TY 2014 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	7.30 .......................0.10	X	X	60,360	0
(2) Chauncey Boyle SP........................................................................ Director	5.50 .......................0.10	X		0	0
(3) Marian Schubert CSJ - Eff914........................................................................ Director	4.50 .......................0.10	X		0	0
(4) Phyllis Hughes RSM........................................................................ Director	5.00 .......................0.10	X		0	0
(5) Carolina Reyes MD........................................................................ Director	4.20 .......................0.10	X		15,360	0
(6) Michael A Stein........................................................................ Director	6.00 .......................0.10	X		15,360	0
(7) Eugene Al Parrish........................................................................ Director	5.00 .......................0.10	X		15,360	0
(8) Peter J Snow........................................................................ Director	5.70 .......................0.10	X		20,860	0
(9) Bob Wilson........................................................................ Director	5.00 .......................0.10	X		18,360	0
(10) Sallye Liner........................................................................ Director	4.20 .......................0.10	X		15,360	0
(11) Ellen L Wolf........................................................................ Director	7.10 .......................0.10	X		15,360	0
(12) Isiaah Crawford........................................................................ Director	4.10 .......................0.10	X		15,360	0
(13) Martha Diaz Aszkenazy........................................................................ Director	7.70 .......................0.10	X		18,360	0
(14) Kirby McDonald........................................................................ Director	4.60 .......................0.10	X		15,360	0
(15) Dave Olsen........................................................................ Director	5.50 .......................0.10	X		17,860	0
(16) Charles Chuck Watts........................................................................ Director	4.60 .......................0.10	X		15,360	0
(17) Rod F Hochman MD........................................................................ President / CEO	25.00 .......................40.00		X	1,951,887	494,326

(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) Todd Hofheins........................................................................ EVP/CFO	23.00 .......................37.00	X				607,162	112,921
(19) Cindy Strauss........................................................................ SVP/Chief Legal Officer	23.00 .......................37.00	X				488,042	234,850
(20) Bruce Lamoureux........................................................................ CE/AK.Region	25.00 .......................40.00	X				678,361	69,026
(21) Anthony Dorsch........................................................................ CFO/PSMS Shared Services	48.00 .......................0.00	X				384,164	60,840
(22) Medrice Coluccio........................................................................ CE/Southwest WA.Region	50.00 .......................2.00		X			2,287,808	124,321
(23) Michael L Butler........................................................................ President/Operations & Services	23.00 .......................37.00		X			1,540,500	492,128
(24) Debra Canales........................................................................ EVP/Chief People & Experience Ofc.	21.00 .......................35.00		X			1,076,219	23,317
(25) Richard Mandsager........................................................................ CE/PAMC	50.00 .......................0.00		X			953,254	41,638
(26) Lisa Vance........................................................................ SVP/Clinical Program Services	23.00 .......................37.00		X			709,715	58,431
(27) Randy Axelrod MD........................................................................ EVP/Clinical & Patient Svcs	23.00 .......................37.00		X			701,506	245,640
(28) Elaine Couture........................................................................ CE/PHC/Eastern WA. Region	58.00 .......................2.00		X			613,109	92,519
(29) Jack Friedman........................................................................ SVP/Account Care & Payor Rel.	19.00 .......................31.00		X			596,381	177,566
(30) Aaron Martin........................................................................ SVP/Strategy & Innovation	25.00 .......................40.00		X			563,108	18,041
(31) Craig L Wright MD........................................................................ SVP/Physician Svcs	23.00 .......................37.00		X			549,952	312,082
(32) Janice Newell........................................................................ SVP/Chief Information Officer	21.00 .......................34.00		X			529,442	220,834
(33) Deborah Burton........................................................................ SVP/Chief Nrsg. Officer	23.00 .......................37.00		X			519,689	55,382
(34) Robert Hellrigel........................................................................ CE/Senior & Community Services	21.00 .......................34.00		X			518,936	95,905
(35) David Brown........................................................................ VP/Strategy & Business Development	21.00 .......................34.00		X			493,612	143,130
(36) Orest Holubec........................................................................ SVP/Marketing & Communications	21.00 .......................34.00		X			486,207	53,563
(37) Mark Gargett........................................................................ VP/Digital Integration	19.00 .......................31.00		X			476,541	80,347
(38) Preston Simmons........................................................................ CE/Northwest WA. Region	24.00 .......................40.00		X			462,262	46,510
(39) Joel S Gilbertson........................................................................ SVP/Comm. Ptnrshp. / Ext. Affairs	23.00 .......................37.00		X			419,681	103,211
(40) John O Mudd........................................................................ SVP/Mission Leadership	21.00 .......................34.00		X			418,054	95,818
(41) Gary Flaming........................................................................ SVP/Chief Risk Officer	21.00 .......................34.00		X			415,719	89,217
(42) Jason Dryer........................................................................ Neurosurgeon	55.00 .......................0.00			X		2,165,535	34,120
(43) Johnny Delashaw........................................................................ Neurosurgeon	55.00 .......................0.00			X		1,974,650	32,196
(44) David Yam........................................................................ Neurosurgeon	55.00 .......................0.00			X		1,652,467	27,778
(45) Shelly Handkins........................................................................ VP/CFO Revenue Cycle	50.00 .......................0.00			X		1,460,445	59,351
(46) Atul Thakker........................................................................ Physician	55.00 .......................0.00			X		1,358,005	42,117
(47) John F Koster MD........................................................................ Former President & CEO	0.00 .......................0.00				X	896,255	766,217
(48) Jeff W Rogers........................................................................ Former Corporate Secretary	0.00 .......................0.00				X	231,112	390,991
(49) Cindra R Syverson........................................................................ Former SVP/CHRO	0.00 .......................0.00				X	2,068,293	18,318
(50) Ray Williams........................................................................ Former SVP/Physicians Svcs	0.00 .......................0.00				X	1,060,879	4,597
(51) John Fletcher........................................................................ Former VP/Operations Support	0.00 .......................0.00				X	1,042,943	431,091
(52) Jan J Jones........................................................................ Former SVP/CAO	0.00 .......................0.00				X	879,104	330,527
(53) Andy Agwunobi........................................................................ Former CE/PHC	0.00 .......................0.00				X	401,342	1,083
(54) Arnie Schaffer........................................................................ Former EVP/W.WA.Region	0.00 .......................0.00				X	309,706	245,397
(55) Terry L Smith........................................................................ Former SVP/Management Svcs	0.00 .......................0.00				X	180,427	310,927

(A) Name and business address	(B) Description of services	(C) Compensation
The Everett Clinic 3901 Hoyt Avenue Everett,WA98201	Medical Services	22,389,705
Inland Northwest Blood Center 210 W Cataldo Avenue Spokane,WA99201	Medical Services	16,763,269
Inland Northwest Health Services PO Box 469 Spokane,WA99210	Medical Services	15,298,762
Allied Health Group File 50941 Los Angeles,CA90074	Allied Staffing	12,084,836
Inland Imaging LLC 801 S Stevens Street Spokane,WA99204	Imaging Services	11,324,895
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 489

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	11,843,018	11,843,018
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	988,145	988,145
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............	1,120,219	1,120,219
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	16,039,336	2,288,882	13,750,454
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 ....	1,919,653,855	1,174,225,796	745,096,893	331,166
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	272,116,638	35,843,495	236,265,366	7,777
9	Other employee benefits .......	538,493,722	38,989,286	499,487,028	17,408
10	Payroll taxes ...........	138,238,954	83,307,786	54,896,140	35,028
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	5,620,356	266,389	5,353,967
c	Accounting ...........	1,256,858		1,256,858
d	Lobbying ...........	324,153		324,153
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,667,946		1,667,946
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	545,006,541	250,234,521	294,667,485	104,535
12	Advertising and promotion ....	9,366,978	1,151,884	8,201,519	13,575
13	Office expenses .......	127,805,179	59,607,106	68,190,788	7,285
14	Information technology ......	37,964,754	3,647,537	34,317,217
15	Royalties ..
16	Occupancy ...........	73,034,903	40,680,491	32,335,353	19,059
17	Travel ............	26,672,806	5,821,730	20,848,909	2,167
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	9,664,334	2,819,795	6,817,225	27,314
20	Interest ...........	74,286,537	75,451,299	-1,164,762
21	Payments to affiliates .......	2,977,015		2,977,015
22	Depreciation, depletion, and amortization .....	276,841,577	130,647,008	146,194,569
23	Insurance ..............	26,406,356	6,058,696	20,347,660
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	505,019,950	504,981,284	38,666
b	Prof. Liab. Trust	74,476,067		74,476,067
c	Bad Debt Expense	39,192,614	38,226,624	965,990
d	UBI Taxes	462,413		462,413
e	All other expenses	98,002,402	55,133,285	42,733,097	136,020
25	Total functional expenses. Add lines 1 through 24e	4,834,543,626	2,523,334,276	2,310,508,016	701,334
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	2,904,419	1	34,927,355
2	Savings and temporary cash investments .........	388,720,402	2	583,295,465
3	Pledges and grants receivable, net ...........	5,954,684	3	1,695,261
4	Accounts receivable, net .............	535,291,965	4	538,713,832
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 .............	33,304,865	7	27,740,380
8	Inventories for sale or use ..............	53,101,746	8	75,925,085
9	Prepaid expenses and deferred charges ..........	41,171,987	9	95,885,053
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	5,072,865,453
b	Less: accumulated depreciation .....	10b	2,462,181,998	2,623,170,028	10c	2,610,683,455
11	Investments—publicly traded securities ..........	1,542,049,367	11	1,722,018,012
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....	105,753,444	13	122,203,289
14	Intangible assets ...............	21,720,654	14	33,256,787
15	Other assets. See Part IV, line 11 ...........	1,764,993,072	15	4,312,786,409
16	Total assets. Add lines 1 through 15 (must equal line 34)......	7,118,136,633	16	10,159,130,383
	17	Accounts payable and accrued expenses .........	577,934,307	17	665,592,937
18	Grants payable .................		18
19	Deferred revenue ................	10,845,286	19	118,944,216
20	Tax-exempt bond liabilities .............	811,205,001	20	845,274,482
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 ..	825,420,649	23	769,830,032
24	Unsecured notes and loans payable to unrelated third parties ....	609,605	24	13,540,890
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....................	2,454,155,997	25	5,171,879,336
26	Total liabilities. Add lines 17 through 25.........	4,680,170,845	26	7,585,061,893
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	2,376,578,881	27	2,524,680,418
28	Temporarily restricted net assets ...........	48,068,173	28	35,157,038
29	Permanently restricted net assets ...........	13,318,734	29	14,231,034
	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 ...........	2,437,965,788	33	2,574,068,490
34	Total liabilities and net assets/fund balances ........	7,118,136,633	34	10,159,130,383

- 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

2014

Open to Public
Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part I

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box 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 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support Add lines 7 through 10.

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 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. 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—2013. 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—2014. 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—2013. 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) 2014

Page 3

Part III

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. 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—2013. 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) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

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 (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

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

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

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 9(a)) 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 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

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

10a

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

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

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

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, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

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) 2014

Page 6

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

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

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

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- 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

2014

Name of the organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization PROVIDENCE HEALTH & SERVICES - WASHINGTON

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$RESTRICTED	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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization PROVIDENCE HEALTH & SERVICES - WASHINGTON

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part III

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

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

(a) No.
from
Part I

(b) Purpose of gift

(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) (2014)

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

2014

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part I-A

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

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

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

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

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

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

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

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

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

A Check SchCMd 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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

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

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

(a)

Yes

(b)

Amount

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

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

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

Yes

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

Yes

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

Yes

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

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

Yes

304,061

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

Yes

20,000

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

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

Yes

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

324,153

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:	Our Mission of compassionate care is grounded in our Catholic heritage. Our special focus on serving the poor and vulnerable compels us to advocate for a better and more just health care delivery system. We believe that health care is a basic human right. When individuals and families have access to health care, quality of life improves. As health reform opens the door to more coverage, we can't lose sight of the need for real change in every neighborhood and every city across our nation. Together, we are working to improve health for all we serve. Our 2014 Advocacy Agenda TRANSFORMING CARE TO CREATE HEALTHIER COMMUNITIES Responding to today's needs, our strategic plan calls us to improve the overall health of every community we serve. Together, our clinicians and caregiver teams are joining with other partners to develop innovative care delivery and economic models and to share best practices with expert-to-expert collaboration. This work is enriched by our proven experience with risk bearing care programs and community-based services. As an integrated, multi-state system Providence can help inform the development of policy solutions for greater access, innovative care and affordable payment structures. Even with the major coverage expansion now underway, we advocate for increased coverage in every state. Many remain uninsured, especially those in lower-income levels, and lack access to even basic health care. To address the needs we see each day, we partner with diverse community groups to develop plans for directing our resources. Continued flexibility to tailor care and services is essential to ensure community benefits go where they can do the most good. As we serve the most vulnerable, we are compelled to call for immigration reform and for greater investments in mental health care and services. Great strides are being made, but we cannot lose sight of unmet needs. REDESIGNING HOW CLINICAL CARE IS ORGANIZED AND PAID FOR At Providence, we are pursuing new ways of organizing care for our patients and communities. Across our system, we are transforming clinical practice and building partnerships with employers, insurers, providers and non-traditional partners to develop new payment models. We urge policy makers to support this important work with: * Policies that promote the growth of value-based, prepaid Medicare programs and other alternative payment and delivery models * A reformed, stable Medicare physician payment structure that repeals the sustainable growth rate formula and incents participation in new payment models * A short-stay Medicare hospital payment mechanism to address brief hospital admissions * Policies designed to transform care delivery that improve access and quality while also managing public program costs * Policy changes to expand access to telehealth and telemedicine services * Support for mergers, affiliations and joint ventures that enhance access, innovation and transformation PRESERVING FLEXIBILITY TO SERVE THE UNIQUE NEEDS OF OUR COMMUNITIES For generations, Providence has served communities with excellence, collaborating with local partners to tailor resources in order to meet unique local needs. This flexibility is vital to the effective design and delivery of community initiatives that serve people in need. At the same time, our society protects the ability of faith-based providers to serve consistent with their values. Providence urged policy makers to: * Oppose legislative or regulatory proposals that place unreasonable restrictions on how not-for-profits deliver charity and community benefit services * Support appropriate affiliations between faith-based and secular organizations * Strengthen federal and state conscience protections ENSURING COVERAGE EXPANSIONS ARE FAIR AND SUSTAINABLE Coverage expansion under the Affordable Care Act, while not perfect, is providing vital access to health insurance for millions of people who were uninsured. With larger numbers of people enrolled through the health insurance exchanges and broader Medicaid coverage, care will more often be received in the appropriate setting. This transition also provides a larger platform for clinical transformation and payment reforms. We urged policy makers to: * Support proposals that create robust health exchange marketplaces, market stability and seamless integration between Medicaid and federal and state-operated exchanges * Support Medicaid expansion in all states * Reconsider budget-driven reductions in Medicare and Medicaid provider payments as demand increases due to coverage expansions. Hospitals and other providers have absorbed significant payment reductions to offset the Affordable Care Act costs. Further reductions will make it difficult to provide access to thousands of newly-covered people. ENSURING ACCESS FOR THE MOST VULNERABLE AMONG US Significant strides have been made to improve access, yet many people remain outside the health care system or struggle to receive needed services. Large immigrant populations will not be able to purchase coverage through exchanges or receive coverage through Medicaid. Critical reforms are needed for acute and non-acute mental health care. We believe the time has come for: * Comprehensive federal immigration reform that establishes funding and community health care delivery models serving documented and undocumented immigrants * Local and federal reforms to improve access to and funding for all levels of behavioral health services

Return Reference

Explanation

Part II-B, Line 1:

Our Mission of compassionate care is grounded in our Catholic heritage. Our special focus on serving the poor and vulnerable compels us to advocate for a better and more just health care delivery system. We believe that health care is a basic human right. When individuals and families have access to health care, quality of life improves. As health reform opens the door to more coverage, we can't lose sight of the need for real change in every neighborhood and every city across our nation. Together, we are working to improve health for all we serve. Our 2014 Advocacy Agenda TRANSFORMING CARE TO CREATE HEALTHIER COMMUNITIES Responding to today's needs, our strategic plan calls us to improve the overall health of every community we serve. Together, our clinicians and caregiver teams are joining with other partners to develop innovative care delivery and economic models and to share best practices with expert-to-expert collaboration. This work is enriched by our proven experience with risk bearing care programs and community-based services. As an integrated, multi-state system Providence can help inform the development of policy solutions for greater access, innovative care and affordable payment structures. Even with the major coverage expansion now underway, we advocate for increased coverage in every state. Many remain uninsured, especially those in lower-income levels, and lack access to even basic health care. To address the needs we see each day, we partner with diverse community groups to develop plans for directing our resources. Continued flexibility to tailor care and services is essential to ensure community benefits go where they can do the most good. As we serve the most vulnerable, we are compelled to call for immigration reform and for greater investments in mental health care and services. Great strides are being made, but we cannot lose sight of unmet needs. REDESIGNING HOW CLINICAL CARE IS ORGANIZED AND PAID FOR At Providence, we are pursuing new ways of organizing care for our patients and communities. Across our system, we are transforming clinical practice and building partnerships with employers, insurers, providers and non-traditional partners to develop new payment models. We urge policy makers to support this important work with: * Policies that promote the growth of value-based, prepaid Medicare programs and other alternative payment and delivery models * A reformed, stable Medicare physician payment structure that repeals the sustainable growth rate formula and incents participation in new payment models * A short-stay Medicare hospital payment mechanism to address brief hospital admissions * Policies designed to transform care delivery that improve access and quality while also managing public program costs * Policy changes to expand access to telehealth and telemedicine services * Support for mergers, affiliations and joint ventures that enhance access, innovation and transformation PRESERVING FLEXIBILITY TO SERVE THE UNIQUE NEEDS OF OUR COMMUNITIES For generations, Providence has served communities with excellence, collaborating with local partners to tailor resources in order to meet unique local needs. This flexibility is vital to the effective design and delivery of community initiatives that serve people in need. At the same time, our society protects the ability of faith-based providers to serve consistent with their values. Providence urged policy makers to: * Oppose legislative or regulatory proposals that place unreasonable restrictions on how not-for-profits deliver charity and community benefit services * Support appropriate affiliations between faith-based and secular organizations * Strengthen federal and state conscience protections ENSURING COVERAGE EXPANSIONS ARE FAIR AND SUSTAINABLE Coverage expansion under the Affordable Care Act, while not perfect, is providing vital access to health insurance for millions of people who were uninsured. With larger numbers of people enrolled through the health insurance exchanges and broader Medicaid coverage, care will more often be received in the appropriate setting. This transition also provides a larger platform for clinical transformation and payment reforms. We urged policy makers to: * Support proposals that create robust health exchange marketplaces, market stability and seamless integration between Medicaid and federal and state-operated exchanges * Support Medicaid expansion in all states * Reconsider budget-driven reductions in Medicare and Medicaid provider payments as demand increases due to coverage expansions. Hospitals and other providers have absorbed significant payment reductions to offset the Affordable Care Act costs. Further reductions will make it difficult to provide access to thousands of newly-covered people. ENSURING ACCESS FOR THE MOST VULNERABLE AMONG US Significant strides have been made to improve access, yet many people remain outside the health care system or struggle to receive needed services. Large immigrant populations will not be able to purchase coverage through exchanges or receive coverage through Medicaid. Critical reforms are needed for acute and non-acute mental health care. We believe the time has come for: * Comprehensive federal immigration reform that establishes funding and community health care delivery models serving documented and undocumented immigrants * Local and federal reforms to improve access to and funding for all levels of behavioral health services

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part I

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

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate 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" to Form 990, Part IV, line 7.

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


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

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

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

$ 47,750

(ii)

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

$ 20,000

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No

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


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

Did the organization include an amount on Form 990, Part X, line 21, 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" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	1,582,531	489,517	483,523	8,463,851	7,596,645
b	Contributions ........		1,055,736	2,500	51,311	364,798
c	Net investment earnings, gains, and losses	1,442	37,278	3,494	75,538	677,288
d	Grants or scholarships .....				8,107,177	174,880
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......	1,583,973	1,582,531	489,517	483,523	8,463,851

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

0 %

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

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

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

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	34,060,928	128,278,763		162,339,691
b	Buildings ................	207,257,289	2,081,238,632	1,008,612,080	1,279,883,841
c	Leasehold improvements ............		190,682,175	86,749,089	103,933,086
d	Equipment ................	52,009,768	2,258,432,257	1,366,820,829	943,621,196
e	Other .................	778,015	120,127,626		120,905,641
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......					2,610,683,455

Schedule D (Form 990) 2014

Page 3

Part VII

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

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








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

Part VIII

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

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









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

Part IX

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

(a) Description				(b) Book value
(1) Due From Affiliates				4,011,243,714
(2) Trustee Held Funds				191,555,026
(3) Unamortized Finance Costs				16,013,579
(4) Other Long-Term Receivables				54,948,603
(5) Third Party Settlements				26,741,956
(6) Charitable Trusts & Gift Annuities				111,973
(7) CSV of Life Insurance				78,509
(8) Deferred Compensation 457F				5,141,269
(9) Bond Premium Discount				1,091,433
(10) Donated Assets				20,000
(11) Accrued Rebates				5,490,000
(12) Provider Tax				350,347
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				4,312,786,409

Part X

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

1.(a) Description of liability		(b) Book value
Federal income taxes
Self-Insured Trusts		255,140,517
Due To Affiliates		3,930,408,173
Non-Trust Workers Comp		3,114,834
Accrued Pension Costs		865,174,067
LT Asset Retirement Obligation - FIN 47		21,523,938
Other Long-Term Payables		24,963,991
Third Party Settlements		71,532,816
Bank Loan Reserve		21,000

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		5,171,879,336
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

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

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

Part XIII

Supplemental Information

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

Return Reference	Explanation
Part III, Line 4:	Artwork is displayed throughout the facilities to enhance the environment for the patients and their families.
Part V, Line 4:	The Endowment Funds are intended to be used to provide home health services to the poor & vulnerable in Eastern Washington.
Part X, Line 2:	The Health System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained upon an audit by the taxing authority. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs.

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

Attach to Form 990. Right pointing arrow large image

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part I

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

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

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

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

Yes

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

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

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Sub-Saharan Africa	0	0	Grantmaking	555,544
	Middle East & North Africa	0	0	Grantmaking	254,479
	Central America & The Caribbean	0	0	Grantmaking	215,426
	South America	0	0	Grantmaking	50,682
	North America	0	0	Grantmaking	16,243
	East Asia & The Pacific	0	0	Grantmaking	14,846
	Russia & The Newly Independent States	0	0	Grantmaking	11,200
	South Asia	0	0	Grantmaking	1,799









3a	Sub-total .....	0	0		1,120,219
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		1,120,219

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014

Schedule F (Form 990) 2014

Page 2

Part II

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

(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)
Sub-Saharan Africa	Medical Supplies	0		264,787	Medical Supplies	Cost
Middle East & North Africa	Medical Supplies	0		247,131	Medical Supplies	Cost
Sub-Saharan Africa	Medical Supplies	0		118,898	Medical Supplies	Cost
Central America & The Caribbean	Medical Supplies	0		110,370	Medical Supplies	Cost
Sub-Saharan Africa	Medical Supplies	0		62,799	Medical Supplies	Cost
Central America & The Caribbean	Medical Supplies	0		60,354	Medical Supplies	Cost
Sub-Saharan Africa	Medical Supplies	0		59,153	Medical Supplies	Cost
South America	Housing Rebuilding Effort	41,200	Wire Transfer	0
Sub-Saharan Africa	Medical Supplies	0		23,122	Medical Supplies	Cost
North America	Medical Supplies	0		16,243	Medical Supplies	Cost
Sub-Saharan Africa	Medical Supplies	0		13,216	Medical Supplies	Cost
Russia & The Newly Independent States	Medical Supplies	0		11,200	Medical Supplies	Cost
Central America & The Caribbean	Medical Supplies	0		8,776	Medical Supplies	Cost
East Asia & The Pacific	Medical Supplies	0		8,295	Medical Supplies	Cost
Middle East & North Africa	Medical Supplies	0		6,922	Medical Supplies	Cost
Central America & The Caribbean	Medical Mission Grants			35,739	Medical Mission Trips

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

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

Schedule F (Form 990) 2014

Schedule F (Form 990) 2014Page 3

Part III

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

Part III can be duplicated if additional space is needed.

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

Schedule F (Form 990) 2014

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2014

Page 5

Part V

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

ReturnReference	Explanation
Part I, Line 2:	We only provide grants to non-governmental, charitable organizations that conduct foreign activities. For the donations we require a potential recipient to first complete an application. We have two types of applications one for donations that will be taken by a person on a plane and part of medical team, the other for container donations that will be shipped. The type of information gathered is different for each application. We always ask for the name of the specific clinic, program or hospital that will be at the clinic. We also ask for information about who will be served/benefit from these donations. We also ask that the recipient provide us feedback on how useful the donations were and what problems they may have encountered.
Schedule F, Part IV, Line 1	Form 926 is not required to be filed because the transfer to a foreign corporation does not meet the reporting requirements in IRC Section 6038B(a)(1)(A).

Schedule F (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

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

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

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part I

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

filers are not required to complete this part.

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

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

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

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

Yes

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

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










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

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

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2014

Page 2

Part II

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

		(a) Event #1 Providence O'Christmas Trees (event type)	(b) Event #2 Golf Classic (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	891,525	60,650	952,175
2	Less: Contributions . .	705,959	30,800	736,759
3	Gross income (line 1 minus line 2) . . .	185,566	29,850	215,416
4	Cash prizes . . .
5	Noncash prizes . .		1,425	1,425
6	Rent/facility costs . .	17,302	16,991	34,293
7	Food and beverages .	196,446	9,130	205,576
8	Entertainment . . .
9	Other direct expenses .	459,247	18,254	477,501
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........			718,795
11	Net income summary. Subtract line 10 from line 3, column (d)...........			-503,379

Part III

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

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

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

Gross revenue . . . .

25,860

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

1,428

Other direct expenses . .

12,223

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes100.000 %
	No

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

13,651

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

12,209

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

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

YesNo

If "No," explain:

10a

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

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2014

Page 3

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

YesNo

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

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

YesNo

Indicate the percentage of gaming activities conducted in:

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

13a

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

13b

100.000 %

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

Name

Patricia L Szabo

Address

4831 35th Avenue SW
Seattle,WA98126

15a

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

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

YesNo

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

$ and the

amount of gaming revenue retained by the third party right arrow

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

Name

Address

Gaming manager information:

Name

Patricia L Szabo

Gaming manager compensation right arrow

$ 0

Description of services provided right arrow

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

Director/officer Employee Independent contractor

Mandatory distributions:

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

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

YesNo

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

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

Part IV

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

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

If the organization used factors other than FPG in determining eligibility, describe in Part VI the 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		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	0	0	88,186,571		88,186,571	1.840 %
b	Medicaid (from Worksheet 3, column a) ....	0	0	675,590,362	550,756,105	124,834,257	2.600 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	0	0	2,405,287	1,384,531	1,020,756	0.020 %
d	Total Financial Assistance and Means-Tested Government Programs .			766,182,220	552,140,636	214,041,584	4.460 %
Other Benefits		0	0	7,552,877	1,164,678	6,388,199	0.130 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	0	0	7,552,877	1,164,678	6,388,199	0.130 %
f	Health professions education (from Worksheet 5) ..	0	0	23,070,540	460,000	22,610,540	0.470 %
g	Subsidized health services (from Worksheet 6) ..	0	0	67,832,426	48,662,568	19,169,858	0.400 %
h	Research (from Worksheet 7)	0	0	4,018,062	675,359	3,342,703	0.070 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	0	0	5,671,647	105,337	5,566,310	0.120 %
j	Total. Other Benefits ..			108,145,552	51,067,942	57,077,610	1.190 %
k	Total. Add lines 7d and 7j .			874,327,772	603,208,578	271,119,194	5.650 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

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

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	0	0	7,994	7,994	0 %
2	Economic development	0	0	667	667	0 %
3	Community support	0	0	6,992	6,992	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	0	0	10,082	10,082	0 %
7	Community health improvement advocacy
8	Workforce development
9	Other	0	0	326	326	0 %
10	Total			26,061	26,061

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. ......

39,192,614

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

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

Section B. Medicare

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

1,123,878,261

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

1,295,332,097

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

-171,453,836

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

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

Schedule H (Form 990) 2014

Page

Part VFacility Information

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

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	Providence Health & Services - WA
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

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): http://washington.providence.org

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 13

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

Yes

If "Yes" (list url): washington.providence.org/

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

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

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

Yes

Financial Assistance Policy (FAP)

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 100.000000000000%
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/docs/wa-charity-care-policy.pdf

The FAP application form was widely available on a website (list url): www2.providence.org/obp/docs/financialassistancerequest(english).pdf

A plain language summary of the FAP was widely available on a website (list url):
www2.providence.org/obp/docs/financialassistancerequest(english).pdf

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) 2014

Page

Part VFacility Information (continued)

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

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

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 18. (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) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	Providence Health & Services - Alaska
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

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

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): alaska.providence.org/about-us/community-health-needs-assessments

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 13

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

Yes

If "Yes" (list url): alaska.providence.org/about-us/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" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

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

Yes

Financial Assistance Policy (FAP)

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 100.000000000000%
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/docs/ak-charity-care-policy.pdf

The FAP application form was widely available on a website (list url): www2.providence.org/obp/docs/financialassistancerequest(english).pdf

A plain language summary of the FAP was widely available on a website (list url):
www2.providence.org/obp/docs/financialassistancerequest(english).pdf

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) 2014

Page

Part VFacility Information (continued)

	Providence Health & Services - Alaska
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 18. (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) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 3: Providence St. Peter Hospital, - Facility 7: Providence Centralia Hospital, - Facility 8: Providence St. Mary Medical Center, - Facility 4: Providence Regional Med. Ctr.,Colby, - Facility 5: Providence Regional Med. Ctr.,Pacific, - Facility 9: Providence Mt. Carmel Hospital, - Facility 6: Providence Holy Family Hospital, - Facility 2: Providence SHMC & Children's Hospital, - Facility 10: Providence St. Joseph's Hospital
Group A-Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 5:	Over 70 representatives from various agencies participated. 170 invitations were sent out to community leaders and organization representatives. A complete list of those participating is available in the Community Health Needs Assessment.
Group A-Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 6a:	Providence Holy Family Hospital
Group A-Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 11:	Mental Health & Substance Abuse:1. Christ Clinic Psychiatric Nurse Practitioner2. Community Detox funding3. Funding for Partners with Families and Children4. Consistent Care Emergency Room Diversion program5. Main Psych TriageCare Coordination/Access to Care:1. Consistent Care emergency Room Diversion Program2. Project Access funding3. Spokane Prescription Drug Assistance funding4. Spokane Medical School supportObesity & Diabetes:1. Partnerships with Empire Health Foundation and Spokane Regional Health District2. Coordination with our Educational Services Department and INHS The other issues mentioned in the needs assessment including nutrition & physical activity, vaccine preventable disease, falls in the elderly, responsible sexual behavior, and asthma were not pulled out to specifically be addressed because they were either too narrow of a focus where our hospital data did not show this to be a high magnitude issue or they would be covered under the identified issues of mental health & substance abuse, care coordination & access to care, and obesity & diabetes.
Group A-Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 16i:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Group A-Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 22d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Group A-Facility 2 -- Providence SHMC & Children's Hospital Part V, Section B, line 24:	For non medically necessary services a patient may be charged full billed charges.
Group A-Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 11:	The organization initiated a three year program to implement Advanced Care Planning for 5 county areas. We also partnered with a local elementary school and introduced SQORD technology to encourage physical activity. There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them - Mental Health, Chemical Dependency, and other social determinants of health such as education, housing, and employment.
Group A-Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 16i:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Group A-Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 22d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Group A-Facility 3 -- Providence St. Peter Hospital Part V, Section B, line 24:	For non medically necessary services a patient may be charged full billed charges.
Group A-Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 5:	The Providence Mission Committee of the Board, which has broad representation from the community, provides guidance to the CHNA work group as the assessment is developed. Providence is also an active participant in community partnerships in order to create healthier communities together. One such partnership, the Snohomish County Public Health Advisory Council, presented data and obtained input from the community through various venues including a public forum, media releases, posting on the Snohomish Health District web page and distribution through community leaders. Other noteworthy partnerships that enabled Providence to obtain information and input to help inform the community needs assessment include:Providence Regional Medical Center Everett CHNA Work Group (Senior Leadership Team)Providence Mission Committee of the BoardSnohomish County Health Leadership CoalitionSnohomish County Public Health Advisory CouncilSnohomish County Health Policy Group
Group A-Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 11:	Access (Primary Care): Funding: 1. Patient Services Representatives initiate financial assistance paperwork and care coordinators directly assist qualified patients with obtaining health insurance. 2. Financial Counseling screening prior to first scheduled visit to Providence Medical Group or post Providence Regional Medical Center visit. 3. Support for Project Access Northwest to provide coordination and referral services for uninsured or underinsured. 4. Providence Everett Healthcare Clinic accepts all patients regardless of their ability to pay. Finding: 5. Community forum with providers to revise structure for patients arriving in the emergency department without an assigned primary care provider. 6. In-person Assistors in collaboration with Whatcom Alliance for Healthcare Advancement to assist the community to learn about, apply for, and enroll in health insurance coverage on the Exchange, including Medicaid, subsidized and non-subsidized qualified health plan. 7. Community Health Fairs to educate the community on value of connecting with a primary care provider. Facilitating: 8. Providence Medical Group Pacific Clinic provides primary care services with a primary focus on Medicaid, uninsured and low-income patients. 9. Providence Everett Healthcare Clinic provides primary care services with a primary focus on the uninsured or underserved. 10. Develop medical home model for Providence Everett Health Care Clinic and Providence Medical Group. Prenatal Care (First Trimester): Funding: 1. Support to DSHS participants to attend Birth/Family education. 2. Support to March of Dimes for 39 Weeks media campaign. Finding: 3. Centering pregnancy program group based prenatal care. 4. Birth and family education classes. 5. Community education on importance of early prenatal care, how to determine signs of pregnancy, and wellness care processes to help prepare and educate women for timely entry into prenatal care before pregnancy. Facilitating: 6. Providence Maternal Fetal Medicine program provides specialized services for evaluation of high risk pregnancies. 7. Providence Obstetrics and Gynecology provides traditional, routine and high-risk obstetrical services to women of all ages with all forms of insurance. Physical Abuse, Obesity, Suicide and Dental Decay are not areas of emphasis and focus for Providence during this cycle due to funding and resource availability. In addition there are other community organizations focusing on these issues. Providence will be an engaged partner with other community led collaborative efforts.
Group A-Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 16i:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Group A-Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 22d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Group A-Facility 4 -- Providence Regional Med. Ctr. Colby Part V, Section B, line 24:	For non medically necessary services a patient may be charged full billed charges.
Group A-Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 5:	The Providence Mission Committee of the Board, which has broad representation from the community, provides guidance to the CHNA work group as the assessment is developed. Providence is also an active participant in community partnerships in order to create healthier communities together. One such partnership, the Snohomish County Public Health Advisory Council, presented data and obtained input from the community through various venues including a public forum, media releases, posting on the Snohomish Health District web page and distribution through community leaders. Other noteworthy partnerships that enabled Providence to obtain information and input to help inform the community needs assessment include:Providence Regional Medical Center Everett CHNA Work Group (Senior Leadership Team)Providence Mission Committee of the BoardSnohomish County Health Leadership CoalitionSnohomish County Public Health Advisory CouncilSnohomish County Health Policy Group
Group A-Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 11:	Access (Primary Care): Funding: 1. Patient Services Representatives initiate financial assistance paperwork and care coordinators directly assist qualified patients with obtaining health insurance. 2. Financial Counseling screening prior to first scheduled visit to Providence Medical Group or post Providence Regional Medical Center visit. 3. Support for Project Access Northwest to provide coordination and referral services for uninsured or underinsured. 4. Providence Everett Healthcare Clinic accepts all patients regardless of their ability to pay. Finding: 5. Community forum with providers to revise structure for patients arriving in the emergency department without an assigned primary care provider. 6. In-person Assistors in collaboration with Whatcom Alliance for Healthcare Advancement to assist the community to learn about, apply for, and enroll in health insurance coverage on the Exchange, including Medicaid, subsidized and non-subsidized qualified health plan. 7. Community Health Fairs to educate the community on value of connecting with a primary care provider. Facilitating: 8. Providence Medical Group Pacific Clinic provides primary care services with a primary focus on Medicaid, uninsured and low-income patients. 9. Providence Everett Healthcare Clinic provides primary care services with a primary focus on the uninsured or underserved. 10. Develop medical home model for Providence Everett Health Care Clinic and Providence Medical Group. Prenatal Care (First Trimester): Funding: 1. Support to DSHS participants to attend Birth/Family education. 2. Support to March of Dimes for 39 Weeks media campaign. Finding: 3. Centering pregnancy program group based prenatal care. 4. Birth and family education classes. 5. Community education on importance of early prenatal care, how to determine signs of pregnancy, and wellness care processes to help prepare and educate women for timely entry into prenatal care before pregnancy. Facilitating: 6. Providence Maternal Fetal Medicine program provides specialized services for evaluation of high risk pregnancies. 7. Providence Obstetrics and Gynecology provides traditional, routine and high-risk obstetrical services to women of all ages with all forms of insurance. Physical Abuse, Obesity, Suicide and Dental Decay are not areas of emphasis and focus for Providence during this cycle due to funding and resource availability. In addition there are other community organizations focusing on these issues. Providence will be an engaged partner with other community led collaborative efforts.
Group A-Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 16i:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Group A-Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 22d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Group A-Facility 5 -- Providence Regional Med. Ctr. Pacific Part V, Section B, line 24:	For non medically necessary services a patient may be charged full billed charges.
Group A-Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 5:	Over 70 representatives from various agencies participated. 170 invitations were sent out to community leaders and organization representatives. A complete list of those participating is available in the Community Health Needs Assessment.
Group A-Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 6a:	Providence Sacred Heart Medical Center
Group A-Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 11:	Mental Health & Substance Abuse:1. Christ Clinic Psychiatric Nurse Practitioner2. Community Detox funding3. Funding for Partners with Families and Children4. Consistent Care Emergency Room Diversion program5. Main Psych TriageCare Coordination/Access to Care:1. Consistent Care emergency Room Diversion Program2. Project Access funding3. Spokane Prescription Drug Assistance funding4. Spokane Medical School supportObesity & Diabetes:1. Partnerships with Empire Health Foundation and Spokane Regional Health District2. Coordination with our Educational Services Department and INHS The other issues mentioned in the needs assessment including nutrition & physical activity, vaccine preventable disease, falls in the elderly, responsible sexual behavior, and asthma were not pulled out to specifically be addressed because they were either too narrow of a focus where our hospital data did not show this to be a high magnitude issue or they would be covered under the identified issues of mental health & substance abuse, care coordination & access to care, and obesity & diabetes.
Group A-Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 16i:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Group A-Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 22d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Group A-Facility 6 -- Providence Holy Family Hospital Part V, Section B, line 24:	For non medically necessary services a patient may be charged full billed charges.
Group A-Facility 7 -- Providence Centralia Hospital Part V, Section B, line 11:	The organization initiated a three year program to implement Advanced Care Planning for 5 county areas. We also partnered with a local elementary school and introduced SQORD technology to encourage physical activity. Finally, Providence Centralia explored a recovery unit for the hospital.There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them - social determinants of health such as education, housing, and employment.
Group A-Facility 7 -- Providence Centralia Hospital Part V, Section B, line 16i:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Group A-Facility 7 -- Providence Centralia Hospital Part V, Section B, line 22d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Group A-Facility 7 -- Providence Centralia Hospital Part V, Section B, line 24:	For non medically necessary services a patient may be charged full billed charges.
Group A-Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 5:	We have a Community Ministry Board comprised of community business leaders that meets throughout the year. The members go over the CHNA and they make suggestions to Administration and the Mission Council on the community needs they think we should address during the year. The Mission Council gives input to administration on community health needs and the amount of in kind donations that could be disbursed.
Group A-Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 11:	Focus on Youth at Risk:1. Contributions, both monetary and non-monetary, to Lincoln Health Center - a health clinic at an alternative school for at-risk teens.2. Backpack Project - backpacks with food and health related items are provided to youth who are homeless or itinerant.3. Signed an agreement with Child Profile the State data collection system for reporting vaccinations for both children and adults.Public Health (mobilization for action through planning and partnerships) community coalition and PSMMC was an active participant at identifying, reviewing, and prioritizing health risks and gaps through the CHNA. Needs that were identified that the hospital did not address includes: Teen Pregnancy, STD rates because there was already an active group of agencies in the community willing to continue strategic planning in this area. Health needs that the hospital developed planning for included other areas of youth at risk, access to mental health services, and reduction of communicable diseases through improved immunization rates and reporting community coalition to improve mental health care and access. Donations to Lincoln School Free Health Care Clinic, back pack program for homeless teens. Donations to SOS free health care clinic, and partnership with Public health department to provide mass influenza vaccinations (600) that were free to the public.There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them, but PH&S-WA will support organizations that are working to address these needs through collaboration, partnerships and in some cases through financial support for community based projects and programs.
Group A-Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 16i:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Group A-Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 22d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Group A-Facility 8 -- Providence St. Mary Medical Center Part V, Section B, line 24:	For non medically necessary services a patient may be charged full billed charges.
Group A-Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 5:	Survey to community members placed in local newspapers. Over 55 representatives from various agencies participated. A complete list of those participating is available in the Community Health Needs Assessment.
Group A-Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 6a:	Providence St. Joseph Hospital
Group A-Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 11:	Family mental health and chemical dependency:1. Partnership with Regional Support Network and New Alliance to expand resources in Stevens County2. Continue relationships with Rural ResourcesPromoting health behaviors1. Education and tools for physicians around immunizations2. Continue partnership with Rural Resources to address smoking cessation and breast exams3. Continue partnership with Get Fit Colville to address obesity.Poverty and difficult life circumstances1. Continue relationship with Hunger Coalition to bring food banks together for collaborative efforts to end hunger in Stevens County2. Support efforts of Hunger Coalition to obtain 501(c)(3) status and expanded grant opportunities3. Utilize model from Hunger Coalition to see if the model could be expanded to outreach coordinator efforts Facility for whole person: resources in one place - many services are looking to consolidate in Spokane. Providence is not situated to lead this effort.Employment Opportunities - this continues to be an issue in this region. Providence is not situated to lead this effort.
Group A-Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 16i:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Group A-Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 22d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Group A-Facility 9 -- Providence Mt. Carmel Hospital Part V, Section B, line 24:	For non medically necessary services a patient may be charged full billed charges.
Group A-Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 5:	Survey to community members placed in local newspapers. Over 55 representatives from various agencies participated. A complete list of those participating is available in the Community Health Needs Assessment.
Group A-Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 6a:	Providence Mount Carmel Hospital
Group A-Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 11:	Family mental health and chemical dependency:1. Partnership with Regional Support Network and New Alliance to expand resources in Stevens County2. Continue relationships with Rural ResourcesPromoting health behaviors1. Education and tools for physicians around immunizations2. Continue partnership with Rural Resources to address smoking cessation and breast exams3. Continue partnership with Get Fit Colville to address obesity.Poverty and difficult life circumstances1. Continue relationship with Hunger Coalition to bring food banks together for collaborative efforts to end hunger in Stevens County2. Support efforts of Hunger Coalition to obtain 501(c)(3) status and expanded grant opportunities3. Utilize model from Hunger Coalition to see if the model could be expanded to outreach coordinator efforts Facility for whole person: resources in one place - many services are looking to consolidate in Spokane. Providence is not situated to lead this effort.Employment Opportunities - this continues to be an issue in this region. Providence is not situated to lead this effort.
Group A-Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 16i:	Brochures and cards are available in all access points at our facilities telling a patient how to gain information and apply. Also our statements provide information on how to apply by making contact with our business office.
Group A-Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 22d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Group A-Facility 10 -- Providence St. Joseph's Hospital Part V, Section B, line 24:	For non medically necessary services a patient may be charged full billed charges.
Providence Health & Services - WA Part V, Section B, line 16a website:	www2.providence.org/obp/docs/wa-charity-care-policy.pdf
Providence Health & Services - WA Part V, Section B, line 16b website:	www2.providence.org/obp/docs/financialassistancerequest(english).pdf
Providence Health & Services - WA Part V, Section B, line 16c website:	www2.providence.org/obp/states/WA/financial-assistance.html
Part V, Section B	Facility Reporting Group B
Facility Reporting Group B consists of:	- Facility 1: Providence Alaska Medical Center, - Facility 11: Providence Kodiak Is. Medical Center
Group B-Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 5:	PAMC, in collaboration with the United Way of Anchorage, initiated a diverse 30 member CHNA Advisory Committee to establish and oversee the CHNA process, analyze the assessment data and prioritize community needs.
Group B-Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 6b:	The CHNA for Providence Alaska Medical Center was prepared in collaboration with United Way of Anchorage and the Municipality of Anchorage.
Group B-Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 11:	PAMC elected to address each of the identified community health needs:Poverty,Alcohol/Substance abuse,Healthy Behaviors, andAccess to affordable care.There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them, but PH&S-WA will support organizations that are working to address these needs through collaboration, partnerships and in some cases through financial support for community based projects and programs.
Group B-Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 22d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Group B-Facility 1 -- Providence Alaska Medical Center Part V, Section B, line 24:	For non medically necessary services a patient may be charged full billed charges.
Group B-Facility 11 -- Providence Kodiak Is. Medical Center Part V, Section B, line 5:	PKIMC initiated a diverse 11 member CHNA Advisory Committee to establish and oversee the CHNA process, analyze the assessment data and prioritize community needs. The Advisory Committee consisted of the following members:1. Donald Rush, CEO, Providence Kodiak Island Medical Center2. Bud Cassidy, Manager, Kodiak Island Borough3. Carol Juergens, MD, Owner, Kodiak Island Medical Associates4. Elsa DeHart, RN, Director, State of Alaska Kodiak Public Health Center5. JC Rathje, Executive Director, Kodiak Community Health Center6. Julie A. Tierney, Clinic Supervisor, U.S. Coast Guard Rockmore King Medical Clinic7. Mary Guilas Hawver, Director, Providence Kodiak Island Counseling Center (PKICC) and President, Filipino American Association8. Pat Branson, Executive Director, Senior Citizens of Kodiak9. Stewart McDonald, Superintendent, Kodiak Island Borough School District10. Tammy Hansen, Vice President of Health Services, Kodiak Area Native Association11. TC Kamai, Kodiak Chief of Police, City of KodiakThe CHNA Advisory group selected a diverse group of key informants from the community for an in depth interview in addition to conducting a community wide resident health needs survey. Representatives from the following list of organizations participated in the community input process of the CHNA.1. ALMA - the Latin Association of Women in Alaska2. State of Alaska Public Health Center3. Brother Francis Shelter4. Kodiak Island Housing Authority5. Filipino American Association6. Kodiak Island Medical Associates7. Kodiak Area Native Association8. Kodiak Community Health Center9. Kodiak Chamber of Commerce10. Senior Citizens of Kodiak, Inc.11. Alaska Housing Finance Corporation12. U.S. Coast Guard Rockmore-King Medical Clinic
Group B-Facility 11 -- Providence Kodiak Is. Medical Center Part V, Section B, line 11:	PKIMC elected to address each of the two identified community health needs:1. Uninsured and Affordability of Care as Barriers to Access, and2. Substance Abuse.There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them, but PH&S-WA will support organizations that are working to address these needs through collaboration, partnerships and in some cases through financial support for community based projects and programs.
Group B-Facility 11 -- Providence Kodiak Is. Medical Center Part V, Section B, line 22d:	The hospital uses a sliding scale based on income levels of the federal poverty guidelines based on full billed charges and approves financial assistance based on the scale of the income of the family.
Group B-Facility 11 -- Providence Kodiak Is. Medical Center Part V, Section B, line 24:	For non medically necessary services a patient may be charged full billed charges.
Providence Health & Services - Alaska Part V, Section B, line 16a website:	www2.providence.org/obp/docs/ak-charity-care-policy.pdf
Providence Health & Services - Alaska Part V, Section B, line 16b website:	www2.providence.org/obp/docs/financialassistancerequest(english).pdf
Providence Health & Services - Alaska Part V, Section B, line 16c website:	www2.providence.org/obp/states/ak/financial-assistance.html
SCHEDULE H, PART V, LINE 10a	Implementation strategies are posted at the follwing websites:http://washington.providence.org/shared/phc-landing/community-support/~/media/Files/Providence/About/CBR/EW/Community_Health_Needs_Assessment.pdf/http://washington.providence.org/shared/phc-landing/community-support/~/media/Files/Providence/Hospitals/WA/PHC/Community%20Benefit/Community_Health_Needs_Assessment_StevensCO.pdf/http://washington.providence.org/about/community-benefit/northwest-washington-community-benefit-report/~/media/Files/Providence/About/CBR/NW/CHNA%202013.pdf/

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

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

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
Part I, Line 3c:	The PH&S sliding fee scale will be used to determine the amount to be written off as charity care for guarantors with income between 101% 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 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 $ 39,192,614.
Part II, Community Building Activities:	COMMUNITY BUILDING ACTIVITIES:WESTERN WASHINGTON REGION:In Thurston County, Providence St. Peter Hospital sponsored a program called Grief Works, which assists people who are grieving from the loss of a spouse, child or sibling. The work involves pastoral care support and counseling in both individual and group sessions.In addition, Providence leaders serve on local boards. Examples include the board of Behavioral Health Resources, a not-for-profit mental health provider CHOICE Regional Health Network local college boards service organizations chamber of commerce boards school board of directors and the Hands-On Children's Museum, which promotes healthy family living.SOUTHEAST WASHINGTON REGION:Providence St. Mary Medical Center provides many free, preventative, diagnostic and educational services in the communities it serves. In 2014, community members were invited to attend a wide variety of health education classes, talks, screenings and support groups including topics like diabetes, smoking cessation, cardiopulmonary resuscitation, childbirth, breast cancer and sleep disorders. Free screenings also were conducted for skin and prostate cancer in cooperation with Providence Medical Group and an independent clinic, the Walla Walla Clinic. The medical center hosted a free, drive-through community flu clinic in concert with the Walla Walla County Health Department to both prevent the flu, and stem the tide of a whooping cough epidemic. People were able to be vaccinated without leaving their cars, and nearly 600 flu shots were given. The medical center also helped fund research and worked with a consortium of other agencies in Walla Walla County seeking to identify ways to improve access to mental health services. PROVIDENCE HEALTH CARE/EASTERN WASHINGTON REGION:Many of the activities reported in Part II demonstrate the eastern Washington Providence hospitals efforts to actively engage and partner with the community to help address specific needs. We collaborate with more than 80 community partners in Spokane and Stevens counties that share our commitment to serving the poor and vulnerable. Together, we are able to maximize resources to reach the greatest number of people, providing needed services such as immunizations, screenings, education, medication, shelter and food. Below is a list of a few of the many organizations Providence hospitals support in eastern Washington:Catholic CharitiesChrist ClinicCommunity Detox Services of SpokaneDaybreak (rehabilitation services for adolescents with substance abuse issues)Life Services of Spokane (support services for pregnant women to help them carry babies to term and provision of parenting education)Northeast Tri-County Health District (Colville)Partners with Children and FamiliesPrescriptions for Life (Chewelah)Project Access (involves doctors and hospitals in the community volunteering to provide needed health care services and surgeries for patients who cannot pay)Ronald McDonald HouseRural Resources Family Center (Colville)Spokane Prescription Access ProgramTransitional Programs for WomenTri-County Community Health Fund (Stevens County)Second Harvest (food bank)Community Health Association Spokane dental program (a federally quality health center)Washington Poison Control CenterIn addition, many Providence Health Care leaders and staff participate in community collaboration efforts through their membership on boards and advisory groups such as the Homeless Coalition and the Spokane Mental Health Advisory Board. Other boards include the United Way, YWCA, Women Helping Women, domestic and family violence organizations, educational boards, stroke conference boards, domestic terrorism training and many more where the expertise of the local hospital staff and administration can offer valuable information to the group for partnership and collaborative efforts in attempts to improve the health and wellbeing of the community. Often the hospital has been asked to provide a representative for the board or advisory group by the community.Providence Sacred Heart, Children's Hospital, and Holy Family also participate as major sponsors of community events that benefit the community at large. Examples include:American Brain Tumor AssociationAmerican Heart AssociationAmerican Cancer SocietyAmerican Red CrossCancer Patient CareCatholic CharitiesHope HouseInland NW Blood CenterMarch of DimesSpecial OlympicsWomen Helping Women*YWCA
Part III, Line 4:	The Health System provides for an allowance against patient accounts receivable for amounts that could become uncollectible. The Health System estimates this allowance based on the aging of accounts receivable, historical collection experience by payor, and other relevant factors. There are various factors that can impact the collection trends, such as changes in the economy, which in turn have an impact on unemployment rates and the number of uninsured and underinsured patients, the increased burden of copayments to be made by patients with insurance coverage and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the estimation process used by the Health System. The provision for bad debts in 2014 has decreased from 2013 as a result of the expansion of Medicaid programs and initiatives to assist patients in their Medicaid enrollment. The Health System records a provision for bad debts in the period of services on the basis of past experience, which has historically indicated that many patients are unresponsive or are otherwise unwilling to pay the portion of their bill for which they are financially responsible.
Part III, Line 8:	It is Providence's policy to exclude any Medicare shortfall from Community Benefit information.The amount reported on Part III, Section B, Line 6, was determined by applying the Cost-to Charge Ratio to the Medicare revenue.
Part III, Line 9b:	Billing & Collection PracticesProvidence has written policies about when and under whose authority patient debt is advanced for collection, and uses its best efforts to ensure that patient accounts are processed fairly and consistently.Providence ensures that practices to be used by their outside (non-hospital) collection agencies conform to the standards set forth in this policy, and obtains written commitments from such agencies that they will adhere to those standards. Providence also conducts an assessment of each collection agency's adherence to the policy. Such assessments are conducted at least annually.At time of billing, we provide to all low-income uninsured patients the same information concerning services and charges provided to all other patients who receive care at the hospital.When sending a bill to a patient, Providence includes a) a statement that indicates that if the patient meets certain income requirements the patient may be eligible for a government-sponsored program or for financial assistance from the hospital and b) a statement that provides the patient with the name and telephone number of a hospital employee or office from whom or which the patient may obtain information about Providence's financial assistance policies for patients and how to apply for such assistance.Any patient (or the patient's legal representative) seeking financial assistance from Providence provides the individual facility with information concerning health benefits coverage, financial status (i.e. income, assets) and any other information that is necessary for the hospital to make a determination regarding the patient's status relative to Providence's financial assistance policy, discounted payment policy, or eligibility for government-sponsored programs.For patients who have an application pending determination for either government-sponsored coverage or for the hospitals own financial assistance program, Providence will not knowingly send that patient's bill to a collection agency. Eligibility for financial assistance will be determined as closely as possible to the date of service.
SCHEDULE H, PART III, Line 3	It is Providence's policy to exclude all bad debts from Community Benefit information.
Part VI, Line 2:	NEEDS ASSESSMENT:We recognize that caring for the poor and vulnerable is not a task we can do on our own. On a routine basis we conduct a formal community assessment to determine who in our communities is experiencing the greatest need. This outreach connects us to many not-for-profits and social service agencies as well as care providers and their clients in the communities. To ensure that we conduct a comprehensive assessment, our process includes research, meetings, interviews, focus groups and surveys.Additionally, Providence ministries have community and foundation boards. The civic leaders that serve on Providence Boards connect our Mission with a local perspective on community needs.Our assessment findings are assembled to make certain we understand and respond to local and regional needs, which often vary from one city or county to another. Identified areas of need not only guide our community benefit giving, but also guide our strategic planning. We believe meaningful community needs assessment provides insight into the complete community benefit that is required, beyond just free and discounted care.These general guidelines are applied across all service areas covered in Providence Health & Services - Washington. These include: Northwest Washington Service Area, Southwest Washington Service Area, Southeast Washington Service Area, Providence Health Care in Eastern Washington and PH & S - WA. in Alaska.Providence Sacred Heart Medical Center and Providence Holy Family Hospital partnered with the Spokane Regional Health District and the Institute for Public Policy and Economic Analysis at Eastern Washington University and their Community Indicators Initiative as part of our comprehensive needs assessment. In addition, focus groups were held to gather information from organizations directly addressing the needs of the low income and uninsured. Quantitative and qualitative data were also used to identify the issues the hospitals should target to address in the Spokane community for the next three years, beginning in 2010.Providence Mount Carmel Hospital and Providence St. Joseph's Hospital partnered with the Northeast Health District and the Institute for Public Policy and Economic Analysis at Eastern Washington University and their Northeast Trends Initiative. In addition, focus groups were held to gather information from organizations directly addressing the needs of the low income and uninsured. Quantitative and qualitative data were also used to identify the issues the hospitals should target to address in the Stevens County community for the next three years, beginning in 2011.Providence ministries in eastern Washington are governed by a community ministry board. In addition, our foundation boards are composed of community members. The results of our needs assessments are presented to these boards for their review and input. The civic leaders that serve on Providence boards connect the Providence Mission with a local perspective on community needs. The Providence Health Care Eastern WashingtonCommunity Ministry Board approves the community needs assessments.Our assessment findings are assembled to make certain we understand and respond to local and regional needs, which often vary from one city or county to another. Identified areas of need not only guide our community benefit giving, but also guide our strategic planning. We believe meaningful community needs assessment provides insight into the complete and broad needs of the community, beyond just the need for free and discounted health care services.
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:ALASKA REGION:The geographic difficulties of a vast land mass, relatively undeveloped infrastructure and often extreme weather conditions make meeting the health care needs of Alaskans a unique challenge. Providence Health & Services Alaska serves the health needs of all people across the vast state of Alaska (population of 735,132). Providence Alaska has 15 ministries. Most facilities are located in the Anchorage area, yet Providence Alaska expands it services through a presence in six other Alaska communities as well as telemedicine and electronic intensive care unit (eICU) services extended to communities in Alaska and Oregon.Alaska's population is diverse (33 percent minority) and is widely distributed across great distances - only half the population is accessible by road. Providence Alaska Medical Center (PAMC) is the only comprehensive tertiary referral center serving all Alaskans, regardless of their ability to pay. In addition to PAMC, Providence Alaska has a family practice residency program, a continuum of post-acute care services, and a developing medical group located in Anchorage. Anchorage is the second most-diverse city in the nation with more than 90 languages spoken within the Anchorage school district. Thirty-four percent of the Anchorage community is a minority. While PAMC's primary service area is the Municipality of Anchorage, it serves residents throughout the state. As of the last census 7.6 percent of Anchorage residents lived below the poverty line, which is lower than the comparable state measure at 10.5 percent. Providence identified the following needs in the 2012-2013 community health needs assessment: poverty, healthy behaviors, alcohol/substance abuse, and access to affordable care. The 2015 community health needs assessment is currently in progress but not complete at the time of this submission. Providence Alaska manages four critical access hospitals located in the remote communities of Cordova, Kodiak, Seward and Valdez, all co-located with skilled nursing facilities. Community mental health centers are operated in Kodiak and Valdez. Each hospital serves as the primary health care provider for their community. In all of our communities, Providence has made a long-term commitment to meet the health care needs of the community through formal community health needs assessments, program and service expansion to meet those needs, and community partnerships.Providence Kodiak Island Medical Center is the island's only hospital in the Kodiak Island Borough with a population of roughly 14,000. PKIMC serves the city of Kodiak and the remote villages in the borough it also serves as a conduit of care for mariners and for communities farther down the Aleutian Islands towards Russia. Geographically isolated, the islands can only be accessed by air or sea. Commercial fishing is of historic and current economic importance and employment swings seasonally - with lower unemployment rates in the summer and higher rates in winter months. The 2013 Providence sponsored and conducted community health needs assessment (CHNA) identified the two greatest needs on the island as substance abuse and access to care due to affordability. Providence is planning the next CHNA for 2016.Providence Seward Medical Center serves the communities of Seward and Moose Pass (population est. 5,020). Seward is located at the head of Resurrection Bay on the Kenai Peninsula. The town is 126 road miles south of Anchorage. The 2015 community health needs assessment sponsored and conducted by Providence was in process as of the time of submission. In the prior community health needs assessment (2012-2013), 87% of the respondents needed care in the previous 12 months, yet 10 percent report being unable to receive care. When asked, the primary reasons cited from not receiving care were no insurance/could not afford it (43%), services not available (18%), and needed a specialist that was not available in Seward (14%). Although the trends show a decrease by each question, access continues to be an issue and an area of focus for Providence within the community. Along with community partners, Providence also addresses community needs that include: access to preventive care, overweight/obesity, and substance abuse.Providence Valdez Medical Center serves the community of Valdez. Valdez is one of Alaska's most important port cities. It is located approximately 120 air miles and 305 road miles east of Anchorage. The population is close to 4,000 and is located within 222 square miles of land area. The health need priorities identified by the community in the 2014 needs assessment process were overweight/lack of physical activity, availability and access to primary care services and mental health/substance abuse. Along with community partners, Providence works to address these community needs.Cordova Medical Center is the newest addition to the Providence Alaska family. Providence Alaska began management of the 13-bed critical access hospital and 10-bed long term care center on March 1, 2012. The City of Cordova is a community of about 2,300 people, which swells to 5,000 or more during the summer months. The city of Cordova sits on Prince William Sound and is only accessible by plane or boat (it is a 30 minute commercial flight from Anchorage). Cordova is a community best known for its commercial fishing and has a rich culture of Eyak Athabascan heritage. The most recent community health needs assessment completed in 2013, identified the major health needs as attracting and retaining providers, access to specialty care, affordability of care, care coordination across healthcare providers, and mental health/ substance abuse. WESTERN WASHINGTON REGION - NORTHWEST:The Western Washington Region - Northwest includes Providence Regional Medical Center Everett (PRMCE), which is the only tertiary provider in Snohomish County and is located on two campuses in Everett, Washington.The hospital's primary service area is Snohomish County, with a population of 745,913. Within this geography, the average age is 36.5 years and only 12% of the population is over age 65, although this is estimated to grow to 12.5% by 2016. The average household income is $68,338, and approximately 9.8% of people are living below poverty level in Snohomish County. As of December 2013, 5.3% of Snohomish County residents are unemployed, which is higher than the national unemployment rate. The secondary service area includes Skagit, Island, San Juan and Whatcom counties, totaling an additional 491,631 people. Within this geography, the average age is 39.2 years, with 16% of the population over age 65. The average household income is $54,457. The unemployment rates for the secondary service area include: Skagit (7.9%), Island (7.2%), San Juan (5.9%) and Whatcom (6.2%). In 2013, PRMCE provided almost $53.6 million in charity care and community benefits.WESTERN WASHINGTON REGION - SOUTHWEST:The Western Washington Region - Southwest includes Providence St. Peter Hospital in Olympia, Washington and Providence Centralia Hospital in Centralia, Washington. The hospitals deliver care to a five-county area including Thurston, Mason, Lewis, Grays Harbor and Pacific counties. For Providence St. Peter Hospital, the hospital serves 492,300 people in its primary and secondary service area. (SEE CONTINUATION)
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 Alaska, access to health care is one of the most critical community needs. To address this need, Providence Alaska and its local ministries are involved in and supportive of many programs, activities and services. In addition to having 24/7 emergency room care, each community is pursuing trauma designation to ensure every Alaskan receives exemplary and timely care. Providence Alaska is governed by a community ministry board made up of independent community members from across the state. Additionally, each hospital has an advisory board made up of local community members. Providence Alaska Medical Center has an electronic intensive care unit (eICU) that serves communities across Alaska and one community in Oregon. PAMC is also expanding its telemedicine capabilities to provide stroke care to local and distant communities. Within the community of Anchorage, Providence is a long-time partner of Anchorage Project Access (APA). The volunteer network provides medical services, accepting and treating APA-referred patients as any other insured patients. PAMC continues to provide funding and resources to the program.Providence Senior Care Center and the Pediatric Sub-Specialty Clinic are two more examples of how Providence promotes a healthy, well-cared for community. The Senior Care Center opened in January 2011 with the goal of providing Alaskans 55 and older with whole-health primary care. The program is subsidized by Providence Health and Services Alaska and currently treats more than 1,500 patients. The most recent Anchorage community health needs assessment showed a reduction in need for seniors access to health care services, which can be partially attributed to the Providence's investment in senior care services. The Pediatric Sub-Specialty Clinic at Providence has served children from birth to the age of 21 since 1998. This clinic is subsidized by the health system to ensure that these children have services and treatment not otherwise available to help them manage chronic illnesses. The Pediatric Sub-Specialty Clinic continues to provide services that would otherwise not be available in Alaska.To address access to health care in Kodiak, Providence Kodiak Island Medical Center is partnering with the Healthy Tomorrows coalition to improve the mental and physical wellness of local youth. Programs include: safe-and-sober activities for students, student skill-building groups, and physical activities at schools, Yellow Ribbon suicide prevention and an online get-fit challenge.To address access to care in Seward, Providence Seward Medical Center is partnering with and supporting the Seward Health and Wellness coalition. Support and promote Seward Wellness for All's Wellness Project, which is geared toward improving participant health by decreasing cardiac risk factors. Providence's contribution includes: Free labs and health screenings as part of the program In-kind support of dietary staff time for nutrition classes and individual consultation In-kind administrative support for program management Continued support for City of Seward's employee program Know your Numbers Implement community-wide sliding-fee scale and on-demand lab testing program for increased accessibility to resources and maintenance of sliding fee scale.To address access to care in Valdez, Providence Valdez Medical Center is partnering with the Sound Wellness Advisory Network (SWAN) and Valdez Parks and Rec to improve health in Valdez. Programs include: Healthier You Campaign, increased access to healthy activities, wellness education, and biometric screenings.In Walla Walla County, Providence St. Mary Medical Center participates with other health, education, governmental and social service agencies in a community health assessment, sponsored by the Walla Walla County Health Department. The assessment identifies the areas of greatest need in the health of the community. Providence St. Mary uses this data in addition to other information to guide its community outreach. In recent years, the most critical need identified through this process is at-risk youth access to health care and services. To meet this need, Providence St. Mary provided funding to establish eastern Washington's first school-based health clinic, which operates as an independent not-for-profit at an alternative high school in Walla Walla. Providence St. Mary now provides annual funding to the clinic. The medical center also donates the use of a building to Trilogy Recovery Community, an independent not-for-profit youth drug and alcohol recovery center.Providence St. Mary utilizes the Providence Telestroke Network, run through the Providence Brain Institute in Portland, Oregon, to ensure that every patient coming into the emergency department with symptoms of stroke can be seen by a neurologist, regardless of the hour. With strokes, the faster a patient is diagnosed and treated, the less damage the stroke can do. Receiving the right treatment quickly can mean the difference between life and death, and between a good recovery and a lifelong disability.
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 those who are poor and vulnerable, Providence Health & Services has developed a single framework for consistently reporting charity care and community benefit. 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.ALASKA REGION:Providence Alaska has 15 ministries. Most facilities are located in the Anchorage area, yet Providence Alaska expands it services through a presence in three rural communities as well as telemedicine and electronic intensive care unit (eICU) services extended to communities in Alaska and Oregon. The ministries in Providence Alaska work to care for each patient as they need care across the full continuum of health care services. Providence Alaska Medical Center is the only comprehensive tertiary referral center serving all Alaskans. The medical center features the Children's Hospital at Providence (the only one of its kind in Alaska), the state's only Level III NICU, Heart and Cancer Centers, the state's largest emergency department, full diagnostic, rehab and surgical services as well as both inpatient and outpatient mental health and substance abuse services for adults and children. Providence Alaska has a family practice residency program that trains physicians in primary care with the intent of increasing providers in distant Alaskan communities. A continuum of post-acute care services, including home health, hospice, assisted living and a skilled nursing facility provides care for patients as close to home as possible. A developing medical group provides primary and specialty care in the community. The three critical access hospitals located in the remote communities of Kodiak, Seward, Valdez and Cordova are all co-located with skilled nursing facilities. Community mental health centers are operated in Kodiak and Valdez. These services combined in these communities provide a solid foundation for access to health care. Providence Alaska also partners to provide additional services through five joint ventures including: Providence Imaging Center in both Anchorage and Soldotna, St. Elias Long Term Acute Care Hospital, Imaging Associates of Providence in both Anchorage and Wasilla, LifeMed Alaska (a medical transport / air ambulance service), and Creekside Surgery Center.WESTERN WASHINGTON REGION - NORTHWEST:Providence cares for the residents of five Northwest Washington counties through a comprehensive network of facilities and services. Our hospital, Providence Regional Medical Center, contains more than $60 million in some of the world's most advanced medical technology, and is home to the state's busiest emergency room. Our Pavilion for Women & Children houses maternity and newborn intensive care, and offers breast care and other services for women, children and families. Our Providence Medical Group clinics provide a full range of primary and specialty care throughout Snohomish County. The Providence Regional Cancer Partnership is an innovative partnership that offers all aspects of outpatient cancer care under one roof, using some of the world's most sought-after cancer care technology. The Providence Everett Healthcare Clinic provides high-quality care for those who may otherwise not be able to afford it. Providence Hospice & Home Care of Snohomish County delivers compassionate, home-based care to those who are confined to the home. PROVIDENCE HEALTH CARE/EASTERN WASHINGTON:In the Eastern Washington Region, Providence Health Care is made up of 11 ministries offering comprehensive, coordinated health care across the full continuum of care. In addition to five hospitals, Providence Health Care includes home health care, skilled nursing/long term care and transitional care, an assisted living facility, home chore services, a physician group with more than 200 physicians, a medical laboratory and the region's only adult day health program. All of these ministries serve the Providence Mission and provide care for all, especially to those who are poor and vulnerable. This coordinated system of care ensures patients receive the right care from the right provider, at the right time, at the right cost. While the Providence physician group is at the core of coordinating patient care, patients may enter the Providence Health Care system at any ministry level depending on need. This comprehensive, open system ensures patients receive a full spectrum of coordinated care, regardless of their ability to pay.WESTERN WASHINGTON REGION - SOUTHWEST:Providence Health & Services in Southwest Washington touches more lives in Thurston, Mason, Lewis, Grays Harbor and Pacific counties than any other health care provider. Providence St. Peter Hospital is a 390-bed, not-for-profit regional teaching hospital founded by the Sisters of Providence in 1887. Located in Olympia, the hospital offers comprehensive medical, surgical and behavioral health services to residents of Southwest Washington. St. Peter is a regional leader in cardiology, oncology, orthopedics and neuro-sciences. The Joint Commission has designated the hospital a Stroke Center of Excellence since 2007.Providence Centralia Hospital is a 102-bed, not-for-profit community based hospital. The services the hospital provides make it the heart of medical care in Lewis County. As a community hospital with outstanding technology, Providence Centralia Hospital is large enough to provide state-of-the-art services such as MRI, 64-slice CT scans and digital mammography. The hospital is also small enough to offer personal, compassionate care to everyone it serves. Providence Medical Group operates more than 25 clinics, with more than 160 specialized providers in Lewis, Thurston and Grays Harbor counties. The group provides primary and specialty care, including family medicine, internal medicine, cardiology, neurosurgery, oncology, diabetes care, general surgery, endocrinology, obstetrics/gynecology, physiatry, psychiatry and urology.Providence Senior and Community Services provide a full continuum of health care services for those living with chronic and/or life-limiting conditions. Offering access and choice through innovative, customer-centered options, services are provided in the home or in a variety of facility settings including Providence SoundHomeCare andHospice and Providence Mother Joseph Care Center and through supportive housing, including Providence St. Francis House (Olympia) Providence Blanchet House (Centralia) Providence Rossi House (Centralia) and Providence Place (Chehalis).
Part VI, Line 7, Reports Filed With States	WA,OR,CA,MT,AK
PART VI, LINE 4 - COMMUNITY INFORMATION CONTINUED - W. WA. - SOUTHWEST	Providence Centralia Hospital and Providence St. Peter Hospital serve 489,000 people with 20% of the population over age 65. The median household income is $47,216. Within the Western Washington Region - Southwest, the percentage of people living in poverty includes: Thurston (11.7%), Lewis (15.4%), Mason (17.3%), Grays Harbor (19.0%) and Pacific (17.2%). The unemployment rates for the counties include Thurston (7.04%), Lewis (11.2%), Mason (9.74%), Grays Harbor (11.82%) and Pacific (10.65%). In 2013, the Western Washington Region - Southwest provided more than $59 million in charity care and community benefitsSOUTHEAST WASHINGTON REGION:The Southeast Washington Region includes Providence St. Mary Medical Center in Walla Walla, Washington. The hospital serves a population totaling 140,000 people in its primary service area in Walla Walla County and Columbia County in Washington, and Umatilla County, Oregon. Within this geography, 18.43% of the population is over age 65 and the median household income is $45,835. The unemployment rate in Walla Walla County is 7% and Columbia County is 10.08%. The hospital also serves 28,000 people in its secondary service area, which is comprised of Garfield County, Washington and Union County, Oregon. Within the secondary market, 20.55% of the population is over age 65 and the median household income is $47,045. In total, 17.8% of people in Walla Walla County are living in poverty, as well as 17.1% in Columbia County. In 2013, the Southeast Washington Region provided $10.8 million in charity care and community benefits.PROVIDENCE HEALTH CARE/EASTERN WASHINGTON REGION:Spokane County is the furthest east county along Interstate 90, located on the Idaho border. It is largely urban with the second most populated city in the state, Spokane, with a population of 480,000. Providence Sacred Heart Medical Center & Children's Hospital and Providence Holy Family Hospital are located in Spokane County. About 14.3% of its population is over the age of 65. The leading causes of death in Spokane County are cancer, heart disease and stroke. The maternal smoking rate is two times higher than the state average. Stevens County is a largely rural region in northeast Washington, north of Spokane County with Pend Orielle County to the east and Ferry County to the west. Providence Mount Carmel Hospital in Colville is 75 miles north of Spokane and Providence St. Joseph's Hospital in Chewelah is 25 miles north of Spokane. The Stevens County population is 43,430. A high percentage of the rural population (17%) is over the age of 65. The leading causes of hospitalizations are unintended injury and heart disease, which are above the state average. The drug crime rate has continued to increase and is higher than the state average.The primary service area for these five Providence hospitals is defined as Spokane and Stevens counties. As the region's major quaternary hospital, Providence Sacred Heart Medical Center & Children's Hospital serves a much broader tertiary market which spans eastern Washington, northern Idaho, western Montana and northeastern Oregon, with a population of more than 1.6 million. Approximately 43% of patients are covered by Medicare, 25% are covered by Medicaid and nearly 5% uninsured or self-pay. With approximately 15% of the population for most of the counties served living in poverty, this service area is characterized by lower income levels than the state average.
PART VI, LINE 5	WESTERN WASHINGTON REGION - NORTHWEST:In Snohomish County, Providence Regional Medical Center Everett promotes the health of the community in a number of unique ways, one of which is the Providence Everett Healthcare Clinic. Opened in 2004, the clinic serves those with limited financial means and offers medical, dental and mental health care on a sliding fee scale, based on each patient's ability to pay. The clinic came about as the result of what started as a simple conversation between two single moms and a physician. These moms had government coupons to pay for health care, but no clinic or physician was willing to accept the coupons, and as a result, they were denied access. One mom had a son who experienced a simple earache. Because no one would see her son, the earache progressed until his ear drum burst, necessitating an emergency visit to the hospital. Upon hearing this story, the Providence physician realized there had to be a better way to meet the needs of this patient population. He developed a unique care delivery model in which Providence partnered with the schools of nursing at University of Washington Bothell and Everett Community College to deliver care. The clinic has grown in both size and scope several times since opening in 2004. It has expended from initially providing only medical care, to now providing mental and dental care as well.Another example is the community outreach program called Inside Out: The Original Organ Show. This innovative health education program, directed primarily at middle and high-school students, provides audiences with compelling health information - presented in a truly unique way - that empowers them to make informed decisions about behaviors and lifestyle choices that impact their long-term well-being. Inside Out takes viewers on a fantastic voyage through the human body. Actual human organs, such as hearts, lungs, brains, livers, kidneys and aortas are shown. Some are healthy others have been damaged by substance abuse, poor eating habits and unsafe behaviors. Comparing healthy and cancerous lungs, clinical educators show the effects of smoking. Holding up a heart with a bullet hole through it, they describe the danger of gun violence. Using an aorta covered with hard, jagged plaque, they talk about how high cholesterol can lead to heart attacks. Displaying the shattered remains of a human brain,they talk about the unintended consequences of accidental prescription drug overdose. This program has been offered to the community for more than 20 years and in that time, thousands of people have written to tell how it changed, and possibly saved, their life.WESTERN WASHINGTON REGION - SOUTHWEST:Providence in Southwest Washington provided more than $59 million in total community benefits, including $23.3 million in charity care and $25 million to cover the difference between the costs of providing care for people insured by government-sponsored programs and the amount paid by the government for those services.Providence Southwest Washington hospitals subsidize a broad range of services that provide health benefits to the community but do not generate enough income to be financially self-sustaining. Examples include more than $5 million in programs such as psychiatry, chemical dependency, a sexual assault clinic and pediatrics.Here is more detail on key subsidized programs:Providence Southwest Washington donated hospital services and more than $125,000 in sponsorships to community organizations. A total of $60,000 was donated by Providence to Project Access, a volunteer physician program that provides free specialty care to those who otherwise can't afford it. More than $250,000 in services were used in collaboration with the CHOICE Regional Health Network as part of the Emergency Department Consistent Care Program.Based in Lacey, the Providence St. Peter Chemical Dependency Center offers a complete continuum of treatment options to diagnose, treat and provide ongoing recovery support. Our medically supervised programs offer excellence in clinical counseling, comprehensive education and a safe environment for recovery. In 2013, the Chemical Dependency Center was subsidized with $1.8 million from Providence. This support helped improve the quality of life for more than 1,394 substance abuse inpatients, 11,556 outpatients and their families.The physicians, nurses, nurse practitioners and social workers at the Sexual Assault Clinic are always there for the victims of sexual abuse. Serving residents of Thurston, Lewis, Mason, Grays Harbor, Pacific and Wahkiakum counties, our specialists are on call 24 hours a day, seven days a week to provide medical evaluations for children, adolescents and adults when they are in crisis. In 2013, the clinic provided nearly $875,000 in subsidized services.Providence provided more than $1.23 million in non-funded psychiatric services for nearly 5,700 patient visits in 2013, including inpatient and outpatient services. Services provided include an 18-bed voluntary acute care unit and Partial Hospitalization Program. Other Providence psychiatric services feature social workers and professional counselors who provide crisis intervention, counseling and support in the Emergency Center psychiatric nurses who provide home mental health services specialized services for those 55 and older in our Older Adult Mental Health Program and psychiatrists and ARNPs who offer treatment in our psychiatric medical clinic.Providence St. Peter Hospital provided $3.25 million in training support of 19 family medicine physicians, other medical education programs and research.More than 2,000 people benefited from free blood pressure checks, glucose and cholesterol screenings and low-cost high school sports physicals. Providence also provided free community education events, including The Flex Diet, The Smart Women's Guide to Heart Health, Providence Parenting University, Cancer Survivors Celebration, Harmony and Hope concerts and Wellness Roundup.PROVIDENCE HEALTH CARE/EASTERN WASHINGTON REGION:Providence in Eastern Washington provided more than $133 million in total community benefits, including $30 million in charity care and $76 million to cover the difference between the costs of providing care for people insured by government-sponsored programs and the amount paid by the government for those services.Providence Health Care formed an innovative collaboration 17 years ago with the other local hospital system (then Empire Health System) to better serve the community needs by jointly sponsoring Inland Northwest Health Services (INHS) - a not-for-profit organization that provides vital community services including air ambulance service, inpatient rehabilitation services, community health education, and an extensive medical information system that connects more than 30 hospitals across the inland northwest region. INHS represents a collaborative approach to health care that is unlike any other and brings unique partnerships and innovative technologies and more cost-effective care to Spokane and the Northwest. While the original sponsors have changed following the acquisition of Empire Health Services by a national for-profit system, Providence Health Care has found the ability to continue the community collaborative approach through a new joint sponsorship with the foundation that was formed by the sale of Empire Health Services.The Providence Health Care Community Ministry Board is made up of volunteer community leaders. The Board's primary delegated responsibilities include quality of care and service (including oversight of medical staff privileging), strategic planning and Mission effectiveness. In its role in Mission effectiveness, the Board is responsible for reviewing and approving the community needs assessment and selection of priority community needs. In addition, the Board approves recommendations for financial support of community programs and services (representing a $1.8 million investment in 2013).Providence hospitals in Spokane are also the sole providers of many essential services in Spokane. Many of these services are subsidized as they operate at a loss. (SEE CONTINUATION)
PART VI, LINE 5	For example, Providence Sacred Heart Medical Center is the only inpatient psychiatric program in the region, and Providence Holy Family Hospitals provides the only inpatient detox program in the community. Other unique services include an inpatient maternity clinic for uninsured, low income women located at Sacred Heart, transplant services (heart, kidney, pancreas) and numerous pediatric subspecialties.In addition, all Providence Health Care hospitals operate 24/7 emergency departments that serve all patients, regardless of ability to pay. And, as the only level II trauma center in the inland northwest region, Providence Sacred Heart medical Center serves a unique role of caring for the most critically ill and injured patients from the vast service area.Other examples of how Providence Health Care and its Eastern Washington ministries further its tax exempt status in support of the health of the community include:Tele-medicine and tele-continuing medical education for physicians and nurses throughout the region.Providing educational opportunities for medical professionals throughout the community, including management oversight and subsidy of the graduate medical education residency programs, including family medicine, internal medicine, radiology and psychiatry, as well as funding for medical research through the Providence Medical Research Center.*Medical staff at Providence hospitals have open privileges across all hospital facilities in the area.

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number
51-0216586

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance
(1) PHC Foundation - Eastern Washington PO Box 2555 Spokane,WA99220	32-0014330	501(C)(3)	903,287				Operational Support/Pmt of Foundation Expenses
(2) Providence St Peter Foundation 413 Lilly Road NE Olympia,WA98506	91-1097056	501(C)(3)	772,095				Administrative support of the Foundation
(3) Providence General Foundation 916 Pacific Avenue Everett,WA98201	91-1041617	501(C)(3)	685,087				Scholarships to honor outgoing Board members
(4) Inland Northwest Health Services PO Box 469 Spokane,WA99210	91-1307555	501(C)(3)	437,633				Community Health Education Outreach
(5) Providence Mount St Vincent Foundation 4831 35th Avenue Southwest Seattle,WA98126	91-1188119	501(C)(3)	437,335				Ministry Support
(6) Providence St Mary Foundation 401 W Poplar St Walla Walla,WA99362	45-2841492	501(C)(3)	389,975				Foundation Charitable Support
(7) Catholic Charities Spokane PO Box 2253 Spokane,WA99210	91-0569880	501(C)(3)	311,788	21,272	Cost	Forgiveness of Debt	Operational Support
(8) Providence Hospice and Home Care Foundation Snohomish County 2731 Wetmore Suite 500 Everett,WA98201	27-2552749	501(C)(3)	302,821				Subsidized Foundation Expenses
(9) Project Access Northwest 1111 Harvard Avenue Seattle,WA98122	20-4377921	501(C)(3)	184,020				Pilot project to support Medicaid eligible patients in receiving assistance from project Access in navigating the insurance system and gaining access to critical medical care. Also 2014 sponsorship..
(10) Providence Marianwood Foundation 3725 Providence Point Drive SE Issaquah,WA98029	93-1554288	501(C)(3)	174,749				Subsidized Foundation Expenses
(11) Christ Clinic 914 W Carlisle Spokane,WA99205	91-1435174	501(C)(3)	167,500				Operational Support
(12) Providence Hospice of Seattle Foundation 425 Pontius Ave N 300 Seattle,WA98109	91-2077378	501(C)(3)	161,716				Subsidize foundation expenses
(13) Providence Health Care Foundation Centralia 914 South Scheuber Road Centralia,WA98531	91-1433382	501(C)(3)	142,273				Purchase of LifeNet Modems by Lewis Cty EMS Agencies
(14) Partners with Families & Children 613 S Washington St Spokane,WA99204	68-0576560	501(C)(3)	109,946				Monthly Support to an organization that provides a full range of services for children who have suffered abuse and/or neglect as well as provides mental health and chemical dependency treatment for parenting individuals and their family members.
(15) Ronald McDonald House 1015 W 5th Ave Spokane,WA99204	91-1176115	501(C)(3)	100,000				Operational Support
(16) University of Washington - School of Medicine PO Box 358047 Seattle,WA98195	91-6001537	Government	75,000				Physician Residency Program
(17) Washington State University Foundation PO Box 641927 Pullman,WA99164	91-1075542	501(C)(3)	75,000				WWAMI Expansion Fund
(18) Daybreak Youth Services 11711 E Sprague Ave Suite D-4 Spokane Valley,WA99206	91-1083936	501(C)(3)	50,000				Youth Services Program
(19) Diocese of Spokane - Nazareth Guild PO Box 1453 Spokane,WA99210	91-0564957	501(C)(3)	50,000				Operational Support
(20) Hospice And Palliative Care Of Kodiak Inc PO Box 8682 Kodiak,AK99615	45-2208200	501(c)(3)	50,000				Community Support
(21) Hospice of Spokane PO Box 2215 Spokane,WA99210	91-0995069	501(C)(3)	50,000				Holistic approach to end of life care
(22) United Way of Valdez PO Box 707 Valdez,AK99686	92-0090499	501(C)(3)	50,000				Health
(23) YearUp Inc 93 Summer Street Boston,MA02110	04-3534407	501 (C ) (3)	48,331				Internship Support
(24) Providence NE Washington Hunger Coalition PO Box 46 Loon Lake,WA99148	46-3051292	501(C)(3)	45,040				Community Support
(25) Northwest Autism Center 25 W Fifth Ave No 113 Spokane,WA99204	57-1138106	501(C)(3)	40,000				Support for autism and related disorders
(26) Rural Resources Community Action 956 S Main ST Colville,WA99114	91-0793447	501(C)(3)	36,617				Trauma and Health Impacts Program
(27) Community Detox Services of Spokane PO Box 2845 Spokane,WA99220	91-1108762	501(C)(3)	36,000				Operational Support
(28) Bethany of the Northwest Foundation 916 Pacific Avenue 4th floor Everett,WA98201	94-3095265	501(C)(3)	31,000				Donation to benefit ETCS special operational or capital needs.
(29) Economic Alliance of Snohomish County 808 134th Street SW Ste 101 Everett,WA98204	91-0647005	501(C)(4)	30,000				To bring back high paying jobs to Snohomish County
(30) Project Access Spokane 104 S Freya Suite 114 Spokane,WA99202	91-6053239	501(C)(3)	30,000				Helps feed under privileged children
(31) Spokane County Medical Society 104 S Freya St Suite 114 Spokane,WA99202	91-6053239	501(c)(6)	30,000				Operational Support
(32) The Health Center 534 So 3rd Ave Suite 16 Walla Walla,WA99362	27-0401462	501(C)(3)	30,000				Health Center Support
(33) YWCA of Spokane 930 N Monroe Spokane,WA99201	91-0565025	501(C)(3)	30,000				Clinical Counseling
(34) March of Dimes 904 3rd Avenue Suite 230 Seattle,WA98101	13-1846366	501(C)(3)	26,500				2015 March for babies sponsorship, Nurse of the Year Event
(35) Best Beginnings 3550 Commercial Drive Ste 104A Anchorage,AK99501	45-5066055	501(C)(3)	25,000				AK Imagination Library
(36) Emergency Assistance and Food Bank of Valdez PO Box 848 Valdez,AK99686	34-1986012	501(C)(3)	25,000				Community Support
(37) Alaska Literacy Program Inc 1345 Rudakof Circle Anchorage,AK99508	23-7451172	501(C ) (3)	24,500				Health and wellness activities
(38) Center for Justice 35 W Main Suite 300 Spokane,WA99201	91-1939768	501(C)(3)	22,000				Health and justice initiative
(39) Choice Regional Health Network 2409 Pacific Ave SE Olympia,WA98501	91-1704039	501(C)(3)	20,000				Mental Health Access Program
(40) Valdez Senior Citizens Center PO Box 1635 Valdez,AK99686	92-0082275	501(C)(3)	20,000				Meals on Wheels
(41) Women and Children's Free Restaurant 1620 N Monroe Spokane,WA99205	91-1399742	501(C)(3)	20,000				Operational Support
(42) Young Men's Christian Association 2720 Rockefeller Ave Everett,WA98206	91-0565561	501(C)(3)	19,503				Annual campaign sponsorship
(43) Everett Silvertips Hockey Club 2000 Hewitt Ave Suite 100 Everett,WA98201	98-0376631	Other	18,000				Sponsorship
(44) United Way of Snohomish County 3120 McDougal Avenue Suite 200 Everett,WA98201	91-0606507	501(C)(3)	18,000				2014 Sponsorship / Red Cross OSO Relief
(45) March of Dimes Foundation 222 W Mission Ave Suite 119 Spokane,WA99201	13-1846366	501(C)(3)	15,000				Medical Research
(46) Prescription Drug Assistance 1111 Harvard Avenue Seattle,WA98122	33-1134368	501(C)(3)	15,000				Donation to support low income families with access to prescription medications.
(47) Valdez Arts Council PO Box 3138 Valdez,AK99686	23-7328616	501(C)(3)	15,000				Youth Outreach
(48) Valdez Museum & Historical Archive Association Inc PO Box 8 Valdez,AK99686	92-0159463	501(C)(3)	15,000				Youth Outreach
(49) Beans Cafe PO Box 100940 Anchorage,AK99510	92-0072522	501(C)(3)	14,000				The Children's Lunchbox
(50) Associates for Victims of Violence Inc PO Box 524 Valdez,AK99686	92-0083034	501(C)(3)	12,500				Community Support
(51) Valdez Community Hospital Auxiliary PO Box 94 Valdez,AK99686	92-0096062	501(C)(3)	12,500				Community Support
(52) American Academy of Family Medicine (Inland Northwest Chapter) 8510 W Newkirk Road Spokane,WA99224	23-7055510	501(C)(6)	10,500				Sponsorship
(53) Brother Francis Shelter Kodiak Inc PO Box 670 Kodiak,AK99615	20-8594266	501(C)(3)	10,000				Community Support
(54) Community Cancer Fund 621 W Mallon Ave STE 605 Spokane,WA99201	46-4735260	501 ( C)(3)	10,000				Sponsorship
(55) Inland Northwest Community Foundation 421 W Riverside Ave Suite 606 Spokane,WA99201	91-0941053	501(C)(3)	10,000				Priority Spokane Research Project
(56) Kodiak Women's Resource and Crisis Center PO Box 2122 Kodiak,AK99615	92-0070130	501(C)(3)	10,000				Homeless Prevention
(57) Medical Teams International 9680-153rd Avenue NE Redmond,WA98052	93-0878944	501(C)(3)	10,000				Donation for mobile dental program for Everett and Marysville.
(58) Salvation Army NW Division 222 E Indiana Ave Spokane,WA99207	94-1156347	501(C)(3)	10,000				Winter Warming Shelter Program
(59) School Health Care Assoc of Spokane County PO Box 8755 Spokane,WA99203	27-4299158	501 ( C)(3)	10,000				Sunset School Health Center
(60) Spokane Regional Health District 1101 W College Ave Rm 330 Spokane,WA99201	91-1527532	Government	10,000				Operational Support
(61) St Joseph Family Center 1016 N Superior St Spokane,WA99202	91-0564989	501(C)(3)	10,000				Operational Support
(62) Wilson Strategic Communication 3500 188th St SW STE 590 Lynnwood,WA98037	20-1502691	Other	10,000				Operational Support
(63) YFA Connections PO Box 3344 Spokane,WA99220	23-7049675	501(C)(3)	10,000				REACH Street Outreach Program
(64) Tri-County Economic Development District 986 S Main Suite A Colville,WA99114	91-1360381	Govt	9,950				NE WA Ag and Food Center
(65) Greater Spokane Inc PO Box 822 Spokane,WA99210	91-0418800	501(c)(6)	9,650				Sponsorship
(66) American Cancer Society 250 Williams St NW Atlanta,GA30303	13-1788491	501(C)(3)	9,000				Support Relay for Life/Cancer Research/Fundraising
(67) Immaculate Conception Catholic Church 320 W Maple Street Colville,WA99114	91-1427871	501(C)(3)	8,604				Summer nutrition and learning program
(68) Take The Next Step 202 S Sams Street Monroe,WA98272	20-3291700	501(C)(3)	8,302				Video views donation
(69) The Alaska Community Foundation 3201 C Street 110 Anchorage,AK99503	92-0155067	501(C)(3)	8,000				Community Support
(70) Walla Walla Center for the Arts 207 W Main St Walla Walla,WA99362	46-4911492	501(C)(3)	7,500				Communty Support
(71) Washington Poison Center 155 NE 100th Street 100 Seattle,WA98125	94-3214597	501(C)(3)	7,000				Commitment to become a member organization
(72) Lilac Bloomsday Association 1610 W Riverside Spokane,WA99201	91-1054846	501(C)(3)	6,500				Sponsorship
(73) Lutheran Social Services of Alaska 1303 W 33rd Anchorage,AK99503	94-3055592	501(C)(3)	6,500				HUGSS and Coats program
(74) National Multiple Sclerosis Society 192 Nickerson St Ste 100 Seattle,WA98109	13-5661935	501(C)(3)	6,000				Community Support
(75) American Childhood Cancer Organization PO Box 8031 Spokane,WA99203	91-1890353	501(C)(3)	5,000				Childhood Cancer support
(76) American FDM Association 10200 Crumley Ranch Road Austin,TX78738	26-1533601	501(C)(3)	5,000				Community Support
(77) Blue Mountain Community Foundation 8 So 2nd St Suite 618 Walla Walla,WA99362	91-1250104	501(C)(3)	5,000				Community Health Support
(78) First Night Spokane 211 N Wall Spokane,WA99203	91-2126547	501(C)(3)	5,000				Sponsorship
(79) Inland Northwest Blood Center 210 West Cataldo Ave Spokane,WA99201	91-0499130	501(C)(3)	5,000				Sponsorship
(80) Kettle Falls Community Program 365 W 3rd Kettle Falls,WA99141	26-4704088	501(C)(3)	5,000				Support mental health program
(81) Portland Workforce Alliance 6433 NE Tillamook Portland,OR97213	27-2964874	501(C ) (3)	5,000				Community Benefit
(82) Providence Gamelin House 4515 MLK Jr Way South 200 Seattle,WA98108	31-1744654	501(C)(3)	5,000				Ministry Support
(83) Providence Joseph House 11215 5th Ave SW Seattle,WA98146	27-3678314	501(C)(3)	5,000				Ministry Support
(84) Providence Peter Claver House 7101 38th Avenue South Seattle,WA98118	31-1629656	501(C)(3)	5,000				Ministry Support
(85) Providence St Elizabeth House 3201 SW Graham Street Seattle,WA98126	91-2171539	501(C)(3)	5,000				Ministry Support
(86) Providence Vincent House 1423 First Ave Seattle,WA98101	20-1910170	501(C)(3)	5,000				Ministry Support
(87) Safe Crossings Foundation 1402 3rd Avenue Suite 1430 Seattle,WA98101	75-2992774	501( C)(3)	5,000				Corporate Sponsorship of Luncheon
(88) Senior Assistance Fund Of Eastern Washington 1222 N Post St Spokane,WA99201	91-1679172	501(C)(3)	5,000				Community Outreach
(89) Senior Citizens of Kodiak Inc 302 Erskine Drive Kodiak,AK99615	23-7348249	501(c)(3)	5,000				Meals on Wheels
(90) SOS Clinic 1200 SE 12th St College Place,WA99362	73-1626280	501(C)(3)	5,000				Health Center Support
(91) Spokane Hope School 310 N Riverpoint Blvd Box V Spokane,WA99202	20-1535497	501(C)(3)	5,000				Health and Justice Program
(92) Spokane Neighborhood Action Program 3102 W Fort George Wright Drive Spokane,WA99224	91-1311127	501(C)(3)	5,000				A/C units for low income individuals.
(93) United Way of Thurston County 1211 Fourth Ave E Olympia,WA98506	91-0713462	501(C)(3)	5,000				Community Sponsorship
(94) University Of Washington Foundation Mackenzie Hall Box 353200 Seattle,WA98195	94-3079432	501 ( C)(3)	5,000				Business Leadership Celebration
(95) Volunteers of America 2802 Broadway Avenue Everett,WA98201	91-0577129	501(C)(3)	5,000				Inspire Hope Luncheon-Silver sponsorship level
(96) Washington Food Coalition PO Box 95752 Seattle,WA98145	94-3123637	501(C)(3)	5,000				Support state food coalition
(97) Washington State Catholic Conference 710 Ninth Avenue Seattle,WA98104	91-0973641	501 ( C)(3)	5,000				Gold Sponsorship
(98) Washington State University College of Nursing PO Box 1495 Spokane,WA99210	91-1937810	Government	5,000				Amanda Lennick Memorial scholarship
(99) Women Making a Difference 956 S Main Colville,WA99114	37-1412015	501(C)(3)	5,000				Community Benefit support
(100) YMCA of the Inland Northwest 1126 N Monroe St Spokane,WA99201	91-0827958	501(C)(3)	5,000				Community Health
(101) Archbishop Brunett Retreat Center - Palisades 4700 SW Dash Point Road 100 Federal Way,WA98023	91-0778147	501(C)(3)	0	36,792	FMV	Sound System	Community Support
(102) Seattle Center Foundation 305 Harrison Street Seattle,WA98109	91-1003385	501 ( C)(3)		8,000	FMV	Med Supplies	Community Health

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

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) 2014

Page 2

Part III

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

(a)Type of grant or assistance	(b)Number of recipients	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance
(1) Medical assistance	4	139	Cost	Financial assistance on behalf of individuals
(2) Prescription Medication	2357	154,618	Cost	Medications for Uninsured
(3) Medical Items	5	155	Cost	Misc Med Purchases for Needy Patients
(4) Transportation Assistance	2030	55,330	Cost	Cab/Transportation Fare for Needy Patients
(5) Lodging / Hotel	1386	97,051	Cost	Good Night Sleep Program / Overnight lodging for Needy Patients
(6) Home Care	21	4,281	Cost	Home Care
(7) Merchant Card for Purchases	205	5,100	Cost	Merchant Purchase Cards to assist poor & needy patients
(8) Meals	120	3,000	Cost	Meals or food purchased to assist poor & needy patients
(9) Medical Residency	8	81,660	Cost	Psych Residency Program at University of Washington
(10) Gas Cards	530	13,250	Cost	Gas Cards for poor and needy patients
(11) Patient Pharmaceuticals Support	1	15	Cost	Purchased Pharmaceuticals for needy patient
(12) Rent	5	1,749	Cost	Rent Support for Needy Patients
(13) Utilities	11	1,883	Cost	Utilities paid for poor & needy patients
(14) Wig/Scarves for Cancer Patient	5	507	Cost	Wig purchased for a cancer patient
(15) Wheelchair transport	1678	45,252	Cost	American Medical Response
(16) Student Tuition	63	524,155	Cost	University of Great Falls

Part IV

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

Return Reference	Explanation
Part I, Line 2:	In the application for support, we request a detailed explanation of the kind of services provided to the community along with specific financial data. If the application for support is approved, we send a letter indicating the amount of the support along with a request for documentation of how the funds were used.

Schedule I (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

Yes

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

Yes

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

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

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

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(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)	1,184,387 ............................... 0	750,000 ............................... 0	17,500 ............................... 0	473,741 ............................... 0	20,585 ............................... 0	2,446,213 ............................... 0	0 ............................... 0
2Todd HofheinsEVP/CFO	(i) (ii)	589,662 ............................... 0	0 ............................... 0	17,500 ............................... 0	89,039 ............................... 0	23,882 ............................... 0	720,083 ............................... 0	0 ............................... 0
3Cindy StraussSVP/Chief Legal Officer	(i) (ii)	470,542 ............................... 0	0 ............................... 0	17,500 ............................... 0	212,878 ............................... 0	21,972 ............................... 0	722,892 ............................... 0	0 ............................... 0
4Bruce LamoureuxCE/AK.Region	(i) (ii)	501,450 ............................... 0	159,411 ............................... 0	17,500 ............................... 0	42,921 ............................... 0	26,105 ............................... 0	747,387 ............................... 0	0 ............................... 0
5Anthony DorschCFO/PSMS Shared Services	(i) (ii)	315,929 ............................... 0	0 ............................... 0	68,235 ............................... 0	39,703 ............................... 0	21,137 ............................... 0	445,004 ............................... 0	0 ............................... 0
6Medrice ColuccioCE/Southwest WA.Region	(i) (ii)	434,139 ............................... 0	1,836,169 ............................... 0	17,500 ............................... 0	110,229 ............................... 0	14,092 ............................... 0	2,412,129 ............................... 0	878,684 ............................... 0
7Michael L ButlerPresident/Operations & Services	(i) (ii)	983,000 ............................... 0	540,000 ............................... 0	17,500 ............................... 0	466,289 ............................... 0	25,839 ............................... 0	2,032,628 ............................... 0	0 ............................... 0
8Debra CanalesEVP/Chief People & Experience Ofc.	(i) (ii)	706,646 ............................... 0	265,000 ............................... 0	104,573 ............................... 0	11,700 ............................... 0	11,617 ............................... 0	1,099,536 ............................... 0	0 ............................... 0
9Richard MandsagerCE/PAMC	(i) (ii)	309,427 ............................... 0	626,327 ............................... 0	17,500 ............................... 0	31,078 ............................... 0	10,560 ............................... 0	994,892 ............................... 0	0 ............................... 0
10Lisa VanceSVP/Clinical Program Services	(i) (ii)	434,708 ............................... 0	246,809 ............................... 0	28,198 ............................... 0	38,628 ............................... 0	19,803 ............................... 0	768,146 ............................... 0	0 ............................... 0
11Randy Axelrod MDEVP/Clinical & Patient Svcs	(i) (ii)	681,191 ............................... 0	0 ............................... 0	20,315 ............................... 0	222,505 ............................... 0	23,135 ............................... 0	947,146 ............................... 0	0 ............................... 0
12Elaine CoutureCE/PHC/Eastern WA. Region	(i) (ii)	463,902 ............................... 0	131,707 ............................... 0	17,500 ............................... 0	71,399 ............................... 0	21,120 ............................... 0	705,628 ............................... 0	0 ............................... 0
13Jack FriedmanSVP/Account Care & Payor Rel.	(i) (ii)	531,342 ............................... 0	47,539 ............................... 0	17,500 ............................... 0	151,650 ............................... 0	25,916 ............................... 0	773,947 ............................... 0	0 ............................... 0
14Aaron MartinSVP/Strategy & Innovation	(i) (ii)	463,108 ............................... 0	100,000 ............................... 0	0 ............................... 0	11,700 ............................... 0	6,341 ............................... 0	581,149 ............................... 0	0 ............................... 0
15Craig L Wright MDSVP/Physician Svcs	(i) (ii)	519,920 ............................... 0	0 ............................... 0	30,032 ............................... 0	293,065 ............................... 0	19,017 ............................... 0	862,034 ............................... 0	0 ............................... 0
16Janice NewellSVP/Chief Information Officer	(i) (ii)	511,942 ............................... 0	0 ............................... 0	17,500 ............................... 0	208,385 ............................... 0	12,449 ............................... 0	750,276 ............................... 0	0 ............................... 0
17Deborah BurtonSVP/Chief Nrsg. Officer	(i) (ii)	346,075 ............................... 0	156,114 ............................... 0	17,500 ............................... 0	31,767 ............................... 0	23,615 ............................... 0	575,071 ............................... 0	0 ............................... 0
18Robert HellrigelCE/Senior & Community Services	(i) (ii)	373,982 ............................... 0	144,954 ............................... 0	0 ............................... 0	73,345 ............................... 0	22,560 ............................... 0	614,841 ............................... 0	0 ............................... 0
19David BrownVP/Strategy & Business Development	(i) (ii)	354,112 ............................... 0	139,500 ............................... 0	0 ............................... 0	121,500 ............................... 0	21,630 ............................... 0	636,742 ............................... 0	0 ............................... 0
20Orest HolubecSVP/Marketing & Communications	(i) (ii)	348,449 ............................... 0	120,258 ............................... 0	17,500 ............................... 0	31,673 ............................... 0	21,890 ............................... 0	539,770 ............................... 0	0 ............................... 0
21Mark GargettVP/Digital Integration	(i) (ii)	360,689 ............................... 0	115,852 ............................... 0	0 ............................... 0	57,037 ............................... 0	23,310 ............................... 0	556,888 ............................... 0	0 ............................... 0
22Preston SimmonsCE/Northwest WA. Region	(i) (ii)	316,356 ............................... 0	145,906 ............................... 0	0 ............................... 0	24,096 ............................... 0	22,414 ............................... 0	508,772 ............................... 0	0 ............................... 0
23Joel S GilbertsonSVP/Comm. Ptnrshp. / Ext. Affairs	(i) (ii)	402,181 ............................... 0	0 ............................... 0	17,500 ............................... 0	81,301 ............................... 0	21,910 ............................... 0	522,892 ............................... 0	0 ............................... 0
24John O MuddSVP/Mission Leadership	(i) (ii)	371,637 ............................... 0	34,705 ............................... 0	11,712 ............................... 0	77,766 ............................... 0	18,052 ............................... 0	513,872 ............................... 0	0 ............................... 0
25Gary FlamingSVP/Chief Risk Officer	(i) (ii)	264,317 ............................... 0	133,902 ............................... 0	17,500 ............................... 0	70,770 ............................... 0	18,447 ............................... 0	504,936 ............................... 0	0 ............................... 0
26Jason DryerNeurosurgeon	(i) (ii)	643,992 ............................... 0	1,521,543 ............................... 0	0 ............................... 0	11,700 ............................... 0	22,420 ............................... 0	2,199,655 ............................... 0	0 ............................... 0
27Johnny DelashawNeurosurgeon	(i) (ii)	1,045,217 ............................... 0	915,033 ............................... 0	14,400 ............................... 0	11,700 ............................... 0	20,496 ............................... 0	2,006,846 ............................... 0	0 ............................... 0
28David YamNeurosurgeon	(i) (ii)	597,626 ............................... 0	1,029,841 ............................... 0	25,000 ............................... 0	11,700 ............................... 0	16,078 ............................... 0	1,680,245 ............................... 0	0 ............................... 0
29Shelly HandkinsVP/CFO Revenue Cycle	(i) (ii)	397,093 ............................... 0	1,063,352 ............................... 0	0 ............................... 0	35,679 ............................... 0	23,672 ............................... 0	1,519,796 ............................... 0	0 ............................... 0
30Atul ThakkerPhysician	(i) (ii)	1,095,594 ............................... 0	212,641 ............................... 0	49,770 ............................... 0	23,934 ............................... 0	18,183 ............................... 0	1,400,122 ............................... 0	0 ............................... 0
31John F Koster MDFormer President & CEO	(i) (ii)	49,738 ............................... 0	624,015 ............................... 0	222,502 ............................... 0	762,492 ............................... 0	3,725 ............................... 0	1,662,472 ............................... 0	1,162,929 ............................... 0
32Jeff W RogersFormer Corporate Secretary	(i) (ii)	0 ............................... 0	12,493 ............................... 0	218,619 ............................... 0	390,991 ............................... 0	0 ............................... 0	622,103 ............................... 0	467,812 ............................... 0
33Cindra R SyversonFormer SVP/CHRO	(i) (ii)	23,967 ............................... 0	1,162,497 ............................... 0	881,829 ............................... 0	10,140 ............................... 0	8,178 ............................... 0	2,086,611 ............................... 0	651,475 ............................... 0
34Ray WilliamsFormer SVP/Physicians Svcs	(i) (ii)	1,424 ............................... 0	434,467 ............................... 0	624,988 ............................... 0	0 ............................... 0	4,597 ............................... 0	1,065,476 ............................... 0	286,164 ............................... 0
35John FletcherFormer VP/Operations Support	(i) (ii)	32,671 ............................... 0	215,075 ............................... 0	795,197 ............................... 0	408,292 ............................... 0	22,799 ............................... 0	1,474,034 ............................... 0	739,867 ............................... 0
36Jan J JonesFormer SVP/CAO	(i) (ii)	30,294 ............................... 0	153,867 ............................... 0	694,943 ............................... 0	303,683 ............................... 0	26,844 ............................... 0	1,209,631 ............................... 0	595,726 ............................... 0
37Andy AgwunobiFormer CE/PHC	(i) (ii)	0 ............................... 0	401,342 ............................... 0	0 ............................... 0	1,083 ............................... 0	0 ............................... 0	402,425 ............................... 0	0 ............................... 0
38Arnie SchafferFormer EVP/W.WA.Region	(i) (ii)	281 ............................... 0	95,241 ............................... 0	214,184 ............................... 0	239,449 ............................... 0	5,948 ............................... 0	555,103 ............................... 0	329,975 ............................... 0
39Terry L SmithFormer SVP/Management Svcs	(i) (ii)	35,751 ............................... 0	39,958 ............................... 0	104,718 ............................... 0	309,097 ............................... 0	1,830 ............................... 0	491,354 ............................... 0	320,288 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
Part I, Line 1a	Providence Health & Services Expense Reimbursement Procedures include the following policies: First Class Travel or Charter Travel or Travel of Companions Air travel is reimbursable for tourist or economy class and should be at the least expensive airfare which permits departures and arrivals at reasonable times and reasonable distance traveled. Employees are encouraged to plan in advance to get available discounts. Airline frequent flyer upgrades will never be reimbursed. First class air travel will only be reimbursed when tourist or economy class air travel is not available and business travel is mandated by a supervisor. In the rare circumstance that an executive must fly on a first class full fare ticket, their senior level supervisor must approve this expense. Companion travel will only be reimbursed by the organization for travel related to relocation, and should not exceed two relocation-related visits, unless approved by the Executive Vice President/Chief People and Experience Officer. Spouse or Companion Travel. Travel expenses incurred by a PH&S employee's spouse or companion will not be reimbursed by PH&S unless the spouse or companion is required to, or invited to attend a PH&S System-sponsored meeting. These expenses may be considered a taxable benefit by the IRS and if so, will be included on the employee's W- 2. During 2014, there were three First Class tickets utilized by Officers, Directors or Key Employees listed on Form 990, Part VII. Tax Indemnifications or Gross-Up Payments Providence Health & Services follows the federal and state taxation laws related to relocation expenses paid to the employee or to a third party on the employee's behalf. They are considered income and are therefore subject to payroll taxes. Based on the way Providence has chosen to pay the relocation expenses, Providence reports reimbursements and payments to vendors as income and these expense payments are reflected on the executive's Form W-2. Providence will gross-up the relocation benefits to offset the personal tax burden to the employee for IRS allowable expenses. During 2014, the following Listed Persons received gross-up payments: Debra Canales Anthony Armada Lisa Vance Craig Wright, MD Cindra Syverson Arnie Schaffer The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation in the 990. Housing Allowance or Residence for Personal Use Providence Health & Services provides housing allowances for purposes of relocation assistance only. Providence may pay temporary living expenses for the employee up to a maximum of 90 calendar days. Covered expenses are rent (excluding rent which may be paid in order to occupy a new permanent residence until the title clears) and utilities, including heat, electricity, gas, water, local internet and local telephone and garbage services. The Executive Vice President/Chief People and Experience Officer may approve temporary housing assistance for up to six months when family relocation is delayed to accommodate the school year or equivalent circumstances. Only in extenuating circumstances is housing extended beyond this six month period. During 2014, the following Listed Persons received relocation/housing program payments: Debra Canales Anthony Armada Lisa Vance Craig Wright, MD Cindra Syverson Arnie Schaffer The amounts reported for these relocation/housing payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation.
Part I, Lines 4a-b	NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) CBRP = Cash Balance Restoration Plan C) ESP = Elective Survivor Plan 1) Rod Hochman, MD a) SERP Earned but not Vested- $423,527 b) SERP Interest Credit - $32,014 2) Todd Hofheins a) SERP Earned but not Vested - $61,763 3) Cindy Strauss a) SERP Earned but not Vested - $173,177 b) SERP Interest Credit - $20,200 4) Medrice Coluccio a) Taxable SERP Vested but not Paid - $1,647,518 b) SERP Interest Credit - $86,583 5) Mike Butler a) SERP Earned but not Vested - $375,980 b) SERP Interest Credit - $55,936 6) Lisa Vance a) Taxable CBRP Paid - $65 b) Taxable SERP Earned but not Paid - $246,744 c) SERP Interest Credit - $5,405 7) Randy Axelrod a) SERP Earned but not Vested - $210,806 8) Bruce Lamoureux a) Taxable CBRP Paid - $654 b) Taxable SERP Earned but not Paid - $158,756 c) SERP Interest Credit - $20,220 9) Elaine Couture a) Taxable SERP Earned but not Paid - $131,451 b) SERP Interest Credit - $48,789 c) Taxable CBRP Paid - $256 10) Jack Friedman a) Taxable SERP Earned but not Paid - $47,539 b) SERP Interest Credit - $100,696 11) Craig Wright, MD a) SERP Earned but not Vested - $172,424 b) SERP Interest Credit - $91,172 12) Janice Newell a) SERP Earned but not Vested - $185,427 b) SERP Interest Credit - $4,758 13) Deborah Burton a) Taxable SERP Earned but not Paid - $156,114 b) SERP Interest Credit - $4,843 14) Robert Hellrigel a) SERP Earned but not Vested - $38,135 b) SERP Interest Credit - $6,970 15) David Brown a) SERP Earned but not Vested - $74,010 b) SERP Interest Credit - $19,770 16) Orest Holubec a) SERP Earned but not Vested - $18,642 b) SERP Interest Credit - $1,332 17) Mark Gargett a) Taxable SERP Earned but not Paid - $111,973 b) Taxable CBRP Paid - $3,879 c) SERP Interest Credit - $22,957 18) Preston Simmons a) Taxable SERP Earned but not Paid - $145,906 b) Non-Taxable SERP Earned but not Paid - $69 c) SERP Interest Credit - $2,794 19) Joel Gilbertson a) SERP Earned but not Vested - $48,936 b) SERP Interest Credit - $13,976 20) Jack Mudd a) Taxable SERP Earned but not Paid - $34,705 b) SERP Interest Credit - $52,292 21) Gary Flaming a) Taxable SERP Earned but not Paid - $127,565 b) Taxable CBRP Paid - $6,338 c) SERP Interest Credit - $1,640 22) Anthony Dorsch a)SERP Interest Credit - $6,775 b)SERP Earned but Not Vested - $30,142 23) Richard Mandsager a)SERP Interest Credit - $7,027 b)Taxable CBRP Earned but Not Paid - $52 c)Taxable SERP Earned But Not Paid - $626,275 24) Shelly Handkins a)Taxable CBRP Earned but Not Paid - $66,550 b)Taxable SERP Vested But Not Paid - $996,802 25) Atul Thakker a)Taxable CBRP Earned but Not Paid - $109,891 b)Non-Taxable DCRP Earned but Not Paid - 1,166 26) Cindra Syverson a) Taxable SERP Paid - $1,154,015 b) Taxable CBRP Paid - $8,482 c) SERP Interest Credit - $7,244 27) Ray Williams a) Taxable SERP Paid - $424,467 28) John Fletcher a) Taxable SERP Paid - $213,729 b) Non-Taxable SERP Paid - $374,151 c) Taxable CBRP Paid - $1,346 29) John Koster, MD a) Taxable SERP Paid - $624,015 b) Non-Taxable SERP Paid - $538,914 c) SERP Interest Credit - $196,163 30) Jan Jones a) Taxable SERP Paid - $153,823 b) Taxable CBRP Paid - $45 c) Non-Taxable SERP Paid - $282,092 31) Arnie Schaffer a) Taxable SERP Paid - $95,241 b) Non-Taxable SERP Paid - $234,734 32) Jeff Rogers a) Taxable CBRP Paid - $12,493 b) Non-Taxable CBRP Earned but not Paid - $10,159 c) SERP Earned but not Paid - $242,193 d) ESP Paid - $218,619 33) Terry Smith a) Taxable SERP Paid - $22,869 b) Taxable CBRP Paid - $17,090 c) Non-Taxable CBRP Paid - $44 d) Non-Taxable SERP Paid - $297,419
Part I, Lines 4a-b	SEVERANCE 1) Cindra Syverson - $813,696 2) Ray Williams - $624,988 3) John Fletcher - $555,934 4) Jan Jones - $592,802 5) Arnie Schaffer - $193,271
FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS PROGRAM	The Providence Executive Incentive Program provides a lump sum award annually as a percent of the executive's base pay. Percent opportunities are aligned with our total compensation philosophy as outlined in Part VI, Section B, Line 15 (Process for determining compensation of top management, officers & key employees). The performance award is based on the level of accomplishment of annual system objectives. In 2014, 100 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's six strategic priorities of: creating healthier communities together, inspire and develop our people, building enduring relationships with consumers, create alignment with clinicians & care teams, develop and thrive under new care delivery & economic models, and grow by optimizing expert-to-expert capabilities. For 2014, the percent allocation for each of these strategic priorities is outlined below: * Creating Healthier Communities, Together Community Benefit: 10% System Leadership Council - 10% System Role including Providence Senior & Community Services (PSCS) - 10% Region Role Regional Chief Executives (RCEs) and Reports * Inspire and Develop Our People Core Leader Engagement: 10% System Leadership Council - 10% Providence Strategic and Management Services (PSMS) System Role including PSCS - 10% Region Role RCEs and Reports Employee Health Index: 5% System Leadership Council - 5% System Role including PSCS - 5% System Region Role RCEs and Reports * Building Enduring Relationships with Consumers MyChart Activations: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Patient Loyalty Index: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports * Create Alignment with Clinicians & Care Teams Clinical Excellence Index: 10% System Leadership Council - 10% System Role including PSCS - 10% Region Role RCEs and Reports * Develop and Thrive Under New Care Delivery & Economic Models Salary Expense as % of Net Service Revenue: 10% System Leadership Council - 10% PSMS System Role including PSCS - 10% Region Role RCEs and Reports Supply Expense as % of Net Service Revenue: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Primary Care Panel Size: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Clinical Network Performance: 10% System Leadership Council - 10% System Role including PSCS - 10% System Region Role RCEs and Reports * Grow by Optimizing Expert-to-Expert Capabilities Free Cash Flow: 15% System Leadership Council - 15% System Role including PSCS - 15% Region Role RCEs and Reports Unduplicated Patient Count: 10% System Leadership Council - 10% System Role including PSCS - 10% Region Role RCEs and Reports TOTAL ALLOCATION: 100% Leadership Council - 100% System Role including PSCS - 100% Region Role RCEs and Reports

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- 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

2014

Open to Public
Inspection

Name of the organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number
51-0216586

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Washington Health Care Facilities Authority	91-1108929	93978EA77	06-22-2006	208,792,185	Refund WHCFA Series 1999 & Capital projects in Washington	X			X		X
B	Washington Health Care Facilities Authority	91-1108929	93978EA93	06-22-2006	165,050,000	Refund WHCFA Series 2002A & B and Series 1994 & 1995		X		X		X
C	Washington Health Care Facilities Authority	91-1108929	93978E7V8	07-01-2010	173,543,991	To Finance a Portion of construction of a Tower in Everett		X		X		X
D	Washington Health Care Facilities Authority	91-1108929	93978HDAO	07-13-2011	101,296,076	Proceeds were used to currently refund all outstanding Series 2001A Bonds		X		X		X
	Alaska Industrial Development and Export	92-6001185	011903BEO	09-04-2003	37,426,100	Reimburse Alaska Region for Capital expenditures		X		X		X
	Alaska Industrial Development and Export	92-6001185	011903CT6	11-30-2006	57,177,110	Reimburse Alaska Medical Ctr for portion of costs to construct cancer cter		X		X		X
	Alaska Industrial Development and Export	92-6001185	011903DZI	11-17-2011	126,601,436	SEE PART VI		X		X		X
	Washington Health Care Facilities Authority	91-1108929	93978HKL8	09-10-2014	50,064,724	Partial refinance of taxable issue - Providence Regional Med. Ctr. Everett		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	23,780,000						23,780,000
2 Amount of bonds legally defeased . . . . . . . . . . .	1,610,000
3 Total proceeds of issue . . . . . . . . . . . . . .	215,938,735		165,050,000		173,548,413		101,296,076
4 Gross proceeds in reserve funds . . . . . . . . . . . .	16		14		15		34
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	1,980,039		1,660,244		2,543,941		1,060,339
8 Credit enhancement from proceeds . . . . . . . . . . .	3,336,312		2,465,562
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	146,353,342		56,530,335		171,004,472		30,366,074
11 Other spent proceeds . . . . . . . . . . . . . .	64,269,042		160,924,194				100,235,737
12 Other unspent proceeds . . . . . . . . . . . . . .	19,132,939						19,132,939
13 Year of substantial completion . . . . . . . . . . . .	2009		2002		2011		2004
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X	X			X	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .	X			X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

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

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

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X			X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X						X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %		0 %		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.	0.600 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .	X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, 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) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		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
ENTITY 1- ISSUE A - PART IV, Question 2c	The most recent rebate computation for the bonds was completed through 6/22/2011.
ENTITY 1- ISSUE B - PART IV, Question 2c	The most recent rebate computation for the bonds was completed through 6/22/2011.
ENTITY 1 - ISSUE D - PART I, Question (f)	Proceeds were used to currently refund all outstanding Series 2001A Bonds.
ENTITY 2 - ISSUE A - PART IV, Question 2c	The most recent rebate computation for the bonds was completed through 07/20/2015.
ENTITY 2 - ISSUE B - PART IV, Question 2c	The most recent rebate computation for the bonds was completed through 12/01/2011.
ENTITY 2 - ISSUE B - PART I, Question (f)	Reimburse Providence Alaska Medical Center for portion of costs to construct cancer center.
ISSUE C, Part I, Question (f)	Fund portion of expansion & renovation at PAMC & Portion of construction of long-term care facility.
ENTITY 1 - PART I & II - BOND ISSUE D	The 2014C Series issued by the Washington Health Care Facilities Authority was issued to cover both the construction of ambulatory services at Swedish Edmonds as well as to partially refinance a taxable financing of Providence Health & Services - Washington dba Providence Regional Medical Center Everett. Since this bond issue is spread across two separate legal entities, the amounts shown only reflect the portion directly related to the taxable financing of Providence Health & Services - Washington dba Providence Regional Medical Center Everett.

Schedule K (Form 990) 2014

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

2014

Open to Public
Inspection

Name of the organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number
51-0216586

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Washington Health Care Facilities Authority	91-1108929	93978EA77	06-22-2006	208,792,185	Refund WHCFA Series 1999 & Capital projects in Washington	X			X		X
B	Washington Health Care Facilities Authority	91-1108929	93978EA93	06-22-2006	165,050,000	Refund WHCFA Series 2002A & B and Series 1994 & 1995		X		X		X
C	Washington Health Care Facilities Authority	91-1108929	93978E7V8	07-01-2010	173,543,991	To Finance a Portion of construction of a Tower in Everett		X		X		X
D	Washington Health Care Facilities Authority	91-1108929	93978HDAO	07-13-2011	101,296,076	Proceeds were used to currently refund all outstanding Series 2001A Bonds		X		X		X
	Alaska Industrial Development and Export	92-6001185	011903BEO	09-04-2003	37,426,100	Reimburse Alaska Region for Capital expenditures		X		X		X
	Alaska Industrial Development and Export	92-6001185	011903CT6	11-30-2006	57,177,110	Reimburse Alaska Medical Ctr for portion of costs to construct cancer cter		X		X		X
	Alaska Industrial Development and Export	92-6001185	011903DZI	11-17-2011	126,601,436	SEE PART VI		X		X		X
	Washington Health Care Facilities Authority	91-1108929	93978HKL8	09-10-2014	50,064,724	Partial refinance of taxable issue - Providence Regional Med. Ctr. Everett		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	23,780,000						23,780,000
2 Amount of bonds legally defeased . . . . . . . . . . .	1,610,000
3 Total proceeds of issue . . . . . . . . . . . . . .	215,938,735		165,050,000		173,548,413		101,296,076
4 Gross proceeds in reserve funds . . . . . . . . . . . .	16		14		15		34
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	1,980,039		1,660,244		2,543,941		1,060,339
8 Credit enhancement from proceeds . . . . . . . . . . .	3,336,312		2,465,562
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	146,353,342		56,530,335		171,004,472		30,366,074
11 Other spent proceeds . . . . . . . . . . . . . .	64,269,042		160,924,194				100,235,737
12 Other unspent proceeds . . . . . . . . . . . . . .	19,132,939						19,132,939
13 Year of substantial completion . . . . . . . . . . . .	2009		2002		2011		2004
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X	X			X	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .	X			X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

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

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

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X			X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X						X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %		0 %		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.	0.600 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .	X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, 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) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		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
ENTITY 1- ISSUE A - PART IV, Question 2c	The most recent rebate computation for the bonds was completed through 6/22/2011.
ENTITY 1- ISSUE B - PART IV, Question 2c	The most recent rebate computation for the bonds was completed through 6/22/2011.
ENTITY 1 - ISSUE D - PART I, Question (f)	Proceeds were used to currently refund all outstanding Series 2001A Bonds.
ENTITY 2 - ISSUE A - PART IV, Question 2c	The most recent rebate computation for the bonds was completed through 07/20/2015.
ENTITY 2 - ISSUE B - PART IV, Question 2c	The most recent rebate computation for the bonds was completed through 12/01/2011.
ENTITY 2 - ISSUE B - PART I, Question (f)	Reimburse Providence Alaska Medical Center for portion of costs to construct cancer center.
ISSUE C, Part I, Question (f)	Fund portion of expansion & renovation at PAMC & Portion of construction of long-term care facility.
ENTITY 1 - PART I & II - BOND ISSUE D	The 2014C Series issued by the Washington Health Care Facilities Authority was issued to cover both the construction of ambulatory services at Swedish Edmonds as well as to partially refinance a taxable financing of Providence Health & Services - Washington dba Providence Regional Medical Center Everett. Since this bond issue is spread across two separate legal entities, the amounts shown only reflect the portion directly related to the taxable financing of Providence Health & Services - Washington dba Providence Regional Medical Center Everett.

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....	X	1	47,750	Appraisal
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( Educ. Courses )	X	21	10,600	FMV
26 Other ( Photographs )	X	13	1,558	FMV
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2014)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
Part I, Column (b):	The amounts shown on Part I, Col. B reflect the number of donations received of the specific type of item.

Schedule M (Form 990) (2014)

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

2014

Open to Public
Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Return Reference	Explanation
Form 990, Part VI, Section A, line 6	Providence Health & Services is the sole Corporate Member.
Form 990, Part VI, Section A, line 7a	The powers of the Corporate Member include the provision to appoint the number of Directors, appoint the Board of Directors and to remove such Directors at any time with or without cause.
Form 990, Part VI, Section A, line 7b	Other powers of the Corporate Member include the power: 1) To adopt or change the mission, philosophy, and values, including the strategic plan and mission statement. 2) To amend or repeal the Articles of Incorporation or Bylaws. 3) To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale transfer, assignment or encumbering of assets exceeding a specified threshold, or the sale or transfer of any property which may have historical or religions significance. 4) To approve the dissolution or liquidation. 5) To approve the annual operating and capital budgets. 6) To appoint the certified public accountants. 7) To approve the closure of any institution or major ministry or work of the Corporation.
Form 990, Part VI, Section B, line 11	The Form 990 is prepared internally by experienced staff and reviewed by the internal Director of Taxes and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS.
Form 990, Part VI, Section B, line 12c	Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict.
Form 990, Part VI, Section B, line 15	It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are 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 IX, line 11g	Agency/Contract Labor: Program service expenses 34,916,927. Management and general expenses 42,763,574. Fundraising expenses 0. Total expenses 77,680,501. Medical Director & Med Physician Fees: Program service expenses 88,748,548. Management and general expenses 25. Fundraising expenses 0. Total expenses 88,748,573. Repairs & Maintenance: Program service expenses 32,650,939. Management and general expenses 107,227,627. Fundraising expenses 62. Total expenses 139,878,628. Billing & Collections: Program service expenses 0. Management and general expenses 40,070,001. Fundraising expenses 0. Total expenses 40,070,001. Records Management: Program service expenses 1,157,114. Management and general expenses 771,034. Fundraising expenses 82. Total expenses 1,928,230. Transcription & Translation Services: Program service expenses 2,000,299. Management and general expenses 4,988,542. Fundraising expenses 0. Total expenses 6,988,841. Dietary: Program service expenses 2,154,390. Management and general expenses 1,208,245. Fundraising expenses 1,015. Total expenses 3,363,650. Other Patient Services: Program service expenses 83,347,106. Management and general expenses 4,728,477. Fundraising expenses 0. Total expenses 88,075,583. Other Administrative Services: Program service expenses 2,547,785. Management and general expenses 34,738,295. Fundraising expenses 50,481. Total expenses 37,336,561. General Consulting Fees: Program service expenses 2,711,413. Management and general expenses 58,171,665. Fundraising expenses 52,895. Total expenses 60,935,973.
Form 990, Part XI, line 9:	Interaffiliate Transactions 149,186,382. Recipient Organization Adjustments 3,894,272. Revenue Reclassifications -496,778. Expense Reclassifications -2,793,984. Pension Adjustment -98,220,393. Net Assets Transfers -149,052,319. Net Assets (Liabilities) Assumed 3,806,071. Rounding 37.
FORM 990, PART XII, LINE 2C - AUDIT & COMPLIANCE	The Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies compliance with ethical, legal and regulatory standards and requirements the independence, qualifications and performance of the internal and external auditors the investment committee and informs the Board of Directors of critical risk areas and recommended mitigation.
FORM 990, PART I, LINE 6 - VOLUNTEERS	Hospital volunteers fill a variety of job duties. Many of these routine and repetitive tasks allow paid, licensed, certified and experienced staff to provide more attention to more affordable and comprehensive patient care. The following examples of customer service functions are provided for patients and their families: Comfort Volunteers- offer comfort items to patients including blankets, pillows and magazines, place the telephone and remote within reach, visit with patients, stock supplies and assist staff with errands. Emergency Department Liaison-greet visitors and patients, escort visitors to patient rooms, provide some comfort measurers, such as blankets, pillows and magazines, stock supplies, run errands, assist with miscellaneous clerical projects. Women's Services-assist with newborn care, provide comfort services to new moms and visitors, stock supplies, assist staff with errands. Cuddle Corps - assist in the NICU providing a soothing touch to medically fragile infants when their parents are unable to care for them at that time. Same Day Surgery Liaison-serve as a go-between the reception and pre-operative areas, update family on the location of their loved one and teach them to use the OR tracker board, offer comfort measures, preparing supplies and assist with errands. Cancer Center-taking orders and delivering meals to patients, stocking supplies, making coffee, cleaning and tidying, transporting charts from main desk to nurse's station, transporting specimens, running errands to/from the Pharmacy. Gift Shop-ringing up purchases, providing excellent customer service, keeping shelves stocked with product, answering the telephone, delivering Gift Shop flowers to patient rooms. Emergency Room-stocking supplies, bring patients warm blankets, assisting with errands, other misc. tasks as assigned by nursing/physician staff. Information Desk/Errand-answering the Errand Desk telephone, transporting specimens, delivering flowers and mail, preparing various mailings, as directed by staff, making coffee, tidying the waiting area, making reminder calls for the Cancer Center. Cardiac Rehabilitation-assist staff in Rehab department with filing and tidying, assisting with recording results for exercise equipment, explaining how to properly use exercise equipment. Dietary-washing and stocking dishes, stocking juices, milk and ready-to-eat foods, tidying the Dining Room area, assisting with other tasks, as directed by Kitchen staff. Pet Therapy-limited to dogs and their owners. Visits patients and other visitors in waiting areas, and, with permission of nursing staff, in the Medical and Surgical Units. Must have proof of immunizations and letter of good behavior prior to volunteering. Examples of Hospice volunteer duties: Patient Care volunteers help to support the hospice patient and their family during the course of their illness through a variety of roles - including companionship, providing respite to the family caregiver, helping with light housekeeping tasks, assisting with errands and transportation, Life Review (recording of patient's voice on CD provided to family), handiwork (comfort pillows, prayer shawls, lap robes, etc. made and given to patients), and assist with correspondence or other activities for which the patient may need assistance. Animal-assisted activities/therapy (AAA/T) volunteer teams (handlers and their dogs) visit patients and families in skilled nursing facilities, assisted living facilities, adult family homes, and private residences. AAA/T volunteers must complete core training and patient care volunteer training. Complementary therapy volunteers are licensed and/or certified professionals who provide massage, music therapy, hypnotherapy, and other approved services to hospice patients. Services are provided in the patient's residence. Complementary therapy volunteers must complete core training and patient care volunteer training, and they must currently be licensed and/or certified by the state of Washington. Stepping Stones volunteers work with patients in our pediatric hospice and palliative care program and their families. They may play games or read books with patients, participate in outings, or provide practical and emotional support to siblings and other family members. Stepping Stones volunteers must complete our core training and patient care volunteer training, as well as a specialized four-hour training for working with pediatric patients. Transitions volunteers provide practical and emotional support to people with life-limiting illness who are not yet eligible or otherwise ready for hospice. Bereavement volunteers provide regular contact (through telephone calls and/or one-on-one visits) to adult clients who have experienced the death of a loved one. They may also help facilitate grief support groups. Camp Erin volunteers provide support to kids at camp, serving as Big Buddies or helping to plan and organize camp activities. Camp Erin is an annual weekend camp for children and teenagers in King County who've lost a loved one. Administrative volunteers perform the administrative tasks necessary to support hospice office operations. These tasks may include filing, copying, word processing, collating, and notary, data entry, assembling mailings, and making phone calls, as well as working on special projects. Administrative volunteers must complete our core training. On-the-job training is also provided at the hospice office. Examples of Long-term Care, Assisted Living, Home Health, Nursing Homes/Transitional, and Home Infusion care volunteers: Volunteers donate their time and talents in a wide variety of ways. The largest group of volunteers worked directly with residents. This includes volunteers who provide one-on-one visits, assist with recreational groups (art class, field trips, spiritual services, Intergenerational Learning Center with children, dining services, the hair salon, laundry and housekeeping, etc), collaborate with staff to put on large special events (summer concert series, Valentine's Day dance), provide entertainment, assist in the Rehab Department, and NODA program, and serve as Fresh Air Friends, providing one-on-one visits to escort residents outdoors on pleasant days. Administrative departments - including human resources, admissions, resident records, and other (stuffing envelopes and review charts to insure the required paperwork is present). During 2014, RNs volunteered for 14 hours for the annual PSCS flu vaccine clinic held in Renton. Volunteers provided education to PCSC employees regarding the flu vaccine, prepared vaccines for administration, and documented the vaccine consent for PSCS employees. Volunteers help with all aspects of support for Providence Senior and Community Services Special events such as print production and special events, i.e. greeters, spotters, runners, financial, set-up, tear down.
FORM 990, SCHEDULE R - RELATED ORGANIZATIONS	AFFILIATION AGREEMENTS Effective March 1, 2014, the Health System entered into an affiliation agreement with Sisters of Charity of Leavenworth Health System (SCL) to transfer sponsorship of Saint John's Health Center (Saint John's) to the Health System. Saint John's operates a nonprofit medical center, a cancer institute, and physician clinics to serve the Santa Monica, California community and surrounding area. Effective May 1, 2014, the Health System entered into an affiliation agreement with PacMed Clinics (PacMed). PacMed is a private, nonprofit, multi-specialty medical group with nine clinics in the Puget Sound area and more than 150 primary care and specialty providers at the date of affiliation. Pursuant to the affiliation agreement, Western HealthConnect became PacMed's sole corporate Member. No cash or other purchase consideration was transferred to effect the affiliation. Effective June 13, 2014, the Health System entered into an affiliation agreement with Kadlec Health System (Kadlec). Kadlec operates a nonprofit medical center, a neurological resource center, a supporting foundation, and physician clinics to serve the tri-cities area of Kennewick, Pasco, and Richland, Washington. Pursuant to the affiliation agreement, Western HealthConnect became the sole member of Kadlec. No cash or other purchase consideration was transferred to effect the affiliation.
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) 2014

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

2014

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Employer identification number

51-0216586

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) Providence Assurance Inc 3131 Camelback Road Ste 400 Phoenix,AZ85016 20-8194071	Insurance Captive	AZ	260	35,036,244	Providence Health & Services - Washington
(2) Legacy LLC PO Box 196606 Anchorage,AK99519 32-0252199	Real Estate	AK	2,927,361	49,354,262	Providence Health & Services - Washington
(3) Health Services Asset Management LLC 1801 Lind Ave SW 9016 Renton,WA98057 27-1698016	A/R & Collections	WA	0	205,877	Providence Health & Services - Washington
(4) Auxillium LLC 1801 Lind Ave SW 9016 Renton,WA98057 31-1750915	Nurse Staffing	WA	0	0	Providence Health & Services - Washington
(5) Providence Joseph House GP LLC 1801 Lind Ave SW 9016 Renton,WA98057 27-3678218	Supportive Housing	WA	47,489	8,370,372	Providence Health & Services - Washington

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Providence Health & Services - Oregon 1801 Lind Avenue SW 9016 Renton,WA980579016 51-0216587	Healthcare System	OR	501( c)(3)	Line 3	Providence Health & Services		No
(2) Providence Health System - So California 1801 Lind Avenue SW 9016 Renton,WA980579016 51-0216589	Healthcare System	CA	501( c)(3)	Line 3	Providence Health & Services		No
(3) Everett Transitional Care Services PO Box 5128 Everett,WA982065128 94-3264605	Transitional Care	WA	501( c)(3)	Line 9	N/A		No
(4) Providence Oregon Management Corporation 1801 Lind Avenue SW 9016 Renton,WA980579016 93-0813977	Shell Corporation	OR	501( c)(3)	Line 1	PH & S - Oregon		No
(5) Providence Plan Partners 4400 NE Halsey Bldg 2 Portland,OR97213 91-1861964	Healthcare Services	OR	501( c)(4)	N/A	PH & S - Oregon		No
(6) Providence Health Plan 4400 NE Halsey Bldg 2 Portland,OR97213 93-0863097	Health Service Contractor	OR	501( c)(4)	N/A	Providence Plan Partners		No
(7) Providence Health Assurance 4400 NE Halsey Bldg 2 Portland,OR97213 55-0828701	Medicaid Healthcare Provider	OR	501( c)(4)	N/A	Providence Health Plan		No
(8) Providence Medical Institute 4101 Torrance Blvd Torrance,CA90503 33-0283773	Healthcare	CA	501( c)(3)	Line 11/Type I	PHS - So California		No
(9) Little Company of Mary Ancillary Services Corporation 4101 Torrance Blvd Torrance,CA90503 33-0844408	Imaging Services	CA	501( c)(3)	Line 9	PHS - So California		No
(10) Providence TrinityCare Hospice 5315 Torrance Blvd Suite B1 Torrance,CA90503 95-3264139	Hospice	CA	501( c)(3)	Line 9	PHS - So California		No
(11) Providence Blanchet Association 1700 Providence Pl Centralia,WA98531 91-1789266	Housing	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(12) St Luke Association 350 Washington Ave SE Chehalis,WA98352 94-3176618	Housing	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(13) Providence Rossi Association 1700 Providence Pl Centralia,WA98531 31-1584166	Housing	WA	501( c)(3)	Line 9	PH & S - Washington	Yes
(14) Lundberg Association 5921 E Burnside Portland,OR97215 91-1562797	Housing	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(15) Providence St Francis Association 3415 12th Avenue NE Olympia,WA98506 94-3244854	Housing	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(16) Providence Peter Claver Association 7101 38th Avenue South Seattle,WA98118 31-1629656	Housing	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(17) Providence St Elizabeth House Association 3201 SW Graham St Seattle,WA98126 91-2171539	Housing	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(18) Providence Gamelin House Association 4515 MLK Jr Way S Ste 200 Seattle,WA98108 31-1744654	Housing	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(19) The Gamelin Association 312 North Fourth St Yakima,WA98901 91-1180824	Housing	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(20) The Gamelin Oregon Association 5520 NE Glisan Portland,OR97213 91-1214491	Housing	OR	501( c)(3)	Line 9	PH & S - Oregon		No
(21) The Gamelin California Association 540 23rd St Oakland,CA94612 91-1293869	Housing	CA	501( c)(3)	Line 9	PHS - So California		No
(22) Gamelin Washington Association 1423 First Avenue Seattle,WA98101 20-1910170	Housing	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(23) Providence Foundation 1801 Lind Avenue SW 9016 Renton,WA980579016 94-3078543	Support PH&S Institutions	WA	501( c)(3)	Line 11/Type I	PH & S - Washington	Yes
(24) Providence Alaska Foundation 3300 Providence Drive - B Tower2 Anchorage,AK99508 92-0093565	Support PHS-Alaska	AK	501( c)(3)	Line 11/Type I	PH & S - Washington	Yes
(25) Providence St Peter Foundation 413 Lilly Road NE Olympia,WA985065166 91-1097056	Support Affiliated Tax-Exempt Organization	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(26) Providence Health Care Foundation (Centralia) 914 S Scheuber Road Centralia,WA98531 91-1433382	Support Providence Centralia Hospital	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(27) Providence Mount St Vincent Foundation 4831 - 35th Avenue SW Seattle,WA981262799 91-1188119	Support Providence Mount St.Vincent	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(28) Providence Marianwood Foundation 3725 Providence Point Drive SE Issaquah,WA980297219 93-1554288	Support Providence Marianwood	WA	501( c)(3)	Line 11/Type I	PH & S - Washington	Yes
(29) Providence Newberg Health Foundation 1001 Providence Drive Newberg,OR97132 93-0889144	Support Providence Newberg Medical Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(30) Providence Seaside Hospital Foundation 725 S Wahanna Rd Seaside,OR97138 93-0927320	Support Providence Seaside Hospital	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(31) Providence Community Health Foundation 1111 Crater Lake Ave Medford,OR97504 93-0692907	Support Providence Medford Medical Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(32) Providence Benedictine Nursing Center Foundation 540 South Main St Mt Angel,OR973629532 91-1940286	Support Providence Benedictine Nursing Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(33) Providence Portland Medical Foundation 4805 NE Glisan St Portland,OR972132967 93-1231494	Support Providence Portland Medical Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(34) Providence St Vincent Medical Foundation 9205 SW Barnes Rd Portland,OR97225 93-0575982	Support Providence St. Vincent Medical Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(35) Providence Milwaukie Foundation 10150 SE 32nd Milwaukie,OR97222 94-3079515	Support Providence Milwaukie Hospital	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(36) Providence Child Center Foundation 830 NE 47th Portland,OR97213 93-0800140	Support Providence Child Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(37) Providence TrinityCare Hospice Foundation 5315 Torrance Blvd Suite B1 Torrance,CA90503 33-0261016	Support TrinityCare Hospice	CA	501( c)(3)	Line 7	Providence TrinityCare Hospice		No
(38) Providence Little Company of Mary Foundation 4101 Torrance Blvd Torrance,CA90503 51-0224944	Support Little Company of Mary Service Area	CA	501( c)(3)	Line 7	PHS - So California		No
(39) PH&S FoundationSFVSA & SCVSA 501 S Buena Vista Street Burbank,CA91505 95-3544877	Support Program & Activities of SFVSA & SCVSA	CA	501( c)(3)	Line 7	PHS - So California		No
(40) Providence Hospice of Seattle Foundation 425 Pontius Avenue North 300 Seattle,WA981095452 91-2077378	Support Hospice of Seattle	WA	501( c)(3)	Line 11/Type I	PH & S - Washington	Yes
(41) Providence Health & Services - Western Washington 1801 Lind Avenue SW 9016 Renton,WA980579016 91-1303277	Healthcare	WA	501( c)(3)	Line 3	Providence MinistriesWHC	Yes
(42) Providence Health & Services 1801 Lind Avenue SW 9016 Renton,WA980579016 91-1549796	Shell Corporation	WA	501( c)(3)	Line 11/Type II	Providence Ministries	Yes
(43) Providence Health & Services - Montana 500 W Broadway PO Box 4587 Missoula,MT598064587 81-0231793	Healthcare	MT	501( c)(3)	Line 3	PH & S - Washington		No
(44) Providence St Joseph Medical Center PO Box 1010 Polson,MT598601010 81-0463482	Healthcare	MT	501( c)(3)	Line 3	PH & S - Washington		No
(45) St Thomas Child and Family Center 1710 Benefis Court Great Falls,MT59405 81-0233495	Early Childhood Education	MT	501( c)(3)	Line 9	PH & S - Washington		No
(46) Sisters of Providence of Montana Corporation 1801 Lind Avenue SW 9016 Renton,WA980579016 26-2612415	Shell Corporation	MT	501( c)(3)	Line 1	PH & S - Washington	Yes
(47) Providence Health Care Foundation - Eastern Washington 101 W 8th Ave Spokane,WA99204 32-0014330	Support PH&S-WA. Ministries in E. WA.	WA	501( c)(3)	Line 7	PH & S - Washington	Yes
(48) St Patrick Hospital Foundation 500 West Broadway PO Box 4587 Missoula,MT598064587 23-7056976	Support Healthcare in W. Montana	MT	501( c)(3)	Line 7	PH & S - Washington	Yes
(49) University of Great Falls 1301 20th Street South Great Falls,MT59405 81-0231777	Post Secondary Education	MT	501( c)(3)	Line 2	PH & S - Washington	Yes
(50) E WA & MT Unemployment Compensation Insurance Trust 1801 Lind Avenue SW 9016 Renton,WA980579016 91-1082119	Unemployment Benefits	WA	501( c)(3)	Line 11/Type I	PH & S - Washington	Yes
(51) Providence Willamette Falls Medical Foundation 1500 Division Street Oregon City,OR97045 93-1003750	Support Willamette Falls Hospital	OR	501( c)(3)	Line 11/Type I	PH & S - Oregon		No
(52) Providence Hood River Memorial Hospital Foundation Inc 811 13th St Hood River,OR97031 93-0921990	Support Providence Hood River Memorial Hospital	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(53) Providence Hospice and Home Care Foundation 2731 Wetmore Avenue Suite 500 Everett,WA98201 27-2552749	Support Program & Ministries of PHHC	WA	501(c )(3)	Line 7	PH & S - Washington	Yes
(54) Providence St Mary Foundation 401 W Poplar St Walla Walla,WA99362 45-2841492	Support Program & Ministries of SMMC	WA	501(c )(3)	Line 7	PH & S - Washington	Yes
(55) Facey Medical Foundation 15451 San Fernando Mission Blvd 200 Mission Hills,CA913451420 95-4322584	Support Facey Medical Group	CA	501(c )(3)	Line 7	PHS - So California		No
(56) Swedish Health Services 747 Broadway Seattle,WA98122 91-0433740	Healthcare	WA	501(c )(3)	Line 3	Western HealthConnect		No
(57) Swedish Edmonds 21601 76th Ave W Edmonds,WA98026 27-2305304	Healthcare	WA	501(c )(3)	Line 3	Western HealthConnect		No
(58) Swedish Medical Center Foundation 747 Broadway Seattle,WA98122 91-0983214	Support Swedish Health Services	WA	501(c )(3)	Line 7	Swedish Health Services		No
(59) Global To Local Health Initiative 2800 South 192nd St 104 SeaTac,WA98188 27-3133200	Healthcare	WA	501(c )(3)	Line 7	Swedish Health Services		No
(60) Swedish MJM Holdings 747 Broadway Seattle,WA98122 27-3139262	Holding Company	WA	501(c )(3)	Line 11/Type I	Swedish Health Services		No
(61) Marsha Rivkin Center for Ovarian Cancer Research 747 Broadway Seattle,WA98122 91-2054035	Ovarian Cancer Research	WA	501(c )(3)	Line 7	Swedish Health Services		No
(62) Western HealthConnect 747 Broadway Seattle,WA98122 45-4171900	Shell Corporation	WA	501(c )(3)	Line 11/Type II	PH&S Western Washington		No
(63) Inland Northwest Health Services 601 W 1st Avenue Spokane,WA99201 91-1307555	Healthcare	WA	501( c)(3)	Line 3	PH&S - Washington		No
(64) Kadlec Regional Medical Center 888 Swift Blvd Richland,WA99352 91-0655392	Healthcare	WA	501(c )(3)	Line 3	Western HealthConnect		No
(65) Kadlec Neurological Resource Center 1268 Lee Blvd Richland,WA99352 91-1266345	Healthcare	WA	501(c )(3)	Line 9	Western HealthConnect		No
(66) Kadlec Foundation 888 Swift Blvd Richland,WA99352 23-7005501	Support Kadlec Regional Medical Center	WA	501(c )(3)	Line 11/Type I	Kadlec Regional Medical Center		No
(67) PacMed Clinics 1200 12th Ave S Seattle,WA98144 56-2290878	Healthcare	WA	501(c )(3)	Line 9	Western HealthConnect		No
(68) Providence Saint John's Health Center 2121 Santa Monica Blvd Santa Monica,CA90404 95-1684082	Healthcare	CA	501(c )(3)	Line 3	PHS - So California		No
(69) John Wayne Cancer Institute 2200 Santa Monica Blvd Santa Monica,CA90404 95-4291515	Cancer Treatment	CA	501(c )(3)	Line 4	Providence Saint John's Health Center		No
(70) Saint John's HospitalHealth Center Foundation 2121 Santa Monica Blvd Santa Monica,CA90404 95-6100079	Support Saint John Health Center & JWCI	CA	501(c )(3)	Line 7	Providence Saint John's Health Center		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2014

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	PH&S - WA	Related	14,219,982	20,141,024		No			No	99.000 %
(2) California Laboratory Associates LLC 501 Buena Vista Burbank,CA91505 27-3888692	Outpatient Lab	CA	PHS - So California	Related				No			No	85.900 %
(3) Broadway Imaging LLC 500 W Broadway Missoula,MT59802 52-2405971	Medical Imaging	MT	PH&S - MT	Related				No			No	75.000 %
(4) Ctr for Med Imaging-Bridgeport LLC 4400 NE Halsey 495 Portland,OR97213 26-0796953	Imaging - Diagnostics	OR	PH&S - OR	Related				No			No	75.000 %
(5) Ctr for Med Imaging-Tanasbourne LLC 4400 NE Halsey 495 Portland,OR97213 20-0477972	Imaging - Diagnostics	OR	PH&S - OR	Related				No			No	75.000 %
(6) Pathology Associates Medical Laboratories LLC 611 N Perry Spokane,WA99202 27-0943279	Outpatient Lab	WA	Bourget Health Services Inc	Related				No			No	75.000 %
(7) Portland Medical Imaging LLC 4400 NE Halsey 495 Portland,OR97213 20-1054971	Imaging - Diagnostics	OR	PH&S - OR	Related				No			No	75.000 %
(8) Oregon Advanced Imaging LLC 881 OHare Parkway Medford,OR97504 45-0471748	Medical Imaging	OR	PH&S - OR	Related				No			No	70.000 %
(9) Minor & James Medical PLLC 515 Minor Avenue 200 Seattle,WA98104 91-1340223	Physician Clinic	WA	Swedish MJM Holdings Inc	N/A				No			No	69.500 %
(10) Providence Surgery Center LLC 902 N Orange St Missoula,MT59802 84-1401625	Ambulatory Surgery Center	MT	PH&S - MT	Related				No			No	68.050 %
(11) Clackamas Radiation Oncology Center LLC 4400 NE Halsey St Bldg II 495 Portland,OR97213 26-0381897	Radiation Oncology	OR	PH&S - OR	Related				No			No	67.000 %
(12) PETCT Imaging at Swedish Cancer Institute LLC 1221 Madison Street Seattle,WA98104 20-3132044	Medical Imaging	WA	Swedish Health Services	Related				No			No	63.000 %
(13) PacLab LLC 611 N Perry Spokane,WA99202 91-1743952	Outpatient Lab	WA	PH&S - WA	Related				No			No	61.000 %
(14) The Madison Spokane Inn LLC 15 West Rockwood Blvd Spokane,WA99204 84-1606484	Hotel Services	WA	PH&S - WA	Rental				No			No	56.530 %
(15) Center for Specialty Surgery LLC 11782 SW Barnes Rd Portland,OR97225 26-3638838	Ambulatory Surgery Center	OR	PH&S - OR	Related				No			No	51.000 %
(16) Oregon Outpatient Surgery Center 7300 SW Childs Rd Tigard,OR97224 22-3883387	Ambulatory Surgery Center	OR	PH&S - OR	Related				No			No	51.000 %
(17) ProvidenceUSP Santa Clarita GP LLC 11550 Indian Hills Road 160 Mission Hills,CA91345 20-2829660	Ambulatory Surgery Center	CA	PHS - So California	Related				No			No	51.000 %
(18) ProvidenceUSP Surgery Ctrs LLC 11550 Indian Hills Road 160 Mission Hills,CA91345 20-0905938	Ambulatory Surgery Center	CA	PHS - So California	Related				No			No	51.000 %
(19) Alpha Medical Laboratory LLC 611 N Perry Spokane,WA99202 91-2017347	Outpatient Lab	ID	PAML LLC	Related				No			No	50.000 %
(20) Greater Valley Medical Building LP 501 S Buena Vista St Burbank,CA91505 95-4570858	Real Estate - MOB	CA	PHS - So California	Investment				No			No	50.000 %
(21) Prov Radiation Oncology Develop Assn LLC 4400 NE Halsey 495 Portland,OR97213 26-0682491	Real Estate - MOB	OR	PH&S - OR	Investment				No			No	50.000 %
(22) Providence Partners for Health LLC 501 S Buena Vista St Burbank,CA91505 45-4041798	Clinical Quality & Integration	CA	PHS - So California	Related				No			No	50.000 %
(23) ProvidenceSilverton Rehab LLC 4400 NE Halsey 425 Portland,OR97213 48-1287267	Rehab Services	OR	PH&S - OR	Related				No			No	50.000 %
(24) Southern Idaho Regional Laboratory LLC 611 N Perry Spokane,WA99202 82-0511819	Outpatient Lab	ID	PAML LLC	Related				No			No	50.000 %
(25) Mountainstar Clinical Laboratories LLC 611 N Perry Spokane,WA99202 26-1345983	Outpatient Lab	MT	PAML LLC	Related				No			No	49.000 %
(26) Tri-Cities Laboratory LLC 611 N Perry Spokane,WA99202 91-1773986	Outpatient Lab	WA	PAML LLC	Related				No			No	25.000 %

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) Providence Health Ventures Inc 4101 Torrance Blvd Torrance,CA90503 33-0122216	Investment	CA	N/A	C				No
(2) Caron Health Corporation 510 W Front St Missoula,MT59802 81-0486082	Medical Physician Service	MT	N/A	C				No
(3) Providence Health Care Ventures Inc 101 W 8th Ave TAF C-9 Spokane,WA99204 90-0155714	Clinical/Medical Lab	WA	N/A	C				No
(4) Providence Physician Services Co 101 W 8th Ave TAF C-9 Spokane,WA99204 91-1216033	Clinical/Medical Lab	WA	N/A	C				No
(5) Yakima Medical Arts Inc 611 N Perry 100 Spokane,WA99202 91-0787963	Rental Real Estate	WA	N/A	C				No
(6) Bourget Health Services Inc PO Box 2687 Spokane,WA99220 91-1354431	Clinical/Medical Lab	WA	N/A	C				No
(7) 1221 Madison Street Owners Assoc 747 Broadway Seattle,WA98122 20-1954319	Owners Association	WA	N/A	C				No
(8) Washington Cancer Centers PC 1560 N 115th G-16 Seattle,WA98133 91-1792791	Cancer Treatment	WA	N/A	C				No
(9) Western HealthConnect Ventures Inc 1801 Lind Ave SW 9016 Renton,WA98057 80-0953654	Investment	WA	N/A	C				No
(10) PHN Holdings 20555 Earl Street Torrance,CA90503 46-1814184	Strategic Planning Services	CA	N/A	C				No
(11) Providence Health Network 20555 Earl Street Torrance,CA90503 80-0886966	Prepaid Healthcare	CA	N/A	C				No

Schedule R (Form 990) 2014

Page 3

Part V

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

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

Yes

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

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

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

Yes

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

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

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

Yes

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

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

Yes

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Providence Alaska Foundation	B	990,720	Cost
(2) Providence Alaska Foundation	C	2,439,185	Cost
(3) Providence Health Care Foundation	C	248,267	Cost
(4) Providence Health Care Foundation	B	127,573	Cost
(5) Providence Health Care Foundation - Eastern Washington	B	1,108,297	Cost
(6) Providence Health Care Foundation - Eastern Washington	C	4,224,807	Cost
(7) Providence Hospice & Home Care Foundation Snohomish County	C	686,784	Cost
(8) Providence Hospice & Home Care Foundation Snohomish County	L	302,771	Cost
(9) Providence Hospice of Seattle Foundation	C	897,398	Cost
(10) Providence Hospice of Seattle Foundation	Q	269,277	Cost
(11) Providence Hospice of Seattle Foundation	B	86,716	Cost
(12) Providence Marianwood Foundation	C	258,784	Cost
(13) Providence Marianwood Foundation	Q	136,004	Cost
(14) Providence Marianwood Foundation	L	134,749	Cost
(15) Providence Mount St Vincent Foundation	C	754,387	Cost
(16) Providence Mount St Vincent Foundation	Q	340,481	Cost
(17) Providence Mount St Vincent Foundation	B	467,235	Cost
(18) Providence St Mary Foundation	C	54,629	Cost
(19) Providence St Mary Foundation	B	389,975	Cost
(20) Providence St Mary Foundation	Q	182,830	Cost
(21) Providence St Peter Foundation	C	1,588,176	Cost
(22) Providence St Peter Foundation	B	772,095	Cost

Schedule R (Form 990) 2014

Page 4

Part VI

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

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

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(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) 2014

Page 5

Part VII

Supplemental Information

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

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Healthcare with special concern for the poor and vulnerable in WA. & AK.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	31,676
6	Total number of volunteers (estimate if necessary) .............	6	5,315
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	5,880,705
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	1,835,155

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	43,114,695	42,136,077
9	Program service revenue (Part VIII, line 2g) .........	3,316,627,725	3,439,886,452
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	58,156,447	134,530,104
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	999,083,666	1,518,048,478
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	4,416,982,533	5,134,601,111
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	15,667,400	13,951,382
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	2,879,625,793	2,884,542,505
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 701,334
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,858,381,330	1,936,049,739
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	4,753,674,523	4,834,543,626
19	Revenue less expenses. Subtract line 18 from line 12.......	-336,691,990	300,057,485
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	7,118,136,633	10,159,130,383
21	Total liabilities (Part X, line 26).............	4,680,170,845	7,585,061,893
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,437,965,788	2,574,068,490

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,310,964,403 including grants of $ 0 ) (Revenue $ 1,822,472,699 )
	Acute Care Inpatient 96,106 Admissions in 2014 with 445,042 Patient DaysOUR MISSION - As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service. OUR CORE VALUES - Respect, Compassion, Justice, Excellence, and Stewardship As a not-for-profit health care ministry, Providence Health & Services - Washington embraces our responsibility to respond to the needs of people in our communities, especially the poor and vulnerable. In the face of rapidly changing health care, our commitment to our Mission to care for everyone remains unchanged. When the Sisters of Providence began our tradition of caring 158 years ago, their ministry greatly depended on partnering with others in the community who were committed to doing good. This same pioneering spirit continues today as our calling and our promise. Providence Regional Medical Center Everett is nationally recognized as a top 100 Hospital and a distinguished hospital for clinical excellence four years running-the only Washington hospital to receive such recognition. We were also ranked number one for cardiac and critical care, and general surgery, for the fourth consecutive year. Healthgrades has honored Providence Regional Medical Center Everett with the Distinguished Hospital Award for Clinical Excellence. This award places Providence Regional in the top 5 percent of all hospitals in the nation for overall clinical performance. It also ranked among the top 10% of hospitals in the nation for cardiology several years in a row and for general surgery also.Providence Regional Medical Center Everett has the Emile Gamelin Service Line. This includes clinical services that are provided despite a significant financial loss. It provides a community need that would be unavailable in the area or would fall to the responsibility of the government or other non for profit organizations. Twelve clinical services are provided by Everett's Emile Gamelin Service line. These include access to mental health, dental care, primary care, diabetes, and asthma.Providence Holy Family Hospital's newly remodeled and expanded Family Maternity Center opened February 20, following completion of a $9.5 million construction project. With the expansion, Holy Family now has 16 larger LDRP rooms, four ante/post-partum rooms, three triage rooms, and a nursery with five specialty-care bassinets. That's an increase of one LDRP room, one ante/post-partum room, and two special-care nursery beds from the hospital's former maternity facilities. The triage rooms, intended to handle outpatient needs, are new. As before, the maternity center also includes a cesarean-section operating room. A special addition to the center is the Butterfly Room, a butterfly-adorned room intended for use by families mourning the loss of a baby. That feature is part of a supportive care services program offered through the Providence Center for Faith & Healing. The expansion added 124 square feet of floor space to each of the single-room maternity suites, boosting them to 340 square feet, which will provide greater comfort for mothers and their families, and better space to provide clinical care when needed. Holy Family currently handles more than 1,200 births a year, and there is potential for that number to rise as word-of-mouth spreads about the hospital's updated maternity center, which is designed to provide whatever services an expectant mother and her family need.Providence Mount Carmel Hospital is among the Top 100 Critical Access Hospitals (CAH's) in the United States, according to iVantage Health Analytics, which compares more than 1,300 facilities each year. Critical Access Hospitals have less than 25 inpatient beds, a 96-hour average length of stay, offer 24/7 emergency care, and are 35 miles away from another hospital.During 2014, Providence Mount Carmel Hospital received Healthgrades Outstanding Patient Experience award for delivering positive experiences for patients during their hospital stay. To be eligible for the Healthgrades 2014 Outstanding Patient Experience Award, Healthgrades evaluated 3,582 hospitals that submitted patient surveys. Of these hospitals, 3,000 hospitals met additional clinical quality requirements to be considered for this Healthgrades distinction. The top 15 percent of this group or 447 hospitals achieved the award.The following awards were received in 2014 by Sacred Heart Medical Center & Children's Hospital: Distinguished Hospital Award - Clinical Excellence America's 100 Best Hospitals for Stroke Care America's 100 Best Hospitals for Critical Care Top 5% in the Nation for Stroke Care Top 5% in the Nation for Gastrointestinal Care Best Regional Hospital in: Cancer, Cardiology & Heart Surgery, Diabetes, ENT, Gastroenterology, Gynecology, Nephrology, Neurology & Neurosurgery, Orthopedics, Pulmonology, Urology National Cardiovascular Data Registry ACTION - GWTG registry Platinum Performance Achievement Award National Research Corporation Consumer Choice Award Washington State Hospital Association Patient Safety Award Spokane Clean Air Award.The neonatal intensive care unit (NICU) at Sacred Heart Children's Hospital has received a Level IV designation, the highest level of care for premature and critically ill newborns recognized by the American Academy of Pediatrics (AAP). The Level IV status was granted by Washington State, acknowledging that the hospital met all AAP Perinatal and Neonatal Level of Care Guidelines. Sacred Heart Children's Hospital is the second facility in the state to achieve this status.St Joseph's Hospital recent hospital quality awards: Best Practice in Publicly Reporting Quality of Care - Rural Health Quality Network Excellence in clinical quality of care for Acute Heart Failure, Pneumonia and Surgical Care Improvement - The Center for Medicare and Medicaid Services and Premier Hospital Quality Incentive Demonstration.Providence Centralia is one of only 405 U.S. hospitals and critical access hospitals earning the distinction of top performer on key quality measures from The Joint Commission. We understand that what matters most to patients is safe, effective care. That's why we have made a commitment to accreditation and to positive patient outcomes through evidence-based care processes.Providence Maternity Center Expansion - AlaskaThe Mother-Baby Unit is only part of the new 85,782-square foot Maternity Center, which is designed to provide all aspects of maternity care. The Maternity Center project includes expansion and modernization of the Newborn Intensive Care Unit with 66 bassinets the Prenatal Unit with 14 beds and the Mother-Baby Unit with 31 beds. Construction completed in 2014. In addition, Providence Alaska Medical Center provides: Alaska's only Level III Newborn Intensive Care Unit Alaska's only advanced perinatal hospital care for women experiencing high-risk pregnancies and a full-service lactation program, providing inpatient and outpatient support with a full range of support products through our nursing boutique.Visionary imaging technology Physicians conduct minimally invasive procedures on this new system to treat a wide range of clinical problems including coronary artery disease - a leading cause of heart disorders in the U.S. These catheter-based procedures may reduce the risks and recovery time found in traditional surgical approaches. The benefits of catheter-based interventions include shorter hospital stays, reduced recovery time without the pain of a large incision, and less visible surgical scarring.Electronic Intensive Care Unit (eICU) - This program provides a second set of eyes to watch over critically ill patients in our intensive care unit. The eICU combines early warning alerts and remote monitoring technology to connect off-site critical care specialists with patients and their bedside teams. This technology is proven to reduce medical complications and improve outcomes. The eICU on the Providence Alaska Medical Center campus watches over patients at PAMC and at partner hospitals across the state.Behavioral Health - At Providence Alaska Medical Center, we provide the only psychiatric emergency department in Alaska along with a full range of inpatient and outpatient adult and adolescent behavior health services. We also offer the only voluntary adult behavioral in-patient health unit in Anchorage.

4b	(Code: ) (Expenses $ 774,837,040 including grants of $ 0 ) (Revenue $ 1,077,160,713 )
	Acute Care - Outpatient 1,831,326 Emergency & Ancillary VisitsCentralia Physical Medicine - Our clinic is proud to have three providers who serve as the leading state wide authorities in Muscular Dystrophy, Multiple Sclerosis and musculoskeletal medicine.Southwest Washington Boldt Diabetes & Nutrition Center - the only American Diabetes Association-certified clinic in Lewis County.Radiology team at Providence Health Care in Spokane received the President's Award for Strategic Innovation Reducing Radiation Exposure for its innovative achievements in care and service to the health of the communities served. The team demonstrated collaborations that lower the cost of care, improve access and the quality and safety of care, promote standardization, reduce variability, optimize resources and improve stewardship.The Patient Navigator Program at Southwest Providence Regional Cancer System helps enhance care and high quality of life during treatment, as well as assists loved ones during this challenging time. The dedicated nurse navigators for breast and lung cancer at Providence meet individually with hundreds of patients and family members each year. Cancer navigation services, in addition to educational special events, ease the way for more than 500 people with cancer and their families each year. The Providence St. Peter Hospital Sexual Assault Clinic & Child Maltreatment Center provides medical treatment for children and adolescents coping with long-term physical and mental health problems resulting from sexual abuse. In 2014, Providence provided nearly $1 million to support the clinic. The medical team and social work staff provide medical evaluations of sexually abused children and also provide critical court testimony based on their findings. They work with law enforcement and social service programs to help children overcome the effects of sexual, physical and emotional abuse. The sexual assault nurse examiners at the clinic are on call 24 hours a day to provide comfort and care, and collect forensic evidence for investigations. The clinic collaborates with the Thurston County Prosecuting Attorney's Office to run the Monarch Children's Justice and Advocacy Center. At the center, community agencies are located in one facility so that abuse victims can receive medical evaluations, forensic interviews and therapy in one place.Providence St. Mary Medical Center provided 700 flu shots in a drive-through clinic.Providence Regional Medical Center Everett includes 501 licensed beds, Emergency Services, a Cancer Center, Surgery and Recovery Services, a Cardiac Evaluation Unit, and a Progressive Care Unit. Providence Imaging Center - Providence Imaging Center is the only designated Breast Imaging Center of Excellence in Alaska. Providence Imaging Center offers the only integrated PET-CT scanner in Alaska and the only scanner that is accredited in both brain and oncology applications. Providence Imaging Center is also the only imaging center in Alaska that is accredited in all its Anchorage service offerings, including mammography, ultrasound guided breast biopsy, stereotactic guided breast biopsy, eight subspecialties of ultrasound, five subspecialties of MRI, PET-CT and CT. Pulmonary Rehabilitation - Providence Puff-Ins Pulmonary Rehabilitation Program is an education and exercise program designed for patients with Chronic Obstructive Pulmonary Disease (COPD). Pulmonary Rehabilitation provides patients and their families with information and support needed to meet the day-to-day challenges of living with COPD. Physical therapists and nurses with extensive pulmonary and cardiac experience administer the program.Laboratory Services - Providence offers the state's only laboratory for both inpatient and outpatient routine services. Among the testing available only at Providence is flow cytometry for same-day diagnosis of certain cancers and leukemia.The Providence Cancer Center - Our Cancer Center is the only commission-approved comprehensive cancer program in Alaska. We provide radiation oncology technologies available nowhere else in the state: high-dose rate Brachytherapy and Tomotherapy. We also provide The Susan Butcher Family Center, which offers support to children who have adults with cancer in their lives. Our oncology rehabilitation program is dedicated for cancer patients, and we provide a greater number of clinical trials for oncology patients than any other hospital in Alaska. Our Cancer Center also offers a free Healing Arts program for those with cancer or whose family or friends are experiencing cancer.

4c	(Code: ) (Expenses $ 225,647,183 including grants of $ 0 ) (Revenue $ 313,689,548 )
	LTC/Hospice/Housing & Assisted Living - 262,375 Days for Long-Term Care/Asst. Living 312,591 Home Health Visits 355,590 Hospice DaysProvidence Hospice is proud to participate in the We Honor Veterans program, a program of the National Hospice and Palliative Care Organization in collaboration with the Department of Veterans Affairs. Through this program, hospice professionals across the country focus on a single purpose: to provide comfort and support to veterans at the end of their lives.Providence ElderPlace joined Full Life Care to expand its Program of All-inclusive Care for the Elderly (PACE) to Kent. The partnership offers medical care and social services to seniors who wish to continue to live in the community, thus avoiding or minimizing stays in hospitals and nursing homes.Providence Dominicare cares for all aspects of the person- physical, mental and spiritual. We are known for providing quality, compassionate care that respects the beliefs of patients and families. In addition to providing expert patient care, our staff focuses on teaching and supporting patients as well as caregivers, family and friends recognizing their importance in the healing process.

	(Code: ) (Expenses $ 197,934,268 including grants of $ 0 ) (Revenue $ 275,163,689 )
	Primary Care 1,357,229 Clinic VisitsAs a teaching hospital, Providence St. Peter Hospital provides graduate-level medical education that helps reduce the doctor shortage and meet expanding community needs. Four of the five doctors from the 2014 graduating class will stay local - bringing more capacity to care for patients in southwest Washington communities. Providence supports the training of 21 family medicine physicians and other medical education programs and research annually. The physicians in the program support the Providence St. Peter Family Medicine Clinic. Of the nearly 7,000 active patients the clinic serves, 52 percent are insured through Medicaid and another 16 percent receive Medicare, neither of which reimburse for the full cost of care. Many other patients do not have any insurance at all.

	(Code: ) (Expenses $ 13,951,382 including grants of $ 13,951,382 ) (Revenue $ 0 )
	Grant & Allocations - See Schedules F & I

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 211,885,650 including grants of $ 13,951,382 ) (Revenue $ 275,163,689 )
4e	Total program service expenses2,523,334,276

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	34,381,154	0	6,236,273

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a		38,207
b	Membership dues....1b
c	Fundraising events....1c		736,759
d	Related organizations...1d		12,138,078
e	Government grants (contributions)1e		22,744,584

f	All other contributions, gifts, grants, and similar amounts not included above1f		6,478,449

g	Noncash contributions included in lines 1a-1f:$		59,908
h	Total. Add lines 1a-1f.......			42,136,077
			Business Code
2a	Acute Care/Inpatient		900099	1,796,513,824	1,796,513,824
b	Acute Care/Outpatient		621400	1,061,817,888	1,061,817,888
c	LTC/Homecare/Hospice		621610	309,221,427	309,221,427
d	Primary Care		621110	271,244,322	271,244,322
e
f	All other program service revenue .			1,088,991	1,088,991
g	Total. Add lines 2a–2f........			3,439,886,452
3	Investment income (including dividends, interest, and other similar amounts).......			39,120,954			39,120,954
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	30,388,914	19,266
b	Less: rental expenses	10,932,485	0
c	Rental income or (loss)	19,456,429	19,266
d	Net rental income or (loss).......			19,475,695		633,618	18,842,077
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	918,582,677	7,493,697
b	Less: cost or other basis and sales expenses	825,839,519	4,827,705
c	Gain or (loss)	92,743,158	2,665,992
d	Net gain or (loss)..........			95,409,150			95,409,150
8a	Gross income from fundraising events (not including $ 736,759 of contributions reported on line 1c). See Part IV, line 18 ..
	a		215,416
b	Less: direct expenses ...b		718,795
c	Net income or (loss) from fundraising events..			-503,379			-503,379
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		25,860
b	Less: direct expenses ...b		13,651
c	Net income or (loss) from gaming activities...			12,209			12,209
10a	Gross sales of inventory, less returns and allowances .
	a		2,422,051
b	Less: cost of goods sold ..b		1,385,998
c	Net income or (loss) from sales of inventory..			1,036,053			1,036,053
Miscellaneous Revenue			Business Code
11a	Pharmacy Revenue		446110	24,580,384	3,333,774	1,824,800	19,421,810
b	Cafeteria Revenue		722210	16,475,987		219,586	16,256,401
c	Laboratory Revenue		621500	13,456,336		868,086	12,588,250
d	All other revenue ....			1,443,515,193	45,266,423	2,334,615	1,395,914,155
e	Total. Add lines 11a–11d ......			1,498,027,900
12	Total revenue. See Instructions......			5,134,601,111	3,488,486,649	5,880,705	1,598,097,680


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			2,904,419	1	34,927,355
2	Savings and temporary cash investments .........			388,720,402	2	583,295,465
3	Pledges and grants receivable, net ...........			5,954,684	3	1,695,261
4	Accounts receivable, net .............			535,291,965	4	538,713,832
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 .............			33,304,865	7	27,740,380
8	Inventories for sale or use ..............			53,101,746	8	75,925,085
9	Prepaid expenses and deferred charges ..........			41,171,987	9	95,885,053
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	5,072,865,453
b	Less: accumulated depreciation .....	10b	2,462,181,998	2,623,170,028	10c	2,610,683,455
11	Investments—publicly traded securities ..........			1,542,049,367	11	1,722,018,012
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....			105,753,444	13	122,203,289
14	Intangible assets ...............			21,720,654	14	33,256,787
15	Other assets. See Part IV, line 11 ...........			1,764,993,072	15	4,312,786,409
16	Total assets. Add lines 1 through 15 (must equal line 34)......			7,118,136,633	16	10,159,130,383
17	Accounts payable and accrued expenses .........			577,934,307	17	665,592,937
18	Grants payable .................				18
19	Deferred revenue ................			10,845,286	19	118,944,216
20	Tax-exempt bond liabilities .............			811,205,001	20	845,274,482
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 ..			825,420,649	23	769,830,032
24	Unsecured notes and loans payable to unrelated third parties ....			609,605	24	13,540,890
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....................			2,454,155,997	25	5,171,879,336
26	Total liabilities. Add lines 17 through 25.........			4,680,170,845	26	7,585,061,893
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			2,376,578,881	27	2,524,680,418
28	Temporarily restricted net assets ...........			48,068,173	28	35,157,038
29	Permanently restricted net assets ...........			13,318,734	29	14,231,034
	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 ...........			2,437,965,788	33	2,574,068,490
34	Total liabilities and net assets/fund balances ........			7,118,136,633	34	10,159,130,383

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990)............................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713; do not file with Form 990).....................................	Yes	No