Civic Intelligence

Providence Dethman House

990 • Fiscal year 2017 • EIN 47-3385506

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 05, 2018

1801 LIND AVENUE SW No 9016Renton, WA 98057-9016

(855) 360-5478

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

64th percentile

0.21x

Higher debt load relative to assets than 64% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Liabilities / Revenue

89th percentile

1.54x

Higher debt load relative to revenue than 89% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Net Margin

36th percentile

-1.2%

Higher net margin than 36% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

100th percentile

$4,624,609

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 1760.4% of source-year revenue.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Asset Growth

36th percentile

-0.6%

Faster asset growth than 36% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

53rd percentile

5.6%

Faster revenue growth than 53% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Assets

Down

$1,899,994

Down $10,728 (-0.6%) from 2016

Net Assets

Down

$1,496,706

Down $3,046 (-0.2%) from 2016

Liabilities

Down

$403,288

Down $7,682 (-1.9%) from 2016

Revenue

Up

$262,707

Up $13,859 (+5.6%) from 2016

Expenses

Up

$265,753

Up $1,299 (+0.5%) from 2016

Net Income

Up

-$3,046

Up $12,560 (+80%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0M$1.5M$1.0M$500K$0Assets 2015: $1,945,741Liabilities 2015: $430,383Net Assets 2015: $1,515,3582015Assets 2016: $1,910,722Liabilities 2016: $410,970Net Assets 2016: $1,499,7522016Assets 2017: $1,899,994Liabilities 2017: $403,288Net Assets 2017: $1,496,7062017Assets 2018: $1,873,901Liabilities 2018: $391,846Net Assets 2018: $1,482,0552018Assets 2019: $1,860,071Liabilities 2019: $385,209Net Assets 2019: $1,474,8622019Assets 2020: $1,822,651Liabilities 2020: $381,204Net Assets 2020: $1,441,4472020Assets 2021: $1,721,987Liabilities 2021: $372,991Net Assets 2021: $1,348,9962021Assets 2022: $1,580,689Liabilities 2022: $348,863Net Assets 2022: $1,231,8262022Assets 2023: $1,506,194Liabilities 2023: $336,620Net Assets 2023: $1,169,5742023Assets 2024: $1,506,317Liabilities 2024: $337,745Net Assets 2024: $1,168,5722024

Highlighted filing

2017

Assets$1,899,994
Liabilities$403,288
Net Assets$1,496,706

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$600K$400K$200K$0-$200KRevenue 2015: $182,337Expenses 2015: $214,386Net Income 2015: -$32,0492015Revenue 2016: $248,848Expenses 2016: $264,454Net Income 2016: -$15,6062016Revenue 2017: $262,707Expenses 2017: $265,753Net Income 2017: -$3,0462017Revenue 2018: $272,830Expenses 2018: $287,481Net Income 2018: -$14,6512018Revenue 2019: $289,908Expenses 2019: $297,101Net Income 2019: -$7,1932019Revenue 2020: $278,671Expenses 2020: $312,086Net Income 2020: -$33,4152020Revenue 2021: $257,881Expenses 2021: $350,332Net Income 2021: -$92,4512021Revenue 2022: $306,343Expenses 2022: $423,513Net Income 2022: -$117,1702022Revenue 2023: $327,523Expenses 2023: $389,775Net Income 2023: -$62,2522023Revenue 2024: $381,831Expenses 2024: $382,834Net Income 2024: -$1,0032024

Highlighted filing

2017

Revenue$262,707
Expenses$265,753
Net Income-$3,046
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 5, 2018
Return Version
2017v2.3
Gross Receipts
$262,707
Mission and Program Overview

Mission

As people of providence, we reveal god's love for all, especially the poor and vulnerable, through our compassionate service.provide housing for low income elderly and disabled persons in hood river, or.

See schedule o.provide housing for low income elderly and disabled persons in hood river, or.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,624,708$1,537,430▼ $87,278
Cash and Non-Interest-Bearing Accounts$73,912$139,138▲ $65,226
Prepaid Expenses and Deferred Charges$8,939$8,479▼ $460
Total Assets$1,910,722$1,899,994▼ $10,728
Other Assets Total$203,163$214,947▲ $11,784
Liabilities
Unsecured Notes Loans Payable$379,277$366,280▼ $12,997
Other Liabilities$22,431$26,268▲ $3,837
Accounts Payable and Accrued Expenses$9,262$10,737▲ $1,475
Deferred Revenue-$3-
Total Liabilities$410,970$403,288▼ $7,682
Net Assets / Fund Balance
Temporarily Rstr Net Assets$1,192,709$1,171,876▼ $20,833
Unrestricted Net Assets$307,043$324,830▲ $17,787
Total Net Assets Fund Balance$1,499,752$1,496,706▼ $3,046
Total Liabilities and Net Assets / Fund Balance$1,910,722$1,899,994▼ $10,728

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,481,658$930,428$2,412,086
Equipment$11,735$134,624$146,359
Leasehold Improvements$24,426$39,246$63,672
Land$19,611-$19,611
Other Assets Org$98,724--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Mike ButlerPresident
Robert HellrigelCe/senior & Comm. Services
Todd HofheinsFormer Treasurer
Cindy StraussSecretary
Jo Ann Escasa-haighTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$177,844
Program Service Revenue
$83,916
Investment Income
$0
Other Revenue
$947
Change in Net Assets
$-3,046

Audited Revenue Reconciliation

Revenue per Audited Statements
$262,707
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$20,833
Total Revenue per Audited Statements
$283,540
Total Revenue per Form 990
$262,707
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$207,706
Salaries, Compensation, and Employee Benefits$58,047
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion$87,279--$87,279
Other Salaries and Wages$46,069--$46,069
Fees for Services Other$23,665--$23,665
Occupancy$23,152--$23,152
Office Expenses$15,675--$15,675
Payments to Affiliates-$15,472-$15,472
Fees for Services Accounting-$13,435-$13,435
Insurance$9,034--$9,034
Other Employee Benefits$8,454--$8,454
Interest$8,126--$8,126
Payroll Taxes$3,524--$3,524
Conferences and Meetings$3,312--$3,312
Travel$2,511--$2,511
Other Expenses$82--$82
All Other Expenses$54--$54
Total Functional Expenses$236,846$28,907$0$265,753

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$265,753
Total Expenses per Audited Statements$265,753
Total Expenses per Form 990$265,753
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$19,637
Due to Tenants$6,631
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, line 11B

The form 990 was prepared by the tax department based on information received from various departments of the organization and was reviewed by an officer of the organization. A copy of the form 990 was distributed to all voting members of the board. During the audit committee meeting, management presented and discussed certain disclosures and information included in the form 990. The audit committee chair then provided a summary at the full board meeting.

Form 990, Part VI, Section B, line 12C

Board members, sponsors, senior leaders and key employees are required to disclose any real or potential conflict of interest in accordance with the psjh coi policy and in connection with that individual satisfying his or her fiduciary obligations to the organization. Disclosures are made annually and/or if at any time an actual, real or potential conflict of interest arises. Psjh chief legal officer and/or the psjh chief risk officer, review all disclosures. Where appropriate, the ceo and/or the board chair consider matters that involve senior leadership or a board member. Psjh chief legal officer and/or chief risk officer review matters where conflict is difficult or cannot be resolved and present recommendations to the appropriate board committee or the ceo, for discussion and resolution. When appropriate, the individual with the real/potential conflict that is being reviewed may participate in the discussion but is excused from the meeting when action is decided. Where appropriate, the chief risk officer or chief legal officer will provide plan to manage conflicts. Auditing and monitoring of this process is done periodically. All documentation of coi disclosures is retained per organization retention policy.

Form 990, Part VI, Section B, line 15

The organization's chief executive officer/president/executive director is paid by its tax exempt parent, providence st. Joseph health (psjh), and is disclosed as a person paid by a related organization. The organization's chief executive officer/president/executive director is paid by its tax exempt parent, psjh, and is disclosed as a person paid by a related organization. It is providence st. Joseph health's intention to make financial information accessible and transparent. Although the filing of form 990 provides insight into how providence st. Joseph health achieves its mission, delivers its programs and stewards its finances, deciphering the information directly from form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence st. Joseph health has a single fiduciary board, with responsibility for financial oversight associated with fulfillment of the providence st. Joseph health mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of providence st. Joseph health's legal entities. Providence st. Joseph health also maintains a network of community entity boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence st. Joseph health has a consistent compensation philosophy for all of its officers, including our senior executives. Salaries for senior executives are reviewed by the providence st. Joseph health committee. The board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the united states. Providence st. Joseph health is one of the larger health systems in the country, and as such, the board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of providence st. Joseph health. Additionally, providence st. Joseph health's labor market continues to spread across health care and into general industry. Because of this, providence st. Joseph health also takes into consideration general industry for-profit market data, where applicable. Base salaries for providence st. Joseph health executives are generally targeted to the median level of the market, as identified by the independent consultant and reviewed with the executive compensation committee. The president/ceo utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for other senior executives. This process includes a rigorous analysis of those recommendations with the executive compensation committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering providence st. Joseph health operating commitments and strategic objectives. The board of directors conducts a thorough review process to ensure performance incentives are aligned with appropriate market practices. The board's process for executive compensation fully complies with irs standards and mirrors best practices. The process to review compensation was last completed march 2018.

Form 990, Part VI, Section C, line 19

The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. The psjh community benefit reports, financial reports, and philanthropy reports are also available on the psjh internet site.

Filing and Contact Details

Filer

Filer Name
Providence Dethman House
EIN
47-3385506
Phone
8553605478
Address
1801 LIND AVENUE SW No 9016, RENTON, WA 98057-9016

Signing Officer

Name
Jo Ann Escasa-haigh
Title
Treasurer
Phone
4255253985
Signed
2018-11-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mike Butler
Formed
2015
Legal Domicile
Or
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
3

Preparer

Firm
Ernst & Young US Llp
Address
560 MISSION STREET SUITE 1600, SAN FRANCISCO, CA 94105
Preparer
Eva Nitta
Phone
4158948000
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 5 & Part V, Line 2A - Employee Compensation

The employees working at the hud housing locations are paid by providence health & services - washington dba wa/mt regional services ein# 91-1996732. Therefore, no w-2s are issued by the reporting organization.

Financial Statement Notes

Part X, Line 2:

The organization is exempt from federal income taxes as an entity described in section 501(c)(3) of the internal revenue code. As a result, there is no provision for federal income taxes in these financial statements and no federal income taxes were paid. Management believes that the organization has adequately addressed all relevant tax positions and there are no unrecorded tax liabilities. Generally, the organization's tax returns remain open for three years for federal and state income tax examination.

Part XI, Line 2D - Other Adjustments:

Net Assets released from restrictions 20,833.

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IRS990/Desc0SEE SCHEDULE O.PROVIDENCE ST. JOSEPH HEALTH SYSTEMON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 50 HOSPITALS, 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.THE FOUNDERS OF BOTH ORGANIZATIONS WERE COURAGEOUS WOMEN AHEAD OF THEIR TIME. THE SISTERS OF PROVIDENCE AND THE SISTERS OF ST. JOSEPH OF ORANGE BROUGHT HEALTH CARE AND OTHER SOCIAL SERVICES TO THE AMERICAN WEST WHEN IT WAS STILL A RUGGED, UNTAMED FRONTIER. NOW, AS WE FACE A DIFFERENT LANDSCAPE A CHANGING HEALTH CARE ENVIRONMENT WE DRAW UPON THEIR PIONEERING AND COMPASSIONATE SPIRIT TO PLAN FOR THE NEXT CENTURY OF HEALTH CARE.PROVIDENCE HEALTH & SERVICESIN 1856, MOTHER JOSEPH AND FOUR SISTERS OF PROVIDENCE ESTABLISHED HOSPITALS, SCHOOLS AND ORPHANAGES ACROSS THE NORTHWEST. OVER THE YEARS, OTHER CATHOLIC SISTERS TRANSFERRED SPONSORSHIP OF THEIR MINISTRIES TO PROVIDENCE, INCLUDING THE LITTLE COMPANY OF MARY, DOMINICANS AND CHARITY OF LEAVENWORTH. RECENTLY, SWEDISH HEALTH SERVICES, KADLEC REGIONAL MEDICAL CENTER AND PACIFIC MEDICAL CENTERS HAVE JOINED PROVIDENCE AS SECULAR PARTNERS WITH A COMMON COMMITMENT TO SERVING ALL MEMBERS OF THE COMMUNITY. TODAY, PROVIDENCE SERVES ALASKA, CALIFORNIA, MONTANA, OREGON AND WASHINGTON.ST. JOSEPH HEALTH SYSTEMIN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIFORNIA TO PROVIDE EDUCATION AND HEALTH CARE. THEY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA.PROGRAM SERVICE ACCOMPLISHMENTSPROVIDE SUBSIDIZED HOUSING WITH 27 COMFORTABLE AND SPACIOUS APARTMENTS DESIGNED TO MEET THE NEEDS OF LOW INCOME ELDERLY AND/OR DISABLED PERSONS. DURING 2017, THE OCCUPANCY RATE WAS 100% WITH 0 TURNOVER AND 0 VACANCY DAYS. THERE WERE 10,438 TENANT DAYS.OVERVIEWPROVIDENCE DETHMAN HOUSE IS A HIGH-QUALITY, SUPPORTIVE HOUSING PROGRAM OWNED AND MANAGED BY PROVIDENCE HEALTH & SERVICES. RENOVATED IN 2014, THIS APARTMENT BUILDING WAS DESIGNED AND BUILT ESPECIALLY FOR LOW-INCOME SENIORS (62 YEARS AND OLDER) AND YOUNGER ADULTS WITH DISABILITIES (AGED 18 AND OLDER). PROVIDENCE DETHMAN HOUSE IS A THREE-STORY, CONTROLLED-ACCESS BUILDING WITH AN ELEVATOR AND PLENTY OF PARKING. THE BUILDING OFFERS 27 COMFORTABLE AND SPACIOUS APARTMENTS WITH ALL THE COMFORTS OF HOME. EACH APARTMENT INCLUDES AIR CONDITIONING, FULL KITCHENS/KITCHENETTES, AND PRIVATE BATHROOM WITH A TUB OR WALK-IN/ROLL-IN SHOWER, COMPLETE WITH GRAB BARS, BUILT-IN STORAGE AND OPEN LIVING SPACES. ON-SITE LAUNDRY FACILITY, COMPUTER WITH INTERNET ACCESS, INDOOR MAILBOXES AND WELCOMING COMMUNITY SPACES INCLUDING A SOCIAL ROOM AND AN OUTDOOR PATIO ARE JUST A FEW MORE OF THE AMENITIES PROVIDED. ONE SMALL PET IS ALLOWED WITH A PET DEPOSIT. SOME APARTMENTS INCLUDE VIEWS OF THE COLUMBIA GORGE. LOCATED BETWEEN DOWNTOWN HOOD RIVER AND THE HEIGHTS, THE BUILDING IS NAMED FOR THE FAMILY OF FRANK AND ANNA DETHMAN, LONGTIME MEMBERS OF THE HOOD RIVER COMMUNITY AND OWNERS OF DETHMAN ORCHARDS, A COMMERCIAL PEAR FARM. THE BUILDING WAS ORIGINALLY CONSTRUCTED BY THE HOOD RIVER MEMORIAL MEDICAL CENTER IN 1978. IN 1999 THE MEDICAL CENTER AND DETHMAN MANOR AS IT WAS CALLED AT THE TIME, WERE SOLD TO PROVIDENCE HEALTH SYSTEM- OREGON. PROVIDENCE DETHMAN HOUSE (THE ORGANIZATION) WAS FORMED IN MARCH, 2015 AS A NOT-FOR-PROFIT CORPORA
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IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt00
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartVInd0X
IRS990/InsuranceGrp/ProgramServicesAmt09034
IRS990/InsuranceGrp/TotalAmt09034
IRS990/InterestGrp/ProgramServicesAmt08126
IRS990/InterestGrp/TotalAmt08126
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt05
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt01104298
IRS990/LandBldgEquipBasisNetGrp/BOYAmt01624708
IRS990/LandBldgEquipBasisNetGrp/EOYAmt01537430
IRS990/LandBldgEquipCostOrOtherBssAmt02641728
IRS990/LegalDomicileStateCd0OR
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0AS PEOPLE OF PROVIDENCE, WE REVEAL GOD'S LOVE FOR ALL, ESPECIALLY THE POOR AND VULNERABLE, THROUGH OUR COMPASSIONATE SERVICE.PROVIDE HOUSING FOR LOW INCOME ELDERLY AND DISABLED PERSONS IN HOOD RIVER, OR.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt01499752
IRS990/NetAssetsOrFundBalancesEOYAmt01496706
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ProgramServicesAmt023152
IRS990/OccupancyGrp/TotalAmt023152
IRS990/OfficeExpensesGrp/ProgramServicesAmt015675
IRS990/OfficeExpensesGrp/TotalAmt015675
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt0203163
IRS990/OtherAssetsTotalGrp/EOYAmt0214947
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt08454
IRS990/OtherEmployeeBenefitsGrp/TotalAmt08454
IRS990/OtherExpensesGrp/Desc0RESIDENT ACTIVITIES
IRS990/OtherExpensesGrp/Desc1TAX & LICENSES
IRS990/OtherExpensesGrp/Desc2DUES
IRS990/OtherExpensesGrp/Desc3SCREENING FEES
IRS990/OtherExpensesGrp/ProgramServicesAmt04169
IRS990/OtherExpensesGrp/ProgramServicesAmt1936
IRS990/OtherExpensesGrp/ProgramServicesAmt2804
IRS990/OtherExpensesGrp/ProgramServicesAmt382
IRS990/OtherExpensesGrp/TotalAmt04169
IRS990/OtherExpensesGrp/TotalAmt1936
IRS990/OtherExpensesGrp/TotalAmt2804
IRS990/OtherExpensesGrp/TotalAmt382
IRS990/OtherLiabilitiesGrp/BOYAmt022431
IRS990/OtherLiabilitiesGrp/EOYAmt026268
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0RESIDENT ACTIVITIES
IRS990/OtherRevenueMiscGrp/ExclusionAmt0947
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt0947
IRS990/OtherRevenueTotalAmt0947
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt046069
IRS990/OtherSalariesAndWagesGrp/TotalAmt046069
IRS990/PartialLiquidationInd00
IRS990/PaymentsToAffiliatesGrp/ManagementAndGeneralAmt015472
IRS990/PaymentsToAffiliatesGrp/TotalAmt015472
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ProgramServicesAmt03524
IRS990/PayrollTaxesGrp/TotalAmt03524
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt08939
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt08479
IRS990/PrincipalOfficerNm0MIKE BUTLER
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0531110
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/Desc0TENANTS RENT
IRS990/ProgramServiceRevenueGrp/Desc1RESERVES INTEREST
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt083720
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1196
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt083720
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1196
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0170323
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0-880
IRS990/PYOtherExpensesAmt0226955
IRS990/PYOtherRevenueAmt01347
IRS990/PYProgramServiceRevenueAmt078058
IRS990/PYRevenuesLessExpensesAmt0-15606
IRS990/PYSalariesCompEmpBnftPaidAmt037499
IRS990/PYTotalExpensesAmt0264454
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0248848
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-3046
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RelatedOrganizationsAmt01500
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd01
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt083916
IRS990ScheduleA/First5Years170Ind0X
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0RESIDENT ACTIVITIES - 2016 Amount: $ 1,347. 2017 Amount: $ 947. LAUNDRY - 2015 Amount: $ 1,281.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Schedule A, Part II, Line 10, Explanation of Other Income:
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0177844
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0170323
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0116307
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0464474
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt0226723
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt0947
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt01347
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt01281
IRS990ScheduleA/OtherIncome170Grp/TotalAmt03575
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportTotal170Amt0464474
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0177844
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0170323
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0116307
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0464474
IRS990ScheduleA/TotalSupportAmt0468049
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/BuildingsGrp/BookValueAmt01481658
IRS990ScheduleD/BuildingsGrp/DepreciationAmt0930428
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt02412086
IRS990ScheduleD/EquipmentGrp/BookValueAmt011735
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0134624
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0146359
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt0265753
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/LandGrp/BookValueAmt019611
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt019611
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt024426
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt039246
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt063672
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt06631
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt1109592
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt298724
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0TENANT SECURITY DEPOSITS
IRS990ScheduleD/OtherAssetsOrgGrp/Desc1REPLACEMENT RESERVES
IRS990ScheduleD/OtherAssetsOrgGrp/Desc2OPERATING DEFICIT RESERVE
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt019637
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt16631
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO AFFILIATES
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1DUE TO TENANTS
IRS990ScheduleD/OtherRevenueAmt020833
IRS990ScheduleD/RevenueNotReportedAmt020833
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt0262707
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES AS AN ENTITY DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A RESULT, THERE IS NO PROVISION FOR FEDERAL INCOME TAXES IN THESE FINANCIAL STATEMENTS AND NO FEDERAL INCOME TAXES WERE PAID. MANAGEMENT BELIEVES THAT THE ORGANIZATION HAS ADEQUATELY ADDRESSED ALL RELEVANT TAX POSITIONS AND THERE ARE NO UNRECORDED TAX LIABILITIES. GENERALLY, THE ORGANIZATION'S TAX RETURNS REMAIN OPEN FOR THREE YEARS FOR FEDERAL AND STATE INCOME TAX EXAMINATION.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1Net Assets released from restrictions 20,833.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Part XI, Line 2d - Other Adjustments:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01537430
IRS990ScheduleD/TotalBookValueOtherAssetsAmt0214947
IRS990ScheduleD/TotalExpensesPerForm990Amt0265753
IRS990ScheduleD/TotalLiabilityAmt026268
IRS990ScheduleD/TotalRevenuePerForm990Amt0262707
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0283540
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0265753
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt01189568
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt1711543
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt2624379
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt3202411
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt4527139
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt01294695
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1623838
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2697944
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt3396414
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt415196
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt2386962
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt4777867
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt02065833
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt1647363
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt2988958
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt3445604
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt410544
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt029624
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt120322
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt231256
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt326379
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt434931
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt044889
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt136709
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt2420759
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt32086
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt41596780
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0MIKE BUTLER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1JO ANN ESCASA-HAIGH
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2CINDY STRAUSS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3ROBERT HELLRIGEL
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4TODD HOFHEINS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1TREASURER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2SECRETARY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3CE/SENIOR & COMM. SERVICES
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt4FORMER TREASURER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt04624609
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt12039775
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt22763296
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt31072894
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt42184590
IRS990ScheduleJ/SeverancePaymentInd01
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE ST. JOSEPH HEALTH (PSJH), AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PSJH.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING 2017: TODD HOFHEINS - $793,260 BEGINNING IN JULY 2015, NEW EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PLAN PROVIDES FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND ARE SUBJECT TO A FIVE YEAR OR AGE 65 VESTING SCHEDULE. THE AMOUNTS SHOWN IN COLUMN F OF PART II REFLECT CURRENT YEAR PAYOUTS FROM THESE PLANS.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt2THE PROVIDENCE EXECUTIVE INCENTIVE PROGRAM PROVIDES A LUMP SUM AWARD ANNUALLY AS A PERCENT OF THE EXECUTIVE'S BASE PAY. PERCENT OPPORTUNITIES ARE ALIGNED WITH OUR TOTAL COMPENSATION PHILOSOPHY AS OUTLINED IN PART VI, SECTION B, LINE 15 (PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT, OFFICERS & KEY EMPLOYEES). FOR PROVIDENCE LEADERS, THE PERFORMANCE AWARD IS BASED ON THE LEVEL OF ACCOMPLISHMENT OF ANNUAL SYSTEM AND FUNCTIONAL (OR MARKET) OBJECTIVES. IN 2017, 60 PERCENT OF THE PARTICIPANT AWARDS WERE BASED ON PRE-DETERMINED ORGANIZATIONAL GOALS CONSISTENT WITH PROVIDENCE'S STRATEGIC PRIORITIES. IN 2017 THE PERCENT ALLOCATION FOR EACH OF THESE STRATEGIC PRIORITIES WAS AS OUTLINED BELOW: SYSTEM GOALS: FIRST-YEAR TURNOVER - 10% INPATIENT EXPERIENCE - 5% PATIENT EXPERIENCE - 5% MEDICAL GROUP PATIENT EXPERIENCE - 5% COMMUNITY BENEFIT - 10% CLINICAL EXCELLENCE - 15% FREE CASH FLOW - 10% THE REMAINING 40% WAS BASED ON A ROBUST SET OF FUNCTION SPECIFIC GOALS DESIGNED TO ALIGN CRITICAL MISSION AND BUSINESS DRIVERS.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0Part I, Line 3

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