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Nonprofiteer
← PROVIDENCE TRINITYCARE HOSPICE

Form 990 for tax year 2023

Filed by PROVIDENCE TRINITYCARE HOSPICE.

Totals

Total revenue
$36,609,781
Total expenses
$42,029,691
Contributions and grants received
$3,334,244
Grants paid
$1,150,246
Program services expenses (Part IX)
$35,271,606
Management and general expenses
$6,758,085
Fundraising expenses
$0
Program service expenses (Part III)
$35,271,606

Program services were 83.9% 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
    $5,616,067
    From this org
    $0
    From related orgs
    $5,154,374
    Other
    $461,693
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,601,628 related
    Bonus
    $0 + $2,527,326 related
    Other
    $0 + $1,025,420 related
    Deferred
    $0 + $426,357 related
    Nontaxable benefits
    $0 + $35,336 related
    Filer's total
    $0 + $5,616,067 related

  • GREG HOFFMAN

    EVP & CFO/TREASURER

    Total calculated
    $3,539,549
    From this org
    $0
    From related orgs
    $3,204,594
    Other
    $334,955
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,088,176 related
    Bonus
    $0 + $2,008,809 related
    Other
    $0 + $107,609 related
    Deferred
    $0 + $297,744 related
    Nontaxable benefits
    $0 + $37,211 related
    Filer's total
    $0 + $3,539,549 related

  • JO ANN ESCASA-HAIGH

    FRMR EVP/TREASURER/CFO

    Total calculated
    $3,302,551
    From this org
    $0
    From related orgs
    $3,291,797
    Other
    $10,754
    Hours/week
    0 + 1 related

    Schedule J breakdown matched by us

    Base
    $0 + $44,915 related
    Bonus
    $0 + $1,744,873 related
    Other
    $0 + $1,502,009 related
    Deferred
    $0 + $8,269 related
    Nontaxable benefits
    $0 + $2,485 related
    Filer's total
    $0 + $3,302,551 related

  • ANNA NEWSOM

    EVP & CHIEF LEGAL OFFICER/SECRETARY

    Total calculated
    $2,329,749
    From this org
    $0
    From related orgs
    $1,917,204
    Other
    $412,545
    Hours/week
    1 + 64 related

    Schedule J breakdown matched by us

    Base
    $0 + $853,122 related
    Bonus
    $0 + $1,025,045 related
    Other
    $0 + $39,037 related
    Deferred
    $0 + $407,728 related
    Nontaxable benefits
    $0 + $4,817 related
    Filer's total
    $0 + $2,329,749 related

  • ROBERT HELLRIGEL

    FRMR EVP CE HOME & COMM CARE

    Total calculated
    $1,695,331
    From this org
    $0
    From related orgs
    $1,695,331
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $344,009 related
    Other
    $0 + $1,351,322 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $1,695,331 related

  • JIM WATSON ESQ

    ASSISTANT SECRETARY

    Total calculated
    $1,115,622
    From this org
    $0
    From related orgs
    $968,691
    Other
    $146,931
    Hours/week
    0.5 + 54.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $480,026 related
    Bonus
    $0 + $399,066 related
    Other
    $0 + $89,599 related
    Deferred
    $0 + $107,204 related
    Nontaxable benefits
    $0 + $39,727 related
    Filer's total
    $0 + $1,115,622 related

  • JIM MARTIN

    ASSISTANT TREASURER (PART YEAR)

    Total calculated
    $944,563
    From this org
    $0
    From related orgs
    $828,928
    Other
    $115,635
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $435,246 related
    Bonus
    $0 + $339,361 related
    Other
    $0 + $54,321 related
    Deferred
    $0 + $83,489 related
    Nontaxable benefits
    $0 + $32,146 related
    Filer's total
    $0 + $944,563 related

  • TERRI WARREN

    CHIEF COMMUNITY SRVCS - HCC

    Total calculated
    $943,695
    From this org
    $0
    From related orgs
    $705,158
    Other
    $238,537
    Hours/week
    27 + 28 related

    Schedule J breakdown matched by us

    Base
    $0 + $414,738 related
    Bonus
    $0 + $275,000 related
    Other
    $0 + $15,420 related
    Deferred
    $0 + $200,540 related
    Nontaxable benefits
    $0 + $37,997 related
    Filer's total
    $0 + $943,695 related

  • JOHN WHIPPLE

    FRMR SECRETARY

    Total calculated
    $541,701
    From this org
    $0
    From related orgs
    $541,701
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $541,701 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $541,701 related

  • DONALD ANDERSON JR

    ASSISTANT SECRETARY FOR ENROLLMENT

    Total calculated
    $323,721
    From this org
    $0
    From related orgs
    $292,875
    Other
    $30,846
    Hours/week
    0.5 + 54.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $266,681 related
    Bonus
    $0 + $24,827 related
    Other
    $0 + $1,367 related
    Deferred
    $0 + $15,474 related
    Nontaxable benefits
    $0 + $15,372 related
    Filer's total
    $0 + $323,721 related

  • MARY LYONS PHD

    DIRECTOR

    Total calculated
    $100,085
    From this org
    $0
    From related orgs
    $100,085
    Other
    $0
    Hours/week
    0.5 + 13 related

  • MICHAEL MURPHY

    BOARD CHAIR

    Total calculated
    $75,066
    From this org
    $0
    From related orgs
    $75,066
    Other
    $0
    Hours/week
    1 + 26 related

  • CHARLES SORENSON MD

    DIRECTOR

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

  • ISIAAH CRAWFORD PHD

    DIRECTOR

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

  • RICHARD BLAIR

    DIRECTOR

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

  • ERIC SPRUNK

    DIRECTOR

    Total calculated
    $40,000
    From this org
    $0
    From related orgs
    $40,000
    Other
    $0
    Hours/week
    0.5 + 13.5 related

  • MARY BETH KINGSTON

    DIRECTOR

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

  • MARVIN O'QUINN

    DIRECTOR (PART YEAR)

    Total calculated
    $0
    Hours/week
    0.5 + 12.5 related

  • SISTER CAROL PACINI LCM

    DIRECTOR

    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 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

  • 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. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES RELATED TO RELOCATION OF NEWLY HIRED EMPLOYEES AND CURRENT EMPLOYEES RELOCATING TO A NEW POSITION. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE ELIGIBLE EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES INCLUDE RENT (EXCLUDING AMOUNTS WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL TITLE CLEARS), NON-REFUNDABLE SECURITY DEPOSITS AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE MAY APPROVE TEMPORARY HOUSING ASSISTANCE FOR UP TO SIX MONTHS WHEN FAMILY RELOCATION IS DELAYED TO ACCOMMODATE THE SCHOOL YEAR OR EQUIVALENT CIRCUMSTANCES. ONLY IN EXTENUATING CIRCUMSTANCES IS HOUSING EXTENDED BEYOND THIS SIX-MONTH PERIOD. 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 DURING THE YEAR: JO ANN ESCASA-HAIGH - $811,814 ROBERT HELLRIGEL - $749,861 JOHN WHIPPLE - 539,282 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 - $366,950 GREG HOFFMAN - $80,207 JO ANN ESCASA-HAIGH - $603,250 ROBERT HELLRIGEL - $568,029 JIM WATSON, ESQ - $64,477 JIM MARTIN - $52,013 TERRI WARREN - $11,263
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

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
30 October 2024
IRS schema version
2023v5.1
Source object
202423179349301692

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

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