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Nonprofiteer
← ENUMCLAW REGIONAL HOSPITAL ASSOCIATION

Form 990 for tax year 2023

Filed by ENUMCLAW REGIONAL HOSPITAL ASSOCIATION.

Totals

Total revenue
$83,387,593
Total expenses
$62,342,922
Contributions and grants received
$355,156
Grants paid
$34,024
Program services expenses (Part IX)
$43,602,764
Management and general expenses
$18,740,158
Fundraising expenses
$0
Program service expenses (Part III)
$43,602,764

Program services were 69.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • KETUL PATEL

    CEO VMFH & PRESIDENT NORTHWEST REGION

    Total calculated
    $2,646,290
    From this org
    $0
    From related orgs
    $2,613,387
    Other
    $32,903
    Hours/week
    2 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,393,552 related
    Bonus
    $0 + $959,840 related
    Other
    $0 + $259,995 related
    Deferred
    $0 + $19,350 related
    Nontaxable benefits
    $0 + $13,553 related
    Filer's total
    $0 + $2,646,290 related

  • DAVID NOSACKA

    TREASURER/SVP&CFO NORTHWEST REGION

    Total calculated
    $703,690
    From this org
    $0
    From related orgs
    $645,696
    Other
    $57,994
    Hours/week
    2 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $568,187 related
    Bonus
    $0 + $75,800 related
    Other
    $0 + $1,709 related
    Deferred
    $0 + $19,175 related
    Nontaxable benefits
    $0 + $38,819 related
    Filer's total
    $0 + $703,690 related

  • MIRIAM CHAMBLISS

    SECRETARY/VP GENERAL COUNSEL

    Total calculated
    $459,882
    From this org
    $0
    From related orgs
    $412,275
    Other
    $47,607
    Hours/week
    2 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $280,293 related
    Bonus
    $0 + $131,031 related
    Other
    $0 + $951 related
    Deferred
    $0 + $15,119 related
    Nontaxable benefits
    $0 + $32,488 related
    Filer's total
    $0 + $459,882 related

  • DAVID BUTCHERITE

    FORMER TREASURER / DIV VP FINANCE

    Total calculated
    $360,960
    From this org
    $0
    From related orgs
    $319,432
    Other
    $41,528
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $314,518 related
    Bonus
    $0 + $800 related
    Other
    $0 + $4,114 related
    Deferred
    $0 + $19,350 related
    Nontaxable benefits
    $0 + $22,178 related
    Filer's total
    $0 + $360,960 related

  • DEEPAK DEVASTHALI

    INTERIM PRESIDENT (PARTIAL YEAR)/PRESIDENT ST. ANN

    Total calculated
    $318,252
    From this org
    $0
    From related orgs
    $279,491
    Other
    $38,761
    Hours/week
    20 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $252,334 related
    Bonus
    $0
    Other
    $0 + $27,157 related
    Deferred
    $0 + $6,027 related
    Nontaxable benefits
    $0 + $32,734 related
    Filer's total
    $0 + $318,252 related

  • LOIS ERICKSON

    FORMER HCE/PRESIDENT ST CLARE HOSPITAL

    Total calculated
    $299,677
    From this org
    $0
    From related orgs
    $260,000
    Other
    $39,677
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $255,437 related
    Bonus
    $0 + $800 related
    Other
    $0 + $3,763 related
    Deferred
    $0 + $16,535 related
    Nontaxable benefits
    $0 + $23,142 related
    Filer's total
    $0 + $299,677 related

  • AMY POWELL

    HRN RN

    Total calculated
    $273,221
    From this org
    $257,461
    From related orgs
    $0
    Other
    $15,760
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $246,631
    Bonus
    $800
    Other
    $10,030
    Deferred
    $4,984
    Nontaxable benefits
    $10,776
    Filer's total
    $273,221

  • TERRY TYRRELL

    PHARMACY DIRECTOR

    Total calculated
    $261,266
    From this org
    $227,750
    From related orgs
    $0
    Other
    $33,516
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $224,330
    Bonus
    $800
    Other
    $2,620
    Deferred
    $13,234
    Nontaxable benefits
    $20,282
    Filer's total
    $261,266

  • SHARON TOMT

    HRN RN

    Total calculated
    $246,140
    From this org
    $234,949
    From related orgs
    $0
    Other
    $11,191
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $229,514
    Bonus
    $600
    Other
    $4,835
    Deferred
    $11,191
    Nontaxable benefits
    $0
    Filer's total
    $246,140

  • KELLY PATTON

    CHARGE RN CERT

    Total calculated
    $233,143
    From this org
    $192,590
    From related orgs
    $0
    Other
    $40,553
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $189,510
    Bonus
    $800
    Other
    $2,280
    Deferred
    $8,991
    Nontaxable benefits
    $31,562
    Filer's total
    $233,143

  • NANNETTE MCKIE

    MANAGER CLINICAL SVCS EMERGENCY

    Total calculated
    $225,370
    From this org
    $203,834
    From related orgs
    $0
    Other
    $21,536
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $201,524
    Bonus
    $800
    Other
    $1,510
    Deferred
    $11,033
    Nontaxable benefits
    $10,503
    Filer's total
    $225,370

  • RENEE ESPINOSA

    VP/CHIEF OPERATING OFFICER (THRU 9/23/23)

    Total calculated
    $221,224
    From this org
    $190,423
    From related orgs
    $0
    Other
    $30,801
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $187,277
    Bonus
    $800
    Other
    $2,346
    Deferred
    $13,485
    Nontaxable benefits
    $17,316
    Filer's total
    $221,224

  • DANNA SHANER

    PRESIDENT

    Total calculated
    $84,445
    From this org
    $0
    From related orgs
    $75,788
    Other
    $8,657
    Hours/week
    2 + 40 related

  • JAMES SMALLEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • JAMES CIVILLA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • LARRY BJORK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • ULI CHI PHD

    CHAIR

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • SISTER JUDE CONNELLY OSF

    DIRECTOR (THROUGH 3/28/24)

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • SISTER RUTH GOODWIN OSF

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • DENNIS HUNTHAUSEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • SISTER ANNE MCNAMARA OSF

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • DIANN PULS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • ROBERT LEMON

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • BOB CARLILE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • CAROLYN CORVI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • TOD HAMACHEK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • KAREN LEE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • GREGG MEYER MD MSC

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • JOHN OPPENHEIMER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • CHUCK ARNOLD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 6 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

  • 4b · Supplemental nonqualified retirement plan

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
DURING THE CALENDAR YEAR 2023, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION.
PART I, LINE 4A:
CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY.
PART I, LINE 4B:
DURING THE 2023 CALENDAR YEAR, COMMONSPIRIT HEALTH ("COMMONSPIRIT") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2023 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2023, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: KETUL J. PATEL, $246,662.
SCHEDULE J, PART II
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2023.

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.

Provenance

Return type
form_990
Tax year
2023
Filed
12 May 2025
IRS schema version
2023v6.0
Source object
202521329349305872

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