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Nonprofiteer
← COVENANT HOSPITAL HOBBS

Form 990 for tax year 2024

Filed by COVENANT HOSPITAL HOBBS.

Totals

Total revenue
$51,154,488
Total expenses
$74,114,818
Contributions and grants received
$2,684,430
Grants paid
$0
Program service revenue
$47,651,119
Investment income
$50,222
Other revenue
$768,717
Total assets, end of year
$113,407,068
Total liabilities, end of year
$133,174,094
Net assets or fund balances, end of year
-$19,767,026
Program services expenses (Part IX)
$71,378,244
Management and general expenses
$2,736,574
Fundraising expenses
$0
Program service expenses (Part III)
$71,378,244

Program services were 96.3% 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.

  • 1d · Related organizations

    $183,678

  • 1e · Government grants (contributions)

    $2,500,752

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $47,339,024 · related or exempt $47,339,024

  • 2b · Program service revenue: MOB RENTAL REVENUE

    total $312,095 · excluded $312,095

  • 3 · Investment income

    total $41,163 · excluded $41,163

  • 7a · Gross sales of assets other than inventory

    other assets $9,059

  • 7b · Less cost or other basis and sales expenses

    other assets $0

  • 7c · Gain or loss

    other assets $9,059

  • 7d · Net gain or loss

    total $9,059 · excluded $9,059

  • 11a · Other revenue: INTERAFFILIATE REVENUE

    total $357,671 · related or exempt $357,671

  • 11b · Other revenue: CAFETERIA REVENUE

    total $87,513 · related or exempt $87,513

  • 11c · Other revenue: OTHER ADMIN REVENUE

    total $14,488 · related or exempt $14,488

  • 11d · All other revenue

    total $309,045 · related or exempt $309,045

  • 11e · Other revenue, total

    $768,717

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $282,946 · program services $271,575 · management and general $11,371

  • 7 · Other salaries and wages

    total $12,249,094 · program services $11,756,833 · management and general $492,261

  • 8 · Pension plan contributions

    total $650,360 · program services $624,224 · management and general $26,136

  • 9 · Other employee benefits

    total $1,807,097 · program services $1,734,474 · management and general $72,623

  • 10 · Payroll taxes

    total $936,557 · program services $898,919 · management and general $37,638

  • 11g · Fees: other

    total $21,377,825 · program services $20,518,703 · management and general $859,122

  • 12 · Advertising and promotion

    total $30,980 · program services $29,735 · management and general $1,245

  • 13 · Office expenses

    total $753,225 · program services $722,955 · management and general $30,270

  • 14 · Information technology

    total $25,066 · program services $24,059 · management and general $1,007

  • 16 · Occupancy

    total $1,976,839 · program services $1,897,395 · management and general $79,444

  • 17 · Travel

    total $57,258 · program services $54,957 · management and general $2,301

  • 19 · Conferences, conventions and meetings

    total $15,751 · program services $15,118 · management and general $633

  • 20 · Interest

    total $9,375 · program services $8,998 · management and general $377

  • 22 · Depreciation, depletion and amortization

    total $17,987,696 · program services $17,264,814 · management and general $722,882

  • 24a · Other expenses: SYSTEM COST ALLOCATION

    total $9,261,612 · program services $8,889,410 · management and general $372,202

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $6,019,761 · program services $6,019,761

  • 24c · Other expenses: DUES & SUBSCRIPTIONS

    total $129,814 · program services $124,597 · management and general $5,217

  • 24d · Other expenses: BAD DEBT

    total $41,548 · program services $39,878 · management and general $1,670

  • 24e · All other expenses

    total $502,014 · program services $481,839 · management and general $20,175

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,408,224 · end of year $1,276,228

  • 3 · Pledges and grants receivable

    end of year $2,413,504

  • 4 · Accounts receivable

    beginning of year $6,817,393 · end of year $7,944,766

  • 8 · Inventories for sale or use

    beginning of year $845,037 · end of year $1,120,185

  • 9 · Prepaid expenses and deferred charges

    beginning of year $103,677 · end of year $326,782

  • 10a · Land, buildings and equipment: cost or other basis

    $125,257,798

  • 10b · Land, buildings and equipment: accumulated depreciation

    $25,050,382

  • 10c · Land, buildings and equipment, net

    beginning of year $116,973,416 · end of year $100,207,416

  • 15 · Other assets

    beginning of year $539,824 · end of year $118,187

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,190,834 · end of year $7,233,089

  • 19 · Deferred revenue

    end of year $291,731

  • 23 · Secured mortgages and notes payable

    beginning of year $1,322,405 · end of year $1,322,405

  • 25 · Other liabilities

    beginning of year $117,852,043 · end of year $124,326,869

  • 27 · Net assets without donor restrictions

    beginning of year $2,322,289 · end of year -$19,767,026

Mission and programs · 2024

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.

  • SEE SCHEDULE OAT 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 HEALTH 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 125,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,014 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE AFFILIATE FAMILY INCLUDES:-PROVIDENCE ACROSS FIVE WESTERN STATES-COVENANT HEALTH IN WEST TEXAS AND NEW MEXICO-FACEY MEDICAL GROUP IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA IN 2024, PROVIDENCE MINISTRIES AND AFFILIATES PROVIDED $1.9 BILLION IN COMMUNITY BENEFIT PROGRAMS. THIS INCLUDES FREE AND DISCOUNTED CARE, UNCOMPENSATED AND SUBSIDIZED CARE, AND OTHER COMMUNITY HEALTH ACTIVITIES.ONE OF THESE VITAL PROGRAMS, MEDICAID, IS A LIFELINE FOR MILLIONS OF INDIVIDUALS, INCLUDING SENIORS, CHILDREN, PREGNANT PATIENTS, THOSE WITH DISABILITIES AND VETERANS. WE ARE GRATEFUL TO EVERYONE IN OUR COMMUNITIES WHO HAS JOINED US IN ADVOCATING FOR CONTINUED FUNDING AND EXPANSION OF THIS PROGRAM. TOGETHER, WE ARE HELPING TO ENSURE MORE PEOPLE HAVE ACCESS TO NEEDED CARE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORTTHROUGH OUR COMMUNITY BENEFIT PROGRAMS, WE FOCUS ON MEETING THE DIVERSE NEEDS OF THE PEOPLE WE SERVE BY WORKING TO ENSURE BASIC HEALTH NEEDS ARE MET, REMOVING BARRIERS TO CARE, BUILDING COMMUNITY RESILIENCE AND INNOVATING FOR THE FUTURE. PROVIDENCE CONTINUES TO WORK TOWARDS CARBON NEGATIVE AND IN 2024 DECREASED EMISSIONS BY 19 PERCENT COMPARED TO OUR 2019 BASELINE. OUR EFFORTS EARNED US A SYSTEM RECORD 55 ENVIRONMENTAL EXCELLENCE AWARDS FROM PRACTICE GREENHEALTH AND MADE US THE FIRST LARGE SYSTEM TO RECEIVE THE JOINT COMMISSION'S SUSTAINABLE HEALTHCARE CERTIFICATION IN 2024 FOR EACH OF OUR HOSPITALS.2024 PROGRAM SERVICE ACCOMPLISHMENTSCOVENANT HEALTH MEDICAL CENTER, GRACE SURGICAL HOSPITAL, COVENANT CHILDREN'S, HOSPITAL AND COVENANT SPECIALTY HOSPITAL (JOINT VENTURE) WORK COLLABORATIVELY THROUGH A CENTRALIZED/SHARED SERVICE COMMUNITY BENEFIT/COMMUNITY HEALTH INVESTMENT DEPARTMENT TO MEET THE NEEDS IDENTIFIED IN THE CHNA. THE LUBBOCK BASED FACILITIES ARE REFERRED TO COLLECTIVELY AS COVENANT HEALTH LUBBOCK HOSPITALS AND ALL SERVE THE SAME GEOGRAPHIC SERVICE AREA OF WEST TEXAS AND EASTERN NEW MEXICO. ADDITIONALLY, DUE TO OVERLAPPING SERVICE AREAS, CLOSE GEOGRAPHIC PROXIMITY TO ONE ANOTHER, AND SHARED COMMUNITY BENEFIT OUTREACH PROGRAMS, THE COVENANT HEALTH LUBBOCK HOSPITALS WORKED WITH COVENANT HEALTH PLAINVIEW, COVENANT HEALTH LEVELLAND AND COVENANT HOBBS HOSPITAL TO DEVELOP A REGIONAL APPROACH TO MANY OF THEIR 2021-2023 CHIP'S. WHILE THERE ARE SOME DIFFERENCES IN SELECT STRATEGIES AND COMMUNITY PARTNERS, COVENANT MEDICAL CENTER, COVENANT CHILDREN'S, GRACE SURGICAL HOSPITAL, COVENANT SPECIALTY HOSPITAL, COVENANT HEALTH PLAINVIEW, COVENANT HOBBS HOSPITAL, AND COVENANT HEALTH LEVELLAND SHARE MANY SIMILAR OUTREACH STRATEGIES, WHICH ALLOWS FOR MORE EFFECTIVE LEVERAGING INVESTMENTS IN THE REGION TO MEET COMMUNITY NEEDS. COVENANT HOBBS HOSPITAL'S FIRST CHNA OCCURRED IN 2023 HOWEVER, THEY PARTICIPATED IN MANY OUTREACH ACTIVITIES AND INVESTMENTS IN 2023 PRIOR TO COMPLETION OF THEIR CHNA AND CHIP.COVENANT HEALTH HAS A RICH HISTORY IN THE TEXAS/NEW MEXICO REGION. WHILE HEALTH CARE IN OUR REGION HAS CHANGED OVER THE YEARS, OUR COMMITMENT TO FULFILLING OUR MISSION, VISION, VALUES AND PROMISE HAVE NOT WAIVERED. IN 2024, COVENANT HOBBS PROVIDED $5.9M FINANCIAL ASSISTANCE (FREE AND DISCOUNTED CARE) AND $12.3M UNPAID COST OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. COVENANT HOBBS PARTICIPATED IN MANY OUTREACH ACTIVITIES AND INVESTMENTS. EXAMPLES OF COVENANT HOBBS HOSPITAL OUTREACH INCLUDE: HOSTING COMMUNITY BLOOD DRIVES, FREE COMMUNITY HEALTH EDUCATION EVENTS WITH EMPHASIS ON WOMEN'S HEART HEALTH AND BREAST CANCER PREVENTION, STAFF VOLUNTEERING WITH THE RAMPS PROJECT, AND STAFF PARTICIPATED FUNDING RAISING EVENTS TO CONTRIBUTE TO UNITED WAY. GRANT SUPPORT WAS ALSO PROVIDED TO MY POWER, A LOCAL ORGANIZATION DEDICATED TO EMPOWERING LEA COUNTY'S YOUTH TO REACH THEIR FULL INDIVIDUAL POTENTIAL BY DEVELOPING PERSONAL CONFIDENCE, ACADEMIC EXCELLENCE, AND ENHANCED LIFE SKILLS. COVENANT HOBBS ALSO CONTINUED TO PARTNER WITH FAITH IN ACTION BY ASSISTING PERSONS IN NEED OF PRESCRIPTION ASSISTANCE WITH THE APPLICATION PROCESS.ADDITIONALLY, TO ADDRESS FOOD INSECURITY COVENANT HOBBS HOSTED A FOOD DRIVE BENEFITING LOCAL NON-PROFIT, WHI HOBBS AND STAFF VOLUNTEERED AT ISAIAH'S KITCHEN PROVIDING A TOTAL OF 300 MEALS TO FAMILIES IN NEED. COVENANT HEALTH ALSO PROVIDED SPONSORSHIP SUPPORT TO WHI HOBBS TO HELP ADDRESS FOOD NEEDS IN THE COMMUNITY. COVENANT HEALTH ALONG WITH THE PROVIDENCE WELL-BEING TRUST PROVIDED GRANTS TO ORGANIZATIONS SERVING HOBBS AND THE SURROUNDING AREAS WITH A FOCUS ON MENTAL HEALTH AND SUBSTANCE MISUSE. ORGANIZATIONS RECEIVING THIS FUNDING ALL SUPPORT EXPANDED COMMUNITY-BASED ACCESS TO MENTAL HEALTH SERVICES FOR VULNERABLE POPULATIONS. IN 2024, THE FOLLOWING HOBBS/EASTERN NM BASED ORGANIZATIONS RECEIVED MENTAL HEALTH GRANT FUNDING: PALMER DRUG ABUSE PROGRAM, PERMIAN BASIN COUNSELING AND GUIDANCE CENTER, AND GUIDANCE CENTER OF LEA COUNTY. COVENANT HOBBS PARTNERS WITH THESE AGENCIES THROUGHOUT THE YEAR IN ADDITION TO THE FUNDING SUPPORT.

    Expenses $71,378,244 · Revenue $48,419,836

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Bruce White

    BOARD MEMBER

    Total calculated
    $514,499
    From this org
    $0
    From related orgs
    $440,588
    Other
    $73,911
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $296,752 related
    Bonus
    $0 + $117,757 related
    Other
    $0 + $26,079 related
    Deferred
    $0 + $55,838 related
    Nontaxable benefits
    $0 + $18,073 related
    Filer's total
    $0 + $514,499 related

  • James Kelly

    FRMR OFF. - VP SENIOR CORP COUNSEL

    Total calculated
    $509,442
    From this org
    $0
    From related orgs
    $495,773
    Other
    $13,669
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $165,837 related
    Bonus
    $0 + $269,988 related
    Other
    $0 + $59,948 related
    Deferred
    $0 + $7,763 related
    Nontaxable benefits
    $0 + $5,906 related
    Filer's total
    $0 + $509,442 related

  • Jon Levin

    BOARD MEMBER

    Total calculated
    $425,615
    From this org
    $0
    From related orgs
    $408,558
    Other
    $17,057
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $393,210 related
    Bonus
    $0
    Other
    $0 + $15,348 related
    Deferred
    $0 + $16,863 related
    Nontaxable benefits
    $0 + $194 related
    Filer's total
    $0 + $425,615 related

  • Dyana Kerr

    FRMR OFF. - REGIONAL CFO

    Total calculated
    $375,482
    From this org
    $0
    From related orgs
    $336,855
    Other
    $38,627
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $297,842 related
    Bonus
    $0 + $37,661 related
    Other
    $0 + $1,352 related
    Deferred
    $0 + $27,910 related
    Nontaxable benefits
    $0 + $10,717 related
    Filer's total
    $0 + $375,482 related

  • 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

  • Jennifer Bryan

    FRMR OFF. - LUBBOCK AREA MARKET/CFO

    Total calculated
    $314,564
    From this org
    $0
    From related orgs
    $285,974
    Other
    $28,590
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $225,686 related
    Bonus
    $0 + $22,499 related
    Other
    $0 + $37,789 related
    Deferred
    $0 + $23,018 related
    Nontaxable benefits
    $0 + $5,572 related
    Filer's total
    $0 + $314,564 related

  • Rachel Slade

    CEO

    Total calculated
    $282,946
    From this org
    $260,146
    From related orgs
    $0
    Other
    $22,800
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $223,787
    Bonus
    $35,912
    Other
    $447
    Deferred
    $12,134
    Nontaxable benefits
    $10,666
    Filer's total
    $282,946

  • Cora Rivera

    CFO

    Total calculated
    $233,225
    From this org
    $0
    From related orgs
    $209,026
    Other
    $24,199
    Hours/week
    18.4 + 36.6 related

    Schedule J breakdown matched by us

    Base
    $0 + $188,377 related
    Bonus
    $0 + $18,911 related
    Other
    $0 + $1,738 related
    Deferred
    $0 + $16,939 related
    Nontaxable benefits
    $0 + $7,260 related
    Filer's total
    $0 + $233,225 related

  • Kathleen Burrell

    SECRETARY/CHIEF GOVERNANCE OFFICER

    Total calculated
    $180,050
    From this org
    $0
    From related orgs
    $164,613
    Other
    $15,437
    Hours/week
    0.5 + 54.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $154,769 related
    Bonus
    $0 + $9,353 related
    Other
    $0 + $491 related
    Deferred
    $0 + $7,665 related
    Nontaxable benefits
    $0 + $7,772 related
    Filer's total
    $0 + $180,050 related

  • Kimberly Madrid

    SUPERVISOR CLINICAL PHARMACY

    Total calculated
    $174,064
    From this org
    $163,304
    From related orgs
    $0
    Other
    $10,760
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $159,724
    Bonus
    $3,333
    Other
    $247
    Deferred
    $7,450
    Nontaxable benefits
    $3,310
    Filer's total
    $174,064

  • Stacy Voyles

    MANAGER NURSING

    Total calculated
    $155,586
    From this org
    $144,784
    From related orgs
    $0
    Other
    $10,802
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $128,286
    Bonus
    $300
    Other
    $16,198
    Deferred
    $6,567
    Nontaxable benefits
    $4,235
    Filer's total
    $155,586

  • Allan Yeh

    CLINICAL PHARMACIST

    Total calculated
    $153,331
    From this org
    $148,376
    From related orgs
    $0
    Other
    $4,955
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $137,189
    Bonus
    $0
    Other
    $11,187
    Deferred
    $2,243
    Nontaxable benefits
    $2,712
    Filer's total
    $153,331

  • Hazel Apodaca

    ACUTE CARE RN

    Total calculated
    $152,178
    From this org
    $143,192
    From related orgs
    $0
    Other
    $8,986
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $141,011
    Bonus
    $1,750
    Other
    $431
    Deferred
    $6,501
    Nontaxable benefits
    $2,485
    Filer's total
    $152,178

  • Becky Berg

    MANAGER NURSING

    Total calculated
    $151,736
    From this org
    $142,458
    From related orgs
    $0
    Other
    $9,278
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $137,879
    Bonus
    $2,746
    Other
    $1,833
    Deferred
    $6,422
    Nontaxable benefits
    $2,856
    Filer's total
    $151,736

  • Carabeth Gray Moore

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • Debra Hicks

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • Joe Cotton

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • Jonathan Sena

    BOARD MEMBER/CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Josh Grassham

    BOARD MEMBER/VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Rosa Carillo

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

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
DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY COVENANT HOSPITAL HOBBS, HOWEVER, COMPENSATION IS ESTABLISHED BY PROVIDENCE. SEE SCHEDULE O, PART VI, LINE 15B 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: BRUCE WHITE - $24,505 JAMES KELLY - $59,375 JON LEVIN - $3,228 DYANA KERR - $675
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

No itemized grants to organizations 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.

  • 20TH STREET SURGERY LLC

    AMBULATORY SURGERY CENTER · CA

  • BRIDGEPORT MEDICAL IMAGING LLC (BMI)

    IMAGING - DIAGNOSTICS · OR · general or managing partner

  • BROADWAY IMAGING LLC

    MEDICAL IMAGING · MT · general or managing partner

  • CANBY MEDICAL CENTER I LLC

    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 · TX · general or managing partner

  • COVENANT PARK PHASE I VENTURE LLC

    REAL ESTATE · TX

  • CSS JV LLC

    AMBULATORY SURGERY CENTER · OR

  • FIRST HILL SURGERY CENTER LLC

    AMBULATORY SURGERY CENTER · WA · general or managing partner

  • FULLERTON SURGICAL CENTER LP

    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

  • IMAGING ASSOCIATES LLC

    MEDICAL IMAGING · AK · general or managing partner

  • LSC REAL PROPERTY LLC

    REAL ESTATE · TX · general or managing partner

  • METHODIST DIAGNOSTIC IMAGING

    HEALTHCARE · TX · general or managing partner

  • MISSION VIEJO PARTNERS II LLC

    REAL ESTATE - MOB · CA · general or managing partner

  • NORTH OC IMAGING JV HOLDINGS LLC

    HEALTHCARE · CA

  • OREGON ADVANCED IMAGING LLC

    MEDICAL IMAGING · OR · general or managing partner

  • PAVILION SURGERY CENTER LLC

    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 HOUSE OAKLAND LP

    SUPPORTIVE HOUSING · CA · general or managing partner

  • PROVIDENCE IMAGING CENTER JOINT VENTURE

    MEDICAL IMAGING · AK

  • PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO

    INVESTMENTS · WA

  • 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

  • RIVERSIDE HEALTHCARE

    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

  • ST JUDE SURGICAL CENTERS LLC

    AMBULATORY SURGERY CENTER · CA · general or managing partner

  • ST PETER-SOUTH SOUND REGIONAL MRI CENTER

    MEDICAL IMAGING · WA · general or managing partner

  • WON-ONC LLC

    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

  • ADVATA INC (FKA KENSCI INC)

    C · HEALTHCARE · WA

  • AYIN HEALTH HOLDINGS INC

    C · HEALTHCARE · DE

  • AYIN HEALTH SOLUTIONS INC

    C · HEALTHCARE · OR

  • BOURGET HEALTH SERVICES INC

    C · CLINICAL/MEDICAL LAB · WA

  • CARON CORPORATION

    C · MEDICAL PHYSICIAN SERVICE · MT

  • CLOUD 21 LIMITED

    C · HEALTHCARE · UK

  • ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA

    S · HEALTHCARE · CA

  • HOSPITAL CENTRAL SERVICES ASSOCIATION

    C · LAUNDRY SERVICES · WA

  • INTEGRIS SOLUTIONS LIMITED

    C · HEALTHCARE · UK

  • KENSCI ASIA PACIFIC PTE LTD

    C · HEALTHCARE · SN

  • KENSCI TECH INDIA PRIVATE LIMITED

    C · HEALTHCARE · IN

  • LINDY TRANSFER HOLDINGS INC

    C · HEALTHCARE · WA

  • 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

  • PHN HOLDINGS

    C · STRATEGIC PLANNING SERVICES · CA

  • PROVIDENCE GLOBAL CENTER LLP

    C · IT SVCS · IN

  • PROVIDENCE HEALTH CARE VENTURES INC

    C · CLINICAL/MEDICAL LAB · WA

  • PROVIDENCE HEALTH NETWORK

    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

  • PROVSOURCE

    C · HEALTHCARE · DE

  • ST JOSEPH HEALTH

    C · HOLDING COMPANY · CA

  • ST JOSEPH HEALTH SOURCE INC

    C · HEALTHCARE · CA

  • ST JOSEPH MEDICAL PLAZA ASSOCIATION

    C · CONDO ASSOCIATION · CA

  • ST JOSEPH PROF SVCS ENTERPRISES INC

    C · HEALTHCARE · CA

  • TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)

    C · HOLDING COMPANY · DE

  • TEGRIA INSIGHTS GROUP HOLDINGS INC

    C · HOLDING COMPANY · WA

  • TEGRIA INSIGHTS GROUP INC

    C · HEALTHCARE · WA

  • TEGRIA PRODUCTS GROUP INC

    C · HOLDING COMPANY · DE

  • TEGRIA RCM GROUP US INC

    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

  • TRUSANA INC

    C · HEALTHCARE · DE

  • VINSERRA INC

    C · INVESTMENT · CA

  • WEIGHT LOSS INC (FKA HMR WEIGHT MANAGEMENT SERVICES CORP)

    C · HEALTHCARE · WA

Provenance

Return type
form_990
Tax year
2024
Filed
29 October 2025
IRS schema version
2024v5.2
Source object
202503089349302650

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