TRI-CITIES CANCER CENTER: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- TRI-CITIES CANCER CENTER (EIN 91-1594526)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-08
- IRS object ID
- 202143129349304789
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-08T17:57:56-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8101 WEST GRANDRIDGE BLVD SUITE 130 | AddressLine1Txt |
| City | KENNEWICK | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99336 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911594526 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRI-CITIES CANCER CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TRI- | BusinessNameControlTxt |
| Phone | 5097839894 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 LIND AVE SW - ATTN TAX DEPT | AddressLine1Txt |
| City | RENTON | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98057 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PHIL GALLAGHER | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 5097839894 | PhoneNum |
| Signature | 2021-11-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | PHIL | PersonFirstNm |
| Person Last | GALLAGHER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EMILY MCCANN | PreparerPersonNm |
| PTIN | P01759947 | PTIN |
| Phone | 5097351561 | PhoneNum |
| Preparation | 2021-11-02 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | PHIL GALLAGHER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 LIND AVE SW - ATTN TAX DEPT | AddressLine1Txt |
| City | RENTON | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98057 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,973,661 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TCCANCER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE AND COORDINATE THE HIGHEST QUALITY, COMPASSIONATE CARE FOR THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 58 | TotalEmployeeCnt |
| Total Volunteers | 250 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,001,856 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,179,122 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,306,226 | CYProgramServiceRevenueAmt |
| PY Investment Income | $21,490 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,630 | CYInvestmentIncomeAmt |
| PY Other Revenue | $536,732 | PYOtherRevenueAmt |
| CY Other Revenue | $500,536 | CYOtherRevenueAmt |
| PY Total Revenue | $11,737,344 | PYTotalRevenueAmt |
| CY Total Revenue | $11,814,248 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $295,248 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $388,117 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,274,173 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,995,977 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $21,907 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,961,153 | PYOtherExpensesAmt |
| CY Other Expenses | $4,582,081 | CYOtherExpensesAmt |
| PY Total Expenses | $12,530,574 | PYTotalExpensesAmt |
| CY Total Expenses | $11,966,175 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$793,230 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$151,927 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,306,617 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,572,787 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,136,514 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,236,611 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,170,103 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,336,176 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE AND COORDINATE THE HIGHEST QUALITY, COMPASSIONATE CANCER CARE FOR THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,559,535 | ExpenseAmt |
| Grant | $388,117 | GrantAmt |
| Revenue | $10,806,762 | RevenueAmt |
| Desc | THE TRI-CITIES CANCER CENTER PROVIDES MANY SERVICES TO CANCER PATIENTS, THEIR FAMILIES AND THE COMMUNITY FREE OF CHARGE. THESE PROGRAMS CONSIST OF CANCER SCREENING, EARLY DETECTION, PREVENTION OF CANCER, NAVIGATION FOR PATIENTS, CHAPLAIN AND SOCIAL WORK SERVICES. THE YEAR OF 2020 WAS A CHALLENGING ONE FOR PATIENTS AND THE COMMUNITY AS EVERYONE SHELTERED AT HOME AND MANY DID NOT GET TO THEIR DOCTOR OR PARTICIPATE IN ANNUAL CANCER SCREENINGS. IN SPITE OF THIS THE TRI-CITIES CANCER CENTER PROVIDED FREE SCREENINGS FOR BREAST CANCER (216 SCREENED), SKIN CANCER (38 SCREENED), COLO-RECTAL CANCER (72 SCREENED). (CONTINUED ON SCHEDULE O) THE COMMUNITY EDUCATION PROGRAM WENT VIRTUAL AND WAS STILL WELL ATTENDED WITH PHYSICIANS GIVING EDUCATION ON CANCER TOPICS. SUPPORT GROUPS QUICKLY WENT TO ZOOM MEETING FORMAT AND CONTINUED TO OFFER SUPPORT TO THOSE WHO WERE GOING THROUGH CANCER DURING THIS DIFFICULT YEAR. THE CENTER'S NURSE NAVIGATORS AND SOCIAL WORKERS HEARD FROM MANY PATIENTS THAT ACCESS TO FOOD WAS A BIG ISSUE FOR THEM, IN RESPONSE WE STARTED A PROGRAM PARTNERING WITH LOCAL RESTAURANTS TO PROVIDE FREE MEALS ONCE A WEEK TO ALL PATIENTS UNDER CARE AT THE CANCER CENTER. | Desc |
| Total Program Service Expenses | $10,559,535 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 58 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VICTORIA D DEHLER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5097373409 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7350 W DESCHUTES AVE BUILDING A | AddressLine1Txt |
| City | KENNEWICK | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99336 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| GUY JONES | |||||||
| RADIATION ONCOLOGIST | 50.00 | Yes (X) | $973,341 | $0 | $23,280 | ||
| SUE MANDELL MD | |||||||
| MEDICAL DIRECTOR | 50.00 | Yes (X) | $653,744 | $0 | $39,760 | ||
| SHERRY ZHAO | |||||||
| RADIATION ONCOLOGIST | 50.00 | Yes (X) | $519,831 | $0 | $23,280 | ||
| CHARLES W DEGOOYER | |||||||
| CEO | 50.00 | $429,071 | $0 | $24,014 | Yes (X) | ||
| MICHELE CARON | |||||||
| INTERIM OPERATIONAL LEADER | 50.00 | $203,967 | $0 | $19,134 | Yes (X) | ||
| VICTORIA D DEHLER | |||||||
| DIRECTOR FINANCE & OPERATI | 50.00 | $191,087 | $0 | $18,463 | Yes (X) | ||
| LISA ROOTVIK | |||||||
| ARNP | 40.00 | Yes (X) | $138,019 | $0 | $31,189 | ||
| JEFFREY CUMMINGS | |||||||
| PHYSICIANS ASSISTANT | 50.00 | Yes (X) | $141,675 | $0 | $15,920 | ||
| ELIZABETH MCLAUGHLIN | |||||||
| FOUNDATION DIRECTOR | 50.00 | $128,064 | $0 | $15,080 | Yes (X) | ||
| REZA KALEEL | |||||||
| BOARD CHAIRMAN | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| BASIR HAQUEMD | |||||||
| BOARD VICE-CHAIR | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| PHIL GALLAGHER | |||||||
| BOARD SECRETARY & TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| SUSAN KREID | |||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JENNIFER OLLERO | |||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,378,799 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $210,120 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 18 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| VARIAN MEDICAL SYSTEMS INC | |||||
| 70140 NETWORK PLACE | CHICAGO | IL | 60673 | PREPAID SERVICES CONTRACT,AND RADIATION | $654,968 |
| NORTHWEST MEDICAL PHYSICS | |||||
| 21031 67TH AVE W | LYNNWOOD | WA | 98036 | PHYSICS CONTRACT | $631,044 |
| INLINE COMPUTER & COMM | |||||
| 1900 FOWLER STREET SUITE G | RICHLAND | WA | 99352 | INFORMATION SYSTEM MANAGEMENT | $240,937 |
| VANGUARD CLEANING SYSTEM | |||||
| 620 N ARGONNE RD STE 129 | SPOKANE VALLEY | WA | 99212 | COVID DISINFECTING | $131,000 |
| BUCHALTER | |||||
| 1000 WILSHIRE BOULEVARD SUITE 1500 | LOS ANGELES | CA | 90017 | LEGAL SERVICES | $110,771 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $285,056 | GovernmentGrantsAmt |
| All Other Contributions | $716,800 | AllOtherContributionsAmt |
| Total Contributions | $1,001,856 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CANCER TREATMENT | 621400 | $10,305,219 | $10,305,219 |
| MEDICAL RECORD FEES | 621400 | $1,007 | $1,007 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,306,226 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,630 | TotalRevenueColumnAmt |
| Exclusion | $5,630 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $658,584 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $159,413 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $499,171 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $499,171 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $499,171 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $1,365 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,365 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,365 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,814,248 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,806,762 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,630 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $388,117 | TotalAmt |
| Program Services | $388,117 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $952,189 | TotalAmt |
| Program Services | $567,288 | ProgramServicesAmt |
| Management And General | $384,901 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,840,099 | TotalAmt |
| Program Services | $4,511,031 | ProgramServicesAmt |
| Management And General | $311,171 | ManagementAndGeneralAmt |
| Fundraising | $17,897 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,093 | TotalAmt |
| Program Services | $205,366 | ProgramServicesAmt |
| Management And General | $21,896 | ManagementAndGeneralAmt |
| Fundraising | $831 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $621,101 | TotalAmt |
| Program Services | $578,430 | ProgramServicesAmt |
| Management And General | $42,671 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $354,495 | TotalAmt |
| Program Services | $328,029 | ProgramServicesAmt |
| Management And General | $26,466 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,844 | TotalAmt |
| Program Services | $8,743 | ProgramServicesAmt |
| Management And General | $106,101 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,251 | TotalAmt |
| Program Services | $11,700 | ProgramServicesAmt |
| Management And General | $17,551 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $923,554 | TotalAmt |
| Program Services | $855,177 | ProgramServicesAmt |
| Management And General | $68,377 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,901 | TotalAmt |
| Program Services | $213,154 | ProgramServicesAmt |
| Management And General | $13,747 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,377,560 | TotalAmt |
| Program Services | $1,327,573 | ProgramServicesAmt |
| Management And General | $46,808 | ManagementAndGeneralAmt |
| Fundraising | $3,179 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,392 | TotalAmt |
| Program Services | $220,853 | ProgramServicesAmt |
| Management And General | $24,539 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,085 | TotalAmt |
| Program Services | $155,268 | ProgramServicesAmt |
| Management And General | $38,817 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,964 | TotalAmt |
| Program Services | $3,875 | ProgramServicesAmt |
| Management And General | $89 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,729 | TotalAmt |
| Program Services | $8,229 | ProgramServicesAmt |
| Management And General | $500 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,856 | TotalAmt |
| Program Services | $89,914 | ProgramServicesAmt |
| Management And General | $59,942 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $964,764 | TotalAmt |
| Program Services | $762,670 | ProgramServicesAmt |
| Management And General | $202,094 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,326 | TotalAmt |
| Program Services | $95,631 | ProgramServicesAmt |
| Management And General | $5,695 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| TAXES AND LICENSES | $121,766 | $119,057 | $2,709 |
| ACTIVITIES | $72,897 | $62,761 | $10,136 |
| SCREENINGS | $30,333 | $30,333 | |
| MINOR EQUIPMENT | $4,158 | $3,822 | $336 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,701 | TotalAmt |
| Program Services | $12,514 | ProgramServicesAmt |
| Management And General | $187 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,966,175 | TotalAmt |
| Program Services | $10,559,535 | ProgramServicesAmt |
| Management And General | $1,384,733 | ManagementAndGeneralAmt |
| Fundraising | $21,907 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,830,234 | BOYAmt |
| EOY | $3,234,991 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $440,066 | BOYAmt |
| EOY | $441,353 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $964,664 | BOYAmt |
| EOY | $797,194 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $409,934 | BOYAmt |
| EOY | $458,682 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $29,307,440 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,963,863 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,334,758 | BOYAmt |
| EOY | $14,343,577 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $326,961 | BOYAmt |
| EOY | $296,990 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,306,617 | BOYAmt |
| EOY | $19,572,787 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,353,554 | BOYAmt |
| EOY | $1,390,694 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,782,960 | BOYAmt |
| EOY | $3,845,917 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,136,514 | BOYAmt |
| EOY | $5,236,611 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,170,103 | BOYAmt |
| EOY | $14,336,176 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,170,103 | BOYAmt |
| EOY | $14,336,176 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,306,617 | BOYAmt |
| EOY | $19,572,787 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$151,927 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$682,000 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $674,241 | OtherCostOrOtherBasisAmt |
| Book Value | $674,241 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,450,138 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,141,348 | DepreciationAmt |
| Book Value | $10,308,790 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,183,061 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,822,515 | DepreciationAmt |
| Book Value | $3,360,546 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,343,577 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PER FINANCIAL STATEMENTS NOTE 1; INCOME TAXES UNDER PROVISIONS OF SECTION 501(C)(3) OF THE IRC, THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS ACTIVITIES. AS OF DECEMBER 31, 2020 AND 2019, THE ORGANIZATION HAD NO UNRELATED BUSINESS ACTIVITIES SUBJECT TO FEDERAL INCOME TAX. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE CONSOLIDATED FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRI-CITIES CANCER CENTER FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7350 W DESHUTES AVE BLD A | AddressLine1Txt |
| City | KENNEWICK | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99336 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 911739024 | RecipientEIN |
| IRC Section | 501(C)3 | IRCSectionDesc |
| Non Cash Assistance | $388,117 | NonCashAssistanceAmt |
| Valuation Method Used | BOOK VALUE | ValuationMethodUsedDesc |
| Non Cash Assistance | SALARY IN-KIND SUPPORT | NonCashAssistanceDesc |
| Purpose Of Grant | IN-KIND SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GUY JONES | ||||||||||||||
| RADIATION ONCOLOGIST | $560,727 | $0 | $412,614 | $0 | $0 | $0 | $14,250 | $0 | $9,030 | $0 | $996,621 | $0 | $0 | $0 |
| SUE MANDELL MD | ||||||||||||||
| MEDICAL DIRECTOR | $601,126 | $0 | $52,618 | $0 | $0 | $0 | $14,250 | $0 | $25,510 | $0 | $693,504 | $0 | $0 | $0 |
| SHERRY ZHAO | ||||||||||||||
| RADIATION ONCOLOGIST | $519,831 | $0 | $0 | $0 | $0 | $0 | $14,250 | $0 | $9,030 | $0 | $543,111 | $0 | $0 | $0 |
| CHARLES W DEGOOYER | ||||||||||||||
| CEO | $357,571 | $0 | $71,500 | $0 | $0 | $0 | $14,250 | $0 | $9,764 | $0 | $453,085 | $0 | $0 | $0 |
| MICHELE CARON | ||||||||||||||
| INTERIM OPERATIONAL LEADER | $175,634 | $0 | $28,333 | $0 | $0 | $0 | $10,198 | $0 | $8,936 | $0 | $223,101 | $0 | $0 | $0 |
| VICTORIA D DEHLER | ||||||||||||||
| DIRECTOR FINANCE & OPERATI | $164,168 | $0 | $26,919 | $0 | $0 | $0 | $9,554 | $0 | $8,909 | $0 | $209,550 | $0 | $0 | $0 |
| LISA ROOTVIK | ||||||||||||||
| ARNP | $135,019 | $0 | $3,000 | $0 | $0 | $0 | $6,901 | $0 | $24,288 | $0 | $169,208 | $0 | $0 | $0 |
| JEFFREY CUMMINGS | ||||||||||||||
| PHYSICIANS ASSISTANT | $138,675 | $0 | $3,000 | $0 | $0 | $0 | $7,084 | $0 | $8,836 | $0 | $157,595 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | PER THE ARTICLES OF INCORPORATION, THE CORPORATION SHALL BE A MEMBERSHIP CORPORATION WITH THREE MEMBERS: OUR LADY OF LOURDES HOSPITAL AT PASCO, A NONPROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF WASHINGTON, HAVING ITS REGISTERED OFFICE AT 520 NORTH FOURTH AVENUE, PASCO, WASHINGTON 99301, KADLEC REGIONAL MEDICAL CENTER, A NONPROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF WASHINGTON HAVING ITS REGISTERED OFFICE AT 888 SWIFT BOULEVARD, RICHLAND, WASHINGTON 99352, AND KENNEWICK PUBLIC HOSPITAL DISTRICT NO.1 DBA TRIOS HEALTH, A MUNICIPAL CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF WASHINGTON,HAVING ITS REGISTERED OFFICE AT 900 S. AUBURN, KENNEWICK, WASHINGTON 99336 (THE MEMBERS). THERE SHALL BE NO OTHER MEMBERS. THE CORPORATION MAY HAVE BENEFACTORS WHO/WHICH SHALL RECEIVE THIS DESIGNATION BECAUSE OF THEIR CONTRIBUTIONS TO THE CORPORATION, BUT SHALL HAVE NO VOTING RIGHTS NOR OTHER RIGHTS. DURING THE YEAR OUR LADY OF THE LOURDES HOSPITAL AT PASCO AND KENNEWICK PUBLIC HOSPITAL DISTRICT NO.1 DBA TRIOS HEALTH WITHDREW AS MEMBERS, THIS OCCURED ON MARCH 23, 2020. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE OWNER HOSPITALS APPOINT COMMUNITY MEMBERS AND PHYSICIAN MEMBERS TO THE TRI-CITIES CANCER CENTER BOARD, AND THE OWNER HOSPITAL CEO'S SIT ON THE TRI-CITIES CANCER CENTER BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBER/S HAVE RESERVE POWERS TO ADOPT THE BYLAWS, AMEND THE ARTICLES OF INCORPORATION AND TO APPROVE MERGER, CONSOLIDATION OR SIMILAR RE-ORGANIZATION OF THE CORPORATE STRUCTURE OR DISSOLUTION OF THE CORPORATION. EACH MEMBER HAS THE RIGHT TO REPLACE THE COMMUNITY DIRECTOR APPOINTED BY THAT MEMBER AT ANY TIME. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE DIRECTOR FINANCE & OPERATIONS REVIEWED AND APPROVED THE 990 PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CANCER CENTER'S COMPLIANCE PLAN HAS A CHAPTER ENTITLED CONFLICT OF INTEREST, THAT GIVES A POLICY STATEMENT, AND OVERVIEW. IT DEFINES CONFLICTS IN GENERAL, FOR EMPLOYEES AND FOR BOARD MEMBERS. IT GIVES PENALTIES FOR NON-COMPLIANCE. THE CHAPTER ALSO COVERS EDUCATION, TRAINING, AUDITING AND MONITORING. EVERY EMPLOYEE, ON-SITE VOLUNTEERS AND BOARD MEMBERS HAVE ANNUAL EDUCATION ON THE COMPLIANCE PLAN AND SIGN A FORM ACKNOWLEDGING THE TRAINING AND IDENTIFYING ANY AREAS THEY MAY HAVE A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD USES A COMMITTEE TO DETERMINE COMPENSATION OF THE CEO. MGMA AND EXECUTIVE SALARY SURVEY DATA IS GIVEN TO THE COMMITTEE TO HELP DETERMINE COMPENSATION. THE CEO IS RESPONSIBLE FOR REVIEWING COMPENSATION FOR KEY STAFF. MGMA SALARY SURVEY WAS USED IN 2018 TO DETERMINE COMPARABLE DATA. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST BY AN INDIVIDUAL. FOR BUSINESS REASONS - BANKING/LOAN REASONS. |
| FORM 990, PART XI, LINE 9: | MEMBER DISTRIBUTIONS -682,000. |
| FORM 990, PART XII, LINE 2C | THERE HAVE BEEN NO CHANGES IN THE OVERSIGHT PROCESS FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (110 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COVENANT ACO | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 611573313 | HEALTHCARE | TX | 501 (C )(3) | LINE 12A, I | CHS | Yes (1) | |
| COVENANT HEALTH NETWORK INC | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 461259908 | HEALTHCARE | CA | 501 (C )(3) | LINE 12C, III-FI | SJHS | Yes (1) | |
| COVENANT HEALTH PARTNERS | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 463516417 | HEALTHCARE | TX | 501 (C )(3) | LINE 12A, I | CHS | Yes (1) | |
| COVENANT HEALTH SYSTEM | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752765566 | HEALTHCARE | TX | 501 (C )(3) | LINE 3 | SJHS | Yes (1) | |
| COVENANT HEALTH SYSTEM FOUNDATION | |||||||||||
| 3623 22ND PLACE | LUBBOCK | TX | 79410 | 752897026 | HEALTHCARE | TX | 501 (C )(3) | LINE 7 | CHS | Yes (1) | |
| COVENANT HOSPITAL HOBBS | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 844273963 | HEALTHCARE | TX | 501 (C )(3) | LINE 3 | CHS | Yes (1) | |
| COVENANT MEDICAL CENTER | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 822913146 | HEALTHCARE | TX | 501 (C )(3) | LINE 3 | CHS | Yes (1) | |
| COVENANT MEDICAL GROUP | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752743883 | HEALTHCARE | TX | 501 (C )(3) | LINE 3 | CHS | Yes (1) | |
| EVERETT TRANSITIONAL CARE SERVICES | |||||||||||
| PO BOX 5128 | EVERETT | WA | 982065128 | 943264605 | TRANSITIONAL CARE | WA | 501 (C )(3) | LINE 10 | 0 | N/A | |
| GAMELIN WASHINGTON ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 201910170 | SUPPORT | WA | 501 (C )(3) | LINE 7 | PHS WA | Yes (1) | |
| GLOBAL TO LOCAL HEALTH INITIATIVE | |||||||||||
| 2800 SOUTH 192ND ST 104 | SEATAC | WA | 98188 | 273133200 | HEALTHCARE | WA | 501 (C )(3) | LINE 7 | SHS | Yes (1) | |
| GRACE CLINIC OF LUBBOCK | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 203856995 | HEALTHCARE | TX | 501 (C )(3) | LINE 3 | CHS | Yes (1) | |
| HMTS INC | |||||||||||
| 1 HOAG DRIVE | NEWPORT BEACH | CA | 92658 | 453583707 | HEALTHCARE | CA | 501 (C )(3) | LINE 12A, I | HMHP | Yes (1) | |
| HOAG CHARITY SPORTS | |||||||||||
| 2081 BUSINESS CENTER DR STE 195 | IRVINE | CA | 92612 | 452982422 | SUPPORT | CA | 501 (C )(3) | LINE 7 | HHF | Yes (1) | |
| HOAG CLINIC | |||||||||||
| 1 HOAG DRIVE | NEWPORT BEACH | CA | 92658 | 330676831 | HEALTHCARE | CA | 501 (C )(3) | LINE 10 | HMHP | Yes (1) | |
| HOAG HOSPITAL FOUNDATION | |||||||||||
| 330 PLACENTIA AVE | NEWPORT BEACH | CA | 92663 | 953222343 | FUNDRAISING | CA | 501 (C )(3) | LINE 7 | HMHP | Yes (1) | |
| HOAG MEMORIAL HOSPITAL PRESBYTERIAN | |||||||||||
| 1 HOAG ROAD | NEWPORT BEACH | CA | 92663 | 951643327 | HEALTHCARE | CA | 501 (C )(3) | LINE 3 | CHN | Yes (1) | |
| HOSPICE OF LUBBOCK | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752133781 | HEALTHCARE | TX | 501 (C )(3) | LINE 10 | CHS | Yes (1) | |
| INLAND NORTHWEST HEALTH SERVICES | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911307555 | HEALTHCARE | WA | 501 (C )(3) | LINE 3 | PHS WA | Yes (1) | |
| INSTITUTE FOR MENTAL HEALTH & WELLNESS | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 814260130 | HEALTHCARE | WA | 501 (C )(3) | LINE 7 | PHS SJHS | Yes (1) | |
| INSTITUTE FOR SYSTEMS BIOLOGY | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 912003593 | HEALTHCARE | WA | 501 (C )(3) | LINE 7 | WHC | Yes (1) | |
| KADLEC AUXILIARY INC | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 916033089 | SUPPORT | WA | 501 (C )(3) | LINE 12C, III-FI | KRMC | Yes (1) | |
| KADLEC FOUNDATION | |||||||||||
| 888 SWIFT BLVD | RICHLAND | WA | 99352 | 237005501 | SUPPORT | WA | 501 (C )(3) | LINE 7 | KRMC | Yes (1) | |
| KADLEC REGIONAL MEDICAL CENTER | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 910655392 | HEALTHCARE | WA | 501 (C )(3) | LINE 3 | WHC | Yes (1) | |
| LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 330844408 | IMAGING SERVICES | CA | 501 (C )(3) | LINE 10 | PHS SOCAL | Yes (1) | |
| LUBBOCK HERITAGE HOSPITAL LLC | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 264021016 | HEALTHCARE | TX | 501 (C )(3) | LINE 3 | CHS | Yes (1) | |
| LUNDBERG ASSOCIATION PROVIDENCE HOUSE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911562797 | SUPPORT | OR | 501 (C )(3) | LINE 7 | PHS OR | Yes (1) | |
| MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 912054035 | RESEARCH | WA | 501 (C )(3) | LINE 7 | SHS | Yes (1) | |
| METHODIST CHILDREN'S HOSPITAL | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752428911 | HEALTHCARE | TX | 501 (C )(3) | LINE 3 | CHS | Yes (1) | |
| METHODIST HOSPITAL LEVELLAND | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752246348 | HEALTHCARE | TX | 501 (C )(3) | LINE 3 | CHS | Yes (1) | |
| METHODIST HOSPITAL PLAINVIEW | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752426010 | HEALTHCARE | TX | 501 (C )(3) | LINE 3 | CHS | Yes (1) | |
| MISSION HOSPITAL REGIONAL MEDICAL CTR | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951643360 | HEALTHCARE | CA | 501 (C )(3) | LINE 3 | CHN | Yes (1) | |
| NORTHWEST HOPE & HEALING FOUNDATION | |||||||||||
| PO BOX 16069 | SEATTLE | WA | 98116 | 200799737 | SUPPORT | WA | 501 (C )(3) | LINE 12A, I | SHS | Yes (1) | |
| PACMED CLINICS | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 562290878 | HEALTHCARE | WA | 501 (C )(3) | LINE 10 | WHC | Yes (1) | |
| PH&S FOUNDATIONSFVSA & SCVSA | |||||||||||
| 501 SOUTH BUENA VISTA STREET | BURBANK | CA | 915054809 | 953544877 | HEALTHCARE | CA | 501 (C )(3) | LINE 7 | PHS SOCAL | Yes (1) | |
| PROVIDENCE ALASKA FOUNDATION | |||||||||||
| 3760 PIPER STREET | ANCHORAGE | AK | 99508 | 920093565 | HEALTHCARE | AK | 501 (C )(3) | LINE 7 | PHS WA | Yes (1) | |
| PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION | |||||||||||
| 540 SOUTH MAIN ST | MT ANGEL | OR | 97362 | 911940286 | HEALTHCARE | OR | 501 (C )(3) | LINE 7 | PHS OR | Yes (1) | |
| PROVIDENCE BLANCHET ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911789266 | SUPPORT | WA | 501 (C )(3) | LINE 7 | PHS WA | Yes (1) | |
| PROVIDENCE CHILDREN'S HEALTH FOUNDATION | |||||||||||
| 4805 NE GLISAN ST | PORTLAND | OR | 97213 | 930800140 | SUPPORT | OR | 501 (C )(3) | LINE 7 | PHS OR | Yes (1) | |
| PROVIDENCE COMMUNITY HEALTH FOUNDATION | |||||||||||
| 940 ROYAL AVE | MEDFORD | OR | 97504 | 930692907 | HEALTHCARE | OR | 501 (C )(3) | LINE 7 | PHS OR | Yes (1) | |
| PROVIDENCE DETHMAN HOUSE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 473385506 | SUPPORT | WA | 501 (C )(3) | LINE 7 | 0 | N/A | |
| PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FOUNDATION) | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 954322584 | SUPPORT | CA | 501 (C )(3) | LINE 7 | PHS SOCAL | Yes (1) | |
| PROVIDENCE GAMELIN HOUSE ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 311744654 | SUPPORT | WA | 501 (C )(3) | LINE 7 | PHS WA | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911549796 | HEALTHCARE | WA | 501 (C )(3) | LINE 12B, II | PSJH | 0 | |
| PROVIDENCE HEALTH & SERVICES - MONTANA | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 810231793 | HEALTHCARE | MT | 501 (C )(3) | LINE 3 | PHS WA | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES - OREGON | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 510216587 | HEALTHCARE | OR | 501 (C )(3) | LINE 3 | PHS | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES - WASHINGTON | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 510216586 | HEALTHCARE | WA | 501 (C )(3) | LINE 3 | PHS | Yes (1) | |
| PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911303277 | HEALTHCARE | WA | 501 (C )(3) | LINE 3 | PMWHC | Yes (1) | |
| PROVIDENCE HEALTH ASSURANCE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 550828701 | MEDICAID HEALTHCARE PROVIDER | OR | 501 (C)(4) | PHP | Yes (1) | ||
| PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON | |||||||||||
| 101 W 8TH AVE | SPOKANE | WA | 99204 | 320014330 | HEALTHCARE | WA | 501 (C )(3) | LINE 7 | PHS WA | Yes (1) | |
| PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA) | |||||||||||
| 413 LILLY ROAD NE | OLYMPIA | WA | 985065166 | 911433382 | HEALTHCARE | WA | 501 (C )(3) | LINE 7 | PHS W WA | Yes (1) | |
| PROVIDENCE HEALTH PLAN | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 930863097 | HEALTHCARE | OR | 501 (C)(4) | PPP | Yes (1) | ||
| PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 510216589 | HEALTHCARE | CA | 501 (C )(3) | LINE 3 | PHS | Yes (1) | |
| PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 810 12TH STREET | HOOD RIVER | OR | 97031 | 930921990 | HEALTHCARE | OR | 501 (C )(3) | LINE 7 | PHS OR | Yes (1) | |
| PROVIDENCE HOSPICE AND HOME CARE FOUNDATION | |||||||||||
| 2731 WETMORE AVE STE 500 | EVERETT | WA | 98201 | 272552749 | HEALTHCARE | WA | 501 (C )(3) | LINE 7 | PHS W WA | Yes (1) | |
| PROVIDENCE HOSPICE OF SEATTLE FOUNDATION | |||||||||||
| 2811 SOUTH 102ND NO 220 | TUKWILA | WA | 98168 | 912077378 | HEALTHCARE | WA | 501 (C )(3) | LINE 7 | PHS W WA | Yes (1) | |
| PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION | |||||||||||
| 4101 TORRANCE BLVD | TORRANCE | CA | 90503 | 510224944 | HEALTHCARE | CA | 501 (C )(3) | LINE 7 | PHS SOCAL | Yes (1) | |
| PROVIDENCE MARIANWOOD FOUNDATION | |||||||||||
| 3725 PROVIDENCE POINT DRIVE SE | ISSAQUAH | WA | 980297219 | 931554288 | HEALTHCARE | WA | 501 (C )(3) | LINE 7 | PHS W WA | Yes (1) | |
| PROVIDENCE MEDICAL FOUNDATION (FKA ST JOSEPH HERITAGE HEALTHCARE) | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 330185031 | HEALTHCARE | CA | 501 (C )(3) | LINE 3 | SJHS | Yes (1) | |
| PROVIDENCE MEDICAL INSTITUTE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 330283773 | HEALTHCARE | CA | 501 (C )(3) | LINE 12A, I | PHS SOCAL | Yes (1) | |
| PROVIDENCE MILWAUKIE FOUNDATION | |||||||||||
| 10150 SE 32ND AVE | MILWAUKIE | OR | 97222 | 943079515 | HEALTHCARE | OR | 501 (C )(3) | LINE 7 | PHS OR | Yes (1) | |
| PROVIDENCE MINISTRIES | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | RELIGIOUS ORG | WA | 501(C)(3) | LINE 1 | 0 | N/A | ||
| PROVIDENCE MOUNT ST VINCENT FOUNDATION | |||||||||||
| 4831 35TH AVE SW | SEATTLE | WA | 981262799 | 911188119 | HEALTHCARE | WA | 501 (C )(3) | LINE 7 | PHS WA | Yes (1) | |
| PROVIDENCE NEWBERG HEALTH FOUNDATION | |||||||||||
| 1001 PROVIDENCE DRIVE | NEWBERG | OR | 97132 | 930889144 | HEALTHCARE | OR | 501 (C )(3) | LINE 7 | PHS OR | Yes (1) | |
| PROVIDENCE PETER CLAVER ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 311629656 | SUPPORT | WA | 501 (C )(3) | LINE 7 | PHS WA | Yes (1) | |
| PROVIDENCE PLAN PARTNERS | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911861964 | HEALTHCARE | WA | 501 (C)(4) | PHS OR | Yes (1) | ||
| PROVIDENCE PORTLAND MEDICAL FOUNDATION | |||||||||||
| 4805 NE GLISAN ST | PORTLAND | OR | 972132967 | 931231494 | HEALTHCARE | OR | 501 (C )(3) | LINE 7 | PHS OR | Yes (1) | |
| PROVIDENCE ROSSI ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 311584166 | SUPPORT | WA | 501 (C )(3) | LINE 10 | PHS WA | Yes (1) | |
| PROVIDENCE SAINT JOHN'S HEALTH CENTER | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951684082 | HEALTHCARE | CA | 501 (C )(3) | LINE 3 | PHS SOCAL | Yes (1) | |
| PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 814542216 | HEALTHCARE | CA | 501 (C )(3) | LINE 3 | PHS SOCAL | Yes (1) | |
| PROVIDENCE SEASIDE HOSPITAL FOUNDATION | |||||||||||
| 725 S WAHANNA ROAD | SEASIDE | OR | 97138 | 930927320 | HEALTHCARE | OR | 501 (C )(3) | LINE 7 | PHS OR | Yes (1) | |
| PROVIDENCE SOUTHWEST WASHINGTON FOUNDATION (FKA PROVIDENCE ST PETER FOUNDAT | |||||||||||
| 413 LILLY ROAD NE | OLYMPIA | WA | 985065166 | 911097056 | SUPPORT | WA | 501 (C )(3) | LINE 7 | PHS W WA | Yes (1) | |
| PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 912171539 | SUPPORT | WA | 501 (C )(3) | LINE 7 | PHS WA | Yes (1) | |
| PROVIDENCE ST FRANCIS ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 943244854 | SUPPORT | WA | 501 (C )(3) | LINE 7 | PHS WA | Yes (1) | |
| PROVIDENCE ST JOSEPH HEALTH | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 811244422 | HEALTHCARE | WA | 501 (C )(3) | LINE 12C, III-FI | 0 | N/A | |
| PROVIDENCE ST JOSEPH HEALTH FOUNDATION | |||||||||||
| 1801 LIND AVE SW | RENTON | WA | 980579016 | 943078543 | HEALTHCARE | WA | 501 (C )(3) | LINE 7 | PHS WA | Yes (1) | |
| PROVIDENCE ST JOSEPH MEDICAL CENTER | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 810463482 | HEALTHCARE | MT | 501 (C )(3) | LINE 3 | PHS WA | Yes (1) | |
| PROVIDENCE ST MARY FOUNDATION | |||||||||||
| 1025 S 2ND AVENUE | WALLA WALLA | WA | 99362 | 452841492 | HEALTHCARE | WA | 501 (C )(3) | LINE 7 | PHS WA | Yes (1) | |
| PROVIDENCE ST VINCENT MEDICAL FOUNDATION | |||||||||||
| 9205 SW BARNES ROAD | PORTLAND | OR | 97225 | 930575982 | HEALTHCARE | OR | 501 (C )(3) | LINE 7 | PHS OR | Yes (1) | |
| PROVIDENCE TRINITYCARE HOSPICE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 953264139 | HEALTHCARE | CA | 501 (C )(3) | LINE 10 | PHS SOCAL | Yes (1) | |
| PROVIDENCE TRINITYCARE HOSPICE FOUNDATION | |||||||||||
| 5315 TORRANCE BLVD NO B-1 | TORRANCE | CA | 90503 | 330261016 | HEALTHCARE | CA | 501 (C )(3) | LINE 7 | PTCH | Yes (1) | |
| PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION | |||||||||||
| 1500 DIVISION STREET | OREGON CITY | OR | 97045 | 931003750 | HEALTHCARE | OR | 501 (C )(3) | LINE 12A, I | PHS OR | Yes (1) | |
| REDWOOD MEMORIAL FOUNDATION | |||||||||||
| 2700 DOBEER STREET EUREKA | EUREKA | CA | 95501 | 942779313 | HEALTHCARE | CA | 501 (C )(3) | LINE 7 | RMH | Yes (1) | |
| SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INSTITUTE) | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 954291515 | HEALTHCARE | CA | 501 (C )(3) | LINE 4 | PSJHC | Yes (1) | |
| SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 956100079 | SUPPORT SAINT JOHN HEALTH CENTER & JWCI | CA | 501 (C )(3) | LINE 7 | PSJHC | Yes (1) | |
| SEATTLE SCIENCE FOUNDATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 611502822 | PHYSICIAN COLLABORATION | WA | 501 (C )(3) | LINE 7 | WHC | Yes (1) | |
| SISTERS OF PROVIDENCE OF MONTANA CORPORATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 262612415 | SHELL CORPORATION | MT | 501 (C )(3) | LINE 1 | PHS WA | 0 | |
| SISTERS OF ST JOSEPH OF ORANGE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951643383 | RELIGIOUS ORG | CA | 501 (C )(3) | LINE 1 | 0 | N/A | |
| SRM ALLIANCE HOSPITAL SERVICES (PVH) | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 680395200 | HEALTHCARE | CA | 501 (C )(3) | LINE 3 | SRMH | Yes (1) | |
| ST JOSEPH HEALTH MINISTRY | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 271666576 | RELIGIOUS ORG | CA | 501 (C )(3) | LINE 1 | SSJO | 0 | |
| ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 814791043 | HEALTHCARE | CA | 501 (C )(3) | LINE 3 | SJHS | Yes (1) | |
| ST JOSEPH HEALTH SYSTEM | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 953589356 | HEALTHCARE | CA | 501 (C )(3) | LINE 12A, I | PSJH | 0 | |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | |||||||||||
| 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 330143024 | HEALTHCARE | CA | 501 (C )(3) | LINE 10 | SJHS | Yes (1) | |
| ST JOSEPH HOME CARE NETWORK | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 680331084 | HEALTHCARE | CA | 501 (C )(3) | LINE 10 | SJHS | Yes (1) | |
| ST JOSEPH HOSPITAL OF ORANGE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951643359 | HEALTHCARE | CA | 501 (C )(3) | LINE 3 | CHN | Yes (1) | |
| ST JUDE HOSPITAL INC | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951643324 | HEALTHCARE | CA | 501 (C )(3) | LINE 3 | CHN | Yes (1) | |
| ST LUKE ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 943176618 | SUPPORT | WA | 501 (C )(3) | LINE 7 | PHS WA | Yes (1) | |
| ST MARY MEDICAL CENTER | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951914489 | HEALTHCARE | CA | 501 (C )(3) | LINE 3 | CHN | Yes (1) | |
| ST PATRICK HOSPITAL FOUNDATION | |||||||||||
| 502 W SPRUCE STREET | MISSOULA | MT | 59802 | 237056976 | HEALTHCARE | MT | 501 (C )(3) | LINE 7 | PHS WA | Yes (1) | |
| ST THOMAS CHILD AND FAMILY CENTER | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 810233495 | EDUCATION | MT | 501 (C )(3) | LINE 10 | PHS WA | Yes (1) | |
| SWEDISH EDMONDS | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 272305304 | HEALTHCARE | WA | 501 (C )(3) | LINE 3 | WHC | Yes (1) | |
| SWEDISH HEALTH SERVICES | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 910433740 | HEALTHCARE | WA | 501 (C )(3) | LINE 3 | WHC | Yes (1) | |
| SWEDISH MEDICAL CENTER FOUNDATION | |||||||||||
| 747 BROADWAY | SEATTLE | WA | 98122 | 910983214 | HEALTHCARE | WA | 501 (C )(3) | LINE 7 | SHS | Yes (1) | |
| SWEDISH MJM HOLDINGS | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 273139262 | HOLDING COMPANY | WA | 501 (C )(3) | LINE 12A, I | SHS | Yes (1) | |
| TARZANA MEDICAL CENTER LLC | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 833972614 | HEALTHCARE | CA | 501(C)(3) | LINE 3 | PHS SOCAL | Yes (1) | |
| THE GAMELIN ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911180824 | SUPPORT | WA | 501 (C )(3) | LINE 7 | PHS WA | Yes (1) | |
| THE GAMELIN CALIFORNIA ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911293869 | SUPPORT | CA | 501 (C )(3) | LINE 10 | PHS SOCAL | Yes (1) | |
| THE GAMELIN OREGON ASSOCIATION | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911214491 | SUPPORT | OR | 501 (C )(3) | LINE 10 | PHS OR | Yes (1) | |
| UNIVERSITY OF PROVIDENCE | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 810231777 | EDUCATION | MT | 501 (C )(3) | LINE 2 | PHS | Yes (1) | |
| WESTERN HEALTHCONNECT | |||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 454171900 | SHELL CORPORATION | WA | 501 (C )(3) | LINE 12B, II | PHS W WA | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (43 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 20TH STREET SURGERY LLC | ||||||||||
| 1301 20TH STREET STE 140 | SANTA MONICA | CA | 90404 | 731735618 | AMBULATORY SURGERY CENTER | CA | N/A | N/A | 0 | 0 |
| BROADWAY IMAGING LLC | ||||||||||
| 500 W BROADWAY | MISSOULA | MT | 59802 | 522405971 | MEDICAL IMAGING | MT | N/A | N/A | 0 | 0 |
| CENTER FOR MATERNAL NEWBORN AND CHILD | ||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 813526875 | HEALTHCARE | CA | N/A | N/A | 0 | 0 |
| CLACKAMAS RADIATION ONCOLOGY CENTER LLC | ||||||||||
| 4400 NE HALSEY ST BLDG II 495 | PORTLAND | OR | 97213 | 260381897 | RADIATION ONCOLOGY | OR | N/A | N/A | 0 | 0 |
| COASTAL ASC HOLDINGS LLC | ||||||||||
| ONE HOAG DRIVE | NEWPORT BEACH | CA | 92663 | 810986844 | HEALTHCARE | CA | N/A | N/A | 0 | 0 |
| COVENANT LONG-TERM CARE LP | ||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 205033419 | HEALTHCARE | TX | N/A | N/A | 0 | 0 |
| BRIDGEPORT MEDICAL IMAGING (BMI) | ||||||||||
| 4400 NE HALSEY ST 495 | PORTLAND | OR | 97213 | 260796953 | IMAGING - DIAGNOSTICS | OR | N/A | N/A | 0 | 0 |
| CENTER FOR MEDICAL IMAGING (CMI) | ||||||||||
| 4400 NE HALSEY ST 495 | PORTLAND | OR | 97213 | 200477972 | IMAGING - DIAGNOSTICS | OR | N/A | N/A | 0 | 0 |
| FULLERTON SURGICAL CENTER LP | ||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 470927394 | AMBULATORY SURGERY CENTER | CA | N/A | N/A | 0 | 0 |
| GREATER VALLEY MEDICAL BUILDING LP | ||||||||||
| 501 S BUENA VISTA ST | BURBANK | CA | 91505 | 954570858 | REAL ESTATE - MOB | CA | N/A | N/A | 0 | 0 |
| HCSA PROPERTIES LLC | ||||||||||
| 1600 M STREET NW | AUBURN | WA | 98001 | 460620892 | REAL ESTATE RENTAL | WA | N/A | N/A | 0 | 0 |
| HERITAGE INVESTMENT GROUP I LLC | ||||||||||
| 500 S MAIN STREET STE 1000 | ORANGE | CA | 92868 | 271000061 | INVESTMENTS | CA | N/A | N/A | 0 | 0 |
| HOAG ORTHOPEDIC INSTITUTE | ||||||||||
| 1 HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 611588294 | HEALTHCARE | CA | N/A | N/A | 0 | 0 |
| IMAGING ASSOCIATES LLC | ||||||||||
| 3650 PIPER STREET STE A | ANCHORAGE | AK | 99508 | 203906048 | MEDICAL IMAGING | AK | N/A | N/A | 0 | 0 |
| INLAND IMAGING LLC | ||||||||||
| 801 S STEVENS ST | SPOKANE | WA | 99204 | 911855796 | MEDICAL IMAGING | WA | N/A | N/A | 0 | 0 |
| LSC REAL PROPERTY LLC | ||||||||||
| 2301 QUAKER AVENUE | LUBBOCK | TX | 79410 | 474646059 | REAL ESTATE | TX | N/A | N/A | 0 | 0 |
| METHODIST DIAGNOSTIC IMAGING | ||||||||||
| 4005 24TH STREET | LUBBOCK | TX | 79410 | 752343261 | HEALTHCARE | TX | N/A | N/A | 0 | 0 |
| NEWPORT IMAGING CENTER | ||||||||||
| 360 SN MIGUEL | NEWPORT BEACH | CA | 92660 | 330191776 | HEALTHCARE | CA | N/A | N/A | 0 | 0 |
| NEWPORT SURGICAL PARTNERS LLC | ||||||||||
| 27271 LAS RAMBLAS 350 | MISSION VIEJO | CA | 92691 | 392060266 | HEALTHCARE | CA | N/A | N/A | 0 | 0 |
| OREGON ADVANCED IMAGING LLC | ||||||||||
| 881 OHARE PARKWAY | MEDFORD | OR | 97504 | 450471748 | MEDICAL IMAGING | OR | N/A | N/A | 0 | 0 |
| OREGON OUTPATIENT SURGERY CENTER | ||||||||||
| 7300 SW CHILDS RD | TIGARD | OR | 97224 | 223883387 | AMBULATORY SURGERY CENTER | OR | N/A | N/A | 0 | 0 |
| PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC | ||||||||||
| 1221 MADISON STREET | SEATTLE | WA | 98104 | 203132044 | MEDICAL IMAGING | WA | N/A | N/A | 0 | 0 |
| PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO | ||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 812701056 | INVESTMENTS | WA | N/A | N/A | 0 | 0 |
| PROV RADIATION ONCOLOGY DEVELOP ASSN LLC | ||||||||||
| 4400 NE HALSEY ST 495 | PORTLAND | OR | 97213 | 260682491 | REAL ESTATE - MOB | OR | N/A | N/A | 0 | 0 |
| PROVIDENCE CHILDREN'S NEONATAL SERVICES | ||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 470918549 | NEONATAL CARE | WA | N/A | N/A | 0 | 0 |
| PROVIDENCE IMAGING CENTER JOINT VENTURE | ||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 920118807 | MEDICAL IMAGING | AK | N/A | N/A | 0 | 0 |
| PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO | ||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 823190634 | INVESTMENTS | WA | N/A | N/A | 0 | 0 |
| PROVIDENCE SURGERY CENTER LLC | ||||||||||
| 902 N ORANGE ST | MISSOULA | MT | 59802 | 841401625 | AMBULATORY SURGERY CENTER | MT | N/A | N/A | 0 | 0 |
| PROVIDENCESILVERTON REHAB LLC | ||||||||||
| 4400 NE HALSEY ST 495 | PORTLAND | OR | 97213 | 481287267 | REHAB SERVICES | OR | N/A | N/A | 0 | 0 |
| PROVIDENCE UCLA USP SURGERY CENTER JV | ||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 320503030 | AMBULATORY SURGERY CENTER | CA | N/A | N/A | 0 | 0 |
| PROVIDENCEUSP SOUTH BAY SURGERY CENTERS | ||||||||||
| 15305 DALLAS PKWY STE 1600 | ADDISON | TX | 75001 | 475064486 | AMBULATORY SURGERY CENTER | CA | N/A | N/A | 0 | 0 |
| PROVIDENCEUSP SURGERY CTRS LLC | ||||||||||
| 11550 INDIAN HILLS ROAD 160 | MISSION HILLS | CA | 91345 | 200684116 | AMBULATORY SURGERY CENTER | CA | N/A | N/A | 0 | 0 |
| RADIATION THERAPY INNOVATIONS LLC | ||||||||||
| 1221 MADISON STREET 1ST FL | SEATTLE | WA | 98104 | 300553035 | HEALTHCARE | WA | N/A | N/A | 0 | 0 |
| REDMOND AMBULATORY SURGERY CENTER LLC | ||||||||||
| 805 MADISON ST STE 901 | SEATTLE | WA | 98104 | 813558711 | AMBULATORY SURGERY CENTER | WA | N/A | N/A | 0 | 0 |
| SANTA ANA MOB LLC | ||||||||||
| 1800 QUAIL STREET STE 100 | NEWPORT BEACH | CA | 92660 | 753205306 | REAL ESTATE - MOB | CA | N/A | N/A | 0 | 0 |
| SJO ASC HOLDINGS LLC | ||||||||||
| 1140 W LA VETA AVE | ORANGE | CA | 92868 | 821655501 | HEALTHCARE | CA | N/A | N/A | 0 | 0 |
| ST JOSEPH PHYSICIAN VENTURES I LLC | ||||||||||
| 1100 WEST STEWART DRIVE | ORANGE | CA | 92868 | 454521884 | REAL ESTATE | CA | N/A | N/A | 0 | 0 |
| ST JOSEPHSATELLITE DIALYSIS CENTERS LLC | ||||||||||
| 300 SANTANA ROW STE 300 | SAN JOSE | CA | 95128 | 814657391 | HEALTHCARE | CA | N/A | N/A | 0 | 0 |
| ST JUDE SURGICAL CENTERS LLC | ||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 823352570 | AMBULATORY SURGERY CENTER | CA | N/A | N/A | 0 | 0 |
| SURGERY CENTER AT TANASBOURNE LLC | ||||||||||
| 11221 ROE AVE STE 300 | LEAWOOD | KS | 66211 | 208187971 | AMBULATORY SURGERY CENTER | KS | N/A | N/A | 0 | 0 |
| TARZANA PEDIATRIC VENTURES LLC | ||||||||||
| 18321 CLARK ST | TARZANA | CA | 91356 | 821308306 | HEALTHCARE | CA | N/A | N/A | 0 | 0 |
| THE MADISON SPOKANE INN LLC | ||||||||||
| 15 WEST ROCKWOOD BLVD | SPOKANE | WA | 99204 | 841606484 | HOTEL SERVICES | WA | N/A | N/A | 0 | 0 |
| YELM MEDICAL OFFICE BUILDING | ||||||||||
| 2840 CRITES ST SW STE 104 | TUMATER | WA | 98512 | 263685020 | REAL ESTATE - MOB | WA | N/A | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (38 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1221 MADISON STREET OWNERS ASSOC | |||||||||||||
| 747 BROADWAY | SEATTLE | WA | 99201 | 201954319 | OWNERS' ASSOCIATION | WA | N/A | C | 0 | ||||
| AYIN HEALTH SOLUTIONS INC | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 833037172 | HEALTHCARE | DE | N/A | C | 0 | ||||
| TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC) | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 900872936 | HEALTHCARE | WI | N/A | C | 0 | ||||
| BOURGET HEALTH SERVICES INC | |||||||||||||
| 101 W 8TH AVE TAF C-9 | SPOKANE | WA | 99201 | 911354431 | CLINICAL/MEDICAL LAB | WA | N/A | C | 0 | ||||
| CARON CORPORATION | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 810486082 | MEDICAL PHYSICIAN SERVICE | MT | N/A | C | 0 | ||||
| COMMUNITY TECHNOLOGIES INC | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 844722399 | IT SVCS | DE | N/A | C | 0 | ||||
| DATU HEALTH INC | |||||||||||||
| 1802 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 463070062 | IT SVCS | DE | N/A | C | 0 | ||||
| ENGAGE IT SERVICES INC | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 844058573 | IT SVCS | DE | N/A | C | 0 | ||||
| HMR WEIGHT MANAGEMENT SERVICES CORP | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 463598718 | HEALTHCARE | WA | N/A | C | 0 | ||||
| HOAG MANAGEMENT SERVICES INC | |||||||||||||
| 1 HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 330731587 | HEALTHCARE | CA | N/A | C | 0 | ||||
| HOAG PHYSICIAN PARTNERS | |||||||||||||
| 16148 SAND CANYON AVE | IRVINE | CA | 92618 | 834276044 | HEALTHCARE | CA | N/A | C | 0 | ||||
| LUBBOCK METHODIST HOSP PRACTICE MGMT | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752578995 | INACTIVE | TX | N/A | C | 0 | ||||
| LUBBOCK METHODIST HOSPITAL SVCS | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752118585 | HEALTHCARE | TX | N/A | C | 0 | ||||
| LUMEDIC INC (FKA LUMEDIC ACQUISITION CO INC) | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 833881097 | HEALTHCARE | WA | N/A | C | 0 | ||||
| MISSION VIEJO MEDICAL VENTURES | |||||||||||||
| 27800 MEDICAL CENTER RD 354 | MISSION VIEJO | CA | 92691 | 330212905 | HEALTHCARE | CA | N/A | C | 0 | ||||
| PERFORMANCE HEALTH TECHNOLOGY LTD | |||||||||||||
| 3993 FAIRVIEW INDUSTRIAL DR SE | SALEM | OR | 99201 | 931211733 | HEALTHCARE | OR | N/A | C | 0 | ||||
| MEDIREVV INC | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 208783763 | HEALTHCARE | DE | N/A | C | 0 | ||||
| PHN HOLDINGS | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 461814184 | STRATEGIC PLANNING SERVICES | CA | N/A | C | 0 | ||||
| PIONEER INNOVATIONS INC | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 364818191 | HEALTHCARE INNOVATIONS | WA | N/A | C | 0 | ||||
| PROVIDENCE ASSURANCE INC | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 208194071 | CAPTIVE INSURANCE | AZ | N/A | C | 0 | ||||
| PROVIDENCE HEALTH CARE VENTURES INC | |||||||||||||
| 101 W 8TH AVE TAF C-9 | SPOKANE | WA | 99201 | 900155714 | CLINICAL/MEDICAL LAB | WA | N/A | C | 0 | ||||
| PROVIDENCE HEALTH NETWORK | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 800886966 | PREPAID HEALTHCARE | CA | N/A | C | 0 | ||||
| PROVIDENCE HEALTH VENTURES INC | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 330122216 | INVESTMENT | CA | N/A | C | 0 | ||||
| PROVIDENCE PHYSICIAN SERVICES CO | |||||||||||||
| 101 W 8TH AVE TAF C-9 | SPOKANE | WA | 99201 | 911216033 | HEALTHCARE | WA | N/A | C | 0 | ||||
| TEGRIA RCM GROUP INC (FKA PROVIDENCE RCM GROUP INC) | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 844686520 | HOLDING COMPANY | DE | N/A | C | 0 | ||||
| TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP) | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 844704409 | HOLDING COMPANY | DE | N/A | C | 0 | ||||
| ST JOSEPH HEALTH | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 462340232 | HOLDING COMPANY | CA | N/A | C | 0 | ||||
| ST JOSEPH HEALTH SOURCE INC | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 461900168 | HEALTHCARE | CA | N/A | C | 0 | ||||
| ST JOSEPH PROF SVCS ENTERPRSES INC | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 330155323 | HEALTHCARE | CA | N/A | C | 0 | ||||
| VINSERRA INC | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 953943315 | INVESTMENT | CA | N/A | C | 0 | ||||
| WESTERN HEALTHCONNECT VENTURES INC | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 800953654 | INVESTMENT | WA | N/A | C | 0 | ||||
| ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA | |||||||||||||
| 1301 20TH ST STE 280 | SANTA MONICA | CA | 90404 | 952880495 | HEALTHCARE | CA | N/A | C | 0 | ||||
| TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC) | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 842092143 | HOLDING COMPANY | DE | N/A | C | 0 | ||||
| PROVIDENCE ST JOSEPH HEALTH NETWORK | |||||||||||||
| 20555 EARL ST | TORRANCE | CA | 90503 | 823771547 | HEALTHCARE | CA | N/A | C | 0 | ||||
| QUIVIQ INC | |||||||||||||
| 1400-112TH AVENUE ST SUITE 100 | BELLEVUE | WA | 98004 | 833879444 | HEALTHCARE ANALYTICS | WA | N/A | C | 0 | ||||
| ACCLARA SOLUTIONS INTERMEDIATE LLC | |||||||||||||
| 10713 W SAM HOUSTON PKWY N 500 | HOUSTON | TX | 77064 | 371783298 | HEALTHCARE FINANCIAL SERVICES | TX | N/A | C | 0 | ||||
| MEDICAL SPECIALTIES MANAGERS INC | |||||||||||||
| 1801 LIND AVE SW | RENTON | WA | 98057 | 330406218 | HEALTHCARE | WA | N/A | C | 0 | ||||
| AMERICAN UNITY GROUP LTD | |||||||||||||
| CAPTIVE INSURANCE | N/A | C | 0 | 90 PITTS BAY ROAD | PEMBROKE | BD | BD | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| TRI-CITIES CANCER CENTER FOUNDATION | ||
| O | $388,117 | COST |
| TRI-CITIES CANCER CENTER FOUNDATION | ||
| C | $716,800 | COST |