2024-11-13T13:20:33-06:00 2023-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2023-01-01 951643325 ST JUDE HOSPITAL STJU 7144467200 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 JIM MARTIN CHIEF ACCOUNTING OFFICER 7144467200 2024-10-30 1 1 EVA NITTA P01286320 4158948000 2024-10-24 2023 2024-10-15 13:58:12Z PROVIDENCE ST JUDE MEDICAL CENTER LAURA RAMOS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 932890477 0 0928 X WWW.STJUDEMEDICALCENTER.ORG X 1942 CA SEE SCHEDULE OAS 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. 16 14 3323 516 -37597 101416 3677693 14106361 801175481 895461685 13397542 12132239 5788415 10747314 824039131 932447599 953281 1136008 0 0 255726812 291791801 0 0 2248367 529293693 613378952 785973786 906306761 38065345 26140838 1162664799 1222531654 447701456 468003105 714963343 754528549 X 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. 0 0 878631411 1136008 906724297 SEE SCHEDULE OAT 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, WAAS 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. 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.2023 PROGRAM SERVICE ACCOMPLISHMENTS:IN 2023, PROVIDENCE ST. JUDE MEDICAL CENTER CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING IN ADDRESSING COMMUNITY NEEDS. IN 2023, WE FOCUSED ON ADDRESSING MENTAL HEALTH, ACCESS TO CARE, HOMELESSNESS AND HOUSING, HEALTH EQUITY AND RACIAL DISPARITIES.PRIORITY 1: MENTAL HEALTH:MENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING. IT AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE HEALTHY CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD. MENTAL HEALTH PROGRAMS INCLUDE THE PREVENTION, SCREENING, ASSESSMENT, AND TREATMENT OF MENTAL DISORDERS AND BEHAVIORAL CONDITIONS. MENTAL HEALTH IS AN IMPORTANT PART OF OVERALL HEALTH AND WELL-BEING. SUBSTANCE USE/MISUSE OCCURS WHEN THE RECURRENT USE OF ALCOHOL OR DRUGS CAUSES CLINICALLY SIGNIFICANT IMPAIRMENT, INCLUDING HEALTH PROBLEMS, DISABILITY, AND INABILITY TO MEET MAJOR RESPONSIBILITIES AT WORK, SCHOOL, OR HOME. SUBSTANCE USE/MISUSE INCLUDES THE USE OF ILLEGAL DRUGS AND THE INAPPROPRIATE USE OF LEGAL SUBSTANCES, SUCH AS ALCOHOL, PRESCRIPTION DRUGS AND TOBACCO.IN 2023 MENTAL HEALTH WAS ADDRESSED BY:1. EACH MIND MATTERS CAMPAIGN - REDUCED STIGMA AND INCREASED AWARENESS OF MENTAL HEALTH THROUGH 'PROMISES TO TALK' CAMPAIGN, PIVOTING EFFORTS TO AN ONLINE/WEB-BASED FORMAT TO REACH POPULATION. IN ADDITION, WE LAUNCHED GREEN BENCH OC, INSTALLING 28 GREEN BENCHES WHICH INCLUDE A QR CODE WITH LOCAL RESOURCES/REFERRALS AT SCHOOLS, PARKS, COMMUNITY-BASED ORGANIZATIONS, AND ALL THREE OC HOSPITALS WITH THE GOAL OF MAKING THE BENCHES A RECOGNIZABLE SYMBOL OF MENTAL HEALTH & STIGMA REDUCTION. THIS IS A REGIONAL EFFORT BY THE THREE ORANGE COUNTY HOSPITALS FORMING PART OF THE PROVIDENCE ST. JOSEPH HEALTH SYSTEM. 2. PROVIDED GRANTS TO ST. JUDE NEIGHBORHOOD HEALTH CENTERS, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT OFFERED MENTAL HEALTH AND PSYCHIATRY SERVICES TO LOW-INCOME FAMILIES AND RESIDENTS. 3. THE MEDICATION ASSISTANCE TREATMENT (MAT) PROGRAM CONTINUES TO BE FULLY IMPLEMENTED IN THE HOSPITAL'S EMERGENCY DEPARTMENT. THE EMERGENCY DEPARTMENT ALSO IMPLEMENTED COMMUNITY NALOXONE DISTRIBUTION. A TOTAL OF 726 PATIENTS RECEIVED MAT SERVICES IN THE ED. IN ADDITION, THE SUBSTANCE USE DISORDER PROGRAM COUNSELOR PROVIDED 689 ENCOUNTERS AND SERVED 327 UNIQUE PATIENTS.4. GRANTS WERE PROVIDED TO FULLERTON SCHOOL DISTRICT TO INCREASE THE NUMBER OF AT-RISK, LOW-INCOME STUDENTS IN THE DISTRICT WHO HAVE ACCESS TO MENTAL HEALTH SERVICES, AS WELL AS TO INCREASE THE NUMBER OF LOW-INCOME WITH ACCESS TO SUCH SERVICES. PRIORITY 2: ACCESS TO CARE:ACCESS TO CARE GOES BEYOND MEDICAL CARE, AND INCLUDES DENTAL, VISION, PRIMARY CARE, TRANSPORTATION, CULTURALLY APPROPRIATE CARE, AND CARE COORDINATION. PEOPLE WITHOUT INSURANCE ARE LESS LIKELY TO HAVE A PRIMARY CARE PROVIDER, AND THEY MAY NOT BE ABLE TO AFFORD THE HEALTHCARE SERVICES AND MEDICATIONS THEY NEED. STRATEGIES TO INCREASE INSURANCE COVERAGE RATES ARE CRITICAL FOR ENSURING THAT MORE PEOPLE RECEIVE IMPORTANT HEALTHCARE SERVICES, LIKE PREVENTIVE CARE AND TREATMENT FOR CHRONIC ILLNESSES.IN 2023 THIS NEED WAS ADDRESSED BY: 1. AVOIDABLE ED NAVIGATION PROGRAM ASSISTED MEDI-CAL/CALOPTIMA RECIPIENTS IN AVOIDING UNNECESSARY ED VISITS BY PROVIDING EDUCATION ON THE APPROPRIATE USE OF THE ED, HOW TO UTILIZE HEALTH BENEFITS, ESTABLISH A MEDICAL HOME, AND ACCESS SPECIALTY CARE/CARE COORDINATION.2. ADVOCATE FOR MEDI-CAL EXPANSION TO UNDOCUMENTED POPULATION IS CURRENTLY NOT COVERED. ONE EXPANSION POLICY HAS BEEN PASSED BY THE STATE LEGISLATURE. BY 2024, EXPANSION WILL OPEN ACCESS TO ALL AGE GROUPS.3. GRANT TO COMMUNITY HEALTH INITIATIVE OF ORANGE COUNTY TO INCREASE ACCESS TO CARE FOR UNDOCUMENTED POPULATION AGED 50 WHO ARE NEWLY ELIGIBLE FOR MEDI-CAL. THE GRANT OFFERED OUTREACH, ENROLLMENT, RETENTION, AND UTILIZATION SERVICES. A TOTAL OF 958 INDIVIDUALS WERE SUCCESSFULLY ENROLLED; CARE COORDINATION FACILITATED 6,069 CONNECTIONS TO MEDICAL HOME, AND EDUCATION OF NAVIGATING NEW HEALTH COVERAGE; OUTREACHED EFFORTS REACHED 6,602 INDIVIDUALS. 878631411 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 210 0 1 3323 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 16 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 CA X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 JO ANN ESCASA-HAIGH FRMR ASSISTANT TREASURER 0.00 1.00 X 0 3291797 10754 BRIAN LEE HELLELAND FRMR OFF. - DIV COO - SOUTH 0.00 55.00 X 0 1636484 245496 LAURA RAMOS CEO/PRESIDENT 55.00 0.00 X X 0 1136028 193862 JIM MARTIN ASSISTANT TREASURER (PART YEAR) 1.00 54.00 X 0 828928 115635 MOHAMMAD TARKHAN SUPERVISOR NURSING 50.00 0.00 X 415224 0 59289 GENE GUTIERREZ CHIEF FINANCIAL OFFICER 27.50 27.50 X 0 408887 59470 JULIE KIM CHIEF NURSING OFFICER 50.00 0.00 X 366487 0 64260 MARK JABLONSKI CHIEF MISSION INTEGRATION OFFICER 55.00 0.00 X 0 371912 56273 DUB DREES MINISTRY CHIEF PHILANTHROPY OFFICER 50.00 0.00 X 376688 0 50655 TROY GIDEON EXEC DIR ACUTE CARE OPERATIONS 55.00 0.00 X 352625 0 67592 DANIEL KIM PHYSICIAN MEDICAL DIRECTOR I 50.00 0.00 X 350981 0 51217 RABEL SANTOS SUPERVISOR NURSING 50.00 0.00 X 335634 0 49438 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0.50 54.50 X 0 292875 30846 LORRAINE VAIANA SECRETARY 1.00 49.00 X 91902 0 20536 SHAHRAM S SOLHPOUR MD TRUSTEE 0.50 0.00 X 0 58250 0 DONALD BITTNER MD TRUSTEE (PART YEAR) 0.50 0.00 X 0 750 0 ADAM LOESER TRUSTEE 0.50 0.00 X 0 0 0 ALAN WEINBERG MD TRUSTEE 0.50 0.00 X 0 0 0 FIENCIO FEEDY MARES TRUSTEE 0.50 0.00 X 0 0 0 GIRIBALA R PATEL TRUSTEE 0.50 0.00 X 0 0 0 HAROLD HAMUD TRUSTEE 0.50 0.00 X 0 0 0 JAMES HARDEMAN TRUSTEE 0.50 0.00 X 0 0 0 JOE LINS VICE CHAIR 1.00 0.00 X 0 0 0 MICHAEL VERITY TRUSTEE 0.50 0.00 X 0 0 0 MIKE HERNANDEZ CHAIR 1.00 0.00 X 0 0 0 SISTER KARIN NUERNBERG TRUSTEE 0.50 0.00 X 0 0 0 SISTER MARY ROGERS CSJ TRUSTEE 0.50 0.00 X 0 0 0 STEWART SHANFIELD MD TRUSTEE 0.50 0.00 X 0 0 0 SUELING CHEN MD TRUSTEE 0.50 0.00 X 0 0 0 2289541 8025911 1075323 1032 1 1 0 CASS INFORMATION SYSTEMS INC 12444 POWERSCOURT DR STE 550 SAINT LOUIS MO 63131 TECHNOLOGY SERVICES 9054455 AMN LOS ANGELES AMN SHIFTWISE 12400 HIGH BLUFF DR CORPORATE SAN DIEGO CA 92130 STAFFING SERVICES 5898447 PROVIDENCE MEDICAL FOUNDATION 3345 MICHELSON DR STE 200 IRVINE CA 92612 MEDICAL SERVICES 3609222 ALLIED ANEST MEDICAL GROUP INC 18302 IRVINE BLVD STE 120 TUSTIN CA 92780 MEDICAL SERVICES 3052330 MISSION LINEN SUPPLY 702 E MONTECITO ST SANTA BARBARA CA 93103 LAUNDRY SERVICES 1932129 104 439214 95000 5652333 7919814 14106361 NET PATIENT REVENUE 622110 889717050 889717050 MOB RENTAL REVENUE 531120 4892930 4892930 JV INCOME 900099 851705 851705 895461685 8130972 -37597 8168569 3928113 73154 0 0 3928113 73154 4001267 4001267 35386 439214 442878 -407492 -407492 CAFETERIA REVENUE 722514 2520994 2520994 EDUCATION REVENUE 611600 973615 973615 PHARMACY REVENUE 456110 292365 292365 7367832 7367832 11154806 932447599 906616491 -37597 11762344 X 1136008 1136008 532656 512542 18480 1634 260868326 251017646 9050402 800278 6487066 6242107 225058 19901 4985743 4797476 172972 15295 18918010 18203644 656330 58036 454883 437707 15781 1395 1700 1636 59 5 151933634 146196450 5271091 466093 173857 167292 6032 533 12301646 11837122 426786 37738 37970 36537 1317 116 17830122 17156837 618587 54698 98458 94740 3416 302 153527 147730 5326 471 13011858 12520516 451425 39917 33155416 31903431 1150273 101712 SYSTEM COST ALLOCATION 205929607 198153475 7144392 631740 MEDICAL SUPPLIES 142808513 142808513 UBI TAXES PAID 61951 59612 2149 190 HOSPITAL FEE 29456183 29456183 5969627 5744207 207107 18313 906306761 878631411 25426983 2248367 49345291 233306510 198911 7015476 5253618 12733504 98309156 111768024 53417 16325958 18109495 2192470 942979 1111694287 594020420 538081209 517673867 363999951 213042276 9789472 11999198 2205000 2400000 76963763 93486908 1162664799 1222531654 73017711 45139506 2006909 1727481 372676836 421136118 447701456 468003105 X 643659943 680680672 71303400 73847877 714963343 754528549 1162664799 1222531654 X 26140838 10237475 3186893 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 80367 80367 0 PART II-B, LINE 1: THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES PAID TO THE ALLIANCE OF CATHOLIC HEALTH CARE, THE CALIFORNIA HOSPITAL ASSOCIATION, AND THE AMERICAN HOSPITAL ASSOCIATION ALLOCATED TO LOBBYING ACTIVITIES. 22190420 835804 3269586 -123252 26419062 25613980 968071 -3753981 637650 22190420 26326028 1381940 3868871 154252 5808607 25613980 22451624 169600 3840310 135506 26326028 16746743 1480881 4224800 800 22451624 0.87710 0.11480 0.00810 0 0 6457972 6457972 757258890 310818416 446440474 11984225 11259629 724596 319912501 271942375 47970126 16080699 16080699 517673867 HOSPITAL FEE/PROVIDER TAX RECEIVABLE 48869786 RIGHTS OF USE OPERATING LEASES 38623662 DUE FROM THIRD PARTY 16426623 DUE FROM AFFILIATES 18417 CHARITABLE GIFT ANNUITIES -4393238 OTHER ASSETS -6058342 93486908 I/C - TAX-EXEMPT BOND LIABILITIES 228294615 DUE TO THIRD PARTY 67180097 LONG-TERM LINE OF CREDIT 41270644 HOSPITAL FEE/PROVIDER TAX LIABILITY 40047239 CAPITAL LEASE OBLIGATIONS 26441852 DUE TO AFFILIATES 9620680 ACCRUED RETIREMENT COMPENSATION 4124996 OTHER LIABILITIES 3913632 CHARITABLE GIFT ANNUITIES 242363 421136118 SCHEDULE D, PART V, LINE 4 INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS THE ENDOWMENT FUNDS PROVIDE INCOME TO SUPPORT CARE FOR THE POOR PROGRAMS, NURSING SCHOLARSHIPS, AND ACTIVITIES DESIGNATED BY THE BOARD TO SUPPORT ST. JUDE MEDICAL CENTER'S CONTINUING NEEDS AND MISSION. CA NEIGHBORS HELPING NEIGHBORS 92000 69110 22890 0 10400 3995 1595 39150 18683 A WALK AMONG THE STARS (WATS) 382600 370104 12496 0 121808 6080 10000 231167 474600 439214 35386 10400 125803 7675 49150 249850 442878 -407492 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 3099504 3099504 0.00340 114742691 79376014 35366677 0.03900 117842195 79376014 38466181 0.04240 5214027 3397566 1816461 0.00200 30000 30000 0.00000 22197185 21590116 607069 0.00070 1130662 1130662 0.00120 28571874 24987682 3584192 0.00390 146414069 104363696 42050373 0.04630 0 240380580 321307051 -80926471 X 1 0 1 1 ST JUDE HOSPITAL 101 E VALENCIA MESA DRIVE FULLERTON CA 92835 WWW.STJUDEMEDICALCENTER.ORG HSC30168F X X X X ST JUDE HOSPITAL 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 23 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 300.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 1 SCHEDULE H, PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, IDENTIFIED THOUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5: WHEN CONDUCTING THE 2023 CHNA TO IDENTIFY NEEDS AND TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS AND OTHER KEY STAKEHOLDERS, REPRESENTATIVES FROM PROVIDENCE ORANGE COUNTY, IN PARTNERSHIP WITH CHARITABLE VENTURES, CARRIED OUT THREE APPROACHES TO GAIN THE COMMUNITY INPUT: 1) COMMUNITY LISTENING SESSIONS, 2) A KEY INFORMANT SURVEY, AND 3) DIALOGUE SESSIONS WITH LEADERS FROM EACH OF THE THREE PROVIDENCE ORANGE COUNTY HOSPITALS.EIGHT LISTENING SESSIONS WERE HELD WITH SPECIFIC COMMUNITIES THAT HAVE UNIQUE NEEDS: ASIAN AMERICAN/NATIVE HAWAIIAN/PACIFIC ISLANDER (AANHPI), BLACK/AFRICAN AMERICAN, INDIVIDUALS WITH DISABILITIES, LGBTQIA+, OLDER ADULTS, KOREAN-SPEAKING, SPANISH-SPEAKING IN SOUTH ORANGE COUNTY, AND VIETNAMESE-SPEAKING. THESE SESSIONS WERE HELD BOTH ONLINE AND IN PERSON, IN SETTINGS THAT WERE MOST ACCESSIBLE FOR PARTICIPANTS. THESE SESSIONS WERE CONDUCTED IN PARTNERSHIP WITH TRUSTED MESSENGER ORGANIZATIONS WITH UNIQUE CONNECTIONS AS WELL AS LANGUAGE SKILLS TO REACH COMMUNITY MEMBERS. DURING THESE SESSIONS, PARTICIPANTS DISCUSSED NEEDS, ISSUES, BARRIERS, VISIONS FOR HEALTH, COMMUNITY STRENGTHS, AND IDEAS FOR INNOVATION, COLLABORATION, AND THE PURSUIT OF EQUITY. SEVEN SESSIONS WERE DIRECTED TOWARD RESIDENTS, INCLUDING ONE FOCUSED ON THE SPANISH- SPEAKING COMMUNITY WITHIN THE MISSION HOSPITAL SERVICE AREA IN SOUTH ORANGE COUNTY, AND ONE WAS DIRECTED TOWARD PROVIDERS SERVING THE AANHPI COMMUNITY. THE KEY INFORMANT SURVEY WAS DISTRIBUTED WIDELY TO FAITH AND COMMUNITY-BASED ORGANIZATIONS, SCHOOL DISTRICTS AND EDUCATIONAL INSTITUTIONS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), MEDICAL CENTERS, LAW ENFORCEMENT, CITY REPRESENTATIVES, GOVERNMENT AGENCIES, AND OTHER PROVIDERS AND LEADERS KNOWLEDGEABLE ABOUT COMMUNITY HEALTH. FINALLY, FEEDBACK WAS ALSO OBTAINED FROM PROVIDENCE LEADERSHIP.OUR PUBLIC HEALTH AGENCY, THE ORANGE COUNTY HEALTH CARE AGENCY, WAS ENGAGED THROUGH KEY INFORMANT SURVEYS AND WAS REPRESENTED ON MISSION HOSPITAL'S COMMUNITY HEALTH COMMITTEE, WHERE PRIORITY AREAS WERE IDENTIFIED. OUR COMMUNITY HEALTH INVESTMENT LEADERS MAINTAINED CLOSE COMMUNICATIONS WITH KEY ORANGE COUNTY HEALTH CARE AGENCY STAFF WHO WERE CONDUCTING A COINCIDING NEEDS ASSESSMENT FOR ORANGE COUNTY. THE OC HEALTH CARE AGENCY OFFICE OF POPULATION HEALTH AND EQUITY PRIORITIES FOR 2023 - 2028, AND THE 2020 - 2022 ORANGE COUNTY HEALTH IMPROVEMENT PLAN, WERE REVIEWED AND USED AS REFERENCE TO ENSURE ALIGNMENT WITH COUNTY PUBLIC HEALTH FINDINGS AND PRIORITIES. SCHEDULE H, PART V, SECTION B, LINE 6A: ST. JOSEPH HOSPITAL ORANGEMISSION HOSPITAL SCHEDULE H, PART V, SECTION B, LINE 6B: SCHEDULE H, PART V, SECTION B, LINE 7A HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB.SCHEDULE H, PART V, SECTION B, LINE 9:THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT ON FEBRUARY 14, 2024, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1). SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB. SCHEDULE H, PART V, SECTION B, LINE 11 FOR CALENDAR YEARS 2024 - 2026, ST. JUDE MEDICAL CENTER IDENTIFIED THE FOLLOWING THREE (3) PRIORITIES: ACCESS TO CARE, BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH AND SUBSTANCE USE), AND HOMELESSNESS AND HOUSING.PRIORITY 1: ACCESS TO CARE:ACCESS TO CARE GOES BEYOND MEDICAL CARE AND INCLUDES DENTAL, VISION, PRIMARY CARE, TRANSPORTATION, CULTURALLY APPROPRIATE CARE, AND CARE COORDINATION. PEOPLE WITHOUT INSURANCE ARE LESS LIKELY TO HAVE A PRIMARY CARE PROVIDER, AND THEY MAY NOT BE ABLE TO AFFORD THE HEALTH CARE SERVICES AND MEDICATIONS THEY NEED. STRATEGIES TO INCREASE INSURANCE COVERAGE RATES ARE CRITICAL FOR ENSURING MORE PEOPLE RECEIVE IMPORTANT HEALTH CARE SERVICES, LIKE PREVENTIVE CARE AND TREATMENT FOR CHRONIC ILLNESSES.IN 2023, ACCESS TO CARE WAS ADDRESSED BY THE FOLLOWING:$1.5 MILLION WAS INVESTED IN 2023 TO SUPPORT PROGRAMS OFFERING CARE NAVIGATION FOR SOCIAL DETERMINANTS OF HEALTH, TRANSPORTATION SERVICES FOR VULNERABLE SENIORS WHO ARE ACCESSING HEALTH CARE SERVICES, CHILDHOOD OBESITY PREVENTION PROGRAMS, INCLUDING PARKS AND SCHOOL EXERCISE EQUIPMENT, WALKABLE SPACES, NUTRITION/EDUCATION, AND EXERCISE CLASSES IN FOUR KEY CITIES IN NORTH ORANGE COUNTY SERVING THE COMMUNITIES WITH THE HIGHEST NEEDS. IN ADDITION, THESE PROGRAMS FOCUS ON ENVIRONMENTAL, SYSTEMIC, AND POLICY CHANGE IN LOW-INCOME NEIGHBORHOODS OF FULLERTON, LA HABRA, PLACENTIA AND BUENA PARK. PRIORITY 2: BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH & SUBSTANCE USE):MENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING. IT AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE HEALTHY CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD. MENTAL HEALTH PROGRAMS INCLUDE THE PREVENTION, SCREENING, ASSESSMENT, AND TREATMENT OF MENTAL DISORDERS AND BEHAVIORAL CONDITIONS. MENTAL HEALTH IS AN IMPORTANT PART OF OVERALL HEALTH AND WELL-BEING. SUBSTANCE USE/MISUSE OCCURS WHEN THE RECURRENT USE OF ALCOHOL OR DRUGS CAUSES CLINICALLY SIGNIFICANT IMPAIRMENT, INCLUDING HEALTH PROBLEMS, DISABILITY, AND INABILITY TO MEET MAJOR RESPONSIBILITIES AT WORK, SCHOOL, OR HOME. SUBSTANCE USE/MISUSE INCLUDES THE USE OF ILLEGAL DRUGS AND THE INAPPROPRIATE USE OF LEGAL SUBSTANCES, SUCH AS ALCOHOL, PRESCRIPTION DRUGS, AND TOBACCO.IN 2023, MENTAL HEALTH WAS ADDRESSED BY THE FOLLOWING ACTIVITIES:AVOIDABLE ED VISITS:ST. JUDE MEDICAL CENTER, IN PARTNERSHIP WITH ST. JOSEPH HOSPITAL ORANGE AND MISSION HOSPITAL, CONTINUES TO PARTICIPATE IN MEETINGS WITH BEWELL TO DESIGN A SEAMLESS REFERRAL PROCESS TO DECREASE AVOIDABLE ED VISITS IN CENTRAL ORANGE COUNTY. IN FY23, SJMC FUNDED $150,000 TOWARD AVAILABLE ED NAVIGATOR.BEHAVIORAL HEALTH MEDICATIONS AND TREATMENT:ST. JUDE, IN PARTNERSHIP WITH ST. JOSEPH HOSPITAL ORANGE, OFFERS THE MEDICATION- ASSISTANCE TREATMENT (MAT) PROGRAM AND A CHEMICAL ADDICTION PROGRAM. THE MAT PROGRAM IS INTENDED TO SERVE INDIVIDUALS STRUGGLING WITH OPIOID ADDICTION OR SUBSTANCE ABUSE DISORDER. IT FOCUSES PRIMARILY ON PSYCHOTHERAPY ASSISTED BY PSYCHIATRIC PRESCRIBED MEDICATION DESIGNED TO ALLEVIATE WITHDRAWAL SYMPTOMS AND CRAVINGS. IN 2023, THE EMERGENCY ROOM IMPLEMENTED NALOXONE DISTRIBUTION. 726 PATIENTS RECEIVED MAT SERVICES IN THE ED.EACH MIND MATTERS:ST. JUDE MEDICAL CENTER INVESTED $99,950 IN EACH MIND MATTERS AND OTHER MENTAL HEALTH STRATEGIES. EACH MIND MATTERS, THE MENTAL HEALTH STIGMA REDUCTION CAMPAIGN, CONTINUES TO PROVIDE VIRTUAL COMMUNICATION. PROMISE TO TALK ACQUIRED 2.7M IMPRESSIONS ACROSS ALL SOCIAL MEDIA AND WEB PLATFORMS. IN 2023, 25,954 TOTAL ENCOUNTERS WERE COMPLETED AND 635 TOTAL PROMISES. THE PROMISE TO TALK WEBSITE HAD 5,845 VISITS. GREEN BENCH OC IS A CAMPAIGN AIMED AT MAKING THE GREEN BENCH A RECOGNIZABLE SYMBOL OF MENTAL HEALTH STIGMA REDUCTION IN ORANGE COUNTY AND REDUCING MENTAL HEALTH STIGMA IN TARGET COMMUNITIES. THE GREEN BENCH SYMBOLIZES A PLACE TO TALK TO SOMEONE ABOUT MENTAL HEALTH. THIS CAMPAIGN ALLOWS US TO CONTINUE HAVING IMPORTANT CONVERSATIONS WITH MEMBERS OF THE COMMUNITY AND TO CREATE INTEREST AROUND THE STIGMA REDUCTION MOVEMENT. IN 2023, WE PARTNERED WITH 19 ORGANIZATIONS AND PAINTED OR INSTALLED 28 GREEN BENCHES AT PARKS, SCHOOLS, COMMUNITY-BASED ORGANIZATIONS, AND ALL THREE PROVIDENCE HOSPITALS. DURING MENTAL HEALTH AWARENESS MONTH, IN MAY 2023, OUR IN PERSON DA DEL NIO OUTREACH EVENT BROUGHT IN OVER 1,280 PROMISES TO TALK, ENCOURAGING OPEN CONVERSATIONS TO REDUCE THE STIGMA SURROUNDING MENTAL HEALTH. PROMISE TO TALK MARKED ITS RETURN TO IN-PERSON OUTREACH THROUGH ITS PARTNERSHIP WITH THE LIME TRUCK, WHICH PROVIDED LUNCH TO OVER 600 DA DEL NIO ATTENDEES. THE WELLNESS FAIR MARKED OUR SECOND COLLABORATION WITH THE TIGER WOODS FOUNDATION AND UNVEILED THE GREEN BENCH INSTALLED ON-SITE. ATTENDEES HAD THE OPPORTUNITY TO VISIT RESOURCE TABLES TO LEARN ABOUT FREE AND LOW-COST HEALTH, EDUCATION, AND SOCIAL SERVICES AVAILABLE IN ORANGE COUNTY. THE TGR LEARNING LAB IS A PROVEN ACADEMIC RESOURCE FOR MANY UNDERSERVED STUDENTS IN ANAHEIM AND SURROUNDING AREAS THAT FOCUSES NOT ONLY ON EDUCATION BUT ALSO ON THE MENTAL AND PHYSICAL WELLBEING OF ITS STUDENTS. RESULTS: LOCAL CHANNEL 62 ESTRELLA TV (NOTICIAS 62) AIRED A 25-SECOND SEGMENT AHEAD OF THE EVENT DETAILING THE IMPORTANCE OF GREEN BENCH OC'S MISSION AND MENTIONED A PREVIEW OF THE WELLNESS FAIR. ADDITIONALLY, TAMMY TRUJILLO FROM KLAA 830 AM RADIO DID A STORY ON GREEN BENCH OC. THIS YEAR, WE INTRODUCED NEW AND UPDATED RESOURCES FOR THE BACK-TO-SCHOOL PERIOD, WHICH CAN BE A STRESSFUL AND CHALLENGING EXPERIENCE FOR YOUNG PEOPLE. WE PARTNERED WITH A TOTAL OF 75 ORGANIZATIONS, HAD 847,585 SOCIAL IMPRESSIONS, REACHED 33 SCHOOLS, AND 750 DISTRIBUTED MATERIALS.PRIORITY 3: HOMELESSNESS AND HOUSINGA LACK OF AFFORDABLE HOUSING CAN CONTRIBUTE TO HOMELESSNESS. COMMUNITY MEMBERS SHARED THAT AFFORDABLE HOUSING, ESPECIALLY FOR LARGER AND MULTI-GENERATIONAL FAMILIES, IS A NEED. HOSPITAL LEADERS NOTE THE IMPORTANCE OF MEETING THE NEEDS OF THOSE WHO ARE HOUSING INSECURE AND/OR UNHOUSED.IN 2023, HOMELESS AND HOUSING WAS ADDRESSED BY:IN 2023, 807 HOUSING CHAMPIONS WERE TRAINED BY OUR PARTNERS OC UNITED WAY AND OC PEOPLE FOR HOUSING/YES IN MY BACK YARD (YIMBY) AND WERE ENGAGED IN HOUSING ELEMENT WORK TO PROMOTE STRONGER POLICIES THAT WILL RESULT IN AFFORDABLE HOUSING. SIX CITIES COMMITTED TO CONDUCTING STUDIES ON INCLUSIONARY HOUSING ORDINANCES IN THEIR HOUSING ELEMENTS. TWO AFFORDABLE HOUSING PROJECTS TOTALING 80 UNITS OPENED IN NORTH ORANGE COUNTY. IN ADDITION, ST. JUDE MEDICAL CENTER PROVIDED IN-KIND SUPPORT FOR UNITY HOUSE, WHICH PROVIDES RECUPERATIVE CARE TO HOMELESS WOMEN.HOMELESS CARE NAVIGATION PROGRAMTHE HOMELESS CARE NAVIGATION PROGRAM CONTINUED WITH TWO CARE NAVIGATORS WHO PROVIDED SERVICE TO OVER 1,390 UNIQUE CLIENTS WITH A TOTAL OF 5,216 ENCOUNTERS. A REGIONAL HOMELESS CARE NAVIGATOR WORK GROUP CONTINUES TO MEET TO SHARE THE BEST PRACTICES AND COLLECT COMMON METRICS. A TOTAL OF $450,000 WAS INVESTED IN THE HOMELESS AND HOUSING INITIATIVE IN FY23.THE STATUTORY NUMBER IN THE CAL AIM REGULATION IS 14 IN LIEU SERVICES PROVIDED. ENHANCED CARE MANAGEMENT (ECM) INCLUDES OUTREACH AND ENGAGEMENT, COMPREHENSIVE ASSESSMENT AND CARE MANAGEMENT PLAN, ENHANCED CARE COORDINATION, HEALTH PROMOTION, COMPREHENSIVE TRANSITIONAL CARE, MEMBER AND FAMILY SUPPORTS, COORDINATION OF AND REFERRAL TO COMMUNITY AND SOCIAL SUPPORT SERVICES. COMMUNITY SUPPORTS INCLUDE 90-DAYS IN RECUPERATIVE CARE, SHORT-TERM POST-HOSPITALIZATION HOUSING UP TO 6 MONTHS, DAY HABILITATION PROGRAMS, PERSONAL CARE HOMEMAKER SERVICES, MEALS/MEDICALLY TAILORED MEALS, AND SOBERING CENTERS. FLEXIBLE WRAP-AROUND SERVICES ARE PROVIDED AS A SUBSTITUTE FOR OR TO AVOID OTHER COVERED SERVICES, SUCH AS HOSPITAL ADMISSIONS, SKILLED NURSING FACILITY PLACEMENT, OR ED USE. SCHEDULE H, PART V, SECTION B, LINE 11 (CONTINUED) NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. OUR 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," IS BEST LIVED BY PARTNERING WITH LIKE-MINDED ORGANIZATIONS THAT HAVE THE CAPACITY AND EXPERTISE TO ADDRESS THE NEEDS OF ORANGE COUNTY RESIDENTS. WE ARE COMMITTED TO LIVING OUT OUR MISSION THROUGH OUR OWN COMMUNITY BENEFIT PROGRAMS, IN PARTNERSHIP WITH LIKE-MINDED PARTNERS, AND BY FUNDING OTHER NON-PROFITS. FURTHERMORE, ST. JUDE MEDICAL CENTER WILL ENDORSE LOCAL NONPROFIT ORGANIZATIONS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES WITHIN ST. JUDE'S MEDICAL CENTER SERVICE AREAS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE HOSPITAL'S 2023 CHNA WILL NOT BE ADDRESSED, AND AN EXPLANATION IS PROVIDED BELOW:CULTURALLY AND LINGUISTICALLY CONCORDANT SERVICES:WHILE THIS IDENTIFIED NEED WAS RECOGNIZED AS A COMMUNITY NEED, IT WAS NOT SELECTED AS ONE OF THE TOP PRIORITIES BECAUSE IT WILL BE EMBEDDED IN THE THREE (3) PRIORITY NEEDS IDENTIFIED. ADDITIONALLY, IT WILL SERVE AS A MODEL FOR HOW WE ADDRESS HEALTH EQUITY AMONG OUR COMMUNITIES. THE FOLLOWING ORGANIZATIONS CURRENTLY ADDRESS CULTURALLY AND LINGUISTICALLY CONCORDANT SERVICES: LGTBQ CENTER OC, VITAL ACCESS CARE FOUNDATION (VIETNAMESE), KOREAN COMMUNITY SERVICES (KCS), OMID MULTICULTURAL INSTITUTE FOR DEVELOPMENT (FARSI, ARABIC), LATINO HEALTH ACCESS, CHIRLA, THE CAMBODIAN FAMILY, HOPE COMMUNITY SERVICES, AND GOOD HANDS FOUNDATION.ACCESS TO SAFE, RELIABLE, AFFORDABLE TRANSPORTATION:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED. HOWEVER, ST. JUDE MEDICAL CENTER PROVIDES TRANSPORTATION TO LOW-INCOME, ISOLATED, AND VULNERABLE SENIORS TO GET TO AND FROM MEDICAL APPOINTMENTS.LACK OF COMMUNITY INVOLVEMENT AND ENGAGEMENT:THERE ARE SEVERAL REASONS FOR THE LACK OF COMMUNITY INVOLVEMENT AND ENGAGEMENT. FACTORS INCLUDE: ORANGE COUNTY IS A DIVERSE COMMUNITY OF RESIDENTS FROM VARIOUS BACKGROUNDS, CULTURES, AND LANGUAGES. THIS DIVERSITY CAN MAKE IT DIFFICULT TO CREATE A SENSE OF UNITY AND COMMON PURPOSE AMONG RESIDENTS. IN ADDITION, ORANGE COUNTY HAS SIGNIFICANT ECONOMIC DISPARITIES, WHICH CAN LIMIT RESIDENTS' PARTICIPATION IN COMMUNITY INVOLVEMENT. RESOURCES AND INFRASTRUCTURE ARE NEEDED TO SUPPORT COMMUNITY ENGAGEMENT. ADDRESSING THESE BARRIERS REQUIRES COORDINATED EFFORTS INVOLVING LOCAL GOVERNMENT, COMMUNITY ORGANIZATIONS, AND RESIDENTS. THANKFULLY, EXPERT PROGRAMS AND ORGANIZATIONS SUCH AS SANTA ANA EARLY LEARNING INITIATIVE, COMMUNITY ACTION PARTNERSHIP OF ORANGE COUNTY, AND LATINO HEALTH ACCESS ARE CURRENTLY MAKING GREAT STRIDES IN ADDRESSING COMMUNITY INVOLVEMENT AND ENGAGEMENT IN THE MOST UNDERSERVED COMMUNITIES.ECONOMIC INSECURITY (LACK OF LIVING WAGE JOBS AND UNEMPLOYMENT):THE LACK OF LIVING WAGE JOBS AND UNEMPLOYMENT IN ORANGE COUNTY SIGNIFICANTLY IMPACT/HINDERS THE ABILITY OF RESIDENTS TO THRIVE IN THE COMMUNITIES WHERE THEY LIVE AND WORK. ACCESS TO EDUCATION, JOB TRAINING, AFFORDABLE HOUSING, AND HEALTHCARE ARE KEY FACTORS THAT IMPROVE ECONOMIC SECURITY AMONG UNDERSERVED COMMUNITIES. ORGANIZATIONS SUCH AS COMMUNITY ACTION PARTNERSHIP OF ORANGE COUNTY, TALLER SAN JOSE/HOPE BUILDERS, ONE STOP, CIELO, AND OC SOCIAL SERVICES ARE CURRENTLY ADDRESSING ECONOMIC INSECURITY. ST. JOSEPH HOSPITAL CONTINUES TO LOOK FOR WAYS TO ERADICATE SYSTEMIC INEQUITIES AND INFRASTRUCTURES THAT IMPEDE ECONOMIC SECURITY AMONG OUR COMMUNITIES.BASIC NEEDS:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.FOOD INSECURITY:THE COVID PANDEMIC BROUGHT TO LIGHT IMMEDIATE NEEDS AROUND FOOD INSECURITY, PARTICULARLY IMPACTING UNDERSERVED COMMUNITIES. AS A RESULT, MANY ORGANIZATIONS (NON-PROFIT, PRIVATE, AND GOVERNMENT) SHIFTED THEIR FOCUS TO ADDRESS FOOD INSECURITY, LEADING TO CONCERTED AND COORDINATED EFFORTS THAT MOBILIZED ACCESS FOR THOSE MOST IN NEED. TODAY, THESE ORGANIZATIONS AND SYSTEMS, SUCH AS SECOND HARVEST, ABOUND, BRACKEN'S KITCHEN, TO NAME A FEW, HAVE ADVANCED THE CAUSE OF FOOD AVAILABILITY AND DISTRIBUTION IN ORANGE COUNTY. ST. JOSEPH HOSPITAL REMAINS INFORMED, ENGAGED, AND SUPPORTIVE OF THESE EFFORTS WHEN APPROPRIATE. RACISM AND DISCRIMINATION:GROUNDSWELL, FORMERLY KNOWN AS ORANGE COUNTY HUMAN RELATIONS, BRINGS DIVERSE PEOPLE TOGETHER TO BUILD A MORE EQUITABLE FUTURE, ENGAGE IN DIALOGUE AND CONFLICT RESOLUTION PROCESSES TO FOSTER UNDERSTANDING AND EMPATHY, PARTNER TO PREVENT AND RESPOND TO CONFLICT AND HARM, AND TO PROVIDE TRAINING, TOOLS, AND SUPPORT FOR LEADERSHIP DEVELOPMENT IN UNDERSERVED COMMUNITIES. THEY WORK WITH SCHOOLS AND YOUTH, OFFER MEDIATION SERVICES, AND PROVIDE ANTI-HATE PROGRAMS. GROUNDSWELL IS CONSIDERED ONE OF ORANGE COUNTY'S PREMIER ORGANIZATIONS CURRENTLY ADDRESSING AND RESPONDING TO ISSUES OF RACISM AND DISCRIMINATION IMPACTING OUR COMMUNITIES.DOMESTIC VIOLENCE, CHILD ABUSE/NEGLECT:ST. JUDE MEDICAL CENTER IS LIMITED IN RESOURCES AND EXPERTISE IN EFFECTIVELY ADDRESS THIS NEED. ADDRESSING COMPLEX ISSUES LIKE DOMESTIC VIOLENCE AND CHILD ABUSE/NEGLECT REQUIRES A CAREFUL APPROACH TO ENSURE THE SAFETY AND WELL-BEING OF THE INDIVIDUALS INVOLVED. ST. JUDE MEDICAL CENTER SUPPORTS, COLLABORATES WITH, AND REFERS TO OTHER ORGANIZATIONS AND AGENCIES THAT SPECIALIZE IN ADDRESSING DOMESTIC VIOLENCE AND CHILD ABUSE/NEGLECT. SCHEDULE H, PART V, SECTION B, LINE 13H: THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDER-INSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT.SCHEDULE H, PART V, SECTION B, LINE 16AFAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE SCHEDULE H, 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. 12 1 - IMAGING SERVICES 2141 N HARBOR BLVD SUITE 16000 FULLERTON CA 92835 OUTPATIENT SERVICES 2 - ST JUDE PLAZA SURGERY CENTER 2141 N HARBOR BLVD SUITE 41000 FULLERTON CA 92835 OUTPATIENT FACILITIES 3 - KNOTT FAMILY ENDOSCOPY CENTER 1839 SUNNYCREST DRIVE FULLERTON CA 92835 OUTPATIENT FACILITIES 4 - IMAGING CENTER 2151 N HARBOR BLVD SUITE 1400 FULLERTON CA 92835 OUTPATIENT FACILITIES 5 - RADIATION THERAPY 2151 N HARBOR BLVD SUITE 1500 FULLERTON CA 92835 OUTPATIENT FACILITIES 6 - ST JUDE CENTERS FOR REHAB & WELLNESS 2767 E IMPERIAL HWY BREA CA 92821 OUTPATIENT FACILITIES 7 - BREAST CENTER 2151 N HARBOR BLVD SUITE 2100 FULLERTON CA 92835 OUTPATIENT FACILITIES 8 - CARDIAC REHAB CTRHEART FAILURE CLINIC 100 E VALENCIA MESA DR SUITE 200 FULLERTON CA 92835 OUTPATIENT FACILITIES 9 - WELLNESS-SYNERGY 2767 E IMPERIAL HWY BREA CA 92821 OUTPATIENT FACILITIES 10 - ST JUDE MEDICAL PLAZA LABORATORY 2141-2151 N HARBOR BLVD SUITE 1700 FULLERTON CA 92835 OUTPATIENT FACILITIES 11 - ONCOLOGY SERVICES 101 EAST VALENCIA MESA DRIVE FULLERTON CA 92835 OUTPATIENT FACILITIES 12 - ST JUDE IMAGING CENTER 4300 ROSE DRIVE SUITE B YORBA LINDA CA 92886 OUTPATIENT FACILITIES 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: ST. JUDE HOSPITAL PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT:HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/ST-JUDE-MEDICAL-CENTER/ABOUT-US/COMMUNITY-BENEFIT PART I, LINE 7: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING 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: OUR 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. PART VI, LINE 2: WITH THE INPUT OF MORE THAN 450 KEY STAKEHOLDERS, ST. JUDE MEDICAL CENTER DEFINED ITS FIVE-YEAR STRATEGIC JOURNEY, WHICH FORMS THE FOUNDATION FOR OUR COMMITMENT TO EACH PATIENT WE SERVE:PROVIDENCE STRATEGIC FRAMEWORK - STRENGTHEN THE CORE: WE WILL DELIVER OUTSTANDING, AFFORDABLE HEALTHCARE, HOUSING, EDUCATION AND OTHER ESSENTIAL SERVICES TO OUR PATIENTS AND COMMUNITIES. WE SEEK TO CREATE A PLACE WHERE CAREGIVERS ARE FULFILLED AND INSPIRED TO CARRY ON THE MISSION.- BE OUR COMMUNITIES' HEALTH PARTNER: WE WILL BE OUR COMMUNITIES' HEALTH PARTNER, AIMING FOR PHYSICAL, SPIRITUAL, AND EMOTIONAL WELL-BEING. WE SEEK TO EASE THE WAY OF OUR NEIGHBORS IN THEIR JOURNEY TO GOOD LIFE. - TRANSFORM OUR FUTURE: WE WILL RESPOND TO THE SIGNS OF THE TIMES, PURSUING NEW OPPORTUNITIES THAT TRANSFORM OUR SERVICES. WE SEEK TO EXPAND AND SUSTAIN OUR MISSION.- PROVIDENCE SOCAL REGION STRATEGIC VISION: BE OUR COMMUNITY'S HEALTH PARTNER OF CHOICE, KNOWN FOR EASE OF USE, KEEPING OUR PATIENTS WELL, AND OUTSTANDING QUALITY.O STRENGTHEN THE CORE: PROVIDING EXCEPTIONAL, PERSONALIZED CARE WITH COMPASSION.- SIMPLIFY ACCESS: KNOW OUR COMMUNITIES AND EASE THEIR WAY THROUGH THE CARE CONTINUUM. TRANSFORM CARE, IMPROVE POPULATION HEALTH OUTCOMES, AND REDUCE HEALTH DISPARITIES, ESPECIALLY FOR THE POOR AND VULNERABLE POPULATIONS. LEAD THE WAY IN IMPROVING OUR NATION'S MENTAL AND EMOTIONAL WELL-BEING. ENGAGE WITH PARTNERS TO ENSURE HEALTH EQUITY FOR ALL BY ADDRESSING SYSTEMIC RACISM AND THE SOCIAL DETERMINANTS OF HEALTH, WITH A FOCUS ON EDUCATION, HOUSING AND THE ENVIRONMENT. TRANSFORM HEALTH: USE OUR HIGH-VALUE NETWORK OF CARE TO KEEP PATIENTS WELL AND PROVIDE COORDINATED CARE WHEN SICK. 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: ST. JUDE MEDICAL CENTER SERVES COMMUNITIES IN NORTH ORANGE COUNTY AND PARTS OF LOS ANGELES, RIVERSIDE, AND SAN BERNARDINO COUNTIES, OFFERING ACCESS TO ADVANCED CARE AND SERVICES. THE HOSPITAL'S TOTAL SERVICE AREA (TSA) SPANS FROM WALNUT IN THE NORTH TO ANAHEIM IN THE SOUTH, AND CORONA IN THE EAST TO BUENA PARK IN THE WEST. THE TSA INCLUDED THE CITIES OF ANAHEIM, BREA, BUENA PARK, CHINO, CHINO HILLS, CORONA, DIAMOND BAR, FULLERTON, HACIENDA HEIGHTS, LA HABRA, LA MIRADA, ROWLAND HEIGHTS, WALNUT, WHITTIER, AND YORBA LINDA. TOTAL SERVICE AREA (TSA) THE SERVICE AREA WAS DEFINED BY REVIEWING ZIP CODES TIED TO INPATIENT DISCHARGES AND ENSURING FULL COVERAGE OF ORANGE COUNTY. ST. JUDE MEDICAL CENTER'S SERVICE AREA INCLUDED 327 CENSUS TRACTS, DETERMINED BY GEOGRAPHIC ACCESS, NEARBY HOSPITALS, AND INPATIENTS DISCHARGE ZIP CODES. CENSUS TRACT OVERLAPPING THE ZIP CODES IN TABLE 17 OF THE CHNA WERE USED TO DEFINE THE SERVICE AREA. THE TSA INCLUDED THE CITIES OF ANAHEIM, BREA, BUENA PARK, CHINO, CHINO HILLS, CORONA, DIAMOND BAR, FULLERTON, HACIENDA HEIGHTS, LA HABRA, LA MIRADA, ROWLAND HEIGHTS, WALNUT, WHITTIER, AND YORBA LINDA.POPULATION AND AGE DEMOGRAPHIC:PEOPLE UNDER THE AGE OF 35 ARE MORE LIKELY TO LIVE IN THE HIGH-NEED SERVICE AREA, WHILE THOSE AGED 65 AND OLDER ARE LESS LIKELY. THE RATIO OF MALES TO FEMALES REMAINS RELATIVELY CONSISTENT ACROSS THE GEOGRAPHIC AREAS.POPULATION BY RACE AND ETHNICITYHISPANIC AND "OTHER" RACE GROUPS ARE SIGNIFICANTLY MORE LIKELY TO RESIDE IN HIGH-NEED CENSUS TRACT, WHILE ASIAN INDIVIDUALS ARE LESS LIKELY TO DO SO.SOCIOECONOMIC INDICATORSTHE MEDIAN HOUSEHOLD INCOME IN ST. JUDE MEDICAL CENTER'S TOTAL SERVICE AREA IS APPROXIMATELY $4,000 LOWER THAN ORANGE COUNTY'S OVERALL MEDIAN INCOME. ADDITIONALLY, THERE IS A $43,000 INCOME GAP BETWEEN HOUSEHOLDS IN THE BROADER SERVICE AREA AND THE HIGH-NEED SERVICE AREA.HOUSING COST BURDEN: SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS SPENDING 50% OR MORE OF THEIR INCOME ON HOUSING COSTS. BOTH THE TSA AND ORANGE COUNTY EXHIBIT SIMILAR RATES OF HOUSING COST BURDEN, WITH ABOUT 28% OF RENTERS AFFECTED. IN THE HIGH-NEED SERVICE AREA, HOWEVER, 31% OF RENTERS ARE SEVERELY COST BURDENED, COMPARED TO 26% IN THE BROADER SERVICE AREA. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHST. JUDE MEDICAL CENTER PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. ST. JUDE MEDICAL CENTER IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) A COMMUNITY HEALTH 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 NEEDSLOCAL COMMUNITY HEALTH COMMITTEE:THE ROLE OF THE PROVIDENCE ST. JUDE MEDICAL CENTER COMMUNITY HEALTH COMMITTEE IS TO SUPPORT THE BOARD OF TRUSTEES IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE COMMITTEE ACTS IN ACCORDANCE WITH A BOARD-APPROVED CHARTER. THE COMMUNITY HEALTH COMMITTEE IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS "IDENTIFIED SIGNIFICANT NEEDS" IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORTS, AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES.THE COMMUNITY HEALTH COMMITTEE HAS A MINIMUM OF EIGHT MEMBERS INCLUDING THREE MEMBERS OF THE BOARD OF TRUSTEES. CURRENT MEMBERSHIP INCLUDES THREE MEMBERS OF THE BOARD OF TRUSTEES AND TWENTY-TWO (22) COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE COMMUNITY BENEFIT COMMITTEE GENERALLY MEETS QUARTERLY. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: PROVIDENCE'S MORE THAN 165-YEAR LEGACY OF INVESTING IN ITS COMMUNITIES IS ROOTED IN A TRADITION OF CARING FOR THOSE IN NEED, WITH COMPASSION AND IN PARTNERSHIP WITH THE PEOPLE WE SERVE.TO ACHIEVE OUR VISION OF HEALTH FOR A BETTER WORLD, THE PROVIDENCE FAMILY OF ORGANIZATIONS COMBINES A LONG-STANDING COMMITMENT TO IMPROVING COMMUNITY HEALTH WITH HIGH-QUALITY CARE TO CREATE HEALTHY COMMUNITIES AND PROMOTE HEALTH EQUITY.TOGETHER, OUR 122,000 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.PROVIDENCE ACROSS FIVE WESTERN STATES:- ALASKA- MONTANA- OREGON- NORTHERN CALIFORNIA- SOUTHERN CALIFORNIA- WASHINGTONTHE PROVIDENCE AFFILIATE FAMILY INCLUDES:- COVENANT HEALTH IN WEST TEXAS AND NEW MEXICO- FACEY MEDICAL GROUP IN LOS ANGELES, CA.- KADLEC IN SOUTHEAST WASHINGTON- PACIFIC MEDICAL CENTERS IN SEATTLE, WA.- SWEDISH HEALTH SERVICES IN SEATTLE, WA.2023 HIGHLIGHTS AND KEY INSTITUTES: INVESTING IN THE COMMUNITIES WE SERVE IS AN ESSENTIAL WAY THE PROVIDENCE FAMILY OF ORGANIZATIONS LIVES ITS MISSION AND WORKS TOWARD OUR VISION OF HEALTH FOR A BETTER WORLD. FOR GENERATIONS, PROVIDENCE MINISTRIES AND AFFILIATES HAVE SERVED AS A VITAL SAFETY NET. GUIDED BY COMMUNITY HEALTH NEEDS ASSESSMENTS, WE CONTINUE OUR LONGSTANDING COMMITMENT TO THOSE WHO ARE VULNERABLE THROUGH COMMUNITY BENEFIT AND OTHER HIGH-IMPACT INVESTMENTS. IN 2023, PROVIDENCE MINISTRIES AND AFFILIATES INVESTED NEARLY $2.1 BILLION IN COMMUNITY BENEFIT PROGRAMS, INCLUDING PROACTIVE COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND FREE, DISCOUNTED AND UNCOMPENSATED CARE. THIS SIGNIFICANT INVESTMENT IN COMMUNITY BENEFIT PROGRAMS REPRESENTS AN INCREASED FOCUS ON ADDRESSING ROOT CAUSES OF COMMUNITY HEALTH ISSUES AND PROGRAMS THAT INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES. INVESTMENTS WENT 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. AN EXAMPLE OF THIS IMPORTANT WORK CAN BE FOUND IN THE LAUNCH OF THE PROVIDENCE HEALTH EQUITY FELLOWSHIP, WHICH WAS CREATED TO BUILD CAREGIVERS' CAPACITY AND EXPERTISE THROUGH CLASSROOM LEARNING AND THE REAL-TIME APPLICATION OF HEALTH EQUITY PRINCIPLES. FELLOWS MOOJAN REZVAN AND SHELLEY SCHOEPFLIN SANDERS, M.D., HAVE DEDICATED THEIR PROJECTS TO IMPROVING THE HEALTH OUTCOMES OF SEPSIS PATIENTS. INITIAL OUTCOMES FROM BOTH PROGRAMS ARE PROMISING, WITH AVERAGE LENGTHS OF STAY AND READMISSION RATES IMPROVING. TOGETHER, CAREGIVERS AND COMMUNITY LEADERS AND ORGANIZATIONS TOUCHED THE LIVES OF THOUSANDS OF PEOPLE AND PATIENTS THROUGH THESE INVESTMENTS IN 2023. THEY ALSO HELPED TO BUILD AND STRENGTHEN COMMUNITY RESILIENCE AND THE HUMAN CONNECTION, ESPECIALLY IN TIMES OF NEED. OUR COMMITMENT TO MEETING THE DIVERSE NEEDS OF THE COMMUNITIES WE SERVE DOMESTICALLY AND ABROAD HAS NEVER BEEN STRONGER. FOR THE PAST SEVEN YEARS, PROVIDENCE HAS FUNDED HEALTH PARTNERS IN MANGOCHI DISTRICT, MALAWI TO BUILD CRITICAL HEALTH SYSTEM INFRASTRUCTURE FOR 1.5 MILLION PEOPLE. IN 2023, INVESTMENTS EXPANDED HEALTH CARE TRAINING AND WATER, SANITATION AND HYGIENE IMPROVEMENTS, INCLUDING A RELIABLE WATER SOURCE, ACCESSIBLE TOILETS AND SAFE MEDICAL WASTE DISPOSAL AT TWO CLINICS. MORE EXAMPLES OF THIS IMPORTANT WORK ARE CAPTURED THROUGHOUT PROVIDENCE'S 2023 ANNUAL REPORT TO OUR COMMUNITIES, WHICH WE INVITE CAREGIVERS, COMMUNITY PARTNERS AND OTHER STAKEHOLDERS TO READ. WE COULDN'T BE PROUDER OF THIS WORK, THESE PROGRAMS AND THEIR IMPACT.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT 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, SFJ 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 MISSION:FOR 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.HEALTH EQUITY: CHANGE BEGINS WITH US:AT 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 RESPONSIBILITY: IN 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 THAT SERVE VULNERABLE POPULATIONS AND PROMOTE JUSTICE. 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-RESPONSIBILITY PART VI, LINE 7, REPORTS FILED WITH STATES CA SCHEDULE H, PART VI, LINE 6: ENVIRONMENTAL STEWARDSHIP: THE 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 TRUST:PROVIDENCE'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/ 1 FULLERTON SCHOOL DISTRICT 1401 W VALENCIA DR FULLERTON CA 92833 330755742 501(C)(3) 429563 0 OPERATIONAL SUPPORT ILLUMINATION FOUNDATION 7855 KATELLA AVE STANTON CA 90680 711047686 501(C)(3) 274232 0 SPONSORSHIP CITY OF LA HABRA 110 E LA HABRA BLVD LA HABRA CA 90631 GOVT 126142 0 OPERATIONAL SUPPORT ST JUDE NEIGHBORHOOD HEALTH CENTERS 731 S HIGHLAND AVE FULLERTON CA 92832 453977605 501(C)(3) 71658 0 OPERATIONAL SUPPORT BUENA PARK SCHOOL DISTRICT 6885 ORANGETHORPE AVE BUENA PARK CA 90620 460681058 501(C)(3) 53400 0 COMMUNITY BENEFIT RESTRICTED GRANT CITY OF BUENA PARK 6262 MARSHALL AVE BUENA PARK CA 90621 GOVT 33500 0 COMMUNITY BENEFIT RESTRICTED GRANT LA HABRA CITY SCHOOL DISTRICT 500 NORTH WALNUT ST LA HABRA CA 90631 330043931 501(C)(3) 21400 0 COMMUNITY BENEFIT RESTRICTED GRANT PARTNERS IN CARE FOUNDATION INC 405 S MAIN ST FORT LORAMIE OH 45845 953954057 501(C)(3) 11229 0 OPERATIONAL SUPPORT ONEOC 1901 E 4TH ST STE 100 SANTA ANA CA 92705 952021700 501(C)(3) 10000 0 OPERATIONAL SUPPORT FULLERTON COLLABORATIVE 353 W COMMONWEALTH AVE FULLERTON CA 92832 201222056 501(C)(3) 10000 0 COMMUNITY BENEFIT RESTRICTED GRANT LATINO HEALTH ACCESS 450 W FOURTHST SANTA ANA CA 92701 330562943 501(C)(3) 10000 0 COMMUNITY BENEFIT RESTRICTED GRANT LA HABRA COLLABORATIVE 151 E WHITTIER BLVD SUITE E LA HABRA CA 90631 472082315 501(C)(3) 10000 0 COMMUNITY BENEFIT RESTRICTED GRANT LESTONNAC FREE CLINIC 3801 KATELLA AVE STE 301 LOS ALAMITOS CA 90720 953499011 501(C)(3) 7035 0 OPERATIONAL SUPPORT 13 0 PART I, LINE 2: 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. 1 1 0 0 0 0 0 1 0 JO ANN ESCASA-HAIGH FRMR ASSISTANT TREASURER 0 44915 0 1744873 0 1502009 0 8269 0 2485 0 3302551 0 603250 BRIAN LEE HELLELAND FRMR OFF. - DIV COO - SOUTH 0 682875 0 701652 0 251957 0 208217 0 37279 0 1881980 0 133676 LAURA RAMOS CEO/PRESIDENT 0 509980 0 407418 0 218630 0 165050 0 28812 0 1329890 0 191198 JIM MARTIN ASSISTANT TREASURER (PART YEAR) 0 435246 0 339361 0 54321 0 83489 0 32146 0 944563 0 52013 MOHAMMAD TARKHAN SUPERVISOR NURSING 393463 0 21050 0 711 0 30895 0 28394 0 474513 0 621 0 GENE GUTIERREZ CHIEF FINANCIAL OFFICER 0 352339 0 53000 0 3548 0 17493 0 41977 0 468357 0 0 JULIE KIM CHIEF NURSING OFFICER 303337 0 47071 0 16079 0 32075 0 32185 0 430747 0 1697 0 MARK JABLONSKI CHIEF MISSION INTEGRATION OFFICER 0 299311 0 33472 0 39129 0 31247 0 25026 0 428185 0 1569 DUB DREES MINISTRY CHIEF PHILANTHROPY OFFICER 310501 0 56572 0 9615 0 16261 0 34394 0 427343 0 2873 0 TROY GIDEON EXEC DIR ACUTE CARE OPERATIONS 262584 0 39094 0 50947 0 30268 0 37324 0 420217 0 0 0 DANIEL KIM PHYSICIAN MEDICAL DIRECTOR I 296165 0 32232 0 22584 0 15839 0 35378 0 402198 0 0 0 RABEL SANTOS SUPERVISOR NURSING 289457 0 8499 0 37678 0 29585 0 19853 0 385072 0 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0 266681 0 24827 0 1367 0 15474 0 15372 0 323721 0 0 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. 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 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 COMPENSATION 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 RECIEVED SEVERANCE PAYMENTS DURING 2023: JO ANN ESCASA-HAIGH - $811,814 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: JO ANN ESCASA-HAIGH - $603,250 BRIAN LEE HELLELAND - $133,676 LAURA RAMOS - $191,198 JIM MARTIN - $52,013 DUB DREES - $2,873 JULIE KIM - $1,697 MARK JABLONSKI - $1,569 MOHAMMAD TARKHAN - $621 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. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): PRIORITY 3: HOMELESSNESS AND HOUSING LACK OF AFFORDABLE HOUSING CAN HAVE NUMEROUS NEGATIVE IMPACTS ON INDIVIDUALS, FAMILIES, AND COMMUNITIES. WHEN BASIC NEEDS, SUCH AS HOUSING, ARE NOT MET, IT AFFECTS A FAMILY'S EMOTIONAL, PSYCHOLOGICAL, DEVELOPMENTAL, AND PHYSICAL WELL-BEING. OVER THE LAST FEW YEARS, ORANGE COUNTY HAS BEEN FACING A CRITICAL HOUSING SHORTAGE. IT HAS BECOME INCREASINGLY DIFFICULT FOR LOW-INCOME COMMUNITIES THAT WORK IN ORANGE COUNTY TO AFFORD LIVING THERE. CONSEQUENTLY, FAMILIES MUST SEEK SUBSTANDARD HOUSING WITH MULTIPLE FAMILIES LIVING IN ONE DWELLING. AFFORDABLE HOUSING IS DEFINED AS AN INDIVIDUAL OR FAMILY SPENDING 30% OR LESS OF THEIR GROSS INCOME ON HOUSING. LOW-INCOME COMMUNITIES IN ORANGE COUNTY CAN EXPECT TO SPEND OVER 50% OF THEIR GROSS INCOME ON HOUSING. IN 2023 THIS NEED WAS ADDRESSED BY: 1. HOUSING CHAMPIONS PROGRAM TRAINED 807 RESIDENTS TO ADVOCATE TO THEIR LOCAL JURISDICTIONS AROUND ISSUES OF AFFORDABLE HOUSING. HOUSING CHAMPION RESIDENT ENGAGEMENT EFFORTS WITH PLANNING AND CITY COUNCIL PROMOTED STRONGER POLICIES IN THE 2021-2028 HOUSING ELEMENT. THREE CITIES COMMITTED TO CONDUCTING STUDIES AROUND INCLUSIONARY HOUSING ORDINANCES IN THEIR HOUSING ELEMENTS. SUPPORT FOR APPROVAL FOR AFFORDABLE HOUSING PROJECTS RESULTED IN THREE PROJECTS TOTALING 183 UNITS OPENED IN CENTRAL ORANGE COUNTY. 2. HOMELESS NAVIGATOR PROGRAM HAS A LICENSED CLINICAL SOCIAL WORKER (LCSW) HELPING PATIENTS EXPERIENCING HOMELESSNESS CONNECT TO SERVICES AND IDENTIFY AN APPROPRIATE DISCHARGE DESTINATION. 3. HOSPITAL PATIENTS REQUIRING HOUSING AND RECUPERATIVE CARE WERE CONNECTED TO ILLUMINATION FOUNDATION. ILLUMINATION FOUNDATION PROVIDED CASE MANAGEMENT AND CONNECTS PEOPLE EXPERIENCING HOMELESSNESS WITH HOUSING, MEDICAL CARE, MENTAL HEALTH AND WORKFORCE SERVICES. PRIORITY 4: HEALTHY EQUITY AND RACIAL DISPARITIES: EVERYONE SHOULD HAVE A FAIR AND JUST OPPORTUNITY TO ATTAIN THEIR FULL POTENTIAL AND THAT NO ONE SHOULD BE DISADVANTAGED, EXCLUDED, OR DISMISSED FROM ACHIEVING THAT POTENTIAL BASED ON INHERENT CHARACTERISTICS SUCH AS RACE, ETHNICITY OR GENDER IDENTITY. WE WORKED ON STRATEGIES THAT INCREASE INCLUSION, DIVERSITY AND MULTICULTURALISM, BOTH WITHIN OUR ORGANIZATION AS WELL AS THE BROADER COMMUNITIES OF SOUTH ORANGE COUNTY. THE NEED FOR INCREASED HEALTH EQUITY AND THE PRESENCE OF HEALTH DISPARITIES BY RACE ARE KEY PRIORITIES TO ADDRESS. IN 2023, THE ISSUE OF HEALTH EQUITY AND RACIAL DISPARITIES WAS ADDRESSED BY: 1. INTEGRATED PREVENTION AND ADDRESSING RACIAL DISPARITIES WERE CORNERSTONE ASPECTS OF EACH OF THESE PRIORITY AREAS. 2. ST. JUDE MEDICAL CENTER CONTINUED TO SUPPORT THE MOVE MORE, EAT HEALTHY INITIATIVE AS PART OF THE HEALTH EQUITY/RACIAL DISPARITIES PRIORITY. MOVE MORE EAT HEALTHY SERVED A TOTAL OF 24,248 PARTICIPANTS. THIS INITIATIVE ALSO ADDRESSED FOOD INSECURITY AND NUTRITION. ST. JUDE MEDICAL CENTER DONATED UNUSED FOOD AS PART OF OUR EFFORTS TO ADDRESS FOOD INSECURITY. ST. JUDE MEDICAL CENTER DONATES TO MEALS ON WHEELS AND FOOD FINDERS, INC. AND HAS DONE SO FOR YEARS. A TOTAL OF 8,068 MEALS WERE PROVIDED. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/ST-JUDE-MEDICAL-CENTER 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 THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND 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 CORPORATE MEMBER OF PROVIDENCE ST. JUDE MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. JUDE MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE ST. JUDE MEDICAL CENTER'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE ST. JUDE MEDICAL CENTER 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 FORM 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 OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 106,191,312. MANAGEMENT AND GENERAL EXPENSES 3,828,711. FUNDRAISING EXPENSES 338,552. TOTAL EXPENSES 110,358,575. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 13,334,231. MANAGEMENT AND GENERAL EXPENSES 480,764. FUNDRAISING EXPENSES 42,511. TOTAL EXPENSES 13,857,506. AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 7,876,139. MANAGEMENT AND GENERAL EXPENSES 283,973. FUNDRAISING EXPENSES 25,110. TOTAL EXPENSES 8,185,222. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 11,522,331. MANAGEMENT AND GENERAL EXPENSES 415,436. FUNDRAISING EXPENSES 36,735. TOTAL EXPENSES 11,974,502. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 7,297,743. MANAGEMENT AND GENERAL EXPENSES 263,119. FUNDRAISING EXPENSES 23,266. TOTAL EXPENSES 7,584,128. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES -25,306. MANAGEMENT AND GENERAL EXPENSES -912. FUNDRAISING EXPENSES -81. TOTAL EXPENSES -26,299. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -5,412,681. OTHER CHANGES IN NET ASSETS 8,298,325. CHANGE IN INVESTMENT IN JOINT VENTURES 301,249. SJMC IMAGING HOLDINGS LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 854206400 HEALTHCARE CA 0 0 SJMC COLLABRIA CARE 414 SOUTH JEFFERSON STREET NAPA CA 94559 680393144 HEALTHCARE CA 501(C)(3) 10 SJHCN 1 COVENANT ACO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT CHILDREN'S PHYSICIANS GROUP 3615 19TH STREET LUBBOCK TX 79410 881290850 HEALTHCARE TX 501(C)(3) PENDING CHS 1 COVENANT HEALTH NETWORK INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 461259908 HEALTHCARE CA 501(C)(3) 12, III SJHS 1 COVENANT HEALTH PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 463516417 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS 1 COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS 1 COVENANT HOME AND COMMUNITY CARE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 920275096 HEALTHCARE TX 501(C)(3) 10 CHS 1 COVENANT HOSPITAL HOBBS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 844273963 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 822913146 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL GROUP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752743883 HEALTHCARE TX 501(C)(3) 3 CHS 1 EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANSITIONAL CARE WA 501(C)(3) 10 N/A 0 GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 201910170 SUPPORT WA 501(C)(3) 7 PHS WA 1 GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC WA 98188 273133200 HEALTHCARE WA 501(C)(3) 7 SHS 1 GRACE CLINIC OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 203856995 HEALTHCARE TX 501(C)(3) 3 LHH LLC 1 HOSPICE OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752133781 HEALTHCARE TX 501(C)(3) 10 CHS 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 1 INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 912003593 HEALTHCARE WA 501(C)(3) 7 WHC 1 KADLEC AUXILIARY INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 916033089 SUPPORT WA 501(C)(3) 12, III KRMC 1 KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND WA 99352 237005501 SUPPORT WA 501(C)(3) 7 KRMC 1 KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 910655392 HEALTHCARE WA 501(C)(3) 3 WHC 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 1 LUBBOCK HERITAGE HOSPITAL LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 264021016 HEALTHCARE TX 501(C)(3) 3 CHS 1 LUNDBERG ASSOCIATION PROVIDENCE HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911562797 SUPPORT OR 501(C)(3) 7 PHS OR 1 METHODIST CHILDREN'S HOSPITAL 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752428911 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL LEVELLAND 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752246348 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL PLAINVIEW 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752426010 HEALTHCARE TX 501(C)(3) 3 CHS 1 MISSION HOSPITAL REGIONAL MEDICAL CTR 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951643360 HEALTHCARE CA 501(C)(3) 3 SJHS 1 NORTHWEST HOPE & HEALING FOUNDATION PO BOX 16069 SEATTLE WA 98116 200799737 SUPPORT WA 501(C)(3) 12, I SHS 1 OPEN DOOR VENTURES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911608508 SUPPORT WA 501(C)(3) 7 PHS WA 1 PACMED CLINICS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 562290878 HEALTHCARE WA 501(C)(3) 10 WHC 1 PH&S FOUNDATIONSFVSA & SCVSA 501 SOUTH BUENA VISTA STREET BURBANK CA 915054809 953544877 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE ALASKA FOUNDATION 3760 PIPER STREET SUITE 2021 ANCHORAGE AK 99508 920093565 HEALTHCARE AK 501(C)(3) 7 PHS WA 1 PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION 540 SOUTH MAIN ST MT ANGEL OR 97362 911940286 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE BLANCHET ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911789266 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE CHILDREN'S HEALTH FOUNDATION 4805 NE GLISAN ST STE 2N35 PORTLAND OR 97213 930800140 SUPPORT OR 501(C)(3) 7 PHS OR 1 PROVIDENCE COMMUNITY HEALTH FOUNDATION 940 ROYAL AVE SUITE 410 MEDFORD OR 97504 930692907 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE DETHMAN HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 473385506 SUPPORT WA 501(C)(3) 7 N/A 0 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 1 PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311744654 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE HEALTH & SERVICES 1801 LIND AVENUE SW 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