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Nonprofiteer
← PROVIDENCE HEALTH & SERVICES WASHINGTON

Form 990 for tax year 2024

Filed by PROVIDENCE HEALTH & SERVICES WASHINGTON.

Totals

Total revenue
$9,728,808,188
Total expenses
$9,324,180,055
Contributions and grants received
$55,277,011
Grants paid
$21,074,609
Program services expenses (Part IX)
$5,866,235,113
Management and general expenses
$3,455,480,555
Fundraising expenses
$2,464,387
Program service expenses (Part III)
$5,866,235,113

Program services were 62.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ERIK WEXLER

    PRESIDENT/CEO

    Total calculated
    $9,125,384
    From this org
    $8,590,356
    From related orgs
    $0
    Other
    $535,028
    Hours/week
    50.5 + 14.5 related

    Schedule J breakdown matched by us

    Base
    $1,968,391
    Bonus
    $6,173,417
    Other
    $448,548
    Deferred
    $519,036
    Nontaxable benefits
    $15,992
    Filer's total
    $9,125,384

  • GREG HOFFMAN

    EVP & CFO/TREASURER

    Total calculated
    $4,270,929
    From this org
    $3,880,224
    From related orgs
    $0
    Other
    $390,705
    Hours/week
    51 + 14 related

    Schedule J breakdown matched by us

    Base
    $1,402,471
    Bonus
    $2,154,592
    Other
    $323,161
    Deferred
    $377,326
    Nontaxable benefits
    $13,379
    Filer's total
    $4,270,929

  • DINELLI MONSON

    CHIEF MEDICAL OFF. CLINICAL NETWORK

    Total calculated
    $3,428,279
    From this org
    $3,414,149
    From related orgs
    $0
    Other
    $14,130
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $327,784
    Bonus
    $71,029
    Other
    $3,015,336
    Deferred
    $5,175
    Nontaxable benefits
    $8,955
    Filer's total
    $3,428,279

  • GREG TILL

    CHIEF PEOPLE OFFICER

    Total calculated
    $3,310,626
    From this org
    $2,927,623
    From related orgs
    $0
    Other
    $383,003
    Hours/week
    65

    Schedule J breakdown matched by us

    Base
    $952,307
    Bonus
    $1,746,490
    Other
    $228,826
    Deferred
    $369,067
    Nontaxable benefits
    $13,936
    Filer's total
    $3,310,626

  • WASIF RASHEED

    CHIEF REV & GROWTH OFF. - THRU 4/24

    Total calculated
    $3,178,068
    From this org
    $3,164,494
    From related orgs
    $0
    Other
    $13,574
    Hours/week
    64.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $238,066
    Bonus
    $1,556,981
    Other
    $1,369,447
    Deferred
    $7,763
    Nontaxable benefits
    $5,811
    Filer's total
    $3,178,068

  • ANNA NEWSOM

    EVP & CHIEF LEGAL OFFICER/SECRETARY

    Total calculated
    $2,895,675
    From this org
    $2,610,531
    From related orgs
    $0
    Other
    $285,144
    Hours/week
    57 + 8 related

    Schedule J breakdown matched by us

    Base
    $1,053,930
    Bonus
    $1,511,654
    Other
    $44,947
    Deferred
    $284,757
    Nontaxable benefits
    $387
    Filer's total
    $2,895,675

  • JOEL GILBERTSON

    DIVISION CHIEF EXEC - CENTRAL

    Total calculated
    $2,829,815
    From this org
    $2,511,979
    From related orgs
    $0
    Other
    $317,836
    Hours/week
    17 + 48 related

    Schedule J breakdown matched by us

    Base
    $1,034,912
    Bonus
    $1,223,256
    Other
    $253,811
    Deferred
    $302,494
    Nontaxable benefits
    $15,342
    Filer's total
    $2,829,815

  • ELIZABETH WAKO

    PRESIDENT AND CEO - SWEDISH

    Total calculated
    $2,820,837
    From this org
    $2,511,022
    From related orgs
    $0
    Other
    $309,815
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $1,023,582
    Bonus
    $1,290,002
    Other
    $197,438
    Deferred
    $285,246
    Nontaxable benefits
    $24,569
    Filer's total
    $2,820,837

  • HODA ASMAR MD

    EVP SYSTEM CHIEF CLINICAL OFFICER

    Total calculated
    $2,697,869
    From this org
    $2,675,264
    From related orgs
    $0
    Other
    $22,605
    Hours/week
    64.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $948,833
    Bonus
    $1,243,643
    Other
    $482,788
    Deferred
    $15,525
    Nontaxable benefits
    $7,080
    Filer's total
    $2,697,869

  • ALI SANTORE

    CHIEF ADMIN OFFICER

    Total calculated
    $2,696,358
    From this org
    $2,420,269
    From related orgs
    $0
    Other
    $276,089
    Hours/week
    62.5 + 2.5 related

    Schedule J breakdown matched by us

    Base
    $873,865
    Bonus
    $1,415,886
    Other
    $130,518
    Deferred
    $247,193
    Nontaxable benefits
    $28,896
    Filer's total
    $2,696,358

  • KEVIN BROOKS

    DIVISION CHIEF EXEC - NORTH

    Total calculated
    $2,512,326
    From this org
    $2,223,471
    From related orgs
    $0
    Other
    $288,855
    Hours/week
    32.5 + 32.5 related

    Schedule J breakdown matched by us

    Base
    $984,701
    Bonus
    $1,048,494
    Other
    $190,276
    Deferred
    $273,584
    Nontaxable benefits
    $15,271
    Filer's total
    $2,512,326

  • MICHAEL MARSHALL

    PCN CHIEF EXECUTIVE - NORTH

    Total calculated
    $2,498,117
    From this org
    $2,482,019
    From related orgs
    $0
    Other
    $16,098
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $255,813
    Bonus
    $434,948
    Other
    $1,791,258
    Deferred
    $15,525
    Nontaxable benefits
    $573
    Filer's total
    $2,498,117

  • LAUREEN DRISCOLL RN

    DIVISION CHIEF EXECUTIVE - SOUTH

    Total calculated
    $2,396,240
    From this org
    $2,086,520
    From related orgs
    $0
    Other
    $309,720
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $1,069,196
    Bonus
    $973,551
    Other
    $43,773
    Deferred
    $300,285
    Nontaxable benefits
    $9,435
    Filer's total
    $2,396,240

  • JEFF STOLTE

    SENIOR PARTNER PROVIDENCE VENTURES

    Total calculated
    $2,347,150
    From this org
    $2,327,034
    From related orgs
    $0
    Other
    $20,116
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $512,600
    Bonus
    $1,709,310
    Other
    $105,124
    Deferred
    $10,350
    Nontaxable benefits
    $9,766
    Filer's total
    $2,347,150

  • SARA VAEZY

    EVP CHIEF STRATEGY AND DIGITAL OFF.

    Total calculated
    $2,154,571
    From this org
    $1,932,949
    From related orgs
    $0
    Other
    $221,622
    Hours/week
    63 + 2 related

    Schedule J breakdown matched by us

    Base
    $772,967
    Bonus
    $1,074,642
    Other
    $85,340
    Deferred
    $212,822
    Nontaxable benefits
    $8,800
    Filer's total
    $2,154,571

  • SYLVAIN TREPANIER

    SVP CHIEF NURSING OFFICER

    Total calculated
    $1,709,013
    From this org
    $1,444,874
    From related orgs
    $0
    Other
    $264,139
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $680,665
    Bonus
    $589,341
    Other
    $174,868
    Deferred
    $248,928
    Nontaxable benefits
    $15,211
    Filer's total
    $1,709,013

  • PK KHURANA

    CHIEF STRATEGY OFF. - CARE DELIVERY

    Total calculated
    $1,665,001
    From this org
    $1,421,525
    From related orgs
    $0
    Other
    $243,476
    Hours/week
    54.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $748,708
    Bonus
    $550,368
    Other
    $122,449
    Deferred
    $227,148
    Nontaxable benefits
    $16,328
    Filer's total
    $1,665,001

  • SCOTT O'BRIEN

    CHIEF EXEC EASTERN WA/MT

    Total calculated
    $1,642,632
    From this org
    $1,441,016
    From related orgs
    $0
    Other
    $201,616
    Hours/week
    27.5 + 27.5 related

    Schedule J breakdown matched by us

    Base
    $643,260
    Bonus
    $593,276
    Other
    $204,480
    Deferred
    $198,155
    Nontaxable benefits
    $3,461
    Filer's total
    $1,642,632

  • SUSAN HUANG

    CHIEF EXECUTIVE - PCN

    Total calculated
    $1,548,465
    From this org
    $1,315,185
    From related orgs
    $0
    Other
    $233,280
    Hours/week
    51 + 4 related

    Schedule J breakdown matched by us

    Base
    $791,843
    Bonus
    $431,716
    Other
    $91,626
    Deferred
    $219,236
    Nontaxable benefits
    $14,044
    Filer's total
    $1,548,465

  • GUY HUDSON MD

    FORMER DIVISION CE - NORTH

    Total calculated
    $1,311,149
    From this org
    $1,311,149
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $1,311,149
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $1,311,149

  • ELLA GOSS

    REGIONAL CHIEF EXEC - AK

    Total calculated
    $1,234,162
    From this org
    $1,175,902
    From related orgs
    $0
    Other
    $58,260
    Hours/week
    54.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $590,441
    Bonus
    $444,922
    Other
    $140,539
    Deferred
    $31,050
    Nontaxable benefits
    $27,210
    Filer's total
    $1,234,162

  • MARYBETH FORMBY

    DIVISION CFO - NORTH

    Total calculated
    $1,100,520
    From this org
    $971,779
    From related orgs
    $0
    Other
    $128,741
    Hours/week
    27.5 + 27.5 related

    Schedule J breakdown matched by us

    Base
    $538,948
    Bonus
    $339,158
    Other
    $93,673
    Deferred
    $98,125
    Nontaxable benefits
    $30,616
    Filer's total
    $1,100,520

  • JIM WATSON ESQ

    ASSISTANT SECRETARY

    Total calculated
    $1,084,453
    From this org
    $955,923
    From related orgs
    $0
    Other
    $128,530
    Hours/week
    44.5 + 10.5 related

    Schedule J breakdown matched by us

    Base
    $494,455
    Bonus
    $358,832
    Other
    $102,636
    Deferred
    $110,879
    Nontaxable benefits
    $17,651
    Filer's total
    $1,084,453

  • RAFA MARTINEZ-CHAPMAN

    SVP TREASURER

    Total calculated
    $1,043,926
    From this org
    $864,548
    From related orgs
    $0
    Other
    $179,378
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $578,999
    Bonus
    $282,927
    Other
    $2,622
    Deferred
    $163,699
    Nontaxable benefits
    $15,679
    Filer's total
    $1,043,926

  • DARIN GOSS

    CHIEF EXEC SOUTH PUGET SOUND

    Total calculated
    $1,025,511
    From this org
    $872,479
    From related orgs
    $0
    Other
    $153,032
    Hours/week
    54.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $441,065
    Bonus
    $289,322
    Other
    $142,092
    Deferred
    $137,063
    Nontaxable benefits
    $15,969
    Filer's total
    $1,025,511

  • KRISTY CARRINGTON

    CHIEF EXEC NORTH PUGET SOUND

    Total calculated
    $997,777
    From this org
    $829,803
    From related orgs
    $0
    Other
    $167,974
    Hours/week
    27.5 + 27.5 related

    Schedule J breakdown matched by us

    Base
    $495,896
    Bonus
    $280,471
    Other
    $53,436
    Deferred
    $153,098
    Nontaxable benefits
    $14,876
    Filer's total
    $997,777

  • MELISSA DAMM

    DIVISION CFO - CENTRAL

    Total calculated
    $973,637
    From this org
    $863,710
    From related orgs
    $0
    Other
    $109,927
    Hours/week
    13.6 + 41.4 related

    Schedule J breakdown matched by us

    Base
    $490,816
    Bonus
    $308,232
    Other
    $64,662
    Deferred
    $106,358
    Nontaxable benefits
    $3,569
    Filer's total
    $973,637

  • JIM MARTIN

    ASSISTANT TREASURER

    Total calculated
    $917,253
    From this org
    $820,365
    From related orgs
    $0
    Other
    $96,888
    Hours/week
    45 + 10 related

    Schedule J breakdown matched by us

    Base
    $463,263
    Bonus
    $290,109
    Other
    $66,993
    Deferred
    $88,541
    Nontaxable benefits
    $8,347
    Filer's total
    $917,253

  • SUSAN STACEY

    CHIEF EXEC SACRED HEART MEDICAL CTR

    Total calculated
    $913,271
    From this org
    $752,021
    From related orgs
    $0
    Other
    $161,250
    Hours/week
    54 + 1 related

    Schedule J breakdown matched by us

    Base
    $402,105
    Bonus
    $196,678
    Other
    $153,238
    Deferred
    $147,516
    Nontaxable benefits
    $13,734
    Filer's total
    $913,271

  • JO ANN ESCASA-HAIGH

    FRMR EVP/ASSISTANT TREASURER

    Total calculated
    $879,466
    From this org
    $0
    From related orgs
    $879,466
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $879,466 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $879,466 related

  • MIKE DENNEY

    CHIEF REAL ESTATE OFFICER

    Total calculated
    $786,472
    From this org
    $684,618
    From related orgs
    $0
    Other
    $101,854
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $408,733
    Bonus
    $212,050
    Other
    $63,835
    Deferred
    $93,225
    Nontaxable benefits
    $8,629
    Filer's total
    $786,472

  • RYAN THOMPSON

    SVP CHIEF REV CYCLE OFFICER

    Total calculated
    $765,295
    From this org
    $654,555
    From related orgs
    $0
    Other
    $110,740
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $478,125
    Bonus
    $150,808
    Other
    $25,622
    Deferred
    $93,054
    Nontaxable benefits
    $17,686
    Filer's total
    $765,295

  • DONALD ANDERSON JR

    ASSISTANT SECRETARY FOR ENROLLMENT

    Total calculated
    $335,486
    From this org
    $316,554
    From related orgs
    $0
    Other
    $18,932
    Hours/week
    41.5 + 13.5 related

    Schedule J breakdown matched by us

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

  • MARY CRANSTOUN

    FRMR SVP TOTAL REWARDS - TALENT ACQ

    Total calculated
    $333,252
    From this org
    $333,252
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $333,252
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $333,252

  • PRESTON SIMMONS

    FRMR SVP CHIEF EXEC AK REGION

    Total calculated
    $197,952
    From this org
    $197,952
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $197,952
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $197,952

  • MIKE WATERS

    FRMR EVP AMBULATORY CARE NETWORK

    Total calculated
    $180,020
    From this org
    $180,020
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $180,020
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $180,020

  • MARY LYONS PHD

    DIRECTOR

    Total calculated
    $100,944
    From this org
    $100,944
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 13 related

  • MICHAEL MURPHY

    BOARD CHAIR

    Total calculated
    $75,168
    From this org
    $75,168
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 13 related

  • RICHARD BLAIR

    DIRECTOR

    Total calculated
    $51,379
    From this org
    $51,379
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 13 related

  • CHARLES SORENSON MD

    DIRECTOR

    Total calculated
    $50,000
    From this org
    $50,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 13 related

  • ISIAAH CRAWFORD PHD

    DIRECTOR

    Total calculated
    $50,000
    From this org
    $50,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 14.5 related

  • MARVIN O'QUINN

    DIRECTOR

    Total calculated
    $42,989
    From this org
    $42,989
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 12.5 related

  • ERIC SPRUNK

    DIRECTOR

    Total calculated
    $40,000
    From this org
    $40,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 13 related

  • MARY BETH KINGSTON

    DIRECTOR

    Total calculated
    $40,000
    From this org
    $40,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5 + 13 related

  • SISTER CAROL PACINI LCM

    DIRECTOR - THRU 12/31/24

    Total calculated
    $0
    Hours/week
    0.5 + 13 related

  • SISTER DIANE HEJNA CSJ RN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 13 related

  • SISTER DONNA MARKHAM

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 12.5 related

  • SISTER PHYLLIS HUGHES RSM DRPH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 13 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

  • 1a · First-class or charter travel
  • 1a · Travel for companions
  • 1a · Tax indemnification and gross-up payments
  • 1a · Personal services (maid, chauffeur, chef)
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 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. THESE REIMBURSEMENTS ARE NOT REPORTED AS TAXABLE COMPENSATION. TRAVEL FOR COMPANIONS SPOUSE OR COMPANION TRAVEL. TRAVEL EXPENSES INCURRED BY A PROVIDENCE EMPLOYEE'S SPOUSE OR COMPANION WILL NOT BE REIMBURSED BY PROVIDENCE UNLESS THE SPOUSE OR COMPANION IS REQUIRED TO, OR INVITED TO, ATTEND A PROVIDENCE SYSTEM-SPONSORED MEETING, OR FOR TRAVEL RELATED TO RELOCATION. RELOCATION-RELATED VISITS SHOULD NOT EXCEED TWO RELOCATION-RELATED VISITS, UNLESS APPROVED BY THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE. REIMBURSEMENT OF THESE EXPENSES IS LIMITED AND MAY BE CONSIDERED A TAXABLE BENEFIT BY THE IRS AND IF SO, ARE INCLUDED ON THE EMPLOYEE'S FORM W- 2. KRISTY CARRINGTON - $3,186 MELISSA DAMM - $1,385 P.K. KHURANA - $1,516 SCOTT O'BRIEN - $1,698 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. 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, LINES 4A-B
THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: GUY HUDSON, M.D. - $ 1,311,149 JO ANN ESCASA-HAIGH - $879,466 MARY CRANSTOUN - $333,252 MIKE WATERS - $180,020 PRESTON SIMMONS - $197,952 DINELLI MONSON - $3,000,000 WASIF RASHEED - $585,635 MICHAEL MARSHALL - $1,500,000 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 - $409,440 GREG HOFFMAN - $239,249 JOEL GILBERTSON - $210,040 WASIF RASHEED - $728,040 GREG TILL - $185,054 KEVIN BROOKS - $165,565 ALI SANTORE - $129,378 SCOTT O'BRIEN - $162,130 P.K. KHURANA - $98,309 SARA VAEZY - $66,111 SYLVAIN TREPANIER - $169,967 ELLA GOSS - $112,637 MARYBETH FORMBY - $79,938 JIM WATSON, ESQ - $77,014 DARIN GOSS - $116,599 KRISTY CARRINGTON - $52,216 MELISSA DAMM - $54,308 JIM MARTIN - $64,532 ELIZABETH WAKO - $135,015 HODA ASMAR, MD - $452,265 MICHAEL MARSHALL - $227,396 JEFF STOLTE - $79,502 SUSAN STACEY - $106,040 IVETTE DE RUBENS LARRONDOBUNO - $49,990 MIKE DENNEY - $57,630 SUSAN HUANG - $67,485
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
2024
Filed
5 November 2025
IRS schema version
2024v5.2
Source object
202513119349302411

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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