2015-12-10T11:06:21-06:00 2014-12-31 911194016 Clark Nuber PS 10900 NE 4th Suite 1700 Bellevue WA 98004 990 2014-01-01 954291515 JOHN WAYNE CANCER INSTITUTE JOHN 3108298411 2200 SANTA MONICA BLVD SANTA MONICA CA 90404 James Uli CFO 3108298411 2015-12-10 1 Sara Elizabeth J Hyre CPA P00235495 4254544919 2014 2016-03-07 17:11:31Z James Uli 2200 SANTA MONICA BLVD SANTA MONICA CA 90404 11627611 0 X www.jwci.org X 1992 CA To support research and development of, and education in, the basic and clinical sciences for the prevention, detection, diagnosis, and treatment of cancer. X 6 4 111 34 0 0 13693284 11493686 62173 107013 191725 1412 0 25500 13947182 11627611 0 270982 0 0 9052749 7507839 0 0 1146741 7445702 6171631 16498451 13950452 -2551269 -2322841 15623858 9894687 7470322 9391547 8153536 503140 X To support research and development of, and education in, the basic and clinical sciences for the prevention, detection, diagnosis, and treatment of cancer. 0 0 3539124 0 0 Melanoma Research: As one of the largest melanoma centers in the U.S., the Institute conducts landmark research to identify new or recurring melanoma at its earliest stages, predict and monitor the response to systemic treatments, and develop active and passive immunotherapies for surgical and non-surgical patients. 2351544 0 0 Molecular Oncology: The key focus of the department of molecular oncology is the development and application of molecular/genetic biomarkers for the diagnosis, prognosis and prediction of treatment response of solid tumors. Emphasis of studies are of the skin (melanoma), breast, and gastrointestinal tract. The department has developed multiple platforms to assess RNA and DNA of different types of tissues and cancers to improve diagnosis, prognosis and prediction of treatment response and has over 12 years of experience in the field and is continually improving approaches to translational quantitative oncology. 1332764 0 0 Translational Immunology: Studying populations of patients with enhanced immunity to melanocytes (the autoimmune disease vitiligo) and examining archived specimens of tumor tissue. Using these translational tools to identify key pathways of the immune response to melanoma may provide insights to fighting cancer in general. 2728405 0 107013 Other Services - Medical Education, Neuro oncology, Breast Cancer Research, Gastrointestinal, Endocrine Bone & Bio Stats. 270982 270982 0 Grants & Allocations 2999387 270982 107013 10222819 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 48 0 1 111 1 0 0 0 0 0 0 0 0 0 0 X 6 4 1 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 0 0 CA X Karl E Fritschel CPA 4255253339 1801 Lind Ave SW 9016 Renton WA 980579016 X Patrick Wayne Board Chair 2.00 0.00 X X 0 0 0 Michael Wayne Vice Chair/Secretary 2.00 0.00 X X 0 0 0 Mike Wall Thru 814 CEO/St. John's 2.00 58.00 X X 0 1422851 0 Marcel Loh Eff 914 CEO/St. John's 2.00 48.00 X X 0 605342 36843 Anton Bilchik Director/CMO 50.00 0.00 X 401506 0 2757 Doug Mancino Director 2.00 0.00 X 0 0 0 Jay Lichter PhD Director 2.00 0.00 X 0 0 0 Randy Axelrod MD Director (2/14-12/14) 2.00 58.00 X 0 701506 245641 Michael Hunn Director (2/14-8/14) 2.00 58.00 X 0 829529 95391 Barry Harding CFO/St. John's 2.00 48.00 X 0 390000 0 Delphine Lee Dir. Translational Immunology 40.00 0.00 X 320730 0 11842 Dave S Hoon Dir. Molecular Oncology Lab 40.00 0.00 X 244959 0 12306 Mark B Faries Dir. Melanoma Research 40.00 0.00 X 195097 0 19447 Maureen Chung Dir. Breast Cancer Research 40.00 0.00 X 188659 0 11071 Andrew Trilling VP/Development 40.00 0.00 X 177673 0 19803 1528624 3949228 455101 12 0 1 0 Regents of University of California 10920 Wilshire Blvd 107 Los Angeles CA 90024 Subcontracts, Outside Svcs., Consulting 448028 Huron Consulting Group Inc 550 W Van Buren St Chicago IL 60607 Financial Consulting 393537 Melanoma Institute of Australia 40 Rocklands Road North Sydney AS 02060 Multicenter Trial Costs 103650 Guard Systems Inc 1190 Monterey Pass Road Monterey Park CA 91754 Security Services 103286 Perkins Coie LLP 1201 Third Ave Seattle WA 98101 Legal Services 101849 5 2600521 4527596 4365569 11493686 Sequencing Center Svcs 900099 62990 62990 Fellows Surg. Revenue 900099 44023 44023 107013 1412 1412 4656 4656 Librarian Services 900099 20000 20000 844 844 20844 11627611 107013 0 26912 X 167332 167332 103650 103650 404263 404263 6502412 4892063 882392 727957 126640 96910 16290 13440 125913 96984 15852 13077 348611 268516 43888 36207 141727 130771 10956 2350621 1388269 922864 39488 104592 7321 3138 94133 345709 58771 276567 10371 68648 54918 6865 6865 1661163 1328930 249174 83059 95675 56448 1914 37313 134169 79160 2683 52326 6111 6111 370502 296402 55576 18524 162787 107439 55348 Medical Supplies 627474 627474 Bad Debts 34080 34080 Dues & Subscriptions 30502 30502 Tax & License 11184 11184 26687 23118 544 3025 13950452 10222819 2580892 1146741 -2703154 2938 6666086 2742270 8860115 4658504 6336 942 75292 358637 236365 1164423 266192 2276807 898231 83739 1355437 15623858 9894687 415886 763603 39524 7054436 8588420 7470322 9391547 X -3034919 -5341568 11188455 5844708 8153536 503140 15623858 9894687 X -2322841 35811 1019942 -6383308 X X 0 1 X 1 1 1 X Saint John's Health Center Santa Monica CA RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4200 1463 2737 1160223 264729 895494 898231 Due from Affiliates 1312896 Miscellaneous Receivables 42541 1355437 Due to Affiliates 8567061 Capital Lease Obligation 21359 8588420 X 6886132 35811 45230 519336 600377 6285755 5341856 5341856 11627611 14236009 285557 285557 13950452 0 13950452 Part X, Line 2: Providence Health & Services, the Health System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained upon an audit by the taxing authority. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. Part XI, Line 2d - Other Adjustments: Correction of Beneficial Interest in Foundation 519,336. Part XI, Line 4b - Other Adjustments: Net Asset Transfers - Contribution Related 5,341,856. Part XII, Line 2d - Other Adjustments: Change in Value of Property & Equipment 1,041,452. System Conversion Affiliation Adjustment -755,895. 1 East Asia and the Pacific 0 0 Grants to Recipients Located in the Region 103650 0 0 0 0 0 0 103650 0 103650 East Asia and the Pacific Melanoma Site Studies 103650 0 1 0 0 0 0 0 0 0 Part I, Line 2: Payment is made only when data submission confirms protocol compliance. The Institute enforces control of the work product at all times. 1 Fashion Footwear Charitable Foundation 232 Madison Ave 1107 New York NY 10016 134112482 501 (C)(3) 100000 FFANY Shoes on Sale Gala Support John Wayne Cancer Institute Auxiliary 2200 Santa Monica Blvd Santa Monica CA 90404 953987691 501 (C)(3) 16500 JWCIA Odyssey Ball Sponsorship Associates for Breast and Prostate Cancer Studies Inc 5670 Wilshire Blvd 830 Los Angeles CA 90036 954246971 501 (C)(3) 12100 ABCS Gala/Mother's Day Luncheon Sponsorship Saint John's Health Center Foundation 1919 Santa Monica Blvd 100 Santa Monica CA 90404 956100079 501 (C)(3) 9000 Caritas Gala Sponsorship/Power of Pink Gala Support 4 0 Part I, Line 2: Grants are provided only to other nonprofit entities. Community support grants are approved by the Board of Directors in accordance with established protocol. 0 1 0 0 0 0 0 0 0 Mike Wall Thru 814 CEO/St. John's 0 0 0 0 0 1422851 0 0 0 0 0 1422851 0 0 Marcel Loh Eff 914 CEO/St. John's 0 354324 0 205250 0 45768 0 19500 0 17343 0 642185 0 0 Anton Bilchik Director/CMO 401506 0 0 0 0 0 202 0 2555 0 404263 0 0 0 Randy Axelrod MD Director (2/14-12/14) 0 681191 0 0 0 20315 0 222506 0 23135 0 947147 0 0 Michael Hunn Director (2/14-8/14) 0 376243 0 212524 0 240762 0 73664 0 21727 0 924920 0 0 Barry Harding CFO/St. John's 0 390000 0 0 0 0 0 0 0 0 0 390000 0 0 Delphine Lee Dir. Translational Immunology 320730 0 0 0 0 0 143 0 11699 0 332572 0 0 0 Dave S Hoon Dir. Molecular Oncology Lab 240401 0 0 0 4558 0 5468 0 6838 0 257265 0 0 0 Mark B Faries Dir. Melanoma Research 195097 0 0 0 0 0 1559 0 17888 0 214544 0 0 0 Maureen Chung Dir. Breast Cancer Research 163684 0 0 0 24975 0 2883 0 8188 0 199730 0 0 0 Andrew Trilling VP/Development 177673 0 0 0 0 0 1926 0 17877 0 197476 0 0 0 Part I, Line 4b NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan 1) Michael Hunn a) Taxable SERP Earned but not Paid - $212,524 b) SERP Interest Credit - $52,013 2) Randy Axelrod a) SERP Earned but not Vested - $210,806 FORM 990, PART VII, SECTION A Anton Bilchik was compensated by John Wayne Cancer Institute for his role as Chief Medical Officer of the Institute. Marcel Loh, Randy Axelrod, MD. and Michael Hunn were compensated by Providence Health & Services for their roles as Providence Executives. None of the Board members received compensation related to their service on the Board. SCHEDULE J, PART II, COLUMN B, ii Marcel Loh and Michael Hunn participated in the Executive Performance Award program of Providence Health & Services discussed below: The Providence Executive Incentive Program provides a lump sum award annually as a percent of the executive's base pay. Percent opportunities are aligned with our total compensation philosophy as outlined in Part VI, Section B, Line 15 (Process for determining compensation of top management, officers & key employees). The performance award is based on the level of accomplishment of annual system objectives. In 2014, 100 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's six strategic priorities of: creating healthier communities together, inspire and develop our people, building enduring relationships with consumers, create alignment with clinicians & care teams, develop and thrive under new care delivery & economic models, and grow by optimizing expert-to-expert capabilities. For 2014, the percent allocation for each of these strategic priorities is outlined below: * Creating Healthier Communities, Together Community Benefit: 10% System Leadership Council - 10% System Role including Providence Senior & Community Services (PSCS) - 10% Region Role Regional Chief Executives (RCEs) and Reports * Inspire and Develop Our People Core Leader Engagement: 10% System Leadership Council - 10% Providence Strategic and Management Services (PSMS) System Role including PSCS - 10% Region Role RCEs and Reports Employee Health Index: 5% System Leadership Council - 5% System Role including PSCS - 5% System Region Role RCEs and Reports * Building Enduring Relationships with Consumers MyChart Activations: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Patient Loyalty Index: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports * Create Alignment with Clinicians & Care Teams Clinical Excellence Index: 10% System Leadership Council - 10% System Role including PSCS - 10% Region Role RCEs and Reports * Develop and Thrive Under New Care Delivery & Economic Models Salary Expense as % of Net Service Revenue: 10% System Leadership Council - 10% PSMS System Role including PSCS - 10% Region Role RCEs and Reports Supply Expense as % of Net Service Revenue: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Primary Care Panel Size: 5% System Leadership Council - 5% System Role including PSCS - 5% Region Role RCEs and Reports Clinical Network Performance: 10% System Leadership Council - 10% System Role including PSCS - 10% System Region Role RCEs and Reports * Grow by Optimizing Expert-to-Expert Capabilities Free Cash Flow: 15% System Leadership Council - 15% System Role including PSCS - 15% Region Role RCEs and Reports Unduplicated Patient Count: 10% System Leadership Council - 10% System Role including PSCS - 10% Region Role RCEs and Reports TOTAL ALLOCATION: 100% Leadership Council - 100% System Role including PSCS - 100% Region Role RCEs and Reports Temporarily Restricted Net Asset Transfer 2014-03-01 5341856 FMV 956100079 Saint John's Hospital Health Center Foundation 2121 Santa Monica Blvd Santa Monica CA 90404 501(c)(3) 0 0 0 0 SCHEDULE N, PART II There was a substantial contraction of Net Assets as a result of the audit performed at year end. Assets previously reported on the Institute books were actually assets that should have been reported on the related Foundation books. This should be a one time only audit adjustment.The organization is not ceasing operations. Form 990, Part VI, Section A, line 2 Patrick Wayne & Michael Wayne have a family relationship. Form 990, Part VI, Section A, line 6 The sole Corporate Member is Providence Saint John's Health Center, a California nonprofit religious corporation. Form 990, Part VI, Section A, line 7a The 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 7b Powers 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 11 The Form 990 is prepared internally by experienced staff and reviewed by the internal Director of Taxes of Providence Health & Services and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS. Form 990, Part VI, Section B, line 12c The Administrative Director of Compliance and Legal, the Audit Committee, and the governing Board reviews the conflict of interest statements. Potential conflicts are reviewed by the organizational Responsibility Officer and the CEO. Significant issues are reviewed by Compliance, Legal, the Audit Committee and governing Board and resolved accordingly under guidance from legal counsel. Form 990, Part VI, Section B, line 15 Through its affiliation with Providence Health & Services, the following process applies to compensation. It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are reviewed by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Each year, the Board Chair conducts a formal performance evaluation of the President/CEO that considers input from the other directors and senior leaders reporting to the President. The evaluation is discussed with the Human Resources Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Human Resources Committee also meet with an independent consultant to develop a salary recommendation; which is reviewed and approved first by the committee and then by the Board of Directors. Additionally, the President/CEO utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for other senior executives. This process includes a rigorous analysis of those recommendations with the Human Resources Committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering Providence operating commitments and strategic objectives - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated patient satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector. Form 990, Part VI, Section C, line 19 Public 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 Randy Axelrod, MD - 1801 Lind Ave. SW #9016, Renton, WA 98057. Michael Hunn - 1801 Lind Ave. SW #9016, Renton, WA 98057. Form 990, Part IX, line 11g Medical Purchased Services: Program service expenses 827,141. Management and general expenses 0. Fundraising expenses 0. Total expenses 827,141. Repairs & Maintenance: Program service expenses 38,843. Management and general expenses 300,154. Fundraising expenses 14,125. Total expenses 353,122. Consulting: Program service expenses 62,175. Management and general expenses 471,020. Fundraising expenses 25,363. Total expenses 558,558. Agency/Contract Labor: Program service expenses 405,586. Management and general expenses 31,548. Fundraising expenses 0. Total expenses 437,134. Parking & Security Services: Program service expenses 0. Management and general expenses 120,142. Fundraising expenses 0. Total expenses 120,142. Misc. Purchased Services: Program service expenses 54,524. Management and general expenses 0. Fundraising expenses 0. Total expenses 54,524. Form 990, Part XI, line 9: Change in Value of Property & Equipment -1,041,452. Net Assets Transfers - Contribution Related -5,341,856. FORM 990, PART I LINE 6 - VOLUNTEERS Volunteers serve in various capacities: * Organizing and updating the Cancer Center patient library. * Supporting staff with clerical tasks and providing peer support to patients in the Cancer Clinic. * Leading free yoga classes for breast cancer patients. * Supporting the research of doctors in the John Wayne Cancer Institute Research Center. * Providing clerical support in the Brain Tumor Center. FORM 990, SCHEDULE R - RELATED ORGANIZATIONS AFFILIATION AGREEMENTS Effective March 1, 2014, Providence Health System entered into an affiliation agreement with Sisters of Charity of Leavenworth Health System (SCL) to transfer sponsorship of Saint John's Health Center (Saint John's) to the Health System. Saint John's operates a nonprofit medical center, a cancer institute, and physician clinics to serve the Santa Monica, California community and surrounding area. Effective May 1, 2014, the Health System entered into an affiliation agreement with PacMed Clinics (PacMed). PacMed is a private, nonprofit, multi-specialty medical group with nine clinics in the Puget Sound area and more than 150 primary care and specialty providers at the date of affiliation. Pursuant to the affiliation agreement, Western HealthConnect became PacMed's sole corporate Member. No cash or other purchase consideration was transferred to effect the affiliation. Effective June 13, 2014, the Health System entered into an affiliation agreement with Kadlec Health System (Kadlec). Kadlec operates a nonprofit medical center, a neurological resource center, a supporting foundation, and physician clinics to serve the tri-cities area of Kennewick, Pasco, and Richland, Washington. Pursuant to the affiliation agreement, Western HealthConnect became the sole member of Kadlec. No cash or other purchase consideration was transferred to effect the affiliation. Providence Health & Services - Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 510216586 Healthcare System WA 501( c)(3) Line 3 Providence Health & Services 0 Providence Health & Services - Oregon 1801 Lind Avenue SW 9016 Renton WA 980579016 510216587 Healthcare System OR 501( c)(3) Line 3 Providence Health & Services 0 Providence Health System - So California 1801 Lind Avenue SW 9016 Renton WA 980579016 510216589 Healthcare System CA 501( c)(3) Line 3 Providence Health & Services 0 Everett Transitional Care Services PO Box 5128 Everett WA 982065128 943264605 Transitional Care WA 501( c)(3) Line 9 N/A 0 Providence Oregon Management Corporation 1801 Lind Avenue SW 9016 Renton WA 980579016 930813977 Shell Corporation OR 501( c)(3) Line 1 PH & S - Oregon 0 Providence Plan Partners 4400 NE Halsey Bldg 2 Portland OR 97213 911861964 Healthcare Services OR 501( c)(4) N/A PH & S - Oregon 0 Providence Health Plan 4400 NE Halsey Bldg 2 Portland OR 97213 930863097 Health Service Contractor OR 501( c)(4) N/A Providence Plan Partners 0 Providence Health Assurance 4400 NE Halsey Bldg 2 Portland OR 97213 550828701 Medicaid Healthcare Provider OR 501( c)(4) N/A Providence Health Plan 0 Providence Medical Institute 4101 Torrance Blvd Torrance CA 90503 330283773 Healthcare CA 501( c)(3) Line 11/Type I PHS - So California 0 Little Company of Mary Ancillary Services Corporation 4101 Torrance Blvd Torrance CA 90503 330844408 Imaging Services CA 501( c)(3) Line 9 PHS - So California 0 Providence TrinityCare Hospice 5315 Torrance Blvd Suite B1 Torrance CA 90503 953264139 Hospice CA 501( c)(3) Line 9 PHS - So California 0 Providence Blanchet Association 1700 Providence Pl Centralia WA 98531 911789266 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 St Luke Association 350 Washington Ave SE Chehalis WA 98352 943176618 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Rossi Association 1700 Providence Pl Centralia WA 98531 311584166 Housing WA 501( c)(3) Line 9 PH & S - Washington 0 Lundberg Association 5921 E Burnside Portland OR 97215 911562797 Housing OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Francis Association 3415 12th Avenue NE Olympia WA 98506 943244854 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Peter Claver Association 7101 38th Avenue South Seattle WA 98118 311629656 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence St Elizabeth House Association 3201 SW Graham St Seattle WA 98126 912171539 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Gamelin House Association 4515 MLK Jr Way S Ste 200 Seattle WA 98108 311744654 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 The Gamelin Association 312 North Fourth St Yakima WA 98901 911180824 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 The Gamelin Oregon Association 5520 NE Glisan Portland OR 97213 911214491 Housing OR 501( c)(3) Line 9 PH & S - Oregon 0 The Gamelin California Association 540 23rd St Oakland CA 94612 911293869 Housing CA 501( c)(3) Line 9 PHS - So California 0 Gamelin Washington Association 1423 First Avenue Seattle WA 98101 201910170 Housing WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Foundation 1801 Lind Avenue SW 9016 Renton WA 980579016 943078543 Support PH&S Institutions WA 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence Alaska Foundation 3300 Providence Drive - B Tower2 Anchorage AK 99508 920093565 Support PHS-Alaska AK 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence St Peter Foundation 413 Lilly Road NE Olympia WA 985065166 911097056 Support Affiliated Tax-Exempt Organization WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Health Care Foundation (Centralia) 914 S Scheuber Road Centralia WA 98531 911433382 Support Providence Centralia Hospital WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Mount St Vincent Foundation 4831 - 35th Avenue SW Seattle WA 981262799 911188119 Support Providence Mount St.Vincent WA 501( c)(3) Line 7 PH & S - Washington 0 Providence Marianwood Foundation 3725 Providence Point Drive SE Issaquah WA 980297219 931554288 Support Providence Marianwood WA 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence Newberg Health Foundation 1001 Providence Drive Newberg OR 97132 930889144 Support Providence Newberg Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Seaside Hospital Foundation 725 S Wahanna Rd Seaside OR 97138 930927320 Support Providence Seaside Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Community Health Foundation 1111 Crater Lake Ave Medford OR 97504 930692907 Support Providence Medford Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Benedictine Nursing Center Foundation 540 South Main St Mt Angel OR 973629532 911940286 Support Providence Benedictine Nursing Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Portland Medical Foundation 4805 NE Glisan St Portland OR 972132967 931231494 Support Providence Portland Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence St Vincent Medical Foundation 9205 SW Barnes Rd Portland OR 97225 930575982 Support Providence St. Vincent Medical Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Milwaukie Foundation 10150 SE 32nd Milwaukie OR 97222 943079515 Support Providence Milwaukie Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Child Center Foundation 830 NE 47th Portland OR 97213 930800140 Support Providence Child Center OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence TrinityCare Hospice Foundation 5315 Torrance Blvd Suite B1 Torrance CA 90503 330261016 Support TrinityCare Hospice CA 501( c)(3) Line 7 Providence TrinityCare Hospice 0 Providence Little Company of Mary Foundation 4101 Torrance Blvd Torrance CA 90503 510224944 Support Little Company of Mary Service Area CA 501( c)(3) Line 7 PHS - So California 0 PH&S FoundationSFVSA & SCVSA 501 S Buena Vista Street Burbank CA 91505 953544877 Support Program & Activities of SFVSA & SCVSA CA 501( c)(3) Line 7 PHS - So California 0 Providence Hospice of Seattle Foundation 425 Pontius Avenue North 300 Seattle WA 981095452 912077378 Support Hospice of Seattle WA 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence Health & Services - Western Washington 1801 Lind Avenue SW 9016 Renton WA 980579016 911303277 Healthcare WA 501( c)(3) Line 3 Providence MinistriesWHC 0 Providence Health & Services 1801 Lind Avenue SW 9016 Renton WA 980579016 911549796 Shell Corporation WA 501( c)(3) Line 11/Type II Providence Ministries 0 Providence Health & Services - Montana 500 W Broadway PO Box 4587 Missoula MT 598064587 810231793 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 0 Providence St Joseph Medical Center PO Box 1010 Polson MT 598601010 810463482 Healthcare MT 501( c)(3) Line 3 PH & S - Washington 0 St Thomas Child and Family Center 1710 Benefis Court Great Falls MT 59405 810233495 Early Childhood Education MT 501( c)(3) Line 9 PH & S - Washington 0 Sisters of Providence of Montana Corporation 1801 Lind Avenue SW 9016 Renton WA 980579016 262612415 Shell Corporation MT 501( c)(3) Line 1 PH & S - Washington 0 Providence Health Care Foundation - Eastern Washington 101 W 8th Ave Spokane WA 99204 320014330 Support PH&S-WA. Ministries in E. WA. WA 501( c)(3) Line 7 PH & S - Washington 0 St Patrick Hospital Foundation 500 West Broadway PO Box 4587 Missoula MT 598064587 237056976 Support Healthcare in W. Montana MT 501( c)(3) Line 7 PH & S - Washington 0 University of Great Falls 1301 20th Street South Great Falls MT 59405 810231777 Post Secondary Education MT 501( c)(3) Line 2 PH & S - Washington 0 E WA & MT Unemployment Compensation Insurance Trust 1801 Lind Avenue SW 9016 Renton WA 980579016 911082119 Unemployment Benefits WA 501( c)(3) Line 11/Type I PH & S - Washington 0 Providence Willamette Falls Medical Foundation 1500 Division Street Oregon City OR 97045 931003750 Support Willamette Falls Hospital OR 501( c)(3) Line 11/Type I PH & S - Oregon 0 Providence Hood River Memorial Hospital Foundation Inc 811 13th St Hood River OR 97031 930921990 Support Providence Hood River Memorial Hospital OR 501( c)(3) Line 7 PH & S - Oregon 0 Providence Hospice and Home Care Foundation 2731 Wetmore Avenue Suite 500 Everett WA 98201 272552749 Support Program & Ministries of PHHC WA 501(c )(3) Line 7 PH & S - Washington 0 Providence St Mary Foundation 401 W Poplar St Walla Walla WA 99362 452841492 Support Program & Ministries of SMMC WA 501(c )(3) Line 7 PH & S - Washington 0 Facey Medical Foundation 15451 San Fernando Mission Blvd 200 Mission Hills CA 913451420 954322584 Support Facey Medical Group CA 501(c )(3) Line 7 PHS - So California 0 Swedish Health Services 747 Broadway Seattle WA 98122 910433740 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Swedish Edmonds 21601 76th Ave W Edmonds WA 98026 272305304 Healthcare WA 501(c )(3) Line 3 Western HealthConnect 0 Swedish Medical Center Foundation 747 Broadway Seattle WA 98122 910983214 Support Swedish Health Services WA 501(c )(3) Line 7 Swedish Health Services 0 Global To Local Health Initiative 2800 South 192nd St 104 SeaTac WA 98188 273133200 Healthcare WA 501(c )(3) Line 7 Swedish Health Services 0 Swedish MJM Holdings 747 Broadway Seattle WA 98122 273139262 Holding Company WA 501(c )(3) Line 11/Type I Swedish Health Services 0 Marsha Rivkin Center for Ovarian Cancer Research 747 Broadway Seattle WA 98122 912054035 Ovarian Cancer Research WA 501(c )(3) Line 7 Swedish Health Services 0 Western HealthConnect 747 Broadway Seattle WA 98122 454171900 Shell Corporation WA 501(c )(3) Line 11/Type II PH&S Western Washington 0 Inland Northwest Health Services 601 W 1st Avenue Spokane WA 99201 911307555 Healthcare WA 501( c)(3) Line 3 PH&S - 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