Form 990 for tax year 2022
Filed by PROVIDENCE FACEY MEDICAL FOUNDATION.
Totals
- Total revenue
- $421,294,868
- Total expenses
- $417,371,913
- Contributions and grants received
- $3,510,755
- Grants paid
- $2,156
- Program services expenses (Part IX)
- $399,148,853
- Management and general expenses
- $18,223,060
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $399,148,853
Program services were 95.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
ERIK WEXLER
DIRECTOR
- Total calculated
- $5,101,912
- From this org
- $0
- From related orgs
- $4,701,760
- Other
- $400,152
- Hours/week
- 0.5 + 64.5 related
Schedule J breakdown matched by us
- Base
- $0 + $1,437,860 related
- Bonus
- $0 + $2,266,630 related
- Other
- $0 + $997,270 related
- Deferred
- $0 + $382,614 related
- Nontaxable benefits
- $0 + $17,538 related
- Filer's total
- $0 + $5,101,912 related
-
AMY COMPTON-PHILLIPS MD
DIRECTOR - THRU 9/22
- Total calculated
- $3,811,361
- From this org
- $0
- From related orgs
- $3,802,673
- Other
- $8,688
- Hours/week
- 0.5 + 64.5 related
Schedule J breakdown matched by us
- Base
- $0 + $706,291 related
- Bonus
- $0 + $1,616,800 related
- Other
- $0 + $1,479,582 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $8,688 related
- Filer's total
- $0 + $3,811,361 related
-
BJ MOORE
DIRECTOR
- Total calculated
- $3,768,235
- From this org
- $0
- From related orgs
- $3,485,676
- Other
- $282,559
- Hours/week
- 0.5 + 64.5 related
Schedule J breakdown matched by us
- Base
- $0 + $1,008,868 related
- Bonus
- $0 + $2,055,960 related
- Other
- $0 + $420,848 related
- Deferred
- $0 + $267,185 related
- Nontaxable benefits
- $0 + $15,374 related
- Filer's total
- $0 + $3,768,235 related
-
KEVIN MANEMANN
DIRECTOR
- Total calculated
- $2,795,917
- From this org
- $0
- From related orgs
- $2,756,394
- Other
- $39,523
- Hours/week
- 0.5 + 54.5 related
Schedule J breakdown matched by us
- Base
- $0 + $991,006 related
- Bonus
- $0 + $1,426,372 related
- Other
- $0 + $339,016 related
- Deferred
- $0 + $4,575 related
- Nontaxable benefits
- $0 + $34,948 related
- Filer's total
- $0 + $2,795,917 related
-
JO ANN ESCASA-HAIGH
FRMR OFF - PSJH EVP/ASST. TREAS.
- Total calculated
- $2,193,229
- From this org
- $0
- From related orgs
- $2,157,414
- Other
- $35,815
- Hours/week
- 0 + 65 related
Schedule J breakdown matched by us
- Base
- $0 + $841,148 related
- Bonus
- $0 + $989,404 related
- Other
- $0 + $326,862 related
- Deferred
- $0 + $27,450 related
- Nontaxable benefits
- $0 + $8,365 related
- Filer's total
- $0 + $2,193,229 related
-
MIKE WATERS
DIRECTOR - THRU 7/22
- Total calculated
- $2,092,159
- From this org
- $0
- From related orgs
- $2,090,589
- Other
- $1,570
- Hours/week
- 0.5 + 54.5 related
Schedule J breakdown matched by us
- Base
- $0 + $396,838 related
- Bonus
- $0 + $730,722 related
- Other
- $0 + $963,029 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $1,570 related
- Filer's total
- $0 + $2,092,159 related
-
DAVID KIM
PRESIDENT
- Total calculated
- $2,008,810
- From this org
- $0
- From related orgs
- $1,791,950
- Other
- $216,860
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $704,196 related
- Bonus
- $0 + $856,375 related
- Other
- $0 + $231,379 related
- Deferred
- $0 + $197,812 related
- Nontaxable benefits
- $0 + $19,048 related
- Filer's total
- $0 + $2,008,810 related
-
JOHN WHIPPLE
FRMR OFFICER - PSJH SECRETARY
- Total calculated
- $1,754,801
- From this org
- $0
- From related orgs
- $1,743,754
- Other
- $11,047
- Hours/week
- 0 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $319,672 related
- Bonus
- $0 + $277,940 related
- Other
- $0 + $1,146,142 related
- Deferred
- $0 + $5,571 related
- Nontaxable benefits
- $0 + $5,476 related
- Filer's total
- $0 + $1,754,801 related
-
ALI SANTORE
DIRECTOR
- Total calculated
- $1,292,824
- From this org
- $0
- From related orgs
- $1,135,327
- Other
- $157,497
- Hours/week
- 0.5 + 64.5 related
Schedule J breakdown matched by us
- Base
- $0 + $521,009 related
- Bonus
- $0 + $541,697 related
- Other
- $0 + $72,621 related
- Deferred
- $0 + $152,019 related
- Nontaxable benefits
- $0 + $5,478 related
- Filer's total
- $0 + $1,292,824 related
-
JILL DUPLECHAN
FRMR OFF. - HERITAGE OC HD CE
- Total calculated
- $1,071,303
- From this org
- $0
- From related orgs
- $921,359
- Other
- $149,944
- Hours/week
- 0 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $473,400 related
- Bonus
- $0 + $251,103 related
- Other
- $0 + $196,856 related
- Deferred
- $0 + $136,065 related
- Nontaxable benefits
- $0 + $13,879 related
- Filer's total
- $0 + $1,071,303 related
-
NATHAN HUSMANN
FRMR OFF. DIV CFO SOUTH
- Total calculated
- $1,058,165
- From this org
- $0
- From related orgs
- $886,113
- Other
- $172,052
- Hours/week
- 0 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $497,929 related
- Bonus
- $0 + $263,000 related
- Other
- $0 + $125,184 related
- Deferred
- $0 + $137,653 related
- Nontaxable benefits
- $0 + $34,399 related
- Filer's total
- $0 + $1,058,165 related
-
JIM WATSON ESQ
SECRETARY
- Total calculated
- $961,626
- From this org
- $0
- From related orgs
- $837,237
- Other
- $124,389
- Hours/week
- 0.5 + 54.5 related
Schedule J breakdown matched by us
- Base
- $0 + $466,229 related
- Bonus
- $0 + $228,525 related
- Other
- $0 + $142,483 related
- Deferred
- $0 + $98,225 related
- Nontaxable benefits
- $0 + $26,164 related
- Filer's total
- $0 + $961,626 related
-
DAVID MAST
CEO MEDICAL FOUNDATIONS
- Total calculated
- $947,850
- From this org
- $0
- From related orgs
- $846,712
- Other
- $101,138
- Hours/week
- 27.5 + 27.5 related
Schedule J breakdown matched by us
- Base
- $0 + $435,759 related
- Bonus
- $0 + $199,420 related
- Other
- $0 + $211,533 related
- Deferred
- $0 + $98,567 related
- Nontaxable benefits
- $0 + $2,571 related
- Filer's total
- $0 + $947,850 related
-
TERESA DAVID
COO FACEY
- Total calculated
- $582,460
- From this org
- $517,191
- From related orgs
- $0
- Other
- $65,269
- Hours/week
- 27.5 + 27.5 related
Schedule J breakdown matched by us
- Base
- $365,420
- Bonus
- $101,326
- Other
- $50,445
- Deferred
- $47,722
- Nontaxable benefits
- $17,547
- Filer's total
- $582,460
-
MELAYNE YOCUM
CFO
- Total calculated
- $538,476
- From this org
- $0
- From related orgs
- $507,005
- Other
- $31,471
- Hours/week
- 14 + 41 related
Schedule J breakdown matched by us
- Base
- $0 + $376,882 related
- Bonus
- $0 + $119,326 related
- Other
- $0 + $10,797 related
- Deferred
- $0 + $19,537 related
- Nontaxable benefits
- $0 + $11,934 related
- Filer's total
- $0 + $538,476 related
-
JAVIER HO
EXECUTIVE DIRECTOR FINANCE
- Total calculated
- $352,142
- From this org
- $304,428
- From related orgs
- $0
- Other
- $47,714
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $228,198
- Bonus
- $75,465
- Other
- $765
- Deferred
- $21,861
- Nontaxable benefits
- $25,853
- Filer's total
- $352,142
-
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT
- Total calculated
- $288,175
- From this org
- $0
- From related orgs
- $256,992
- Other
- $31,183
- Hours/week
- 0.5 + 54.5 related
Schedule J breakdown matched by us
- Base
- $0 + $219,186 related
- Bonus
- $0 + $36,718 related
- Other
- $0 + $1,088 related
- Deferred
- $0 + $13,600 related
- Nontaxable benefits
- $0 + $17,583 related
- Filer's total
- $0 + $288,175 related
-
BRIAN BAIN
SR DIR ANALYTICS BUS. INTELLIGENCE
- Total calculated
- $266,744
- From this org
- $232,060
- From related orgs
- $0
- Other
- $34,684
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $199,673
- Bonus
- $31,416
- Other
- $971
- Deferred
- $18,605
- Nontaxable benefits
- $16,079
- Filer's total
- $266,744
-
ROBERT LEHNER
DIRECTOR MARKETING
- Total calculated
- $263,716
- From this org
- $227,607
- From related orgs
- $0
- Other
- $36,109
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $192,120
- Bonus
- $30,319
- Other
- $5,168
- Deferred
- $11,814
- Nontaxable benefits
- $24,295
- Filer's total
- $263,716
-
CATHY HAWES
SR DIR CLINICAL OPERATIONS
- Total calculated
- $262,439
- From this org
- $235,271
- From related orgs
- $0
- Other
- $27,168
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $201,661
- Bonus
- $31,774
- Other
- $1,836
- Deferred
- $12,313
- Nontaxable benefits
- $14,855
- Filer's total
- $262,439
-
DENA MCLEAN
DIRECTOR FINANCE
- Total calculated
- $256,571
- From this org
- $242,592
- From related orgs
- $0
- Other
- $13,979
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $188,922
- Bonus
- $51,025
- Other
- $2,645
- Deferred
- $10,406
- Nontaxable benefits
- $3,573
- Filer's total
- $256,571
-
CINDY STRAUSS
FRMR SECRETARY
- Total calculated
- $146,754
- From this org
- $0
- From related orgs
- $146,754
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0 + $146,754 related
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $146,754 related
-
ABHIJIT ADHYE
DIRECTOR
- Total calculated
- $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
- Total calculated
- $0
- Hours/week
- 0.5 + 1.5 related
-
ELIZABETH SANDER MD
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
-
MARK NEEDHAM MD
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 + 1.5 related
-
ROBERT DEL JUNCO MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1.5 related
-
ROBERT ROSENBERG MD
DIRECTOR - THRU 12/22
- 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 — 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 INDEMNIFICATION AND 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 ONLY FOR PURPOSES OF RELOCATION ASSISTANCE TO A NEWLY HIRED EMPLOYEE. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE NEWLY HIRED EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES ARE RENT (EXCLUDING "RENT" WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL THE TITLE CLEARS) 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 MEDICAL FOUNDATION, 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 2022: AMY COMPTON-PHILLIPS - $325,280 MIKE WATERS - $312,664 JOHN WHIPPLE - $186,674 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 ERIK WEXLER - $884,974 AMY COMPTON-PHILLIPS, M.D. - $1,007,563 BJ MOORE - $415,491 KEVIN MANEMANN - $316,806 JO ANN ESCASA-HAIGH - $284,024 MIKE WATERS - $580,363 DAVID KIM - $205,930 JOHN WHIPPLE - $855,652 ALI SANTORE - $71,481 JILL DUPLECHAN - $186,590 NATHAN HUSMANN - $103,544 JIM WATSON, ESQ - $119,387 DAVID MAST - $207,276 TERESA DAVID - $18,873
- 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.
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHCN
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
COVENANT CHILDREN'S PHYSICIANS GROUP
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHS
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by SJHS
-
COVENANT HEALTH SYSTEM FOUNDATION
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
COVENANT HOME AND COMMUNITY CARE
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
EVERETT TRANSITIONAL CARE SERVICES
501(C)(3) · TRANSITIONAL CARE · WA
-
GAMELIN WASHINGTON ASSOCIATION
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
GLOBAL TO LOCAL HEALTH INITIATIVE
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by SHS
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by HMHP
-
501(C)(3) · SUPPORT · CA · controlled entity
Directly controlled by HHF
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by HMHP
-
501(C)(3) · FUNDRAISING · CA · controlled entity
Directly controlled by HMHP
-
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by CHN
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
INSTITUTE FOR MENTAL HEALTH & WELLNESS
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS SJHS
-
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by WHC
-
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by KRMC
-
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by KRMC
-
KADLEC REGIONAL MEDICAL CENTER
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by WHC
-
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
501(C)(3) · IMAGING SERVICES · CA · controlled entity
Directly controlled by PHS SOCAL
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
LUNDBERG ASSOCIATION PROVIDENCE HOUSE
501(C)(3) · SUPPORT · OR · controlled entity
Directly controlled by PHS OR
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
MISSION HOSPITAL REGIONAL MEDICAL CTR
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by CHN
-
NORTHWEST HOPE & HEALING FOUNDATION
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by SHS
-
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by WHC
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PHS SOCAL
-
501(C)(3) · HEALTHCARE · AK · controlled entity
Directly controlled by PHS WA
-
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS OR
-
PROVIDENCE BLANCHET ASSOCIATION
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
501(C)(3) · SUPPORT · OR · controlled entity
Directly controlled by PHS OR
-
PROVIDENCE COMMUNITY HEALTH FOUNDATION
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS OR
-
501(C)(3) · SUPPORT · WA
-
PROVIDENCE GAMELIN HOUSE ASSOCIATION
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
501(C)(3) · HEALTHCARE · WA
Directly controlled by PSJH
-
PROVIDENCE HEALTH & SERVICES - MONTANA
501(C)(3) · HEALTHCARE · MT · controlled entity
Directly controlled by PHS WA
-
PROVIDENCE HEALTH & SERVICES - OREGON
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS
-
PROVIDENCE HEALTH & SERVICES - WASHINGTON
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS
-
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PMWHC
-
501(C)(4) · MEDICAID HEALTHCARE PROVIDER · OR · controlled entity
Directly controlled by PHP
-
PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA)
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS WA
-
501(C)(4) · HEALTHCARE · OR · controlled entity
Directly controlled by PPP
-
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PHS
-
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS OR
-
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS W WA
-
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS W WA
-
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PHS SOCAL
-
PROVIDENCE MARIANWOOD FOUNDATION
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS W WA
-
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHS
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PHS SOCAL
-
PROVIDENCE MILWAUKIE FOUNDATION
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS OR
-
PROVIDENCE MINISTRIES
501(C)(3) · RELIGIOUS ORG · WA
-
PROVIDENCE MOUNT ST VINCENT FOUNDATION
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS WA
-
PROVIDENCE NEWBERG HEALTH FOUNDATION
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS OR
-
PROVIDENCE PETER CLAVER ASSOCIATION
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
501(C)(4) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS OR
-
PROVIDENCE PORTLAND MEDICAL FOUNDATION
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS OR
-
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
PROVIDENCE SAINT JOHN'S HEALTH CENTER
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PHS SOCAL
-
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PHS SOCAL
-
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS OR
-
PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN)
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS W WA
-
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
PROVIDENCE ST FRANCIS ASSOCIATION
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
501(C)(3) · HEALTHCARE · WA
-
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS WA
-
PROVIDENCE ST JOSEPH MEDICAL CENTER
501(C)(3) · HEALTHCARE · MT · controlled entity
Directly controlled by PHS WA
-
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS WA
-
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS OR
-
PROVIDENCE TRINITYCARE HOSPICE
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PHS SOCAL
-
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PTCH
-
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS OR
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHNC LLC
-
SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST)
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PSJHC
-
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
501(C)(3) · SUPPORT SAINT JOHN HEALTH CENTER & JWCI · CA · controlled entity
Directly controlled by PSJHC
-
501(C)(3) · PHYSICIAN COLLABORATION · WA · controlled entity
Directly controlled by WHC
-
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
501(C)(3) · SHELL CORPORATION · MT
Directly controlled by PHS WA
-
SISTERS OF ST JOSEPH OF ORANGE
501(C)(3) · RELIGIOUS ORG · CA
-
SRM ALLIANCE HOSPITAL SERVICES (PVH)
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHNC LLC
-
501(C)(3) · RELIGIOUS ORG · CA
Directly controlled by SSJO
-
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHS
-
501(C)(3) · HEALTHCARE · CA
Directly controlled by PSJH
-
ST JOSEPH HEALTH SYSTEM FOUNDATION
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHS
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHS
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by CHN
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by CHN
-
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by CHN
-
ST PATRICK HOSPITAL FOUNDATION
501(C)(3) · HEALTHCARE · MT · controlled entity
Directly controlled by PHS WA
-
ST THOMAS CHILD AND FAMILY CENTER
501(C)(3) · EDUCATION · MT · controlled entity
Directly controlled by PHS WA
-
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by WHC
-
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by WHC
-
SWEDISH MEDICAL CENTER FOUNDATION
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by SHS
-
501(C)(3) · HOLDING COMPANY · WA · controlled entity
Directly controlled by SHS
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PHS SOCAL
-
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
THE GAMELIN CALIFORNIA ASSOCIATION
501(C)(3) · SUPPORT · CA · controlled entity
Directly controlled by PHS SOCAL
-
THE GAMELIN OREGON ASSOCIATION
501(C)(3) · SUPPORT · OR · controlled entity
Directly controlled by PHS OR
-
TRI-CITIES CANCER CENTER FOUNDATION
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by KRMC
-
501(C)(3) · EDUCATION · MT · controlled entity
Directly controlled by PHS
-
501(C)(3) · SHELL CORPORATION · WA · controlled entity
Directly controlled by PHS W WA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 9 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202333189349303113
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.