2019-11-15T13:11:17-06:00 2018-12-31 ERNST & YOUNG US LLP 4365 EXECUTIVE DR STE 1600 SAN DIEGO CA 92121 990 2018-01-01 463516417 COVENANT HEALTH PARTNERS INC % DYANA KERR COVE 8067250711 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 JOHN GRIGSON CHIEF EXECUTIVE OFFI 8067251011 2019-11-12 true DEBRA HEISKALA P00649485 8585357200 164.57.159.254 33577420193195000051 2019-11-15 P 337686BC7CC6EC2662FF9B863E3DABD55E8368B5 9DA6508B19D2C1E02E04D7E56E26FCCCFF46B868 2018 2020-03-31 21:24:44Z X DYANA KERR 3615 19TH STREET LUBBOCK TX 794101203 21901730 false X WWW.COVENANTHEALTHPARTNERS.ORG X 2013 TX 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. 19 5 173 0 0 0 0 0 10266425 21850718 21400 51012 0 0 10287825 21901730 0 0 0 0 5178509 11417983 0 0 0 4311780 8777384 9490289 20195367 797536 1706363 6393441 10222617 4066546 6189359 2326895 4033258 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. false false 12657194 0 21850718 SEE SCHEDULE O 12657194 true false false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true X 0 0 true 173 true false false false false false false false false false false false false X 19 5 false false false false true true true true true false false true true true true true true false true false X DYANA KERR 8067251011 3615 19TH STREET LUBBOCK TX 79410 AMANDA BACKLUND MD BOARD MEMBER 2.0 48.0 X 0 326035 7304 DAVID BLANN MD BOARD MEMBER 2.0 48.0 X 0 690090 20803 CHETLEN CROSSNOE MD BOARD MEMBER 2.0 48.0 X 0 333439 0 SUSAN DEVINE MD BOARD MEMBER 2.0 2.0 X 0 0 0 JOSEPH DIXON MD BOARD MEMBER 2.0 48.0 X 0 281188 0 SHAILI FELTON MD BOARD MEMBER 2.0 48.0 X 0 166962 10701 ANGELA FERGUSON MD BOARD MEMBER 2.0 48.0 X 0 231475 16458 JUAN FITZ MD BOARD MEMBER 2.0 48.0 X 0 538278 36457 DAVID GRAY DO BOARD MEMBER 2.0 48.0 X 0 240705 26695 RICHARD HENDERSON MD BOARD MEMBER 2.0 48.0 X 0 535112 33597 FREDERICK HENSAL MD BOARD MEMBER 2.0 48.0 X 0 442305 30807 SRINIVAS KADIYALA MD BOARD MEMBER 2.0 48.0 X 0 437317 29883 KELLY KENSING MD BOARD MEMBER 2.0 2.0 X 0 0 0 DAVID E MANGOLD MD BOARD MEMBER 2.0 2.0 X 0 0 0 BRENT NALL MD BOARD MEMBER 2.0 48.0 X 0 334813 0 BRIAN NICHOLSON MD BOARD MEMBER 2.0 48.0 X 0 631862 23966 NILESH PATEL MD BOARD MEMBER 2.0 48.0 X 0 625367 35899 LAKHU ROHRA MD BOARD MEMBER 2.0 2.0 X 0 0 0 CHRISTOPHER ROSE MD BOARD MEMBER/CHAIRMAN 2.0 2.0 X X 0 0 0 WILLIAM B SNODGRASS MD BOARD MEMBER/VICE CHAIR 2.0 48.0 X X 0 257926 26195 JOHN GRIGSON CEO 12.0 38.0 X 0 591647 41780 MICHAEL ROBERTSON MD CHIEF MEDICAL OFFICER 40.0 10.0 X 432465 0 35290 DYANA KERR REGIONAL CFO 40.0 10.0 X 0 269391 46702 DAVID STOWERS EXEC DIR, ENTERPRISE CARE MGMT 50.0 0.0 X 224489 0 34696 BRENT BRYANT CLINICAL PHARMACIST 50.0 0.0 X 115767 0 8904 DEBBIE COFFMAN CARE MANAGER RN 50.0 0.0 X 103363 0 17741 TERRI PIERCE DIRECTOR, CARE MANAGEMENT 50.0 0.0 X 109555 0 23750 SHERRY PROCK MANAGER, CARE MANAGEMENT 50.0 0.0 X 116458 0 19366 RACHAEL STEHLING DIRECTOR, CARE MANAGEMENT 50.0 0.0 X 161230 0 42140 JENNIFER LE DIR, FINANCE PSJH 50.0 0.0 X 131146 0 28567 1394473 6933912 597701 8 true true false 0 0 PHYSICIAN SVC REV FROM TAX-EXEMPT PARENT 622110 21850718 21850718 0 0 21850718 51012 51012 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21901730 21850718 0 51012 X 0 0 0 0 0 0 0 0 1394473 0 1394473 0 0 0 0 0 6621397 2747119 3874278 0 406715 326513 80202 0 2394669 770430 1624239 0 600729 197670 403059 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8305363 8305363 0 0 0 0 0 0 319863 228247 91616 0 0 0 0 0 0 0 0 0 325 325 0 0 130532 60226 70306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21301 21301 0 0 0 0 0 0 20195367 12657194 7538173 0 0 0 0 2915391 5679562 0 0 355535 142802 0 0 0 0 0 0 0 0 0 0 131678 62203 90776 69475 0 0 0 0 0 0 0 0 3031739 4330778 6393441 10222617 3400918 4995376 0 0 0 0 0 0 0 0 0 0 0 0 0 0 665628 1193983 4066546 6189359 X 2326895 4033258 0 0 0 0 2326895 4033258 6393441 10222617 1706363 0 0 0 0 X false true X true false X X 1 COVENANT HEALTH SYSTEM 752765566 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false true false SCHEDULE A, PART I, LINE 12G, COLUMN (VI) COVENANT HEALTH PARTNERS IS UNDER A CONTRACTUAL RELATIONSHIP WITH MORE THAN 300 PHYSICIANS AND THE FOUR HOSPITALS IN THE COVENANT HEALTH SYSTEM IN A UNIQUE COLLABORATION KNOWN AS CLINICAL INTEGRATION. THE COVENANT HEALTH PARTNERS CLINICAL INTEGRATION PROGRAM JOINS TOGETHER WHAT WOULD OTHERWISE BE A FRAGMENTED GROUP OF INDEPENDENTLY PRACTICING PHYSICIANS INTO A COMPREHENSIVE CARE MANAGEMENT PROGRAM, COMPRISED OF A COMMON SET OF QUALITY GOALS AND MEASURES ACROSS ALL INSURANCE CARRIERS, WITH A FOCUS ON IMPROVED HEALTH CARE OUTCOMES AND REDUCING THE LONG TERM COST OF CARE. 0 0 131678 62203 69475 69475 DUE FROM COVENANT HEALTH SYS 4330778 4330778 0 DUE TO COVENANT ACO 1193983 1193983 false true false false false false false true false AMANDA BACKLUND MD BOARD MEMBER 0 190905 0 131053 0 4077 0 6000 0 1304 0 333339 0 0 DAVID BLANN MD BOARD MEMBER 0 528562 0 156928 0 4600 0 10000 0 10803 0 710893 0 0 CHETLEN CROSSNOE MD BOARD MEMBER 0 306589 0 26850 0 0 0 0 0 0 0 333439 0 0 JOSEPH DIXON MD BOARD MEMBER 0 256788 0 24400 0 0 0 0 0 0 0 281188 0 0 SHAILI FELTON MD BOARD MEMBER 0 92358 0 72009 0 2595 0 5333 0 5368 0 177663 0 0 ANGELA FERGUSON MD BOARD MEMBER 0 179403 0 47999 0 4073 0 8000 0 8458 0 247933 0 0 JUAN FITZ MD BOARD MEMBER 0 525541 0 1423 0 11314 0 10000 0 26457 0 574735 0 0 DAVID GRAY DO BOARD MEMBER 0 185965 0 36188 0 18552 0 10000 0 16695 0 267400 0 0 JOHN GRIGSON CEO 0 445847 0 71702 0 74098 0 19250 0 22530 0 633427 0 0 RICHARD HENDERSON MD BOARD MEMBER 0 251984 0 278789 0 4339 0 10000 0 23597 0 568709 0 0 FREDERICK HENSAL MD BOARD MEMBER 0 435649 0 0 0 6656 0 10000 0 20807 0 473112 0 0 SRINIVAS KADIYALA MD BOARD MEMBER 0 312866 0 119752 0 4699 0 8000 0 21883 0 467200 0 0 JENNIFER LE DIR, FINANCE PSJH 114865 0 13920 0 2361 0 4924 0 23643 0 159713 0 0 0 BRENT NALL MD BOARD MEMBER 0 300263 0 34550 0 0 0 0 0 0 0 334813 0 0 BRIAN NICHOLSON MD BOARD MEMBER 0 412533 0 214539 0 4790 0 0 0 23966 0 655828 0 0 NILESH PATEL MD BOARD MEMBER 0 292813 0 324477 0 8077 0 10000 0 25899 0 661266 0 0 MICHAEL ROBERTSON MD CHIEF MEDICAL OFFICER 336834 0 58857 0 36774 0 10777 0 24513 0 467755 0 0 0 WILLIAM B SNODGRASS MD BOARD MEMBER/VICE CHAIR 0 182030 0 71288 0 4608 0 8000 0 18195 0 284121 0 0 RACHAEL STEHLING DIRECTOR, CARE MANAGEMENT 133442 0 15722 0 12066 0 11403 0 30737 0 203370 0 0 0 DAVID STOWERS EXEC DIR, ENTERPRISE CARE MGMT 177260 0 31765 0 15464 0 7464 0 27232 0 259185 0 0 0 DYANA KERR REGIONAL CFO 0 188130 0 29050 0 52211 0 13841 0 32861 0 316093 0 0 SCHEDULE J, PART I, LINE 3 SUPPLEMENTAL COMPENSATION INFORMATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, JOHN GRIGSON, IS PAID BY ITS CORPORATE MEMBER, COVENANT HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINES 15A AND 15B FOR THE PROCESS USED BY COVENANT HEALTH SYSTEM. SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN ENTITIES WITHIN THE PSJH 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 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. CERTAIN EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY. SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS A PORTION OF THE EXECUTIVE SALARIES ARE PLACED 'AT-RISKARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERS, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY. COVENANT HEALTH PARTNERS (CHP) HAS A PAY FOR PERFORMANCE PROGRAM BASED ON OBTAINING RESULTS FOR SPECIFIC QUALITY METRICS. EACH PHYSICIAN IS MEASURED AGAINST THEIR ANNUAL PERFORMANCE REGARDING CLINICAL METRICS TIED TO THEIR SPECIALTY. A SCORECARD IS GENERATED FOR EACH PHYSICIAN THAT MEETS CHP'S ANNUAL ADMINISTRATIVE CRITERIA. THE PHYSICIANS ARE THEN ELIGIBLE TO RECEIVE A DISBURSEMENT GENERATED BY CHP'S SHARED SAVINGS CONTRACTS. EACH PHYSICIAN SCORECARD CONTAINS INDIVIDUAL, SPECIALTY, AND AGGREGATE QUALITY PERFORMANCE MEASURES WHERE A MONETARY PAYOUT IS ESTABLISHED BASED ON OBTAINING THE GOAL SET FOR EACH INDIVIDUAL MEASURE. FOR EXAMPLE: AN INTERNAL MEDICINE PHYSICIAN COULD HAVE A POTENTIAL MAXIMUM OF $10,000 AND HAS A SCORECARD WITH 10 METRICS EQUALLY WEIGHTED AT $1,000 EACH. IF THE PHYSICIAN ONLY REACHES THE GOAL ESTABLISHED FOR 7 OF THE 10 METRICS; THE PHYSICIAN WILL RECEIVE A PAYMENT FOR $7,000. FORM 990, PART III, LINE 4A PROVIDENCE ST. JOSEPH HEALTH SYSTEM ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS, 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE FOUNDERS OF BOTH ORGANIZATIONS WERE COURAGEOUS WOMEN AHEAD OF THEIR TIME. THE SISTERS OF PROVIDENCE AND THE SISTERS OF ST. JOSEPH OF ORANGE BROUGHT HEALTH CARE AND OTHER SOCIAL SERVICES TO THE AMERICAN WEST WHEN IT WAS STILL A RUGGED, UNTAMED FRONTIER. NOW, AS WE FACE A DIFFERENT LANDSCAPE - A CHANGING HEALTH CARE ENVIRONMENT - WE DRAW UPON THEIR PIONEERING AND COMPASSIONATE SPIRIT TO PLAN FOR THE NEXT CENTURY OF HEALTH CARE. PROVIDENCE HEALTH & SERVICES IN 1856, MOTHER JOSEPH AND FOUR SISTERS OF PROVIDENCE ESTABLISHED HOSPITALS, SCHOOLS AND ORPHANAGES ACROSS THE NORTHWEST. OVER THE YEARS, OTHER CATHOLIC SISTERS TRANSFERRED SPONSORSHIP OF THEIR MINISTRIES TO ROVIDENCE, INCLUDING THE LITTLE COMPANY OF MARY, DOMINICANS AND CHARITY OF LEAVENWORTH. RECENTLY, SWEDISH HEALTH SERVICES, KADLEC REGIONAL MEDICAL CENTER AND PACIFIC MEDICAL CENTERS HAVE JOINED PROVIDENCE AS SECULAR PARTNERS WITH A COMMON COMMITMENT TO SERVING ALL MEMBERS OF THE COMMUNITY. TODAY, PROVIDENCE SERVES ALASKA, CALIFORNIA, MONTANA, OREGON AND WASHINGTON. ST. JOSEPH HEALTH SYSTEM IN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIFORNIA TO PROVIDE EDUCATION AND HEALTH CARE. THEY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA. REALIZING OUR MISSION OUR MISSION IS REALIZED THROUGH THE DELIVERY OF QUALITY IN-PATIENT AND OUT-PATIENT SERVICES, AND FOCUSED COMMUNITY INITIATIVES AND PROGRAMS THAT ARE DEDICATED TO IMPROVING THE LIVES OF ALL WE SERVE. PROGRAM SERVICE ACCOMPLISHMENTS AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), COVENANT HEALTH PARTNERS IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE RADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THAT MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. BUT THE ROOTS OF COVENANT HEALTH PARTNERS AND THE LESSONS TO SERVE OUR DEAR NEIGHBORS DATE BACK TO THE YEAR 1650 WHEN THE SISTERS' FIRST CONGREGATION WAS FORMED IN LE PUY, FRANCE. SINCE THAT TIME, THE PEOPLE OF OUR ORGANIZATION CONTINUE TO ASSESS THE NEEDS OF THE COMMUNITIES WE SERVE, BUILD COLLABORATIVE PARTNERSHIPS WITH LOCAL RESIDENTS, BUSINESS AND COMMUNITY NOT-FOR-PROFITS, AND TOGETHER THROUGH THOSE PARTNERSHIPS, MEET COMMUNITY NEEDS. THE HEALTH SYSTEM IS ORGANIZED INTO THREE REGIONS-NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO - AND CONSISTS OF 14 ACUTE CARE HOSPITALS, AS WELL AS HOME HEALTH AGENCIES, HOSPICE CARE, OUT-PATIENT SERVICES, SKILLED NURSING FACILITIES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. WHO WE ARE AND WHAT WE DO COVENANT HEALTH PARTNERS IS A JOINT VENTURE BETWEEN MORE THAN 300 PHYSICIANS AND THE FOUR HOSPITALS IN THE COVENANT HEALTH SYSTEM IN A UNIQUE COLLABORATION KNOWN AS CLINICAL INTEGRATION. THE PROGRAM IS DESIGNED TO IMPROVE HEALTH OUTCOMES AND INCREASE THE VALUE RECEIVED FOR THE DOLLARS SPENT BY AREA EMPLOYERS ON EMPLOYEE HEALTH BENEFITS. THE COVENANT HEALTH PARTNERS CLINICAL INTEGRATION PROGRAM JOINS TOGETHER WHAT WOULD OTHERWISE BE A FRAGMENTED GROUP OF INDEPENDENTLY PRACTICING PHYSICIANS INTO A COMPREHENSIVE CARE MANAGEMENT PROGRAM, COMPRISED OF A COMMON SET OF QUALITY GOALS AND MEASURES ACROSS ALL INSURANCE CARRIERS, WITH A FOCUS ON IMPROVED HEALTH CARE OUTCOMES AND REDUCING THE LONG TERM COST OF CARE. UNLIKE OTHER DISEASE MANAGEMENT OR PREVENTIVE HEALTH PROGRAMS, THE CLINICAL INTEGRATION PROGRAM PROVIDES EXTENSIVE INFRASTRUCTURE AND SUPPORT TO PHYSICIANS PARTICIPATING IN THE PROGRAM, AS WELL AS A PAY-FOR-PERFORMANCE INCENTIVE SYSTEM, TO DRIVE AN OUTSTANDING LEVEL OF PERFORMANCE. COVENANT HEALTH PARTNERS (CHP) BEGAN IN 2013 WHEN A NUMBER OF PHYSICIANS SUPPORTED BY COVENANT HEALTH SYSTEM, HAD THE VISION TO IMPROVE THE CURRENT MEDICAL DELIVERY SYSTEM IN THE COMMUNITY THROUGH A MODEL NOT WIDELY USED, KNOWN AS CLINICAL INTEGRATION. THE VISION RESULTED IN THE FORMING OF COVENANT HEALTH PARTNERS; A COLLABORATION BETWEEN COVENANT HEALTH SYSTEM, COVENANT MEDICAL GROUP (WHICH EMPLOYS ABOUT 150 PHYSICIANS), AND 160 INDEPENDENT PHYSICIANS. FOR MORE INFORMATION ON COVENANT HEALTH PARTNERS, PLEASE VISIT HTTPS://WWW.COVENANTHEALTHPARTNERS.ORG/ FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH, PLEASE VISIT WWW.STJHS.ORG. FOR MORE INFORMATION ABOUT PROVIDENCE ST. JOSEPH HEALTH, PLEASE VISIT HTTPS://WWW.PSJHEALTH.ORG/ FORM 990, PART V, LINE 1A ST. JOSEPH HEALTH SYSTEM (SJHS) PAYS ALL VENDORS FOR COVENANT HEALTH PARTNERS FROM ITS SHARED SERVICES. SJHS ISSUES FORM 1099-MISC UNDER ITS TAX ID NUMBER AND COMPLIES WITH BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS COVENANT HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF COVENANT HEALTH PARTNERS. FORM 990, PART VI, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS COVENANT HEALTH PARTNERS HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBER RESERVES THE RIGHT TO APPOINT TRUSTEES TO THE COVENANT HEALTH PARTNERS BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE COVENANT HEALTH PARTNERS BOARD AS NOMINATIONS MUST BE APPROVED BY COVENANT HEALTH SYSTEM, AS THE CORPORATE MEMBER. FORM 990, PART VI, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE COVENANT HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, EXEMPT PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. THE CORPORATE MEMBER, COVENANT 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, LINE 11B PROCESS TO REVIEW 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES. FORM 990, PART VI, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY REAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PSJH COI POLICY AND IN CONNECTION WITH THAT INDIVIDUAL SATISFYING HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY AND/OR IF AT ANY TIME AN ACTUAL, REAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PSJH CHIEF LEGAL OFFICER AND/OR THE PSJH CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR CONSIDER MATTERS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER. PSJH CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE 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 WHEN ACTION IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE PLAN TO MANAGE CONFLICTS. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF COI DISCLOSURES IS RETAINED PER ORGANIZATION RETENTION POLICY. FORM 990, PART VI, LINES 15A & 15B PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, COVENANT HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE ST. JOSEPH HEALTH'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ST. JOSEPH HEALTH 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 ST. JOSEPH HEALTH HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE ST. JOSEPH HEALTH MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE ST. JOSEPH HEALTH'S LEGAL ENTITIES. PROVIDENCE ST. JOSEPH HEALTH ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE ST. JOSEPH HEALTH HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS OFFICERS, INCLUDING OUR SENIOR EXECUTIVES. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED BY THE PROVIDENCE ST. JOSEPH HEALTH COMMITTEE. THE BOARD 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 ST. JOSEPH HEALTH 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 WHOSE REVENUE IS SIMILAR TO THAT OF PROVIDENCE ST. JOSEPH HEALTH. ADDITIONALLY, PROVIDENCE ST. JOSEPH HEALTH'S LABOR MARKET CONTINUES TO SPREAD ACROSS HEALTH CARE AND INTO GENERAL INDUSTRY. BECAUSE OF THIS, PROVIDENCE ST. JOSEPH HEALTH ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY FOR-PROFIT MARKET DATA, WHERE APPLICABLE. BASE SALARIES FOR PROVIDENCE ST. JOSEPH HEALTH EXECUTIVES ARE GENERALLY TARGETED TO THE MEDIAN LEVEL OF THE MARKET, 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. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY ACHIEVE SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE ST. JOSEPH HEALTH 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 EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS AND MIRRORS BEST PRACTICES. THE PROCESS TO REVIEW COMPENSATION WAS LAST COMPLETED MARCH 5, 2019. FORM 990, PART VI, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE PSJH COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PSJH INTERNET SITE. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:4365758 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:3684527 FORM 990 PART IX LINE 11G DESCRIPTION:TRAINING TOTAL FEES:13795 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER TOTAL FEES:241283 COVENANT ACO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 611573313 HEALTHCARE TX 501(C)(3) 12, I CHS true COVENANT HEALTH NETWORK INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 461259908 HEALTHCARE CA 501(C)(3) 12, III SJHS true COVENANT HEALTH SYSTEM 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS true COVENANT HEALTH SYSTEM FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752897026 HEALTHCARE TX 501(C)(3) 7 CHS true COVENANT MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 822913146 HEALTHCARE TX 501(C)(3) 3 CHS true COVENANT MEDICAL GROUP 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752743883 HEALTHCARE TX 501(C)(3) 3 CHS true E WA & MT UNEMPLOYMENT COMP INSR TRUST 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911082119 UNEMPLOYMENT WA 501(C)(3) 12, I PHS WA true EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANS. CARE WA 501(C)(3) 10 NA false FACEY MEDICAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 954322584 SUPPORT CA 501(C)(3) 7 PHS SOCAL true GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 201910170 SUPPORT WA 501(C)(3) 7 PHS WA true GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC WA 98188 273133200 HEALTHCARE WA 501(C)(3) 7 SHS true HMTS INC 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 92658 453583707 HEALTHCARE CA 501(C)(3) 12, I HMHP true HOAG CHARITY SPORTS 2081 BUSINESS CTR DR STE 195 IRVINE CA 92612 452982422 SUPPORT CA 501(C)(3) 7 HHF true HOAG CLINIC (FKA COASTAL MGMT SVCS ORG) 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 92658 330676831 HEALTHCARE CA 501(C)(3) 10 HMHP true HOAG HOSPITAL FOUNDATION 330 PLACENTIA AVE NEWPORT BEACH CA 92663 953222343 FUNDRAISING CA 501(C)(3) 7 HMHP true HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 92658 951643327 HEALTHCARE CA 501(C)(3) 3 CHN true HOSPICE 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