2021-11-08T17:57:56-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 8101 WEST GRANDRIDGE BLVD SUITE 130 KENNEWICK WA 99336 990 2020-01-01 911594526 TRI-CITIES CANCER CENTER TRI- 5097839894 1801 LIND AVE SW - ATTN TAX DEPT RENTON WA 98057 PHIL GALLAGHER TREASURER 5097839894 2021-11-02 1 PHIL GALLAGHER XXX-XX-XXXX EMILY MCCANN P01759947 5097351561 2021-11-02 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X PHIL GALLAGHER 1801 LIND AVE SW - ATTN TAX DEPT RENTON WA 98057 11973661 0 X WWW.TCCANCER.ORG X 1994 WA TO PROVIDE AND COORDINATE THE HIGHEST QUALITY, COMPASSIONATE CARE FOR THE COMMUNITIES WE SERVE. 5 3 58 250 0 0 0 1001856 11179122 10306226 21490 5630 536732 500536 11737344 11814248 295248 388117 0 0 7274173 6995977 0 0 21907 4961153 4582081 12530574 11966175 -793230 -151927 20306617 19572787 5136514 5236611 15170103 14336176 X TO PROVIDE AND COORDINATE THE HIGHEST QUALITY, COMPASSIONATE CANCER CARE FOR THE COMMUNITIES WE SERVE. 0 0 10559535 388117 10806762 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. 10559535 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 22 0 58 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 OR X VICTORIA D DEHLER 5097373409 7350 W DESCHUTES AVE BUILDING A KENNEWICK WA 99336 GUY JONES RADIATION ONCOLOGIST 50.00 X 973341 0 23280 SUE MANDELL MD MEDICAL DIRECTOR 50.00 X 653744 0 39760 SHERRY ZHAO RADIATION ONCOLOGIST 50.00 X 519831 0 23280 CHARLES W DEGOOYER CEO 50.00 X 429071 0 24014 MICHELE CARON INTERIM OPERATIONAL LEADER 50.00 X 203967 0 19134 VICTORIA D DEHLER DIRECTOR FINANCE & OPERATI 50.00 X 191087 0 18463 LISA ROOTVIK ARNP 40.00 X 138019 0 31189 JEFFREY CUMMINGS PHYSICIANS ASSISTANT 50.00 X 141675 0 15920 ELIZABETH MCLAUGHLIN FOUNDATION DIRECTOR 50.00 X 128064 0 15080 REZA KALEEL BOARD CHAIRMAN 1.00 X X 0 0 0 BASIR HAQUEMD BOARD VICE-CHAIR 1.00 X X 0 0 0 PHIL GALLAGHER BOARD SECRETARY & TREASURER 1.00 X X 0 0 0 SUSAN KREID BOARD MEMBER 1.00 X 0 0 0 JENNIFER OLLERO BOARD MEMBER 1.00 X 0 0 0 3378799 0 210120 18 0 1 0 VARIAN MEDICAL SYSTEMS INC 70140 NETWORK PLACE CHICAGO IL 60673 PREPAID SERVICES CONTRACT,AND RADIATION 654968 NORTHWEST MEDICAL PHYSICS 21031 67TH AVE W LYNNWOOD WA 98036 PHYSICS CONTRACT 631044 INLINE COMPUTER & COMM 1900 FOWLER STREET SUITE G RICHLAND WA 99352 INFORMATION SYSTEM MANAGEMENT 240937 VANGUARD CLEANING SYSTEM 620 N ARGONNE RD STE 129 SPOKANE VALLEY WA 99212 COVID DISINFECTING 131000 BUCHALTER 1000 WILSHIRE BOULEVARD SUITE 1500 LOS ANGELES CA 90017 LEGAL SERVICES 110771 5 285056 716800 1001856 CANCER TREATMENT 621400 10305219 10305219 MEDICAL RECORD FEES 621400 1007 1007 10306226 5630 5630 658584 159413 499171 499171 499171 OTHER REVENUE 621400 1365 1365 1365 11814248 10806762 0 5630 388117 388117 952189 567288 384901 4840099 4511031 311171 17897 228093 205366 21896 831 621101 578430 42671 354495 328029 26466 114844 8743 106101 29251 11700 17551 923554 855177 68377 226901 213154 13747 1377560 1327573 46808 3179 245392 220853 24539 194085 155268 38817 3964 3875 89 8729 8229 500 149856 89914 59942 964764 762670 202094 101326 95631 5695 TAXES AND LICENSES 121766 119057 2709 ACTIVITIES 72897 62761 10136 SCREENINGS 30333 30333 MINOR EQUIPMENT 4158 3822 336 12701 12514 187 11966175 10559535 1384733 21907 2830234 3234991 440066 441353 964664 797194 409934 458682 29307440 14963863 15334758 14343577 326961 296990 20306617 19572787 1353554 1390694 3782960 3845917 5136514 5236611 X 15170103 14336176 15170103 14336176 20306617 19572787 X -151927 -682000 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 674241 674241 16450138 6141348 10308790 12183061 8822515 3360546 14343577 X PART X, LINE 2: 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. 0 TRI-CITIES CANCER CENTER FOUNDATION 7350 W DESHUTES AVE BLD A KENNEWICK WA 99336 911739024 501(C)3 388117 BOOK VALUE SALARY IN-KIND SUPPORT IN-KIND SUPPORT 1 0 1 X X X X 0 1 0 0 0 1 0 0 0 GUY JONES RADIATION ONCOLOGIST 560727 0 412614 0 0 0 14250 0 9030 0 996621 0 0 0 SUE MANDELL MD MEDICAL DIRECTOR 601126 0 52618 0 0 0 14250 0 25510 0 693504 0 0 0 SHERRY ZHAO RADIATION ONCOLOGIST 519831 0 0 0 0 0 14250 0 9030 0 543111 0 0 0 CHARLES W DEGOOYER CEO 357571 0 71500 0 0 0 14250 0 9764 0 453085 0 0 0 MICHELE CARON INTERIM OPERATIONAL LEADER 175634 0 28333 0 0 0 10198 0 8936 0 223101 0 0 0 VICTORIA D DEHLER DIRECTOR FINANCE & OPERATI 164168 0 26919 0 0 0 9554 0 8909 0 209550 0 0 0 LISA ROOTVIK ARNP 135019 0 3000 0 0 0 6901 0 24288 0 169208 0 0 0 JEFFREY CUMMINGS PHYSICIANS ASSISTANT 138675 0 3000 0 0 0 7084 0 8836 0 157595 0 0 0 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. COVENANT ACO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501 (C )(3) LINE 12A, I CHS 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 1 COVENANT HEALTH PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 463516417 HEALTHCARE TX 501 (C )(3) LINE 12A, I CHS 1 COVENANT HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752765566 HEALTHCARE TX 501 (C )(3) LINE 3 SJHS 1 COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501 (C )(3) LINE 7 CHS 1 COVENANT HOSPITAL HOBBS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 844273963 HEALTHCARE TX 501 (C )(3) LINE 3 CHS 1 COVENANT MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 822913146 HEALTHCARE TX 501 (C )(3) LINE 3 CHS 1 COVENANT MEDICAL GROUP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752743883 HEALTHCARE TX 501 (C )(3) LINE 3 CHS 1 EVERETT 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951643327 HEALTHCARE CA 501 (C )(3) LINE 3 CHN 1 HOSPICE OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752133781 HEALTHCARE TX 501 (C )(3) LINE 10 CHS 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 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 1 INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 912003593 HEALTHCARE WA 501 (C )(3) LINE 7 WHC 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 1 KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND WA 99352 237005501 SUPPORT WA 501 (C )(3) LINE 7 KRMC 1 KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 910655392 HEALTHCARE WA 501 (C )(3) LINE 3 WHC 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 1 LUBBOCK HERITAGE HOSPITAL LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 264021016 HEALTHCARE TX 501 (C )(3) LINE 3 CHS 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 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 1 METHODIST CHILDREN'S HOSPITAL 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752428911 HEALTHCARE TX 501 (C )(3) LINE 3 CHS 1 METHODIST HOSPITAL LEVELLAND 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752246348 HEALTHCARE TX 501 (C )(3) LINE 3 CHS 1 METHODIST HOSPITAL PLAINVIEW 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752426010 HEALTHCARE TX 501 (C )(3) LINE 3 CHS 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 1 NORTHWEST HOPE & HEALING FOUNDATION PO BOX 16069 SEATTLE WA 98116 200799737 SUPPORT WA 501 (C )(3) LINE 12A, I SHS 1 PACMED CLINICS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 562290878 HEALTHCARE WA 501 (C )(3) LINE 10 WHC 1 PH&S FOUNDATIONSFVSA & SCVSA 501 SOUTH BUENA VISTA STREET BURBANK CA 915054809 953544877 HEALTHCARE CA 501 (C )(3) LINE 7 PHS SOCAL 1 PROVIDENCE ALASKA FOUNDATION 3760 PIPER STREET ANCHORAGE AK 99508 920093565 HEALTHCARE AK 501 (C )(3) LINE 7 PHS WA 1 PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION 540 SOUTH MAIN ST MT ANGEL OR 97362 911940286 HEALTHCARE OR 501 (C )(3) LINE 7 PHS OR 1 PROVIDENCE BLANCHET ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911789266 SUPPORT WA 501 (C )(3) LINE 7 PHS WA 1 PROVIDENCE CHILDREN'S HEALTH FOUNDATION 4805 NE GLISAN ST PORTLAND OR 97213 930800140 SUPPORT OR 501 (C )(3) LINE 7 PHS OR 1 PROVIDENCE COMMUNITY HEALTH FOUNDATION 940 ROYAL AVE MEDFORD OR 97504 930692907 HEALTHCARE OR 501 (C )(3) LINE 7 PHS OR 1 PROVIDENCE DETHMAN HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 473385506 SUPPORT WA 501 (C )(3) LINE 7 N/A 0 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 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 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 1 PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216587 HEALTHCARE OR 501 (C )(3) LINE 3 PHS 1 PROVIDENCE HEALTH & SERVICES - WASHINGTON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216586 HEALTHCARE WA 501 (C )(3) LINE 3 PHS 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 1 PROVIDENCE HEALTH ASSURANCE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 550828701 MEDICAID HEALTHCARE PROVIDER OR 501 (C)(4) PHP 1 PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON 101 W 8TH AVE SPOKANE WA 99204 320014330 HEALTHCARE WA 501 (C )(3) LINE 7 PHS WA 1 PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA) 413 LILLY ROAD NE OLYMPIA WA 985065166 911433382 HEALTHCARE WA 501 (C )(3) LINE 7 PHS W WA 1 PROVIDENCE HEALTH PLAN 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 930863097 HEALTHCARE OR 501 (C)(4) PPP 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 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 1 PROVIDENCE 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AVENUE SW ATTN TAX DEPT RENTON WA 98057 RELIGIOUS ORG WA 501(C)(3) LINE 1 N/A 0 PROVIDENCE MOUNT ST VINCENT FOUNDATION 4831 35TH AVE SW SEATTLE WA 981262799 911188119 HEALTHCARE WA 501 (C )(3) LINE 7 PHS WA 1 PROVIDENCE NEWBERG HEALTH FOUNDATION 1001 PROVIDENCE DRIVE NEWBERG OR 97132 930889144 HEALTHCARE OR 501 (C )(3) LINE 7 PHS OR 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 1 PROVIDENCE PLAN PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911861964 HEALTHCARE WA 501 (C)(4) PHS OR 1 PROVIDENCE PORTLAND MEDICAL FOUNDATION 4805 NE GLISAN ST PORTLAND OR 972132967 931231494 HEALTHCARE OR 501 (C )(3) LINE 7 PHS OR 1 PROVIDENCE ROSSI ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311584166 SUPPORT WA 501 (C )(3) LINE 10 PHS WA 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 1 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