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Nonprofiteer
← ST JOSEPH HOSPITAL OF ORANGE

Form 990 for tax year 2023

Filed by ST JOSEPH HOSPITAL OF ORANGE.

Totals

Total revenue
$928,956,907
Total expenses
$955,590,803
Contributions and grants received
$7,265,513
Grants paid
$4,163,400
Program service revenue
$901,602,906
Investment income
$12,915,928
Other revenue
$7,172,560
Total assets, end of year
$979,736,039
Total liabilities, end of year
$467,881,308
Net assets or fund balances, end of year
$511,854,731
Program services expenses (Part IX)
$927,148,828
Management and general expenses
$24,735,764
Fundraising expenses
$3,706,211
Program service expenses (Part III)
$927,148,828

Program services were 97.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $318,645

  • 1d · Related organizations

    $300,000

  • 1e · Government grants (contributions)

    $2,427,304

  • 1f · All other contributions, gifts and grants

    $4,219,564

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $893,938,840 · related or exempt $893,938,840

  • 2b · Program service revenue: JV INCOME

    total $3,663,902 · related or exempt $3,663,902

  • 2c · Program service revenue: MOB RENTAL REVENUE

    total $3,428,687 · related or exempt $3,428,687

  • 2d · Program service revenue: OTHER PATIENT SERVICE

    total $571,477 · related or exempt $571,477

  • 3 · Investment income

    total $8,813,825 · unrelated business -$36,007 · excluded $8,849,832

  • 7a · Gross sales of assets other than inventory

    securities $4,101,738 · other assets $365

  • 7b · Less cost or other basis and sales expenses

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $4,101,738 · other assets $365

  • 7d · Net gain or loss

    total $4,102,103 · excluded $4,102,103

  • 8a · Fundraising events: gross income

    $1,152,591

  • 8a · Fundraising events: contributions included on line 1c

    $318,645

  • 8b · Fundraising events: direct expenses

    $508,633

  • 8c · Net income from fundraising events

    total $643,958 · excluded $643,958

  • 11a · Other revenue: INTERAFFILIATE REVENUE

    total $2,429,004 · related or exempt $2,429,004

  • 11b · Other revenue: CAFETERIA REVENUE

    total $1,682,408 · related or exempt $1,682,408

  • 11c · Other revenue: PARKING REVENUE

    total $1,320,734 · related or exempt $1,320,734

  • 11d · All other revenue

    total $1,096,456 · related or exempt $966,098 · unrelated business $130,358

  • 11e · Other revenue, total

    $6,528,602

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $4,163,400 · program services $4,163,400

  • 7 · Other salaries and wages

    total $261,552,223 · program services $251,710,203 · management and general $8,559,528 · fundraising $1,282,492

  • 8 · Pension plan contributions

    total $6,517,589 · program services $6,272,337 · management and general $213,294 · fundraising $31,958

  • 9 · Other employee benefits

    total $1,094,628 · program services $1,053,438 · management and general $35,823 · fundraising $5,367

  • 10 · Payroll taxes

    total $19,149,341 · program services $18,428,765 · management and general $626,679 · fundraising $93,897

  • 11a · Fees: management

    total $575,000 · program services $553,364 · management and general $18,817 · fundraising $2,819

  • 11b · Fees: legal

    total $1,117,576 · program services $1,075,522 · management and general $36,574 · fundraising $5,480

  • 11c · Fees: accounting

    total $10,132 · program services $9,750 · management and general $332 · fundraising $50

  • 11g · Fees: other

    total $200,732,592 · program services $193,179,171 · management and general $6,569,151 · fundraising $984,270

  • 12 · Advertising and promotion

    total $129,410 · program services $124,540 · management and general $4,235 · fundraising $635

  • 13 · Office expenses

    total $8,979,027 · program services $8,641,152 · management and general $293,847 · fundraising $44,028

  • 14 · Information technology

    total $10,192 · program services $9,808 · management and general $334 · fundraising $50

  • 16 · Occupancy

    total $10,153,150 · program services $9,771,094 · management and general $332,271 · fundraising $49,785

  • 17 · Travel

    total $276,201 · program services $265,808 · management and general $9,039 · fundraising $1,354

  • 19 · Conferences, conventions and meetings

    total $146,447 · program services $140,936 · management and general $4,793 · fundraising $718

  • 20 · Interest

    total $11,946,304 · program services $11,496,774 · management and general $390,953 · fundraising $58,577

  • 22 · Depreciation, depletion and amortization

    total $29,759,402 · program services $28,639,580 · management and general $973,900 · fundraising $145,922

  • 23 · Insurance

    total $54,698 · program services $52,640 · management and general $1,790 · fundraising $268

  • 24a · Other expenses: SYSTEM COST ALLOCATION

    total $200,881,654 · program services $193,322,623 · management and general $6,574,030 · fundraising $985,001

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $159,621,057 · program services $159,621,057

  • 24c · Other expenses: HOSPITAL FEE

    total $35,959,242 · program services $35,959,242

  • 24d · Other expenses: LICENSES AND TAXES

    total $1,513,505 · program services $1,456,553 · management and general $49,531 · fundraising $7,421

  • 24e · All other expenses

    total $1,248,033 · program services $1,201,071 · management and general $40,843 · fundraising $6,119

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $26,407,240 · end of year $102,764,536

  • 2 · Savings and temporary cash investments

    beginning of year $109,000 · end of year $123,500

  • 3 · Pledges and grants receivable

    beginning of year $1,803,342 · end of year $2,662,925

  • 4 · Accounts receivable

    beginning of year $109,284,985 · end of year $119,897,371

  • 7 · Other notes and loans receivable

    beginning of year $758,827 · end of year $831,916

  • 8 · Inventories for sale or use

    beginning of year $13,160,749 · end of year $13,540,907

  • 9 · Prepaid expenses and deferred charges

    beginning of year $6,169,941 · end of year $1,679,502

  • 10a · Land, buildings and equipment: cost or other basis

    $986,739,679

  • 10b · Land, buildings and equipment: accumulated depreciation

    $656,146,676

  • 10c · Land, buildings and equipment, net

    beginning of year $340,299,734 · end of year $330,593,003

  • 11 · Investments: publicly traded securities

    beginning of year $343,049,820 · end of year $266,810,621

  • 13 · Investments: program-related

    beginning of year $15,255,073 · end of year $5,499,722

  • 14 · Intangible assets

    beginning of year $12,564,000 · end of year $11,618,500

  • 15 · Other assets

    beginning of year $98,671,366 · end of year $123,713,536

  • 17 · Accounts payable and accrued expenses

    beginning of year $75,275,619 · end of year $55,372,581

  • 19 · Deferred revenue

    beginning of year $3,583,737 · end of year $11,377,458

  • 23 · Secured mortgages and notes payable

    beginning of year $220,000 · end of year $80,000

  • 25 · Other liabilities

    beginning of year $401,464,476 · end of year $401,051,269

  • 27 · Net assets without donor restrictions

    beginning of year $437,168,712 · end of year $451,264,964

  • 28 · Net assets with donor restrictions

    beginning of year $49,821,533 · end of year $60,589,767

Mission and programs · 2023

Mission

AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.

  • SEE SCHEDULE O

    Expenses $927,148,828 · Grants $4,163,400 · Revenue $908,001,151

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Jo Ann Escasa-Haigh

    FRMR 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
  • Jeremy Zoch

    CHIEF EXECUTIVE - SJO - THRU 9/23

    Total calculated
    $1,910,283
    From this org
    $0
    From related orgs
    $1,873,290
    Other
    $36,993
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $403,819 related
    Bonus
    $0 + $713,904 related
    Other
    $0 + $755,567 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $27,093 related
    Filer's total
    $0 + $1,910,283 related
  • Brian Lee Helleland

    CEO/PRESIDENT (PART YEAR)

    Total calculated
    $1,881,980
    From this org
    $0
    From related orgs
    $1,636,484
    Other
    $245,496
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $682,875 related
    Bonus
    $0 + $701,652 related
    Other
    $0 + $251,957 related
    Deferred
    $0 + $208,217 related
    Nontaxable benefits
    $0 + $37,279 related
    Filer's total
    $0 + $1,881,980 related
  • Jim Watson Esq

    SECRETARY

    Total calculated
    $1,115,622
    From this org
    $0
    From related orgs
    $968,691
    Other
    $146,931
    Hours/week
    0.5 + 54.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $480,026 related
    Bonus
    $0 + $399,066 related
    Other
    $0 + $89,599 related
    Deferred
    $0 + $107,204 related
    Nontaxable benefits
    $0 + $39,727 related
    Filer's total
    $0 + $1,115,622 related
  • Jim Martin

    ASSISTANT TREASURER (PART YEAR)

    Total calculated
    $944,563
    From this org
    $0
    From related orgs
    $828,928
    Other
    $115,635
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $435,246 related
    Bonus
    $0 + $339,361 related
    Other
    $0 + $54,321 related
    Deferred
    $0 + $83,489 related
    Nontaxable benefits
    $0 + $32,146 related
    Filer's total
    $0 + $944,563 related
  • Scott Rusk

    CHIEF MEDICAL OFFICER - SJO

    Total calculated
    $717,655
    From this org
    $698,969
    From related orgs
    $0
    Other
    $18,686
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $101,891
    Bonus
    $68,765
    Other
    $528,313
    Deferred
    $9,164
    Nontaxable benefits
    $9,522
    Filer's total
    $717,655
  • Eileen Haubl

    CFO/TREASURER

    Total calculated
    $565,512
    From this org
    $0
    From related orgs
    $510,843
    Other
    $54,669
    Hours/week
    27.5 + 27.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $416,119 related
    Bonus
    $0 + $75,562 related
    Other
    $0 + $19,162 related
    Deferred
    $0 + $39,557 related
    Nontaxable benefits
    $0 + $15,112 related
    Filer's total
    $0 + $565,512 related
  • Amy Daugherty

    MINISTRY CHIEF PHILANTHROPY OFFICER

    Total calculated
    $435,933
    From this org
    $399,475
    From related orgs
    $0
    Other
    $36,458
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $322,024
    Bonus
    $73,674
    Other
    $3,777
    Deferred
    $16,969
    Nontaxable benefits
    $19,489
    Filer's total
    $435,933
  • Michelle Genova

    CHIEF PATIENT CARE SERVICES/CNO

    Total calculated
    $414,593
    From this org
    $349,914
    From related orgs
    $0
    Other
    $64,679
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $301,158
    Bonus
    $45,240
    Other
    $3,516
    Deferred
    $31,125
    Nontaxable benefits
    $33,554
    Filer's total
    $414,593
  • Lisa Cowan

    EXECUTIVE DIRECTOR NURSING

    Total calculated
    $341,761
    From this org
    $303,635
    From related orgs
    $0
    Other
    $38,126
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $236,864
    Bonus
    $38,800
    Other
    $27,971
    Deferred
    $13,633
    Nontaxable benefits
    $24,493
    Filer's total
    $341,761
  • Leon Vong

    ACUTE CARE RN

    Total calculated
    $340,992
    From this org
    $302,984
    From related orgs
    $0
    Other
    $38,008
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $274,282
    Bonus
    $28,500
    Other
    $202
    Deferred
    $27,480
    Nontaxable benefits
    $10,528
    Filer's total
    $340,992
  • Donald Anderson Jr

    ASSISTANT SECRETARY FOR ENROLLMENT

    Total calculated
    $323,721
    From this org
    $0
    From related orgs
    $292,875
    Other
    $30,846
    Hours/week
    0.5 + 54.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $266,681 related
    Bonus
    $0 + $24,827 related
    Other
    $0 + $1,367 related
    Deferred
    $0 + $15,474 related
    Nontaxable benefits
    $0 + $15,372 related
    Filer's total
    $0 + $323,721 related
  • Peter Smethurst MD

    BOARD MEMBER

    Total calculated
    $162,927
    From this org
    $0
    From related orgs
    $162,927
    Other
    $0
    Hours/week
    0.5

    Schedule J breakdown matched by us

    Base
    $0 + $162,927 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $162,927 related
  • Sudeep Kukreja MD

    BOARD MEMBER

    Total calculated
    $10,325
    From this org
    $0
    From related orgs
    $10,325
    Other
    $0
    Hours/week
    0.5
  • Becky Nguyen

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5
  • Christopher Wills MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5
  • Jon Coleman

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5
  • Kathleen O'Leary

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Kenneth Cosgrove

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5
  • Kevin Snyder

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5
  • Mary Anne Foo

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 1 related
  • Michelle Hobby-Mears

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5
  • Ruben Smith

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5
  • Sister Judith Dugan

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related
  • Sister Karen Clock

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5
  • Sister Suzanne Sassus

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related
  • Tanja Cebula

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

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, and on a Form 990-PF Part VIII's — 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

  • 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. 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, LINE 3
DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE.
PART I, LINES 4A-B
THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: JO ANN ESCASA-HAIGH - $ 811,814 JEREMY ZOCH - $ 158,766 SCOTT RUSK - $ 458,432 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: JO ANN ESCASA-HAIGH - $ 603,250 JEREMY ZOCH - $ 505,924 BRIAN LEE HELLELAND - $ 133,676 JIM WATSON, ESQ - $ 64,477 JIM MARTIN - $ 52,013 SCOTT RUSK - $ 43,076 EILEEN HAUBL - $ 12,921 AMY DAUGHERTY - $ 551
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

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • 20TH STREET SURGERY LLC

    AMBULATORY SURGERY CENTER · CA

  • BRIDGEPORT MEDICAL IMAGING LLC (BMI)

    IMAGING - DIAGNOSTICS · OR · general or managing partner

  • BROADWAY IMAGING LLC

    MEDICAL IMAGING · MT · general or managing partner

  • CANBY MEDICAL CENTER I LLC

    REAL ESTATE - MOB · OR · general or managing partner

  • CENTER FOR MEDICAL IMAGING LLC (CMI)

    IMAGING - DIAGNOSTICS · OR · general or managing partner

  • CLACKAMAS RADIATION ONCOLOGY CENTER LLC

    RADIATION ONCOLOGY · OR · general or managing partner

  • COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY

    RELATED · HEALTHCARE · CA · 50% owned · share of income -$275,677 · share of assets $3,439,727 · general or managing partner

    Directly controlled by SJO

  • COVENANT HIGH PLAINS SURGERY CENTER LLC

    HEALTHCARE · PA · general or managing partner

  • COVENANT PARK PHASE I VENTURE LLC

    REAL ESTATE · TX

  • CSS JV LLC

    AMBULATORY SURGERY CENTER · OR

  • FIRST HILL SURGERY CENTER LLC

    AMBULATORY SURGERY CENTER · WA · general or managing partner

  • FULLERTON SURGICAL CENTER LP

    AMBULATORY SURGERY CENTER · CA · general or managing partner

  • GREATER VALLEY MEDICAL BUILDING LP

    REAL ESTATE - MOB · CA · general or managing partner

  • HERITAGE INVESTMENT GROUP I LLC

    INVESTMENTS · CA

  • IMAGING ASSOCIATES LLC

    MEDICAL IMAGING · AK · general or managing partner

  • LSC REAL PROPERTY LLC

    REAL ESTATE · TX · general or managing partner

  • METHODIST DIAGNOSTIC IMAGING

    HEALTHCARE · TX · general or managing partner

  • MISSION VIEJO PARTNERS II LLC

    REAL ESTATE - MOB · CA · general or managing partner

  • NORTH OC IMAGING JV HOLDINGS LLC

    HEALTHCARE · CA

  • OREGON ADVANCED IMAGING LLC

    MEDICAL IMAGING · OR · general or managing partner

  • PAVILION SURGERY CENTER LLC

    RELATED · AMBULATORY SURGERY CENTER · CA · 51% owned · share of income $4,501,685 · share of assets $4,385,999

    Directly controlled by SJO

  • PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC

    MEDICAL EQUIPMENT · WA · general or managing partner

  • PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC

    MEDICAL IMAGING · WA · general or managing partner

  • PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO

    INVESTMENTS · WA

  • PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC

    MEDICAL · AL

  • PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC

    MEDICAL · AL · general or managing partner

  • PROVIDENCE ALASKA HOUSE I OWNER LP

    SUPPORTIVE HOUSING · AK

  • PROVIDENCE HOUSE OAKLAND LP

    SUPPORTIVE HOUSING · CA · general or managing partner

  • PROVIDENCE IMAGING CENTER JOINT VENTURE

    MEDICAL IMAGING · AK

  • PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO

    EXCLUDED · INVESTMENTS · WA · 5.21% owned · share of income $11,877,795 · share of assets $171,927,287

    Directly controlled by PHS WA

  • PROVIDENCE SURGERY CENTER LLC

    AMBULATORY SURGERY CENTER · MT

  • PROVIDENCEUSP SPOKANE SURGERY CENTERS LLC

    AMBULATORY SURGERY CENTER · WA

  • PROVIDENCEUSP SURGERY CTRS LLC

    AMBULATORY SURGERY CENTER · CA

  • RADIATION THERAPY INNOVATIONS LLC

    HEALTHCARE · WA · general or managing partner

  • RIVERSIDE HEALTHCARE

    HEALTHCARE · MN · general or managing partner

  • ST JOSEPH PHYSICIAN VENTURES I LLC

    RELATED · REAL ESTATE · CA · 65.34% owned · share of income $50,913 · share of assets $13,744,324 · general or managing partner

    Directly controlled by SJO

  • ST JOSEPHSATELLITE DIALYSIS CENTERS LLC

    RELATED · HEALTHCARE · CA · 60.77% owned · share of income $1,175,414 · share of assets $4,739,311

    Directly controlled by SJO

  • ST JUDE SURGICAL CENTERS LLC

    AMBULATORY SURGERY CENTER · CA · general or managing partner

  • ST PETER-SOUTH SOUND REGIONAL MRI CENTER

    MEDICAL IMAGING · WA · general or managing partner

  • SURGERY CENTER AT TANASBOURNE LLC

    AMBULATORY SURGERY CENTER · KS · general or managing partner

  • THE MADISON SPOKANE INN LLC

    HOTEL SERVICES · WA · general or managing partner

  • WON-ONC LLC

    REAL ESTATE - MOB · WA · general or managing partner

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • 1221 MADISON STREET OWNERS ASSOC

    C · OWNERS' ASSOCIATION · WA

  • ADVATA INC (FKA KENSCI INC)

    C · HEALTHCARE · WA

  • AMERICAN UNITY GROUP LTD

    C · CAPTIVE INSURANCE · BD

  • AYIN HEALTH HOLDINGS INC

    C · HEALTHCARE · DE

  • AYIN HEALTH SOLUTIONS INC

    C · HEALTHCARE · OR

  • BOURGET HEALTH SERVICES INC

    C · CLINICAL/MEDICAL LAB · WA

  • CARON CORPORATION

    C · MEDICAL PHYSICIAN SERVICE · MT

  • CLOUD 21 LIMITED

    C · HEALTHCARE · UK

  • ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA

    S · HEALTHCARE · CA

  • HCSA PROPERTIES LLC

    C · REAL ESTATE RENTAL · WA

  • KENSCI ASIA PACIFIC PTE LTD

    C · HEALTHCARE · SN

  • KENSCI TECH INDIA PRIVATE LIMITED

    C · HEALTHCARE · IN

  • LUBBOCK METHODIST HOSP PRACTICE MGMT

    C · INACTIVE · TX

  • LUBBOCK METHODIST HOSPITAL SVCS

    C · HEALTHCARE · TX

  • MEDICAL SPECIALTIES MANAGERS INC

    C · HEALTHCARE · WA

  • MISSION VIEJO MEDICAL VENTURES INC

    C · HEALTHCARE · CA

  • PHN HOLDINGS

    C · STRATEGIC PLANNING SERVICES · CA

  • PRAIA HEALTH INC

    C · HEALTHCARE · DE

  • PROVIDENCE GLOBAL CENTER LLP

    C · IT SVCS · IN

  • PROVIDENCE HEALTH CARE VENTURES INC

    C · CLINICAL/MEDICAL LAB · WA

  • PROVIDENCE HEALTH NETWORK

    C · PREPAID HEALTHCARE · CA

  • PROVIDENCE PARTNERS HOLDINGS INC

    C · INVESTMENT · DE

  • PROVIDENCE PHYSICIAN SERVICES CO

    C · HEALTHCARE · WA

  • PROVIDENCE ST JOSEPH HEALTH NETWORK

    C · HEALTHCARE · CA

  • PROVSOURCE

    C · HEALTHCARE · DE

  • ST JOSEPH HEALTH

    C · HOLDING COMPANY · CA

  • ST JOSEPH HEALTH SOURCE INC

    C · HEALTHCARE · CA

  • ST JOSEPH MEDICAL PLAZA ASSOCIATION

    C · CONDO ASSOCIATION · CA · 78.37% owned · share of income $3,101,360 · share of assets $376,608

    Directly controlled by SJO

  • ST JOSEPH PROF SVCS ENTERPRSES INC

    C · HEALTHCARE · CA

  • TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)

    C · HOLDING COMPANY · DE

  • TEGRIA INSIGHTS GROUP HOLDINGS INC

    C · HOLDING COMPANY · WA

  • TEGRIA INSIGHTS GROUP INC

    C · HEALTHCARE · WA

  • TEGRIA PRODUCTS GROUP INC

    C · HOLDING COMPANY · DE

  • TEGRIA RCM GROUP US INC

    C · HOLDING COMPANY · DE

  • TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC)

    C · HOLDING COMPANY · DE

  • TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)

    C · HOLDING COMPANY · DE

  • TEGRIA SERVICES GROUP-CAN INC

    C · HEALTHCARE · CA

  • TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC)

    C · HEALTHCARE · WI

  • TRUSANA INC

    C · HEALTHCARE · DE

  • VINSERRA INC

    C · INVESTMENT · CA

  • WEIGHT LOSS INC (FKA HMR WEIGHT MANAGEMENT SERVICES CORP)

    C · HEALTHCARE · WA

Provenance

Return type
form_990
Tax year
2023
Filed
12 November 2024
IRS schema version
2023v5.1
Source object
202433179349307563

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