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Nonprofiteer
← PROVIDENCE MEDICAL FOUNDATION

Form 990 for tax year 2024

Filed by PROVIDENCE MEDICAL FOUNDATION.

Totals

Total revenue
$1,521,578,669
Total expenses
$1,522,154,798
Contributions and grants received
$10,920,521
Grants paid
$80,000
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$1,322,940,107
Management and general expenses
$199,214,691
Fundraising expenses
$0
Program service expenses (Part III)
$1,322,940,107

Program services were 86.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ERIK WEXLER

    DIRECTOR

    Total calculated
    $9,125,384
    From this org
    $0
    From related orgs
    $8,590,356
    Other
    $535,028
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,968,391 related
    Bonus
    $0 + $6,173,417 related
    Other
    $0 + $448,548 related
    Deferred
    $0 + $519,036 related
    Nontaxable benefits
    $0 + $15,992 related
    Filer's total
    $0 + $9,125,384 related

  • ALI SANTORE

    DIRECTOR

    Total calculated
    $2,696,358
    From this org
    $0
    From related orgs
    $2,420,269
    Other
    $276,089
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $873,865 related
    Bonus
    $0 + $1,415,886 related
    Other
    $0 + $130,518 related
    Deferred
    $0 + $247,193 related
    Nontaxable benefits
    $0 + $28,896 related
    Filer's total
    $0 + $2,696,358 related

  • SARA VAEZY

    DIRECTOR

    Total calculated
    $2,154,571
    From this org
    $0
    From related orgs
    $1,932,949
    Other
    $221,622
    Hours/week
    0.5 + 64.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $772,967 related
    Bonus
    $0 + $1,074,642 related
    Other
    $0 + $85,340 related
    Deferred
    $0 + $212,822 related
    Nontaxable benefits
    $0 + $8,800 related
    Filer's total
    $0 + $2,154,571 related

  • SUSAN HUANG

    PRESIDENT (PART YEAR)

    Total calculated
    $1,548,465
    From this org
    $0
    From related orgs
    $1,315,185
    Other
    $233,280
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $791,843 related
    Bonus
    $0 + $431,716 related
    Other
    $0 + $91,626 related
    Deferred
    $0 + $219,236 related
    Nontaxable benefits
    $0 + $14,044 related
    Filer's total
    $0 + $1,548,465 related

  • NATHAN HUSMANN

    FRMR OFF. CFO MANAGED CARE

    Total calculated
    $1,329,179
    From this org
    $0
    From related orgs
    $1,136,956
    Other
    $192,223
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $568,543 related
    Bonus
    $0 + $424,809 related
    Other
    $0 + $143,604 related
    Deferred
    $0 + $178,479 related
    Nontaxable benefits
    $0 + $13,744 related
    Filer's total
    $0 + $1,329,179 related

  • JILL DUPLECHAN

    DIRECTOR

    Total calculated
    $1,223,541
    From this org
    $1,048,788
    From related orgs
    $0
    Other
    $174,753
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $554,424
    Bonus
    $362,090
    Other
    $132,274
    Deferred
    $165,124
    Nontaxable benefits
    $9,629
    Filer's total
    $1,223,541

  • JIM WATSON ESQ

    SECRETARY

    Total calculated
    $1,084,453
    From this org
    $0
    From related orgs
    $955,923
    Other
    $128,530
    Hours/week
    0.5 + 54.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $494,455 related
    Bonus
    $0 + $358,832 related
    Other
    $0 + $102,636 related
    Deferred
    $0 + $110,879 related
    Nontaxable benefits
    $0 + $17,651 related
    Filer's total
    $0 + $1,084,453 related

  • EUGENE KIM

    CHIEF MEDICAL OFFICER - CALIFORNIA

    Total calculated
    $1,045,467
    From this org
    $894,795
    From related orgs
    $0
    Other
    $150,672
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $490,349
    Bonus
    $336,945
    Other
    $67,501
    Deferred
    $133,307
    Nontaxable benefits
    $17,365
    Filer's total
    $1,045,467

  • ROBERT JUST III

    DIRECTOR

    Total calculated
    $978,847
    From this org
    $871,971
    From related orgs
    $0
    Other
    $106,876
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $485,475
    Bonus
    $294,054
    Other
    $92,442
    Deferred
    $87,881
    Nontaxable benefits
    $18,995
    Filer's total
    $978,847

  • BRENDAN LLOYD

    CHIEF MEDICAL OFF. CLINICAL NETWORK

    Total calculated
    $938,898
    From this org
    $818,021
    From related orgs
    $0
    Other
    $120,877
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $481,402
    Bonus
    $297,804
    Other
    $38,815
    Deferred
    $101,760
    Nontaxable benefits
    $19,117
    Filer's total
    $938,898

  • DAVID MAST

    DIRECTOR

    Total calculated
    $934,904
    From this org
    $0
    From related orgs
    $824,952
    Other
    $109,952
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $462,238 related
    Bonus
    $0 + $287,869 related
    Other
    $0 + $74,845 related
    Deferred
    $0 + $104,730 related
    Nontaxable benefits
    $0 + $5,222 related
    Filer's total
    $0 + $934,904 related

  • SHERI FEENEY

    CFO (PART YEAR)

    Total calculated
    $768,446
    From this org
    $0
    From related orgs
    $664,848
    Other
    $103,598
    Hours/week
    11 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $374,397 related
    Bonus
    $0 + $238,689 related
    Other
    $0 + $51,762 related
    Deferred
    $0 + $89,685 related
    Nontaxable benefits
    $0 + $13,913 related
    Filer's total
    $0 + $768,446 related

  • BETH NUNN

    REGIONAL COO SOUTHERN CA - HERITAGE

    Total calculated
    $756,351
    From this org
    $696,175
    From related orgs
    $0
    Other
    $60,176
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $450,170
    Bonus
    $142,937
    Other
    $103,068
    Deferred
    $48,660
    Nontaxable benefits
    $11,516
    Filer's total
    $756,351

  • PRASANNA MOHANTY

    PRESIDENT/DIRECTOR - THRU 3/24

    Total calculated
    $513,681
    From this org
    $0
    From related orgs
    $497,065
    Other
    $16,616
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $176,860 related
    Bonus
    $0 + $253,922 related
    Other
    $0 + $66,283 related
    Deferred
    $0 + $15,525 related
    Nontaxable benefits
    $0 + $1,091 related
    Filer's total
    $0 + $513,681 related

  • CHARLES FOSTER

    CHIEF PHYSICIAN SERVICES

    Total calculated
    $468,257
    From this org
    $425,910
    From related orgs
    $0
    Other
    $42,347
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $368,755
    Bonus
    $45,175
    Other
    $11,980
    Deferred
    $31,050
    Nontaxable benefits
    $11,297
    Filer's total
    $468,257

  • BRANDI LAZOREK

    AVP OPERATIONS & MED. GROUP NURSING

    Total calculated
    $389,176
    From this org
    $363,144
    From related orgs
    $0
    Other
    $26,032
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $328,928
    Bonus
    $32,500
    Other
    $1,716
    Deferred
    $17,443
    Nontaxable benefits
    $8,589
    Filer's total
    $389,176

  • 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

  • MELAYNE YOCUM

    CFO - THRU 4/24

    Total calculated
    $226,690
    From this org
    $0
    From related orgs
    $215,322
    Other
    $11,368
    Hours/week
    13.8 + 41.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $166,891 related
    Bonus
    $0 + $39,747 related
    Other
    $0 + $8,684 related
    Deferred
    $0 + $9,356 related
    Nontaxable benefits
    $0 + $2,012 related
    Filer's total
    $0 + $226,690 related

  • ANTONIO FERREY

    DIRECTOR

    Total calculated
    $144,375
    From this org
    $0
    From related orgs
    $144,375
    Other
    $0
    Hours/week
    0.5 + 1.5 related

  • ANNE FORD MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • CONNIE BARTLETT DO

    DIRECTOR - THRU 4/24

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • JAMES BENOIT DR

    DIRECTOR/CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • JEANNETTE CURRIE MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • KEITH MARTON MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • KIMBERLEY CHAN MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • MARK NEEDHAM MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • MARK PARDOE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • MICHAEL SUGARMAN MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • RAUL RUDY MARQUEZ MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 2 related

  • ROBERT ROSENBERG MD

    DIRECTOR (PART YEAR)

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • ROSCOE MARTER MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • WILLIAM BARCELONA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 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, 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

  • 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
THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR 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: ERIK WEXLER - $ 409,440 ALI SANTORE - $ 129,378 SARA VAEZY - $ 66,111 SUSAN HUANG - $ 67,485 NATHAN HUSMANN - $ 116,109 JILL DUPLECHAN - $ 124,458 JIM WATSON, ESQ - $ 77,014 EUGENE KIM - $ 65,776 ROBERT JUST III - $ 68,238 DAVID MAST - $ 67,849 SHERI FEENEY - $ 49,764 BETH NUNN - $ 72,866 PRASANNA MOHANTY - $ 2,899 CHARLES FOSTER - $ 6,404 MELAYNE YOCUM - $ 3,796
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.

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
202533179349307358

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