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Nonprofiteer
← THE PROVIDENCE CENTER INC

Form 990 for tax year 2024

Filed by THE PROVIDENCE CENTER INC.

Totals

Total revenue
$75,834,628
Total expenses
$66,130,483
Contributions and grants received
$1,958,051
Grants paid
$0
Program services expenses (Part IX)
$59,517,434
Management and general expenses
$6,613,049
Fundraising expenses
$0
Program service expenses (Part III)
$59,517,434

Program services were 90.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MICHAEL E WAGNER MD

    TRUSTEE - PRESIDENT/CEO/CNE

    Total calculated
    $2,192,482
    From this org
    $0
    From related orgs
    $2,019,519
    Other
    $172,963
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $1,242,401 related
    Bonus
    $0 + $766,509 related
    Other
    $0 + $10,609 related
    Deferred
    $0 + $130,552 related
    Nontaxable benefits
    $0 + $42,411 related
    Filer's total
    $0 + $2,192,482 related

  • JAMES E FANALE MD

    FORMER OFFICER

    Total calculated
    $1,158,470
    From this org
    $0
    From related orgs
    $1,158,470
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $1,158,470 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $1,158,470 related

  • MARY MARRAN

    TRUSTEE - President/COO/BH

    Total calculated
    $905,841
    From this org
    $0
    From related orgs
    $803,653
    Other
    $102,188
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $625,143 related
    Bonus
    $0 + $175,418 related
    Other
    $0 + $3,092 related
    Deferred
    $0 + $81,482 related
    Nontaxable benefits
    $0 + $20,706 related
    Filer's total
    $0 + $905,841 related

  • GHULAM SURTI MD

    TRUSTEE - SVP & CMO

    Total calculated
    $807,352
    From this org
    $0
    From related orgs
    $734,361
    Other
    $72,991
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $561,489 related
    Bonus
    $0 + $171,280 related
    Other
    $0 + $1,592 related
    Deferred
    $0 + $37,950 related
    Nontaxable benefits
    $0 + $35,041 related
    Filer's total
    $0 + $807,352 related

  • STEPHEN E BURKE

    VP OF FINANCE

    Total calculated
    $323,636
    From this org
    $0
    From related orgs
    $304,918
    Other
    $18,718
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $237,455 related
    Bonus
    $0 + $65,959 related
    Other
    $0 + $1,504 related
    Deferred
    $0 + $9,167 related
    Nontaxable benefits
    $0 + $9,551 related
    Filer's total
    $0 + $323,636 related

  • JILLIAN ROY MSN RN QMHP

    TRUSTEE - PRESIDENT

    Total calculated
    $278,334
    From this org
    $241,002
    From related orgs
    $0
    Other
    $37,332
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $190,354
    Bonus
    $50,491
    Other
    $157
    Deferred
    $7,448
    Nontaxable benefits
    $29,884
    Filer's total
    $278,334

  • JAMIL CHAUDHRY MD

    PSYCHIATRIST

    Total calculated
    $275,692
    From this org
    $236,571
    From related orgs
    $0
    Other
    $39,121
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $235,588
    Bonus
    $0
    Other
    $983
    Deferred
    $12,016
    Nontaxable benefits
    $27,105
    Filer's total
    $275,692

  • PAUL WALLACE MD

    MEDICAL DIRECTOR

    Total calculated
    $269,104
    From this org
    $230,012
    From related orgs
    $0
    Other
    $39,092
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $228,378
    Bonus
    $1,429
    Other
    $205
    Deferred
    $11,526
    Nontaxable benefits
    $27,566
    Filer's total
    $269,104

  • BENJAMIN R ISAIAH JR MS

    COO

    Total calculated
    $255,758
    From this org
    $238,266
    From related orgs
    $0
    Other
    $17,492
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $187,124
    Bonus
    $50,899
    Other
    $243
    Deferred
    $7,469
    Nontaxable benefits
    $10,023
    Filer's total
    $255,758

  • SAJID M CHOUDHRY MD

    PSYCHIATRIST

    Total calculated
    $245,321
    From this org
    $228,851
    From related orgs
    $0
    Other
    $16,470
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $227,935
    Bonus
    $0
    Other
    $916
    Deferred
    $6,836
    Nontaxable benefits
    $9,634
    Filer's total
    $245,321

  • MATTHEW MELLO PA

    PHYSICIAN ASSITANT

    Total calculated
    $189,165
    From this org
    $170,479
    From related orgs
    $0
    Other
    $18,686
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $165,342
    Bonus
    $5,000
    Other
    $137
    Deferred
    $8,489
    Nontaxable benefits
    $10,197
    Filer's total
    $189,165

  • JEANNETTE SORACE-BURTON RN

    NURSE PRESCRIBER

    Total calculated
    $181,479
    From this org
    $175,747
    From related orgs
    $0
    Other
    $5,732
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $165,543
    Bonus
    $10,000
    Other
    $204
    Deferred
    $5,163
    Nontaxable benefits
    $569
    Filer's total
    $181,479

  • JAMES A BOTVIN

    CHAIRMAN - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • DONALD R BARBEAU

    VICE-CHAIRMAN - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • JANA M PLANKA

    TREASURER - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • FRANK CASALE JR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • MARGUERITE L CHADWICK

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • WALTER R CRADDOCK ESQ CFP

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • MICHAEL MAYNARD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • NICKI SAHLIN PHD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • JOEL STARK

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART VII AND SCHEDULE J
IN ACCORDANCE WITH INTERNAL REVENUE SERVICE FORM 990 RULES, REGULATIONS AND INSTRUCTIONS, THE COMPENSATION REPORTED IN CORE FORM, PART VII AND SCHEDULE J, PART II OF THIS FORM 990 IS DERIVED FROM 2024 FORMS W-2 AND FORMS 1099 (IF APPLICABLE).
SCHEDULE J, PART I; QUESTION 4A
THE FOLLOWING INDIVIDUAL INCLUDED IN SCHEDULE J, PART II RECEIVED SEVERANCE DURING CALENDAR YEAR 2024 WHICH WAS INCLUDED IN HIS 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JAMES E. FANALE, M.D, $1,158,470.
SCHEDULE J, PART I; QUESTION 4B
THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THESE UNVESTED BENEFIT AMOUNTS. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED THEIR 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MICHAEL E. WAGNER, M.D., $113,302 and mary marran, $51,499.
SCHEDULE J, PART I; QUESTION 6A & 6B
THE EXECUTIVE COMPENSATION PACKAGE FOR VARIOUS INDIVIDUALS REPORTED ON THIS FORM 990 CONSISTS OF BOTH A FIXED SALARY AND ADDITIONAL AT-RISK COMPENSATION THAT IS BASED ON SEVERAL QUALITATIVE AND QUANTITATIVE COMPONENTS. THE AT-RISK COMPENSATION IS COMPRISED OF BOTH SHORT-TERM AND LONG-TERM FACTORS AS FOLLOWS. THE SHORT-TERM INCENTIVE PROGRAM PROVIDES AN OPPORTUNITY FOR PROGRAM PARTICIPANTS TO EARN AN INCENTIVE AWARD BASED ON THE ACHIEVEMENT OF CRITICAL STRETCH GOALS THAT RECOGNIZE PERFORMANCE ABOVE EXPECTATIONS. THESE GOALS ARE MEASURED FOR EACH FISCAL PERIOD IN THE FOLLOWING CRITICAL AREAS: QUALITY, FINANCIAL AND PATIENT SATISFACTION. THE LONG-TERM INCENTIVE PROGRAM PROVIDES AN OPPORTUNITY FOR PROGRAM PARTICIPANTS TO EARN AN INCENTIVE AWARD BASED ON THE ACCOMPLISHMENT OF CRITICAL MULTI-YEAR SYSTEM PERFORMANCE OBJECTIVES. AWARDS ARE EARNED BY MEASURING SYSTEM PERFORMANCE OVER THREE-YEAR OVERLAPPING PERFORMANCE PERIODS AND ARE MEASURED IN REFERENCE TO GOALS IN THE FOLLOWING CRITICAL AREAS: NET INCOME FROM OPERATIONS, MARKET SHARE, PATIENT SATISFACTION AND STRATEGIC OBJECTIVE.
SCHEDULE J, PART I; QUESTION 7
CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2024 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

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.

Provenance

Return type
form_990
Tax year
2024
IRS schema version
2024v5.2
Source object
202622299349301772

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