2023-11-15T10:06:21-06:00 2022-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2022-01-01 752765566 COVENANT HEALTH SYSTEM COVE 8067250000 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 DYANA KERR CFO 8067250000 2023-11-15 1 DYANA KERR 999009999 0 EVA NITTA P01286320 4158948000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z COVENANT HEALTH WALTER CATHEY 3615 19TH STREET LUBBOCK TX 794101203 125424887 0 X WWW.PROVIDENCE.ORG/LOCATIONS/COVENANT-HEALTH/HOME X 1998 TX SEE SCHEDULE O.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. 16 12 750 12 0 0 0 2813252 105264286 66247818 1204301 -1075225 414 56713079 106469001 124698924 0 0 0 0 23274024 31939917 0 0 21675 75042309 83916172 98316333 115856089 8152668 8842835 235112275 88236720 85012270 188354334 150100005 -100117614 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 68136662 0 113003083 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, 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 ADVANCE A SOCIAL RESPONSIBILITY FRAMEWORK THAT INCLUDES A STRONGER COMMITMENT TO DIVERSITY, EQUITY, INCLUSION ("DEI"), AND ENVIRONMENTAL STEWARDSHIP. IN 2022, WE ELEVATED THE WORK OF DEI, BY RESTRUCTURING RESOURCES WITH PLANS TO ALIGN AND SCALE DEI STRATEGIES ACROSS THE PROVIDENCE FAMILY OF ORGANIZATIONS. WE CONTINUE TO EXECUTE ON OUR INTEGRATED STRATEGIC & FINANCIAL PLAN WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THIS IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES IN THE COMMUNITIES WE SERVE. PROVIDENCE'S SOCIAL RESPONSIBILITY FRAMEWORK AIMS TO DEPLOY THE ASSETS OF OUR SYSTEM TO SUPPORT COMMUNITY HEALTH IMPROVEMENT, STRENGTHEN LOCAL ECONOMIES AND REDUCE OUR CARBON FOOTPRINT. WE HAVE IMPLEMENTED AN ENVIRONMENTAL STEWARDSHIP SYSTEM STRATEGY THAT ENCOURAGES WASTE REDUCTIONS, EFFICIENT ENERGY AND WATER USAGE, LOCAL AGRICULTURE PARTNERSHIPS, LESS TOXIC AND FEWER CHEMICAL USE, AND A REDUCTION IN CARBON FROM TRAVEL. WE HAVE ALSO HELD ENVIRONMENTAL STEWARDSHIP AS ONE OF THE TOP PRIORITIES FOR OUR LEADERSHIP INCENTIVE PROGRAM TO ENSURE ALIGNMENT AND MOMENTUM CONTINUES. IN APRIL 2022, PROVIDENCE PUBLISHED ITS FIRST ENVIRONMENTAL STEWARDSHIP REPORT, IN WHICH WE REPORTED 12 PERCENT REDUCTION IN CARBON EMISSIONS IN SEVEN KEY CATEGORIES IN OUR ACUTE CARE FACILITIES SINCE OUR 2019 BASELINE. AS OF SEPTEMBER 30, 2022, (THE MOST RECENT DATA AVAILABLE), WE HAVE INCREASED THAT REDUCTION TO 13 PERCENT.2022 PROGRAM SERVICE ACCOMPLISHMENTS: (JANUARY 1 - DECEMBER 31, 2022) COVENANT HEALTHCOVENANT HEALTH HAS A RICH HISTORY IN THE TEXAS/NEW MEXICO REGION. WHILE HEALTH CARE IN OUR REGION HAS CHANGED OVER THE YEARS, OUR COMMITMENT TO FULFILLING OUR MISSION, VISION, VALUES AND PROMISE HAVE NOT WAIVERED. DUE TO OVERLAPPING SERVICE AREAS, CLOSE GEOGRAPHIC PROXIMITY TO ONE ANOTHER, AND SHARED COMMUNITYOUTREACH PROGRAMS, THE COVENANT HEALTH HOSPITALS COLLABORATED TO DEVELOP A REGIONAL APPROACH TO THE 2021-2023 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). WHILE THERE ARE SOME DIFFERENCES IN SELECT STRATEGIES AND COMMUNITY PARTNERS, COVENANT MEDICAL CENTER, COVENANT CHILDREN'S, GRACE MEDICAL CENTER, COVENANT SPECIALTY HOSPITAL, COVENANT HEALTH PLAINVIEW, AND COVENANT HEALTH LEVELLAND SHARE MANY OF THE SAME CHIP STRATEGIES, WHICH WILL ALLOW FOR MORE EFFECTIVELY LEVERAGING INVESTMENTS IN THE REGION TO MEET COMMUNITY NEEDS. BELOW WE HIGHLIGHT TWO PRIORITY AREA ACCOMPLISHMENTS ACROSS COVENANT HOSPITALS:MENTAL AND BEHAVIORAL HEALTHPRIORITY 1: MENTAL AND BEHAVIORAL HEALTH MENTAL AND BEHAVIORAL HEALTH TREATMENT, INTERVENTION AND PREVENTION SERVICES FOR THE COMMUNITY, INCLUDING RELATED ISSUES SUCH AS SUBSTANCE USE NO TIME IN RECENT HISTORY TESTED MENTAL AND BEHAVIORAL HEALTH MORE THAN THE COVID-19 PANDEMIC OF 2020-2021. DURING 2020 COVENANT HEALTH OPENED A COMMUNITY RESOURCE CENTER WITHIN THE LUBBOCK YWCA BUILDING WITH EXPANDED SERVICES CONTINUING INTO 2022. THIS CENTER CONTINUES TO EXPAND ACCESS TO MENTAL HEALTH COUNSELING SERVICES FOR LOW-INCOME AND UN0INSURED. COVENANT HEALTH RUNS A COMMUNITY COUNSELING CENTER WHICH IS AN OUTREACH COUNSELING CLINIC RUN AND FUNDED BY COVENANT HEALTH. THIS IS A COUNSELING CENTER FOR THE COMMUNITY, PROVIDING ACCESS TO LOW INCOME PERSONS IN THE SERVICE AREA. ADDITIONALLY TELE-COUNSLELING SERVICES ARE PROVIDED AND CONTINUED IN 2022 WHICH ALLOWED OUR OUTREACH COUNSELING CENTER TO PROVIDE COUNSELING SERVICES FOR LOW-INCOME AND UN-INSURED PERSON IN OUR REGION AND PROVIDES ACCESS TO THOSE FACING BARRIERS SUCH AS TRANSPORTATION. IN 2022 WE EXPANDED OUR COUNSELING CENTER TO INCLUDE AN INTERNSHIP PROGRAM WHICH ALLOWES US TO PROVIDE MORE SERVICES TO THE COMMUNITITES WE SERVE. IN 2022 OUR CARE COORDINATION COMMUNITY-BASED TEAMS EXPANDED A TEAM DEDICATED SOLEY TO MENTAL HEALTH OUTREACH. WE ALSO CONTIUE TO PARTNER WITH LOCAL NON-PROFITS AND IN 2022 WHO ARE ALSO FOCUSING ON A MENTAL HEALTH, WE PROVIDED SUPPORT AND EDUCATION TO THE LUBBOCK YWCA STAFF REGARDING IN 2022. COVENANT ALSO PARTICIPATES IN A REGIONAL-WIDE MENTAL HEALTH COLLABORATIVE- WEST TEXAS MENTAL HEALTH COLLABORATIVE WHICH PROVIDES SUPPORT TO THE ENTIRE TEXAS SERVICE AREA. THROUGH THIS COLLABORATIVE WE HAVE SUPPORTED THE CREATION OF A NEW DIVERSION CENTER WHICH WILL BE CONSTRUCTED IN 2023-2024 AND WE HAVE ALSO BROUGHT MENTAL HEALTH CONFERENCES TO THE REGION.SAFE, AFFORDABLE, STABLE HOUSING AND PERMANENT SUPPORTIVE HOUSING SOLUTIONSPRIORITY 2: SAFE, AFFORDABLE, STABLE HOUSING AND PERMANENT SUPPORTIVE HOUSING SOLUTIONS FOR PEOPLE EXPERIENCING CHRONIC HOMELESSNESS COVENANT SUPPORTS OUR LOCAL NON-PROFITS WITH BOTH FUNDING AND IN-KIND SUPPORT. IN 2021 LUBBOCK, COVENANT HEALTH SUPPORTED OPEN DOOR, A LOCAL NONPROFIT ORGANIZATION WORKING TO CULTIVATE COMMUNITY AND OPPORTUNITY FOR PEOPLE ACROSS THE REGION EXPERIENCING HOMELESSNESS AND POVERTY. ALL COVENANT SERVICE AREAS ARE SUPPORTED BY OPEN DOOR. USING A COMMUNITY-BASED MODEL, THE OPEN DOOR TEAM CREATES A WELCOMING AND SUPPORTIVE ENVIRONMENT FOR PEOPLE TO ACCESS SELF-CARE, HYGIENE AND FIRST AID SERVICES. IN 2021, COVENANT HEALTH PROVIDED AN $88,000 COMMUNITY BENEFIT WELLNESS GRANT TO OPEN DOOR TO SUPPORT ITS PERMANENT SUPPORTIVE HOUSING PROGRAM AND COMMUNITY CENTER. THE PERMANENT SUPPORTIVE HOUSING PROGRAM PRIORITIZES HOUSING FIRST, IN TANDEM WITH WRAP-AROUND SERVICES THAT MEET BASIC HUMAN AND SOCIAL NEEDS. THIS PROGRAM HELPS PEOPLE GET ON THEIR FEET SO THEY ARE BETTER PREPARED TO REACH THEIR EMPLOYMENT AND EDUCATION GOALS. THE PERMANENT SUPPORTIVE HOUSING PROGRAM SERVED 85 INDIVIDUALS IN 2021. IN 2021, THE PERMANENT SUPPORTIVE HOUSING PROGRAM OPERATED BY OPEN DOOR IN LUBBOCK, TEXAS, SERVED 85 INDIVIDUALS. COVENANT HEALTH SUPPORTED THIS PARTNER WITH AN $88,000 COMMUNITY BENEFIT WELLNESS GRANT. IN 2022, WE CONTINUED TO SUPPORT AND COLLABORATE WITH OPEN DOOR AND LUBBOCK IMPACT THROUGH PROVIDING IN-KIND SERVICES TO THE HOMELESS COMMUNITY. OUR NAVIAGTION TEAM ASSISTED WITH COORDINATING SERVICES FOR HOMELESS AND HOUSING UNSTABLE INDIVIDUALS. IN 2022, WE PROVIDED VOLUNTEERS TO SUPPORT HABITAT FOR HUMANITY'S BLITZ BUILD TO BUILD. WE ALSO CONTINUED TO WORK WITH BUILT FOR ZERO AND TO PARTICIPATE IN AND SUPPORT THE LUBBOCK HOMELESS CONSORTIUM. ADDITIONALLY, WE PROVIDED DENTAL SERVICES TO HOUSING UNSTABLE AND HOMELESS INDIVIDUALS IN OUR OUTREACH DENTAL CLINICS IN PLAINVIEW AND LUBBOCK AND THROUGH A COLLABORATION WITH LUBBOCK IMPACT. 68136662 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 X 24 0 1 750 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 0 1 0 X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 TAPAN NATH BOARD MEMBER 0.50 49.50 X 0 697501 45248 KERRY HENDERSHOT MD BOARD MEMBER 0.50 49.50 X 0 691883 36460 BRIAN NICHOLSON MD BOARD MEMBER 0.50 49.50 X 0 650555 32883 SAMMY DEEB BOARD MEMBER 0.50 1.00 X 30510 0 0 BRIAN BRUENING MD BOARD MEMBER/CHAIR 1.00 2.00 X X 0 0 0 CHRISTOPHER SNEAD BOARD MEMBER 0.50 1.00 X 0 0 0 DAVID WEAVER BOARD MEMBER 0.50 1.00 X 0 0 0 JIM GILBREATH BOARD MEMBER 0.50 1.00 X 0 0 0 KIM TURNER BOARD MEMBER 0.50 1.00 X 0 0 0 LARA JOHNSON MD BOARD MEMBER 0.50 1.00 X 0 0 0 LINDSAY COOPER BOARD MEMBER 0.50 1.00 X 0 0 0 PHEBE ELLIS-ROACH BOARD MEMBER 0.50 1.00 X 0 0 0 SISTER CHRISTINE RAY CSJ BOARD MEMBER 0.50 1.00 X 0 0 0 SISTER MARIAN SCHUBERT CSJ BOARD MEMBER 0.50 1.00 X 0 0 0 TRAVIS FUNK BOARD MEMBER/VICE CHAIR 1.00 2.00 X X 0 0 0 TROY TUCKER BOARD MEMBER 0.50 1.00 X 0 0 0 WALTER CATHEY REG CE - WEST TX/EASTERN NM 53.00 2.00 X 1092096 0 178610 JOHN GRIGSON REGIONAL CHIEF FINANCIAL OFFICER 53.00 2.00 X 0 752735 78768 ROBERT TURNER VP MISSION INTEGRATION - THRU 11/22 17.00 33.00 X 0 442055 27120 LINDZI TIMBERLAKE SECRETARY/CHIEF GOVERNANCE OFFICER 45.50 4.50 X 0 225368 22300 JOEL GILBERTSON DIVISION CHIEF EXEC - CENTRAL 13.50 41.50 X 0 2134351 264363 SCOTT O'BRIEN DIVISION COO - CENTRAL 14.00 41.00 X 0 1320902 182976 MELISSA DAMM DIVISION CFO - CENTRAL 14.00 41.00 X 0 634079 85380 CRAIG RHYNE MD TX/NM REG CMO - THRU 10/22 50.00 0.00 X 1163341 0 15158 ROBERT SALEM MD EXEC MEDICAL DIRECTOR - THRU 11/22 49.50 0.50 X 1008364 0 25052 DAVID SHAW VP NM HOSPITAL ADMINISTRATOR 50.00 0.00 X 386383 0 110068 KELLY MCDANIEL EXEC DIR, SUPPORT SVCS - THRU 6/22 50.00 0.00 X 476953 0 15420 STEVEN BECK CAO CHP 50.00 0.00 X 403175 0 71435 RICHARD PARKS FRMR OFF - EXEC. ADVISOR 0.00 50.00 X 0 1449843 234647 JAMES KELLY FRMR OFF. - VP SENIOR CORP COUNSEL 0.00 55.00 X 0 604046 83353 CHRISTINE SHAVER FRMR KE - VP CHIEF HR - COVHS 0.00 55.00 X 0 364724 62052 DYANA KERR FRMR KE - HOBBS CFO 0.00 55.00 X 0 330916 23602 KAREN BAGGERLY FRMR VP CHIEF NURSING EXEC 0.00 0.00 X 182823 0 18007 4743645 10298958 1612902 60 1 1 0 HOAR CONSTRUCTION LLC 2 METROPLEX DR STE 400 BIRMINGHAM AL 35209 CONSTRUCTION SERVICES 3449189 CASS INFORMATION SYSTEMS INC 12444 POWERSCOURT DR 550 ST LOUIS MO 63131 UTILITY INVOICE MANAGEMENT 1232262 GE HEALTHCARE 101 CARNEGIE CTR GE HEALTHCARE PRINCETON NJ 08540 REPAIR SERVICES 402939 AVAYA COMMUNICATIONS INC 14400 HERTZ QUAIL SPRINGS PKWY OKC OK 73134 LEASE SERVICES 320818 POLSINELLI PC 900 W 48TH PL STE 900 KANSAS CITY MO 64112 LEGAL SERVICES 241067 11 2813252 2813252 NET PATIENT REVENUE 622110 57113239 57113239 JOINT VENTURE INCOME 622110 9134579 9134579 66247818 -349262 -349262 9957814 0 9957814 9957814 9957814 725963 -725963 -725963 -725963 INTERAFFILIATE REVENUE 900099 46722413 46722413 COST RECOVERIES 900099 32852 32852 46755265 124698924 113003083 0 8882589 X 1301216 1301216 27440266 16050878 11374365 15023 552225 323018 228905 302 809644 473592 335609 443 1836566 1074279 761282 1005 2031052 1218631 812421 26089419 15653651 10435768 586524 351914 234610 2057916 1203755 853034 1127 2312 1387 925 21931193 13158716 8772477 177412 106447 70965 2617595 1570557 1047038 6670022 4002013 2668009 SYSTEM COST ALLOCATION 13651184 8190710 5460474 OTHER DIRECT EXPENSES 5023666 2938538 2082377 2751 LICENSES AND TAXES 1458645 853218 604628 799 MEDICAL SUPPLIES 1208796 725278 483518 410436 240080 170131 225 115856089 68136662 47697752 21675 3141599 -131603276 452617 238284 1176300 196609540 77472288 152417477 119137252 29107923 28166102 33520283 15266555 9736009 16472376 46119494 235112275 88236720 18125366 0 66886904 188354334 85012270 188354334 X 150100005 -100117614 150100005 -100117614 235112275 88236720 X 8842835 -48762 -259011692 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 33123030 33123030 145073125 70890496 74182629 32619 26385 6234 9194243 6555407 2638836 9186523 9186523 119137252 HEALTHCARE JOINT VENTURES 15266555 C 15266555 RIGHT OF USE OPERATING LEASES 29391802 DUE FROM AFFILIATES 26363613 CHARITABLE GIFT ANNUITIES 278744 INVESTMENT IN CORP SUBSIDIARIES 79371 OTHER ASSETS -9994036 46119494 OTHER LIABILITIES 100878895 CAPITAL LEASE OBLIGATIONS 64517549 DUE TO AFFILIATES 15592892 DUE THIRD PARTY 7364998 188354334 1 0 X 1 X 175.000000000000 1 X 1 1 0 1 1 273 273 0.00000 18946 18946 0.00020 19219 19219 0.00020 19219 19219 0.00020 0 4815831 9641218 -4825387 X 1 0 1 COVENANT HIGH PLAINS SURGERY CENTER LLC HEALTHCARE 0.37620 0.62380 2 COVENANT REHABILITATION HOSPITAL OF LUBBOCK HEALTHCARE 0.49000 0.51000 1 1 COVENANT SPECIALTY HOSPITAL 3815 20TH ST LUBBOCK TX 79410 WWW.COVENANTHEALTH.ORG 008462 X X COVENANT SPECIALTY HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X SEE SCHEDULE H, PART V, SECTION C X 1 21 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 175.000000000000 300.000000000000 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 X 0 1 SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED THROUGH THE CHNA PROCESS AND ARE LISTED IN RANK ORDER (PRIORITIZED). SCHEDULE H, PART V, SECTION B, LINE 5 TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, COVENANT HEALTH LUBBOCK HOSPITALS IN PARTNERSHIP WITH COVENANT HEALTH LEVELLAND AND COVENANT HEALTH PLAINVIEW, HELD TEN STAKEHOLDER FOCUS GROUPS IN WHICH NONPROFIT AND GOVERNMENT STAKEHOLDERS, AS WELL AS PUBLIC HEALTH EXPERTS, DISCUSSED THE ISSUES AND OPPORTUNITIES OF THE PEOPLE, NEIGHBORHOODS, AND CITIES OF THE SERVICE AREA. STAKEHOLDERS 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. ADDITIONALLY, COMMUNITY MEMBERS WHO UTILIZE OUTREACH SERVICES COMPLETED JUST UNDER ONE HUNDRED COMMUNITY SURVEYS. BELOW IS A HIGH-LEVEL SUMMARY OF THE FINDINGS FROM THESE SESSIONS; FULL DETAILS ON THE PROTOCOLS AND METHODOLOGY ARE AVAILABLE IN APPENDIX 3 WHICH IS AVAILABLE ONLINE ON COVENANT HEALTH'S WEBSITE.FINDINGS FROM LUBBOCK STAKEHOLDER LISTENING SESSIONS (LUBBOCK COUNTY) STAKEHOLDERS WERE ASKED TO SPEAK TO THE UNMET HEALTH-RELATED NEEDS IN THE LUBBOCK COMMUNITY. FULL DETAILS ON THE PARTICIPANTS AND FINDINGS FROM THE LUBBOCK LISTENING SESSIONS ARE AVAILABLE IN APPENDIX 3A. UNMET HEALTH-RELATED NEEDS STAKEHOLDERS WERE MOST CONCERNED ABOUT THE FOLLOWING HEALTH-RELATED NEEDS: 1. BEHAVIORAL HEALTH CHALLENGES (INCLUDES BOTH MENTAL HEALTH AND SUBSTANCE USE DISORDER) AND ACCESS TO BEHAVIORAL HEALTH CARE 2. ACCESS TO HEALTH CARE SERVICES 3. HOMELESSNESS/ LACK OF SAFE, AFFORDABLE HOUSING 4. ECONOMIC INSECURITY 5. ACCESS TO COMMUNITY RESOURCES 6. FOOD INSECURITY, INCLUDING OBESITY AND NUTRITION BECAUSE OF THE SUBSTANTIAL NUMBER OF STAKEHOLDERS, 27, THAT PARTICIPATED IN THE LUBBOCK LISTENING SESSIONS, THE HEALTH-RELATED NEEDS WERE DIVIDED INTO "HIGH PRIORITY AND "MEDIUM PRIORITY" CATEGORIES BASED ON THE STAKEHOLDERS' INPUT. THEREFORE, THE TOP THREE NEEDS, BEHAVIORAL HEALTH, ACCESS TO HEALTH CARE SERVICES, AND HOMELESSNESS WERE CONSIDERED HIGH PRIORITY NEEDS, WHILE THE REMAINING THREE, ECONOMIC INSECURITY, ACCESS TO COMMUNITY RESOURCES, AND FOOD INSECURITY, WERE CONSIDERED MEDIUM PRIORITY NEEDS. SCHEDULE H, PART V, SECTION B, LINE 6A THE NEEDS ASSESSMENT WAS CONDUCTED AS A COLLABORATIVE EFFORT BETWEEN THE FOLLOWING COVENANT HEALTH ENTITIES: COVENANT HEALTH MEDICAL CENTER, GRACE, COVENANT HEALTH CHILDREN'S, COVENANT HEALTH PLAINVIEW, COVENANT HEALTH LEVELLAND AND COVENANT SPECIALTY HOSPITAL (JOINT VENTURE). THESE FACILITIES ARE REFERRED TO COLLECTIVELY AS COVENANT HEALTH AND ALL SERVE THE SAME GEOGRAPHIC SERVICE AREA OF WEST TEXAS AND EASTERN NEW MEXICO. SCHEDULE H, PART V, SECTION B, LINE 7A HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSUNDER TEXAS - LUBBOCK SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSUNDER TEXAS - LUBBOCK SCHEDULE H, PART V, SECTION B, LINE 11 COVENANT HEALTH IS WORKING BOTH INTERNALLY AND WITH COMMUNITY PARTNERS TO ADDRESS SIGNIFICANT HEALTH NEEDS IDENTIFY BY THE COMMUNITY HEALTH NEEDS ASSESSMENT. COVENANT HEALTH'S FY21-23 COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORT FOCUSES ON THE FOLLOWING PRIORITY AREAS: 2022 PRIORITY NEEDS RANKED SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS: PRIORITY 1: MENTAL AND BEHAVIORAL HEALTH MENTAL AND BEHAVIORAL HEALTH TREATMENT, INTERVENTION AND PREVENTION SERVICES FOR THE COMMUNITY, INCLUDING RELATED ISSUES SUCH AS SUBSTANCE USE 2022 ACCOMPLISHMENTS: DURING 2020 COVENANT HEALTH OPENED A COMMUNITY RESOURCE CENTER WITHIN THE LUBBOCK YWCA BUILDING WITH EXPANDED SERVICES CONTINUING INTO 2022. THIS CENTER CONTINUES TO EXPAND ACCESS TO MENTAL HEALTH COUNSELING SERVICES FOR LOW-INCOME AND UN0INSURED. COVENANT HEALTH RUNS A COMMUNITY COUNSELING CENTER WHICH IS AN OUTREACH COUNSELING CLINIC RUN AND FUNDED BY COVENANT HEALTH. THIS IS A COUNSELING CENTER FOR THE COMMUNITY, PROVIDING ACCESS TO LOW INCOME PERSONS IN THE SERVICE AREA. ADDITIONALLY TELE-COUNSLELING SERVICES ARE PROVIDED AND CONTINUED IN 2022 WHICH ALLOWED OUR OUTREACH COUNSELING CENTER TO PROVIDE COUNSELING SERVICES FOR LOW-INCOME AND UN-INSURED PERSON IN OUR REGION AND PROVIDES ACCESS TO THOSE FACING BARRIERS SUCH AS TRANSPORTATION. IN 2022 WE EXPANDED OUR COUNSELING CENTER TO INCLUDE AN INTERNSHIP PROGRAM WHICH ALLOWES US TO PROVIDE MORE SERVICES TO THE COMMUNITITES WE SERVE. IN 2022 OUR CARE COORDINATION COMMUNITY-BASED TEAMS EXPANDED A TEAM DEDICATED SOLEY TO MENTAL HEALTH OUTREACH. WE ALSO CONTIUE TO PARTNER WITH LOCAL NON-PROFITS AND IN 2022 WHO ARE ALSO FOCUSING ON A MENTAL HEALTH, WE PROVIDED SUPPORT AND EDUCATION TO THE LUBBOCK YWCA STAFF REGARDING IN 2022. COVENANT ALSO PARTICIPATES IN A REGIONAL-WIDE MENTAL HEALTH COLLABORATIVE- WEST TEXAS MENTAL HEALTH COLLABORATIVE WHICH PROVIDES SUPPORT TO THE ENTIRE TEXAS SERVICE AREA. THROUGH THIS COLLABORATIVE WE HAVE SUPPORTED THE CREATION OF A NEW DIVERSION CENTER WHICH WILL BE CONSTRUCTED IN 2023-2024 AND WE HAVE ALSO BROUGHT MENTAL HEALTH CONFERENCES TO THE REGION. PRIORITY 2: ACCESS TO HEALTH SERVICES ACCESS TO HEALTH SERVICES INCLUDING BUT NOT LIMITED TO PREVENTION, MENTAL HEALTH, ORAL HEALTH, PRESCRIPTION ASSISTANCE, HEALTH/COMMUNITY NAVIGATION, TRANSPORTATION AND HEALTH EDUCATION/PREVENTION SERVICES2022 ACCOMPLISHMENTS: CONTINUED EXPANSION COMMUNITY CARE COORDINATION SERVICES TO CONNECT VULNERABLE PERSONS TO MEDICAL HOMES, MENTAL HEALTH CARE AND PRESCRIPTION PROGRAMS; IN 2022 A FIXED SITE DENTAL OUTREACH CLINIC IN HALE COUNTY WAS CONTINUED AND RECIEVED A GRANT TO PROVIDE DENTURES TO HALE COUNTY RESIDENTS IN NEED; COVENANT PROVIDED IN-KIND STAFF SUPPORT TO PRESCRIPTION ASSISTANCE AND UTILITY ASSISTANCE PROGRAMS WITH CATHOLIC CHARITIES; COVENANT PROVIDED AN IN-KIND DIABETIC EDUCATOR TO WORK ON-SITE AT CATHOLIC CHARITIES AND LUBBOCK CHILDRENS HEALTH CLINIC; DIABETES SPECIFIC OUTREACH WAS DESGINED TO MEET THE NEEDS OF HISTORICALLY UNDERSERVED POPULATIONS AND WITH A HEALTH EQUITY FOCUS TO EXPAND ACCESS TO BOTH PRE-DIABETIC AND DIABETIC POPULATIONS IN THE COMMUNITEIS WE SERVE; OUR POPULATION HEALTH TEAMS CONTINUED TO ENGAGE IN OUTREACH TO UN-FUNDED COMMUNITY MEMEBERS TO PROVIDE FREE NAVIGATION SERVICES TO CONNECT VULNERABLE PERSONS TO BOTH HEALTH AND COMMUNTIY RESOURCES; COVENANT HELD A FREE COMMUNITY RESOURCE AND SCREENING HEALTH FAIR, COVENANT ALSO HELD A FREE COLON SCREENING EVENT FOR UN-FUNDED INDIVIDUALS IN OUR COMMUNITIES; PROVIDED DENTAL SERVICES TO VULNERABLE POPULATIONS THROUGH COVENANT DENTAL OUTREACH CLINICS.PRIORITY 3: HOUSING INSECURITY/HOMELESSNESS SAFE, AFFORDABLE, STABLE HOUSING AND PERMANENT SUPPORTIVE HOUSING SOLUTIONS FOR PEOPLE EXPERIENCING CHRONIC HOMELESSNESS 2022 ACCOMPLISHMENTS: GRANT FUNDING WHICH WAS PROVIDED IN 2021 HELPED SUPPORT OPEN DOOR FOR EXPANSION OF PERMANANT SUPPORTIVE HOUSING PROGRAM; IN 2022 WE CONTINUED TO CONNECT COVENANT CARE COORDINATION/NAVIGATION, COUNSELING AND HEALTH EDUCATION SERVICES TO NON-PROFITS ADDRESSING HOUSING AND HOMELESSNESS TO BETTER PROVIDE WRAP AROUND SERVICES; PROVIDED CAREGIVERS TO VOLUNTEER AT HOUSING OUTREACH NON-PROFITS AND ALSO WITH HABITAT FOR HUMANITY; PROVIDED SUPPORT TO NON-PROFITS ADDRESSING SOCIAL DETERMINANTS OF HEALTH INCLUDING HOUSING; IN 2022, WE PROVIDED VOLUNTEERS TO SUPPORT HABITAT FOR HUMANITY'S BLITZ BUILD TO BUILD. WE ALSO CONTINUED TO WORK WITH BUILT FOR ZERO AND TO PARTICIPATE IN AND SUPPORT THE LUBBOCK HOMELESS CONSORTIUM. ADDITIONALLY, WE PROVIDED DENTAL SERVICES TO HOUSING UNSTABLE AND HOMELESS INDIVIDUALS IN OUR OUTREACH DENTAL CLINICS IN PLAINVIEW AND LUBBOCK AND THROUGH A COLLABORATION WITH LUBBOCK IMPACT.PRIORITY 4: FOOD INSECURITY AND NUTRITION ACCESS TO HEALTHY FOOD, NUTRITION EDUCATION, AND HEALTHY LIFESTYLE SUPPORT 2022 ACCOMPLISHMENTS: SCREENED FOR FOOD INSECURITY WITHIN COMMUNITY CARE COORDINATION PROGRAM AND CONNECTED INDIVIDUALS IN NEED WITH FOOD ASSISTANCE AND SNAP ENROLLMENT ASSISTANCE; PROVIDED FREE HEALTH AND NUTRITION EDUCATION SERVICES THROUGH COVENANT HEALTH EDUCATION OUTREACH; PROVIDED TELE-HELATH EDUCAITON TO THOSE IN NEED; CONDUCTED FREE COMMUNITY COOKING CLASSES AND EDUCAITON SESSIONS HELD AT LOCAL NON-PROFITS; COLLABORATED WITH THE HEALTH EQUITY DIABETES OUTREACH PROGRAM TO EXPAND ACCESS TO HEALTH EDUCATION FOR HISTORICALLY UNDERSERVED POPULATIONS; FEATURED SOUTH PLAINS FOODBANK AT COVENANT SUMMER HEALTH FAIR.POTENTIAL RESOURCES AVAILABLE TO ADDRESS SIGNIFICANT HEALTH NEEDS UNDERSTANDING THE POTENTIAL RESOURCES TO ADDRESS SIGNIFICANT HEALTH NEEDS IS FUNDAMENTAL TO DETERMINING CURRENT STATE CAPACITY AND GAPS. THE ORGANIZED HEALTH CARE DELIVERY SYSTEMS INCLUDE THE LOCAL HEALTH DEPARTMENTS, SEVERAL FEDERALLY QUALIFIED HEALTH CENTERS, COVENANT HEALTH HOSPITALS AND CLINICS, TEXAS TECH HEALTH SCIENCES CENTER, STARCARE, AND UNIVERSITY MEDICAL CENTER. WITHIN COVENANT HEALTH, DIRECT OUTREACH PROGRAMS ARE DESIGNATED TO ADDRESS COMMUNITY NEEDS. IN ADDITION, THERE ARE NUMEROUS SOCIAL SERVICE NON-PROFIT AGENCIES, FAITH-BASED ORGANIZATIONS, AND PRIVATE AND PUBLIC-SCHOOL SYSTEMS THAT CONTRIBUTE RESOURCES TO ADDRESS THESE IDENTIFIED NEEDS. FOR A LIST OF POTENTIALLY AVAILABLE RESOURCES AVAILABLE TO ADDRESS SIGNIFICANT HEALTH NEEDS SEE APPENDIX 5 OF THE CHNA.FOR MORE INFORMATION ON THE KEY STRATEGIES FOR ADDRESSING THIS HEALTHNEEDS GO TO THE COVENANT HEALTH FY21-23 CB PLAN LOCATED AVAILABLE ONLINE ATHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSUNDER TEXASNEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUING OUR MISSION THROUGH PROVIDING WELLNESS AND PREVENTION COMMUNITY GRANTS AND SPONSORSHIPS/DONATIONS TO NON-PROFITS ADDRESSING IDENTIFIED NEEDS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESS AND AN EXPLANATION IS PROVIDED BELOW: ECONOMIC INSECURITY, ACCESS TO COMMUNITY RESOURCES, WORKFORCE ISSUES, AND TRANSPORTATION THESE NEEDS WILL BE INDIRECTLY ADDRESSED THROUGH OUTREACH EFFORTS AND INTERNAL PROGRAMMING; HOWEVER, COVENANT HEALTH DID NOT SELECT THESE AS PRIORITY FOCUS AREAS. COVENANT HEALTH WORKS CLOSELY WITH THE NON-PROFITS COMMUNITY, AGENCIES AND ORGANIZATIONS THAT PROVIDE MORE DIRECT OUTREACH AND HAVE THE RESOURCES AND EXPERTISE TO LEAD INITIATIVES TO ADDRESS THESE NEEDS. IN ADDITION, COVENANT HEALTH WILL COLLABORATE WITH CASA OF THE SOUTH PLAINS, CATHOLIC CHARITIES, THE DREAM CENTER, THE YWCA, SOUTH PLAINS COMMUNITY ACTION, LOCAL FQHCS AND OTHER LOCAL NON-PROFITS THAT ADDRESS THE AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS THESE UNMET NEEDS. PART V, SECTION B, LINE 13H 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 USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT. PART V, SECTION B, LINE 16A HTTPS://WWW.PROVIDENCE.ORG/OBP/COVENANT/TX//FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B HTTPS://WWW.PROVIDENCE.ORG/OBP/COVENANT/TX//FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16C HTTPS://WWW.PROVIDENCE.ORG/OBP/COVENANT/TX//FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 22A AND 22D PRIOR TO 3/5/2022 COVENANT SPECIALTY HOSPITAL USED THE PROSPECTIVE MEDICARE OR MEDICAID AGB METHOD.AFTER 3/5/2022 COVENANT SPECIALTY HOSPITAL WENT LIVE ON EPIC AND MOVED TO THE LOOK BACK METHOD BASED ON CLAIMS ALLOWED BY MEDICARE FEE FOR SERVICE AND ALL PRIVATE HEALTH INSURERS THAT PAY CLAIMS TO THE HOSPITAL FACILITY DURING A PRIOR 12 MONTH PERIOD. PART V, SECTION B, LINE 24 FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. 1 1 - CHS - COVENANT AMBULANCE SERVICE 4014 22ND PL STE 11 LUBBOCK TX 79410 SPECIALTY CLINIC 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: COVENANT HEALTH PREPARES AN ANNUAL REPORT AS A SYSTEM WHICH INCLUDES COVENANT MEDICAL CENTER, GRACE MEDICAL CENTER, COVENANT CHILDREN'S HOSPITAL AND COVENANT SPECIALTY HOSPITAL (JOINT VENTURE), AND IT IS PUBLICLY AVAILABLE ATHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/TEXAS 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 3: 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, 2021. 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. COVENANT HEALTH SYSTEM 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: NEEDS ASSESSMENTCOVENANT HEALTH AS PART OF ITS STRATEGIC PLANNING PROCESS DEVELOPS A FIVE-YEAR STRATEGIC PLAN WHICH ESTABLISHES A VISION FOR THE ORGANIZATION WHILE SETTING A GUIDE FOR THE ANNUAL STRATEGIC PLAN. AS PART OF THE PLANNING PROCESS, WE ANALYZE EXTERNAL MARKET INFORMATION (INCLUDING BUT NOT LIMITED TO POPULATION ESTIMATES, DEMOGRAPHIC AND SOCIOECONOMICINFORMATION, REGIONAL USE RATES AND MARKET UTILIZATION TREND ANALYSES) AND INTERNAL INFORMATION (INCLUDING BUT NOT LIMITED TO INPATIENT, OUTPATIENT/SAME DAY, AND EMERGENCY VISIT DATA BY PATIENT ORIGIN, BY AGE COHORTS, BY RACE AND ETHNICITY AND INCOME STRATA) TO BETTER UNDERSTAND THE NEEDS OF OUR PATIENTS AND COMMUNITY. THIS WORK IS USED TO DEVELOP SERVICE AND PHYSICIAN/PROVIDER NEED PROJECTIONS TO DETERMINE GAPS IN OUR COMMUNITY. AS A FAITH-BASED PROVIDER THIS INFORMATION ALSO IS USED TO DETERMINE NEEDS FOR THE UNDERSERVED AND VULNERABLE IN OUR COMMUNITY AND REGION. 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 WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS 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: COMMUNITY INFORMATIONCOVENANT HEALTH PROVIDES WEST TEXAS AND EASTERN NEW MEXICO COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE CHNA SERVICE AREA, INCLUDING LUBBOCK, HOCKLEY, AND HALE COUNTIES, IS HOME TO APPROXIMATELY 379,000 PEOPLE. HOSPITAL SERVICE AREA THE SERVICE AREA FOR COVENANT MEDICAL CENTER, GRACE, COVENANT CHILDREN'S HOSPITAL, COVENANT SPECIALTY HOSPITAL, AND GRACE HOSPITAL IS THE ENTIRETY OF LUBBOCK COUNTY. COVENANT LEVELLAND SERVES HOCKLEY COUNTY, AND COVENANT PLAINVIEW SERVES HALE COUNTY. DUE TO THE LEVEL OF CARE PROVIDED AT THESE SIX HOSPITALS, COVENANT HOSPITALS SEE PATIENTS FROM SURROUNDING COUNTIES, ALTHOUGH FOR THE PURPOSES OF THIS CHNA, THE TOTAL SERVICE AREAS WILL INCLUDE LUBBOCK, HOCKLEY, AND HALE COUNTIES. DATA COLLECTED IN THIS CHNA FOCUS ON THESE THREE COUNTIES, WHICH ARE WITHIN A GEOGRAPHIC AREA THAT IS DIRECTLY SERVED BY THE COVENANT COMMUNITY HEALTH OUTREACH PROGRAMS. SURROUNDING COUNTIES OUTSIDE OF THE CHNA SERVICE AREA WHERE PATIENTS MAY LIVE INCLUDE THE FOLLOWING: CASTRO, SWISHER, BAILY, COCHRAN, YOAKUM, GAINES, DAWSON, SCURRY, LAMB, TERRY, LYNN, GARZA, CROSBY, AND FLOYD COUNTIES IN TEXAS, AS WELL AS CURRY, ROOSEVELT, LEA, AND EDDY IN NEW MEXICO. FOR THE MOST PART, THE AGE DISTRIBUTION FOR AGE GROUPS 85+ AND UNDER 5 YEARS ARE ROUGHLY PROPORTIONAL ACROSS THE BROADER SERVICE AREA, HIGH NEED SERVICE AREA, AND THREE COUNTIES. WHILE THE BROADER AND HIGH NEED SERVICE AREAS ARE ROUGHLY PROPORTIONAL, HALE COUNTY HAS A SLIGHTLY GREATER PROPORTION OF PEOPLE UNDER 18 YEARS. PEOPLE BETWEEN 18 AND 34 ARE SUBSTANTIALLY MORE LIKELY TO LIVE IN A HIGH NEED AREA, LIKELY YOUNG FAMILIES AND THOSE IN AND AROUND COLLEGE TOWNS. THOSE AGES 35 TO 84 ARE LESS LIKELY TO LIVE IN A HIGH NEED AREA. THE POPULATION OF LUBBOCK COUNTY IS APPROXIMATELY 5 TIMES THAT OF HALE AND HOCKLEY COUNTIES COMBINED. THE HISPANIC POPULATION IS OVER-REPRESENTED IN THE HIGH NEED COMMUNITIES, REPRESENTING NEARLY 50% OF THE POPULATION IN THOSE AREAS COMPARED TO 31% IN THE BROADER SERVICE AREA. THOSE WHO IDENTIFY AS WHITE ARE LESS LIKELY TO LIVE IN HIGH NEED COMMUNITIES, WHILE THOSE WHO IDENTIFY AS "OTHER" RACE POPULATION AND AS BLACK ARE MORE LIKELY TO LIVE IN THE HIGH NEED COMMUNITIES. WHILE THE BLACK POPULATION MAKES UP NEARLY 4% OF THE BROADER SERVICE AREA, THEY MAKE UP ALMOST 11% OF THE HIGH NEED SERVICE AREA. APPROXIMATELY 60% OF THE POPULATION IN HALE COUNTY IDENTIFIES AS HISPANIC, AS DO NEARLY 50% OF THE POPULATION OF HOCKLEY COUNTY. THE MEDIAN INCOME FOR THE HIGH NEED SERVICE AREA IS LOWER THAN THAT OF ALL THREE COUNTIES AND THE STATE OF TEXAS. IT IS ALSO ABOUT HALF THE MEDIAN INCOME OF THE BROADER SERVICE AREA. CENSUS TRACTS WITH THE LOWEST MEDIAN HOUSEHOLDS INCOMES ARE FOUND NEAR COVENANT MEDICAL CENTER, COVENANT CHILDRENS, GRACE MEDICAL CENTER, COVENANT SPECIALTY HOSPITAL AND COVENANT HEALTH PLAINVIEW. SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS THAT ARE SPENDING 50% OR MORE OF THEIR INCOME ON HOUSING COSTS. THE HIGH NEED SERVICE AREA HAS A HIGHER PERCENTAGE OF RENTER HOUSEHOLDS WITH SEVERE HOUSING COST BURDEN THAN EACH OF THE COUNTIES IN THE TOTAL SERVICE AREA AND THE STATE OF TEXAS. LUBBOCK COUNTY HAS THE HIGHEST PERCENTAGE OF HOUSEHOLDS THAT ARE SEVERELY HOUSING COST BURDEN WHEN COMPARED TO HALE AND HOCKLEY COUNTIES. CENSUS TRACTS AROUND COVENANT MEDICAL CENTER, COVENANT CHILDRENS, COVENANT SPECIALTY HOSPITAL AND GRACE MEDICAL CENTER HAVE THE HIGHEST PERCENTAGE OF HOUSEHOLDS THAT ARE SEVERELY HOUSING COST BURDENED IN THE SERVICE AREA. THE 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. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). LARGE PORTIONS OF THE COVENANT HEALTH SERVICE AREA ARE DESIGNATED AS SHORTAGE AREAS.FOR MORE INFORMATION, GO TO HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/TEXASOTHER HOSPITALS IN SERVICE AREAHOSPITALS SERVING LUBBOCK COUNTY INCLUDE: UMC HEALTH SYSTEM, COVENANT MEDICAL CENTER, COVENANT SPECIALTY HOSPITAL, COVENANT CHILDREN'S HOSPITAL, COVENANT GRACE SURGICAL HOSPITAL. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHCOVENANT MEDICAL CENTER, GRACE MEDICAL CENTER, COVENANT CHILDREN'S, COVENANT HEALTH LEVELLAND AND COVENANT HEALTH PLAINVIEW ALL PROVIDE VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. COVENANT HEALTH 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 ISA SUBCOMMITTEE OF THE BOARD OF TRUSTEES2) OPEN MEDICAL STAFF3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMAT 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 INVESTING 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 SEVERAL EXAMPLES.ST. JOSEPH COMMUNITY PARTNERSHIP FUND SINCE 1986, THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND HAS MADE INVESTMENTS AND BUILT PARTNERSHIPS IN THE CALIFORNIA COMMUNITIES SERVED BY ST. JOSEPH HEALTH MINISTRIES. AFTER 35 YEARS, WE HAD THE OPPORTUNITY TO EXPAND OUR FOCUS AND SUPPORT PROGRAMS AND COMMUNITIES THROUGHOUT PROVIDENCE. TODAY, THE FUND REPRESENTS PROVIDENCE'S SHARED COMMITMENT TO SOLVING COMPLEX CHALLENGES AND BUILDING VIBRANT, HEALTHY COMMUNITIES. WE DO THIS BY BUILDING CAPACITY AND CREATING LINKAGES ACROSS THE COMMUNITIES PROVIDENCE SERVES. THIS HELPS US MAXIMIZE THE DIRECT IMPACT OF OUR INVESTMENTS AND ADDRESS COMMON ISSUES THAT AFFECT PEOPLE THROUGHOUT OUR SYSTEM. THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND SERVES AS PROVIDENCE'S STRATEGIC GRANT MAKING FOUNDATION FOR FUNDING KEY SYSTEM AND REGIONAL INITIATIVES IN THE AREAS OF HOUSING, EDUCATION, DISASTER RESPONSE AND RECOVERY, AND NONPROFIT AND COMMUNITY CAPACITY BUILDING. THROUGH THE FUND WE INCUBATE AND ACCELERATE PROGRAMS THAT CREATE SCALABLE IMPACT IN OUR COMMUNITIES TO IMPROVE THE HEALTH AND WELLBEING OF THE ECONOMICALLY POOR, UTILIZE THE STRENGTHS AND DIVERSITY OF OUR NEIGHBORS TO BUILD VIBRANT COMMUNITIES AND LEVERAGE BEST PRACTICES AND LESSONS LEARNED FROM THESE INVESTMENTS TO EXPAND TO COMMUNITIES ACROSS OUR GEOGRAPHICAL FOOTPRINT. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/COMMUNITY-PARTNERSHIPS/ST-JOSEPH-COMMUNITY-PARTNERSHIP-FUND HEALTH EQUITY CHANGE 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 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. 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 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-STEWARDSHIP WELL 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/FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT PART VI, LINE 7, REPORTS FILED WITH STATES TX 1 1 0 0 0 0 0 1 0 JOEL GILBERTSON DIVISION CHIEF EXEC - CENTRAL 0 858041 0 1026760 0 249550 0 248529 0 15834 0 2398714 0 210446 RICHARD PARKS FRMR OFF - EXEC. ADVISOR 0 797346 0 413067 0 239430 0 226359 0 8288 0 1684490 0 204451 SCOTT O'BRIEN DIVISION COO - CENTRAL 0 605546 0 510039 0 205317 0 180710 0 2266 0 1503878 0 183677 WALTER CATHEY REG CE - WEST TX/EASTERN NM 560302 0 400000 0 131794 0 148683 0 29927 0 1270706 0 106095 0 CRAIG RHYNE MD TX/NM REG CMO - THRU 10/22 544923 0 306918 0 311500 0 0 0 15158 0 1178499 0 158503 0 ROBERT SALEM MD EXEC MEDICAL DIRECTOR - THRU 11/22 314383 0 91718 0 602263 0 9150 0 15902 0 1033416 0 7133 0 JOHN GRIGSON REGIONAL CHIEF FINANCIAL OFFICER 0 507578 0 168000 0 77157 0 67544 0 11224 0 831503 0 42179 TAPAN NATH BOARD MEMBER 0 632724 0 5810 0 58967 0 9150 0 36098 0 742749 0 41324 KERRY HENDERSHOT MD BOARD MEMBER 0 600986 0 11008 0 79889 0 9150 0 27310 0 728343 0 34847 MELISSA DAMM DIVISION CFO - CENTRAL 0 379873 0 170000 0 84206 0 83219 0 2161 0 719459 0 62794 JAMES KELLY FRMR OFF. - VP SENIOR CORP COUNSEL 0 342441 0 172339 0 89266 0 68063 0 15290 0 687399 0 88487 BRIAN NICHOLSON MD BOARD MEMBER 0 621491 0 11540 0 17524 0 6863 0 26020 0 683438 0 0 DAVID SHAW VP NM HOSPITAL ADMINISTRATOR 316464 0 0 0 69919 0 80069 0 29999 0 496451 0 64717 0 KELLY MCDANIEL EXEC DIR, SUPPORT SVCS - THRU 6/22 118223 0 66955 0 291775 0 0 0 15420 0 492373 0 1002 0 STEVEN BECK CAO CHP 308291 0 78764 0 16120 0 40599 0 30836 0 474610 0 4985 0 ROBERT TURNER VP MISSION INTEGRATION - THRU 11/22 0 245549 0 60286 0 136220 0 0 0 27120 0 469175 0 2958 CHRISTINE SHAVER FRMR KE - VP CHIEF HR - COVHS 0 232131 0 88350 0 44243 0 44845 0 17207 0 426776 0 20024 DYANA KERR FRMR KE - HOBBS CFO 0 253951 0 76396 0 569 0 6480 0 17122 0 354518 0 0 LINDZI TIMBERLAKE SECRETARY/CHIEF GOVERNANCE OFFICER 0 178359 0 46635 0 374 0 8744 0 13556 0 247668 0 0 KAREN BAGGERLY FRMR VP CHIEF NURSING EXEC 18384 0 121780 0 42659 0 0 0 18007 0 200830 0 30514 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 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 COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL ARE PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND BY COVENANT HEALTH SYSTEM, HOWEVER, COMPENSATION IS ESTABLISHED BY PROVIDENCE. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: CRAIG RHYNE, M.D. - $113,987 ROBERT SALEM, M.D. - $555,797 KELLY MCDANIEL - $267,821 ROBERT TURNER - $96,307 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: JOEL GILBERTSON - $210,446 RICHARD PARKS - $204,451 SCOTT OBRIEN - $183,677 WALTER CATHEY - $106,095 CRAIG RHYNE, M.D. - $158,503 ROBERT SALEM, M.D. - $7,133 JOHN GRIGSON - $42,179 TAPAN NATH - $41,324 KERRY HENDERSHOT, M.D. - $34,847 MELISSA DAMM - $62,794 JAMES KELLY - $88,487 DAVID SHAW - $64,717 KELLY MCDANIEL - $1,002 STEVEN BECK - $4,985 ROBERT TURNER - $2,958 CHRISTINE SHAVER - $20,024 KAREN BAGGERLY - $30,514 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 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 AND LUBBOCK METHODIST HOSPITAL SYSTEM ARE THE CORPORATE MEMBERS OF COVENANT HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS COVENANT HEALTH SYSTEM HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE COVENANT HEALTH SYSTEM'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE COVENANT HEALTH SYSTEM BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. THE ST. JOSEPH HEALTH SYSTEM MEMBER APPROVES 50% OF THE BOARD NOMINATIONS, PLUS THE VOTING CEO. THE LUBBOCK METHODIST HEALTH SYSTEM APPROVES THE OTHER 50% OF BOARD NOMINATIONS. 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, 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, 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 EXCUSED 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 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 2023. 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 GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 3,995,716. MANAGEMENT AND GENERAL EXPENSES 2,663,811. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,659,527. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 3,921,807. MANAGEMENT AND GENERAL EXPENSES 2,614,538. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,536,345. AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 102,528. MANAGEMENT AND GENERAL EXPENSES 68,352. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 170,880. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 182,605. MANAGEMENT AND GENERAL EXPENSES 121,737. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 304,342. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 675. MANAGEMENT AND GENERAL EXPENSES 450. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,125. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 7,450,320. MANAGEMENT AND GENERAL EXPENSES 4,966,880. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,417,200. FORM 990, PART XI, LINE 9: CHANGE IN EQUITY RELATED TO INVESTMENTS 3,684,132. NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -261,420,217. OTHER CHANGES IN NET ASSETS -7,529,746. CHANGE IN INVESTMENT IN JOINT VENTURES 6,254,139. 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