ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC (EIN 81-4791043)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-13
IRS object ID: 202413189349302041
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-13T10:07:16-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	370 17TH STREET SUITE 4800	AddressLine1Txt
City	DENVER	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	814791043	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST JOSEPH HEALTH NORTHERN CALIFORNIA	BusinessNameLine1Txt
Business Name Line2	LLC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	STJO	BusinessNameControlTxt
Phone	7075255300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW ATTN TAX DEPT	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98057	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PATTI PILGRIM	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7075255300	PhoneNum
Signature	2024-11-01	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANDREW JAMESON	PreparerPersonNm
PTIN	P01894820	PTIN
Phone	7209314000	PhoneNum
Preparation	2024-10-28	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	LAUREEN DRISCOLL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW ATTN TAX DEPT	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98057	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,504,197,558	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	PROVIDENCE.ORG/ABOUT/NORTHERN-CALIFORNIA	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2016	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	5406	TotalEmployeeCnt
Total Volunteers	78	TotalVolunteersCnt
Total Gross UBI	$342,105	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$11,787	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,191,874	PYContributionsGrantsAmt
CY Contributions Grants	$13,329,974	CYContributionsGrantsAmt
PY Program Service Revenue	$1,286,812,037	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,454,736,280	CYProgramServiceRevenueAmt
PY Investment Income	-$16,263,525	PYInvestmentIncomeAmt
CY Investment Income	$26,075,773	CYInvestmentIncomeAmt
PY Other Revenue	$11,061,684	PYOtherRevenueAmt
CY Other Revenue	$10,055,531	CYOtherRevenueAmt
PY Total Revenue	$1,288,802,070	PYTotalRevenueAmt
CY Total Revenue	$1,504,197,558	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,939,230	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,258,946	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$511,844,106	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$527,941,247	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,945,397	CYTotalFundraisingExpenseAmt
PY Other Expenses	$943,187,369	PYOtherExpensesAmt
CY Other Expenses	$991,218,372	CYOtherExpensesAmt
PY Total Expenses	$1,460,970,705	PYTotalExpensesAmt
CY Total Expenses	$1,532,418,565	CYTotalExpensesAmt
PY Revenues Less Expenses	-$172,168,635	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$28,221,007	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,241,817,376	TotalAssetsBOYAmt
Total Assets EOY	$1,393,234,313	TotalAssetsEOYAmt
Total Liabilities BOY	$537,328,384	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$665,214,964	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$704,488,992	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$728,019,349	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,473,981,200	ExpenseAmt
Grant	$13,258,946	GrantAmt
Revenue	$1,464,791,811	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$1,473,981,200	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	376	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	5406	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JIM MARTIN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4255253985	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98057	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
KEVIN MANEMANN
DIV. CHIEF EXEC - SOUTH - THRU 2/23	0.50	54.50	Yes (X)	$0	$2,026,390	$13,287
LAUREEN DRISCOLL RN
PRESIDENT (PART YEAR)	1.00	64.00		$0	$1,726,763	$275,234	Yes (X)	Yes (X)
NATHAN HUSMANN
CFO/TREASURER	27.00	28.00		$0	$1,095,778	$198,695		Yes (X)
TERRENCE WOOTEN
CHIEF EXEC QVMC - THRU 11/23	54.00	1.00	Yes (X)	$0	$912,433	$34,576
OLUYEMI ADEYANJU ESQ
SECRETARY	49.00	1.00		$0	$739,595	$90,126		Yes (X)
FRANK BEIRNE
FRMR REGIONAL COO NORTHERN CA	0.00	0.00		$0	$803,851	$0			Yes (X)
CHARLES KASSIS
CHIEF EXEC - SONOMA - THRU 11/23	55.00	0.00	Yes (X)	$0	$728,177	$40,077
CHAD KRILICH
FORMER CMO	0.00	0.00		$522,765	$0	$0			Yes (X)
ROBERTA LUSKIN-HAWK MD
FRMR CHIEF EXEC EUREKA	0.00	0.00		$0	$489,091	$0			Yes (X)
RUSS BRAUN
CHIEF MEDICAL OFFICER HOSPITAL	50.00	0.00		$458,947	$0	$24,501				Yes (X)
PATTI PILGRIM
REGIONAL CFO, TREASURER - THRU 4/23	54.50	0.50		$0	$453,848	$28,286		Yes (X)
NAYDU LUCAS
CHIEF NURSING OFFICER	50.00	0.00		$423,271	$0	$48,788				Yes (X)
STACIE MILLER
CHIEF NURSING OFFICER	50.00	0.00		$417,458	$0	$45,359				Yes (X)
REBECCA ALTHOFF
ACUTE CARE RN	50.00	0.00		$411,925	$0	$46,029				Yes (X)
TARINDER KHATKAR
CHIEF NURSING OFFICER	50.00	0.00		$416,880	$0	$19,164				Yes (X)
DARIAN HARRIS MHA
CHIEF EXEC HUMBOLDT - THRU 7/23	27.25	27.75	Yes (X)	$0	$354,702	$21,511
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	0.50	54.50		$0	$292,875	$30,846		Yes (X)
KEVIN KLOCKENGA
FRMR KE - REG CHIEF EXEC. - NO CA	0.00	0.00		$0	$281,492	$0			Yes (X)
ALEX DE MORAES
BOARD MEMBER (PART YEAR)	0.50	0.00		$0	$0	$0	Yes (X)
ARIEL KELLEY
BOARD MEMBER - THRU 12/31/23	0.50	0.00		$0	$0	$0	Yes (X)
CON HEWITT
BOARD MEMBER	0.50	0.00		$0	$0	$0	Yes (X)
JAMES DEVORE MD
BOARD MEMBER	0.50	0.00		$0	$0	$0	Yes (X)
JED WEISSBERG MD
BOARD MEMBER	0.50	0.00		$0	$0	$0	Yes (X)
JENNIELYNN HOLMES
BOARD MEMBER (PART YEAR)	0.50	0.00		$0	$0	$0	Yes (X)
JOHN ARYANPUR MD
VICE CHAIR	1.00	0.00		$0	$0	$0	Yes (X)
JUDY COFFEY
CHAIR	1.00	0.00		$0	$0	$0	Yes (X)
KEITH FLAMER
BOARD MEMBER (PART YEAR)	0.50	0.00		$0	$0	$0	Yes (X)
PAM KINDIG
BOARD MEMBER	0.50	0.00		$0	$0	$0	Yes (X)
SISTER MARY BERNADETTE MCNULTY
BOARD MEMBER	0.50	0.00		$0	$0	$0	Yes (X)
TIM HERMAN
BOARD MEMBER - THRU 12/31/23	0.50	0.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,651,246	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,904,995	TotReportableCompRltdOrgAmt
Total Other Compensation	$916,479	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2085	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AMN LOS ANGELESAMN SHIFTWISE
12400 HIGH BLUFF DR	SAN DIEGO	CA	92130	STAFFING SERVICES	$24,807,443
AYA HEALTHCARE INC
PO BOX 674907	DALLAS	TX	75267	STAFFING SERVICES	$23,649,064
CASS INFORMATION SYSTEMS INC
12444 POWERSCOURT DR STE 550	ST LOUIS	MO	63131	PAYMENT SERVICES	$15,169,379
ANESTHESIA AND ANALGESIA
2455 BENNETT VALLEY RD STE C219	SANTA ROSA	CA	95404	MEDICAL SERVICES	$8,341,812
MISSION LINEN SUPPLY
702 E MONTECITO ST	SANTA BARBARA	CA	93103	LAUNDRY SERVICES	$3,841,030

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	195	CntrctRcvdGreaterThan100KCnt
Related Organizations	$846,396	RelatedOrganizationsAmt
Government Grants	$2,544,810	GovernmentGrantsAmt
All Other Contributions	$9,938,768	AllOtherContributionsAmt
Total Contributions	$13,329,974	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$1,447,225,039	$1,447,225,039
MOB RENTAL REVENUE	531120	$6,753,990	$6,753,990
PATHOLOGY & LABORATORY	621500	$392,126		$392,126
CAFETERIA REVENUE	722514	$365,125	$365,125

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,454,736,280	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,140,955	TotalRevenueColumnAmt
Unrelated Business Revenue	-$50,021	UnrelatedBusinessRevenueAmt
Exclusion	$6,190,976	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$12,332,890	SecuritiesAmt
Other	$7,601,928	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$12,332,890	SecuritiesAmt
Other	$7,601,928	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,934,818	TotalRevenueColumnAmt
Exclusion	$19,934,818	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CATERING REVENUE	722514	$1,406,169	$1,406,169
PHARMACY REVENUE	456110	$561,180	$561,180
INTERAFFILIATE REVENUE	900099	$217,858	$217,858

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,870,324	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,870,324	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,055,531	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,504,197,558	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,464,399,685	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$342,105	UnrelatedBusinessRevenueAmt
Exclusion	$26,125,794	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$13,258,946	TotalAmt
Program Services	$13,258,946	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$479,448,435	TotalAmt
Program Services	$457,229,359	ProgramServicesAmt
Management And General	$21,098,114	ManagementAndGeneralAmt
Fundraising	$1,120,962	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,623,002	TotalAmt
Program Services	$11,084,357	ProgramServicesAmt
Management And General	$511,470	ManagementAndGeneralAmt
Fundraising	$27,175	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,691,427	TotalAmt
Program Services	$2,566,698	ProgramServicesAmt
Management And General	$118,436	ManagementAndGeneralAmt
Fundraising	$6,293	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$34,178,383	TotalAmt
Program Services	$32,594,454	ProgramServicesAmt
Management And General	$1,504,019	ManagementAndGeneralAmt
Fundraising	$79,910	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$767,821	TotalAmt
Program Services	$732,238	ProgramServicesAmt
Management And General	$33,788	ManagementAndGeneralAmt
Fundraising	$1,795	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$30,093	TotalAmt
Program Services	$28,699	ProgramServicesAmt
Management And General	$1,324	ManagementAndGeneralAmt
Fundraising	$70	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$55,374	TotalAmt
Management And General	$55,374	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$257,367,407	TotalAmt
Program Services	$245,440,231	ProgramServicesAmt
Management And General	$11,325,445	ManagementAndGeneralAmt
Fundraising	$601,731	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$278,524	TotalAmt
Program Services	$265,617	ProgramServicesAmt
Management And General	$12,256	ManagementAndGeneralAmt
Fundraising	$651	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,916,397	TotalAmt
Program Services	$15,178,783	ProgramServicesAmt
Management And General	$700,401	ManagementAndGeneralAmt
Fundraising	$37,213	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$621,201	TotalAmt
Program Services	$592,413	ProgramServicesAmt
Management And General	$27,336	ManagementAndGeneralAmt
Fundraising	$1,452	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$26,165,896	TotalAmt
Program Services	$24,953,290	ProgramServicesAmt
Management And General	$1,151,429	ManagementAndGeneralAmt
Fundraising	$61,177	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,546,663	TotalAmt
Program Services	$1,474,986	ProgramServicesAmt
Management And General	$68,061	ManagementAndGeneralAmt
Fundraising	$3,616	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$23,769	TotalAmt
Program Services	$22,667	ProgramServicesAmt
Management And General	$1,046	ManagementAndGeneralAmt
Fundraising	$56	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,183,521	TotalAmt
Program Services	$12,572,558	ProgramServicesAmt
Management And General	$580,140	ManagementAndGeneralAmt
Fundraising	$30,823	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$45,641,334	TotalAmt
Program Services	$43,526,178	ProgramServicesAmt
Management And General	$2,008,445	ManagementAndGeneralAmt
Fundraising	$106,711	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,378	TotalAmt
Program Services	$7,036	ProgramServicesAmt
Management And General	$325	ManagementAndGeneralAmt
Fundraising	$17	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SYSTEM COST ALLOCATION	$357,956,881	$341,368,087	$15,751,882	$836,912
MEDICAL SUPPLIES	$199,159,792	$199,159,792
HOSPITAL FEE	$60,164,144	$60,164,144
UBI TAXES PAID	$81,500	$77,723	$3,586	$191

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,250,677	TotalAmt
Program Services	$11,682,944	ProgramServicesAmt
Management And General	$539,091	ManagementAndGeneralAmt
Fundraising	$28,642	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,532,418,565	TotalAmt
Program Services	$1,473,981,200	ProgramServicesAmt
Management And General	$55,491,968	ManagementAndGeneralAmt
Fundraising	$2,945,397	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$17,021	BOYAmt
EOY	$16,191,294	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	-$285,617,448	BOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,566,806	BOYAmt
EOY	$4,041,055	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$213,859,279	BOYAmt
EOY	$229,906,135	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$665,567	BOYAmt
EOY	$634,074	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$21,057,642	BOYAmt
EOY	$21,443,846	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,069,707	BOYAmt
EOY	$2,506,344	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,529,331,455	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$919,380,614	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$635,476,571	BOYAmt
EOY	$609,950,841	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$426,343,159	BOYAmt
EOY	$226,288,583	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$46,865,976	BOYAmt
EOY	$48,728,356	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$177,513,096	BOYAmt
EOY	$233,543,785	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,241,817,376	BOYAmt
EOY	$1,393,234,313	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$121,947,740	BOYAmt
EOY	$90,975,920	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,983,880	BOYAmt
EOY	$1,481,739	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,050,000	BOYAmt
EOY	$2,050,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$411,346,764	BOYAmt
EOY	$570,707,305	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$537,328,384	BOYAmt
EOY	$665,214,964	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$621,287,787	BOYAmt
EOY	$640,637,480	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$83,201,205	BOYAmt
EOY	$87,381,869	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$704,488,992	BOYAmt
EOY	$728,019,349	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,241,817,376	BOYAmt
EOY	$1,393,234,313	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$28,221,007	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,154,865	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$45,596,499	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$180,095	OtherActivitiesAmt
Total Lobbying Expenditures	$180,095	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITY INCLUDES SUPPORT FOR COUNTY OF SONOMA: MENTAL HEALTH, ADDICTION AND HOMELESS SERVICE; NORTH SONOMA COUNTY HEALTHCARE DISTRICT AND PETALUMA HEALTH CARE DISTRICT. ADDITIONALLY, A PORTION OF THE DUES PAID TO ALLIANCE OF CATHOLIC HEALTH CARE, AMERICAN HOSPITAL ASSOCIATION AND CALIFORNIA HOSPITAL ASSOCIATION FOR LOBBYING SERVICES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,665,056	BeginningYearBalanceAmt
Contributions	$470,015	ContributionsAmt
Investment Earnings Or Losses	$241,984	InvestmentEarningsOrLossesAmt
End Year Balance	$10,377,055	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,861,840	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$1,134,967	InvestmentEarningsOrLossesAmt
Administrative Expenses	$61,817	AdministrativeExpensesAmt
End Year Balance	$9,665,056	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,300,091	BeginningYearBalanceAmt
Contributions	$533,646	ContributionsAmt
Investment Earnings Or Losses	$1,054,452	InvestmentEarningsOrLossesAmt
Administrative Expenses	$26,349	AdministrativeExpensesAmt
End Year Balance	$10,861,840	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,385,095	BeginningYearBalanceAmt
Contributions	$7,500	ContributionsAmt
Investment Earnings Or Losses	$928,391	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,000,000	OtherExpendituresAmt
Administrative Expenses	$20,895	AdministrativeExpensesAmt
End Year Balance	$9,300,091	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,446,786	BeginningYearBalanceAmt
Contributions	$8,019,532	ContributionsAmt
Investment Earnings Or Losses	$955,593	InvestmentEarningsOrLossesAmt
Administrative Expenses	$36,816	AdministrativeExpensesAmt
End Year Balance	$10,385,095	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.95290	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.04710	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,254,253	OtherCostOrOtherBasisAmt
Book Value	$22,254,253	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$802,451,507	OtherCostOrOtherBasisAmt
Depreciation	$379,659,024	DepreciationAmt
Book Value	$422,792,483	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$141,020,444	OtherCostOrOtherBasisAmt
Depreciation	$107,571,678	DepreciationAmt
Book Value	$33,448,766	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$482,347,131	OtherCostOrOtherBasisAmt
Depreciation	$432,149,912	DepreciationAmt
Book Value	$50,197,219	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$81,258,120	OtherCostOrOtherBasisAmt
Book Value	$81,258,120	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$609,950,841	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
HOSPITAL FEE/PROVIDER TAX RECEIVABLE	$172,388,673
RIGHT OF USE OPERATING LEASES	$21,223,967
DUE FROM THIRD PARTY	$39,090,769
OTHER ASSETS	$525,924
CHARITABLE GIFT ANNUITIES	$314,452

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$233,543,785	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
I/C - TAX-EXEMPT BOND LIABILITIES	$248,712,487
DUE TO AFFILIATES	$136,978,797
HOSPITAL FEE/PROVIDER TAX LIABILITY	$82,123,593
DUE TO THIRD PARTY	$64,596,359
LONG-TERM LINE OF CREDIT	$42,809,561
CAPITAL LEASE OBLIGATIONS	$10,124,940
ACCRUED RETIREMENT COMPENSATION	$6,111,185
CHARITABLE GIFT ANNUITIES/TRUST FUND OBLIGATIONS	$132,167
OTHER CURRENT AND LT LIABILITIES	-$20,881,784

Field	Value	IRS element (for citing)
Total Liability	$570,707,305	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	INTENDED USE OF ENDOWMENT FUNDS THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS INCLUDES SCHOLARSHIPS FOR EMPLOYEES WHO WISH TO RETURN TO SCHOOL TO BECOME NURSES AND MEET THE CRITICAL NEEDS OF THE HOSPITAL, AS WELL AS THE COMMUNITY'S NEEDIEST INDIVIDUALS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,219,222	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,219,222	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$388,184,733	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$278,410,786	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$109,773,947	NetCommunityBenefitExpnsAmt
Total Expense	0.07160	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$396,403,955	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$278,410,786	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$117,993,169	NetCommunityBenefitExpnsAmt
Total Expense	0.07700	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,082,906	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,211,134	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,871,772	NetCommunityBenefitExpnsAmt
Total Expense	0.00910	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,561,933	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,261,954	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,299,979	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,024,764	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,183,005	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,841,759	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,453,179	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,453,179	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,122,782	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,656,093	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,466,689	NetCommunityBenefitExpnsAmt
Total Expense	0.01600	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$427,526,737	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$285,066,879	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$142,459,858	NetCommunityBenefitExpnsAmt
Total Expense	0.09300	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Reimbursed By Medicare	$561,795,854	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$702,092,566	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$140,296,712	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 CENTER FOR MATERNAL NEWBORN AND CHILD HEALTH LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	CLINICAL HOSPITAL SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.50000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	4	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
SANTA ROSA MEMORIAL HOSPITAL
1	1165 MONTGOMERY DRIVE	SANTA ROSA	CA	95405	WWW.PROVIDENCE.ORG	6933475	Yes (X)	Yes (X)	Yes (X)	DESIGNATED TRAUMA CENTER, LEVEL II	A
QUEEN OF THE VALLEY MEDICAL CENTER
2	1000 TRANCAS STREET	NAPA	CA	94558	WWW.PROVIDENCE.ORG	110000060	Yes (X)	Yes (X)	Yes (X)	DESIGNATED TRAUMA CENTER, LEVEL III
REDWOOD MEMORIAL HOSPITAL
3	3300 RENNER DRIVE	FORTUNA	CA	95540	WWW.PROVIDENCE.ORG	D-0295172	Yes (X)	Yes (X)	Yes (X)		A	Yes (X)
ST JOSEPH HOSPITAL OF EUREKA
4	2700 DOLBEER STREET	EUREKA	CA	95501	WWW.PROVIDENCE.ORG	D-0189726	Yes (X)	Yes (X)	Yes (X)		A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back MedicareLookBackMedicareInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	FacilityFacilityNum
SJHNC LLC (GROUP A - 1 3 & 4)
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	23	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (1)	23	Yes (1)	SEE PART V, SECTION C	0	Yes (1)	Yes (X)	300.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
QUEEN OF THE VALLEY MEDICAL CENTER (2)
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Supplemental Information SupplementalInformationGrp (23 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
QUEEN OF THE VALLEY MEDICAL CENTER (2)	PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
QUEEN OF THE VALLEY MEDICAL CENTER (2)	PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS AN IMPORTANT TOOL WE USE TO BETTER UNDERSTAND HEALTH DISPARITIES AND INEQUITIES WITHIN THE COMMUNITIES WE SERVE, AS WELL AS THE COMMUNITY STRENGTHS AND ASSETS.THE EQUITY FRAMEWORK IS FOUNDATIONAL TO OUR OVERALL CHNA FRAMEWORK, A MODIFIED VERSION OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). THE MODIFIED MAPP FRAMEWORK TAKES A MIXED-METHODS APPROACH TO PRIORITIZE HEALTH NEEDS, CONSIDERING POPULATION HEALTH DATA, COMMUNITY INPUT, INTERNAL UTILIZATION DATA, COMMUNITY STRENGTHS AND ASSETS, AND A PRIORITIZATION PROTOCOL.IN GATHERING INFORMATION ON THE COMMUNITIES SERVED BY THE PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER AND NAPA COUNTY HEALTH AND HUMAN SERVICES AGENCY, WE LOOKED NOT ONLY AT THE HEALTH CONDITIONS OF THE POPULATION, BUT ALSO AT SOCIOECONOMIC FACTORS, THE PHYSICAL ENVIRONMENT, AND HEALTH BEHAVIORS. IN ADDITION, WE RECOGNIZE THAT THERE ARE OFTEN GEOGRAPHIC AREAS WHERE THE CONDITIONS FOR SUPPORTING HEALTH ARE POORER THAN NEARBY AREAS. WHENEVER POSSIBLE AND RELIABLE, DATA ARE REPORTED AT CENSUS TRACT LEVEL. THESE SMALLER GEOGRAPHIC AREAS ALLOW US TO BETTER UNDERSTAND THE NEIGHBORHOOD LEVEL NEEDS OF OUR COMMUNITIES AND BETTER ADDRESS INEQUITIES WITHIN AND ACROSS COMMUNITIES.COMMUNITY INPUT:THROUGH A MIXED-METHODS APPROACH, USING QUANTITATIVE AND QUALITATIVE DATA, WE COLLECTED INFORMATION FROM THE FOLLOWING SOURCES: AMERICAN COMMUNITY SURVEY, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, LOCAL PUBLIC HEALTH DATA, CALIFORNIA HEALTHY KIDS SURVEY, FEEDING AMERICA, U.S. CENSUS BUREAU, AND THE LIVE HEALTHY NAPA COUNTY LANGUAGE INCLUSION SURVEY. TO ACTIVELY ENGAGE THE COMMUNITY, WE CONDUCTED 15 LISTENING SESSIONS WITH PEOPLE WHO HAVE CHRONIC CONDITIONS, ARE FROM DIVERSE COMMUNITIES, HAVE LOW-INCOMES, AND/OR ARE MEDICALLY UNDERSERVED. WE ALSO CONDUCTED 4 CAREGIVER LISTENING SESSIONS, 12 KEY INFORMANT INTERVIEWS, AND 7 ADDITIONAL PRELIMINARY DATA FEEDBACK SESSIONS WITH 13 REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE THESE POPULATIONS, SPECIFICALLY SEEKING TO GAIN DEEPER UNDERSTANDING OF COMMUNITY STRENGTHS AND OPPORTUNITIES. ALL COMMUNITY INPUT WAS COLLECTED FROM MARCH 2023-MAY 2023.KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH:- ALISSA ABDO, EXECUTIVE DIRECTOR FOR ON THE MOVE (EDUCATION)- LIZ ALESSIO, CITY COUNCILMEMBER FOR NAPA CITY COUNCIL (ELECTED OFFICIAL)- JESUS ROSAS, DIRECTOR FOR COMMUNITY HEALTH INITIATIVE (HEALTH INSURANCE/ACCESS)- MICHELE GRUPE, EXECUTIVE DIRECTOR FOR COPE FAMILY (FAMILY RESOURCE CENTERS)- ROB WEISS, EXECUTIVE DIRECTOR FOR MENTIS (MENTAL HEALTH)- JENNY OCON, EXECUTIVE DIRECTOR FOR UPVALLEY FAMILY CENTERS (FAMILY RESOURCE CENTERS)- ALICIA HARDY, CEO FOR OLE HEALTH (FQHC)- SOLICIA AGUILAR, PROGRAM DIRECTOR FOR LGBTQIA+ CONNECTION (EDUCATION, SOCIAL JUSTICE)- ESMERALDA GIL, DIRECTOR FOR PUERTAS ABIERTAS (FAMILY RESOURCE CENTERS)- JOELLE GALLAGHER, DISTRICT SUPERVISOR FOR NAPA COUNTY BOARD OF SUPERVISORS (ELECTED OFFICIAL)- TRACY LAMB, EXECUTIVE DIRECTOR FOR NEWS (SOCIAL SERVICES)- CHARLIE TOLEDO, EXECUTIVE DIRECTOR FOR SUSCOL INTERTRIBAL COUNCIL (NATIVE AMERICAN)MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS BEING REPRESENTED BY ORGANIZATIONS OR INDIVIDUALS THAT PROVIDED INPUT:- YOUTH, FOSTER YOUTH- LGBTQIA+ INDIVIDUALS- OLDER ADULTS- AGRICULTURAL WORKERS- INDIVIDUALS ACCESSING NAPA COUNTY MENTAL HEALTH SERVICES- INDIVIDUALS EXPERIENCING HOMELESSNESSNONPROFIT AND GOVERNMENT STAKEHOLDER INTERVIEWS:A TOTAL OF 12 KEY INFORMANT INTERVIEWS WERE COMPLETED BY REPRESENTATIVES FROM QVMC. KEY INFORMANTS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WHO ARE ECONOMICALLY POOR AND VULNERABLE. QVMC AIMED TO ENGAGE STAKEHOLDERS FROM SOCIAL SERVICE AGENCIES, HEALTH CARE, EDUCATION, HOUSING, AND GOVERNMENT, AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES. INCLUDED IN THE INTERVIEWS WAS A PUBLIC HEALTH OFFICER FROM NAPA COUNTY PUBLIC HEALTH.DATA LIMITATIONS AND INFORMATION GAPS:WHILE CARE WAS TAKEN TO SELECT AND GATHER DATA THAT WOULD TELL THE STORY OF THE HOSPITAL'S SERVICE AREA, IT IS IMPORTANT TO RECOGNIZE THE LIMITATIONS AND GAPS IN INFORMATION THAT NATURALLY OCCUR, INCLUDING THE FOLLOWING:- NOT ALL DESIRED DATA WERE READILY AVAILABLE, SO SOMETIMES WE HAD TO RELY ON TANGENTIAL OR PROXY MEASURES OR NOT HAVE ANY DATA AT ALL. FOR EXAMPLE, THERE IS LITTLE COMMUNITY-LEVEL QUANTITATIVE DATA ON BARRIERS TO ACCESSING TRANSPORTATION.- WHILE MOST INDICATORS ARE RELATIVELY CONSISTENT FROM YEAR TO YEAR, OTHER INDICATORS ARE CHANGING QUICKLY (SUCH AS PERCENTAGE OF PEOPLE UNINSURED) AND THE MOST RECENT DATA AVAILABLE ARE NOT A GOOD REFLECTION OF THE CURRENT STATE.- REPORTING DATA AT THE COUNTY LEVEL CAN MASK INEQUITIES WITHIN COMMUNITIES. THIS CAN ALSO BE TRUE WHEN REPORTING DATA BY RACE, WHICH CAN MASK WHAT IS HAPPENING WITHIN RACIAL AND ETHNIC SUBGROUPS. THEREFORE, WHEN APPROPRIATE AND AVAILABLE, WE DISAGGREGATED THE DATA BY GEOGRAPHY AND RACE.- DATA THAT ARE GATHERED THROUGH INTERVIEWS AND SURVEYS MAY BE BIASED DEPENDING ON WHO IS WILLING TO RESPOND TO THE QUESTIONS AND WHETHER THEY ARE REPRESENTATIVE OF THE POPULATION.- THE ACCURACY OF DATA GATHERED THROUGH INTERVIEWS AND SURVEYS DEPENDS ON HOW CONSISTENTLY THE QUESTIONS ARE INTERPRETED ACROSS ALL RESPONDENTS AND HOW HONEST PEOPLE ARE IN PROVIDING THEIR ANSWERS.
QUEEN OF THE VALLEY MEDICAL CENTER (2)	PART V, SECTION B, LINE 6B: QUEEN OF THE VALLEY MEDICAL CENTER COLLABORATED WITH MANY LOCAL GOVERNMENT AGENCIES AND NOT-FOR-PROFIT ORGANIZATIONS:- ABODE- ALDEA- CITY OF NAPA- CALIFORNIA GROWER'S ASSOCIATION- COMMUNITY ACTION NAPA VALLEY- COMMUNITY ACTIVE NAPA VALLEY- COMMUNITY ORGANIZATION ACTIVE IN DISASTER- COMMUNICARE+OLE- COMMUNITY HEALTH INITIATIVE- COMMUNITY RESOURCES FOR CHILDREN- COPE FAMILY CENTER- FEEDING IT FORWARD- FIRST 5 NAPA COUNTY- GIRLS ON THE RUN- KAISER PERMANENTE- LGBTQIA+ CONNECTION- MENTIS- MOLLY'S ANGELS- NAPA CITY COUNCIL- NAPA CO OFFICE OF EDUCATION- NAPA COUNTY BOARD OF SUPERVISORS- NAPA COUNTY HHSA- NAPA FARMERS MARKET- NAPA VALLEY UNIFIED SCHOOL DISTRICT- NAPA VALLEY VINE TRAIL COALITION- NURTURING EMPOWERMENT WORTH SAFETY (NEWS)- ON THE MOVE- PARTNERSHIP HEALTH PLAN- PUERTAS ABIERTAS- SUSCOL INTERTRIBAL COUNCIL- UP VALLEY FAMILY CENTERS
QUEEN OF THE VALLEY MEDICAL CENTER (2)	PART V, SECTION B, LINE 11: THE 2023 COMMUNITY HEALTH NEEDS PRIORITIZED NEEDS ARE LISTED BELOW:1) HOUSING2) BEHAVIORAL HEALTH3) ACCESS TO HEALTH SERVICES4) RACIAL EQUITY & LGBTQIA+ INCLUSION5) ECONOMIC STABILITY HOUSINGLIMITED HOUSING STOCK PUSHES PRICES SO HIGH AS TO BE OUT OF REACH FOR MANY AND CREATES AN ESPECIALLY DIFFICULT SITUATION FOR PEOPLE WITH LOW INCOMES. COST OF LIVING IS VERY HIGH, AND MANY WORKERS ARE NOT PAID A LIVING WAGE. HOUSING STABILITY CREATES A FOUNDATION FOR FURTHER STABILITY. FEAR OF, AND DISRESPECT TO, UNHOUSED INDIVIDUALS CAN RESULT IN FEELINGS OF ISOLATION. PAPERWORK AND HOUSING SUPPORT SYSTEMS ARE CUMBERSOME. DEMAND FOR LOW-COST OPTIONS MAY LEAD TO UNFAIR HOUSING PRACTICES FROM LANDLORDS.STRATEGIES TO ADDRESS HOUSING AND HOMELESSNESS INCLUDE- SUPPORT THE DEVELOPMENT OF AFFORDABLE HOUSING STOCK, INCLUDING PERMANENT SUPPORTIVE HOUSING UNITS- SUPPORT THE LAUNCH OF A HOUSING ADVOCACY ORGANIZATION TO PROMOTE AN INCREASE IN SUPPLY, AFFORDABILITY AND DIVERSITY OF HOMES- INVEST IN RESPITE SHELTER SERVICES SUPPORTED WITH CARE NETWORK COMPLEX CARE MANAGEMENT- ADMINISTER COMMUNITY GRANTS TO EXPAND SUPPORTIVE SERVICES FOR THOSE EXPERIENCING OR AT RISK OF HOMELESSNESS- ENHANCE CARE NETWORK OUTREACH AT THE SOUTH NAPA SHELTER AND ENHANCE CARE NETWORK CARE MANAGEMENT SERVICES AT SUPPORTIVE HOUSING LOCATIONSBEHAVIORAL HEALTHTHE SCALE OF THE MENTAL HEALTH CRISIS APPEARS TO HAVE OVERWHELMED THE CARE SYSTEM. MENTAL HEALTH IS OFTEN AN UNADDRESSED, UNDERLYING ISSUE. THERE ARE VALUABLE SOURCES OF MENTAL HEALTH SUPPORT OUTSIDE THE FORMAL CARE SYSTEM AND PARTICIPANTS REPORT RELYING ON FRIENDS AND FAMILY FOR COMFORT OR STRENGTH. THE TASK OF PROVIDING MENTAL HEALTH SUPPORT CAN BE A HEAVY WEIGHT TO BEAR. MENTAL HEALTH PROVIDERS OFTEN EXPERIENCE COMPASSION FATIGUE AND OPPORTUNITIES FOR SELF-CARE CAN BE DIFFICULT TO ACCESS WITH BUSY CASELOADS. SUBSTANCES SUCH AS ALCOHOL, TOBACCO, AND DRUGS MAY BE USED AS A FORM OF SELF-MEDICATION. THERE ARE COMMON MISCONCEPTIONS ABOUT SUBSTANCE USE (ACROSS ALL DEMOGRAPHICS), LEADING PEOPLE TO UNDER-ESTIMATE THE HARM DONE.STRATEGIES TO ADDRESS BEHAVIORAL HEALTH INCLUDE- INCREASE LOCAL CAPACITY TO PROVIDE CULTURALLY APPROPRIATE MENTAL HEALTH SERVICES- INCREASE SUPPORT TO EMERGENCY DEPARTMENT PATIENTS WITH SUBSTANCE USE DISODERS- CARE NETWORK TO ENHANCE THE CONTINUUM OF CARE INCREASING IDENTIFICATION, SCREENING, AND ACCESS TO MENTAL HEALTH AND SDOH SERVICES FOR EMERGENCY ROOM LATINE PATIENTS- CARE NETWORK TO INCREASE PERCENTAGE OF ENROLLED ECM CLIENTS WHO ARE SCREENED WITH THE PHQ-9- ADMINISTER COMMUNITY GRANTS TO ENHANCE RESOURCES TO EXPAND PREVENTION, EDUCATION, AND INTERVENTION OF BEHAVIORAL HEALTH SERVICESACCESS TO HEALTH SERVICESPARTICIPANTS NAMED COST AND DIFFICULTY NAVIGATING COMPLEX SYSTEMS AS BARRIERS TO ACCESSING HEALTHCARE. BECAUSE MANY PEOPLE HAVE NO STABLE RELATIONSHIP WITH A PRIMARY CARE PROVIDER AND WAIT TIMES FOR APPOINTMENTS CAN BE MONTHS, THE EMERGENCY ROOM OFTEN BECOMES THE FIRST ACCESS POINT FOR CARE. IT IS DIFFICULT TO ACCESS TRANSGENDER CARE IN NAPA COUNTY. THERE IS CONCERN AROUND LACK OF ACCESS TO HEALTH INSURANCE FOR MIXED STATUS FAMILIES (FAMILIES WITH A VARIETY OF DOCUMENTATION STATUSES, INCLUDING UNDOCUMENTED STATUS), AS WELL AS PEOPLE LOSING THEIR INSURANCE DUE TO JOB LOSS DURING THE PANDEMIC. CAREGIVERS AND COMMUNITY MEMBERS SHARED THAT ACCESSING DENTAL CARE CAN BE VERY DIFFICULT FOR ALL AGES BECAUSE THERE ARE FEW DENTAL APPOINTMENTS AVAILABLE LOCALLY.STRATEGIES TO ADDRESS ACCESS TO HEALTH SERVICES INCLUDE- BUILD A NETWORK OF BILINGUAL BICULTURAL BIRTH DOULAS IN NAPA COUNTY- IDENTIFY TRANSGENDER CARE SERVICE GAPS, AND SPECIFIC SERVICE NEEDS, TO INCREASE ACCESS TO LOCAL TRANSGENDER CARE- PROVIDE EARLY ORAL HEALTH SCREENING, PREVENTION, TREATMENT, AND EDUCATION TO LOW-INCOME CHILDREN; COMPLETE DENTAL CARE DELIVERY, INCLUDING CHECKUP, TREATMENT, AND ORAL HEALTH EDUCATION FOR PATIENT/PARENT- INCREASE ACCESS TO SPECIALTY CARE INCLUDING HIV CARE, DIAGNOSTIC SCREENINGS, AND PROCEDURES- MAINTAIN NUMBER OF CARE NETWORK CLIENTS ENROLLED IN ENHANCED CARE MANAGEMENT (ECMRACIAL EQUITY & LGBTQIA+ INCLUSIONRACISM IS OFTEN SEEN AS A BARRIER TO HEALTH BY NAPA COUNTY RESIDENTS OF COLOR. IT IS FELT DURING SYSTEM NAVIGATION, IN A LACK OF REPRESENTATION IN LEADERSHIP POSITIONS, AND IN DAY-TO-DAY INTERPERSONAL INTERACTIONS WITH LAW ENFORCEMENT AND OTHER COMMUNITY MEMBERS. MARGINALIZED GROUPS OFTEN EXPERIENCE PREJUDICE AND HATE SPEECH THAT MAKE THEM ISOLATED AND FEARFUL. MANY FEEL THAT CULTURAL COMMUNITY EVENTS ARE INAUTHENTIC AND CREATED FOR TOURISTS. COMMUNITY MEMBERS SEEKING TO BE ALLIES ARE CONCERNED ABOUT "DOING IT WRONG."RACIAL EQUITY AND LGBTQIA+ INCLUSION WAS IDENTIFIED AS A CHIP PRIORITY AND AS A CROSSCUTTING THEME AND ROOT CAUSE AMONG ALL PRIORITIZED NEED AREAS. BECAUSE PROMOTING RACIAL EQUITY AND LGBTQIA+ INCLUSION IS FOUNDATIONAL TO ADDRESSING THE OTHER NEEDS, THE RELATED STRATEGIES WILL BE INCORPORATED INTO OTHER PRIORITY COMMUNITY NEED AREAS.ECONOMIC STABILITYMANY PARTICIPANTS SPOKE TO THE NEED FOR LIVING WAGE JOBS AND INCREASED WAGES TO MEET THE HIGH COST OF LIVING IN NAPA COUNTY. THEY SHARED THAT FAMILIES WITH LOW INCOMES OFTEN EXPERIENCE HOUSING INSTABILITY AND USE MOST OF THEIR INCOME TO MEET BASIC NEEDS, OFTEN BEING FORCED TO MAKE SPENDING TRADEOFFS. A LARGE PROPORTION OF EMPLOYMENT OPPORTUNITIES CENTER AROUND AGRICULTURE AND HOSPITALITY, WHICH OFTEN COME WITH LOW WAGES AND CAN SOMETIMES HAVE POOR WORKING CONDITIONS. MANY PEOPLE THAT WORK IN NAPA, INCLUDING TEACHERS, LIBRARIANS AND OTHERS WHO SERVE THE COMMUNITY, CANNOT AFFORD TO LIVE HERE. YOUTH ARE HIGHLY AWARE OF THE FINANCIAL STRESS OF THEIR FAMILIES AND FEAR FOR THEIR OWN FINANCIAL FUTURE.STRATEGIES TO ADDRESS ECONOMIC STABILITY INCLUDE- ADMINISTER COMMUNITY GRANTS TO SUPPORT AND BUILD CAPACITY TO FRESH, NUTRITIOUS, CULTURALLY, AND/OR MEDICALLY APPROPRIATE FOOD- ADMINISTER COMMUNITY GRANTS TO SUPPORT AND BUILD CAPACITY TO ACCESSIBLE AND AFFORDABLE TRANSPORTATION- ADMINISTER COMMUNITY GRANTS TO SUPPORT AND BUILD CAPACITY OF LOCAL EMERGENCY FUNDS FOR BASIC NEEDSFULL DETAIL OF STRATEGIES TO ADDRESS COMMUNITY HEALTH NEEDS CAN FOUND IN THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) HERE: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSNEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN FULLY ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WHILE QUEEN OF THE VALLEY MEDICAL CENTER WILL EMPLOY STRATEGIES TO ADDRESS EACH OF THE FOUR SIGNIFICANT HEALTH NEEDS THAT WERE PRIORITIZED DURING THE CHNA PROCESS, PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND GOVERNMENT AGENCIES ARE CRITICAL FOR ACHIEVING THE ESTABLISHED GOALS.QUEEN OF THE VALLEY MEDICAL CENTER WILL COLLABORATE WITH NAPA COUNTY, THE CITY OF NAPA, OLE HEALTH, ADVENTIST HEALTH, MENTIS, ABODE, AND A VARIETY OF LOCAL FAMILY RESOURCE CENTERS THAT ADDRESS THE COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS UNMET NEEDS.FURTHERMORE, ST. JOSEPH HEALTH QUEEN OF THE VALLEY WILL ENDORSE LOCAL NONPROFIT ORGANIZATION PARTNERS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT QUEEN OF THE VALLEY SERVICE AREAS.
QUEEN OF THE VALLEY MEDICAL CENTER (2)	PART V, SECTION B, LINE 13H: QUEEN OF THE VALLEY MEDICAL CENTER:THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT.
QUEEN OF THE VALLEY MEDICAL CENTER (2)	PART V, SECTION B, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE.
QUEEN OF THE VALLEY MEDICAL CENTER (2)	PART V, SECTION B, LINE 11 (CONTINUED):THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED WITH THE FOLLOWING EXPLANATION: QUEEN OF THE VALLEY DOES NOT DIRECTLY ADDRESS IMMIGRATION STATUS. HOWEVER, COMMUNITY BENEFIT SERVICES ARE PROVIDED WITHOUT CONSIDERATION OF IMMIGRATION STATUS AND THE MEDICAL CENTER PROVIDES CHARITY MEDICAL CARE. IN ADDITION, QUEEN OF THE VALLEY MEDICAL CENTER AND COMMUNITY BENEFIT PROGRAMS PARTNER WITH MULTIPLE COMMUNITYBASED ORGANIZATIONS TO ADDRESS THE NEEDS OF THE UNDOCUMENTED. WHILE CANCER, HEART DISEASE, DIABETES AND ASTHMA ARE NOT A PRIMARY FOCUS OF THE PLAN, THE SERVICE AREA INCLUDES QUEEN OF THE VALLEY MEDICAL CENTER, ST. HELENA HOSPITAL, KAISER CLINIC AND OLE HEALTH THAT PROVIDE MEDICAL SERVICES TO INDIVIDUALS WITH THESE CONDITIONS. ALSO, QUEEN OF THE VALLEY'S CARE NETWORK PROVIDES CARE COORDINATION AND CARE MANAGEMENT FOR LOW INCOME PERSONS WITH COMPLEX MEDICAL CONDITIONS INCLUDING CHRONIC DISEASES SUCH AS THESE. QUEEN OF THE VALLEY DOES NOT DIRECTLY ADDRESS ISSUES OF TRANSPORTATION AND TRAFFIC. AS A PARTNER IN LIVE HEALTHY NAPA COUNTY, QUEEN OF THE VALLEY PARTNERS WITH THE COMMUNITY TO IMPROVE CONDITIONS THROUGH ADVOCACY AND PARTNERSHIPS. IN ADDITION, TRANSPORTATION SUPPORT IS PROVIDED TO QUEEN OF THE VALLEY CARE NETWORK CLIENTS. WHILE ACCESS TO FOOD IS NOT A PRIMARY FOCUS OF THE CB IMPLEMENTATION STRATEGY, QUEEN OF THE VALLEY COMMUNITY BENEFIT PROVIDES FUNDING SUPPORT TO LOCAL FOOD SAFETY NET ORGANIZATIONS, WORKS DIRECTLY WITH COMMUNITY PARTNERS SUCH AS THE NAPA VALLEY FARMER'S MARKET AND LIVE HEALTHY NAPA COUNTY TO EXPAND ACCESS, AND DIRECTLY ASSISTS LOWINCOME CHRONICALLY ILL CARE NETWORK CLIENTS WITH FOOD ACCESS. IN ADDITION, QUEEN OF THE VALLEY WILL COLLABORATE WITH PUBLIC AGENCIES AND COMMUNITYBASED ORGANIZATIONS THAT ADDRESS LANGUAGE BARRIERS AND AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL AND ADDRESS THESE UNMET NEEDS.
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: SANTA ROSA MEMORIAL HOSPITAL, - FACILITY 3: REDWOOD MEMORIAL HOSPITAL, - FACILITY 4: ST. JOSEPH HOSPITAL OF EUREKA
SJHNC, LLC (GROUP A - 1, 3 & 4) PART V, SECTION B, LINE 3J:	PART V, SECTION B, LINE 3ESANTA ROSA MEMORIAL HOSPITAL (1), REDWOOD MEMORIAL HOSPITAL (3) AND ST. JOSEPH HOSPITAL OF EUREKA (4)THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
SJHNC, LLC (GROUP A - 1, 3 & 4) PART V, SECTION B, LINE 5:	SANTA ROSA MEMORIAL HOSPITAL (1) THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS AN IMPORTANT TOOL WE USE TO BETTER UNDERSTAND HEALTH DISPARITIES AND INEQUITIES WITHIN THE COMMUNITIES WE SERVE, AS WELL AS THE COMMUNITY STRENGTHS AND ASSETS.THE EQUITY FRAMEWORK IS FOUNDATIONAL TO OUR OVERALL CHNA FRAMEWORK, A MODIFIED VERSION OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). THE MODIFIED MAPP FRAMEWORK TAKES A MIXED-METHODS APPROACH TO PRIORITIZE HEALTH NEEDS, CONSIDERING POPULATION HEALTH DATA, COMMUNITY INPUT, INTERNAL UTILIZATION DATA, COMMUNITY STRENGTHS AND ASSETS, AND A PRIORITIZATION PROTOCOL.IN GATHERING INFORMATION ON THE COMMUNITIES SERVED BY THE HOSPITAL, WE LOOKED NOT ONLY AT THE HEALTH CONDITIONS OF THE POPULATION, BUT ALSO AT SOCIOECONOMIC FACTORS, THE PHYSICAL ENVIRONMENT, AND HEALTH BEHAVIORS. IN ADDITION, WE RECOGNIZE THAT THERE ARE OFTEN GEOGRAPHIC AREAS WHERE THE CONDITIONS FOR SUPPORTING HEALTH ARE POORER THAN NEARBY AREAS. WHENEVER POSSIBLE AND RELIABLE, DATA ARE REPORTED AT CENSUS TRACT LEVEL. THESE SMALLER GEOGRAPHIC AREAS ALLOW US TO BETTER UNDERSTAND THE NEIGHBORHOOD LEVEL NEEDS OF OUR COMMUNITIES AND BETTER ADDRESS INEQUITIES WITHIN AND ACROSS COMMUNITIES.COMMUNITY INPUT:TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, REPRESENTATIVES FROM SANTA ROSA MEMORIAL HOSPITAL CONDUCTED 14 KEY INFORMANT INTERVIEWS WITH REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS AND IN PARTNERSHIP WITH ON THE MARGINS, LLC, CONDUCTED 3 LISTENING SESSIONS WITH COMMUNITY MEMBERS. ADDITIONALLY, REPRESENTATIVES FROM COMMUNITY HEALTH INVESTMENT CONDUCTED ONE PROVIDENCE CAREGIVER LISTENING SESSION. DURING THESE INTERVIEWS AND LISTENING SESSIONS, COMMUNITY MEMBERS AND NONPROFIT AND GOVERNMENT KEY INFORMANTS DISCUSSED THE ISSUES AND OPPORTUNITIES OF THE PEOPLE, NEIGHBORHOODS, AND CITIES OF THE SERVICE AREA. BELOW IS A HIGH-LEVEL SUMMARY OF THE FINDINGS OF THESE SESSIONS.NONPROFIT AND GOVERNMENT STAKEHOLDER INTERVIEWS:A TOTAL OF 14 KEY INFORMANT INTERVIEWS WERE COMPLETED BY REPRESENTATIVES FROM SANTA ROSA MEMORIAL AND PETALUMA VALLEY HOSPITALS. KEY INFORMANTS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WHO HAVE LOW INCOMES, HAVE CHRONIC CONDITIONS, AND/OR ARE MEDICALLY UNDERSERVED. SANTA ROSA MEMORIAL AND PETALUMA VALLEY HOSPITALS AIMED TO ENGAGE STAKEHOLDERS FROM SOCIAL SERVICE AGENCIES, HEALTH CARE, EDUCATION, HOUSING, AND GOVERNMENT, AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES. INCLUDED IN THE INTERVIEWS WAS A REPRESENTATIVE FROM THE SONOMA COUNTY HUMAN SERVICES DEPARTMENT.KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH:- KT SWAN, PROGRAM DIRECTOR FOR BUCKELEW PROGRAMS (BEHAVIORAL HEALTH)- STEPHANIE MERRIDA-GRANT, ASSISTANT DIRECTOR OF OUTREACH AND ENGAGEMENT FOR CATHOLIC CHARITIES OF SANTA ROSA (SOCIAL SERVICES, HOMELESS SERVICES)- CHRIS CABRAL, CHIEF EXECUTIVE OFFICER FOR COMMITTEE ON THE SHELTERLESS (SOCIAL SERVICES)- KISMET BALDWIN SANTANA MD, INTERIM HEALTH OFFICER FOR COUNTY OF SONOMA PUBLIC HEALTH (PUBLIC HEALTH)- JEN KLOSE, EXECUTIVE DIRECTOR FOR GENERATION HOUSING (AFFORDABLE HOUSING)- KIMBERLY BENDER, EXECUTIVE DIRECTOR FOR HEALTHCARE FOUNDATION OF NORTHERN SONOMA COUNTY (PHILANTHROPY, HEALTHCARE)- STEPHANIE MANIERI, EXECUTIVE DIRECTOR FOR LATINO SERVICE PROVIDERS (SOCIAL SERVICES)- TASHA BOLLINGER, MEDICAL PARTNERSHIP ATTORNEY FOR LEGAL AID OF SONOMA COUNTY (SOCIAL SERVICES)- ESTHER LEMUS, SUPERIVISING ATTORNEY FOR LEGAL AID OF SONOMA COUNTY (SOCIAL SERVICES)- MICHELINE WHITE, EXECUTIVE DIRECTOR FOR MENDONOMA HEALTH ALLIANCE (HEALTHCARE, SOCIAL SERVICES)- ANNIE NICOL, DIRECTOR OF HEALTH SERVICES FOR PETALUMA HEALTH CENTER (HEALTHCARE)- RAMONA FAITH, CHIEF EXECUTIVE OFFICER FOR PETALUMA HEALTHCARE DISTRICT (SOCIAL SERVICES)- ELECE HEMPEL, SECRETARY FOR PETALUMA HEALTHCARE DISTRICT (SOCIAL SERVICES)- TROY GIDEON, CHIEF ADMINISTRATIVE OFFICER FOR PROVIDENCE PETALUMA VALLEY AND HEALDSBURG HOSPITAL- CHUCK KASSIS, CHIEF EXECUTIVE FOR PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL- MARGARET SLUYK, CHIEF EXECUTIVE OFFICER FOR REACH FOR HOME (SOCIAL SERVICES)MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS BEING REPRESENTED BY ORGANIZATIONS OR INDIVIDUALS THAT PROVIDED INPUT:- LATINX- INDIGENOUS/NATIVE AMERICAN- BBIPOC- INDIVIDUALS EXPERIENCING HOMELESSNESS (OR AT-RISK)- INDIVIDUALS EXPERIENCING BEHAVIORAL HEALTH ISSUES- OLDER ADULTSDATA LIMITATIONS AND INFORMATION GAPS:WHILE CARE WAS TAKEN TO SELECT AND GATHER DATA THAT WOULD TELL THE STORY OF THE HOSPITAL'S SERVICE AREA, IT IS IMPORTANT TO RECOGNIZE THE LIMITATIONS AND GAPS IN INFORMATION THAT NATURALLY OCCUR, INCLUDING THE FOLLOWING:- NOT ALL DESIRED DATA WERE READILY AVAILABLE, SO SOMETIMES WE HAD TO RELY ON TANGENTIAL OR PROXY MEASURES OR NOT HAVE ANY DATA AT ALL. FOR EXAMPLE, THERE IS LITTLE COMMUNITY-LEVEL DATA ON THE INCIDENCE OF MENTAL HEALTH OR SUBSTANCE USE.- WHILE MOST INDICATORS ARE RELATIVELY CONSISTENT FROM YEAR TO YEAR, OTHER INDICATORS ARE CHANGING QUICKLY (SUCH AS PERCENTAGE OF PEOPLE UNINSURED) AND THE MOST RECENT DATA AVAILABLE ARE NOT A GOOD REFLECTION OF THE CURRENT STATE.- REPORTING DATA AT THE COUNTY LEVEL CAN MASK INEQUITIES WITHIN COMMUNITIES. THIS CAN ALSO BE TRUE WHEN REPORTING DATA BY RACE, WHICH CAN MASK WHAT IS HAPPENING WITHIN RACIAL AND ETHNIC SUBGROUPS. THEREFORE, WHEN APPROPRIATE AND AVAILABLE, WE DISAGGREGATED THE DATA BY GEOGRAPHY AND RACE.- DATA GATHERED THROUGH INTERVIEWS AND SURVEYS MAY BE BIASED DEPENDING ON WHO IS WILLING TO RESPOND TO THE QUESTIONS AND WHETHER THEY ARE REPRESENTATIVE OF THE POPULATION AS A WHOLE.- THE ACCURACY OF DATA GATHERED THROUGH INTERVIEWS AND SURVEYS DEPENDS ON HOW CONSISTENTLY THE QUESTIONS ARE INTERPRETED ACROSS ALL RESPONDENTS AND HOW HONEST PEOPLE ARE IN PROVIDING THEIR ANSWERS.REDWOOD MEMORIAL HOSPITAL (3) AND ST. JOSEPH HOSPITAL OF EUREKA (4)THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS AN IMPORTANT TOOL WE USE TO BETTER UNDERSTAND HEALTH DISPARITIES AND INEQUITIES WITHIN THE COMMUNITIES WE SERVE, AS WELL AS THE COMMUNITY STRENGTHS AND ASSETS.THE EQUITY FRAMEWORK IS FOUNDATIONAL TO OUR OVERALL CHNA FRAMEWORK, A MODIFIED VERSION OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). THE MODIFIED MAPP FRAMEWORK TAKES A MIXED-METHODS APPROACH TO PRIORITIZE HEALTH NEEDS, CONSIDERING POPULATION HEALTH DATA, COMMUNITY INPUT, INTERNAL UTILIZATION DATA, COMMUNITY STRENGTHS AND ASSETS, AND A PRIORITIZATION PROTOCOL.IN GATHERING INFORMATION ON THE COMMUNITIES SERVED BY THE HOSPITAL, WE LOOKED NOT ONLY AT THE HEALTH CONDITIONS OF THE POPULATION, BUT ALSO AT SOCIOECONOMIC FACTORS, THE PHYSICAL ENVIRONMENT, AND HEALTH BEHAVIORS. IN ADDITION, WE RECOGNIZE THAT THERE ARE OFTEN GEOGRAPHIC AREAS WHERE THE CONDITIONS FOR SUPPORTING HEALTH ARE POORER THAN NEARBY AREAS. WHENEVER POSSIBLE AND RELIABLE, DATA ARE REPORTED AT CENSUS TRACT LEVEL. THESE SMALLER GEOGRAPHIC AREAS ALLOW US TO BETTER UNDERSTAND THE NEIGHBORHOOD LEVEL NEEDS OF OUR COMMUNITIES AND BETTER ADDRESS INEQUITIES WITHIN AND ACROSS COMMUNITIES.COMMUNITY INPUT:TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, REPRESENTATIVES FROM ST. JOSEPH AND REDWOOD MEMORIAL HOSPITALS CONDUCTED 13 KEY INFORMANT INTERVIEWS WITH REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS, 7 LISTENING SESSIONS WITH COMMUNITY MEMBERS, AND 3 LISTENING SESSIONS WITH PROVIDENCE CAREGIVERS WHO WORK DIRECTLY WITH UNDERSERVED POPULATIONS IN THE COMMUNITY. ALL COMMUNITY INPUT WAS COLLECTED BETWEEN MARCH AND MAY 2023.NONPROFIT AND GOVERNMENT STAKEHOLDER INTERVIEWS:A TOTAL OF 10 KEY INFORMANT INTERVIEWS WERE COMPLETED BY REPRESENTATIVES FROM ST. JOSEPH AND REDWOOD MEMORIAL HOSPITALS. KEY INFORMANTS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WHO HAVE LOW INCOMES, HAVE CHRONIC CONDITIONS, AND/OR ARE MEDICALLY UNDERSERVED. ST. JOSEPH AND REDWOOD MEMORIAL HOSPITALS AIMED TO ENGAGE STAKEHOLDERS FROM SOCIAL SERVICE AGENCIES, HEALTH CARE, EDUCATION, HOUSING, AND GOVERNMENT, AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES. INCLUDED IN THE INTERVIEWS WAS A REPRESENTATIVE FROM THE HUMBOLDT COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES.
SJHNC, LLC (GROUP A - 1, 3 & 4) PART V, SECTION B, LINE 6A:	SANTA ROSA MEMORIAL HOSPITAL (1)MANY LOCAL GOVERNMENT AGENCIES AND NOT-FOR-PROFIT ORGANIZATIONS COLLABORATED WITH ST. JOSEPH HEALTH IN THE CHNA PROCESS. AMONG THESE ARE THE HOSPITAL FACILITIES:- SUTTER HEALTH- KAISER PERMANENTE- SONOMA WEST MEDICAL CENTERREDWOOD MEMORIAL HOSPITAL (3) AND ST. JOSEPH HOSPITAL OF EUREKA (4)ST. JOSEPH HOSPITAL EUREKA CONDUCTED THE CHNA IN PARTNERSHIP WITH REDWOOD MEMORIAL HOSPITAL.
SJHNC, LLC (GROUP A - 1, 3 & 4) PART V, SECTION B, LINE 6B:	SANTA ROSA MEMORIAL HOSPITAL (1)MANY LOCAL GOVERNMENT AGENCIES AND NOT-FOR-PROFIT ORGANIZATIONS COLLABORATED WITH ST. JOSEPH HEALTH IN THE CHNA PROCESS. AMONG THESE ARE THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:- SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES- SONOMA COUNTY DEPARTMENT OF PUBLIC HEALTH- BURBANK HOUSING- BUCKELEW PROGRAMS- PETALUMA PEOPLE SERVICES CENTER- WEST COUNTY HEALTH CENTERS- HEALTHY PETALUMA- PETALUMA HEALTH CENTER- ALLIANCE MEDICAL CENTER- LATINO SERVICE PROVIDERS- CATHOLIC CHARITIES OF THE DIOCESE OF SANTA ROSA- COMMITTEE ON THE SHELTERLESS- GENERATION HOUSING- LEGAL AID OF SONOMA COUNTY- MENDONOMA HEALTH ALLIANCE- REACH FOR HOME- ON THE MARGINSREDWOOD MEMORIAL HOSPITAL (3) AND ST. JOSEPH HOSPITAL OF EUREKA (4)SEVERAL PEOPLE AND ENTITIES COLLABORATED TO MAKE THIS CHNA POSSIBLE. THE DATA ANALYTICS TEAM FROM PROVIDENCE ORGANIZED DATA AND CREATED THE HUMBOLDT COUNTY DATA HUB THAT ALLOWED VISUALIZATION OF DATA ON CENSUS-TRACT MAPS.THE PROVIDENCE COMMUNITY RESOURCE CENTERS HELD COMMUNITY LISTENING SESSIONS WITH THE COMMUNITY MEMBERS THEY SERVE, AND WE ARE GRATEFUL FOR THE LEADERSHIP OF THE COORDINATORS AT THESE CENTERS WHO MADE THESE LISTENING SESSIONS HAPPEN. THE PASO A PASO PROGRAM HOSTED A COMMUNITY LISTENING SESSION AT THE LOLETA COMMUNITY RESOURCE CENTER THAT WAS WELL ATTENDED AND LIVELY. BEING A TRUSTED PROGRAM WITH DECADES OF EXPERIENCE SERVING THE HISPANIC/LATINO COMMUNITY IN HUMBOLDT COUNTY, PASO A PASO WAS ABLE TO LEAN ON RELATIONSHIPS TO CREATE A SAFE SPACE FOR A ROBUST AND LIVELY CONVERSATION ON HEALTH, WELLBEING, AND COMMUNITY NEEDS.WE CONTINUE TO PARTNER CLOSELY WITH THE COUNTY OF HUMBOLDT PUBLIC HEALTH DEPARTMENT AND ALIGN WITH LIVE WELL HUMBOLDT, WHICH IS A NETWORK OF COMMUNITY HEALTH IMPROVEMENT COLLABORATORS COMMITTED TO TAKING ACTIONS TO IMPROVE HEALTH AND WELLBEING.THERE WERE SEVERAL KEY INFORMANTS REPRESENTING MULTIPLE LOCAL NON-PROFIT ORGANIZATIONS, EDUCATIONAL INSTITUTIONS, OR GOVERNMENT AGENCIES, THAT WERE GENEROUS WITH THEIR TIME AND ALLOWED OUR COMMUNITY HEALTH NEEDS ASSESSMENT TEAM TO INTERVIEW THEM. THANK YOU TO ALL THOSE WHO CONTRIBUTED THEIR TIME AND EXPERTISE. A COMPLETE LIST OF KEY INFORMANTS CAN BE FOUND IN THE APPENDIX.HEARTFELT GRATITUDE IS EXTENDED TO THE CAREGIVERS THAT WORK IN THE COMMUNITY HEALTH INVESTMENT DIVISION OF PROVIDENCE ST. JOSEPH AND REDWOOD MEMORIAL HOSPITALS. THESE CAREGIVERS SHARED THEIR EXPERIENCES AND EXPERTISE BUILT FROM YEARS OF WORKING WITH UNDERSERVED COMMUNITIES. THEIR INSIGHTS INTO THE STRENGTHS OF THE COMMUNITIES THEY SERVE AND THEIR IDENTIFICATION OF UNMET NEEDS, IS VALUABLE.AND FINALLY, THIS CHNA WOULD NOT BE POSSIBLE WITHOUT THE GENEROUS, HONEST, AND INSIGHTFUL CONTRIBUTIONS OF THE COMMUNITY MEMBERS THAT PARTICIPATED IN LISTENING SESSIONS. WE ARE FOREVER GRATEFUL FOR THE CANDID CONVERSATIONS AND SHARING THE THINGS THAT HAVE MOST IMPACTED HEALTH AND WELLBEING IN YOUR LIVES AND THE LIVES OF FAMILIES, FRIENDS, AND NEIGHBORS.
SJHNC, LLC (GROUP A - 1, 3 & 4) PART V, SECTION B, LINE 11:	SANTA ROSA MEMORIAL HOSPITAL (1)THE 2023 COMMUNITY HEALTH NEEDS PRIORITIZED NEEDS ARE LISTED BELOW:1) BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER2) HOMELESSNESS AND HOUSING INSTABILITY3) ACCESS TO HEALTH CARE AND DENTAL SERVICES4) AGING ISSUESBEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERPUBLICLY AVAILABLE DATA ALONG WITH PROVIDENCE HOSPITALIZATION DATA SHOW WORSENING TRENDS OF INDIVIDUALS EXPERIENCING A BEHAVIORAL HEALTH CRISIS, MANY OF WHOM ARE UTILIZING EMERGENCY ROOMS FOR CARE. SUBSTANCE USE DISORDER WAS IDENTIFIED AS THE LEADING BEHAVIORAL HEALTH DIAGNOSIS BEING TREATED AT SANTA ROSA MEMORIAL AND PETALUMA VALLEY HOSPITALS. KEY INFORMANTS, COMMUNITY MEMBERS AND CAREGIVERS ALL SHARED THAT LACK OF BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES WAS A MAJOR BARRIER IN SONOMA COUNTY. THE LACK OF BILINGUAL/BICULTURAL PROVIDERS AND THE ABSENCE OF MEDICAL DETOX WAS ALSO A COMMONLY VOICED NEED. DATA SHOWED PARTICULAR CONCERN FOR YOUTH.STRATEGIES TO ADDRESS BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER INCLUDE:- LEVERAGE PARTNERSHIPS BETWEEN THE MOBILE HEALTH CLINIC AND BEHAVIORAL HEALTH COMMUNITY-BASED ORGANIZATIONS- CONNECT PATIENTS TO MEDICATION-ASSISTED TREATMENT PROGRAMS THROUGH SUBSTANCE USE NAVIGATION- PROVIDE COMPREHENSIVE CASE MANAGEMENT TO HIGH-RISK AND SEVERE AND PERSISTENT MENTAL ILLNESS POPULATION THROUGH ENHANCED CARE MANAGEMENT (ECM)- ADMINISTER COUNTY-WIDE COMMUNITY GRANTS TO COMMUNITY BASED ORGANIZATIONS ADDRESSING BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERHOMELESS AND HOUSING INSTABILITYOVER 25% OF SONOMA COUNTY IS EXPERIENCING SEVERE HOUSE COST BURDEN, SPENDING 50% OR MORE OF THEIR HOUSEHOLD INCOME ON HOUSING. ADDITIONALLY, OVER 2800 INDIVIDUALS WERE FOUND TO BE EXPERIENCING HOMELESSNESS IN 2022. MOST KEY INFORMANTS IDENTIFIED THE NEED FOR ADDITIONAL PERMANENT SUPPORTIVE HOUSING, HOUSING ACCEPTING HOUSING VOUCHERS, AFFORDABLE HOUSING, AND SHELTER BEDS. OLDER ADULTS AND BBIPOC POPULATION EXPERIENCE ADDITIONAL BARRIERS TO HOUSING IN SONOMA COUNTY.STRATEGIES TO ADDRESS HOMELESSNESS AND HOUSING INSTABILITY INCLUDE:- INVEST IN THE MAINTENANCE AND EXPANSION OF EXISTING RECUPERATIVE BEDS AND SERVICES- PRIORITIZE FUNDING TOWARDS MAINTAINING OPERATIONAL EXPENSES AT ESTABLISHED PERMANENT SUPPORTIVE HOUSING (PSH) LOCATIONS FOR SUSTAINABILITY OF HOUSING UNITS- PROVIDE COMPREHENSIVE CASE MANAGEMENT TO UNHOUSED POPULATION THROUGH CARE NETWORK'S ENHANCED CARE MANAGEMENT PROGRAM- PROVIDE SUPPORT TO COMMUNITY BASED ORGANIZATIONS FOCUSED ON ADVOCATING FOR HOUSING INITIATIVES WITH THE GOAL OF INCREASING THE SUPPLY AND AFFORDABILITY OF HOMES IN SONOMA COUNTYACCESS TO HEALTH CARE AND DENTAL SERVICESFEWER PEOPLE SAW A PRIMARY CARE DOCTOR OR DENTIST OVER THE PAST YEAR IN 2022. THIS TREND COUPLED WITH QUALITATIVE DATA EXPRESSING LACK OF PRIMARY MEDICAL AND DENTAL PROVIDERS, HIGHLIGHTED LACK OF APPROPRIATE LEVEL OF HEALTH CARE ACCESS IN SONOMA COUNTY. EMERGENCY TRANSPORT TIMES WERE SOME OF THE LONGEST IN THE STATE OF CALIFORNIA IN NORTHERN SONOMA COUNTY. KEY INFORMANTS AND CAREGIVERS EXPRESSED THE NEED FOR EXTENDED HOURS, BILINGUAL/BICULTURAL PROVIDERS AND TRANSPORTATION OPTIONS TO BREAK DOWN ACCESS BARRIERS FOR OLDER ADULTS, PEOPLE EXPERIENCING HOMELESSNESS, AND AGRICULTURAL WORKERS. ACCESS WAS NOTED TO BE HIGHLY LINKED TO ECONOMIC INSECURITY.STRATEGIES TO ADDRESS ACCESS TO CARE INCLUDE:- ENGAGE HIGH-RISK INDIVIDUALS WITH CARE NETWORK'S COMPLEX CARE MANAGEMENT AND ENHANCED CARE MANAGEMENT TEAMS TO INCREASE ACCESS TO HEALTH CARE- PROVIDE COMMUNITY HEALTH WORKER SERVICES INCLUDING SCREENINGS, EDUCATION, NAVIGATION, AND ADVOCACY FOR BBIPOC AND VULNERABLE POPULATIONS- PROVIDE DENTAL CARE TO UN- AND UNDERINSURED PATIENTS THROUGH PROVIDENCE DENTAL CLINIC- PROVIDE PRIMARY CARE AND LINKAGES TO MEDICAL HOMES FOR UN- AND UNDERINSURED PATIENTS THROUGH PROVIDENCE MOBILE HEALTH CLINIC WITH THE GOAL OF REDUCING AVOIDABLE EMERGENCY DEPARTMENT VISITSAGING ISSUESTHERE IS A GROWING POPULATION OF OLDER ADULTS (OVER 60) IN SONOMA COUNTY WITHOUT ADEQUATE RESOURCES TO MEET THEIR NEEDS. OLDER ADULTS EXPERIENCING HOMELESSNESS AND HOUSING INSTABILITY AS WELL AS MENTAL HEALTH ISSUES DUE TO ISOLATION, IS ON THE RISE IN SONOMA COUNTY. A LACK OF PROVIDERS WITH EXPERIENCE SPECIFIC TO GERIATRIC CONDITIONS IS OF CONCERN.STRATEGIES TO ADDRESS AGING ISSUES INCLUDE:- SUPPORT COMMUNITY BASED ORGANIZATIONS THROUGH GRANTS AND PARTNERSHIPS TO INCREASE TRANSPORTATION ACCESS- SERVING SENIORS THROUGH DIRECT SERVICE PROGRAMS- PRIVATE DUTY CAREGIVING- ADMINISTER COMMUNITY GRANTS TO ADDRESS AGING ISSUESFULL DETAIL OF STRATEGIES TO ADDRESS COMMUNITY HEALTH NEEDS CAN FOUND IN THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) HERE: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSNEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM:NO SINGLE HOSPITAL FACILITY CAN FULLY ADDRESS ALL THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WHILE SANTA ROSA MEMORIAL EMPLOYS STRATEGIES TO ADDRESS EACH OF THE FOUR SIGNIFICANT HEALTH NEEDS THAT WERE PRIORITIZED DURING THE CHNA PROCESS, PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND GOVERNMENT AGENCIES ARE CRITICAL FOR ACHIEVING THE ESTABLISHED GOALS.SANTA ROSA MEMORIAL HOSPITAL COLLABORATED WITH COMMUNITY-BASED ORGANIZATIONS, FQHCS, AND A VARIETY OF LOCAL FAMILY RESOURCE CENTERS THAT ADDRESS THE COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS UNMET NEEDS. WE CONTINUED FUNDING OTHER LOCAL NONPROFIT ORGANIZATIONS THROUGH GRANTS FROM OUR CARE FOR THE POOR PROGRAM MANAGED BY THE SRMH COMMUNITY HEALTH INVESTMENT DEPARTMENT.
SJHNC, LLC (GROUP A - 1, 3 & 4) PART V, SECTION B, LINE 13H:	SANTA ROSA MEMORIAL HOSPITAL (1), REDWOOD MEMORIAL HOSPITAL (3) AND ST. JOSEPH HOSPITAL OF EUREKA (4):THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT.
SJHNC, LLC (GROUP A - 1, 3 & 4) PART V, SECTION B, LINE 24:	IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE.
SJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 7A:	CHNA WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSUNDER NORTHERN CALIFORNIA.
QUEEN OF THE VALLEY MEDICAL CENTER - PART V, SECTION B, LINE 7A:	CHNA WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSUNDER NORTHERN CALIFORNIA.SJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 9:SANTA ROSA MEMORIAL HOSPITAL (1)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 16, 2024, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).REDWOOD MEMORIAL HOSPITAL (3) & ST. JOSEPH HOSPITAL OF EUREKA (4)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 10, 2024, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).QUEEN OF THE VALLEY MEDICAL CENTER - PART V, SECTION B, LINE 9:THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 18, 2024, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).
SJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 10A:	IMPLEMENTATION STRATEGY WEBSITEHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSUNDER NORTHERN CALIFORNIA. QUEEN OF THE VALLEY MEDICAL CENTER - PART V, SECTION B, LINE 10A:IMPLEMENTATION STRATEGY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSUNDER NORTHERN CALIFORNIA.
SJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 5 (CONT):	CAREGIVER LISTENING SESSIONS:A TOTAL OF 3 LISTENING SESSIONS WERE COMPLETED WITH INTERNAL CAREGIVERS WHO REPRESENT THE NEEDS AND CHALLENGES OF THE CLIENTS THEY SERVE.KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH:- SOFIA PEREIRA, PUBLIC HEALTH DIRECTOR FOR COUNTY OF HUMBOLDT DHHS (PUBLIC HEALTH)- CHERYL CHURCHILL, EXECUTIVE DIRECTOR FOR HOUSING AUTHORITIES OF THE CITY OF EUREKA & THE COUNTY OF HUMBOLDT (HOUSING)- EMI BOTZLER-RODGERS LMFT, BEHAVIORAL HEALTH DIRECTOR FOR COUNTY OF HUMBOLDT, DHHS (BEHAVIORAL HEALTH)- ANTOINEETE MARTINEZ MD, FAMILY MEDICINE AND OBSTETRICS PHYSICIAN FOR UNITED INDIAN HEALTH SERVICES (INDIGENOUSE HEALTH CARE)- JASMINE GUERRA, EXECUTIVE DIRECTOR FOR HUMBOLDT AREA CENTER FOR HARM REDUCTION (HARM REDUCTION)- JEREMY CAMPBELL, EXECUTIVE DIRECTOR FOR WATERFRONT RECOVERY SERVICES (BEHAVIORAL HEALTH)- ELIZABETH ROSE-MARINI, COMMUNITY ENGAGEMENT AND PARTNERSHIPS COORDINATOR FOR EUREKA VA CLINIC (VETERANS' HEALTH CARE)- LEONARD LA FRANCE, POLICE COMMANDER FOR EUREKA POLICE DEPARTMENT (LAW ENFORCEMENT AND HOMELESS OUTREACH)- ANDREW RIX, MANAGER FOR WORKFORCE AND ECONOMIC DEVELOPMENT CAL POLY HUMBOLDT (ECONOMIC DEVELOPMENT)- SEAN GARDNER, GRADUATE STUDENT FOR SCHOOL OF PSYCHOLOGY AT CAL POLY HUMBOLDT (EDUCATION AND MENTAL HEALTH)- TERESA GARCIA-RODRIGUEZ, ADRIANNA RODRIGUEZ-TORRES AND ANGEL MARTINEZ, LATINO HEALTH COORDINATORS FOR OPEN DOOR COMMUNITY HEALTH CENTERS (HEALTH CARE)- STEPHANIE BRITTAIN, HEALTH COORDINATOR FOR NORTH COAST CHILDREN'S SERVICES (CHILD DEVELOPMENT)- BRENDA PEREZ, EXECUTIVE DIRECTOR FOR CENTRO DEL PUEBLO (IMMIGRANT RIGHTS) MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS REPRESENTED BY ORGANIZATIONS OR INDIVIDUALS PROVIDING INPUT:- SENIORS, ELDERS- FAMILIES WITH CHILDREN- LATINX POPULATION- NATIVE AMERICAN/INDIGENOUS POPULATIONS- VETERANS- HOUSING SHELTER PARTICIPANTS- INDIVIDUALS EXPERIENCING HOMELESSNESS- INDIVIDUALS EXPERIENCING BEHAVIORAL HEALTH ISSUESDATA LIMITATIONS AND INFORMATION GAPS:WHILE CARE WAS TAKEN TO SELECT AND GATHER DATA THAT WOULD TELL THE STORY OF THE HOSPITAL'S SERVICE AREA, IT IS IMPORTANT TO RECOGNIZE THE LIMITATIONS AND GAPS IN INFORMATION THAT NATURALLY OCCUR, INCLUDING THE FOLLOWING:- NOT ALL DESIRED DATA WERE READILY AVAILABLE, SO SOMETIMES WE HAD TO RELY ON TANGENTIAL OR PROXY MEASURES OR NOT HAVE ANY DATA AT ALL. FOR EXAMPLE, THERE IS LITTLE COMMUNITY-LEVEL DATA ON THE INCIDENCE OF MENTAL HEALTH OR SUBSTANCE USE.- WHILE MOST INDICATORS ARE RELATIVELY CONSISTENT FROM YEAR TO YEAR, OTHER INDICATORS ARE CHANGING QUICKLY (SUCH AS PERCENTAGE OF PEOPLE UNINSURED) AND THE MOST RECENT DATA AVAILABLE ARE NOT A GOOD REFLECTION OF THE CURRENT STATE.- REPORTING DATA AT THE COUNTY LEVEL CAN MASK INEQUITIES WITHIN COMMUNITIES. THIS CAN ALSO BE TRUE WHEN REPORTING DATA BY RACE, WHICH CAN MASK WHAT IS HAPPENING WITHIN RACIAL AND ETHNIC SUBGROUPS. THEREFORE, WHEN APPROPRIATE AND AVAILABLE, WE DISAGGREGATED THE DATA BY GEOGRAPHY AND RACE.- DATA THAT ARE GATHERED THROUGH INTERVIEWS AND SURVEYS MAY BE BIASED DEPENDING ON WHO IS WILLING TO RESPOND TO THE QUESTIONS AND WHETHER THEY ARE REPRESENTATIVE OF THE POPULATION AS A WHOLE.- THE ACCURACY OF DATA GATHERED THROUGH INTERVIEWS AND SURVEYS DEPENDS ON HOW CONSISTENTLY THE QUESTIONS ARE INTERPRETED ACROSS ALL RESPONDENTS AND HOW HONEST PEOPLE ARE IN PROVIDING THEIR ANSWERS.
SJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 11 (CONT):	WITH RESPECT TO SOME OF THE OTHER NEEDS IDENTIFIED IN THE CHNA PROCESS THAT WERE NOT PRIORITIZED FOR ACTION THROUGH THIS PLAN, WE INTEND TO REMAIN ENGAGED IN ADDRESSING ORAL HEALTH NEEDS THROUGH OUR ONGOING COMMUNITY DENTAL CLINIC AND MOBILE DENTAL CLINIC. AND WHILE FOOD AND NUTRITION IS NOT TO BE DIRECTLY ADDRESSED BY OUR OWN PROGRAMMING, WE ANTICIPATE THAT OUR ONGOING SUPPORT OF LOCAL INITIATIVES AND ORGANIZATIONS INVOLVED IN MEDICALLY TAILORED AND HOME-DELIVERED MEALS FOR THE MOST VULNERABLE WILL INCLUDE A CONSIDERATION AND INCLUSION OF STRATEGIES TO ADDRESS THIS NEED. CHI CONTINUED TO SUPPORT A CONTRACT WITH A PRIVATE DUTY CARE GIVING AGENCY FOR PATIENTS WHO ARE AT-RISK OR UNABLE TO RECEIVE GOVERNMENT FUNDED CAREGIVING.REDWOOD MEMORIAL HOSPITAL (3) AND ST. JOSEPH HOSPITAL OF EUREKA (4)COMMUNITY HEALTH NEEDS PRIORITIZED:1) HOMELESSNESS & HOUSING INSTABILITY2) BEHAVIORAL HEALTH & ACCESS TO CARE3) ACCESS TO HEALTH CARE SERVICES4) FOOD INSECURITYHOMELESSNESS & HOUSING INSTABILITYKEY INFORMANTS, PROVIDENCE CAREGIVERS, AND COMMUNITY MEMBERS IDENTIFIED HOUSING AS A BASIC NEED AND NAMED IT AS THE NUMBER ONE SOCIAL DETERMINANT OF HEALTH. THEY IDENTIFIED A NEED FOR MORE AFFORDABLE HOUSING ACROSS THE SPECTRUM, INCLUDING SUPPORTIVE HOUSING AND TRANSITIONAL HOUSING. THERE IS ALSO A NEED FOR MORE SUPPORT FOR PEOPLE EXPERIENCING HOMELESSNESS. EQUITABLE AND INCLUSIVE HOUSING WAS EXPLICITLY PRIORITIZED.KEY INFORMANTS NOTED FINDING STABLE, AFFORDABLE HOUSING FOR THE FOLLOWING POPULATIONS CAN BE MORE DIFFICULT: FAMILIES WITH CHILDREN, PEOPLE WITH MENTAL HEALTH CHALLENGES, AND PEOPLE WITH A SUBSTANCE USE DISORDER. CAREGIVERS NOTED THAT MOLD AND SUB-STANDARD HOUSING CONDITIONS CONTRIBUTE TO UNHEALTHY AND UNSAFE LIVING CONDITIONS.STRATEGIES TO ADDRESS HOMELESSNESS AND HOUSING INSTABILTY INCLUDE:- MAINTAIN PERMANENT SUPPORTIVE HOUSING PROJECTS PREVIOUSLY ESTABLISHED; PROVIDE SUPPORTIVE SERVICES TO TENANTS- INVEST IN RESPITE AND RECUPERATIVE CARE BEDS COUPLED WITH COMPLEX CARE MANAGEMENT SERVICES- SUPPORT PROGRAMS AND INTERVENTIONS INTENDED TO SERVE THOSE WHO ARE HOMELESS AND PREVENT HOMELESSNESS AMONGST THOSE AT-RISK OF LOSING THEIR HOMES- SUPPORT LOCAL HOMELESS SERVICES PROVIDERS THORUGH GRANTS AND PARTNERSHIPSBEHAVIORAL HEALTH & ACCESS TO CAREMOST KEY INFORMANTS, CAREGIVERS, AND COMMUNITY MEMBERS SPOKE TO A LACK OF BEHAVIORAL HEALTH SERVICES TO MEET NEEDS ACROSS THE CONTINUUM OF CARE, CITING A NEED FOR LOCAL RESIDENTIAL TREATMENT CENTERS, CRISIS SERVICES, LOW-BARRIER SUBSTANCE USE DISORDER (SUD) TREATMENT PROGRAMS, AND MENTAL HEALTH SERVICES IN GENERAL. COMMUNITY MEMBERS AND CAREGIVERS SPOKE TO A NEED FOR MORE MENTAL HEALTH SERVICES AND SUPPORT GROUPS IN SPANISH SPECIFICALLY. EQUITABLE AND INCLUSIVE ACCESS TO BEHAVIORAL HEALTH CARE AND SERVICES WAS EXPLICITLY PRIORITIZED. ALL GROUPS WERE PARTICULARLY CONCERNED ABOUT INCREASED DEPRESSION AND ANXIETY FOR YOUNG PEOPLE, AND MANY SPOKE TO THE IMPORTANCE OF ADDRESSING ADVERSE CHILDHOOD EXPERIENCES (ACES). KEY INFORMANTS NOTED SEEING AN INCREASE IN ALCOHOL USE, SUD, DOMESTIC VIOLENCE, DEATH BY SUICIDE, ISOLATION, OVERDOSES, AND DISTRESS SINCE THE START OF THE PANDEMIC.STRATEGIES TO ADDRESS BEHAVIORAL HEALTH INCLUDE:- CULTURALLY AND LINGUISTICALLY APPROPRIATE PRIMARY PREVENTION CLASSES AND EVENTS AS WELL AS PSYCHOTHERAPY FOR MILD TO MODERATE BEHAVIORAL HEALTH NEEDS- INCREASE ACCESS TO MEDICATION ASSISTED TREATMENT FOR EMERGENCY ROOM PATIENTS VIA THE SUBSTANCE USE NAVIGATOR AND BEHAVIORAL HEALTH NAVIGATOR- PROVIDE COMPREHENSIVE, COMMUNITY BASED INTENSIVE, CASE MANAGEMENT FOR PRIORITY POPULATIONS- MAINTAIN SUPPORT FOR PLACE-BASED COMMUNITY RESOURCE CENTERS IN RURAL POCKETS OF HUMBOLDT COUNTY TO PREVENT SOCIAL ISOLATION AND PROMOTE FAMILY AND COMMUNITY STRENGHTENING- INCREASE LOCAL CAPACITY TO PROVIDE CULTURALLY APPROPRIATE MENTAL HEALTH AND SUD SERVICES WHEN NEEDED (FROM PREVENTION TO CRISIS INTERVENTION)ACCESS TO HEALTH CARE SERVICESCOMMUNITY MEMBERS, CAREGIVERS, AND KEY INFORMANTS EMPHASIZED ACCESSING PRIMARY CARE AND SPECIALTY CARE IS DIFFICULT IN HUMBOLDT COUNTY FOR MANY PEOPLE. LOCAL PRIMARY CARE CLINICS HAVE LIMITED AVAILABILITY AND MANY PATIENTS DRIVE OUT OF HUMBOLDT TO ACCESS PRIMARY AND SPECIALTY CARE. TRANSPORTATION IS A SIGNIFICANT AND PERSISTENT BARRIER TO CARE. MANY PEOPLE LACK SUFFICIENT FUNDS TO TRAVEL OUT OF THE COUNTY TO ACCESS CARE. TO ADDRESS BARRIERS TO CARE, CAREGIVERS SHARED A NEED FOR MORE CULTURALLY MATCHED PROVIDERS, CASE MANAGEMENT, MEDICATION MANAGEMENT, AND WARM HANDOFFS. MANY PROGRAMS THAT PROVIDE SUPPORT HAVE WAITLISTS. EQUITABLE AND INCLUSIVE ACCESS TO CARE WAS EXPLICITLY PRIORITIZED. THERE IS A NEED FOR MORE BILINGUAL, SPANISH-SPEAKING, HEALTH CARE PROVIDERS AND BLACK, BROWN, INDIGENOUS, AND PERSONS OF COLOR (BBIPOC) PROVIDERS. ADDITIONALLY, DENTAL CARE WAS HIGHLIGHTED AS A MAJOR AND FRUSTRATING CHALLENGE FOR MANY PEOPLE IN HUMBOLDT COUNTY, WITH FEW LOCAL DENTAL PROVIDERS AND DIFFICULTY AFFORDING AND ACCESSING SERVICES. THE COSTS AND TIME ASSOCIATED WITH TRAVEL OUT OF THE AREA IS BURDENSOME.STRATEGIES TO ADDRESS ACCESS TO CARE INCLUDE:- INCREASE ACCESS TO CANCER CARE AT ST. JOSEPH HOSPITAL BY PROVIDING TEMPORARY LODGING, TRANSPORTATION ASSISTANCE AND OTHER SUPPORTIVE SERVICES- IMPROVE ACCESS TO FOLLOW UP CARE AND SDOH SUPPORTS FOR PATIENTS RECENTLY DISCHARGED FROM THE HOSPITAL WITH CRHONIC HEALTH CONDITIONS- IMPROVE BIRTH EQUITY FOR PRIORITY POPULATIONS VIA MULTIPLE STRATEGIES INCLUDING INCREASE THE CAPACITY OF INDIGENOUS DOULAS- CONTINUE TO SUPPORT PROGRAMS THAT DEPLOY COMMUNITY HEALTH WORKERS, NAVIGATORS AND SOCIAL WORKERS TO PROVIDE ENROLLMENT, NAVIGATION, CARE COORDINATION SERVICES AND TRANSPORTATION- INCREASE ACCESS TO SPECIALTY CARE AND PROCEDURES FOR UNINSURED- CONTINUE TO SUPPORT ACCESS TO DENTAL CARE IN HUMBOLDT COUNTY; INCLUDES PREVENTIONFOOD INSECURITYKEY INFORMANTS HIGHLIGHTED FOOD INSECURITY AS A KEY NEED AND SIGNIFICANT IN MANY PARTS OF HUMBOLDT COUNTY. KEY INFORMANTS AND CAREGIVERS NOTED MORE RURAL OR ISOLATED PARTS OF THE COUNTY DO NOT HAVE ACCESS TO AFFORDABLE, HEALTHY FOOD OPTIONS. PEOPLE MAY HAVE TO USE THEIR CALFRESH BENEFITS TO BUY FOOD AT GAS STATIONS. COMMUNITY MEMBERS WOULD LIKE TO SEE MORE FOOD RESOURCES AND PANTRIES, PARTICULARLY IN COMMUNITIES BESIDES EUREKA. FOOD PROGRAMS FOR FAMILIES WITH CHILDREN OVER FIVE YEARS IS ALSO NEEDED. EQUITABLE AND INCLUSIVE ACCESS TO HIGH QUALITY FOOD WAS EXPLICITLY PRIORITIZED.STRATEGIES TO ADDRESS FOOD INSECURITY INCLUDE:- OPERATE FOOD PANTRIES AND FOOD PROGRAMS IN ISOLATED COMMUNITIES IN PARTNERSHIP WITH FOOD FOR PEOPLE- SUPPORT AND BUILD CAPACITY IN LOCAL FOOD SECURITY PROGRAMS- SUPPORT AND BUILD CAPACITY FOR LOCAL SCHOOL FARMS AND COMMUNITY GARDENS THAT EMPHASIZE FOOD SOVEREIGNTY AND CULTURALLY RELEVANT FOODSFULL DETAIL OF STRATEGIES TO ADDRESS COMMUNITY HEALTH NEEDS CAN FOUND IN THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) HERE: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSNEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN FULLY ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WHILE ST. JOSEPH HOSPITAL WILL EMPLOY STRATEGIES TO ADDRESS EACH OF THE FOUR SIGNIFICANT HEALTH NEEDS THAT WERE PRIORITIZED DURING THE CHNA PROCESS, PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND GOVERNMENT AGENCIES ARE CRITICAL FOR ACHIEVING THE ESTABLISHED GOALS.ST. JOSEPH HOSPITAL WILL COLLABORATE WITH OPEN DOOR COMMUNITY HEALTH CENTERS, THE PUBLIC HEALTH DEPARTMENT, HUMBOLDT STATE UNIVERSITY, THE HUMBOLDT NETWORK OF FAMILY RESOURCE CENTERS, LOCAL PHILANTHROPY, AND OTHERS TO ADDRESS THE COMMUNITY NEEDS AND COORDINATE CARE AND REFERRALS TO ADDRESS UNMET NEEDS.FURTHERMORE, REDWOOD MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL WILL ENDORSE LOCAL NON-PROFIT ORGANIZATION PARTNERS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT REDWOOD MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL SERVICE AREAS.
SJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 11 (CONT):	THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW:WHILE WE COULD NOT PRIORITIZE ALL OF THE NEEDS IDENTIFIED, WE WILL BE ABLE TO AFFECT MANY OF THE NEEDS BY WORKING ON ROOT CAUSE. FOR EXAMPLE, HEART DISEASE IS NOT A PRIORITY NEED, BUT WE WILL IMPACT THIS HEALTH OUTCOME BY FOCUSING OUR EFFORTS ON PROMOTING GOOD NUTRITION AND FOOD SECURITY. DENTAL CARE IS NOT A PRIORITIZED NEED BUT REDWOOD MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL IS COMMITTED TO WORKING WITH PARTNERS ON THE MULTI-YEAR DENTAL TRANSFORMATION GRANT OUR PUBLIC HEALTH DEPARTMENT RECEIVED FROM THE CA DEPARTMENT OF HEALTH CARE SERVICES. ADDITIONALLY, REDWOOD MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL DOES NOT HAVE A PROGRAM IN PLACE TO DIRECTLY PREVENT ASTHMA OCCURRENCE IN OUR SERVICE AREA; HOWEVER, WE PARTNER WITH SEVERAL ENTITIES, INCLUDING THE PUBLIC HEALTH DEPARTMENT THAT DO ADDRESS ASTHMA PREVENTION. FURTHERMORE, OUR EFFORTS TO IMPROVE THE QUALITY OF HOUSING IN OUR SERVICE HAS THE POTENTIAL TO IMPACT ASTHMA OCCURRENCE.IN ADDITION, REDWOOD MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL WILL COLLABORATE WITH LOCAL ORGANIZATION(S) THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL AND ADDRESS THESE UNMET NEEDS.
SJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 16A:	FINANCIAL ASSISTANCE POLICY HTTPS://WWW.PROVIDENCE.ORG/OBP/NORCAL/FINANCIAL-ASSISTANCEQUEEN OF THE VALLEY MEDICAL CENTER - PART V, SECTION B, LINE 16A:FINANCIAL ASSISTANCE POLICY HTTPS://WWW.PROVIDENCE.ORG/OBP/NORCAL/FINANCIAL-ASSISTANCESJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 16B:FINANCIAL ASSISTANCE APPLICATION HTTPS://WWW.PROVIDENCE.ORG/OBP/NORCAL/FINANCIAL-ASSISTANCEQUEEN OF THE VALLEY MEDICAL CENTER - PART V, SECTION B, LINE 16B:FINANCIAL ASSISTANCE APPLICATION HTTPS://WWW.PROVIDENCE.ORG/OBP/NORCAL/FINANCIAL-ASSISTANCESJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 16C:PLAIN LANGUAGE SUMMARY HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCEQUEEN OF THE VALLEY MEDICAL CENTER - PART V, SECTION B, LINE 16C:PLAIN LANGUAGE SUMMARY:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - NKM - GASTROENTEROLOGY & RHEUMATOLOGY
2752 HARRISON AVE STE A2	EUREKA	CA	95501	SPECIALTY CLINIC
2 - NQM - DENTAL
3488 VILLA LANE STE 102	NAPA	CA	94558	SPECIALTY CLINIC
3 - NRM - ST JOSEPH HEALTH RURAL HEALTH CLIN
3302 RENNER DR	FORTUNA	CA	955407103	SPECIALTY CLINIC
4 - NSM - LAB
110 LYNCH CREEK WAY STE B	PETALUMA	CA	95401	SPECIALTY CLINIC

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
PART I, LINE 6A:	SANTA ROSA MEMORIAL HOSPITALSANTA ROSA MEMORIAL HOSPITAL PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT:HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/NORCAL/SANTA-ROSA-MEMORIAL-HOSPITAL/COMMUNITY-SUPPORTREDWOOD MEMORIAL HOSPITALREDWOOD MEMORIAL HOSPITAL PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/NORCAL/REDWOOD-MEMORIAL/COMMUNITY-SUPPORTST. JOSEPH HOSPITAL OF EUREKAST. JOSEPH HOSPITAL OF EUREKA PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT:HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/NORCAL/ST-JOSEPH-HOSPITAL-EUREKA/COMMUNITY-SUPPORTQUEEN OF THE VALLEY MEDICAL CENTERQUEEN OF THE VALLEY MEDICAL CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE ATHTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/NORCAL/QUEEN-OF-THE-VALLEY/ABOUT-US/COMMUNITY-OUTREACH
PART I, LINE 7:	THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING WORKSHEET 2, A COST-TO-CHARGE RATIO AND GENERAL LEDGER.
PART I, LINE 7G:	NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
PART III, LINE 4:	AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019.
PART III, LINE 8:	THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
PART III, LINE 9B:	COLLECTION ACTIVITYOUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE AND WHILE PENDING A FINAL DETERMINATION FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:	NEEDS ASSESSMENT:SANTA ROSA MEMORIAL HOSPITALTHROUGH A MIXED-METHODS APPROACH USING QUANTITATIVE AND QUALITATIVE DATA, OUR CHNA PROCESS USED SEVERAL SOURCES OF INFORMATION TO IDENTIFY COMMUNITY NEEDS. ACROSS SONOMA COUNTY, INFORMATION COLLECTED INCLUDES PUBLIC HEALTH DATA REGARDING HEALTH BEHAVIORS, MORBIDITY AND MORTALITY, AND HOSPITAL-LEVEL DATA. IN 2019, ST. JOSEPH HEALTH SONOMA PARTNERED WITH SUTTER HEALTH AND KAISER PERMANENTE TO GATHER DATA FROM LISTENING SESSIONS AND INTERVIEWS WITH DIVERSE, LOW-INCOME AND MEDICALLY UNDERSERVED COMMUNITIES IN SONOMA COUNTY. IN 2020, INDIVIDUAL STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE THESE POPULATIONS TO BETTER UNDERSTAND THE IMPACTS OF COVID-19 IN OUR COMMUNITIES. IN ADDITION, STAKEHOLDER PARTICIPATION IN HEALTH ACTION SONOMA COUNTY, A MULTISECTOR COLLABORATIVE, ENSURES ONGOING ASSESSMENT TO ADDRESS SIGNIFICANT NEEDS AS THEY ARISE THROUGHOUT THE YEAR.REDWOOD MEMORIAL HOSPITALIN ADDITION TO THE CHNA, ADDITIONAL COMMUNITY NEEDS EMERGE OVER TIME. TO ENSURE A CONTINUOUS CONNECTION TO EMERGING COMMUNITY NEEDS, REDWOOD MEMORIAL HOSPITAL, FORTUNA COMMUNITY BENEFIT STAFF ARE CORE MEMBERS OF MULTIPLE CROSS-SECTOR COLLABORATIVES INCLUDING AN ACCOUNTABLE COMMUNITY FOR HEALTH, COAD AND LIVE WELL HUMBOLDT (LWH). HUMBOLDT COUNTY PUBLIC HEALTH SERVES AS THE BACKBONE ORGANIZATION OF LWH, AND THIS PUBLIC AND PRIVATE SECTOR COLLABORATIVE CONSISTS OF OVER 20 AGENCIES. FRONTLINE CB CAREGIVERS ALSO PROVIDE ONGOING INFORMATION AND FEEDBACK ABOUT NEEDS THEIR CLIENTS FACE IN REAL TIME. THE ORGANIZATION ALSO PARTNERS WITH CAL POLY HUMBOLDT, COLLEGE OF THE REDWOODS AND OTHER NONPROFITS TO CONDUCT SURVEYS OF VULNERABLE POPULATIONS. IN ADDITION TO LWH, REDWOOD MEMORIAL HOSPITAL, FORTUNA STRATEGIC SERVICES CONDUCT ANALYSIS AND REPORT ON COMMUNITY NEEDS AND TRENDS.ST. JOSEPH HOSPITAL OF EUREKAIN ADDITION TO THE CHNA, ADDITIONAL COMMUNITY NEEDS EMERGE OVER TIME. TO ENSURE A CONTINUOUS CONNECTION TO EMERGING COMMUNITY NEEDS, ST. JOSEPH HOSPITAL COMMUNITY BENEFIT STAFF ARE CORE MEMBERS OF MULTIPLE CROSS-SECTOR COLLABORATIVES INCLUDING AN ACCOUNTABLE COMMUNITY FOR HEALTH, COAD AND LIVE WELL HUMBOLDT (LWH). HUMBOLDT COUNTY PUBLIC HEALTH SERVES AS THE BACKBONE ORGANIZATION OF LWH, AND THIS PUBLIC AND PRIVATE SECTOR COLLABORATIVE CONSISTS OF OVER 20 AGENCIES. FRONTLINE CB CAREGIVERS ALSO PROVIDE ONGOING INFORMATION AND FEEDBACK ABOUT NEEDS THEIR CLIENTS FACE IN REAL TIME. THE ORGANIZATION ALSO PARTNERS WITH CAL POLY HUMBOLDT, COLLEGE OF THE REDWOODS AND OTHER NONPROFITS TO CONDUCT SURVEYS OF VULNERABLE POPULATIONS. IN ADDITION TO LWH, ST. JOSEPH HOSPITAL STRATEGIC SERVICES CONDUCT ANALYSIS AND REPORT ON COMMUNITY NEEDS AND TRENDS.QUEEN OF THE VALLEY MEDICAL CENTERIN ADDITION TO THE CHNA, ADDITIONAL COMMUNITY NEEDS EMERGE OVER TIME. TO ENSURE A CONTINUOUS CONNECTION TO EMERGING COMMUNITY NEEDS, QUEEN OF THE VALLEY COMMUNITY BENEFIT STAFF ARE CORE MEMBERS OF LIVE HEALTHY NAPA COUNTY (LHNC). NAPA COUNTY PUBLIC HEALTH SERVES AS THE BACKBONE ORGANIZATION OF LHNC, AND THIS PUBLIC AND PRIVATE SECTOR COLLABORATIVE CONSISTS OF OVER 40 AGENCIES. LHNC MEETS REGULARLY, HAS A WEB SITE AND SENDS ELECTRONIC NEWSLETTERS AND UPDATES FOR ANY URGENT COMMUNITY NEEDS THAT ARISE BETWEEN MEETINGS. QUEEN OF THE VALLEY IS ALSO ACTIVE IN THE NAPA VALLEY COMMUNITY ORGANIZATIONS ACT DEVELOPS AND ENHANCES PARTNERSHIPS FOR COMMUNICATION, COORDINATION AND COLLABORATION AMONGST THE WHOLE COMMUNITY DURING ALL PHASES OF DISASTER. NAPA'S COMMUNITY LEADERS COALITION WORKS TO MOBILIZE COMMUNITY LEADERS TO COLLECTIVELY ADVOCATE FOR THE NEEDS OF VULNERABLE POPULATIONS THROUGHOUT NAPA COUNTY. QUEEN OF THE VALLEY STRATEGIC SERVICES CONTINUOUSLY CONDUCTS ANALYSIS AND REPORTS ON COMMUNITY NEEDS AND TRENDS.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS.WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS.
PART VI, LINE 4:	SANTA ROSA MEMORIAL HOSPITALSANTA ROSA MEMORIAL HOSPITAL (SRMH), FOUNDED BY THE SISTERS OF ST. JOSEPH OF ORANGE, HAS BEEN SERVING THE HEALTHCARE NEEDS OF FAMILIES IN THE COMMUNITY FOR MORE THAN 60 YEARS. DURING THIS TIME, ITS MISSION HAS REMAINED THE SAME: TO CONTINUALLY IMPROVE THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES SERVED. PART OF A LARGER HEALTHCARE SYSTEM KNOWN AS PROVIDENCE ST. JOSEPH HEALTH (PSJH), SRMH IS PART OF A COUNTYWIDE DELIVERY NETWORK THAT INCLUDES THREE HOSPITALS, URGENT CARE FACILITIES, HOSPICE, HOME HEALTH SERVICES, AND OTHER FACILITIES FOR TREATING THE HEALTHCARE NEEDS OF THE COMMUNITY IN SONOMA COUNTY AND THE REGION. THE MINISTRY'S CORE FACILITIES ARE PETALUMA VALLEY HOSPITAL (PVH), AN 80-BED ACUTE CARE HOSPITAL, SANTA ROSA MEMORIAL HOSPITAL, A FULL SERVICE, STATE OF THE ART 330-BED ACUTE CARE HOSPITAL THAT INCLUDES A LEVEL II TRAUMA CENTER FOR THE COASTAL REGION FROM SAN FRANCISCO TO THE OREGON BORDER, AND HEALDSBURG HOSPITAL, A 43-BED CRITICAL ACCESS HOSPITAL AND CERTIFIED STROKE CENTER. MAJOR PROGRAMS AND SERVICES INCLUDE CRITICAL CARE, CARDIOVASCULAR CARE, STROKE CARE, WOMEN'S AND CHILDREN'S SERVICES, CANCER CARE, AND ORTHOPEDICS. SRMH IS HOME TO THE NORMA & EVERT PERSON HEART & VASCULAR INSTITUTE AND THE UCSF NEONATAL INTENSIVE CARE NURSERY. SRMH PROVIDES SOUTHERN MENDOCINO, NORTHERN MARIN, AND SONOMA COUNTIES' COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL'S SERVICE AREA EXTENDS FROM UKIAH IN THE NORTH, MARSHALL IN THE SOUTH, SONOMA VALLEY IN THE EAST AND BODEGA BAY IN THE WEST. SRMH'S TOTAL SERVICE AREA (TSA) INCLUDES THE CITIES OF SANTA ROSA, PETALUMA, SEBASTOPOL, WINDSOR, HEALDSBURG, ROHNERT PARK, COTATI, SONOMA, CLOVERDALE, UKIAH, AND POINT ARENA.DEFINING THE COMMUNITY:SONOMA COUNTY IS A LARGE, URBAN-RURAL COUNTY ENCOMPASSING 1,575 SQUARE MILES. SONOMA COUNTY RESIDENTS INHABIT NINE CITIES AND A LARGE UNINCORPORATED AREA, INCLUDING MANY GEOGRAPHICALLY ISOLATED COMMUNITIES. THE MAJORITY OF THE COUNTY'S POPULATION RESIDES WITHIN ITS CITIES, THE LARGEST OF WHICH ARE CLUSTERED ALONG THE HIGHWAY 101 CORRIDOR. SANTA ROSA IS THE LARGEST CITY WITH A POPULATION ESTIMATED TO BE NEARLY 171,000 IN 2012 AND IS THE SERVICE HUB FOR THE ENTIRE COUNTY AND THE LOCATION OF THE COUNTY'S THREE MAJOR HOSPITALS. AT LEAST PART OF SONOMA COUNTY, CALIFORNIA, IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA (MUA). THE AREA IS 0.8 SQUARE MILES AND IS LOCATED NEAR DOWNTOWN SANTA ROSA. THE CLOVERDALE AREA IN SONOMA COUNTY IS A DESIGNATED PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA (PC-HSPA). SRMH PROVIDES SONOMA COUNTY COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL IS LOCATED IN DOWNTOWN SANTA ROSA, ABOUT 55 MILES NORTH OF SAN FRANCISCO JUST OFF THE HIGHWAY 101 CORRIDOR IN CENTRAL SONOMA COUNTY. SRMH'S PRIMARY SERVICE AREA IS LIMITED TO A TIGHT RADIUS, BUT ITS SECONDARY SERVICE AREA COMPRISES THE ENTIRE COUNTY, PLUS NORTHERN MARIN COUNTY AND SOUTHERN MENDOCINO COUNTY. THE CHNA PROCESS AND DATA GATHERING ADDRESSES SONOMA COUNTY.SRMH TOTAL SERVICE AREA:THE COMMUNITY SERVED BY SRMH IS DEFINED BASED ON THE GEOGRAPHIC ORIGINS OF SRMH'S INPATIENTS. THE SRMH TOTAL SERVICE AREA IS COMPRISED OF BOTH THE PRIMARY SERVICE AREA (PSA) AS WELL AS THE SECONDARY SERVICE AREA (SSA) AND IS ESTABLISHED BASED ON THE FOLLOWING CRITERIA:- PSA: 70% OF DISCHARGES (EXCLUDING NORMAL NEWBORNS)- SSA: 71%-85% OF DISCHARGES (DRAW RATES PER ZIP CODE ARE CONSIDERED AND PSA/SSA ARE MODIFIED ACCORDINGLY)- INCLUDES ZIP CODES FOR CONTINUITY- NATURAL BOUNDARIES ARE CONSIDERED (I.E., FREEWAYS, MOUNTAIN RANGES, ETC.)- CITIES ARE PLACED IN PSA OR SSA, BUT NOT BOTH THE PSA IS THE GEOGRAPHIC AREA FROM WHICH THE MAJORITY OF SRMH'S PATIENTS ORIGINATE. THE CITIES AND TOWNS IN THE SRMH PSA INCLUDE SANTA ROSA, SEBASTOPOL, WINDSOR, FORESTVILLE, ROHNERT PARK AND COTATI/PENNGROVE. THE SSA IS WHERE AN ADDITIONAL POPULATION OF THE HOSPITAL'S INPATIENTS RESIDE. THE SSA INCLUDES ALL OF SONOMA COUNTY, UKIAH TO THE NORTH IN MENDOCINO COUNTY, AND NORTHERN MARIN COUNTY TO THE SOUTH.OTHER HOSPITALS IN SERVICE AREATHE MINISTRY'S SERVICE AREA IS ALSO SERVED BY SUTTER SANTA ROSA REGIONAL HOSPITAL AND KAISER PERMANENTE SANTA ROSA MEDICAL CENTER AND MEDICAL OFFICES.REDWOOD MEMORIAL HOSPITALBASED ON THE AVAILABILITY OF DATA, GEOGRAPHIC ACCESS TO THE FACILITY, AND OTHER HOSPITALS IN NEIGHBORING COUNTIES, HUMBOLDT COUNTY SERVES AS THE BOUNDARY FOR THE HOSPITAL SERVICE AREA.ST. JOSEPH AND REDWOOD MEMORIAL HOSPITAL PROVIDE HUMBOLDT COUNTY COMMUNITIES WITH ACCESS TO ADVANCED AND COMPASSIONATE CARE. THE HOSPITAL'S COMMUNITY EXTENDS FROM THE HUMBOLDT-DEL NORTE COUNTY LINE IN THE NORTH, GARBERVILLE IN THE SOUTH, WILLOW CREEK, HOOPA, AND BRIDGEVILLE IN THE EAST AND IS BORDERED BY THE PACIFIC OCEAN IN THE WEST. THIS INCLUDES A POPULATION OF APPROXIMATELY 137,000 PEOPLE.TO FACILITATE IDENTIFYING HEALTH DISPARITIES AND SOCIAL INEQUITIES BY PLACE, WE DESIGNATED A "HIGH NEED" SERVICE AREA AND A "BROADER" SERVICE AREA, WHICH TOGETHER MAKE UP THE HUMBOLDT COUNTY SERVICE AREA. BASED ON WORK DONE BY THE PUBLIC HEALTH ALLIANCE OF SOUTHERN CALIFORNIA AND THEIR HEALTHY PLACES INDEX (HPI) TOOL, WE IDENTIFIED THE HIGH NEED SERVICE AREA BASED ON INCOME, EDUCATION, ENGLISH PROFICIENCY, AND LIFE EXPECTANCY.FOR THIS ANALYSIS, CENSUS TRACKS WITH MORE PEOPLE BELOW 200% FEDERAL POVERTY LEVEL (FPL), MORE PEOPLE WITHOUT A HIGH SCHOOL DIPLOMA, MORE LIMITED ENGLISH HOUSEHOLDS, AND A LOWER LIFE EXPECTANCY AT BIRTH WERE IDENTIFIED AS "HIGH NEED." THE MEAN VALUE OF NEAREST NEIGHBORS WAS USED TO INSERT MISSING DATA FOR VARIABLES BY WAY OF THE NEIGHBORHOOD SUMMARY STATISTICS GEOPROCESSING TOOL IN ARCGIS PRO 3.1. ALL VARIABLES WERE WEIGHTED EQUALLY. THE CENSUS TRACTS WERE ASSIGNED A SCORE BETWEEN 0 AND 100 WHERE 0 REPRESENTS THE CENSUS TRACT WITH THE LOWEST NEED AND 100 REPRESENTS THE HIGHEST NEED, ACCORDING TO THE CRITERIA. CENSUS TRACTS THAT SCORED HIGHER THAN THE AVERAGE WERE CLASSIFIED AS A HIGH NEED SERVICE AREA AND ARE DEPICTED IN GREEN. IN THE HUMBOLDT SERVICE AREA, 20 OF 35 CENSUS TRACTS (57%) SCORED ABOVE THE AVERAGE OF 62.5 ON THE PROVIDENCE NEED INDEX (PNI), INDICATING A HIGH NEED.MORE OF THE POPULATION THAT IDENTIFIES AS HISPANIC IS IN THE HIGH NEED SERVICE AREA (14.5%) COMPARED TO THE OVERALL POPULATION OF HISPANIC PEOPLE LIVING IN HUMBOLDT COUNTY (12.3%), INDICATING A DISPARITY. SIMILARLY, THE FOLLOWING RACIAL GROUPS ARE OVERREPRESENTED IN THE HIGH NEED SERVICE AREA COMPARED TO THE OVERALL POPULATION LIVING IN HUMBOLDT COUNTY: AMERICAN INDIAN, ASIAN, BLACK OR AFRICAN AMERICAN, NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, OTHER OR TWO OR MORE RACES.A SIGNIFICANT DISPARITY IN MEDIAN INCOME EXISTS IN HUMBOLDT COUNTY BETWEEN HOUSEHOLDS IN THE HIGH NEED SERVICE AREA VERSUS THOSE IN THE BROADER SERVICE AREA (A DIFFERENCE OF $18,263). BUT AN EVEN GREATER DISPARITY IN MEDIAN INCOME EXISTS BETWEEN HOUSEHOLDS IN HUMBOLDT COUNTY VERSUS THE STATE OF CALIFORNIA (A DIFFERENCE OF $29,855).HUMBOLDT COUNTY AS A WHOLE (32.6%) AND THE HIGH NEED SERVICE AREA (34.6%) ALSO HAVE A GREATER PERCENTAGE OF RENTER HOUSEHOLDS SPENDING MORE THAN 50% OF INCOME ON HOUSING COSTS THAN THE STATE OF CALIFORNIA (26.3%). THIS INDICATES A SEVERE HOUSING COST BURDEN. COUNTY HEALTH RANKINGS AND ROADMAPS EXPLAINS THE LINK BETWEEN HEALTH AND HOUSING IN THE FOLLOWING WAY: "THERE IS A STRONG AND GROWING EVIDENCE BASE LINKING STABLE AND AFFORDABLE HOUSING TO HEALTH. AS HOUSING COSTS HAVE OUTPACED LOCAL INCOMES, HOUSEHOLDS NOT ONLY STRUGGLE TO ACQUIRE AND MAINTAIN ADEQUATE SHELTER, BUT ALSO FACE DIFFICULT TRADE-OFFS IN MEETING OTHER BASIC NEEDS. WHEN THE MAJORITY OF A PAYCHECK GOES TOWARD THE RENT OR MORTGAGE, IT MAKES IT HARD TO AFFORD DOCTOR VISITS, HEALTHY FOODS, UTILITY BILLS, AND RELIABLE TRANSPORTATION TO WORK OR SCHOOL. THIS CAN, IN TURN, LEAD TO INCREASED STRESS LEVELS AND EMOTIONAL STRAIN."HEALTH PROFESSIONS SHORTAGE AREA:HUMBOLDT COUNTY IS A HEALTH PROFESSIONAL SHORTAGE AREA IN THE AREAS OF PRIMARY CARE, MENTAL HEALTH AND DENTAL HEALTH. IT IS RURAL AND A MEDICALLY UNDERSERVED AREA. REDWOOD MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL ARE LOCATED IN A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA), WITH HUMBOLDT COUNTY HAVING FOUR DESIGNATED HIGH NEED HPSAS FOR PRIMARY CARE.A MAJORITY OF THE COUNTY IS DESIGNATED AS A DENTAL HEALTH HPSA, AND ALL OF THE COUNTY IS DESIGNATED AS A MENTAL HEALTH HPSA. ADDITIONALLY, THE FOLLOWING FACILITIES ARE ALL DESIGNATED HPSA FOR PRIMARY CARE, DENTAL HEALTH, AND MENTAL HEALTH: KARUK TRIBE OF CALIFORNIA CLINIC-ORLEANS, K'IMA W MEDICAL CENTER, OPEN DOOR COMMUNITY HEALTH CENTERS, POTAWOT HEALTH VILLAGE, SOUTHERN TRINITY HEALTH SERVICES, EUREKA HEALTH CENTER, AND REDWOODS RURAL HEALTH CENTER, INCORPORATED.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH:SANTA ROSA MEMORIAL HOSPITAL (1), QUEEN OF THE VALLEY MEDICAL CENTER (2), REDWOOD MEMORIAL HOSPITAL (3) AND ST. JOSEPH HOSPITAL OF EUREKA (4)THE HOSPITAL PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. THE HOSPITAL IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) A COMMUNITY BENEFIT COMMITTEE THAT HAS COMMUNITY REPRESENTATION AND IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES2) OPEN MEDICAL STAFF3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.
PART VI, LINE 6:	AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND.THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES.WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORTENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSPROVIDENCE CONTINUES TO EXECUTE ON OUR INTEGRATED STRATEGIC AND FINANCIAL PLAN, WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THE IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES AND REDUCE OUR CARBON FOOTPRINT IN THE COMMUNITIES WE SERVE. PROVIDENCE ADVANCES PROGRESS ON OUR CARBON NEGATIVE GOAL AND IN 2023 WE ESTIMATED THAT WE DECREASED EMISSIONS BY OVER 12 PERCENT COMPARED TO OUR 2019 BASELINE. IN ADDITION, OUR EFFORTS LED TO THE INTRODUCTION OF THE GREEN HOSPITALS ACT, LEGISLATION MODELED AFTER PROVIDENCE THAT WOULD PROVIDE CRITICAL FEDERAL FUNDING TO WEATHERIZE AND MODERNIZE HEALTH CARE FACILITIES. PROVIDENCE COMPLETED A COMPREHENSIVE CLIMATE RESILIENCE PLAN IN ALIGNMENT WITH OUR COMMITMENT TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES CLIMATE PLEDGE. WE CONTINUE TO REDUCE GREENHOUSE GAS EMISSIONS WITH A FOCUS ON LED LIGHTING UPGRADES, WATER CONSERVATION, MORE EFFICIENT DELIVERY OF NITROUS OXIDE GAS DURING ANESTHESIA, AND ADVANCING OUR WASTE OPTIMIZATION WORK ACROSS ALL HOSPITALS AND CLINICS.THE FOLLOWING ARE KEY EXAMPLES OF HOW WE ARE INVESTING IN ADVANCING THE HEALTH OF OUR COMMUNITIES: ST. JOSEPH FUND:ST. JOSEPH FUND (SJF) IS PROVIDENCE'S GRANTMAKING FOUNDATION. IT INVESTS IN AND FOSTERS LONG-TERM PARTNERSHIPS, ROOTED IN LOVE, WITH COMMUNITIES TO ENSURE THEY ARE LIVELY, HOPEFUL, HEALTHY, AND JUST.ITS PARTNERSHIPS ARE TAILORED TO PROVIDE EACH GROUP WITH CAPACITY-BUILDING SUPPORT SPECIFIC TO THEIR NEEDS. TOGETHER, THEY BUILD RELATIONSHIPS AND FOSTER ONGOING DIALOGUES BEYOND A GRANT TERM. EACH PARTNERSHIP ENCOURAGES THE ACCESSIBILITY OF STAFF TO GENERATE IDEAS AND INNOVATIONS.SJF INVESTS IN REGIONAL NONPROFITS AND COLLABORATIVES ACROSS ALASKA, CALIFORNIA, MONTANA, OREGON, AND WASHINGTON TO STRENGTHEN AND BUILD THE POWER OF COMMUNITIES, FOCUSING ON BUILDING COMMUNITY IN FOUR KEY AREAS:- DISASTER RESPONSE AND RESILIENCE- LIFELONG EDUCATION THAT OPENS DOORS- POSITIVE CHANGE THROUGH COMMUNITY POWER- COMMUNITY HEALING AND RESILIENCECAPACITY BUILDING IS AT THE CENTER OF SJF'S WORK. BY THAT, IT MEANS INFRASTRUCTURE DEVELOPMENT, INTERNAL ASSESSMENTS, RESEARCH, TRAINING, COHORT LEARNING, EXAMINING POLICIES AND PROCEDURES, AND MORE TO ENCOMPASS THE BUILDING BLOCKS FOR ORGANIZATIONAL POWER TO CARRY FORTH DIRECT COMMUNITY AND SOCIAL IMPACT. IT PARTNERS WITH COMMUNITY MEMBERS TO GO THE DISTANCE WITH THEM TOWARD WHOLENESS. THE SJF DOESN'T JUST FUND INITIATIVES IT REMAINS PARTNERS LONG AFTER THE GRANT FUNDS HAVE BEEN EXPENDED. SJF LEADERS AND THOSE AT THEIR NONPROFIT PARTNERS EACH HAVE LIVED EXPERIENCE AND UNDERSTAND THE NEEDS OF UNDERSERVED COMMUNITIES. THE SJF TEAM IS MOTIVATED BY COMPASSION, KINDNESS, AND THE DESIRE TO BENEFIT OTHERS AND BELIEVES THIS LEADS TO MORE POSITIVE OUTCOMES AND CREATES A SENSE OF FULFILLMENT AND SATISFACTION.ABOVE ALL, SJF BELIEVES IN THE POWER OF THE COMMUNITY.IT CELEBRATES AND CENTERS COMMUNITY EXPERTISE AND EXPERIENCE. IT LISTENS TO THEIR WISDOM. IT UNDERSTANDS THEIR NEEDS. AND IT INVESTS IN THEIR OPPORTUNITIES. SJF ENVISIONS WORKING AND LIVING TOGETHER IN LIVELY, HOPEFUL, HEALTHY, AND JUST COMMUNITIES. THE SJF INVESTS IN LONG-TERM PARTNERSHIPS ROOTED IN LOVE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/INITIATIVES/ST-JOSEPH-FUNDINVESTING IN OUR COMMUNITIES IS AN ESSENTIAL WAY WE LIVE OUR MISSIONFOR GENERATIONS, THE PROVIDENCE FAMILY OF ORGANIZATIONS HAS SERVED AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. GUIDED BY COMMUNITY HEALTH NEEDS ASSESSMENTS, WE CONTINUE OUR LONGSTANDING COMMITMENT TO THOSE IN NEED THROUGH COMMUNITY BENEFIT AND OTHER HIGH-IMPACT INVESTMENTS.OUR INVESTMENTS GO BEYOND THE WALLS OF OUR HOSPITALS AND CLINICS AND DEEP INTO COMMUNITIES TO SUPPORT ORGANIZATIONS AND CAUSES THAT SERVE THOSE IN NEED; ADDRESS GAPS IN SERVICES AND RESOURCES THAT CONTRIBUTE TO OVERALL HEALTH; AND ENHANCE CARE DELIVERY WITH INNOVATIVE SOLUTIONS TO HEALTH CARE'S BIGGEST CHALLENGES. THIS IS HOW WE INVEST IN HEALTH TODAY TO CREATE A BETTER FUTURE. BELOW WE HIGHLIGHT KEY EXAMPLES.
PART VI, LINE 7, REPORTS FILED WITH STATES	CA
SCHEDULE H, PART VI, LINE 4 (CONTINUED):	REDWOOD MEMORIAL HOSPITAL (CONTINUED)MEDICAL UNDERSERVED AREA/MEDICAL PROFESSIONAL SHORTAGE AREA:MEDICALLY UNDERSERVED AREAS (MUAS) AND MEDICALLY UNDERSERVED POPULATIONS (MUPS) ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATIONS THAT DEMONSTRATE A SHORTAGE OF HEALTH CARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING THE COMMUNITY HEALTH CENTER FUND TO THE AREAS OF GREATEST NEED. MUAS ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND WITH NATIONAL AVERAGES TO DETERMINE AN AREA'S LEVEL OF MEDICAL "UNDER SERVICE." MUPS ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MUAS AND MUPS ARE PERMANENTLY SET AND NO RENEWAL PROCESS IS NECESSARY. THERE ARE MUAS IN HUMBOLDT COUNTY, BUT NO MUPS.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN HUMBOLDT COUNTY INCLUDE ST. JOSEPH HOSPITAL IN EUREKA, MAD RIVER COMMUNITY HOSPITAL IN ARCATA AND JEROLD PHELPS COMMUNITY HOSPITAL IN GARBERVILLE.
SCHEDULE H, PART VI, LINE 4 (CONTINUED):	ST. JOSEPH HOSPITAL OF EUREKACOMMUNITY INFORMATION:BASED ON THE AVAILABILITY OF DATA, GEOGRAPHIC ACCESS TO THE FACILITY, AND OTHER HOSPITALS IN NEIGHBORING COUNTIES, HUMBOLDT COUNTY SERVES AS THE BOUNDARY FOR THE HOSPITAL SERVICE AREA.ST. JOSEPH AND REDWOOD MEMORIAL HOSPITAL PROVIDE HUMBOLDT COUNTY COMMUNITIES WITH ACCESS TO ADVANCED AND COMPASSIONATE CARE. THE HOSPITAL'S COMMUNITY EXTENDS FROM THE HUMBOLDT-DEL NORTE COUNTY LINE IN THE NORTH, GARBERVILLE IN THE SOUTH, WILLOW CREEK, HOOPA, AND BRIDGEVILLE IN THE EAST AND IS BORDERED BY THE PACIFIC OCEAN IN THE WEST. THIS INCLUDES A POPULATION OF APPROXIMATELY 137,000 PEOPLE.TO FACILITATE IDENTIFYING HEALTH DISPARITIES AND SOCIAL INEQUITIES BY PLACE, WE DESIGNATED A "HIGH NEED" SERVICE AREA AND A "BROADER" SERVICE AREA, WHICH TOGETHER MAKE UP THE HUMBOLDT COUNTY SERVICE AREA. BASED ON WORK DONE BY THE PUBLIC HEALTH ALLIANCE OF SOUTHERN CALIFORNIA AND THEIR HEALTHY PLACES INDEX (HPI) TOOL, WE IDENTIFIED THE HIGH NEED SERVICE AREA BASED ON INCOME, EDUCATION, ENGLISH PROFICIENCY, AND LIFE EXPECTANCY.FOR THIS ANALYSIS, CENSUS TRACKS WITH MORE PEOPLE BELOW 200% FEDERAL POVERTY LEVEL (FPL), MORE PEOPLE WITHOUT A HIGH SCHOOL DIPLOMA, MORE LIMITED ENGLISH HOUSEHOLDS, AND A LOWER LIFE EXPECTANCY AT BIRTH WERE IDENTIFIED AS "HIGH NEED." THE MEAN VALUE OF NEAREST NEIGHBORS WAS USED TO INSERT MISSING DATA FOR VARIABLES BY WAY OF THE NEIGHBORHOOD SUMMARY STATISTICS GEOPROCESSING TOOL IN ARCGIS PRO 3.1. ALL VARIABLES WERE WEIGHTED EQUALLY. THE CENSUS TRACTS WERE ASSIGNED A SCORE BETWEEN 0 AND 100 WHERE 0 REPRESENTS THE CENSUS TRACT WITH THE LOWEST NEED AND 100 REPRESENTS THE HIGHEST NEED, ACCORDING TO THE CRITERIA. CENSUS TRACTS THAT SCORED HIGHER THAN THE AVERAGE WERE CLASSIFIED AS A HIGH NEED SERVICE AREA AND ARE DEPICTED IN GREEN. IN THE HUMBOLDT SERVICE AREA, 20 OF 35 CENSUS TRACTS (57%) SCORED ABOVE THE AVERAGE OF 62.5 ON THE PROVIDENCE NEED INDEX (PNI), INDICATING A HIGH NEED.MORE OF THE POPULATION THAT IDENTIFIES AS HISPANIC IS IN THE HIGH NEED SERVICE AREA (14.5%) COMPARED TO THE OVERALL POPULATION OF HISPANIC PEOPLE LIVING IN HUMBOLDT COUNTY (12.3%), INDICATING A DISPARITY. SIMILARLY, THE FOLLOWING RACIAL GROUPS ARE OVERREPRESENTED IN THE HIGH NEED SERVICE AREA COMPARED TO THE OVERALL POPULATION LIVING IN HUMBOLDT COUNTY: AMERICAN INDIAN, ASIAN, BLACK OR AFRICAN AMERICAN, NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, OTHER OR TWO OR MORE RACES.A SIGNIFICANT DISPARITY IN MEDIAN INCOME EXISTS IN HUMBOLDT COUNTY BETWEEN HOUSEHOLDS IN THE HIGH NEED SERVICE AREA VERSUS THOSE IN THE BROADER SERVICE AREA (A DIFFERENCE OF $18,263). BUT AN EVEN GREATER DISPARITY IN MEDIAN INCOME EXISTS BETWEEN HOUSEHOLDS IN HUMBOLDT COUNTY VERSUS THE STATE OF CALIFORNIA (A DIFFERENCE OF $29,855).HUMBOLDT COUNTY AS A WHOLE (32.6%) AND THE HIGH NEED SERVICE AREA (34.6%) ALSO HAVE A GREATER PERCENTAGE OF RENTER HOUSEHOLDS SPENDING MORE THAN 50% OF INCOME ON HOUSING COSTS THAN THE STATE OF CALIFORNIA (26.3%). THIS INDICATES A SEVERE HOUSING COST BURDEN. COUNTY HEALTH RANKINGS AND ROADMAPS EXPLAINS THE LINK BETWEEN HEALTH AND HOUSING IN THE FOLLOWING WAY: "THERE IS A STRONG AND GROWING EVIDENCE BASE LINKING STABLE AND AFFORDABLE HOUSING TO HEALTH. AS HOUSING COSTS HAVE OUTPACED LOCAL INCOMES, HOUSEHOLDS NOT ONLY STRUGGLE TO ACQUIRE AND MAINTAIN ADEQUATE SHELTER, BUT ALSO FACE DIFFICULT TRADE-OFFS IN MEETING OTHER BASIC NEEDS. WHEN THE MAJORITY OF A PAYCHECK GOES TOWARD THE RENT OR MORTGAGE, IT MAKES IT HARD TO AFFORD DOCTOR VISITS, HEALTHY FOODS, UTILITY BILLS, AND RELIABLE TRANSPORTATION TO WORK OR SCHOOL. THIS CAN, IN TURN, LEAD TO INCREASED STRESS LEVELS AND EMOTIONAL STRAIN."THE FOLLOWING VARIABLES WERE USED FOR THE PNI ANALYSIS: POPULATION BELOW 200% THE FEDERAL POVERTY LEVEL (AMERICAN COMMUNITY SURVEY, 2021); PERCENT OF POPULATION WITH AT LEAST A HIGH SCHOOL EDUCATION (AMERICAN COMMUNITY SURVEY, 2021); PERCENT OF POPULATION, AGES 5 YEARS AND OLDER IN LIMITED ENGLISH HOUSEHOLDS (AMERICAN COMMUNITY SURVEY, 2021); LIFE EXPECTANCY AT BIRTH (ESTIMATES BASED ON CDC, 2010 - 2015 DATA)HEALTH PROFESSIONS SHORTAGE AREAHUMBOLDT COUNTY IS A HEALTH PROFESSIONAL SHORTAGE AREA IN THE AREAS OF PRIMARY CARE, MENTAL HEALTH AND DENTAL HEALTH. IT IS RURAL AND A MEDICALLY UNDERSERVED AREA. REDWOOD MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL ARE LOCATED IN A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA), WITH HUMBOLDT COUNTY HAVING FOUR DESIGNATED HIGH NEED HPSAS FOR PRIMARY CARE. A MAJORITY OF THE COUNTY IS DESIGNATED AS A DENTAL HEALTH HPSA, AND ALL OF THE COUNTY IS DESIGNATED AS A MENTAL HEALTH HPSA. ADDITIONALLY, THE FOLLOWING FACILITIES ARE ALL DESIGNATED HPSA FOR PRIMARY CARE, DENTAL HEALTH, AND MENTAL HEALTH: KARUK TRIBE OF CALIFORNIA CLINIC-ORLEANS, K'IMA W MEDICAL CENTER, OPEN DOOR COMMUNITY HEALTH CENTERS, POTAWOT HEALTH VILLAGE, SOUTHERN TRINITY HEALTH SERVICES, EUREKA HEALTH CENTER, AND REDWOODS RURAL HEALTH CENTER, INCORPORATED.MEDICALLY UNDERSERVED AREAS (MUAS) AND MEDICALLY UNDERSERVED POPULATIONS (MUPS) ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATIONS THAT DEMONSTRATE A SHORTAGE OF HEALTH CARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING THE COMMUNITY HEALTH CENTER FUND TO THE AREAS OF GREATEST NEED. MUAS ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND WITH NATIONAL AVERAGES TO DETERMINE AN AREA'S LEVEL OF MEDICAL "UNDER SERVICE." MUPS ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MUAS AND MUPS ARE PERMANENTLY SET AND NO RENEWAL PROCESS IS NECESSARY. THERE ARE MUAS IN HUMBOLDT COUNTY, BUT NO MUPS.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN HUMBOLDT COUNTY INCLUDE REDWOOD MEMORIAL IN FORTUNA AND MAD RIVER COMMUNITY HOSPITAL IN ARCATA.
SCHEDULE H, PART VI, LINE 4 (CONTINUED):	QUEEN OF THE VALLEY MEDICAL CENTERQUEEN OF THE VALLEY MEDICAL CENTER'S TOTAL HOSPITAL SERVICE AREA (TSA) INCLUDES APPROXIMATELY 138,000 PEOPLE AND PORTIONS OF NAPA AND SONOMA COUNTIES. THE PRIMARY SERVICE AREA (PSA) CONSISTS OF THE ZIP CODES FOR THE CITIES OF NAPA AND YOUNTVILLE, AND THE SECONDARY SERVICE AREA CONSISTS OF THE CITIES OF AMERICAN CANYON, ST. HELENA, AND BOYES HOT SPRINGS IN SONOMA. OVER 75% OF THE POPULATION OF THE TSA IS IN NAPA COUNTY, AND APPROXIMATELY 90% OF NAPA COUNTY'S POPULATION IS WITHIN THE TSA.A PREMIUM WINE PRODUCING REGION, THERE IS A LARGE AGRICULTURE AND HOSPITALITY INDUSTRY. ALTHOUGH OFTEN VIEWED AS A COMMUNITY OF WEALTH, THE LARGE NUMBER OF LOW WAGE EARNERS IN THESE INDUSTRIES COMBINED WITH THE HIGH COST OF LIVING LEND TO POCKETS OF POVERTY AND INDIVIDUALS AND FAMILIES HAVING DIFFICULTY MEETING BASIC NEEDS.ETHNIC DIVERSITY OF THE TSA INCLUDE 34.7% LATINO, 51% NON-LATINO WHITE WITH JUST UNDER 8% ASIAN AND 2.0% BLACK. NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDERS, AMERICAN INDIAN AND ALASKA NATIVE, AND THOSE IDENTIFYING AS "SOME OTHER RACE" EACH MADE UP UNDER ONE PERCENT OF THE POPULATION.THE MEDIAN HOUSEHOLD INCOME IS $97,421. QUEEN OF THE VALLEY'S TSA HAS A HIGHER PERCENTAGE OF OLDER ADULTS (21.0%) THAN THE MEDICAL UNDERSERVED AREA/MEDICAL PROFESSIONAL SHORTAGE AREA. MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MEDICALLY UNDERSERVED AREAS ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND COMPARED WITH NATIONAL AVERAGES TO DETERMINE AN AREA'S LEVEL OF MEDICAL "UNDER SERVICE". MEDICALLY UNDERSERVED POPULATIONS ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. QUEEN OF THE VALLEY, ALONG WITH THE MAJORITY OF THE TSA IS LOCATED IN A MEDICALLY UNDERSERVED POPULATIONS AREA, SIGNIFYING THE IMPORTANCE OF THE MEDICAL CENTER TO THE COMMUNITY IT SERVES STATE.HEALTH PROFESSIONS SHORTAGE AREATHE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. CLINICIANS IN HPSAS ARE WORKING IN AREAS WITH FEWER RESOURCES, HIGHER PATIENT LOADS, AND CHALLENGES WITH RECRUITMENT AND RETENTION. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). ALTHOUGH NAPA COUNTY IS NOT DESIGNATED AS AN HPSA FOR PRIMARY CARE, DENTAL HEALTH, OR MENTAL HEALTH, LARGE PORTIONS OF THE SERVICE AREA TO THE NORTH ARE DESIGNATED AS SHORTAGE AREAS. MOST OF THE GEOGRAPHY TO THE NORTH OF NAPA COUNTY IS CONSIDERED A MENTAL HEALTH HPSA.OTHER HOSPITALS IN SERVICE AREATHERE IS ONE OTHER HOSPITAL IN THE COMMUNITY: ST. HELENA HOSPITAL.
SCHEDULE H, PART VI, LINE 6 (CONTINUED):	HEALTH EQUITYCHANGE BEGINS WITH USAT PROVIDENCE, WE RECOGNIZE THAT INEQUITY PERSISTS IN NEARLY EVERY MAJOR FACET OF SOCIETY. THAT INCLUDES IN HEALTH CARE AND THE SOCIAL DETERMINANTS OF HEALTH. AND THE CONSEQUENCES ARE OFTEN DEADLY, LEADING TO HIGHER MORTALITY AND MORBIDITY RATES FOR COMMUNITIES OF COLOR AND MARGINALIZED POPULATIONS. TOWARD THAT END:- WE ARE INVESTING $50 MILLION OVER FIVE YEARS TO IMPROVE HEALTH EQUITY IN OUR COMMUNITIES. OUR HEALTH EQUITY STRATEGIC PLAN AND INTERVENTIONS ARE INFORMED BY ADVANCED DATA ANALYTICS AND THE HEALTH PRIORITIES IDENTIFIED WITH OUR LOCAL COMMUNITY PARTNERS AND CARE TEAMS.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/HEALTH-EQUITYADVOCACY AND SOCIAL RESPONSIBILITYIN PARTNERSHIP WITH COMMUNITIES, THE PROVIDENCE FAMILY OF ORGANIZATIONS ADVOCATES FOR RESPONSIBLE, SUSTAINABLE, AND EQUITABLE POLICIES AND PRACTICES. WE REACH BEYOND THE WALLS OF HOSPITALS AND CARE FACILITIES TO WORK WITH LOCAL, STATE AND NATIONAL PARTNERS TO ADVANCE POLICIES DESIGNED TO BETTER SERVE VULNERABLE POPULATIONS AND PROMOTE JUSTICE IN OUR COMMUNITIES. WE ALSO PARTNER TO PROMOTE PRACTICES AND INFRASTRUCTURE THAT WILL SUSTAIN THE PLANET FOR FUTURE GENERATIONS AND TRANSFORM OUR COMMUNITIES FOR A HEALTHIER, MORE EQUITABLE WORLD.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITYENVIRONMENTAL STEWARDSHIPTHE PROVIDENCE FAMILY OF ORGANIZATIONS HAS A VISION OF HEALTH FOR A BETTER WORLD. AS SUCH, WE ARE CALLED TO CARE WISELY FOR OUR COMMUNITIES, RESOURCES, AND EARTH. OUR ORGANIZATIONS STRIVE TO BECOME CARBON NEGATIVE BY 2030. THIS BOLD COMMITMENT GOES BEYOND ADDRESSING CARBON EMISSIONS. THE CLIMATE CRISIS CANNOT BE SOLVED WITHOUT ALSO RESPONDING TO SOCIAL AND RACIAL INEQUITIES.WE ARE COMMITTED TO HEALTH EQUITY, INCLUDING ENVIRONMENTAL EQUITY, AS CLIMATE CHANGE IMPACTS WORSEN, AND DISPARITIES AND INEQUITIES WIDEN DUE TO HISTORICAL AND STRUCTURAL CAUSES OF OPPRESSION.THE CURRENT CRISIS CALLS FOR US TO ACT BOLDLY, WITH COMPASSION. WE ARE DOING SO BY HELPING TO CARE FOR OUR COMMON HOME, ENSURING EQUITY TODAY, AND PASSING A HEALTHY PLANET TO THE GENERATIONS OF TOMORROW.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITY/ENVIRONMENTAL-STEWARDSHIPWELL BEING TRUSTPROVIDENCE'S WELL BEING TRUST IS A FOUNDATION DEDICATED TO ADVANCING THE MENTAL, SOCIAL, AND SPIRITUAL HEALTH FOR ALL. WITH A BOLD MISSION, VISION AND OVERARCHING GOAL, WELL BEING TRUST IS INVESTING IN APPROACHES THAT HAVE THE POTENTIAL TO MODEL THE WAY FORWARD AND ADVANCE CLINICAL, COMMUNITY AND CULTURAL CHANGETO TRANSFORM THE HEALTH OF THE NATION AND IMPROVE WELL-BEING FOR EVERYONE. FOR MORE INFORMATION GO TO: HTTPS://WELLBEINGTRUST.ORG/ABOUT/INSTITUTE FOR SYSTEMS BIOLOGY: ON OUR JOURNEY TO CREATE HEALTHIER COMMUNITIES, WE ARE TURNING TO THE SCIENCE OF GENOMICS TO HELP INDIVIDUALS MAP A PERSONAL PATH TO WELLNESS. IT'S A UNIQUE APPROACH TO PERSONALIZED MEDICINE THAT WE CALL SCIENTIFIC WELLNESS. THE INSTITUTE FOR SYSTEMS BIOLOGY IS A NOT-FOR-PROFIT BIOMEDICAL RESEARCH ORGANIZATION THAT IS PART OF THE PROVIDENCE FAMILY. THE SCIENTISTS AND ENGINEERS AT ISB ARE WORKING TO UNLOCK THE MYSTERY OF THE GENOME TO LEARN HOW WE CAN KEEP PEOPLE HEALTHY WELL INTO THEIR 90S.THIS IS A PROACTIVE APPROACH TO MEDICINE THAT WILL HELP US SHIFT FROM A DISEASE FOCUS TO A WELLNESS FOCUS. WITH ISB, WE ARE PURSUING RESEARCH IN THE AREAS OF BREAST CANCER SURVIVORSHIP, ALZHEIMER'S, GLIOBLASTOMA AND MARKERS TO HELP US IDENTIFY AND REVERSE DISEASE AT THE EARLIEST POSSIBLE STAGES. OUR PARTNERSHIP GIVES US THE OPPORTUNITY TO BRING THESE ADVANCES TO PEOPLE IN THE COMMUNITIES WE SERVE.FOR MORE INFORMATION GO TO: HTTPS://ISBSCIENCE.ORG/

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (35 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
ABODE SERVICES
40849 FREMONT BLVD	FREMONT	CA	94538	943087060	501(C)(3)	$13,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
AGEWELL PACE
5789 STATE FARM DRIVE	ROHNERT PARK	CA	94928	873207747	501(C)(3)	$200,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ALTERNATIVES FOR BETTER LIVING
701 SCHOOL STREET	NAPA	CA	94559	943306094	501(C)(3)	$9,280	$0	COMMUNITY BENEFIT RESTRICTED GRANT
AMBULATORY SURGERY ACCESS COALITION
353 KEARNY STREET SUITE 201	SAN FRANCISCO	CA	94108	943180356	501(C)(3)	$185,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ATHLETIC REHAB CLINIC
1255 N DUTTON AVE	SANTA ROSA	CA	95401	872108616	501(C)(3)	$25,000	$0	SPONSORSHIP
BUCKELEW PROGRAMS
201 ALAMEDA DEL PRADO SUITE 103	NOVATO	CA	94949	237088977	501(C)(3)	$349,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
BURBANK HOUSING
1425 CORPORATE CNTR PKWY	SANTA ROSA	CA	95407	942837785	501(C)(3)	$700,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
CATHOLIC CHARITIES OF THE DIOCESE OF SANTA ROSA
PO BOX 4900	SANTA ROSA	CA	95402	942479393	501(C)(3)	$747,340	$0	COMMUNITY BENEFIT RESTRICTED GRANT
CERES COMMUNITY PROJECT
PO BOX 1562	SEBASTOPOL	CA	95473	262250997	501(C)(3)	$75,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
COMMITTEE ON THE SHELTERLESS
PO BOX 2744	PETALUMA	CA	94953	680176855	501(C)(3)	$284,486	$0	COMMUNITY BENEFIT RESTRICTED GRANT
COMMUNITY HEALTH INITIATIVE NAPA COUNTY INC
2140 JEFFERSON ST STE D	NAPA	CA	94559	251924934	501(C)(3)	$15,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
COMMUNITY RESOURCES FOR CHILDREN
3299 CLAREMONT WAY STE 1	NAPA	CA	94558	942524785	501(C)(3)	$10,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
COPE FAMILY CENTER
707 RANDOLPH STREET	NAPA	CA	94559	942322399	501(C)(3)	$99,500	$0	COMMUNITY BENEFIT RESTRICTED GRANT
COPPERTOWER FAMILY MEDICAL CENTER INC
106 E 1ST STREET	CLOVERDALE	CA	95425	680345901	501(C)(3)	$99,500	$0	COMMUNITY BENEFIT RESTRICTED GRANT
GIRLS ON THE RUN NAPA VALLEY
3299 CLAREMONT WAY STE 6	NAPA	CA	94558	550906534	501(C)(3)	$10,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
HUMANIDAD THERAPY AND EDUCATION SERVICES
1260 N DUTTON AVE SUITE 230	SANTA ROSA	CA	95401	463725156	501(C)(3)	$95,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
JAMBOREE HOUSING CORPORATION
17701 COWAN STE 200	IRVINE	CA	92614	330413518	501(C)(3)	$500,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
LEGAL AID OF SONOMA COUNTY
144 SOUTH E STREET SUITE 100	SANTA ROSA	CA	95404	680008581	501(C)(3)	$156,093	$0	COMMUNITY BENEFIT RESTRICTED GRANT
MENDONOMA HEALTH ALLIANCE
39251 S HIGHWAY 1	GUALALA	CA	95445	821813874	501(C)(3)	$65,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
MENTIS
709 FRANKLIN ST	NAPA	CA	94559	941236934	501(C)(3)	$34,727	$0	OPERATIONAL SUPPORT
MOLLYS ANGELS
433 SOSCOL AVE 100	NAPA	CA	94559	311675725	501(C)(3)	$12,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
NAMI SONOMA COUNTY
182 FARMERS LN 202	SANTA ROSA	CA	95404	680041644	501(C)(3)	$65,120	$0	COMMUNITY BENEFIT RESTRICTED GRANT
NAPA VALLEY COMMUNITY ORGANIZATIONS ACTIVE IN DISASTER
980 TRANCAS ST SUITE 9	NAPA	CA	94558	920361721	501(C)(3)	$14,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
OLE HEALTH
1141 PEAR TREE LANE	NAPA	CA	94558	237221695	501(C)(3)	$70,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ON THE MARGINS INC
132 MARINERO CIRCLE	TIBURON	CA	94920	922312966	501(C)(3)	$250,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ON THE MOVE
780 LINCOLN AVE ATTN BRODIE AZEVEDO	NAPA	CA	94558	753149095	501(C)(3)	$55,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
PUERTAS ABIERTAS COMMUNITY RESOURCE CENT
RESOURCE CENT 952 NAPA ST	NAPA	CA	94559	203126333	501(C)(3)	$15,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
SANTA ROSA COMMUNITY HEALTH
3569 ROUND BARN CIR	SANTA ROSA	CA	95403	680365296	501(C)(3)	$275,065	$0	COMMUNITY BENEFIT RESTRICTED GRANT
SANTA ROSA FIRE FOUNDATION
PO BOX 1251	SANTA ROSA	CA	95402	871382136	501(C)(3)	$6,500	$0	OPERATIONAL SUPPORT
SHARE THE CARE NAPA VALLEY
162 S COOMBS ST	NAPA	CA	94559	815288335	501(C)(3)	$25,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DR SUITE 100	IRVINE	CA	92612	330143024	501(C)(3)	$7,985,399	$0	OPERATIONAL SUPPORT
THE LIVING ROOM CENTER INC
1207 CLEVELAND AVE	SANTA ROSA	CA	95401	582675876	501(C)(3)	$400,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
TIDES CENTER
427 MENDOCINO AVE SUITE 100	SANTA ROSA	CA	95401	943213100	501(C)(3)	$250,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
UPVALLEY FAMILY RESOURCE CENTER
1500 CEDAR STREET	CALISTOGA	CA	94515	800023012	501(C)(3)	$30,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
VIA HEART PROJECT
1725 CLAY STREET SUITE 100 SAN	FRANCISCO	CA	94109	271530938	501(C)(3)	$20,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT

Field	Value	IRS element (for citing)
Total501c3 Org	35	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEVIN MANEMANN
DIV. CHIEF EXEC - SOUTH - THRU 2/23	$0	$115,132	$0	$1,717,844	$0	$193,414	$0	$9,900	$0	$3,387	$0	$2,039,677	$0	$170,754
LAUREEN DRISCOLL RN
PRESIDENT (PART YEAR)	$0	$865,621	$0	$500,000	$0	$361,142	$0	$240,719	$0	$34,515	$0	$2,001,997	$0	$0
NATHAN HUSMANN
CFO/TREASURER	$0	$525,717	$0	$488,588	$0	$81,473	$0	$165,017	$0	$33,678	$0	$1,294,473	$0	$57,263
TERRENCE WOOTEN
CHIEF EXEC QVMC - THRU 11/23	$0	$359,303	$0	$424,891	$0	$128,239	$0	$9,900	$0	$24,676	$0	$947,009	$0	$4,006
OLUYEMI ADEYANJU ESQ
SECRETARY	$0	$388,930	$0	$301,838	$0	$48,827	$0	$76,133	$0	$13,993	$0	$829,721	$0	$47,943
FRANK BEIRNE
FRMR REGIONAL COO NORTHERN CA	$0	$0	$0	$409,060	$0	$394,791	$0	$0	$0	$0	$0	$803,851	$0	$0
CHARLES KASSIS
CHIEF EXEC - SONOMA - THRU 11/23	$0	$419,683	$0	$203,869	$0	$104,625	$0	$14,850	$0	$25,227	$0	$768,254	$0	$0
CHAD KRILICH
FORMER CMO	$0	$0	$0	$0	$522,765	$0	$0	$0	$0	$0	$522,765	$0	$55,951	$0
ROBERTA LUSKIN-HAWK MD
FRMR CHIEF EXEC EUREKA	$0	$0	$0	$0	$0	$489,091	$0	$0	$0	$0	$0	$489,091	$0	$0
RUSS BRAUN
CHIEF MEDICAL OFFICER HOSPITAL	$381,290	$0	$40,948	$0	$36,709	$0	$18,359	$0	$6,142	$0	$483,448	$0	$0	$0
PATTI PILGRIM
REGIONAL CFO, TREASURER - THRU 4/23	$0	$138,985	$0	$277,043	$0	$37,820	$0	$14,850	$0	$13,436	$0	$482,134	$0	$13,469
NAYDU LUCAS
CHIEF NURSING OFFICER	$303,487	$0	$48,802	$0	$70,982	$0	$17,527	$0	$31,261	$0	$472,059	$0	$0	$0
STACIE MILLER
CHIEF NURSING OFFICER	$344,458	$0	$32,069	$0	$40,931	$0	$17,437	$0	$27,922	$0	$462,817	$0	$0	$0
REBECCA ALTHOFF
ACUTE CARE RN	$393,439	$0	$0	$0	$18,486	$0	$34,028	$0	$12,001	$0	$457,954	$0	$10,735	$0
TARINDER KHATKAR
CHIEF NURSING OFFICER	$239,162	$0	$0	$0	$177,718	$0	$4,093	$0	$15,071	$0	$436,044	$0	$0	$0
DARIAN HARRIS MHA
CHIEF EXEC HUMBOLDT - THRU 7/23	$0	$203,683	$0	$116,801	$0	$34,218	$0	$4,950	$0	$16,561	$0	$376,213	$0	$0
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	$0	$266,681	$0	$24,827	$0	$1,367	$0	$15,474	$0	$15,372	$0	$323,721	$0	$0
KEVIN KLOCKENGA
FRMR KE - REG CHIEF EXEC. - NO CA	$0	$0	$0	$0	$0	$281,492	$0	$0	$0	$0	$0	$281,492	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. 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. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES RELATED TO RELOCATION OF NEWLY HIRED EMPLOYEES AND CURRENT EMPLOYEES RELOCATING TO A NEW POSITION. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE ELIGIBLE EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES INCLUDE RENT (EXCLUDING AMOUNTS WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL TITLE CLEARS), NON-REFUNDABLE SECURITY DEPOSITS AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE MAY APPROVE TEMPORARY HOUSING ASSISTANCE FOR UP TO SIX MONTHS WHEN FAMILY RELOCATION IS DELAYED TO ACCOMMODATE THE SCHOOL YEAR OR EQUIVALENT CIRCUMSTANCES. ONLY IN EXTENUATING CIRCUMSTANCES IS HOUSING EXTENDED BEYOND THIS SIX-MONTH PERIOD. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING 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. 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 COMOPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, 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 A SEVERANCE PAYMENT IN 2023: TERRENCE WOOTEN - $32,558 FRANK BEIRNE - $394,790 CHARLES KASSIS - $37,626 CHAD KRILICH - $466,814 ROBERTA LUSKIN-HAWK, M.D. - $489,091 TARINDER KHATKAR - $106,400 KEVIN KLOCKENGA - $281,492 NON-QUALIFIED RETIREMENT PLAN 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: KEVIN MANEMANN - $170,754 NATHAN HUSMANN - $57,263 TERRENCE WOOTEN - $4,006 OLUYEMI ADEYANJU, ESQ. - $47,943 CHAD KRILICH - $55,951 PATTI PILGRIM - $13,469 REBECCA ALTHOFF - $10,735
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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION 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.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS:	AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY. TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES: -PROVIDENCE ACROSS SEVEN WESTERN STATES -COVENANT HEALTH IN WEST TEXAS -PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA -KADLEC IN SOUTHEAST WASHINGTON -PACIFIC MEDICAL CENTERS IN SEATTLE, WA -SWEDISH HEALTH SERVICES IN SEATTLE, WA AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND. THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES. WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDS PROVIDENCE CONTINUES TO EXECUTE ON OUR INTEGRATED STRATEGIC AND FINANCIAL PLAN, WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THE IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES AND REDUCE OUR CARBON FOOTPRINT IN THE COMMUNITIES WE SERVE. PROVIDENCE ADVANCES PROGRESS ON OUR CARBON NEGATIVE GOAL AND IN 2023 WE ESTIMATED THAT WE DECREASED EMISSIONS BY OVER 12 PERCENT COMPARED TO OUR 2019 BASELINE. IN ADDITION, OUR EFFORTS LED TO THE INTRODUCTION OF THE GREEN HOSPITALS ACT, LEGISLATION MODELED AFTER PROVIDENCE THAT WOULD PROVIDE CRITICAL FEDERAL FUNDING TO WEATHERIZE AND MODERNIZE HEALTH CARE FACILITIES. PROVIDENCE COMPLETED A COMPREHENSIVE CLIMATE RESILIENCE PLAN IN ALIGNMENT WITH OUR COMMITMENT TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES CLIMATE PLEDGE. WE CONTINUE TO REDUCE GREENHOUSE GAS EMISSIONS WITH A FOCUS ON LED LIGHTING UPGRADES, WATER CONSERVATION, MORE EFFICIENT DELIVERY OF NITROUS OXIDE GAS DURING ANESTHESIA, AND ADVANCING OUR WASTE OPTIMIZATION WORK ACROSS ALL HOSPITALS AND CLINICS. ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC ON MARCH 31, 2018, ST. JOSEPH HOSPITAL OF EUREKA, REDWOOD MEMORIAL HOSPITAL, SANTA ROSA MEMORIAL HOSPITAL, AND QUEEN OF THE VALLEY MEDICAL CENTER, COLLECTIVELY THE "HOSPITALS", TRANSFERRED ALL OF THEIR NET ASSETS TO ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC, A RELATED 501(C) (3) ORGANIZATION. ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC WAS CREATED TO CONSOLIDATE AND SIMPLIFY THE CURRENT STRUCTURE BY MOVING THE OPERATIONS OF THE HOSPITALS INTO A SINGLE LEGAL ENTITY. THE OPERATION OF THE HOSPITALS REMAIN THE SAME. 2023 PROGRAM SERVICE ACCOMPLISHMENTS PROVIDENCE ST. JOSEPH HEALTH NORTHERN CALIFORNIA IS COMPRISED OF FOUR MAIN HOSPITAL FACILITIES: SANTA ROSA MEMORIAL HOSPITAL, QUEEN OF THE VALLEY MEDICAL CENTER, REDWOOD MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL EUREKA. EACH HOSPITAL FACILITY HAS ITS OWN SERVICE AREA, CONDUCTS ITS OWN CHNA, PREPARES ITS OWN IMPLEMENTATION STRATEGY AND SUBMITS ITS OWN ANNUAL REPORTS. THE THREE PROGRAM ACCOMPLISHMENTS FOR ST. JOSEPH NORCAL ARE HIGHLIGHTED BELOW: CARE NETWORK, PASO A PASO AND MOBILE HEALTH CLINIC. CARE NETWORK: CARE (CARE MANAGEMENT, ADVOCACY, RESOURCES AND EDUCATION) NETWORK IS A NATIONALLY RECOGNIZED, MISSION-DRIVEN, INTENSIVE, COMMUNITY-BASED MEDICAL AND PSYCHOSOCIAL CARE MANAGEMENT PROGRAM UTILIZING AN INTERDISCIPLINARY, RN, SOCIAL WORK, COMMUNITY HEALTH BEHAVIORAL AND SPIRITUAL APPROACH. SERVICES ARE PROVIDED TO PERSONS WITH COMPLEX HEALTH, BEHAVIORAL AND SOCIAL CHALLENGES. CLIENTS ARE SERVED IN THE COMMUNITY THEY RESIDE, INCLUDING ENCAMPMENTS, SHELTERS, HOME OR AS NEEDED IN A HEALTH PROVIDER OFFICE OR OTHER COMMUNITY SERVICE LOCATION. THE PROGRAM IS AIMED AT CARE COORDINATION AND IMPROVING DISEASE MANAGEMENT AND QUALITY OF LIFE WHILE REDUCING OVERALL GOVERNMENT BURDEN OF HEALTHCARE COST. IN SONOMA COUNTY, CARE NETWORK EXPANDED TO ADD AN ADDITIONAL COMMUNITY HEALTH WORKER TO THE HIGH-UTILIZER TEAM AND ONE ADDITIONAL SUBSTANCE USE NAVIGATOR, WORKING WITH CLIENTS WITH BEHAVIORAL HEALTH CHALLENGES, CO-OCCURRING SUBSTANCE USE DISORDERS, AS WELL AS COMPLEX MEDICAL CONDITIONS THAT REQUIRE CARE COORDINATION, CASE MANAGEMENT AND CONNECTION TO MENTAL HEALTH SERVICES. ADDITIONALLY, CARE NETWORK HAS ESTABLISHED A NARCAN DISTRIBUTION PROGRAM WITH THE LOCAL PROVIDENCE EMERGENCY DEPARTMENTS. CARE NETWORK REGION-WIDE HAS BEEN ACCEPTED AS ENHANCED CARE MANAGEMENT PROVIDERS THROUGH PARTNERSHIP HEALTH PLAN OF CALIFORNIA. CARE NETWORK PROGRAMS WERE SELECTED TO CONDUCT OUTREACH, ENROLLMENT AND ENHANCED SERVICES FOR POPULATIONS OF FOCUS INCLUDING THOSE EXPERIENCING HOMELESSNESS, HIGH UTILIZERS OF EMERGENCY DEPARTMENTS, AND ADULTS WITH SERIOUS MENTAL ILLNESS OR SUBSTANCE USE DISORDER. IN 2023, CARE NETWORK ENROLLED 255 INDIVIDUALS IN ECM SERVICES AND HELPED THEM ACCESS NEEDED HOUSING, FOOD, SKILLED NURSING, SUD AND MENTAL HEALTH SERVICES AND CRITICAL MEDICAL CARE. ACROSS ALL SERVICE AREAS, CARE NETWORK SERVED PATIENTS THROUGH 88,074 ENCOUNTERS. CY23 NET BENEFIT = $7,410,814. PASO A PASO: ST. JOSEPH HEALTH NORTHERN CALIFORNIA OFFERS A CONTINUUM OF COMMUNITY HEALTH IMPROVEMENT SERVICES TO ITS COMMUNITIES IN ORDER TO MEET IDENTIFIED NEEDS. THIS INCLUDES A PROGRAM CALLED PASO A PASO (STEP BY STEP) WHICH IS INTENDED TO PROVIDE PERINATAL AND PARENTING EDUCATION AND SUPPORT SERVICES AND COMMUNITY-BASED CASE MANAGEMENT SERVICES TO SPANISH SPEAKING PEOPLE, PRIMARILY LATINA BIRTHING PEOPLE AND THEIR FAMILY, IN THE HOSPITAL SERVICE AREA. THE PASO A PASO PROGRAM ALSO PROVIDES PRIMARY PREVENTION INTERVENTIONS INCLUDING HEALTH AND WELLBEING PROMOTION, CULTURAL CELEBRATIONS, NATIVE FOOD GARDENS, SUPPORT GROUPS, INCLUSIVE ACTIVITIES FOR FAMILIES WITH CHILDREN WITH SPECIAL NEEDS AND MORE. IN 2023, THE PASO A PASO PROGRAM HAD 18,283 ENCOUNTERS. INCLUDED IN THESE ENCOUNTER NUMBERS ARE ALSO LATINO OUTREACH FOR HEALTH INSURANCE ENROLLMENT, HEALTHCARE NAVIGATION AND SOCIAL SERVICES CONNECTIONS AND SUPPORT. THE PASO A PASO PROGRAM IS STAFFED WITH COMMUNITY HEALTH WORKERS THAT ARE BI-LINGUAL AND BI-CULTURAL AS WELL AS ONE MASTERS PREPARED SOCIAL WORKER THAT IS ALSO CULTURALLY MATCHED. CY23 NET BENEFIT = $733,508. MOBILE HEALTH CLINIC: OUR MOBILE HEALTH CLINIC SERVES PATIENTS IN THEIR COMMUNITIES AT NO COST. THE PROGRAM SEEKS TO PROVIDE CARE TO THOSE WHO FALL THROUGH THE TRADITIONAL PRIMARY CARE SAFETY NET, AND FOR REASONS RELATED TO TRANSPORTATION, POVERTY, OR OTHER FACTORS, FACE INSURMOUNTABLE BARRIERS TO ACCESSING CARE AT COMMUNITY HEALTH CENTERS OR OTHER MEDICAL HOMES. THE CLINIC OFFERS HEALTH SCREENINGS, TREATMENT OF MINOR MEDICAL PROBLEMS, HEALTH AND NUTRITIONAL EDUCATION, AND INFORMATION AND REFERRALS. IN 2023, IN OUR SERVICE AREA, THE CLINIC SERVED 1,678 PATIENTS OVER 3,767 ENCOUNTERS AT SEVERAL LOCATIONS, INCLUDING THE CITIES OF SONOMA/BOYES HOT SPRINGS, SANTA ROSA, CLOVERDALE, WINDSOR, ROHNERT PARK, PETALUMA, BODEGA BAY, AND SEBASTOPOL. THE MOBILE HEALTH TEAM ALSO SERVED SEVERAL LOCAL HOMELESS SHELTERS, ENCAMPMENTS AND RURAL COMMUNITIES, PROVIDING DIRECT PATIENT CARE. CY23 NET BENEFIT = $891,767. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/NORTHERN-CALIFORN IA
FORM 990, PART V, LINE 15	INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATION'S SECTION 4960 TAX ANALYSIS AND REPORTING.
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC.
FORM 990, PART VI, SECTION A, LINE 7A	CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBER RESERVES THE RIGHT TO APPOINT THE ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, EXEMPT PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. THE CORPORATE MEMBER, ST. JOSEPH HEALTH SYSTEM, RESERVES THE RIGHT TO APPROVE THE PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, REVISED IN 2023, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY 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 RECUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15B	PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE 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 HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE 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 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 THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), 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. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S 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 SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN JUNE 2024.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART IX, LINE 11G	MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 101,649,358. MANAGEMENT AND GENERAL EXPENSES 4,690,446. FUNDRAISING EXPENSES 249,208. TOTAL EXPENSES 106,589,012. AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 44,237,138. MANAGEMENT AND GENERAL EXPENSES 2,041,252. FUNDRAISING EXPENSES 108,454. TOTAL EXPENSES 46,386,844. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 69,477,300. MANAGEMENT AND GENERAL EXPENSES 3,205,918. FUNDRAISING EXPENSES 170,333. TOTAL EXPENSES 72,853,551. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 21,761,012. MANAGEMENT AND GENERAL EXPENSES 1,004,127. FUNDRAISING EXPENSES 53,350. TOTAL EXPENSES 22,818,489. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 8,314,913. MANAGEMENT AND GENERAL EXPENSES 383,678. FUNDRAISING EXPENSES 20,385. TOTAL EXPENSES 8,718,976. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 510. MANAGEMENT AND GENERAL EXPENSES 24. FUNDRAISING EXPENSES 1. TOTAL EXPENSES 535.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 43,408,074. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT 1,648,124. OTHER CHANGES IN NET ASSETS 540,301.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (105 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
COLLABRIA CARE
414 SOUTH JEFFERSON STREET	NAPA	CA	94559	680393144	HEALTHCARE	CA	501(C)(3)	10	SJHCN	Yes (1)
COVENANT ACO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	611573313	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes (1)
COVENANT CHILDREN'S PHYSICIANS GROUP
3615 19TH STREET	LUBBOCK	TX	79410	881290850	HEALTHCARE	TX	501(C)(3)	PENDING	CHS	Yes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	461259908	HEALTHCARE	CA	501(C)(3)	12, III	SJHS	Yes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	463516417	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes (1)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACE	LUBBOCK	TX	79410	752897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (1)
COVENANT HOME AND COMMUNITY CARE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	920275096	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	844273963	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	822913146	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL GROUP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128	EVERETT	WA	982065128	943264605	TRANSITIONAL CARE	WA	501(C)(3)	10		0	N/A
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	201910170	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104	SEATAC	WA	98188	273133200	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	203856995	HEALTHCARE	TX	501(C)(3)	3	LHH LLC	Yes (1)
HOSPICE OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752133781	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814260130	HEALTHCARE	WA	501(C)(3)	PF	PHS SJHS	Yes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	912003593	HEALTHCARE	WA	501(C)(3)	7	WHC	Yes (1)
KADLEC AUXILIARY INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	916033089	SUPPORT	WA	501(C)(3)	12, III	KRMC	Yes (1)
KADLEC FOUNDATION
888 SWIFT BLVD	RICHLAND	WA	99352	237005501	SUPPORT	WA	501(C)(3)	7	KRMC	Yes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	910655392	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330844408	IMAGING SERVICES	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	264021016	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
LUNDBERG ASSOCIATION PROVIDENCE HOUSE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911562797	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643360	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069	SEATTLE	WA	98116	200799737	SUPPORT	WA	501(C)(3)	12, I	SHS	Yes (1)
OPEN DOOR VENTURES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911608508	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PACMED CLINICS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	562290878	HEALTHCARE	WA	501(C)(3)	10	WHC	Yes (1)
PH&S FOUNDATIONSFVSA & SCVSA
501 SOUTH BUENA VISTA STREET	BURBANK	CA	915054809	953544877	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE ALASKA FOUNDATION
3760 PIPER STREET SUITE 2021	ANCHORAGE	AK	99508	920093565	HEALTHCARE	AK	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
540 SOUTH MAIN ST	MT ANGEL	OR	97362	911940286	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911789266	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
4805 NE GLISAN ST STE 2N35	PORTLAND	OR	97213	930800140	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
940 ROYAL AVE SUITE 410	MEDFORD	OR	97504	930692907	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	473385506	SUPPORT	WA	501(C)(3)	7		0	N/A
PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	954322584	SUPPORT	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311744654	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911549796	HEALTHCARE	WA	501(C)(3)	12, II	PSJH	0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810231793	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216587	HEALTHCARE	OR	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216586	HEALTHCARE	WA	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911303277	HEALTHCARE	WA	501(C)(3)	3	PMWHC	Yes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	550828701	MEDICAID HEALTHCARE PROVIDER	OR	501(C)(4)	N/A	PHP	Yes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	930863097	HEALTHCARE	OR	501(C)(4)	N/A	PH GROUP LLC	Yes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216589	HEALTHCARE	CA	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
810 12TH STREET PO BOX 149	HOOD RIVER	OR	97031	930921990	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY
1615 75TH ST SW SUITE 210	EVERETT	WA	98203	272552749	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
2811 SOUTH 102ND NO 220	TUKWILA	WA	98168	912077378	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA)
101 W 8TH AVE	SPOKANE	WA	99204	320014330	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
4101 TORRANCE BLVD	TORRANCE	CA	90503	510224944	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE MARIANWOOD FOUNDATION
3725 PROVIDENCE POINT DRIVE SE	ISSAQUAH	WA	980297219	931554288	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330283773	HEALTHCARE	CA	501(C)(3)	12, I	PHS SOCAL	Yes (1)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32ND AVE	MILWAUKIE	OR	97222	943079515	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057		RELIGIOUS ORG	WA	501(C)(3)	1		0	N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVE SW	SEATTLE	WA	981262799	911188119	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVE	NEWBERG	OR	97132	930889144	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311629656	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911861964	HEALTHCARE	WA	501(C)(4)	N/A	PHS OR	Yes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN ST	PORTLAND	OR	972132967	931231494	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311584166	SUPPORT	WA	501(C)(3)	10	PHS WA	Yes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951684082	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814542216	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA ROAD	SEASIDE	OR	97138	930927320	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	912171539	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	943244854	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	811244422	HEALTHCARE	WA	501(C)(3)	12, III		0	N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
4400 NE HALSEY ST STE 599	PORTLAND	OR	97213	943078543	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810463482	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (1)
PROVIDENCE ST MARY FOUNDATION
401 W POPLAR STREET	WALLA WALLA	WA	99362	452841492	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
9205 SW BARNES ROAD STE MT2111	PORTLAND	OR	97225	930575982	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN)
413 LILLY ROAD NE	OLYMPIA	WA	985065166	911097056	SUPPORT	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	953264139	HEALTHCARE	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
5315 TORRANCE BLVD NO B-1	TORRANCE	CA	90503	330261016	HEALTHCARE	CA	501(C)(3)	7	PTCH	Yes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1500 DIVISION STREET	OREGON CITY	OR	97045	931003750	HEALTHCARE	OR	501(C)(3)	12, I	PHS OR	Yes (1)
REDWOOD MEMORIAL FOUNDATION
2700 DOBEER STREET	EUREKA	CA	95501	942779313	HEALTHCARE	CA	501(C)(3)	7	SJHNC LLC	Yes (1)
SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	954291515	HEALTHCARE	CA	501(C)(3)	4	PSJHC	Yes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
2121 SANTA MONICA BLVD	SANTA MONICA	CA	90404	956100079	SUPPORT SAINT JOHN HEALTH CENTER & SJCI	CA	501(C)(3)	7	PSJHC	Yes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	611502822	PHYSICIAN COLLABORATION	WA	501(C)(3)	7	WHC	Yes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	262612415	SHELL CORPORATION	MT	501(C)(3)	1	PHS WA	0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643383	RELIGIOUS ORG	CA	501(C)(3)	1		0	N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	680395200	HEALTHCARE	CA	501(C)(3)	3	SJHNC LLC	Yes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO	0
ST JOSEPH HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	953589356	HEALTHCARE	CA	501(C)(3)	12, I	PSJH	0
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330143024	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	680331084	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643359	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST JUDE HOSPITAL INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643325	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST LUKE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	943176618	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
ST MARY MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951914489	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST PATRICK HOSPITAL FOUNDATION
502 W SPRUCE STREET	MISSOULA	MT	59802	237056976	HEALTHCARE	MT	501(C)(3)	7	PHS WA	Yes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810233495	EDUCATION	MT	501(C)(3)	10	PHS WA	Yes (1)
SWEDISH EDMONDS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	272305304	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	910433740	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAY	SEATTLE	WA	98122	910983214	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	273139262	HOLDING COMPANY	WA	501(C)(3)	12, I	SHS	Yes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	833972614	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911180824	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911214491	SUPPORT	OR	501(C)(3)	10	PHS OR	Yes (1)
TRI-CITIES CANCER CENTER FOUNDATION
7350 W DESCHUTES AVE BUILDING A	KENNEWICK	WA	99336	911739024	SUPPORT	WA	501(C)(3)	7	KRMC	Yes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810231777	EDUCATION	MT	501(C)(3)	2	PHS	Yes (1)
WESTERN HEALTHCONNECT
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	454171900	HEALTHCARE	WA	501(C)(3)	3	PHS W WA	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (42 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	UBI Code VUBICodeVAmt
20TH STREET SURGERY LLC
1301 20TH STREET STE 140	SANTA MONICA	CA	90404	731735618	AMBULATORY SURGERY CENTER	CA	N/A	0	0
BRIDGEPORT MEDICAL IMAGING LLC (BMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	260796953	IMAGING - DIAGNOSTICS	OR	N/A	0	Yes (1)
BROADWAY IMAGING LLC
PO BOX 4587	MISSOULA	MT	598064587	522405971	MEDICAL IMAGING	MT	N/A	0	Yes (1)
CANBY MEDICAL CENTER I LLC
4800 SW MACADAM AVE STE 120	PORTLAND	OR	97239	205470937	REAL ESTATE - MOB	OR	N/A	0	Yes (1)
CENTER FOR MEDICAL IMAGING LLC (CMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	200477972	IMAGING - DIAGNOSTICS	OR	N/A	0	Yes (1)
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	260381897	RADIATION ONCOLOGY	OR	N/A	0	Yes (1)
COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY
1031 W CHAPMAN AVE 101	ORANGE	CA	92868	264591502	HEALTHCARE	CA	N/A	0	Yes (1)
COVENANT HIGH PLAINS SURGERY CENTER LLC
40 VALLEY STREAM PKWY	MALVERN	PA	19355	752177401	HEALTHCARE	PA	N/A	0	Yes (1)
COVENANT PARK PHASE I VENTURE LLC
3615 19TH ST	LUBBOCK	TX	79410	871464045	REAL ESTATE	TX	N/A	0	0
CSS JV LLC
11782 SW BARNES ROAD STE 200 BLDG C	PORTLAND	OR	97225	263638838	AMBULATORY SURGERY CENTER	OR	N/A	0	0
FIRST HILL SURGERY CENTER LLC
1101 MADISON STREET STE 200	SEATTLE	WA	98104	472066485	AMBULATORY SURGERY CENTER	WA	N/A	0	Yes (1)
FULLERTON SURGICAL CENTER LP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	470927394	AMBULATORY SURGERY CENTER	CA	N/A	0	Yes (1)
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA ST	BURBANK	CA	91505	954570858	REAL ESTATE - MOB	CA	N/A	0	Yes (1)
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000	ORANGE	CA	92868	271000061	INVESTMENTS	CA	N/A	0	0
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE A	ANCHORAGE	AK	99508	203906048	MEDICAL IMAGING	AK	N/A	0	Yes (1)
LSC REAL PROPERTY LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	474646059	REAL ESTATE	TX	N/A	0	Yes (1)
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREET	LUBBOCK	TX	79410	752343261	HEALTHCARE	TX	N/A	0	Yes (1)
MISSION VIEJO PARTNERS II LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823943675	REAL ESTATE - MOB	CA	N/A	0	Yes (1)
NORTH OC IMAGING JV HOLDINGS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	852444305	HEALTHCARE	CA	N/A	0	0
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAY	MEDFORD	OR	97504	450471748	MEDICAL IMAGING	OR	N/A	0	Yes (1)
PAVILION SURGERY CENTER LLC
1140 WEST LAVETA AVE	ORANGE	CA	92868	814376492	AMBULATORY SURGERY CENTER	CA	N/A	0	0
PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC
19625 62ND AVENUE SOUTH SUITE 101	KENT	WA	98032	452901632	MEDICAL EQUIPMENT	WA	N/A	0	Yes (1)
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREET	SEATTLE	WA	98104	203132044	MEDICAL IMAGING	WA	N/A	0	Yes (1)
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	812701056	INVESTMENTS	WA		0	0	PHS WA	N/A	-$860,125	$1,645,462	0.01740
PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	823765555	MEDICAL	AL	N/A	0	0
PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	823270499	MEDICAL	AL	N/A	0	Yes (1)
PROVIDENCE ALASKA HOUSE I OWNER LP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	882819223	SUPPORTIVE HOUSING	AK	N/A	0	0
PROVIDENCE HOUSE OAKLAND LP
540 23RD ST	OAKLAND	CA	94612	811441264	SUPPORTIVE HOUSING	CA	N/A	0	Yes (1)
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	920118807	MEDICAL IMAGING	AK	N/A	0	0
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823190634	INVESTMENTS	WA		0	0	PHS WA	N/A	$16,212,051	$213,578,290	0.07050	-$50,021
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE ST	MISSOULA	MT	59802	841401625	AMBULATORY SURGERY CENTER	MT	N/A	0	0
PROVIDENCEUSP SPOKANE SURGERY CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	881149413	AMBULATORY SURGERY CENTER	WA	N/A	0	0
PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROAD 160	MISSION HILLS	CA	91345	200684116	AMBULATORY SURGERY CENTER	CA	N/A	0	0
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON ST 1ST FL	SEATTLE	WA	98104	300553035	HEALTHCARE	WA	N/A	0	Yes (1)
RIVERSIDE HEALTHCARE
1107 HAZELTINE BLVD 200	CHASKA	MN	55318	411594648	HEALTHCARE	MN	N/A	0	Yes (1)
ST JOSEPH PHYSICIAN VENTURES I LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	454521884	REAL ESTATE	CA	N/A	0	Yes (1)
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814657391	HEALTHCARE	CA	N/A	0	0
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823352570	AMBULATORY SURGERY CENTER	CA	N/A	0	Yes (1)
ST PETER-SOUTH SOUND REGIONAL MRI CENTER
3417 ENSIGN RD NE	OLYMPIA	WA	98506	911455338	MEDICAL IMAGING	WA	N/A	0	Yes (1)
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300	LEAWOOD	KS	66211	208187971	AMBULATORY SURGERY CENTER	KS	N/A	0	Yes (1)
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVD	SPOKANE	WA	99204	841606484	HOTEL SERVICES	WA	N/A	0	Yes (1)
WON-ONC LLC
1900 COOKS HILL RD	CENTRALIA	WA	98531	262181194	REAL ESTATE - MOB	WA	N/A	0	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (41 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
1221 MADISON STREET OWNERS ASSOC
747 BROADWAY	SEATTLE	WA	98122	201954319	OWNERS' ASSOCIATION	WA	N/A	C	0
ADVATA INC (FKA KENSCI INC)
615 2ND AVE 700	SEATTLE	WA	98104	474048082	HEALTHCARE	WA	N/A	C	0
AMERICAN UNITY GROUP LTD
					CAPTIVE INSURANCE		N/A	C	0	90 PITTS BAY ROAD	PEMBROKE	BD	HM08	BD
AYIN HEALTH HOLDINGS INC
4400 NE HALSEY ST STE 609 ATTN ACCO	PORTLAND	OR	97213	833037172	HEALTHCARE	DE	N/A	C	0
AYIN HEALTH SOLUTIONS INC
4400 NE HALSEY ST STE 609 ATTN ACCO	PORTLAND	OR	97213	931211733	HEALTHCARE	OR	N/A	C	0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	911354431	CLINICAL/MEDICAL LAB	WA	N/A	C	0
CARON CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810486082	MEDICAL PHYSICIAN SERVICE	MT	N/A	C	0
CLOUD 21 LIMITED
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE		N/A	C	0					UK
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280	SANTA MONICA	CA	90404	952880495	HEALTHCARE	CA	N/A	S	0
HCSA PROPERTIES LLC
1600 M STREET NW	AUBURN	WA	98001	460620892	REAL ESTATE RENTAL	WA	N/A	C	0
KENSCI ASIA PACIFIC PTE LTD
615 2ND AVE 700	SEATTLE	WA	98104		HEALTHCARE		N/A	C	0					SN
KENSCI TECH INDIA PRIVATE LIMITED
615 2ND AVE 700	SEATTLE	WA	98104		HEALTHCARE		N/A	C	0					IN
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752578995	INACTIVE	TX	N/A	C	0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752118585	HEALTHCARE	TX	N/A	C	0
MEDICAL SPECIALTIES MANAGERS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330406218	HEALTHCARE	WA	N/A	C	0
MISSION VIEJO MEDICAL VENTURES INC
27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	HEALTHCARE	CA	N/A	C	0
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461814184	STRATEGIC PLANNING SERVICES	CA	N/A	C	0
PRAIA HEALTH INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	990552297	HEALTHCARE	DE	N/A	C	0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	981516461	IT SVCS		N/A	C	0					IN
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	900155714	CLINICAL/MEDICAL LAB	WA	N/A	C	0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800886966	PREPAID HEALTHCARE	CA	N/A	C	0
PROVIDENCE PARTNERS HOLDINGS INC
4400 NE HALSEY ST STE 609 ATTN ACCO	PORTLAND	OR	97213	882962549	INVESTMENT	DE	N/A	C	0
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	911216033	HEALTHCARE	WA	N/A	C	0
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL ST	TORRANCE	CA	90503	823771547	HEALTHCARE	CA	N/A	C	0
PROVSOURCE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	902318536	HEALTHCARE	DE	N/A	C	0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	462340232	HOLDING COMPANY	CA	N/A	C	0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461900168	HEALTHCARE	CA	N/A	C	0
ST JOSEPH MEDICAL PLAZA ASSOCIATION
1140 W LA VETA STE 400	ORANGE	CA	92868	330621539	CONDO ASSOCIATION	CA	N/A	C	0
ST JOSEPH PROF SVCS ENTERPRSES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330155323	HEALTHCARE	CA	N/A	C	0
TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	842092143	HOLDING COMPANY	DE	N/A	C	0
TEGRIA INSIGHTS GROUP HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	861400769	HOLDING COMPANY	WA	N/A	C	0
TEGRIA INSIGHTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	861532593	HEALTHCARE	WA	N/A	C	0
TEGRIA PRODUCTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	870995138	HOLDING COMPANY	DE	N/A	C	0
TEGRIA RCM GROUP US INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	863046450	HOLDING COMPANY	DE	N/A	C	0
TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844686520	HOLDING COMPANY	DE	N/A	C	0
TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844704409	HOLDING COMPANY	DE	N/A	C	0
TEGRIA SERVICES GROUP-CAN INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE		N/A	C	0					CA
TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	900872936	HEALTHCARE	WI	N/A	C	0
TRUSANA INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	922370159	HEALTHCARE	DE	N/A	C	0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953943315	INVESTMENT	CA	N/A	C	0
WEIGHT LOSS INC (FKA HMR WEIGHT MANAGEMENT SERVICES CORP)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	463598718	HEALTHCARE	WA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH SYSTEM FOUNDATION
B	$7,985,399	ACCRUAL
REDWOOD MEMORIAL FOUNDATION
C	$846,396	ACCRUAL
PROVIDENCE MEDICAL FOUNDATION
J	$2,087,010	ACCRUAL
PROVIDENCE MEDICAL FOUNDATION
K	$1,396,099	ACCRUAL
PROVIDENCE HEALTH & SERVICES - WASHINGTON
L	$3,064,709	ACCRUAL
PROVIDENCE MEDICAL FOUNDATION
L	$217,858	ACCRUAL
COVENANT HEALTH SYSTEM
M	$82,368	ACCRUAL
PROVIDENCE MEDICAL FOUNDATION
M	$217,858	ACCRUAL
PROVIDENCE MEDICAL FOUNDATION
O	$102,530,511	ACCRUAL