursable for tourist or economy class and should be at the least expensive airfare; which permits departures and arrivals at reasonable times and reasonable distance traveled. Employees are encouraged to plan in advance to get available discounts. Airline frequent flyer upgrades will never be reimbursed. First class air travel will only be reimbursed when tourist or economy class air travel is not available and business travel is mandated by a supervisor. In the rare circumstance that an executive must fly on a first class full fare ticket, their senior level supervisor must approve this expense. Companion travel will only be reimbursed by the organization for travel related to relocation, and should not exceed two relocation-related visits, unless approved by the Executive Vice President/Chief People and Experience 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 2014, there were three First Class tickets utilized by Officers, Directors or Key Employees listed on Form 990, Part VII. 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 2014, the following Listed Persons received gross-up payments: Debra Canales Lisa Vance Craig Wright, MD Cindra Syverson The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation in the 990. 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 People and Experience 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 2014, the following Listed Persons received relocation/housing program payments: Debra Canales Lisa Vance Craig Wright, MD Cindra Syverson 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) Rod Hochman, MD a) SERP Earned but not Vested- $423,527 b) SERP Interest Credit - $32,014 2) Todd Hofheins a) SERP Earned but not Vested - $61,763 3) Cindy Strauss a) SERP Earned but not Vested - $173,177 b) SERP Interest Credit - $20,200 4) Dave Underriner a) Taxable SERP Earned but not Paid - $64,286 b) SERP Interest Credit - $11,146 c) ESP Interest Credit - $3,151 5) William Olson a) SERP Earned But not Vested - $66,377 b) Taxable CBRP Paid - $3 c) Taxable SERP Earned But not Paid - $69,951 6) Mike Butler a) SERP Earned but not Vested - $375,980 b) SERP Interest Credit - $55,936 7) Lisa Vance a) Taxable CBRP Paid - $65 b) Taxable SERP Earned but not Paid - $246,744 c) SERP Interest Credit - $5,405 8) Randy Axelrod a) SERP Earned but not Vested - $210,806 9) Jack Friedman a) Taxable SERP Earned but not Paid - $47,539 b) SERP Interest Credit - $100,696 10) Craig Wright, MD a) SERP Earned but not Vested - $172,424 b) SERP Interest Credit - $91,172 11) Janice Newell a) SERP Earned but not Vested - $185,427 b) SERP Interest Credit - $4,758 12) Deborah Burton a) Taxable SERP Earned but not Paid - $156,114 b) SERP Interest Credit - $4,843 13) Robert Hellrigel a) SERP Earned but not Vested - $38,135 b) SERP Interest Credit - $6,970 14) David Brown a) SERP Earned but not Vested - $74,010 b) SERP Interest Credit - $19,770 15) Orest Holubec a) SERP Earned but not Vested - $18,642 b) SERP Interest Credit - $1,332 16) Mark Gargett a) Taxable SERP Earned but not Paid - $111,973 b) Taxable CBRP Paid - $3,879 c) SERP Interest Credit - $22,957 17) Joel Gilbertson a) SERP Earned but not Vested - $48,936 b) SERP Interest Credit - $13,976 18) Jack Mudd a) Taxable SERP Earned but not Paid - $34,705 b) SERP Interest Credit - $52,292 19) Gary Flaming a) Taxable SERP Earned but not Paid - $127,565 b) Taxable CBRP Paid - $6,338 c) SERP Interest Credit - $1,640 20) Teresa Spalding a) Taxable SERP Earned but not Paid - $84,574 b) Taxable CBRP Paid - $227 21) Doug Walta a) SERP Earned but not vested - $216,761 b) Taxable CBRP Earned but not paid- $11,768 c) SERP Interest Credit - $477 22) Doug Koekkoek a) SERP Earned but not Vested - $85,749 23) Theron Park a) SERP Interest Credit - $244 b) SERP Earned but not Vested - $26,384 24) Brendan Curti a) Taxable CBRP Paid - $113,268 25) Walter Urba a) Taxable CBRP arned but not Paid - $49,839 b) Non-Taxable CBRP Earned but not Paid - $8,064 26) Greg Van Pelt a) Taxable SERP Paid - $76,369 b) Non-Taxable SERP Paid - $87,510 27) Cindra Syverson a) Taxable SERP Paid - $1,154,015 b) Taxable CBRP Paid - $8,482 c) SERP Interest Credit - $7,244 28) Ray Williams a) Taxable SERP Paid - $424,467 29) John Fletcher a) Taxable SERP Paid - $213,729 b) Non-Taxable SERP Paid - $374,151 c) Taxable CBRP Paid - $1,346 30) John Koster, MD a) Taxable SERP Paid - $624,015 b) Non-Taxable SERP Paid - $538,914 c) SERP Interest Credit - $196,163 31) Jan Jones a) Taxable SERP Paid - $153,823 b) Taxable CBRP Paid - $45 c) Non-Taxable SERP Paid - $282,092 32) Jeff Rogers a) Taxable CBRP Paid - $12,493 b) Non-Taxable CBRP Earned but not Paid - $10,159 c) SERP Earned but not Paid - $242,193 d) ESP Paid - $218,619 33) Terry Smith a) Taxable SERP Paid - $22,869 b) Taxable CBRP Paid - $17,090 c) Non-Taxable CBRP Paid - $44 d) Non-Taxable SERP Paid - $297,419
Part I, Lines 4a-b SEVERANCE 1) Greg Van Pelt - $735,779 2) Cindra Syverson - $813,696 3) Ray Williams - $624,988 4) John Fletcher - $555,934 5) Jan Jones - $592,802
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. In 2014, 100 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's six strategic priorities of: creating healthier communities together, inspire and develop our people, building enduring relationships with consumers, create alignment with clinicians & care teams, develop and thrive under new care delivery & economic models, and grow by optimizing expert-to-expert capabilities. For 2014, the percent allocation for each of these strategic priorities is outlined below: * Creating Healthier Communities, Together Community Benefit: 10% System Leadership Council - 10% System Role including Providence Senior & Community Services (PSCS) - 10% Region Role Regional Chief Executives (RCEs) and Reports * Inspire and Develop Our People Core Leader Engagement: 10% System Leadership Council - 10% Providence Strategic and Management Services (PSMS) System Role including PSCS - 10% Region Role RCEs and Reports Employee Health Index: 5% System Leadership Council - 5% System Role including PSCS - 5% System Region Role RCEs and Reports * Building Enduring Relationships with Consumers MyChart Activations: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Patient Loyalty Index: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports * Create Alignment with Clinicians & Care Teams Clinical Excellence Index: 10% System Leadership Council - 10% System Role including PSCS - 10% Region Role RCEs and Reports * Develop and Thrive Under New Care Delivery & Economic Models Salary Expense as % of Net Service Revenue: 10% System Leadership Council - 10% PSMS System Role including PSCS - 10% Region Role RCEs and Reports Supply Expense as % of Net Service Revenue: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Primary Care Panel Size: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Clinical Network Performance: 10% System Leadership Council - 10% System Role including PSCS - 10% System Region Role RCEs and Reports * Grow by Optimizing Expert-to-Expert Capabilities Free Cash Flow: 15% System Leadership Council - 15% System Role including PSCS - 15% Region Role RCEs and Reports Unduplicated Patient Count: 10% System Leadership Council - 10% System Role including PSCS - 10% Region Role RCEs and Reports TOTAL ALLOCATION: 100% Leadership Council - 100% System Role including PSCS - 100% Region Role RCEs and Reports
Schedule J (Form 990) 2014

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet 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.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
PROVIDENCE HEALTH & SERVICES - OREGON
 
Employer identification number
51-0216587
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
Yes No Yes No Yes No
A State of Oregon (Oregon Facilities Authority)
 
93-6001787 68608JPT2 11-17-2011 24,927,615 Refund Series 1999 & Adv. Refund Series 2002 & Refunding Series 2005 (WFH)   X   X   X
B State of Oregon (Oregon Facilities Authority)
 
93-6001787 68608JRH6 09-18-2013 86,048,852 See Part VI   X   X   X
C State of Oregon (Oregon Facilities Authority)
 
93-6001787 68608JRL7 09-18-2013 161,675,000 See Part VI   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 1,950,000 5,675,000 12,925,000  
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . . 33,166,149 86,048,855 161,786,294  
4 Gross proceeds in reserve funds . . . . . . . . . . . . 111,289   111,289  
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 8,238,491      
7 Issuance costs from proceeds . . . . . . . . . . . . 345,182 910,360 1,475,000  
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . .        
11 Other spent proceeds . . . . . . . . . . . . . . 24,582,476 85,138,495 160,200,005  
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . . 2005 2007 2003
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X     X X      
15 Were the bonds issued as part of an advance refunding issue? . . . . . X   X     X    
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X      
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . 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    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X    
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
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    
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   X          
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   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 . . SchKMediumBullet 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 . . . . . . . SchKMediumBullet 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    
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    
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
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      
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X    
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X      
b Exception to rebate? . . . . . . . .   X   X   X    
c No rebate due? . . . . . . . .   X   X   X    
If "Yes" to 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      
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   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) 2014
Schedule K (Form 990) 2014
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    
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    
7 Has the organization established written procedures to monitor the requirements of section 148? . . . 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      
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K, ISSUE B PART I, QUESTION (F) Advance refund the Hospital Facilities Authority of Multnomah County, Oregon, Series 2004
SCHEDULE K, ISSUE C PART I, QUESTION (F) Currently refund Hospital Authority of Clackamas County, Oregon Series 2003D, E, F & G Bonds (PROVIDENCE HEALTH SYSTEM).
Schedule K (Form 990) 2014

Additional Data


Software ID:  
Software Version:  

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 990-EZ 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
2014
Open to Public
Inspection
Name of the organization
PROVIDENCE HEALTH & SERVICES - OREGON
 
Employer identification number

51-0216587
Return Reference Explanation
Form 990, Part VI, Section A, line 6 The sole Member of the Corporation is Providence Health & Services.
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 The following powers reside with the Corporate Member: 1) To adopt or change the mission, philosophy, and values, including the strategic plan and mission statement. 2) To amend or repeal the Articles of Incorporation or Bylaws. 3) To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale transfer, assignment or encumbering of assets exceeding a specified threshold, or the sale or transfer of any property which may have historical or religious significance. 4) To approve the dissolution or liquidation. 5) To approve the annual operating and capital budgets. 6) To appoint the certified public accountants. 7) To approve the closure of any institution or major 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 reviewed 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 request. The consolidated financial statements are available on our public Internet site www2.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site.
Form 990, Part VII Dave Underriner - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. William Olson - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Doug Walta - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Doug Koekkoek - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Theron Park - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Greg Van Pelt - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213.
Form 990, Part XI, line 9: Recipient Organization Adjustments 2,585,873. Interaffiliate Transfers 548,414. Book/Tax Difference - Joint Venture Income 388,518. Restricted Contributions & Grants 25,207,654. Benefit Plan Adjustment -7,754,504. NA Transfer to Portland Foundation 1,333,333. Net Assets Released from Restriction 958,083. Rounding 33.
Form 990, Part XII, Line 2c AUDIT & COMPLIANCE The Providence Health & Services 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 Volunteers contribute to the quality of care for which Providence is noted and exemplify the Providence Mission. Volunteers enhance the patient experience providing assistance with activities, special projects, greeting, staffing the gift shops, delivery of flowers, running errands, offering clerical support and anything else that is asked of them. Our organization is blessed with a group of volunteers that help each and every day. Volunteer services include but are not limited to the following: * Greet and escort visitors and patients * Assist patients being admitted/check-in and scheduling * Bond with medically fragile children to add quality of life and joy * Spiritual care, including end of life, Eucharistic ministers and harpists. * Clerical support * Deliver flowers and mail to patients * Give hospital tours * Participate in fundraising and community events * Guest escort * Provide hand crafted items such as hats, booties and blankets for newborns * Provide toy bags for children * Provide information and support for patients/families/visitors * Serve as patient ambassadors on the nursing floors * Run errands as needed * Staffing the gift shops * Work on special projects for various departments as needed * Support blood drives * Pet Therapy program visitation * Provide other support as needed to enhance the patient experience
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.
FORM 990, SCHEDULE R - RELATED ORGANIZATIONS AFFILIATION AGREEMENTS Effective March 1, 2014, Providence Health & Services) the Health System entered into an affiliation agreement with Sisters of Charity of Leavenworth Health System (SCL) to transfer sponsorship of Saint John's Health Center (Saint John's) to the Health System. Saint John's operates a nonprofit medical center, a cancer institute, and physician clinics to serve the Santa Monica, California community and surrounding area. Effective May 1, 2014, the Health System entered into an affiliation agreement with PacMed Clinics (PacMed). PacMed is a private, nonprofit, multi-specialty medical group with nine clinics in the Puget Sound area and more than 150 primary care and specialty providers at the date of affiliation. Pursuant to the affiliation agreement, Western HealthConnect became PacMed's sole corporate Member. No cash or other purchase consideration was transferred to effect the affiliation. Effective June 13, 2014, the Health System entered into an affiliation agreement with Kadlec Health System (Kadlec). Kadlec operates a nonprofit medical center, a neurological resource center, a supporting foundation, and physician clinics to serve the tri-cities area of Kennewick, Pasco, and Richland, Washington. Pursuant to the affiliation agreement, Western HealthConnect became the sole member of Kadlec. No cash or other purchase consideration was transferred to effect the affiliation.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
PROVIDENCE HEALTH & SERVICES - OREGON
 
Employer identification number

51-0216587
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 Fairview Properties LLC
1235 NE 47th Avenue Suite 260
Portland,OR97213
51-0216587
Own & Manage Land for future development OR 0 1,646,195 Providence Health & Services - Oregon
 
(2) Providence Padden Properties LLC
1235 NE 47th Avenue Suite 260
Portland,OR97213
51-0216587
Own & Manage Land for future development OR 0 19,305,321 Providence Health & Services - Oregon
 








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?
Yes No
(1) Providence Health & Services - Washington
1801 Lind Avenue SW 9016

Renton,WA980579016
51-0216586
Healthcare System WA 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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
 
No
(12) St Luke Association
350 Washington Ave SE

Chehalis,WA98352
94-3176618
Housing WA 501( c)(3) Line 7 PH & S - Washington
 
 
No
(13) Providence Rossi Association
1700 Providence Pl

Centralia,WA98531
31-1584166
Housing WA 501( c)(3) Line 9 PH & S - Washington
 
 
No
(14) Lundberg Association
5921 E Burnside

Portland,OR97215
91-1562797
Housing OR 501( c)(3) Line 7 PH & S - Oregon
 
Yes
 
(15) Providence St Francis Association
3415 12th Avenue NE

Olympia,WA98506
94-3244854
Housing WA 501( c)(3) Line 7 PH & S - Washington
 
 
No
(16) Providence Peter Claver Association
7101 38th Avenue South

Seattle,WA98118
31-1629656
Housing WA 501( c)(3) Line 7 PH & S - Washington
 
 
No
(17) Providence St Elizabeth House Association
3201 SW Graham St

Seattle,WA98126
91-2171539
Housing WA 501( c)(3) Line 7 PH & S - Washington
 
 
No
(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
 
 
No
(19) The Gamelin Association
312 North Fourth St

Yakima,WA98901
91-1180824
Housing WA 501( c)(3) Line 7 PH & S - Washington
 
 
No
(20) The Gamelin Oregon Association
5520 NE Glisan

Portland,OR97213
91-1214491
Housing OR 501( c)(3) Line 9 PH & S - Oregon
 
Yes
 
(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
 
 
No
(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
 
 
No
(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
 
 
No
(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
 
 
No
(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
 
 
No
(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
 
 
No
(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
 
 
No
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(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
 
Yes
 
(35) Providence Milwaukie Foundation
10150 SE 32nd

Milwaukie,OR97222
94-3079515
Support Providence Milwaukie Hospital OR 501( c)(3) Line 7 PH & S - Oregon
 
Yes
 
(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
 
Yes
 
(37) Providence TrinityCare Hospice Foundation
5315 Torrance Blvd Suite B1

Torrance,CA90503
33-0261016
Support TrinityCare Hospice CA 501( c)(3) Line 7 Providence TrinityCare Hospice
 
 
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
 
 
No
(41) Providence Health & Services - Western Washington
1801 Lind Avenue SW 9016

Renton,WA980579016
91-1303277
Healthcare WA 501( c)(3) Line 3 Providence MinistriesWHC
 
 
No
(42) Providence Health & Services
1801 Lind Avenue SW 9016

Renton,WA980579016
91-1549796
Shell Corporation WA 501( c)(3) Line 11/Type II Providence Ministries
 
 
No
(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 9 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
 
 
No
(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
 
 
No
(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
 
 
No
(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
 
 
No
(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
 
 
No
(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
 
Yes
 
(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
 
Yes
 
(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
 
 
No
(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
 
 
No
(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
2800 South 192nd St 104

SeaTac,WA98188
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 II 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) Kadlec Regional Medical Center
888 Swift Blvd

Richland,WA99352
91-0655392
Healthcare WA 501(c )(3) Line 3 Western HealthConnect
 
 
No
(65) Kadlec Neurological Resource Center
1268 Lee Blvd

Richland,WA99352
91-1266345
Healthcare WA 501(c )(3) Line 9 Western HealthConnect
 
 
No
(66) Kadlec Foundation
888 Swift Blvd

Richland,WA99352
23-7005501
Support Kadlec Regional Medical Center WA 501(c )(3) Line 11/Type I Kadlec Regional Medical Center
 
 
No
(67) PacMed Clinics
1200 12th Ave S

Seattle,WA98144
56-2290878
Healthcare WA 501(c )(3) Line 9 Western HealthConnect
 
 
No
(68) Providence Saint John's Health Center
2121 Santa Monica Blvd

Santa Monica,CA90404
95-1684082
Healthcare CA 501(c )(3) Line 3 PHS - So California
 
 
No
(69) John Wayne Cancer Institute
2200 Santa Monica Blvd

Santa Monica,CA90404
95-4291515
Cancer Treatment CA 501(c )(3) Line 4 Providence Saint John's Health Center
 
 
No
(70) Saint John's HospitalHealth Center Foundation
2121 Santa Monica Blvd

Santa Monica,CA90404
95-6100079
Support Saint John Health Center & JWCI CA 501(c )(3) Line 7 Providence Saint John's Health Center
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
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


Yes No Yes No
(1) Providence Imaging Center

3340 Providence Drive
Anchorage,AK99508
92-0118807
Medical Imaging AK N/A
                 
(2) California Laboratory Associates LLC

501 Buena Vista
Burbank,CA91505
27-3888692
Outpatient Lab CA N/A
                 
(3) Broadway Imaging LLC

500 W Broadway
Missoula,MT59802
52-2405971
Medical Imaging MT N/A
                 
(4) Ctr for Med Imaging-Bridgeport LLC

4400 NE Halsey 495
Portland,OR97213
26-0796953
Imaging - Diagnostics OR PH&S - OR
 
Related 77,008 789,332   No   Yes   75.000 %
(5) Ctr for Med Imaging-Tanasbourne LLC

4400 NE Halsey 495
Portland,OR97213
20-0477972
Imaging - Diagnostics OR PH&S - OR
 
Related 98,444 1,715,296   No   Yes   75.000 %
(6) Pathology Associates Medical Laboratories LLC

611 N Perry
Spokane,WA99202
27-0943279
Outpatient Lab WA N/A
                 
(7) Portland Medical Imaging LLC

4400 NE Halsey 495
Portland,OR97213
20-1054971
Imaging - Diagnostics OR PH&S - OR
 
Related -103,949 1,687,308   No   Yes   75.000 %
(8) Oregon Advanced Imaging LLC

881 OHare Parkway
Medford,OR97504
45-0471748
Medical Imaging OR PH&S - OR
 
Related 1,844,994 6,207,186   No   Yes   70.000 %
(9) Minor & James Medical PLLC

515 Minor Avenue 200
Seattle,WA98104
91-1340223
Physician Clinic WA N/A
                 
(10) Providence Surgery Center LLC

902 N Orange St
Missoula,MT59802
84-1401625
Ambulatory Surgery Center MT N/A
                 
(11) Clackamas Radiation Oncology Center LLC

4400 NE Halsey St Bldg II 495
Portland,OR97213
26-0381897
Radiation Oncology OR PH&S - OR
 
Related 652,029 1,453,333   No   Yes   67.000 %
(12) PETCT Imaging at Swedish Cancer Institute LLC

1221 Madison Street
Seattle,WA98104
20-3132044
Medical Imaging WA N/A
                 
(13) PacLab LLC

611 N Perry
Spokane,WA99202
91-1743952
Outpatient Lab WA N/A
                 
(14) The Madison Spokane Inn LLC

15 West Rockwood Blvd
Spokane,WA99204
84-1606484
Hotel Services WA N/A
                 
(15) Center for Specialty Surgery LLC

11782 SW Barnes Rd
Portland,OR97225
26-3638838
Ambulatory Surgery Center OR PH&S - OR
 
Related 410,485 2,588,690   No     No 51.000 %
(16) Oregon Outpatient Surgery Center

7300 SW Childs Rd
Tigard,OR97224
22-3883387
Ambulatory Surgery Center OR PH&S - OR
 
Related 352,053 1,407,654   No     No 51.000 %
(17) ProvidenceUSP Santa Clarita GP LLC

11550 Indian Hills Road 160
Mission Hills,CA91345
20-2829660
Ambulatory Surgery Center CA N/A
                 
(18) ProvidenceUSP Surgery Ctrs LLC

11550 Indian Hills Road 160
Mission Hills,CA91345
20-0905938
Ambulatory Surgery Center CA N/A
                 
(19) Alpha Medical Laboratory LLC

611 N Perry
Spokane,WA99202
91-2017347
Outpatient Lab ID N/A
                 
(20) Greater Valley Medical Building LP

501 S Buena Vista St
Burbank,CA91505
95-4570858
Real Estate - MOB CA N/A
                 
(21) Prov Radiation Oncology Develop Assn LLC

4400 NE Halsey 495
Portland,OR97213
26-0682491
Real Estate - MOB OR PH&S - OR
 
Investment -14,140 3,229,128   No   Yes   50.000 %
(22) Providence Partners for Health LLC

501 S Buena Vista St
Burbank,CA91505
45-4041798
Clinical Quality & Integration CA N/A
                 
(23) ProvidenceSilverton Rehab LLC

4400 NE Halsey 425
Portland,OR97213
48-1287267
Rehab Services OR PH&S - OR
 
Related -8,895 151,844   No   Yes   50.000 %
(24) Southern Idaho Regional Laboratory LLC

611 N Perry
Spokane,WA99202
82-0511819
Outpatient Lab ID N/A
                 
(25) Mountainstar Clinical Laboratories LLC

611 N Perry
Spokane,WA99202
26-1345983
Outpatient Lab MT N/A
                 
(26) Tri-Cities Laboratory LLC

611 N Perry
Spokane,WA99202
91-1773986
Outpatient Lab WA N/A
                 
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
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
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
(10) PHN Holdings

20555 Earl Street
Torrance,CA90503
46-1814184
Strategic Planning Services CA N/A
C         No
(11) Providence Health Network

20555 Earl Street
Torrance,CA90503
80-0886966
Prepaid Healthcare CA N/A
C         No
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
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
No
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 . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
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) Oregon Outpatient Surgery Center

A 421,883 Cost
(2) Providence Benedictine Nursing Center Foundation

B 116,110 Cost
(3) Providence Benedictine Nursing Center Foundation

C 140,479 Cost
(4) Providence Child Center Foundation

B 373,948 Cost
(5) Providence Child Center Foundation

C 1,803,037 Cost
(6) Providence Community Health Foundation

B 362,615 Cost
(7) Providence Community Health Foundation

C 243,546 Cost
(8) Providence Health Assurance

Q 55,452 Cost
(9) Providence Health Plan

Q 835,756 Cost
(10) Providence Hood River Memorial Hospital Foundation

B 113,993 Cost
(11) Providence Hood River Memorial Hospital Foundation

C 211,454 Cost
(12) Providence Milwaukie Foundation

B 208,953 Cost
(13) Providence Milwaukie Foundation

C 582,769 Cost
(14) Providence Newberg Foundation

B 188,384 Cost
(15) Providence Newberg Foundation

C 293,044 Cost
(16) Providence Plan Partners

J 5,509,567 Cost
(17) Providence Plan Partners

O 73,933,922 Cost
(18) Providence Plan Partners

Q 16,917,213 Cost
(19) Providence Portland Medical Foundation

B 1,847,213 Cost
(20) Providence Portland Medical Foundation

C 8,150,014 Cost
(21) Providence Seaside Foundation

B 114,089 Cost
(22) Providence Seaside Foundation

C 214,685 Cost
(23) Providence St Vincent Medical Foundation

B 636,389 Cost
(24) Providence St Vincent Medical Foundation

C 6,382,169 Cost
(25) Providence Willamette Falls Foundation

B 220,104 Cost
(26) Providence Willamette Falls Foundation

C 437,284 Cost
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
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)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
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) 2014
Additional Data


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