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Nonprofiteer
← PROVIDENCE CHILDREN'S HEALTH FOUNDATION

Form 990 for tax year 2022

Filed by PROVIDENCE CHILDREN'S HEALTH FOUNDATION.

Totals

Total revenue
$2,670,985
Total expenses
$1,899,983
Contributions and grants received
$2,580,131
Grants paid
$1,456,310
Program service revenue
$0
Investment income
$633,006
Other revenue
-$542,152
Total assets, end of year
$31,691,797
Total liabilities, end of year
$1,827,705
Net assets or fund balances, end of year
$29,864,092
Program services expenses (Part IX)
$1,456,310
Management and general expenses
$164,351
Fundraising expenses
$279,322
Program service expenses (Part III)
$1,456,310

Program services were 76.6% 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

    $984,027

  • 1d · Related organizations

    $5,000

  • 1f · All other contributions, gifts and grants

    $1,591,104

  • 1g · Noncash contributions included above

    $16,818

  • 3 · Investment income

    total $633,183 · excluded $633,183

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

    securities $177

  • 7c · Gain or loss

    securities -$177

  • 7d · Net gain or loss

    total -$177 · excluded -$177

  • 8a · Fundraising events: gross income

    $135,444

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

    $984,027

  • 8b · Fundraising events: direct expenses

    $703,271

  • 8c · Net income from fundraising events

    total -$567,827 · excluded -$567,827

  • 9a · Gaming: gross income

    $25,675

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $25,675 · excluded $25,675

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $1,456,310 · program services $1,456,310

  • 11b · Fees: legal

    total $3,918 · management and general $1,280 · fundraising $2,638

  • 11f · Fees: investment management

    total $28,884 · management and general $28,884

  • 12 · Advertising and promotion

    total $730 · management and general $238 · fundraising $492

  • 13 · Office expenses

    total $8,126 · management and general $2,654 · fundraising $5,472

  • 16 · Occupancy

    total $100 · management and general $33 · fundraising $67

  • 17 · Travel

    total $306 · management and general $100 · fundraising $206

  • 24a · Other expenses: BAD DEBT

    total $215,112 · management and general $70,254 · fundraising $144,858

  • 24b · Other expenses: SPECIAL EVENTS

    total $2,772 · management and general $905 · fundraising $1,867

  • 24c · Other expenses: LICENCES AND TAXES

    total $2,440 · management and general $797 · fundraising $1,643

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $99 · management and general $32 · fundraising $67

  • 24e · All other expenses

    total $181,186 · management and general $59,174 · fundraising $122,012

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,094,144 · end of year $864,893

  • 3 · Pledges and grants receivable

    beginning of year $389,237 · end of year $91,216

  • 10c · Land, buildings and equipment, net

    beginning of year $25,000

  • 11 · Investments: publicly traded securities

    beginning of year $30,673,062 · end of year $25,201,836

  • 15 · Other assets

    beginning of year $8,983,662 · end of year $5,533,852

  • 17 · Accounts payable and accrued expenses

    beginning of year $262,811 · end of year -$98,280

  • 25 · Other liabilities

    beginning of year $5,633,786 · end of year $1,925,985

  • 27 · Net assets without donor restrictions

    beginning of year $8,813,036 · end of year $6,864,710

  • 28 · Net assets with donor restrictions

    beginning of year $26,455,472 · end of year $22,999,382

Mission and programs · 2022

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 $1,456,310 · Grants $1,456,310

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • DIANA FISHER

    EXECUTIVE DIRECTOR

    Total calculated
    $229,816
    From this org
    $0
    From related orgs
    $190,658
    Other
    $39,158
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $162,887 related
    Bonus
    $0 + $27,000 related
    Other
    $0 + $771 related
    Deferred
    $0 + $16,129 related
    Nontaxable benefits
    $0 + $23,029 related
    Filer's total
    $0 + $229,816 related

  • ANAMARIA HEFENEIDER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • ANGES ROMANAGII ALBERT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • BARBARA GAFFNEY

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • BLAKE HOWELLS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • DAVE RIANDA

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • DEBI STRACKE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • DIANE FRAIMAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • DONALD HANNA JR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • ELIZABETH MENASHE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • JEANNE DANIELSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • JOYCE ENDO MD

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • KORINE SUESS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • KRISTIN MEAGHER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • MARK KRALJ

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • MARY BEATTIE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • RITA DONNELLY

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • SAMANTHA PALHOW

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • SHELLEY DOHERTY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • STU PETERSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • TODD DENEFFE

    DIRECTOR

    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

  • 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. 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 ITS TAX EXEMPT PARENT, PROVIDENCE HEALTH & SERVICES - OREGON, 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. NO INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR.
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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • PCCF PROPERTIES LLC

    REAL ESTATE · OR · income $0 · assets $0

    Directly controlled by PROVIDENCE CHILDREN'S HEALTH FOUNDATION

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
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202333189349315343

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