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Nonprofiteer
← COVENANT MEDICAL CENTER

Form 990 for tax year 2024

Filed by COVENANT MEDICAL CENTER.

Totals

Total revenue
$563,599,324
Total expenses
$603,871,468
Contributions and grants received
$934,866
Grants paid
$12,008
Program service revenue
$524,579,694
Investment income
$16,083,226
Other revenue
$22,001,538
Total assets, end of year
$684,871,208
Total liabilities, end of year
$414,734,549
Net assets or fund balances, end of year
$270,136,659
Program services expenses (Part IX)
$566,478,618
Management and general expenses
$37,392,850
Fundraising expenses
$0
Program service expenses (Part III)
$566,478,618

Program services were 93.8% 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.

  • 1d · Related organizations

    $806,796

  • 1e · Government grants (contributions)

    $128,070

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $519,585,085 · related or exempt $516,106,413 · unrelated business $3,478,672

  • 2b · Program service revenue: OTHER PATIENT REVENUE

    total $2,657,639 · related or exempt $2,657,639

  • 2c · Program service revenue: MOB RENTAL REVENUE

    total $2,336,970 · excluded $2,336,970

  • 3 · Investment income

    total $4,326,511 · unrelated business $28,880 · excluded $4,297,631

  • 7a · Gross sales of assets other than inventory

    securities $13,213,132 · other assets $719

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

    securities $1,457,136 · other assets $0

  • 7c · Gain or loss

    securities $11,755,996 · other assets $719

  • 7d · Net gain or loss

    total $11,756,715 · excluded $11,756,715

  • 11a · Other revenue: PHARMACY REVENUE

    total $14,911,841 · related or exempt $14,911,841

  • 11b · Other revenue: CAFETERIA REVENUE

    total $3,134,972 · related or exempt $3,134,972

  • 11c · Other revenue: EDUCATION REVENUE

    total $2,882,048 · related or exempt $2,882,048

  • 11d · All other revenue

    total $1,072,677 · related or exempt $1,072,677

  • 11e · Other revenue, total

    $22,001,538

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $12,008 · program services $12,008

  • 7 · Other salaries and wages

    total $162,224,788 · program services $150,179,564 · management and general $12,045,224

  • 8 · Pension plan contributions

    total $9,590,757 · program services $8,878,641 · management and general $712,116

  • 9 · Other employee benefits

    total $26,093,484 · program services $24,156,037 · management and general $1,937,447

  • 10 · Payroll taxes

    total $11,844,534 · program services $10,965,075 · management and general $879,459

  • 11b · Fees: legal

    total $3,265 · program services $3,023 · management and general $242

  • 11f · Fees: investment management

    total $769,725 · management and general $769,725

  • 11g · Fees: other

    total $118,256,510 · program services $109,475,940 · management and general $8,780,570

  • 12 · Advertising and promotion

    total $785 · program services $727 · management and general $58

  • 13 · Office expenses

    total $4,324,770 · program services $4,003,655 · management and general $321,115

  • 14 · Information technology

    total $18,005 · program services $16,668 · management and general $1,337

  • 16 · Occupancy

    total $1,610,583 · program services $1,490,997 · management and general $119,586

  • 17 · Travel

    total $157,303 · program services $145,623 · management and general $11,680

  • 19 · Conferences, conventions and meetings

    total $146,440 · program services $135,567 · management and general $10,873

  • 20 · Interest

    total $12,387,306 · program services $11,467,546 · management and general $919,760

  • 22 · Depreciation, depletion and amortization

    total $17,421,464 · program services $16,127,917 · management and general $1,293,547

  • 24a · Other expenses: SYSTEM COST ALLOCATION

    total $125,241,887 · program services $115,942,651 · management and general $9,299,236

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $103,113,942 · program services $103,113,942

  • 24c · Other expenses: HOSPITAL FEE

    total $6,736,408 · program services $6,736,408

  • 24d · Other expenses: UBI TAXES PAID

    total $75,000 · program services $69,431 · management and general $5,569

  • 24e · All other expenses

    total $3,842,504 · program services $3,557,198 · management and general $285,306

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $255,312,043 · end of year $3,274,357

  • 2 · Savings and temporary cash investments

    beginning of year $5,488,331 · end of year $10,866

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $299,130

  • 4 · Accounts receivable

    beginning of year $81,442,987 · end of year $104,056,236

  • 7 · Other notes and loans receivable

    beginning of year $211,031 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $8,352,234 · end of year $9,438,914

  • 9 · Prepaid expenses and deferred charges

    beginning of year $29,701,253 · end of year $42,244,614

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

    $850,260,907

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

    $508,234,060

  • 10c · Land, buildings and equipment, net

    beginning of year $328,694,653 · end of year $342,026,847

  • 11 · Investments: publicly traded securities

    beginning of year $159,900,168 · end of year $169,200,103

  • 12 · Investments: other securities

    beginning of year $4,912,920

  • 13 · Investments: program-related

    end of year $4,627

  • 14 · Intangible assets

    beginning of year $10,304,000 · end of year $8,832,000

  • 15 · Other assets

    beginning of year $10,267,052 · end of year $5,483,514

  • 17 · Accounts payable and accrued expenses

    beginning of year $25,326,918 · end of year $29,385,385

  • 19 · Deferred revenue

    beginning of year $43,282,258 · end of year $37,765,636

  • 25 · Other liabilities

    beginning of year $566,372,509 · end of year $347,583,528

  • 27 · Net assets without donor restrictions

    beginning of year $259,604,762 · end of year $270,136,434

  • 28 · Net assets with donor restrictions

    beginning of year $225 · end of year $225

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.

Activities or mission (Part I)

SEE SCHEDULE O

  • SEE SCHEDULE O

    Expenses $566,478,618 · Grants $12,008 · Revenue $546,581,232

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

Listed in Part VII

  • Walter Cathey

    FRMR OFF. - NM/TX REG CE

    Total calculated
    $1,481,609
    From this org
    $0
    From related orgs
    $1,276,030
    Other
    $205,579
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $626,093 related
    Bonus
    $0 + $563,666 related
    Other
    $0 + $86,271 related
    Deferred
    $0 + $190,322 related
    Nontaxable benefits
    $0 + $15,257 related
    Filer's total
    $0 + $1,481,609 related
  • Amy Thompson MD

    LUBBOCK AREA MARKET/CEO

    Total calculated
    $896,775
    From this org
    $0
    From related orgs
    $784,091
    Other
    $112,684
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $437,621 related
    Bonus
    $0 + $279,325 related
    Other
    $0 + $67,145 related
    Deferred
    $0 + $95,520 related
    Nontaxable benefits
    $0 + $17,164 related
    Filer's total
    $0 + $896,775 related
  • Shelly Hook MD

    BOARD MEMBER - THRU 12/31/24

    Total calculated
    $563,295
    From this org
    $0
    From related orgs
    $542,508
    Other
    $20,787
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $293,147 related
    Bonus
    $0
    Other
    $0 + $249,361 related
    Deferred
    $0 + $4,265 related
    Nontaxable benefits
    $0 + $16,522 related
    Filer's total
    $0 + $563,295 related
  • John Grigson

    FRMR OFF. - TX/NM REG. CFO

    Total calculated
    $545,688
    From this org
    $0
    From related orgs
    $545,688
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $545,688 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $545,688 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
  • Chris Lancaster

    FORMER CEO - CMC

    Total calculated
    $481,643
    From this org
    $481,643
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $481,643
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $481,643
  • Lara Johnson

    CHIEF MEDICAL OFFICER MARKET

    Total calculated
    $390,702
    From this org
    $368,901
    From related orgs
    $0
    Other
    $21,801
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $350,615
    Bonus
    $9,301
    Other
    $8,985
    Deferred
    $16,325
    Nontaxable benefits
    $5,476
    Filer's total
    $390,702
  • Richard Parks

    FRMR OFF - TX/NM REG. CE

    Total calculated
    $388,690
    From this org
    $0
    From related orgs
    $388,482
    Other
    $208
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $27,753 related
    Bonus
    $0
    Other
    $0 + $360,729 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $208 related
    Filer's total
    $0 + $388,690 related
  • Chetlen Crossnoe MD

    BOARD MEMBER

    Total calculated
    $331,286
    From this org
    $0
    From related orgs
    $317,936
    Other
    $13,350
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $260,619 related
    Bonus
    $0 + $22,764 related
    Other
    $0 + $34,553 related
    Deferred
    $0 + $5,175 related
    Nontaxable benefits
    $0 + $8,175 related
    Filer's total
    $0 + $331,286 related
  • Jennifer Bryan

    LUBBOCK AREA MARKET/CFO

    Total calculated
    $314,564
    From this org
    $0
    From related orgs
    $285,974
    Other
    $28,590
    Hours/week
    11 + 44 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
  • Daniel Hronek

    CHIEF NURSING OFFICER

    Total calculated
    $307,141
    From this org
    $274,342
    From related orgs
    $0
    Other
    $32,799
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $247,587
    Bonus
    $25,892
    Other
    $863
    Deferred
    $14,527
    Nontaxable benefits
    $18,272
    Filer's total
    $307,141
  • George Harlan

    SENIOR CLINICAL PHARMACIST

    Total calculated
    $303,683
    From this org
    $263,724
    From related orgs
    $0
    Other
    $39,959
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $253,807
    Bonus
    $8,362
    Other
    $1,555
    Deferred
    $24,810
    Nontaxable benefits
    $15,149
    Filer's total
    $303,683
  • Jasbinder Gill

    ACUTE CARE RN

    Total calculated
    $301,365
    From this org
    $263,637
    From related orgs
    $0
    Other
    $37,728
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $262,529
    Bonus
    $0
    Other
    $1,108
    Deferred
    $24,619
    Nontaxable benefits
    $13,109
    Filer's total
    $301,365
  • Jihanne Padua

    ACUTE CARE RN

    Total calculated
    $267,818
    From this org
    $244,825
    From related orgs
    $0
    Other
    $22,993
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $236,159
    Bonus
    $4,116
    Other
    $4,550
    Deferred
    $11,468
    Nontaxable benefits
    $11,525
    Filer's total
    $267,818
  • Kathleen Burrell

    SECR. CHIEF GOVERNANCE OFF.

    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
  • Derick Haggard MD

    BOARD MEMBER - THRU 12/31/24

    Total calculated
    $90,700
    From this org
    $0
    From related orgs
    $90,700
    Other
    $0
    Hours/week
    0.5 + 0.5 related
  • Chad Wheeler

    BOARD MEMBER

    Total calculated
    $7,000
    From this org
    $0
    From related orgs
    $7,000
    Other
    $0
    Hours/week
    0.5 + 0.5 related
  • Becky Garza

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related
  • Dan Berman MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related
  • Jessie Mendoza

    BOARD MEMBER/CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Keino McWhinney

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related
  • Michelle McCord

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related
  • Shaun Forgerson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related
  • Sydney Hopper

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 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. 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 A RELATED TAX-EXEMPT ORGANIZATION, COVENANT CHILDREN'S HOSPITAL, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE.
PART I, LINES 4A-B
THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: JOHN GRIGSON - $545,688 CHRIS LANCASTER - $320,506 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: RICHARD PARKS - $277,555 CHRIS LANCASTER - $154,802 WALTER CATHEY - $84,561 AMY THOMPSON, M.D. - $64,779 JAMES KELLY - $59,375 CHETLEN CROSSNOE, M.D. - $5,945 SHELLY HOOK, M.D. - $5,056
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

    EXCLUDED · INVESTMENTS · WA · 4.92% owned · share of income $18,263,100 · share of assets $177,520,700

    Directly controlled by PHS 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
3 November 2025
IRS schema version
2024v5.2
Source object
202523189349301802

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