Liabilities / Assets
56th percentile
Tied with the lowest-debt nonprofits in its peer group.
Providence St. Joseph Health Foundation
990EZ • Fiscal year 2016 • EIN 94-3078543
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.00x
Liabilities / Revenue
55th percentile
Tied with the lowest-debt nonprofits in its peer group.
Net Margin
100th percentile
Higher net margin than 100% of similar nonprofits.
Top Officer Pay
75th percentile
Higher top officer pay than 75% of similar nonprofits.
Top officer pay equals 0.0% of source-year revenue.
Asset Growth
Score unavailable
A valid growth rate could not be computed from the available filing history.
Revenue Growth
Score unavailable
A valid growth rate could not be computed from the available filing history.
Balance Sheet
Assets
Up$1,500
Up $1,500 from 2015
Net Assets
Up$1,500
Up $1,500 from 2015
Liabilities
Flat$0
Flat from 2015
Revenue And Expenses
Revenue
Up$1,500
Up $1,500 from 2015
Expenses
Flat$0
Flat from 2015
Net Income
Up$1,500
Up $1,500 from 2015
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2016 to Dec 31, 2016
- Signed
- Mar 24, 2017
- Return Version
- 2016v3.0
- Gross Receipts
- $1,500
Mission and Program Overview
Mission
As expressions of god's healing love, witnessed through the ministry of jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Support subsidiaries & affiliates of Providence Health & Services and Western HealthConnect.
Program Services
| Description | Grants | Expenses |
|---|---|---|
| Support the programs and initiatives consistent with the mission and goals of the subsidiaries and affiliates of Providence Health & Services and Western HealthConnect. | $0 | $0 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Mike Holcomb | Director | - | $0 | - | - |
| Rod Hochman MD | Director Thru 6/16 | - | $0 | - | - |
| Joel Gilbertson | President | - | $0 | - | - |
| Todd Hofheins | Director | - | $0 | - | - |
| Deb Canales | Director | - | $0 | - | - |
| Dan Harris | VP/Treasurer | - | $0 | - | - |
| Cindy Strauss | Secretary | - | $0 | - | - |
| Pat Modrzejewski | VP/Chief Devel. Ofc. Eff. 5/16 | PT | $0 | - | - |
Filing and Contact Details
Filer
- Filer Name
- Providence Foundation
- EIN
- 94-3078543
- Phone
- 8182099348
- Address
- 1801 Lind Ave SW No 9016, Renton, WA 98057-9016
Signing Officer
- Name
- Pat Modrzejewski
- Title
- VP/Chief Development Officer
- Phone
- 8182099348
- Signed
- 2017-03-24
- Discuss with paid preparer
- Yes
Preparer
- Firm
- Clark Nuber PS
- Address
- 10900 NE 4th Suite 1700, Bellevue, WA 98004
- Preparer
- Sara Elizabeth J Hyre CPA
- Phone
- 4254544919
Supplemental Narrative
Additional Explanations
Form 990-EZ, Part II, Line 24 - Other Assets
“Description: Due from Affiliate. Beg. of Year Amount: 0. End of Year Amount: 1,500.”
Form 990-ez, Part V, Line 34
“The organizing documents were revised during 2015. However, since there was no activity during 2015, the explanation of the changes was not disclosed on the 2015 Form 990-EZ. The purpose of the Foundation was changed from serving as a co-trustee in connection with deferred giving for Providence Health System to accepting and managing philanthropic donations for Providence Health & Services, Western HealthConnect, their subsidiaries and affiliates. The Board of Directors was changed from the Providence Health System Board to a Board of not less than five nor more than fifteen members appointed by the Corporate Member, Providence Health & Services - Washington.”
Raw XML Appendix194 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 |
|---|---|---|
| IRS990EZ/ActivitiesNotPreviouslyRptInd | 0 | 0 |
| IRS990EZ/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Karl E Fritschel CPA |
| IRS990EZ/BooksInCareOfDetail/PhoneNum | 0 | 4255253339 |
| IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1801 Lind Ave SW 9016 |
| IRS990EZ/BooksInCareOfDetail/USAddress/CityNm | 0 | Renton |
| IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WA |
| IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 980579016 |
| IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt | 0 | 0 |
| IRS990EZ/ChgMadeToOrgnzngDocNotRptInd | 0 | 1 |
| IRS990EZ/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990EZ/ContributionsGiftsGrantsEtcAmt | 0 | 1500 |
| IRS990EZ/DirectIndirectPltclExpendAmt | 0 | 0 |
| IRS990EZ/DonorAdvisedFndsInd | 0 | 0 |
| IRS990EZ/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990EZ/ExcessOrDeficitForYearAmt | 0 | 1500 |
| IRS990EZ/FiledScheduleAInd | 0 | 1 |
| IRS990EZ/ForeignFinancialAccountInd | 0 | 0 |
| IRS990EZ/ForeignOfficeInd | 0 | 0 |
| IRS990EZ/Form990TotalAssetsGrp/BOYAmt | 0 | 0 |
| IRS990EZ/Form990TotalAssetsGrp/EOYAmt | 0 | 1500 |
| IRS990EZ/GrossReceiptsAmt | 0 | 1500 |
| IRS990EZ/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartIIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartVInd | 0 | X |
| IRS990EZ/LobbyingActivitiesInd | 0 | 0 |
| IRS990EZ/MadeLoansToFromOfficersInd | 0 | 0 |
| IRS990EZ/MethodOfAccountingAccrualInd | 0 | X |
| IRS990EZ/NetAssetsOrFundBalancesBOYAmt | 0 | 0 |
| IRS990EZ/NetAssetsOrFundBalancesEOYAmt | 0 | 1500 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt | 0 | 0 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt | 0 | 1500 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 0 | 0.10 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 1 | 0.10 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 2 | 0.10 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 3 | 0.10 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 4 | 0.10 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 5 | 0.10 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 6 | 0.10 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 7 | 30.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 7 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 7 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 7 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 0 | Mike Holcomb |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 1 | Rod Hochman MD |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 2 | Joel Gilbertson |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 3 | Todd Hofheins |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 4 | Deb Canales |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 5 | Dan Harris |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 6 | Cindy Strauss |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 7 | Pat Modrzejewski |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 0 | Director |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 1 | Director Thru 6/16 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 2 | President |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 3 | Director |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 4 | Director |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 5 | VP/Treasurer |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 6 | Secretary |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 7 | VP/Chief Devel. Ofc. Eff. 5/16 |
| IRS990EZ/OperateHospitalInd | 0 | 0 |
| IRS990EZ/Organization501c3Ind | 0 | X |
| IRS990EZ/OrganizationDissolvedEtcInd | 0 | 0 |
| IRS990EZ/OrganizationHadUBIInd | 0 | 0 |
| IRS990EZ/OtherAssetsTotalDetail/BOYAmt | 0 | 0 |
| IRS990EZ/OtherAssetsTotalDetail/EOYAmt | 0 | 1500 |
| IRS990EZ/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990EZ/OtherEmployeePaidOver100kCnt | 0 | 0 |
| IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt | 0 | NONE |
| IRS990EZ/PartVIOfCompOfHghstPdEmplTxt | 0 | NONE |
| IRS990EZ/PoliticalCampaignActyInd | 0 | 0 |
| IRS990EZ/PrimaryExemptPurposeTxt | 0 | Support subsidiaries & affiliates of Providence Health & Services and Western HealthConnect. |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt | 0 | Support the programs and initiatives consistent with the mission and goals of the subsidiaries and affiliates of Providence Health & Services and Western HealthConnect. |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt | 0 | 0 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt | 0 | 0 |
| IRS990EZ/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990EZ/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990EZ/ScheduleBNotRequiredInd | 0 | X |
| IRS990EZ/SchoolOperatingInd | 0 | 0 |
| IRS990EZ/SubjectToProxyTaxInd | 0 | 0 |
| IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt | 0 | 0 |
| IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt | 0 | 0 |
| IRS990EZ/TanningServicesProvidedInd | 0 | 0 |
| IRS990EZ/TaxImposedOnOrganizationMgrAmt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4911Amt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4912Amt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4955Amt | 0 | 0 |
| IRS990EZ/TaxReimbursedByOrganizationAmt | 0 | 0 |
| IRS990EZ/TotalExpensesAmt | 0 | 0 |
| IRS990EZ/TotalProgramServiceExpensesAmt | 0 | 0 |
| IRS990EZ/TotalRevenueAmt | 0 | 1500 |
| IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd | 0 | 0 |
| IRS990EZ/TypeOfOrganizationCorpInd | 0 | X |
| IRS990EZ/WebsiteAddressTxt | 0 | N/A |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd | 0 | 1 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgClassDesignatedInd | 0 | 1 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd | 0 | 1 |
| IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd | 0 | 0 |
| IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd | 0 | 1 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | The Bylaws specify that Providence Foundation is to support the mission and initiatives of the subsidiaries and affiliates of Providence Health & Services and Western HealthConnect. The following is a listing of those entities to be supported: Western HealthConnect entities: Institute for Systems Biology Kadlec Neurological Resource Center Kadlec Regional Medical Center Rivkin Center for Ovarian Cancer PacMed Clinics dba Pacific Medical Centers Swedish Edmonds Swedish Health Services Swedish Medical Center Foundation Seattle Science Foundation Providence Health & Services entities: Facey Medical Foundation Gamelin Washington Association Inland Northwest Health Services Institute for Mental Health and Wellness John Wayne Cancer Institute LCM Ancillary Services Corporation Providence Benedictine Nursing Center Foundation Providence Blanchet Association Providence Child Center Foundation Providence Community Health Foundation Providence Gamelin House Association Providence Health & Services Foundation - VSA Providence Health & Services - Montana Providence Health & Services - Oregon Providence Health & Services - Washington Providence Health Care Foundation Providence Health Care Foundation - Eastern Washington Providence Health System - Southern California Providence Hood River Memorial Hospital Foundation, Inc. Providence Hospice & Home Care Foundation Snohomish County Providence Little Company of Mary Foundation Providence Milwaukie Foundation Providence Mount St. Vincent Foundation Providence Newberg Health Foundation Providence Peter Claver Association Providence Portland Medical Foundation Providence Rossi Association Providence Seaside Hospital Foundation Providence St. Elizabeth House Association Providence St. Francis Association Providence St. John's Health Center Providence St. Joseph Medical Center Providence St. Mary Foundation Providence St. Vincent Medical Foundation Providence St. Peter Foundation Providence TrinityCare Hospice Providence TrinityCare Hospice Foundation St. Luke Association St. Patrick Hospital Foundation St. Thomas Child and Family Center The Gamelin Association The Gamelin-OR Association The Gamelin-CA Association The Lundberg Association University of Great Falls Providence Health & Services - Western Washington Providence St. John's Medical Foundation |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 1 | The following entities are exempt under Group Exemption #0928 and are listed in the Official Catholic Directory for 2016: Providence Health & Services - Montana Providence St. Joseph Medical Center Providence St. John's Health Center The Gamelin Association |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 2 | During 2016, a new affiliate was added under Western HealthConnect. i) Institute for Systems Biology #91-2003593 ii) During 2016, the Institute for Systems Biology affiliated with Western HealthConnect. As an affiliate of Western HealthConnect, the Institute of Systems Biology became a supported organization to the Foundation. iii) The organizing documents indicate the Foundation supports a class of organizations through common affiliation. New supported organizations are added as affiliations occur. iv) The affiliation was done through Western HealthConnect and not the Foundation directly. During 2016, two new affiliates were established under Providence Health & Services i) Institute for Mental Health & Wellness #81-4260130 ii) During 2016, the Institute for Mental Health & Wellness affiliated with Providence Health & Services. As an affiliate of Providence Health & Services, the Institute of Mental Health & Wellness became a supported organization to the Foundation. iii) The organizing documents indicate the Foundation supports a class of organizations through common affiliation. New supported organizations are added as affiliations occur. iv) The affiliation was done through Providence Health & Services and not the Foundation directly. i) Providence Saint John's Medical Foundation #81-4542216 ii) During 2016, Providence Saint John's Medical Foundation affiliated with Providence Health & Services. As an affiliate of Providence Health & Services, Providence Saint John's Medical Foundation became a supported organization to the Foundation. iii) The organizing documents indicate the Foundation supports a class of organizations through common affiliation. New supported organizations are added as affiliations occur. iv) The affiliation was done through Providence Health & Services and not the Foundation directly. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | PART I, LINE 12g & PART IV, Section A, Line 1 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 1 | Part IV, Section A, Line 2: |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 2 | Part IV, Section A, Line 5a: |
| IRS990ScheduleA/OtherSupportSumAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrganizationsCnt | 0 | 56 |
| IRS990ScheduleA/SupportedOrganizationsTotalCnt | 0 | 56 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 0 | 510216586 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 1 | 910433740 |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 0 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 1 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 0 | 3 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 1 | 3 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt | 1 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt | 1 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt | 0 | Providence Health & Services - Washington |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt | 1 | Swedish Health Services |
| IRS990ScheduleA/SupportingOrganization509a3Ind | 0 | X |
| IRS990ScheduleA/SupportingOrgType1Ind | 0 | X |
| IRS990ScheduleA/SupportSumAmt | 0 | 0 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | Description: Due from Affiliate. Beg. of Year Amount: 0. End of Year Amount: 1,500. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | The organizing documents were revised during 2015. However, since there was no activity during 2015, the explanation of the changes was not disclosed on the 2015 Form 990-EZ. The purpose of the Foundation was changed from serving as a co-trustee in connection with deferred giving for Providence Health System to accepting and managing philanthropic donations for Providence Health & Services, Western HealthConnect, their subsidiaries and affiliates. The Board of Directors was changed from the Providence Health System Board to a Board of not less than five nor more than fifteen members appointed by the Corporate Member, Providence Health & Services - Washington. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Form 990-EZ, Part II, Line 24 - Other Assets |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990-EZ, PART V, LINE 34 |
| TransferPrsnlBnftContractsDecl/DeclarationDesc | 0 | The organization did not, during the year, receive any funds, directly,or indirectly, to pay premiums on a personal benefit contract.The organization, did not, during the year, pay any premiums, directly,or indirectly, on a personal benefit contract. |
| ReturnHeader/BuildTS | 0 | 2017-02-10 21:41:12Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | 1 |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | Pat Modrzejewski |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | VP/Chief Development Officer |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 8182099348 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2017-03-24 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | PROVIDENCE FOUNDATION |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | PROV |
| ReturnHeader/Filer/EIN | 0 | 943078543 |
| ReturnHeader/Filer/PhoneNum | 0 | 8182099348 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | 1801 Lind Ave SW No 9016 |
| ReturnHeader/Filer/USAddress/CityNm | 0 | Renton |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | WA |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 980579016 |
| ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId | 0 | C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF |
| ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId | 0 | C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF |
| ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd | 0 | P |
| ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt | 0 | 170.173.0.16 |
| ReturnHeader/FilingSecurityInformation/IPDt | 0 | 2017-03-24 |
| ReturnHeader/FilingSecurityInformation/IPTimezoneCd | 0 | PD |
| ReturnHeader/FilingSecurityInformation/IPTm | 0 | 10:54:12 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 911194016 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | Clark Nuber PS |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | 10900 NE 4th Suite 1700 |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | Bellevue |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | WA |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 98004 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 4254544919 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | Sara Elizabeth J Hyre CPA |
| ReturnHeader/ReturnTs | 0 | 2017-03-24T12:54:42-05:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990EZ |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2016-01-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2016-12-31 |
| ReturnHeader/TaxYr | 0 | 2016 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2016 • Form 990EZDetailed filing. Detailed filing data is available for this year.
- Assets
- $1,500
- Liabilities
- $0
- Net assets
- $1,500
- Revenue
- $1,500
- Expenses
- $0
- Net income
- $1,500
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