Skip to content
Nonprofiteer
← PROVIDENCE PLAN PARTNERS

Form 990 for tax year 2022

Filed by PROVIDENCE PLAN PARTNERS.

Totals

Total revenue
$318,336,893
Total expenses
$317,998,296
Contributions and grants received
$671,248
Grants paid
$671,249
Program services expenses (Part IX)
$229,461,112
Management and general expenses
$88,537,184
Fundraising expenses
$0
Program service expenses (Part III)
$229,461,112

Program services were 72.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DEBRA CANALES

    DIRECTOR

    Total calculated
    $3,808,259
    From this org
    $0
    From related orgs
    $3,335,977
    Other
    $472,282
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,147,661 related
    Bonus
    $0 + $1,738,480 related
    Other
    $0 + $449,836 related
    Deferred
    $0 + $426,885 related
    Nontaxable benefits
    $0 + $45,397 related
    Filer's total
    $0 + $3,808,259 related

  • RHONDA MEDOWS MD

    PRESIDENT/CEO

    Total calculated
    $3,320,750
    From this org
    $0
    From related orgs
    $3,000,545
    Other
    $320,205
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,137,413 related
    Bonus
    $0 + $1,525,631 related
    Other
    $0 + $337,501 related
    Deferred
    $0 + $306,676 related
    Nontaxable benefits
    $0 + $13,529 related
    Filer's total
    $0 + $3,320,750 related

  • DONALD ANTONUCCI

    DIRECTOR

    Total calculated
    $2,080,373
    From this org
    $0
    From related orgs
    $1,852,789
    Other
    $227,584
    Hours/week
    0.5 + 54.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $805,488 related
    Bonus
    $0 + $1,044,679 related
    Other
    $0 + $2,622 related
    Deferred
    $0 + $216,937 related
    Nontaxable benefits
    $0 + $10,647 related
    Filer's total
    $0 + $2,080,373 related

  • ROBERT A GLUCKMAN

    CHIEF MEDICAL OFFICER

    Total calculated
    $1,105,301
    From this org
    $0
    From related orgs
    $923,992
    Other
    $181,309
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $489,418 related
    Bonus
    $0 + $273,012 related
    Other
    $0 + $161,562 related
    Deferred
    $0 + $158,120 related
    Nontaxable benefits
    $0 + $23,189 related
    Filer's total
    $0 + $1,105,301 related

  • BRADLEY GARRIGUES

    CHIEF SALES-UNDERWRITING OFFCR

    Total calculated
    $706,187
    From this org
    $0
    From related orgs
    $617,363
    Other
    $88,824
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $281,630 related
    Bonus
    $0 + $291,622 related
    Other
    $0 + $44,111 related
    Deferred
    $0 + $62,460 related
    Nontaxable benefits
    $0 + $26,364 related
    Filer's total
    $0 + $706,187 related

  • NATE PERRIZO

    CHIEF STRA & OPS OFCR PHP - THRU 5/22

    Total calculated
    $664,005
    From this org
    $0
    From related orgs
    $654,189
    Other
    $9,816
    Hours/week
    16 + 34 related

    Schedule J breakdown matched by us

    Base
    $0 + $165,737 related
    Bonus
    $0 + $171,500 related
    Other
    $0 + $316,952 related
    Deferred
    $0 + $1,510 related
    Nontaxable benefits
    $0 + $8,306 related
    Filer's total
    $0 + $664,005 related

  • GREG ZAMUDIO

    SECRETARY

    Total calculated
    $577,519
    From this org
    $0
    From related orgs
    $506,481
    Other
    $71,038
    Hours/week
    16 + 34 related

    Schedule J breakdown matched by us

    Base
    $0 + $303,834 related
    Bonus
    $0 + $141,880 related
    Other
    $0 + $60,767 related
    Deferred
    $0 + $62,724 related
    Nontaxable benefits
    $0 + $8,314 related
    Filer's total
    $0 + $577,519 related

  • PAUL T GIGER

    MED DIRECTOR BEHAVIORAL HEALTH

    Total calculated
    $543,994
    From this org
    $0
    From related orgs
    $471,055
    Other
    $72,939
    Hours/week
    16 + 34 related

    Schedule J breakdown matched by us

    Base
    $0 + $325,846 related
    Bonus
    $0 + $50,250 related
    Other
    $0 + $94,959 related
    Deferred
    $0 + $46,219 related
    Nontaxable benefits
    $0 + $26,720 related
    Filer's total
    $0 + $543,994 related

  • DANIEL W RYAN

    TREASURER/VP

    Total calculated
    $518,218
    From this org
    $0
    From related orgs
    $429,045
    Other
    $89,173
    Hours/week
    16 + 34 related

    Schedule J breakdown matched by us

    Base
    $0 + $269,727 related
    Bonus
    $0 + $136,007 related
    Other
    $0 + $23,311 related
    Deferred
    $0 + $58,855 related
    Nontaxable benefits
    $0 + $30,318 related
    Filer's total
    $0 + $518,218 related

  • LAUREL SOOT

    VP MEDICAL MANAGEMENT PHP

    Total calculated
    $488,781
    From this org
    $0
    From related orgs
    $450,263
    Other
    $38,518
    Hours/week
    16 + 34 related

    Schedule J breakdown matched by us

    Base
    $0 + $336,314 related
    Bonus
    $0 + $100,556 related
    Other
    $0 + $13,393 related
    Deferred
    $0 + $24,084 related
    Nontaxable benefits
    $0 + $14,434 related
    Filer's total
    $0 + $488,781 related

  • STEPHANIE C DREYFUSS

    VP PHP NETWORK DEVELOPMENT

    Total calculated
    $462,132
    From this org
    $0
    From related orgs
    $400,532
    Other
    $61,600
    Hours/week
    16 + 34 related

    Schedule J breakdown matched by us

    Base
    $0 + $291,343 related
    Bonus
    $0 + $83,042 related
    Other
    $0 + $26,147 related
    Deferred
    $0 + $33,040 related
    Nontaxable benefits
    $0 + $28,560 related
    Filer's total
    $0 + $462,132 related

  • CHERYL MORRISON

    COO PHP (PART YEAR)

    Total calculated
    $423,077
    From this org
    $0
    From related orgs
    $300,072
    Other
    $123,005
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $224,554 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $518 related
    Deferred
    $0 + $102,717 related
    Nontaxable benefits
    $0 + $20,288 related
    Filer's total
    $0 + $423,077 related

  • THERESA A MUDAY

    MED DIR QUALITY MGMT ADMIN

    Total calculated
    $398,423
    From this org
    $0
    From related orgs
    $359,684
    Other
    $38,739
    Hours/week
    16 + 34 related

    Schedule J breakdown matched by us

    Base
    $0 + $283,419 related
    Bonus
    $0 + $48,404 related
    Other
    $0 + $27,861 related
    Deferred
    $0 + $13,268 related
    Nontaxable benefits
    $0 + $25,471 related
    Filer's total
    $0 + $398,423 related

  • AARON BALS

    CHIEF COMP. /RISK OFC.

    Total calculated
    $379,407
    From this org
    $0
    From related orgs
    $353,853
    Other
    $25,554
    Hours/week
    18 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $278,249 related
    Bonus
    $0 + $74,977 related
    Other
    $0 + $627 related
    Deferred
    $0 + $15,483 related
    Nontaxable benefits
    $0 + $10,071 related
    Filer's total
    $0 + $379,407 related

  • ANDREW TARAB

    VP INFORMATICS PHP

    Total calculated
    $372,765
    From this org
    $0
    From related orgs
    $352,676
    Other
    $20,089
    Hours/week
    16 + 34 related

    Schedule J breakdown matched by us

    Base
    $0 + $260,235 related
    Bonus
    $0 + $73,326 related
    Other
    $0 + $19,115 related
    Deferred
    $0 + $16,130 related
    Nontaxable benefits
    $0 + $3,959 related
    Filer's total
    $0 + $372,765 related

  • MARK JENSEN

    CHIEF SERVICE OPS OFFICER

    Total calculated
    $347,585
    From this org
    $0
    From related orgs
    $301,658
    Other
    $45,927
    Hours/week
    19 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $221,128 related
    Bonus
    $0 + $64,607 related
    Other
    $0 + $15,923 related
    Deferred
    $0 + $30,535 related
    Nontaxable benefits
    $0 + $15,392 related
    Filer's total
    $0 + $347,585 related

  • MICHAEL MATHIAS

    CHIEF INFORMATION OFF. PHP (PT YR)

    Total calculated
    $197,056
    From this org
    $0
    From related orgs
    $152,466
    Other
    $44,590
    Hours/week
    18.5 + 36.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $124,641 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $2,825 related
    Deferred
    $0 + $34,681 related
    Nontaxable benefits
    $0 + $9,909 related
    Filer's total
    $0 + $197,056 related

  • ISIAAH CRAWFORD PHD

    DIRECTOR

    Total calculated
    $50,000
    From this org
    $0
    From related orgs
    $50,000
    Other
    $0
    Hours/week
    0.5 + 15 related

  • JOSEPH BLANKENSHIP

    DIRECTOR

    Total calculated
    $35,250
    From this org
    $0
    From related orgs
    $35,250
    Other
    $0
    Hours/week
    0.5 + 1 related

  • CECILIA SUN

    DIRECTOR (PART YEAR)

    Total calculated
    $8,750
    From this org
    $0
    From related orgs
    $8,750
    Other
    $0
    Hours/week
    0.5 + 1 related

  • BYRON SCOTT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1 related

  • HEATH SCHIESSER

    DIRECTOR - THRU 3/22

    Total calculated
    $0
    Hours/week
    0.5 + 1 related

  • KERRY WEEMS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1 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 3
DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS TAX-EXEMPT PARENT, 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 A SEVERANCE PAYMENT DURING THE CURRENT YEAR: NATE PERRIZO - $215,518 NONQUALIFIED RETIREMENT PLAN 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: DEBRA CANALES - $396,202 RHONDA MEDOWS, M.D. - $279,201 ROBERT A. GLUCKMAN - $126,584 MICHAEL G. WHITE - $130,372 BRADLEY GARRIGUES - $22,028 NATE PERRIZO - $61,237 GREG ZAMUDIO - $59,185 PAUL T. GIGER - $7,768 LAUREL SOOT - $10,074 STEPHANIE C. DREYFUSS - $5,647
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

The 10 largest by cash amount. The API serves every itemized grant.

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
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202303199349315240

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.