TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Michael Holcomb...................................................................... Chair of the Board	0.10 ................. 7.60	X	X	60,360	0
(2) Chauncey Boyle SP...................................................................... Director	0.10 ................. 5.50	X		0	0
(3) Marian Schubert CSJ...................................................................... Director	0.10 ................. 4.30	X		0	0
(4) Phyllis Hughes RSM...................................................................... Director	0.10 ................. 5.00	X		0	0
(5) Carolina Reyes MD...................................................................... Director	0.10 ................. 4.60	X		15,360	0
(6) Michael A Stein...................................................................... Director	0.10 ................. 6.00	X		15,360	0
(7) Eugene Al Parrish...................................................................... Director	0.10 ................. 5.00	X		15,360	0
(8) Bob Wilson...................................................................... Director	0.10 ................. 5.00	X		18,360	0
(9) Sallye Liner...................................................................... Director	0.10 ................. 4.30	X		15,360	0
(10) Isiaah Crawford...................................................................... Director	0.10 ................. 4.10	X		18,360	0
(11) Martha Diaz Aszkenazy...................................................................... Director	0.10 ................. 7.70	X		18,360	0
(12) Kirby McDonald...................................................................... Director	0.10 ................. 4.60	X		15,360	0
(13) Dave Olsen...................................................................... Director	0.10 ................. 5.50	X		17,860	0
(14) Charles Chuck Watts...................................................................... Director	0.10 ................. 4.60	X		18,360	0
(15) Rod F Hochman MD...................................................................... President / CEO	8.00 ................. 57.00		X	5,102,809	74,417
(16) Todd Hofheins...................................................................... EVP/CFO	7.00 ................. 53.00		X	970,092	295,713
(17) Cindy Strauss...................................................................... EVP/Chief Legal Officer	7.00 ................. 53.00		X	1,526,357	64,699

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Karl Carrier........................................................................ Interim CE/CA. Region	7.00 .......................53.00	X				0	515,465	0
(19) Steve Mohr........................................................................ VP / Finance Ops. CA	49.90 .......................0.10	X				0	578,652	117,294
(20) Randy Axelrod MD Thru 315........................................................................ EVP/Clinical & Patient Services	7.00 .......................53.00		X			0	1,416,580	35,750
(21) Mike Butler........................................................................ President/Operations & Services	7.00 .......................53.00		X			0	1,572,348	740,248
(22) Debbie Burton........................................................................ SVP/ Chief Nrsg. Officer	7.00 .......................53.00		X			0	683,302	55,602
(23) Debra Canales........................................................................ EVP/Chief People & Experience Ofc.	7.00 .......................53.00		X			0	1,650,655	458,130
(24) Jack Friedman Thru 615........................................................................ SVP/Accountable Care & Payor Rel.	6.00 .......................44.00		X			0	770,782	117,919
(25) Mark Gargett........................................................................ VP/Digital Integration	6.00 .......................44.00		X			0	632,716	82,292
(26) Aaron Martin........................................................................ SVP/Strategy & Innovation	8.00 .......................57.00		X			0	681,696	189,399
(27) Tom McDonagh........................................................................ VP/Chief Investment Officer	7.00 .......................51.00		X			0	963,343	58,116
(28) Rhonda Medows MD........................................................................ EVP/Population Health	7.00 .......................53.00		X			0	667,975	188,508
(29) Jack Mudd........................................................................ SVP/Mission Leadership	6.00 .......................49.00		X			0	632,418	88,850
(30) Janice Newell........................................................................ SVP/Chief Information Officer	7.00 .......................53.00		X			0	1,535,323	37,767
(31) Harvey Smith........................................................................ SVP/Chief Customer Svc. Officer	6.00 .......................44.00		X			0	844,548	41,905
(32) Teresa Spalding........................................................................ VP/Revenue Cycle	7.00 .......................53.00		X			0	691,899	45,132
(33) Lisa Vance........................................................................ SVP/Clinical Program Services	8.00 .......................57.00		X			0	786,086	51,186
(34) Craig Wright MD........................................................................ SVP/Physician Services	7.00 .......................53.00		X			0	2,795,040	125,380
(35) Dale Surowitz........................................................................ CEO - Tarzana	59.00 .......................0.00		X			0	1,407,540	71,911
(36) Laurence Eason........................................................................ CMO/Chief Clinical Officer	50.00 .......................0.00		X			0	1,354,459	42,375
(37) Bernard Klein MD........................................................................ CEO/HCMC	50.00 .......................0.00		X			0	707,837	195,575
(38) Julie Sprengel........................................................................ CEO/PSJMC	50.00 .......................0.00		X			0	662,400	155,629
(39) Prubjeet Khurana........................................................................ CSO	50.00 .......................0.00		X			0	654,129	59,548
(40) Phil Jackson........................................................................ Chief Integration Officer	40.00 .......................0.00			X		0	1,151,953	46,690
(41) Teresa David........................................................................ COO - Facey Med. Foundation	1.00 .......................49.00			X		574,471	0	11,992
(42) Jim Corwin........................................................................ CFO/CA. Medical Foundations	24.00 .......................36.00			X		557,373	0	27,631
(43) Elizabeth Dunne........................................................................ CEO - LCM Torrance/SPPH	50.00 .......................0.00			X		0	528,780	14,823
(44) Richard Glimp........................................................................ CMO/Facey Medical Foundation	50.00 .......................0.00			X		478,643	0	25,192
(45) Michael Hunn........................................................................ Former /CE / CA. Region	0.00 .......................0.00				X	0	584,681	67,660
(46) Nancy Carlson........................................................................ Former CEO - LCM San Pedro	0.00 .......................0.00				X	0	143,924	1,253
(47) Gerald Clute........................................................................ Former CEO - Tarzana	0.00 .......................0.00				X	0	194,740	2,885
(48) Michael Rembis........................................................................ Former CEO - PSJMC	0.00 .......................0.00				X	0	916,075	29,028
(49) John Fletcher........................................................................ Former VP/Operations Support	0.00 .......................0.00				X	0	583,850	18,778
(50) Jan Jones........................................................................ Former SVP/CAO	0.00 .......................0.00				X	0	759,461	33,986

(A) Name and business address	(B) Description of services	(C) Compensation
NurseFinders Inc PO Box 910738 Dallas,TX75391	Medical Services	26,650,199
Therapeutic Associates Inc 7100 Fort Dent Way Ste 220 Seattle,WA98188	Physical/Occup. Therapy Svc	6,477,711
Sodexo Inc and Affiliates Dept 880328 Los Angeles,CA90088	Food Mgmnt. Services	4,941,143
Swiftwise PO Box 56157 Los Angeles,CA90074	Agency Staffing	4,257,639
Healthcare Partner Inc MED 19191 S Vermont Avenue 21F Torrance,CA90502	Medical Services	3,855,848
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 311

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

PROVIDENCE HEALTH SYSTEM -SO CALIFORNIA

Employer identification number

51-0216589

Part I

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

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

Section A. Public Support

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

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

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

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

Section C. Computation of Public Support Percentage

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

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

16a

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

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

17a

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

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

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

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

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

Section A. Public Support

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

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

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

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

Section D. Computation of Investment Income Percentage

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

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

19a

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

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

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

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

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

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

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

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

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

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

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

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

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

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

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

10a

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

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

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

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

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

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

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

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

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

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

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

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

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

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

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

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

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

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

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

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

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

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

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

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

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

OMB No. 1545-0047

2015

Name of the organization

PROVIDENCE HEALTH SYSTEM -SO CALIFORNIA

Employer identification number

51-0216589

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

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

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

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

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

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

Name of organization PROVIDENCE HEALTH SYSTEM -SO CALIFORNIA

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

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

Page 3

Name of organization PROVIDENCE HEALTH SYSTEM -SO CALIFORNIA		Employer identification number 51-0216589

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

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

Page 4


Name of organization PROVIDENCE HEALTH SYSTEM -SO CALIFORNIA			Employer identification number 51-0216589
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

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

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

Complete if the organization is described below. SchCMd Bullet

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

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

OMB No. 1545-0047

2015

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

PROVIDENCE HEALTH SYSTEM -SO CALIFORNIA

Employer identification number

51-0216589

Part I-A

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

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

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

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

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

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

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

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

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

A Check SchCMd Bullet

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

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

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

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

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

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

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

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

(a)

Yes

(b)

Amount

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

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

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

Yes

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

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

Yes

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

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

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

Yes

57,875

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

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

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

57,875

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation
Part II-B, Line 1:	Lobbying activities, with the exception of advocacy, are limited to direct contact with government officials and mailings to the general public and legislators for the purpose of expressing opinions on legislative matters. Expenses include employee salaries, postage and incidental traveling expenditures.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH SYSTEM -SO CALIFORNIA

Employer identification number

51-0216589

Part I

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

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


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

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

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

(ii)

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

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

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

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

Yes No

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

Part V

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

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	380,469	377,479	373,802	369,341	357,604
b	Contributions ...	178		312	1,000	10,000
c	Net investment earnings, gains, and losses	32,206	17,213	19,914	19,389	1,737
d	Grants or scholarships ...	26,629	14,223	16,549	15,928
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	386,224	380,469	377,479	373,802	369,341

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

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

Yes

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

3a(i)

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

3a(ii)

Yes

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

Yes

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

Part VI

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

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	103,140,767		103,140,767
b	Buildings	844,795,007	402,468,064	442,326,943
c	Leasehold improvements	38,172,804	28,215,182	9,957,622
d	Equipment ...	781,579,562	676,480,416	105,099,146
e	Other ...	25,480,320		25,480,320
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				686,004,798

Schedule D (Form 990) 2015

Page 3

Part VII

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

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

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

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value
(1) Unamortized Bond Financing Costs				4,985,073
(2) Due from Affiliates				6,079,139,674
(3) Miscellaneous Receivables				13,448,063
(4) Library Inventory				13,000
(5) Third Party Settlements				19,250,047
(6) Bond Premium Discount				2,250,159
(7) Trustee Held Funds				63,649
(8) Resident Trust Funds				60,242
(9) Acute Medicaid EHR Incent Rec				467,921
(10) Other LT Rec. - Perpetual Trust				1,303,264
(11) AR Provider Tax				44,177,807
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				6,165,158,899

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Due to Affiliates	5,804,846,914
Liability for Risk Sharing	10,265,896
Miscellaneous Other Liabilities	27,470,064
Capitalized Lease Obligation	2,184,764
LT Asset Retirement Obligation - FIN 47	14,381,855
IBNR Payable	3,110,341
Third Party Settlements	7,337,781
Liability for Unpaid Claims	1,717,653
Bond Premium Discount	25,597,765
Residential Trust Fund	44,836
Security Deposit Payable	64,367
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	5,897,022,236
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

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

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

Part XIII

Supplemental Information

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

Return Reference

Explanation

Part V, Line 4:

The High School has two endowment funds established for scholarship purposes and is donor-restricted.

Part X, Line 2:

The Health System (Providence Health & Services) recognizes the effect of income tax positions only if those positions are more likely than not of being sustained upon an audit by the taxing authority. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE 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" on 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

2015

Open to Public Inspection

Name of the organization
PROVIDENCE HEALTH SYSTEM -SO CALIFORNIA

Employer identification number

51-0216589

Part I

Fundraising Activities. Complete if the organization answered "Yes" on 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?

YesNo

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 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on 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 GALA (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	158,444	158,444
2	Less: Contributions . . . .	78,720	78,720
3	Gross income (line 1 minus line 2) . . . . . .	79,724	79,724

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .	39,709	39,709
8	Entertainment . . . .	1,161	1,161
9	Other direct expenses . . .	17,721	17,721
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		58,591
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		21,133

Part III

Gaming. Complete if the organization answered "Yes" on 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))
1	Gross revenue . . . . .			22,259	22,259

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .		2,215	2,215
5	Other direct expenses . . .	17,721		17,721

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

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

4,898

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

17,361

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

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) 2015

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 activity conducted in:

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

13a

100.000 %

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

13b

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

Name

Raul Borja

Address

511 S Buena Vista
Burbank,CA91505

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

Gaming manager compensation right arrow

$ 0

Description of services provided right arrow

All Activities related to the raffle are coordinated through the Development Department.

Director/officer Employee Independent contractor

Mandatory distributions:

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

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

YesNo

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

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

Part IV

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

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH SYSTEM -SO CALIFORNIA

Employer identification number

51-0216589

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 25000.0000000000 %

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		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	21,152,367		21,152,367	1.020 %
b	Medicaid (from Worksheet 3, column a) . . . . .	344,768,015	274,492,074	70,275,941	3.380 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	365,920,382	274,492,074	91,428,308	4.400 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	12,617,035		12,617,035	0.610 %
f	Health professions education (from Worksheet 5) . . .	9,518,696		9,518,696	0.460 %
g	Subsidized health services (from Worksheet 6) . . . .	9,235,585		9,235,585	0.440 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	887,071		887,071	0.040 %
j	Total. Other Benefits . .	32,258,387		32,258,387	1.550 %
k	Total. Add lines 7d and 7j .	398,178,769	274,492,074	123,686,695	5.950 %

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

Schedule H (Form 990) 2015

Page

Part II

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

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

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. ......

57,820,259

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).....

635,310,410

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

730,014,256

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

-94,703,846

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) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?5 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 St Joseph Medical Center 501 S Buena Vista St Burbank,CA91505 california.providence.org 930000159	X	X		X	A
2	Providence LCM Med Ctr - Torrance 4101 Torrance Boulevard Torrance,CA90505 california.providence.org 930000089	X	X		X	B
3	Providence Holy Cross Medical Center 15031 Rinaldi St Mission Hills,CA91345 california.providence.org 930000404	X	X	X	X	A
4	Providence Tarzana Medical Center 18321 Clark Street Tarzana,CA91356 california.providence.org 930000097	X	X		X	A
5	Providence LCM Med Ctr - San Pedro 1300 West Seventh Street San Pedro,CA90732 california.providence.org 930000142	X	X		X	B

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	PHS - SOUTHERN CALIFORNIA ( Group A)
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

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

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

Yes

6 a

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

Yes

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

Yes

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

Yes

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

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

Other website (list url): www.oshpd.ca.gov/HID/CommunityBenefit/archive.html

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

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

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

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

Yes

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

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

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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

12a

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

12b

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

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PHS - SOUTHERN CALIFORNIA ( Group A)
Name of hospital facility or letter of facility reporting group

Yes

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

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

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000% and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

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

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

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

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

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

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

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

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

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

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	PHS - SOUTHERN CALIFORNIA ( Group A)
Name of hospital facility or letter of facility reporting group

Yes

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

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	PHS - SOUTHERN CALIFORNIA ( Group B)
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

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

Yes

6 a

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

Yes

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

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

Yes

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

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

Other website (list url): www.oshpd.ca.gov/HID/CommunityBenefit/archive.html

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): communitybenefit.providence.org/community-health-needs-assessments/

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

10b

12a

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

12a

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

12b

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

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PHS - SOUTHERN CALIFORNIA ( Group B)
Name of hospital facility or letter of facility reporting group

Yes

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

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

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000% and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

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

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

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

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

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

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

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

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

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

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	PHS - SOUTHERN CALIFORNIA ( Group B)
Name of hospital facility or letter of facility reporting group

Yes

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 3: Providence Holy Cross Medical Center, - Facility 1: Providence St. Joseph Medical Center, - Facility 4: Providence Tarzana Medical Center
Group A-Facility 1 -- Providence St. Joseph Medical Center Part V, Section B, line 5:	A group of community stakeholders and Medical Center staff were invited to review the needs and issues identified through the assessment process, and to identify the priority areas of focus to begin to address through collaborative partnerships between the Medical Center, other organizations, and members from our community. This group included the following individuals:Sr. Sheila Browne, RSM - Director of Mission Leadership, Providence Saint Joseph Medical CenterMs. Marine Dzhgalyan - C.E.O., All Inclusive Community Health CenterMs. Gaby Flores - Deputy Director, City of BurbankRev. Msgr. Robert Gallagher - Pastor, St. Charles Borromeo Catholic ChurchMr. Russell Kieffer - Director, Clinical Social Work and Palliative Care, Providence Saint Joseph Medical CenterMs. Barbara Howell - Executive Director, Burbank Temporary Aid CenterMs. Marie Mayen-Cho - Director, Health Education and Access to Care, Providence Center for Community Health ImprovementSr. Yvette Perrault, RSM - Senior Citizen and Health Ministry, St. Charles Borromeo ChurchMs. Norma Villalobos - Volunteer for Seniors Coordinator, Providence Center for Community Health Improvement
Group A-Facility 1 -- Providence St. Joseph Medical Center Part V, Section B, line 6a:	Providence Holy Cross, Saint Joseph and Tarzana Medical Centers collaborated together to complete their community health needs assessments. Since the three Medical Centers' service areas overlap, it was decided that the hospitals would work together in conducting their CHNAs.
Group A-Facility 1 -- Providence St. Joseph Medical Center Part V, Section B, line 6b:	Collaboration with the Valley Care Community Consortium.
Group A-Facility 1 -- Providence St. Joseph Medical Center Part V, Section B, line 11:	Priority 1: Affordable and expanded services for a growing senior population:The Senior Outreach Program was started in 1998 to assist the elderly with homemaker services, peer counseling, and case management services. The program is staffed by mental health professionals who oversee a group of 20 volunteers. The volunteers offer services such as shopping, meal preparation, errands, and transportation to frail, elderly individuals, many of whom are homebound or of limited mobility. Volunteers are also recruited and trained to serve as peer counselors to assist seniors who are depressed because of issues such as dealing with a chronic illness, loss of friends and family, or isolation.Priority 2: Access to affordable primary and specialty care:Established in 2010 to assist uninsured and underinsured patients coming through the emergency department by linking them with a medical home and other resources, the Access to Care Program offers access to a network of physician specialists and free mammograms and imaging services to patients who qualify. In 2015, four new specialists were added to the specialist network (Dermatology, Podiatry, Cardiology, and ENT).Priority 3: Expanded primary care capacity:To address this need, the Medical Center has made operational a Mobile Health Clinic to provide high quality medical care to individuals living at or near poverty who are under or uninsured and have a chronic disease, such as diabetes, high cholesterol, or high blood pressure. In addition to chronic disease management and care, the mobile clinic provides wellness visits and links patients to specialist, laboratory, and imaging services.Priority 4: Access to affordable mental health services:The Medical Center partners with the Tarzana Treatment Center on the development and expansion of the Mental Health Project. The Mental Health Outreach program provides outreach, education and referrals for individuals and families who are dealing with a mental health illness or substance abuse. In 2015, the Medical Center completed over 2,500 hours of outreach and education activities, exceeding the grant target of 2,222 hours.Priority 5: Coordination of existing programs and services that are culturally and language appropriate:The Medical Center has incorporated a health insurance navigation unit into its BIEN project (Benefits, Information, Educational Networking). Priority 6: Heart disease, hypertension, diabetes, and cancer screening and prevention programs:Additional information regarding hypertension and cholesterol has been integrated into four Wellness Support Groups started by Lorena Soria, RN, CDE. A total of 127 persons attended classes in 2015. The classes were on-going for persons with diabetes, hypertension, and/or high blood pressure. The Medical Center is currently working with Cal State University Northridge (CSUN) on their 100 Citizens Program to:1) Implement wellness visits for adults2) Evaluate the impact of wellness visits by measuring A1C levels3) Identify high-risk adults with chronic conditions, develop a physical activity plan, and link to new or existing programs designed to improve physical activity4) Monitor and track physical activity levels of adults who participate in 100 Citizens or Providence-sponsored events or programsIn developing the list of priority needs/issues, PSJMC looked at bringing its expertise and resources to those issues where it can make positive change. Because the Medical Center has limited resources, it focused on areas where it has the expertise and ability to make a positive impact in its community. For those reasons, the following health needs were not chosen by the hospital as part of their implementation strategy: 1) Affordable dental care 2) Affordable child care and adult day care3) Affordable housing and transitional housing4) Dementia/Alzheimer's screening and education5) STD prevention programs
Group A-Facility 1 -- Providence St. Joseph Medical Center Part V, Section B, line 16i:	Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration.
Group A-Facility 3 -- Providence Holy Cross Medical Center Part V, Section B, line 5:	A group of community stakeholders and Medical Center staff were invited to review the needs and issues identified through the assessment process, and to identify the priority areas of focus to begin to address through collaborative partnerships between the Medical Center, other organizations, and members from our community. This group included the following individuals:Mr. Thomas Ambriz - Principal, St. Ferdinand Elementary SchoolMs. Jenny Gutierrez - C.O.O., Meet Each Need With DignityMiriam Hernandez - Manager, Latino Health Promoter Program, Providence Center for Community Health ImprovementMs. Jenny Rosales - Faith Community Nurse, Guardian Angel ChurchDr. Michael Sarti - Chief Medical Officer, Providence Holy Cross Medical CenterMs. Juanita Schneider - Director, Clinical Social Work, Providence Holy Cross Medical CenterSr. Colleen Settles - Chief Mission Integration Officer, Providence Health and Services, So. California RegionPhilip Solomon - Chief Operating Officer, Samuel Dixon Family Health Center, Inc.Ms. Lori Wheeler - Field Deputy, L.A. County Third Supervisorial District
Group A-Facility 3 -- Providence Holy Cross Medical Center Part V, Section B, line 6a:	Providence Holy Cross, Saint Joseph and Tarzana Medical Centers collaborated together to complete their community health needs assessments. Since the three Medical Centers' service areas overlap, it was decided that the hospitals would work together in conducting their CHNAs.
Group A-Facility 3 -- Providence Holy Cross Medical Center Part V, Section B, line 6b:	Collaboration with the Valley Care Community Consortium.
Group A-Facility 3 -- Providence Holy Cross Medical Center Part V, Section B, line 11:	Priority 1: Expanded primary care capacityTo address this need, the Medical Center has made operational a Mobile Health Clinic to provide high quality medical care to individuals living at or near poverty who are under or uninsured and have a chronic disease, such as diabetes, high cholesterol, or high blood pressure. In addition to chronic disease management and care, the mobile clinic provides wellness visits and links patients to specialist, laboratory, and imaging services.Priority 2: Obesity prevention programs, including nutrition and physical activity programsTo address this need, the Medical Center has partnered with Cal State University Northridge's (CSUN) for their 100 Citizens Program. As part of this, Providence will identify high-risk adults with chronic conditions, develop physical activity plan, and link to new or existing programs designed to improve physical activity.Priority 3: Free, low-cost. and culturally appropriate health education programsTo address this need, the Medical Center conducts Wellness Support Groups that cover diabetes, hypertension, high blood pressure, high cholesterol, and other components. Two new Women's Health Support Groups were also started in 2015.Priority 4: Diabetes, heart disease, hypertension, and cancer prevention and management programsAdditional information regarding hypertension and cholesterol has been integrated into four Wellness Support Groups started by Lorena Soria, RN, CDE. A total of 127 persons attended classes in 2015. The classes were on-going for persons with diabetes, hypertension, and/or high blood pressure. The Medical Center has also implemented Diabertes Self-Management Education (DSME) classes.Priority 5: Affordable and accessible mental health servicesThe Medical Center partners with the Tarzana Treatment Center on the development and expansion of the Mental Health Project. The Mental Health Outreach program provides outreach, education and referrals for individuals and families who are dealing with a mental health illness or substance abuse. In 2015, the Medical Center completed over 2,500 hours of outreach and education activities, exceeding the grant target of 2,222 hours.In developing the list of priority needs/issues, Providence Holy Cross Medical Center looked at bringing its expertise and resources to those issues where it can make positive change. Because the Medical Center has limited resources, it focused on areas where it has the expertise and ability to make a positive impact in its community. For those reasons, the following health needs were not chosen by the hospital as part of their implementation strategy: 1) Affordable dental care 2) Affordable child care and adult day care3) Affordable housing and transitional housing4) Teen pregnancy prevention programs5) STD prevention programs
Group A-Facility 3 -- Providence Holy Cross Medical Center Part V, Section B, line 16i:	Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration.
Group A-Facility 4 -- Providence Tarzana Medical Center Part V, Section B, line 5:	A group of community stakeholders and Medical Center staff were invited to review the needs and issues identified through the assessment process, and to identify the priority areas of focus to begin to address through collaborative partnerships between the Medical Center, other organizations, and members from our community. This group included the following individuals:Shawn Kiley - Director of Mission Leadership, PTMCDr. Glenn Irani - Chief Medical Officer, PTMCBarbara Silverberg - Coordinator, Senior Outreach Program, Providence Center for Community Health ImprovementConnie Cruz - Director of Faith Community Nursing, Providence Center for Community Health ImprovementMargaret Pontius - Director, Guadalupe Community CenterJose' Salazar - Director of Program Development, Tarzana Treatment Center, Inc.Joan Maltese, Ph.D. - CEO, Child Development InstituteL.A. City Council - Safi Lodin, Field Deputy for Councilman Dennis Zine
Group A-Facility 4 -- Providence Tarzana Medical Center Part V, Section B, line 6a:	Providence Holy Cross, Saint Joseph and Tarzana Medical Centers collaborated together to complete their community health needs assessments. Since the three Medical Centers' service areas overlap, it was decided that the hospitals would work together in conducting their CHNAs.
Group A-Facility 4 -- Providence Tarzana Medical Center Part V, Section B, line 6b:	Collaboration with the Valley Care Community Consortium.
Group A-Facility 4 -- Providence Tarzana Medical Center Part V, Section B, line 11:	Priority 1: Access to affordable mental health services:To address this need, the Medical Center partners with the Tarzana Treatment Center on the development and expansion of the Mental Health Project. The Mental Health Outreach program provides outreach, education and referrals for individuals and families who are dealing with a mental health illness or substance abuse. In 2015, the Medical Center completed over 2,500 hours of outreach and education activities, exceeding the grant target of 2,222 hours.Priority 2: Diabetes and hypertension screening, management, and prevention programs:To address this need, the Medical Center has implemented Diabetes Self-Education (DSME) classes (six-course series). In addition, the Medical Center conducts Wellness Support Groups that cover diabetes, hypertension, high blood pressure, high cholesterol, and other components. Lastly, the Medical Center is currently working with Cal State University Northridge (CSUN) on their 100 Citizens Program to:1) Implement wellness visits for adults2) Evaluate the impact of wellness visits by measuring A1C levels3) Identify high-risk adults with chronic conditions, develop a physical activity plan, and link to new or existing programs designed to improve physical activity4) Monitor and track physical activity levels of adults who participate in 100 Citizens or Providence-sponsored events or programsPriority 3: Access to affordable primary and specialty care:To address this need, the Medical Center has made operational a Mobile Health Clinic to provide high quality medical care to individuals living at or near poverty who are under or uninsured and have a chronic disease, such as diabetes, high cholesterol, or high blood pressure. In addition to chronic disease management and care, the mobile clinic provides wellness visits and links patients to specialist, laboratory, and imaging services.Prioirty 4: Affordable and expanded services for a growing senior population:The Senior Outreach Program was started in 1998 to assist the elderly with homemaker services, peer counseling, and case management services. The program is staffed by mental health professionals who oversee a group of 20 volunteers. The volunteers offer services such as shopping, meal preparation, errands, and transportation to frail, elderly individuals, many of whom are homebound or of limited mobility. Volunteers are also recruited and trained to serve as peer counselors to assist seniors who are depressed because of issues such as dealing with a chronic illness, loss of friends and family, or isolation.Priority 5: Alcohol and drug abuse treatment and prevention programs:No significant progress on this need has been made as a result of limited resources.In developing the list of priority needs/issues, Providence Tarzana Medical Center looked at bringing its expertise and resources to those issues where it can make positive change. Because the Medical Center has limited resources, it focused on areas where it has the expertise and ability to make a positive impact in its community. For those reasons, the following health needs were not chosen by the hospital as part of their implementation strategy. Health Issues Not Chosen by Hospital:1) Affordable dental care 2) Accessible physical activity programs3) Affordable housing and transitional housing4) Teen pregnancy prevention programs5) STD prevention programs
Group A-Facility 4 -- Providence Tarzana Medical Center Part V, Section B, line 16i:	Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration.
Part V, Section B	Facility Reporting Group B
Facility Reporting Group B consists of:	- Facility 2: Providence LCM Med. Ctr. - Torrance, - Facility 5: Providence LCM Med. Ctr. - San Pedro
Group B-Facility 2 -- Providence LCM Med. Ctr. - Torrance Part V, Section B, line 5:	The Providence Little Company of Mary (PLCM) Community Ministry Board formed an ad hoc committee to include seven PLCM representatives and 7 external stakeholders to represent a broad spectrum of community input. The Board defined the the scope of the Committee's work as: (1) review and revise the plan for the implementation of the needs assessment, (2) consider the needs assessment findings, and (3) make recommendations to the governing board on the adoption of priority health needs for 2014-2016.Community representatives included:- Tahia Hayslet, Executive Director, Harbor Interfaith Services - Judith Kraft, MD, Chief Medical Officer, Wilmington Community Clinic- Steve Tabor, Associate Superintendent, Pupil Personnel Services, Hawthorne School District- Betsy Hamilton, Assistant Superintendent, Educational Services, Lawndale Elementary School District- Fr. Greg King, Pastor, St. Joseph Church- Paul Simon, MD MPH, Director, Division of Chronic Disease & Injury Prevention, Los Angeles Co Department of Public Health- Rick Velasquez, Chief of Staff to Supervisor Don Knabe
Group B-Facility 2 -- Providence LCM Med. Ctr. - Torrance Part V, Section B, line 6a:	The 2013 Joint Community Health Needs Assessment was conducted by Providence Little Company of Mary Medical Center, San Pedro and Providence Little Company of Mary Medical Center, Torrance. The report satisfies all of the required elements for a Joint Community Health Needs Assessment.
Group B-Facility 2 -- Providence LCM Med. Ctr. - Torrance Part V, Section B, line 11:	Priority 1: Access to Care:To address this need, the Vasek Polak Health Clinic provides primary care for uninsured adults using a low-cost, fixed-priced service delivery model; includes coordination of referrals for services outside clinic scope and on-site wellness education classes, lectures, flu clinics, etc. In addition, our Partners for Healthy Kids Mobile Clinic provides free medical care for uninsured children (0-18), including medication, immunizations, coordination of ancillary tests, screening for insurance, and referrals for specialty care.Priority 2: Wellness Education:The Creating Opportunities for Physical Education (COPA) program uses a three prong strategy to increase physical activity in children through (1) a peer coach training model for teachers (and their students), (2) a direct service after-school physical activity program and (3) family nights and special events that promote children and adults (parents and teachers) involved together in physical activity. COPA currently operates at elementary schools in four underserved communities served by the Hawthorne, Lawndale, Los Angeles, and Torrance Unified School Districts.Priority 3: Connecting People to Services:The Community Health Insurance Program (CHIP) is a community-wide initiative to enroll children and adults in Medi-Cal and Covered California at enrollment sites throughout the South Bay Community. In addition, the Welcome Baby program provides education, support information, and linkage to pregnant and new mothers by providing the services of a parent coach that create better health outcomes for the mother and the baby. After considerable discussion, the Board Committee on Community Benefits came to a consensus that it was not prudent to address the following needs because of the financial barriers to entry, the lack of PLCM expertise in the topic area and/or the balancing of both factors that made it unlikely for substantial progress to be made over the next three years in addressing the need.Health Issues Not Chosen by Hospital:1) Assistance with affordable housing2) Addressing cultural and language barriers3) Dental care4) Acute mental health care5) Expanding the number of providers who accept Medi-Cal
Group B-Facility 2 -- Providence LCM Med. Ctr. - Torrance Part V, Section B, line 16i:	Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration.
Group B-Facility 5 -- Providence LCM Med. Ctr. - San Pedro Part V, Section B, line 5:	The Providence Little Company of Mary (PLCM) Community Ministry Board formed an ad hoc committee to include seven PLCM representatives and 7 external stakeholders to represent a broad spectrum of community input. The Board defined the the scope of the Committee's work as: (1) review and revise the plan for the implementation of the needs assessment, (2) consider the needs assessment findings, and (3) make recommendations to the governing board on the adoption of priority health needs for 2014-2016.Community representatives included:- Tahia Hayslet, Executive Director, Harbor Interfaith Services - Judith Kraft, MD, Chief Medical Officer, Wilmington Community Clinic- Steve Tabor, Associate Superintendent, Pupil Personnel Services, Hawthorne School District- Betsy Hamilton, Assistant Superintendent, Educational Services, Lawndale Elementary School District- Fr. Greg King, Pastor, St. Joseph Church- Paul Simon, MD MPH, Director, Division of Chronic Disease & Injury Prevention, Los Angeles Co Department of Public Health- Rick Velasquez, Chief of Staff to Supervisor Don Knabe
Group B-Facility 5 -- Providence LCM Med. Ctr. - San Pedro Part V, Section B, line 6a:	The 2013 Joint Community Health Needs Assessment was conducted by Providence Little Company of Mary Medical Center, San Pedro and Providence Little Company of Mary Medical Center, Torrance. The report satisfies all of the required elements for a Joint Community Health Needs Assessment.
Group B-Facility 5 -- Providence LCM Med. Ctr. - San Pedro Part V, Section B, line 11:	Priority 1: Access to Care:To address this need, the Vasek Polak Health Clinic provides primary care for uninsured adults using a low-cost, fixed-priced service delivery model; includes coordination of referrals for services outside clinic scope and on-site wellness education classes, lectures, flu clinics, etc. In addition, our Partners for Healthy Kids Mobile Clinic provides free medical care for uninsured children (0-18), including medication, immunizations, coordination of ancillary tests, screening for insurance, and referrals for specialty care.Priority 2: Wellness Education:The Creating Opportunities for Physical Education (COPA) program uses a three prong strategy to increase physical activity in children through (1) a peer coach training model for teachers (and their students), (2) a direct service after-school physical activity program and (3) family nights and special events that promote children and adults (parents and teachers) involved together in physical activity. COPA currently operates at elementary schools in four underserved communities served by the Hawthorne, Lawndale, Los Angeles, and Torrance Unified School Districts.Priority 3: Connecting People to Services:The Community Health Insurance Program (CHIP) is a community-wide initiative to enroll children and adults in Medi-Cal and Covered California at enrollment sites throughout the South Bay Community. In addition, the Welcome Baby program provides education, support information, and linkage to pregnant and new mothers by providing the services of a parent coach that create better health outcomes for the mother and the baby. After considerable discussion, the Board Committee on Community Benefits (identified in #5) came to a consensus that it was not prudent to address the following needs because of the financial barriers to entry, the lack of PLCM expertise in the topic area and/or the balancing of both factors that made it unlikely for substantial progress to be made over the next three years in addressing the need.Health Issues Not Chosen by Hospital:1) Assistance with affordable housing2) Addressing cultural and language barriers3) Dental care4) Acute mental health care5) Expanding the number of providers who accept Medi-Cal
Group B-Facility 5 -- Providence LCM Med. Ctr. - San Pedro Part V, Section B, line 16i:	Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration.
Part V, Section B, Line 7a	communitybenefit.providence.org/community-health-needs-assessments/

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?43
Name and address		Type of Facility (describe)
1	1 - Ambulatory Surgery Center 2020 Santa Monica Blvd Ste 140 Santa Monica,CA90404	Outpatient Services
2	2 - Brain Tumor Center 2121 Santa Monica Boulevard Santa Monica,CA90404	Outpatient Services
3	3 - Cardiac and Pulmonary Rehab 20929 Hawthorne Boulevard Torrance,CA90503	Outpatient Services
4	4 - Carson Primary Care North 20401 Avalon Boulevard Ste B Carson,CA90746	Outpatient Services
5	5 - Child and Family Development Center 1339 20th Street Santa Monica,CA90404	Outpatient Services
6	6 - Cleft Palate Center 2121 Santa Monica Boulevard Santa Monica,CA90404	Outpatient Services
7	7 - Community Health 2601 Airport Drive Ste 220 Torrance,CA90505	Outpatient Services
8	8 - Concussion Management 501 S Buena Vista Street Burbank,CA91505	Outpatient Services
9	9 - Dermatological Center for Skin Health 2121 Santa Monica Boulevard Santa Monica,CA90404	Outpatient Services
10	10 - Hip and Pelvis Institute 2001 Santa Monica Blvd Ste 760 Santa Monica,CA90404	Outpatient Services
11	11 - Home Health 2601 Airport Drive Ste 230 Torrance,CA90505	Outpatient Services
12	12 - Howard and Hycy Hill Neuroscience Center 501 S Buena Vista Street Burbank,CA91505	Outpatient Services
13	13 - Imaging and Breast Center 1360 W 6th Street Suite 100 San Pedro,CA90731	Outpatient Services
14	14 - Margie Peterson Breast Center 2121 Santa Monica Boulevard Garden Leve Santa Monica,CA90404	Outpatient Services
15	15 - Nutrition and Diabetes Education Departm 2121 Santa Monica Boulevard Santa Monica,CA90404	Outpatient Services
16	16 - Outpatient Diagnostic Center 11570 Indian Hills Road Mission Hills,CA91345	Outpatient Services
17	17 - Outpatient Rehab Center 21135 Hawthorne Boulevard Torrance,CA90503	Outpatient Services
18	18 - Performance Therapy 2020 Santa Monica Blvd Ste 401 Santa Monica,CA90404	Outpatient Services
19	19 - Providence Center for Community Improvem 6801 Coldwater Canyon Ave North Hollywood,CA91605	Outpatient Services
20	20 - Providence Family Medical Center 520 N Prospect Ave Ste 103 Redondo Beach,CA90277	Outpatient Services
21	21 - Providence Holy Cross Cancer Center 15031 Rinaldi Street Mission Hills,CA91345	Outpatient Services
22	22 - Providence Holy Cross Health Center at P 19950 Rinaldi Street Porter Ranch,CA91326	Outpatient Services
23	23 - Providence Holy Cross Health Center at S 26357 McBean Parkway Santa Clarita,CA91355	Outpatient Services
24	24 - Providence Holy Cross Surgery Center 11550 Indian Hills Road Mission Hills,CA91345	Outpatient Services
25	25 - Providence Playa Vista Medical Center 6020 Sea Bluff Drive Ste 1 Playa Vista,CA90094	Outpatient Services
26	26 - Providence Saint Joseph Breast Health Ce 181 S Buena Vista Street Ste 300 Burbank,CA91505	Outpatient Services
27	27 - Providence Saint Joseph Diagnostic Cente 201 S Buena Vista Street Ste 125 Burbank,CA91505	Outpatient Services
28	28 - Providence Saint Joseph Health Center 3413 W Pacific Avenue Burbank,CA91505	Outpatient Services
29	29 - Providence St Elizabeth Care Center 10425 Magnolia Blvd North Hollywood,CA91601	Outpatient Services
30	30 - Providence Tarzana MRI Center 18321 Clark Street Tarzana,CA91356	Outpatient Services
31	31 - Providence Tarzana Outpatient Imaging Ce 18344 Clark Street Ste 101 Tarzana,CA91356	Outpatient Services
32	32 - Providence Tarzana Outpatient Therapy Ce 5359 Balboa Blvd Encino,CA91316	Outpatient Services
33	33 - Providence Tarzana Womens Center 18344 Clark Street Ste 110 Tarzana,CA91356	Outpatient Services
34	34 - Providence Tarzana Wound Care Center 18411 Clark Street Ste 301 Tarzana,CA91356	Outpatient Services
35	35 - Radiation Oncology 3531 Fashion Way Torrance,CA90503	Outpatient Services
36	36 - Recovery Center 1386 W 7th Street San Pedro,CA90732	Outpatient Services
37	37 - Roy and Patricia Disney Family Cancer Ce 181 S Buena Vista Street Burbank,CA91505	Outpatient Services
38	38 - San Fernando Valley Heart Institute 18321 Clark Street Tarzana,CA91356	Outpatient Services
39	39 - South Bay Ophthalmology Center 4825 Torrance Boulevard Ste 100 Torrance,CA90503	Outpatient Services
40	40 - Sub Acute Care Center 1322 W 6th Street San Pedro,CA90732	Outpatient Services
41	41 - Transitional Care Center 4320 Maricopa Street Torrance,CA90505	Outpatient Services
42	42 - Vasek Polak Health Clinic 13355 Hawthorne Blvd Hawthorne,CA90250	Outpatient Services
43	43 - Women's Imaging Center 20929 Hawthorne Boulevard Torrance,CA90503	Outpatient Services

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
Part I, Line 3c:	Eligibility for Charity is determined by an inability to pay defined in the policy based on one or more of the following criteria: Presumptive Charity and Charity. Presumptive Charity determines that financial Assistance Application is not required if a patient is either homeless, or is enrolled in some sort of Medicaid Program, or is verified to be unable to pay under income/asset test. Charity requires completion of Financial Assistance Application and validation that a patient's gross income is less than 350% of FPG.
Part I, Line 6a:	In addition to having Community Benefit information included in the consolidated Providence Health & Services Community Benefit Report, this information is also included in the Providence Health System - Southern California Regional Community Benefit Report.
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 57,820,259.
Part II, Community Building Activities:	COMMUNITY BUILDING ACTIVITIES:Providence Health & Services, California Region did not track or report the financial impact of their community building activities.
Part III, Line 2:	Bad debt expense represents the amount of gross charges for patients who do not have insurance and which PH&S-So. CA was unable to qualify for assistance under either government programs or our internal charity care policy.
Part III, Line 4:	The Health System provides for an allowance against patient accounts receivable for amounts that could become uncollectible. The Health System estimates this allowance based on the aging of accounts receivable, historical collection experience by payor, and other relevant factors. There are various factors that can impact the collection trends, such as changes in the economy, which in turn have an impact on unemployment rates and the number of uninsured and underinsured patients, the increased burden of copayments to be made by patients with insurance coverage and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the estimation process used by the Health System. The Health System records a provision for bad debts in the period of services on the basis of past experience, which has historically indicated that many patients are unresponsive or are otherwise unwilling to pay the portion of their bill for which they are financially responsible.
Part III, Line 8:	It is Providence's policy to exclude any Medicare shortfall from Community Benefit information.The amount reported on Part III, Section B, Line 6, was determined by applying the Cost-to-Charge Ratio to the Medicare revenue.
Part III, Line 9b:	BILLING & 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.
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.The data collected for community needs assessment of Providence Saint Joseph Medical Center, Providence Holy Cross Medical Center, and Providence Tarzana Medical Center included both primary and secondary data sources. The primary data sources were collected through interviews, focus groups and surveys conducted by the Valley Care Community Consortium (VCCC). Key informant interviews were conducted with persons from health and mental health organizations, community based organizations, academia, and representatives from local government agencies. In addition, VCCC conducted several community forums with area faith-based, school-based and community agencies in which surveys were done using an electronic automatic response system. Paper and online surveys were also completed with community residents. Focus groups were conducted with area community members, leaders, and service providers. These focus groups were conducted in both English and Spanish. Secondary data collection for this study included a variety of studies and reports compiled by numerous organizations at the local, state and national levels.For community needs assessment of Providence Little Company of Mary Torrance and San Pedro, primary data collection methods included: a paper or online survey to individuals and organizations across the South Bay who serve disadvantaged populations, asking their opinion on the greatest healthcare gaps in their community; phone surveys of underserved, low Income and minority populations, addressing health status, places where healthcare is accessed, health insurance, nutrition or physical activity, mental health, dental care, and demographics; a health survey given to parishioners at a local church; and key informant interviews. Secondary data collection methods included national, state and county sources, regarding population demographics and health indicators.
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.At the time of registration, patients receive a packet that includes information on charity care and financial assistance. If patients have any questions, Providence has financial counselors that will educate them on any financial assistance through the hospital or any government program that the patient may qualify for.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:Providence Health & Services, Southern California Region, operates five medical centers and outpatient centers, clinics, hospice and community outreach programs serving a wide area stretching from the northern reaches of Los Angeles County to the South Bay Area. The region is marked by great wealth, but also by large pockets of poverty. The region is composed of the coastal South Bay Service Area and the inland Valley Service Area. The service areas are separated by some 30 miles, but work as one sharing quality practices and commitment to the Providence Mission to serve those who are poor and vulnerable. The Providence Mission drives numerous programs aimed at easing those challenged by the continuing economic slump, providing free and low-cost health care, partnering with agencies with similar missions and focusing on preventive care with the hopes of improving the health of the communities served by Providence. The Providence St. Joseph Service Area encompasses 12 communities and 27 zip codes to include 729,699 residents, living in the San Fernando and Santa Clarita Valleys. The percentage of seniors (65+) in this area is 14.6%. Of the adult population (25+), 15.6% of adults have not graduated from high school, while 38.3% have a bachelor's degree or higher. The percentage of households that earn less than $25,000 is 21.5%, while 21.4% earn between $25,000 and $50,000.The Providence Holy Cross Service Area encompasses 16 communities and 19 zip codes to include 873,788 residents, living in the San Fernando, Santa Clarita, and Simi Valleys. The percentage of seniors (65+) in this area is 11.1%. Of the adult population (25+), 23.8% of adults have not graduated from high school, while 26.5% have a bachelor's degree or higher. The percentage of households that earn less than $25,000 is 16.7%, while 19.5% earn between $25,000 and $50,000.The Providence Tarzana Service Area encompasses 11 communities and 19 zip codes to include 661,950 residents, living in the San Fernando and Santa Clarita Valleys. At the time of the 2013 CHNA, the percentage of seniors (65+) in this area is 11.8%. Of the adult population (25+), 17.0% of adults have not graduated from high school, while 35.1% have a bachelor's degree or higher. The percentage of households that earn less than $15,000 is 10.7%, while 27.4% earn more than $100,000.The PLCM Service Area includes 14 separate municipalities and encompasses 25 distinct zip codes in the South Bay/Harbor area of Los Angeles County, with a resident population of 895,855. Seniors (65+) account for 14.7 percent of the population. 15.5% of adults (25+) have not graduated from high school, while 36.5% have a bachelor's degree or greater. The percentage of households that earn less than $25,000 is 18.1%, while 19.1% of households earn between $25,000 and $50,000.
Part VI, Line 5:	PROMOTION OF COMMUNITY HEALTH:As a not-for-profit Catholic health care ministry, Providence Health & Services lives out its Mission and 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. The 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. Locally, Providence ministries are empowered to apply these policies to meet the needs of their community. Additionally, Providence ministries conduct local assessments to make sure the needs of the community are met. The Greater Los Angeles Area has a growing population of poor, uninsured and under-insured in need of basic health care, and the safety net has been further stretched by the current economic slowdown. In each service area, access to low cost or free primary care is the top health care need identified by the separate needs assessments conducted in the San Fernando Valley and South Bay regions. As the home to a large number of immigrants, all of whom have immediate health care and health education needs, finding a medical home and connecting children and adults to health care remains our greatest challenge. Untreated diabetes is epidemic, and among the growing Latino population the ability to provide services in Spanish is critical to successful clinical outcomes. Providence plays a leadership role in providing program infrastructure to the most economically disadvantaged communities in the service area and seeks to improve management of these chronic conditions. Each hospital's emergency department is open 24 hours and no patient is ever denied emergency care regardless of ability to pay. Because more and more patients utilize emergency rooms as primary care, Providence medical centers provide fast-track service for routine health issues and bilingual lay people to guide and direct children and adults to appropriate community based follow up services. Providence Saint Joseph Medical Center has a Paramedic Base Station where we relay instructions from our medical team so that paramedics can begin critical treatment protocols even before our patients arrive at the hospital. Furthermore, the Medical Center partners with Leeza's Care Connection, a safe home-like living room setting where family caregivers connect with each other and with vital resources. Located within Providence Saint Joseph's Hycy and Howard Hill Neuroscience Institute, all Leeza's Care Connection programs and services are free. They include scrapbooking to help caregivers and their loved ones honor memories, exercise and wellness programs for strengthening the body and the mind, and support groups so that caregivers can safely express, share, and connect during this challenging time. In addition, safety net organizations can apply for community grants from the Medical Center.Providence Holy Cross has one of the few Level II Trauma Centers serving both the San Fernando and Santa Clarita Valleys. As an open catchment trauma center, Providence Holy Cross Medical Center meticulously coordinates patient transportation within the LA system, ensuring that patients who have sustained traumatic injuries within our geographical area can get to the trauma center for treatment within the crucial 30-minute time period. As a Level II trauma center, our Center provides surgeons, surgical specialists, emergency physicians, nurses, and other healthcare professionals trained to give immediate care to the trauma patient. In addition, safety net organizations can apply for community grants from the Medical Center.Opened in 2015 in partnership with Mercy Housing and Abode Communities, the Providence Wellness and Activity Center reflects a new endeavor to bring wellness services to the residents of Wilmington. The Center provides a place where residents can learn and grow and succeed in life by attending classes and services that link them to community resources. Many of those who come to the facility are attending ongoing fitness, yoga, and zumba classes, as well as dropping their children off at after-school and summer recreation programs.
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, CaliforniaProvidence Southern California continuously looks toward more efficient processes to ensure funding is available for community outreach programs to help those most in need. The poor and vulnerable run the spectrum from birth to the elderly, all with specific needs that are addressed by the Providence's outreach efforts. Providence funds programs for young parents; provides a developmental therapy program for infants with special needs; free flu shot campaigns for all ages; counseling for adolescents, teens and young adults who have strayed off their paths; and health screenings and health education programs for all ages. Providence has developed palliative care programs at all its medical centers and operates the largest hospice program in Southern California, one that includes the area's only children's hospice.In terms of community outreach, each of the five medical centers serves vastly different populations and tailors programs appropriately. In many cases, Providence Southern California partners with local charities such as Meet Each Need with Dignity (MEND) in the northern San Fernando Valley, the Burbank Temporary Aid Center (BTAC) in Burbank and Harbor Interfaith in San Pedro, which supports the working poor with shelter, food, job training, life skills education and other services.
Part VI, Line 7, Reports Filed With States	CA,WA,OR,MT,AK

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
PROVIDENCE HEALTH SYSTEM -SO CALIFORNIA

Employer identification number
51-0216589

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) Providence Health and Services Foundation 501 S Buena Vista St Burbank,CA91505	95-3544877	501 (c )(3)	5,724,048	Operational Support
(2) Providence Little Company of Mary Foundation 4101 Torrance Blvd Torrance,CA90503	51-0224944	501 (c )(3)	2,239,727	Operational Support
(3) Providence Health Network 20555 Earl St Torrance,CA90503	80-0886966	Other	2,000,000	Capital Support
(4) Providence TrinityCare Hospice Foundation 5315 Torrance Blvd Torrance,CA90503	33-0261016	501 (c )(3)	558,106	Operational Support
(5) Providence Medical Institute 4101 Torrance Blvd Torrance,CA90503	33-0283773	501 (c )(3)	68,070	Operational Support
(6) Northeast Valley Health Corp 1172 N Maclay Ave San Fernando,CA91340	23-7120632	501 (c ) (3)	10,000	Sponsor-Adult Wellness
(7) Valley Care Community Consortium 208 Park Avenue San Fernando,CA91340	95-6000779	501 (c ) (3)	10,000	Sponsorship
(8) Cancer Support Community Redondo Beach 109 W Torrance Blvd Redondo Beach,CA90277	95-4076131	501 (c )(3)	9,450	Various Sponsorships
(9) Hospital Association of Southern California 515 S Figueroa St Suite 1300 Los Angeles,CA90071	95-1519378	501 (c )(6)	5,850	Sponsor-Gala
(10) Cancer Support Community 109 W Torrance Blvd Suite 100 Redondo Beach,CA90277	95-4076131	501 (c ) (3)	5,200	Support cancer support groups
(11) American Heart Association 816 S Figueroa St Los Angeles,CA90017	13-5613797	501 (c )(3)	5,000	Sponsor Women's Luncheon

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) 2015

Page 2

Part III

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

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

(1) Educational Assistance	266	0	926,678	FMV	Tuition Reduction
(2) Scholarships	28	0	16,950	FMV	School Scholarships
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

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

Return Reference

Explanation

Part I, Line 2:

In the application for support/financial aid, we request a detailed explanation of the kind of services provided to the community along with specific financial data. If the application for support is approved, we send a letter indicating the amount of the support along with a request for documentation of how the funds were used, along with a report of the number of children/families served over the year. Grants made to affiliated foundations are monitored on a monthly basis since the financial statements of these organizations are readily available. Other grants are made that comply with the mission and further the tax exempt purpose of the organization.

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH SYSTEM -SO CALIFORNIA

Employer identification number

51-0216589

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

Yes

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

Yes

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

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

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

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

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

Any related organization?

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

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

The organization?

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

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

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

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Rod F Hochman MDPresident / CEO	(i) (ii)	0 ------------- 1,562,459	0 ------------- 3,522,350	0 ------------- 18,000	0 ------------- 49,002	0 ------------- 25,415	0 ------------- 5,177,226	0 ------------- 1,152,963
2Todd HofheinsEVP/CFO	(i) (ii)	0 ------------- 704,452	0 ------------- 247,640	0 ------------- 18,000	0 ------------- 269,139	0 ------------- 26,574	0 ------------- 1,265,805	0 ------------- 0
3Cindy StraussEVP/Chief Legal Officer	(i) (ii)	0 ------------- 526,875	0 ------------- 981,482	0 ------------- 18,000	0 ------------- 40,075	0 ------------- 24,624	0 ------------- 1,591,056	0 ------------- 524,784
4Karl CarrierInterim CE/CA. Region	(i) (ii)	0 ------------- 515,465	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 515,465	0 ------------- 0
5Steve MohrVP / Finance Ops. CA	(i) (ii)	0 ------------- 471,142	0 ------------- 107,510	0 ------------- 0	0 ------------- 92,366	0 ------------- 24,928	0 ------------- 695,946	0 ------------- 0
6Randy Axelrod MD Thru 315EVP/Clinical & Patient Services	(i) (ii)	0 ------------- 190,509	0 ------------- 679,339	0 ------------- 546,732	0 ------------- 11,925	0 ------------- 23,825	0 ------------- 1,452,330	0 ------------- 0
7Mike ButlerPresident/Operations & Services	(i) (ii)	0 ------------- 1,151,688	0 ------------- 402,660	0 ------------- 18,000	0 ------------- 710,959	0 ------------- 29,289	0 ------------- 2,312,596	0 ------------- 0
8Debbie BurtonSVP/ Chief Nrsg. Officer	(i) (ii)	0 ------------- 365,287	0 ------------- 300,015	0 ------------- 18,000	0 ------------- 31,695	0 ------------- 23,907	0 ------------- 738,904	0 ------------- 0
9Debra CanalesEVP/Chief People & Experience Ofc.	(i) (ii)	0 ------------- 772,941	0 ------------- 715,960	0 ------------- 161,754	0 ------------- 444,164	0 ------------- 13,966	0 ------------- 2,108,785	0 ------------- 0
10Jack Friedman Thru 615SVP/Accountable Care & Payor Rel.	(i) (ii)	0 ------------- 364,689	0 ------------- 388,093	0 ------------- 18,000	0 ------------- 103,565	0 ------------- 14,354	0 ------------- 888,701	0 ------------- 0
11Mark GargettVP/Digital Integration	(i) (ii)	0 ------------- 387,625	0 ------------- 245,091	0 ------------- 0	0 ------------- 58,688	0 ------------- 23,604	0 ------------- 715,008	0 ------------- 0
12Aaron MartinSVP/Strategy & Innovation	(i) (ii)	0 ------------- 512,696	0 ------------- 151,000	0 ------------- 18,000	0 ------------- 182,349	0 ------------- 7,050	0 ------------- 871,095	0 ------------- 0
13Tom McDonaghVP/Chief Investment Officer	(i) (ii)	0 ------------- 451,242	0 ------------- 512,101	0 ------------- 0	0 ------------- 34,150	0 ------------- 23,966	0 ------------- 1,021,459	0 ------------- 0
14Rhonda Medows MDEVP/Population Health	(i) (ii)	0 ------------- 524,152	0 ------------- 100,000	0 ------------- 43,823	0 ------------- 176,410	0 ------------- 12,098	0 ------------- 856,483	0 ------------- 0
15Jack MuddSVP/Mission Leadership	(i) (ii)	0 ------------- 394,530	0 ------------- 220,747	0 ------------- 17,141	0 ------------- 70,632	0 ------------- 18,218	0 ------------- 721,268	0 ------------- 0
16Janice NewellSVP/Chief Information Officer	(i) (ii)	0 ------------- 578,517	0 ------------- 938,806	0 ------------- 18,000	0 ------------- 23,307	0 ------------- 14,460	0 ------------- 1,573,090	0 ------------- 185,427
17Harvey SmithSVP/Chief Customer Svc. Officer	(i) (ii)	0 ------------- 591,345	0 ------------- 235,203	0 ------------- 18,000	0 ------------- 23,818	0 ------------- 18,087	0 ------------- 886,453	0 ------------- 0
18Teresa SpaldingVP/Revenue Cycle	(i) (ii)	0 ------------- 328,808	0 ------------- 345,091	0 ------------- 18,000	0 ------------- 32,190	0 ------------- 12,942	0 ------------- 737,031	0 ------------- 0
19Lisa VanceSVP/Clinical Program Services	(i) (ii)	0 ------------- 479,541	0 ------------- 203,545	0 ------------- 103,000	0 ------------- 37,359	0 ------------- 13,827	0 ------------- 837,272	0 ------------- 0
20Craig Wright MDSVP/Physician Services	(i) (ii)	0 ------------- 552,895	0 ------------- 2,237,145	0 ------------- 5,000	0 ------------- 105,811	0 ------------- 19,569	0 ------------- 2,920,420	0 ------------- 835,177
21Dale SurowitzCEO - Tarzana	(i) (ii)	0 ------------- 523,657	0 ------------- 865,883	0 ------------- 18,000	0 ------------- 48,663	0 ------------- 23,248	0 ------------- 1,479,451	0 ------------- 369,954
22Laurence EasonCMO/Chief Clinical Officer	(i) (ii)	0 ------------- 487,706	0 ------------- 866,753	0 ------------- 0	0 ------------- 24,236	0 ------------- 18,139	0 ------------- 1,396,834	0 ------------- 425,758
23Bernard Klein MDCEO/HCMC	(i) (ii)	0 ------------- 521,563	0 ------------- 186,274	0 ------------- 0	0 ------------- 172,957	0 ------------- 22,618	0 ------------- 903,412	0 ------------- 0
24Julie SprengelCEO/PSJMC	(i) (ii)	0 ------------- 503,930	0 ------------- 158,470	0 ------------- 0	0 ------------- 148,240	0 ------------- 7,389	0 ------------- 818,029	0 ------------- 0
25Prubjeet KhuranaCSO	(i) (ii)	0 ------------- 380,758	0 ------------- 217,244	0 ------------- 56,127	0 ------------- 55,361	0 ------------- 4,187	0 ------------- 713,677	0 ------------- 0
26Phil JacksonChief Integration Officer	(i) (ii)	0 ------------- 25,262	0 ------------- 680,517	0 ------------- 446,174	0 ------------- 24,714	1 ------------- 21,976	1 ------------- 1,198,643	0 ------------- 327,565
27Teresa DavidCOO - Facey Med. Foundation	(i) (ii)	310,089 ------------- 0	212,780 ------------- 0	51,602 ------------- 0	2,790 ------------- 0	9,202 ------------- 0	586,463 ------------- 0	0 ------------- 0
28Jim CorwinCFO/CA. Medical Foundations	(i) (ii)	308,838 ------------- 0	212,780 ------------- 0	35,755 ------------- 0	7,653 ------------- 0	19,978 ------------- 0	585,004 ------------- 0	0 ------------- 0
29Elizabeth DunneCEO - LCM Torrance/SPPH	(i) (ii)	0 ------------- 388,561	0 ------------- 99,820	0 ------------- 40,399	0 ------------- 8,639	0 ------------- 6,184	0 ------------- 543,603	0 ------------- 0
30Richard GlimpCMO/Facey Medical Foundation	(i) (ii)	391,567 ------------- 0	55,292 ------------- 0	31,784 ------------- 0	11,328 ------------- 0	13,864 ------------- 0	503,835 ------------- 0	0 ------------- 0
31Michael HunnFormer /CE / CA. Region	(i) (ii)	0 ------------- 100	0 ------------- 0	0 ------------- 584,581	0 ------------- 45,635	0 ------------- 22,025	0 ------------- 652,341	0 ------------- 0
32Nancy CarlsonFormer CEO - LCM San Pedro	(i) (ii)	0 ------------- 2,578	0 ------------- 38,755	0 ------------- 102,591	0 ------------- 0	0 ------------- 1,253	0 ------------- 145,177	0 ------------- 0
33Gerald CluteFormer CEO - Tarzana	(i) (ii)	0 ------------- 4,386	0 ------------- 0	0 ------------- 190,354	0 ------------- 50	0 ------------- 2,835	0 ------------- 197,625	0 ------------- 0
34Michael RembisFormer CEO - PSJMC	(i) (ii)	0 ------------- 20,211	0 ------------- 474,248	0 ------------- 421,616	0 ------------- 4,020	0 ------------- 25,008	0 ------------- 945,103	0 ------------- 183,988
35John FletcherFormer VP/Operations Support	(i) (ii)	0 ------------- 0	0 ------------- 102,560	0 ------------- 481,290	0 ------------- 773	0 ------------- 18,005	0 ------------- 602,628	0 ------------- 0
36Jan JonesFormer SVP/CAO	(i) (ii)	0 ------------- 0	0 ------------- 106,169	0 ------------- 653,292	0 ------------- 8,197	0 ------------- 25,789	0 ------------- 793,447	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
Part I, Line 1a	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 2015, there were 14 First Class tickets utilized by Officers, Directors or Key Employees listed on Form 990, Part VII. Tax Indemnifications or Gross-Up Payments Providence Health & Services follows the federal and state taxation laws related to relocation expenses paid to the employee or to a third party on the employee's behalf. They are considered income and are therefore subject to payroll taxes. Based on the way Providence has chosen to pay the relocation expenses, Providence reports reimbursements and payments to vendors as income and these expense payments are reflected on the executive's Form W-2. Providence will gross-up the relocation benefits to offset the personal tax burden to the employee for IRS allowable expenses. During 2015, the following Listed Persons received gross-up payments: Debra Canales Rhonda Medows, MD The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. 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 2015, the following Listed Persons received relocation/housing program payments: Debra Canales Rhonda Medows, MD The amounts reported for these relocation/housing payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation.
Part I, Lines 4a-b	NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) CBRP = Cash Balance Restoration Plan 1) Rod Hochman, MD a) SERP Vested but not Paid - $1,918,360 b) SERP Interest Credit - $32,014 2) Todd Hofheins a) SERP Earned but not Vested - $244,283 3) Cindy Strauss a) SERP Vested but not Paid - $796,632 b) SERP Interest Credit - $20,200 4) Craig Wright, MD a) SERP Vested but not Paid - $2,047,185 b) SERP Interest Credit - $75,356 5) Debra Canales a) SERP Earned but not Vested - $432,239 6) Michael Butler a) SERP Earned but not Vested - $590,423 b) SERP Interest Credit - $84,804 7) Janice Newell a) SERP Vested but not Paid - $772,706 b) SERP Interest Credit - $4,758 8) Tom McDonagh a) SERP Vested but not Paid - $323,732 b) SERP Interest Credit - $5,950 c) Taxable CBRP Paid - $5,569 9) Lisa Vance a) SERP Earned but not Paid - $22,291 b) SERP Interest Credit - $5,164 c) Taxable CBRP Earned - $63 d) Non-Taxable CBRP Earned - $2 10) Jack Friedman a) Taxable SERP Earned but not Paid - $69,453 b) SERP Interest Credit - $54,261 11) Teresa Spalding a) Taxable SERP Earned but not Paid - $245,180 b) Taxable CBRP Paid - $2 12) Debbie Burton a) SERP Earned but not Paid - $191,285 b) SERP Interest Credit - $5,020 13) Aaron Martin a) SERP Earned but not Vested - $170,424 14) Rhonda Medows a) SERP Earned but not Vested - $164,484 15) Mark Gargett a) Taxable SERP Earned but not Paid - $136,029 b) Taxable CBRP Paid - $42 c) SERP Interest Credit - $22,957 16) Jack Mudd a) SERP Earned but not Paid - $67,957 b) SERP Interest Credit - $42,960 17) Steve Mohr a) SERP Earned but Not Vested - $80,441 18) Dale Surowitz a) SERP Interest Credit - $28,954 b) Taxable SERP Paid - $802,743 19) Laurence Eason a) Taxable SERP Paid - $809,253 b) Taxable CBRP Paid - $11 20) Bernard Klein, MD a) SERP Earned but Not Vested - $146,207 b) Taxable CBRP Paid - $94,614 21) Julie Sprengel a) SERP Earned but Not Vested - $140,619 22) Prubjeet Khurana a) SERP Earned but Not Vested - $51,878 23) Phil Jackson a) Taxable CBRP Paid - $35,985 b) Taxable SERP Paid - $585,641 24) John Fletcher a) Taxable SERP Paid - $102,560 b) Non-Taxable SERP Paid - $773 25) Jan Jones a) Taxable SERP Paid - $106,169 b) SERP Interest Credit - $8,197 26) Michael Hunn a) SERP Interest Credit - $43,082 27) Nancy Carlson a) Taxable SERP Paid - $38,755 28) Michael Rembis a) Taxable SERP Paid - $415,858
Part I, Lines 4a-b	SEVERANCE 1) Phil Jackson - $421,478 2) Nancy Carlson - $102,591 3) Gerald Clute - $190,086 4) Michael Rembis - $417,874 5) Michael Hunn - $ 578,167 6) John Fletcher - $ 476,515 7) Jan Jones - $ 653,292 8) Randy Axelrod - $ 515,897
FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS PROGRAM	The Providence Executive Incentive Program provides a lump sum award annually as a percent of the executive's base pay. Percent opportunities are aligned with our total compensation philosophy as outlined in Part VI, Section B, Line 15 (Process for determining compensation of top management, officers & key employees). The performance award is based on the level of accomplishment of annual system objectives, in combination with personal goals for top executives. In 2015, 50 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's six strategic priorities of: creating healthier communities together, inspire and develop our people, building enduring relationships with consumers, create alignment with clinicians & care teams, develop and thrive under new care delivery & economic models, and grow by optimizing expert-to-expert capabilities. The remaining 50% was based on a robust set of personal goals designed to align critical mission and business drivers, executive team talent development (deepening talent pipeline for top 200+leaders) and professional development. In 2015 the percent allocation for each of these strategic priorities was as outlined below: * Success Measures - System Goals : 50% Community Benefit - 5% Caregiver (Employee) Engagement - 7.5% MyChart Activations - 5% Patient Loyalty Index - 5% Clinical Excellence Index - 7.5% Free Cash Flow - 5% Salary Expense / Net Operating Revenue - 2.5% Primary Care Panel Size - 5% Total Growth in Operating Revenue - 7.5% * Success Measures - Personal Goals : 50% Mission/Business Driver - 15% Exec Talent Development - 20% Professional Development - 15% TOTAL ALLOCATION: 100%

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
PROVIDENCE HEALTH SYSTEM -SO CALIFORNIA

Employer identification number
51-0216589

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	CA Health Facilities Financing Authority	52-1643828	13033F7L8	11-06-2008	284,698,621	See PART VI	X			X		X
B	CA Health Facilities Financing Authority	52-1643828	13033LBZ9	07-29-2009	145,060,500	Construct Patient Tower - Holy Cross Med. Ctr.		X		X		X
C	CA Health Facilities Financing Authority	52-1643828	13033L4G9	06-26-2014	305,080,327	Advance Refund a Portion of CHFFA Series 2008C Bonds		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	22,400,000				1,385,000
2 Amount of bonds legally defeased ..............	251,010,000
3 Total proceeds of issue ..................	284,698,623		145,228,932		305,080,327
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			13,434,940
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	4,582,212		2,072,500		2,808,157
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			129,637,276
11 Other spent proceeds .............	280,116,410		84,216		302,272,170
12 Other unspent proceeds .............
13 Year of substantial completion .............	2008		2011		2008
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X			X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X	X
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

Part III

Private Business Use

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

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

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............	X			X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..	0.700 %
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

Part IV

Arbitrage

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

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

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

Part V

Procedures To Undertake Corrective Action

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

Part VI

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

Return Reference	Explanation
SCHEDULE K, ISSUE A PART I, QUESTION (F)	Refinance bank loan used for acquisition of Providence Tarzana Medical Center, currently call the CHFFA Series 2001 A, B & C (Providence Health System) and CHFFA Series 1998 (Little Company of Mary).
SCHEDULE K, ISSUE A PART IV, QUESTION 2C	The most recent rebate computation for the bonds was completed through 12/11/2013.
SCHEDULE K, ISSUE C PART IV, QUESTION 2C	The most recent rebate computation for the bonds was completed through 08/01/2014.
SCHEDULE K, ISSUE B PART II - PROCEEDS	The amount of the Total Proceeds of Issue are greater than the Issue Price due to Investment Earnings on the proceeds.
SCHEDULE K, ISSUE A, PART III	As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private payment test may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, Line 6. The Organization has not undertaken an analysis of the private security test with respect to the bonds, as the level of private business use and/or unrelated trade or business use reported in Part III, Line 6 is not in excess of amounts permitted under Section 145 of the Code.

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

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

Attach to Form 990 or 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

PROVIDENCE HEALTH SYSTEM -SO CALIFORNIA

Employer identification number

51-0216589

Return Reference	Explanation
Form 990, Part VI, Section A, line 6	The sole Member of the Corporation is Providence Health & Services.
Form 990, Part VI, Section A, line 7a	The powers of the Corporate Member include the provision to appoint the number of Directors, appoint the Board of Directors and to remove such Directors at any time with or without cause.
Form 990, Part VI, Section A, line 7b	The following powers are reserved exclusively to the Corporate Member: A) To adopt and amend the Articles of Incorporation and the Bylaws of the Foundation after consultation with the Foundation's Board of Directors. B) To approve the merger, consolidation, or affiliation of the Foundation with another corporation, organization or program, or the dissolution of the Foundation. C) To approve any strategic plan of the Foundation. D) To approve the annual fundraising plan including special events, annual, capital and planned giving activities. E) To approve the acceptance of any gift that carries conditions or limitations or any gift restricted to services, programs or facilities not currently offered or approved to be offered by the Corporate Member's Board of Directors.
Form 990, Part VI, Section B, line 11	The Form 990 is prepared internally by experienced Providence Health & Services staff and reviewed by the internal PH&S Director of Taxes and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS.
Form 990, Part VI, Section B, line 12c	Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict.
Form 990, Part VI, Section B, line 15	It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are reviewed by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Each year, the Board Chair conducts a formal performance evaluation of the President/CEO that considers input from the other directors and senior leaders reporting to the President. The evaluation is discussed with the Human Resources Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Human Resources Committee also meet with an independent consultant to develop a salary recommendation; which is reviewed and approved first by the committee and then by the Board of Directors. Additionally, the President/CEO utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for other senior executives. This process includes a rigorous analysis of those recommendations with the Human Resources Committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering Providence operating commitments and strategic objectives - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated patient satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector.
Form 990, Part VI, Section C, line 19	Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon request. The consolidated financial statements are available on our public Internet site www2.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site.
Form 990, Part VII	Karl Carrier - 20555 Earl Street, Torrance, CA 90503. Steve Mohr - 501 S. Buena Vista Street, Burbank, CA 91505. Dale Surowitz - 18321 Clark Street, Tarzana, CA 91353. Laurence Eason - 501 S. Buena Vista Street, Burbank, CA 91505. Bernard Klein, MD - 15031 Rinaldi Street, Mission Hills, CA 91345. Julie Sprengel - 501 S. Buena Vista Street, Burbank, CA 91505. Teresa David - 15451 San Fernando Mission Blvd., Mission Hills, CA 91345. Jim Corwin - 15451 San Fernando Mission Blvd., Mission Hills, CA 91345. Elizabeth Dunne - 4101 Torrance Boulevard, Torrance, CA 90503. Richard Glimp - 4101 Torrance Boulevard, Torrance, CA 90503. Michael Hunn - 501 S. Buena Vista Street, Burbank, CA 91505. Nancy Carlson - 1300 West 7th Street, San Pedro, CA 90732. Gerald Clute - 18321 Clark Street, Tarzana, CA 91353. Michael Rembis - 501 S. Buena Vista Street, Burbank, CA 91505.
Form 990, Part IX, line 11g	Agency/Contract Labor: Program service expenses 41,885,477. Management and general expenses 1,573,702. Fundraising expenses 0. Total expenses 43,459,179. Medical Director & Med Physician Fees: Program service expenses 37,643,836. Management and general expenses 0. Fundraising expenses 0. Total expenses 37,643,836. Repairs & Maintenance: Program service expenses 12,904,450. Management and general expenses 2,247,909. Fundraising expenses 0. Total expenses 15,152,359. Billing & Collections: Program service expenses 0. Management and general expenses 698,468. Fundraising expenses 0. Total expenses 698,468. Records Management: Program service expenses 22,776. Management and general expenses 1,503. Fundraising expenses 0. Total expenses 24,279. Transcription & Translation Services: Program service expenses 819,714. Management and general expenses 0. Fundraising expenses 0. Total expenses 819,714. Dietary: Program service expenses 544,752. Management and general expenses 567,555. Fundraising expenses 0. Total expenses 1,112,307. Other Patient Services: Program service expenses 83,981,270. Management and general expenses 0. Fundraising expenses 0. Total expenses 83,981,270. Other Administrative Services: Program service expenses 7,238,327. Management and general expenses 28,886,253. Fundraising expenses 4,965. Total expenses 36,129,545. General Consulting Fees: Program service expenses 1,693,404. Management and general expenses 4,776,772. Fundraising expenses 10,500. Total expenses 6,480,676.
Form 990, Part XI, line 9:	Recipient Organization Adjustment 13,759,741. IAF Consolidated Equity Transfers 419,819. PH&S Employee Discount 48,000. Auxiliary Distribution to Foundation 100,000. Effect of Auxiliary -99,999. Rounding 4. One Real Estate Net Asset Transfer 34,055,276. 2009 Construction Write Off -3,469,800.
FROM 990, PART XII, LINE 2C - AUDIT & COMPLIANCE	The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the System's financial statements and reporting, the audit process and the System's internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the System's internal and external auditors; the System's investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation.
FORM 990, PART I, LINE 6 - VOLUNTEERS	Our volunteers provide valuable assistance to all of our ministries through a variety of services. Some specific examples include the following: BEYOND FIFTY VOLUNTEER In conjunction with the Beyond Fifty Program, volunteers may sign up to work on Beyond Fifty projects with the Beyond Fifty Program manager. These projects usually involve mailings and/or filing. CLERICAL VOLUNTEERS Clerical volunteers perform general office work such as filing, mailing, data entry, word processing, answering phones, making charts and copying forms. They work in most of the business and clinical offices throughout the hospital. CLINICAL VOLUNTEERS Clinical volunteers work on the nursing floors in 4 hour shifts. They help with trays and feeding and check on patients to be sure they are comfortable. They also put away clean linens, make beds, run errands for the nurses, keep the nurses' kitchen in order, take patients for wheelchair walks and discharge patients. EMERGENCY ROOM VOLUNTEERS These volunteers work a four hour shift once a week. Duties include making phone calls to recently discharged patients, checking on their condition and asking a few brief questions regarding the care they received while a patient, helping at the registration desk, checking on each patient to see if they need anything, running errands for the staff, answering phones, discharging patients by wheel chair, making beds, etc. INFORMATION DESK They must be able to multi-task: answer phones, direct patients and be willing to walk patients to their destinations. They must have excellent customer relation skills. MESSENGER CENTER Volunteers work a four hour shift answering the messenger phone, carrying lab samples, charts, x-rays, etc. and transporting ambulatory patients by wheel chair within the hospital. The messengers also work on mailing projects for various departments. This is an opportunity for those who like to walk and enjoy a variety of experiences as well as enjoying the constant contact with others. MUSIC PROGRAM Volunteers who sing or play a musical instrument schedule four hours per week to visit patients and sing or play for them. Harpists and guitar players are needed as well as other movable instruments which can be played individually. PATIENT VISITOR These volunteers visit the newly admitted patients to welcome them and provide a friendly ear for requests, complaints or just a brief visit. The volunteer must be outgoing and friendly, able to make easy conversation. PETS WITH A PURPOSE This program is in conjunction with Recreation Therapy. Pet volunteers visit patients with their dogs. The dogs are chosen for their friendly personalities and must pass behavioral tests and training to qualify. Visiting is done on a rotating schedule. All applications must be approved by Recreation Therapy Manager. SPIRITUAL CARE VOLUNTEERS Eucharistic Ministers visit the sick and bring Holy Communion to patients requesting the service. This is done on a rotating basis as the volunteer is available. Other volunteers work on projects such as little gifts and handouts for patients. SURGERY WAITING ROOM DESK Another customer service job places the volunteer in the Surgery Waiting room. He/she must keep track of all patients' family members and other visitors and dispense information regarding the patient in surgery. Duties include keeping the room neat, monitoring the television, making and serving coffee and tea and cleaning up at the end of the shift. The volunteer must also maintain a pleasant, helpful attitude at all times. Volunteers with Providence High School assist in the following capacities: * Mentoring for senior projects and other assignments * Class presentations * Meeting Attendance * Preparing special mailings * Laundry * Building Props and making costumes * Supervision of special events * Setting up for special events * Cleaning up after events * Hospitality for events * Video special events * Chaperoning field trips and dances * Courier Service * Traffic Control
FORM 990, PART VII - RELIGIOUS COMMUNITY MEMBERS	As members of the Religious Community, each Sister has taken a vow of poverty as a compulsory part of her religious life. Any compensation for services of a Sister inures only for the benefit of the Community, not the individual members. All payments for services are made directly to the Religious Community.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

PROVIDENCE HEALTH SYSTEM -SO CALIFORNIA

Employer identification number

51-0216589

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

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Providence Health & Services - Washington 1801 Lind Avenue SW 9016 Renton,WA980579016 51-0216586	Healthcare System	WA	501( c)(3)	Line 3	Providence Health & Services		No
(2)Providence Health & Services - Oregon 1801 Lind Avenue SW 9016 Renton,WA980579016 51-0216587	Healthcare System	OR	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	WA	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	Yes
(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	Yes
(10)Providence TrinityCare Hospice 5315 Torrance Blvd Suite B1 Torrance,CA90503 95-3264139	Hospice	CA	501( c)(3)	Line 9	PHS - So California	Yes
(11)Providence Blanchet Association 1700 Providence Pl Centralia,WA98531 91-1789266	Supportive Housing	WA	501( c)(3)	Line 7	PH & S - Washington		No
(12)St Luke Association 350 Washington Ave SE Chehalis,WA98352 94-3176618	Supportive Housing	WA	501( c)(3)	Line 7	PH & S - Washington		No
(13)Providence Rossi Association 1700 Providence Pl Centralia,WA98531 31-1584166	Supportive Housing	WA	501( c)(3)	Line 9	PH & S - Washington		No
(14)Lundberg Association 5921 E Burnside Portland,OR97215 91-1562797	Supportive Housing	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(15)Providence St Francis Association 3415 12th Avenue NE Olympia,WA98506 94-3244854	Supportive Housing	WA	501( c)(3)	Line 7	PH & S - Washington		No
(16)Providence Peter Claver Association 7101 38th Avenue South Seattle,WA98118 31-1629656	Supportive Housing	WA	501( c)(3)	Line 7	PH & S - Washington		No
(17)Providence St Elizabeth House Association 3201 SW Graham St Seattle,WA98126 91-2171539	Supportive Housing	WA	501( c)(3)	Line 7	PH & S - Washington		No
(18)Providence Gamelin House Association 4515 MLK Jr Way S Ste 200 Seattle,WA98108 31-1744654	Supportive Housing	WA	501( c)(3)	Line 7	PH & S - Washington		No
(19)The Gamelin Association 312 North Fourth St Yakima,WA98901 91-1180824	Supportive Housing	WA	501( c)(3)	Line 7	PH & S - Washington		No
(20)The Gamelin Oregon Association 5520 NE Glisan Portland,OR97213 91-1214491	Supportive Housing	OR	501( c)(3)	Line 9	PH & S - Oregon		No
(21)The Gamelin California Association 540 23rd St Oakland,CA94612 91-1293869	Supportive Housing	CA	501( c)(3)	Line 9	PHS - So California	Yes
(22)Gamelin Washington Association 1423 First Avenue Seattle,WA98101 20-1910170	Supportive Housing	WA	501( c)(3)	Line 7	PH & S - Washington		No
(23)Providence Dethman House 1205 Montello Ave Hood River,OR97031 47-3385506	Supportive Housing	WA	501( c)(3)	Pending	N/A		No
(24)Providence Foundation 1801 Lind Avenue SW 9016 Renton,WA980579016 94-3078543	Support PH&S Institutions	WA	501( c)(3)	Line 11/Type II	PH & S - Washington		No
(25)Providence Alaska Foundation 3300 Providence Drive - B Tower2 Anchorage,AK99508 92-0093565	Support PHS-Alaska	AK	501( c)(3)	Line 11/Type I	PH & S - Washington		No
(26)Providence St Peter Foundation 413 Lilly Road NE Olympia,WA985065166 91-1097056	Support Affiliated Tax-Exempt Organization	WA	501( c)(3)	Line 7	PH & S - Washington		No
(27)Providence Health Care Foundation (Centralia) 914 S Scheuber Road Centralia,WA98531 91-1433382	Support Providence Centralia Hospital	WA	501( c)(3)	Line 7	PH & S - Washington		No
(28)Providence Mount St Vincent Foundation 4831 - 35th Avenue SW Seattle,WA981262799 91-1188119	Support Providence Mount St.Vincent	WA	501( c)(3)	Line 7	PH & S - Washington		No
(29)Providence Marianwood Foundation 3725 Providence Point Drive SE Issaquah,WA980297219 93-1554288	Support Providence Marianwood	WA	501( c)(3)	Line 11/Type I	PH & S - Washington		No
(30)Providence Newberg Health Foundation 1001 Providence Drive Newberg,OR97132 93-0889144	Support Providence Newberg Medical Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(31)Providence Seaside Hospital Foundation 725 S Wahanna Rd Seaside,OR97138 93-0927320	Support Providence Seaside Hospital	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(32)Providence Community Health Foundation 1111 Crater Lake Ave Medford,OR97504 93-0692907	Support Providence Medford Medical Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(33)Providence Benedictine Nursing Center Foundation 540 South Main St Mt Angel,OR973629532 91-1940286	Support Providence Benedictine Nursing Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(34)Providence Portland Medical Foundation 4805 NE Glisan St Portland,OR972132967 93-1231494	Support Providence Portland Medical Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(35)Providence St Vincent Medical Foundation 9205 SW Barnes Rd Portland,OR97225 93-0575982	Support Providence St. Vincent Medical Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(36)Providence Milwaukie Foundation 10150 SE 32nd Milwaukie,OR97222 94-3079515	Support Providence Milwaukie Hospital	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(37)Providence Child Center Foundation 830 NE 47th Portland,OR97213 93-0800140	Support Providence Child Center	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(38)Providence TrinityCare Hospice Foundation 5315 Torrance Blvd Suite B1 Torrance,CA90503 33-0261016	Support TrinityCare Hospice	CA	501( c)(3)	Line 7	Providence TrinityCare Hospice	Yes
(39)Providence Little Company of Mary Foundation 4101 Torrance Blvd Torrance,CA90503 51-0224944	Support Little Company of Mary Service Area	CA	501( c)(3)	Line 7	PHS - So California	Yes
(40)PH&S FoundationSFVSA & SCVSA 501 S Buena Vista Street Burbank,CA91505 95-3544877	Support Program & Activities of SFVSA & SCVSA	CA	501( c)(3)	Line 7	PHS - So California	Yes
(41)Providence Hospice of Seattle Foundation 425 Pontius Avenue North 300 Seattle,WA981095452 91-2077378	Support Hospice of Seattle	WA	501( c)(3)	Line 11/Type I	PH & S - Washington		No
(42)Providence Health & Services - Western Washington 1801 Lind Avenue SW 9016 Renton,WA980579016 91-1303277	Healthcare	WA	501( c)(3)	Line 3	Providence MinistriesWHC		No
(43)Providence Health & Services 1801 Lind Avenue SW 9016 Renton,WA980579016 91-1549796	Shell Corporation	WA	501( c)(3)	Line 11/Type II	Providence Ministries		No
(44)Providence Health & Services - Montana 500 W Broadway PO Box 4587 Missoula,MT598064587 81-0231793	Healthcare	MT	501( c)(3)	Line 3	PH & S - Washington		No
(45)Providence St Joseph Medical Center PO Box 1010 Polson,MT598601010 81-0463482	Healthcare	MT	501( c)(3)	Line 3	PH & S - Washington		No
(46)St Thomas Child and Family Center 1710 Benefis Court Great Falls,MT59405 81-0233495	Early Childhood Education	MT	501( c)(3)	Line 9	PH & S - Washington		No
(47)Sisters of Providence of Montana Corporation 1801 Lind Avenue SW 9016 Renton,WA980579016 26-2612415	Shell Corporation	MT	501( c)(3)	Line 1	PH & S - Washington		No
(48)Providence Health Care Foundation - Eastern Washington 101 W 8th Ave Spokane,WA99204 32-0014330	Support PH&S-WA. Ministries in E. WA.	WA	501( c)(3)	Line 7	PH & S - Washington		No
(49)St Patrick Hospital Foundation 500 West Broadway PO Box 4587 Missoula,MT598064587 23-7056976	Support Healthcare in W. Montana	MT	501( c)(3)	Line 7	PH & S - Washington		No
(50)University of Great Falls 1301 20th Street South Great Falls,MT59405 81-0231777	Post Secondary Education	MT	501( c)(3)	Line 2	Providence Health & Services		No
(51)E WA & MT Unemployment Compensation Insurance Trust 1801 Lind Avenue SW 9016 Renton,WA980579016 91-1082119	Unemployment Benefits	WA	501( c)(3)	Line 11/Type I	PH & S - Washington		No
(52)Providence Willamette Falls Medical Foundation 1500 Division Street Oregon City,OR97045 93-1003750	Support Willamette Falls Hospital	OR	501( c)(3)	Line 11/Type I	PH & S - Oregon		No
(53)Providence Hood River Memorial Hospital Foundation Inc 811 13th St Hood River,OR97031 93-0921990	Support Providence Hood River Memorial Hospital	OR	501( c)(3)	Line 7	PH & S - Oregon		No
(54)Providence Hospice and Home Care Foundation 2731 Wetmore Avenue Suite 500 Everett,WA98201 27-2552749	Support Program & Ministries of PHHC	WA	501(c )(3)	Line 7	PH & S - Washington		No
(55)Providence St Mary Foundation 401 W Poplar St Walla Walla,WA99362 45-2841492	Support Program & Ministries of SMMC	WA	501(c )(3)	Line 7	PH & S - Washington		No
(56)Facey Medical Foundation 15451 San Fernando Mission Blvd 200 Mission Hills,CA913451420 95-4322584	Support Facey Medical Group	CA	501(c )(3)	Line 7	PHS - So California	Yes
(57)Swedish Health Services 747 Broadway Seattle,WA98122 91-0433740	Healthcare	WA	501(c )(3)	Line 3	Western HealthConnect		No
(58)Swedish Edmonds 21601 76th Ave W Edmonds,WA98026 27-2305304	Healthcare	WA	501(c )(3)	Line 3	Western HealthConnect		No
(59)Swedish Medical Center Foundation 747 Broadway Seattle,WA98122 91-0983214	Support Swedish Health Services	WA	501(c )(3)	Line 7	Swedish Health Services		No
(60)Global To Local Health Initiative 2800 South 192nd St 104 SeaTac,WA98188 27-3133200	Healthcare	WA	501(c )(3)	Line 7	Swedish Health Services		No
(61)Swedish MJM Holdings 747 Broadway Seattle,WA98122 27-3139262	Holding Company	WA	501(c )(3)	Line 11/Type I	Swedish Health Services		No
(62)Marsha Rivkin Center for Ovarian Cancer Research 747 Broadway Seattle,WA98122 91-2054035	Ovarian Cancer Research	WA	501(c )(3)	Line 7	Swedish Health Services		No
(63)Western HealthConnect 747 Broadway Seattle,WA98122 45-4171900	Shell Corporation	WA	501(c )(3)	Line 11/Type II	PH&S Western Washington		No
(64)Inland Northwest Health Services 601 W 1st Avenue Spokane,WA99201 91-1307555	Healthcare	WA	501( c)(3)	Line 3	PH&S - Washington		No
(65)Kadlec Regional Medical Center 888 Swift Blvd Richland,WA99352 91-0655392	Healthcare	WA	501(c )(3)	Line 3	Western HealthConnect		No
(66)Kadlec Neurological Resource Center 1268 Lee Blvd Richland,WA99352 91-1266345	Healthcare	WA	501(c )(3)	Line 9	Western HealthConnect		No
(67)Kadlec Foundation 888 Swift Blvd Richland,WA99352 23-7005501	Support Kadlec Regional Medical Center	WA	501(c )(3)	Line 11/Type I	Kadlec Regional Medical Center		No
(68)PacMed Clinics 1200 12th Ave S Seattle,WA98144 56-2290878	Healthcare	WA	501(c )(3)	Line 9	Western HealthConnect		No
(69)Seattle Science Foundation 550 17th Ave Seattle,WA98122 61-1502822	Physician Collaboration	WA	501(c )(3)	Line 7	Western HealthConnect		No
(70)Providence Saint John's Health Center 2121 Santa Monica Blvd Santa Monica,CA90404 95-1684082	Healthcare	CA	501(c )(3)	Line 3	PHS - So California	Yes
(71)John Wayne Cancer Institute 2200 Santa Monica Blvd Santa Monica,CA90404 95-4291515	Cancer Treatment	CA	501(c )(3)	Line 4	Providence Saint John's Health Center	Yes
(72)Saint John's HospitalHealth Center Foundation 2121 Santa Monica Blvd Santa Monica,CA90404 95-6100079	Support Saint John Health Center & JWCI	CA	501(c )(3)	Line 7	Providence Saint John's Health Center	Yes
(73)Providence St Joseph Health 1801 Lind Avenue SW 9016 Renton,WA98057 81-1244422	Shell Corporation	WA	501(c )(3)	Pending	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Providence Imaging Center 3340 Providence Drive Anchorage,AK99508 92-0118807	Medical Imaging	AK	PH&S - WA	Related				No			No
(2) California Laboratory Associates LLC 501 Buena Vista Burbank,CA91505 27-3888692	Outpatient Lab	CA	PHS - So California	Related	-2,232,657	-2,962,134		No			No	85.900 %
(3) Broadway Imaging LLC 500 W Broadway Missoula,MT59802 52-2405971	Medical Imaging	MT	PH&S - MT	Related				No			No
(4) Ctr for Med Imaging-Bridgeport LLC 4400 NE Halsey 495 Portland,OR97213 26-0796953	Imaging - Diagnostics	OR	PH&S - OR	Related				No			No
(5) Ctr for Med Imaging-Tanasbourne LLC 4400 NE Halsey 495 Portland,OR97213 20-0477972	Imaging - Diagnostics	OR	PH&S - OR	Related				No			No
(6) Pathology Associates Medical Laboratories LLC 611 N Perry Spokane,WA99202 27-0943279	Outpatient Lab	WA	Bourget Health Services Inc	Related				No			No
(7) Portland Medical Imaging LLC 4400 NE Halsey 495 Portland,OR97213 20-1054971	Imaging - Diagnostics	OR	PH&S - OR	Related				No			No
(8) Oregon Advanced Imaging LLC 881 OHare Parkway Medford,OR97504 45-0471748	Medical Imaging	OR	PH&S - OR	Related				No			No
(9) Minor & James Medical PLLC 515 Minor Avenue 200 Seattle,WA98104 91-1340223	Physician Clinic	WA	Swedish MJM Holdings Inc	N/A				No			No
(10) Providence Surgery Center LLC 902 N Orange St Missoula,MT59802 84-1401625	Ambulatory Surgery Center	MT	PH&S - MT	Related				No			No
(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
(12) PETCT Imaging at Swedish Cancer Institute LLC 1221 Madison Street Seattle,WA98104 20-3132044	Medical Imaging	WA	Swedish Health Services	Related				No			No
(13) PacLab LLC 611 N Perry Spokane,WA99202 91-1743952	Outpatient Lab	WA	PH&S - WA	Related				No			No
(14) The Madison Spokane Inn LLC 15 West Rockwood Blvd Spokane,WA99204 84-1606484	Hotel Services	WA	PH&S - WA	Rental				No			No
(15) Center for Specialty Surgery LLC 11782 SW Barnes Rd Portland,OR97225 26-3638838	Ambulatory Surgery Center	OR	PH&S - OR	Related				No			No
(16) Oregon Outpatient Surgery Center 7300 SW Childs Rd Tigard,OR97224 22-3883387	Ambulatory Surgery Center	OR	PH&S - OR	Related				No			No
(17) ProvidenceUSP Santa Clarita GP LLC 11550 Indian Hills Road 160 Mission Hills,CA91345 20-2829660	Ambulatory Surgery Center	CA	PHS - So California	Related	56,620	1,836,250		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	443,861	2,115,862		No			No	51.000 %
(19) Alpha Medical Laboratory LLC 611 N Perry Spokane,WA99202 91-2017347	Outpatient Lab	ID	PAML LLC	Related				No			No
(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
(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
(22) Providence Partners for Health LLC 501 S Buena Vista St Burbank,CA91505 45-4041798	Clinical Quality & Integration	CA	PHS - So California	Related	12,913	809,422		No		Yes		50.000 %
(23) ProvidenceSilverton Rehab LLC 4400 NE Halsey 425 Portland,OR97213 48-1287267	Rehab Services	OR	PH&S - OR	Related				No			No
(24) Southern Idaho Regional Laboratory LLC 611 N Perry Spokane,WA99202 82-0511819	Outpatient Lab	ID	PAML LLC	Related				No			No
(25) Mountainstar Clinical Laboratories LLC 611 N Perry Spokane,WA99202 26-1345983	Outpatient Lab	MT	PAML LLC	Related				No			No
(26) Tri-Cities Laboratory LLC 611 N Perry Spokane,WA99202 91-1773986	Outpatient Lab	WA	PAML LLC	Related				No			No

Part IV

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

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

Schedule R (Form 990) 2015

Page 3

Part V

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

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

Yes

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

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

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

Yes

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

Yes

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

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

Yes

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) .....................

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

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

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

Yes

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

Yes

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

Yes

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Providence Little Company of Mary Foundation	B	2,239,727	Cost
(2) Providence Little Company of Mary Foundation	C	8,286,786	Cost
(3) Providence Health & Services Foundation	B	5,724,048	Cost
(4) Providence Health & Services Foundation	C	6,052,308	Cost
(5) Providence TrinityCare Hospice Foundation	B	558,106	Cost
(6) Providence Medical Institute	B	68,070	Cost
(7) Providence TrinityCare Hospice	C	13,718	Cost

Schedule R (Form 990) 2015

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

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

Return Reference	Explanation

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Healthcare with special concern for the poor & vulnerable in So. California.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	12,111
6	Total number of volunteers (estimate if necessary) .............	6	3,787
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	394,000
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	393,000

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	20,362,073	19,383,355
9	Program service revenue (Part VIII, line 2g) .........	1,471,260,562	1,856,980,941
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	13,540,355	1,477,739
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	65,662,179	236,488,913
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,570,825,169	2,114,330,948
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	9,972,772	11,639,055
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)	638,155,566	682,369,430
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 335,911
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,062,335,207	1,444,224,330
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,710,463,545	2,138,232,815
19	Revenue less expenses. Subtract line 18 from line 12.......	-139,638,376	-23,901,867
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	7,010,835,282	7,527,702,061
21	Total liabilities (Part X, line 26).............	6,397,396,838	6,898,153,480
22	Net assets or fund balances. Subtract line 21 from line 20.....	613,438,444	629,548,581

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,052,797,370 including grants of $ 0 ) (Revenue $ 1,345,237,812 )
	Acute Care - Inpatient Patient Days - 315,975Admissions - 75,376Our Core Values - Respect, Compassion, Justice, Excellence, and StewardshipOur Commitment - As a not-for-profit health care ministry, Providence Health System - So. California embraces our responsibility to respond to the needs of people in our communities, especially the poor and vulnerable. This commitment, this Mission rooted in God's love for all, began with the Sisters of Providence more than 150 years ago.The Heart of our Mission - We focus our community benefit outreach on four specific populations. These are low-income and uninsured people, diverse populations, older citizens, and people with behavioral needs. Our outreach can range from covering the medical bills of a husband and father disabled by diabetes, to financially supporting a nonprofit that embraces older refugees and immigrants. During these hard economic times in our neighborhoods and our nation, we reinforce our commitments to caring for the poor and vulnerable. This compassionate caring is, and always has been, the heart of our Mission.Providence Health System - So. California is a not-for-profit network of hospitals, care centers, health plans, physicians, home health services, clinics and other services.Our medical centers include:Providence Saint Joseph Medical Center in BurbankProvidence Holy Cross Medical Center in Mission HillsProvidence Tarzana Medical Center in TarzanaProvidence Little Company of Mary Medical Center in TorranceProvidence Little Company of Mary Medical Center in San PedroIn 2015, Providence offered $169 million in free and discounted medical care for those who are uninsured, underinsured or otherwise unable to pay for their health care. With Medicaid expansion and health insurance exchanges, Providence's charity care spending reflects the success of more people gaining health insurance coverage. Additional 2015 Highlights include:Providence Saint Joseph Medical Center has been designated as a Baby-Friendly hospital by Baby-Friendly USA, Inc., for its efforts to encourage breast-feeding. Baby-Friendly USA is part of a global program launched in 1991 by the World Health Organization and UNICEF. Currently, just 274 hospitals and birth centers nationwide have completed the rigorous on-site survey required in order to receive this honor.The Baby-Friendly Hospital Initiative was launched to encourage and recognize hospitals and birthing centers that offer an optimal level of care for infant feeding and mother/baby bonding based on the fact that human milk fed through the mother's own breast is the normal way for human infants to be nourished. There is an abundance of scientific evidence that points to lower risks for certain diseases and improved health outcomes for both mothers and babies who breast-feed. Children in the San Fernando Valley now have access to an enhanced level of pediatric care, under the terms of an innovative agreement between Providence Tarzana Medical Center and Children's Hospital Los Angeles and its physicians.CHLA's renowned specialists will staff Providence Tarzana's Pediatrics Department inpatient unit as well as its pediatric and neonatal intensive care units - known as the PICU and NICU. Staff will be available 24 hours a day, allowing families access to high-quality specialty care for their children, closer to home.There is no children's hospital in the vast area served by Providence Tarzana pediatrics - a region of nearly 3 million people that includes the San Fernando, Santa Clarita and Conejo valleys and Simi Valley and is roughly the population of Chicago. Under the terms of an agreement finalized in April, CHLA Medical Group will assume medical leadership of Providence Tarzana Medical Center's three pediatric units, transitioning the Valley hospital to an innovative care model that will expand access to a wide spectrum of specialists and subspecialists. Providence Tarzana and CHLA sought this partnership to enhance the care Tarzana provides for children and their families, closer to their homes.A Providence Tarzana Medical Center patient delivered son on March 30 at Providence Tarzana. The infant was born with an intestinal defect and required immediate transport to CHLA to benefit from a level of inpatient care that now will be provided at Providence Tarzana. Additional hospitalists, intensivists and neonatologists will be in the hospital 24/7, providing 'round-the-clock care for patients. This partnership began in 2013 and until now has focused on hospital staff training and education. With this new development, children will receive a higher level of care during all inpatient hospital stays at Providence Tarzana. The Providence Tarzana Emergency Department and those at its sister hospitals, Providence Saint Joseph Medical Center in Burbank and Providence Holy Cross Medical Center in Mission Hills, are certified to provide pediatric care. If necessary, young emergency patients arriving at Saint Joseph and Holy Cross may be transported to Tarzana, a designated Pediatrics Medical Center, in a specially equipped family-friendly ambulance for inpatient care. Providence Little Company of Mary Medical Center San Pedro has been recognized as one of California's 10 Best Value Hospitals for 2015 by Verras Healthcare International, LLC. The Best Value Hospital recognition is determined using the Verras' patented Medical Value Index, a data tool, to identify best value practices in hospitals nationwide. The Best Value Hospital award was created to bring public recognition to hospitals delivering best value to their patients. Knowing which California hospitals deliver the greatest value empowers consumers to identify hospitals that deliver better outcomes at lower cost and provides payers data to help them lower the cost of healthcare for their companies. The Medical Value Index uses a patented algorithm to process data provided by the hospitals themselves based on six widely-recognized healthcare metrics: national quality measures, readmission rates, mortality, morbidity, reduction in variation, and resource consumption. Every hospital in California with more than 250 beds was considered in the ranking process. Truven Health Analytics named Providence Little Company of Mary Medical Center Torrance to its 2015 100 Top Hospitals in the nation, one of just 14 hospitals in California to receive this honor.The Catholic not-for-profit hospital has earned this honor for the past four years - and once before that string began. In November, Truven named Providence Little Company of Mary Medical Center Torrance to its 2015 Top 50 Top Cardiovascular Hospitals in the nation, the only community hospital in Southern California to receive this honor and one of just two in California. The Truven Health 100 Top Hospitals study identifies hospitals and leadership teams that provide the highest level of value to their communities, based on a national balanced scorecard. The 100 Top Hospitals balanced scorecard measures overall organizational performance across 11 key analytic measures including patient care, operational efficiency and financial stability. The study has been conducted annually since 1993.Four Providence Southern California medical centers received Healthgrades' Distinguished Hospital Award for Clinical Excellence. And for the second straight year, Providence is the only health care system in California to have all its eligible hospitals receive this national recognition.Healthgrades, a top consumer ratings company, awarded this distinction to hospitals that rank among the top 5 percent of more than 4,500 hospitals evaluated nationwide for outstanding clinical performance on at least 21 of 32 of the most common diagnoses and procedures. The results mean better outcomes for seriously ill patients.This is the third year for Providence Tarzana Medical Center and the second for Providence Holy Cross in Mission Hills, Providence Saint Joseph in Burbank and Providence Little Company of Mary Medical Center Torrance. The five were among the 261 medical centers in the U.S. recognized with this prestigious award. In October, Healthgrades recognized all five Providence Health & Services, Southern California, medical centers for excellent clinical outcomes. Providence medical centers received a total of nearly 100 awards in a variety of specialties including critical care, pulmonology, cardiology, gastroenterology, neurology and orthopedics. (Providence Little Company of Mary Medical Center San Pedro was not eligible for the Distinguished Hospital Award because it did not perform enough of the required procedures.)

4b	(Code: ) (Expenses $ 331,681,802 including grants of $ 0 ) (Revenue $ 423,624,198 )
	Acute Care - Outpatient - including emergency/trauma services. Patient Visits - 1,050,159See Line 4a Narrative.

4c	(Code: ) (Expenses $ 69,753,860 including grants of $ 0 ) (Revenue $ 89,089,672 )
	Long-Term Care, Subacute Skilled Nursing & Home Health Programs. Long-Term Care Days - 97,123; Home Health Visits - 66,117.Providence Saint Elizabeth Care Center provides long term care to meet the healthcare needs in the San Fernando Valley and surrounding areas.Providence Little Company of Mary Transitional Care Center, a skilled nursing facility in Torrance, earned five stars in a recent U.S. News and World Report feature listing the nation's top nursing homes.The magazine's prestigious rankings were based on U.S. Centers for Medicare and Medicaid surveys that found Providence Little Company of Mary among the best care homes in the nation based on health inspections, nurse staffing and quality measures. The care center is affiliated with Providence Little Company of Mary Medical Center Torrance, a 436-bed acute care hospital.Providence Little Company of Mary stands out among skilled nursing facilities because its patients typically are not long-term. The average length-of-stay is about two weeks, time for patients to rehabilitate from acute-care hospital stays before heading home. U.S. News ranked more than 16,000 care and rehabilitation centers nationwide and 21.7 percent of them - 3,392 - earned the five-star rating. The nursing staff at Providence Little Company of Mary is a mix of long term employees and newly graduated nurses, many of whom take part in a two-year nurse residency program before transitioning to acute-care nursing. They train on the same technology used in Providence medical centers throughout the Greater Los Angeles Area.

	(Code: ) (Expenses $ 5,608,404 including grants of $ 0 ) (Revenue $ 7,489,510 )
	Providence High School for children of the Northern San Fernando Valley and surrounding area. School Days - 178 Students - 454.Providence High School is a Catholic, accredited, college-preparatory school for young men and women. The School is located in the San Fernando Valley and serves the Greater Los Angeles area. The School offers a challenging college-preparatory academic program, carefully designed to give students opportunities for growth and experience in preparation for university course work. The School has received full accreditation from the Western Association of Schools and Colleges, and the Western Catholic Educational Association.

	(Code: ) (Expenses $ 0 including grants of $ 0 ) (Revenue $ 329,058 )
	Healthcare Joint Ventures

	(Code: ) (Expenses $ 132,439,805 including grants of $ 0 ) (Revenue $ 150,028,608 )
	Health Care Capitation

	(Code: ) (Expenses $ 11,639,055 including grants of $ 11,639,055 ) (Revenue $ 0 )
	Grant & Allocations - See Schedule I.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 149,687,264 including grants of $ 11,639,055 ) (Revenue $ 157,847,176 )
4e	Total program service expenses1,603,920,296

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,610,487	34,896,375	3,673,263

1a	Federated campaigns..		1a
b	Membership dues..		1b	4,580
c	Fundraising events..		1c	78,720
d	Related organizations		1d	16,160,306
e	Government grants (contributions)		1e	2,791,966

f	All other contributions, gifts, grants, and similar amounts not included above		1f	347,783

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		19,383,355

		Business Code
2a	Acute - Inpatient	900099	1,338,873,971	1,338,873,971
b	Acute - Outpatient	621400	421,620,182	421,620,182
c	LTC/HomeCare/Hospice	623000	88,668,220	88,668,220
d	Tuition & Fees	611600	7,489,510	7,489,510
e	Healthcare JVs	900099	329,058	329,058
f	All other program service revenue.
g Total.Add lines 2a–2f.....			1,856,980,941

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			3,332,849			3,332,849
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		5,682,086
b	Less: rental expenses		2,986,241
c	Rental income or (loss)		2,695,845
d	Net rental income or (loss)......			2,695,845			2,695,845
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	68,016	151,032,411
b	Less: cost or other basis and sales expenses	1,339,903	151,615,634
c	Gain or (loss)	-1,271,887	-583,223
d	Net gain or (loss).....			-1,855,110			-1,855,110
8a	Gross income from fundraising events (not including $ 78,720of contributions reported on line 1c). See Part IV, line 18 ....
	a		79,724
b	Less: direct expenses ...b		58,591
c	Net income or (loss) from fundraising events..			21,133			21,133
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		22,259
b	Less: direct expenses ...b		4,898
c	Net income or (loss) from gaming activities..			17,361			17,361
10a	Gross sales of inventory, less returns and allowances ..
	a		586,666
b	Less: cost of goods sold ..b		525,320
c	Net income or (loss) from sales of inventory..			61,346			61,346
Business Code			Miscellaneous Revenue
11a	Capitation Revenue		900099	150,028,608	150,028,608
b	Interaffiliate Revenue		900099	64,799,139			64,799,139
c	Cafeteria		722210	6,032,750			6,032,750
d	All other revenue ....			12,832,731	8,789,309	394,000	3,649,422
e	Total. Add lines 11a–11d ......			233,693,228
12	Total revenue. See Instructions......			2,114,330,948	2,015,798,858	394,000	78,754,735

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	10,695,427	10,695,427
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	943,628	943,628
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	5,906,841	1,378,696	4,528,145
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	617,251,925	560,391,421	56,667,277	193,227
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	11,041,222	10,000,355	1,038,405	2,462
9	Other employee benefits .......	3,917,160	2,754,901	1,138,028	24,231
10	Payroll taxes ...........	44,252,282	40,160,602	4,078,474	13,206
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	3,298,870	543,458	2,755,412
c	Accounting ...........	34,840		34,840
d	Lobbying ...........	57,875		57,875
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	197,220		197,220
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	225,501,633	186,734,006	38,752,162	15,465
12	Advertising and promotion ....	2,302,545	419,733	1,859,607	23,205
13	Office expenses .......	42,093,753	31,525,524	10,527,401	40,828
14	Information technology ......	1,130,969	926,112	202,729	2,128
15	Royalties ..
16	Occupancy ...........	34,895,326	25,666,568	9,228,758
17	Travel ............	2,773,580	952,779	1,820,597	204
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,565,605	490,057	1,068,494	7,054
20	Interest ...........	26,100,370	26,100,370
21	Payments to affiliates .......	566,685,534	183,611,206	383,074,328
22	Depreciation, depletion, and amortization ..	49,786,086	35,254,106	14,531,980
23	Insurance ...	80,751	77,764	2,987
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	206,025,638	206,025,638
b	Provider Tax Expense	203,710,527	203,698,170	12,357
c	Bad Debts	57,820,259	57,820,259
d	Cost Care Claims Exp.	11,519,998	11,519,998
e	All other expenses	8,642,951	6,229,518	2,399,532	13,901
25	Total functional expenses. Add lines 1 through 24e	2,138,232,815	1,603,920,296	533,976,608	335,911
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			6,302,083	1	3,948,911
2	Savings and temporary cash investments .........			124,925,704	2	164,115,494
3	Pledges and grants receivable, net ......			84,965	3	83,238
4	Accounts receivable, net .............			237,999,509	4	227,319,722
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....			1,296,869	7	2,046,248
8	Inventories for sale or use ........			18,916,807	8	19,455,126
9	Prepaid expenses and deferred charges ......			3,146,986	9	17,219,053
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,793,168,460
b	Less: accumulated depreciation	10b	1,107,163,662	674,313,967	10c	686,004,798
11	Investments—publicly traded securities .			118,221,438	11	114,158,673
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			109,828,754	13	128,191,899
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			5,715,798,200	15	6,165,158,899
16	Total assets. Add lines 1 through 15 (must equal line 34)...			7,010,835,282	16	7,527,702,061

17	Accounts payable and accrued expenses .....	347,037,615	17	465,293,690
18	Grants payable ...	25,790	18	36,315
19	Deferred revenue .........	7,453,691	19	20,262,518
20	Tax-exempt bond liabilities .........	445,600,000	20	440,250,001
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	86,944,315	23	75,288,720
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	5,510,335,427	25	5,897,022,236
26	Total liabilities. Add lines 17 through 25..	6,397,396,838	26	6,898,153,480

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	547,152,778	27	551,663,443
28	Temporarily restricted net assets ...........	43,835,984	28	54,506,877
29	Permanently restricted net assets	22,449,682	29	23,378,261
	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 ...........	613,438,444	33	629,548,581
34	Total liabilities and net assets/fund balances ........	7,010,835,282	34	7,527,702,061