2021-11-13T14:24:57-06:00 2020-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2020-01-01 510216589 PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA PROV 4255253985 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 HELEN ANDRUS EVP/TREASURER/CFO 4255253985 2021-11-13 1 HELEN ANDRUS 999009999 EVA NITTA P01286320 4158948000 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z GREG HOFFMAN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 1878114921 0 X HTTP://CALIFORNIA.PROVIDENCE.ORG/ X 1903 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. 9 9 11954 0 40450 35505 27226224 191602443 1907023890 1623590470 11308442 2546764 38291169 28164652 1983849725 1845904329 14274746 21915262 0 0 759413409 658448838 0 0 4423324 1343714844 1223185714 2117402999 1903549814 -133553274 -57645485 1831614125 432355887 680244823 966731725 1151369302 -534375838 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 1560586554 21915262 1668721537 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 HEALTH 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 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,085 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. -HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA. -KADLEC IN SOUTHEAST WASHINGTON -PACIFIC MEDICAL CENTERS IN SEATTLE, WA. -SWEDISH HEALTH SERVICES IN SEATTLE, WA. 2020 - AN UNPRECEDENTED YEAR OVER THE PAST YEAR, OUR COMMUNITIES HAVE FACED EXTRAORDINARY CHALLENGES. BUT EVEN DURING THE MOST DIFFICULT PUBLIC HEALTH CRISIS OF OUR TIME, COMMUNITIES HAVE ALSO SHOWN REMARKABLE STRENGTH AND RESOLVE. THERE IS SO MUCH GOOD THAT CAN BE ACCOMPLISHED AT THE COMMUNITY LEVEL, ESPECIALLY WHEN LIKE-MINDED ORGANIZATIONS WORK TOGETHER. IN SERVICE TO OUR MISSION, PROVIDENCE PARTNERS WITH COMMUNITY-BASED ORGANIZATIONS TO IDENTIFY URGENT HEALTH NEEDS AND ENVIRONMENTAL FACTORS THAT ARE IMPACTING THE WELL-BEING OF OUR COMMUNITIES. WE ACT TO PROVIDE SHORT-TERM SOLUTIONS AND ENVISION LONG-TERM RESULTS BY WISELY INVESTING IN OUR COMMUNITIES TO HELP BUILD A MORE EQUITABLE AND SUSTAINABLE FUTURE. IN 2020, WE INVESTED $1.7 BILLION IN COMMUNITY BENEFIT ACROSS SEVEN REGIONS, TO SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT CREATE LASTING CHANGE AT THE COMMUNITY LEVEL. THESE EFFORTS SEEK TO MITIGATE IMMEDIATE CHALLENGES WHILE FINDING SOLUTIONS TO DEEP-ROOTED PROBLEMS, IMPROVE ACCESS TO HEALTH CARE, AND ADVANCE INNOVATIVE CARE MODELS TO MEET THE EVOLVING NEEDS OF OUR COMMUNITIES.CARING FOR OUR COMMUNITIES HAS NEVER BEEN MORE IMPORTANT. TO ACHIEVE OUR VISION OF HEALTH FOR A BETTER WORLD, OUR PROVIDENCE FAMILY OF ORGANIZATIONS FOCUSED ON FOUR COMMUNITY INITIATIVES IN 2020: 1) FOUNDATIONS OF HEALTH, 2) REMOVING BARRIERS TO CARE, 3) COMMUNITY RESILIENCE, AND 4) INNOVATING FOR THE FUTURE. WE CHOSE THESE FOCUS AREAS BECAUSE THEY ARE ALL FOUNDATIONAL TO HEALTH AND WELL-BEING, REPRESENTING IDENTIFIED NEEDS THAT ARE INTEGRAL TO IMPROVING QUALITY OF LIFE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT 2020 PROGRAM SERVICE ACCOMPLISHMENTSTHE PROVIDENCE SOUTH BAY LITTLE COMPANY OF MARY MEDICAL CENTERS, SAN PEDRO AND TORRANCE CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE COMMUNITIES IN THE SOUTH BAY. PROVIDENCE SAN FERNANDO VALLEY SERVICE AREA (SFV SERVICE AREA) IS COMPRISED OF THE SERVICE AREAS OF THREE PROVIDENCE MEDICAL CENTERS INCLUDING PROVIDENCE HOLY CROSS MEDICAL CENTER (PHCMC; MISSION HILLS); PROVIDENCE ST. JOSEPH MEDICAL CENTER (PSJMC; BURBANK); AND PROVIDENCE CEDARS-SINAI TARZANA MEDICAL CENTER (PCSTMC; TARZANA).INITIATIVE #1: STRENGTHEN INFRASTRUCTURE OF CONTINUUM OF CARE FOR PATIENTS EXPERIENCING HOMELESSNESS -ESTABLISHED THE CHW HOMELESS NAVIGATORS PROGRAM HOSPITAL EMERGENCY DEPARTMENT-BASED COMMUNITY HEALTH WORKERS THAT ASSIST PATIENTS EXPERIENCING HOMELESSNESS WITH DISCHARGE TO SHELTER OR HOMELESS SERVICE PROVIDERS. -ESTABLISHED THE COORDINATED ENTRY SYSTEM HOSPITAL LIAISON COLLABORATIVE WORKGROUP OF PRIVATE NON-PROFIT HOSPITALS IN THE SOUTH BAY HAVING A DIRECT, SINGLE POINT OF CONTACT WITH THE LOCAL LEAD HOMELESS SERVICE AGENCY TO COORDINATE REFERRALS AND EDUCATE HOSPITAL STAFF ON CHANGING RESOURCES. INITIATIVE #2: IMPROVE ACCESS TO HEALTH CARE SERVICES -INCREASED THE NUMBER OF MEDICAL VISITS TO OUR VASEK POLAK HEALTH CLINIC. -DOUBLED THE NUMBER OF PATIENTS ENROLLED INTO MENTAL HEALTH THERAPY PROGRAMS FROM 2019. -PROVIDED OVER 2,000 IMMUNIZATIONS TO COMMUNITY MEMBERS THROUGH OUR MOBILE HEALTH CLINIC. INITIATIVE #3: INVEST IN EXPANSION OF COMMUNITY-BASED WELLNESS AND ACTIVITY CENTERS -AVERAGED OVER 40 UNIQUE VISITS TO OUR WILMINGTON WELLNESS AND ACTIVITY CENTER BEFORE COVID IMPACTED OUR COMMUNITY WORK. -SELECTED A DESIGN PROFESSIONAL AND BEGAN INITIAL DESIGN PLANNING FOR OUR LAWNDALE WELLNESS AND ACTIVITY CENTER. INITIATIVE #4: TRAIN AND DEPLOY A WORKFORCE OF COMMUNITY HEALTH WORKERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH IN UNDERSERVED POPULATIONS -CREATED OUR CHW ACADEMY IN COLLABORATION WITH CHARLES DREW UNIVERSITY TO TRAIN COMMUNITY MEMBERS TO BECOME COMMUNITY HEALTH WORKERS. -BEGAN OFFERING MENTAL HEALTH FIRST AID TO COMMUNITY MEMBERS, HAVING OVER 100 COMPLETING THE COURSE. -PROVIDED SEVERAL COHORTS OF MENTAL HEALTH SUPPORT GROUPS AND CHRONIC DISEASE SELF-MANAGEMENT CLASSES TO COMMUNITY MEMBERS BOTH IN PERSON AND VIRTUALLY. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/COMMUNITY-HEALTH 1560586554 1 1 0 1 0 0 0 0 0 1 1 0 1 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 1 1 1 0 0 0 1 X 720 0 1 11954 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 CA X JO ANN ESCASA-HAIGH 9493814000 3345 MICHELSON DRIVE SUITE 100 IRVINE CA 92612 X ROD F HOCHMAN MD FORMER OFFICER - PSJH PRESIDENT/CEO 0.00 60.00 X 0 9299594 813801 MIKE BUTLER PRESIDENT - THRU 9/20 7.00 53.00 X 0 8708237 56431 DEBRA CANALES FORMER KE - PSJH EVP/CAO 0.00 60.00 X 0 2003884 691108 ERIK WEXLER EVP CHIEF EXECUTIVE PSJH SO CA 8.00 57.00 X 0 1864281 448015 AMY COMPTON-PHILLIPS MD FORMER KE - PSJH EVP/CHF CLIN. OFC. 0.00 55.00 X 0 1709011 533089 RHONDA MEDOWS MD FRMR KE - PSJH PRES. EVP/POP. HEALTH 0.00 60.00 X 0 1814460 328861 VENKAT BHAMIDIPATI EVP/TREASURER - THRU 9/20 7.00 53.00 X 0 2084131 22680 CINDY STRAUSS SECRETARY - THRU 12/20 7.00 53.00 X 0 1745541 358093 VICTOR JORDAN COO SO CA 48.00 2.00 X 0 1716335 234873 LISA VANCE FORMER KE - FPSJH EVP REGIONAL CE OR - 0.00 60.00 X 0 1529706 411248 JO ANN ESCASA-HAIGH EVP/TREASURER/CFO 6.00 54.00 X 0 1311654 434938 BERNIE KLEIN MD CHIEF EXEC PROV HOLY CROSS MC 50.00 0.00 X 0 1440173 215844 GREG TILL FORMER CHIEF PEOPLE OFFICER 0.00 65.00 X 0 1304460 341650 AARON MARTIN FRMR KE - PSJH EVP CHF MKT/DIG INN. 0.00 70.00 X 0 1307753 272343 MIKE WATERS FORMER EVP AMBULATORY CARE NETWORK 0.00 65.00 X 0 1120486 223207 JOEL GILBERTSON FORMER EVP COMMUNITY PARTNERSHIPS 0.00 60.00 X 0 1107594 226050 OREST HOLUBEC FORMER SVP CHIEF COMMUNICATION OFCR 0.00 55.00 X 0 939380 203274 DALE SUROWITZ FORMER KEY EMPLOYEE 0.00 59.00 X 0 1120034 21490 JOHN WHIPPLE SECRETARY 7.00 53.00 X 0 963651 176306 KELLY LINDEN CHIEF EXEC PROV ST JOSEPH MC 50.00 0.00 X 0 763683 168417 GARRY OLNEY CHIEF EXECUTIVE SOUTH BAY 50.00 0.00 X 0 743672 170809 DAVID BROWN FORMER SVP CAO AMBULATORY CARE 0.00 55.00 X 0 708463 156898 JIM WATSON ESQ ASSISTANT SECRETARY 6.00 54.00 X 0 744481 120056 GREG HOFFMAN PRESIDENT/CEO (PART YEAR) 7.00 53.00 X 0 675947 122495 DEBBIE BURTON FORMER SVP CHIEF NURSING OFFICER 0.00 60.00 X 0 651863 39206 HOWARD DAVIS CMO TARZANA 50.00 0.00 X 656010 0 26659 JIM NOBLE CFO SO CA REGION - THRU 11/20 50.00 0.00 X 0 628824 32594 RICHARD GLIMP CMO TORRANCE 50.00 0.00 X 604327 0 15806 DEETTE MONTGOMERY COO-PMI 40.00 0.00 X 547221 0 20818 GLEN KOMATSU CMO PTCH 0.00 40.00 X 530073 0 37899 REX HOFFMAN CHIEF MEDICAL OFFICER-FAC 40.00 0.00 X 534509 0 26308 TOM MCDONAGH FORMER VP/CHIEF INVESTMENT OFFICER 0.00 58.00 X 0 485249 30532 SHARON TONCRAY FORMER SVP/CHIEF LABOR EE COUNSEL 0.00 60.00 X 0 361654 27461 DONALD ANDERSON JR FORMER ASSISTANT SECRETARY FOR ENROLLMENT 7.00 53.00 X 0 228473 22814 TAMMY TEODOSIO FORMER ASSISTANT SECRETARY 7.00 53.00 X 0 105105 17660 DAVE OLSEN BOARD CHAIR 0.10 7.00 X 0 65770 0 MARY LYONS PHD DIRECTOR 0.10 4.60 X 0 62020 0 ISIAAH CRAWFORD PHD DIRECTOR 0.10 7.00 X 0 55830 0 KATHARIN DYER DIRECTOR 0.10 5.00 X 0 40945 0 MICHAEL MURPHY DIRECTOR 0.10 5.00 X 0 40770 0 CHARLES SORENSON MD DIRECTOR 0.10 5.00 X 0 40000 0 SISTER DIANE HEJNA CSJ RN DIRECTOR 0.10 5.30 X 0 0 0 SISTER LUCILLE DEAN SP DIRECTOR 0.10 5.50 X 0 0 0 SISTER PHYLLIS HUGHES RSM DRPH DIRECTOR 0.10 5.00 X 0 0 0 2872140 49493114 7049733 2112 1 1 0 MCCARTHY BUILDING COMPANIES 20401 SOUTHWEST BIRCH NEWPORT BEACH CA 92660 CONSTRUCTION SERVICES 73452229 AMN HEALTHCARE INC 12400 HIGH BLUFF DR SAN DIEGO CA 921303077 MEDICAL SERVICES 35387117 PACIFIC NEUROSCIENCE INSTITUTE 11645 WILSHIRE BLVD LOS ANGELES CA 900256807 MEDICAL SERVICES 24986522 MEDIREVV INC 2600 UNIVERSITY PKWY CORALVILLE IA 522413212 MEDICAL SERVICES 18546146 SWINERTON BUILDERS 200 N MAIN ST SANTA ANA CA 927014800 CONSTRUCTION SERVICES 12719503 389 82509 51249587 135661935 4608412 191602443 NET PATIENT REVENUE 621110 1488156906 1488156906 HOSPITAL FEE 621110 137537460 137537460 JV INCOME 900099 -2103896 -2103896 1623590470 2449538 2449538 11877506 31793219 -19915713 -19915713 -19915713 35554 61672 0 0 35554 61672 97226 97226 19530 82509 9843 9687 9687 5280 3640 1640 1640 48837 403890 -355053 -355053 INTERAFFILIATE REVENUE 900099 27856730 27856730 EDUCATION REVENUE 611710 8909188 8909188 CAFETERIA REVENUE 722514 3252574 3252574 8405599 8365149 40450 48424091 1845904329 1668721537 40450 -14460101 21915262 21915262 598094974 513093682 83586564 1414728 11214717 10488 11177702 26527 2930477 343581 2579964 6932 46208670 37459714 8639654 109302 4667749 100557 4556151 11041 31820 3161 28584 75 15190 15190 169392270 127238911 41752679 400680 222026 11470 210031 525 34111188 26401153 7629349 80686 1449895 663033 783432 3430 29592584 3472938 26049648 69998 530128 432531 96343 1254 1002911 151651 848888 2372 11493491 4617 11488874 50362671 19580888 30662656 119127 107745 8662 99083 SYSTEM COST ALLOCATION 558649651 464800691 92527535 1321425 MEDICAL SUPPLIES 203025640 193651152 8894253 480235 HOSPITAL FEES 147565112 147216063 349049 OTHER 3764269 2012385 1742980 8904 7201374 2013964 5170376 17034 1903549814 1560586554 338539936 4423324 8072829 -1121883130 -22049650 4542551 2264261 218963118 185799248 8995309 8751236 19228478 19187366 7976984 3109942 2074434727 1312225538 893704835 762209189 6709010 6800525 234572742 235628495 428848269 352538405 1831614125 432355887 279969247 279062908 3372782 4306602 396902794 683362215 680244823 966731725 X 1039079911 -638934386 112289391 104558548 1151369302 -534375838 1831614125 432355887 X -57645485 -21410 -1628078245 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 178169 178169 0 PART II-B, LINE 1: THE LOBBYING EXPENDITURES REPORTED REPRESENT THE PORTION OF DUES PAID TO ALLIANCE OF CATHOLIC HEALTH CARE, AMERICAN HOSPITAL ASSOCIATION AND CALIFORNIA HOSPITAL ASSOCIATION FOR LOBBYING SERVICES. 552550 552550 511439 35929 5182 552550 497829 14322 -712 511439 386035 108955 2839 497829 386224 120 -309 386035 1.00000 0 1 1 39022161 39022161 1002481744 546428973 456052771 65252435 17884522 47367913 851814968 745805589 106009379 115863419 2106454 113756965 762209189 HEALTHCARE JOINT VENTURES 29781582 F BENEFICIAL INTEREST IN FOUNDATION 205846913 F 235628495 DUE FROM AFFILIATES 31388936 DUE FROM THIRD PARTY 9146950 HOSPITAL FEE/ PROVIDER TAX RECEIVABLE 200354697 OTHER ASSETS 3364787 INVESTMENT IN CORPORATE SUBSIDIARIES 56858980 RIGHT OF USE OPERATING LEASES 51424055 352538405 I/C - TAX-EXEMPT BOND LIABILITIES 400331692 CAPITAL LEASE OBLIGATIONS 51566996 DUE TO THIRD PARTY 60040014 OTHER LIABILITIES 164217500 DUE TO AFFILIATES 7206013 683362215 PART V, LINE 4: THE HIGH SCHOOL HAS TWO ENDOWMENT FUNDS ESTABLISHED FOR SCHOLARSHIP PURPOSES AND IS DONOR-RESTRICTED. GALA 102039 82509 19530 0 0 0 1000 0 8843 102039 82509 19530 1000 8843 9843 9687 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 2564 18200534 18200534 0.00960 59053 418067462 352854589 65212873 0.03430 61617 436267996 352854589 83413407 0.04390 86 202844 20724161 4904578 15819583 0.00830 7 2221 7254511 1486 7253025 0.00380 7 4720 5787098 2444744 3342354 0.00180 18 1855611 1855611 0.00100 118 209785 35621381 7350808 28270573 0.01490 118 271402 471889377 360205397 111683980 0.05880 0 532328167 696563415 -164235248 X 1 1 4 1 PROVIDENCE ST JOSEPH MEDICAL CENTER 501 S BUENA VISTA ST BURBANK CA 91505 CALIFORNIA.PROVIDENCE.ORG 930000159 X X X A 2 PROVIDENCE LCM MED CTR - TORRANCE 4101 TORRANCE BOULEVARD TORRANCE CA 90505 CALIFORNIA.PROVIDENCE.ORG 930000089 X X X B 3 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI ST MISSION HILLS CA 91345 CALIFORNIA.PROVIDENCE.ORG 930000404 X X X X A 4 PROVIDENCE LCM MED CTR - SAN PEDRO 1300 WEST SEVENTH STREET SAN PEDRO CA 90732 CALIFORNIA.PROVIDENCE.ORG 930000142 X X X B PHS - SOUTHERN CALIFORNIA ( GROUP A) 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE LINE 10A URL BELOW X SEE PART V, SECTION C X 1 20 1 HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS 0 1 X 300.000000000000 350.000000000000 X X X X 1 1 X 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 0 X X X X 1 X 0 1 PHS - SOUTHERN CALIFORNIA ( GROUP B) 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE LINE 10A URL BELOW X SEE PART V, SECTION C X 1 20 1 HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS 0 1 X 300.000000000000 350.000000000000 X X X X 1 1 X 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 0 X X X X 1 X 0 1 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: PROVIDENCE ST. JOSEPH MEDICAL CENTER, - FACILITY 3: PROVIDENCE HOLY CROSS MEDICAL CENTER PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 2: PROVIDENCE LCM MED. CTR. - TORRANCE, - FACILITY 4: PROVIDENCE LCM MED. CTR. - SAN PEDRO PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY ARE PRIORITIZED BASED ON THE METHODOLOGY DESCRIBED IN THE MOST RECENT CHNA SECTION ON SIGNIFICANT HEALTH NEEDS. PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 5: PROVIDENCE CONDUCTED KEY INFORMANT INTERVIEWS WITH INDIVIDUALS WHO REPRESENT A VARIETY OF LOW-INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS THROUGHOUT THE HOSPITALS' SERVICE AREA.2019 CHNA KEY INFORMANTS:- 3WINS FITNESS (PROGRAM, PHYSICAL ACTIVITY)- CAL STATE UNIVERSITY, NORTHRIDGE (UNIVERSITY, PHYSICAL ACTIVITY)- ALLIANCE FOR COMMUNITY EMPOWERMENT (COMMUNITY BASED ORGANIZATION, COMMUNITY PROGRAMMING AND EMPOWERMENT)- ALL-INCLUSIVE COMMUNITY HEALTH CENTER (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- BURBANK HOUSING CORPORATION (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS)- CITY OF BURBANK (GOVERNMENT)- EL CENTRO DE AMISTAD (COMMUNITY BASED ORGANIZATION, BEHAVIORAL HEALTH)- EL PROYECTO DEL BARRIO (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- LA FAMILY HOUSING (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS)- LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH (GOVERNMENT, PUBLIC HEALTH)- NORTH VALLEY CARING SERVICES (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS)- NORTHEAST VALLEY HEALTH CORPORATION (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- SAN FERNANDO AND SANTA CLARITA VALLEY HOMELESS COALITION (COALITION, HOUSING/HOMELESSNESS)- NORTHEAST VALLEY HEALTH CORPORATION (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- ONEGENERATION (COMMUNITY BASED ORGANIZATION, AGING SERVICES)- SAN FERNANDO COMMUNITY HEALTH CENTER (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- THE OFFICE OF LAUSD SCHOOL BOARD MEMBER (GOVERNMENT, EDUCATION)- VALLEY CROSSROADS SEVENTH-DAY ADVENTIST CHURCH (FAITH BASED ORGANIZATION)- WEST VALLEY YMCA (NATIONAL ORGANIZATION, HEALTHY LIVING AND YOUTH DEVELOPMENT)IN ADDITION TO CONDUCTING KEY INFORMANT INTERVIEWS AS PART OF ITS PRIMARY DATA COLLECTION, PROVIDENCE ALSO INCLUDED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY AS PART OF ITS CHNA OVERSIGHT COMMITTEE.THE CHNA OVERSIGHT COMMITTEE, AUTHORIZED BY THE GOVERNING BOARDS IN MARCH 2019, MET TWICE IN THE FALL OF 2019 TO PRIORITIZE AND RECOMMEND THE TOP IDENTIFIED HEALTH NEEDS TO BE ADDRESSED OVER THE NEXT THREE YEARS. THE EXTERNAL REPRESENTATIVES INCLUDED THE PERSPECTIVE OF A PEDIATRICIAN, AN FQHC, MENTAL HEALTH SERVICES PROVIDER, AN AFFORDABLE HOUSING ORGANIZATION, SENIOR SERVICES PROVIDER AND THE AREA HEALTH OFFICER FOR THE SAN FERNANDO VALLEY FROM THE DEPARTMENT OF PUBLIC HEALTH. THE GROUP PARTICIPATED IN TWO MEETINGS TO REVIEW THE ASSEMBLED PRIMARY AND SECONDARY DATA FOR EACH IDENTIFIED HEALTH NEED. THE FIRST MEETING INCLUDED DISCUSSIONS ON HOW EACH ISSUE AFFECTED THE COMMUNITIES IN THE REGION, USING THE IDENTIFIED NEED OF HOMELESSNESS AND HOUSING INSTABILITY TO FAMILIARIZE AND PREPARE THE PARTICIPANTS FOR CRITERIA THAT WOULD BE APPLIED DURING THE PRIORITIZATION MEETING. IN THE SECOND MEETING COMMITTEE PARTICIPANTS RECEIVED A QUESTIONNAIRE AT THE START OF THE MEETING AND ASKED TO RATE THE SEVERITY OF EACH IDENTIFIED HEALTH NEED USING THREE CRITERIA: (1) THE CHANGE OVER TIME, (2) THE AVAILABILITY OF COMMUNITY RESOURCES/ASSETS TO ADDRESS THE HEALTH NEED, AND (3) THE COMMUNITY READINESS TO IMPLEMENT/SUPPORT PROGRAMS TO ADDRESS THE HEALTH NEED. OVERSIGHT COMMITTEE MEMBERS WERE THEN ASKED TO CONSIDER THE THREE QUESTIONS BELOW AND GIVEN THREE DOTS, OR "VOTES", TO ASSIGN TO THE IDENTIFIED HEALTH NEEDS, RESULTING IN A LIST OF PRIORITIZED NEEDS.- HOW DOES THIS NEED IMPACT THE WORK OF YOUR ORGANIZATION AND THE CLIENTS YOU SERVE?- WHAT OTHER SERVICE GAPS CURRENTLY EXIST?- WHAT ROLE CAN PROVIDENCE PLAY IN ADDRESSING THIS NEED? PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 6A: PROVIDENCE ST. JOSEPH MEDICAL CENTER AND PROVIDENCE HOLY CROSS MEDICAL CENTER COLLABORATED WITH PROVIDENCE CEDAR SINAI TARZANA MEDICAL CENTER TO COMPLETE THEIR JOINT COMMUNITY HEALTH NEEDS ASSESSMENT. PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH THE CENTER FOR NONPROFIT MANAGEMENT (CNM), LOS ANGELES, CA. PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, LINE 7B, CHNA REPORT WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS CLICK ON "SOUTHERN CALIFORNIA" TAB PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 11: IN DEVELOPING THE LIST OF PRIORITY NEEDS, PROVIDENCE LOOKED AT BRINGING ITS EXPERTISE AND RESOURCES TO THOSE ISSUES WHERE IT CAN MAKE POSITIVE CHANGE. IN OUR LATEST CHNA, THE BOARD COMMITTEE ON COMMUNITY BENEFITS IDENTIFIED THE FOLLOWING AS THE HIGHEST PRIORITY NEEDS WITHIN OUR COMMUNITIES:1) BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH AND SUBSTANCE USE2) FOOD INSECURITY3) PREVENTION AND MANAGEMENT OF CHRONIC DISEASES4) ACCESS TO HEALTH CARE AND RESOURCESTHE FOUR PRIORITIZED HEALTH NEEDS ARE BEING ADRESSED WITHIN THE CONTEXT OF FOUR INITIATIVES THAT MAKE UP THREE-YEAR IMPLEMENTATION STRATEGY:INITIATIVE #1: STRENGTHEN INFRASTRUCTURE OF CONTINUUM OF CARE FOR PATIENTS EXPERIENCING HOMELESSNESS ESTABLISHED THE CHW HOMELESS NAVIGATORS PROGRAM-HOSPITAL EMERGENCY DEPARTMENT-BASED COMMUNITY HEALTH WORKERS THAT ASSIST PATIENTS EXPERIENCING HOMELESSNESS WITH DISCHARGE TO SHELTER OR HOMELESS SERVICE PROVIDERS.INITIATIVE #2: INCREASE REACH AND UTILIZATION OF COMMUNITY BASED WELLNESS AND ACTIVITY CENTERSINCREASED THE NUMBER OF SENIOR PARTICIPANTS ACTIVE IN INDIVIDUAL SHORT-TERM COUNSELING AND GROUP COUNSELING THROUGH OUR VAN NUYS WELLNESS CENTER.INITIATIVE #3: IMPROVE ACCESS TO HEALTHCARE SERVICES AND PREVENTIVE RESOURCES-ASSISTED COMMUNITY MEMBERS WITH OVER 390 APPLICATIONS FOR HEALTH INSURANCE ENROLLMENT-ENROLLED 100 CLIENTS IN CALFRESH-HELPED ENROLL OVER 400 PATIENTS IN HOSPITAL PRESUMPTIVE ELIGIBILITY, WITH AN 80% ENROLLMENT RATE-ESTABLISHED OUR FEAST PROGRAM TO PROVIDE NUTRITION EDUCATION FOR COMMUNITY MEMBERS-ESTABLISHED MENTAL HEALTH FIRST AID PROGRAMS FOR COMMUNITY MEMBERS INITIATIVE #4: SUPPORT COLLABORATIVE PARTNERSHIPS FOR BETTER HEALTH PROVIDED OVER 300 FLU VACCINATIONS WITHIN THE SFV SERVICE AREANEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. OUR ABILITY TO ADDRESS ALL OF THE IDENTIFIED HEALTH NEEDS IS LINKED TO OUR MISSION TO PAY SPECIAL ATTENTION TO THE POOR AND VULNERABLE AND BY THE STRENGTH OF OUR PARTNERSHIPS WITH OTHER ORGANIZATIONS WHO CAN SUPPLEMENT OR COMPLEMENT OUR ANNUALLY BUDGETED RESOURCES. FOR EXAMPLE, PROVIDENCE HAS PROVIDED A TATTOO REMOVAL PROGRAM FOR MANY YEARS FOR EX-GANG MEMBERS AND OFFENDERS WHO HAVE COMMITTED TO TURNING THEIR LIFE AROUND. YET, WE HAVE LEARNED THAT REMOVING THE TATTOO IS JUST PART OF THE SOLUTION TO SUPPORTING THE INDIVIDUAL WHO FACES MANY BARRIERS AND STRESSORS. SO, WE ARE COMMITTED TO PARTNERING WITH ORGANIZATIONS THAT CAN PROVIDE THE WRAP AROUND MENTAL HEALTH, JOB TRAINING AND OTHER SERVICES THAT IMPROVE THE CHANCES OF A SUCCESSFUL RE-ENTRY BACK INTO THE COMMUNITY. THE COMMUNITY HEALTH IMPROVEMENT PLAN BELOW PRESUMES THAT ADDITIONAL ORGANIZATIONAL PARTNER RELATIONSHIPS WILL ALLOW US TO ADDRESS ALL EIGHT IDENTIFIED HEALTH NEEDS. THESE ORGANIZATIONS ARE PUBLIC AND PRIVATE COMMUNITY PARTNERS THAT HAVE EXPERTISE IN ADDRESSING THE IDENTIFIED COMMUNITY HEALTH NEEDS AT THE LOCAL LEVEL. PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 16A: FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/FINANCIAL-ASSISTANCE PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 16B: FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/FINANCIAL-ASSISTANCE-APPLICATION PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 16C: FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/PLAIN-LANGUAGE-SUMMARY PHS - SOUTHERN CALIFORNIA (GROUP A) - 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. PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY ARE PRIORITIZED BASED ON THE METHODOLOGY DESCRIBED IN THE MOST RECENT CHNA SECTION ON SIGNIFICANT HEALTH NEEDS. PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 5: PROVIDENCE CONDUCTED KEY INFORMANT INTERVIEWS WITH INDIVIDUALS WHO REPRESENT A VARIETY OF LOW-INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS THROUGHOUT THE HOSPITALS' SERVICE AREA.2019 CHNA KEY INFORMANTS:- BEHAVIORAL HEALTH SERVICES, INC. (COMMUNITY BASED ORGANIZATION, BEHAVIORAL HEALTH)- ST. JOSEPH CHURCH HAWTHORN (RELIGIOUS ORGANIZATION)- LAWNDALE ELEMENTARY SCHOOL DISTRICT (SCHOOL DISTRICT, EDUCATION)- HARBOR COMMUNITY CLINIC (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- BOYS & GIRLS CLUBS OF THE LOS ANGELES HARBOR (NATIONAL ORGANIZATION, YOUTH DEVELOPMENT)- THE VOLUNTEER CENTER SOUTH BAY, HARBOR, LONG BEACH (COMMUNITY BASED ORGANIZATION, MENTAL HEALTH, FOOD INSECURITY, COMMUNITY WELLBEING)- CALIFORNIA ASSOCIATION OF FOOD BANKS (STATE ORGANIZATION, FOOD INSECURITY)- FLYAWAYHOMES (COMMUNITY BASED ORGANIZATION, HOMELESSNESS)- RICHSTONE FAMILY CENTER (COMMUNITY BASED ORGANIZATION, CHILD ABUSE TREATMENT AND PREVENTION)- SOUTH BAY COALITION TO END HOMELESSNESS (COALITION, HOMELESSNESS)IN ADDITION TO CONDUCTING KEY INFORMANT INTERVIEWS AS PART OF ITS PRIMARY DATA COLLECTION, PROVIDENCE ALSO INCLUDED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY AS PART OF ITS CHNA OVERSIGHT COMMITTEE.THE CHNA OVERSIGHT COMMITTEE, AUTHORIZED BY THE GOVERNING BOARD, MET TWICE IN THE FALL OF 2019 TO PRIORITIZE AND RECOMMEND THE TOP IDENTIFIED HEALTH NEEDS TO BE ADDRESSED OVER THE NEXT THREE YEARS. THE EXTERNAL REPRESENTATIVES INCLUDED THE PERSPECTIVE OF A FQHC, NONPROFIT SOCIAL SERVICES AGENCY, PUBLIC SCHOOLS AND THE DIRECTOR OF NUTRITION AND PHYSICAL ACTIVITY PROGRAM FROM THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH. THE GROUP PARTICIPATED IN TWO MEETINGS TO REVIEW THE ASSEMBLED PRIMARY AND SECONDARY DATA FOR EACH IDENTIFIED HEALTH NEED. THE FIRST MEETING INCLUDED DISCUSSIONS ON HOW EACH ISSUE AFFECTED THE COMMUNITIES IN THE REGION, USING THE IDENTIFIED NEEDS OF FOOD INSECURITY AND BEHAVIORAL HEALTH TO FAMILIARIZE AND PREPARE THE PARTICIPANTS FOR CRITERIA THAT WOULD BE APPLIED DURING THE PRIORITIZATION MEETING. IN THE SECOND MEETING COMMITTEE PARTICIPANTS RECEIVED A QUESTIONNAIRE AT THE START OF THE MEETING AND ASKED TO RATE THE SEVERITY OF EACH IDENTIFIED HEALTH NEED USING THREE CRITERIA: (1) THE CHANGE OVER TIME, (2) THE AVAILABILITY OF COMMUNITY RESOURCES/ASSETS TO ADDRESS THE HEALTH NEED, AND (3) THE COMMUNITY READINESS TO IMPLEMENT/SUPPORT PROGRAMS TO ADDRESS THE HEALTH NEED. OVERSIGHT COMMITTEE MEMBERS WERE THEN ASKED TO CONSIDER THE THREE QUESTIONS BELOW AND GIVEN THREE DOTS, OR "VOTES," TO ASSIGN TO THE IDENTIFIED HEALTH NEEDS, RESULTING IN A LIST OF PRIORITIZED NEEDS.- HOW DOES THIS NEED IMPACT THE WORK OF YOUR ORGANIZATION AND THE CLIENTS YOU SERVE?- WHAT OTHER SERVICE GAPS CURRENTLY EXIST?- WHAT ROLE CAN PROVIDENCE PLAY IN ADDRESSING THIS NEED? PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 6A: PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO AND PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE COLLABORATED TOGETHER TO COMPLETE THEIR JOINT COMMUNITY HEALTH NEEDS ASSESSMENT. PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH THE CENTER FOR NONPROFIT MANAGEMENT (CNM), LOS ANGELES, CA. PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, LINE 7B, CHNA REPORT WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 11: IN DEVELOPING THE LIST OF PRIORITY NEEDS, PROVIDENCE LOOKED AT BRINGING ITS EXPERTISE AND RESOURCES TO THOSE ISSUES WHERE IT CAN MAKE POSITIVE CHANGE. IN OUR LATEST CHNA, THE BOARD COMMITTEE ON COMMUNITY BENEFITS IDENTIFIED THE FOLLOWING AS THE HIGHEST PRIORITY NEEDS WITHIN OUR COMMUNITIES:1. HOMELESSNESS AND HOUSING INSTABILITY2. ACCESS TO HEALTH CARE3. BEHAVIORAL HEALTH4. ECONOMIC INSECURITY AND WORKFORCE DEVELOPMENTTHE FOUR PRIORITIZED HEALTH NEEDS ARE BEING ADDRESSED WITHIN THE CONTEXT OF FOUR INITIATIVES THAT MAKE UP THE THREE-YEAR IMPLEMENTATION STRATEGY:INITIATIVE #1: STRENGTHEN INFRASTRUCTURE OF CONTINUUM OF CARE FOR PATIENTS EXPERIENCING HOMELESSNESS-ESTABLISHED THE CHW HOMELESS NAVIGATORS PROGRAM-HOSPITAL EMERGENCY DEPARTMENT-BASED COMMUNITY HEALTH WORKERS THAT ASSIST PATIENTS EXPERIENCING HOMELESSNESS WITH DISCHARGE TO SHELTER OR HOMELESS SERVICE PROVIDERS.-ESTABLISHED THE COORDINATED ENTRY SYSTEM HOSPITAL LIAISON COLLABORATIVE WORKGROUP OF PRIVATE NON-PROFIT HOSPITALS IN THE SOUTH BAY HAVING A DIRECT, SINGLE POINT OF CONTACT WITH THE LOCAL LEAD HOMELESS SERVICE AGENCY TO COORDINATE REFERRALS AND EDUCATE HOSPITAL STAFF ON CHANGING RESOURCES.INITIATIVE #2: IMPROVE ACCESS TO HEALTH CARE SERVICES-INCREASED THE NUMBER OF MEDICAL VISITS TO OUR VASEK POLAK HEALTH CLINIC.-DOUBLED THE NUMBER OF PATIENTS ENROLLED INTO MENTAL HEALTH THERAPY PROGRAMS FROM 2019.-PROVIDED OVER 2,000 IMMUNIZATIONS TO COMMUNITY MEMBERS THROUGH OUR MOBILE HEALTH CLINIC.INITIATIVE #3: INVEST IN EXPANSION OF COMMUNITY-BASED WELLNESS AND ACTIVITY CENTERS-AVERAGED OVER 40 UNIQUE VISITS TO OUR WILMINGTON WELLNESS AND ACTIVITY CENTER BEFORE COVID IMPACTED OUR COMMUNITY WORK.-SELECTED A DESIGN PROFESSIONAL AND BEGAN INITIAL DESIGN PLANNING FOR OUR LAWNDALE WELLNESS AND ACTIVITY CENTER.INITIATIVE #4: TRAIN AND DEPLOY A WORKFORCE OF COMMUNITY HEALTH WORKERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH IN UNDERSERVED POPULATIONS-CREATED OUR CHW ACADEMY IN COLLABORATION WITH CHARLES DREW UNIVERSITY TO TRAIN COMMUNITY MEMBERS TO BECOME COMMUNITY HEALTH WORKERS.-BEGAN OFFERING MENTAL HEALTH FIRST AID TO COMMUNITY MEMBERS, HAVING OVER 100 COMPLETING THE COURSE.-PROVIDED SEVERAL COHORTS OF MENTAL HEALTH SUPPORT GROUPS AND CHRONIC DISEASE SELF-MANAGEMENT CLASSES TO COMMUNITY MEMBERS BOTH IN PERSON AND VIRTUALLY.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW: -ORAL HEALTH: OUR HEALTH FACILITIES DO NOT PROVIDE ORAL HEALTH CARE, AND IT IS NOT OUR AREA OF EXPERTISE WITHIN THE PROVIDENCE HEALTH SYSTEM IN THE LOS ANGELES REGION. HOWEVER, THERE ARE NUMBER OF COMMUNITY PARTNERS INCLUDING LOCAL FEDERALLY QUALIFIED HEALTH CLINICS WHO ARE FOCUSING ON INCREASING ACCESS TO ORAL HEALTH CAREESPECIALLY FOR THE MEDI-CAL POPULATION. FOR COMMUNITY MEMBERS IN NEED OF THESE SERVICES WE REFER THEM TO THESE PROVIDERS OF LOW-COST DENTAL CARE. PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 16A: FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/FINANCIAL-ASSISTANCE PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 16B: FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/FINANCIAL-ASSISTANCE-APPLICATION PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 16C: FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/PLAIN-LANGUAGE-SUMMARY PHS - SOUTHERN CALIFORNIA (GROUP B) - 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. 43 1 - AMBULATORY SURGERY CENTER 2020 SANTA MONICA BLVD STE 140 SANTA MONICA CA 90404 OUTPATIENT SERVICES 2 - BRAIN TUMOR CENTER 2121 SANTA MONICA BOULEVARD SANTA MONICA CA 90404 OUTPATIENT SERVICES 3 - CARDIAC AND PULMONARY REHAB 20929 HAWTHORNE BOULEVARD TORRANCE CA 90503 OUTPATIENT SERVICES 4 - CARSON PRIMARY CARE NORTH 20401 AVALON BOULEVARD STE B CARSON CA 90746 OUTPATIENT SERVICES 5 - CHILD AND FAMILY DEVELOPMENT CENTER 1339 20TH STREET SANTA MONICA CA 90404 OUTPATIENT SERVICES 6 - CLEFT PALATE CENTER 2121 SANTA MONICA BOULEVARD SANTA MONICA CA 90404 OUTPATIENT SERVICES 7 - COMMUNITY HEALTH 2601 AIRPORT DRIVE STE 220 TORRANCE CA 90505 OUTPATIENT SERVICES 8 - CONCUSSION MANAGEMENT 501 S BUENA VISTA STREET BURBANK CA 91505 OUTPATIENT SERVICES 9 - DERMATOLOGICAL CENTER FOR SKIN HEALTH 2121 SANTA MONICA BOULEVARD SANTA MONICA CA 90404 OUTPATIENT SERVICES 10 - HIP AND PELVIS INSTITUTE 2001 SANTA MONICA BLVD STE 760 SANTA MONICA CA 90404 OUTPATIENT SERVICES 11 - HOME HEALTH 2601 AIRPORT DRIVE STE 230 TORRANCE CA 90505 OUTPATIENT SERVICES 12 - HOWARD AND HYCY HILL NEUROSCIENCE CENTER 501 S BUENA VISTA STREET BURBANK CA 91505 OUTPATIENT SERVICES 13 - IMAGING AND BREAST CENTER 1360 W 6TH STREET SUITE 100 SAN PEDRO CA 90731 OUTPATIENT SERVICES 14 - MARGIE PETERSON BREAST CENTER 2121 SANTA MONICA BOULEVARD GARDEN LEVE SANTA MONICA CA 90404 OUTPATIENT SERVICES 15 - NUTRITION AND DIABETES EDUCATION DEPARTM 2121 SANTA MONICA BOULEVARD SANTA MONICA CA 90404 OUTPATIENT SERVICES 16 - OUTPATIENT DIAGNOSTIC CENTER 11570 INDIAN HILLS ROAD MISSION HILLS CA 91345 OUTPATIENT SERVICES 17 - OUTPATIENT REHAB CENTER 21135 HAWTHORNE BOULEVARD TORRANCE CA 90503 OUTPATIENT SERVICES 18 - PERFORMANCE THERAPY 2020 SANTA MONICA BLVD STE 401 SANTA MONICA CA 90404 OUTPATIENT SERVICES 19 - PROVIDENCE CENTER FOR COMMUNITY IMPROVEM 6801 COLDWATER CANYON AVE NORTH HOLLYWOOD CA 91605 OUTPATIENT SERVICES 20 - PROVIDENCE FAMILY MEDICAL CENTER 520 N PROSPECT AVE STE 103 REDONDO BEACH CA 90277 OUTPATIENT SERVICES 21 - PROVIDENCE HOLY CROSS CANCER CENTER 15031 RINALDI STREET MISSION HILLS CA 91345 OUTPATIENT SERVICES 22 - PROVIDENCE HOLY CROSS HEALTH CENTER AT P 19950 RINALDI STREET PORTER RANCH CA 91326 OUTPATIENT SERVICES 23 - PROVIDENCE HOLY CROSS HEALTH CENTER AT S 26357 MCBEAN PARKWAY SANTA CLARITA CA 91355 OUTPATIENT SERVICES 24 - PROVIDENCE HOLY CROSS SURGERY CENTER 11550 INDIAN HILLS ROAD MISSION HILLS CA 91345 OUTPATIENT SERVICES 25 - PROVIDENCE PLAYA VISTA MEDICAL CENTER 6020 SEA BLUFF DRIVE STE 1 PLAYA VISTA CA 90094 OUTPATIENT SERVICES 26 - PROVIDENCE SAINT JOSEPH BREAST HEALTH CE 181 S BUENA VISTA STREET STE 300 BURBANK CA 91505 OUTPATIENT SERVICES 27 - PROVIDENCE SAINT JOSEPH DIAGNOSTIC CENTE 201 S BUENA VISTA STREET STE 125 BURBANK CA 91505 OUTPATIENT SERVICES 28 - PROVIDENCE SAINT JOSEPH HEALTH CENTER 3413 W PACIFIC AVENUE BURBANK CA 91505 OUTPATIENT SERVICES 29 - PROVIDENCE ST ELIZABETH CARE CENTER 10425 MAGNOLIA BLVD NORTH HOLLYWOOD CA 91601 OUTPATIENT SERVICES 30 - PROVIDENCE TARZANA MRI CENTER 18321 CLARK STREET TARZANA CA 91356 OUTPATIENT SERVICES 31 - PROVIDENCE TARZANA OUTPATIENT IMAGING CE 18344 CLARK STREET STE 101 TARZANA CA 91356 OUTPATIENT SERVICES 32 - PROVIDENCE TARZANA OUTPATIENT THERAPY CE 5359 BALBOA BLVD ENCINO CA 91316 OUTPATIENT SERVICES 33 - PROVIDENCE TARZANA WOMENS CENTER 18344 CLARK STREET STE 110 TARZANA CA 91356 OUTPATIENT SERVICES 34 - PROVIDENCE TARZANA WOUND CARE CENTER 18411 CLARK STREET STE 301 TARZANA CA 91356 OUTPATIENT SERVICES 35 - RADIATION ONCOLOGY 3531 FASHION WAY TORRANCE CA 90503 OUTPATIENT SERVICES 36 - RECOVERY CENTER 1386 W 7TH STREET SAN PEDRO CA 90732 OUTPATIENT SERVICES 37 - ROY AND PATRICIA DISNEY FAMILY CANCER CE 181 S BUENA VISTA STREET BURBANK CA 91505 OUTPATIENT SERVICES 38 - SAN FERNANDO VALLEY HEART INSTITUTE 18321 CLARK STREET TARZANA CA 91356 OUTPATIENT SERVICES 39 - SOUTH BAY OPHTHALMOLOGY CENTER 4825 TORRANCE BOULEVARD STE 100 TORRANCE CA 90503 OUTPATIENT SERVICES 40 - SUB ACUTE CARE CENTER 1322 W 6TH STREET SAN PEDRO CA 90732 OUTPATIENT SERVICES 41 - TRANSITIONAL CARE CENTER 4320 MARICOPA STREET TORRANCE CA 90505 OUTPATIENT SERVICES 42 - VASEK POLAK HEALTH CLINIC 13355 HAWTHORNE BLVD HAWTHORNE CA 90250 OUTPATIENT SERVICES 43 - WOMEN'S IMAGING CENTER 20929 HAWTHORNE BOULEVARD TORRANCE CA 90503 OUTPATIENT SERVICES 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: PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTP://WWW.PSJHEALTH.ORG/COMMUNITY-BENEFIT/SOUTHERN-CALIFORNIA. 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: THERE WERE NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS 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: PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE. PART VI, LINE 2: NEEDS ASSESSMENT:REPORTING GROUP AEVERY THREE YEARS, PROVIDENCE HOLY CROSS, PROVIDENCE SAINT JOSEPH AND PROVIDENCE TARZANA MEDICAL CENTERS CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE COMMUNITIES IN THE SAN FERNANDO VALLEY. PRIOR TO BEGINNING THE PROCESS, THE COMMUNITY HEALTH DEPARTMENT STAFF MAKES A PRESENTATION TO THE SAN FERNANDO VALLEY COMMUNITY MINISTRY BOARD OUTLINING THE FRAMEWORK OF THE CHNA PROCESS AND REQUESTS AUTHORITY FROM THE GOVERNING BOARD TO FORM A BOARD COMMITTEE ON COMMUNITY BENEFIT TO OVERSEE THE CHNA PROCESS. THE COMMITTEE IS COMPOSED OF NINE INTERNAL PROVIDENCE STAFF, AND NINE COMMUNITY STAKEHOLDERS (I.E. PUBLIC SCHOOLS, PUBLIC HEALTH, FEDERALLY QUALIFIED HEALTH CENTERS (FQHC'S), AND COMMUNITY-BASED ORGANIZATIONS), AND THE COMMITTEE WAS CHAIRED BY THE REGIONAL CHIEF MISSION INTEGRATION OFFICER. THIS GROUP IS CHARGED WITH REVIEWING THE FINDINGS FROM THE PRIMARY AND SECONDARY DATA COLLECTED AND PRIORITIZING THE IDENTIFIED COMMUNITY NEEDS. THE PRIORITIZED NEEDS IDENTIFIED IN THE 2019 CHNA ARE LISTED ABOVE IN PART V, SECTION B. THESE PRIORITIZED NEEDS BECOME THE BASIS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN/IMPLEMENTATION STRATEGY THAT SETS FORTH OBJECTIVES TO BE ACCOMPLISHED OVER THREE YEARS, UNTIL THE NEXT CHNA IS CONDUCTED.THE COMMITTEE MET TWICE IN THE FALL OF 2019 TO PRIORITIZE AND RECOMMEND THE TOP IDENTIFIED HEALTH NEEDS TO BE ADDRESSED OVER THE NEXT THREE YEARS. FINAL APPROVAL OF THE CHNA BY THE BOARD OF DIRECTORS TOOK PLACE AT THEIR DECEMBER 19, 2019 MEETING.REPORTING GROUP BEVERY THREE YEARS, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTERS, SAN PEDRO AND TORRANCE CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE COMMUNITIES IN THE SOUTH BAY. PRIOR TO BEGINNING THE PROCESS, THE COMMUNITY HEALTH DEPARTMENT STAFF MAKES A PRESENTATION TO THE SOUTH BAY COMMUNITY MINISTRY BOARD OUTLINING THE FRAMEWORK OF THE CHNA PROCESS AND REQUESTS AUTHORITY FROM THE GOVERNING BOARD TO FORM A BOARD COMMITTEE ON COMMUNITY BENEFIT TO OVERSEE THE CHNA PROCESS. THE COMMITTEE IS COMPOSED OF FOUR INTERNAL PROVIDENCE STAFF, AND FOUR COMMUNITY STAKEHOLDERS (I.E. PUBLIC SCHOOLS, PUBLIC HEALTH, FEDERALLY QUALIFIED HEALTH CENTERS (FQHC'S), AND COMMUNITY-BASED ORGANIZATIONS) AND CHAIRED BY A MEMBER OF THE GOVERNING BOARD. THIS GROUP IS CHARGED WITH REVIEWING THE FINDINGS FROM THE PRIMARY AND SECONDARY DATA COLLECTED AND PRIORITIZING THE IDENTIFIED COMMUNITY NEEDS. THE PRIORITIZED NEEDS IDENTIFIED IN THE 2019 CHNA ARE LISTED ABOVE IN PART V, SECTION B. THESE PRIORITIZED NEEDS BECOME THE BASIS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN/IMPLEMENTATION STRATEGY THAT SETS FORTH OBJECTIVE TO BE ACCOMPLISHED OVER THREE YEARS, UNTIL THE NEXT CHNA IS CONDUCTED.THE COMMITTEE MET TWICE IN THE FALL OF 2019 TO PRIORITIZE AND RECOMMEND THE TOP IDENTIFIED HEALTH NEEDS TO BE ADDRESSED OVER THE NEXT THREE YEARS. FINAL APPROVAL OF THE CHNA BY THE BOARD OF DIRECTORS TOOK PLACE AT THEIR DECEMBER 3, 2019 MEETING. PART VI, LINE 3: COMMUNICATION TO THE PUBLIC:REPORTING GROUPS A & BPROVIDENCE HOLY CROSS, PROVIDENCE SAINT JOSEPH AND PROVIDENCE TARZANA MEDICAL CENTERS AS WELL AS PROVIDENCE LITTLE COMPANY OF MARY, SAN PEDRO AND PROVIDENCE LITTLE COMPANY OF MARY, TORRANCE POST NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS ADMITTING/REGISTRATION, BILLING OFFICE, EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS.EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE POLICIES CONTAINS BRIEF INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR A DISCOUNTED PAYMENT. THE NOTICES ALSO INCLUDE A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION.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 INFORMATION:REPORTING GROUP ATHE PROVIDENCE SAN FERNANDO VALLEY SERVICE AREA (SFV SERVICE AREA) IS COMPRISED OF THE SERVICE AREAS OF THREE PROVIDENCE MEDICAL CENTERS INCLUDING PROVIDENCE HOLY CROSS MEDICAL CENTER (PHCMC; MISSION HILLS); PROVIDENCE ST. JOSEPH MEDICAL CENTER (PSJMC; BURBANK); AND PROVIDENCE CEDARS-SINAI TARZANA MEDICAL CENTER (PCSTMC; TARZANA). THE PROVIDENCE SAN FERNANDO VALLEY COMMUNITY BENEFIT SERVICE AREA CONSISTS OF HIGH NEED COMMUNITIES WITHIN EACH OF THE THREE MEDICAL CENTERS SERVICE AREAS. SIMILARLY, THE PROVIDENCE SAN FERNANDO VALLEY BROADER SERVICE AREA CONSISTS OF ZIP CODES WITHIN THE SFV SERVICE AREA, BUT OUTSIDE OF THE COMMUNITY BENEFIT SERVICE AREA. COMMUNITIES IN THE BROADER SERVICE AREA ARE MORE RESOURCE-RICH WITH A POPULATION ON THE HIGHER END OF THE SOCIOECONOMIC SPECTRUM. THIS SERVICE AREA ROUGHLY ALIGNS WITH LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH'S SERVICE PLANNING AREA (SPA) 2.POPULATION AND AGE DEMOGRAPHICSTHE TOTAL POPULATION OF THE PROVIDENCE SAN FERNANDO VALLEY (SFV) SERVICE AREA IN 2019 IS 2,225,425 PEOPLE, WHICH REPRESENTS A 0.2% INCREASE COMPARED TO THE 2016 POPULATION, OR APPROXIMATELY 5,000 ADDITIONAL RESIDENTS LIVING IN THE AREA. THE TOTAL POPULATION OF THE SFV COMMUNITY BENEFIT SERVICE AREA IS JUST OVER 52% OF THE TOTAL SERVICE AREA POPULATION, WITH NEARLY 1.2 MILLION PEOPLE. THE MAJORITY OF RESIDENTS IN THE SFV SERVICE AREA ARE BETWEEN 10 AND 39 YEARS OLD. CHILDREN UNDER THE AGE OF 19 MAKE UP 28.2% OF THE POPULATION. THIS IS NOTABLE AND INDICATES A GREATER PROPORTION OF YOUTH THAN ELSEWHERE IN THE STATE, WHERE CHILDREN UNDER THE AGE OF 18 MAKE UP 22.7% OF THE POPULATION.ADULTS 60 YEARS OF AGE AND OLDER MAKE UP 13.9% OF THE TOTAL SERVICE AREA POPULATION, COMPARED TO THE STATE OF CALIFORNIA, ADULTS 65 AND OLDER MAKE UP 14.3% OF THE POPULATION. THE SFV SERVICE AREA, THEREFORE, IS NOTABLY YOUNGER, ON AVERAGE, THAN THE TOTAL POPULATION OF THE STATE OF CALIFORNIA.POPULATION BY RACE AND ETHNICITYAMONG SFV COMMUNITY BENEFIT SERVICE AREA RESIDENTS, IN 2019, 52.3% WERE WHITE, 11.1% WERE ASIAN/PACIFIC ISLANDER/HAWAIIAN, 0.7% WERE ALASKA NATIVE OR AMERICAN INDIAN, 3.6% WERE AFRICAN AMERICAN OR BLACK, AND 5.0% WERE OF TWO OR MORE RACES. APPROXIMATELY 59.0% OF THE RESIDENTS IDENTIFY AS LATINO.INCOME LEVELSIN 2019, THE MEDIAN HOUSEHOLD INCOME OF THE SFV SERVICE AREA VARIED SIGNIFICANTLY FROM A LOW OF $41,053 FOR THE COMMUNITY OF GLENDALE, TO $166,406 FOR THE COMMUNITY OF LA CAADA FLINTRIDGE. THE SFV COMMUNITY BENEFIT SERVICE AREA, COMPARED TO LOS ANGELES COUNTY, IS HOME TO A HIGHER CONCENTRATION OF LOW-INCOME RESIDENTS; APPROXIMATELY 45.4% OF FAMILIES HAVE ANNUAL INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL; $51,500 FOR A FAMILY OF 4) COMPARED TO 39.6% IN LOS ANGELES COUNTY AS A WHOLE.EDUCATION LEVELWHILE MANY OF THE ADULTS LIVING IN THE SFV COMMUNITY BENEFIT SERVICE AREA HAVE AT LEAST A HIGH SCHOOL DIPLOMA (73.2%), THERE WERE SEVERAL ZIP CODES WITH A HIGH CONCENTRATION OF ADULTS WHO HAD NOT COMPLETED HIGH SCHOOL. THESE ZIP CODES INCLUDED PACOIMA (91331; 44.8%), SAN FERNANDO (91340; 39.3%), PANORAMA CITY (91402; 36.4%) AND SUN VALLEY (91352; 34.1%). ECONOMIC INDICATORSTHE PERCENT UNEMPLOYED IN THE SFV AVERAGES 4.9%. NONETHELESS, 35.1% OF THE POPULATION IS EXPERIENCING SEVERE HOUSING COST BURDEN, AND 11.3% OF THE POPULATION IS ENROLLED IN SNAP, OR FOOD ASSISTANCE PROGRAMS.LANGUAGE PROFICIENCYWITHIN LOS ANGELES COUNTY, 56.6% OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. FAR FEWER HOUSEHOLDS (AN AVERAGE OF 30.1%) IN THE SFV SERVICE AREA SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, AND INDIVIDUALS SPEAKING LANGUAGES OTHER THAN ENGLISH AT HOME ARE CONCENTRATED IN PANORAMA CITY, PACOIMA, GLENDALE, AND SAN FERNANDO.HEALTH PROFESSION SHORTAGE AREATHE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA) DEFINES A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AS SHORTAGES OF PRIMARY CARE, DENTAL CARE OR MENTAL HEALTH PROVIDERS BY GEOGRAPHIES OR POPULATIONS. THERE ARE PRIMARY CARE SHORTAGE AREAS IN THE SAN FERNANDO VALLEY WITH THE BOUNDARY OF THE HIGH NEED COMMUNITY AS DEFINED BY THE COMMUNITY NEEDS INDEX.THE HOSPITALS IN THE SERVICE AREA INCLUDE: PROVIDENCE HOLY CROSS MEDICAL CENTER, PROVIDENCE ST. JOSEPH MEDICAL CENTER, PROVIDENCE CEDAR SINAI (TARZANA), KAISER FOUNDAITON HOSPITAL PANORAMA CITY, MISSION COMMUNITY HOSPITAL, AND VALLEY PRESBYTERIAN HOSPITAL.REPORTING GROUP BTHE TWO PROVIDENCE SOUTH BAY COMMUNITY MEDICAL CENTERS, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO AND PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE (HEREAFTER SOUTH BAY COMMUNITY), SHARE A COMMON GEOGRAPHY BECAUSE OF THEIR CLOSE PROXIMITY TO EACH OTHER. THE SOUTH BAY COMMUNITY SERVICE AREA IS COMPOSED OF 16 DISTINCT MUNICIPALITIES, AND IS A DEMOGRAPHICALLY AND GEOGRAPHICALLY DIVERSE REGION STRETCHING FROM EL SEGUNDO (NORTH), TO CARSON (EAST), TO THE PORT OF LOS ANGELES (SOUTH), TO THE PACIFIC OCEAN (WEST).POPULATION AND AGE DEMOGRAPHICSTHE SOUTH BAY SERVICE AREA IS SLIGHTLY YOUNGER, ON AVERAGE, THAN THE TOTAL POPULATION OF THE STATE OF CALIFORNIA. THE MAJORITY OF RESIDENTS IN THE SERVICE AREA ARE BETWEEN 10 AND 39 YEARS OLD. CHILDREN UNDER THE AGE OF 19 MAKE UP 29.6% OF THE POPULATION, COMPARED TO 22.7% ACROSS THE STATE. ADULTS AGED 60 YEARS AND OLDER MAKE UP 13.7% OF THE TOTAL SERVICE AREA POPULATION, WHICH IS LESS THAN THE STATE POPULATION AGED 65 AND OVER.POPULATION BY RACE/ETHNICITYOF THE 358,565 RESIDENTS IN THE SOUTH BAY COMMUNITY SERVICE AREA IN 2019, 56.2% IDENTIFIED AS HISPANIC/LATINO. APPROXIMATELY 42% OF RESIDENTS IDENTIFIED AS WHITE, WHILE 28% IDENTIFIED AS ASIAN/PACIFIC ISLANDER, AMERICAN INDIAN/ALASKA NATIVE, OR ANOTHER RACE. APPROXIMATELY 13% IDENTIFIED AS BLACK, AND 12% AS ASIAN.INCOME LEVELSIN 2019, THE MEDIAN HOUSEHOLD INCOME OF THE AREA VARIED SIGNIFICANTLY FROM A LOW OF $43,717 FOR THE COMMUNITY OF WILMINGTON TO $189,068 FOR THE COMMUNITY OF PALOS VERDES PENINSULA. ALTHOUGH THE SOUTH BAY CONTAINS MANY AFFLUENT COMMUNITIES, THE INCOME DATA SHOW THERE ARE AREAS WITHIN THE SERVICE AREA WITH A HIGHER PORTION OF LOW-INCOME HOUSEHOLDS. THE MEDIAN HOUSEHOLD INCOME ($53,598) WITHIN THE BROADER SOUTH BAY SERVICE AREA IS LOWER THAN THE MEDIAN OF LOS ANGELES COUNTY ($62,751). APPROXIMATELY 44.7% OF HOUSEHOLDS HAVE ANNUAL INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL ($51,500 FOR A FAMILY OF 4).EDUCATION LEVELWHILE MANY OF THE ADULTS AGE 25+ LIVING IN HOUSEHOLDS IN THE SOUTH BAY HAVE AT LEAST GRADUATED FROM HIGH SCHOOL, THERE WERE SEVERAL ZIP CODES THAT HAD A HIGHER PERCENTAGE OF ADULTS WHO HAD NOT COMPLETED HIGH SCHOOL. THESE ZIP CODES INCLUDED WILMINGTON (90744; 43.3%), LAWNDALE (90260; 24.8%), HAWTHORNE (90250; 24.0%) AND GARDENA (90247; 22.1%).ECONOMIC INDICATORSTHE SOUTH BAY SERVICE AREA HAS SOME NOTABLE ECONOMIC INDICATORS. THE PERCENT UNEMPLOYED IN THE AREA AVERAGES 4.7%.LANGUAGE PROFICIENCYWITHIN LOS ANGELES COUNTY, 56.6% OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. SLIGHTLY MORE HOUSEHOLDS (AN AVERAGE OF 58.7%) IN THE BROADER SOUTH BAY COMMUNITY SERVICE AREA SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, AND INDIVIDUALS SPEAKING LANGUAGES OTHER THAN ENGLISH AT HOME ARE CONCENTRATED IN WILMINGTON, CARSON, AND LAWNDALE.HEALTH PROFESSION SHORTAGE AREAMUCH OF THE PRIMARY CARE HPSAS ARE FOUND IN THE COMMUNITY BENEFIT SERVICE AREA. PRIMARY CARE HPSAS SPAN ALL OF WILMINGTON AND GARDENA WHILE COVERING MOST OF SAN PEDRO. THERE ARE ALSO PRIMARY CARE HPSAS IN PARTS OF HAWTHORNE, LAWNDALE AND IN NORTH TORRANCE.IN ADDITION TO PROVIDENCE LITTLE COMPANY OF MARY SAN PEDRO AND PROVIDENCE LITTLE COMPANY OF MANY IN TORRANCE,THE OTHER HOSPITALS IN THE SERVICE AREA INCLUDE KAISER PERMANTE HARBOR CITY, TORRANCE MEMORIAL, AND HARBOR UCLA. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:REPORTING GROUPS A & BPROVIDENCE PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) OPEN MEDICAL STAFF2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.AS A NOT-FOR-PROFIT CATHOLIC HEALTH CARE MINISTRY, PROVIDENCE HEALTH &SERVICES EMBRACES ITS RESPONSIBILITY TO PROVIDE FOR THE NEEDS OF THE COMMUNITIES IT SERVES - ESPECIALLY THE POOR AND VULNERABLE. PROVIDENCE'S NOT-FOR-PROFIT, TAX-EXEMPT STATUS ENABLES PROVIDENCE TO SERVE ITS COMMUNITIES, TO SOLICIT DONATIONS THROUGH ITS FOUNDATIONS AND TO RESPOND TO COMMUNITY NEEDS THAT OTHERWISE WOULD GO UNMET.HEALTH CARE IS FUNDAMENTALLY DIFFERENT FROM MOST OTHER GOODS AND SERVICES. IT IS ABOUT THE MOSTH HUMAN AND INTIMATE NEED OF PEOPLE, THEIR FAMILIES AND COMMUNITIES. PROVIDENCE'S EXECUTIVES ARE ENGAGED ON MANY LOCAL AREA BOARDS, INCLUDING CCO LEADERSHIP, AND SOCIAL SERVICE ORGANIZATIONS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:REPORTING GROUP A & B:AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE HEALTH 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 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,085 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 FIVE WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA.-HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA.-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA.-SWEDISH HEALTH SERVICES IN SEATTLE, WA. 2020 AN UNPRECEDENTED YEAROVER THE PAST YEAR, OUR COMMUNITIES HAVE FACED EXTRAORDINARY CHALLENGES. BUT EVEN DURING THE MOST DIFFICULT PUBLIC HEALTH CRISIS OF OUR TIME, COMMUNITIES HAVE ALSO SHOWN REMARKABLE STRENGTH AND RESOLVE. THERE IS SO MUCH GOOD THAT CAN BE ACCOMPLISHED AT THE COMMUNITY LEVEL, ESPECIALLY WHEN LIKE-MINDED ORGANIZATIONS WORK TOGETHER. IN SERVICE TO OUR MISSION, PROVIDENCE PARTNERS WITH COMMUNITY BASED ORGANIZATIONS TO IDENTIFY URGENT HEALTH NEEDS AND ENVIRONMENTAL FACTORS THAT ARE IMPACTING THE WELL-BEING OF OUR COMMUNITIES. WE ACT TO PROVIDE SHORT-TERM SOLUTIONS AND ENVISION LONG-TERM RESULTS BY WISELY INVESTING IN OUR COMMUNITIES TO HELP BUILD A MORE EQUITABLE AND SUSTAINABLE FUTURE. PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 PROVIDENCE HEALTH & SERVICES FOUNDATION VSA 501 SOUTH BUENA VISTA STREET BURBANK CA 915054809 953544877 501(C)(3) 400000 OPERATIONAL SUPPORT SAINT JOHNS HOSPITAL & HEALTH CENTER FOUNDATION 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 956100079 501(C)(3) 7500000 OPERATIONAL SUPPORT 2 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 ALONG 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 ROD F HOCHMAN MD FORMER OFFICER - PSJH PRESIDENT/CEO 0 1773896 0 6709440 0 816258 0 782925 0 30876 0 10113395 0 751800 MIKE BUTLER PRESIDENT - THRU 9/20 0 965819 0 3330902 0 4411516 0 34515 0 21916 0 8764668 0 2150861 DEBRA CANALES FORMER KE - PSJH EVP/CAO 0 895727 0 575002 0 533155 0 673455 0 17653 0 2694992 0 487270 ERIK WEXLER EVP CHIEF EXECUTIVE PSJH SO CA 0 964730 0 573824 0 325727 0 425498 0 22517 0 2312296 0 310110 AMY COMPTON-PHILLIPS MD FORMER KE - PSJH EVP/CHF CLIN. OFC. 0 760456 0 519149 0 429406 0 500905 0 32184 0 2242100 0 384671 RHONDA MEDOWS MD FRMR KE - PSJH PRES. EVP/POP. HEALTH 0 897985 0 523880 0 392595 0 308771 0 20090 0 2143321 0 346425 VENKAT BHAMIDIPATI EVP/TREASURER - THRU 9/20 0 713471 0 400000 0 970660 0 4275 0 18405 0 2106811 0 184910 CINDY STRAUSS SECRETARY - THRU 12/20 0 801070 0 601420 0 343051 0 331005 0 27088 0 2103634 0 299545 VICTOR JORDAN COO SO CA 0 678985 0 481726 0 555624 0 203491 0 31382 0 1951208 0 420036 LISA VANCE FORMER KE - FPSJH EVP REGIONAL CE OR 0 771527 0 511879 0 246300 0 384714 0 26534 0 1940954 0 203441 JO ANN ESCASA-HAIGH EVP/TREASURER/CFO 0 682465 0 370006 0 259183 0 403809 0 31129 0 1746592 0 218804 BERNIE KLEIN MD CHIEF EXEC PROV HOLY CROSS MC 0 601104 0 227798 0 611271 0 187633 0 28211 0 1656017 0 584246 GREG TILL FORMER CHIEF PEOPLE OFFICER 0 601238 0 514002 0 189220 0 308738 0 32912 0 1646110 0 152175 AARON MARTIN FRMR KE - PSJH EVP CHF MKT/DIG INN. 0 644818 0 390425 0 272510 0 266627 0 5716 0 1580096 0 249267 MIKE WATERS FORMER EVP AMBULATORY CARE NETWORK 0 513014 0 313206 0 294266 0 207159 0 16048 0 1343693 0 161221 JOEL GILBERTSON FORMER EVP COMMUNITY PARTNERSHIPS 0 578919 0 305000 0 223675 0 195488 0 30562 0 1333644 0 186629 OREST HOLUBEC FORMER SVP CHIEF COMMUNICATION OFCR 0 472607 0 259999 0 206774 0 173676 0 29598 0 1142654 0 169616 DALE SUROWITZ FORMER KEY EMPLOYEE 0 401239 0 144457 0 574338 0 6046 0 15444 0 1141524 0 312779 JOHN WHIPPLE SECRETARY 0 448628 0 316136 0 198887 0 148450 0 27856 0 1139957 0 169265 KELLY LINDEN CHIEF EXEC PROV ST JOSEPH MC 0 465848 0 157963 0 139872 0 137692 0 30725 0 932100 0 115470 GARRY OLNEY CHIEF EXECUTIVE SOUTH BAY 0 507190 0 190348 0 46134 0 157459 0 13350 0 914481 0 21732 DAVID BROWN FORMER SVP CAO AMBULATORY CARE 0 381205 0 143506 0 183752 0 127676 0 29222 0 865361 0 161988 JIM WATSON ESQ ASSISTANT SECRETARY 0 437006 0 301877 0 5598 0 84307 0 35749 0 864537 0 0 GREG HOFFMAN PRESIDENT/CEO (PART YEAR) 0 436362 0 98549 0 141036 0 93123 0 29372 0 798442 0 69769 DEBBIE BURTON FORMER SVP CHIEF NURSING OFFICER 0 377566 0 135000 0 139297 0 8252 0 30954 0 691069 0 107362 HOWARD DAVIS CMO TARZANA 485987 0 94274 0 75749 0 6413 0 20246 0 682669 0 19552 0 JIM NOBLE CFO SO CA REGION - THRU 11/20 0 481800 0 142499 0 4525 0 4275 0 28319 0 661418 0 0 RICHARD GLIMP CMO TORRANCE 494444 0 70070 0 39813 0 5537 0 10269 0 620133 0 25486 0 DEETTE MONTGOMERY COO-PMI 347465 0 186496 0 13260 0 6413 0 14405 0 568039 0 9847 0 GLEN KOMATSU CMO PTCH 414976 0 57857 0 57240 0 8100 0 29799 0 567972 0 24697 0 REX HOFFMAN CHIEF MEDICAL OFFICER-FAC 404024 0 128402 0 2083 0 3155 0 23153 0 560817 0 0 0 TOM MCDONAGH FORMER VP/CHIEF INVESTMENT OFFICER 0 0 0 0 0 485249 0 6415 0 24117 0 515781 0 0 SHARON TONCRAY FORMER SVP/CHIEF LABOR EE COUNSEL 0 0 0 0 0 361654 0 3685 0 23776 0 389115 0 0 DONALD ANDERSON JR FORMER ASSISTANT SECRETARY FOR ENROL 0 204368 0 23098 0 1007 0 11841 0 10973 0 251287 0 0 TAMMY TEODOSIO FORMER ASSISTANT SECRETARY 0 95587 0 7996 0 1522 0 4335 0 13325 0 122765 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 OR GROSS-UP PAYMENTS TAX INDEMNIFICATION OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES ONLY FOR PURPOSES OF RELOCATION ASSISTANCE TO A NEWLY HIRED EMPLOYEE. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE NEWLY HIRED EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES ARE RENT (EXCLUDING "RENT" WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL THE TITLE CLEARS) AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE MAY APPROVE TEMPORARY HOUSING ASSISTANCE FOR UP TO SIX MONTHS WHEN FAMILY RELOCATION IS DELAYED TO ACCOMMODATE THE SCHOOL YEAR OR EQUIVALENT CIRCUMSTANCES. ONLY IN EXTENUATING CIRCUMSTANCES IS HOUSING EXTENDED BEYOND THIS SIX-MONTH PERIOD. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE. PART I, LINE 3 DESCRIPTION OF PROCESS TO REVIEW 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 RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: VENKAT BHAMIDIPATI - $750,000 MIKE BUTLER - $507,235 TOM MCDONAGH - $485,032 SHARON TONCRAY - $367,774 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: ROD F. HOCHMAN, MD - $751,800 MIKE BUTLER - $2,150,861 DEBRA CANALES - $487,270 ERIK WEXLER - $310,110 AMY COMPTON-PHILLIPS, MD - $384,671 RHONDA MEDOWS, MD - $346,425 VENKAT BHAMIDIPATI - $184,910 CINDY STRAUSS - $299,545 VICTOR JORDAN - $420,036 LISA VANCE - $203,441 JO ANN ESCASA-HAIGH - $218,804 BERNIE KLEIN, MD - $584,246 GREG TILL - $152,175 AARON MARTIN - $249,267 MIKE WATERS - $161,221 JOEL GILBERTSON - $186,629 OREST HOLUBEC - $169,616 DALE SUROWITZ - $312,779 JOHN WHIPPLE - $169,265 KELLY LINDEN - $115,470 GARRY OLNEY - $21,732 DAVID BROWN - $161,988 GREG HOFFMAN - $69,769 DEBBIE BURTON - $107,362 HOWARD DAVIS - $19,552 RICHARD GLIMP - $25,486 DEETTE MONTGOMERY - $9,847 GLEN KOMATSU - $24,697 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, WHICH IS A PERFORMANCE-BASED ANNUAL INCENTIVE PLAN THAT AFFORDS 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 ORGANIZATIONS SECTION 4960 TAX ANALYSIS AND REPORTING. FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA. FORM 990, PART VI, SECTION A, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA BOARD. ALL DIRECTOR NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH & SERVICES, AS THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL AND TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION. 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 EMPLOYEES 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 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 REGULARLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A 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 2020. FORM 990, PART VI, SECTION C, LINE 19 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 VII - RELIGIOUS COMMUNITY MEMBERS AS MEMBERS OF THE RELIGIOUS COMMUNITY, EACH SISTER HAS TAKEN A VOW OF POVERTY AS A COMPULSORY PART OF HER RELIGIOUS LIFE. ANY COMPENSATION FOR SERVICES OF A SISTER INURES ONLY FOR THE BENEFIT OF THE COMMUNITY, NOT THE INDIVIDUAL MEMBERS. ALL PAYMENTS FOR SERVICES ARE MADE DIRECTLY TO THE RELIGIOUS COMMUNITY. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -1,712,918,080. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT 11,767,473. OTHER CHANGES IN NET ASSETS 18,692,578. CHANGE IN INVESTMENT IN JOINT VENTURES -2,479,197. CHANGE IN INVESTMENT IN CORPORATIONS 56,858,981. BELL RIVER LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216589 RENTAL CA 0 0 PHS - SO CALIFORNIA PROVIDENCE PARTNERS FOR HEALTH LLC 20555 EARL ST TORRANCE CA 90503 454041798 CLIN QUALITY/INT CA 0 0 PHS - SO CALIFORNIA PROVIDENCE PACE HOLDINGS CALIFORNIA LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 HEALTHCARE CA 0 0 PHS - SO CALIFORNIA PROVIDENCE PACE INTERIM LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 HEALTHCARE CA 0 0 PHS - SO CALIFORNIA PROVIDENCE PACE CALIFORNIA LP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 HEALTHCARE CA 0 0 PHS - SO CALIFORNIA COVENANT ACO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501(C)(3) 12,I 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 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