UW PHYSICIANS NETWORK: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- UW PHYSICIANS NETWORK (EIN 91-1715882)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201811359349305506
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-15T11:39:45-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911194016 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK NUBER PS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4TH STREET SUITE 1400 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911715882 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UW PHYSICIANS NETWORK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UWPH | BusinessNameControlTxt |
| Phone | 2065205503 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MS 354943 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98195 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBRA GUSSIN | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 2065205503 | PhoneNum |
| Signature | 2018-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SARA ELIZABETH J HYRE | PreparerPersonNm |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | PhoneNum |
| Preparation | 2018-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UW NEIGHBORHOOD CLINICS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DEBRA GUSSIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MS 354943 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98195 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $63,658,278 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UWMEDICINE.ORG/UWPN | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | UW PHYSICIANS NETWORK ("THE NETWORK") PROVIDES INCREASED ACCESS TO DIVERSE PATIENT POPULATIONS TO SUPPORT TEACHING, RESEARCHING AND TRAINING. THE NETWORK ALSO SUPPORTS THE CHARITABLE AND PUBLIC MISSION OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, HARBORVIEW MEDICAL CENTER AND THE UNIVERSITY OF WASHINGTON MEDICAL CENTER.THE NETWORK IS ALSO ORGANIZED TO COORDINATE AND DEVELOP PATIENT CARE IN A COMMUNITY CLINICAL SETTING TO ENHANCE THE ACADEMIC ENVIRONMENT OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE BY PROVIDING ADDITIONAL SITES OF PRIMARY CARE PRACTICE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 512 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,453 | PYContributionsGrantsAmt |
| CY Contributions Grants | $264,356 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $57,882,789 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $62,501,732 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$2,591 | PYInvestmentIncomeAmt |
| CY Investment Income | -$95,360 | CYInvestmentIncomeAmt |
| PY Other Revenue | $667,143 | PYOtherRevenueAmt |
| CY Other Revenue | $892,190 | CYOtherRevenueAmt |
| PY Total Revenue | $58,558,794 | PYTotalRevenueAmt |
| CY Total Revenue | $63,562,918 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,368,603 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,092,276 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,714,927 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $32,327,056 | PYOtherExpensesAmt |
| CY Other Expenses | $36,994,128 | CYOtherExpensesAmt |
| PY Total Expenses | $57,787,935 | PYTotalExpensesAmt |
| CY Total Expenses | $63,709,055 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $770,859 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$146,137 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,915,994 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,814,488 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,224,190 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,051,821 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,691,804 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,762,667 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE HEALTH OF THE PUBLIC. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $51,183,389 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $62,501,732 | RevenueAmt |
| Desc | THE NETWORK PROVIDES INCREASED ACCESS TO DIVERSE PATIENT POPULATIONS TO UW MEDICINE IN SUPPORT OF RESEARCH AND TRAINING. THE NETWORK ALSO SUPPORTS THE PUBLIC MISSION OF UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, HARBORVIEW MEDICAL CENTER, AND UNIVERSITY OF WASHINGTON MEDICAL CENTER THROUGH INCREASED ACCESSIBILITY AND OUTREACH BY CLINICS TO LOCAL COMMUNITIES. IN THE FISCAL YEAR 2017, THE NETWORK PROVIDED 338,174 PATIENT VISITS INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, GERIATRIC, OBSTETRIC AND PEDIATRIC CARE. | Desc |
| Total Program Service Expenses | $51,183,389 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | 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 | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 40 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 512 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | 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 | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAREN SCHILLER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2065205503 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MS 354943 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98195 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BRIAN GOLDSTEIN | ||||||||||
| PRESIDENT (AS OF 11/2016) | 0.50 | 39.50 | Yes (X) | Yes (X) | $0 | $411,023 | $30,734 | |||
| CYNTHIA HECKER | ||||||||||
| PRESIDENT (THRU 11/2016) | 0.50 | 39.50 | Yes (X) | Yes (X) | $0 | $669,477 | $35,988 | |||
| VICTORIA FANG MD | ||||||||||
| VICE PRESIDENT | 40.00 | 0.00 | Yes (X) | Yes (X) | $0 | $236,535 | $46,373 | |||
| BRAD ANAWALT MD | ||||||||||
| TRUSTEE | 0.50 | 39.50 | Yes (X) | $0 | $328,196 | $38,668 | ||||
| BRIAN JOHNSTON MD | ||||||||||
| TRUSTEE | 0.50 | 39.50 | Yes (X) | $0 | $235,078 | $37,852 | ||||
| PAMELA SHEFFIELD MD | ||||||||||
| TRUSTEE (THRU 10/2016), ASSC MED DIR | 40.00 | 0.00 | Yes (X) | $0 | $229,970 | $54,977 | ||||
| CRYSTAL KONG-WONG MD | ||||||||||
| TRUSTEE, CLINIC CHIEF(AS OF 11/2016) | 36.00 | 0.00 | Yes (X) | $0 | $219,123 | $42,858 | ||||
| EVA KISS MD | ||||||||||
| TRUSTEE, CLINIC CHIEF | 36.00 | 0.00 | Yes (X) | $0 | $207,793 | $52,069 | ||||
| JACKIE MACLEAN | ||||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOANN TARICANI | ||||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $112,494 | $21,203 | ||||
| KRISTIN HOUSER | ||||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| LEE ANN PRIELIPP | ||||||||||
| TRUSTEE | 0.50 | 39.50 | Yes (X) | $0 | $0 | $0 | ||||
| LISA JENSEN | ||||||||||
| TRUSTEE (AS OF 5/2017) | 0.50 | 39.50 | Yes (X) | $0 | $0 | $0 | ||||
| MATTHEW THOMPSON MD | ||||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $336,319 | $45,085 | ||||
| WILLIAM FALLON MD | ||||||||||
| TRUSTEE | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DEBRA GUSSIN | ||||||||||
| EXECUTIVE DIRECTOR | 40.00 | 0.00 | Yes (X) | $0 | $353,936 | $38,668 | ||||
| KAREN SCHILLER | ||||||||||
| DIRECTOR OF FINANCE | 40.00 | 0.00 | Yes (X) | $0 | $136,527 | $26,761 | ||||
| PAUL RAMSEY | ||||||||||
| CEO, UW MEDICINE | 0.50 | 39.50 | $0 | $907,968 | $71,038 | Yes (X) | ||||
| JACQUELINE CABE | ||||||||||
| CFO | 0.50 | 39.50 | $0 | $626,833 | $30,795 | Yes (X) | ||||
| PETER MCGOUGH MD | ||||||||||
| MEDICAL DIRECTOR | 40.00 | 0.00 | $0 | $265,751 | $57,462 | Yes (X) | ||||
| SUZANNE EVANS MD | ||||||||||
| CLINIC CHIEF | 36.00 | 0.00 | $0 | $232,740 | $35,613 | Yes (X) | ||||
| PATRICIA MALONE MD | ||||||||||
| CLINIC CHIEF | 36.00 | 0.00 | $0 | $260,196 | $51,056 | Yes (X) | ||||
| JOHN CHAFFEE MD | ||||||||||
| PHYSICIAN | 36.00 | 0.00 | $0 | $278,511 | $55,751 | Yes (X) | ||||
| CHRISTOPHER COPPEANS MD | ||||||||||
| PHYSICIAN | 36.00 | 0.00 | $0 | $275,266 | $31,307 | Yes (X) | ||||
| SEYED HEJAZI MD | ||||||||||
| PHYSICIAN | 36.00 | 0.00 | $0 | $261,813 | $40,365 | Yes (X) | ||||
| TRICIA NIELSEN MD | ||||||||||
| PHYSICIAN | 36.00 | 0.00 | $0 | $251,615 | $44,173 | Yes (X) | ||||
| SEEMA DIDDEE MD | ||||||||||
| PHYSICIAN | 36.00 | 0.00 | $0 | $247,222 | $35,937 | Yes (X) | ||||
| JOHNESE SPISSO | ||||||||||
| FORMER OFFICER | 0.50 | 39.50 | $0 | $232,801 | $26,456 | Yes (X) | ||||
| LOUISE SIMPSON | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $198,800 | $44,951 | Yes (X) | ||||
| MAUREEN BROOM | ||||||||||
| FORMER KEY EMPLOYEE | 0.50 | 39.50 | $0 | $405,749 | $38,540 | Yes (X) | ||||
| LORI MITCHELL | ||||||||||
| FORMER KEY EMPLOYEE | 0.50 | 39.50 | $0 | $334,679 | $26,906 | Yes (X) | ||||
| PAMELA YUNG MD | ||||||||||
| FORMER KEY EMPLOYEE | 36.00 | 0.00 | $0 | $197,759 | $44,628 | Yes (X) | ||||
| TIMOTHY BURNER MD | ||||||||||
| FORMER KEY EMPLOYEE | 36.00 | 0.00 | $0 | $236,025 | $45,050 | Yes (X) | ||||
| PATRICIA READ-WILLIAMS MD | ||||||||||
| FORMER KEY EMPLOYEE | 36.00 | 0.00 | $0 | $228,016 | $53,194 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,918,215 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,204,458 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| GLY CONSTRUCTION | |||||
| PO BOX 6728 | BELLEVUE | WA | 98008 | CONSTRUCTION | $2,323,744 |
| NUWEST GROUP HOLDINGS LLC | |||||
| PO BOX 40285 | BELLEVUE | WA | 98015 | CONTRACTED EMPLOYEES | $590,273 |
| UNIVERSAL PROTECTION OF SEATTLE | |||||
| PO BOX 101034 | PASADENA | CA | 91189 | SECURITY | $252,278 |
| WILL'S CLEANING SERVICE | |||||
| 15219 42ND AVE S | TUKWILA | WA | 98188 | JANITORIAL | $195,407 |
| ROBERT HALF MANAGEMENT RESOURCES | |||||
| PO BOX 743295 | LOS ANGELES | CA | 90074 | CONTRACTED EMPLOYEES | $123,700 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $122,634 | RelatedOrganizationsAmt |
| All Other Contributions | $141,722 | AllOtherContributionsAmt |
| Total Contributions | $264,356 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NETWORK FUNDING | 621110 | $47,343,000 | $47,343,000 |
| PATIENT VISITS | 621111 | $14,781,437 | $14,781,437 |
| RESIDENCY REVENUE | 611600 | $377,295 | $377,295 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $62,501,732 | TotalProgramServiceRevenueAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $95,360 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$95,360 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$95,360 | TotalRevenueColumnAmt |
| Exclusion | -$95,360 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| EXPENSE REIMBURSEMENT | 900099 | $841,051 | $841,051 |
| MEDICAL RECORDS | 900099 | $51,139 | $51,139 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $892,190 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63,562,918 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $62,501,732 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $796,830 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,244,860 | TotalAmt |
| Program Services | $18,422,824 | ProgramServicesAmt |
| Management And General | $822,036 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $992,303 | TotalAmt |
| Program Services | $950,332 | ProgramServicesAmt |
| Management And General | $41,971 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,794,439 | TotalAmt |
| Program Services | $4,373,455 | ProgramServicesAmt |
| Management And General | $420,984 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,683,325 | TotalAmt |
| Program Services | $1,612,543 | ProgramServicesAmt |
| Management And General | $70,782 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,882,349 | TotalAmt |
| Management And General | $2,882,349 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,649 | TotalAmt |
| Management And General | $41,649 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,683 | TotalAmt |
| Management And General | $98,683 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,833,168 | TotalAmt |
| Program Services | $673,019 | ProgramServicesAmt |
| Management And General | $7,160,149 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,828 | TotalAmt |
| Program Services | $329,828 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,537,694 | TotalAmt |
| Program Services | $1,291,702 | ProgramServicesAmt |
| Management And General | $245,992 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,209,099 | TotalAmt |
| Program Services | $11,209,099 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,521,685 | TotalAmt |
| Program Services | $5,278,457 | ProgramServicesAmt |
| Management And General | $243,228 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,588 | TotalAmt |
| Program Services | $95,670 | ProgramServicesAmt |
| Management And General | $24,918 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,158 | TotalAmt |
| Program Services | $11,163 | ProgramServicesAmt |
| Management And General | $15,995 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,733 | TotalAmt |
| Program Services | $23,733 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,702,410 | TotalAmt |
| Program Services | $1,621,842 | ProgramServicesAmt |
| Management And General | $80,568 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,695 | TotalAmt |
| Management And General | $62,695 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICALS | $3,024,870 | $3,024,870 | $0 |
| LAB & MED SUPPLIES | $1,237,804 | $1,236,619 | $1,185 |
| REPAIRS AND MAINTENANCE | $1,023,777 | $1,019,404 | $4,373 |
| B&O TAXES | $261,362 | $3,258 | $258,104 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,576 | TotalAmt |
| Program Services | $5,571 | ProgramServicesAmt |
| Management And General | $50,005 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,709,055 | TotalAmt |
| Program Services | $51,183,389 | ProgramServicesAmt |
| Management And General | $12,525,666 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,776,196 | BOYAmt |
| EOY | $3,804,470 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,096,875 | BOYAmt |
| EOY | $9,231,195 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $570,887 | BOYAmt |
| EOY | $533,923 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,167 | BOYAmt |
| EOY | $73,706 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $30,341,239 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,362,956 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,185,958 | BOYAmt |
| EOY | $14,978,283 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,911 | BOYAmt |
| EOY | $192,911 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,915,994 | BOYAmt |
| EOY | $28,814,488 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,339,292 | BOYAmt |
| EOY | $11,012,421 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $754,654 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $746,128 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,884,898 | BOYAmt |
| EOY | $3,538,618 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,224,190 | BOYAmt |
| EOY | $16,051,821 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,691,804 | BOYAmt |
| EOY | $12,008,013 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $754,654 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,691,804 | BOYAmt |
| EOY | $12,762,667 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,915,994 | BOYAmt |
| EOY | $28,814,488 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$146,137 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $217,000 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY OF WASHINGTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 916001537 | EIN |
| Organization Type | 6 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART I, LINE 12G(V): | FormAndLineReferenceDesc |
| Explanation | THE NETWORK WAS ESTABLISHED BY THE UNIVERSITY OF WASHINGTON, AS PART OF UW MEDICINE, TO PROVIDE PRIMARY CARE SERVICES THROUGHOUT KING COUNTY AND THE SURROUNDING AREA AND TO PROVIDE PRACTICE CLINICS FOR UW MEDICINE RESIDENTS. THEREFORE, NO MONETARY SUPPORT IS PROVIDED TO THE UNIVERSITY. | ExplanationTxt |
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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,705,467 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,129,727 | DepreciationAmt |
| Book Value | $11,575,740 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,539,536 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,233,229 | DepreciationAmt |
| Book Value | $3,306,307 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $96,236 | OtherCostOrOtherBasisAmt |
| Book Value | $96,236 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,978,283 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED OCCUPANCY EXPENSES | Desc |
| Amt | $3,538,618 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,538,618 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 | 0 | 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 (28 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIAN GOLDSTEIN | ||||||||||||||
| PRESIDENT (AS OF 11/2016) | $0 | $401,023 | $0 | $0 | $0 | $10,000 | $0 | $11,894 | $0 | $18,840 | $0 | $441,757 | $0 | $0 |
| CYNTHIA HECKER | ||||||||||||||
| PRESIDENT (THRU 11/2016) | $0 | $646,485 | $0 | $0 | $0 | $22,992 | $0 | $18,439 | $0 | $17,549 | $0 | $705,465 | $0 | $0 |
| VICTORIA FANG MD | ||||||||||||||
| VICE PRESIDENT | $0 | $161,364 | $0 | $75,171 | $0 | $0 | $0 | $23,791 | $0 | $22,582 | $0 | $282,908 | $0 | $0 |
| BRAD ANAWALT MD | ||||||||||||||
| TRUSTEE | $0 | $328,196 | $0 | $0 | $0 | $0 | $0 | $26,500 | $0 | $12,168 | $0 | $366,864 | $0 | $0 |
| BRIAN JOHNSTON MD | ||||||||||||||
| TRUSTEE | $0 | $235,078 | $0 | $0 | $0 | $0 | $0 | $23,859 | $0 | $13,993 | $0 | $272,930 | $0 | $0 |
| PAMELA SHEFFIELD MD | ||||||||||||||
| TRUSTEE (THRU 10/2016), ASSC MED DIR | $0 | $198,454 | $0 | $31,516 | $0 | $0 | $0 | $22,667 | $0 | $32,310 | $0 | $284,947 | $0 | $0 |
| CRYSTAL KONG-WONG MD | ||||||||||||||
| TRUSTEE, CLINIC CHIEF(AS OF 11/2016) | $0 | $163,006 | $0 | $56,117 | $0 | $0 | $0 | $22,667 | $0 | $20,191 | $0 | $261,981 | $0 | $0 |
| EVA KISS MD | ||||||||||||||
| TRUSTEE, CLINIC CHIEF | $0 | $132,425 | $0 | $75,368 | $0 | $0 | $0 | $21,290 | $0 | $30,779 | $0 | $259,862 | $0 | $0 |
| MATTHEW THOMPSON MD | ||||||||||||||
| TRUSTEE | $0 | $335,618 | $0 | $701 | $0 | $0 | $0 | $26,570 | $0 | $18,515 | $0 | $381,404 | $0 | $0 |
| DEBRA GUSSIN | ||||||||||||||
| EXECUTIVE DIRECTOR | $0 | $353,936 | $0 | $0 | $0 | $0 | $0 | $26,500 | $0 | $12,168 | $0 | $392,604 | $0 | $0 |
| KAREN SCHILLER | ||||||||||||||
| DIRECTOR OF FINANCE | $0 | $136,527 | $0 | $0 | $0 | $0 | $0 | $13,993 | $0 | $12,768 | $0 | $163,288 | $0 | $0 |
| PAUL RAMSEY | ||||||||||||||
| CEO, UW MEDICINE | $0 | $892,476 | $0 | $0 | $0 | $15,492 | $0 | $53,000 | $0 | $18,038 | $0 | $979,006 | $0 | $0 |
| JACQUELINE CABE | ||||||||||||||
| CFO | $0 | $626,833 | $0 | $0 | $0 | $0 | $0 | $15,664 | $0 | $15,131 | $0 | $657,628 | $0 | $0 |
| PETER MCGOUGH MD | ||||||||||||||
| MEDICAL DIRECTOR | $0 | $265,751 | $0 | $0 | $0 | $0 | $0 | $26,500 | $0 | $30,962 | $0 | $323,213 | $0 | $0 |
| SUZANNE EVANS MD | ||||||||||||||
| CLINIC CHIEF | $0 | $157,484 | $0 | $75,256 | $0 | $0 | $0 | $23,035 | $0 | $12,578 | $0 | $268,353 | $0 | $0 |
| PATRICIA MALONE MD | ||||||||||||||
| CLINIC CHIEF | $0 | $217,250 | $0 | $42,946 | $0 | $0 | $0 | $25,542 | $0 | $25,514 | $0 | $311,252 | $0 | $0 |
| JOHN CHAFFEE MD | ||||||||||||||
| PHYSICIAN | $0 | $149,625 | $0 | $128,886 | $0 | $0 | $0 | $26,500 | $0 | $29,251 | $0 | $334,262 | $0 | $0 |
| CHRISTOPHER COPPEANS MD | ||||||||||||||
| PHYSICIAN | $0 | $144,302 | $0 | $130,964 | $0 | $0 | $0 | $23,850 | $0 | $7,457 | $0 | $306,573 | $0 | $0 |
| SEYED HEJAZI MD | ||||||||||||||
| PHYSICIAN | $0 | $183,227 | $0 | $78,586 | $0 | $0 | $0 | $26,500 | $0 | $13,865 | $0 | $302,178 | $0 | $0 |
| TRICIA NIELSEN MD | ||||||||||||||
| PHYSICIAN | $0 | $220,115 | $0 | $31,500 | $0 | $0 | $0 | $22,758 | $0 | $21,415 | $0 | $295,788 | $0 | $0 |
| SEEMA DIDDEE MD | ||||||||||||||
| PHYSICIAN | $0 | $132,475 | $0 | $114,747 | $0 | $0 | $0 | $22,337 | $0 | $13,600 | $0 | $283,159 | $0 | $0 |
| JOHNESE SPISSO | ||||||||||||||
| FORMER OFFICER | $0 | $232,801 | $0 | $0 | $0 | $0 | $0 | $14,930 | $0 | $11,526 | $0 | $259,257 | $0 | $0 |
| LOUISE SIMPSON | ||||||||||||||
| FORMER OFFICER | $0 | $198,800 | $0 | $0 | $0 | $0 | $0 | $32,783 | $0 | $12,168 | $0 | $243,751 | $0 | $0 |
| MAUREEN BROOM | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $405,749 | $0 | $0 | $0 | $0 | $0 | $23,872 | $0 | $14,668 | $0 | $444,289 | $0 | $0 |
| LORI MITCHELL | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $334,679 | $0 | $0 | $0 | $0 | $0 | $18,833 | $0 | $8,073 | $0 | $361,585 | $0 | $0 |
| PAMELA YUNG MD | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $140,888 | $0 | $56,871 | $0 | $0 | $0 | $18,250 | $0 | $26,378 | $0 | $242,387 | $0 | $0 |
| TIMOTHY BURNER MD | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $169,032 | $0 | $66,993 | $0 | $0 | $0 | $23,814 | $0 | $21,236 | $0 | $281,075 | $0 | $0 |
| PATRICIA READ-WILLIAMS MD | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $157,943 | $0 | $70,073 | $0 | $0 | $0 | $23,274 | $0 | $29,920 | $0 | $281,210 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 3: | COMPENSATION OF THE NETWORK EXECUTIVE DIRECTOR IS REVIEWED BY REPRESENTATIVES OF UW MEDICINE. THE REVIEW RELIES ON COMPARISON OF COMPENSATION TO SIMILARLY SITUATED INDIVIDUALS, IN LIKE-SIZED ORGANIZATIONS ENGAGED IN SIMILAR ACTIVITIES. THE COMPENSATION COMPARISON DATA IS REVIEWED BY DISINTERESTED EMPLOYEES OF UW MEDICINE. THE REVIEW IS PERFORMED REGULARLY AND DOCUMENTATION IS MAINTAINED BY THE SCHOOL OF MEDICINE. |
| SCHEDULE J, PART II: | UW PHYSICIANS NETWORK IS A GROUP OF CLINICS ESTABLISHED TO SUPPORT THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, HARBORVIEW MEDICAL CENTER, AND THE UNIVERSITY OF WASHINGTON MEDICAL CENTER, AND TO PROVIDE ADDITIONAL SITES OF PRACTICE FOR FACULTY PHYSICIANS WHO ARE MEMBERS OF UW PHYSICIANS (UWP). UWP IS THE GROUP PRACTICE FOR SCHOOL OF MEDICINE FACULTY PHYSICIANS WHO PROVIDE CLINICAL CARE PRIMARILY TO ADULT PATIENTS. UWP EMPLOYS THE PHYSICIANS AND, THROUGH THE SCHOOL OF MEDICINE, ASSIGNS THESE PHYSICIANS TO PROVIDE CLINICAL CARE TO PATIENTS AND ADMINISTRATIVE SERVICES AT THE UW PHYSICIANS NETWORK CLINICS. COMPENSATION OF EACH UWP CLINICIAN AT THE NETWORK CLINICS ADHERES TO A WRITTEN UWP INCOME DISTRIBUTION PLAN THAT IS DESIGNED FOR THE CLINICAL PRACTICE AT THE NETWORK CLINICS. COMPENSATION GENERALLY IS BASED ON THE PERSONAL PRODUCTIVITY AND ACTIVITIES OF THE INDIVIDUAL CLINICIAN. THE SCHOOL OF MEDICINE ESTABLISHES AND ROUTINELY REVIEWS COMPENSATION OF EACH UWP CLINICIAN. COMPENSATION OF EACH INDIVIDUAL IS SUBJECT TO AN INDIVIDUAL COMPENSATION CAP ESTABLISHED BY THE SCHOOL. UW PHYSICIANS NETWORK EMPLOYS CERTAIN NON-PHYSICIAN CLINICAL STAFF TO SUPPORT THE PHYSICIAN'S PRACTICE AT THE CLINICS. THESE CLINICIANS ARE PAID A FIXED SALARY. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 6, VOLUNTEERS: | THERE ARE FOUR VOLUNTEER BOARD OF DIRECTOR POSITIONS. DUE TO A MID-YEAR CHANGE IN TRUSTEES, THERE WERE A TOTAL OF FIVE VOLUNTEERS DURING THE FISCAL YEAR. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE NETWORK'S BOARD OF DIRECTORS IS GENERALLY COMPRISED OF THIRTEEN VOTING MEMBERS WHICH INCLUDES 1) THREE ELECTED COMMUNITY MEMBERS, 2) THREE ELECTED PRIMARY CARE PHYSICIANS FROM THE NETWORK CLINICS AND 3) SEVEN EX-OFFICIO MEMBERS INCLUDING THE CHIEF HEALTH SYSTEM OFFICER OF UW MEDICINE (CHAIR), PRESIDENT OF THE HARBORVIEW MEDICAL BOARD, CHAIRPERSON OF THE UW MEDICINE BOARD, PRESIDENT OF UW PHYSICIANS, AND CHAIRS OF THE UNIVERSITY OF WASHINGTON DEPARTMENT OF PEDIATRICS, MEDICINE AND FAMILY PRACTICE. ONLY FOUR OF THESE MEMBERS ARE INDEPENDENT BECAUSE THE REMAINDER ARE COMPENSATED BY A RELATED ORGANIZATION, HOWEVER, DUE TO A MID-YEAR CHANGE IN TRUSTEES THERE WERE A TOTAL OF FIVE INDEPENDENT BOARD MEMBERS DURING THE FISCAL YEAR. |
| FORM 990, PART VI, SECTION A, LINE 2 | PAUL RAMSEY, MD, IS THE CEO OF UW MEDICINE, EXECUTIVE VICE PRESIDENT FOR MEDICAL AFFAIRS AND DEAN OF THE SCHOOL OF MEDICINE, UNIVERSITY OF WASHINGTON. THE FOLLOWING INDIVIDUALS ARE ALSO EMPLOYED BY THE UNIVERSITY OF WASHINGTON AND REPORT DIRECTLY OR INDIRECTLY TO DR. RAMSEY IN THAT CAPACITY: BRADLEY ANAWALT, KAREN SCHILLER, CYNTHIA HECKER, MATTHEW THOMPSON, DEBRA GUSSIN, BRIAN JOHNSTON, BRIAN GOLDSTEIN, AND JACQUELINE CABE. PETER MCGOUGH IS THE VICE-PRESIDENT OF THE ASSOCIATION OF UNIVERSITY PHYSICIANS. THE FOLLOWING INDIVIDUALS ARE ALSO EMPLOYED BY UW PHYSICIANS: PAUL RAMSEY, CYNTHIA HECKER, MATTHEW THOMPSON, VICTORIA FANG, EVA KISS, PAMELA SHEFFIELD, SUZANNE EVANS, BRIAN GOLDSTEIN, CRYSTAL KONG-WONG, JACQUELINE CABE, AND PATRICIA MALONE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE DEAN OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE APPOINTS THE PRESIDENT OF UW PHYSICIANS NETWORK, OTHER OFFICERS AND BOARD MEMBERS OF UW PHYSICIANS NETWORK WHICH INCLUDE THE CHAIRS OF THE DEPARTMENTS OF PEDIATRICS, MEDICINE, AND FAMILY MEDICINE (WHO ARE ALSO APPOINTED BY THE DEAN OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE). |
| FORM 990, PART VI, SECTION A, LINE 7B | MOST DECISIONS OF THE NETWORK'S BOARD OF DIRECTORS ARE SUBJECT TO THE APPROVAL OF THE DEAN OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD HAS BEEN PRESENTED WITH INFORMATION RELATED TO THE PURPOSE AND RELEVANCE OF THE FORM 990 TO TAX EXEMPT ENTITIES SUCH AS THE NETWORK, AND BOARD MEMBERS MAY REQUEST A COPY OF THE FORM 990 FROM THE NETWORK'S DIRECTOR OF FINANCE. THE COMPLETED FORM 990 IS REVIEWED BY THE NETWORK'S EXECUTIVE DIRECTOR AND DIRECTOR OF FINANCE, LEGAL COUNSEL AS WELL AS THE ENTERPRISE FINANCE OFFICER OF UW MEDICINE PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE NETWORK MAINTAINS A CONFLICT OF INTEREST POLICY THAT REQUIRES THE BOARD OF TRUSTEES AND INDIVIDUALS TO DISCLOSE ANY CONFLICTS. THE NETWORK'S BOARD MEMBERS AND OTHER INDIVIDUALS WHO ARE EMPLOYED BY THE UNIVERSITY OF WASHINGTON AND SERVING ON THE NETWORK'S COMMITTEES ARE SUBJECT TO THE STATE OF WASHINGTON ETHICS IN PUBLIC SERVICE ACT, CHAPTER 42.52 RCW. THE ACT RESTRICTS ACTIVITIES INCOMPATIBLE WITH THE INDIVIDUAL'S ROLE AS A STATE EMPLOYEE AND ALSO LIMITS THE INDIVIDUAL'S INVOLVEMENT IN TRANSACTIONS WHERE A POTENTIAL CONFLICT MAY EXIST. THE NETWORK'S EMPLOYEE CODE OF CONDUCT (REQUIRED TO BE SIGNED ANNUALLY) ALSO ADDRESSES CONFLICTS OF INTEREST. IN ADDITION, THE NETWORK HAS POLICIES REGARDING THE ACCEPTANCE OF GIFTS AND NON-EMPLOYMENT OF FAMILY MEMBERS. ANNUALLY, THE NETWORK BOARD MEMBERS AND OTHERS ARE REQUIRED TO DISCLOSE CERTAIN RELATIONSHIPS AS PART OF THE PROCESS TO COMPLETE THE FORM 990. THE NETWORK ADDRESSES CONFLICTS AS THEY ARISE AND/OR ARE REPORTED TO THE NETWORK'S MANAGEMENT OR THE NETWORK'S BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION OF THE NETWORK'S EXECUTIVE DIRECTOR, DIRECTOR OF FINANCE, MEDICAL DIRECTOR, CLINIC CHIEFS AND OTHER KEY EMPLOYEES IS REVIEWED BY REPRESENTATIVES OF UW MEDICINE. THE REVIEW RELIES ON COMPARISON OF COMPENSATION TO SIMILARLY SITUATED INDIVIDUALS, IN LIKE-SIZED ORGANIZATIONS ENGAGED IN SIMILAR ACTIVITIES. THE COMPENSATION COMPARISON DATA IS REVIEWED BY DISINTERESTED EMPLOYEES OF UW MEDICINE. THE REVIEW IS PERFORMED REGULARLY AND DOCUMENTATION IS MAINTAINED BY THE SCHOOL OF MEDICINE. THE NETWORK'S BOARD MEMBERS, IN THEIR CAPACITY AS UNIVERSITY OF WASHINGTON FACULTY, INCLUDING THE MEDICAL DIRECTOR AND CLINIC CHIEFS, ARE EMPLOYED BY UW PHYSICIANS AND/OR THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE. THEIR COMPENSATION IS REVIEWED REGULARLY THROUGH A UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE PROCESS THAT INVOLVES DISINTERESTED SCHOOL OF MEDICINE EMPLOYEES WHO REVIEW COMPENSATION OF ALL SCHOOL OF MEDICINE FACULTY. FOR UW EMPLOYED PHYSICIANS, REVIEW OF COMPENSATION ALSO INCLUDES APPLICATION OF THE "UW PHYSICIANS METHOD OR STANDARD REGARDING BASIC INDIVIDUAL CAPS UNDER THE INCOME DISTRIBUTION PLAN" (UWP CAP POLICY). THE UWP CAP POLICY LIMITS COMPENSATION OF THE NETWORK'S MEMBERS BY COMPARISON TO OBJECTIVE DATA SUCH AS THAT PUBLISHED BY THE MEDICAL GROUP MANAGEMENT ASSOCIATION. THE REVIEW IS PERFORMED REGULARLY AND DOCUMENTATION IS MAINTAINED BY THE SCHOOL OF MEDICINE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE NETWORK MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST TO THE EXECUTIVE DIRECTOR AND/OR DIRECTOR OF FINANCE. |
| FORM 990, PART VI, LINE 14: | THE NETWORK APPLIES THE UW MEDICINE DOCUMENT RETENTION AND DESTRUCTION POLICY. |
| FORM 990, PART VII, COLUMN B: | THE HOURS REPORTED REPRESENT THE AVERAGE WEEKLY TOTAL AMOUNT OF TIME EACH INDIVIDUAL SPENT WORKING ON ALL OF THE NETWORK'S RELATED MATTERS INCLUDING PHYSICIAN TIME SPENT IN THE CLINICS, ADMINISTRATION TIME AND TIME SPENT SERVING AS A BOARD MEMBER OF THE ORGANIZATION IF APPLICABLE. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 539,201. MANAGEMENT AND GENERAL EXPENSES 8,127. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 547,328. INTERPRETING SERVICES: PROGRAM SERVICE EXPENSES 133,818. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 133,818. CONTACT CENTER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,717,236. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,717,236. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 164,682. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 164,682. REFILL AUTHORIZATION CENTER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,246,491. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,246,491. OTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,613. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,613. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY OF WASHINGTON | |||||||||||
| 1959 NE PACIFIC STREET | SEATTLE | WA | 98195 | 916001537 | EDUCATION AND MEDICAL CARE | WA | GOVERNMENT | N/A | N/A | 0 | |
| THE ASSOCIATION OF UNIVERSITY PHYSICIANS | |||||||||||
| 501 EASTLAKE AVENUE EAST SUITE 400 | SEATTLE | WA | 98109 | 911220843 | MEDICAL PRACTICE | WA | 501(C)(3) | LINE 12A - TYPE I | 0 | UNIVERSITY OF WASHINGTON | |
| UW MEDICINENORTHWEST | |||||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 981339733 | 910637400 | HOSPITAL | WA | 501(C)(3) | LINE 3 | 0 | UNIVERSITY OF WASHINGTON | |
| VALLEY MEDICAL CENTER | |||||||||||
| 400 SOUTH 43RD STREET | RENTON | WA | 980555010 | 916000986 | HOSPITAL | WA | GOVERNMENT | N/A | 0 | UNIVERSITY OF WASHINGTON | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| NEUROSURGICAL CONSULTANTS OF WA | |||||||||
| 801 BROADWAY SUITE 617 | SEATTLE | WA | 98122 | 911856460 | OFFICES OF PHYSICIANS | WA | N/A | C | 0 |
| SUMMIT CARDIOLOGY | |||||||||
| 1550 NORTH 115TH STREET MS D-180 | SEATTLE | WA | 98133 | 273492322 | OFFICES OF PHYSICIANS | WA | N/A | C | 0 |
| 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 | 0 | 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 | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |