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Nonprofiteer
← PACMED CLINICS

Form 990 for tax year 2023

Filed by PACMED CLINICS.

Totals

Total revenue
$304,688,650
Total expenses
$319,062,035
Contributions and grants received
$195,371
Grants paid
$268,675
Program service revenue
$301,279,924
Investment income
$2,480,082
Other revenue
$733,273
Total assets, end of year
$207,258,921
Total liabilities, end of year
$60,528,007
Net assets or fund balances, end of year
$146,730,914
Program services expenses (Part IX)
$297,726,628
Management and general expenses
$21,335,407
Fundraising expenses
$0
Program service expenses (Part III)
$297,726,628

Program services were 93.3% 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.

  • 1e · Government grants (contributions)

    $195,371

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $301,128,094 · related or exempt $301,128,094

  • 2b · Program service revenue: MOB RENTAL REVENUE

    total $151,830 · related or exempt $151,830

  • 3 · Investment income

    total $1,476,288 · unrelated business -$8,905 · excluded $1,485,193

  • 7a · Gross sales of assets other than inventory

    securities $2,974,252

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

    securities $1,970,458

  • 7c · Gain or loss

    securities $1,003,794

  • 7d · Net gain or loss

    total $1,003,794 · excluded $1,003,794

  • 11a · Other revenue: INTERAFFILIATE REVENUE

    total $422,272 · related or exempt $422,272

  • 11b · Other revenue: COST RECOVERIES

    total $128,567 · excluded $128,567

  • 11c · Other revenue: MEDICAL RECORDS

    total $102,513 · related or exempt $102,513

  • 11d · All other revenue

    total $79,921 · related or exempt $79,921

  • 11e · Other revenue, total

    $733,273

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $268,675 · program services $268,675

  • 7 · Other salaries and wages

    total $83,835,994 · program services $77,431,753 · management and general $6,404,241

  • 8 · Pension plan contributions

    total $1,990,528 · program services $1,838,471 · management and general $152,057

  • 9 · Other employee benefits

    total $1,221,993 · program services $1,128,645 · management and general $93,348

  • 10 · Payroll taxes

    total $5,373,024 · program services $4,962,578 · management and general $410,446

  • 11b · Fees: legal

    total $35,475 · program services $32,765 · management and general $2,710

  • 11f · Fees: investment management

    total $345,558 · management and general $345,558

  • 11g · Fees: other

    total $131,865,082 · program services $121,791,894 · management and general $10,073,188

  • 12 · Advertising and promotion

    total $1,415,536 · program services $1,307,403 · management and general $108,133

  • 13 · Office expenses

    total $980,301 · program services $905,416 · management and general $74,885

  • 14 · Information technology

    total $389,657 · program services $359,891 · management and general $29,766

  • 16 · Occupancy

    total $8,486,288 · program services $7,838,020 · management and general $648,268

  • 17 · Travel

    total $149,048 · program services $137,662 · management and general $11,386

  • 19 · Conferences, conventions and meetings

    total $359,022 · program services $331,596 · management and general $27,426

  • 20 · Interest

    total $2,532 · program services $2,339 · management and general $193

  • 22 · Depreciation, depletion and amortization

    total $3,787,639 · program services $3,498,301 · management and general $289,338

  • 23 · Insurance

    total $1,621,729 · program services $1,497,845 · management and general $123,884

  • 24a · Other expenses: SYSTEM COST ALLOCATION

    total $31,317,649 · program services $28,925,290 · management and general $2,392,359

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $22,457,224 · program services $22,457,224

  • 24c · Other expenses: PHYSICIAN EXPENSES

    total $21,218,753 · program services $21,218,753

  • 24d · Other expenses: UBTI TAXES

    total $3,750 · program services $3,464 · management and general $286

  • 24e · All other expenses

    total $1,936,578 · program services $1,788,643 · management and general $147,935

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $90,154,528 · end of year $106,843,208

  • 2 · Savings and temporary cash investments

    beginning of year $558,069 · end of year $580,274

  • 4 · Accounts receivable

    beginning of year $17,890,705 · end of year $6,462,627

  • 8 · Inventories for sale or use

    beginning of year -$2,332,379 · end of year $387,416

  • 9 · Prepaid expenses and deferred charges

    beginning of year $464,726 · end of year $74,139

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

    $58,202,571

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

    $43,483,236

  • 10c · Land, buildings and equipment, net

    beginning of year $17,218,988 · end of year $14,719,335

  • 11 · Investments: publicly traded securities

    beginning of year $54,518,721 · end of year $58,692,625

  • 15 · Other assets

    beginning of year $30,036,810 · end of year $19,499,297

  • 17 · Accounts payable and accrued expenses

    beginning of year $24,127,096 · end of year $16,675,831

  • 19 · Deferred revenue

    beginning of year $479,960 · end of year $517,924

  • 25 · Other liabilities

    beginning of year $56,190,788 · end of year $43,334,252

  • 27 · Net assets without donor restrictions

    beginning of year $127,712,324 · end of year $146,730,914

Mission and programs · 2023

Mission

OUR MISSION IS TO PROVIDE RESPECTFUL, HIGH-QUALITY, PATIENT-FOCUSED HEALTHCARE TO EACH PERSON AND TO THE COMMUNITIES WE SERVE. PACMED WELCOMES PATIENTS FROM THE WELL INSURED TO THOSE WHO CANNOT AFFORD HEALTHCARE.

Activities or mission (Part I)

RESPECTFUL, HIGH-QUALITY, PATIENT-FOCUSED HEALTHCARE.

  • SEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND.THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES.WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSPROVIDENCE CONTINUES TO EXECUTE ON OUR INTEGRATED STRATEGIC AND FINANCIAL PLAN, WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THE IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES AND REDUCE OUR CARBON FOOTPRINT IN THE COMMUNITIES WE SERVE. PROVIDENCE ADVANCES PROGRESS ON OUR CARBON NEGATIVE GOAL AND IN 2023 WE ESTIMATED THAT WE DECREASED EMISSIONS BY OVER 12 PERCENT COMPARED TO OUR 2019 BASELINE. IN ADDITION, OUR EFFORTS LED TO THE INTRODUCTION OF THE GREEN HOSPITALS ACT, LEGISLATION MODELED AFTER PROVIDENCE THAT WOULD PROVIDE CRITICAL FEDERAL FUNDING TO WEATHERIZE AND MODERNIZE HEALTH CARE FACILITIES. PROVIDENCE COMPLETED A COMPREHENSIVE CLIMATE RESILIENCE PLAN IN ALIGNMENT WITH OUR COMMITMENT TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES CLIMATE PLEDGE. WE CONTINUE TO REDUCE GREENHOUSE GAS EMISSIONS WITH A FOCUS ON LED LIGHTING UPGRADES, WATER CONSERVATION, MORE EFFICIENT DELIVERY OF NITROUS OXIDE GAS DURING ANESTHESIA, AND ADVANCING OUR WASTE OPTIMIZATION WORK ACROSS ALL HOSPITALS AND CLINICS. PROGRAM SERVICE ACCOMPLISHMENTSCARE FOR MEDICALLY UNDERSERVED OR UNDERINSURED.PACIFIC MEDICAL CENTERS (PACMED) HAS A MISSION TO ADVOCATE, EDUCATE AND PROVIDE EXTRAORDINARY CARE TO ALL, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED OR UNABLE TO PAY FOR HEALTH CARE SERVICES.WE SERVE THIS POPULATION IN MANY WAYS.PACMED HAS A LONG-STANDING COMMITMENT TO PROVIDING CARE FOR UNINSURED AND UNDERINSURED PATIENTS IN KING, PIERCE, AND SNOHOMISH COUNTIES. THROUGHOUT OUR HISTORY, WE HAVE FOCUSED ON DELIVERING TOP SPECIALTY SERVICES THAT ARE MOST UTILIZED BY THESE INDIVIDUALS, INCLUDING ONCOLOGY, OTOLARYNGOLOGY, UROLOGY, OPHTHALMOLOGY, AND PULMONOLOGY.AS A FOUNDING MEMBER OF PROJECT ACCESS NORTHWEST, WE ACTIVELY SUPPORT THE PROVISION OF PRO BONO AND LOW-COST SPECIALTY HEALTHCARE TO THE UNINSURED.WE ARE DEDICATED TO SUPPORTING MEDICAL EDUCATION AND TRAINING THE NEXT GENERATION OF PHYSICIANS AND ALLIED HEALTH PROFESSIONALS, SUCH AS NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS. WITH OVER 50 PROVIDERS ACTIVELY ENGAGED IN TEACHING, MORE THAN HALF OF THEM HOLD CLINICAL FACULTY STATUS AT THE UNIVERSITY OF WASHINGTON. WE ALSO PARTICIPATE IN EXTERN PROGRAMS FOR MEDICAL ASSISTANT AND MEDICAL TECHNICIAN PROGRAMS. OUR COMMITMENT TO MEDICAL TEACHING REFLECTS OUR BELIEF IN COMMUNITY SERVICE, EXCELLENCE, CONTINUOUS LEARNING, AND RESPONSIBLE RESOURCE MANAGEMENT.PACMED IS INVESTING IN HEALTH EQUITY AS WE RECOGNIZE THAT VARIOUS FACTORS, INCLUDING RACE, ETHNICITY, GENDER IDENTITIES, SEXUAL ORIENTATION, AGE, PHYSICAL AND MENTAL ABILITY, RELIGION, AND SOCIOECONOMIC STATUS, CONTRIBUTE TO HEALTH DISPARITIES. WE FIRMLY BELIEVE THAT EVERYONE SHOULD RECEIVE HEALTHCARE THAT ACKNOWLEDGES AND ACTIVELY WORKS TO COUNTER THESE INEQUITIES. TO THIS END, WE HAVE ESTABLISHED A HEALTH EQUITY COUNCIL AND FORMED A DEDICATED HEALTH EQUITY TEAM. THEY IDENTIFY HEALTH DISPARITIES WITHIN OUR PATIENT POPULATION, STRATEGIZE SOLUTIONS, AND CONDUCT OUTREACH TO ENSURE EQUITABLE ACCESS TO HEALTHCARE FOR ALL.AT PACMED, OUR MISSION IS DRIVEN BY THE PRINCIPLES OF PROVIDING QUALITY CARE TO THE UNDERSERVED, SUPPORTING MEDICAL EDUCATION, AND STRIVING FOR HEALTH EQUITY.

    Expenses $297,726,628 · Grants $268,675 · Revenue $301,884,630

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

Listed in Part VII

  • ERIK WEXLER

    PRESIDENT/CEO

    Total calculated
    $5,616,067
    From this org
    $0
    From related orgs
    $5,154,374
    Other
    $461,693
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,601,628 related
    Bonus
    $0 + $2,527,326 related
    Other
    $0 + $1,025,420 related
    Deferred
    $0 + $426,357 related
    Nontaxable benefits
    $0 + $35,336 related
    Filer's total
    $0 + $5,616,067 related

  • GREG HOFFMAN

    EVP & CFO/TREASURER

    Total calculated
    $3,539,549
    From this org
    $0
    From related orgs
    $3,204,594
    Other
    $334,955
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,088,176 related
    Bonus
    $0 + $2,008,809 related
    Other
    $0 + $107,609 related
    Deferred
    $0 + $297,744 related
    Nontaxable benefits
    $0 + $37,211 related
    Filer's total
    $0 + $3,539,549 related

  • 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

  • ANNA NEWSOM

    EVP & CHIEF LEGAL OFFICER/SECRETARY

    Total calculated
    $2,329,749
    From this org
    $0
    From related orgs
    $1,917,204
    Other
    $412,545
    Hours/week
    1 + 64 related

    Schedule J breakdown matched by us

    Base
    $0 + $853,122 related
    Bonus
    $0 + $1,025,045 related
    Other
    $0 + $39,037 related
    Deferred
    $0 + $407,728 related
    Nontaxable benefits
    $0 + $4,817 related
    Filer's total
    $0 + $2,329,749 related

  • JIM WATSON ESQ

    ASSISTANT 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

  • THOMAS LAMPERTI

    PHYSICIAN

    Total calculated
    $1,046,726
    From this org
    $927,051
    From related orgs
    $0
    Other
    $119,675
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $778,410
    Bonus
    $0
    Other
    $148,641
    Deferred
    $78,365
    Nontaxable benefits
    $41,310
    Filer's total
    $1,046,726

  • CHAD MARION

    PHYSICIAN

    Total calculated
    $1,017,445
    From this org
    $906,080
    From related orgs
    $0
    Other
    $111,365
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $783,208
    Bonus
    $0
    Other
    $122,872
    Deferred
    $74,946
    Nontaxable benefits
    $36,419
    Filer's total
    $1,017,445

  • MELINDA LIU

    PHYSICIAN

    Total calculated
    $994,707
    From this org
    $955,573
    From related orgs
    $0
    Other
    $39,134
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $954,595
    Bonus
    $0
    Other
    $978
    Deferred
    $33,590
    Nontaxable benefits
    $5,544
    Filer's total
    $994,707

  • 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

  • DAVID WHITE

    PHYSICIAN

    Total calculated
    $935,528
    From this org
    $832,545
    From related orgs
    $0
    Other
    $102,983
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $651,304
    Bonus
    $0
    Other
    $181,241
    Deferred
    $70,146
    Nontaxable benefits
    $32,837
    Filer's total
    $935,528

  • VIKRAM DABHI

    PHYSICIAN

    Total calculated
    $888,583
    From this org
    $779,817
    From related orgs
    $0
    Other
    $108,766
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $576,213
    Bonus
    $25,986
    Other
    $177,618
    Deferred
    $76,947
    Nontaxable benefits
    $31,819
    Filer's total
    $888,583

  • JOHN WHIPPLE

    FRMR SECRETARY

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

    Schedule J breakdown matched by us

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

  • SCOTT COMBS

    CFO SERVICE AREA

    Total calculated
    $451,529
    From this org
    $0
    From related orgs
    $385,915
    Other
    $65,614
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $334,079 related
    Bonus
    $0 + $40,655 related
    Other
    $0 + $11,181 related
    Deferred
    $0 + $30,329 related
    Nontaxable benefits
    $0 + $35,285 related
    Filer's total
    $0 + $451,529 related

  • 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

  • MARY LYONS PHD

    DIRECTOR

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

  • MICHAEL MURPHY

    BOARD CHAIR

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

  • CHARLES SORENSON MD

    DIRECTOR

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

  • RICHARD BLAIR

    DIRECTOR

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

  • ERIC SPRUNK

    DIRECTOR

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

  • MARY BETH KINGSTON

    DIRECTOR

    Total calculated
    $40,000
    From this org
    $0
    From related orgs
    $40,000
    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, 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. 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. 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 2023: JO ANN ESCASA-HAIGH - $ 811,814 JOHN WHIPPLE - $ 539,282 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 - $366,950 GREG HOFFMAN - $80,207 JO ANN ESCASA-HAIGH - $603,250 JIM WATSON, ESQ - $64,477 THOMAS LAMPERTI - $29,565 CHAD MARION- $46,583 JIM MARTIN - $52,013 DAVID WHITE - $21,462 VIKRAM DABHI - $31,237 SCOTT COMBS - $9,410
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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2023
Filed
30 October 2024
IRS schema version
2023v5.1
Source object
202443169349306229

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