Nonprofit · EIN 55-0828701
PROVIDENCE HEALTH ASSURANCE
Tax-exempt · RENTON, WA 98057
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2024 | 990 | $2,474,028 | $97,811 | $2,376,217 | $270,016,050 | $201,531,229 | $68,484,821 |
| December 31, 2023 | 990 | $4,495,526 | $186,155 | $4,309,371 | $255,810,165 | $189,156,986 | $66,653,179 |
Financial details: 990 for the year ended December 31, 2024
Revenue
- Contributions, gifts and grants
- $0
- Program service revenue
- $0
- Investment income
- $2,474,028
- Net gain from sales of assets
- $97,237
- Other revenue
- $0
Expenses
- Grants and similar amounts paid
- $511,979
- Compensation of officers, directors and key employees
- $5,840,913
- Other salaries and wages
- $49,664,409
- Salaries, compensation and benefits (total)
- $65,658,845
- Professional fundraising fees
- $0
- Accounting fees
- $252,239
- Occupancy
- $1,173,755
- Travel
- $271,975
- Management and general (functional)
- $97,811
Balance sheet and other
- Total assets, start of year
- $255,810,165
- Total assets, end of year
- $270,016,050
- Total liabilities, end of year
- $201,531,229
- Net assets, end of year
- $68,484,821
- Publicly traded securities
- $42,715,246
- Gross receipts
- $101,799,064
- Employees
- 0
- Volunteers
- 0
- Year formed
- 2003
- State of legal domicile
- OR
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended December 31, 2024, highest compensation first.
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| DONALD ANTONUCCI | PRESIDENT Trustee or director, Officer | 18 | $0 | $2,047,394 | $251,528 |
| RHONDA MEDOWS MD | CHAIR Trustee or director | 1 | $0 | $1,213,701 | $0 |
| ROBERT A GLUCKMAN | CMO HEALTH PLAN - THRU 1/24 Key employee | 18 | $0 | $1,144,222 | $25,127 |
| BRADLEY GARRIGUES | CHIEF GROWTH OFF. PHP Key employee | 18 | $0 | $945,691 | $109,488 |
| LINA SAADZOI | TREASURER Officer | 18 | $0 | $686,218 | $111,062 |
| CHERYL MORRISON | COO PHP Key employee | 18 | $0 | $712,233 | $21,789 |
| MICHAEL MATHIAS | CHIEF INFORMATION OFF. PHP Key employee | 18 | $0 | $580,386 | $99,969 |
| GREG ZAMUDIO | SECRETARY Officer | 18 | $0 | $578,583 | $78,091 |
| LAUREL SOOT | CHIEF MEDICAL OFCR HEALTH PLAN Key employee | 18 | $0 | $500,543 | $65,249 |
| SHANNON DROTNING | MARKET PRESIDENT PHP Highest-paid employee | 18 | $0 | $501,538 | $33,720 |
| SCOTT BURTON | MARKET PRESIDENT PHP Highest-paid employee | 18 | $0 | $468,753 | $32,010 |
| CARESSE SAKAGAWA | CHIEF MARKETING AND PRODUCT OFF. Highest-paid employee | 18 | $0 | $420,239 | $20,171 |
| MEGAN HEIAR | CHIEF OF STAFF AYIN HEALTH SOLUTIONS Highest-paid employee | 18 | $0 | $411,496 | $20,185 |
| LARRY BACA | DIR., MEDICARE AND INDIVIDUAL SALES Highest-paid employee | 18 | $0 | $394,051 | $24,845 |
| AARON BALS | CHIEF COMPLIANCE/RISK OFFICER PHP Key employee | 18 | $0 | $350,116 | $31,468 |
7 more people on this return
| Name | Title | Hours / week | Compensation | From related orgs |
|---|---|---|---|---|
| ISIAAH CRAWFORD PHD | DIRECTOR Trustee or director | 0.5 | $0 | $50,000 |
| JOSEPH BLANKENSHIP | DIRECTOR Trustee or director | 0.5 | $0 | $45,381 |
| BYRON SCOTT | DIRECTOR Trustee or director | 0.5 | $0 | $0 |
| CECILIA SUN | DIRECTOR Trustee or director | 0.5 | $0 | $0 |
| GRACIELA GOMEZ COWGER | DIRECTOR Trustee or director | 0.5 | $0 | $0 |
| KIMBERLEY GOODE | DIRECTOR Trustee or director | 0.5 | $0 | $0 |
| MIKE ALEXANDER | DIRECTOR Trustee or director | 0.5 | $0 | $0 |
990 for the year ended December 31, 2023: 23 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| DEBRA CANALES | DIRECTOR Trustee or director | 0.5 | $0 | $5,026,633 | $69,939 |
| RHONDA MEDOWS MD | CHAIR Trustee or director | 0.5 | $0 | $4,437,916 | $32,662 |
| DONALD ANTONUCCI | PRESIDENT/CEO Trustee or director, Officer | 27 | $0 | $1,757,814 | $315,072 |
| ROBERT A GLUCKMAN | CHIEF MEDICAL OFCR HEALTH PLAN Key employee | 18 | $0 | $1,146,922 | $70,820 |
| BRADLEY GARRIGUES | CHIEF GROWTH OFF. PHP Key employee | 18 | $0 | $820,074 | $119,701 |
| CHERYL MORRISON | COO PHP Key employee | 18 | $0 | $668,025 | $179,022 |
| DANIEL W RYAN | TREASURER/VP - THRU 6/23 Officer | 17 | $0 | $716,116 | $30,424 |
| MICHAEL MATHIAS | CHIEF INFORMATION OFF. PHP Key employee | 18.5 | $0 | $626,804 | $112,399 |
| GREG ZAMUDIO | SECRETARY Officer | 17 | $0 | $605,120 | $98,953 |
| SCOTT BURTON | MARKET PRESIDENT PHP Highest-paid employee | 16 | $0 | $466,540 | $51,942 |
| SALLY MARSH | DIRECTOR SALES Highest-paid employee | 17 | $0 | $393,561 | $63,796 |
| PAUL T GIGER | PHYSICIAN MEDICAL DIRECTOR I Highest-paid employee | 17 | $0 | $386,877 | $70,328 |
| STEPHANIE C DREYFUSS | VP PHP NETWORK DEVELOPMENT Highest-paid employee | 17 | $0 | $378,134 | $53,539 |
| LINA SAADZOI | TREASURER (PART YEAR) Officer | 17 | $0 | $349,685 | $77,270 |
| MEGAN HEIAR | CHIEF OF STAFF AYIN HEALTH SOLUTIONS Highest-paid employee | 16 | $0 | $365,675 | $19,086 |
| AARON BALS | CHIEF COMP./RISK OFFICER Key employee | 18 | $0 | $339,881 | $40,984 |
| MICHAEL G WHITE | FRMR PRESIDENT/CEO Former | 0 | $0 | $375,820 | $0 |
| MARK JENSEN | CHIEF SERVICE OPS OFF. - THRU 4/23 Key employee | 18 | $0 | $306,112 | $22,230 |
| NATE PERRIZO | FRMR CHIEF STRA & OPS OFCR PHP Former | 0 | $0 | $176,333 | $0 |
| ISIAAH CRAWFORD PHD | DIRECTOR Trustee or director | 0.5 | $0 | $50,000 | $0 |
| JOSEPH BLANKENSHIP | DIRECTOR Trustee or director | 0.5 | $0 | $35,000 | $0 |
| BYRON SCOTT | DIRECTOR Trustee or director | 0.5 | $0 | $0 | $0 |
| KERRY WEEMS | DIRECTOR - THRU 8/23 Trustee or director | 0.5 | $0 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- CO PSJH TAX DEPT 1801 LIND AVE S, RENTON, WA 98057-0000
- In care of
- % ACCOUNTING
- Principal officer (990 for 2024)
- DONALD ANTONUCCI, C/O PSJH TAX DEPT 1801 LIND AVE SW, RENTON, WA 98057
- Signed the 990
- LINA SAADZOI, CFO
- Phone
- (503) 574-7500
- Return prepared by
- ERNST & YOUNG US LLP
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.
Program accomplishments
- SEE SCHEDULE Ogrants $511,979
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | December 31, 2025 | May 15, 2026 | Not on file |
| 2024 | December 31, 2024 | May 15, 2025 | 990 on file |
| 2023 | December 31, 2023 | May 15, 2024 | 990 on file |
IRS record
- EIN
- 55-0828701
- Tax-exempt status
- 501(c)(4): Social welfare organization
- Donations deductible
- No
- Exempt since
- 2006
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Health care (E31)
- Assets (IRS master file)
- $270,016,050
- Income (IRS master file)
- $101,799,064
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2024 | $2,474,028 | $97,811 | $270,016,050 | XML |
| 990 | December 2023 | $4,495,526 | $186,155 | $255,810,165 | XML |
| 990 | December 2022 | -$1,390,552 | -$114,369 | $369,981,271 | IRS |
| 990 | December 2021 | – | – | – | IRS |
| 990 | December 2020 | – | – | – | IRS |
| 990 | December 2018 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 55-0828701).
Questions about PROVIDENCE HEALTH ASSURANCE
- What is the EIN of PROVIDENCE HEALTH ASSURANCE?
- The employer identification number (EIN) of PROVIDENCE HEALTH ASSURANCE is 55-0828701.
- Is PROVIDENCE HEALTH ASSURANCE tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(4) since 2006.
- Are donations to PROVIDENCE HEALTH ASSURANCE tax-deductible?
- No. The IRS master file says contributions to it are not deductible.
- Which annual return does PROVIDENCE HEALTH ASSURANCE file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of PROVIDENCE HEALTH ASSURANCE due?
- The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did PROVIDENCE HEALTH ASSURANCE last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended December 2024.
- Who is the principal officer of PROVIDENCE HEALTH ASSURANCE?
- The 990 for the year ended December 31, 2024 names DONALD ANTONUCCI.
- Who are the officers and directors of PROVIDENCE HEALTH ASSURANCE?
- The 990 for the year ended December 31, 2024 lists 22 people; 0 received compensation from the organization.
- How much revenue does PROVIDENCE HEALTH ASSURANCE have?
- On its 990 for the year ended December 31, 2024 it reported revenue of $2,474,028, expenses of $97,811 and total assets of $270,016,050 at year end.
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