SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
PROVIDENCE HEALTH & SERVICES - MONTANA
 
Employer identification number

81-0231793
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?
Yes No
(1)COVENANT ACO
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
61-1573313
HEALTHCARE TX 501(c)(3) 12,I CHS
 
Yes
 
(2)COVENANT HEALTH NETWORK INC
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
46-1259908
HEALTHCARE CA 501(c)(3) 12,III SJHS
 
Yes
 
(3)COVENANT HEALTH PARTNERS
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
46-3516417
HEALTHCARE TX 501(c)(3) 12,I CHS
 
Yes
 
(4)COVENANT HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
75-2765566
HEALTHCARE TX 501(c)(3) 3 SJHS
 
Yes
 
(5)COVENANT HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
75-2897026
HEALTHCARE TX 501(c)(3) 7 CHS
 
Yes
 
(6)COVENANT MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
82-2913146
HEALTHCARE TX 501(c)(3) 3 CHS
 
Yes
 
(7)COVENANT MEDICAL GROUP
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
75-2743883
HEALTHCARE TX 501(c)(3) 3 CHS
 
Yes
 
(8)E WA & MT UNEMPLOYMENT COMPENSATION INSURANCE TRUST
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1082119
UNEMPLOYMENT WA 501(c)(3) 12,I PHS WA
 
Yes
 
(9)EVERETT TRANSITIONAL CARE SERVICES
PO Box 5128

EVERETT,WA982065128
94-3264605
TRANS. CARE WA 501(c)(3) 10 N/A
 
No
(10)FACEY MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
95-4322584
SUPPORT CA 501(c)(3) 7 PHS SOCAL
 
Yes
 
(11)GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
20-1910170
SUPPORT WA 501(c)(3) 7 PHS WA
 
Yes
 
(12)GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104

SEATAC,WA98188
27-3133200
HEALTHCARE WA 501(c)(3) 7 SHS
 
Yes
 
(13)HMTS INC
1 HOAG DRIVE PO BOX 6100

NEWPORT BEACH,CA926586100
45-3583707
HEALTHCARE CA 501(c)(3) 12,I HMHP
 
Yes
 
(14)HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195

IRVINE,CA92612
45-2982422
SUPPORT CA 501(c)(3) 7 HHF
 
Yes
 
(15)HOAG CLINIC
1 HOAG DRIVE PO BOX 6100

NEWPORT BEACH,CA926586100
33-0676831
HEALTHCARE CA 501(c)(3) 10 HMHP
 
Yes
 
(16)HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVE

NEWPORT BEACH,CA92663
95-3222343
FUNDRAISING CA 501(c)(3) 7 HMHP
 
Yes
 
(17)HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG DRIVE PO BOX 6100

NEWPORT BEACH,CA926586100
95-1643327
HEALTHCARE CA 501(c)(3) 3 CHN
 
Yes
 
(18)HOSPICE OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
75-2133781
HEALTHCARE TX 501(c)(3) 10 CHS
 
Yes
 
(19)INLAND NORTHWEST HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1307555
HEALTHCARE WA 501(c)(3) 3 PHS WA
 
Yes
 
(20)INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
81-4260130
HEALTHCARE WA 501(c)(3) 7 PHS SJHS
 
Yes
 
(21)INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-2003593
HEALTHCARE WA 501(c)(3) 7 WHC
 
Yes
 
(22)JOHN WAYNE CANCER INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
95-4291515
HEALTHCARE CA 501(c)(3) 4 PSJHC
 
Yes
 
(23)KADLEC AUXILIARY INC
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-6033089
SUPPORT WA 501(c)(3) 12,III KRMC
 
Yes
 
(24)KADLEC FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
23-7005501
SUPPORT WA 501(c)(3) 12,I KRMC
 
Yes
 
(25)KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-0655392
HEALTHCARE WA 501(c)(3) 3 WHC
 
Yes
 
(26)LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
33-0844408
IMAGING SVCS CA 501(c)(3) 10 PHS SOCAL
 
Yes
 
(27)LUBBOCK METHODIST HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
75-2220963
HEALTHCARE TX 501(c)(3) 7 CHS
 
Yes
 
(28)LUNDBERG ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1562797
SUPPORT OR 501(c)(3) 7 PHS OR
 
Yes
 
(29)MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-2054035
RESEARCH WA 501(c)(3) 7 SHS
 
Yes
 
(30)METHODIST CHILDREN'S HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
75-2428911
HEALTHCARE TX 501(c)(3) 3 CHS
 
Yes
 
(31)METHODIST HOSPITAL LEVELLAND
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
75-2246348
HEALTHCARE TX 501(c)(3) 3 CHS
 
Yes
 
(32)METHODIST HOSPITAL PLAINVIEW
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
75-2426010
HEALTHCARE TX 501(c)(3) 3 CHS
 
Yes
 
(33)MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
95-1643360
HEALTHCARE CA 501(c)(3) 3 CHN
 
Yes
 
(34)NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069

SEATTLE,WA98116
20-0799737
SUPPORT WA 501(c)(3) 12,I SHS
 
Yes
 
(35)PACMED CLINICS
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
56-2290878
HEALTHCARE WA 501(c)(3) 10 WHC
 
Yes
 
(36)PH&S FOUNDATIONSFVSA & SCVSA
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
95-3544877
HEALTHCARE CA 501(c)(3) 7 PHS SOCAL
 
Yes
 
(37)PROVIDENCE ALASKA FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
92-0093565
HEALTHCARE AK 501(c)(3) 12,I PHS WA
 
Yes
 
(38)PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1940286
HEALTHCARE OR 501(c)(3) 7 PHS OR
 
Yes
 
(39)PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1789266
SUPPORT WA 501(c)(3) 7 PHS WA
 
Yes
 
(40)PROVIDENCE CHILDREN'S HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
93-0800140
SUPPORT OR 501(c)(3) 7 PHS OR
 
Yes
 
(41)PROVIDENCE COMMUNITY HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
93-0692907
HEALTHCARE OR 501(c)(3) 7 PHS OR
 
Yes
 
(42)PROVIDENCE DETHMAN HOUSE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
47-3385506
SUPPORT WA 501(c)(3) 7 N/A
 
No
(43)PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
31-1744654
SUPPORT WA 501(c)(3) 7 PHS WA
 
Yes
 
(44)PROVIDENCE HEALTH & SERVICES
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1549796
HEALTHCARE WA 501(c)(3) 12,II PSJH
 
 
No
(45)PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
51-0216587
HEALTHCARE OR 501(c)(3) 3 PHS
 
Yes
 
(46)PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
51-0216586
HEALTHCARE WA 501(c)(3) 3 PHS
 
Yes
 
(47)PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1303277
HEALTHCARE WA 501(c)(3) 3 PMWHC
 
Yes
 
(48)PROVIDENCE HEALTH ASSURANCE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
55-0828701
MEDICAID OR 501(c)(4) N/A PHP
 
Yes
 
(49)PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
32-0014330
HEALTHCARE WA 501(c)(3) 7 PHS WA
 
Yes
 
(50)PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA)
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1433382
HEALTHCARE WA 501(c)(3) 7 PHS W WA
 
Yes
 
(51)PROVIDENCE HEALTH PLAN
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
93-0863097
HEALTHCARE OR 501(c)(4) N/A PPP
 
Yes
 
(52)PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
51-0216589
HEALTHCARE CA 501(c)(3) 3 PHS
 
Yes
 
(53)PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
93-0921990
HEALTHCARE OR 501(c)(3) 7 PHS OR
 
Yes
 
(54)PROVIDENCE HOSPICE AND HOME CARE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
27-2552749
HEALTHCARE WA 501(c)(3) 7 PHS W WA
 
Yes
 
(55)PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-2077378
HEALTHCARE WA 501(c)(3) 7 PHS W WA
 
Yes
 
(56)PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
51-0224944
HEALTHCARE CA 501(c)(3) 7 PHS SOCAL
 
Yes
 
(57)PROVIDENCE MARIANWOOD FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
93-1554288
HEALTHCARE WA 501(c)(3) 12,I PHS W WA
 
Yes
 
(58)PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
33-0283773
HEALTHCARE CA 501(c)(3) 12,I PHS SOCAL
 
Yes
 
(59)PROVIDENCE MILWAUKIE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
94-3079515
HEALTHCARE OR 501(c)(3) 7 PHS OR
 
Yes
 
(60)PROVIDENCE MINISTRIES
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
RELIGIOUS ORG WA 501(c)(3) 1 N/A
 
No
(61)PROVIDENCE MOUNT ST VINCENT FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1188119
HEALTHCARE WA 501(c)(3) 7 PHS WA
 
Yes
 
(62)PROVIDENCE NEWBERG HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
93-0889144
HEALTHCARE OR 501(c)(3) 7 PHS OR
 
Yes
 
(63)PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
31-1629656
SUPPORT WA 501(c)(3) 7 PHS WA
 
Yes
 
(64)PROVIDENCE PLAN PARTNERS
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1861964
HEALTHCARE WA 501(c)(4) N/A PHS OR
 
Yes
 
(65)PROVIDENCE PORTLAND MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
93-1231494
HEALTHCARE OR 501(c)(3) 7 PHS OR
 
Yes
 
(66)PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
31-1584166
SUPPORT WA 501(c)(3) 10 PHS WA
 
Yes
 
(67)PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
95-1684082
HEALTHCARE CA 501(c)(3) 3 PHS SOCAL
 
Yes
 
(68)PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
81-4542216
HEALTHCARE CA 501(c)(3) 3 PHS SOCAL
 
Yes
 
(69)PROVIDENCE SEASIDE HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
93-0927320
HEALTHCARE OR 501(c)(3) 7 PHS OR
 
Yes
 
(70)PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-2171539
SUPPORT WA 501(c)(3) 7 PHS WA
 
Yes
 
(71)PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
94-3244854
SUPPORT WA 501(c)(3) 7 PHS WA
 
Yes
 
(72)PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
81-1244422
HEALTHCARE WA 501(c)(3) 12,III N/A
 
No
(73)PROVIDENCE ST JOSEPH HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
94-3078543
HEALTHCARE WA 501(c)(3) 12,I PHS WA
 
Yes
 
(74)PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
81-0463482
HEALTHCARE MT 501(c)(3) 3 PHS WA
 
Yes
 
(75)PROVIDENCE ST MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
45-2841492
HEALTHCARE WA 501(c)(3) 7 PHS WA
 
Yes
 
(76)PROVIDENCE ST PETER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1097056
SUPPORT WA 501(c)(3) 7 PHS W WA
 
Yes
 
(77)PROVIDENCE ST VINCENT MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
93-0575982
HEALTHCARE OR 501(c)(3) 7 PHS OR
 
Yes
 
(78)PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
95-3264139
HEALTHCARE CA 501(c)(3) 10 PHS SOCAL
 
Yes
 
(79)PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
33-0261016
HEALTHCARE CA 501(c)(3) 7 PTCH
 
Yes
 
(80)PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
93-1003750
HEALTHCARE OR 501(c)(3) 12, I PHS OR
 
Yes
 
(81)QUEEN OF THE VALLEY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
94-1243669
HEALTHCARE CA 501(c)(3) 3 SJHS
 
Yes
 
(82)REDWOOD MEMORIAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
94-2779313
HEALTHCARE CA 501(c)(3) 7 RMH
 
Yes
 
(83)REDWOOD MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
94-1384665
HEALTHCARE CA 501(c)(3) 3 SJHS
 
Yes
 
(84)SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
95-6100079
SUPPORT CA 501(c)(3) 7 PSJHC
 
Yes
 
(85)SANTA ROSA MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
94-1231005
HEALTHCARE CA 501(c)(3) 3 SJHS
 
Yes
 
(86)SEATTLE SCIENCE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
61-1502822
PHYSN COLLAB WA 501(c)(3) 7 WHC
 
Yes
 
(87)SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
26-2612415
SHELL CORP MT 501(c)(3) 1 PHS WA
 
 
No
(88)SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIA

ORANGE,CA92868
95-1643383
RELIGIOUS ORG CA 501(c)(3) 1 N/A
 
No
(89)SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
68-0395200
HEALTHCARE CA 501(c)(3) 3 SRMH
 
Yes
 
(90)ST JOSEPH HEALTH MINISTRY
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
27-1666576
RELIGIOUS ORG CA 501(c)(3) 1 SSJO
 
 
No
(91)ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
81-4791043
HEALTHCARE CA 501(c)(3) 3 SJHS
 
Yes
 
(92)ST JOSEPH HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
95-3589356
HEALTHCARE CA 501(c)(3) 12,I PSJH
 
 
No
(93)ST JOSEPH HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
33-0143024
HEALTHCARE CA 501(c)(3) 7 SJHS
 
Yes
 
(94)ST JOSEPH HERITAGE HEALTHCARE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
33-0185031
HEALTHCARE CA 501(c)(3) 3 SJHS
 
Yes
 
(95)ST JOSEPH HOME CARE NETWORK
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
68-0331084
HEALTHCARE CA 501(c)(3) 10 SJHS
 
Yes
 
(96)ST JOSEPH HOSPITAL OF EUREKA
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
94-1156596
HEALTHCARE CA 501(c)(3) 3 SJHS
 
Yes
 
(97)ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
95-1643359
HEALTHCARE CA 501(c)(3) 3 CHN
 
Yes
 
(98)ST JUDE HOSPITAL INC
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
95-1643324
HEALTHCARE CA 501(c)(3) 3 CHN
 
Yes
 
(99)ST LUKE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
94-3176618
SUPPORT WA 501(c)(3) 7 PHS WA
 
Yes
 
(100)ST MARY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
95-1914489
HEALTHCARE CA 501(c)(3) 3 CHN
 
Yes
 
(101)ST MARY OF THE PLAINS HOSPITAL FDN
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
75-1653181
HEALTHCARE TX 501(c)(3) 7 CHS
 
Yes
 
(102)ST PATRICK HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
23-7056976
HEALTHCARE MT 501(c)(3) 7 PHS WA
 
Yes
 
(103)ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
81-0233495
EDUCATION MT 501(c)(3) 10 PHS WA
 
Yes
 
(104)SWEDISH EDMONDS
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
27-2305304
HEALTHCARE WA 501(c)(3) 3 WHC
 
Yes
 
(105)SWEDISH HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-0433740
HEALTHCARE WA 501(c)(3) 3 WHC
 
Yes
 
(106)SWEDISH MEDICAL CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-0983214
HEALTHCARE WA 501(c)(3) 7 SHS
 
Yes
 
(107)SWEDISH MJM HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
27-3139262
HOLDING CO WA 501(c)(3) 12,I SHS
 
Yes
 
(108)THE GAMELIN ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1180824
SUPPORT WA 501(c)(3) 7 PHS WA
 
Yes
 
(109)THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1293869
SUPPORT CA 501(c)(3) 10 PHS SOCAL
 
Yes
 
(110)THE GAMELIN OREGON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1214491
SUPPORT OR 501(c)(3) 10 PHS OR
 
Yes
 
(111)UNIVERSITY OF PROVIDENCE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
81-0231777
EDUCATION MT 501(c)(3) 2 PHS
 
Yes
 
(112)WESTERN HEALTHCONNECT
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
45-4171900
SHELL CORPORATION WA 501(c)(3) 12,II PHS W WA
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Page 2
Schedule R (Form 990) 2018
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


Yes No Yes No
(1) 20TH STREET SURGERY LLC

1301 20TH STREET STE 140
SANTA MONICA,CA90404
73-1735618
AMBULATORY SURG CA N/A
                 
(2) BROADWAY IMAGING LLC

500 W BROADWAY
MISSOULA,MT59802
52-2405971
MEDICAL IMAGING MT PHS MT
 
RELATED 6,229,025 3,888,830   No   Yes   75.000 %
(3) CENTER FOR SPECIALTY SURGERY LLC

11782 SW BARNES RD
PORTLAND,OR97225
26-3638838
AMBULATORY SURG OR N/A
                 
(4) CLACKAMAS RADIATION ONCOLOGY CENTER LLC

4400 NE HALSEY ST BLDG II 495
PORTLAND,OR97213
26-0381897
RADIATION ONCOL OR N/A
                 
(5) COASTAL ASC HOLDINGS LLC

ONE HOAG DRIVE PO BOX 6100
NEWPORT BEACH,CA926586100
81-0986844
HEALTHCARE CA N/A
                 
(6) COVENANT LONG-TERM CARE LP

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
20-5033419
HEALTHCARE TX N/A
                 
(7) CTR FOR MED IMAGING-BRIDGEPORT LLC

4400 NE HALSEY 495
PORTLAND,OR97213
26-0796953
IMAGING DIAG. OR N/A
                 
(8) CTR FOR MED IMAGING-TANASBOURNE LLC

4400 NE HALSEY 495
PORTLAND,OR97213
20-0477972
IMAGING DIAG. OR N/A
                 
(9) FULLERTON SURGICAL CENTER LP

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-0927394
AMBULATORY SURG CA N/A
                 
(10) GREATER VALLEY MEDICAL BUILDING LP

501 S BUENA VISTA ST
BURBANK,CA91505
95-4570858
REAL ESTATE - MOB CA N/A
                 
(11) HCSA PROPERTIES LLC

1600 M STREET NW
AUBURN,WA98001
46-0620892
REAL ESTATE RENT WA N/A
                 
(12) HERITAGE INVESTMENT GROUP I LLC

500 S MAIN STREET STE 1000
ORANGE,CA92868
27-1000061
INVESTMENTS CA N/A
                 
(13) HOAG ORTHOPEDIC INSTITUTE

ONE HOAG DRIVE PO BOX 6100
NEWPORT BEACH,CA926586100
61-1588294
HEALTHCARE CA N/A
                 
(14) HOAG OUTPATIENT CENTERS LLC

27271 LAS RAMBLAS 350
MISSION VIEJO,CA92691
45-3587572
HEALTHCARE CA N/A
                 
(15) INLAND IMAGING LLC

801 S STEVENS ST
SPOKANE,WA99204
91-1855796
MEDICAL IMAGING WA N/A
                 
(16) LSC REAL PROPERTY LLC

2301 QUAKER AVENUE
LUBBOCK,TX79410
47-4646059
REAL ESTATE TX N/A
                 
(17) METHODIST DIAGNOSTIC IMAGING

4005 24TH STREET
LUBBOCK,TX79410
75-2343261
HEALTHCARE TX N/A
                 
(18) NEWPORT BAY SURGERY CENTER LLC

3333 W PACIFIC COAST HWY STE 100
NEW PORT BEACH,CA92663
56-2518360
HEALTHCARE CA N/A
                 
(19) NEWPORT BEACH ENDOSCOPY CENTER LLC

27271 LAS RAMBLAS 350
MISSION VIEJO,CA92691
77-0368744
HEALTHCARE CA N/A
                 
(20) NEWPORT IMAGING CENTER

360 SAN MIGUEL
NEWPORT BEACH,CA92660
33-0191776
HEALTHCARE CA N/A
                 
(21) NEWPORT SURGICAL PARTNERS LLC

27271 LAS RAMBLAS 350
MISSION VIEJO,CA92691
39-2060266
HEALTHCARE CA N/A
                 
(22) NORTH BAY ENDOSCOPY CENTER

1383 N MCDOWELL BLVD STE 110
PETALUMA,CA94954
61-1559876
HEALTHCARE CA N/A
                 
(23) OREGON ADVANCED IMAGING LLC

881 OHARE PARKWAY
MEDFORD,OR97504
45-0471748
MEDICAL IMAGING OR N/A
                 
(24) OREGON OUTPATIENT SURGERY CENTER

7300 SW CHILDS RD
TIGARD,OR97224
22-3883387
AMBULATORY SURG OR N/A
                 
(25) PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC

1221 MADISON STREET
SEATTLE,WA98104
20-3132044
MEDICAL IMAGING WA N/A
                 
(26) PHS INVESTMENT TRANSITION PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2279711
INVESTMENTS WA N/A
                 
(27) PHS INVESTMENT TRUST 2015 PRIVATE ASSETS PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-3393740
INVESTMENTS WA N/A
                 
(28) PHS INVESTMENT TRUST 2016 PRIVATE ASSETS PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
81-1532735
INVESTMENTS WA N/A
                 
(29) PHS INVESTMENT TRUST 2016 PRIVATE RE PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
81-2960145
INVESTMENTS WA N/A
                 
(30) PHS INVESTMENT TRUST BANK LOANS PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2357735
INVESTMENTS WA N/A
                 
(31) PHS INVESTMENT TRUST COMMODITIES PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2269004
INVESTMENTS WA N/A
                 
(32) PHS INVESTMENT TRUST HEDGE FUND PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2293255
INVESTMENTS WA N/A
                 
(33) PHS INVESTMENT TRUST LDI PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2392060
INVESTMENTS WA N/A
                 
(34) PHS INVESTMENT TRUST LONG TREASURIES PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2385238
INVESTMENTS WA N/A
                 
(35) PHS INVESTMENT TRUST MLP PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2367538
INVESTMENTS WA N/A
                 
(36) PHS INVESTMENT TRUST PUBLIC DEBT PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2353569
INVESTMENTS WA N/A
                 
(37) PHS INVESTMENT TRUST PUBLIC EQUITY PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2283974
INVESTMENTS WA N/A
                 
(38) PHS INVESTMENT TRUST RELATIVE VALUE PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2314743
INVESTMENTS WA N/A
                 
(39) PHS INVESTMENT TRUST RISK PARITY PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2336377
INVESTMENTS WA N/A
                 
(40) PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
81-2701056
INVESTMENTS WA N/A
                 
(41) PHS INVESTMENT TRUST TACTICAL TRADING PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2327491
INVESTMENTS WA N/A
                 
(42) PHS INVESTMENT TRUST TIPS PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2402609
INVESTMENTS WA N/A
                 
(43) PORTLAND MEDICAL IMAGING LLC

4400 NE HALSEY 495
PORTLAND,OR97213
20-1054971
IMAGING DIAGNOSTICS OR N/A
                 
(44) PROV RADIATION ONCOLOGY DEVELOP ASSN

4400 NE HALSEY 495
PORTLAND,OR97213
26-0682491
REAL ESTATE - MOB OR N/A
                 
(45) PROVIDENCE CHILDREN'S NEONATAL SERVICES

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-0918549
NEONATAL CARE WA N/A
                 
(46) PROVIDENCE IMAGING CENTER JOINT VENTURE

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
92-0118807
MEDICAL IMAGING AK N/A
                 
(47) PROVIDENCE PARTNERS FOR HEALTH LLC

501 S BUENA VISTA ST
BURBANK,CA91505
45-4041798
CLIN QUALITY/INT CA N/A
                 
(48) PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
82-3190634
INVESTMENTS WA N/A
                 
(49) PROVIDENCE SURGERY CENTER LLC

902 N ORANGE ST
MISSOULA,MT59802
84-1401625
AMBULATORY SURG MT PHS MT
 
RELATED 1,142,394 2,523,927   No   Yes   74.240 %
(50) PROVIDENCESILVERTON REHAB LLC

4400 NE HALSEY 425
PORTLAND,OR97213
48-1287267
REHAB SERVICES OR N/A
                 
(51) PROVIDENCEUSP SANTA CLARITA GP LLC

11550 INDIAN HILLS ROAD 160
MISSION HILLS,CA91345
20-2829660
AMBULATORY SURG CA N/A
                 
(52) PROVIDENCEUSP SURGERY CENTERS LLC

11550 INDIAN HILLS ROAD 160
MISSION HILLS,CA91345
20-0905938
AMBULATORY SURG CA N/A
                 
(53) SHA LLC

12940 NORTH HIGHWAY 183
AUSTIN,TX78750
75-2569094
HEALTHCARE TX N/A
                 
(54) SJO ASC HOLDINGS LLC

1140 W LA VETA AVE
ORANGE,CA92868
82-1655501
HEALTHCARE CA N/A
                 
(55) ST JOSEPH PHYSICIAN VENTURES I LLC

1100 WEST STEWART DRIVE
ORANGE,CA92868
45-4521884
REAL ESTATE CA N/A
                 
(56) ST JOSEPHSATELLITE DIALYSIS CENTERS LLC

300 SANTANA ROW STE 300
SAN JOSE,CA95128
81-4657391
HEALTHCARE CA N/A
                 
(57) ST JUDE SURGICAL CENTERS LLC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
82-3352570
AMBULATORY SURG CA N/A
                 
(58) SURGERY CENTER AT TANASBOURNE LLC

11221 ROE Ave STE 300
LEAWOOD,KS66211
20-8187971
AMBULATORY SURG KS N/A
                 
(59) TARZANA PEDIATRIC VENTURES LLC

18321 CLARK ST
TARZANA,CA91356
82-1308306
HEALTHCARE CA N/A
                 
(60) THE MADISON SPOKANE INN LLC

15 WEST ROCKWOOD BLVD
SPOKANE,WA99204
84-1606484
HOTEL SERVICES WA N/A
                 
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) 1221 MADISON STREET OWNERS ASSOC

747 BROADWAY
SEATTLE,WA98122
20-1954319
OWNERS' ASSOC. WA N/A
C         No
(2) AMERICAN UNITY GROUP LTD

90 PITTS BAY ROAD HM08
  PEMBROKE  
BD
CAPTIVE INSURANCE BD N/A
C         No
(3) AYIN HEALTH SOLUTIONS INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
83-3037172
HEALTHCARE DE N/A
C         No
(4) BOURGET HEALTH SERVICES INC

PO BOX 2687
SPOKANE,WA99223
91-1354431
CLIN/MED LAB WA N/A
C         No
(5) CARON HEALTH CORPORATION

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
81-0486082
MED PHYS SVCS MT N/A
C         No
(6) HOAG CLINIC

1 HOAG DRIVE PO BOX 6100
NEWPORT BEACH,CA926586100
33-0676831
HEALTHCARE CA N/A
C         No
(7) DATU HEALTH INC AND SUBSIDIARIES

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
46-3070062
IT SVCS DE N/A
C         No
(8) ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA

1301 20TH STREET STE 280
SANTA MONICA,CA90404
95-2880495
HEALTHCARE CA N/A
S         No
(9) GRACE CLINIC OF LUBBOCK

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
20-3856995
HEALTHCARE CA N/A
C         No
(10) GRACE CLINIC SERVICES INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
20-3857067
HEALTHCARE TX N/A
C         No
(11) HOAG MANAGEMENT SERVICES INC

1 HOAG DRIVE PO BOX 6100
NEWPORT BEACH,CA926586100
33-0731587
HEALTHCARE CA N/A
C         No
(12) LUBBOCK METHODIST HOSP PRACTICE MGMT

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
75-2578995
INACTIVE TX N/A
C         No
(13) LUBBOCK METHODIST HOSPITAL SVCS

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
75-2118585
HEALTHCARE TX N/A
C         No
(14) LUMEDIC ACQUISITION CO INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
83-3881097
HEALTHCARE WA N/A
C         No
(15) MISSION VIEJO MEDICAL VENTURES

27800 MEDICAL CENTER RD 354
MISSION VIEJO,CA92691
33-0212905
HEALTHCARE CA N/A
C         No
(16) PHN HOLDINGS

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
46-1814184
STRAT PLAN SVCS CA N/A
C         No
(17) PIONEER INNOVATIONS INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
36-4818191
HEALTH INNOVATNS WA N/A
C         No
(18) PROVIDENCE ASSURANCE INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
20-8194071
CAPTIVE INSURANCE AZ N/A
C         No
(19) PROVIDENCE HEALTH CARE VENTURES INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
90-0155714
CLIN/MED LAB WA N/A
C         No
(20) PROVIDENCE HEALTH NETWORK

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
80-0886966
PREPAID HEALTH CA N/A
C         No
(21) PROVIDENCE HEALTH VENTURES INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
33-0122216
INVESTMENT CA N/A
C         No
(22) ST JOSEPH HEALTH SOURCE INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
46-1900168
HEALTHCARE CA N/A
C         No
(23) ST JOSEPH HEALTH

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
46-2340232
HOLDING COMPANY CA N/A
C         No
(24) ST JOSEPH PROF SVCS ENTERPRSES INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
33-0155323
HEALTHCARE CA N/A
C         No
(25) VINSERRA INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
95-3943315
INVESTMENTS CA N/A
C         No
(26) WESTERN HEALTHCONNECT VENTURES INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
80-0953654
INVESTMENTS WA N/A
C         No
(27) YAKIMA MEDICAL ARTS INC

611 N PERRY 100
SPOKANE,WA99202
91-0787963
RENT REAL ESTATE WA N/A
C         No
Schedule R (Form 990) 2018
Page 3
Schedule R (Form 990) 2018
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
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 HEALTH & SERVICES - WA

M 66,789,405 COST
(2) ST PATRICK HOSPITAL FOUNDATION

B 795,350 COST
(3) ST PATRICK HOSPITAL FOUNDATION

C 650,436 COST



Schedule R (Form 990) 2018
Page 4
Schedule R (Form 990) 2018
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)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2018
Page 5
Schedule R (Form 990) 2018
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) 2018

Additional Data


Software ID:  
Software Version: