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Nonprofiteer
← PROVIDENCE HEALTH PLAN

Form 990 for tax year 2024

Filed by PROVIDENCE HEALTH PLAN.

Totals

Total revenue
$2,620,445,794
Total expenses
$2,680,874,160
Contributions and grants received
$0
Grants paid
$517,083
Program services expenses (Part IX)
$2,494,125,710
Management and general expenses
$186,748,450
Fundraising expenses
$0
Program service expenses (Part III)
$2,494,125,710

Program services were 93.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DONALD ANTONUCCI

    PRESIDENT

    Total calculated
    $2,298,922
    From this org
    $0
    From related orgs
    $2,047,394
    Other
    $251,528
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $853,012 related
    Bonus
    $0 + $1,134,592 related
    Other
    $0 + $59,790 related
    Deferred
    $0 + $230,724 related
    Nontaxable benefits
    $0 + $20,804 related
    Filer's total
    $0 + $2,298,922 related

  • RHONDA MEDOWS MD

    CHAIR

    Total calculated
    $1,213,701
    From this org
    $0
    From related orgs
    $1,213,701
    Other
    $0
    Hours/week
    1 + 2 related

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $1,213,701 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $1,213,701 related

  • ROBERT A GLUCKMAN

    CMO HEALTH PLAN - THRU 1/24

    Total calculated
    $1,169,349
    From this org
    $0
    From related orgs
    $1,144,222
    Other
    $25,127
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $219,547 related
    Other
    $0 + $924,675 related
    Deferred
    $0 + $22,592 related
    Nontaxable benefits
    $0 + $2,535 related
    Filer's total
    $0 + $1,169,349 related

  • BRADLEY GARRIGUES

    CHIEF GROWTH OFF. PHP

    Total calculated
    $1,055,179
    From this org
    $0
    From related orgs
    $945,691
    Other
    $109,488
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $374,196 related
    Bonus
    $0 + $505,903 related
    Other
    $0 + $65,592 related
    Deferred
    $0 + $93,715 related
    Nontaxable benefits
    $0 + $15,773 related
    Filer's total
    $0 + $1,055,179 related

  • LINA SAADZOI

    TREASURER

    Total calculated
    $797,280
    From this org
    $0
    From related orgs
    $686,218
    Other
    $111,062
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $521,676 related
    Bonus
    $0 + $146,424 related
    Other
    $0 + $18,118 related
    Deferred
    $0 + $95,609 related
    Nontaxable benefits
    $0 + $15,453 related
    Filer's total
    $0 + $797,280 related

  • CHERYL MORRISON

    COO PHP

    Total calculated
    $734,022
    From this org
    $0
    From related orgs
    $712,233
    Other
    $21,789
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $484,741 related
    Bonus
    $0 + $226,375 related
    Other
    $0 + $1,117 related
    Deferred
    $0 + $15,525 related
    Nontaxable benefits
    $0 + $6,264 related
    Filer's total
    $0 + $734,022 related

  • MICHAEL MATHIAS

    CHIEF INFORMATION OFF. PHP

    Total calculated
    $680,355
    From this org
    $0
    From related orgs
    $580,386
    Other
    $99,969
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $456,562 related
    Bonus
    $0 + $110,260 related
    Other
    $0 + $13,564 related
    Deferred
    $0 + $85,897 related
    Nontaxable benefits
    $0 + $14,072 related
    Filer's total
    $0 + $680,355 related

  • GREG ZAMUDIO

    SECRETARY

    Total calculated
    $656,674
    From this org
    $0
    From related orgs
    $578,583
    Other
    $78,091
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $323,936 related
    Bonus
    $0 + $205,130 related
    Other
    $0 + $49,517 related
    Deferred
    $0 + $67,912 related
    Nontaxable benefits
    $0 + $10,179 related
    Filer's total
    $0 + $656,674 related

  • LAUREL SOOT

    CHIEF MEDICAL OFCR HEALTH PLAN

    Total calculated
    $565,792
    From this org
    $0
    From related orgs
    $500,543
    Other
    $65,249
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $391,398 related
    Bonus
    $0 + $73,819 related
    Other
    $0 + $35,326 related
    Deferred
    $0 + $52,132 related
    Nontaxable benefits
    $0 + $13,117 related
    Filer's total
    $0 + $565,792 related

  • SHANNON DROTNING

    MARKET PRESIDENT PHP

    Total calculated
    $535,258
    From this org
    $0
    From related orgs
    $501,538
    Other
    $33,720
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $223,644 related
    Bonus
    $0 + $276,184 related
    Other
    $0 + $1,710 related
    Deferred
    $0 + $21,565 related
    Nontaxable benefits
    $0 + $12,155 related
    Filer's total
    $0 + $535,258 related

  • SCOTT BURTON

    MARKET PRESIDENT PHP

    Total calculated
    $500,763
    From this org
    $0
    From related orgs
    $468,753
    Other
    $32,010
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $304,582 related
    Bonus
    $0 + $163,124 related
    Other
    $0 + $1,047 related
    Deferred
    $0 + $19,340 related
    Nontaxable benefits
    $0 + $12,670 related
    Filer's total
    $0 + $500,763 related

  • CARESSE SAKAGAWA

    CHIEF MARKETING AND PRODUCT OFF.

    Total calculated
    $440,410
    From this org
    $0
    From related orgs
    $420,239
    Other
    $20,171
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $276,333 related
    Bonus
    $0 + $118,409 related
    Other
    $0 + $25,497 related
    Deferred
    $0 + $12,193 related
    Nontaxable benefits
    $0 + $7,978 related
    Filer's total
    $0 + $440,410 related

  • MEGAN HEIAR

    CHIEF OF STAFF AYIN HEALTH SOLUTIONS

    Total calculated
    $431,681
    From this org
    $0
    From related orgs
    $411,496
    Other
    $20,185
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $372,990 related
    Bonus
    $0 + $36,581 related
    Other
    $0 + $1,925 related
    Deferred
    $0 + $17,462 related
    Nontaxable benefits
    $0 + $2,723 related
    Filer's total
    $0 + $431,681 related

  • LARRY BACA

    DIR., MEDICARE AND INDIVIDUAL SALES

    Total calculated
    $418,896
    From this org
    $0
    From related orgs
    $394,051
    Other
    $24,845
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $187,930 related
    Bonus
    $0 + $203,485 related
    Other
    $0 + $2,636 related
    Deferred
    $0 + $17,004 related
    Nontaxable benefits
    $0 + $7,841 related
    Filer's total
    $0 + $418,896 related

  • AARON BALS

    CHIEF COMPLIANCE/RISK OFFICER PHP

    Total calculated
    $381,584
    From this org
    $0
    From related orgs
    $350,116
    Other
    $31,468
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $303,124 related
    Bonus
    $0 + $44,984 related
    Other
    $0 + $2,008 related
    Deferred
    $0 + $27,877 related
    Nontaxable benefits
    $0 + $3,591 related
    Filer's total
    $0 + $381,584 related

  • ISIAAH CRAWFORD PHD

    DIRECTOR

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

  • JOSEPH BLANKENSHIP

    DIRECTOR

    Total calculated
    $45,381
    From this org
    $0
    From related orgs
    $45,381
    Other
    $0
    Hours/week
    0.5 + 1 related

  • BYRON SCOTT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1 related

  • CECILIA SUN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • GRACIELA GOMEZ COWGER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • KIMBERLEY GOODE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • MIKE ALEXANDER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 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

  • 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 3
DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS 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 A SEVERANCE PAYMENT DURING THE CURRENT YEAR: RHONDA MEDOWS, M.D. - $1,213,701 ROBERT A. GLUCKMAN - $514,147 NONQUALIFIED RETIREMENT PLAN 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: DONALD ANTONUCCI - $57,169 ROBERT A. GLUCKMAN - $155,278 BRADLEY GARRIGUES - $40,471 GREG ZAMUDIO - $47,817 LAUREL SOOT - $8,172 CARESSE SAKAGAWA - $472 AARON BALS - $1,333
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.

Provenance

Return type
form_990
Tax year
2024
Filed
10 November 2025
IRS schema version
2024v5.2
Source object
202503189349304135

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