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Nonprofiteer
← PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION

Form 990 for tax year 2023

Filed by PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION.

Totals

Total revenue
$277,830,354
Total expenses
$278,334,302
Contributions and grants received
$300,764
Grants paid
$12,261
Program services expenses (Part IX)
$266,781,860
Management and general expenses
$11,552,442
Fundraising expenses
$0
Program service expenses (Part III)
$266,781,860

Program services were 95.8% 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
    $5,616,067
    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

  • 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

  • BJ MOORE

    DIRECTOR - THRU 6/23

    Total calculated
    $3,147,188
    From this org
    $0
    From related orgs
    $2,837,690
    Other
    $309,498
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,036,506 related
    Bonus
    $0 + $1,618,344 related
    Other
    $0 + $182,840 related
    Deferred
    $0 + $268,563 related
    Nontaxable benefits
    $0 + $40,935 related
    Filer's total
    $0 + $3,147,188 related

  • DAVID KIM MD

    PRESIDENT - THRU 8/23

    Total calculated
    $2,068,350
    From this org
    $0
    From related orgs
    $2,041,397
    Other
    $26,953
    Hours/week
    1 + 64 related

    Schedule J breakdown matched by us

    Base
    $0 + $516,352 related
    Bonus
    $0 + $1,401,750 related
    Other
    $0 + $123,295 related
    Deferred
    $0 + $4,950 related
    Nontaxable benefits
    $0 + $22,003 related
    Filer's total
    $0 + $2,068,350 related

  • KEVIN MANEMANN

    DIRECTOR - THRU 1/23

    Total calculated
    $2,039,677
    From this org
    $0
    From related orgs
    $2,026,390
    Other
    $13,287
    Hours/week
    0.5 + 54.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $115,132 related
    Bonus
    $0 + $1,717,844 related
    Other
    $0 + $193,414 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $3,387 related
    Filer's total
    $0 + $2,039,677 related

  • ALI SANTORE

    DIRECTOR

    Total calculated
    $1,840,194
    From this org
    $0
    From related orgs
    $1,635,549
    Other
    $204,645
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $614,822 related
    Bonus
    $0 + $966,819 related
    Other
    $0 + $53,908 related
    Deferred
    $0 + $180,692 related
    Nontaxable benefits
    $0 + $23,953 related
    Filer's total
    $0 + $1,840,194 related

  • SARA VAEZY

    DIRECTOR (PART YEAR)

    Total calculated
    $1,723,910
    From this org
    $0
    From related orgs
    $1,525,609
    Other
    $198,301
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $583,364 related
    Bonus
    $0 + $890,441 related
    Other
    $0 + $51,804 related
    Deferred
    $0 + $164,530 related
    Nontaxable benefits
    $0 + $33,771 related
    Filer's total
    $0 + $1,723,910 related

  • NATHAN HUSMANN

    FRMR OFF. DIV CFO SOUTH

    Total calculated
    $1,294,473
    From this org
    $0
    From related orgs
    $1,095,778
    Other
    $198,695
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $525,717 related
    Bonus
    $0 + $488,588 related
    Other
    $0 + $81,473 related
    Deferred
    $0 + $165,017 related
    Nontaxable benefits
    $0 + $33,678 related
    Filer's total
    $0 + $1,294,473 related

  • JILL DUPLECHAN

    DIRECTOR (PART YEAR)

    Total calculated
    $1,269,130
    From this org
    $0
    From related orgs
    $1,100,110
    Other
    $169,020
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $490,908 related
    Bonus
    $0 + $439,434 related
    Other
    $0 + $169,768 related
    Deferred
    $0 + $141,783 related
    Nontaxable benefits
    $0 + $27,237 related
    Filer's total
    $0 + $1,269,130 related

  • JIM WATSON ESQ

    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

  • ROBERT JUST III

    DIRECTOR (PART YEAR)

    Total calculated
    $1,014,762
    From this org
    $0
    From related orgs
    $863,154
    Other
    $151,608
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $426,640 related
    Bonus
    $0 + $354,502 related
    Other
    $0 + $82,012 related
    Deferred
    $0 + $98,558 related
    Nontaxable benefits
    $0 + $53,050 related
    Filer's total
    $0 + $1,014,762 related

  • DAVID MAST

    DIRECTOR

    Total calculated
    $994,645
    From this org
    $0
    From related orgs
    $870,666
    Other
    $123,979
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $448,875 related
    Bonus
    $0 + $349,353 related
    Other
    $0 + $72,438 related
    Deferred
    $0 + $107,381 related
    Nontaxable benefits
    $0 + $16,598 related
    Filer's total
    $0 + $994,645 related

  • ROBERT KLEIN

    PRESIDENT/CEO-FOUNDATION - THRU 4/23

    Total calculated
    $956,251
    From this org
    $0
    From related orgs
    $903,629
    Other
    $52,622
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $163,151 related
    Bonus
    $0 + $149,710 related
    Other
    $0 + $590,768 related
    Deferred
    $0 + $27,225 related
    Nontaxable benefits
    $0 + $25,397 related
    Filer's total
    $0 + $956,251 related

  • PRASANNA MOHANTY

    PRESIDENT (PART YEAR)

    Total calculated
    $952,602
    From this org
    $0
    From related orgs
    $858,020
    Other
    $94,582
    Hours/week
    0.5 + 54.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $467,493 related
    Bonus
    $0 + $308,277 related
    Other
    $0 + $82,250 related
    Deferred
    $0 + $88,505 related
    Nontaxable benefits
    $0 + $6,077 related
    Filer's total
    $0 + $952,602 related

  • MARY ANNE SLADICH-LANTZ

    DIRECTOR

    Total calculated
    $597,558
    From this org
    $0
    From related orgs
    $590,987
    Other
    $6,571
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $187,480 related
    Bonus
    $0 + $333,242 related
    Other
    $0 + $70,265 related
    Deferred
    $0 + $462 related
    Nontaxable benefits
    $0 + $6,109 related
    Filer's total
    $0 + $597,558 related

  • 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

  • STELLA NICHOLS

    CFO COO SJHC FOUNDATION

    Total calculated
    $538,024
    From this org
    $0
    From related orgs
    $469,359
    Other
    $68,665
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $347,454 related
    Bonus
    $0 + $102,111 related
    Other
    $0 + $19,794 related
    Deferred
    $0 + $40,635 related
    Nontaxable benefits
    $0 + $28,030 related
    Filer's total
    $0 + $538,024 related

  • MELAYNE YOCUM

    CFO

    Total calculated
    $505,069
    From this org
    $0
    From related orgs
    $472,980
    Other
    $32,089
    Hours/week
    14 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $390,040 related
    Bonus
    $0 + $58,237 related
    Other
    $0 + $24,703 related
    Deferred
    $0 + $18,485 related
    Nontaxable benefits
    $0 + $13,604 related
    Filer's total
    $0 + $505,069 related

  • SHERYL BOURGEOIS

    PRESIDENT/CEO-FOUNDATION (PART YEAR)

    Total calculated
    $324,114
    From this org
    $0
    From related orgs
    $294,439
    Other
    $29,675
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $291,448 related
    Bonus
    $0
    Other
    $0 + $2,991 related
    Deferred
    $0 + $13,280 related
    Nontaxable benefits
    $0 + $16,395 related
    Filer's total
    $0 + $324,114 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

  • TONYA ALLEN

    EXECUTIVE DIRECTOR CLINICAL OPS.

    Total calculated
    $312,926
    From this org
    $295,638
    From related orgs
    $0
    Other
    $17,288
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $253,128
    Bonus
    $40,621
    Other
    $1,889
    Deferred
    $13,299
    Nontaxable benefits
    $3,989
    Filer's total
    $312,926

  • PANTHEA SHAFIPOUR

    DIRECTOR FINANCE

    Total calculated
    $254,574
    From this org
    $221,443
    From related orgs
    $0
    Other
    $33,131
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $194,793
    Bonus
    $26,020
    Other
    $630
    Deferred
    $4,791
    Nontaxable benefits
    $28,340
    Filer's total
    $254,574

  • BECKY NATALI

    MANAGER PHARMACY

    Total calculated
    $248,833
    From this org
    $225,423
    From related orgs
    $0
    Other
    $23,410
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $190,715
    Bonus
    $11,747
    Other
    $22,961
    Deferred
    $10,246
    Nontaxable benefits
    $13,164
    Filer's total
    $248,833

  • SADAF ROWSHANRAD

    MANAGER PHARMACY

    Total calculated
    $225,520
    From this org
    $190,281
    From related orgs
    $0
    Other
    $35,239
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $178,883
    Bonus
    $11,058
    Other
    $340
    Deferred
    $8,642
    Nontaxable benefits
    $26,597
    Filer's total
    $225,520

  • RAMI ELATTAR

    CLINICAL PHARMACY SPECIALIST

    Total calculated
    $206,502
    From this org
    $194,626
    From related orgs
    $0
    Other
    $11,876
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $194,213
    Bonus
    $0
    Other
    $413
    Deferred
    $8,788
    Nontaxable benefits
    $3,088
    Filer's total
    $206,502

  • ANTONIO FERREY

    DIRECTOR (PART YEAR)

    Total calculated
    $52,500
    From this org
    $0
    From related orgs
    $52,500
    Other
    $0
    Hours/week
    0.5 + 1.5 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 - THRU 6/23

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • JAMES BENOIT DR

    DIRECTOR/CHAIR (PART YEAR)

    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 (PART YEAR)

    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 + 2 related

  • ROBERT DEL JUNCO MD

    DIRECTOR - THRU 7/23

    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 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 PLANNINGEXPENSES 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), NONREFUNDABLE 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 RECIEVED 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 JO ANN ESCASA-HAIGH - $603,250 BJ MOORE - $177,665 DAVID KIM, M.D. - $97,749 KEVIN MANEMANN - $170,754 ALI SANTORE - $52,768 SARA VAEZY - $43,415 NATHAN HUSMANN - $57,263 JILL DUPLECHAN - $159,124 JIM WATSON, ESQ - $64,477 ROBERT JUST III - $55,571 DAVID MAST - $65,658 ROBERT KLEIN - $124,908 MARY ANNE SLADICH-LANTZ - $59,261 STELLA NICHOLS - $14,636 MELAYNE YOCUM - $6,460
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.

Provenance

Return type
form_990
Tax year
2023
Filed
7 November 2024
IRS schema version
2023v5.1
Source object
202413189349301641

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