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Nonprofiteer
← WESTERN HEALTHCONNECT

Form 990 for tax year 2023

Filed by WESTERN HEALTHCONNECT.

Totals

Total revenue
$149,552,882
Total expenses
$165,234,134
Contributions and grants received
$793,872
Grants paid
$1,565,694
Program service revenue
$144,785,596
Investment income
$179,908
Other revenue
$3,793,506
Total assets, end of year
$150,412,730
Total liabilities, end of year
$80,127,810
Net assets or fund balances, end of year
$70,284,920
Program services expenses (Part IX)
$152,326,213
Management and general expenses
$12,907,921
Fundraising expenses
$0
Program service expenses (Part III)
$152,326,213

Program services were 92.2% 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.

  • 1e · Government grants (contributions)

    $333,982

  • 1f · All other contributions, gifts and grants

    $459,890

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $144,777,614 · related or exempt $144,777,614

  • 2b · Program service revenue: MOB RENTAL REVENUE

    total $6,417 · related or exempt $6,417

  • 2c · Program service revenue: OTHER PATIENT SERVICE

    total $1,565 · related or exempt $1,565

  • 3 · Investment income

    total $201,148 · excluded $201,148

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

    other assets $21,240

  • 7c · Gain or loss

    other assets -$21,240

  • 7d · Net gain or loss

    total -$21,240 · excluded -$21,240

  • 11a · Other revenue: CAFETERIA REVENUE

    total $143,123 · related or exempt $143,123

  • 11b · Other revenue: INTERAFFILIATE REVENUE

    total $36,635 · related or exempt $36,635

  • 11c · Other revenue: REBATES & REFUNDS

    total $3,762 · related or exempt $3,762

  • 11d · All other revenue

    total $3,609,986 · related or exempt $3,609,986

  • 11e · Other revenue, total

    $3,793,506

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $1,565,694 · program services $1,565,694

  • 7 · Other salaries and wages

    total $60,997,450 · program services $55,613,312 · management and general $5,384,138

  • 8 · Pension plan contributions

    total $1,263,115 · program services $1,151,622 · management and general $111,493

  • 9 · Other employee benefits

    total $143,321 · program services $130,670 · management and general $12,651

  • 10 · Payroll taxes

    total $4,387,833 · program services $4,000,527 · management and general $387,306

  • 11b · Fees: legal

    total $432,635 · program services $394,447 · management and general $38,188

  • 11c · Fees: accounting

    total $1,751 · program services $1,596 · management and general $155

  • 11g · Fees: other

    total $32,134,080 · program services $29,297,661 · management and general $2,836,419

  • 12 · Advertising and promotion

    total $31,851 · program services $29,040 · management and general $2,811

  • 13 · Office expenses

    total $2,583,716 · program services $2,355,656 · management and general $228,060

  • 14 · Information technology

    total $45,505 · program services $41,488 · management and general $4,017

  • 16 · Occupancy

    total $4,517,503 · program services $4,118,751 · management and general $398,752

  • 17 · Travel

    total $101,183 · program services $92,252 · management and general $8,931

  • 19 · Conferences, conventions and meetings

    total $25,863 · program services $23,580 · management and general $2,283

  • 20 · Interest

    total $11,234 · program services $10,242 · management and general $992

  • 22 · Depreciation, depletion and amortization

    total $6,007,205 · program services $5,476,960 · management and general $530,245

  • 23 · Insurance

    total $165,763 · program services $151,131 · management and general $14,632

  • 24a · Other expenses: SYSTEM COST ALLOCATION

    total $32,791,608 · program services $29,897,150 · management and general $2,894,458

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $12,900,260 · program services $12,900,260

  • 24c · Other expenses: HOSPITAL FEE

    total $4,533,013 · program services $4,533,013

  • 24d · Other expenses: LICENSES & TAXES

    total $385,318 · program services $351,307 · management and general $34,011

  • 24e · All other expenses

    total $208,233 · program services $189,854 · management and general $18,379

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $22,831,342 · end of year $13,285,710

  • 2 · Savings and temporary cash investments

    beginning of year $75,472 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $30,500 · end of year $51,532

  • 4 · Accounts receivable

    beginning of year $32,477,901 · end of year $40,557,766

  • 8 · Inventories for sale or use

    beginning of year $2,547,185 · end of year $1,698,956

  • 9 · Prepaid expenses and deferred charges

    beginning of year $766,005 · end of year $28,510

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

    $131,658,073

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

    $62,255,901

  • 10c · Land, buildings and equipment, net

    beginning of year $74,086,307 · end of year $69,402,172

  • 12 · Investments: other securities

    beginning of year $216,131 · end of year $464,788

  • 15 · Other assets

    beginning of year $21,192,083 · end of year $24,923,296

  • 17 · Accounts payable and accrued expenses

    beginning of year $23,778,577 · end of year $11,790,167

  • 19 · Deferred revenue

    beginning of year $70,004 · end of year $70,244

  • 25 · Other liabilities

    beginning of year $7,821,285 · end of year $68,267,399

  • 27 · Net assets without donor restrictions

    beginning of year $121,539,349 · end of year $68,862,942

  • 28 · Net assets with donor restrictions

    beginning of year $1,013,711 · end of year $1,421,978

Mission and programs · 2023

Mission

SUPPORT SIGNIFICANT IMPROVEMENTS IN HEALTH CARE DELIVERY AND OUTCOMES WITHIN THE CONTEXT OF NONPROFIT, CHARITABLE OWNERSHIP.

Activities or mission (Part I)

SEE SCHEDULE OSUPPORT SIGNIFICANT IMPROVEMENTS IN HEALTH CARE DELIVERY AND OUTCOMES WITHIN THE CONTEXT OF NONPROFIT, CHARITABLE OWNERSHIP.

  • Withheld by Nonprofiteer: this text may name a private individual.

    Expenses $152,326,213 · Grants $1,565,694 · Revenue $148,579,102

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here. A text marked withheld matched a screen for wording that may name a private individual, such as an honorific or "in memory of". Most of what it withholds names no one; it is withheld so that what does is never shown.

Listed in Part VII

  • Rod F Hochman MD

    FRMR OFF. - PSJH PRESIDENT & CEO

    Total calculated
    $14,800,078
    From this org
    $0
    From related orgs
    $13,864,816
    Other
    $935,262
    Hours/week
    0 + 65 related

    Schedule J breakdown matched by us

    Base
    $0 + $2,461,224 related
    Bonus
    $0 + $10,512,523 related
    Other
    $0 + $891,069 related
    Deferred
    $0 + $899,903 related
    Nontaxable benefits
    $0 + $35,359 related
    Filer's total
    $0 + $14,800,078 related
  • 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 OFFICER

    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
  • 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
  • Michael Bollinger

    PHYSICIAN

    Total calculated
    $716,361
    From this org
    $651,410
    From related orgs
    $0
    Other
    $64,951
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $438,958
    Bonus
    $203,798
    Other
    $8,654
    Deferred
    $24,853
    Nontaxable benefits
    $40,098
    Filer's total
    $716,361
  • Francis Cutruzzola

    PHYSICIAN

    Total calculated
    $549,461
    From this org
    $503,367
    From related orgs
    $0
    Other
    $46,094
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $478,327
    Bonus
    $25,000
    Other
    $40
    Deferred
    $20,189
    Nontaxable benefits
    $25,905
    Filer's total
    $549,461
  • 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
  • Joseph Tito

    PHYSICIAN

    Total calculated
    $448,842
    From this org
    $430,523
    From related orgs
    $0
    Other
    $18,319
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $339,006
    Bonus
    $61,500
    Other
    $30,017
    Deferred
    $17,640
    Nontaxable benefits
    $679
    Filer's total
    $448,842
  • Rajesh Ranadive

    CHIEF MEDICAL OFFICER HOSPITAL

    Total calculated
    $430,411
    From this org
    $408,018
    From related orgs
    $0
    Other
    $22,393
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $378,675
    Bonus
    $25,000
    Other
    $4,343
    Deferred
    $17,060
    Nontaxable benefits
    $5,333
    Filer's total
    $430,411
  • Darian Harris Mha

    CHIEF EXEC HUMBOLDT - THRU 7/23

    Total calculated
    $376,213
    From this org
    $0
    From related orgs
    $354,702
    Other
    $21,511
    Hours/week
    27.25 + 27.75 related

    Schedule J breakdown matched by us

    Base
    $0 + $203,683 related
    Bonus
    $0 + $116,801 related
    Other
    $0 + $34,218 related
    Deferred
    $0 + $4,950 related
    Nontaxable benefits
    $0 + $16,561 related
    Filer's total
    $0 + $376,213 related
  • Berta Kaemmerling

    DIRECTOR NURSING

    Total calculated
    $328,790
    From this org
    $300,885
    From related orgs
    $0
    Other
    $27,905
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $267,325
    Bonus
    $19,634
    Other
    $13,926
    Deferred
    $13,028
    Nontaxable benefits
    $14,877
    Filer's total
    $328,790
  • 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
  • Bharatha Naotunne

    CFO PETALUMA & HEALDSBURG

    Total calculated
    $309,652
    From this org
    $0
    From related orgs
    $293,850
    Other
    $15,802
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $239,826 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $29,024 related
    Deferred
    $0 + $13,111 related
    Nontaxable benefits
    $0 + $2,691 related
    Filer's total
    $0 + $309,652 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, 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

  • 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. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. 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 RECIEVED SEVERANCE PAYMENTS DURING 2023: JO ANN ESCASA-HAIGH - $811,814 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: ROD F. HOCHMAN, M.D. - $823,612 ERIK WEXLER - $366,950 GREG HOFFMAN - $80,207 JO ANN ESCASA-HAIGH - $603,250 JIM WATSON, ESQ - $64,477 JIM MARTIN - $52,013 JOSEPH TITO - $7,477
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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • NORCAL HEALTHCONNECT LLC

    HEALTHCARE · CA · income $98,774,844 · assets $25,321,600

    Directly controlled by WHC

  • HEALTH CONNECT PARTNERS LLC

    HEALTHCARE · WA · income $0 · assets $0

    Directly controlled by WHC

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 · PA · 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 ALASKA HOUSE I OWNER LP

    SUPPORTIVE HOUSING · AK

  • 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

  • PROVIDENCE SURGERY CENTER LLC

    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

  • 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

  • SURGERY CENTER AT TANASBOURNE LLC

    AMBULATORY SURGERY CENTER · KS · general or managing partner

  • THE MADISON SPOKANE INN LLC

    HOTEL SERVICES · 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

  • AMERICAN UNITY GROUP LTD

    C · CAPTIVE INSURANCE · BD

  • 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

  • HCSA PROPERTIES LLC

    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

  • PHN HOLDINGS

    C · STRATEGIC PLANNING SERVICES · CA

  • PRAIA HEALTH INC

    C · HEALTHCARE · DE

  • 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
2023
Filed
30 October 2024
IRS schema version
2023v5.1
Source object
202403189349303025

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