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Nonprofiteer
← COLLABRIA CARE

Form 990 for tax year 2024

Filed by COLLABRIA CARE.

Totals

Total revenue
$21,237,422
Total expenses
$26,121,232
Contributions and grants received
$4,992,942
Grants paid
$2,870
Program service revenue
$15,699,973
Investment income
$399,651
Other revenue
$144,856
Total assets, end of year
$29,504,845
Total liabilities, end of year
$29,050,694
Net assets or fund balances, end of year
$454,151
Program services expenses (Part IX)
$17,995,392
Management and general expenses
$6,958,807
Fundraising expenses
$1,167,033
Program service expenses (Part III)
$17,995,392

Program services were 68.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JANICE BURGER

    DIRECTOR

    Total calculated
    $1,375,350
    From this org
    $0
    From related orgs
    $1,362,905
    Other
    $12,445
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $1,362,905 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $12,445 related
    Filer's total
    $0 + $1,375,350 related

  • TERRI P WARREN

    DIRECTOR, PRESIDENT

    Total calculated
    $945,043
    From this org
    $0
    From related orgs
    $859,148
    Other
    $85,895
    Hours/week
    0.5 + 54.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $431,430 related
    Bonus
    $0 + $358,049 related
    Other
    $0 + $69,669 related
    Deferred
    $0 + $69,323 related
    Nontaxable benefits
    $0 + $16,572 related
    Filer's total
    $0 + $945,043 related

  • DIANNA REELY

    DIRECTOR

    Total calculated
    $620,481
    From this org
    $0
    From related orgs
    $561,022
    Other
    $59,459
    Hours/week
    0.5 + 54.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $312,149 related
    Bonus
    $0 + $219,861 related
    Other
    $0 + $29,012 related
    Deferred
    $0 + $52,947 related
    Nontaxable benefits
    $0 + $6,512 related
    Filer's total
    $0 + $620,481 related

  • MIKE CLARK

    DIRECTOR - THRU 7/24

    Total calculated
    $53,432
    From this org
    $0
    From related orgs
    $49,373
    Other
    $4,059
    Hours/week
    0.5 + 0.5 related

  • TERRY ROGERS

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • EDDIE SWAFFORD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • JIM ZAPP

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • JOANNE ROBERTS

    DIRECTOR - THRU 6/24

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • JODY ALBRIGHT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • LARRY SCHECTER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • PETE FULLERTON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • ROBERT MCCANN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • MALISA WESTLUND

    CFO

    Total calculated
    $480,902
    From this org
    $0
    From related orgs
    $453,506
    Other
    $27,396
    Hours/week
    25 + 25 related

    Schedule J breakdown matched by us

    Base
    $0 + $245,061 related
    Bonus
    $0 + $181,416 related
    Other
    $0 + $27,029 related
    Deferred
    $0 + $13,161 related
    Nontaxable benefits
    $0 + $14,235 related
    Filer's total
    $0 + $480,902 related

  • DONALD ANDERSON JR

    ASSISTANT SECRETARY FOR ENROLLMENT

    Total calculated
    $335,486
    From this org
    $0
    From related orgs
    $316,554
    Other
    $18,932
    Hours/week
    0.5 + 54.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $287,131 related
    Bonus
    $0 + $28,005 related
    Other
    $0 + $1,418 related
    Deferred
    $0 + $14,332 related
    Nontaxable benefits
    $0 + $4,600 related
    Filer's total
    $0 + $335,486 related

  • RACHEL ARRINGTON

    SECRETARY

    Total calculated
    $107,267
    From this org
    $0
    From related orgs
    $100,164
    Other
    $7,103
    Hours/week
    1 + 49 related

  • CELINE REGALIA

    DIRECTOR OPERATIONS

    Total calculated
    $244,920
    From this org
    $229,686
    From related orgs
    $0
    Other
    $15,234
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $220,018
    Bonus
    $6,532
    Other
    $3,136
    Deferred
    $10,284
    Nontaxable benefits
    $4,950
    Filer's total
    $244,920

  • GINA GUILARTE-HAGEN

    NURSE PRACTITIONER

    Total calculated
    $218,666
    From this org
    $200,696
    From related orgs
    $0
    Other
    $17,970
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $154,517
    Bonus
    $0
    Other
    $46,179
    Deferred
    $8,133
    Nontaxable benefits
    $9,837
    Filer's total
    $218,666

  • LINDSEY CANAVESIO

    NURSE PRACTITIONER

    Total calculated
    $209,950
    From this org
    $184,712
    From related orgs
    $0
    Other
    $25,238
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $184,712
    Bonus
    $0
    Other
    $0
    Deferred
    $17,102
    Nontaxable benefits
    $8,136
    Filer's total
    $209,950

  • CATHERN KIPSEY

    MANAGER HOSPICE RN

    Total calculated
    $203,652
    From this org
    $184,417
    From related orgs
    $0
    Other
    $19,235
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $164,551
    Bonus
    $19,728
    Other
    $138
    Deferred
    $8,613
    Nontaxable benefits
    $10,622
    Filer's total
    $203,652

  • SAVANA DOBYNS

    DIRECTOR HOSPICE RN

    Total calculated
    $200,985
    From this org
    $182,891
    From related orgs
    $0
    Other
    $18,094
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $168,420
    Bonus
    $14,165
    Other
    $306
    Deferred
    $4,147
    Nontaxable benefits
    $13,947
    Filer's total
    $200,985

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

  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. THESE REIMBURSEMENTS ARE NOT REPORTED AS TAXABLE COMPENSATION. 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.THIS BENEFIT IS CONSIDERED A TAXABLE BENEFIT AND IS INCLUDED ON THE EMPLOYEE'S FORM W-2. 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, LINE 4B
ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: JANICE BURGER - $1,108,980 TERRI WARREN - $65,337 DIANNA REELY - $24,372 MALISA WESTLUND - $1,089
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.

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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2024
Filed
7 November 2025
IRS schema version
2024v5.2
Source object
202543169349307879

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