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SAINT JOHN S CANCER INSTITUTE: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SAINT JOHN S CANCER INSTITUTE (EIN 95-4291515)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-12-10
IRS object ID
201513449349300121
Schema version
2014v5.0
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

FieldValueIRS element (for citing)
Return2015-12-10T11:06:21-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN911194016PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Clark Nuber PSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4th Suite 1700AddressLine1Txt
CityBellevueCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN954291515EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN WAYNE CANCER INSTITUTEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJOHNBusinessNameControlTxt
Phone3108298411PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 SANTA MONICA BLVDAddressLine1Txt
CitySANTA MONICACityNm
State AbbreviationCAStateAbbreviationCd
ZIP90404ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJames UliPersonNm
Person TitleCFOPersonTitleTxt
Phone3108298411PhoneNum
Signature2015-12-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSara Elizabeth J Hyre CPAPreparerPersonNm
PTINP00235495PTIN
Phone4254544919PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJames UliPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 SANTA MONICA BLVDAddressLine1Txt
CitySANTA MONICACityNm
State AbbreviationCAStateAbbreviationCd
ZIP90404ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,627,611GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.jwci.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTo support research and development of, and education in, the basic and clinical sciences for the prevention, detection, diagnosis, and treatment of cancer.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee111TotalEmployeeCnt
Total Volunteers34TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,693,284PYContributionsGrantsAmt
CY Contributions Grants$11,493,686CYContributionsGrantsAmt
PY Program Service Revenue$62,173PYProgramServiceRevenueAmt
CY Program Service Revenue$107,013CYProgramServiceRevenueAmt
PY Investment Income$191,725PYInvestmentIncomeAmt
CY Investment Income$1,412CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$25,500CYOtherRevenueAmt
PY Total Revenue$13,947,182PYTotalRevenueAmt
CY Total Revenue$11,627,611CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$270,982CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,052,749PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,507,839CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,146,741CYTotalFundraisingExpenseAmt
PY Other Expenses$7,445,702PYOtherExpensesAmt
CY Other Expenses$6,171,631CYOtherExpensesAmt
PY Total Expenses$16,498,451PYTotalExpensesAmt
CY Total Expenses$13,950,452CYTotalExpensesAmt
PY Revenues Less Expenses-$2,551,269PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,322,841CYRevenuesLessExpensesAmt
Total Assets BOY$15,623,858TotalAssetsBOYAmt
Total Assets EOY$9,894,687TotalAssetsEOYAmt
Total Liabilities BOY$7,470,322TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,391,547TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,153,536NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$503,140NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo support research and development of, and education in, the basic and clinical sciences for the prevention, detection, diagnosis, and treatment of cancer.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,539,124ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescMelanoma Research: As one of the largest melanoma centers in the U.S., the Institute conducts landmark research to identify new or recurring melanoma at its earliest stages, predict and monitor the response to systemic treatments, and develop active and passive immunotherapies for surgical and non-surgical patients.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,351,544ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescMolecular Oncology: The key focus of the department of molecular oncology is the development and application of molecular/genetic biomarkers for the diagnosis, prognosis and prediction of treatment response of solid tumors. Emphasis of studies are of the skin (melanoma), breast, and gastrointestinal tract. The department has developed multiple platforms to assess RNA and DNA of different types of tissues and cancers to improve diagnosis, prognosis and prediction of treatment response and has over 12 years of experience in the field and is continually improving approaches to translational quantitative oncology.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,332,764ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescTranslational Immunology: Studying populations of patients with enhanced immunity to melanocytes (the autoimmune disease vitiligo) and examining archived specimens of tumor tissue. Using these translational tools to identify key pathways of the immune response to melanoma may provide insights to fighting cancer in general.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$2,728,405$0$107,013Other Services - Medical Education, Neuro oncology, Breast Cancer Research, Gastrointestinal, Endocrine Bone & Bio Stats.
$270,982$270,982$0Grants & Allocations
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$2,999,387TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$270,982TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$107,013TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$10,222,819TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To OrgYes (1)MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial LiquidationYes (1)PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document48IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee111EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing AddressYes (1)OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Karl E Fritschel CPABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4255253339PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 Lind Ave SW 9016AddressLine1Txt
CityRentonCityNm
State AbbreviationWAStateAbbreviationCd
ZIP980579016ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Patrick Wayne
Board Chair2.000.00Yes (X)Yes (X)$0$0$0
Michael Wayne
Vice Chair/Secretary2.000.00Yes (X)Yes (X)$0$0$0
Mike Wall Thru 814
CEO/St. John's2.0058.00Yes (X)Yes (X)$0$1,422,851$0
Marcel Loh Eff 914
CEO/St. John's2.0048.00Yes (X)Yes (X)$0$605,342$36,843
Anton Bilchik
Director/CMO50.000.00Yes (X)$401,506$0$2,757
Doug Mancino
Director2.000.00Yes (X)$0$0$0
Jay Lichter PhD
Director2.000.00Yes (X)$0$0$0
Randy Axelrod MD
Director (2/14-12/14)2.0058.00Yes (X)$0$701,506$245,641
Michael Hunn
Director (2/14-8/14)2.0058.00Yes (X)$0$829,529$95,391
Barry Harding
CFO/St. John's2.0048.00Yes (X)$0$390,000$0
Delphine Lee
Dir. Translational Immunology40.000.00$320,730$0$11,842Yes (X)
Dave S Hoon
Dir. Molecular Oncology Lab40.000.00$244,959$0$12,306Yes (X)
Mark B Faries
Dir. Melanoma Research40.000.00$195,097$0$19,447Yes (X)
Maureen Chung
Dir. Breast Cancer Research40.000.00$188,659$0$11,071Yes (X)
Andrew Trilling
VP/Development40.000.00$177,673$0$19,803Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,528,624TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,949,228TotReportableCompRltdOrgAmt
Total Other Compensation$455,101TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line1ContractorAddress/ForeignAddress/AddressLine1TxtCityContractorAddress/ForeignAddress/CityNmCountryContractorAddress/ForeignAddress/CountryCdForeign PostalContractorAddress/ForeignAddress/ForeignPostalCd
Regents of University of California
10920 Wilshire Blvd 107Los AngelesCA90024Subcontracts, Outside Svcs., Consulting$448,028
Huron Consulting Group Inc
550 W Van Buren StChicagoIL60607Financial Consulting$393,537
Melanoma Institute of Australia
Multicenter Trial Costs$103,65040 Rocklands RoadNorth SydneyAS02060
Guard Systems Inc
1190 Monterey Pass RoadMonterey ParkCA91754Security Services$103,286
Perkins Coie LLP
1201 Third AveSeattleWA98101Legal Services$101,849
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$2,600,521RelatedOrganizationsAmt
Government Grants$4,527,596GovernmentGrantsAmt
All Other Contributions$4,365,569AllOtherContributionsAmt
Total Contributions$11,493,686TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Sequencing Center Svcs900099$62,990$62,990
Fellows Surg. Revenue900099$44,023$44,023
FieldValueIRS element (for citing)
Total Program Service Revenue$107,013TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,412TotalRevenueColumnAmt
Exclusion$1,412ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,656TotalRevenueColumnAmt
Exclusion$4,656ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescLibrarian ServicesDesc
Business900099BusinessCd
Total Revenue Column$20,000TotalRevenueColumnAmt
Exclusion$20,000ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$844TotalRevenueColumnAmt
Exclusion$844ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$20,844OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,627,611TotalRevenueColumnAmt
Related Or Exempt Func Income$107,013RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$26,912ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$167,332TotalAmt
Program Services$167,332ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$103,650TotalAmt
Program Services$103,650ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$404,263TotalAmt
Program Services$404,263ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,502,412TotalAmt
Program Services$4,892,063ProgramServicesAmt
Management And General$882,392ManagementAndGeneralAmt
Fundraising$727,957FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$126,640TotalAmt
Program Services$96,910ProgramServicesAmt
Management And General$16,290ManagementAndGeneralAmt
Fundraising$13,440FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$125,913TotalAmt
Program Services$96,984ProgramServicesAmt
Management And General$15,852ManagementAndGeneralAmt
Fundraising$13,077FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$348,611TotalAmt
Program Services$268,516ProgramServicesAmt
Management And General$43,888ManagementAndGeneralAmt
Fundraising$36,207FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$141,727TotalAmt
Program Services$130,771ProgramServicesAmt
Fundraising$10,956FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,350,621TotalAmt
Program Services$1,388,269ProgramServicesAmt
Management And General$922,864ManagementAndGeneralAmt
Fundraising$39,488FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$104,592TotalAmt
Program Services$7,321ProgramServicesAmt
Management And General$3,138ManagementAndGeneralAmt
Fundraising$94,133FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$345,709TotalAmt
Program Services$58,771ProgramServicesAmt
Management And General$276,567ManagementAndGeneralAmt
Fundraising$10,371FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$68,648TotalAmt
Program Services$54,918ProgramServicesAmt
Management And General$6,865ManagementAndGeneralAmt
Fundraising$6,865FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,661,163TotalAmt
Program Services$1,328,930ProgramServicesAmt
Management And General$249,174ManagementAndGeneralAmt
Fundraising$83,059FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$95,675TotalAmt
Program Services$56,448ProgramServicesAmt
Management And General$1,914ManagementAndGeneralAmt
Fundraising$37,313FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$134,169TotalAmt
Program Services$79,160ProgramServicesAmt
Management And General$2,683ManagementAndGeneralAmt
Fundraising$52,326FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,111TotalAmt
Management And General$6,111ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$370,502TotalAmt
Program Services$296,402ProgramServicesAmt
Management And General$55,576ManagementAndGeneralAmt
Fundraising$18,524FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$162,787TotalAmt
Program Services$107,439ProgramServicesAmt
Management And General$55,348ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$627,474$627,474
Bad Debts$34,080$34,080
Dues & Subscriptions$30,502$30,502
Tax & License$11,184$11,184

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$26,687TotalAmt
Program Services$23,118ProgramServicesAmt
Management And General$544ManagementAndGeneralAmt
Fundraising$3,025FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,950,452TotalAmt
Program Services$10,222,819ProgramServicesAmt
Management And General$2,580,892ManagementAndGeneralAmt
Fundraising$1,146,741FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$2,703,154BOYAmt
EOY$2,938EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,666,086BOYAmt
EOY$2,742,270EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,860,115BOYAmt
EOY$4,658,504EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,336BOYAmt
EOY$942EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$75,292BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$358,637BOYAmt
EOY$236,365EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,164,423LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$266,192LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,276,807BOYAmt
EOY$898,231EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$83,739BOYAmt
EOY$1,355,437EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,623,858BOYAmt
EOY$9,894,687EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$415,886BOYAmt
EOY$763,603EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$39,524EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,054,436BOYAmt
EOY$8,588,420EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,470,322BOYAmt
EOY$9,391,547EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$3,034,919BOYAmt
EOY-$5,341,568EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,188,455BOYAmt
EOY$5,844,708EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,153,536BOYAmt
EOY$503,140EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,623,858BOYAmt
EOY$9,894,687EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,322,841ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$35,811NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$1,019,942PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$6,383,308OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Medical Research OrganizationYes (X)MedicalResearchOrganizationInd

Hospital Name And Address HospitalNameAndAddressGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Saint John's Health CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
CitySanta MonicaCityNm
State AbbreviationCAStateAbbreviationCd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,200OtherCostOrOtherBasisAmt
Depreciation$1,463DepreciationAmt
Book Value$2,737BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,160,223OtherCostOrOtherBasisAmt
Depreciation$264,729DepreciationAmt
Book Value$895,494BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$898,231TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Due from Affiliates$1,312,896
Miscellaneous Receivables$42,541
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,355,437TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to Affiliates$8,567,061
Capital Lease Obligation$21,359
FieldValueIRS element (for citing)
Total Liability$8,588,420TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,886,132TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$35,811NetUnrealizedGainsInvstAmt
Recoveries Prior Year Grants$45,230RecoveriesPriorYearGrantsAmt
Other Revenue$519,336OtherRevenueAmt
Revenue Not Reported$600,377RevenueNotReportedAmt
Revenue Subtotal$6,285,755RevenueSubtotalAmt
Other Revenues Not Included$5,341,856OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$5,341,856RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,627,611TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,236,009TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$285,557OtherExpensesIncludedAmt
Expenses Not Reported$285,557ExpensesNotReportedAmt
Expenses Subtotal$13,950,452ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,950,452TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:Providence Health & Services, the Health System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained upon an audit by the taxing authority. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs.
Part XI, Line 2d - Other Adjustments:Correction of Beneficial Interest in Foundation 519,336.
Part XI, Line 4b - Other Adjustments:Net Asset Transfers - Contribution Related 5,341,856.
Part XII, Line 2d - Other Adjustments:Change in Value of Property & Equipment 1,041,452. System Conversion Affiliation Adjustment -755,895.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionEast Asia and the PacificRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedGrants to Recipients Located in the RegionTypeOfActivitiesConductedTxt
Region Total Expenditures$103,650RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$103,650SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$103,650TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionEast Asia and the PacificRegionTxt
Purpose Of GrantMelanoma Site StudiesPurposeOfGrantTxt
Cash Grant$103,650CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationPayment is made only when data submission confirms protocol compliance. The Institute enforces control of the work product at all times.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Fashion Footwear Charitable Foundation
232 Madison Ave 1107New YorkNY10016134112482501 (C)(3)$100,000FFANY Shoes on Sale Gala Support
John Wayne Cancer Institute Auxiliary
2200 Santa Monica BlvdSanta MonicaCA90404953987691501 (C)(3)$16,500JWCIA Odyssey Ball Sponsorship
Associates for Breast and Prostate Cancer Studies Inc
5670 Wilshire Blvd 830Los AngelesCA90036954246971501 (C)(3)$12,100ABCS Gala/Mother's Day Luncheon Sponsorship
Saint John's Health Center Foundation
1919 Santa Monica Blvd 100Santa MonicaCA90404956100079501 (C)(3)$9,000Caritas Gala Sponsorship/Power of Pink Gala Support
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationGrants are provided only to other nonprofit entities. Community support grants are approved by the Board of Directors in accordance with established protocol.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mike Wall Thru 814
CEO/St. John's$0$0$0$0$0$1,422,851$0$0$0$0$0$1,422,851$0$0
Marcel Loh Eff 914
CEO/St. John's$0$354,324$0$205,250$0$45,768$0$19,500$0$17,343$0$642,185$0$0
Anton Bilchik
Director/CMO$401,506$0$0$0$0$0$202$0$2,555$0$404,263$0$0$0
Randy Axelrod MD
Director (2/14-12/14)$0$681,191$0$0$0$20,315$0$222,506$0$23,135$0$947,147$0$0
Michael Hunn
Director (2/14-8/14)$0$376,243$0$212,524$0$240,762$0$73,664$0$21,727$0$924,920$0$0
Barry Harding
CFO/St. John's$0$390,000$0$0$0$0$0$0$0$0$0$390,000$0$0
Delphine Lee
Dir. Translational Immunology$320,730$0$0$0$0$0$143$0$11,699$0$332,572$0$0$0
Dave S Hoon
Dir. Molecular Oncology Lab$240,401$0$0$0$4,558$0$5,468$0$6,838$0$257,265$0$0$0
Mark B Faries
Dir. Melanoma Research$195,097$0$0$0$0$0$1,559$0$17,888$0$214,544$0$0$0
Maureen Chung
Dir. Breast Cancer Research$163,684$0$0$0$24,975$0$2,883$0$8,188$0$199,730$0$0$0
Andrew Trilling
VP/Development$177,673$0$0$0$0$0$1,926$0$17,877$0$197,476$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4bNONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan 1) Michael Hunn a) Taxable SERP Earned but not Paid - $212,524 b) SERP Interest Credit - $52,013 2) Randy Axelrod a) SERP Earned but not Vested - $210,806
FORM 990, PART VII, SECTION AAnton Bilchik was compensated by John Wayne Cancer Institute for his role as Chief Medical Officer of the Institute. Marcel Loh, Randy Axelrod, MD. and Michael Hunn were compensated by Providence Health & Services for their roles as Providence Executives. None of the Board members received compensation related to their service on the Board.
SCHEDULE J, PART II, COLUMN B, iiMarcel Loh and Michael Hunn participated in the Executive Performance Award program of Providence Health & Services discussed below: The Providence Executive Incentive Program provides a lump sum award annually as a percent of the executive's base pay. Percent opportunities are aligned with our total compensation philosophy as outlined in Part VI, Section B, Line 15 (Process for determining compensation of top management, officers & key employees). The performance award is based on the level of accomplishment of annual system objectives. In 2014, 100 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's six strategic priorities of: creating healthier communities together, inspire and develop our people, building enduring relationships with consumers, create alignment with clinicians & care teams, develop and thrive under new care delivery & economic models, and grow by optimizing expert-to-expert capabilities. For 2014, the percent allocation for each of these strategic priorities is outlined below: * Creating Healthier Communities, Together Community Benefit: 10% System Leadership Council - 10% System Role including Providence Senior & Community Services (PSCS) - 10% Region Role Regional Chief Executives (RCEs) and Reports * Inspire and Develop Our People Core Leader Engagement: 10% System Leadership Council - 10% Providence Strategic and Management Services (PSMS) System Role including PSCS - 10% Region Role RCEs and Reports Employee Health Index: 5% System Leadership Council - 5% System Role including PSCS - 5% System Region Role RCEs and Reports * Building Enduring Relationships with Consumers MyChart Activations: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Patient Loyalty Index: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports * Create Alignment with Clinicians & Care Teams Clinical Excellence Index: 10% System Leadership Council - 10% System Role including PSCS - 10% Region Role RCEs and Reports * Develop and Thrive Under New Care Delivery & Economic Models Salary Expense as % of Net Service Revenue: 10% System Leadership Council - 10% PSMS System Role including PSCS - 10% Region Role RCEs and Reports Supply Expense as % of Net Service Revenue: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Primary Care Panel Size: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Clinical Network Performance: 10% System Leadership Council - 10% System Role including PSCS - 10% System Region Role RCEs and Reports * Grow by Optimizing Expert-to-Expert Capabilities Free Cash Flow: 15% System Leadership Council - 15% System Role including PSCS - 15% Region Role RCEs and Reports Unduplicated Patient Count: 10% System Leadership Council - 10% System Role including PSCS - 10% Region Role RCEs and Reports TOTAL ALLOCATION: 100% Leadership Council - 100% System Role including PSCS - 100% Region Role RCEs and Reports

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidTemporarily Restricted Net Asset TransferAssetsDistriOrExpnssPaidDesc
Distribution2014-03-01DistributionDt
Fair Market Value Of Asset$5,341,856FairMarketValueOfAssetAmt
Method Of FMV DeterminationFMVMethodOfFMVDeterminationTxt
EIN956100079EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Saint John's Hospital Health Center FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12121 Santa Monica BlvdAddressLine1Txt
CitySanta MonicaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90404ZIPCd
FieldValueIRS element (for citing)
IRC Section501(c)(3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of Successor20DirectorOfSuccessor2Ind
Employee Of Successor20EmployeeOfSuccessor2Ind
Owner Of Successor20OwnerOfSuccessor2Ind
Receive Compensation20ReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE N, PART IIFormAndLineReferenceDesc
ExplanationThere was a substantial contraction of Net Assets as a result of the audit performed at year end. Assets previously reported on the Institute books were actually assets that should have been reported on the related Foundation books. This should be a one time only audit adjustment.The organization is not ceasing operations.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Patrick Wayne & Michael Wayne have a family relationship.
Form 990, Part VI, Section A, line 6The sole Corporate Member is Providence Saint John's Health Center, a California nonprofit religious corporation.
Form 990, Part VI, Section A, line 7aThe Corporate Member has the power to: 1) Appoint or remove, with or without cause, after consultation with the Corporation's Board of Directors, any member of the Board of Directors. 2) Ensure the presence of the Corporate Member on the Board of Directors of this Corporation, to appoint representatives of the Corporate Member to the Board of Directors of this Corporation. 3) Appoint or remove, with or without cause, after consultation with the Corporation's Board of Directors and the President/CEO of the Corporate Member, the President/CEO of this Corporation.
Form 990, Part VI, Section A, line 7bPowers of the Corporate Member include the power to: 1) Change the Mission and Philosophy. 2) Adopt, amend or repeal the Articles of Incorporation or Bylaws. 3) Implement corporate goals, policies and procedures. 4) Approve the acquisition of assets, incurrence of indebtedness or the lease, sale, transfer, assumption, or encumbering of assets. 5) Approve the merger, dissolution or corporate restructuring. 6) Approve all long-range and strategic plans and operating and capital budgets and deviations thereto. 7) Approve any capital expenditure of unrestricted funds not contained in the budget and in excess of a $100,000 threshold. 8) Appoint the auditors.
Form 990, Part VI, Section B, line 11The Form 990 is prepared internally by experienced staff and reviewed by the internal Director of Taxes of Providence Health & Services and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cThe Administrative Director of Compliance and Legal, the Audit Committee, and the governing Board reviews the conflict of interest statements. Potential conflicts are reviewed by the organizational Responsibility Officer and the CEO. Significant issues are reviewed by Compliance, Legal, the Audit Committee and governing Board and resolved accordingly under guidance from legal counsel.
Form 990, Part VI, Section B, line 15Through its affiliation with Providence Health & Services, the following process applies to compensation. It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are reviewed by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Each year, the Board Chair conducts a formal performance evaluation of the President/CEO that considers input from the other directors and senior leaders reporting to the President. The evaluation is discussed with the Human Resources Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Human Resources Committee also meet with an independent consultant to develop a salary recommendation; which is reviewed and approved first by the committee and then by the Board of Directors. Additionally, the President/CEO utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for other senior executives. This process includes a rigorous analysis of those recommendations with the Human Resources Committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering Providence operating commitments and strategic objectives - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated patient satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector.
Form 990, Part VI, Section C, line 19Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon request. The consolidated financial statements are available on the public Internet site www2.providence.org.
Form 990, Part VIIRandy Axelrod, MD - 1801 Lind Ave. SW #9016, Renton, WA 98057. Michael Hunn - 1801 Lind Ave. SW #9016, Renton, WA 98057.
Form 990, Part IX, line 11gMedical Purchased Services: Program service expenses 827,141. Management and general expenses 0. Fundraising expenses 0. Total expenses 827,141. Repairs & Maintenance: Program service expenses 38,843. Management and general expenses 300,154. Fundraising expenses 14,125. Total expenses 353,122. Consulting: Program service expenses 62,175. Management and general expenses 471,020. Fundraising expenses 25,363. Total expenses 558,558. Agency/Contract Labor: Program service expenses 405,586. Management and general expenses 31,548. Fundraising expenses 0. Total expenses 437,134. Parking & Security Services: Program service expenses 0. Management and general expenses 120,142. Fundraising expenses 0. Total expenses 120,142. Misc. Purchased Services: Program service expenses 54,524. Management and general expenses 0. Fundraising expenses 0. Total expenses 54,524.
Form 990, Part XI, line 9:Change in Value of Property & Equipment -1,041,452. Net Assets Transfers - Contribution Related -5,341,856.
FORM 990, PART I LINE 6 - VOLUNTEERSVolunteers serve in various capacities: * Organizing and updating the Cancer Center patient library. * Supporting staff with clerical tasks and providing peer support to patients in the Cancer Clinic. * Leading free yoga classes for breast cancer patients. * Supporting the research of doctors in the John Wayne Cancer Institute Research Center. * Providing clerical support in the Brain Tumor Center.
FORM 990, SCHEDULE R - RELATED ORGANIZATIONSAFFILIATION AGREEMENTS Effective March 1, 2014, Providence Health System entered into an affiliation agreement with Sisters of Charity of Leavenworth Health System (SCL) to transfer sponsorship of Saint John's Health Center (Saint John's) to the Health System. Saint John's operates a nonprofit medical center, a cancer institute, and physician clinics to serve the Santa Monica, California community and surrounding area. Effective May 1, 2014, the Health System entered into an affiliation agreement with PacMed Clinics (PacMed). PacMed is a private, nonprofit, multi-specialty medical group with nine clinics in the Puget Sound area and more than 150 primary care and specialty providers at the date of affiliation. Pursuant to the affiliation agreement, Western HealthConnect became PacMed's sole corporate Member. No cash or other purchase consideration was transferred to effect the affiliation. Effective June 13, 2014, the Health System entered into an affiliation agreement with Kadlec Health System (Kadlec). Kadlec operates a nonprofit medical center, a neurological resource center, a supporting foundation, and physician clinics to serve the tri-cities area of Kennewick, Pasco, and Richland, Washington. Pursuant to the affiliation agreement, Western HealthConnect became the sole member of Kadlec. No cash or other purchase consideration was transferred to effect the affiliation.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (96 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Providence Health & Services - Washington
1801 Lind Avenue SW 9016RentonWA980579016510216586Healthcare SystemWA501( c)(3)Line 3Providence Health & Services0
Providence Health & Services - Oregon
1801 Lind Avenue SW 9016RentonWA980579016510216587Healthcare SystemOR501( c)(3)Line 3Providence Health & Services0
Providence Health System - So California
1801 Lind Avenue SW 9016RentonWA980579016510216589Healthcare SystemCA501( c)(3)Line 3Providence Health & Services0
Everett Transitional Care Services
PO Box 5128EverettWA982065128943264605Transitional CareWA501( c)(3)Line 90N/A
Providence Oregon Management Corporation
1801 Lind Avenue SW 9016RentonWA980579016930813977Shell CorporationOR501( c)(3)Line 1PH & S - Oregon0
Providence Plan Partners
4400 NE Halsey Bldg 2PortlandOR97213911861964Healthcare ServicesOR501( c)(4)N/APH & S - Oregon0
Providence Health Plan
4400 NE Halsey Bldg 2PortlandOR97213930863097Health Service ContractorOR501( c)(4)N/AProvidence Plan Partners0
Providence Health Assurance
4400 NE Halsey Bldg 2PortlandOR97213550828701Medicaid Healthcare ProviderOR501( c)(4)N/AProvidence Health Plan0
Providence Medical Institute
4101 Torrance BlvdTorranceCA90503330283773HealthcareCA501( c)(3)Line 11/Type IPHS - So California0
Little Company of Mary Ancillary Services Corporation
4101 Torrance BlvdTorranceCA90503330844408Imaging ServicesCA501( c)(3)Line 9PHS - So California0
Providence TrinityCare Hospice
5315 Torrance Blvd Suite B1TorranceCA90503953264139HospiceCA501( c)(3)Line 9PHS - So California0
Providence Blanchet Association
1700 Providence PlCentraliaWA98531911789266HousingWA501( c)(3)Line 7PH & S - Washington0
St Luke Association
350 Washington Ave SEChehalisWA98352943176618HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Rossi Association
1700 Providence PlCentraliaWA98531311584166HousingWA501( c)(3)Line 9PH & S - Washington0
Lundberg Association
5921 E BurnsidePortlandOR97215911562797HousingOR501( c)(3)Line 7PH & S - Oregon0
Providence St Francis Association
3415 12th Avenue NEOlympiaWA98506943244854HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Peter Claver Association
7101 38th Avenue SouthSeattleWA98118311629656HousingWA501( c)(3)Line 7PH & S - Washington0
Providence St Elizabeth House Association
3201 SW Graham StSeattleWA98126912171539HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Gamelin House Association
4515 MLK Jr Way S Ste 200SeattleWA98108311744654HousingWA501( c)(3)Line 7PH & S - Washington0
The Gamelin Association
312 North Fourth StYakimaWA98901911180824HousingWA501( c)(3)Line 7PH & S - Washington0
The Gamelin Oregon Association
5520 NE GlisanPortlandOR97213911214491HousingOR501( c)(3)Line 9PH & S - Oregon0
The Gamelin California Association
540 23rd StOaklandCA94612911293869HousingCA501( c)(3)Line 9PHS - So California0
Gamelin Washington Association
1423 First AvenueSeattleWA98101201910170HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Foundation
1801 Lind Avenue SW 9016RentonWA980579016943078543Support PH&S InstitutionsWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Alaska Foundation
3300 Providence Drive - B Tower2AnchorageAK99508920093565Support PHS-AlaskaAK501( c)(3)Line 11/Type IPH & S - Washington0
Providence St Peter Foundation
413 Lilly Road NEOlympiaWA985065166911097056Support Affiliated Tax-Exempt OrganizationWA501( c)(3)Line 7PH & S - Washington0
Providence Health Care Foundation (Centralia)
914 S Scheuber RoadCentraliaWA98531911433382Support Providence Centralia HospitalWA501( c)(3)Line 7PH & S - Washington0
Providence Mount St Vincent Foundation
4831 - 35th Avenue SWSeattleWA981262799911188119Support Providence Mount St.VincentWA501( c)(3)Line 7PH & S - Washington0
Providence Marianwood Foundation
3725 Providence Point Drive SEIssaquahWA980297219931554288Support Providence MarianwoodWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Newberg Health Foundation
1001 Providence DriveNewbergOR97132930889144Support Providence Newberg Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Seaside Hospital Foundation
725 S Wahanna RdSeasideOR97138930927320Support Providence Seaside HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Community Health Foundation
1111 Crater Lake AveMedfordOR97504930692907Support Providence Medford Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Benedictine Nursing Center Foundation
540 South Main StMt AngelOR973629532911940286Support Providence Benedictine Nursing CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Portland Medical Foundation
4805 NE Glisan StPortlandOR972132967931231494Support Providence Portland Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence St Vincent Medical Foundation
9205 SW Barnes RdPortlandOR97225930575982Support Providence St. Vincent Medical CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence Milwaukie Foundation
10150 SE 32ndMilwaukieOR97222943079515Support Providence Milwaukie HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Child Center Foundation
830 NE 47thPortlandOR97213930800140Support Providence Child CenterOR501( c)(3)Line 7PH & S - Oregon0
Providence TrinityCare Hospice Foundation
5315 Torrance Blvd Suite B1TorranceCA90503330261016Support TrinityCare HospiceCA501( c)(3)Line 7Providence TrinityCare Hospice0
Providence Little Company of Mary Foundation
4101 Torrance BlvdTorranceCA90503510224944Support Little Company of Mary Service AreaCA501( c)(3)Line 7PHS - So California0
PH&S FoundationSFVSA & SCVSA
501 S Buena Vista StreetBurbankCA91505953544877Support Program & Activities of SFVSA & SCVSACA501( c)(3)Line 7PHS - So California0
Providence Hospice of Seattle Foundation
425 Pontius Avenue North 300SeattleWA981095452912077378Support Hospice of SeattleWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Health & Services - Western Washington
1801 Lind Avenue SW 9016RentonWA980579016911303277HealthcareWA501( c)(3)Line 3Providence MinistriesWHC0
Providence Health & Services
1801 Lind Avenue SW 9016RentonWA980579016911549796Shell CorporationWA501( c)(3)Line 11/Type IIProvidence Ministries0
Providence Health & Services - Montana
500 W Broadway PO Box 4587MissoulaMT598064587810231793HealthcareMT501( c)(3)Line 3PH & S - Washington0
Providence St Joseph Medical Center
PO Box 1010PolsonMT598601010810463482HealthcareMT501( c)(3)Line 3PH & S - Washington0
St Thomas Child and Family Center
1710 Benefis CourtGreat FallsMT59405810233495Early Childhood EducationMT501( c)(3)Line 9PH & S - Washington0
Sisters of Providence of Montana Corporation
1801 Lind Avenue SW 9016RentonWA980579016262612415Shell CorporationMT501( c)(3)Line 1PH & S - Washington0
Providence Health Care Foundation - Eastern Washington
101 W 8th AveSpokaneWA99204320014330Support PH&S-WA. Ministries in E. WA.WA501( c)(3)Line 7PH & S - Washington0
St Patrick Hospital Foundation
500 West Broadway PO Box 4587MissoulaMT598064587237056976Support Healthcare in W. MontanaMT501( c)(3)Line 7PH & S - Washington0
University of Great Falls
1301 20th Street SouthGreat FallsMT59405810231777Post Secondary EducationMT501( c)(3)Line 2PH & S - Washington0
E WA & MT Unemployment Compensation Insurance Trust
1801 Lind Avenue SW 9016RentonWA980579016911082119Unemployment BenefitsWA501( c)(3)Line 11/Type IPH & S - Washington0
Providence Willamette Falls Medical Foundation
1500 Division StreetOregon CityOR97045931003750Support Willamette Falls HospitalOR501( c)(3)Line 11/Type IPH & S - Oregon0
Providence Hood River Memorial Hospital Foundation Inc
811 13th StHood RiverOR97031930921990Support Providence Hood River Memorial HospitalOR501( c)(3)Line 7PH & S - Oregon0
Providence Hospice and Home Care Foundation
2731 Wetmore Avenue Suite 500EverettWA98201272552749Support Program & Ministries of PHHCWA501(c )(3)Line 7PH & S - Washington0
Providence St Mary Foundation
401 W Poplar StWalla WallaWA99362452841492Support Program & Ministries of SMMCWA501(c )(3)Line 7PH & S - Washington0
Facey Medical Foundation
15451 San Fernando Mission Blvd 200Mission HillsCA913451420954322584Support Facey Medical GroupCA501(c )(3)Line 7PHS - So California0
Swedish Health Services
747 BroadwaySeattleWA98122910433740HealthcareWA501(c )(3)Line 3Western HealthConnect0
Swedish Edmonds
21601 76th Ave WEdmondsWA98026272305304HealthcareWA501(c )(3)Line 3Western HealthConnect0
Swedish Medical Center Foundation
747 BroadwaySeattleWA98122910983214Support Swedish Health ServicesWA501(c )(3)Line 7Swedish Health Services0
Global To Local Health Initiative
2800 South 192nd St 104SeaTacWA98188273133200HealthcareWA501(c )(3)Line 7Swedish Health Services0
Swedish MJM Holdings
747 BroadwaySeattleWA98122273139262Holding CompanyWA501(c )(3)Line 11/Type ISwedish Health Services0
Marsha Rivkin Center for Ovarian Cancer Research
747 BroadwaySeattleWA98122912054035Ovarian Cancer ResearchWA501(c )(3)Line 7Swedish Health Services0
Western HealthConnect
747 BroadwaySeattleWA98122454171900Shell CorporationWA501(c )(3)Line 11/Type IIPH&S Western Washington0
Inland Northwest Health Services
601 W 1st AvenueSpokaneWA99201911307555HealthcareWA501( c)(3)Line 3PH&S - Washington0
Kadlec Regional Medical Center
888 Swift BlvdRichlandWA99352910655392HealthcareWA501(c )(3)Line 3Western HealthConnect0
Kadlec Neurological Resource Center
1268 Lee BlvdRichlandWA99352911266345HealthcareWA501(c )(3)Line 9Western HealthConnect0
Kadlec Foundation
888 Swift BlvdRichlandWA99352237005501Support Kadlec Regional Medical CenterWA501(c )(3)Line 11/Type IKadlec Regional Medical Center0
PacMed Clinics
1200 12th Ave SSeattleWA98144562290878HealthcareWA501(c )(3)Line 9Western HealthConnect0
Providence Saint John's Health Center
2121 Santa Monica BlvdSanta MonicaCA90404951684082HealthcareCA501(c )(3)Line 3PHS - So California0
John Wayne Cancer Institute
2200 Santa Monica BlvdSanta MonicaCA90404954291515Cancer TreatmentCA501(c )(3)Line 4Providence Saint John's Health Center0
Saint John's HospitalHealth Center Foundation
2121 Santa Monica BlvdSanta MonicaCA90404956100079Support Saint John Health Center & JWCICA501(c )(3)Line 7Providence Saint John's Health Center0
Sisters of Charity Leavenworth Health System (Thru 228)
2420 W 26th Avenue Suite 100DDenverCO80211237379161Support MMBRSKS501(c )(3)Line 11b/Type II0N/A
CARITAS Clinics (Thru 228)
818 North 7th StreetLeavenworthKS66048481009910Clinic SVCSKS501(c )(3)Line 3SCLHS0
Marian Clinics (Thru 228)
1001 SW GarfieldTopekaKS66604481046905Clinic SVCSKS501(c )(3)Line 3SCLHS0
Marillac Clinic Inc (Thru 228)
2333 N 6th StreetGrand JunctionCO81501841085822Clinic SVCSCO501(c )(3)Line 3SCLHS0
Providence Medical Center (Thru 228)
8929 Parallel ParkwayKansas CityKS66112480784446HealthcareKS501(c )(3)Line 3SCLHS0
St John Hospital Inc (Thru 228)
3500 South Fourth StreetLeavenworthKS66048480543768HealthcareKS501(c )(3)Line 3PMC0
Bethany Community Plaza Inc (Thru 228)
15 North 12th StreetKansas CityKS66102481207407HealthcareKS501(c )(3)Line 3PMC0
ProvidenceSt John Foundation Inc (Thru 228)
8929 Parallel ParkwayKansas CityKS66112480925688Support 501( C)(3)KS501(c )(3)Line 7PMC0
St Francis Health Center Inc (Thru 228)
1700 SW 7th StreetTopekaKS66606480547719HealthcareKS501(c )(3)Line 3SCLHS0
St Francis Health Center Foundation (Thru 228)
1700 SW 7th StreetTopekaKS66606481092520Support 501( C)(3)KS501(c )(3)Line 11a/Type ISFHC0
St Mary's Hospital & Medical (Thru 228)
2635 N 7th StreetGrand JunctionCO81502840425720HealthcareCO501(c )(3)Line 3SCLHS0
St Mary's Hospital Development Foundation (Thru 228)
2635 N 7th StreetGrand JunctionCO81502237001007Support 501( C)(3)CO501(c )(3)Line 11a/Type ISMHMC0
Saint Joseph Hospital Foundation (Thru 228)
1835 Franklin StreetDenverCO80218840735096Support 501( C)(3)CO501(c )(3)Line 11a/Type ISJH0
Holy Rosary Healthcare (Thru 228)
2600 WilsonMiles CityMT59301810231792HealthcareMT501(c )(3)Line 3SCLHS0
Holy Rosary Healthcare Foundation Inc (Thru 228)
2600 WilsonMiles CityMT59301202270238Support 501( C)(3)MT501(c )(3)Line 11a/Type IHRHC0
St Vincent Healthcare (Thru 228)
1233 North 30thBillingsMT59101810232124HealthcareMT501(c )(3)Line 3SCLHS0
St Vincent Healthcare Foundation (Thru 228)
PO Box 35200BillingsMT59107810468034Support 501( C)(3)MT501(c )(3)Line 7SVHC0
St James Healthcare (Thru 228)
400 South Clark StreetButteMT59701810231785HealthcareMT501(c )(3)Line 3SCLHS0
St James Healthcare Foundation (Thru 228)
400 South Clark StreetButteMT59701651202190Support 501( C)(3)MT501(c )(3)Line 11a/Type ISJHC0
Exempla Luheran Medical Center Foundation (Thru 228)
2480 W 26th Avenue Suite 360BDenverCO80211208846152Support 501( C)(3)CO501(c )(3)Line 7SCL-HFR INC0
Exempla Good Samaritan Medical Cter FDN (Thru 228)
200 Exempla CircleLafayetteCO80026841649162Support 501( C)(3)CO501(c )(3)Line 7SCL-HFR INC0
Luth Med Ctr Pro&Gen Liab Self-Ins Trst (Thru 228)
2480 W 26th Avenue Suite 360BDenverCO80211742571584InsuranceCO501(c )(3)Line 11a/Type ISCL-HFR INC0
Saint Joseph Hospital(Thru 228)
1835 Franklin StreetDenverCO80218840417134HealthcareCO501(c )(3)Line 3SCLHS0
Mount St Vincent Home Inc (Thru 228)
4159 Lowell BoulevardDenverCO80211840405260Resident CareCO501(c )(3)Line 11a/Type ISCLHS0
SCL Health-Front Range Inc (Thru 228)
2420 W 26th Avenue Suite 100DDenverCO80211841103606Hospital SVCSCO501(c )(3)Line 3SCLHS0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (39 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Providence Imaging Center
3340 Providence DriveAnchorageAK99508920118807Medical ImagingAKN/A
California Laboratory Associates LLC
501 Buena VistaBurbankCA91505273888692Outpatient LabCAN/A
Broadway Imaging LLC
500 W BroadwayMissoulaMT59802522405971Medical ImagingMTN/A
Ctr for Med Imaging-Bridgeport LLC
4400 NE Halsey 495PortlandOR97213260796953Imaging - DiagnosticsORN/A
Ctr for Med Imaging-Tanasbourne LLC
4400 NE Halsey 495PortlandOR97213200477972Imaging - DiagnosticsORN/A
Pathology Associates Medical Laboratories LLC
611 N PerrySpokaneWA99202270943279Outpatient LabWAN/A
Portland Medical Imaging LLC
4400 NE Halsey 495PortlandOR97213201054971Imaging - DiagnosticsORN/A
Oregon Advanced Imaging LLC
881 OHare ParkwayMedfordOR97504450471748Medical ImagingORN/A
Minor & James Medical PLLC
515 Minor Avenue 200SeattleWA98104911340223Physician ClinicWAN/A
Providence Surgery Center LLC
902 N Orange StMissoulaMT59802841401625Ambulatory Surgery CenterMTN/A
Clackamas Radiation Oncology Center LLC
4400 NE Halsey St Bldg II 495PortlandOR97213260381897Radiation OncologyORN/A
PETCT Imaging at Swedish Cancer Institute LLC
1221 Madison StreetSeattleWA98104203132044Medical ImagingWAN/A
PacLab LLC
611 N PerrySpokaneWA99202911743952Outpatient LabWAN/A
The Madison Spokane Inn LLC
15 West Rockwood BlvdSpokaneWA99204841606484Hotel ServicesWAN/A
Center for Specialty Surgery LLC
11782 SW Barnes RdPortlandOR97225263638838Ambulatory Surgery CenterORN/A
Oregon Outpatient Surgery Center
7300 SW Childs RdTigardOR97224223883387Ambulatory Surgery CenterORN/A
ProvidenceUSP Santa Clarita GP LLC
11550 Indian Hills Road 160Mission HillsCA91345202829660Ambulatory Surgery CenterCAN/A
ProvidenceUSP Surgery Ctrs LLC
11550 Indian Hills Road 160Mission HillsCA91345200905938Ambulatory Surgery CenterCAN/A
Alpha Medical Laboratory LLC
611 N PerrySpokaneWA99202912017347Outpatient LabIDN/A
Greater Valley Medical Building LP
501 S Buena Vista StBurbankCA91505954570858Real Estate - MOBCAN/A
Prov Radiation Oncology Develop Assn LLC
4400 NE Halsey 495PortlandOR97213260682491Real Estate - MOBORN/A
Providence Partners for Health LLC
501 S Buena Vista StBurbankCA91505454041798Clinical Quality & IntegrationCAN/A
ProvidenceSilverton Rehab LLC
4400 NE Halsey 425PortlandOR97213481287267Rehab ServicesORN/A
Southern Idaho Regional Laboratory LLC
611 N PerrySpokaneWA99202820511819Outpatient LabIDN/A
Mountainstar Clinical Laboratories LLC
611 N PerrySpokaneWA99202261345983Outpatient LabMTN/A
Tri-Cities Laboratory LLC
611 N PerrySpokaneWA99202911773986Outpatient LabWAN/A
Pavillon Imaging LL (Thru 228)
750 Wellington AvenueGrand JunctionCO81501030516198RadiologyCON/A
Healthcare Management LLC (Thru 228)
PO Box 1929Grand JunctionCO81502841238904Management ServicesCON/A
San Juan Cancer Center (Thru 228)
600 S 5th StreetMontroseCO81401202856331OP CancerCON/A
Denver W Endoscopy (Thru 228)
13952 Denver W PkwyLakewoodCO80401460788218OP EndoscopyCON/A
Lutheran Campus ASC (Thru 228)
3455 N Lutheran Pkwy 150Wheat RidgeCO80033020749532OP SurgeryCON/A
Colorado Surgical V (Thru 228)
1675 BroadwayChicagoIL60606208038915OP SurgeryCON/A
Colorado Surgical H (Thru 228)
1675 BroadwayChicagoIL60606208038977OP SurgeryCON/A
MED-MAP LLC (Thru 228)
701 N 31st Street 730BillingsMT59103810491356Rental Real EstateMTN/A
Yellowstone Surgery (Thru 228)
1144 N 28th StreetBillingsMT59101721519467OP SurgeryMTN/A
Athletic Med & Perf (Thru 228)
1144 N 28th StreetBillingsMT59101272270640Physical TherapyMTN/A
Twentieth Street GP (Thru 228)
1339 20th Street 140PasadenaCA91101953974903Rental Real EstateCAN/A
St John's Medical Plaza LP
201 South Lake Avenue Ste 507PasadenaCA91101953983096Rental Real EstateCAN/A
All Care Home Health ( Thru 228)
10170 E Mississippi AvenueDenverCO80247462418729Home CareDEN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Providence Health Ventures Inc
4101 Torrance BlvdTorranceCA90503330122216InvestmentCAN/AC0
Caron Health Corporation
510 W Front StMissoulaMT59802810486082Medical Physician ServiceMTN/AC0
Providence Health Care Ventures Inc
101 W 8th Ave TAF C-9SpokaneWA99204900155714Clinical/Medical LabWAN/AC0
Providence Physician Services Co
101 W 8th Ave TAF C-9SpokaneWA99204911216033Clinical/Medical LabWAN/AC0
Yakima Medical Arts Inc
611 N Perry 100SpokaneWA99202910787963Rental Real EstateWAN/AC0
Bourget Health Services Inc
PO Box 2687SpokaneWA99220911354431Clinical/Medical LabWAN/AC0
1221 Madison Street Owners Assoc
747 BroadwaySeattleWA98122201954319Owners' AssociationWAN/AC0
Washington Cancer Centers PC
1560 N 115th G-16SeattleWA98133911792791Cancer TreatmentWAN/AC0
Western HealthConnect Ventures Inc
1801 Lind Ave SW 9016RentonWA98057800953654InvestmentWAN/AC0
PHN Holdings
20555 Earl StreetTorranceCA90503461814184Strategic Planning ServicesCAN/AC0
Providence Health Network
20555 Earl StreetTorranceCA90503800886966Prepaid HealthcareCAN/AC0
CARITAS Inc and Subsidiaries
2420 W 26th Avenue Ste 100DDenverCO80211480941069HealthcareKSN/AC0
Leaven Insurance Company LTD
980370522InsuranceN/AC023 Lime Tree Bay Avenue PO Box 1GeorgetownGrand CaymanCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd