Form 990 for tax year 2023
Filed by PROVIDENCE MILWAUKIE FOUNDATION.
Totals
- Total revenue
- $748,253
- Total expenses
- $909,156
- Contributions and grants received
- $590,588
- Grants paid
- $697,965
- Program service revenue
- $0
- Investment income
- $158,363
- Other revenue
- -$698
- Total assets, end of year
- $9,736,983
- Total liabilities, end of year
- $1,219,467
- Net assets or fund balances, end of year
- $8,517,516
- Program services expenses (Part IX)
- $697,965
- Management and general expenses
- $111,499
- Fundraising expenses
- $99,692
- Program service expenses (Part III)
- $697,965
Program services were 76.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1c · Fundraising events
$151,138
-
1d · Related organizations
$102,202
-
1f · All other contributions, gifts and grants
$337,248
-
3 · Investment income
total $158,363 · excluded $158,363
-
8a · Fundraising events: gross income
$38,147
-
8a · Fundraising events: contributions included on line 1c
$151,138
-
8b · Fundraising events: direct expenses
$38,845
-
8c · Net income from fundraising events
total -$698 · excluded -$698
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $690,465 · program services $690,465
-
2 · Grants to domestic individuals
total $7,500 · program services $7,500
-
7 · Other salaries and wages
total $78,410 · management and general $41,397 · fundraising $37,013
-
9 · Other employee benefits
total $22,653 · management and general $11,960 · fundraising $10,693
-
11g · Fees: other
total $17,204 · management and general $9,083 · fundraising $8,121
-
12 · Advertising and promotion
total $9,381 · management and general $4,953 · fundraising $4,428
-
13 · Office expenses
total $30,054 · management and general $15,867 · fundraising $14,187
-
17 · Travel
total $2,233 · management and general $1,179 · fundraising $1,054
-
24a · Other expenses: OTHER DIRECT EXPENSES
total $36,718 · management and general $19,385 · fundraising $17,333
-
24b · Other expenses: SPECIAL EVENTS
total $10,355 · management and general $5,467 · fundraising $4,888
-
24c · Other expenses: DUES & SUBSCRIPTIONS
total $4,010 · management and general $2,117 · fundraising $1,893
-
24d · Other expenses: RECRUITING & RELOCATION
total $123 · management and general $65 · fundraising $58
-
24e · All other expenses
total $50 · management and general $26 · fundraising $24
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $245,236 · end of year $250,376
-
3 · Pledges and grants receivable
beginning of year $5,052 · end of year $15,512
-
4 · Accounts receivable
end of year $174,724
-
8 · Inventories for sale or use
beginning of year $13,111
-
11 · Investments: publicly traded securities
beginning of year $8,165,446 · end of year $8,536,940
-
15 · Other assets
beginning of year $768,599 · end of year $759,431
-
17 · Accounts payable and accrued expenses
beginning of year $4,285 · end of year $10,842
-
25 · Other liabilities
beginning of year $567,948 · end of year $1,208,625
-
27 · Net assets without donor restrictions
beginning of year $3,756,852 · end of year $3,770,631
-
28 · Net assets with donor restrictions
beginning of year $4,868,359 · end of year $4,746,885
Mission and programs · 2023
Mission
AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.
Activities or mission (Part I)
SEE SCHEDULE O
-
SEE SCHEDULE OPROVIDENCEAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND.THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES.WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSPROVIDENCE CONTINUES TO EXECUTE ON OUR INTEGRATED STRATEGIC AND FINANCIAL PLAN, WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THE IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES AND REDUCE OUR CARBON FOOTPRINT IN THE COMMUNITIES WE SERVE. PROVIDENCE ADVANCES PROGRESS ON OUR CARBON NEGATIVE GOAL AND IN 2023 WE ESTIMATED THAT WE DECREASED EMISSIONS BY OVER 12 PERCENT COMPARED TO OUR 2019 BASELINE. IN ADDITION, OUR EFFORTS LED TO THE INTRODUCTION OF THE GREEN HOSPITALS ACT, LEGISLATION MODELED AFTER PROVIDENCE THAT WOULD PROVIDE CRITICAL FEDERAL FUNDING TO WEATHERIZE AND MODERNIZE HEALTH CARE FACILITIES. PROVIDENCE COMPLETED A COMPREHENSIVE CLIMATE RESILIENCE PLAN IN ALIGNMENT WITH OUR COMMITMENT TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES CLIMATE PLEDGE. WE CONTINUE TO REDUCE GREENHOUSE GAS EMISSIONS WITH A FOCUS ON LED LIGHTING UPGRADES, WATER CONSERVATION, MORE EFFICIENT DELIVERY OF NITROUS OXIDE GAS DURING ANESTHESIA, AND ADVANCING OUR WASTE OPTIMIZATION WORK ACROSS ALL HOSPITALS AND CLINICS.PROGRAM SERVICE ACCOMPLISHMENTSPROVIDENCE MILWAUKIE FOUNDATION HAS ENCOURAGED CHARITABLE GIVING FROM THE COMMUNITY SINCE ITS ESTABLISHMENT IN 1988. THE FOUNDATION SUPPORTS EXCELLENT AND COMPASSIONATE CARE IN OUR COMMUNITY AND AT PROVIDENCE MILWAUKIE HOSPITAL. PROVIDENCE MILWAUKIE HOSPITAL PROVIDES FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES. AT PROVIDENCE MILWAUKIE HOSPITAL, WE BELIEVE THAT MAINTAINING HEALTH AND ENHANCING QUALITY OF LIFE MEANS FOCUSING ON THE WHOLE PERSON.DISTRIBUTION FOR CAPITAL EXPENSES OF PMH WERE TWO ECHOCARDIOGRAPHY MACHINES FOR OUR DIAGNOSTIC IMAGING DEPARTMENT.FUNDS WERE ALSO USED TO PURCHASE NEW CHILDREN'S BOOKS WHICH ARE GIVEN TO YOUNG PATIENTS IN OUR TWO LOW-INCOME PROVIDENCE FAMILY MEDICINE CLINICS TO PROMOTE EARLY LITERACY.FUNDED THE PROVIDENCE MILWAUKIE PROJECT NURTURE FOR CARE MANAGEMENT AND SOCIAL SERVICES FOR PREGNANT WOMEN AND NEW MOTHERS WHO ARE BATTLING SUBSTANCE USE DISORDERS.WE FUND A PATIENT SUPPORT PROGRAM THAT ENABLES US TO ASSIST VERY LOW-INCOME PATIENTS WITH BASIC SUPPORT THEY NEED AS THEY ARE TRANSITIONING OUT OF THE HOSPITAL OR EMERGENCY DEPARTMENT.WITH THE MANTRA OF "FOOD AS MEDICINE,; THE COMMUNITY TEACHING KITCHEN (CTK) AT PROVIDENCE MILWAUKIE HOSPITAL OPENED IN 2016 TO SUPPORT COMMUNITY MEMBERS, INCLUDING PATIENTS LIVING WITH FOOD INSECURITY, AS WELL AS THOSE IN NEED OF NUTRITION EDUCATION. THIS UPSTREAM APPROACH TO ADDRESSING CHRONIC DISEASE WAS DEVELOPED TO CREATE HEALTHIER COMMUNITIES THROUGH FOOD INSECURITY SCREENING, ONE-ON-ONE, AND GROUP NUTRITION. EDUCATION, HEALTHY COOKING CLASSES, A FOOD PANTRY, AND PATIENT NAVIGATION FOR CONNECTION TO INDIVIDUALIZED RESOURCES. DUE TO THE COVID RESTRAINTS, WE WERE ABLE TO OFFER CLASSES VIRTUAL AND WORKED WITH A DELIVERY SERVICE TO DELIVER FOOD FROM OUR FOOD PANTRY TO THOSE IN NEED.DISTRIBUTIONS IN SUPPORT OF OUR FAMILY MEDICAL RESIDENCY PROGRAM TRAIN NEW PHYSCIANS TO CARE FOR OUR COMMUNITIES. PRIORITIES INCLUDE RECRUITMENT AND SUPPORT FOR RESIDENTS FROM TRADITIONALLY MARGINALIZED COMMUNITIES, CARING FOR SENIORS AND THOSE WITH COMPLEX MEDICAL NEEDS INCLUDING SUBSTANCE USE DISORDERS, AND CARING FOR PATIENTS IN A VARIETY OF SETTINGS (CLINIC, HOSPITAL, ETC.)
Expenses $697,965 · Grants $697,965
As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
MARK CAREY MD
DIRECTOR
- Total calculated
- $326,501
- From this org
- $0
- From related orgs
- $275,152
- Other
- $51,349
- Hours/week
- 0.5 + 49.5 related
Schedule J breakdown matched by us
- Base
- $0 + $220,435 related
- Bonus
- $0 + $16,387 related
- Other
- $0 + $38,330 related
- Deferred
- $0 + $28,012 related
- Nontaxable benefits
- $0 + $23,337 related
- Filer's total
- $0 + $326,501 related
-
TIFFANY GILLESPIE
CHIEF PHIL. OFFICER (PART YEAR)
- Total calculated
- $173,220
- From this org
- $0
- From related orgs
- $153,818
- Other
- $19,402
- Hours/week
- 25 + 25 related
Schedule J breakdown matched by us
- Base
- $0 + $133,280 related
- Bonus
- $0 + $20,131 related
- Other
- $0 + $407 related
- Deferred
- $0 + $14,806 related
- Nontaxable benefits
- $0 + $4,596 related
- Filer's total
- $0 + $173,220 related
-
AARON UNVERZAGT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
ANDREW SCOTT
FINANCE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
DAVID LUCAS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
DIANE GREENMAN
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
ELIZABETH KLEIN MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
GLENN RODRIGUEZ MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
JASON AU
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
JEFF DULCICH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
JOANNA PIENOVI
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
JOHN WILHELMS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
KEN HICK
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
MARK STEHN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
MIKE RICHARDSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
MITCH WALL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
SEHRA SAMPSON MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
SHIRLEY BERNARD
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
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. 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. 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 ITS TAX EXEMPT PARENT, PROVIDENCE HEALTH & SERVICE - OREGON, 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. NO INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR.
- 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
-
OPERATIONAL & CAPITAL SUPPORT
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.
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHCN
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
COVENANT CHILDREN'S PHYSICIANS GROUP
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHS
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by SJHS
-
COVENANT HEALTH SYSTEM FOUNDATION
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
COVENANT HOME AND COMMUNITY CARE
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
EVERETT TRANSITIONAL CARE SERVICES
501(C)(3) · TRANSITIONAL CARE · WA
-
GAMELIN WASHINGTON ASSOCIATION
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
GLOBAL TO LOCAL HEALTH INITIATIVE
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by SHS
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by LHH LLC
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
INSTITUTE FOR MENTAL HEALTH & WELLNESS
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS SJHS
-
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by WHC
-
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by KRMC
-
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by KRMC
-
KADLEC REGIONAL MEDICAL CENTER
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by WHC
-
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
501(C)(3) · IMAGING SERVICES · CA · controlled entity
Directly controlled by PHS SOCAL
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
LUNDBERG ASSOCIATION PROVIDENCE HOUSE
501(C)(3) · SUPPORT · OR · controlled entity
Directly controlled by PHS OR
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
501(C)(3) · HEALTHCARE · TX · controlled entity
Directly controlled by CHS
-
MISSION HOSPITAL REGIONAL MEDICAL CTR
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHS
-
NORTHWEST HOPE & HEALING FOUNDATION
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by SHS
-
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by WHC
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PHS SOCAL
-
501(C)(3) · HEALTHCARE · AK · controlled entity
Directly controlled by PHS WA
-
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS OR
-
PROVIDENCE BLANCHET ASSOCIATION
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
501(C)(3) · SUPPORT · OR · controlled entity
Directly controlled by PHS OR
-
PROVIDENCE COMMUNITY HEALTH FOUNDATION
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS OR
-
501(C)(3) · SUPPORT · WA
-
PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN)
501(C)(3) · SUPPORT · CA · controlled entity
Directly controlled by PHS SOCAL
-
PROVIDENCE GAMELIN HOUSE ASSOCIATION
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
501(C)(3) · HEALTHCARE · WA
Directly controlled by PSJH
-
PROVIDENCE HEALTH & SERVICES - MONTANA
501(C)(3) · HEALTHCARE · MT · controlled entity
Directly controlled by PHS WA
-
PROVIDENCE HEALTH & SERVICES - OREGON
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS
-
PROVIDENCE HEALTH & SERVICES - WASHINGTON
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS
-
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PMWHC
-
501(C)(4) · MEDICAID HEALTHCARE PROVIDER · OR · controlled entity
Directly controlled by PHP
-
501(C)(4) · HEALTHCARE · OR · controlled entity
Directly controlled by PH GROUP LLC
-
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PHS
-
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS OR
-
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS W WA
-
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS W WA
-
PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA)
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS WA
-
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PHS SOCAL
-
PROVIDENCE MARIANWOOD FOUNDATION
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS W WA
-
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHS
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PHS SOCAL
-
PROVIDENCE MINISTRIES
501(C)(3) · RELIGIOUS ORG · WA
-
PROVIDENCE MOUNT ST VINCENT FOUNDATION
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS WA
-
PROVIDENCE NEWBERG HEALTH FOUNDATION
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS OR
-
PROVIDENCE PETER CLAVER ASSOCIATION
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
501(C)(4) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS OR
-
PROVIDENCE PORTLAND MEDICAL FOUNDATION
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS OR
-
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
PROVIDENCE SAINT JOHN'S HEALTH CENTER
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PHS SOCAL
-
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PHS SOCAL
-
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS OR
-
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
PROVIDENCE ST FRANCIS ASSOCIATION
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
501(C)(3) · HEALTHCARE · WA
-
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS WA
-
PROVIDENCE ST JOSEPH MEDICAL CENTER
501(C)(3) · HEALTHCARE · MT · controlled entity
Directly controlled by PHS WA
-
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS WA
-
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS OR
-
PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN)
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS W WA
-
PROVIDENCE TRINITYCARE HOSPICE
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PHS SOCAL
-
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PTCH
-
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
501(C)(3) · HEALTHCARE · OR · controlled entity
Directly controlled by PHS OR
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHNC LLC
-
SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST)
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PSJHC
-
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
501(C)(3) · SUPPORT SAINT JOHN HEALTH CENTER & JWCI · CA · controlled entity
Directly controlled by PSJHC
-
501(C)(3) · PHYSICIAN COLLABORATION · WA · controlled entity
Directly controlled by WHC
-
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
501(C)(3) · SHELL CORPORATION · MT
Directly controlled by PHS WA
-
SISTERS OF ST JOSEPH OF ORANGE
501(C)(3) · RELIGIOUS ORG · CA
-
SRM ALLIANCE HOSPITAL SERVICES (PVH)
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHNC LLC
-
501(C)(3) · RELIGIOUS ORG · CA
Directly controlled by SSJO
-
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHS
-
501(C)(3) · HEALTHCARE · CA
Directly controlled by PSJH
-
ST JOSEPH HEALTH SYSTEM FOUNDATION
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHS
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHS
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHS
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHS
-
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by SJHS
-
ST PATRICK HOSPITAL FOUNDATION
501(C)(3) · HEALTHCARE · MT · controlled entity
Directly controlled by PHS WA
-
ST THOMAS CHILD AND FAMILY CENTER
501(C)(3) · EDUCATION · MT · controlled entity
Directly controlled by PHS WA
-
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by WHC
-
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by WHC
-
SWEDISH MEDICAL CENTER FOUNDATION
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by SHS
-
501(C)(3) · HOLDING COMPANY · WA · controlled entity
Directly controlled by SHS
-
501(C)(3) · HEALTHCARE · CA · controlled entity
Directly controlled by PHS SOCAL
-
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by PHS WA
-
THE GAMELIN OREGON ASSOCIATION
501(C)(3) · SUPPORT · OR · controlled entity
Directly controlled by PHS OR
-
TRI-CITIES CANCER CENTER FOUNDATION
501(C)(3) · SUPPORT · WA · controlled entity
Directly controlled by KRMC
-
501(C)(3) · EDUCATION · MT · controlled entity
Directly controlled by PHS
-
501(C)(3) · HEALTHCARE · WA · controlled entity
Directly controlled by PHS W WA
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.
-
AMBULATORY SURGERY CENTER · CA
-
BRIDGEPORT MEDICAL IMAGING LLC (BMI)
IMAGING - DIAGNOSTICS · OR · general or managing partner
-
MEDICAL IMAGING · MT · general or managing partner
-
REAL ESTATE - MOB · OR · general or managing partner
-
CENTER FOR MEDICAL IMAGING LLC (CMI)
IMAGING - DIAGNOSTICS · OR · general or managing partner
-
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
RADIATION ONCOLOGY · OR · general or managing partner
-
COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY
HEALTHCARE · CA · general or managing partner
-
COVENANT HIGH PLAINS SURGERY CENTER LLC
HEALTHCARE · PA · general or managing partner
-
COVENANT PARK PHASE I VENTURE LLC
REAL ESTATE · TX
-
AMBULATORY SURGERY CENTER · OR
-
AMBULATORY SURGERY CENTER · WA · general or managing partner
-
AMBULATORY SURGERY CENTER · CA · general or managing partner
-
GREATER VALLEY MEDICAL BUILDING LP
REAL ESTATE - MOB · CA · general or managing partner
-
HERITAGE INVESTMENT GROUP I LLC
INVESTMENTS · CA
-
MEDICAL IMAGING · AK · general or managing partner
-
REAL ESTATE · TX · general or managing partner
-
HEALTHCARE · TX · general or managing partner
-
REAL ESTATE - MOB · CA · general or managing partner
-
NORTH OC IMAGING JV HOLDINGS LLC
HEALTHCARE · CA
-
MEDICAL IMAGING · OR · general or managing partner
-
AMBULATORY SURGERY CENTER · CA
-
PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC
MEDICAL EQUIPMENT · WA · general or managing partner
-
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
MEDICAL IMAGING · WA · general or managing partner
-
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
INVESTMENTS · WA
-
PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC
MEDICAL · AL
-
PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC
MEDICAL · AL · general or managing partner
-
PROVIDENCE ALASKA HOUSE I OWNER LP
SUPPORTIVE HOUSING · AK
-
SUPPORTIVE HOUSING · CA · general or managing partner
-
PROVIDENCE IMAGING CENTER JOINT VENTURE
MEDICAL IMAGING · AK
-
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
INVESTMENTS · WA
-
AMBULATORY SURGERY CENTER · MT
-
PROVIDENCEUSP SPOKANE SURGERY CENTERS LLC
AMBULATORY SURGERY CENTER · WA
-
PROVIDENCEUSP SURGERY CTRS LLC
AMBULATORY SURGERY CENTER · CA
-
RADIATION THERAPY INNOVATIONS LLC
HEALTHCARE · WA · general or managing partner
-
HEALTHCARE · MN · general or managing partner
-
ST JOSEPH PHYSICIAN VENTURES I LLC
REAL ESTATE · CA · general or managing partner
-
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
HEALTHCARE · CA
-
AMBULATORY SURGERY CENTER · CA · general or managing partner
-
ST PETER-SOUTH SOUND REGIONAL MRI CENTER
MEDICAL IMAGING · WA · general or managing partner
-
SURGERY CENTER AT TANASBOURNE LLC
AMBULATORY SURGERY CENTER · KS · general or managing partner
-
HOTEL SERVICES · WA · general or managing partner
-
REAL ESTATE - MOB · WA · general or managing partner
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
1221 MADISON STREET OWNERS ASSOC
C · OWNERS' ASSOCIATION · WA
-
C · HEALTHCARE · WA
-
AMERICAN UNITY GROUP LTD
C · CAPTIVE INSURANCE · BD
-
C · HEALTHCARE · DE
-
C · HEALTHCARE · OR
-
C · CLINICAL/MEDICAL LAB · WA
-
C · MEDICAL PHYSICIAN SERVICE · MT
-
CLOUD 21 LIMITED
C · HEALTHCARE · UK
-
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
S · HEALTHCARE · CA
-
C · REAL ESTATE RENTAL · WA
-
KENSCI ASIA PACIFIC PTE LTD
C · HEALTHCARE · SN
-
KENSCI TECH INDIA PRIVATE LIMITED
C · HEALTHCARE · IN
-
LUBBOCK METHODIST HOSP PRACTICE MGMT
C · INACTIVE · TX
-
LUBBOCK METHODIST HOSPITAL SVCS
C · HEALTHCARE · TX
-
MEDICAL SPECIALTIES MANAGERS INC
C · HEALTHCARE · WA
-
MISSION VIEJO MEDICAL VENTURES INC
C · HEALTHCARE · CA
-
C · STRATEGIC PLANNING SERVICES · CA
-
C · HEALTHCARE · DE
-
C · IT SVCS · IN
-
PROVIDENCE HEALTH CARE VENTURES INC
C · CLINICAL/MEDICAL LAB · WA
-
C · PREPAID HEALTHCARE · CA
-
PROVIDENCE PARTNERS HOLDINGS INC
C · INVESTMENT · DE
-
PROVIDENCE PHYSICIAN SERVICES CO
C · HEALTHCARE · WA
-
PROVIDENCE ST JOSEPH HEALTH NETWORK
C · HEALTHCARE · CA
-
C · HEALTHCARE · DE
-
C · HOLDING COMPANY · CA
-
C · HEALTHCARE · CA
-
ST JOSEPH MEDICAL PLAZA ASSOCIATION
C · CONDO ASSOCIATION · CA
-
ST JOSEPH PROF SVCS ENTERPRSES INC
C · HEALTHCARE · CA
-
TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)
C · HOLDING COMPANY · DE
-
TEGRIA INSIGHTS GROUP HOLDINGS INC
C · HOLDING COMPANY · WA
-
C · HEALTHCARE · WA
-
C · HOLDING COMPANY · DE
-
C · HOLDING COMPANY · DE
-
TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC)
C · HOLDING COMPANY · DE
-
TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)
C · HOLDING COMPANY · DE
-
TEGRIA SERVICES GROUP-CAN INC
C · HEALTHCARE · CA
-
TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC)
C · HEALTHCARE · WI
-
C · HEALTHCARE · DE
-
C · INVESTMENT · CA
-
WEIGHT LOSS INC (FKA HMR WEIGHT MANAGEMENT SERVICES CORP)
C · HEALTHCARE · WA
-
CHARITABLE REMAINDER TRUST (2)
T · TRUST · OR
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 11 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202423169349306437
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