TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Michael Holcomb...................................................................... Chair of the Board	0.10 ................. 7.60	X	X	60,360	0
(2) Chauncey Boyle SP...................................................................... Director	0.10 ................. 5.50	X		0	0
(3) Marian Schubert CSJ...................................................................... Director	0.10 ................. 4.30	X		0	0
(4) Phyllis Hughes RSM...................................................................... Director	0.10 ................. 5.00	X		0	0
(5) Carolina Reyes MD...................................................................... Director	0.10 ................. 4.60	X		15,360	0
(6) Michael A Stein...................................................................... Director	0.10 ................. 6.00	X		15,360	0
(7) Eugene Al Parrish...................................................................... Director	0.10 ................. 5.00	X		15,360	0
(8) Bob Wilson...................................................................... Director	0.10 ................. 5.00	X		18,360	0
(9) Sallye Liner...................................................................... Director	0.10 ................. 4.30	X		15,360	0
(10) Isiaah Crawford...................................................................... Director	0.10 ................. 4.10	X		18,360	0
(11) Martha Diaz Aszkenazy...................................................................... Director	0.10 ................. 7.70	X		18,360	0
(12) Kirby McDonald...................................................................... Director	0.10 ................. 4.60	X		15,360	0
(13) Dave Olsen...................................................................... Director	0.10 ................. 5.50	X		17,860	0
(14) Charles Chuck Watts...................................................................... Director	0.10 ................. 4.60	X		18,360	0
(15) Rod F Hochman MD...................................................................... President / CEO	14.00 ................. 51.00		X	5,102,809	74,417
(16) Todd Hofheins...................................................................... EVP/CFO	14.00 ................. 51.00		X	970,092	295,713
(17) Cindy Strauss...................................................................... EVP/Chief Legal Officer	13.00 ................. 47.00		X	1,526,357	64,699

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Dave Underriner........................................................................ CE/OR. Region	51.00 .......................14.00	X				0	892,463	115,581
(19) William Olson........................................................................ VP/Financial Ops., OR.	39.00 .......................11.00	X				0	525,308	49,960
(20) Randy Axelrod MD Thru 315........................................................................ EVP/Clinical & Patient Services	13.00 .......................47.00		X			0	1,416,580	35,750
(21) Mike Butler........................................................................ President/Operations & Services	13.00 .......................47.00		X			0	1,572,348	740,248
(22) Debbie Burton........................................................................ SVP/ Chief Nrsg. Officer	13.00 .......................47.00		X			0	683,302	55,602
(23) Debra Canales........................................................................ EVP/Chief People & Experience Ofc.	13.00 .......................47.00		X			0	1,650,655	458,130
(24) Jack Friedman Thru 615........................................................................ SVP/Accountable Care & Payor Rel.	11.00 .......................39.00		X			0	770,782	117,919
(25) Mark Gargett........................................................................ VP/Digital Integration	11.00 .......................39.00		X			0	632,716	82,292
(26) Joel Gilbertson........................................................................ SVP, Comm. Partnrshp. & Ext. Affairs	13.00 .......................47.00		X			0	566,699	203,896
(27) Aaron Martin........................................................................ SVP/Strategy & Innovation	14.00 .......................51.00		X			0	681,696	189,399
(28) Tom McDonagh........................................................................ VP/Chief Investment Officer	13.00 .......................45.00		X			0	963,343	58,116
(29) Rhonda Medows MD........................................................................ EVP/Population Health	13.00 .......................47.00		X			0	667,975	188,508
(30) Jack Mudd........................................................................ SVP/Mission Leadership	12.00 .......................43.00		X			0	632,418	88,850
(31) Janice Newell........................................................................ SVP/Chief Information Officer	13.00 .......................47.00		X			0	1,535,323	37,767
(32) Doug Koekkoek........................................................................ CEO/OMG/Patient Services	50.00 .......................0.00		X			0	624,110	223,383
(33) Harvey Smith........................................................................ SVP/Chief Customer Svc. Officer	11.00 .......................39.00		X			0	844,548	41,905
(34) Teresa Spalding........................................................................ VP/Revenue Cycle	13.00 .......................47.00		X			0	691,899	45,132
(35) Theron Park........................................................................ CEO/Oregon Delivery System	50.00 .......................0.00		X			0	561,200	179,713
(36) Sharon Toncray........................................................................ SVP/HR Strat. Partners	12.00 .......................43.00		X			0	563,982	196,084
(37) Lisa Vance........................................................................ SVP/Clinical Program Services	14.00 .......................51.00		X			0	786,086	51,186
(38) Craig Wright MD........................................................................ SVP/Physician Services	13.00 .......................47.00		X			0	2,795,040	125,380
(39) Janice Burger........................................................................ CE/W. OR. Division	50.00 .......................0.00		X			0	2,007,143	50,840
(40) Erin Allen........................................................................ Physician - Dermatology	40.00 .......................0.00			X		877,526	0	38,800
(41) Walter Urba........................................................................ Administrator/Clinical Research	40.00 .......................0.00			X		851,914	0	51,865
(42) Jeffrey Swanson........................................................................ Surgeon - Cardiology	40.00 .......................0.00			X		874,090	0	30,874
(43) Robert Gluckman........................................................................ CMO	40.00 .......................0.00			X		837,985	0	71,296
(44) Daniel Oseran........................................................................ Exec. Vascular/Heart Inst.	40.00 .......................0.00			X		836,521	0	34,839
(45) John Fletcher........................................................................ Former VP/Operations Support	0.00 .......................0.00				X	0	583,850	18,778
(46) Jan Jones........................................................................ Former SVP/CAO	0.00 .......................0.00				X	0	759,461	33,986

(A) Name and business address	(B) Description of services	(C) Compensation
Oregon Emergency Physicians PC 9155 SW Barnes Rd 420 Portland,OR97225	Medical Services	33,331,941
Allied Health Group dba Cross Country St 6551 Park of Commerce Blvd Boca Raton,FL33487	Staffing	16,299,035
Andersen Construction Co Inc 6712 North Cutter Circle Portland,OR97217	Construction Services	13,030,375
Anesthesia Associates Northwest 6400 SE Lake Rd 130 Milwaukie,OR97222	Medical Services	8,893,739
Portland Hospital Services Corporation 18440 NE Portal Way Portland,OR97230	Medical Services	6,636,107
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 247

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

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

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

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

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

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

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

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

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

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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.

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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.)..

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

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

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

Schedule A (Form 990 or 990-EZ) 2015

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

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

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.

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.

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.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

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.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) 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.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

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

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

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

11b

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

Section B. Type I Supporting Organizations

Yes

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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

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.

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.

Parent of Supported Organizations. Answer (a) and (b) below.

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.

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.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

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

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) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2015 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-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

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

OMB No. 1545-0047

2015

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

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

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

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization PROVIDENCE HEALTH & SERVICES - OREGON

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

Complete if the organization is described below. SchCMd Bullet

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

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

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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.

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

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

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

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

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

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

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

A Check SchCMd Bullet

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

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

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

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

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(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) 2015

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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

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

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

Yes

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

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

Yes

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

Yes

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

Yes

125,649

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

Yes

166,085

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

Yes

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

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

291,734

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, 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 2016 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 2015 Legislative Session * Attending state, federal and local government hearings and meetings in the Portland area Ballot measures * During 2015, 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 2015 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

Return Reference

Explanation

Part II-B, Line 1:

Lobbying activity includes: * Analysis of early draft legislation for 2016 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 2015 Legislative Session * Attending state, federal and local government hearings and meetings in the Portland area Ballot measures * During 2015, 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 2015 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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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

2015

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" on 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 ....

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


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

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

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

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

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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

Part V

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

		(a)Current year	(b)Prior year	(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 ......

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

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

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on 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 ...	41,620,653	68,551,036		110,171,689
b	Buildings	5,124,682	1,259,726,052	760,846,684	504,004,050
c	Leasehold improvements		47,159,967	33,368,304	13,791,663
d	Equipment ...		851,714,496	749,577,645	102,136,851
e	Other ...		559,443,746	259,262,837	300,180,909
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					1,030,285,162

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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
(1)Investment in Joint Ventures	21,229,076	C
(2)Investment in Foundations	284,189,702	C
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	305,418,778

Part IX

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

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Resident Trust Funds	1,056,977
LT Asset Retirement Obligation - FIN 47	2,762,682
Third Party Reserves	3,812,448
Bond Premium Discount	9,228,465
Capitalized Lease Obligations	55,134
Pension Benefit Obligation	16,052,934
EHR Incentive Settlement Payable	725,523
Due To Affiliates	57,037,423
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	90,731,586
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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' on 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 (Providence Health & Services) 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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on 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

2015

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

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

If the organization used factors other than FPG in determining eligibility, describe in Part VI the 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.

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

Yes

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

Yes

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

Yes

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .	21,084	43,895,187		43,895,187	1.490 %
b	Medicaid (from Worksheet 3, column a) . . . . .	224,887	478,400,266	344,605,938	133,794,328	4.540 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	245,971	522,295,453	344,605,938	177,689,515	6.030 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	188,920	5,177,971		5,177,971	0.180 %
f	Health professions education (from Worksheet 5) . . .	2,032	25,788,286	9,238,568	16,549,718	0.560 %
g	Subsidized health services (from Worksheet 6) . . . .	106	23,866,111	12,066,711	11,799,400	0.400 %
h	Research (from Worksheet 7) .		34,152,212	21,346,777	12,805,435	0.430 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	101,559	4,258,348		4,258,348	0.140 %
j	Total. Other Benefits . .	292,617	93,242,928	42,652,056	50,590,872	1.710 %
k	Total. Add lines 7d and 7j .	538,588	615,538,381	387,257,994	228,280,387	7.740 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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.

		(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	7,040	4,489	2,400	2,089	0 %
2	Economic development	420	42,000	4,200	37,800	0 %
3	Community support	14,045	448,476	54,540	393,936	0.010 %
4	Environmental improvements
5	Leadership development and training for community members	617	58,782	19,110	39,672	0 %
6	Coalition building	2,709	367,074	68,850	298,224	0.010 %
7	Community health improvement advocacy	3,997	90,774	34,890	55,884	0 %
8	Workforce development	346	101,010	11,100	89,910	0 %
9	Other	25	2,500		2,500	0 %
10	Total	29,199	1,115,105	195,090	920,015	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

6,894,460

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

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

Section B. Medicare

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

986,856,236

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

1,168,111,862

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

-181,255,626

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
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) 2015

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)							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	B
6	Providence Newberg Medical Center 1001 Providence Drive Newberg,OR97132 oregon.providence.org 14-1438	X	X			X		B
7	Providence Medford Medical Center 1111 Crater Lake Avenue Medford,OR97504 oregon.providence.org 14-0734	X	X			X		B
8	Providence Willamette Falls Med Ctr 1500 Division Street Oregon City,OR97045 oregon.providence.org 14-1471	X				X		A

Schedule H (Form 990) 2015

Page 4

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)

	PH&S - Oregon (Group A)
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

Community Health Needs Assessment

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?........................

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...............

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......................

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

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

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

Yes

6 a

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

Yes

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. ............................

Yes

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

Yes

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

Hospital facility’s website (list url): See Section C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): communitybenefit.providence.org/community-health-needs-assessments/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PH&S - Oregon (Group A)
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

www2.providence.org/obp/states/OR/financial-assistance.html

The FAP application form was widely available on a website (list url):

www2.providence.org/obp/states/OR/financial-assistance.html

A plain language summary of the FAP was widely available on a website (list url):
www2.providence.org/obp/states/OR/financial-assistance.html

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	PH&S - Oregon (Group A)
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?..................

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

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

If "Yes," explain in Section C.

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

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

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)

	PH&S - Oregon (Group B)
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

Community Health Needs Assessment

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?........................

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......................

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

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

Yes

6 a

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

Yes

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. ............................

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

Yes

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

Hospital facility’s website (list url): See Section C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): communitybenefit.providence.org/community-health-needs-assessments/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PH&S - Oregon (Group B)
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

www2.providence.org/obp/states/OR/financial-assistance.html

The FAP application form was widely available on a website (list url):

www2.providence.org/obp/states/OR/financial-assistance.html

A plain language summary of the FAP was widely available on a website (list url):
www2.providence.org/obp/states/OR/financial-assistance.html

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	PH&S - Oregon (Group B)
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

If "Yes," explain in Section C.

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

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

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 8: Providence Willamette Falls Med. Ctr.
Group A-Facility 1 -- Providence Portland Medical Center Part V, Section B, line 5:	The collaborative CHNA process included feedback and input from many community members and others with special knowledge of or expertise in public health. These efforts included direct collaboration with 4 county public health departments, as well as engaging individuals with specific content expertise. A complete list of those engaged in the process can be seen in the Appendix of the collaborative report, available at the following URL: https://multco.us/healthy-columbia-willamette-collaborative/reports.
Group A-Facility 1 -- Providence Portland Medical Center Part V, Section B, line 6a:	Providence participated as a member of the Healthy Columbia Willamette Collaborative, encompassing Clackamas, Multnomah, and Washington counties in Oregon as well as Clark County, Washington. Other hospital partners included the 3 other Providence hospitals in the 4-county region, as well as Adventist Medical Center, Kaiser Sunnyside Hospital, Kaiser Westside Hospital, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek Medical Center, Oregon Health & Science University, PeaceHealth Southwest Medical Center, and Tuality Healthcare/Tuality Community Hospital.
Group A-Facility 1 -- Providence Portland Medical Center Part V, Section B, line 6b:	Other participating organizations in HCWC include Clark County Public Health Department, Clackamas County Health Division, Multnomah County Health Department, and Washington County Public Health Division, along with the two Coordinated Care Organizations serving the area: FamilyCare and Health Share of Oregon.
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/. Partners and members of the Healthy Columbia Willamette Collaborative recognized access to affordable health care, chronic disease (related to physical activity and healthy eating), mental health, and substance abuse as the significant needs identified. All partners of the collaborative are working on these issues in different ways, with some efforts coordinated across partners. The collaborative as a whole committed to two specific collaborative health improvement efforts: developing a community prescribing standard for opiates and increasing access to human breast milk. Providence was a leading partner in the development of an opiate prescribing standard across the four-county region, engaging the Persistent Pain program and focusing on provider education. All HCWC partners agreed to the standard, as did other prescribers in the HCWC region. Providence continues to be an active participant in the work around increasing access to human breast milk through its partnership with NW Mother's Milk Bank, engagement in work place policy discussions, and engaging with CCOs and other payers regarding provision of breast pumps. PPMC participated in several other community-based activities, including collaborative efforts with other hospitals and Project Access NOW around healthcare outreach and enrollment and ensuring engagement of local volunteer providers to provide necessary care for the remaining un- and underinsured. Providence supported Wallace Medical Concern, a local FQHC, to provide resident health promotion services in a new affordable housing complex co-located within the clinic. PPMC also supported the Housing with Services program through Cedar Sinai Park to continue providing supportive services for vulnerable residents, along with programs through Our House, Partnership Project, and Transition Projects.Providence supported 211-Info, Familias en Accion, and Ride Connection across the Portland Metropolitan area to provide training to providers and community members regarding available resources and culturally competent care. Additionally, Providence engaged with Multnomah County Health Department to support the Tri-County 911 program for the remaining uninsured. The CCOs in the area are funding this resource for the Medicaid population, and Providence's financial support is allowing them to provide the service to the remaining uninsured. This program provides target case management and outreach for individuals with multiple calls to EMS or other emergency services for mental health or substance use related issues. Providence has continued its partnership with Medical Teams International to provide mobile dental services for community members who are un- or under-insured.Providence directly provided diabetes education classes, staff time at community events, support groups, caregiver support and training programs, patient support for safe and secure discharge for the first thirty days in partnership with Project Access NOW, and sports physicals for students who could otherwise not afford them. Providence also provides placement and supervision for Residency programs, nursing programs, physical therapy, and community paramedic training. Additionally, Providence continued its commitment to the Parish Health Promoter program (Promotores), which provides culturally competent training and care for Spanish-speaking members of the community through outreach and education. Providence continues its commitment to provide care for all, regardless of ability to pay and continues to provide enrollment assistance for individuals who are not yet insured but wish to be.There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them during this cycle due to funding and resource availability. There are other community organizations focusing on such issues, and PH&S-OR will be an engaged partner with other community led collaborative efforts.
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:	The collaborative CHNA process included feedback and input from many community members and others with special knowledge of or expertise in public health. These efforts included direct collaboration with 4 county public health departments, as well as engaging individuals with specific content expertise. A complete list of those engaged in the process can be seen in the Appendix of the collaborative report, available at the following URL: https://multco.us/healthy-columbia-willamette-collaborative/reports.
Group A-Facility 2 -- Providence St. Vincent Medical Center Part V, Section B, line 6a:	Providence participated as a member of the Healthy Columbia Willamette Collaborative, encompassing Clackamas, Multnomah, and Washington counties in Oregon as well as Clark County, Washington. Other hospital partners included the 3 other Providence hospitals in the 4-county region, as well as Adventist Medical Center, Kaiser Sunnyside Hospital, Kaiser Westside Hospital, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek Medical Center, Oregon Health & Science University, PeaceHealth Southwest Medical Center, and Tuality Healthcare/Tuality Community Hospital.
Group A-Facility 2 -- Providence St. Vincent Medical Center Part V, Section B, line 6b:	Other participating organizations in HCWC include Clark County Public Health Department, Clackamas County Health Division, Multnomah County Health Department, and Washington County Public Health Division, along with the two Coordinated Care Organizations serving the area: FamilyCare and Health Share of Oregon.
Group A-Facility 2 -- Providence St. Vincent Medical Center Part V, Section B, line 11:	PSVMC 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/. Partners and members of the Healthy Columbia Willamette Collaborative recognized access to affordable health care, chronic disease (related to physical activity and healthy eating), mental health, and substance abuse as the significant needs identified. All partners of the collaborative are working on these issues in different ways, with some efforts coordinated across partners. The collaborative as a whole committed to two specific collaborative health improvement efforts: developing a community prescribing standard for opiates and increasing access to human breast milk. Providence was a leading partner in the development of an opiate prescribing standard across the four-county region, engaging the Persistent Pain program and focusing on provider education. All HCWC partners agreed to the standard, as did other prescribers in the HCWC region. Providence continues to be an active participant in the work around increasing access to human breast milk through its partnership with NW Mother's Milk Bank, engagement in work place policy discussions, and engaging with CCOs and other payers regarding provision of breast pumps. PSVMC participated in several other community-based activities, including collaborative efforts with other hospitals and Project Access NOW around healthcare outreach and enrollment and ensuring engagement of local volunteer providers to provide necessary care for the remaining un- and underinsured. Providence supported Neighborhood Health Center, a local FQHC, to open a new clinic in Washington County, expanding access to primary care, mental health services, and oral health care in the community. PSVMC also supported the local chapter of St. Vincent de Paul to provide fresh produce and milk at the food pantry throughout the year, helping to address the basic needs of individuals and families in Tigard. PSVMC also provided support to Washington County Community Action, Transition Projects, and Compassion First. Providence supported 211-Info, Familias en Accion, and Ride Connection across the Portland Metropolitan area to provide training to providers and community members regarding available resources and culturally competent care. Additionally, Providence engaged with Multnomah County Health Department to support the Tri-County 911 program for the remaining uninsured. The CCOs in the area are funding this resource for the Medicaid population, and Providence's financial support is allowing them to provide the service to the remaining uninsured. This program provides target case management and outreach for individuals with multiple calls to EMS or other emergency services for mental health or substance use related issues. Providence has continued its partnership with Medical Teams International to provide mobile dental services for community members who are un- or under-insured.Providence directly provided diabetes education classes, staff time at community events, support groups, caregiver support and training programs, patient support for safe and secure discharge for the first thirty days in partnership with Project Access NOW, and sports physicals for students who could otherwise not afford them. Providence also provides placement and supervision for Residency programs, nursing programs, physical therapy, and community paramedic training. Additionally, Providence continued its commitment to the Parish Health Promoter program (Promotores), which provides culturally competent training and care for Spanish-speaking members of the community through outreach and education. Providence continues its commitment to provide care for all, regardless of ability to pay and continues to provide enrollment assistance for individuals who are not yet insured but wish to be.There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them during this cycle due to funding and resource availability. There are other community organizations focusing on such issues, and PH&S-OR will be an engaged partner with other community led collaborative efforts.
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:	The collaborative CHNA process included feedback and input from many community members and others with special knowledge of or expertise in public health. These efforts included direct collaboration with 4 county public health departments, as well as engaging individuals with specific content expertise. A complete list of those engaged in the process can be seen in the Appendix of the collaborative report, available at the following URL: https://multco.us/healthy-columbia-willamette-collaborative/reports.
Group A-Facility 3 -- Providence Milwaukie Hospital Part V, Section B, line 6a:	Providence participated as a member of the Healthy Columbia Willamette Collaborative, encompassing Clackamas, Multnomah, and Washington counties in Oregon as well as Clark County, Washington. Other hospital partners included the 3 other Providence hospitals in the 4-county region, as well as Adventist Medical Center, Kaiser Sunnyside Hospital, Kaiser Westside Hospital, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek Medical Center, Oregon Health & Science University, PeaceHealth Southwest Medical Center, and Tuality Healthcare/Tuality Community Hospital.
Group A-Facility 3 -- Providence Milwaukie Hospital Part V, Section B, line 6b:	Other participating organizations in HCWC include Clark County Public Health Department, Clackamas County Health Division, Multnomah County Health Department, and Washington County Public Health Division, along with the two Coordinated Care Organizations serving the area: FamilyCare and Health Share of Oregon.
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/. Partners and members of the Healthy Columbia Willamette Collaborative recognized access to affordable health care, chronic disease (related to physical activity and healthy eating), mental health, and substance abuse as the significant needs identified. All partners of the collaborative are working on these issues in different ways, with some efforts coordinated across partners. The collaborative as a whole committed to two specific collaborative health improvement efforts: developing a community prescribing standard for opiates and increasing access to human breast milk. Providence was a leading partner in the development of an opiate prescribing standard across the four-county region, engaging the Persistent Pain program and focusing on provider education. All HCWC partners agreed to the standard, as did other prescribers in the HCWC region. Providence continues to be an active participant in the work around increasing access to human breast milk through its partnership with NW Mother's Milk Bank, engagement in work place policy discussions, and engaging with CCOs and other payers regarding provision of breast pumps. PMH participated in several other community-based activities, including collaborative efforts with other hospitals and Project Access NOW around healthcare outreach and enrollment and ensuring engagement of local volunteer providers to provide necessary care for the remaining un- and underinsured. Neighborhood Health Center co-located the Joseph Bernard Dental Clinic on campus, which has enhanced access to oral health services. PMH also opened a community teaching kitchen and food pharmacy for individuals diagnosed with food-related chronic conditions who may not have access to healthy, affordable food. PMH provided funding for the North Clackamas Education Foundation to continue oral health screenings and application of fluoride varnish in school-based settings, and partnered with Mental Health America of Oregon to provide a pilot a peer support specialist and doula to women who are pregnant and addicted or in recovery. Providence also provided support to Clackamas County Health Department to support their mental health and media campaign, with the goal of reducing stigma related to mental health issues and increasing awareness of support and available resources.Providence supported 211-Info, Familias en Accion, and Ride Connection across the Portland Metropolitan area to provide training to providers and community members regarding available resources and culturally competent care. Additionally, Providence engaged with Multnomah County Health Department to support the Tri-County 911 program for the remaining uninsured. The CCOs in the area are funding this resource for the Medicaid population, and Providence's financial support is allowing them to provide the service to the remaining uninsured. This program provides target case management and outreach for individuals with multiple calls to EMS or other emergency services for mental health or substance use related issues. Providence has continued its partnership with Medical Teams International to provide mobile dental services for community members who are un- or under-insured.Providence directly provided diabetes education classes, staff time at community events, support groups, caregiver support and training programs, patient support for safe and secure discharge for the first thirty days in partnership with Project Access NOW, and sports physicals for students who could otherwise not afford them. Providence also provides placement and supervision for Residency programs, nursing programs, physical therapy, and community paramedic training. Additionally, Providence continued its commitment to the Parish Health Promoter program (Promotores), which provides culturally competent training and care for Spanish-speaking members of the community through outreach and education. Providence continues its commitment to provide care for all, regardless of ability to pay and continues to provide enrollment assistance for individuals who are not yet insured but wish to be.There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them during this cycle due to funding and resource availability. There are other community organizations focusing on such issues, and PH&S-OR will be an engaged partner with other community led collaborative efforts.
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:	The Columbia Gorge Health Council produced a Regional Health Needs Assessment. Providence was an active participant in that process, as well as producing a stand-alone document specific to the PHRMH service area. The collaborative assessment included hospital partners: Mid-Columbia Medical Center, Klickitat Valley Health, and Skyline Hospital.
Group A-Facility 4 -- Providence Hood River Mem. Hospital Part V, Section B, line 6b:	The Columbia Gorge Health Council produced a Regional Health Needs Assessment. Providence was an active participant in that process, as well as producing a stand-alone document specific to the PHRMH service area. The collaborative assessment included: Columbia Gorge Health Council, Hood River County Health Department, Klickitat Valley Health, Klickitat Valley Health Department, Mid-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 2015 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. This individual helped secure over $1.5M of grants in the Gorge Region, related directly to the regional health assessment. Providence remains an active participant in enrollment assistance for health insurance, providing access to care regardless of ability to pay, increasing care for patients and community members experiencing disabilities or chronic conditions through the Volunteers in Action program, palliative care programs and outreach to the Latino community, implementing a rural health residency program to increase provider education and access to care in rural areas, diabetes education programs, medication assistance programs, implementing a Persistent Pain program to prevent opiate misuse, and continues to be an active partner with the CCO, DCO, and mental health providers in the region.Additionally, Providence has engaged with several community organizations to address the needs identified in the PHRMH assessment as well as those called out in the Regional Health Assesment. Examples of these programs include sponsoring a van for the Jesuit Volunteers, based at the St. Francis House of Odell, and providing services to several other social service partners in the area. Providence has been a major supporter of Gorge Grown Food Network and their work related to Veggie Rx programs, evaluation of these programs, and the Gorge Food Coalition to support food sovereignty amongst the population. Investment in these projects benefitted over 2,000 households in 2015. Providence also supported the local federally-qualified health center, One Community Health, to open a school-based health center and increase access to care across the community. Other programs include Spanish-language health promotion programs, Zumba classes, small business programs to stimulate economic growth and living-wage jobs in the region, support of the local county Health Department for school-based health services, providing an athletic trainer in-kind to local schools, and continued support for the Next Door, Inc.There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them during this cycle due to funding and resource availability. There are other community organizations focusing on such issues, and PH&S-OR will be an engaged partner with other community led collaborative efforts.
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 8 -- Providence Willamette Falls Med. Ctr. Part V, Section B, line 5:	The collaborative CHNA process included feedback and input from many community members and others with special knowledge of or expertise in public health. These efforts included direct collaboration with 4 county public health departments, as well as engaging individuals with specific content expertise. A complete list of those engaged in the process can be seen in the Appendix of the collaborative report, available at the following URL: https://multco.us/healthy-columbia-willamette-collaborative/reports.
Group A-Facility 8 -- Providence Willamette Falls Med. Ctr. Part V, Section B, line 6a:	Providence participated as a member of the Healthy Columbia Willamette Collaborative, encompassing Clackamas, Multnomah, and Washington counties in Oregon as well as Clark County, Washington. Other hospital partners included the 3 other Providence hospitals in the 4-county region, as well as Adventist Medical Center, Kaiser Sunnyside Hospital, Kaiser Westside Hospital, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek Medical Center, Oregon Health & Science University, PeaceHealth Southwest Medical Center, and Tuality Healthcare/Tuality Community Hospital.
Group A-Facility 8 -- Providence Willamette Falls Med. Ctr. Part V, Section B, line 6b:	Other participating organizations in HCWC include Clark County Public Health Department, Clackamas County Health Division, Multnomah County Health Department, and Washington County Public Health Division, along with the two Coordinated Care Organizations serving the area: FamilyCare and Health Share of Oregon.
Group A-Facility 8 -- Providence Willamette Falls Med. Ctr. Part V, Section B, line 11:	PWFMC 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/. Partners and members of the Healthy Columbia Willamette Collaborative recognized access to affordable health care, chronic disease (related to physical activity and healthy eating), mental health, and substance abuse as the significant needs identified. All partners of the collaborative are working on these issues in different ways, with some efforts coordinated across partners. The collaborative as a whole committed to two specific collaborative health improvement efforts: developing a community prescribing standard for opiates and increasing access to human breast milk. Providence was a leading partner in the development of an opiate prescribing standard across the four-county region, engaging the Persistent Pain program and focusing on provider education. All HCWC partners agreed to the standard, as did other prescribers in the HCWC region. Providence continues to be an active participant in the work around increasing access to human breast milk through its partnership with NW Mother's Milk Bank, engagement in work place policy discussions, and engaging with CCOs and other payers regarding provision of breast pumps. PWFMC participated in several other community-based activities, including collaborative efforts with other hospitals and Project Access NOW around healthcare outreach and enrollment and ensuring engagement of local volunteer providers to provide necessary care for the remaining un- and underinsured. Providence supported The Canby Center to provide mobile dental service to its clients and improve access to oral health services, as well as supporting the Backpack Buddies program to ensure nutritious snacks and meals were provided by low-income students and youth pariticpating in programs at the center. PWFMC also engaged with the Oregon City Schools Foundation to support the Pioneer Pantry and provided reduced-cost space for Morrison Family Services, enhancing community access to mental health services. Providence supported 211-Info, Familias en Accion, and Ride Connection across the Portland Metropolitan area to provide training to providers and community members regarding available resources and culturally competent care. Additionally, Providence engaged with Multnomah County Health Department to support the Tri-County 911 program for the remaining uninsured. The CCOs in the area are funding this resource for the Medicaid population, and Providence's financial support is allowing them to provide the service to the remaining uninsured. This program provides target case management and outreach for individuals with multiple calls to EMS or other emergency services for mental health or substance use related issues. Providence has continued its partnership with Medical Teams International to provide mobile dental services for community members who are un- or under-insured.Providence directly provided diabetes education classes, staff time at community events, support groups, caregiver support and training programs, patient support for safe and secure discharge for the first thirty days in partnership with Project Access NOW, and sports physicals for students who could otherwise not afford them. Providence also provides placement and supervision for Residency programs, nursing programs, physical therapy, and community paramedic training. Additionally, Providence continued its commitment to the Parish Health Promoter program (Promotores), which provides culturally competent training and care for Spanish-speaking members of the community through outreach and education. Providence continues its commitment to provide care for all, regardless of ability to pay and continues to provide enrollment assistance for individuals who are not yet insured but wish to be.There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them during this cycle due to funding and resource availability. There are other community organizations focusing on such issues, and PH&S-OR will be an engaged partner with other community led collaborative efforts.
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.
Part V, Section B	Facility Reporting Group B
Facility Reporting Group B consists of:	- Facility 5: Providence Seaside Hospital, - Facility 6: Providence Newberg Medical Center, - Facility 7: Providence Medford Medical Center
Group B-Facility 5 -- Providence Seaside Hospital Part V, Section B, line 5:	Conducted key stakeholder interviews as well as community listening sessions. Participants in the listening sessions attended anonymously, though a complete list of stakeholders interviewed (as well as the guide used) is available in the appendix of the CHNA document. Interviewees included: Don Larson, Mayor of SeasideMark Winstanley, Seaside City ManagerGeorge Sabol, ED Clatsop Community ActionJim Coffee, CEO Coastal Health CenterSumeur Watkins, ED Clatsop Behavioral HealthJorge Gutierrez, Program Manager Lower Columbia Hispanic CouncilBrian Mahoney, Director Clatsop County Public HealthNicole Williams, CEO Clatsop Care Center Health DistrictMandy Brenchly, Administrator Clatsop Care CenterJay Flint, ED Sunset Empire Transportation DistrictGina Kyter, School Nurse Seaside School DistrictSteve Phillips, Board Member, Seaside School DistrictCarol Gallagher, ED Neawanna by the Sea Retirement CommunityDenise Hayes, Community Relations Director, Neawanna by the SeaPaul Tesi, Jail Commander Clatsop County SheriffFr. Nick Nilema, Our Lady of Victory ChurchMelissa Johnstone, NW Senior and Disability ServicesDebra Birkby, Clatsop County CommissionerAyle Rhea, Executive Director, Suzanne EliseDominique Greco, Physician, PMGDoug Wood, Union Health DistrictMark Terranova, Restoration House
Group B-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 B-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 2015 include continued 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. Providence provides funding for Medical Teams International dental van to serve Clatsop County. PSH executives were extensively engaged with Columbia Pacific CCO and continued support and partnership for the Caring for Clatsop Respite Center. Partnerships were deepened with Clatsop Community Action and Helping Hands Re-Entry, addressing 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. These programs provided 340 unique individuals emergency shelter, as well as nearly 14,000 emergency food boxes (serving over 40,000 peopple, including 2,150 children). Additionally, Providence partnered with the Way to Wellville (c/o Connect the Dots) to support 4 specific initiatives of the nationally-funded program: Rx to Play, Children's Health and Screening Clinic, Trauma-Informed Care, and Substance Use prevention campaigns. These programs will be provided to the community through 2016, with program reach and outcomes available at that point. Furthermore, Providence continues its commitment to keeping health professional education local and increasing access of the Clatsop County community through supporting nursing and other medical training programs at Clatsop Community College.Providence directly provided diabetes education classes, staff time at community events, support groups, asthma and COPD education, volunteer programs through Community Connections, an early childhood clinic, caregiver support and training programs, medication assistance, patient support for safe and secure discharge for the first thirty days, and providing sports physicals for students who could otherwise not afford them. Providence continues its commitment to provide care for all, regardless of ability to pay and continues to provide enrollment assistance for individuals who are not yet insured but wish to be.There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them during this cycle due to funding and resource availability. There are other community organizations focusing on such issues, and PH&S-OR will be an engaged partner with other community led collaborative efforts.
Group B-Facility 5 -- Providence Seaside Hospital Part V, Section B, line 16i:	The FAP signage and information are included on billing statements.
Group B-Facility 5 -- Providence Seaside Hospital Part V, Section B, line 22d:	The hospitals used the average of the largest negotiated commercial insurance rate.
Group B-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 B-Facility 6 -- Providence Newberg Medical Center Part V, Section B, line 5:	Conducted key stakeholder interviews as well as community listening sessions. Participants in the listening sessions attended anonymously, though a complete list of stakeholders interviewed (as well as the guide used) is available in the appendix of the CHNA document. Interviewees included: Scott Parrish, CEO, A-DecTed Crawford, Mayor, City of Dundee Bob Andrews, Mayor, City of NewbergPaula Terp, Mayor, City of YamhillRobin Baker, President, George Fox UniversityKathy Watson, Manager, Faith in ActionPolly Siler, Manager, Love In the Name of Christ (Love, INC)Kym Leblanc-Esparza, Superintendent, and Claudia Stewart, Newberg Public Schools Les Hallman, Fire Chief and Frank Douglas, EMS Division Chief, Newberg Fire DepartmentFr. Don Gutmann, St. Peter Catholic ChurchSilas Halloran-Steiner, Director of Health and Human Services, Yamhill County HHS
Group B-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 B-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 2015 include the launch of a Parish Health Promoters (Promotores) program,providing culturally competent training and outreach to the Spanish-speaking population. Over 35 individuals were trained as Community Health Workers, and organized chronic conditions management courses, activity programs, and health fairs in partnership with Providence's telehealth program to increase access to preventive and primary care to the Spanish speaking population in Yamhill County. Providence directly partnered with Love, INC to provide dental services to low-income and uninsured individuals in the community, which was also a training opportunity for students at Pacific University and Chemeketa Community College. Providence Newberg supported Newberg FISH Emergency Services through participation in the food drive as well as a financial contribution to ensure access to protein-rich food stuffs in the pantry. Other community partnerships included support to Yamhill County Homeless Connect and providing athletic training services for a local high school. In addition, Providence partnered with Catholic Community Services NW for the development of the Rainbow Lodge Crisis Respite Center in collaboration with Yamhill County Public Health and Yamhill Community Care Organization. Providence also supported Lutheran Community Services NW to expand A Family Place, the local relief nursery providing respite and care for high-risk families and their children. PNMC provides externship and supervision for rehabilitation and nursing students, and Providence leadership continues to be extensively engaged on the board of the Yamhill Community Care Organization. Providence directly provided diabetes education classes, staff time at community events, support groups, volunteer programs through Community Connections, caregiver support and training programs, medication assistance, patient support for safe and secure discharge for the first thirty days in partnership with Project Access NOW, and providing sports physicals for students who could otherwise not afford them. Providence continues its commitment to provide care for all, regardless of ability to pay and continues to provide enrollment assistance for individuals who are not yet insured but wish to be.There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them during this cycle due to funding and resource availability. There are other community organizations focusing on such issues, and PH&S-OR will be an engaged partner with other community led collaborative efforts.
Group B-Facility 6 -- Providence Newberg Medical Center Part V, Section B, line 16i:	The FAP signage and information are included on billing statements.
Group B-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 B-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 B-Facility 7 -- Providence Medford Medical Center Part V, Section B, line 5:	Conducted key stakeholder interviews as well as community listening sessions. Participants in the listening sessions attended anonymously, though a complete list of stakeholders interviewed (as well as the guide used) is available in the appendix of the CHNA document. Interviewees included: Phil Long, Superintendent, Medford School District 549cTeresa Sayre, Superintendent, Phoenix-Talent School DistrictMichelle Wilson, Development Director, Children's Advocacy Ctr. of Jackson Co. Tom Cole, Executive Director, Kids UnlimitedTraci Fossen, Clinical Director, Kids Health ConnectionTim George, Chief of Police, MedfordHank Williams, Mayor, Central PointGordon Sletmoe, Acting Chief, Medford Fire DepartmentRita Sullivan, Executive Director, On-TrackJackie Schad, Executive Director, ACCESSDeeAnn Everson, Executive Director, United WayTiffanie Lambert, Director Special Services, Eagle Point School DistrictDan Peterson, Chief, Jackson County Fire DepartmentIda Saito, Chief Operating Officer, LaClinicaJohn Stromberg, Mayor, AshlandEd Smith-Burns, Deputy Director, Addictions Recovery CenterMark Orndoff, Director, Jackson County Health & Human ServicesJackson Baures, Division Manager Jackson County Public HealthStacy Brubaker, Division Manager, Jackson County Mental HealthPeg Crowley, Executive Director Community Health CenterBrenda Johnson, Executive Director, LaClinicaMonty Holloway, Administrative Captain, Jackson County Sheriff's OfficeSusan Fisher, Jackson County Commission on Children and Families
Group B-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 B-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 are available online with the CHNA at http://oregon.providence.org/about-us/. Some specific examples of activities taken in 2015 include continued partnership with St. Vincent de Paul to provide mobile dental programs, support for the food pantry (985 food bags, assisting 656 households), and provide funding for the Urban Rest Stop project. Additionally, Providence partnered with Rogue Community Health to expand the bilingual community health worker program, which provided 94 home visits and 163 office visits, as well as 450 individuals assisted with insurance enrollment, and 300 individuals with other basic needs (food, housing, transportation). Providence also partnered with Ashland Family YMCA to provide arthritis prevention and activity classes free of charge to community members, as well as supported ACCESS's community garden to increase access to healthy, affordable food options for low-income families. Providence executives were extensively engaged with the local CCO boards in order to continue ensuring care for those eligible for Medicaid.Providence directly provided free and low-cost support groups and cancer screenings, community education around physical and occupational therapy, ensuring emergency department physicians were available when needed, subsidized expenses of guest housing for family members, provided athletic trainers and free sports physicals for students who would not otherwise be able to afford them, participated and funded the Jefferson Health Information Exchange, support for and engagement in the Jefferson Regional Health Alliance, support for Court Appointed Special Advocates and the Compass House, support for the United Way, and provided health professionals training (physical and occupational therapy, nursing, and lab tech, amongst others). Providence continues its commitment to provide care for all, regardless of ability to pay and continues to provide enrollment assistance for individuals who are not yet insured but wish to be, as well as providing medication assistance and other basic support to allow for safe and secure discharge for the first thirty days.There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them during this cycle due to funding and resource availability. There are other community organizations focusing on such issues, and PH&S-OR will be an engaged partner with other community led collaborative efforts.
Group B-Facility 7 -- Providence Medford Medical Center Part V, Section B, line 16i:	The FAP signage and information are included on billing statements.
Group B-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 B-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.
Part V, Section B, Line 7a:	communitybenefit.providence.org/community-health-needs-assessments/

Schedule H (Form 990) 2015

Page 8

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?345
Name and address		Type of Facility (describe)
1	1 - Diabetes Learning Center 1698 E McAndrews Medford,OR97504	Education
2	2 - Providence Center for Health Care Ethics 9445 SW Barnes Road Portland,OR97225	Education
3	3 - Providence Diabetes and Health Education 9340 SW Barnes Road Ste 200 Portland,OR97225	Education
4	4 - Providence Hood River Health Services bu 1151 May St Hood River,OR97031	Education
5	5 - Providence Seaside-Diabetes Education 725 S Wahanna Road Seaside,OR97138	Education
6	6 - Eastern Oregon Correctional Institution 2500 Westgate Pendleton,OR97801	Express care
7	7 - Labor and Industries Building 350 Winter St NE Salem,OR97309	Express care
8	8 - Providence Express Care at Walgreens Fis 1905 SE 164th Ave Vancouver,WA98683	Express care
9	9 - Providence Express Care at Walgreens Gli 17979 NE Glisan St Gresham,OR97230	Express care
10	10 - Providence Express Care at Walgreens Hap 11995 SE Sunnyside Road Happy Valley,OR97015	Express care
11	11 - Providence Express Care at Walgreens Hil 955 SE Baseline St Hillsboro,OR97124	Express care
12	12 - Providence Express Care at Walgreens Mil 14617 SE McLoughlin Blvd Portland,OR97267	Express care
13	13 - Providence Express Care at Walgreens Mur 14600 SW Murray Scholls Dr Beaverton,OR97007	Express care
14	14 - Providence Express Care at Walgreens Pow 4285 W Powell Blvd Gresham,OR97030	Express care
15	15 - Providence Express Care at Walgreens Ral 7280 SW Beaverton Hillsdale Hwy Portland,OR97225	Express care
16	16 - Providence Express Care at Walgreens Sal 2100 NE 139th St Vancouver,WA98686	Express care
17	17 - Providence Express Care Kiosk Medford 1698 E McAndrews Medford,OR97504	Express care
18	18 - Providence Express Care North Lombard 5300 N Lombard St Ste 102 Portland,OR97203	Express care
19	19 - Providence Express Care Pearl District 1025 NW 14th Ave Portland,OR97209	Express care
20	20 - Providence Express Care-Interstate 4340 N Interstate Ave Portland,OR97217	Express care
21	21 - Providence Express Care-Kruse Way 4823 Meadows Road Ste 127 Lake Oswego,OR97035	Express care
22	22 - Two Rivers Correctional Institution 82911 Beach Access Road Umatilla,OR97882	Express care
23	23 - Oregon Advanced Imaging at Navigator's L 881 OHare Parkway Medford,OR97504	Imaging Center
24	24 - Providence Portland Diagnostic Imaging 10538 SE Washington St Portland,OR97216	Imaging Center
25	25 - Providence Laboratory - North Bank Patie 700 Bellevue Street SE Ste 140 Salem,OR97301	Lab
26	26 - Providence Laboratory and Radiology 940 Royal Ave Medford,OR97504	Lab
27	27 - Providence Laboratory at Providence Beth 15640 NW Laidlaw Road Portland,OR97229	Lab
28	28 - Providence Laboratory at Providence Brid 18040 SW Lower Boones Ferry Road Tigard,OR97224	Lab
29	29 - Providence Laboratory at Providence Cama 3101 SE 192nd Ave Vancouver,WA98663	Lab
30	30 - Providence Laboratory at Providence Clac 9290 SE Sunnybrook Blvd Clackamas,OR97015	Lab
31	31 - Providence Laboratory at Providence Gate 1321 NE 99th Ave Portland,OR97220	Lab
32	32 - Providence Laboratory at Providence Happ 16180 SE Sunnyside Road Happy Valley,OR97015	Lab
33	33 - Providence Laboratory at Providence Hood 1304 Montello Ave Hood River,OR97031	Lab
34	34 - Providence Laboratory at Providence Hood 810 12th St Hood River,OR97031	Lab
35	35 - Providence Laboratory at Providence Medf 1111 Crater Lake Ave Medford,OR97504	Lab
36	36 - Providence Laboratory at Providence Medi 870 S Front St Central Point,OR97502	Lab
37	37 - Providence Laboratory at Providence Medi 4015 Mercantile Drive Lake Oswego,OR97035	Lab
38	38 - Providence Laboratory at Providence Medi 315 SE Stone Mill Drive Vancouver,WA98684	Lab
39	39 - Providence Laboratory at Providence Medi 16770 SW Edy Road Sherwood,OR97140	Lab
40	40 - Providence Laboratory at Providence Merc 4035 SW Mercantile Drive Ste 101 Lake Oswego,OR97035	Lab
41	41 - Providence Laboratory at Providence Milw 10330 SE 32nd Ave Milwaukie,OR97222	Lab
42	42 - Providence Laboratory at Providence Milw 10150 SE 32nd Ave Milwaukie,OR97222	Lab
43	43 - Providence Laboratory at Providence Newb 1001 Providence Drive Newberg,OR97132	Lab
44	44 - Providence Laboratory at Providence Pati 1021 June St Hood River,OR97031	Lab
45	45 - Providence Laboratory at Providence Prof 5050 NE Hoyt St Portland,OR97213	Lab
46	46 - Providence Laboratory at Providence Scho 12442 SW Scholls Ferry Road Tigard,OR97223	Lab
47	47 - Providence Laboratory at Providence Seas 725 S Wahanna Road Seaside,OR97138	Lab
48	48 - Providence Laboratory at Providence St 9205 SW Barnes Road Portland,OR97225	Lab
49	49 - Providence Laboratory at Providence Suns 417 SW 117th Ave Portland,OR97225	Lab
50	50 - Providence Laboratory at Providence Tana 18610 NW Cornell Road Hillsboro,OR97124	Lab
51	51 - Providence Laboratory at Providence Will 200 S Hazel Dell Way Canby,OR97013	Lab
52	52 - Providence Laboratory at Providence Will 1500 Division St Oregon City,OR97045	Lab
53	53 - Providence Laboratory at Providence Will 1508 Division St Oregon City,OR97045	Lab
54	54 - Providence Laboratory at The Oregon Clin 1111 NE 99th Ave Portland,OR97220	Lab
55	55 - Providence Laboratory-Health Services Bu 1108 June Street Hood River,OR97031	Lab
56	56 - Providence Marion County Lab 431 Lancaster Drive NE Salem,OR97301	Lab
57	57 - Providence Center for Occupational Medic 1390 Biddle Road Ste 101 Medford,OR97504	Occupational Medicine
58	58 - Providence Hood River Memorial Hospital 917 11th St Ste 200 Hood River,OR97031	Occupational Medicine
59	59 - Providence Occupational Health Clackama 9290 SE Sunnybrook Blvd Clackamas,OR97015	Occupational Medicine
60	60 - Providence Occupational Health Northwes 1750 NW Naito Parkway Portland,OR97209	Occupational Medicine
61	61 - Providence Occupational Health Tanasbou 18610 NW Cornell Road Hillsboro,OR97124	Occupational Medicine
62	62 - Providence Occupational Medicine-Mill Pl 315 SE Stone Mill Drive Vancouver,WA98684	Occupational Medicine
63	63 - Providence Long-Term Care Pharmacy 6410 NE Halsey St Portland,OR97213	Pharmacy
64	64 - Providence Seaside Pharmacy 725 S Wahanna Road Seaside,OR97138	Pharmacy
65	65 - Providence Medical Group Lloyd 839 NE Holladay St Portland,OR97232	Primary Care Clinic
66	66 - Providence Medical Group-Battle Ground F 101 NW 12th Ave Battle Ground,WA98604	Primary Care Clinic
67	67 - Providence Medical Group-Battle Ground I 101 NW 12th Ave Battle Ground,WA98604	Primary Care Clinic
68	68 - Providence Medical Group-Bethany 15640 NW Laidlaw Road Portland,OR97229	Primary Care Clinic
69	69 - Providence Medical Group-Bridgeport Derm 18040 SW Lower Boones Ferry Road Tigard,OR97224	Primary Care Clinic
70	70 - Providence Medical Group-Bridgeport Fami 18040 SW Lower Boones Ferry Road Tigard,OR97224	Primary Care Clinic
71	71 - Providence Medical Group-Bridgeport Imme 18040 SW Lower Boones Ferry Road Tigard,OR97224	Primary Care Clinic
72	72 - Providence Medical Group-Camas 3101 SE 192nd Ave Vancouver,WA98683	Primary Care Clinic
73	73 - Providence Medical Group-Canby 200 S Hazel Dell Way Canby,OR97013	Primary Care Clinic
74	74 - Providence Medical Group-Canby Immediate 200 S Hazel Dell Way Canby,OR97013	Primary Care Clinic
75	75 - Providence Medical Group-Cannon Beach - 171 N Larch Ste 16 Cannon Beach,OR97138	Primary Care Clinic
76	76 - Providence Medical Group-Cascade 5050 NE Hoyt St Portland,OR97213	Primary Care Clinic
77	77 - Providence Medical Group-Central Point 870 S Front St Central Point,OR97502	Primary Care Clinic
78	78 - Providence Medical Group-Doctors Clinic 1698 E McAndrews Medford,OR97504	Primary Care Clinic
79	79 - Providence Medical Group-Eagle Point 1332 Shasta Ave Suite A Eagle Point,OR97524	Primary Care Clinic
80	80 - Providence Medical Group-Eagle Point Ped 10830 Old Highway 62 Eagle Point,OR97524	Primary Care Clinic
81	81 - Providence Medical Group-Esther Short 700 Washington St Ste 105 Vancouver,WA98660	Primary Care Clinic
82	82 - Providence Medical Group-Gateway Family 1321 NE 99th Ave Portland,OR97220	Primary Care Clinic
83	83 - Providence Medical Group-Gateway Immedia 1321 NE 99th Ave Portland,OR97220	Primary Care Clinic
84	84 - Providence Medical Group-Gateway Interna 1321 NE 99th Ave Portland,OR97220	Primary Care Clinic
85	85 - Providence Medical Group-Glisan 5330 NE Glisan St Portland,OR97213	Primary Care Clinic
86	86 - Providence Medical Group-Gresham 440 NW Division Street Gresham,OR97030	Primary Care Clinic
87	87 - Providence Medical Group-Happy Valley 16180 SE Sunnyside Road Happy Valley,OR97015	Primary Care Clinic
88	88 - Providence Medical Group-Happy Valley Im 16180 SE Sunnyside Road Happy Valley,OR97015	Primary Care Clinic
89	89 - Providence Medical Group-Hillsboro 265 SE Oak St Hillsboro,OR97123	Primary Care Clinic
90	90 - Providence Medical Group-Medford Family 1698 E McAndrews Medford,OR97504	Primary Care Clinic
91	91 - Providence Medical Group-Medford Medical 965 Ellendale Dr Medford,OR97504	Primary Care Clinic
92	92 - Providence Medical Group-Medford Pediatr 840 Royal Ave Medford,OR97504	Primary Care Clinic
93	93 - Providence Medical Group-Mercantile 4015 Mercantile Drive Lake Oswego,OR97035	Primary Care Clinic
94	94 - Providence Medical Group-Mill Plain 315 SE Stone Mill Drive Vancouver,WA98684	Primary Care Clinic
95	95 - Providence Medical Group-Milwaukie 10330 SE 32nd Ave Milwaukie,OR97222	Primary Care Clinic
96	96 - Providence Medical Group-Molalla 110 Center Ave Molalla,OR97038	Primary Care Clinic
97	97 - Providence Medical Group-North Portland 4920 N Interstate Ave Portland,OR97217	Primary Care Clinic
98	98 - Providence Medical Group-Northeast 5050 NE Hoyt St Portland,OR97213	Primary Care Clinic
99	99 - Providence Medical Group-Oregon City 1510 Division St Oregon City,OR97045	Primary Care Clinic
100	100 - Providence Medical Group-Oregon City Gen 1510 Division St Oregon City,OR97045	Primary Care Clinic
101	101 - Providence Medical Group-Orenco 5555 NE Elam Young Parkway Hillsboro,OR97124	Primary Care Clinic
102	102 - Providence Medical Group-Phoenix Family 205 Fern Valley Road Phoenix,OR97535	Primary Care Clinic
103	103 - Providence Medical Group-Scholls Family 12442 SW Scholls Ferry Road Tigard,OR97223	Primary Care Clinic
104	104 - Providence Medical Group-Scholls Immedia 12442 SW Scholls Ferry Road Tigard,OR97223	Primary Care Clinic
105	105 - Providence Medical Group-Scholls Interna 12442 SW Scholls Ferry Road Tigard,OR97223	Primary Care Clinic
106	106 - Providence Medical Group-Seaside 725 S Wahanna Road Seaside,OR97138	Primary Care Clinic
107	107 - Providence Medical Group-Sherwood Immedi 16770 SW Edy Road Sherwood,OR97140	Primary Care Clinic
108	108 - Providence Medical Group-Southeast 4104 SE 82nd Ave Suite 250 Portland,OR97266	Primary Care Clinic
109	109 - Providence Medical Group-Southwest Pedia 9427 SW Barnes Road Portland,OR97225	Primary Care Clinic
110	110 - Providence Medical Group-St Vincent 9205 SW Barnes Road Portland,OR97225	Primary Care Clinic
111	111 - Providence Medical Group-Sunnyside 9290 SE Sunnybrook Blvd Clackamas,OR97015	Primary Care Clinic
112	112 - Providence Medical Group-Sunset Internal 417 SW 117th Ave Portland,OR97225	Primary Care Clinic
113	113 - Providence Medical Group-Tanasbourne 18610 NW Cornell Road Hillsboro,OR97124	Primary Care Clinic
114	114 - Providence Medical Group-Tanasbourne Imm 18610 NW Cornell Road Hillsboro,OR97124	Primary Care Clinic
115	115 - Providence Medical Group-The Plaza 5050 NE Hoyt St Portland,OR97213	Primary Care Clinic
116	116 - Providence Medical Group-Warrenton 171 S Hwy 101 Warrenton,OR97146	Primary Care Clinic
117	117 - Providence Medical Group-West Linn 1899 Blankenship Road West Linn,OR97068	Primary Care Clinic
118	118 - Providence Medical Group-Wilsonville 29345 SW Town Center Loop East Wilsonville,OR97070	Primary Care Clinic
119	119 - Providence Bethany Rehab 15640 NW Laidlaw Road Portland,OR97229	Rehab & Physical Therapy
120	120 - Providence Bridgeport Rehab and Sports T 18040 SW Lower Boones Ferry Road Tigard,OR97224	Rehab & Physical Therapy
121	121 - Providence Camas Rehab and Sports Therap 3101 SE 192nd Ave Vancouver,WA98683	Rehab & Physical Therapy
122	122 - Providence Canby Rehab and Sports Therap 200 S Hazel Dell Way Canby,OR97013	Rehab & Physical Therapy
123	123 - Providence Cardiac Rehabilitation Center 9205 SW Barnes Road Portland,OR97225	Rehab & Physical Therapy
124	124 - Providence Central Point Physical Therap 870 S Front St Central Point,OR97502	Rehab & Physical Therapy
125	125 - Providence Children's Development Instit 830 NE 47th Ave Portland,OR97213	Rehab & Physical Therapy
126	126 - Providence Children's Development Instit 270 NW Burnside St Gresham,OR97030	Rehab & Physical Therapy
127	127 - Providence Children's Development Instit 310 Villa Road Newberg,OR97132	Rehab & Physical Therapy
128	128 - Providence Children's Development Instit 9155 SW Barnes Road Portland,OR97225	Rehab & Physical Therapy
129	129 - Providence Clackamas Rehab 9290 SE Sunnybrook Blvd Clackamas,OR97015	Rehab & Physical Therapy
130	130 - Providence Downtown Rehab 1305 SW First Ave Portland,OR97201	Rehab & Physical Therapy
131	131 - Providence Eagle Point Physical Therapy 155 Alta Vista Road Eagle Point,OR97524	Rehab & Physical Therapy
132	132 - Providence Gateway Rehab 1111 NE 99th Ave Portland,OR97220	Rehab & Physical Therapy
133	133 - Providence Gorge Spine and Sports Medici 731 Pomona Street The Dalles,OR97058	Rehab & Physical Therapy
134	134 - Providence Gorge Spine and Sports Medici 1627 Woods Court Hood River,OR97031	Rehab & Physical Therapy
135	135 - Providence Gresham Rehab and Sports Ther 270 NW Burnside St Gresham,OR97030	Rehab & Physical Therapy
136	136 - Providence Happy Valley Rehab and Sports 16180 SE Sunnyside Road Happy Valley,OR97086	Rehab & Physical Therapy
137	137 - Providence Macadam Aquatic Center 5757 SW Macadam Ave Portland,OR97213	Rehab & Physical Therapy
138	138 - Providence Medford Medical Center Outpat 1111 Crater Lake Ave Medford,OR97504	Rehab & Physical Therapy
139	139 - Providence Medical Group-Physiatry Sout 827 Spring St Medford,OR97504	Rehab & Physical Therapy
140	140 - Providence Medical Group-Sports Care 909 SW 18th Ave Portland,OR97205	Rehab & Physical Therapy
141	141 - Providence Milwaukie Healing Place Rehab 10330 SE 32nd Ave Milwaukie,OR97222	Rehab & Physical Therapy
142	142 - Providence Newberg Physical Therapy and 500 Villa Road Newberg,OR97132	Rehab & Physical Therapy
143	143 - Providence Newberg Rehab and Pediatric S 310 Villa Road Newberg,OR97132	Rehab & Physical Therapy
144	144 - Providence Northeast Rehabilitation 507 NE 47th Ave Portland,OR97213	Rehab & Physical Therapy
145	145 - Providence Orenco Rehabilitation Service 5555 NE Elam Young Parkway Hillsboro,OR97124	Rehab & Physical Therapy
146	146 - Providence Orthopedic Therapy Southern 1111 Crater Lake Ave Medford,OR97504	Rehab & Physical Therapy
147	147 - Providence Physiatry Clinic 507 NE 47th Ave Portland,OR97213	Rehab & Physical Therapy
148	148 - Providence Physiatry Clinic-West 9135 SW Barnes Road Portland,OR97225	Rehab & Physical Therapy
149	149 - Providence Rehabilitation and Home Servi 3621 N Highway 101 Gearhart,OR97138	Rehab & Physical Therapy
150	150 - Providence Rehabilitation Services 3621 N Highway 101 Gearhart,OR97138	Rehab & Physical Therapy
151	151 - Providence Rehabilitation Services 500 Villa Road Newberg,OR97132	Rehab & Physical Therapy
152	152 - Providence Scholls Rehab 12442 SW Scholls Ferry Road Tigard,OR97223	Rehab & Physical Therapy
153	153 - Providence Sherwood Rehab and Sports The 16770 SW Edy Road Sherwood,OR97140	Rehab & Physical Therapy
154	154 - Providence Sports Care Center 909 SW 18th Ave Portland,OR97205	Rehab & Physical Therapy
155	155 - Providence St Vincent Rehab 9135 SW Barnes Road Portland,OR97225	Rehab & Physical Therapy
156	156 - Providence St Vincent Sports Therapy 9135 SW Barnes Road Portland,OR97225	Rehab & Physical Therapy
157	157 - Providence Tanasbourne Rehab and Sports 18650 NW Cornell Road Hillsboro,OR97124	Rehab & Physical Therapy
158	158 - Providence Willamette Falls Rehab 1500 Division St Oregon City,OR97045	Rehab & Physical Therapy
159	159 - Providence Wilsonville Sports Therapy 29345 SW Town Center Loop East Wilsonville,OR97070	Rehab & Physical Therapy
160	160 - Providence Worker Rehabilitation 1750 NW Naito Parkway Portland,OR97209	Rehab & Physical Therapy
161	161 - Willamette View Pool 12705 SE River Road Milwaukie,OR97222	Rehab & Physical Therapy
162	162 - Providence Benedictine Nursing Center 540 S Main St Mount Angel,OR97362	Senior Care
163	163 - Providence Benedictine Orchard House Per 550 S Main St Mount Angel,OR97362	Senior Care
164	164 - Providence Brookside Manor 1550 Brookside Drive Hood River,OR97031	Senior Care
165	165 - Providence Dethman Manor 1205 Montello Hood River,OR97031	Senior Care
166	166 - Providence Down Manor 1950 Sterling Place Hood River,OR97031	Senior Care
167	167 - Providence ElderPlace Administration 4531 SE Belmont St Portland,OR97215	Senior Care
168	168 - Providence ElderPlace at Lambert House 2600 SE 170th Ave Portland,OR97236	Senior Care
169	169 - Providence ElderPlace at The Marie Smith 4616 N Albina Portland,OR97217	Senior Care
170	170 - Providence ElderPlace Beaverton 14255 SW Brigadoon Court Beaverton,OR97005	Senior Care
171	171 - Providence ElderPlace Cully 5119 NE 57th Ave Portland,OR97218	Senior Care
172	172 - Providence ElderPlace Glendoveer 13007 NE Glisan St Portland,OR97230	Senior Care
173	173 - Providence ElderPlace Gresham 17727 E Burnside St Portland,OR97233	Senior Care
174	174 - Providence ElderPlace in North Coast 1150 North Roosevelt Drive Ste 104 Seaside,OR97138	Senior Care
175	175 - Providence ElderPlace Irvington Village 420 NE Mason St Portland,OR97211	Senior Care
176	176 - Providence ElderPlace Laurelhurst 4540 NE Glisan St Portland,OR97213	Senior Care
177	177 - Providence ElderPlace Milwaukie 10330 SE 32nd Ave Milwaukie,OR97222	Senior Care
178	178 - 9450 SW Barnes Road in the Sunset Busine 9450 SW Barnes Road Portland,OR97225	Specialty Clinic
179	179 - Bradley J Stuvland Integrative Medicine 4805 NE Glisan St Portland,OR97213	Specialty Clinic
180	180 - Center for Advanced Heart Disease Easts 4805 NE Glisan St Portland,OR97213	Specialty Clinic
181	181 - Center for Advanced Heart Disease Wests 9205 SW Barnes Road Portland,OR97225	Specialty Clinic
182	182 - Center for Advanced Treatment of Atrial 9205 SW Barnes Road Portland,OR97225	Specialty Clinic
183	183 - Children's Inpatient Care Unit - Provide 9205 SW Barnes Road Portland,OR97225	Specialty Clinic
184	184 - Clackamas Radiation Oncology Center 9280 SE Sunnybrook Blvd Clackamas,OR97015	Specialty Clinic
185	185 - Columbia Gorge Heart Clinic White Salmo 211 NE Skyline Dr White Salmon,WA98672	Specialty Clinic
186	186 - Direct Access Colonoscopy Clinic at Prov 10150 SE 32nd Ave Milwaukie,OR97222	Specialty Clinic
187	187 - Gerry Frank Center for Children's Care 9205 SW Barnes Road Portland,OR97225	Specialty Clinic
188	188 - Leila J Eisenstein Breast Center 1698 E McAndrews Medford,OR97504	Specialty Clinic
189	189 - Mother Baby Postpartum Clinic at Provide 10150 SE 32nd Ave Milwaukie,OR97222	Specialty Clinic
190	190 - Northwest Cardiologists PC-Hillsboro 333 SE 7th Ave Ste 5200 Hillsboro,OR97123	Specialty Clinic
191	191 - Northwest Cardiologists PC-Providence S 9155 SW Barnes Road Portland,OR97225	Specialty Clinic
192	192 - Northwest Vascular Consultants Inc 9701 SW Barnes Road Ste 140 Portland,OR97225	Specialty Clinic
193	193 - Pacific Vascular Specialists 9155 SW Barnes Road Portland,OR97225	Specialty Clinic
194	194 - Providence Anticoagulation Clinic at Pro 1304 Montello Ave Hood River,OR97031	Specialty Clinic
195	195 - Providence Anticoagulation Clinic at Pro 1108 June Street Hood River,OR97031	Specialty Clinic
196	196 - Providence Arrhythmia Services at Provid 4805 NE Glisan St Portland,OR97213	Specialty Clinic
197	197 - Providence Arrhythmia Services at Provid 9205 SW Barnes Road Portland,OR97225	Specialty Clinic
198	198 - Providence Beginnings 447 NE 47th Ave Ste 200 Portland,OR97213	Specialty Clinic
199	199 - Providence BirthPlace-Medford 1111 Crater Lake Ave Medford,OR97504	Specialty Clinic
200	200 - Providence Brain and Spine Institute-Pro 810 12th St Hood River,OR97031	Specialty Clinic
201	201 - Providence Brain and Spine InstitutePro 10150 SE 32nd Ave Milwaukie,OR97222	Specialty Clinic
202	202 - Providence Brain and Spine InstitutePro 1001 Providence Drive Newberg,OR97132	Specialty Clinic
203	203 - Providence Brain and Spine InstitutePro 4805 NE Glisan St Portland,OR97213	Specialty Clinic
204	204 - Providence Brain and Spine Institute-Pro 725 S Wahanna Road Seaside,OR97138	Specialty Clinic
205	205 - Providence Brain and Spine InstitutePro 9135 SW Barnes Road Portland,OR97225	Specialty Clinic
206	206 - Providence Brain and Spine Institute-Pro 1500 Division St Oregon City,OR97045	Specialty Clinic
207	207 - Providence Breast Care Clinic-East (Prov 4805 NE Glisan St Portland,OR97213	Specialty Clinic
208	208 - Providence Breast Care Clinic-West 9135 SW Barnes Road Portland,OR97225	Specialty Clinic
209	209 - Providence Cancer Center Infusion-Eastsi 4805 NE Glisan St Portland,OR97213	Specialty Clinic
210	210 - Providence Cancer Center Infusion-Westsi 9135 SW Barnes Road Portland,OR97225	Specialty Clinic
211	211 - Providence Cancer Center Oncology and He 1003 Providence Drive Newberg,OR97132	Specialty Clinic
212	212 - Providence Cancer Center Oncology and He 1510 Division St Oregon City,OR97045	Specialty Clinic
213	213 - Providence Cancer Center Oncology and He 9135 SW Barnes Road Portland,OR97225	Specialty Clinic
214	214 - Providence Cancer Center Oncology and He 9280 SE Sunnybrook Blvd Clackamas,OR97015	Specialty Clinic
215	215 - Providence Cancer Center Oncology and He 4805 NE Glisan St Portland,OR97213	Specialty Clinic
216	216 - Providence Cancer Center Oncology and He 810 12th St Hood River,OR97031	Specialty Clinic
217	217 - Providence Cancer Center Oncology and He 725 S Wahanna Road Seaside,OR97138	Specialty Clinic
218	218 - Providence Cancer Center-Southern Oregon 940 Royal Ave Medford,OR97504	Specialty Clinic
219	219 - Providence Cancer Risk Assessment and Pr 4805 NE Glisan St Portland,OR97213	Specialty Clinic
220	220 - Providence Cancer Risk Assessment and Pr 9135 SW Barnes Road Portland,OR97225	Specialty Clinic
221	221 - Providence Cardiac Conditioning Center 1151 May St Hood River,OR97031	Specialty Clinic
222	222 - Providence Cardiac Device and Monitoring 9427 SW Barnes Road Portland,OR97225	Specialty Clinic
223	223 - Providence Cardiac Rehabilitation Center 1111 Crater Lake Ave Medford,OR97504	Specialty Clinic
224	224 - Providence Cardiac Rehabilitation Center 1500 Division St Oregon City,OR97045	Specialty Clinic
225	225 - Providence Child and Adolescent Psychiat 1500 Division St Oregon City,OR97045	Specialty Clinic
226	226 - Providence Child and Adolescent Psychiat 1500 Division St Oregon City,OR97045	Specialty Clinic
227	227 - Providence Children's Emergency Departme 9205 SW Barnes Road Portland,OR97225	Specialty Clinic
228	228 - Providence Dental Oncology and Oral Medi 830 NE 47th Ave Portland,OR97213	Specialty Clinic
229	229 - Providence Dental Oncology and Oral Medi 4805 NE Glisan St Portland,OR97213	Specialty Clinic
230	230 - Providence Dental Oncology and Oral Medi 9135 SW Barnes Road Portland,OR97225	Specialty Clinic
231	231 - Providence Dysplasia Clinic Eastside Po 4805 NE Glisan St Portland,OR97213	Specialty Clinic
232	232 - Providence Ear Nose Throat at Columbia G 1619 Woods Ct Hood River,OR97031	Specialty Clinic
233	233 - Providence Gynecology Clinic-West 9427 SW Barnes Road Portland,OR97225	Specialty Clinic
234	234 - Providence Heart Clinic at The Oregon Cl 1111 NE 99th Ave Portland,OR97220	Specialty Clinic
235	235 - Providence Heart Clinic North Coast Ast 1355 Exchange St Astoria,OR97103	Specialty Clinic
236	236 - Providence Heart Clinic North Coast Sea 725 S Wahanna Road Seaside,OR97138	Specialty Clinic
237	237 - Providence Heart Clinic-Bridgeport 18040 SW Lower Boones Ferry Road Tigard,OR97224	Specialty Clinic
238	238 - Providence Heart Clinic-Cardiovascular S 5050 NE Hoyt St Portland,OR97213	Specialty Clinic
239	239 - Providence Heart Clinic-Cardiovascular S 9427 SW Barnes Road Portland,OR97225	Specialty Clinic
240	240 - Providence Heart Clinic-Gresham 440 NW Division Street Gresham,OR97030	Specialty Clinic
241	241 - Providence Heart Clinic-McMinnville 2185 NW Second St Ste A McMinnville,OR97128	Specialty Clinic
242	242 - Providence Heart Clinic-Milwaukie 10330 SE 32nd Ave Milwaukie,OR97222	Specialty Clinic
243	243 - Providence Heart Clinic-Willamette Falls 1510 Division St Oregon City,OR97045	Specialty Clinic
244	244 - Providence Home Health Hospice and Pall 1515 Portland Road Newberg,OR97132	Specialty Clinic
245	245 - Providence Home Medical Equipment 6410 NE Halsey St Portland,OR97213	Specialty Clinic
246	246 - Providence Home Services Southern Orego 2033 Commerce Drive Medford,OR97504	Specialty Clinic
247	247 - Providence Hood River Health Services Bu 1151 May St Hood River,OR97031	Specialty Clinic
248	248 - Providence Hood River Memorial Hospital 810 12th St Hood River,OR97031	Specialty Clinic
249	249 - Providence Hood River Memorial Hospital 814 13th St Hood River,OR97031	Specialty Clinic
250	250 - Providence Hood River Memorial Hospital 810 12th St Hood River,OR97031	Specialty Clinic
251	251 - Providence Hood River Memorial Hospital 1151 May St Hood River,OR97031	Specialty Clinic
252	252 - Providence Hood River Memorial Hospital 1304 Montello Ave Hood River,OR97031	Specialty Clinic
253	253 - Providence Hood River Memorial Hospital 1108 June Street Hood River,OR97031	Specialty Clinic
254	254 - Providence Hood River Memorial Hospital Mt Hood Meadows Drive Parkdale,OR97041	Specialty Clinic
255	255 - Providence Hood River Memorial Hospital 1151 May St Hood River,OR97031	Specialty Clinic
256	256 - Providence Hood River Memorial Hospital 902 12th St Hood River,OR97031	Specialty Clinic
257	257 - Providence Hood River Memorial Hospital 1108 June Street Hood River,OR97031	Specialty Clinic
258	258 - Providence Hood River Memorial Hospital 1125 May St Ste 202 Hood River,OR97031	Specialty Clinic
259	259 - Providence Infectious Disease Consultant 5050 NE Hoyt St Portland,OR97213	Specialty Clinic
260	260 - Providence Infectious Disease Consultant 9155 SW Barnes Road Portland,OR97225	Specialty Clinic
261	261 - Providence Infusion and Home Medical Equ 840 Royal Ave Medford,OR97504	Specialty Clinic
262	262 - Providence Infusion-East Portland 6410 NE Halsey St Portland,OR97213	Specialty Clinic
263	263 - Providence Infusion-Salem 2508 SE Pringle Road Salem,OR97302	Specialty Clinic
264	264 - Providence Lactation Clinic and Store E 5050 NE Hoyt St Portland,OR97213	Specialty Clinic
265	265 - Providence Liver Cancer Clinic East Por 4805 NE Glisan St Portland,OR97213	Specialty Clinic
266	266 - Providence Liver Cancer Clinic West Por 9135 SW Barnes Road Portland,OR97225	Specialty Clinic
267	267 - Providence Medford Medical Center-Interv 1111 Crater Lake Ave Medford,OR97504	Specialty Clinic
268	268 - Providence Medical Group Sunset Dermatol 417 SW 117th Ave Portland,OR97225	Specialty Clinic
269	269 - Providence Medical Group-Arthritis Cente 5050 NE Hoyt St Portland,OR97213	Specialty Clinic
270	270 - Providence Medical Group-Ashland 1661 N Hwy 99 Ste 100 Ashland,OR97520	Specialty Clinic
271	271 - Providence Medical Group-Cardiology Sou 1698 E McAndrews Medford,OR97504	Specialty Clinic
272	272 - Providence Medical Group-Clackamas Derma 10151 SE Sunnyside Road Ste 240 Clackamas,OR97015	Specialty Clinic
273	273 - Providence Medical Group-Dermatologic Su 5330 NE Glisan St Portland,OR97213	Specialty Clinic
274	274 - Providence Medical Group-Ear Nose and T 18040 SW Lower Boones Ferry Road Tigard,OR97224	Specialty Clinic
275	275 - Providence Medical Group-Ear Nose and T 12442 SW Scholls Ferry Road Tigard,OR97223	Specialty Clinic
276	276 - Providence Medical Group-General Surgery 18040 SW Lower Boones Ferry Road Tigard,OR97224	Specialty Clinic
277	277 - Providence Medical Group-General Surgery 16180 SE Sunnyside Road Happy Valley,OR97015	Specialty Clinic
278	278 - Providence Medical Group-General Surgery 12442 SW Scholls Ferry Road Tigard,OR97223	Specialty Clinic
279	279 - Providence Medical Group-General Surgery 16770 SW Edy Road Sherwood,OR97140	Specialty Clinic
280	280 - Providence Medical Group-General Surgery 1698 E McAndrews Medford,OR97504	Specialty Clinic
281	281 - Providence Medical Group-General Surgery 9290 SE Sunnybrook Blvd Clackamas,OR97015	Specialty Clinic
282	282 - Providence Medical Group-Glisan Dermatol 5330 NE Glisan St Portland,OR97213	Specialty Clinic
283	283 - Providence Medical Group-Medford Medical 3225 Hillcrest Park Dr Medford,OR97504	Specialty Clinic
284	284 - Providence Medical Group-Medford Pulmono 1698 E McAndrews Medford,OR97504	Specialty Clinic
285	285 - Providence Medical Group-Neurology Assoc 10330 SE 32nd Ave Milwaukie,OR97222	Specialty Clinic
286	286 - Providence Medical Group-Neurology Brid 18040 SW Lower Boones Ferry Road Tigard,OR97224	Specialty Clinic
287	287 - Providence Medical Group-Newberg Multi- 1003 Providence Drive Newberg,OR97132	Specialty Clinic
288	288 - Providence Medical Group-OBGYN Health C 940 Royal Ave Medford,OR97504	Specialty Clinic
289	289 - Providence Medical Group-Oregon City Pul 1510 Division St Oregon City,OR97045	Specialty Clinic
290	290 - Providence Medical Group-Orthopedics Sh 16770 SW Edy Road Sherwood,OR97140	Specialty Clinic
291	291 - Providence Medical Group-Scholls Pediatr 12442 SW Scholls Ferry Road Tigard,OR97223	Specialty Clinic
292	292 - Providence Medical Group-Urogynecology C 940 Royal Ave Medford,OR97504	Specialty Clinic
293	293 - Providence Medical Group-Vascular and Ge 940 Royal Ave Medford,OR97504	Specialty Clinic
294	294 - Providence Milwaukie Healing Place 10330 SE 32nd Ave Milwaukie,OR97222	Specialty Clinic
295	295 - Providence Milwaukie Medical Plaza 10202 SE 32nd Ave Milwaukie,OR97222	Specialty Clinic
296	296 - Providence Moyamoya Center 9155 SW Barnes Road Portland,OR97225	Specialty Clinic
297	297 - Providence Neonatal Intensive Care Unit- 4805 NE Glisan St Portland,OR97213	Specialty Clinic
298	298 - Providence Neonatal Intensive Care Unit- 9205 SW Barnes Road Portland,OR97225	Specialty Clinic
299	299 - Providence Neurological Specialties-East 5050 NE Hoyt St Portland,OR97213	Specialty Clinic
300	300 - Providence Neurological Specialties-Mill 315 SE Stone Mill Drive Vancouver,WA98684	Specialty Clinic
301	301 - Providence Neurological Specialties-West 9135 SW Barnes Road Portland,OR97225	Specialty Clinic
302	302 - Providence Newberg Birth Center 1001 Providence Drive Newberg,OR97132	Specialty Clinic
303	303 - Providence Newberg Heart Clinic 1003 Providence Drive Newberg,OR97132	Specialty Clinic
304	304 - Providence Newberg Heart Rhythm Consulta 1003 Providence Drive Newberg,OR97132	Specialty Clinic
305	305 - Providence Newberg Medical Center Sleep 1515 Portland Road Newberg,OR97132	Specialty Clinic
306	306 - Providence Oncology Palliative Care Clin 4805 NE Glisan St Portland,OR97213	Specialty Clinic
307	307 - Providence Oncology Palliative Care Clin 9135 SW Barnes Road Portland,OR97225	Specialty Clinic
308	308 - Providence Oral Head and Neck Cancer Cl 9135 SW Barnes Road Portland,OR97225	Specialty Clinic
309	309 - Providence Outpatient Neurological Thera 1111 Crater Lake Ave Medford,OR97504	Specialty Clinic
310	310 - Providence Outpatient Nutrition Services 10150 SE 32nd Ave Milwaukie,OR97222	Specialty Clinic
311	311 - Providence Outpatient Nutrition Services 4805 NE Glisan St Portland,OR97213	Specialty Clinic
312	312 - Providence Outpatient Nutrition Services 9205 SW Barnes Road Portland,OR97225	Specialty Clinic
313	313 - Providence Pediatric Endocrinology 9427 SW Barnes Road Portland,OR97225	Specialty Clinic
314	314 - Providence Pediatric Infectious Disease 9427 SW Barnes Road Portland,OR97225	Specialty Clinic
315	315 - Providence Pediatric Intensive Care Unit 9205 SW Barnes Road Portland,OR97225	Specialty Clinic
316	316 - Providence Pediatric NeurologyChild Cen 830 NE 47th Ave Portland,OR97213	Specialty Clinic
317	317 - Providence Pediatric NeurologyLongview 971 11th Ave Longview,WA98632	Specialty Clinic
318	318 - Providence Pediatric NeurologySalem- Sa 2478 13th St SE Salem,OR97302	Specialty Clinic
319	319 - Providence Pediatric NeurologySt Vince 9427 SW Barnes Road Portland,OR97225	Specialty Clinic
320	320 - Providence Pediatric Surgery St Vincen 9427 SW Barnes Road Portland,OR97225	Specialty Clinic
321	321 - Providence Portland Family Maternity Cen 4805 NE Glisan St Portland,OR97213	Specialty Clinic
322	322 - Providence Postpartum Care Center 9155 SW Barnes Road Portland,OR97225	Specialty Clinic
323	323 - Providence Psychiatry Clinic East 5251 NE Glisan St Portland,OR97213	Specialty Clinic
324	324 - Providence Seaside Hospital Outpatient I 725 S Wahanna Road Seaside,OR97138	Specialty Clinic
325	325 - Providence Specialty Pediatric Dental Cl 830 NE 47th Ave Portland,OR97213	Specialty Clinic
326	326 - Providence Spine Institute 870 S Front St Central Point,OR97502	Specialty Clinic
327	327 - Providence St Vincent Heart Clinic Mil 315 SE Stone Mill Drive Vancouver,WA98684	Specialty Clinic
328	328 - Providence St Vincent Heart Clinic SW 625 9th Ave Longview,WA98632	Specialty Clinic
329	329 - Providence St Vincent Heart Clinic-Hear 9427 SW Barnes Road Portland,OR97225	Specialty Clinic
330	330 - Providence St Vincent Heart Clinic-Tana 18650 NW Cornell Road Hillsboro,OR97124	Specialty Clinic
331	331 - Providence St Vincent Medical Center Fa 9205 SW Barnes Road Portland,OR97225	Specialty Clinic
332	332 - Providence Thoracic Surgery-East - Provi 4805 NE Glisan St Portland,OR97213	Specialty Clinic
333	333 - Providence Thoracic Surgery-West 9135 SW Barnes Road Portland,OR97225	Specialty Clinic
334	334 - Providence Valve Center at Providence St 9427 SW Barnes Road Portland,OR97225	Specialty Clinic
335	335 - Providence Women's Clinic East Portland 2705 E Burnside St Portland,OR97214	Specialty Clinic
336	336 - Providence Women's Clinic Milwaukie 10330 SE 32nd Ave Milwaukie,OR97222	Specialty Clinic
337	337 - Providence Women's Clinic Providence St 9135 SW Barnes Road Portland,OR97225	Specialty Clinic
338	338 - Providence Youth Services 205 NE 50th Ave Portland,OR97213	Specialty Clinic
339	339 - Ruth J Spear Breast Center 9205 SW Barnes Road Portland,OR97225	Specialty Clinic
340	340 - Safeway Foundation Breast Center 4805 NE Glisan St Portland,OR97213	Specialty Clinic
341	341 - Senior Psychiatric Unit at Providence Mi 10150 SE 32nd Ave Milwaukie,OR97222	Specialty Clinic
342	342 - Specialty Surgery PC 5050 NE Hoyt St Portland,OR97213	Specialty Clinic
343	343 - Swindells Resource Center-Southern Orego 840 Royal Ave Medford,OR97504	Specialty Clinic
344	344 - The Gamma Knife Center of Oregon 4805 NE Glisan St Portland,OR97213	Specialty Clinic
345	345 - Zidell Center for Integrative Medicine 9135 SW Barnes Road Portland,OR97225	Specialty Clinic

Schedule H (Form 990) 2015

Page 9

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 $ 6,894,460.
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 2015, 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 2015, 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 2015 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 PH&S-OR 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 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:The CHNA process was conducted in several steps, and in this case in collaboration with many other partners. The complete Methods are available in the documents, which can be found at the above URLs. Information included in the process includes secondary data (public health, County Health Rankings, American Community Survey, Truven Health Analytics, and Oregon Department of Education, amongst others). There is also primary data collection, which includes a community health survey, hospital utilization data based upon "vulnerable" patients accessing emergency care for Ambulatory Care Sensitive Conditions, key stakeholder interviews of social service and other leaders in the region, and listening sessions with populations of particular concern (limited English proficiency, <200% FPL, elderly, disabled, and/or migrant/seasonal farmworkers).
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 2015, Providence Oregon provided more than $225.7 million in community benefits including: free and reduced-cost medical care; health services for underserved populations; Oregon Health Plan (Medicaid) and government sponsored medical care; and medical education and research. These 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 2015, Providence in Oregon provided nearly $11 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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

Complete if the organization answered "Yes," on 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

2015

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

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

Yes No

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

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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) Project Access Now 1311 NW 21st Avenue Portland,OR97296	20-8928388	501 (c) 3	1,379,457	Community health support
(2) Providence Portland Medical Foundation 4805 NE Glisan St Portland,OR97213	93-1231494	501 (c) 3	596,015	Operational support
(3) Providence St Vincent Medical Foundation 9205 SE Barnes Rd Portland,OR97225	93-0575982	501 (c) 3	448,729	Operational support
(4) Providence Child Center Foundation 830 NE 47th Portland,OR97213	93-0800140	501 (c) 3	403,434	Operational support
(5) Providence Newberg Foundation 1001 Providence Dr Newberg,OR97132	93-0889144	501 (c) 3	279,689	Operational support
(6) Neighborhood Health Center 6420 SW Macadam Ave 300 Portland,OR97239	27-3524752	501 (c) 3	260,000	Community health support
(7) Providence Community Health Foundation 1111 Crater Lake Ave Medford,OR97504	93-0692907	501 (c) 3	256,605	Operational support
(8) Providence Milwaukie Foundation 10150 SE 32nd Milwaukie,OR97222	94-3079515	501 (c) 3	226,002	Operational support
(9) The Oregon Community Foundation 1221 SW Yamhill 100 Portland,OR97205	23-7315673	501 (c) 3	192,000	Community health support
(10) Providence Willamette Falls Foundation 1500 Division Street Oregon City,OR97045	93-1003750	501 (c) 3	165,866	Operational support
(11) Medical Teams International PO Box 10 Portland,OR97207	93-0878944	501 (c) 3	156,250	Community health support
(12) United Way of the Columbia-Willamette 619 SW 11th Ave Ste 300 Portland,OR97205	93-0582124	501 (c) 3	150,000	Community health support
(13) Providence Hood River Memorial Hospital Foundation 811 13th St Hood River,OR97031	93-0921990	501 (c) 3	142,298	Operational support
(14) Multnomah County Health Department 426 SW Stark St Portland,OR97204	93-6002309	Government	133,800	Community health support
(15) Impact NW PO Box 33530 Portland,OR97292	93-0557964	501 (c) 3	122,779	Community health support
(16) Providence Seaside Foundation 725 S Wahanna Rd Seaside,OR97138	93-0927320	501 (c) 3	122,021	Operational support
(17) Providence Benedictine Nursing Center Foundation 540 S Main Street Mt Angel,OR97362	91-1940286	501 (c) 3	120,536	Operational support
(18) Society of St Vincent De Paul PO Box 42157 Portland,OR97242	93-0831082	501 (c) 3	120,236	Community health support
(19) Central City Concern 232 NW Everett Street Portland,OR97209	93-0728816	501 (c) 3	104,490	Community health support
(20) Mid-Columbia Children 1101 E Marina Way Suite 215 Hood River,OR97031	93-0951908	501 (c) 3	102,500	Community health support
(21) Catholic Charities 231 SE 12th Avenue Portland,OR97214	93-0386801	501 (c) 3	100,000	Community health support
(22) Oregon Health Science University 3181 SW Sam Jackson Park Road Portland,OR97239	93-1176109	501 (c) 3	100,000	Community health support
(23) Southwest Community Health Center 7754 SW Capital Highway Portland,OR97219	74-3050497	501 (c) 3	90,000	Community health support
(24) Jackson County CCO LLC 315 SW 5th Ave Ste 900 Portland,OR97204	45-5499608	Other	80,000	Community health support
(25) Legacy Health 1919 NE Lovejoy street Portland,OR97209	23-7426300	501 (c) 3	75,000	Community health support
(26) Robison Jewish Home 6125 SW Boundary St Portland,OR97221	93-0386852	501 (c) 3	75,000	Community health support
(27) The Wallace Medical Concerns 124 NE 181St Ave Portland,OR97230	93-0853709	501 (c) 3	75,000	Community health support
(28) Hood River County Health Department 1109 June Street Hood River,OR97031	93-6002297	Government	60,790	Community health support
(29) Gorge Grown Food Network 203 2nd Street Hood River,OR97031	26-2910949	501 (c) 3	54,000	Community health support
(30) Love in the Name of Christ Inc 209 S Main St Newberg,OR97132	26-0068805	501 (c) 3	50,250	Community health support
(31) American Heart Association Inc 7272 Greenville Ave Dallas,TX75231	13-5613797	501 (c) 3	50,000	Community health support
(32) The Next Door Inc 965 Tucker Road Hood River,OR97031	93-0600421	501 (c) 3	48,010	Community health support
(33) Catholic Community Services of the Mid-Willamette Valley & Central Coast PO Box 20400 Keizer,OR97307	93-0903773	501 (c) 3	45,000	Community health support
(34) The Mental Health Association of Oregon 10150 SE Ankeny St 201A Portland,OR97216	93-1012686	501 (c) 3	45,000	Community health support
(35) One Common Health 849 Pacific Ave Hood River,OR97031	93-0910794	501 (c) 3	43,400	Community health support
(36) Oregon Public Health Institute 310 SW 4th Ave Ste 900 Portland,OR97204	93-1259522	501 (c) 3	43,105	Community health support
(37) Connect the Dots PO Box 2426 Gearhart,OR97138	46-1906387	501 (c) 3	40,000	Community health support
(38) Faith Community NursingHealth Ministries Northwest 2801 N Gantenbein Avenue Room 107 Portland,OR97227	94-3180955	501 (c) 3	40,000	Community health support
(39) St Francis House of Odell PO Box 1734 Hood River,OR97031	26-1778558	501 (c) 3	40,000	Community health support
(40) Clackamas County - Behavioral Health Division 2051 Kaen Road Oregon City,OR97045	93-6002286	Government	37,000	Community health support
(41) Columbia Gorge Community College 400 East Scenic Drive The Dalles,OR97058	93-0700843	501 (c) 3	35,760	Community health support
(42) Rogue Community Health 19 Myrtle Street Medford,OR97504	23-7366812	501 (c) 3	30,000	Community health support
(43) Ride Connection Inc 9955 NE Glisan St Portland,OR97220	94-3076771	501 (c) 3	27,500	Community health support
(44) Clackamas Community College Foundation 19600 Molalla Ave Oregon City,OR97045	93-0579576	501 (c) 3	25,500	Community health support
(45) Children First for Oregon PO Box 14914 Portland,OR97293	94-3168157	501 (c) 3	25,000	Community health support
(46) Legacy Emanuel Hospital PO Box 5939 Portland,OR97228	93-0386823	501 (c) 3	25,000	Community health support
(47) Newberg Downtown Coalition 502 E Second Street Newberg,OR97132	27-1747061	501 (c) 3	25,000	Community health support
(48) Self Enhancement Inc 3920 N Kerby Ave Portland,OR97227	93-1086629	501 (c) 3	25,000	Community health support
(49) SportsOne Inc 9640 SW Sunshine Court Ste 400 Beaverton,OR97005	93-1300972	Other	25,000	Community health support
(50) The Foundation for Medical Excellence 1 SW Columbia Street 860 Portland,OR97258	93-0632522	501 (c) 3	25,000	Community health support
(51) Volunteers of America 3910 SE Stark Street Portland,OR97214	93-0395591	501 (c) 3	25,000	Community health support
(52) Familias En Accion 2710 NE 14th Ave Portland,OR97212	93-1284335	501 (c) 3	22,500	Community health support
(53) Helping Hands Re-Entry Outreach Centers PO Box 413 Seaside,OR97138	27-1158468	501 (c) 3	22,500	Community health support
(54) The Founders Clinic PO Box 2592 Oregon City,OR97045	37-1621141	501 (c) 3	22,500	Community health support
(55) Oregon Health Authority 800 NE Oregon St Suite 550 Portland,OR97232	93-6001752	Government	21,357	Community health support
(56) All Hands Raised 2069 NE Hoyt St Portland,OR97232	93-1149789	501 (c) 3	20,000	Community health support
(57) City of Hood River PO Box 27 Hood River,OR97031	93-6002186	Government	20,000	Community health support
(58) Clatsop Community Action 364 9TH Street Astoria,OR97103	93-1010260	501 (c) 3	20,000	Community health support
(59) Free Clinic of Southwest Washington 4100 Plomondon Street Vancouver,WA98661	91-1707542	501 (c) 3	20,000	Community health support
(60) Hood River County Education Foundation 1009 Eugene Street Hood River,OR97031	93-1093479	501 (c) 3	20,000	Community health support
(61) Portland Adventist Community Services 11020 NE Halsey St Portland,OR97220	35-2468744	501 (c) 3	20,000	Community health support
(62) Restoration House Inc 208 N Holladay St PO Box 641 Seaside,OR97138	93-1271134	501 (c) 3	20,000	Community health support
(63) The Canby Center 681 SW 2nd Avenue Canby,OR97013	51-0603464	501 (c) 3	17,000	Community health support
(64) Lutheran Community Services Northwest 4040 S 188th Street 300 SeaTac,WA98188	93-0386860	501 (c) 3	16,275	Community health support
(65) Community Action Organization 1001 SW Baseline Hillsboro,OR97123	93-0554941	501 (c) 3	15,500	Community health support
(66) Jackson County SART 43 Morninglight Dr Ashland,OR97520	81-0650183	501 (c) 3	15,000	Community health support
(67) North Clackamas Education Foundation PO Box 595 Clackamas,OR97015	93-1114786	501 (c) 3	15,000	Community health support
(68) Oregon Business Council 1100 SW 6th Ave Ste 1608 Portland,OR97204	93-0884244	501 (c) 6	15,000	Community health support
(69) Mother Teresa Home PO Box 255 Medford,OR97501	93-1317126	501 (c) 3	14,400	Community health support
(70) ACCESS PO Box 4666 Medford,OR97501	93-0665396	501 (c) 3	14,000	Community health support
(71) Oregon Center for Nursing 5000 N Willamette Boulevard MSC 1 Portland,OR97203	74-3052430	501 (c) 3	13,000	Community health support
(72) Our House of Portland Inc 2727 SE Alder Street Portland,OR97214	93-0986632	501 (c) 3	12,125	Community health support
(73) International Center for Traditional Childbearing PO Box 11923 Portland,OR97211	91-1837139	501 (c) 3	11,150	Community health support
(74) South County Community Food Bank 2041 N Roosevelt Dr Seaside,OR97138	93-0890982	501 (c) 3	10,650	Community health support
(75) 211Info PO Box 11830 Portland,OR97211	93-0784586	501 (c) 3	10,000	Community health support
(76) Albertina Kerr Centers Foundation 424 NE 22nd Avenue Portland,OR97232	93-1297104	501 (c) 3	10,000	Community health support
(77) Clackamas Service Center Inc PO Box 2620 Clackamas,OR97015	93-0626175	501 (c) 3	10,000	Community health support
(78) Jackson County Child Abuse Task Force 816 W 10th Street Medford,OR97501	94-3079497	501 (c) 3	10,000	Community health support
(79) Mercy Flights Inc 2020 Milligan Way Medford,OR97504	93-0512235	501 (c) 3	10,000	Community health support
(80) NAMI - Oregon 4701 SE 24th Ave No E Portland,OR97202	93-0875209	501 (c) 3	10,000	Community health support
(81) Newberg FISH Emergency Service 125-A S Elliott Rd Newberg,OR97132	93-0673869	501 (c) 3	10,000	Community health support
(82) Oregon Food Bank PO Box 55370 Portland,OR97238	93-0785786	501 (c) 3	10,000	Community health support
(83) Portland-Guadalajara Sister City Assoc PO Box 728 Portland,OR97207	93-0906775	501 (c) 3	10,000	Community health support
(84) Trillium Family Services 3415 SE Powell Boulevard Portland,OR97202	93-0386966	501 (c) 3	10,000	Community health support
(85) Young Men's Christian Association of Ashland 540 YMCA Way Ashland,OR97520	93-0386976	501 (c) 3	10,000	Community health support
(86) Skanner Foundation PO Box 5455 Portland,OR97228	93-1109980	501 (c) 3	8,500	Community health support
(87) African American Health Coalition 2014 2800 N Vancouver Ave 100 Portland,OR97227	93-1015277	501 (c) 3	8,000	Community health support
(88) March of Dimes Foundation 1275 Mamaroneck Avenue White Plains,NY10605	13-1846366	501 (c) 3	8,000	Community health support
(89) Hispanic Metropolitan Chamber 333 SW 5th Avenue Suite 100 Portland,OR97204	93-1156358	501 (c) 3	7,850	Community health support
(90) Jackson County School District #6 300 Ash Street Central Point,OR97502	93-8000508	Government	7,800	Community health support
(91) Down Syndrome Network Oregon PO Box 248 Maryhurst,OR97036	20-1927900	501 (c) 3	7,500	Community health support
(92) Partners for a Hunger Free Oregon 712 SE Hawthorne Boulevard Suite 2 Portland,OR97214	20-4970868	501 (c) 3	7,500	Community health support
(93) United Way of Jackson County Inc 1457 East McAndrews Medford,OR97504	93-0576632	501 (c) 3	5,850	Community health support
(94) Jefferson Regional Healthcare Alliance 670 Superior Court Medford,OR97504	59-3813059	501 (c) 3	5,500	Community health support
(95) Pacific University 2043 College Way Forest Grove,OR97116	93-0386892	501 (c) 3	5,500	Community health support
(96) Urban League of Portland Inc 10 North Russell Street Portland,OR97227	93-0395590	501 (c) 3	5,500	Community health support
(97) Asian Health & Service Center Inc 3430 SE Powell Blvd Portland,OR97202	93-1192100	501 (c) 3	5,000	Community health support
(98) Black Parent Initiative 6325 NE 27th Ave Portland,OR97211	20-5686374	501 (c) 3	5,000	Community health support
(99) CASA of Jackson County Inc 613 Market Street Medford,OR97504	94-3215621	501 (c) 3	5,000	Community health support
(100) Compass House Inc 332 W 6th Street Medford,OR97501	93-1294230	501 (c) 3	5,000	Community health support
(101) D-9 Foundation 821 E Jackson Medford,OR97504	93-1255627	501 (c) 3	5,000	Community health support
(102) Ecumenical Ministries of Oregon 245 SW Bancroft St Portland,OR97213	93-0625359	501 (c) 3	5,000	Community health support
(103) Hearts & Vines Foundation 221 Stewart Ave Ste 301 Medford,OR97501	93-1226903	501 (c) 3	5,000	Community health support
(104) Jackson County Foster Parents Association Inc PO Box 382 Medford,OR97501	93-0929360	501 (c) 3	5,000	Community health support
(105) Newberg Old Fashioned Festival PO Box 721 Newberg,OR97132	93-1077597	501 (c) 4	5,000	Community health support
(106) Northwest Organization of Nurse Executives 300 Elliott Ave 300 Seattle,WA98119	91-1165662	501 (c) 3	5,000	Community health support
(107) Oregon Chapter American College of Cardiology PO Box 55424 Portland,OR97238	94-3198757	501 (c) 6	5,000	Community health support
(108) Oregon Historical Society 1200 SW Park Avenue Portland,OR97205	93-0391599	501 (c) 3	5,000	Community health support
(109) Portland Opportunities Industrialization Center Inc 717 N Killingsworth Court Portland,OR97217	93-0593858	501 (c) 3	5,000	Community health support
(110) Rogue Valley Search and Rescue 620 Antelope Road White City,OR97503	93-1163918	501 (c) 3	5,000	Community health support
(111) Sonrise Baptist Church 6701 NE Campus Way Hillsboro,OR97124	93-0785442	501 (c) 3	5,000	Community health support
(112) Virginia Garcia Memorial Clinic PO Box 568 Cornelius,OR97313	93-0717997	501 (c) 3	5,000	Community health support
(113) Wisdom of the Elders 3203 SE 109th Ave Portland,OR97266	93-1164114	501 (c) 3	5,000	Community health support

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

108

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

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

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

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

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

Complete if the organization answered "Yes" on 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

2015

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES - OREGON

Employer identification number

51-0216587

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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? ..

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

Yes

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

Yes

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

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

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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

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

Any related organization?

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

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

The organization?

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2015

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 on 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 on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Rod F Hochman MDPresident / CEO	(i) (ii)	0 ------------- 1,562,459	0 ------------- 3,522,350	0 ------------- 18,000	0 ------------- 49,002	0 ------------- 25,415	0 ------------- 5,177,226	0 ------------- 1,152,963
2Todd HofheinsEVP/CFO	(i) (ii)	0 ------------- 704,452	0 ------------- 247,640	0 ------------- 18,000	0 ------------- 269,139	0 ------------- 26,574	0 ------------- 1,265,805	0 ------------- 0
3Cindy StraussEVP/Chief Legal Officer	(i) (ii)	0 ------------- 526,875	0 ------------- 981,482	0 ------------- 18,000	0 ------------- 40,075	0 ------------- 24,624	0 ------------- 1,591,056	0 ------------- 524,784
4Dave UnderrinerCE/OR. Region	(i) (ii)	0 ------------- 619,532	0 ------------- 254,931	0 ------------- 18,000	0 ------------- 88,358	0 ------------- 27,223	0 ------------- 1,008,044	0 ------------- 0
5William OlsonVP/Financial Ops., OR.	(i) (ii)	0 ------------- 388,074	0 ------------- 119,234	0 ------------- 18,000	0 ------------- 37,041	0 ------------- 12,919	0 ------------- 575,268	0 ------------- 0
6Randy Axelrod MD Thru 315EVP/Clinical & Patient Services	(i) (ii)	0 ------------- 190,509	0 ------------- 679,339	0 ------------- 546,732	0 ------------- 11,925	0 ------------- 23,825	0 ------------- 1,452,330	0 ------------- 0
7Mike ButlerPresident/Operations & Services	(i) (ii)	0 ------------- 1,151,688	0 ------------- 402,660	0 ------------- 18,000	0 ------------- 710,959	0 ------------- 29,289	0 ------------- 2,312,596	0 ------------- 0
8Debbie BurtonSVP/ Chief Nrsg. Officer	(i) (ii)	0 ------------- 365,287	0 ------------- 300,015	0 ------------- 18,000	0 ------------- 31,695	0 ------------- 23,907	0 ------------- 738,904	0 ------------- 0
9Debra CanalesEVP/Chief People & Experience Ofc.	(i) (ii)	0 ------------- 772,941	0 ------------- 715,960	0 ------------- 161,754	0 ------------- 444,164	0 ------------- 13,966	0 ------------- 2,108,785	0 ------------- 0
10Jack Friedman Thru 615SVP/Accountable Care & Payor Rel.	(i) (ii)	0 ------------- 364,689	0 ------------- 388,093	0 ------------- 18,000	0 ------------- 103,565	0 ------------- 14,354	0 ------------- 888,701	0 ------------- 0
11Mark GargettVP/Digital Integration	(i) (ii)	0 ------------- 387,625	0 ------------- 245,091	0 ------------- 0	0 ------------- 58,688	0 ------------- 23,604	0 ------------- 715,008	0 ------------- 0
12Joel GilbertsonSVP, Comm. Partnrshp. & Ext. Affairs	(i) (ii)	0 ------------- 421,859	0 ------------- 126,840	0 ------------- 18,000	0 ------------- 181,114	0 ------------- 22,782	0 ------------- 770,595	0 ------------- 0
13Aaron MartinSVP/Strategy & Innovation	(i) (ii)	0 ------------- 512,696	0 ------------- 151,000	0 ------------- 18,000	0 ------------- 182,349	0 ------------- 7,050	0 ------------- 871,095	0 ------------- 0
14Tom McDonaghVP/Chief Investment Officer	(i) (ii)	0 ------------- 451,242	0 ------------- 512,101	0 ------------- 0	0 ------------- 34,150	0 ------------- 23,966	0 ------------- 1,021,459	0 ------------- 0
15Rhonda Medows MDEVP/Population Health	(i) (ii)	0 ------------- 524,152	0 ------------- 100,000	0 ------------- 43,823	0 ------------- 176,410	0 ------------- 12,098	0 ------------- 856,483	0 ------------- 0
16Jack MuddSVP/Mission Leadership	(i) (ii)	0 ------------- 394,530	0 ------------- 220,747	0 ------------- 17,141	0 ------------- 70,632	0 ------------- 18,218	0 ------------- 721,268	0 ------------- 0
17Janice NewellSVP/Chief Information Officer	(i) (ii)	0 ------------- 578,517	0 ------------- 938,806	0 ------------- 18,000	0 ------------- 23,307	0 ------------- 14,460	0 ------------- 1,573,090	0 ------------- 185,427
18Doug KoekkoekCEO/OMG/Patient Services	(i) (ii)	0 ------------- 469,830	0 ------------- 136,280	0 ------------- 18,000	0 ------------- 199,010	0 ------------- 24,373	0 ------------- 847,493	0 ------------- 0
19Harvey SmithSVP/Chief Customer Svc. Officer	(i) (ii)	0 ------------- 591,345	0 ------------- 235,203	0 ------------- 18,000	0 ------------- 23,818	0 ------------- 18,087	0 ------------- 886,453	0 ------------- 0
20Teresa SpaldingVP/Revenue Cycle	(i) (ii)	0 ------------- 328,808	0 ------------- 345,091	0 ------------- 18,000	0 ------------- 32,190	0 ------------- 12,942	0 ------------- 737,031	0 ------------- 0
21Theron ParkCEO/Oregon Delivery System	(i) (ii)	0 ------------- 414,850	0 ------------- 128,350	0 ------------- 18,000	0 ------------- 156,869	0 ------------- 22,844	0 ------------- 740,913	0 ------------- 0
22Sharon ToncraySVP/HR Strat. Partners	(i) (ii)	0 ------------- 413,272	0 ------------- 132,710	0 ------------- 18,000	0 ------------- 173,585	0 ------------- 22,499	0 ------------- 760,066	0 ------------- 0
23Lisa VanceSVP/Clinical Program Services	(i) (ii)	0 ------------- 479,541	0 ------------- 203,545	0 ------------- 103,000	0 ------------- 37,359	0 ------------- 13,827	0 ------------- 837,272	0 ------------- 0
24Craig Wright MDSVP/Physician Services	(i) (ii)	0 ------------- 552,895	0 ------------- 2,237,145	0 ------------- 5,000	0 ------------- 105,811	0 ------------- 19,569	0 ------------- 2,920,420	0 ------------- 835,177
25Janice BurgerCE/W. OR. Division	(i) (ii)	0 ------------- 367,796	0 ------------- 1,621,347	0 ------------- 18,000	0 ------------- 34,009	0 ------------- 16,831	0 ------------- 2,057,983	0 ------------- 64,080
26Erin AllenPhysician - Dermatology	(i) (ii)	859,526 ------------- 0	0 ------------- 0	18,000 ------------- 0	15,651 ------------- 0	23,149 ------------- 0	916,326 ------------- 0	0 ------------- 0
27Walter UrbaAdministrator/Clinical Research	(i) (ii)	694,427 ------------- 0	139,487 ------------- 0	18,000 ------------- 0	33,285 ------------- 0	18,580 ------------- 0	903,779 ------------- 0	0 ------------- 0
28Jeffrey SwansonSurgeon - Cardiology	(i) (ii)	767,596 ------------- 0	88,494 ------------- 0	18,000 ------------- 0	11,925 ------------- 0	18,949 ------------- 0	904,964 ------------- 0	0 ------------- 0
29Robert GluckmanCMO	(i) (ii)	410,771 ------------- 0	423,187 ------------- 0	4,027 ------------- 0	50,545 ------------- 0	20,751 ------------- 0	909,281 ------------- 0	0 ------------- 0
30Daniel OseranExec. Vascular/Heart Inst.	(i) (ii)	611,169 ------------- 0	207,352 ------------- 0	18,000 ------------- 0	13,483 ------------- 0	21,356 ------------- 0	871,360 ------------- 0	0 ------------- 0
31John FletcherFormer VP/Operations Support	(i) (ii)	0 ------------- 0	0 ------------- 102,560	0 ------------- 481,290	0 ------------- 773	0 ------------- 18,005	0 ------------- 602,628	0 ------------- 0
32Jan JonesFormer SVP/CAO	(i) (ii)	0 ------------- 0	0 ------------- 106,169	0 ------------- 653,292	0 ------------- 8,197	0 ------------- 25,789	0 ------------- 793,447	0 ------------- 0

Schedule J (Form 990) 2015

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: 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/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 2015, there were 13 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 2015, the following Listed Persons received gross-up payments: Debra Canales Rhonda Medows, MD 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/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 2015, the following Listed Persons received relocation/housing program payments: Debra Canales Rhonda Medows, MD 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 Vested but not Paid - $1,918,360 b) SERP Interest Credit - $32,014 2) Todd Hofheins a) SERP Earned but not Vested - $244,283 3) Cindy Strauss a) SERP Vested but not Paid - $796,632 b) SERP Interest Credit - $20,200 4) Craig Wright, MD a) SERP Vested but not Paid - $2,047,185 b) SERP Interest Credit - $75,356 5) William Olson a) Taxable SERP Earned but not Paid - $5,084 6) Janice Burger a) Taxable SERP Earned but not Paid - $1,509,127 7) Debra Canales a) SERP Earned but not Vested - $432,239 8) Michael Butler a) SERP Earned but not Vested - $590,423 b) SERP Interest Credit - $84,804 9) Janice Newell a) SERP Vested but not Paid - $772,706 b) SERP Interest Credit - $4,758 10) Tom McDonagh a) SERP Vested but not Paid - $323,732 b) SERP Interest Credit - $5,950 c) Taxable CBRP Paid - $5,569 11) Dave Underriner a) Taxable SERP Earned but not Paid - $13,332 b) Non-Taxable SERP Earned - $218 c) SERP Interest Credit - $30,324 d) ESP Interest Credit - $3,313 12) Lisa Vance a) SERP Earned but not Paid - $22,291 b) SERP Interest Credit - $5,164 c) Taxable CBRP Earned - $63 d) Non-Taxable CBRP Earned - $2 13) Jack Friedman a) Taxable SERP Earned but not Paid - $69,453 b) SERP Interest Credit - $54,261 14) Teresa Spalding a) Taxable SERP Earned but not Paid - $245,180 b) Taxable CBRP Paid - $2 15) Debbie Burton a) SERP Earned but not Paid - $191,285 b) SERP Interest Credit - $5,020 16) Aaron Martin a) SERP Earned but not Vested - $170,424 17) Rhonda Medows a) SERP Earned but not Vested - $164,484 18) Mark Gargett a) Taxable SERP Earned but not Paid - $136,029 b) Taxable CBRP Paid - $42 c) SERP Interest Credit - $22,957 19) Jack Mudd a) SERP Earned but not Paid - $67,957 b) SERP Interest Credit - $42,960 20) Doug Koekkoek a) SERP Interest Credit - $4,678 b) SERP Earned but not Vested - $157,106 21) Theron Park a) SERP Earned but not Vested - $140,772 22) Joel Gilbertson a) SERP Earned but not Vested - $143,438 b) SERP Interest Credit - $13,113 23) Sharon Toncray a) SERP Earned but not Vested- $135,371 b) SERP Interest Credit - $11,848 24) Jeffrey Swanson a) Taxable CBRP Paid - $88,494 25) Walter Urba a) Taxable CBRP Earned but not Paid - $48,826 b) Non Taxable CBRP Earned but not Paid - $845 26) Robert Gluckman a) Taxable SERP Earned but not Paid - $369,027 b) Taxable CBRP Paid - $2 27) Daniel Oseran a) Taxable CBRP Earned but not Paid - $140,685 28) John Fletcher a) Taxable SERP Paid - $102,560 b) Non-Taxable SERP Paid - $773 29) Jan Jones a) Taxable SERP Paid - $106,169 b) SERP Interest Credit - $8,197 30) Greg Van Pelt a) Taxable SERP Paid - $4,090
Part I, Lines 4a-b	SEVERANCE 1) Randy Axelrod - $ 515,897 2) Greg Van Pelt - $ 28,299 3) John Fletcher - $ 476,515 4) Jan Jones - $ 653,292
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 combination with personal goals for top executives. In 2015, 50 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. The remaining 50% was based on a robust set of personal goals designed to align critical mission and business drivers, executive team talent development (deepening talent pipeline for top 200+leaders) and professional development. In 2015 the percent allocation for each of these strategic priorities was as outlined below: * Success Measures - System Goals : 50% Community Benefit - 5% Caregiver (Employee) Engagement - 7.5% MyChart Activations - 5% Patient Loyalty Index - 5% Clinical Excellence Index - 7.5% Free Cash Flow - 5% Salary Expense / Net Operating Revenue - 2.5% Primary Care Panel Size - 5% Total Growth in Operating Revenue - 7.5% * Success Measures - Personal Goals : 50% Mission/Business Driver - 15% Exec Talent Development - 20% Professional Development - 15% TOTAL ALLOCATION: 100%

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2015

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	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
D	State of Oregon (Oregon Facilities Authority)	93-6001787	68608JTS0	09-13-2015	72,245,909	New money for Providence St. Vincent Patient Tower		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	3,980,000		11,590,000		26,300,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	24,927,777		86,048,855		161,675,548		72,259,208
4 Gross proceeds in reserve funds .............					107,218
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	345,182		910,360		1,475,000		984,036
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............							4,075,148
11 Other spent proceeds .............	32,837,445		85,138,495		160,311,294
12 Other unspent proceeds .............							67,200,024
13 Year of substantial completion .............	2005		2007		2003		2019
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X			X	X			X
15 Were the bonds issued as part of an advance refunding issue? .....	X		X			X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

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

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

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X	X		X			X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?			X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
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			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		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X			X
b Exception to rebate? ........		X		X		X	X
c No rebate due? .........		X		X		X		X
If "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			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

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

Part V

Procedures To Undertake Corrective Action

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

Part VI

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

Return Reference	Explanation
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).
PART II, LINE 3 - PROCEEDS OF ISSUE	The amounts shown on Line 3 differ from Issue Price due to the effect of accumulated investment earnings.

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 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

2015

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 Providence Health & Services staff and reviewed by the internal PH&S 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	Doug Koekkoek - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Theron Park - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Dave Underriner - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. William Olson - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Erin Allen - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Walter Urba - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Jeffrey Swanson - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Robert Gluckman - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Daniel Oseran - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213.
Form 990, Part XI, line 9:	Extraordinary Items & Released Assets -350,516. Grant to Foundation recognized in prior year/Funds transferred in 2015 -1,100,008. Book/Tax Difference - Joint Venture Income 200,381. Restricted Contributions & Grants 22,821,445. Unrestricted Investment in Recipient Organization 164,520,309. Dethman Manor Activity 17,719. Net Assets Released from Restriction 9,301,987. Rounding 4.
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.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2015

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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Providence Health & Services - 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	Supportive Housing	WA	501( c)(3)	Line 7	PH & S - Washington		No
(12)St Luke Association 350 Washington Ave SE Chehalis,WA98352 94-3176618	Supportive Housing	WA	501( c)(3)	Line 7	PH & S - Washington		No
(13)Providence Rossi Association 1700 Providence Pl Centralia,WA98531 31-1584166	Supportive Housing	WA	501( c)(3)	Line 9	PH & S - Washington		No
(14)Lundberg Association 5921 E Burnside Portland,OR97215 91-1562797	Supportive Housing	OR	501( c)(3)	Line 7	PH & S - Oregon	Yes
(15)Providence St Francis Association 3415 12th Avenue NE Olympia,WA98506 94-3244854	Supportive Housing	WA	501( c)(3)	Line 7	PH & S - Washington		No
(16)Providence Peter Claver Association 7101 38th Avenue South Seattle,WA98118 31-1629656	Supportive 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	Supportive 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	Supportive Housing	WA	501( c)(3)	Line 7	PH & S - Washington		No
(19)The Gamelin Association 312 North Fourth St Yakima,WA98901 91-1180824	Supportive Housing	WA	501( c)(3)	Line 7	PH & S - Washington		No
(20)The Gamelin Oregon Association 5520 NE Glisan Portland,OR97213 91-1214491	Supportive Housing	OR	501( c)(3)	Line 9	PH & S - Oregon	Yes
(21)The Gamelin California Association 540 23rd St Oakland,CA94612 91-1293869	Supportive Housing	CA	501( c)(3)	Line 9	PHS - So California		No
(22)Gamelin Washington Association 1423 First Avenue Seattle,WA98101 20-1910170	Supportive Housing	WA	501( c)(3)	Line 7	PH & S - Washington		No
(23)Providence Dethman House 1205 Montello Ave Hood River,OR97031 47-3385506	Supportive Housing	WA	501( c)(3)	Pending	N/A		No
(24)Providence Foundation 1801 Lind Avenue SW 9016 Renton,WA980579016 94-3078543	Support PH&S Institutions	WA	501( c)(3)	Line 11/Type II	PH & S - Washington		No
(25)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
(26)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
(27)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
(28)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
(29)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
(30)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
(31)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
(32)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
(33)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
(34)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
(35)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
(36)Providence Milwaukie Foundation 10150 SE 32nd Milwaukie,OR97222 94-3079515	Support Providence Milwaukie Hospital	OR	501( c)(3)	Line 7	PH & S - Oregon	Yes
(37)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
(38)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
(39)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
(40)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
(41)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
(42)Providence Health & Services - Western Washington 1801 Lind Avenue SW 9016 Renton,WA980579016 91-1303277	Healthcare	WA	501( c)(3)	Line 3	Providence MinistriesWHC		No
(43)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
(44)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
(45)Providence St Joseph Medical Center PO Box 1010 Polson,MT598601010 81-0463482	Healthcare	MT	501( c)(3)	Line 3	PH & S - Washington		No
(46)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
(47)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
(48)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
(49)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
(50)University of Great Falls 1301 20th Street South Great Falls,MT59405 81-0231777	Post Secondary Education	MT	501( c)(3)	Line 2	Providence Health & Services		No
(51)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
(52)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
(53)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
(54)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
(55)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
(56)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
(57)Swedish Health Services 747 Broadway Seattle,WA98122 91-0433740	Healthcare	WA	501(c )(3)	Line 3	Western HealthConnect		No
(58)Swedish Edmonds 21601 76th Ave W Edmonds,WA98026 27-2305304	Healthcare	WA	501(c )(3)	Line 3	Western HealthConnect		No
(59)Swedish Medical Center Foundation 747 Broadway Seattle,WA98122 91-0983214	Support Swedish Health Services	WA	501(c )(3)	Line 7	Swedish Health Services		No
(60)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
(61)Swedish MJM Holdings 747 Broadway Seattle,WA98122 27-3139262	Holding Company	WA	501(c )(3)	Line 11/Type I	Swedish Health Services		No
(62)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
(63)Western HealthConnect 747 Broadway Seattle,WA98122 45-4171900	Shell Corporation	WA	501(c )(3)	Line 11/Type II	PH&S Western Washington		No
(64)Inland Northwest Health Services 601 W 1st Avenue Spokane,WA99201 91-1307555	Healthcare	WA	501( c)(3)	Line 3	PH&S - Washington		No
(65)Kadlec Regional Medical Center 888 Swift Blvd Richland,WA99352 91-0655392	Healthcare	WA	501(c )(3)	Line 3	Western HealthConnect		No
(66)Kadlec Neurological Resource Center 1268 Lee Blvd Richland,WA99352 91-1266345	Healthcare	WA	501(c )(3)	Line 9	Western HealthConnect		No
(67)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
(68)PacMed Clinics 1200 12th Ave S Seattle,WA98144 56-2290878	Healthcare	WA	501(c )(3)	Line 9	Western HealthConnect		No
(69)Seattle Science Foundation 550 17th Ave Seattle,WA98122 61-1502822	Physician Collaboration	WA	501(c )(3)	Line 7	Western HealthConnect		No
(70)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
(71)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
(72)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
(73)Providence St Joseph Health 1801 Lind Avenue SW 9016 Renton,WA98057 81-1244422	Shell Corporation	WA	501(c )(3)	Pending	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) 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	377,610	863,742		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	539,499	1,473,267		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	28,879	1,726,516		No		Yes		75.000 %
(8) Oregon Advanced Imaging LLC 881 OHare Parkway Medford,OR97504 45-0471748	Medical Imaging	OR	PH&S - OR	Related	2,072,527	5,722,432		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	1,364,796	1,559,220		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	910,106	2,872,789		No		Yes		51.000 %
(16) Oregon Outpatient Surgery Center 7300 SW Childs Rd Tigard,OR97224 22-3883387	Ambulatory Surgery Center	OR	PH&S - OR	Related	625,041	1,501,021		No		Yes		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	47,673	3,056,787		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	3,433	154,690		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	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) Providence Health Ventures Inc 4101 Torrance Blvd Torrance,CA90503 33-0122216	Investment	CA	N/A	C				No
(2) Caron Health Corporation 510 W Front St Missoula,MT59802 81-0486082	Medical Physician Service	MT	N/A	C				No
(3) Providence Health Care Ventures Inc 101 W 8th Ave TAF C-9 Spokane,WA99204 90-0155714	Clinical/Medical Lab	WA	N/A	C				No
(4) Providence Physician Services Co 101 W 8th Ave TAF C-9 Spokane,WA99204 91-1216033	Clinical/Medical Lab	WA	N/A	C				No
(5) Yakima Medical Arts Inc 611 N Perry 100 Spokane,WA99202 91-0787963	Rental Real Estate	WA	N/A	C				No
(6) Bourget Health Services Inc PO Box 2687 Spokane,WA99220 91-1354431	Clinical/Medical Lab	WA	N/A	C				No
(7) 1221 Madison Street Owners Assoc 747 Broadway Seattle,WA98122 20-1954319	Owners' Association	WA	N/A	C				No
(8) Western HealthConnect Ventures Inc 1801 Lind Ave SW 9016 Renton,WA98057 80-0953654	Investment	WA	N/A	C				No
(9) PHN Holdings 20555 Earl Street Torrance,CA90503 46-1814184	Strategic Planning Services	CA	N/A	C				No
(10) Providence Health Network 20555 Earl Street Torrance,CA90503 80-0886966	Prepaid Healthcare	CA	N/A	C				No

Schedule R (Form 990) 2015

Page 3

Part V

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

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

Yes

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

Yes

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

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

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

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

Yes

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

Yes

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

Yes

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

Yes

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Providence Benedictine Nursing Center Foundation	B	120,536	Cost
(2) Providence Child Center Foundation	B	403,434	Cost
(3) Providence Community Health Foundation	B	256,605	Cost
(4) Providence Hood River Memorial Hospital Foundation	B	142,298	Cost
(5) Providence Milwaukie Foundation	B	226,002	Cost
(6) Providence Newberg Foundation	B	279,689	Cost
(7) Providence Portland Medical Foundation	B	596,015	Cost
(8) Providence Seaside Foundation	B	122,021	Cost
(9) Providence St Vincent Medical Foundation	B	448,729	Cost
(10) Providence Willamette Falls Foundation	B	165,866	Cost
(11) Providence Benedictine Nursing Center Foundation	C	429,459	Cost
(12) Providence Child Center Foundation	C	2,573,108	Cost
(13) Providence Community Health Foundation	C	1,313,627	Cost
(14) Providence Hood River Memorial Hospital Foundation	C	239,356	Cost
(15) Providence Milwaukie Foundation	C	442,360	Cost
(16) Providence Newberg Foundation	C	250,205	Cost
(17) Providence Portland Medical Foundation	C	7,688,587	Cost
(18) Providence Seaside Foundation	C	225,564	Cost
(19) Providence St Vincent Medical Foundation	C	8,854,935	Cost
(20) Providence Willamette Falls Foundation	C	904,862	Cost
(21) Providence Plan Partners	J	6,756,427	Cost
(22) Providence Plan Partners	O	86,633,266	Cost
(23) Providence Plan Partners	Q	10,799,723	Cost
(24) Providence Health Plan	Q	876,108	Cost
(25) Providence Health Assurance	Q	58,992	Cost

Schedule R (Form 990) 2015

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2015

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) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Healthcare with special concern for the poor and vulnerable in Oregon.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	21,708
6	Total number of volunteers (estimate if necessary) .............	6	3,908
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	11,713,863
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	1,375,634

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	46,585,121	86,454,606
9	Program service revenue (Part VIII, line 2g) .........	1,702,858,348	1,640,764,996
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	64,751,337	12,964,464
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	997,784,459	1,290,779,885
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,811,979,265	3,030,963,951
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	10,212,782	7,822,833
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)	1,181,767,807	1,292,152,458
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,622,407
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,387,139,180	1,656,881,451
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,579,119,769	2,956,856,742
19	Revenue less expenses. Subtract line 18 from line 12.......	232,859,496	74,107,209
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,786,653,641	3,077,440,440
21	Total liabilities (Part X, line 26).............	580,807,040	632,128,259
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,205,846,601	2,445,312,181

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 808,224,910 including grants of $ 0 ) (Revenue $ 921,990,234 )
	Primary Care: Visits 1,985,311OUR 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 159 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. 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 159 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 clinics.Research CentersProvidence physicians, scientists and research teams participate in basic research, applied research and clinical trial research. They have achieved national recognition for their work, some of which has led to revolutionary changes in health care:* Brain & Spine Institute* Center for Outcomes Research and Education* Earle A. Chiles Research Institute, Robert W. Franz Cancer Research Center* Heart & Vascular Institute* Orthopedics Research Institute* 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 2015, 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 over 1.9 million children and adults* Welcomed 9,379 babies - more than any other health system in Oregon* Cared for 284,431 emergency patients* Gave 448,981 home health and hospice visits/days of care to community residents

4b	(Code: ) (Expenses $ 766,261,251 including grants of $ 0 ) (Revenue $ 874,139,219 )
	Acute Care - Inpatient: Admissions - 68,520; Patient Days - 296,061See Line 4a Narrative.

4c	(Code: ) (Expenses $ 504,534,158 including grants of $ 0 ) (Revenue $ 575,556,731 )
	Acute Care - Outpatient: Visits - 3,151,895See Line 4a Narrative.

	(Code: ) (Expenses $ 340,560,556 including grants of $ 0 ) (Revenue $ 388,573,452 )
	Long-Term Care, Homecare, Hospice, Housing & Assisted Living: LTC Patient Days - 48,701; Housing & Assisted Living Days - 143,140Quality home care: For the seventh 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, has expanded hospice care to serve residents in the Columbia Gorge area.

	(Code: ) (Expenses $ 7,822,833 including grants of $ 7,822,833 ) (Revenue $ 0 )
	Grants & Allocations to Community Organizations - See Schedule I

	(Code: ) (Expenses $ 6,064,114 including grants of $ 0 ) (Revenue $ 6,933,898 )
	Healthcare Joint Ventures

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 354,447,503 including grants of $ 7,822,833 ) (Revenue $ 395,507,350 )
4e	Total program service expenses2,433,467,822

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	4,278,036	31,236,645	4,050,908

1a	Federated campaigns..		1a	4,363
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	22,922,063
e	Government grants (contributions)		1e	47,494,429

f	All other contributions, gifts, grants, and similar amounts not included above		1f	16,033,751

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		86,454,606

		Business Code
2a	Primary Care	621110	546,664,245	546,664,245
b	Acute Care/Inpatient	900099	518,300,444	518,300,444
c	Acute Care/Outpatient	621400	341,259,596	341,259,596
d	LTC/HomeCare/Hospice	621610	230,422,885	230,422,885
e	Healthcare JVs	900099	4,117,826	4,117,826
f	All other program service revenue.
g Total.Add lines 2a–2f.....			1,640,764,996

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			14,861,554			14,861,554
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			1,229,042			1,229,042
		(ii) Personal	(i) Real
6a	Gross rents		34,315,811
b	Less: rental expenses		30,138,640
c	Rental income or (loss)		4,177,171
d	Net rental income or (loss)......			4,177,171			4,177,171
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	2,301,522	568,521,477
b	Less: cost or other basis and sales expenses	1,712,555	571,007,534
c	Gain or (loss)	588,967	-2,486,057
d	Net gain or (loss).....			-1,897,090			-1,897,090
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..
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..
10a	Gross sales of inventory, less returns and allowances ..
	a		42,011,614
b	Less: cost of goods sold ..b		35,859,179
c	Net income or (loss) from sales of inventory..			6,152,435		2,025,922	4,126,513
Business Code			Miscellaneous Revenue
11a	Pharmacy		446110	652,377,772	652,377,772
b	Laboratory		621500	480,600,986	470,913,045	9,687,941
c	IAF - Contracted Svcs.		900099	105,742,298			105,742,298
d	All other revenue ....			40,500,181	3,137,721		37,362,460
e	Total. Add lines 11a–11d ......			1,279,221,237
12	Total revenue. See Instructions......			3,030,963,951	2,767,193,534	11,713,863	165,601,948

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	7,822,833	7,822,833
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	5,127,511		5,127,511
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	1,169,318,920	1,020,137,278	149,181,642
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	26,430,375	23,058,389	3,371,986
9	Other employee benefits .......	10,829,788	9,448,100	1,381,688
10	Payroll taxes ...........	80,445,864	70,182,837	10,263,027
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	764,123	224,272	539,851
c	Accounting ...........	17,349		17,349
d	Lobbying ...........	291,734		291,734
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,413,727		1,413,727
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	239,768,513	199,155,234	40,613,279
12	Advertising and promotion ....	5,372,973	254,768	5,118,205
13	Office expenses .......	50,710,821	31,590,517	19,120,304
14	Information technology ......	2,589,966	2,259,486	330,480
15	Royalties ..
16	Occupancy ...........	41,032,549	32,415,714	8,616,835
17	Travel ............	5,819,661	4,550,516	1,269,145
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	4,093,645	2,960,078	1,133,567
20	Interest ...........	5,452,351	5,452,351
21	Payments to affiliates .......	679,892,140	432,795,478	247,096,662
22	Depreciation, depletion, and amortization ..	91,655,558	72,407,891	19,247,667
23	Insurance ...	231,671	183,020	48,651
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	477,843,659	477,843,659
b	Provider Tax Expense	13,247,252	13,247,252
c	Bad Debts	6,894,460	6,869,238	25,222
d	UBI Taxes	1,375,498		1,375,498
e	All other expenses	28,413,801	20,608,911	5,182,483	2,622,407
25	Total functional expenses. Add lines 1 through 24e	2,956,856,742	2,433,467,822	520,766,513	2,622,407
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			920,094	1	3,524,925
2	Savings and temporary cash investments .........			434,478,856	2	178,346,393
3	Pledges and grants receivable, net ......			7,368,316	3	6,053,605
4	Accounts receivable, net .............			289,723,283	4	356,486,393
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 ....			1,247,936	7	1,572,429
8	Inventories for sale or use ........			36,501,589	8	37,266,593
9	Prepaid expenses and deferred charges ......			16,281,856	9	22,913,802
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,833,340,632
b	Less: accumulated depreciation	10b	1,803,055,470	1,058,553,757	10c	1,030,285,162
11	Investments—publicly traded securities .			754,896,082	11	979,983,837
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			118,007,214	13	305,418,778
14	Intangible assets ...............			3,021,105	14	3,444,058
15	Other assets. See Part IV, line 11 ...........			65,653,553	15	152,144,465
16	Total assets. Add lines 1 through 15 (must equal line 34)...			2,786,653,641	16	3,077,440,440

17	Accounts payable and accrued expenses .....	218,790,689	17	199,341,214
18	Grants payable ...		18
19	Deferred revenue .........	30,309,610	19	20,996,430
20	Tax-exempt bond liabilities .........	244,580,000	20	293,135,000
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 ..	44,706,814	23	27,924,029
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	42,419,927	25	90,731,586
26	Total liabilities. Add lines 17 through 25..	580,807,040	26	632,128,259

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	2,118,062,884	27	2,335,707,025
28	Temporarily restricted net assets ...........	56,078,913	28	75,895,106
29	Permanently restricted net assets	31,704,804	29	33,710,050
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	2,205,846,601	33	2,445,312,181
34	Total liabilities and net assets/fund balances ........	2,786,653,641	34	3,077,440,440