FURP.ORG / PUBLIC DATA EXPLORER

SAINT JOHN S CANCER INSTITUTE: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SAINT JOHN S CANCER INSTITUTE (EIN 95-4291515)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201733199349316528
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

FieldValueIRS element (for citing)
Return2017-11-15T16:47:42-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 1400AddressLine1Txt
CityBellevueCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

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
Signature2017-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSara Elizabeth J Hyre CPAPreparerPersonNm
PTINP00235495PTIN
Phone4254544919PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address170.173.0.16IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-15IPDt
IP Tm14:46:06IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC5F3CFF4C26DED891B80F887CA75C12EDBBE0CDFAtSubmissionCreationDeviceId
At Submission Filing Device IdC5F3CFF4C26DED891B80F887CA75C12EDBBE0CDFAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$7,979,106GrossReceiptsAmt
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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee97TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,646,890PYContributionsGrantsAmt
CY Contributions Grants$6,858,557CYContributionsGrantsAmt
PY Program Service Revenue$29,121PYProgramServiceRevenueAmt
CY Program Service Revenue$870,195CYProgramServiceRevenueAmt
PY Investment Income$43,965PYInvestmentIncomeAmt
CY Investment Income-$617CYInvestmentIncomeAmt
PY Other Revenue$49,706PYOtherRevenueAmt
CY Other Revenue$250,064CYOtherRevenueAmt
PY Total Revenue$9,769,682PYTotalRevenueAmt
CY Total Revenue$7,978,199CYTotalRevenueAmt
PY Grants And Similar Paid$134,700PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,828,811PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,918,302CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,719,068PYOtherExpensesAmt
CY Other Expenses$6,278,234CYOtherExpensesAmt
PY Total Expenses$15,682,579PYTotalExpensesAmt
CY Total Expenses$13,200,536CYTotalExpensesAmt
PY Revenues Less Expenses-$5,912,897PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,222,337CYRevenuesLessExpensesAmt
Total Assets BOY$7,832,573TotalAssetsBOYAmt
Total Assets EOY$6,503,813TotalAssetsEOYAmt
Total Liabilities BOY$12,836,306TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,116,690TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$5,003,733NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$8,612,877NetAssetsOrFundBalancesEOYAmt
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$2,848,887ExpenseAmt
Grant$0GrantAmt
Revenue$163,781RevenueAmt
DescMolecular Oncology: The Department of Molecular Oncology (MO) is a large research program at JWCI (22 members including 3 Assistant Professors). The Molecular Oncology program is internationally recognized because of multiple discoveries particularly in the field of molecular biomarkers. The program has been funded through federal grants, philanthropy and foundations. The major focus is on solid tumors including melanoma, breast, brain, and gastrointestinal cancers. In recent years emphasis has been on molecular prognostic/diagnostic biomarkers and epigenetics regulatory and therapeutic targets. Some of the major pioneering studies accredited to the department address the prognostic utility in cancer patients (phase II and III clinical trials) of circulating tumor cells (CTC) and circulating DNA (genomic, mutation, methylation), the molecular staging of sentinel lymph nodes and epigenetics. The department recently received funding from the NIH TCGA program in several types of solid tumors for genomic, methylation, and RNA sequencing. These translational research efforts have been conducted through close collaboration between JWCI oncologists and other centers. The MO department has collected well annotated blood and tumor specimens for molecular studies from over 75 centers around the world and has significant experience in large scale phase II and III studies. The department therefore offers a well-organized research program that can offer collaborative support to the Providence Health System and intellectual property development.The Department of MO trains on average 10 research postdoctoral fellows per year and has a strong history of training foreign surgical oncology MD and MD/PhD fellows (>60) from major elite universities in Japan,(Tokyo, Keio, Osaka), the Netherlands (Leiden University), and China (Fudan University, Huashan).Gene Sequencing Center: The gene sequencing center was established at the JWCI in December 2013. Using state of the art equipment the center can perform any potentially useful type of gene sequencing, including whole genome sequencing. To date, over 200 tumors have been sequenced. A major project underway that has taken advantage of the unique melanoma tumor repository is whole genome sequencing on paired melanoma tumors and lymphocytes. The formidable requirements for data storage, data transfer and bioinformatics are provided through contracts with the national lambda railroad (NLR; NantWorks) a high speed (40Tb/sec) network connecting JWCI to other cancer institutes. Funding for the sequencing center is provided by major corporate grants.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,692,122ExpenseAmt
Grant$0GrantAmt
Revenue$326,936RevenueAmt
DescMelanoma Research: JWCI has one the largest melanoma programs in the world. Research has involved international multicenter clinical trials, industry sponsored clinical trials, and basic science research. Results of these studies have been published in numerous peer-review journals including the New England Journal of Medicine. There are ongoing potentially practice-changing clinical trials in melanoma. Basic science research includes genomics, translational immunology and the development of novel immunotherapies.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,202,403ExpenseAmt
Grant$0GrantAmt
Revenue$284,607RevenueAmt
DescThe Department of Translational Neuro-Oncology and Neurotherapeutics (TNON) was established at JWCI in August 2015. TNON's research areas include discovery and development of novel drug candidates for clinically validated molecular targets, biomarker-based drug development for precision medicine, nanotechnology-based approaches to deliver drugs across the blood brain barrier, new immunological approaches to diagnose and treat cancer and CNS diseases, and integrated information technology, big data and novel biosensor/device development. This is accomplished through basic science research, preclinical research, translational research, and clinical research.TNON's basic science research explores specific aspects of how brain cancer initiates and progresses. Active initiatives include tumor cell metabolism, molecular signaling pathways and nanotechnology in drug delivery. TNON's preclinical research evaluates discoveries from basic research in preclinical animal models. Patient derived xenograft (PDX) and orthotopic animal models are employed for testing of novel therapeutic agents targeting brain tumors. A major focus is evaluating targeted therapies (small molecules/biologics) and immunotherapies as a single or combination dose with standard of care. TNON's translational research initiatives include Computational modeling and network pharmacology, biomarker development, genomics-proteomics, cancer stem cells, and immunotherapy. TNON's clinical research combines clinical expertise with leading-edge research to gain an in-depth understanding of each patient's individual tumor. Clinical trials offer more treatment options to eligible patients.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$3,595,342$0$94,871Surgical Oncology Fellowship Training Program and Other Research Programs: Surgical Oncology Fellowship Program - JWCI has a long history of training leading clinicians, researchers and educators through its fellowship training programs. Currently JWCI has clinical training programs in Surgical Oncology (ACGME-accredited), Breast Oncology and Neurosurgery. Graduates of these programs are currently in leadership positions at leading academic medical centers throughout the country. In the Southern California area, the JWCI has several alumni on the faculties of Cedars Sinai (Executive Vice-Chair, Fellowship Program Director and Associate Program Director), City of Hope (Fellowship Program Director, Co-director Breast Program), Kaiser (Chief of Surgery), and Harbor-UCLA (Chief of Surgical Oncology). Other Research Programs - JWCI also operates several smaller research programs including breast cancer, prostate cancer, thoracic cancer, gastrointestinal cancer, and endocrine and bone disease. To facilitate all research, JWCI provides clinical trial support, statistical support, and other business and administrative support.
$4,000$4,000$0Grants & Allocations
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$3,599,342TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$4,000TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$94,871TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$11,342,754TotalProgramServiceExpensesAmt
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 InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
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
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document71IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee97EmployeeCnt
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Patrick Wayne
Chair2.000.00Yes (X)Yes (X)$0$0$0
Michael Wayne
Vice Chair2.000.00Yes (X)Yes (X)$0$0$0
Marcel Loh - Res 816
CEO/SJHC2.0048.00Yes (X)Yes (X)$0$1,159,933$41,146
Anton Bilchik - Res 816
Dir/CMO50.000.00Yes (X)$402,061$0$5,696
Doug Mancino
Director2.000.00Yes (X)$0$0$0
Maria Arechaederra - Eff 816
Director2.000.00Yes (X)$0$0$0
Mark Baker - Eff 816
Director2.000.00Yes (X)$0$0$0
Norris Bishton - Eff 816
Director2.000.00Yes (X)$0$0$0
Marc Ezralow - Eff 816
Director2.000.00Yes (X)$0$0$0
Sean Fischer MD - Eff 816
Director2.000.00Yes (X)$0$0$0
Dominic Ornato - Eff 816
Director2.000.00Yes (X)$0$0$0
Carole Schwartz - Eff 816
Director2.000.00Yes (X)$0$0$0
Roger Wacker - Eff 816
Director2.000.00Yes (X)$0$0$0
Tim Wilson MD - Eff 816
Director2.000.00Yes (X)$0$0$0
James Uli
CFO/SJHC2.0048.00Yes (X)$0$302,476$20,770
Delphine Lee
Dir. Translational Immunology40.000.00$320,671$0$26,867Yes (X)
Dave S Hoon
Sr. Lab Chief40.000.00$293,964$0$19,074Yes (X)
Mark Faries
Dir. Melanoma Research40.000.00$196,051$0$22,553Yes (X)
Stacy Stern
Dir. Data Management40.000.00$162,716$0$14,803Yes (X)
Brian Anderson
Dir. Grants/Contracts40.000.00$138,832$0$15,186Yes (X)
Michael Hunn
Former Director0.000.00$0$385,737$1,110Yes (X)
Randy Axelrod MD
Former Director0.000.00$0$1,419,333$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,514,295TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,267,479TotReportableCompRltdOrgAmt
Total Other Compensation$167,205TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
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/CountryCd
Huron Consulting Group Inc
PO Box 71223ChicagoIL60694Financial Consulting$371,339
University of California Los Angeles
405 Hilgard AvenueLos AngelesCA90095Physicians Services$224,078
Melonoma Institute Australia
Lab$134,01640 Rocklands Road North NSW 2060SydneyAS
Western Institutional Review
PO Box 150434HartfordCT06115Research$130,967
Oncology Solutions LLC
150 E Price de Leon Avenue 400DecaturGA30030Consulting$126,034
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$4,323,238RelatedOrganizationsAmt
Government Grants$2,474,053GovernmentGrantsAmt
All Other Contributions$61,266AllOtherContributionsAmt
Total Contributions$6,858,557TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Clinical Trials900099$843,144$843,144
Sequencing Center Svcs900099$27,051$27,051
FieldValueIRS element (for citing)
Total Program Service Revenue$870,195TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$290TotalRevenueColumnAmt
Exclusion$290ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,813TotalRevenueColumnAmt
Exclusion$7,813ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$907OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$907OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$907TotalRevenueColumnAmt
Exclusion-$907ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Patent Lic. Agreement900099$210,094$210,094
Miscellaneous Revenue900099$32,157$32,157
FieldValueIRS element (for citing)
Other Revenue Total$242,251OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,978,199TotalRevenueColumnAmt
Related Or Exempt Func Income$870,195RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$249,447ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,000TotalAmt
Program Services$4,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$404,845TotalAmt
Program Services$404,845ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,897,773TotalAmt
Program Services$5,440,324ProgramServicesAmt
Management And General$457,449ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$222,735TotalAmt
Program Services$206,359ProgramServicesAmt
Management And General$16,376ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$392,949TotalAmt
Program Services$364,416ProgramServicesAmt
Management And General$28,533ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$116,667TotalAmt
Management And General$116,667ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,036,721TotalAmt
Program Services$2,402,646ProgramServicesAmt
Management And General$634,075ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$260TotalAmt
Management And General$260ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$200,499TotalAmt
Program Services$34,085ProgramServicesAmt
Management And General$166,414ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$14,339TotalAmt
Program Services$12,440ProgramServicesAmt
Management And General$1,899ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,709,972TotalAmt
Program Services$1,367,977ProgramServicesAmt
Management And General$341,995ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$143,830TotalAmt
Program Services$143,211ProgramServicesAmt
Management And General$619ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$96,628TotalAmt
Program Services$86,965ProgramServicesAmt
Management And General$9,663ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$331TotalAmt
Management And General$331ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$122,414TotalAmt
Program Services$122,414ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$211,365TotalAmt
Program Services$169,092ProgramServicesAmt
Management And General$42,273ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$116,268TotalAmt
Program Services$76,737ProgramServicesAmt
Management And General$39,531ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$481,279$481,279
Dues & Subscriptions$26,349$25,964$385
Tax & License$1,312$1,312

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,200,536TotalAmt
Program Services$11,342,754ProgramServicesAmt
Management And General$1,857,782ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,855BOYAmt
EOY$500EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$2,864,844EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$870,187BOYAmt
EOY$731,364EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$158,311BOYAmt
EOY$91,170EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,926,322LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$793,404LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$807,123BOYAmt
EOY$1,132,918EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,864,554BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$459,972BOYAmt
EOY$1,636,946EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,665,571BOYAmt
EOY$46,071EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,832,573BOYAmt
EOY$6,503,813EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,567,851BOYAmt
EOY$1,218,951EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,045,586BOYAmt
EOY$1,720,698EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,222,869BOYAmt
EOY$12,177,041EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,836,306BOYAmt
EOY$15,116,690EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$9,962,291BOYAmt
EOY-$14,048,522EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,958,558BOYAmt
EOY$4,438,425EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$997,220EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$5,003,733BOYAmt
EOY-$8,612,877EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,832,573BOYAmt
EOY$6,503,813EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$5,222,337ReconcilationRevenueExpnssAmt
Prior Period Adjustments$436,219PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$1,176,974OtherChangesInNetAssetsAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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 Line1Providence Saint 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$4,200DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,922,122OtherCostOrOtherBasisAmt
Depreciation$789,204DepreciationAmt
Book Value$1,132,918BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,132,918TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescInvestment in Recipient OrganizationDesc
Book Value$1,636,946BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$1,636,946TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDue to AffiliatesDesc
Amt$12,177,041Amt
FieldValueIRS element (for citing)
Total Liability$12,177,041TotalLiabilityAmt

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 ConductedProgram Services0TypeOfActivitiesConductedTxt
Specific Services ProvidedMulticenter Selective Lymphadenectomy TrialsSpecificServicesProvidedTxt
Region Total Expenditures$134,016RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$134,016SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$134,016TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 2:A very specific Service Agreement is in place with the Melanoma Institute - Australia that details expected results and how payments are to be made.
Part I, line 3:Signed Contractual Agreement

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
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 (10 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
Marcel Loh - Res 816
CEO/SJHC$0$553,674$0$351,014$0$255,245$0$20,961$0$20,185$0$1,201,079$0$0
Anton Bilchik - Res 816
Dir/CMO$402,061$0$0$0$0$0$2,784$0$2,912$0$407,757$0$0$0
James Uli
CFO/SJHC$0$260,108$0$26,165$0$16,203$0$11,925$0$8,845$0$323,246$0$0
Delphine Lee
Dir. Translational Immunology$258,935$0$0$0$61,736$0$12,124$0$14,743$0$347,538$0$0$0
Dave S Hoon
Sr. Lab Chief$293,964$0$0$0$0$0$9,915$0$9,159$0$313,038$0$0$0
Mark Faries
Dir. Melanoma Research$196,051$0$0$0$0$0$4,503$0$18,050$0$218,604$0$0$0
Stacy Stern
Dir. Data Management$162,716$0$0$0$0$0$7,194$0$7,609$0$177,519$0$0$0
Brian Anderson
Dir. Grants/Contracts$132,037$0$6,795$0$0$0$7,754$0$7,432$0$154,018$0$0$0
Michael Hunn
Former Director$0$0$0$0$0$385,737$0$1,110$0$0$0$386,847$0$0
Randy Axelrod MD
Former Director$0$0$0$564,384$0$854,949$0$0$0$0$0$1,419,333$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aThe reporting organization did not provide any of the benefits listed in Part I, Line 1a. However, as part of the related organization's philosophy of transparency, the narrative that follows relates to the compensation and benefits provided by the related organization. Tax Indemnifications or Gross-Up Payments - Relocation Providence Health & Services follows the federal and state taxation laws related to relocation expenses paid to the employee or to a third party on the employee's behalf. They are considered income and are therefore subject to payroll taxes. Based on the way Providence has chosen to pay the relocation expenses, Providence reports reimbursements and payments to vendors as income and these expense payments are reflected on the executive's Form W-2. Providence will gross-up the relocation benefits to offset the personal tax burden to the employee for IRS allowable expenses. During 2016, there was 1 Officer receiving gross-up payments. The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation on the Form 990. Housing Allowance or Residence for Personal Use Providence Health & Services provides housing allowances for purposes of relocation assistance only. Providence may pay temporary living expenses for the employee up to a maximum of 90 calendar days. Covered expenses are rent (excluding "rent" which may be paid in order to occupy a new permanent residence until the title clears) and utilities, including heat, electricity, gas, water, local internet and local telephone and garbage services. The EVP, CAO PSJH may approve temporary housing assistance for up to six months when family relocation is delayed to accommodate the school year or equivalent circumstances. Only in extenuating circumstances is housing extended beyond this six month period. During 2016, there was 1 Officer receiving relocation/housing program payments. The amounts reported for these relocation/housing payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation on the Form 990.
Part I, Lines 4a-bNONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan 1) Randy Axelrod, MD a) SERP Paid - $564,384 2) Marcel Loh a) Taxable SERP Earned - $36,805
Part I, Lines 4a-bSEVERANCE 1) Randy Axelrod - $850,776 2) Michael Hunn - $374,738
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 and James Uli 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 James Uli participated in the Executive Incentive 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). For Providence leaders, the performance award is based on the level of accomplishment of annual system and functional (or market) objectives. In 2016, 60 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's strategic priorities. In 2016 the percent allocation for each of these strategic priorities was as outlined below: System Goals: First-year Turnover - 10% Inpatient Experience - 5% Patient Experience - 5% Medical Group Patient Experience - 5% Community Benefit - 10% Clinical Excellence - 15% Free Cash Flow - 10% The remaining 40% was based on a robust set of function specific goals designed to align critical mission and business drivers.

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidExpenses in Excess of RevenuesAssetsDistriOrExpnssPaidDesc
Distribution2016-12-31DistributionDt
Fair Market Value Of Asset$4,786,118FairMarketValueOfAssetAmt
Method Of FMV DeterminationCostMethodOfFMVDeterminationTxt
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 II - SUBSTANTIAL CONTRACTIONFormAndLineReferenceDesc
ExplanationJohn Wayne Cancer Institute experienced a substantial contraction in Net Assets in 2016 as a result of reduced operating revenues and increased operating expenses.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 11bThe Form 990 is prepared internally by experienced Providence Health & Services staff and reviewed by the internal PH&S Director of Taxes 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 12cThrough its affiliation with Providence Health & Services, the following applies to Conflict of Interest: Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict.
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 officers, including our senior executives. Salaries for senior executives are reviewed by the Providence St. Joseph Health 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. Additionally, Providence's labor market continues to spread across health care and into general industry. Because of this, Providence also takes into consideration general industry for-profit market data, where applicable. Base salaries for Providence executives are generally targeted to the median level of the market, as identified by the independent consultant and reviewed with the Executive Compensation Committee. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering Providence operating commitments and strategic objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate market practices. The Board's process for executive compensation fully complies with IRS standards and mirrors best practices.
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 VII Contact Addresses for Officers, Directors, EtcRandy Axelrod, MD - 1801 Lind Avenue SW, Renton, WA 98057. Michael Hunn - 1801 Lind Avenue SW, Renton, WA 98057.
Form 990, Part IX, line 11gMedical Purchased Services: Program service expenses 1,824,292. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,824,292. Repairs & Maintenance: Program service expenses 524,596. Management and general expenses 109,253. Fundraising expenses 0. Total expenses 633,849. Consulting: Program service expenses 0. Management and general expenses 370,651. Fundraising expenses 0. Total expenses 370,651. Agency/Contract Labor: Program service expenses 8,306. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,306. Parking & Security Services: Program service expenses 0. Management and general expenses 96,888. Fundraising expenses 0. Total expenses 96,888. Other Services: Program service expenses 45,452. Management and general expenses 57,283. Fundraising expenses 0. Total expenses 102,735.
Form 990, Part XI, line 9:FAS 136 Change in Net Assets 2,219,671. FAS 136 in Income Statement -1,042,696. Rounding -1.
FORM 990, PART I LINE 6 - VOLUNTEERSVolunteers helped in the following ways: * Organizing and updating the Cancer Center patient library * Supporting staff with clerical tasks and providing peer support to patients in the Cancer Clinics * Leading free yoga classes for breast cancer patients * Supporting research of doctors in the John Wayne Cancer Institute Research Center * Providing clerical support to the Brain Tumor Center and John Wayne Cancer Institute Research Center
FORM 990, SCHEDULE R - RELATED ORGANIZATIONSAFFILIATION AGREEMENTS Effective April 1, 2016, the Health System (Providence Health & Services) entered into a business combination agreement with the Institute for Systems Biology (ISB). The transaction was accounted for as an acquisition under ASC 958-805. On July 1, 2016, Providence Health & Services (PHS) and St. Joseph Health System (SJHS) entered into a business combination agreement, the purpose of which was to better serve both organizations' communities, maintain strong traditions of Catholic healthcare, and provide greater affordability and access to healthcare services. As part of the business combination, PHS and SJHS aligned under a single parent corporation, Providence St. Joseph Health, with a consolidated board of directors and cosponsorship from the public juridic persons Providence Ministries and St. Joseph Health Ministry. SJHS provides a full range of care facilities including 16 acute care hospitals, home health agencies, hospice care, outpatient services, skilled nursing facilities, community clinics, and physician groups spanning California, west Texas, and eastern New Mexico. The results of operations of these entities have been included in the combined statements of operations of the Health System since July 1, 2016, the effective date of the business combination.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (111 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 100N/A
Providence Plan Partners
4400 NE Halsey Bldg 2PortlandOR97213911861964Healthcare ServicesWA501( 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 12/Type IPHS - So California0
Little Company of Mary Ancillary Services Corporation
4101 Torrance BlvdTorranceCA90503330844408Imaging ServicesCA501( c)(3)Line 10PHS - So California0
Providence TrinityCare Hospice
5315 Torrance Blvd Suite B1TorranceCA90503953264139HospiceCA501( c)(3)Line 10PHS - So California0
Providence Blanchet Association
1700 Providence PlCentraliaWA98531911789266Supportive HousingWA501( c)(3)Line 7PH & S - Washington0
St Luke Association
350 Washington Ave SEChehalisWA98352943176618Supportive HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Rossi Association
1700 Providence PlCentraliaWA98531311584166Supportive HousingWA501( c)(3)Line 10PH & S - Washington0
Lundberg Association
5921 E BurnsidePortlandOR97215911562797Supportive HousingOR501( c)(3)Line 7PH & S - Oregon0
Providence St Francis Association
3415 12th Avenue NEOlympiaWA98506943244854Supportive HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Peter Claver Association
7101 38th Avenue SouthSeattleWA98118311629656Supportive HousingWA501( c)(3)Line 7PH & S - Washington0
Providence St Elizabeth House Association
3201 SW Graham StSeattleWA98126912171539Supportive HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Gamelin House Association
4515 MLK Jr Way S Ste 200SeattleWA98108311744654Supportive HousingWA501( c)(3)Line 7PH & S - Washington0
The Gamelin Association
312 North Fourth StYakimaWA98901911180824Supportive HousingWA501( c)(3)Line 7PH & S - Washington0
The Gamelin Oregon Association
5520 NE GlisanPortlandOR97213911214491Supportive HousingOR501( c)(3)Line 10PH & S - Oregon0
The Gamelin California Association
540 23rd StOaklandCA94612911293869Supportive HousingCA501( c)(3)Line 10PHS - So California0
Gamelin Washington Association
1423 First AvenueSeattleWA98101201910170Supportive HousingWA501( c)(3)Line 7PH & S - Washington0
Providence Dethman House
1205 Montello AveHood RiverOR97031473385506Supportive HousingWA501( c)(3)Line 70N/A
Providence Foundation
1801 Lind Avenue SW 9016RentonWA980579016943078543Support PH&S and W. HealthConnectWA501( c)(3)Line 12/Type IPH & S - Washington0
Providence Alaska Foundation
3300 Providence Drive - B Tower2AnchorageAK99508920093565Support PHS-AlaskaAK501( c)(3)Line 12/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 12/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 12/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 9016RentonWA980579016911549796Support Providence InstitutionsWA501( c)(3)Line 12/Type IIProvidence St Joseph Health0
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 10PH & 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 2Providence Health & Services0
E WA & MT Unemployment Compensation Insurance Trust
1801 Lind Avenue SW 9016RentonWA980579016911082119Unemployment BenefitsWA501( c)(3)Line 12/Type IPH & S - Washington0
Providence Willamette Falls Medical Foundation
1500 Division StreetOregon CityOR97045931003750Support Willamette Falls HospitalOR501( c)(3)Line 12/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 12/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 12/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 10Western HealthConnect0
Kadlec Foundation
888 Swift BlvdRichlandWA99352237005501Support Kadlec Regional Medical CenterWA501(c )(3)Line 12/Type IKadlec Regional Medical Center0
PacMed Clinics
1200 12th Ave SSeattleWA98144562290878HealthcareWA501(c )(3)Line 10Western HealthConnect0
Seattle Science Foundation
550 17th AveSeattleWA98122611502822Physician CollaborationWA501(c )(3)Line 7Western HealthConnect0
Providence Saint John's Health Center
2121 Santa Monica BlvdSanta MonicaCA90404951684082HealthcareCA501(c )(3)Line 3PHS - So California0
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
Providence St Joseph Health
1801 Lind Avenue SW 9016RentonWA98057811244422Support PH&S and St. Joseph Health SystemWA501(c )(3)Line 12, Type III0N/A
Institute for Systems Biology
401 Terry Ave NSeattleWA98109912003593Predict, prevent & cure diseaseWA501(c )(3)Line 7Western HealthConnect0
Providence Saint John's Medical Foundation
20555 Earl StTorranceCA90503814542216HealthcareCA501(c )(3)PendingPHS - So California0
Institute for Mental Health & Wellness
1801 Lind Avenue SW 9016RentonWA98057814260130Mental HealthcareWA501(c )(3)Line 7PH&SSt Joseph Health System0
Covenant Health Network Inc
3345 Michelson Drive Suite 100IrvineCA92612461259908HealthcareCA501 (C )(3)Line 12, Type IIISt Joseph Health System0
Covenant ACO
3615 19th StreetLubbockTX79410611573313HealthcareTX501 (C )(3)Line 12, Type ICovenant Health System0
Covenant Health System
3615 19th StreetLubbockTX79410752765566HealthcareTX501 (C )(3)Line 3St Joseph Health System0
Covenant Health System Foundation
3623 22nd PlaceLubbockTX79410752897026HealthcareTX501 (C )(3)Line 7Covenant Health System0
Covenant Medical Group
3420 22nd PlaceLubbockTX79410752743883HealthcareTX501 (C )(3)Line 3Covenant Health System0
Covenant Health Partners
3615 19Th StreetLubbockTX79410463516417HealthcareTX501 (C )(3)Line 12, Type ICovenant Health System0
HMTS Inc
1 Hoag DriveNewport BeachCA92658453583707HealthcareCA501 (C )(3)Line 12, Type IHoag Memorial Hospital Presbyterian0
Hoag Charity Sports
330 Placentia AveNewport BeachCA92663452982422SupportCA501 (C )(3)Line 7Hoag Hospital Foundation0
Hoag Hospital Foundation
330 Placentia AveNewport BeachCA92663953222343FundraisingCA501 (C )(3)Line 7Hoag Memorial Hospital Presbyterian0
Hoag Memorial Hospital Presbyterian
1 Hoag Road Box 6100Newport BeachCA92663951643327HealthcareCA501 (C )(3)Line 3Covenant Health Network0
Home Care Partners
1165 Montgomery DrSanta RosaCA95405680318656InactiveCA501 (C )(3)Line 3Santa Rosa Memorial Hospital0
Hospice Of Lubbock
3702 21st StreetLubbockTX79410752133781HealthcareTX501 (C )(3)Line 10Covenant Health System0
Lubbock Methodist Hospital Foundation
3615 19th StreetLubbockTX79410752220963HealthcareTX501 (C )(3)Line 7Covenant Health System0
Methodist Children's Hospital
3610 21st StreetLubbockTX79410752428911HealthcareTX501 (C )(3)Line 3Covenant Health System0
Methodist Hospital Levelland
1900 College AvenueLevellandTX79336752246348HealthcareTX501 (C )(3)Line 3Covenant Health System0
Methodist Hospital Plainview
2601 Dimmitt RoadPlainviewTX79072752426010HealthcareTX501 (C )(3)Line 3Covenant Health System0
Mission Hospital Regional Medical Ctr
27700 Medical Center RoadMission ViejoCA92691951643360HealthcareCA501 (C )(3)Line 3Covenant Health Network0
Queen Of The Valley Medical Center
1000 Trancas StreetNapaCA94558941243669HealthcareCA501 (C )(3)Line 3St Joseph Health System0
Redwood Memorial Foundation
3300 Renner DriveFortunaCA95540942779313HealthcareCA501 (C )(3)Line 7Redwood Memorial Hospital0
Redwood Memorial Hospital
3300 Renner DriveFortunaCA95540941384665HealthcareCA501 (C )(3)Line 3St Joseph Health System0
Santa Rosa Memorial Hospital
1165 Montgomery DrSanta RosaCA95405941231005HealthcareCA501 (C )(3)Line 3St Joseph Health System0
SRM Alliance Hospital Services (Pvh)
400 North McDowell BlvdPetalumaCA94954680395200HealthcareCA501 (C )(3)Line 3Santa Rosa Memorial Hospital0
St Joseph Health System
3345 Michelson Drive Suite 100IrvineCA92612953589356HealthcareCA501 (C )(3)Line 12, Type IProvidence St Joseph Health0
St Joseph Health System Foundation
3345 Michelson Drive Suite 100IrvineCA92612330143024HealthcareCA501 (C )(3)Line 7St Joseph Health System0
St Joseph Home Care Network
1111 Sonoma Ste 308Santa RosaCA95405680331084HealthcareCA501 (C )(3)Line 10St Joseph Health System0
St Joseph Hospital Of Eureka
2700 Dolbeer StreetEurekaCA95501941156596HealthcareCA501 (C )(3)Line 3St Joseph Health System0
St Joseph Hospital Of Orange
1100 West Stewart DriveOrangeCA92868951643359HealthcareCA501 (C )(3)Line 3Covenant Health Network0
St Jude Hospital Yorba Linda
200 West Center St PromenadeAnaheimCA92805330185031HealthcareCA501 (C )(3)Line 3St Joseph Health System0
St Jude Hospital Inc
101 East Valencia Mesa DriveFullertonCA92635951643324HealthcareCA501 (C )(3)Line 3Covenant Health Network0
St Mary Medical Center
18300 Highway 18Apple ValleyCA92307951914489HealthcareCA501 (C )(3)Line 3Covenant Health Network0
St Mary Of The Plains Hospital Fdn
4000 24th StreetLubbockTX79410751653181HealthcareTX501 (C )(3)Line 7Covenant Health System0
St Joseph Health Northern California LLC
3345 Michelson DriveIrvineCA92612814791043HealthcareCA501 (C )(3)Line 3St Joseph Health System0
Sisters Of St Joseph Of Orange
480 S BataviaOrangeCA92868951643383Religious OrgCA501 (C )(3)Line 10N/A
St Joseph Health Ministry
3345 Michelson Drive Suite 100IrvineCA92612271666576Religious OrgCA501 (C )(3)Line 1Sisters of St Joseph of Orange0
Kadlec Auxiliary Inc
888 Swift BlvdRichlandWA99352916033089Support Kadlec Regional Medical CenterWA501 (C )(3)Line 12, Type IIIKadlec Regional Medical Center0
John Wayne Cancer Institute Auxiliary
2200 Santa Monica BlvdSanta MonicaCA90404953987691Support John Wayne Cancer InstituteCA501 (C )(3)Line 12c, Type III0N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (40 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Alpha Medical Laboratory LLC
611 N PerrySpokaneWA99202912017347Outpatient LabIDN/A
Broadway Imaging LLC
500 W BroadwayMissoulaMT59802522405971Medical ImagingMTN/A
California Laboratory Associates LLC
501 Buena VistaBurbankCA91505273888692Outpatient LabCAN/A
Center for Specialty Surgery LLC
11782 SW Barnes RdPortlandOR97225263638838Ambulatory Surgery CenterORN/A
Clackamas Radiation Oncology Center LLC
4400 NE Halsey St Bldg II 495PortlandOR97213260381897Radiation OncologyORN/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
Greater Valley Medical Building LP
501 S Buena Vista StBurbankCA91505954570858Real Estate - MOBCAN/A
Minor & James Medical PLLC
515 Minor Avenue 200SeattleWA98104911340223Physician ClinicWAN/A
Mountainstar Clinical Laboratories LLC
611 N PerrySpokaneWA99202261345983Outpatient LabMTN/A
Oregon Advanced Imaging LLC
881 OHare ParkwayMedfordOR97504450471748Medical ImagingORN/A
Oregon Outpatient Surgery Center
7300 SW Childs RdTigardOR97224223883387Ambulatory Surgery CenterORN/A
PacLab LLC
611 N PerrySpokaneWA99202911743952Outpatient LabWAN/A
Pathology Associates Medical Laboratories LLC
611 N PerrySpokaneWA99202270943279Outpatient LabWAN/A
PETCT Imaging at Swedish Cancer Institute LLC
1221 Madison StreetSeattleWA98104203132044Medical ImagingWAN/A
Portland Medical Imaging LLC
4400 NE Halsey 495PortlandOR97213201054971Imaging - DiagnosticsORN/A
Prov Radiation Oncology Develop Assn LLC
4400 NE Halsey 495PortlandOR97213260682491Real Estate - MOBORN/A
Providence Imaging Center
3340 Providence DriveAnchorageAK99508920118807Medical ImagingAKN/A
Providence Partners for Health LLC
501 S Buena Vista StBurbankCA91505454041798Clinical Quality & IntegrationCAN/A
Providence Surgery Center LLC
902 N Orange StMissoulaMT59802841401625Ambulatory Surgery CenterMTN/A
ProvidenceSilverton Rehab LLC
4400 NE Halsey 425PortlandOR97213481287267Rehab ServicesORN/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
Southern Idaho Regional Laboratory LLC
611 N PerrySpokaneWA99202820511819Outpatient LabIDN/A
The Madison Spokane Inn LLC
15 West Rockwood BlvdSpokaneWA99204841606484Hotel ServicesWAN/A
Tri-Cities Laboratory LLC
611 N PerrySpokaneWA99202911773986Outpatient LabWAN/A
HCSA Properties LLC
1600 M Street NWAuburnWA98001460620892Real estate rentalWAN/A
Covenant Long-Term Care LP
4000 24th StreetLubbockTX79410205033419HealthcareTXN/A
Heritage Investment Group I LLC
500 S Main Street Ste 1000OrangeCA92868271000061InvestmentsCAN/A
Hoag Orthopedic Institute
1 Hoag Drive Box 6100Newport BeachCA92658611588294HealthcareCAN/A
Lubbock Surgery Center Ltd
4000 24th StreetLubbockTX79410752177401HealthcareTXN/A
Methodist Diagnostic Imaging
4000 24th StreetLubbockTX79410752343261HealthcareTXN/A
Mission Ambulatory Surgicenter Ltd
27800 Medical Center Road Ste 362Mission ViejoCA92691330355575HealthcareCAN/A
Newport Imaging Center
360 San MiguelNewport BeachCA92660330191776HealthcareCAN/A
SHA LLC
12940 North Highway 183AustinTX78750752569094HealthcareTXN/A
St Joseph Physician Ventures I LLC
1100 West Stewart DriveOrangeCA92868454521884Real EstateCAN/A
North Bay Endoscopy Center
1383 N McDowell Blvd Suite 110PetalumaCA94954611559876HealthcareCAN/A
Southern California Surgery Center LLC
18321 Ventura Blvd Ste 740TarzanaCA91356330939000HealthcareCAN/A
Mission Viejo Physician Partners I LLC
27700 Medical Center RoadMission ViejoCA92691471559873HealthcareCAN/A
Advanced Surgery Institute LLC
1739 4th StreetSanta RosaCA95404262299255HealthcareCAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCountryForeignAddress/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
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
Pioneer Innovations Inc
800 5th Ave 10th FloorSeattleWA98104364818191Healthcare InnovationsWAN/AC0
Vinserra Inc
1328 22nd StreetSanta MonicaCA90404953943315InvestmentCAN/AC0
American Unity Group Ltd
Captive InsuranceN/AC090 Pitts Bay Road HM08 PembrokeBDBD
Coastal Management Services Organization
1 Hoag Drive Box 6100Newport BeachCA92658330676831HealthcareCAN/AC0
Datu Health Inc
16150 Main Circle Dr Suite 250ChesterfieldMO63017463070062IT SvcsDEN/AC0
Hoag Management Services Inc
1 Hoag Drive Box 6100Newport BeachCA92658330731587HealthcareCAN/AC0
Lubbock Methodist Hosp Practice Mgmt
2107 Oxford Street Ste 300LubbockTX79410752578995InactiveTXN/AC0
Lubbock Methodist Hospital Svcs
PO Box 120LubbockTX79410752118585HealthcareTXN/AC0
Mission Viejo Medical Ventures
27800 Medical Center Rd 354Mission ViejoCA92691330212905HealthcareCAN/AC0
St Joseph Health
3345 Michelson Drive Suite 100IrvineCA92612462340232Holding CompanyCAN/AC0
St Joseph Health Source Inc
3345 Michelson Drive Suite 100IrvineCA92612461900168HealthcareCAN/AC0
St Joseph Prof Svcs Enterprses Inc
3345 Michelson Drive Suite 100IrvineCA92612330155323HealthcareCAN/AC0
Ophie Healthcare Services Inc
3345 Michelson Drive Suite 100IrvineCA92612271002825HealthcareCAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
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 Org0TransferFromOtherOrgInd