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Nonprofiteer
← PROVIDENCE HEALTH & SERVICES WASHINGTON

Form 990 for tax year 2022

Filed by PROVIDENCE HEALTH & SERVICES WASHINGTON.

Totals

Total revenue
$6,064,807,534
Total expenses
$9,874,530,428
Contributions and grants received
$73,772,552
Grants paid
$22,588,902
Program services expenses (Part IX)
$5,727,150,934
Management and general expenses
$4,144,767,074
Fundraising expenses
$2,612,420
Program service expenses (Part III)
$5,727,150,934

Program services were 58.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ERIK WEXLER

    PRESIDENT STRAT & OPS (SOUTH)

    Total calculated
    $5,101,912
    From this org
    $4,701,760
    From related orgs
    $0
    Other
    $400,152
    Hours/week
    61.5 + 3.5 related

    Schedule J breakdown matched by us

    Base
    $1,437,860
    Bonus
    $2,266,630
    Other
    $997,270
    Deferred
    $382,614
    Nontaxable benefits
    $17,538
    Filer's total
    $5,101,912

  • DAVID YAM

    FORMER NEUROSURGEON

    Total calculated
    $4,500,000
    From this org
    $4,500,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $4,500,000
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $4,500,000

  • LISA VANCE

    PRESIDENT STRAT & OPS (NORTH)

    Total calculated
    $3,952,089
    From this org
    $0
    From related orgs
    $3,578,819
    Other
    $373,270
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,335,894 related
    Bonus
    $0 + $1,859,037 related
    Other
    $0 + $383,888 related
    Deferred
    $0 + $358,390 related
    Nontaxable benefits
    $0 + $14,880 related
    Filer's total
    $0 + $3,952,089 related

  • AMY COMPTON-PHILLIPS MD

    FRMR KE - PSJH EVP/CHF CLIN. OFC.

    Total calculated
    $3,811,361
    From this org
    $0
    From related orgs
    $3,802,673
    Other
    $8,688
    Hours/week
    0 + 65 related

    Schedule J breakdown matched by us

    Base
    $0 + $706,291 related
    Bonus
    $0 + $1,616,800 related
    Other
    $0 + $1,479,582 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $8,688 related
    Filer's total
    $0 + $3,811,361 related

  • DEBRA CANALES

    FRMR KE - PSJH EVP/CAO

    Total calculated
    $3,808,259
    From this org
    $0
    From related orgs
    $3,335,977
    Other
    $472,282
    Hours/week
    0 + 65 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,147,661 related
    Bonus
    $0 + $1,738,480 related
    Other
    $0 + $449,836 related
    Deferred
    $0 + $426,885 related
    Nontaxable benefits
    $0 + $45,397 related
    Filer's total
    $0 + $3,808,259 related

  • GUY HUDSON MD

    DIVISION CHIEF EXEC - NORTH

    Total calculated
    $3,623,646
    From this org
    $3,182,849
    From related orgs
    $0
    Other
    $440,797
    Hours/week
    63 + 2 related

    Schedule J breakdown matched by us

    Base
    $1,264,130
    Bonus
    $1,632,076
    Other
    $286,643
    Deferred
    $420,385
    Nontaxable benefits
    $20,412
    Filer's total
    $3,623,646

  • RHONDA MEDOWS MD

    FRMR KE - PSJH PRES. EVP/POP. HEALTH

    Total calculated
    $3,320,750
    From this org
    $0
    From related orgs
    $3,000,545
    Other
    $320,205
    Hours/week
    0 + 65 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,137,413 related
    Bonus
    $0 + $1,525,631 related
    Other
    $0 + $337,501 related
    Deferred
    $0 + $306,676 related
    Nontaxable benefits
    $0 + $13,529 related
    Filer's total
    $0 + $3,320,750 related

  • GREG HOFFMAN

    PRESIDENT/CEO & TREASURER

    Total calculated
    $2,898,151
    From this org
    $2,619,615
    From related orgs
    $0
    Other
    $278,536
    Hours/week
    50 + 15 related

    Schedule J breakdown matched by us

    Base
    $919,782
    Bonus
    $1,584,583
    Other
    $115,250
    Deferred
    $253,823
    Nontaxable benefits
    $24,713
    Filer's total
    $2,898,151

  • KEVIN MANEMANN

    CHIEF EXECUTIVE PSJH SO CA

    Total calculated
    $2,795,917
    From this org
    $2,756,394
    From related orgs
    $0
    Other
    $39,523
    Hours/week
    51.5 + 3.5 related

    Schedule J breakdown matched by us

    Base
    $991,006
    Bonus
    $1,426,372
    Other
    $339,016
    Deferred
    $4,575
    Nontaxable benefits
    $34,948
    Filer's total
    $2,795,917

  • WASIF RASHEED

    CHIEF REV AND GROWTH OFFICER

    Total calculated
    $2,729,167
    From this org
    $2,338,077
    From related orgs
    $0
    Other
    $391,090
    Hours/week
    54.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $781,461
    Bonus
    $1,353,839
    Other
    $202,777
    Deferred
    $356,925
    Nontaxable benefits
    $34,165
    Filer's total
    $2,729,167

  • GREG TILL

    CHIEF PEOPLE OFFICER

    Total calculated
    $2,429,125
    From this org
    $2,026,619
    From related orgs
    $0
    Other
    $402,506
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $720,488
    Bonus
    $1,023,117
    Other
    $283,014
    Deferred
    $369,753
    Nontaxable benefits
    $32,753
    Filer's total
    $2,429,125

  • JOEL GILBERTSON

    DIVISION CHIEF EXEC - CENTRAL

    Total calculated
    $2,398,714
    From this org
    $2,134,351
    From related orgs
    $0
    Other
    $264,363
    Hours/week
    14 + 41 related

    Schedule J breakdown matched by us

    Base
    $858,041
    Bonus
    $1,026,760
    Other
    $249,550
    Deferred
    $248,529
    Nontaxable benefits
    $15,834
    Filer's total
    $2,398,714

  • JO ANN ESCASA-HAIGH

    EVP/ASSISTANT TREASURER

    Total calculated
    $2,193,229
    From this org
    $0
    From related orgs
    $2,157,414
    Other
    $35,815
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $841,148 related
    Bonus
    $0 + $989,404 related
    Other
    $0 + $326,862 related
    Deferred
    $0 + $27,450 related
    Nontaxable benefits
    $0 + $8,365 related
    Filer's total
    $0 + $2,193,229 related

  • MIKE WATERS

    EVP AMBULATORY CARE NET - THRU 7/22

    Total calculated
    $2,092,159
    From this org
    $2,090,589
    From related orgs
    $0
    Other
    $1,570
    Hours/week
    53 + 2 related

    Schedule J breakdown matched by us

    Base
    $396,838
    Bonus
    $730,722
    Other
    $963,029
    Deferred
    $0
    Nontaxable benefits
    $1,570
    Filer's total
    $2,092,159

  • DONALD ANTONUCCI

    CEO PROVIDENCE HEALTH PLAN

    Total calculated
    $2,080,373
    From this org
    $1,852,789
    From related orgs
    $0
    Other
    $227,584
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $805,488
    Bonus
    $1,044,679
    Other
    $2,622
    Deferred
    $216,937
    Nontaxable benefits
    $10,647
    Filer's total
    $2,080,373

  • PRESTON SIMMONS

    SVP CE AK REGION - THRU 10/22

    Total calculated
    $1,936,913
    From this org
    $1,899,552
    From related orgs
    $0
    Other
    $37,361
    Hours/week
    54 + 1 related

    Schedule J breakdown matched by us

    Base
    $487,924
    Bonus
    $362,911
    Other
    $1,048,717
    Deferred
    $1,199
    Nontaxable benefits
    $36,162
    Filer's total
    $1,936,913

  • DAVID BROWN

    SVP CAO AMBULATORY CARE - THRU 8/22

    Total calculated
    $1,926,725
    From this org
    $1,886,009
    From related orgs
    $0
    Other
    $40,716
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $260,355
    Bonus
    $189,441
    Other
    $1,436,213
    Deferred
    $12,779
    Nontaxable benefits
    $27,937
    Filer's total
    $1,926,725

  • MIKE BUTLER

    FRMR PRESIDENT

    Total calculated
    $1,843,534
    From this org
    $0
    From related orgs
    $1,835,706
    Other
    $7,828
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $1,835,706 related
    Deferred
    $0 + $7,828 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $1,843,534 related

  • JOHN WHIPPLE

    SECRETARY - THRU 5/22

    Total calculated
    $1,754,801
    From this org
    $1,743,754
    From related orgs
    $0
    Other
    $11,047
    Hours/week
    46.5 + 8.5 related

    Schedule J breakdown matched by us

    Base
    $319,672
    Bonus
    $277,940
    Other
    $1,146,142
    Deferred
    $5,571
    Nontaxable benefits
    $5,476
    Filer's total
    $1,754,801

  • RICHARD PARKS

    EXECUTIVE ADVISOR

    Total calculated
    $1,684,490
    From this org
    $1,449,843
    From related orgs
    $0
    Other
    $234,647
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $797,346
    Bonus
    $413,067
    Other
    $239,430
    Deferred
    $226,359
    Nontaxable benefits
    $8,288
    Filer's total
    $1,684,490

  • OREST HOLUBEC

    FRMR KE - PSJH SVP/CHIEF COMM/EXT AFF OFF

    Total calculated
    $1,627,766
    From this org
    $0
    From related orgs
    $1,327,235
    Other
    $300,531
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $580,861 related
    Bonus
    $0 + $511,919 related
    Other
    $0 + $234,455 related
    Deferred
    $0 + $266,259 related
    Nontaxable benefits
    $0 + $34,272 related
    Filer's total
    $0 + $1,627,766 related

  • TODD CZARTOSKI

    CHIEF MED. TECH. OFF. TH - THRU 8/22

    Total calculated
    $1,551,346
    From this org
    $1,540,002
    From related orgs
    $0
    Other
    $11,344
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $416,119
    Bonus
    $310,929
    Other
    $812,954
    Deferred
    $0
    Nontaxable benefits
    $11,344
    Filer's total
    $1,551,346

  • KEVIN BROOKS

    DIVISION COO - NORTH

    Total calculated
    $1,511,748
    From this org
    $1,298,890
    From related orgs
    $0
    Other
    $212,858
    Hours/week
    27.5 + 27.5 related

    Schedule J breakdown matched by us

    Base
    $691,634
    Bonus
    $401,749
    Other
    $205,507
    Deferred
    $191,139
    Nontaxable benefits
    $21,719
    Filer's total
    $1,511,748

  • SCOTT O'BRIEN

    DIVISION COO - CENTRAL

    Total calculated
    $1,503,878
    From this org
    $1,320,902
    From related orgs
    $0
    Other
    $182,976
    Hours/week
    13 + 42 related

    Schedule J breakdown matched by us

    Base
    $605,546
    Bonus
    $510,039
    Other
    $205,317
    Deferred
    $180,710
    Nontaxable benefits
    $2,266
    Filer's total
    $1,503,878

  • BRADEN BATKOFF

    SVP CLIN PROG SVCS OPS - THRU 5/22

    Total calculated
    $1,425,119
    From this org
    $1,410,961
    From related orgs
    $0
    Other
    $14,158
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $175,042
    Bonus
    $270,523
    Other
    $965,396
    Deferred
    $9,150
    Nontaxable benefits
    $5,008
    Filer's total
    $1,425,119

  • SYLVAIN TREPANIER

    SVP CHIEF NURSING OFFICER

    Total calculated
    $1,368,650
    From this org
    $1,157,762
    From related orgs
    $0
    Other
    $210,888
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $643,130
    Bonus
    $395,934
    Other
    $118,698
    Deferred
    $178,372
    Nontaxable benefits
    $32,516
    Filer's total
    $1,368,650

  • ALI SANTORE

    SVP GOVT AFFAIRS & SOCIAL RESP

    Total calculated
    $1,292,824
    From this org
    $1,135,327
    From related orgs
    $0
    Other
    $157,497
    Hours/week
    63 + 2 related

    Schedule J breakdown matched by us

    Base
    $521,009
    Bonus
    $541,697
    Other
    $72,621
    Deferred
    $152,019
    Nontaxable benefits
    $5,478
    Filer's total
    $1,292,824

  • AARON MARTIN

    FRMR KE - PSJH EVP CHF MKT/DIG INN.

    Total calculated
    $1,280,855
    From this org
    $0
    From related orgs
    $1,251,952
    Other
    $28,903
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $184,310 related
    Bonus
    $0 + $563,795 related
    Other
    $0 + $503,847 related
    Deferred
    $0 + $6,863 related
    Nontaxable benefits
    $0 + $22,040 related
    Filer's total
    $0 + $1,280,855 related

  • MARY CRANSTOUN

    SVP TOTAL REWARDS - TALENT ACQ

    Total calculated
    $1,202,362
    From this org
    $1,010,556
    From related orgs
    $0
    Other
    $191,806
    Hours/week
    54 + 1 related

    Schedule J breakdown matched by us

    Base
    $495,653
    Bonus
    $347,000
    Other
    $167,903
    Deferred
    $156,605
    Nontaxable benefits
    $35,201
    Filer's total
    $1,202,362

  • ELLA GOSS

    REGIONAL CHIEF EXEC - AK

    Total calculated
    $1,104,482
    From this org
    $928,350
    From related orgs
    $0
    Other
    $176,132
    Hours/week
    54.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $507,252
    Bonus
    $263,620
    Other
    $157,478
    Deferred
    $162,243
    Nontaxable benefits
    $13,889
    Filer's total
    $1,104,482

  • SARA VAEZY

    EVP CHF MKT/DIG INNO OFC (PART YEAR)

    Total calculated
    $1,102,482
    From this org
    $906,874
    From related orgs
    $0
    Other
    $195,608
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $519,609
    Bonus
    $311,854
    Other
    $75,411
    Deferred
    $189,839
    Nontaxable benefits
    $5,769
    Filer's total
    $1,102,482

  • MARYBETH FORMBY

    DIVISION CFO - NORTH

    Total calculated
    $1,037,745
    From this org
    $909,353
    From related orgs
    $0
    Other
    $128,392
    Hours/week
    27 + 28 related

    Schedule J breakdown matched by us

    Base
    $508,029
    Bonus
    $306,000
    Other
    $95,324
    Deferred
    $104,023
    Nontaxable benefits
    $24,369
    Filer's total
    $1,037,745

  • HODA ASMAR

    EVP SYS CHF MEDICAL OFF (PART YEAR)

    Total calculated
    $1,028,353
    From this org
    $811,062
    From related orgs
    $0
    Other
    $217,291
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $685,660
    Bonus
    $100,000
    Other
    $25,402
    Deferred
    $190,846
    Nontaxable benefits
    $26,445
    Filer's total
    $1,028,353

  • ANNA NEWSOM

    SECRETARY (PART YEAR)

    Total calculated
    $1,026,085
    From this org
    $801,000
    From related orgs
    $0
    Other
    $225,085
    Hours/week
    46.5 + 8.5 related

    Schedule J breakdown matched by us

    Base
    $535,718
    Bonus
    $50,000
    Other
    $215,282
    Deferred
    $202,914
    Nontaxable benefits
    $22,171
    Filer's total
    $1,026,085

  • JIM WATSON ESQ

    ASSISTANT SECRETARY

    Total calculated
    $961,626
    From this org
    $837,237
    From related orgs
    $0
    Other
    $124,389
    Hours/week
    46.5 + 8.5 related

    Schedule J breakdown matched by us

    Base
    $466,229
    Bonus
    $228,525
    Other
    $142,483
    Deferred
    $98,225
    Nontaxable benefits
    $26,164
    Filer's total
    $961,626

  • HELEN ANDRUS

    REGIONAL CFO WA AND MT

    Total calculated
    $855,968
    From this org
    $750,190
    From related orgs
    $0
    Other
    $105,778
    Hours/week
    27.5 + 27.5 related

    Schedule J breakdown matched by us

    Base
    $425,620
    Bonus
    $235,000
    Other
    $89,570
    Deferred
    $89,229
    Nontaxable benefits
    $16,549
    Filer's total
    $855,968

  • DARREN REDICK

    FRMR KE-CHIEF EXEC PRMCE

    Total calculated
    $779,841
    From this org
    $753,240
    From related orgs
    $0
    Other
    $26,601
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $253,579
    Bonus
    $183,320
    Other
    $316,341
    Deferred
    $2,163
    Nontaxable benefits
    $24,438
    Filer's total
    $779,841

  • THOMAS ARNOLD

    GVP REAL ESTATE

    Total calculated
    $773,309
    From this org
    $742,317
    From related orgs
    $0
    Other
    $30,992
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $699,791
    Bonus
    $0
    Other
    $42,526
    Deferred
    $0
    Nontaxable benefits
    $30,992
    Filer's total
    $773,309

  • DONALD ANDERSON JR

    ASSISTANT SECRETARY FOR ENROLLMENT

    Total calculated
    $288,175
    From this org
    $256,992
    From related orgs
    $0
    Other
    $31,183
    Hours/week
    43 + 12 related

    Schedule J breakdown matched by us

    Base
    $219,186
    Bonus
    $36,718
    Other
    $1,088
    Deferred
    $13,600
    Nontaxable benefits
    $17,583
    Filer's total
    $288,175

  • CINDY STRAUSS

    FRMR SECRETARY

    Total calculated
    $146,754
    From this org
    $0
    From related orgs
    $146,754
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $146,754 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $146,754 related

  • MARY LYONS PHD

    BOARD CHAIR

    Total calculated
    $75,936
    From this org
    $75,936
    From related orgs
    $0
    Other
    $0
    Hours/week
    1 + 26.5 related

  • RICHARD BLAIR

    DIRECTOR

    Total calculated
    $61,313
    From this org
    $61,313
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 14.5 related

  • MICHAEL MURPHY

    DIRECTOR

    Total calculated
    $50,668
    From this org
    $50,668
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 13.5 related

  • CHARLES SORENSON MD

    DIRECTOR

    Total calculated
    $50,000
    From this org
    $50,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 13.5 related

  • ISIAAH CRAWFORD PHD

    DIRECTOR

    Total calculated
    $50,000
    From this org
    $50,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 15 related

  • CHRISTINA FISHER

    DIRECTOR - THRU 11/22

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

    Total calculated
    $0
    Hours/week
    0.5 + 12.5 related

  • SISTER CAROL PACINI LCM

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 13.5 related

  • SISTER DIANE HEJNA CSJ RN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 13.5 related

  • SISTER PHYLLIS HUGHES RSM DRPH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 13.5 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 ONLY FOR PURPOSES OF RELOCATION ASSISTANCE TO A NEWLY HIRED EMPLOYEE. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE NEWLY HIRED 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 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: AMY COMPTON-PHILLIPS, M.D. - $325,280 MIKE WATERS - $312,664 PRESTON SIMMONS - $145,165 DAVID BROWN - $142,637 MIKE BUTLER - $1,835,706 JOHN WHIPPLE - $186,674 TODD CZARTOSKI - $198,995 BRADEN BATKOFF - $389,136 DARREN REDICK - $102,897 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: ERIK WEXLER - $884,974 LISA VANCE - $325,963 AMY COMPTON-PHILLIPS, M.D. - $1,007,563 DEBRA CANALES - $396,202 GUY HUDSON, MD - $284,021 RHONDA MEDOWS, M.D. - $279,201 GREG HOFFMAN - $89,848 KEVIN MANEMANN - $316,806 WASIF RASHEED - $200,155 GREG TILL - $244,189 JOEL GILBERTSON - $210,446 JO ANN ESCASA-HAIGH - $284,024 MIKE WATERS - $580,363 PRESTON SIMMONS - $617,941 DAVID BROWN - $1,124,597 JOHN WHIPPLE - $855,652 RICHARD PARKS - $204,451 OREST HOLUBEC - $193,924 TODD CZARTOSKI -$562,832 KEVIN BROOKS - $183,712 SCOTT O'BRIEN - $183,677 BRADEN BATKOFF - $481,546 SYLVAIN TREPANIER - $113,795 ALI SANTORE - $71,481 AARON MARTIN - $254,278 MARY CRANSTOUN - $125,751 ELLA GOSS - $132,076 SARA VAEZY - $74,307 JIM WATSON, ESQ - $119,387 HELEN ANDRUS - $62,305 DARREN REDICK - $118,563
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
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202343189349302724

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.