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Nonprofiteer
← PROVIDENCE HEALTH & SERVICES WASHINGTON

Form 990 for tax year 2023

Filed by PROVIDENCE HEALTH & SERVICES WASHINGTON.

Totals

Total revenue
$9,778,288,664
Total expenses
$10,122,138,729
Contributions and grants received
$76,817,706
Grants paid
$17,167,349
Program services expenses (Part IX)
$6,250,708,456
Management and general expenses
$3,868,673,051
Fundraising expenses
$2,757,222
Program service expenses (Part III)
$6,250,708,456

Program services were 61.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • GUY HUDSON MD

    DIV. CHIEF EXEC (NORTH) THRU 9/23

    Total calculated
    $6,195,258
    From this org
    $6,155,606
    From related orgs
    $0
    Other
    $39,652
    Hours/week
    63 + 2 related

    Schedule J breakdown matched by us

    Base
    $990,685
    Bonus
    $3,710,211
    Other
    $1,454,710
    Deferred
    $9,900
    Nontaxable benefits
    $29,752
    Filer's total
    $6,195,258

  • ERIK WEXLER

    PRESIDENT/CEO

    Total calculated
    $5,616,067
    From this org
    $5,154,374
    From related orgs
    $0
    Other
    $461,693
    Hours/week
    51 + 14 related

    Schedule J breakdown matched by us

    Base
    $1,601,628
    Bonus
    $2,527,326
    Other
    $1,025,420
    Deferred
    $426,357
    Nontaxable benefits
    $35,336
    Filer's total
    $5,616,067

  • DEBRA CANALES

    FRMR KE - PSJH EVP/CAO

    Total calculated
    $5,096,572
    From this org
    $0
    From related orgs
    $5,026,633
    Other
    $69,939
    Hours/week
    0 + 65 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,184,847 related
    Bonus
    $0 + $3,373,872 related
    Other
    $0 + $467,914 related
    Deferred
    $0 + $25,456 related
    Nontaxable benefits
    $0 + $44,483 related
    Filer's total
    $0 + $5,096,572 related

  • RHONDA MEDOWS MD

    FRMR KE - PSJH PRES. EVP/POP. HEALTH

    Total calculated
    $4,470,578
    From this org
    $0
    From related orgs
    $4,437,916
    Other
    $32,662
    Hours/week
    0 + 65 related

    Schedule J breakdown matched by us

    Base
    $0 + $586,192 related
    Bonus
    $0 + $2,482,541 related
    Other
    $0 + $1,369,183 related
    Deferred
    $0 + $17,325 related
    Nontaxable benefits
    $0 + $15,337 related
    Filer's total
    $0 + $4,470,578 related

  • LISA VANCE

    PRES. STRAT & OPS (NORTH) THRU 6/23

    Total calculated
    $4,376,735
    From this org
    $0
    From related orgs
    $4,329,919
    Other
    $46,816
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $527,810 related
    Bonus
    $0 + $2,182,668 related
    Other
    $0 + $1,619,441 related
    Deferred
    $0 + $29,700 related
    Nontaxable benefits
    $0 + $17,116 related
    Filer's total
    $0 + $4,376,735 related

  • GREG HOFFMAN

    EVP & CFO/TREASURER

    Total calculated
    $3,539,549
    From this org
    $3,204,594
    From related orgs
    $0
    Other
    $334,955
    Hours/week
    50 + 15 related

    Schedule J breakdown matched by us

    Base
    $1,088,176
    Bonus
    $2,008,809
    Other
    $107,609
    Deferred
    $297,744
    Nontaxable benefits
    $37,211
    Filer's total
    $3,539,549

  • JO ANN ESCASA-HAIGH

    FRMR EVP/ASSISTANT TREASURER

    Total calculated
    $3,302,551
    From this org
    $0
    From related orgs
    $3,291,797
    Other
    $10,754
    Hours/week
    0 + 1 related

    Schedule J breakdown matched by us

    Base
    $0 + $44,915 related
    Bonus
    $0 + $1,744,873 related
    Other
    $0 + $1,502,009 related
    Deferred
    $0 + $8,269 related
    Nontaxable benefits
    $0 + $2,485 related
    Filer's total
    $0 + $3,302,551 related

  • JOEL GILBERTSON

    DIVISION CHIEF EXEC - CENTRAL

    Total calculated
    $3,167,071
    From this org
    $2,833,809
    From related orgs
    $0
    Other
    $333,262
    Hours/week
    17 + 48 related

    Schedule J breakdown matched by us

    Base
    $995,985
    Bonus
    $1,650,000
    Other
    $187,824
    Deferred
    $292,215
    Nontaxable benefits
    $41,047
    Filer's total
    $3,167,071

  • WASIF RASHEED

    CHIEF REV AND GROWTH OFFICER

    Total calculated
    $3,133,967
    From this org
    $2,873,189
    From related orgs
    $0
    Other
    $260,778
    Hours/week
    64.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $807,433
    Bonus
    $1,915,388
    Other
    $150,368
    Deferred
    $219,646
    Nontaxable benefits
    $41,132
    Filer's total
    $3,133,967

  • GREG TILL

    CHIEF PEOPLE OFFICER

    Total calculated
    $3,036,961
    From this org
    $2,516,781
    From related orgs
    $0
    Other
    $520,180
    Hours/week
    65

    Schedule J breakdown matched by us

    Base
    $782,020
    Bonus
    $1,541,386
    Other
    $193,375
    Deferred
    $483,583
    Nontaxable benefits
    $36,597
    Filer's total
    $3,036,961

  • KEVIN BROOKS

    DIVISION CHIEF EXEC - NORTH

    Total calculated
    $2,427,903
    From this org
    $2,158,442
    From related orgs
    $0
    Other
    $269,461
    Hours/week
    32.5 + 32.5 related

    Schedule J breakdown matched by us

    Base
    $833,291
    Bonus
    $1,205,200
    Other
    $119,951
    Deferred
    $229,943
    Nontaxable benefits
    $39,518
    Filer's total
    $2,427,903

  • ANNA NEWSOM

    EVP & CHIEF LEGAL OFFICER/SECRETARY

    Total calculated
    $2,329,749
    From this org
    $1,917,204
    From related orgs
    $0
    Other
    $412,545
    Hours/week
    48 + 17 related

    Schedule J breakdown matched by us

    Base
    $853,122
    Bonus
    $1,025,045
    Other
    $39,037
    Deferred
    $407,728
    Nontaxable benefits
    $4,817
    Filer's total
    $2,329,749

  • ARI ROBICSEK MD

    CHIEF PROVIDENCE ANALYTICS OFFICER

    Total calculated
    $2,234,673
    From this org
    $2,010,519
    From related orgs
    $0
    Other
    $224,154
    Hours/week
    64.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $664,834
    Bonus
    $1,110,627
    Other
    $235,058
    Deferred
    $190,489
    Nontaxable benefits
    $33,665
    Filer's total
    $2,234,673

  • KEVIN MANEMANN

    DIVISIONAL CHIEF EXECUTIVE - SOUTH

    Total calculated
    $2,039,677
    From this org
    $2,026,390
    From related orgs
    $0
    Other
    $13,287
    Hours/week
    51.5 + 3.5 related

    Schedule J breakdown matched by us

    Base
    $115,132
    Bonus
    $1,717,844
    Other
    $193,414
    Deferred
    $9,900
    Nontaxable benefits
    $3,387
    Filer's total
    $2,039,677

  • AMY COMPTON-PHILLIPS MD

    FRMR EVP/CHF CLIN. OFC.

    Total calculated
    $2,017,976
    From this org
    $0
    From related orgs
    $2,017,976
    Other
    $0
    Hours/week
    0 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $897,583 related
    Other
    $0 + $1,120,393 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $2,017,976 related

  • HODA ASMAR

    EVP SYSTEM CHIEF MEDICAL OFFICER

    Total calculated
    $1,999,545
    From this org
    $1,709,284
    From related orgs
    $0
    Other
    $290,261
    Hours/week
    65

    Schedule J breakdown matched by us

    Base
    $782,438
    Bonus
    $899,443
    Other
    $27,403
    Deferred
    $263,228
    Nontaxable benefits
    $27,033
    Filer's total
    $1,999,545

  • OREST HOLUBEC

    FRMR KE - PSJH SVP/CHF COMM/EXT AFF

    Total calculated
    $1,949,181
    From this org
    $0
    From related orgs
    $1,719,664
    Other
    $229,517
    Hours/week
    0 + 65 related

    Schedule J breakdown matched by us

    Base
    $0 + $618,968 related
    Bonus
    $0 + $934,894 related
    Other
    $0 + $165,802 related
    Deferred
    $0 + $189,358 related
    Nontaxable benefits
    $0 + $40,159 related
    Filer's total
    $0 + $1,949,181 related

  • JEREMY ZOCH

    CHIEF EXECUTIVE SJO

    Total calculated
    $1,910,283
    From this org
    $1,873,290
    From related orgs
    $0
    Other
    $36,993
    Hours/week
    18 + 37 related

    Schedule J breakdown matched by us

    Base
    $403,819
    Bonus
    $713,904
    Other
    $755,567
    Deferred
    $9,900
    Nontaxable benefits
    $27,093
    Filer's total
    $1,910,283

  • ALI SANTORE

    CHIEF ADMIN OFFICER

    Total calculated
    $1,840,194
    From this org
    $1,635,549
    From related orgs
    $0
    Other
    $204,645
    Hours/week
    63 + 2 related

    Schedule J breakdown matched by us

    Base
    $614,822
    Bonus
    $966,819
    Other
    $53,908
    Deferred
    $180,692
    Nontaxable benefits
    $23,953
    Filer's total
    $1,840,194

  • TOM MAHOWALD

    CFO CLINICAL CARE

    Total calculated
    $1,827,028
    From this org
    $1,791,704
    From related orgs
    $0
    Other
    $35,324
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $316,314
    Bonus
    $653,085
    Other
    $822,305
    Deferred
    $17,325
    Nontaxable benefits
    $17,999
    Filer's total
    $1,827,028

  • RICHARD PARKS

    EXECUTIVE ADVISOR

    Total calculated
    $1,822,649
    From this org
    $1,785,594
    From related orgs
    $0
    Other
    $37,055
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $798,561
    Bonus
    $743,521
    Other
    $243,512
    Deferred
    $9,900
    Nontaxable benefits
    $27,155
    Filer's total
    $1,822,649

  • SCOTT O'BRIEN

    DIVISION COO - CENTRAL

    Total calculated
    $1,781,484
    From this org
    $1,573,113
    From related orgs
    $0
    Other
    $208,371
    Hours/week
    13 + 42 related

    Schedule J breakdown matched by us

    Base
    $624,500
    Bonus
    $812,832
    Other
    $135,781
    Deferred
    $192,776
    Nontaxable benefits
    $15,595
    Filer's total
    $1,781,484

  • PK KHURANA

    CHIEF STRATEGY OFF. - CARE DELIVERY

    Total calculated
    $1,758,200
    From this org
    $1,520,575
    From related orgs
    $0
    Other
    $237,625
    Hours/week
    54.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $715,404
    Bonus
    $702,317
    Other
    $102,854
    Deferred
    $197,217
    Nontaxable benefits
    $40,408
    Filer's total
    $1,758,200

  • SARA VAEZY

    EVP CHIEF STRATEGY AND DIGITAL OFF.

    Total calculated
    $1,723,910
    From this org
    $1,525,609
    From related orgs
    $0
    Other
    $198,301
    Hours/week
    63 + 2 related

    Schedule J breakdown matched by us

    Base
    $583,364
    Bonus
    $890,441
    Other
    $51,804
    Deferred
    $164,530
    Nontaxable benefits
    $33,771
    Filer's total
    $1,723,910

  • MARY CRANSTOUN

    SVP TOTAL RWRDS-TLNT ACQ-THRU 3/23

    Total calculated
    $1,620,534
    From this org
    $1,582,012
    From related orgs
    $0
    Other
    $38,522
    Hours/week
    54 + 1 related

    Schedule J breakdown matched by us

    Base
    $124,556
    Bonus
    $607,242
    Other
    $850,214
    Deferred
    $26,400
    Nontaxable benefits
    $12,122
    Filer's total
    $1,620,534

  • SYLVAIN TREPANIER

    SVP CHIEF NURSING OFFICER

    Total calculated
    $1,551,765
    From this org
    $1,331,228
    From related orgs
    $0
    Other
    $220,537
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $660,787
    Bonus
    $593,855
    Other
    $76,586
    Deferred
    $185,521
    Nontaxable benefits
    $35,016
    Filer's total
    $1,551,765

  • ELLA GOSS

    REGIONAL CHIEF EXEC - AK

    Total calculated
    $1,305,642
    From this org
    $1,228,445
    From related orgs
    $0
    Other
    $77,197
    Hours/week
    54.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $577,489
    Bonus
    $539,960
    Other
    $110,996
    Deferred
    $33,358
    Nontaxable benefits
    $43,839
    Filer's total
    $1,305,642

  • MARYBETH FORMBY

    DIVISION CFO - NORTH

    Total calculated
    $1,291,514
    From this org
    $1,162,817
    From related orgs
    $0
    Other
    $128,697
    Hours/week
    27 + 28 related

    Schedule J breakdown matched by us

    Base
    $505,742
    Bonus
    $439,398
    Other
    $217,677
    Deferred
    $94,788
    Nontaxable benefits
    $33,909
    Filer's total
    $1,291,514

  • JIM WATSON ESQ

    ASSISTANT SECRETARY

    Total calculated
    $1,115,622
    From this org
    $968,691
    From related orgs
    $0
    Other
    $146,931
    Hours/week
    44.5 + 10.5 related

    Schedule J breakdown matched by us

    Base
    $480,026
    Bonus
    $399,066
    Other
    $89,599
    Deferred
    $107,204
    Nontaxable benefits
    $39,727
    Filer's total
    $1,115,622

  • DARIN GOSS

    CHIEF EXEC SOUTH PUGET SOUND

    Total calculated
    $1,067,492
    From this org
    $897,597
    From related orgs
    $0
    Other
    $169,895
    Hours/week
    54.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $428,085
    Bonus
    $407,759
    Other
    $61,753
    Deferred
    $131,825
    Nontaxable benefits
    $38,070
    Filer's total
    $1,067,492

  • KRISTY CARRINGTON

    CE NORTH PUGET SOUND

    Total calculated
    $1,055,591
    From this org
    $882,258
    From related orgs
    $0
    Other
    $173,333
    Hours/week
    27 + 28 related

    Schedule J breakdown matched by us

    Base
    $457,258
    Bonus
    $421,687
    Other
    $3,313
    Deferred
    $134,577
    Nontaxable benefits
    $38,756
    Filer's total
    $1,055,591

  • MIKE WATERS

    FRMR EVP AMBULATORY CARE NETWORK

    Total calculated
    $1,027,295
    From this org
    $1,027,295
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $283,798
    Other
    $743,497
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $1,027,295

  • MELISSA DAMM

    DIVISION CFO - CENTRAL

    Total calculated
    $998,507
    From this org
    $880,981
    From related orgs
    $0
    Other
    $117,526
    Hours/week
    13 + 42 related

    Schedule J breakdown matched by us

    Base
    $459,184
    Bonus
    $356,254
    Other
    $65,543
    Deferred
    $103,018
    Nontaxable benefits
    $14,508
    Filer's total
    $998,507

  • RYAN THOMPSON

    SVP CHIEF REV CYCLE OFFICER

    Total calculated
    $997,467
    From this org
    $849,767
    From related orgs
    $0
    Other
    $147,700
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $467,426
    Bonus
    $125,000
    Other
    $257,341
    Deferred
    $90,529
    Nontaxable benefits
    $57,171
    Filer's total
    $997,467

  • PRASANNA MOHANTY

    COO - PCN

    Total calculated
    $952,602
    From this org
    $858,020
    From related orgs
    $0
    Other
    $94,582
    Hours/week
    53 + 2 related

    Schedule J breakdown matched by us

    Base
    $467,493
    Bonus
    $308,277
    Other
    $82,250
    Deferred
    $88,505
    Nontaxable benefits
    $6,077
    Filer's total
    $952,602

  • JIM MARTIN

    ASSISTANT TREASURER (PART YEAR)

    Total calculated
    $944,563
    From this org
    $828,928
    From related orgs
    $0
    Other
    $115,635
    Hours/week
    36 + 19 related

    Schedule J breakdown matched by us

    Base
    $435,246
    Bonus
    $339,361
    Other
    $54,321
    Deferred
    $83,489
    Nontaxable benefits
    $32,146
    Filer's total
    $944,563

  • PRESTON SIMMONS

    FRMR SVP CHIEF EXEC AK REGION

    Total calculated
    $887,015
    From this org
    $887,015
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $200,782
    Other
    $686,233
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $887,015

  • DAVID BROWN

    FRMR SVP CAO AMBULATORY CARE

    Total calculated
    $548,458
    From this org
    $548,458
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $111,633
    Other
    $436,825
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $548,458

  • JOHN WHIPPLE

    FRMR SECRETARY

    Total calculated
    $541,701
    From this org
    $541,701
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $541,701
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $541,701

  • DARREN REDICK

    FRMR CHIEF EXEC PRMCE

    Total calculated
    $469,776
    From this org
    $469,776
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $119,821
    Other
    $349,955
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $469,776

  • DONALD ANDERSON JR

    ASSISTANT SECRETARY FOR ENROLLMENT

    Total calculated
    $323,721
    From this org
    $292,875
    From related orgs
    $0
    Other
    $30,846
    Hours/week
    41.5 + 13.5 related

    Schedule J breakdown matched by us

    Base
    $266,681
    Bonus
    $24,827
    Other
    $1,367
    Deferred
    $15,474
    Nontaxable benefits
    $15,372
    Filer's total
    $323,721

  • MARY LYONS PHD

    DIRECTOR

    Total calculated
    $100,085
    From this org
    $100,085
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 13 related

  • MICHAEL MURPHY

    BOARD CHAIR

    Total calculated
    $75,066
    From this org
    $75,066
    From related orgs
    $0
    Other
    $0
    Hours/week
    1 + 26 related

  • CHARLES SORENSON MD

    DIRECTOR

    Total calculated
    $50,000
    From this org
    $50,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 13 related

  • ISIAAH CRAWFORD PHD

    DIRECTOR

    Total calculated
    $50,000
    From this org
    $50,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 14.5 related

  • RICHARD BLAIR

    DIRECTOR

    Total calculated
    $50,000
    From this org
    $50,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 13 related

  • ERIC SPRUNK

    DIRECTOR

    Total calculated
    $40,000
    From this org
    $40,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 13.5 related

  • MARY BETH KINGSTON

    DIRECTOR

    Total calculated
    $40,000
    From this org
    $40,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 13 related

  • MARVIN O'QUINN

    DIRECTOR (PART YEAR)

    Total calculated
    $0
    Hours/week
    0.5 + 12.5 related

  • SISTER CAROL PACINI LCM

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 13 related

  • SISTER DIANE HEJNA CSJ RN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 13 related

  • SISTER PHYLLIS HUGHES RSM DRPH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 13 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · First-class or charter travel
  • 1a · Tax indemnification and gross-up payments
  • 1a · Housing allowance or residence for personal use
  • 1a · Personal services (maid, chauffeur, chef)
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES RELATED TO RELOCATION OF NEWLY HIRED EMPLOYEES AND CURRENT EMPLOYEES RELOCATING TO A NEW POSITION. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE ELIGIBLE EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES INCLUDE RENT (EXCLUDING AMOUNTS WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL TITLE CLEARS), NON-REFUNDABLE SECURITY DEPOSITS AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE 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. 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. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE 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 TAXABLE WAGES AND ARE REPORTED AS SUCH. 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 PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. 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. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. 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. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE.
PART I, LINES 4A-B
THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: GUY HUDSON, M.D. - $282,401 RHONDA MEDOWS, M.D. - $560,170 JO ANN ESCASA-HAIGH - $811,814 AMY COMPTON-PHILLIPS, M.D. - $1,112,800 JEREMY ZOCH - $158,766 TOM MAHOWALD - $276,000 MARY CRANSTOUN - $381,352 MIKE WATERS - $739,024 PRESTON SIMMONS - $686,234 DAVID BROWN - $436,825 JOHN WHIPPLE - $539,282 DARREN REDICK - $349,955 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: GUY HUDSON, M.D. - $1,120,375 ERIK WEXLER - $366,950 DEBRA CANALES - $411,575 RHONDA MEDOWS, M.D. - $450,986 LISA VANCE - $489,509 GREG HOFFMAN - $80,207 JO ANN ESCASA-HAIGH - $603,250 JOEL GILBERTSON - $145,427 WASIF RASHEED - $147,746 GREG TILL - $151,890 KEVIN BROOKS - $119,401 ARI ROBICSEK, M.D. - $115,169 KEVIN MANEMANN - $170,754 OREST HOLUBEC - $122,559 JEREMY ZOCH - $505,924 ALI SANTORE - $52,768 TOM MAHOWALD - $469,837 RICHARD PARKS - $206,534 SCOTT O'BRIEN - $104,947 P.K. KHURANA - $79,214 SARA VAEZY - $43,415 MARY CRANSTOUN - $407,734 SYLVAIN TREPANIER - $71,684 ELLA GOSS - $83,593 MARYBETH FORMBY - $175,644 JIM WATSON, ESQ - $64,477 DARIN GOSS - $37,676 KRISTY CARRINGTON - $2,236 MELISSA DAMM - $41,956 JIM MARTIN - $52,013
PART I, LINE 7
NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
7 November 2024
IRS schema version
2023v5.1
Source object
202423189349301612

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.