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Governance Register
US nonprofit · EIN 330185031 · Anaheim, CAiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 330185031) - NTEE activity code, address.Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe time served.Latest return IRS Form 990 series e-file data - 990 for the year to 31 December 2024: assets, liabilities, staff, website, telephone, pay, related organisations (Schedule R), grants paid (Schedule I).Renewal outlook Computed by Governance Register from the observed filing history and filed revenue. Not a statement that the organisation is recruiting.Deductibility IRS Publication 78 data (code PC), downloaded 18 October 2026.Licence US Federal Government public domain.How we handle data

Providence Medical Foundation's network

26 people6 organisationsi26 people and 6 organisations on this map.The large node is the subject of this page. Solid lines are what the register itself records (26). Violet dotted lines (24) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.

The board

26 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Time served and departures are observed across annual filings. Observed time served is a lower bound - a member may have joined before the first year on record. The organisation reported 21 voting members of its governing body on its latest Form 990 Part VI; we list 26 in Part VII (Part VII does not always name every voting member).
NameRole as filedSinceOn the board
James Benoit Dr ChairDirector/Chair (Part Year)2023
3 yrs
Abhijit AdhyeDirector - Thru 12/31/232022
4 yrs
ALI SantoreDirector2022
4 yrs
Anne Ford MDDirector2019
7 yrs
Antonio FerreyDirector (Part Year)2023
3 yrs
BJ MooreDirector - Thru 6/232019
7 yrs
Connie Bartlett DODirector2018
8 yrs
David Kim MD (also filed as David Kim)President - Thru 8/232022
4 yrs
David MastDirector2023
3 yrs
Elizabeth Sander MDDirector - Thru 6/232019
7 yrs
Erik WexlerDirector2019
7 yrs
Jeannette Currie MD (also filed as Jeannette Currie)Director2020
6 yrs
Jill DuplechanDirector2023
3 yrs
Keith Marton MDDirector2018
8 yrs
Kevin ManemannDirector - Thru 1/232018
8 yrs
Kimberley Chan MDDirector (Part Year)2023
3 yrs
Mark Needham MDDirector2019
7 yrs
Mary Anne Sladich-LantzDirector - Thru 12/31/232023
3 yrs
Michael Sugarman MDDirector2018
8 yrs
Prasanna MohantyPresident (Part Year)2023
3 yrs
Raul Rudy Marquez MDDirector2022
4 yrs
Robert DEL Junco MDDirector - Thru 7/232018
8 yrs
Robert Just IIIDirector2023
3 yrs
Roscoe Marter MDDirector2019
7 yrs
Sara VaezyDirector (Part Year)2023
3 yrs
William BarcelonaDirector2022
4 yrs
Under 5 years5 to 6 years6 years or moreShow all 26 →

Officers and senior leadership

23 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Beth NunnRegional COO Southern Ca - Heritage2023
Bethlyn NunnChief Administrator North OC2018
Brandi LazorekAVP Ops. and Medical Group Nursing2023
Brendan LloydGVP CAO Physician Enterprise Ca2023
Charles FosterSr. VP Physician Servicessince 2018
Christine MokrohiskyVP Population HLTH MMGT - Thru 10/22since 2020
David Kim MDCe, Heritagesince 2019
David ZembikSr. VP Admin South Ocsince 2018
Donald Anderson JRAssistant Secretary for Enrollmentsince 2019
Eugene KimChief Medical Officer - Californiasince 2020
Gregory JonesExec Dir, Facilities and I.T.since 2018
Jeffrey HammondExec Dir, Home Health2018
Jill DuplechanRegional COO Southern Calsince 2018
Jim Watson ESQSecretary/Treasurersince 2018
John StitesVP Affiliated Physicians2018
Judy DanforthVP Education and Group Implemsince 2018
Linda GlompExec Director, Home Health2018
Lisa BuffongSr VP Admin CTRL/No Oc (Pt Yr)2018
Melayne YocumCFOsince 2022
Nathan HusmannCFOsince 2018
Richard PittsVP, Cin/Senior Med Director (Pt Yr)2019
Robert Just IIIRegional COO Northern Casince 2018
Ronald MorelandSr. VP Network Support Svcssince 2018

Pay and hours

year to 31 December 2024iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.
NameTitle as filedHours a weekPay from the organisationRelated organisationsOther
Jill DuplechanDirector0.5$1m$175k
Eugene KimChief Medical Officer - California50$895k$151k
Robert Just IIIDirector0.5$872k$107k
Brendan LloydChief Medical Off. Clinical Network50$818k$121k
Beth NunnRegional COO Southern Ca - Heritage50$696k$60k
Charles FosterChief Physician Services50$426k$42k
Brandi LazorekAVP Operations & Med. Group Nursing50$363k$26k
Erik WexlerDirector0.5$0$8.6m$535k
Ali SantoreDirector0.5$0$2.4m$276k
Sara VaezyDirector0.5$0$1.9m$222k
Susan HuangPresident (Part Year)1$0$1.3m$233k
Nathan HusmannFRMR Off. CFO Managed Care0$0$1.1m$192k
Jim Watson EsqSecretary0.5$0$956k$129k
David MastDirector0.5$0$825k$110k
Sheri FeeneyCFO (Part Year)11$0$665k$104k
Prasanna MohantyPresident/Director - Thru 3/241$0$497k$17k
Donald Anderson JrAssistant Secretary for Enrollment0.5$0$317k$19k
Melayne YocumCFO - Thru 4/2413.8$0$215k$11k
Antonio FerreyDirector0.5$0$144k
Anne Ford MDDirector0.5$0
Connie Bartlett DoDirector - Thru 4/240.5$0
James Benoit DrDirector/Chair1$0
Jeannette Currie MDDirector0.5$0
Keith Marton MDDirector0.5$0
Kimberley Chan MDDirector0.5$0
Mark Needham MDDirector0.5$0
Mark PardoeDirector0.5$0
Michael Sugarman MDDirector0.5$0
Raul Rudy Marquez MDDirector0.5$0
Robert Rosenberg MDDirector (Part Year)0.5$0
Roscoe Marter MDDirector0.5$0
William BarcelonaDirector0.5$0

About

Legal name
Providence Medical Foundation
EIN
330185031
Address
200 W Center St Promenade 800, Anaheim, CA, 92805-3960
State
California
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. (as filed on the Form 990)
Activity (NTEE)
E32 Health care
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Health Care
Size band
9 (IRS master file code)
Formed
1986
Principal officer
Susan Huang (as named on the Form 990)
IRS ruling date
1 July 2022
Status
Code 01 (unconditional exemption)
Form 990 filings on record
5, latest 2023
IRS Publication 78
PC (contributions deductible)

Most connected

Related organisations (Schedule R)

Longest observed on the filings

≥8years on the filingsConnie Bartlett DO
≥8years on the filingsKeith Marton MD
≥8years on the filingsKevin Manemann
≥8years on the filingsMichael Sugarman MD

Latest return

year to 31 December 2024iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 31 December 2024. US dollars, as filed.
Total assets
$406.2m
Total liabilities
$329.8m
Net assets or fund balances
$76.4m
Contributions and grants received
$10.9m
Program service revenue
$1.45bn
Grants and similar paid out
$80k
Employees
5,492

Grants paid

1 listediFrom Schedule I of the Form 990: grants and assistance to organisations in the United States, largest first (up to 25). Schedule I is filed only by organisations that gave more than $5,000 to any one recipient.
RecipientPurposeAmount
Lauras House$75k

State registration

1 entityiBusiness-entity registers published by US states. These records are matched to this organisation by name and state, not by EIN, and are labelled as likely matches. Street addresses are not shown.
Providence Medical Foundation likely matchiMatched by exact name and state (and ZIP where shown). State registers do not publish EINs, so this is not a confirmed match. Source: Oregon Secretary of State, active business entities (data.oregon.gov tckn-sxa6). Licence not stated. Data last fetched 18 October 2026.
State
Oregon
Entity type
nonprofit corporation
Status
Active
Formed
22 December 2021
Registered agent
C T Corporation System (city and state not held)