Civic Intelligence

Providence Blanchet Association

990 • Fiscal year 2012 • EIN 91-1789266

Jan 01, 2012 to Dec 31, 2012 • Filed on May 13, 2013

Organization Profilewww.providencesupportivehousing.org
1801 Lind Avenue SW No 901698057-9016
Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

29th percentile

0.02x

Higher debt load relative to assets than 29% of similar nonprofits.

2012 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2012

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2012

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2012

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2012

Asset Growth

29th percentile

-3.3%

Faster asset growth than 29% of similar nonprofits.

2012 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2011 to 2012

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Balance Sheet
Liabilities / Assets29th percentile

Assets

Down

$1,040,697

Down $35,277 (-3.3%) from 2011

Net Assets

Down

$1,017,470

Down $40,102 (-3.8%) from 2011

Liabilities

Up

$23,227

Up $4,825 (+26%) from 2011

Revenue And Expenses
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

-

No earlier filing loaded for comparison.

Expenses

Up

$198,833

Up $8,469 (+4.4%) from 2011

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth29th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.5M$1.0M$500K$0Assets 2011: $1,075,974Liabilities 2011: $18,402Net Assets 2011: $1,057,5722011Assets 2012: $1,040,697Liabilities 2012: $23,227Net Assets 2012: $1,017,4702012Assets 2013: $984,077Liabilities 2013: $28,923Net Assets 2013: $955,1542013Assets 2014: $906,415Liabilities 2014: $28,714Net Assets 2014: $877,7012014Assets 2015: $845,866Liabilities 2015: $28,467Net Assets 2015: $817,3992015Assets 2016: $790,521Liabilities 2016: $27,372Net Assets 2016: $763,1492016Assets 2017: $763,537Liabilities 2017: $30,256Net Assets 2017: $733,2812017Assets 2018: $729,410Liabilities 2018: $35,493Net Assets 2018: $693,9172018Assets 2019: $678,084Liabilities 2019: $41,620Net Assets 2019: $636,4642019Assets 2020: $665,447Liabilities 2020: $37,424Net Assets 2020: $628,0232020Assets 2021: $644,070Liabilities 2021: $46,688Net Assets 2021: $597,3822021Assets 2022: $630,201Liabilities 2022: $53,908Net Assets 2022: $576,2932022Assets 2023: $638,842Liabilities 2023: $45,790Net Assets 2023: $593,0522023Assets 2024: $670,859Liabilities 2024: $65,267Net Assets 2024: $605,5922024

Highlighted filing

2012

Assets$1,040,697
Liabilities$23,227
Net Assets$1,017,470
Open 2012 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300K$200K$100K$0-$100KRevenue 2011: $157,051Expenses 2011: $190,364Net Income 2011: -$33,3132011Expenses 2012: $198,8332012Revenue 2013: $151,800Expenses 2013: $214,114Net Income 2013: -$62,3142013Revenue 2014: $146,529Expenses 2014: $223,982Net Income 2014: -$77,4532014Revenue 2015: $177,672Expenses 2015: $237,974Net Income 2015: -$60,3022015Revenue 2016: $201,497Expenses 2016: $255,747Net Income 2016: -$54,2502016Revenue 2017: $214,572Expenses 2017: $244,440Net Income 2017: -$29,8682017Revenue 2018: $215,834Expenses 2018: $255,198Net Income 2018: -$39,3642018Revenue 2019: $217,575Expenses 2019: $275,028Net Income 2019: -$57,4532019Revenue 2020: $220,562Expenses 2020: $229,003Net Income 2020: -$8,4412020Revenue 2021: $235,769Expenses 2021: $266,410Net Income 2021: -$30,6412021Revenue 2022: $246,927Expenses 2022: $268,016Net Income 2022: -$21,0892022Revenue 2023: $252,450Expenses 2023: $235,691Net Income 2023: $16,7592023Revenue 2024: $262,400Expenses 2024: $249,860Net Income 2024: $12,5402024

Highlighted filing

2012

Revenue-
Expenses$198,833
Net Income-
Open 2012 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2012 to Dec 31, 2012
Signed
May 13, 2013
Return Version
2012v2.1
Gross Receipts
$161,700
Mission and Program Overview

Mission

As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Housing for low income elderly and physically disabled persons in Centralia, WA.

Major Activities

Activity 2
NOTE: This entity did not have fundraising expenses as its operating expenses are covered by rents and HUD grants.
Filing and Contact Details

Filer

EIN
91-1789266
Raw XML AppendixShowing 400 of 1,652 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReview00
IRS990/AccountsPayableAccruedExpenses/BOY012737
IRS990/AccountsPayableAccruedExpenses/EOY014092
IRS990/AccountsReceivable/BOY0128
IRS990/ActivitiesConductedPartnership00
IRS990/Activity2/Description0NOTE: This entity did not have fundraising expenses as its operating expenses are covered by rents and HUD grants.
IRS990/ActivityOrMissionDescription0Housing for low income elderly and physically disabled persons in Centralia, WA.
IRS990/AddressPrincipalOfficerUS/AddressLine101801 Lind Avenue SW No 9016
IRS990/AddressPrincipalOfficerUS/City0Renton
IRS990/AddressPrincipalOfficerUS/State0WA
IRS990/AddressPrincipalOfficerUS/ZIPCode0980579016
IRS990/Advertising/ProgramServices01297
IRS990/Advertising/Total01297
IRS990/AnnualDisclosureCoveredPersons01
IRS990/AuditCommittee01
IRS990/BenefitsPaidToMembersCY00
IRS990/BenefitsPaidToMembersPriorYear00
IRS990/BsnssRltnshpThruFamilyMember00
IRS990/BsnssRltnshpWithOrganization00
IRS990/CashNonInterestBearing/BOY026423
IRS990/CashNonInterestBearing/EOY012974
IRS990/ChangesToOrganizingDocs00
IRS990/CollectionsOfArt00
IRS990/CompensationFromOtherSources00
IRS990/CompensationProcessCEO01
IRS990/CompensationProcessOther01
IRS990/ComplianceWithBackupWitholding01
IRS990/ConferencesMeetings/ProgramServices01074
IRS990/ConferencesMeetings/Total01074
IRS990/ConflictOfInterestPolicy01
IRS990/ConservationEasements00
IRS990/ConsolidatedAuditFinancialStmt01
IRS990/ContributionsGrantsCurrentYear0112520
IRS990/ContributionsGrantsPriorYear0108044
IRS990/CreditCounseling00
IRS990/DecisionsSubjectToApproval01
IRS990/DeductibleContributionsOfArt00
IRS990/DeductibleNonCashContributions00
IRS990/DeferredRevenue/EOY083
IRS990/DelegationOfManagementDuties00
IRS990/DepreciationDepletion/ProgramServices058060
IRS990/DepreciationDepletion/Total058060
IRS990/DescribedIn501C301
IRS990/Description0Provide subsidized housing with 20 apartments to low income elderly and physically disabled persons. During 2012, there were 7,289 Tenant Days.OVERVIEW Providence Blanchet House is a high-quality, supportive housing program founded by the Sisters of Providence and owned and managed by Providence Health & Services. Designed and built especially for low-income, aging seniors, 20 private apartments in two adjacent buildings afford all the comforts of home. Each apartment includes full kitchen amenities with a dining area, a private bathroom with tub or walk-in shower, built-in storage and an open floor plan. Shared laundry facilities and welcoming community spaces are available to all residents.Located in Centralia, Washington, Providence Blanchet House is nestled among a variety of beautiful trees and meticulously kept grounds with views of the Chehalis River. A lovely pond connects the house to another one and is the seasonal home of numerous water fowl. Public transportation provides easy access to local doctors' offices, banks, grocery stores, churches and entertainment. The community is a perfect choice for comfortable, secure and affordable housing for seniors.Providence places a high value in supporting individual residents and creating a vibrant community by providing raised garden beds, a shared computer lab with internet access, gathering spaces for resident groups, and a wide variety of scheduled activities including educational and recreational programming. A Service Coordinator can help residents identify and access local resources and services, and can advocate for residents who need assistance.Providence Blanchet House receives an operating subsidy from the United States Department of Housing and Urban Development (HUD). HUD requirements state that applicants for housing at Providence Blanchet House must be at least 62 years of age at the time of application and their annual income cannot exceed 50% of the area median income. Residents pay approximately 30% of their monthly income toward their rent and utilities.Providence Blanchet House provides equal housing opportunities for all prospective tenants regardless of race, color, national origin, religion, sex, disability, parental/family status, marital status, age, ancestry, sexual orientation, creed, political ideology, gender identity or membership in any other class of persons.OUR CORE VALUES - Respect, Compassion, Justice, Excellence and StewardshipPROVIDENCE CARES - The people of Providence are called to a mission of service. Our lifework is to provide excellent care for everyone, at all stages of life. This has been the Providence mission since the Sisters of Providence arrived on the shores of the Columbia River over 150 years ago, committed to the care and well-being of the poor and vulnerable frontier neighborhoods.
IRS990/DisregardedEntity00
IRS990/DocumentRetentionPolicy01
IRS990/DoingBusinessAs/BusinessNameLine10Providence Blanchet House
IRS990/DonorAdvisedFunds00
IRS990/ElectionOfBoardMembers01
IRS990/ExcessBenefitTransaction00
IRS990/Expense0175452
IRS990/FamilyOrBusinessRelationship00
IRS990/FederalGrantAuditPerformed01
IRS990/FederalGrantAuditRequired01
IRS990/FeesForServicesAccounting/ManagementAndGeneral012838
IRS990/FeesForServicesAccounting/Total012838
IRS990/FeesForServicesOther/ProgramServices09240
IRS990/FeesForServicesOther/Total09240
IRS990/FollowSFAS1170X
IRS990/ForeignActivities00
IRS990/ForeignFinancialAccount00
IRS990/ForeignOffice00
IRS990/Form8282PropertyDisposedOf00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek00.10
IRS990/Form990PartVIISectionA/AverageHoursPerWeek10.30
IRS990/Form990PartVIISectionA/AverageHoursPerWeek20.10
IRS990/Form990PartVIISectionA/AverageHoursPerWeek30.10
IRS990/Form990PartVIISectionA/AverageHoursPerWeek40.30
IRS990/Form990PartVIISectionA/AverageHoursPerWeek50.10
IRS990/Form990PartVIISectionA/AverageHoursPerWeek60.30
IRS990/Form990PartVIISectionA/AverageHoursPerWeek70.30
IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated00.20
IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated149.70
IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated20.10
IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated30.10
IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated449.70
IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated50.10
IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated653.70
IRS990/Form990PartVIISectionA/AverageHoursPerWeekRelated764.70
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector0X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector1X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector2X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector3X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector4X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector5X
IRS990/Form990PartVIISectionA/NamePerson0Charlotte Van Dyke SP
IRS990/Form990PartVIISectionA/NamePerson1Cindy Mayo
IRS990/Form990PartVIISectionA/NamePerson2Carla Montante SP
IRS990/Form990PartVIISectionA/NamePerson3Lynn McCord
IRS990/Form990PartVIISectionA/NamePerson4Jeffrey W Rogers
IRS990/Form990PartVIISectionA/NamePerson5Joanne Schwartz
IRS990/Form990PartVIISectionA/NamePerson6John F Koster MD
IRS990/Form990PartVIISectionA/NamePerson7Michael L Butler
IRS990/Form990PartVIISectionA/Officer0X
IRS990/Form990PartVIISectionA/Officer1X
IRS990/Form990PartVIISectionA/Officer2X
IRS990/Form990PartVIISectionA/Officer3X
IRS990/Form990PartVIISectionA/OtherCompensation00
IRS990/Form990PartVIISectionA/OtherCompensation161412
IRS990/Form990PartVIISectionA/OtherCompensation20
IRS990/Form990PartVIISectionA/OtherCompensation30
IRS990/Form990PartVIISectionA/OtherCompensation4319793
IRS990/Form990PartVIISectionA/OtherCompensation50
IRS990/Form990PartVIISectionA/OtherCompensation6382715
IRS990/Form990PartVIISectionA/OtherCompensation7890844
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization00
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization10
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization20
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization30
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization40
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization50
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization60
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization70
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs00
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs1750703
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs20
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs30
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs4623631
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs50
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs64069812
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs71406031
IRS990/Form990PartVIISectionA/Title0Chair of the Board
IRS990/Form990PartVIISectionA/Title1Director
IRS990/Form990PartVIISectionA/Title2Director
IRS990/Form990PartVIISectionA/Title3Director
IRS990/Form990PartVIISectionA/Title4Secretary
IRS990/Form990PartVIISectionA/Title5Director
IRS990/Form990PartVIISectionA/Title6President
IRS990/Form990PartVIISectionA/Title7Treasurer
IRS990/Form990ProvidedToGoverningBody01
IRS990/FormersListed00
IRS990/FSAudited01
IRS990/FSAuditedBasis/FinancialStatementBoth0X
IRS990/FundraisingActivities00
IRS990/FundsToPayPremiums00
IRS990/GainOrLoss/Other0-2969
IRS990/Gaming00
IRS990/GovernmentGrants0112520
IRS990/Grants00
IRS990/GrantsAndSimilarAmntsCY00
IRS990/GrantsAndSimilarAmntsPriorYear00
IRS990/GrantsToIndividuals00
IRS990/GrantsToOrganizations00
IRS990/GrantToRelatedPerson00
IRS990/GrossReceipts0161700
IRS990/GroupReturnForAffiliates00
IRS990/Hospital00
IRS990/IndependentAuditFinancialStmt01
IRS990/IndoorTanningServices00
IRS990/InfoInScheduleOPartIII0X
IRS990/InfoInScheduleOPartV0X
IRS990/InfoInScheduleOPartVI0X
IRS990/InformationTechnology/ProgramServices0562
IRS990/InformationTechnology/Total0562
IRS990/Insurance/ProgramServices06799
IRS990/Insurance/Total06799
IRS990/InvestmentIncomeCurrentYear0-2969
IRS990/InvestmentIncomePriorYear00
IRS990/InvestmentInJointVenture00
IRS990/LandBldgEquipmentAccumDeprec0854952
IRS990/LandBuildingsEquipmentBasis01704567
IRS990/LandBuildingsEquipmentBasisNet/BOY0880439
IRS990/LandBuildingsEquipmentBasisNet/EOY0849615
IRS990/LessCostOthBasisSalesExpenses/Other02969
IRS990/LoanToOfficerOrDQP00
IRS990/LobbyingActivities00
IRS990/LocalChapters00
IRS990/MaterialDiversionOrMisuse00
IRS990/MembersOrStockholders01
IRS990/MethodOfAccountingAccrual0X
IRS990/MinutesOfCommittees01
IRS990/MinutesOfGoverningBody01
IRS990/MissionDescription0As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Housing for low income elderly and physically disabled persons in Centralia, WA.
IRS990/MoreThan5000KToIndividuals00
IRS990/MoreThan5000KToOrganizations00
IRS990/NameOfPrincipalOfficerPerson0John F Koster MD
IRS990/NbrIndependentVotingMembers04
IRS990/NbrVotingGoverningBodyMembers06
IRS990/NbrVotingMembersGoverningBody06
IRS990/NetAssetsOrFundBalancesBOY01057572
IRS990/NetAssetsOrFundBalancesEOY01017470
IRS990/NetGainOrLossInvestments/ExclusionAmount0-2969
IRS990/NetGainOrLossInvestments/TotalRevenueColumn0-2969
IRS990/NetUnrelatedBusinessTxblIncome00
IRS990/NonDeductibleContributions00
IRS990/NumberFormsTransmittedWith1096013
IRS990/NumberIndependentVotingMembers04
IRS990/NumberIndividualsGT100K00
IRS990/NumberOfContractorsGT100K00
IRS990/NumberOfEmployees00
IRS990/NumberW2GIncluded00
IRS990/Occupancy/ProgramServices032573
IRS990/Occupancy/Total032573
IRS990/OfficeExpenses/ProgramServices07381
IRS990/OfficeExpenses/Total07381
IRS990/OfficerEntityWithBsnssRltnshp00
IRS990/OfficerMailingAddress00
IRS990/Organization501c30X
IRS990/OtherAssetsTotal/BOY0168073
IRS990/OtherAssetsTotal/EOY0175249
IRS990/OtherEmployeeBenefits/ProgramServices04704
IRS990/OtherEmployeeBenefits/Total04704
IRS990/OtherExpensePriorYear0158891
IRS990/OtherExpensesCurrentYear0166343
IRS990/OtherExpenses/Description0Repairs and Maintenance
IRS990/OtherExpenses/Description1Tax & Licenses
IRS990/OtherExpenses/Description2Screening Fees
IRS990/OtherExpenses/Description3Dues
IRS990/OtherExpenses/ProgramServices025270
IRS990/OtherExpenses/ProgramServices1330
IRS990/OtherExpenses/ProgramServices264
IRS990/OtherExpenses/ProgramServices363
IRS990/OtherExpenses/Total025270
IRS990/OtherExpenses/Total1330
IRS990/OtherExpenses/Total264
IRS990/OtherExpenses/Total363
IRS990/OtherLiabilities/BOY05665
IRS990/OtherLiabilities/EOY09052
IRS990/OtherRevenueCurrentYear0235
IRS990/OtherRevenueMisc/BusinessCode0812300
IRS990/OtherRevenueMisc/Description0Laundry & Vending
IRS990/OtherRevenueMisc/ExclusionAmount0235
IRS990/OtherRevenueMisc/TotalRevenueColumn0235
IRS990/OtherRevenuePriorYear0297
IRS990/OtherSalariesAndWages/ProgramServices025825
IRS990/OtherSalariesAndWages/Total025825
IRS990/PartialLiquidation00
IRS990/PaymentsToAffiliates/ManagementAndGeneral010543
IRS990/PaymentsToAffiliates/Total010543
IRS990/PayrollTaxes/ProgramServices01961
IRS990/PayrollTaxes/Total01961
IRS990/PoliticalActivities00
IRS990/PremiumsPaid00
IRS990/PrepaidExpensesDeferredCharges/BOY0911
IRS990/PrepaidExpensesDeferredCharges/EOY02859
IRS990/PriorExcessBenefitTransaction00
IRS990/ProfessionalFundraising00
IRS990/ProgramServiceRevenue/BusinessCode0531110
IRS990/ProgramServiceRevenue/BusinessCode1900099
IRS990/ProgramServiceRevenue/BusinessCode2900099
IRS990/ProgramServiceRevenueCY048945
IRS990/ProgramServiceRevenue/Description0Tenant Rents
IRS990/ProgramServiceRevenue/Description1HUD Reserves Interest
IRS990/ProgramServiceRevenue/Description2Tenant Deposit Int.
IRS990/ProgramServiceRevenuePriorYear048710
IRS990/ProgramServiceRevenue/RelatedOrExemptFunctionIncome048768
IRS990/ProgramServiceRevenue/RelatedOrExemptFunctionIncome1172
IRS990/ProgramServiceRevenue/RelatedOrExemptFunctionIncome25
IRS990/ProgramServiceRevenue/TotalRevenueColumn048768
IRS990/ProgramServiceRevenue/TotalRevenueColumn1172
IRS990/ProgramServiceRevenue/TotalRevenueColumn25
IRS990/ProhibitedTaxShelterTrans00
IRS990/QuidProQuoContributions00
IRS990/ReconcilationOtherChanges00
IRS990/ReconcilationRevenueExpenses0-40102
IRS990/RegularMonitoringEnforcement01
IRS990/RelatedEntity01
IRS990/RelatedOrgControlledEntity00
IRS990/ReportFin48Footnote01
IRS990/ReportInvestOthSecurities00
IRS990/ReportLandBldgEquip01
IRS990/ReportOtherAssets01
IRS990/ReportOtherLiabilities01
IRS990/ReportProgRelInvest00
IRS990/Revenue048945
IRS990/RevenuesLessExpensesCY0-40102
IRS990/RevenuesLessExpensesPriorYear0-33313
IRS990/SalariesEtcCurrentYear032490
IRS990/SalariesEtcPriorYear031473
IRS990ScheduleA/GiftsGrantsContribReceived170/CurrentTaxYear0112520
IRS990ScheduleA/GiftsGrantsContribReceived170/CurrentTaxYearMinus1Year0108044
IRS990ScheduleA/GiftsGrantsContribReceived170/CurrentTaxYearMinus2Years0107153
IRS990ScheduleA/GiftsGrantsContribReceived170/CurrentTaxYearMinus3Years0100466
IRS990ScheduleA/GiftsGrantsContribReceived170/CurrentTaxYearMinus4Years0106355
IRS990ScheduleA/GiftsGrantsContribReceived170/Total0534538
IRS990ScheduleA/GrossReceiptsFromAdmissionsEtc0256346
IRS990ScheduleA/OtherIncome170/CurrentTaxYear0235
IRS990ScheduleA/OtherIncome170/CurrentTaxYearMinus1Year0297
IRS990ScheduleA/OtherIncome170/CurrentTaxYearMinus2Years0356
IRS990ScheduleA/OtherIncome170/CurrentTaxYearMinus3Years0383
IRS990ScheduleA/OtherIncome170/Total01271
IRS990ScheduleA/PubliclySupportedOrg170b1Avi0X
IRS990ScheduleA/PublicSupportPertcentage17000.99760
IRS990ScheduleA/PublicSupportPertcentPriorYear00.97640
IRS990ScheduleA/PublicSupportTotal1700534538
IRS990ScheduleA/ThirtyThreePercntTestsCY1700X
IRS990ScheduleA/Total170/CurrentTaxYear0112520
IRS990ScheduleA/Total170/CurrentTaxYearMinus1Year0108044
IRS990ScheduleA/Total170/CurrentTaxYearMinus2Years0107153
IRS990ScheduleA/Total170/CurrentTaxYearMinus3Years0100466
IRS990ScheduleA/Total170/CurrentTaxYearMinus4Years0106355
IRS990ScheduleA/Total170/Total0534538
IRS990ScheduleA/TotalSupport0535809
IRS990ScheduleB/ContributorInfo/AggregateContributions0RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/City0RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/State0RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorNameBusiness/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInfo/ContributorNumber0RESTRICTED
IRS990/ScheduleBRequired01
IRS990ScheduleD/Buildings/BookValue0636702
IRS990ScheduleD/Buildings/Depreciation0282085
IRS990ScheduleD/Buildings/OtherCostOrOtherBasis0918787
IRS990ScheduleD/Equipment/BookValue0156859
IRS990ScheduleD/Equipment/Depreciation0425001
IRS990ScheduleD/Equipment/OtherCostOrOtherBasis0581860
IRS990ScheduleD/ExpensesNotRptdF99002969
IRS990ScheduleD/ExpensesNotRptdOnFinStmt00
IRS990ScheduleD/ExpensesSubtotal0198833
IRS990ScheduleD/FootnoteInPartXIII0X
IRS990ScheduleD/Form990ScheduleDPartXIII/Explanation0The Health System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. 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.
IRS990ScheduleD/Form990ScheduleDPartXIII/Explanation1Amortization of HUD Capital Advances 36,996.
IRS990ScheduleD/Form990ScheduleDPartXIII/Explanation2Loss on Disposal of Assets -2,969.
IRS990ScheduleD/Form990ScheduleDPartXIII/Explanation3Loss on Disposal of Assets 2,969.
IRS990ScheduleD/Form990ScheduleDPartXIII/Identifier0Description of Uncertain Tax Positions Under FIN 48:
IRS990ScheduleD/Form990ScheduleDPartXIII/Identifier1Part XI, Line 2d - Other Adjustments:
IRS990ScheduleD/Form990ScheduleDPartXIII/Identifier2Part XI, Line 4b - Other Adjustments:
IRS990ScheduleD/Form990ScheduleDPartXIII/Identifier3Part XII, Line 2d - Other Adjustments:
IRS990ScheduleD/Form990ScheduleDPartXIII/ReturnReference0Part X, Line 2:
IRS990ScheduleD/Land/BookValue013402
IRS990ScheduleD/Land/OtherCostOrOtherBasis013402
IRS990ScheduleD/LeaseholdImprovements/BookValue041472
IRS990ScheduleD/LeaseholdImprovements/Depreciation0147866
IRS990ScheduleD/LeaseholdImprovements/OtherCostOrOtherBasis0189338
IRS990ScheduleD/OtherAssets/BookValue04595
IRS990ScheduleD/OtherAssets/BookValue1107788
IRS990ScheduleD/OtherAssets/BookValue262866
IRS990ScheduleD/OtherAssets/Description0Tenant Security Deposits
IRS990ScheduleD/OtherAssets/Description1Replacement Reserves
IRS990ScheduleD/OtherAssets/Description2Residual Receipts Reserves
IRS990ScheduleD/OtherExpensesIncluded02969
IRS990ScheduleD/OtherLandBuildings/BookValue01180
IRS990ScheduleD/OtherLandBuildings/OtherCostOrOtherBasis01180
IRS990ScheduleD/OtherLiabilities/Amount04595
IRS990ScheduleD/OtherLiabilities/Amount14457
IRS990ScheduleD/OtherLiabilities/Description0Due to Tenants
IRS990ScheduleD/OtherLiabilities/Description1Due to Affiliates
IRS990ScheduleD/OtherRevenues036996
IRS990ScheduleD/OtherRevenuesNotIncluded0-2969
IRS990ScheduleD/RevenueNotRptdF990036996
IRS990ScheduleD/RevenueNotRptdOnFinStmt0-2969
IRS990ScheduleD/RevenueSubtotal0161700
IRS990ScheduleD/TotalBookValueOtherAssets0175249
IRS990ScheduleD/TotalExpensesPerForm9900198833
IRS990ScheduleD/TotalOfAmounts09052
IRS990ScheduleD/TotalOfBookValueLandBuildings0849615
IRS990ScheduleD/TotalRevenuePerForm9900158731
IRS990ScheduleD/TotExpensesEtcAuditedFinclStmt0201802
IRS990ScheduleD/TotRevenueEtcAuditedFinclStmt0198696
IRS990ScheduleJ/AnyNonFixedPayments00
IRS990ScheduleJ/CompBasedNetEarningsFilingOrg00
IRS990ScheduleJ/CompBasedNetEarningsRelateOrgs00
IRS990ScheduleJ/CompBasedOnRevenueOfFilingOrg00
IRS990ScheduleJ/CompBasedOnRevenueRelatedOrgs00
IRS990ScheduleJ/EquityBasedCompArrangement00
IRS990ScheduleJ/Form990ScheduleJPartII/BaseCompensationFilingOrg00
IRS990ScheduleJ/Form990ScheduleJPartII/BaseCompensationFilingOrg10
IRS990ScheduleJ/Form990ScheduleJPartII/BaseCompensationFilingOrg20
IRS990ScheduleJ/Form990ScheduleJPartII/BaseCompensationFilingOrg30
IRS990ScheduleJ/Form990ScheduleJPartII/BonusFilingOrg00
IRS990ScheduleJ/Form990ScheduleJPartII/BonusFilingOrg10
IRS990ScheduleJ/Form990ScheduleJPartII/BonusFilingOrg20
IRS990ScheduleJ/Form990ScheduleJPartII/BonusFilingOrg30
IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs0476298
IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs1178408
IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs22794425
IRS990ScheduleJ/Form990ScheduleJPartII/BonusRelatedOrgs3516168
IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs0273828
IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs1444646
IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs21257618
IRS990ScheduleJ/Form990ScheduleJPartII/CompBasedOnRelatedOrgs3873495
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg00
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg10
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg20
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990FilingOrg30
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990RelatedOrgs094018
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990RelatedOrgs148099
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990RelatedOrgs2339126
IRS990ScheduleJ/Form990ScheduleJPartII/CompReportPrior990RelatedOrgs3435962
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompFilingOrg00
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompFilingOrg10
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompFilingOrg20
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompFilingOrg30
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompRelatedOrgs045702
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompRelatedOrgs1300735
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompRelatedOrgs2353700
IRS990ScheduleJ/Form990ScheduleJPartII/DeferredCompRelatedOrgs3863387
IRS990ScheduleJ/Form990ScheduleJPartIII/Explanation0The reporting organization did not provide any of the benefits listed in Part I, Line 1a. However, as part of Providence's philosophy of transparency, the narrative that follows relates to the compensation and benefits provided by the related organization. Providence Health & Services Expense Reimbursement Procedures include the following policy: Discretionary Spending Account Providence Health & Services provides an executive flex spending allowance per year (paid bi-weekly). This benefit is provided as discretionary spending because the organization does not reimburse for or provide additional executive benefits, such as a car allowance, additional executive life or disability insurance, or other market-based executive benefits practices. This benefit was discontinued for Calendar Year 2012.
IRS990ScheduleJ/Form990ScheduleJPartIII/Explanation1NONQUALIFIED RETIREMENT PLANS A)SERP = Supplemental Executive Retirement Plan B)ESP = Elective Survivor Plan 1) John F. Koster, MD a) Taxable SERP Earned but not Paid- $1,872,867 b) SERP Interest Credit - $327,363 2) Jeffrey W. Rogers a) Taxable SERP Earned but not Paid - $44,273 b) ESP Interest Credit - $87,150 c) SERP Interest Credit - $136,048 3) Michael L. Butler a) SERP Interest Credit - $301,732 b) SERP Earned but not Vested - $527,516 4) Cindy Mayo a) Taxable SERP Earned but not Paid - $427,548 b) SERP Interest Credit - $23,655
IRS990ScheduleJ/Form990ScheduleJPartIII/Explanation2SCHEDULE J, PART I, LINE 3 - RELATED ORGANIZATION POLICIES The compensation reported for Providence Blanchet House is based on procedures established by a related organization Providence Health & Services - Washington. These procedures are explained in detail on Schedule O addressing Core Form, Part VI, Section B, Line 15.
IRS990ScheduleJ/Form990ScheduleJPartIII/Explanation3FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS PROGRAM The Providence Executive Performance Awards Program provides a lump sum award annually as a percent of the executive's base pay. Percent opportunities are aligned with our total compensation philosophy as outlined in Part VI, Section B, Line 15 (Process for determining compensation of top management, officers & key employees). The performance award is based on the level of accomplishment of annual system objectives and personal objectives. In 2012, 50 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's five strategic priorities of: mission driven, financially responsible, people centered, service oriented and quality focused. In 2012 the percent allocation for each of these strategic priorities was: Mission driven 10% Financially responsible 10% People centered 10% Service oriented 10% Quality focused 10%.
IRS990ScheduleJ/Form990ScheduleJPartIII/Identifier0Supplemental Information
IRS990ScheduleJ/Form990ScheduleJPartIII/Identifier1Supplemental Information
IRS990ScheduleJ/Form990ScheduleJPartIII/ReturnReference0Part I, Line 1a
IRS990ScheduleJ/Form990ScheduleJPartIII/ReturnReference1Part I, Line 4b
IRS990ScheduleJ/Form990ScheduleJPartIII/ReturnReference2Part III
IRS990ScheduleJ/Form990ScheduleJPartIII/ReturnReference3Part III
IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson0Cindy Mayo

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2012 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$1,040,697
Liabilities
$23,227
Net assets
$1,017,470
Revenue
-
Expenses
$198,833
Net income
-
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.67$0.07$0.61$0.26$0.25$0.01
2023Summary only. Only limited summary data is available for this year.$0.64$0.05$0.59$0.25$0.24$0.02
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.63$0.05$0.58$0.25$0.27$0.02
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.64$0.05$0.60$0.24$0.27$0.03
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.67$0.04$0.63$0.22$0.23$0.01
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.68$0.04$0.64$0.22$0.28$0.06
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.73$0.04$0.69$0.22$0.26$0.04
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.76$0.03$0.73$0.21$0.24$0.03
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.79$0.03$0.76$0.20$0.26$0.05
2015Detailed filing. Detailed filing data is available for this year.$0.85$0.03$0.82$0.18$0.24$0.06
2014Detailed filing. Detailed filing data is available for this year.$0.91$0.03$0.88$0.15$0.22$0.08
2013Detailed filing. Detailed filing data is available for this year.$0.98$0.03$0.96$0.15$0.21$0.06
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.04$0.02$1.02$0.20
2011Summary only. Only limited summary data is available for this year.$1.08$0.02$1.06$0.16$0.19$0.03
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2012 filings • 501(c)3 • $1M-$5M nonprofits