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Nonprofiteer
← PROVIDENCE MEDICAL INSTITUTE

Form 990 for tax year 2024

Filed by PROVIDENCE MEDICAL INSTITUTE.

Totals

Total revenue
$182,596,388
Total expenses
$182,596,388
Contributions and grants received
$126,521
Grants paid
$0
Program service revenue
$181,760,337
Investment income
-$7,557
Other revenue
$717,087
Total assets, end of year
$71,171,577
Total liabilities, end of year
$200,951,419
Net assets or fund balances, end of year
-$129,779,842
Program services expenses (Part IX)
$164,609,672
Management and general expenses
$17,986,716
Fundraising expenses
$0
Program service expenses (Part III)
$164,609,672

Program services were 90.1% 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)

    $126,521

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $124,047,330 · related or exempt $124,047,330

  • 2b · Program service revenue: INTER-AFFILIATE REV.

    total $54,893,037 · related or exempt $54,893,037

  • 2c · Program service revenue: OTHER PATIENCE SERVICE

    total $2,672,452 · related or exempt $2,672,452

  • 2d · Program service revenue: JV INCOME

    total $147,518 · related or exempt $6,028 · unrelated business $141,490

  • 7a · Gross sales of assets other than inventory

    other assets $22,009

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

    other assets $29,566

  • 7c · Gain or loss

    other assets -$7,557

  • 7d · Net gain or loss

    total -$7,557 · excluded -$7,557

  • 11a · Other revenue: PHYS. ADMINISTRATION

    total $717,087 · related or exempt $717,087

  • 11e · Other revenue, total

    $717,087

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $42,366,207 · program services $37,909,407 · management and general $4,456,800

  • 8 · Pension plan contributions

    total $2,417,922 · program services $2,163,564 · management and general $254,358

  • 9 · Other employee benefits

    total $10,448,942 · program services $9,349,744 · management and general $1,099,198

  • 10 · Payroll taxes

    total $3,300,550 · program services $2,953,342 · management and general $347,208

  • 11b · Fees: legal

    total $658,964 · program services $589,643 · management and general $69,321

  • 11c · Fees: accounting

    total $94,295 · program services $84,375 · management and general $9,920

  • 11g · Fees: other

    total $95,319,646 · program services $85,292,300 · management and general $10,027,346

  • 12 · Advertising and promotion

    total $604,510 · program services $540,917 · management and general $63,593

  • 13 · Office expenses

    total $1,330,144 · program services $1,190,217 · management and general $139,927

  • 14 · Information technology

    total $21,603 · program services $19,330 · management and general $2,273

  • 16 · Occupancy

    total $7,908,832 · program services $7,076,846 · management and general $831,986

  • 17 · Travel

    total $107,296 · program services $96,009 · management and general $11,287

  • 19 · Conferences, conventions and meetings

    total $384,804 · program services $344,324 · management and general $40,480

  • 20 · Interest

    total $6,737 · program services $6,028 · management and general $709

  • 22 · Depreciation, depletion and amortization

    total $1,735,939 · program services $1,553,323 · management and general $182,616

  • 23 · Insurance

    total $1,792,634 · program services $1,604,054 · management and general $188,580

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $11,614,950 · program services $11,614,950

  • 24b · Other expenses: LICENSES AND TAXES

    total $318,804 · program services $285,267 · management and general $33,537

  • 24c · Other expenses: DUES & SUBSCRIPTIONS

    total $274,222 · program services $245,375 · management and general $28,847

  • 24d · Other expenses: UBI TAXES PAID

    total $121,864 · program services $109,044 · management and general $12,820

  • 24e · All other expenses

    total $1,767,523 · program services $1,581,613 · management and general $185,910

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $12,079 · end of year $12,079

  • 4 · Accounts receivable

    beginning of year $16,615,599 · end of year $5,371,118

  • 9 · Prepaid expenses and deferred charges

    beginning of year $318,565 · end of year $972,568

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

    $37,891,312

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

    $29,820,709

  • 10c · Land, buildings and equipment, net

    beginning of year $7,040,778 · end of year $8,070,603

  • 13 · Investments: program-related

    beginning of year $4,537,556 · end of year $4,519,024

  • 14 · Intangible assets

    beginning of year $344,533 · end of year $113,333

  • 15 · Other assets

    beginning of year $52,789,503 · end of year $52,112,852

  • 17 · Accounts payable and accrued expenses

    beginning of year $22,111,138 · end of year $20,854,117

  • 19 · Deferred revenue

    beginning of year $946,088 · end of year $744,342

  • 25 · Other liabilities

    beginning of year $133,488,192 · end of year $179,352,960

  • 27 · Net assets without donor restrictions

    beginning of year -$74,886,805 · end of year -$129,779,842

Mission and programs · 2024

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.

Activities or mission (Part I)

SEE SCHEDULE O

  • SEE SCHEDULE O

    Expenses $164,609,672 · Revenue $182,477,424

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • ERIK WEXLER

    DIRECTOR

    Total calculated
    $9,125,384
    From this org
    $0
    From related orgs
    $8,590,356
    Other
    $535,028
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,968,391 related
    Bonus
    $0 + $6,173,417 related
    Other
    $0 + $448,548 related
    Deferred
    $0 + $519,036 related
    Nontaxable benefits
    $0 + $15,992 related
    Filer's total
    $0 + $9,125,384 related

  • ALI SANTORE

    DIRECTOR

    Total calculated
    $2,696,358
    From this org
    $0
    From related orgs
    $2,420,269
    Other
    $276,089
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $873,865 related
    Bonus
    $0 + $1,415,886 related
    Other
    $0 + $130,518 related
    Deferred
    $0 + $247,193 related
    Nontaxable benefits
    $0 + $28,896 related
    Filer's total
    $0 + $2,696,358 related

  • SARA VAEZY

    DIRECTOR

    Total calculated
    $2,154,571
    From this org
    $0
    From related orgs
    $1,932,949
    Other
    $221,622
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $772,967 related
    Bonus
    $0 + $1,074,642 related
    Other
    $0 + $85,340 related
    Deferred
    $0 + $212,822 related
    Nontaxable benefits
    $0 + $8,800 related
    Filer's total
    $0 + $2,154,571 related

  • SUSAN HUANG

    PRESIDENT (PART YEAR)

    Total calculated
    $1,548,465
    From this org
    $0
    From related orgs
    $1,315,185
    Other
    $233,280
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $791,843 related
    Bonus
    $0 + $431,716 related
    Other
    $0 + $91,626 related
    Deferred
    $0 + $219,236 related
    Nontaxable benefits
    $0 + $14,044 related
    Filer's total
    $0 + $1,548,465 related

  • NATHAN HUSMANN

    FRMR OFF. CFO MANAGED CARE

    Total calculated
    $1,329,179
    From this org
    $0
    From related orgs
    $1,136,956
    Other
    $192,223
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $568,543 related
    Bonus
    $0 + $424,809 related
    Other
    $0 + $143,604 related
    Deferred
    $0 + $178,479 related
    Nontaxable benefits
    $0 + $13,744 related
    Filer's total
    $0 + $1,329,179 related

  • JILL DUPLECHAN

    DIRECTOR

    Total calculated
    $1,223,541
    From this org
    $0
    From related orgs
    $1,048,788
    Other
    $174,753
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $554,424 related
    Bonus
    $0 + $362,090 related
    Other
    $0 + $132,274 related
    Deferred
    $0 + $165,124 related
    Nontaxable benefits
    $0 + $9,629 related
    Filer's total
    $0 + $1,223,541 related

  • JIM WATSON ESQ

    SECRETARY

    Total calculated
    $1,084,453
    From this org
    $0
    From related orgs
    $955,923
    Other
    $128,530
    Hours/week
    0.5 + 54.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $494,455 related
    Bonus
    $0 + $358,832 related
    Other
    $0 + $102,636 related
    Deferred
    $0 + $110,879 related
    Nontaxable benefits
    $0 + $17,651 related
    Filer's total
    $0 + $1,084,453 related

  • ROBERT JUST III

    DIRECTOR

    Total calculated
    $978,847
    From this org
    $0
    From related orgs
    $871,971
    Other
    $106,876
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $485,475 related
    Bonus
    $0 + $294,054 related
    Other
    $0 + $92,442 related
    Deferred
    $0 + $87,881 related
    Nontaxable benefits
    $0 + $18,995 related
    Filer's total
    $0 + $978,847 related

  • DAVID MAST

    DIRECTOR

    Total calculated
    $934,904
    From this org
    $0
    From related orgs
    $824,952
    Other
    $109,952
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $462,238 related
    Bonus
    $0 + $287,869 related
    Other
    $0 + $74,845 related
    Deferred
    $0 + $104,730 related
    Nontaxable benefits
    $0 + $5,222 related
    Filer's total
    $0 + $934,904 related

  • SHERI FEENEY

    CFO (PART YEAR)

    Total calculated
    $768,446
    From this org
    $0
    From related orgs
    $664,848
    Other
    $103,598
    Hours/week
    11 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $374,397 related
    Bonus
    $0 + $238,689 related
    Other
    $0 + $51,762 related
    Deferred
    $0 + $89,685 related
    Nontaxable benefits
    $0 + $13,913 related
    Filer's total
    $0 + $768,446 related

  • TERESA DAVID

    COO FACEY

    Total calculated
    $524,914
    From this org
    $0
    From related orgs
    $477,827
    Other
    $47,087
    Hours/week
    27.5 + 27.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $387,839 related
    Bonus
    $0 + $40,500 related
    Other
    $0 + $49,488 related
    Deferred
    $0 + $42,978 related
    Nontaxable benefits
    $0 + $4,109 related
    Filer's total
    $0 + $524,914 related

  • PRASANNA MOHANTY

    PRESIDENT/DIRECTOR - THRU 3/24

    Total calculated
    $513,681
    From this org
    $0
    From related orgs
    $497,065
    Other
    $16,616
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $176,860 related
    Bonus
    $0 + $253,922 related
    Other
    $0 + $66,283 related
    Deferred
    $0 + $15,525 related
    Nontaxable benefits
    $0 + $1,091 related
    Filer's total
    $0 + $513,681 related

  • DONALD ANDERSON JR

    ASSISTANT SECRETARY FOR ENROLLMENT

    Total calculated
    $335,486
    From this org
    $0
    From related orgs
    $316,554
    Other
    $18,932
    Hours/week
    0.5 + 54.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $287,131 related
    Bonus
    $0 + $28,005 related
    Other
    $0 + $1,418 related
    Deferred
    $0 + $14,332 related
    Nontaxable benefits
    $0 + $4,600 related
    Filer's total
    $0 + $335,486 related

  • MELAYNE YOCUM

    CFO - THRU 4/24

    Total calculated
    $226,690
    From this org
    $0
    From related orgs
    $215,322
    Other
    $11,368
    Hours/week
    13.8 + 41.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $166,891 related
    Bonus
    $0 + $39,747 related
    Other
    $0 + $8,684 related
    Deferred
    $0 + $9,356 related
    Nontaxable benefits
    $0 + $2,012 related
    Filer's total
    $0 + $226,690 related

  • ANTONIO FERREY MD

    DIRECTOR

    Total calculated
    $144,375
    From this org
    $0
    From related orgs
    $144,375
    Other
    $0
    Hours/week
    0.5 + 1.5 related

  • ANNE FORD MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • CONNIE BARTLETT DO

    DIRECTOR - THRU 4/24

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • JAMES BENOIT DR

    DIRECTOR/CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • JEANNETTE CURRIE MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • KEITH MARTON MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • KIMBERLEY CHAN MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • MARK NEEDHAM MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • MARK PARDOE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • MICHAEL SUGARMAN MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • RAUL RUDY MARQUEZ MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 2 related

  • ROBERT ROSENBERG MD

    DIRECTOR (PART YEAR)

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • ROSCOE MARTER MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • WILLIAM BARCELONA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 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, 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

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 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. THESE REIMBURSEMENTS ARE NOT REPORTED AS TAXABLE COMPENSATION. 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. THIS BENEFIT IS CONSIDERED A TAXABLE BENEFIT AND IS INCLUDED ON THE EMPLOYEE'S FORM W-2. 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 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, LINE 4B
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 - $409,440 ALI SANTORE - $129,378 SARA VAEZY - $66,111 SUSAN HUANG - $67,485 NATHAN HUSMANN - $116,109 JILL DUPLECHAN - $124,458 JIM WATSON, ESQ - $77,014 ROBERT JUST III - $68,238 DAVID MAST - $67,849 SHERI FEENEY - $49,764 TERESA DAVID - $14,632 PRASANNA MOHANTY - $2,899 MELAYNE YOCUM - $3,796
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

No itemized grants to organizations 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
2024
Filed
7 November 2025
IRS schema version
2024v5.2
Source object
202533179349306313

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