| Entity Name: | PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Feb 2023 (2 years ago) |
| Document Number: | F23000001320 |
| FEI/EIN Number | 51-0216589 |
| Address: | 1801 LIND AVE SW, RENTON, WA 98057 |
| Mail Address: | 1801 LIND AVE SW, RENTON, WA 98057 |
| Place of Formation: | CALIFORNIA |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| WEXLER, ERIK G. | President | 1801 LIND AVE SW, RENTON, WA 98057 |
| Name | Role | Address |
|---|---|---|
| WEXLER, ERIK G. | Chief Executive Officer | 1801 LIND AVE SW, RENTON, WA 98057 |
| Name | Role | Address |
|---|---|---|
| NEWSOM, ANNA | Secretary | 1801 LIND AVE SW, RENTON, WA 98057 |
| Name | Role | Address |
|---|---|---|
| MARTIN, JIM | Asst. Treasurer | 1801 LIND AVE SW, RENTON, WA 98057 |
| Name | Role | Address |
|---|---|---|
| HOFFMAN, GREGORY | Chief Financial Officer | 1801 LIND AVE SW, RENTON, WA 98057 |
| Name | Role | Address |
|---|---|---|
| HOFFMAN, GREGORY | Treasurer | 1801 LIND AVE SW, RENTON, WA 98057 |
| Name | Role | Address |
|---|---|---|
| WATSON, JAMES D. | Asst. Secretary | 1801 LIND AVE SW, RENTON, WA 98057 |
| Name | Role | Address |
|---|---|---|
| BLAIR, RICHARD | Director | 1801 LIND AVE SW, RENTON, WA 98057 |
| MURPHY, MICHAEL | Director | 1801 LIND AVE SW, RENTON, WA 98057 |
| CRAWFORD, ISIAAH , Phd | Director | 1801 LIND AVE SW, RENTON, WA 98057 |
| HEJNA, SR. DIANE, CSJ, RN | Director | 1801 LIND AVE SW, RENTON, WA 98057 |
| HUGHES, SR. PHYLLIS, RSM, DR. PH | Director | 1801 LIND AVE SW, RENTON, WA 98057 |
| KINGSTON, MARY BETH | Director | 1801 LIND AVE SW, RENTON, WA 98057 |
| LYONS, MARY | Director | 1801 LIND AVE SW, RENTON, WA 98057 |
| MARKHAM, DONNA | Director | 1801 LIND AVE SW, RENTON, WA 98057 |
| O'QUINN, MARVIN | Director | 1801 LIND AVE SW, RENTON, WA 98057 |
| PACINI, SR. CAROL, LCM | Director | 1801 LIND AVE SW, RENTON, WA 98057 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| Foreign Non-Profit | 2023-03-07 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
