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Nonprofiteer
← ST MARY MEDICAL CENTER

Form 990 for tax year 2022

Filed by ST MARY MEDICAL CENTER.

Totals

Total revenue
$403,723,947
Total expenses
$372,276,294
Contributions and grants received
$19,377,824
Grants paid
$3,309,395
Program service revenue
$372,128,655
Investment income
$10,233,907
Other revenue
$1,983,561
Total assets, end of year
$684,909,059
Total liabilities, end of year
$158,736,822
Net assets or fund balances, end of year
$526,172,237
Program services expenses (Part IX)
$359,751,548
Management and general expenses
$11,338,656
Fundraising expenses
$1,186,090
Program service expenses (Part III)
$359,751,548

Program services were 96.6% 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

    $170,236

  • 1d · Related organizations

    $676,624

  • 1e · Government grants (contributions)

    $18,029,453

  • 1f · All other contributions, gifts and grants

    $501,511

  • 1g · Noncash contributions included above

    $15,000

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $372,118,079 · related or exempt $372,118,079

  • 2b · Program service revenue: HOSPITAL FEE

    total $10,576 · related or exempt $10,576

  • 3 · Investment income

    total $5,400,948 · unrelated business $17,751 · excluded $5,383,197

  • 6a · Gross rents

    real property $478,550

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $478,550

  • 6d · Net rental income or loss

    total $478,550 · excluded $478,550

  • 7a · Gross sales of assets other than inventory

    securities $4,832,944 · other assets $15

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

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $4,832,944 · other assets $15

  • 7d · Net gain or loss

    total $4,832,959 · excluded $4,832,959

  • 8a · Fundraising events: gross income

    $67,141

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

    $170,236

  • 8b · Fundraising events: direct expenses

    $33,006

  • 8c · Net income from fundraising events

    total $34,135 · excluded $34,135

  • 11a · Other revenue: EDUCATION REVENUE

    total $670,636 · excluded $670,636

  • 11b · Other revenue: CAFETERIA REVENUE

    total $615,242 · excluded $615,242

  • 11c · Other revenue: REBATES & REFUNDS

    total $184,998 · excluded $184,998

  • 11e · Other revenue, total

    $1,470,876

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $3,309,395 · program services $3,309,395

  • 5 · Compensation of officers, directors and key employees

    total $801,497 · program services $771,367 · management and general $27,274 · fundraising $2,856

  • 7 · Other salaries and wages

    total $130,857,044 · program services $125,937,800 · management and general $4,452,979 · fundraising $466,265

  • 8 · Pension plan contributions

    total $2,244,754 · program services $2,160,368 · management and general $76,388 · fundraising $7,998

  • 9 · Other employee benefits

    total $1,094,771 · program services $1,053,616 · management and general $37,254 · fundraising $3,901

  • 10 · Payroll taxes

    total $9,680,062 · program services $9,316,164 · management and general $329,406 · fundraising $34,492

  • 11b · Fees: legal

    total $762,554 · program services $733,888 · management and general $25,949 · fundraising $2,717

  • 11f · Fees: investment management

    total $11,112 · management and general $11,112

  • 11g · Fees: other

    total $67,511,230 · program services $64,973,313 · management and general $2,297,363 · fundraising $240,554

  • 12 · Advertising and promotion

    total $50,928 · program services $49,014 · management and general $1,733 · fundraising $181

  • 13 · Office expenses

    total $5,134,586 · program services $4,941,564 · management and general $174,727 · fundraising $18,295

  • 14 · Information technology

    total $9,107 · program services $8,765 · management and general $310 · fundraising $32

  • 16 · Occupancy

    total $3,653,473 · program services $3,516,130 · management and general $124,325 · fundraising $13,018

  • 17 · Travel

    total $12,749 · program services $12,270 · management and general $434 · fundraising $45

  • 19 · Conferences, conventions and meetings

    total $38,707 · program services $37,252 · management and general $1,317 · fundraising $138

  • 20 · Interest

    total $1,592,989 · program services $1,533,105 · management and general $54,208 · fundraising $5,676

  • 22 · Depreciation, depletion and amortization

    total $9,700,540 · program services $9,335,872 · management and general $330,103 · fundraising $34,565

  • 24a · Other expenses: SYSTEM COST ALLOCATION

    total $97,566,605 · program services $93,898,833 · management and general $3,320,127 · fundraising $347,645

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $35,813,007 · program services $35,813,007 · management and general $0 · fundraising $0

  • 24c · Other expenses: LICENSES AND TAXES

    total $641,682 · program services $617,560 · management and general $21,836 · fundraising $2,286

  • 24d · Other expenses: UBI TAXES PAID

    total $42,180 · program services $40,595 · management and general $1,435 · fundraising $150

  • 24e · All other expenses

    total $1,747,322 · program services $1,691,670 · management and general $50,376 · fundraising $5,276

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $883,638 · end of year $1,816,576

  • 2 · Savings and temporary cash investments

    beginning of year $38,493,557 · end of year $106,745,439

  • 3 · Pledges and grants receivable

    beginning of year $2,900,931 · end of year $2,711,403

  • 4 · Accounts receivable

    beginning of year $55,533,121 · end of year $54,868,535

  • 8 · Inventories for sale or use

    beginning of year $3,949,170 · end of year $4,129,649

  • 9 · Prepaid expenses and deferred charges

    beginning of year $526,725 · end of year $207,239

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

    $294,389,671

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

    $175,798,736

  • 10c · Land, buildings and equipment, net

    beginning of year $125,838,720 · end of year $118,590,935

  • 11 · Investments: publicly traded securities

    beginning of year $349,122,310 · end of year $309,204,636

  • 13 · Investments: program-related

    beginning of year $2,362,910

  • 15 · Other assets

    beginning of year $69,134,598 · end of year $86,634,647

  • 17 · Accounts payable and accrued expenses

    beginning of year $32,483,057 · end of year $35,081,899

  • 19 · Deferred revenue

    beginning of year $1,271,611 · end of year $745,986

  • 25 · Other liabilities

    beginning of year $77,987,633 · end of year $122,908,937

  • 27 · Net assets without donor restrictions

    beginning of year $524,092,035 · end of year $516,279,774

  • 28 · Net assets with donor restrictions

    beginning of year $12,911,344 · end of year $9,892,463

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.

  • Withheld by Nonprofiteer: this text may name a private individual.

    Expenses $359,751,548 · Grants $3,309,395 · Revenue $372,128,655

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here. A text marked withheld matched a screen for wording that may name a private individual, such as an honorific or "in memory of". Most of what it withholds names no one; it is withheld so that what does is never shown.

Listed in Part VII

  • Jo Ann Escasa-Haigh

    ASSISTANT TREASURER

    Total calculated
    $2,193,229
    From this org
    $0
    From related orgs
    $2,157,414
    Other
    $35,815
    Hours/week
    0.5 + 64.5 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
  • 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
  • Randy Castillo

    TRUSTEE/CEO

    Total calculated
    $864,762
    From this org
    $0
    From related orgs
    $747,942
    Other
    $116,820
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $442,386 related
    Bonus
    $0 + $243,184 related
    Other
    $0 + $62,372 related
    Deferred
    $0 + $84,611 related
    Nontaxable benefits
    $0 + $32,209 related
    Filer's total
    $0 + $864,762 related
  • Marilyn Drone

    COO SMMC - THRU 1/22

    Total calculated
    $546,412
    From this org
    $534,135
    From related orgs
    $0
    Other
    $12,277
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $16,144
    Bonus
    $105,574
    Other
    $412,417
    Deferred
    $0
    Nontaxable benefits
    $12,277
    Filer's total
    $546,412
  • Eugene Gutierrez

    CHIEF FINANCIAL OFFICER

    Total calculated
    $488,926
    From this org
    $0
    From related orgs
    $436,494
    Other
    $52,432
    Hours/week
    27.5 + 27.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $341,103 related
    Bonus
    $0 + $92,000 related
    Other
    $0 + $3,391 related
    Deferred
    $0 + $16,331 related
    Nontaxable benefits
    $0 + $36,101 related
    Filer's total
    $0 + $488,926 related
  • Charlie Abraham

    CHIEF MEDICAL OFFICER-STMMC

    Total calculated
    $466,010
    From this org
    $447,413
    From related orgs
    $0
    Other
    $18,597
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $332,168
    Bonus
    $112,103
    Other
    $3,142
    Deferred
    $3,407
    Nontaxable benefits
    $15,190
    Filer's total
    $466,010
  • John Kozyra

    MINISTRY CHIEF, PHILANTHROPY OFFICER

    Total calculated
    $354,694
    From this org
    $306,991
    From related orgs
    $0
    Other
    $47,703
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $216,117
    Bonus
    $69,362
    Other
    $21,512
    Deferred
    $14,019
    Nontaxable benefits
    $33,684
    Filer's total
    $354,694
  • Gordon Reid

    EXECUTIVE DIRECTOR NURSING

    Total calculated
    $311,379
    From this org
    $264,201
    From related orgs
    $0
    Other
    $47,178
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $207,651
    Bonus
    $54,083
    Other
    $2,467
    Deferred
    $19,456
    Nontaxable benefits
    $27,722
    Filer's total
    $311,379
  • Jean Holtman

    FORMER MINISTRY CHRO PSJH

    Total calculated
    $297,856
    From this org
    $0
    From related orgs
    $270,171
    Other
    $27,685
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $50,038 related
    Bonus
    $0
    Other
    $0 + $220,133 related
    Deferred
    $0 + $1,173 related
    Nontaxable benefits
    $0 + $26,512 related
    Filer's total
    $0 + $297,856 related
  • Juana Tucker

    EXECUTIVE DIRECTOR NURSING

    Total calculated
    $295,978
    From this org
    $258,028
    From related orgs
    $0
    Other
    $37,950
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $203,282
    Bonus
    $51,507
    Other
    $3,239
    Deferred
    $19,463
    Nontaxable benefits
    $18,487
    Filer's total
    $295,978
  • Brian Hennebry

    EXEC DIR, BUSINESS DEVELOPMENT

    Total calculated
    $289,445
    From this org
    $266,915
    From related orgs
    $0
    Other
    $22,530
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $207,506
    Bonus
    $55,125
    Other
    $4,284
    Deferred
    $19,299
    Nontaxable benefits
    $3,231
    Filer's total
    $289,445
  • 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
  • Sharon Brown

    COO SMMC (PART YEAR)

    Total calculated
    $255,084
    From this org
    $223,441
    From related orgs
    $0
    Other
    $31,643
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $183,591
    Bonus
    $25,000
    Other
    $14,850
    Deferred
    $10,168
    Nontaxable benefits
    $21,475
    Filer's total
    $255,084
  • Adolph Collaso

    TRUSTEE/CHAIR

    Total calculated
    $0
    Hours/week
    0.5
  • Cr Burke

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5
  • Derek King EdD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5
  • Jason Cunningham

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5
  • Jason Lamoreaux

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5
  • Jeannettee Gehrke

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5
  • Jovy Yankaskas

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5
  • Mark Lauron MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5
  • Paul Gostanian

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5
  • Regina Weatherspoon-Bell

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5
  • Sister Judith Dugan

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related
  • Sister Paulette Deters

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5
  • Syed Raza M D

    TRUSTEE

    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

  • 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 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 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 RECEIVED SEVERANCE PAYMENTS IN 2022: JEAN HOLTMAN - $218,546 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: JO ANN ESCASA-HAIGH - $284,024 JIM WATSON, ESQ - $119,387 RANDY CASTILLO - $39,401 MARILYN DRONE - $7,888
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, WHICH IS A PERFORMANCE-BASED ANNUAL INCENTIVE PLAN THAT AFFORDS 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.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • 20TH STREET SURGERY LLC

    AMBULATORY SURGERY CENTER · CA

  • BRIDGEPORT MEDICAL IMAGING LLC (BMI)

    IMAGING - DIAGNOSTICS · OR · general or managing partner

  • BROADWAY IMAGING LLC

    MEDICAL IMAGING · MT · general or managing partner

  • CANBY MEDICAL CENTER I LLC

    REAL ESTATE - MOB · OR · general or managing partner

  • CENTER FOR MEDICAL IMAGING LLC (CMI)

    IMAGING - DIAGNOSTICS · OR · general or managing partner

  • CLACKAMAS RADIATION ONCOLOGY CENTER LLC

    RADIATION ONCOLOGY · OR · general or managing partner

  • COASTAL ASC HOLDINGS LLC

    HEALTHCARE · CA · general or managing partner

  • COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY

    HEALTHCARE · CA · general or managing partner

  • COVENANT HIGH PLAINS SURGERY CENTER LLC

    HEALTHCARE · PA · general or managing partner

  • COVENANT PARK PHASE I VENTURE LLC

    REAL ESTATE · TX

  • CSS JV LLC

    AMBULATORY SURGERY CENTER · OR

  • FIRST HILL SURGERY CENTER LLC

    AMBULATORY SURGERY CENTER · WA · general or managing partner

  • FULLERTON SURGICAL CENTER LP

    AMBULATORY SURGERY CENTER · CA · general or managing partner

  • GREATER VALLEY MEDICAL BUILDING LP

    REAL ESTATE - MOB · CA · general or managing partner

  • HCSA PROPERTIES LLC

    REAL ESTATE RENTAL · WA

  • HERITAGE INVESTMENT GROUP I LLC

    INVESTMENTS · CA

  • HOAG ORTHOPEDIC INSTITUTE

    HEALTHCARE · CA

  • HOI ASC HOLDINGS LLC

    INVESTMENTS · CA

  • IMAGING ASSOCIATES LLC

    MEDICAL IMAGING · AK · general or managing partner

  • LSC REAL PROPERTY LLC

    REAL ESTATE · TX · general or managing partner

  • METHODIST DIAGNOSTIC IMAGING

    HEALTHCARE · TX · general or managing partner

  • MISSION VIEJO PARTNERS II LLC

    REAL ESTATE - MOB · CA · general or managing partner

  • NEWPORT IMAGING CENTER

    HEALTHCARE · CA · general or managing partner

  • NORTH OC IMAGING JV HOLDINGS LLC

    HEALTHCARE · CA

  • OREGON ADVANCED IMAGING LLC

    MEDICAL IMAGING · OR · general or managing partner

  • PAVILION SURGERY CENTER LLC

    AMBULATORY SURGERY CENTER · CA

  • PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC

    MEDICAL IMAGING · WA · general or managing partner

  • PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC

    MEDICAL EQUIPMENT · WA · general or managing partner

  • PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO

    EXCLUDED · INVESTMENTS · WA · 0.62% owned · share of income $1,565 · share of assets $899,238

    Directly controlled by PHS WA

  • PROVIDENCE ALASKA HOUSE I OWNER LP

    SUPPORTIVE HOUSING · AK

  • PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC

    MEDICAL · AL

  • PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC

    MEDICAL · AL · general or managing partner

  • PROVIDENCE HOUSE OAKLAND LP

    SUPPORTIVE HOUSING · CA · general or managing partner

  • PROVIDENCE IMAGING CENTER JOINT VENTURE

    MEDICAL IMAGING · AK

  • PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO

    EXCLUDED · INVESTMENTS · WA · 5.35% owned · share of income $12,703,266 · share of assets $319,468,350

    Directly controlled by PHS WA

  • PROVIDENCE SURGERY CENTER LLC

    AMBULATORY SURGERY CENTER · MT

  • PROVIDENCEUSP SPOKANE SURGERY CENTERS LLC

    AMBULATORY SURGERY CENTER · WA

  • PROVIDENCEUSP SURGERY CTRS LLC

    AMBULATORY SURGERY CENTER · CA

  • RADIATION THERAPY INNOVATIONS LLC

    HEALTHCARE · WA · general or managing partner

  • RIVERSIDE HEALTHCARE

    HEALTHCARE · MN · general or managing partner

  • SJO ASC HOLDINGS LLC

    HEALTHCARE · CA

  • ST JOSEPH PHYSICIAN VENTURES I LLC

    REAL ESTATE · CA · general or managing partner

  • ST JOSEPHSATELLITE DIALYSIS CENTERS LLC

    HEALTHCARE · CA

  • ST JUDE SURGICAL CENTERS LLC

    AMBULATORY SURGERY CENTER · CA · general or managing partner

  • ST MARY MEDICAL CENTER LLC

    HEALTHCARE · CA

  • ST PETER-SOUTH SOUND REGIONAL MRI CENTER

    MEDICAL IMAGING · WA · general or managing partner

  • SURGERY CENTER AT TANASBOURNE LLC

    AMBULATORY SURGERY CENTER · KS · general or managing partner

  • THE MADISON SPOKANE INN LLC

    HOTEL SERVICES · WA · general or managing partner

  • WON-ONC LLC

    REAL ESTATE - MOB · WA · general or managing partner

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • 1221 MADISON STREET OWNERS ASSOC

    C · OWNERS' ASSOCIATION · WA

  • ACCLARA SOLUTIONS GROUP LLC

    C · HOLDING COMPANY · TX

  • ACCLARA SOLUTIONS INTERMEDIATE LLC

    C · HEALTHCARE FINANCIAL SERVICES · TX

  • ADVATA INC (FKA KENSCI INC)

    C · HEALTHCARE · WA

  • AMERICAN UNITY GROUP LTD

    C · CAPTIVE INSURANCE · BD

  • AYIN HEALTH SOLUTIONS INC

    C · HEALTHCARE · DE

  • BOURGET HEALTH SERVICES INC

    C · CLINICAL/MEDICAL LAB · WA

  • CARON CORPORATION

    C · MEDICAL PHYSICIAN SERVICE · MT

  • CLOUD 21 LIMITED

    C · HEALTHCARE · UK

  • COLBURN HILL GROUP INC

    C · HEALTHCARE · DE

  • ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA

    S · HEALTHCARE · CA

  • HMR WEIGHT MANAGEMENT SERVICES CORP

    C · HEALTHCARE · WA

  • HOAG MANAGEMENT SERVICES INC

    C · HEALTHCARE · CA

  • HOAG PHYSICIAN PARTNERS

    C · HEALTHCARE · CA

  • KENSCI TECH INDIA PRIVATE LIMITED

    C · HEALTHCARE · IN

  • KENSCI ASIA PACIFIC PTE LTD

    C · HEALTHCARE · SN

  • LUBBOCK METHODIST HOSP PRACTICE MGMT

    C · INACTIVE · TX

  • LUBBOCK METHODIST HOSPITAL SVCS

    C · HEALTHCARE · TX

  • LUMEDIC INC (FKA LUMEDIC ACQ CO INC)

    C · HEALTHCARE · WA

  • MEDICAL SPECIALTIES MANAGERS INC

    C · HEALTHCARE · WA

  • MISSION VIEJO MEDICAL VENTURES INC

    C · HEALTHCARE · CA

  • PERFORMANCE HEALTH TECHNOLOGY LTD

    C · HEALTHCARE · OR

  • PHN HOLDINGS

    C · STRATEGIC PLANNING SERVICES · CA

  • PROVIDENCE ASSURANCE INC

    C · CAPTIVE INSURANCE · AZ

  • PROVIDENCE GLOBAL CENTER LLP

    C · IT SVCS · IN

  • PROVIDENCE HEALTH CARE VENTURES INC

    C · CLINICAL/MEDICAL LAB · WA

  • PROVIDENCE HEALTH NETWORK

    C · PREPAID HEALTHCARE · CA

  • PROVIDENCE PARTNERS HOLDINGS INC

    C · INVESTMENT · DE

  • PROVIDENCE PHYSICIAN SERVICES CO

    C · HEALTHCARE · WA

  • PROVIDENCE RE

    C · INVESTMENT · CJ

  • PROVIDENCE ST JOSEPH HEALTH NETWORK

    C · HEALTHCARE · CA

  • QUIVIQ INC

    C · HEALTHCARE ANALYTICS · WA

  • ST JOSEPH HEALTH

    C · HOLDING COMPANY · CA

  • ST JOSEPH HEALTH SOURCE INC

    C · HEALTHCARE · CA

  • ST JOSEPH MEDICAL PLAZA ASSOCIATION

    C · CONDO ASSOCIATION · CA

  • ST JOSEPH PROF SVCS ENTERPRSES INC

    C · HEALTHCARE · CA

  • TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)

    C · HOLDING COMPANY · DE

  • TEGRIA INSIGHTS GROUP HOLDINGS INC

    C · HOLDING COMPANY · WA

  • TEGRIA INSIGHTS GROUP INC

    C · HEALTHCARE · WA

  • TEGRIA PRODUCTS GROUP INC

    C · HOLDING COMPANY · DE

  • TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC)

    C · HOLDING COMPANY · DE

  • TEGRIA RCM GROUP US INC

    C · HOLDING COMPANY · DE

  • TEGRIA SERVICES GROUP-CAN INC

    C · HEALTHCARE · CA

  • TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)

    C · HOLDING COMPANY · DE

  • TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC)

    C · HEALTHCARE · WI

  • TRUSANA INC

    C · HEALTHCARE · DE

  • VINSERRA INC

    C · INVESTMENT · CA

Provenance

Return type
form_990
Tax year
2022
Filed
8 November 2023
IRS schema version
2022v5.0
Source object
202303189349300610

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