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MISSION HOSPITAL REGIONAL MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
MISSION HOSPITAL REGIONAL MEDICAL CENTER (EIN 95-1643360)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-10
IRS object ID
202503149349303855
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-10T12:30:50-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1560 MISSION STREET SUITE 1600AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951643360EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MISSION HOSPITAL REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMISSBusinessNameControlTxt
Phone9493641400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEILEEN HAUBLPersonNm
Person TitleCHIEF ACCOUNTING OFFICERPersonTitleTxt
Phone9493647767PhoneNum
Signature2025-11-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEVA NITTAPreparerPersonNm
PTINP01286320PTIN
Phone4158948000PhoneNum
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE MISSION HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSETH TEIGENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$965,058,955GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MISSION4HEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1941FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE O.AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee3144TotalEmployeeCnt
Total Volunteers785TotalVolunteersCnt
Total Gross UBI$246,573TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$206,194NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$15,286,638PYContributionsGrantsAmt
CY Contributions Grants$64,554,563CYContributionsGrantsAmt
PY Program Service Revenue$813,142,809PYProgramServiceRevenueAmt
CY Program Service Revenue$868,553,265CYProgramServiceRevenueAmt
PY Investment Income-$556,529PYInvestmentIncomeAmt
CY Investment Income$5,717,069CYInvestmentIncomeAmt
PY Other Revenue$12,787,474PYOtherRevenueAmt
CY Other Revenue$15,340,905CYOtherRevenueAmt
PY Total Revenue$840,660,392PYTotalRevenueAmt
CY Total Revenue$954,165,802CYTotalRevenueAmt
PY Grants And Similar Paid$663,501PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,433,488CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$268,818,113PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$325,597,878CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,253,248CYTotalFundraisingExpenseAmt
PY Other Expenses$568,925,975PYOtherExpensesAmt
CY Other Expenses$598,827,335CYOtherExpensesAmt
PY Total Expenses$838,407,589PYTotalExpensesAmt
CY Total Expenses$925,858,701CYTotalExpensesAmt
PY Revenues Less Expenses$2,252,803PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$28,307,101CYRevenuesLessExpensesAmt
Total Assets BOY$705,245,194TotalAssetsBOYAmt
Total Assets EOY$697,134,273TotalAssetsEOYAmt
Total Liabilities BOY$417,637,489TotalLiabilitiesBOYAmt
Total Liabilities EOY$350,270,687TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$287,607,705NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$346,863,586NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$890,038,216ExpenseAmt
Grant$1,433,488GrantAmt
Revenue$884,128,534RevenueAmt
DescSEE SCHEDULE O.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 125,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,014 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE AFFILIATE FAMILY INCLUDES: - PROVIDENCE ACROSS FIVE WESTERN STATES - COVENANT HEALTH IN WEST TEXAS AND NEW MEXICO - FACEY MEDICAL GROUP IN LOS ANGELES, CA - KADLEC IN SOUTHEAST WASHINGTON - PACIFIC MEDICAL CENTERS IN SEATTLE, WA - SWEDISH HEALTH SERVICES IN SEATTLE, WA IN 2024, PROVIDENCE MINISTRIES AND AFFILIATES PROVIDED $1.9 BILLION IN COMMUNITY BENEFIT PROGRAMS. THIS INCLUDES FREE AND DISCOUNTED CARE, UNCOMPENSATED AND SUBSIDIZED CARE, AND OTHER COMMUNITY HEALTH ACTIVITIES. ONE OF THESE VITAL PROGRAMS, MEDICAID, IS A LIFELINE FOR MILLIONS OF INDIVIDUALS, INCLUDING SENIORS, CHILDREN, PREGNANT PATIENTS, THOSE WITH DISABILITIES AND VETERANS. WE ARE GRATEFUL TO EVERYONE IN OUR COMMUNITIES WHO HAS JOINED US IN ADVOCATING FOR CONTINUED FUNDING AND EXPANSION OF THIS PROGRAM. TOGETHER, WE ARE HELPING TO ENSURE MORE PEOPLE HAVE ACCESS TO NEEDED CARE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT THROUGH OUR COMMUNITY BENEFIT PROGRAMS, WE FOCUS ON MEETING THE DIVERSE NEEDS OF THE PEOPLE WE SERVE BY WORKING TO ENSURE BASIC HEALTH NEEDS ARE MET, REMOVING BARRIERS TO CARE, BUILDING COMMUNITY RESILIENCE AND INNOVATING FOR THE FUTURE. PROVIDENCE CONTINUES TO WORK TOWARDS CARBON NEGATIVE AND IN 2024 DECREASED EMISSIONS BY 19 PERCENT COMPARED TO OUR 2019 BASELINE. OUR EFFORTS EARNED US A SYSTEM RECORD 55 ENVIRONMENTAL EXCELLENCE AWARDS FROM PRACTICE GREENHEALTH AND MADE US THE FIRST LARGE SYSTEM TO RECEIVE THE JOINT COMMISSION'S SUSTAINABLE HEALTHCARE CERTIFICATION IN 2024 FOR EACH OF OUR HOSPITALS.PROVIDENCE MISSION HOSPITAL MEDICAL CENTER: PROVIDENCE MISSION HOSPITAL CONTINUES ITS TRADITION OF COMPASSION AND COMMITMENT TO OUR COMMUNITIES BY INVESTING IN INITIATIVES THAT ADDRESS IDENTIFIED COMMUNITY NEEDS. THE PRIORITY HEALTH AREAS OUTLINED IN THE 2024-2026 COMMUNITY HEALTH IMPROVEMENT PLAN INCLUDE: ACCESS TO CARE, MENTAL HEALTH/SUBSTANCE USE, AND ECONOMIC SECURITY. THREE KEY PROGRAM ACCOMPLISHMENTS FOR MISSION HOSPITAL ARE HIGHLIGHTED BELOW: CAMINO HEALTH CENTER, FAMILY RESOURCE CENTER, AND EQUITY THROUGH PARTNERSHIP. IN CY24, PROVIDENCE MISSION HOSPITAL REPORTED $5.7M IN FINANCIAL ASSISTANCE (FREE AND DISCOUNTED CARE) AND $68.7M OF UNPAID COST OF MEDICAID. PROVIDENCE MISSION HOSPITAL IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY.2024 PROGRAM SERVICE ACCOMPLISHMENTS: ACCESS TO HEALTH CARE FOR THOSE IN GREATEST NEED:CAMINO HEALTH CENTER: MISSION HOSPITAL IS A PROUD SPONSOR OF CAMINO HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER LOCATED IN THE HEART OF OUR SERVICE AREA. TO SUPPORT CAMINO'S CORE SERVICES AND OFFSET THE OUT-OF-POCKET EXPENSES FOR PATIENTS WITHOUT HEALTH INSURANCE, WE PROVIDED GRANTS TOTALING $1,000,000 IN 2024. CAMINO HEALTH CENTER UPHELD ITS COMMITMENT TO DELIVERING HIGH-QUALITY CARE WHILE ADHERING TO ALL NECESSARY HEALTH AND SAFETY PRECAUTIONS. THROUGHOUT THE YEAR, CAMINO SERVED A TOTAL OF 17,174 PATIENTS, UNDERSCORING ITS CONTINUED DEDICATION TO ACCESSIBLE, HIGH-QUALITY HEALTHCARE. OF THESE PATIENTS, 61% WERE FEMALE AND 39% WERE MALE. THE ETHNIC COMPOSITION INCLUDED 9,270 INDIVIDUALS IDENTIFYING AS HISPANIC/LATINO, 5,837 AS NON-HISPANIC/LATINO, AND 2,002 WHO CHOSE NOT TO DISCLOSE THEIR ETHNICITY. REFLECTING THE CULTURAL AND LINGUISTIC NEEDS OF THE COMMUNITY, 57% OF PATIENTS PRIMARILY SPOKE SPANISH, A NEED THAT CAMINO EFFECTIVELY MET THROUGH ITS PREDOMINANTLY BILINGUAL STAFF.ECONOMIC HARDSHIP REMAINED A KEY FACTOR AMONG THOSE SERVED, WITH 85% OF PATIENTS (14,704 INDIVIDUALS) LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. THIS MARKED AN 8% INCREASE FROM 2023, INDICATING A GROWING DEMAND FOR AFFORDABLE HEALTHCARE.TWO KEY POLICY CHANGES, THE 50+ MEDI-CAL EXPANSION AND THE FULL-SCOPE MEDI-CAL EXPANSION FOR ADULTS AGES 26 TO 49, SIGNIFICANTLY INCREASED COVERAGE ACCESS. AS A RESULT, CAMINO SAW A 40% REDUCTION IN THE NUMBER OF UNINSURED PATIENTS, DEMONSTRATING THE POSITIVE IMPACT OF EXPANDED HEALTHCARE COVERAGE.CAMINO RECORDED 72,488 VISITS ACROSS ITS DEPARTMENTS, INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH, AND OPTOMETRY. THE CLINIC REMAINED COMMITTED TO PEDIATRIC CARE, SERVING 2,313 CHILDREN UNDER AGE 18. ADOLESCENT WEIGHT SCREENING AND FOLLOW-UP RATES IMPROVED FROM 20% TO 55%, HIGHLIGHTING STRENGTHENED EFFORTS IN PREVENTIVE CARE.THE DENTAL DEPARTMENT LED IN PREVENTIVE CARE, FOCUSING ON CHILDREN AGES 6 TO 9 IDENTIFIED AS MODERATE TO HIGH RISK FOR DEVELOPING CARIES. IMPRESSIVELY, 75% OF THESE CHILDREN RECEIVED DENTAL SEALANTS ON THEIR FIRST PERMANENT MOLARS.THE PRENATAL PROGRAM ALSO ACHIEVED OUTSTANDING RESULTS: 81% OF PREGNANT PATIENTS RECEIVING CARE DURING THEIR FIRST TRIMESTER. EARLY PRENATAL CARE IS ESSENTIAL TO SUPPORTING HEALTHY PREGNANCIES AND OUTCOMES FOR BOTH MOTHERS AND THEIR BABIES. MENTAL HEALTH REMAINED A KEY PRIORITY. CAMINO SCREENED AND FOLLOWED UP WITH 91% OF PATIENTS AGED 12 AND OLDER FOR MENTAL HEALTH CONCERNS, REPRESENTING A 38% INCREASE FROM PREVIOUS YEAR. ADDITIONALLY, ADVERSE CHILDHOOD EXPERIENCES (ACES) SCREENINGS WERE IMPLEMENTED TO SUPPORT MORE COMPREHENSIVE AND TRAUMA-INFORMED CARE. IN 2024, THE MEDICAL DEPARTMENT ACHIEVED A 70% CERVICAL CANCER SCREENING RATE, DEMONSTRATING PROGRESS IN PREVENTIVE CARE. CHRONIC DISEASE MANAGEMENT ALSO IMPROVED, WITH CONTROLLED BLOOD PRESSURE RATES RISING FROM 55% TO 60%, REFLECTING THE CAMINO'S EFFECTIVENESS IN MANAGING LONG-TERM HEALTH CONDITIONS. OVERALL, CAMINO HEALTH CENTER CONTINUES TO PLAY A CRUCIAL ROLE IN SERVING THE UNDERSERVED POPULATION IN SOUTH ORANGE COUNTY, CONSISTENTLY ADAPTING AND EXPANDING SERVICES TO MEET COMMUNITY HEALTH NEEDS. CONNECTING OUR COMMUNITY THROUGH FAMILY RESOURCE CENTERS: PROVIDENCE MISSION HOSPITAL OPERATES TWO FAMILY RESOURCE CENTERS (FRC) IN THE COMMUNITY, PROVIDING ACCESS TO VITAL SOCIAL SERVICES FOR COMMUNITY MEMBERS WITH LIMITED RESOURCES. BOTH FRCS ARE PART OF ORANGE COUNTY'S FAMILIES AND COMMUNITIES TOGETHER (FACT) PLATFORM. FACT IS A NETWORK OF 16 FAMILY RESOURCE CENTERS LOCATED THROUGHOUT ORANGE COUNTY'S HIGHEST-RISK COMMUNITIES. THESE CENTERS PROVIDE ESSENTIAL FAMILY SUPPORT SERVICES, EDUCATION, AND RESOURCES AIMED AT ADDRESSING CURRENT COMMUNITY NEEDS. THE FOLLOWING SERVICES ARE PROVIDED: MENTAL HEALTH SERVICES, LIFE SKILLS PROGRAMS, HEALTH INSURANCE ENROLLMENT AND COUNSELING, PARENTING CLASSES, FAMILY ADVOCACY, INFORMATION AND REFERRAL SERVICES, PERSONAL EMPOWERMENT PROGRAMS, COMMUNITY ENGAGEMENT AND LEADERSHIP DEVELOPMENT, LEGAL COUNSELING, ENGLISH AS A SECOND LANGUAGE CLASSES, CHILDREN'S PROGRAMMING, FOOD DISTRIBUTIONS, AND SEASONAL PROGRAMS.Desc
Total Program Service Expenses$890,038,216TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document206IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3144EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JIM MARTINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4255253985PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SETH TEIGEN
CEO/PRESIDENT55.000.00Yes (X)Yes (X)$0$1,152,429$190,124
STEPHEN TOCCI MD
TRUSTEE0.500.00Yes (X)$0$33,000$0
ELIZABETH JENSEN
TRUSTEE0.500.00Yes (X)$0$0$0
GINNY RIPSLINGER
TRUSTEE0.500.00Yes (X)$0$0$0
GLORIA LUNA
TRUSTEE0.500.00Yes (X)$0$0$0
JAIME MUNOZ
TRUSTEE0.500.00Yes (X)$0$0$0
JAMES BASTIAN
TRUSTEE0.500.00Yes (X)$0$0$0
JAMES R QUANDT
BOARD CHAIR - THRU 6/241.000.00Yes (X)$0$0$0
JEREMY LASTER
TRUSTEE0.500.00Yes (X)$0$0$0
JOSH RANDALL MD
TRUSTEE0.500.00Yes (X)$0$0$0
LINDA SIEGLEN MD
BOARD CHAIR1.000.00Yes (X)$0$0$0
MICHAEL MOODIAN
TRUSTEE0.500.50Yes (X)$0$0$0
RAUL RUDY MARQUEZ MD
TRUSTEE0.502.00Yes (X)$0$0$0
REZA DEHKORDI MD
TRUSTEE0.500.00Yes (X)$0$0$0
SERENA BENSON
TRUSTEE0.500.00Yes (X)$0$0$0
SR HERLINDA RAMIREZ MACHADO
TRUSTEE0.500.00Yes (X)$0$0$0
STEVEN PAL
TRUSTEE - THRU 12/31/240.500.00Yes (X)$0$0$0
JIM WATSON ESQ
SECRETARY0.5054.50Yes (X)$0$955,923$128,530
JIM MARTIN
ASSISTANT TREASURER0.5054.50Yes (X)$0$820,365$96,888
EILEEN HAUBL
SVP & CHIEF FINANCIAL OFFICER27.5027.50Yes (X)$0$474,159$42,013
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT0.5054.50Yes (X)$0$316,554$18,932
BRIAN LEE HELLELAND
CHIEF EXEC SO CA OC/HD13.0042.00$0$1,529,981$233,268Yes (X)
EVELYN SCHLOSSER
EXEC DIR ACUTE CARE OPERATIONS55.000.00$358,241$0$27,880Yes (X)
MELANIE SPENCER WOLF
CHIEF MEDICAL OFFICER HOSPITAL50.000.00$497,935$0$26,152Yes (X)
JENNIFER CORD
CHIEF NURSING OFFICER50.000.00$417,455$0$32,188Yes (X)
NICOLE BALSAMO
AVP FOUNDATION/CPO50.000.00$388,060$0$17,873Yes (X)
MARIA LEXA BATAC
SUPERVISOR NURSING50.000.00$333,111$0$41,447Yes (X)
JOE JUNG
EXECUTIVE DIRECTOR NURSING50.000.00$306,178$0$18,167Yes (X)
JO ANN ESCASA-HAIGH
FRMR ASSISTANT TREASURER0.000.00$0$879,466$0Yes (X)
MICHAEL MARINO DO
FRMR OFF. - SVP, CHIEF MED INFO0.000.00$0$493,170$0Yes (X)
MARK JABLONSKI
FRMR OFF. - PSJH CMO0.0055.00$0$338,483$39,179Yes (X)
TERRENCE WOOTEN
FORMER CE QVMC0.000.00$0$694,493$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,300,980TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,688,023TotReportableCompRltdOrgAmt
Total Other Compensation$912,641TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1031IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AYA HEALTHCARE INC
PO BOX 674907DALLASTX75267STAFFING SERVICES$13,103,864
CASS INFORMATION SYSTEMS INC
12444 POWERSCOURT DR 550ST LOUISMO63131PAYMENT SERVICES$9,999,159
CO ARCHITECTS
5750 WILSHIRE BLVD STE 550LOS ANGELESCA90036ARCHITECT SERVICES$5,821,464
SOUTH ORANGE COUNTY SURGICAL MED GR
24411 HEALTH CENTER DR STE 350LAGUNA HILLSCA92653MEDICAL SERVICES$4,977,512
ALLIED UNIVERSAL SECURITY
1551 N TUSTIN AVE STE 650SANTA ANACA92705SECURITY SERVICES$2,957,054
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K166CntrctRcvdGreaterThan100KCnt
Fundraising$453,825FundraisingAmt
Government Grants$808,514GovernmentGrantsAmt
All Other Contributions$63,292,224AllOtherContributionsAmt
Total Contributions$64,554,563TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT REVENUE622110$863,338,992$863,325,585$13,407
MOB RENTAL REVENUE531120$4,804,712$4,804,712
JV INCOME900099$333,402$333,402
OTHER PATIENT SERVICE622110$76,159$76,159
FieldValueIRS element (for citing)
Total Program Service Revenue$868,553,265TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,592,778TotalRevenueColumnAmt
Unrelated Business Revenue$3,827UnrelatedBusinessRevenueAmt
Exclusion$2,588,951ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,544,192SecuritiesAmt
Other$11,795,857OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$26,830SecuritiesAmt
Other$10,188,928OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,517,362SecuritiesAmt
Other$1,606,929OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,124,291TotalRevenueColumnAmt
Exclusion$3,124,291ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$213,692FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$453,825ContriRptFundraisingEventAmt
Fundraising Direct Expenses$677,395FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$463,703TotalRevenueColumnAmt
Exclusion-$463,703ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROFESSIONAL SVC FEES900099$9,933,024$9,933,024
CAFETERIA REVENUE722514$2,202,919$2,202,919
EDUCATION REVENUE611710$321,451$321,451

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,347,214TotalRevenueColumnAmt
Related Or Exempt Func Income$3,117,875RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$229,339UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$15,804,608OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$954,165,802TotalRevenueColumnAmt
Related Or Exempt Func Income$879,310,415RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$246,573UnrelatedBusinessRevenueAmt
Exclusion$10,054,251ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,433,488TotalAmt
Program Services$1,433,488ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$386,122TotalAmt
Program Services$367,599ProgramServicesAmt
Management And General$17,354ManagementAndGeneralAmt
Fundraising$1,169FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$254,203,412TotalAmt
Program Services$242,009,152ProgramServicesAmt
Management And General$11,424,738ManagementAndGeneralAmt
Fundraising$769,522FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,895,094TotalAmt
Program Services$14,180,569ProgramServicesAmt
Management And General$669,435ManagementAndGeneralAmt
Fundraising$45,090FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$37,528,491TotalAmt
Program Services$35,728,231ProgramServicesAmt
Management And General$1,686,654ManagementAndGeneralAmt
Fundraising$113,606FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,584,759TotalAmt
Program Services$17,693,239ProgramServicesAmt
Management And General$835,260ManagementAndGeneralAmt
Fundraising$56,260FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,128,155TotalAmt
Program Services$1,074,037ProgramServicesAmt
Management And General$50,703ManagementAndGeneralAmt
Fundraising$3,415FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,108TotalAmt
Program Services$2,007ProgramServicesAmt
Management And General$95ManagementAndGeneralAmt
Fundraising$6FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$94,322TotalAmt
Management And General$94,322ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$146,057,944TotalAmt
Program Services$139,051,474ProgramServicesAmt
Management And General$6,564,325ManagementAndGeneralAmt
Fundraising$442,145FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$131,963TotalAmt
Program Services$125,633ProgramServicesAmt
Management And General$5,931ManagementAndGeneralAmt
Fundraising$399FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,764,660TotalAmt
Program Services$8,344,215ProgramServicesAmt
Management And General$393,913ManagementAndGeneralAmt
Fundraising$26,532FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$319,246TotalAmt
Program Services$303,932ProgramServicesAmt
Management And General$14,348ManagementAndGeneralAmt
Fundraising$966FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$24,055,434TotalAmt
Program Services$22,901,484ProgramServicesAmt
Management And General$1,081,130ManagementAndGeneralAmt
Fundraising$72,820FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$436,033TotalAmt
Program Services$415,116ProgramServicesAmt
Management And General$19,597ManagementAndGeneralAmt
Fundraising$1,320FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,153,016TotalAmt
Program Services$6,809,882ProgramServicesAmt
Management And General$321,480ManagementAndGeneralAmt
Fundraising$21,654FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,184,004TotalAmt
Program Services$21,119,827ProgramServicesAmt
Management And General$997,022ManagementAndGeneralAmt
Fundraising$67,155FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$59,323TotalAmt
Program Services$56,477ProgramServicesAmt
Management And General$2,666ManagementAndGeneralAmt
Fundraising$180FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SYSTEM COST ALLOCATION$197,738,298$188,252,696$8,887,010$598,592
MEDICAL SUPPLIES$147,676,928$147,676,928
HOSPITAL FEE$32,297,809$32,297,809
UBI TAXES PAID$20,000$20,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,708,092TotalAmt
Program Services$10,194,421ProgramServicesAmt
Management And General$481,254ManagementAndGeneralAmt
Fundraising$32,417FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$925,858,701TotalAmt
Program Services$890,038,216ProgramServicesAmt
Management And General$33,567,237ManagementAndGeneralAmt
Fundraising$2,253,248FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,388,814BOYAmt
EOY$357,040EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,547,454BOYAmt
EOY$3,842,474EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,441,705BOYAmt
EOY$41,754,468EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$129,586,867BOYAmt
EOY$123,721,305EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,723,186BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$17,562,758BOYAmt
EOY$18,129,650EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,005,317EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$766,552,047LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$447,441,808LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$319,500,000BOYAmt
EOY$319,110,239EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$67,744,758BOYAmt
EOY$55,250,510EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$4,367,432BOYAmt
EOY$4,700,835EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$20,872,745BOYAmt
EOY$19,354,595EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$123,509,475BOYAmt
EOY$109,907,840EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$705,245,194BOYAmt
EOY$697,134,273EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$54,277,925BOYAmt
EOY$61,863,632EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,243,776BOYAmt
EOY$1,439,734EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$361,115,788BOYAmt
EOY$286,967,321EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$417,637,489BOYAmt
EOY$350,270,687EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$148,790,720BOYAmt
EOY$173,716,948EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$138,816,985BOYAmt
EOY$173,146,638EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$287,607,705BOYAmt
EOY$346,863,586EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$705,245,194BOYAmt
EOY$697,134,273EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$28,307,101ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,508,701NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$28,440,079OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$82,289OtherActivitiesAmt
Total Lobbying Expenditures$82,289TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1, LOBBYING ACTIVITIES:FormAndLineReferenceDesc
ExplanationTHE OTHER LOBBYING EXPENDITURES REPORTED REPRESENT THE PORTION OF DUES PAID TO ASSOCIATIONS AND ALLIANCES THAT IS ALLOCATED TO LOBBYING ACTIVITIES. PROVIDENCE'S ADVOCACY AGENDA THE PROVIDENCE FAMILY OF ORGANIZATIONS ADVOCATES FOR THE HEALTH AND WELL-BEING OF ALL, ESPECIALLY THE POOR AND VULNERABLE. GROUNDED IN OUR MISSION AND INSPIRED BY OUR BELIEF THAT HEALTH IS A HUMAN RIGHT, WE WORK WITH LAWMAKERS AND COMMUNITY PARTNERS TO REMOVE THE CAUSES OF OPPRESSION AND PROMOTE JUSTICE FOR ALL. CORE TO THIS WORK IS ADVANCING POLICIES THAT INCREASE EQUITABLE ACCESS TO HIGH-QUALITY CARE, STRENGTHEN THE HEALTH CARE WORKFORCE AND ADDRESS SOCIAL AND ENVIRONMENTAL JUSTICE. PRESERVE AFFORDABLE ACCESS TO CARE - SUSTAIN MEDICARE AND MEDICAID: PROTECT HEALTH CARE COVERAGE AND SUPPORT REIMBURSEMENT RATES THAT APPROPRIATELY REFLECT THE COST OF DELIVERING CARE, ESPECIALLY FOR VULNERABLE POPULATIONS. - REDUCE MEDICATION COSTS: INCREASE PHARMACEUTICAL PRICING TRANSPARENCY AND PROTECT THE 340B DRUG PRICING PROGRAM, WHICH PROVIDES ACCESS TO LIFE-CHANGING MEDICATIONS FOR LOW-INCOME PATIENTS. - INCREASE CARE ACCESSIBILITY: PROMOTE CARE DELIVERY INNOVATION, INCLUDING MAINTAINING TELEHEALTH FLEXIBILITIES AND HOSPITAL-AT-HOME PROGRAMS. - PROTECT THE ABILITY OF NONPROFIT HEALTH CARE TO CARE FOR ALL: PRESERVE TAX-EXEMPT STATUS TO SUPPORT COMMUNITY NEEDS AND PROMOTE SUSTAINABLE FINANCIAL ASSISTANCE PROGRAMS. IMPROVE HEALTH SYSTEM SUSTAINABILITY - PROMOTE COLLABORATION AND ACCOUNTABILITY WITH INSURERS: INCREASE PARTNERSHIPS BETWEEN PAYERS AND PROVIDERS TO STRENGTHEN VALUE-BASED CARE AND LESSEN THE BURDEN ON PATIENTS. - ENSURE SUSTAINABLE HEALTH CARE COST GROWTH: ENSURE REASONABLE COST GROWTH TARGETS DON'T PENALIZE PROVIDERS FOR COSTS OUTSIDE OUR CONTROL, LIKE LABOR AND PHARMACEUTICAL COSTS. - PRESERVE RURAL HEALTH CARE: ENHANCE FUNDING TO PROTECT RURAL CLINICS AND PREVENT HOSPITAL CLOSURES. STRENGTHEN AND DEVELOP OUR WORKFORCE - GROW THE PHYSICIAN AND PROVIDER WORKFORCE: INCREASE FUNDING FOR SCHOLARSHIPS, LOAN FORGIVENESS AND RESIDENCY TRAINING PROGRAMS. - EXPAND THE NURSING AND CAREGIVER PIPELINE: SUPPORT RECRUITMENT, RETENTION AND ADVANCED EDUCATION FOR NURSES AND OTHER ALLIED HEALTH PROFESSIONALS. - REFORM THE PHYSICIAN PAYMENT SYSTEM: SUPPORT REIMBURSEMENT RATES THAT REFLECT THE INCREASED COST OF DELIVERING HIGH-QUALITY CARE. - REDUCE ADMINISTRATIVE BURDEN: REMOVE BARRIERS TO LICENSURE FOR HEALTH CARE WORKERS AND REDUCE THE UNNECESSARY PRIOR AUTHORIZATION AND COVERAGE DENIALS TO HELP ADDRESS BURNOUT AND SUPPORT CAREGIVERS AT THE BEDSIDE. - ELIMINATE VIOLENCE AGAINST CAREGIVERS: SUPPORT CONTINUED HEALTH CARE WORKPLACE SAFETY AND FUND SUPPORT PROGRAMS TO KEEP CAREGIVERS SAFE. ADVANCE CARE DELIVERY AND INNOVATION - IMPROVE HOSPITAL CAPACITY: DEVELOP SOLUTIONS TO REDUCE UNNECESSARY LENGTHS OF STAY AND ENSURE PATIENTS RECEIVE CARE IN THE APPROPRIATE SETTINGS, INCLUDING IMPROVING ACCESS TO POST-ACUTE CARE SERVICES. - INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES: IMPROVE ACCESS ALONG THE CONTINUUM OF CARE, INCLUDING TREATMENT FOR PATIENTS IN CRISIS, COMMUNITY-BASED SERVICES, AND PREVENTATIVE SERVICES. - ADVANCE HEALTH IT: PROTECT HEALTH SYSTEMS FROM CYBERSECURITY THREATS AND PROMOTE APPROPRIATE REGULATION OF AI IN HEALTH CARE TO ALLOW FOR INNOVATION. - IMPROVE COORDINATION OF CARE: BOLSTER PALLIATIVE CARE AND LONG-TERM SERVICES, INCLUDING THE PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). PROMOTE SOCIAL AND ENVIRONMENTAL JUSTICE - ADVANCE HEALTH EQUITY: SUPPORT POLICIES THAT SEEK TO ADDRESS INEQUITIES IN HEALTH CARE DELIVERY, ESPECIALLY FOR UNDERSERVED POPULATIONS, INCLUDING IMMIGRANTS. - ADDRESS SOCIAL DETERMINANTS OF HEALTH: IMPROVE ACCESS TO HOUSING, TRANSPORTATION, HEALTHY FOOD, EDUCATION, AND EMPLOYMENT. - IMPROVE STEWARDSHIP OF OUR ENVIRONMENT: INCREASE FUNDING AND SUPPORT POLICIES TO DECARBONIZE THE HEALTH CARE SECTOR AND ADDRESS ENVIRONMENTAL JUSTICE AND CLIMATE RESILIENCY.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,571,368BeginningYearBalanceAmt
Investment Earnings Or Losses$1,904,280InvestmentEarningsOrLossesAmt
End Year Balance$15,475,648EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,583,118BeginningYearBalanceAmt
Investment Earnings Or Losses$1,988,250InvestmentEarningsOrLossesAmt
End Year Balance$13,571,368EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,364,978BeginningYearBalanceAmt
Contributions$3,650,391ContributionsAmt
Investment Earnings Or Losses-$1,432,251InvestmentEarningsOrLossesAmt
End Year Balance$11,583,118EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,148,164BeginningYearBalanceAmt
Investment Earnings Or Losses$1,216,814InvestmentEarningsOrLossesAmt
End Year Balance$9,364,978EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,060,954BeginningYearBalanceAmt
Investment Earnings Or Losses$1,087,210InvestmentEarningsOrLossesAmt
End Year Balance$8,148,164EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.29000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.67000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.04000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,148,883OtherCostOrOtherBasisAmt
Book Value$47,148,883BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$368,090,596OtherCostOrOtherBasisAmt
Depreciation$198,287,309DepreciationAmt
Book Value$169,803,287BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,430,871OtherCostOrOtherBasisAmt
Depreciation$18,778,307DepreciationAmt
Book Value$16,652,564BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$279,893,254OtherCostOrOtherBasisAmt
Depreciation$230,376,192DepreciationAmt
Book Value$49,517,062BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,988,443OtherCostOrOtherBasisAmt
Book Value$35,988,443BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$319,110,239TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
HOSPITAL FEE/PROVIDER TAX RECEIVABLE$49,985,582
RIGHT OF USE OPERATING LEASES$48,932,920
OTHER ASSETS$6,923,806
DUE FROM THIRD PARTY$3,483,900
CHARITABLE GIFT ANNUITIES$581,632
FieldValueIRS element (for citing)
Total Book Value Other Assets$109,907,840TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
I/C - TE BOND LIABILITIES$127,058,343
DUE TO THIRD PARTY$56,037,916
CAPITAL LEASE OBLIGATIONS$47,043,569
HOSPITAL FEE/PROVIDER TAX LIABILITY$35,801,426
DUE TO AFFILIATES$16,382,721
ACCRUED RETIREMENT COMPENSATION$4,031,482
CHARITABLE GIFT ANNUITIES/TRUST FUND OBLIGATIONS$309,422
OTHER LIABILITIES$302,442
FieldValueIRS element (for citing)
Total Liability$286,967,321TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART V, LINE 4FormAndLineReferenceDesc
ExplanationINTENDED USE OF ENDOWMENT FUNDS THE USE OF THE RESTRICTED ENDOWMENTS ARE SPECIFIED WHEN PUT IN PLACE BY THE DONORS. LIKE ALL ENDOWMENTS, ONLY THE DISTRIBUTED EARNED INCOME IS AVAILABLE FOR USE. THE UNRESTRICTED INCOME IS USED AT THE DISCRETION OF THE EXECUTIVE LEADERSHIP OF THE HOSPITAL FOR CAPITAL/BUILDING, EQUIPMENT AND PROGRAM NEEDS.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$667,517GrossReceiptsEvent1Amt
Charitable Contri Event1$453,825CharitableContriEvent1Amt
Gross Revenue Event1$213,692GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$230,923RentFacilityCostsEvent1Amt
Food And Beverage Event1$110,000FoodAndBeverageEvent1Amt
Entertainment Event1$192,872EntertainmentEvent1Amt
Other Direct Expenses Event1$143,600OtherDirectExpensesEvent1Amt
Gross Receipts Total$667,517GrossReceiptsTotalAmt
Charitable Contributions Tot$453,825CharitableContributionsTotAmt
Gross Revenue Total Events$213,692GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$230,923RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$110,000FoodAndBeverageTotalEventsAmt
Entertainment Total Events$192,872EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$143,600OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$677,395DirectExpenseSummaryEventsAmt
Net Income Summary-$463,703NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,742,802TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,742,802NetCommunityBenefitExpnsAmt
Total Expense0.00620TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$154,675,027TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$85,913,879DirectOffsettingRevenueAmt
Net Community Benefit Expns$68,761,148NetCommunityBenefitExpnsAmt
Total Expense0.07430TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,259TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,567DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$160,429,088TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$85,925,446DirectOffsettingRevenueAmt
Net Community Benefit Expns$74,503,950NetCommunityBenefitExpnsAmt
Total Expense0.08050TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,267,409TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,330,511DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,936,898NetCommunityBenefitExpnsAmt
Total Expense0.00430TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$30,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,395,548TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,395,548NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,692,957TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,330,511DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,362,446NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$167,122,045TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$87,255,957DirectOffsettingRevenueAmt
Net Community Benefit Expns$79,866,396NetCommunityBenefitExpnsAmt
Total Expense0.08630TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$308,047TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$308,047NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$308,047TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$308,047NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Reimbursed By Medicare$272,682,143ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$417,123,312CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$144,441,169MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn0FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 MISSION EDUCATION CONFERENCE CENTER LLC
PHYSICIAN OFFICE & CONF ED CT0.500000.000000.50000
2 MISSION AMBULATORY SURGICENTER LTD DBA MISSION SURGERY CENTER
OUTPATIENT SURGERY CENTER0.432200.000000.28870
3 MISSION VIEJO PHYSICIAN PARTNERS I LLC
MEDICAL OFFICE BUILDING0.248000.000000.11440
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MISSION HOSPITAL REGIONAL MEDICAL CTRBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line127700 MEDICAL CENTER ROADAddressLine1Txt
CityMISSION VIEJOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92691ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MISSION4HEALTH.ORGWebsiteAddressTxt
State License06000146StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MISSION HOSPITAL REGIONAL MEDICAL CTRBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted23CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt24ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E:THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE COMMUNITY'S HEALTH NEEDS, DENTIFIED THROUGH THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 5:IN CONDUCTING THE 2023 CHNA TO IDENTIFY NEEDS AND BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS AND OTHER KEY STAKEHOLDERS, REPRESENTATIVES FROM PROVIDENCE ORANGE COUNTY, IN PARTNERSHIP WITH CHARITABLE VENTURES, CARRIED OUT THREE APPROACHES TO GAIN COMMUNITY INPUT: 1) COMMUNITY LISTENING SESSIONS, 2) A KEY INFORMANT SURVEY, AND 3) DIALOGUE SESSIONS WITH LEADERS FROM EACH OF THE THREE PROVIDENCE ORANGE COUNTY HOSPITALS. EIGHT LISTENING SESSIONS WERE HELD WITH SPECIFIC COMMUNITIES THAT HAVE UNIQUE NEEDS: ASIAN AMERICAN/NATIVE HAWAIIAN/PACIFIC ISLANDER (AANHPI), BLACK/AFRICAN AMERICAN, LGBTQIA, INDIVIDUALS WITH DISABILITIES, OLDER ADULTS, KOREAN-SPEAKING, SPANISH-SPEAKING IN SOUTH ORANGE COUNTY, AND VIETNAMESE-SPEAKING. THESE SESSIONS WERE HELD ONLINE AS WELL AS IN PERSON, IN SETTINGS THAT WERE MOST ACCESSIBLE FOR PARTICIPANTS. THEY WERE CONDUCTED IN PARTNERSHIP WITH TRUSTED MESSENGER ORGANIZATIONS WITH UNIQUE CONNECTIONS AND LANGUAGE SKILLS TO REACH COMMUNITY MEMBERS. DURING THESE SESSIONS, THE NEEDS, ISSUES, BARRIERS, VISIONS FOR HEALTH, COMMUNITY STRENGTHS, AND IDEAS FOR INNOVATION, COLLABORATION, AND THE PURSUIT OF EQUITY WERE DISCUSSED. SEVEN SESSIONS WERE DIRECTED TOWARD RESIDENTS, WITH ONE SPECIFIC TO THE MISSION HOSPITAL SERVICE AREA (SOUTH ORANGE COUNTY-SPANISH-SPEAKING), AND ONE WAS DIRECTED TOWARD PROVIDERS TO THE AANHPI COMMUNITY. THE KEY INFORMANT SURVEY WAS DISTRIBUTED WIDELY TO FAITH- AND COMMUNITY-BASED ORGANIZATIONS, SCHOOL DISTRICTS, AND EDUCATIONAL INSTITUTIONS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), MEDICAL CENTERS, LAW ENFORCEMENT, CITY REPRESENTATIVES, GOVERNMENT AGENCIES, AND OTHER PROVIDERS AND LEADERS KNOWLEDGEABLE ABOUT COMMUNITY HEALTH. FINALLY, FEEDBACK FROM THE PROVIDENCE LEADERSHIP WAS ALSO OBTAINED. OUR PUBLIC HEALTH AGENCY, THE ORANGE COUNTY HEALTH CARE AGENCY, WAS ENGAGED THROUGH KEY INFORMANT SURVEYS AND WAS REPRESENTED ON MISSION HOSPITAL'S COMMUNITY HEALTH COMMITTEE, WHERE PRIORITY AREAS WERE IDENTIFIED. OUR COMMUNITY HEALTH INVESTMENT LEADERS MAINTAINED CLOSE COMMUNICATIONS WITH KEY ORANGE COUNTY HEALTH CARE AGENCY STAFF WHO WERE CONDUCTING A COINCIDING NEEDS ASSESSMENT FOR ORANGE COUNTY. THE OC HEALTH CARE AGENCY OFFICE OF POPULATION HEALTH AND EQUITY PRIORITIES FOR 2023-2028 AND THE 2020-2022 ORANGE COUNTY HEALTH IMPROVEMENT PLAN WERE REVIEWED AND USED AS A REFERENCE TO ENSURE ALIGNMENT WITH COUNTY PUBLIC HEALTH FINDINGS AND PRIORITIES.
SCHEDULE H, PART V, SECTION B, LINE 6A:OTHER HOSPITAL FACILITIES THAT CONDUCTED THE CHNA:ST JUDE MEDICAL CENTER AND ST JOSEPH HOSPITAL ORANGE.
SCHEDULE H, PART V, SECTION B, LINE 7A, CHNA REPORT WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTS PLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB, MISSION VIEJO AND LAGUNA BEACH.
SCHEDULE H, PART V, SECTION B, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTS PLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB, MISSION VIEJO AND LAGUNA BEACH.
SCHEDULE H, PART V, SECTION B, LINE 11:FOR CALENDAR YEARS 2024-2026, THE HOSPITAL IDENTIFIED THE FOLLOWING THREE (3) PRIORITIES: PRIORITY 1: ACCESS TO CARE ACCESS TO CARE GOES BEYOND MEDICAL CARE AND INCLUDES DENTAL, VISION, PRIMARY CARE, TRANSPORTATION, CULTURALLY APPROPRIATE CARE, AND CARE COORDINATION. PEOPLE WITHOUT INSURANCE ARE LESS LIKELY TO HAVE A PRIMARY CARE PROVIDER AND MAY NOT BE ABLE TO AFFORD THE HEALTH CARE SERVICES AND MEDICATIONS THEY NEED. STRATEGIES TO INCREASE INSURANCE COVERAGE RATES ARE CRITICAL FOR ENSURING THAT MORE PEOPLE RECEIVE IMPORTANT HEALTH CARE SERVICES, SUCH AS PREVENTIVE CARE AND TREATMENT FOR CHRONIC ILLNESSES. IN 2024, THIS NEED WAS ADDRESSED BY: 1. FAMILY RESOURCE CENTERS PROVIDE HEALTH AND SOCIAL SERVICES TO LOW-INCOME RESIDENTS AND THOSE UNINSURED/UNDERINSURED IN SAN JUAN CAPISTRANO AND LAKE FOREST. SERVICES INCLUDE CONNECTING RESIDENTS TO HEALTH CARE, PREVENTATIVE AND HOUSING RESOURCES. SPONSORED BY MISSION HOSPITAL IN COLLABORATION WITH COMMUNITY NONPROFIT AGENCIES, THESE CENTERS ARE FULL-SERVICE WRAP-AROUND RESOURCE CENTERS FOR COMMUNITIES IN NEED. IN 2024, 1360 INDIVIDUALS RECEIVED EDUCATION ON MEDI-CAL EXPANSION TO AID IN A SEAMLESS TRANSITION TO MEDI-CAL, OF WHICH 690 INDIVIDUALS ENROLLED IN HEALTH INSURANCE THROUGH THE CENTERS. 2. PROVIDING YEAR-ROUND GRANT FUNDING TO FRIENDSHIP SHELTER AND FAMILY ASSISTANCE MINISTRIES. FRIENDSHIP SHELTER OPERATES THE CITY OF LAGUNA BEACH'S ALTERNATIVE SLEEPING LOCATIONS (ASL) EMERGENCY SHELTER, PROVIDING MEALS, SHOWERS, LAUNDRY, AND RESOURCES TO CONNECT GUESTS TO HOUSING, HEALTHCARE AND MENTAL HEALTH CARE. FAMILY ASSISTANCE MINISTRIES PARTNERED WITH MISSION HOSPITAL TO PROVIDE SHORT-TERM MOTEL ACCOMMODATIONS FOR HOMELESS PATIENTS DISCHARGED FROM THE HOSPITAL. BOTH COLLABORATIONS ALLOW MISSION HOSPITAL TO SERVE THE NEEDS OF ITS VULNERABLE COMMUNITIES AND PROVIDE THESE RESIDENTS WITH THE WRAP-AROUND SUPPORT NEEDED TO DEVELOP LONGER-TERM HOUSING SOLUTIONS. FRIENDSHIP SHELTER ASSISTED 18 INDIVIDUALS WITH 1980 BED NIGHTS & FAMILY ASSISTANCE MINISTRIES PROVIDED 67 INDIVIDUALS WITH 957 MOTEL NIGHTS; THIS PROVIDES STABILIZATION AND A SAFE PLACE TO BE WHILE BRIDGING THE CLIENTS TO LONG-TERM HOUSING. 3. HOSPITAL PATIENTS REQUIRING POST DISCHARGE HOUSING AND RECUPERATIVE CARE ARE CONNECTED TO RECUPERATIVE CARE SERVICES. RECUPERATIVE CARE PROVIDERS OFFER CASE MANAGEMENT AND CONNECT PEOPLE EXPERIENCING HOMELESSNESS WITH HOUSING, MEDICAL CARE, MENTAL HEALTH, AND WORKFORCE SERVICES. IN 2024, 112 INDIVIDUALS WERE PLACED IN RECUPERATIVE CARE PROGRAMS THAT IMPROVED CONTINUITY OF CARE. PRIORITY 2: BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH & SUBSTANCE USE) MENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING. IT AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE HEALTHY CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD. MENTAL HEALTH PROGRAMS INCLUDE THE PREVENTION, SCREENING, ASSESSMENT, AND TREATMENT OF MENTAL DISORDERS AND BEHAVIORAL CONDITIONS. MENTAL HEALTH IS AN IMPORTANT PART OF OVERALL HEALTH AND WELL-BEING. SUBSTANCE USE/MISUSE OCCURS WHEN THE RECURRENT USE OF ALCOHOL OR DRUGS CAUSES CLINICALLY SIGNIFICANT IMPAIRMENT, INCLUDING HEALTH PROBLEMS, DISABILITY, AND INABILITY TO MEET MAJOR RESPONSIBILITIES AT WORK, SCHOOL, OR HOME. SUBSTANCE USE/MISUSE INCLUDES THE USE OF ILLEGAL DRUGS AND THE INAPPROPRIATE USE OF LEGAL SUBSTANCES, SUCH AS ALCOHOL, PRESCRIPTION DRUGS, AND TOBACCO. IN 2024, THIS NEED WAS ADDRESSED BY: 1. UTILIZING EVIDENCE-BASED THERAPEUTIC SERVICES, INCLUDING SUPPORT GROUPS, INDIVIDUAL THERAPY, PSYCHIATRY, AND PSYCHOEDUCATIONAL GROUPS IN AN IN-HOUSE PROGRAM. ABOUT 236 INDIVIDUALS RECEIVED MENTAL HEALTH COUNSELING, OF WHICH 25 ALSO ENGAGED IN PSYCHIATRY SERVICES AND AN ADDITIONAL 134 INDIVIDUALS PARTICIPATED IN SUPPORT & PSYCHOEDUCATION GROUPS. A REGIONAL EFFORT WAS MADE BY PROVIDENCE, FOR THREE ORANGE COUNTY HOSPITALS TO TAKE PART IN A GRANT FUNDED PSYCHIATRY PROGRAM, AT MISSION HOSPITAL THIS INITIATIVE IS IMPLEMENTED AT THE FAMILY RESOURCE CENTERS TO PROVIDE CULTURALLY SENSITIVE PSYCHIATRY SERVICES TO THE MOST VULNERABLE AND UNDERINSURED RESIDENTS INCLUDING CHILDREN, TEENS AND ADULTS. SERVICES INCLUDE ASSESSMENT, DIAGNOSIS, AND TREATMENT OF MENTAL, EMOTIONAL AND BEHAVIORAL DISORDERS. 2. THE EACH MIND MATTERS CAMPAIGN REDUCES STIGMA AND INCREASES AWARENESS OF MENTAL HEALTH THROUGH THE 'PROMISE TO TALK' STIGMA REDUCTION CAMPAIGN, A REGIONAL EFFORT BY THE THREE ORANGE COUNTY HOSPITALS THAT ARE PART OF THE PROVIDENCE ST. JOSEPH HEALTH SYSTEM. MISSION HOSPITAL INVESTED $88,177 IN EACH MIND MATTERS. THE 'PROMISE TO TALK' CAMPAIGN ACQUIRED 3.6 MILLION IMPRESSIONS ACROSS ALL SOCIAL MEDIA AND WEB PLATFORMS. IN 2024, 21,073 TOTAL ENCOUNTERS WERE COMPLETED, AND 850 TOTAL PROMISES WERE MADE. THE PROMISE TO TALK WEBSITE HAD 12,651 VISITS. THE GREEN BENCH OC IS A CAMPAIGN TO MAKE THE GREEN BENCH A RECOGNIZABLE SYMBOL OF MENTAL HEALTH STIGMA REDUCTION IN ORANGE COUNTY, AIMING TO REDUCE MENTAL HEALTH STIGMA IN TARGET COMMUNITIES. THE GREEN BENCH SYMBOLIZES A PLACE TO TALK TO SOMEONE ABOUT MENTAL HEALTH. THIS CAMPAIGN ALLOWS US TO CONTINUE HAVING IMPORTANT CONVERSATIONS WITH COMMUNITY MEMBERS AND CREATE INTEREST AROUND THE STIGMA REDUCTION MOVEMENT. IN 2024, WE PARTNERED WITH 19 ORGANIZATIONS AND PAINTED OR INSTALLED 28 GREEN BENCHES AT PARKS, SCHOOLS, COMMUNITY-BASED ORGANIZATIONS, AND ALL THREE PROVIDENCE HOSPITALS. 3. IN 2024, PROVIDENCE MISSION HOSPITAL ADDRESSED YOUTH SUBSTANCE BY PROVIDING EDUCATION AND AWARENESS THROUGH COMMUNITY-BASED SOCIAL MEDIA CAMPAIGNS: RAISING HEALTHY TEENS (FOR PARENTS), CRIANZA POSITIVA (SPANISH-LANGUAGE), AND STRENGTH IN NUMBERS (FOR YOUTH). THESE EFFORTS REACHED 2,595 UNIQUE INDIVIDUALS INCLUDING STUDENTS, PARENTS, AND YOUTH-SERVING ADULTS IN SOUTH ORANGE COUNTY AND 3,122 ENCOUNTERS, WITH OVER 492,000 IMPRESSIONS (NUMBER OF AD EXPOSURES) AND 16,070 DIGITAL ENGAGEMENTS (NUMBER OF CLICKS ACROSS ALL DIGITAL ADS AND SOCIAL SHARES). THESE CAMPAIGNS ARE BUILDING A MORE SUPPORTIVE COMMUNITY BY PROVIDING FAMILIES WITH TOOLS TO STRENGTHEN COMMUNICATION AND HELP TEENS REACH THEIR FULL POTENTIAL-FREE FROM DRUGS AND ALCOHOL. PRIORITY 3: ECONOMIC SECURITY AN INDIVIDUAL'S INCOME IS DIRECTLY CONNECTED TO POVERTY. IF A PERSON OR FAMILY'S TOTAL INCOME IS LESS THAN CERTAIN FEDERAL POVERTY MEASURES, THEN THEY ARE CONSIDERED TO BE IN POVERTY. PEOPLE WITH DISABILITIES, INJURIES, OR CONDITIONS LIKE ARTHRITIS MAY BE ESPECIALLY LIMITED IN THEIR ABILITY TO WORK. IN ADDITION, MANY PEOPLE WITH STEADY WORK STILL DON'T EARN ENOUGH TO AFFORD THE THINGS THEY NEED TO STAY HEALTHY. EMPLOYMENT PROGRAMS, CAREER COUNSELING, AND HIGH-QUALITY CHILDCARE OPPORTUNITIES CAN HELP MORE PEOPLE FIND AND KEEP JOBS. FURTHERMORE, POLICIES TO HELP PEOPLE PAY FOR FOOD, HOUSING, HEALTH CARE, AND EDUCATION CAN REDUCE POVERTY AND IMPROVE HEALTH AND WELL-BEING. IN 2024, THIS NEED WAS ADDRESSED BY: 1. NEW PARTNERSHIPS ESTABLISHED THROUGH THE FAMILY RESOURCE CENTERS TO COORDINATE EMPLOYMENT, ENTREPRENEURSHIP AND FINANCIAL EMPOWERMENT. BY PROVIDING ACCESS TO EDUCATION, MENTORSHIP AND ESSENTIAL RESOURCES THAT FOSTER ECONOMIC STABILITY AND EMPOWERING INDIVIDUALS AND FAMILIES TO ACHIEVE THEIR FINANCIAL GOALS. 2. ONE KEY PARTNER IS ORANGE COUNTY UNITED WAY WITH ITS SIGNATURE SPARKPOINT OC PROGRAM THAT PROVIDED FREE 12-MONTH FINANCIAL LITERACY COACHING TO INDIVIDUALS AND FAMILIES THAT INCLUDED TOPICS SUCH AS SAVINGS STRATEGIES, MANAGING IRA ACCOUNTS, BUDGETING, AND IMPROVING FICO SCORES. IN 2024, 10 FAMILIES RECEIVED PERSONALIZED ONE-ON-ONE SUPPORT. 3. CIELO, A NON-PROFIT ORGANIZATION, EMPOWERS ASPIRING ENTREPRENEURS BY OFFERING FREE BUSINESS WORKSHOPS AND SUPPORT TO HELP INDIVIDUALS TRANSFORM THEIR PROJECTS INTO SUSTAINABLE BUSINESSES THROUGH MENTORSHIP. 4. FOR SIX YEARS, THE COPE HEALTH SCHOLARS PROGRAM PROVIDES YOUNG ADULTS WITH MEDICAL INTERNSHIPS IN MULTIPLE DEPARTMENTS. THE PROGRAM IS 15 MONTHS LONG AND IS GEARED TOWARD FIRST-GENERATION ADULTS WHO ARE RACIALLY DIVERSE. PROGRAMS SHOWCASE THE MANY OPPORTUNITIES IN HEALTH CARE AND PROGRESSIVELY INTEGRATE COMMUNITY INTO THE FUTURE HEALTH CARE WORKFORCE. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. OUR MISSION, "AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE," IS BEST LIVED BY PARTNERING WITH LIKE-MINDED ORGANIZATIONS THAT HAVE THE CAPACITY AND EXPERTISE TO ADDRESS THE NEEDS OF ORANGE COUNTY RESIDENTS. WE ARE COMMITTED TO LIVING OUT OUR MISSION THROUGH OUR OWN COMMUNITY BENEFIT PROGRAMS, BY PARTNERING WITH LIKE-MINDED ORGANIZATIONS, AND BY FUNDING OTHER NON-PROFITS.
SCHEDULE H, PART V, SECTION B, LINE 11: (CONTINUE)FURTHERMORE, PROVIDENCE MISSION HOSPITAL WILL ENDORSE LOCAL NON-PROFIT ORGANIZATIONS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT MISSION'S SERVICE AREAS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE HOSPITAL'S 2023 CHNA WILL NOT BE ADDRESSED, AND AN EXPLANATION IS PROVIDED BELOW: CULTURALLY AND LINGUISTICALLY CONCORDANT SERVICES WHILE THIS WAS NOT SELECTED AS A PRIORITY ISSUE, MISSION HOSPITAL WORKS TO INTEGRATE CULTURALLY AND LINGUISTICALLY CONCORDANT SERVICES IN ITS COMMUNITY-BASED PROGRAMMING AND PROVIDES INTERPRETER SERVICES FOR MULTIPLE LANGUAGES IN ITS HOSPITAL-BASED SETTINGS. ISOLATION MISSION HOSPITAL DOES NOT DIRECTLY ADDRESS ISSUES OF ISOLATION IN THE COMMUNITY; HOWEVER, IT WORKS WITH LOCAL ORGANIZATIONS THAT ADDRESS THIS ISSUE THROUGH COMMUNITY BUILDING AND OTHER COMMUNITY-BASED OUTREACH. HOUSING MISSION HOSPITAL DOES NOT DIRECTLY ADDRESS HOUSING; HOWEVER, WE PARTNER WITH SEVERAL SOUTH COUNTY ORGANIZATIONS WITH EXPERTISE IN HOUSING. IN 2024, THE CARE NAVIGATION PROGRAM PROVIDED CARE NAVIGATION SERVICE TO 357 UNSTABLY HOUSED INDIVIDUALS. ALONG WITH THE PROGRAM, IN COLLABORATION, MISSION HOSPITAL, FAM, AND FRIENDSHIP SHELTER PROVIDED BRIDGE AND PERMANENT HOUSING SOLUTION FOR IDENTIFIES RESIDENTS IN SOUTH ORANGE COUNTY. ACCESS TO SAFE, RELIABLE, AFFORDABLE TRANSPORTATION MISSION HOSPITAL CURRENTLY FUNDS AGE WELL'S SENIOR NON-EMERGENCY TRANSPORTATION SERVICES THAT PROVIDES SAFE TRANSPORT, TO LOW-INCOME SENIORS, TO AND FROM MEDICAL APPOINTMENTS. APPROXIMATELY 518 UNIQUE SENIORS RECEIVED ACCESS TO 3,233 AGE-APPROPRIATE TRANSPORTATION RIDES. IN ADDITION, UBER HEALTH SERVICES IS UTILIZED FOR SAFE DISCHARGES FOR PATIENTS WHO LACK SAFE TRANSPORTATION. IN 2024, UBER HEALTH WAS PROVIDE TO 348 PATIENTS DISCHARGING FROM THE HOSPITAL. ACCESS TO DENTAL CARE MISSION HOSPITAL DOES NOT DIRECTLY PROVIDE DENTAL SERVICES; HOWEVER, WE PARTNER WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS THAT OFFER THIS SERVICE. IN EXAMPLE, CAMINO HEALTH CENTERS THAT HAVE THREE LOCATIONS STRATEGICALLY PLACED IN SOUTH ORANGE COUNTY. AGING CONCERNS AND ISSUES COMPARED TO OTHER PRIORITIES FACING THE COMMUNITY, THIS ISSUE WAS NOT SELECTED. MISSION HOSPITAL FUNDS AGE WELL SENIOR SERVICES TO PROVIDE NON-EMERGENCY MEDICAL TRANSPORTATION FOR THOSE NEEDING ACCESS TO MEDICAL SERVICES IN SOUTH ORANGE COUNTY. FOOD INSECURITY MISSION HOSPITAL DOES NOT DIRECTLY ADDRESS FOOD INSECURITY; HOWEVER, WE PARTNER WITH COMMUNITY ORGANIZATIONS THAT HELP ADDRESS THIS ISSUE. IN COLLABORATION WITH SECOND FOOD HARVEST, THE SOUTH ORANGE COUNTY FAMILY RESOURCE CENTER HOST A MOBILE FOOD PANTRY ONCE A MONTH, YEAR-ROUND. IN ADDITION, PARTNERSHIPS WITH COALITION, SOCIAL SERVICES AGENCY, AND COMMUNITY HEALTH INITIATIVE OF ORANGE COUNTY CREATED OPEN ACCESS TO CAL-FRESH ENROLLMENT IN SOUTH ORANGE COUNTY. DOMESTIC VIOLENCE, CHILD ABUSE/NEGLECT MISSION HOSPITAL DOES NOT DIRECTLY ADDRESS DOMESTIC VIOLENCE; HOWEVER, WE PARTNER WITH COMMUNITY ORGANIZATIONS WHICH SPECIALIZE IN DOMESTIC VIOLENCE AND CHILD ABUSE/NEGLECT THROUGH OUR OPERATION OF TWO-FAMILY RESOURCE CENTERS. IN ADDITION, MISSION HOSPITAL WILL COLLABORATE, WHEN FEASIBLE, WITH ORGANIZATIONS THAT ADDRESS THE AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE AND REFERRAL TO ADDRESS THESE UNMET NEEDS.
SCHEDULE H, PART V, LINE 16A:FAP WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, LINE 16B:FAP APPLICATION WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, LINE 16C:FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, LINE 20ETHE HOSPITAL(S) DID NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR.
SCHEDULE H, PART V, LINE 24IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE.
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Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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:MISSION HOSPITAL REGIONAL MEDICAL CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/SOCAL/MISSION-HOSPITAL-MISSION-VIEJO/ABOUT-US/COMMUNITY-BENEFIT
PART I, LINE 7:THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER.
PART I, LINE 7G:NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
PART II, COMMUNITY BUILDING ACTIVITIES:FOSTERING A PREPARED AND PRODUCTIVE WORKFORCE IS THE PRIMARY FOCUS OF OUR COMMUNITY BUILDING AT MISSION. WE ACHIEVE THIS EFFORT THROUGH CONTINUED COLLABORATION WITH CAPISTRANO UNIFIED SCHOOL DISTRICT'S ADULT TRANSITION PROGRAM. SINCE 2006, MISSION HOSPITAL, THROUGH ITS PROJECT MISSION PROGRAM, HAS HOSTED YOUNG ADULTS WITH DISABILITIES EACH FALL, PROVIDING THEM WITH WORK EXPERIENCE IN A HOSPITAL SETTING. THESE STUDENT INTERNS ARE PLACED IN HOSPITAL DEPARTMENTS SUCH AS NUTRITIONAL CARE SERVICES, ENVIRONMENTAL SERVICES, AND CENTRAL SUPPLY TO LEARN JOB SKILLS THAT WILL HELP THEM ATTAIN LONG-TERM EMPLOYMENT EITHER AT THE HOSPITAL OR WITH A LOCAL ORGANIZATION. MANY OF THESE STUDENTS WOULD FACE SIGNIFICANT CHALLENGES IN OBTAINING PERMANENT, ONGOING WORK BECAUSE OF THEIR DISABILITIES. IN 2024, A TOTAL OF 9 INTERNS RECEIVED 341 HOURS OF MENTORING AND JOB COACHING SUPPORT. LEADERSHIP DEVELOPMENT: MISSION HOSPITAL HAS PARTNERED WITH THE SISTERS OF ST. JOSEPH TO FOSTER LEADERSHIP DEVELOPMENT AS PART OF THEIR ST. JOSEPH WORKER PROGRAM. THIS PROGRAM SUPPORTS WOMEN IN A 10-MONTH FORMATION PROGRAM WITH THE SISTERS, DURING WHICH THEY WORK WITH LOCAL COMMUNITIES AND DEVELOP PUBLIC HEALTH AND ADVOCACY SKILLS. MISSION HOSPITAL HOSTED TWO ST. JOSEPH WORKERS, WHO COMPLETED 173 HOURS OF SERVICE AND DEVELOPMENT. THE HOSPITAL PROVIDED $308,047 IN COMMUNITY-BUILDING ACTIVITIES BY OFFERING THE COPE HEALTH SCHOLARS PROGRAM. COPE PROVIDES YOUNG ADULTS WITH MEDICAL INTERNSHIPS IN MULTIPLE DEPARTMENTS. THE PROGRAM IS 15 MONTHS LONG AND IS GEARED TOWARD FIRST-GENERATION ADULTS WHO ARE RACIALLY DIVERSE. IN 2024, 184 YOUNG SCHOLARS COMPLETED 4,532 HOURS OF CLINICAL/ADMINISTRATIVE EXPERIENCE AND WORKFORCE DEVELOPMENT.
PART III, LINE 4:AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019.
PART III, LINE 8:THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
PART III, LINE 9B:COLLECTION ACTIVITY: OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH, AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT-SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE. PROVIDENCE ENSURES THAT THE 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 2:AN ANNUAL MARKET ASSESSMENT IS COMPLETED FOR OUR LOCAL MARKET, PROVIDING INFORMATION ON DEMOGRAPHICS, COUNTY HEALTH RANKINGS, PHYSICIAN LANDSCAPE, ACUTE CARE UTILIZATION RATES, MARKET SHARE, OUTMIGRATION TO OTHER MEDICAL FACILITIES FOR TREATMENT, EMERGENCY DEPARTMENT AND ANCILLARY UTILIZATION, AS WELL AS SERVICE LINE FORECASTS. IN ADDITION, OUR COMMUNITY HEALTH INVESTMENT TEAM WORKS CLOSELY WITH NONPROFITS AND RESIDENTS THROUGH OUR OUTREACH PROGRAMS AND FAMILY RESOURCE CENTERS. THROUGH THIS CLOSE CONTACT, THE TEAM CONSISTENTLY ASSESSES NEEDS AND MAY CREATE ADDITIONAL OPPORTUNITIES FOR UNIQUE SERVICES AS IDENTIFIED THROUGHOUT THE YEAR.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.
PART VI, LINE 4:COMMUNITY INFORMATIONMISSION HOSPITAL PROVIDES SOUTH ORANGE COUNTY COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL'S SERVICE AREA EXTENDS FROM THE JUNCTION OF THE 405 AND 5 FREEWAYS IN THE NORTH TO CAMP PENDLETON IN THE SOUTH, THE SANTA ANA MOUNTAINS IN THE EAST, AND THE PACIFIC OCEAN IN THE WEST. OUR HOSPITAL'S TOTAL SERVICE AREA INCLUDES THE CITIES OF ALISO VIEJO, CAPISTRANO BEACH, DANA POINT, FOOTHILL RANCH, LADERA RANCH, LAGUNA BEACH, LAGUNA HILLS, LAGUNA NIGUEL, LAGUNA WOODS, LAKE FOREST, MISSION VIEJO, RANCHO SANTA MARGARITA, SAN CLEMENTE, SAN JUAN CAPISTRANO, AND TRABUCO CANYON. TOTAL SERVICE AREA: THE TOTAL SERVICE AREA FOR MISSION HOSPITAL WAS DEFINED USING CENSUS TRACTS INSIDE SOUTH ORANGE COUNTY. IN TOTAL, THERE ARE 114 CENSUS TRACTS WITHIN THE TOTAL SERVICE AREA OF MISSION HOSPITAL. THE TOTAL SERVICE AREA WAS LATER DIVIDED INTO THE "BROADER SERVICE AREA AND "HIGH-NEED SERVICE AREA" (TOTAL SERVICE AREA = BROADER SERVICE AREA + HIGH-NEED SERVICE AREA). OF THE OVER 581,000 PERMANENT RESIDENTS IN THE TOTAL SERVICE AREA, ROUGHLY 43% LIVE IN THE HIGH-NEED AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FEDERAL POVERTY LEVEL (FPL) COMPARED TO CENSUS TRACTS IN THE TOTAL SERVICE AREA. FOR REFERENCE, 200% OF FPL IS EQUIVALENT TO AN ANNUAL HOUSEHOLD INCOME OF $53,000 OR LESS FOR A FAMILY OF FOUR. THESE HOUSEHOLDS ARE MORE LIKELY TO REGULARLY MAKE SPENDING TRADEOFFS REGARDING UTILITIES, RENT, GROCERIES, MEDICINE, AND OTHER BASIC EXPENSES. POPULATION AND AGE DEMOGRAPHICS: THE POPULATION IN MISSION HOSPITAL'S TOTAL SERVICE AREA MAKES UP 18% OF ORANGE COUNTY. THE MALE-TO-FEMALE DISTRIBUTION IS ROUGHLY EQUAL ACROSS THE GEOGRAPHIES. INDIVIDUALS AGES 18-34 AND 65 AND OLDER ARE MORE LIKELY TO LIVE IN HIGH NEEDS CENSUS TRACTS. POPULATION BY RACE AND ETHNICITY: INDIVIDUALS WHO IDENTIFY AS HISPANIC, ASIAN, BLACK/AFRICAN AMERICAN, AND "OTHER" RACE ARE OVERREPRESENTED IN HIGH-NEED CENSUS TRACTS COMPARED TO MISSION HOSPITAL SERVICE AREA OVERALL. PEOPLE IDENTIFYING AS WHITE ARE LESS LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS. SOCIOECONOMIC INDICATORS: THE MEDIAN INCOME FOR THE TOTAL SERVICE AREA FOR MISSION HOSPITAL IS ABOUT $25,000 HIGHER THAN ORANGE COUNTY OVERALL. THERE IS OVER A $42,000 DIFFERENCE IN MEDIAN INCOME BETWEEN MISSION HOSPITAL'S BROADER SERVICE AREA AND THE HIGH-NEED SERVICE AREA. HOUSING COST BURDEN: SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS THAT SPEND 50% OR MORE OF THEIR INCOME ON HOUSING COSTS. THE TOTAL SERVICE AREA AND ORANGE COUNTY HAVE ROUGHLY THE SAME PERCENTAGE OF RENTER HOUSEHOLDS THAT ARE SEVERELY HOUSING COST BURDENED (28%). IN THE HIGH-NEED SERVICE AREA, 31.2% OF RENTER HOUSEHOLDS ARE SEVERELY HOUSING COST BURDENED. WITHIN THE TOTAL SERVICE AREA THERE ARE CENSUS TRACTS IN WHICH OVER 50% OF HOUSEHOLDS ARE EXPERIENCING SEVERE HOUSING COST BURDEN. HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND MEDICALLY UNDERSERVED AREAS (MUA) & MEDICALLY UNDERSERVED POPULATIONS (MUP): THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). MISSION HOSPITAL IS NOT LOCATED IN A SHORTAGE AREA. MEDICALLY UNDERSERVED AREAS (MUA) AND MEDICALLY UNDERSERVED POPULATIONS (MUP) ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MUA ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND COMPARED WITH NATIONAL AVERAGES TO DETERMINE AN AREA'S LEVEL OF MEDICAL "UNDER SERVICE". MUP ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MUA AND MUP ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. MISSION HOSPITAL VIEJO AND MISSION HOSPITAL LAGUNA BEACH CAMPUSES ARE NOT LOCATED IN MEDICALLY UNDERSERVED AREAS. HOWEVER, COASTAL COMMUNITES WITHIN THEIR TOTAL SERVICE AREA, STRETCHING BETWEEN DANA POINT AND SAN CLEMENTE, ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS/MEDICALLY UNDERSERVED POPULATIONS, SIGNIFYING THE IMPORTANCE OF MISSION HOSPITAL TO THE COMMUNITY IT SERVES. OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITAL IN THE COMMUNITY INCLUDE: SADDLEBACK HOSPITAL.
PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTHMISSION HOSPITAL PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. MISSION HOSPITAL IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) A COMMUNITY HEALTH COMMITTEE THAT HAS COMMUNITY REPRESENTATION AND IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES. 2) OPEN MEDICAL STAFF. 3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. LOCAL COMMUNITY HEALTH COMMITTEE: THE ROLE OF THE MISSION HOSPITAL'S COMMUNITY HEALTH (CH) COMMITTEE IS TO SUPPORT THE LOCAL MINISTRY BOARD IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE CH COMMITTEE ACTS IN ACCORDANCE WITH A BOARD APPROVED CHARTER. THE CH COMMITTEE IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS "IDENTIFIED SIGNIFICANT NEEDS" IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES. THE CH COMMITTEE HAS A MINIMUM OF EIGHT (8) MEMBERS INCLUDING THREE (3) MEMBERS OF THE LOCAL MINISTRY BOARD. CURRENT MEMBERSHIP INCLUDES FOUR (4) MEMBERS OF THE MINISTRY BOARD AND FIVE (5) COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS, MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE CH COMMITTEE GENERALLY MEETS SIX TIMES PER YEAR. IN 2024, MEETINGS WERE HELD IN PERSON AND/OR VIRTUALLY, THUS PARTICIPATION REMAINED HIGH AND TECHNOLOGY ALLOWED FOR OPEN ENGAGEMENT AMONG MEMBERS.
PART VI, LINE 6:AFFILIATED HEALTH CARE SYSTEM: FOR NEARLY 170 YEARS, PROVIDENCE HAS BEEN DEDICATED TO SUPPORTING COMMUNITIES ACROSS THE SEVEN STATES WE SERVE. WE HAVE ALWAYS BELIEVED IN THE POWER OF COLLABORATION, RECOGNIZING THAT STRONG PARTNERSHIPS ARE ESSENTIAL TO OUR VISION OF HEALTH FOR A BETTER WORLD. AS WE FOCUS ON OUR CORE OPERATIONS OF DELIVERING HIGH-QUALITY, COMPASSIONATE CARE, WE RELY ON PARTNERS IN LOCAL COMMUNITIES TO HELP US GET UPSTREAM SO WE CAN ADDRESS THE SOCIAL FACTORS THAT AFFECT HEALTH, ESPECIALLY IN COMMUNITIES EXPERIENCING HIGH LEVELS OF HEALTH DISPARITIES. AT THE HEART OF THIS COLLABORATION IS OUR COMMUNITY BENEFIT PROGRAMS. EVERY YEAR, OUR FAMILY OF ORGANIZATIONS IDENTIFIES UNMET COMMUNITY NEEDS AND RESPONDS WITH STRATEGIC CONTRIBUTIONS AND PARTNERSHIPS. THROUGH THIS WORK, WE AIM TO MEET BASIC HEALTH NEEDS, REMOVE BARRIERS TO HEALTH, BUILD RESILIENT COMMUNITIES AND FIND INNOVATIVE WAYS TO SERVE THOSE WHO ARE MOST VULNERABLE. TOGETHER, OUR 125,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,014 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. PROVIDENCE ACROSS FIVE WESTERN STATES: - ALASKA - MONTANA - OREGON - NORTHERN CALIFORNIA - SOUTHERN CALIFORNIA - WASHINGTON THE PROVIDENCE AFFILIATE FAMILY INCLUDES: - COVENANT HEALTH IN WEST TEXAS AND NEW MEXICO - FACEY MEDICAL GROUP IN LOS ANGELES, CA. - KADLEC IN SOUTHEAST WASHINGTON - PACIFIC MEDICAL CENTERS IN SEATTLE, WA. - SWEDISH HEALTH SERVICES IN SEATTLE, WA. IN 2024, PROVIDENCE MINISTRIES AND AFFILIATES PROVIDED $1.9 BILLION IN COMMUNITY BENEFIT PROGRAMS. THIS INCLUDES FREE AND DISCOUNTED CARE, UNCOMPENSATED AND SUBSIDIZED CARE, AND OTHER COMMUNITY HEALTH ACTIVITIES. ONE OF THESE VITAL PROGRAMS, MEDICAID, IS A LIFELINE FOR MILLIONS OF INDIVIDUALS, INCLUDING SENIORS, CHILDREN, PREGNANT PATIENTS, THOSE WITH DISABILITIES AND VETERANS. WE ARE GRATEFUL TO EVERYONE IN OUR COMMUNITIES WHO HAS JOINED US IN ADVOCATING FOR CONTINUED FUNDING AND EXPANSION OF THIS PROGRAM. TOGETHER, WE ARE HELPING TO ENSURE MORE PEOPLE HAVE ACCESS TO NEEDED CARE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT THROUGH OUR COMMUNITY BENEFIT PROGRAMS, WE FOCUS ON MEETING THE DIVERSE NEEDS OF THE PEOPLE WE SERVE BY WORKING TO ENSURE BASIC HEALTH NEEDS ARE MET, REMOVING BARRIERS TO CARE, BUILDING COMMUNITY RESILIENCE AND INNOVATING FOR THE FUTURE. PROVIDENCE CONTINUES TO WORK TOWARDS CARBON NEGATIVE AND IN 2024 DECREASED EMISSIONS BY 19 PERCENT COMPARED TO OUR 2019 BASELINE. OUR EFFORTS EARNED US A SYSTEM RECORD 55 ENVIRONMENTAL EXCELLENCE AWARDS FROM PRACTICE GREENHEALTH AND MADE US THE FIRST LARGE SYSTEM TO RECEIVE THE JOINT COMMISSION'S SUSTAINABLE HEALTHCARE CERTIFICATION IN 2024 FOR EACH OF OUR HOSPITALS. THE FOLLOWING ARE KEY EXAMPLES OF HOW WE ARE INVESTING IN ADVANCING THE HEALTH OF OUR COMMUNITIES: ST. JOSEPH FUND: ST. JOSEPH FUND (SJF) IS PROVIDENCE'S GRANTMAKING FOUNDATION. IT INVESTS IN AND FOSTERS LONG-TERM PARTNERSHIPS, ROOTED IN LOVE, WITH COMMUNITIES TO ENSURE THEY ARE LIVELY, HOPEFUL, HEALTHY, AND JUST. ITS PARTNERSHIPS ARE TAILORED TO PROVIDE EACH GROUP WITH CAPACITY-BUILDING SUPPORT SPECIFIC TO THEIR NEEDS. TOGETHER, THEY BUILD RELATIONSHIPS AND FOSTER ONGOING DIALOGUES BEYOND A GRANT TERM. EACH PARTNERSHIP ENCOURAGES THE ACCESSIBILITY OF STAFF TO GENERATE IDEAS AND INNOVATIONS. SJF INVESTS IN REGIONAL NONPROFITS AND COLLABORATIVES ACROSS ALASKA, CALIFORNIA, MONTANA, OREGON, AND WASHINGTON TO STRENGTHEN AND BUILD THE POWER OF COMMUNITIES, FOCUSING ON BUILDING COMMUNITY IN FOUR KEY AREAS: - DISASTER RESPONSE AND RESILIENCE - LIFELONG EDUCATION THAT OPENS DOORS - POSITIVE CHANGE THROUGH COMMUNITY POWER - COMMUNITY HEALING AND RESILIENCE CAPACITY BUILDING IS AT THE CENTER OF SJF'S WORK. BY THAT, IT MEANS INFRASTRUCTURE DEVELOPMENT, INTERNAL ASSESSMENTS, RESEARCH, TRAINING, COHORT LEARNING, EXAMINING POLICIES AND PROCEDURES, AND MORE TO ENCOMPASS THE BUILDING BLOCKS FOR ORGANIZATIONAL POWER TO CARRY FORTH DIRECT COMMUNITY AND SOCIAL IMPACT. IT PARTNERS WITH COMMUNITY MEMBERS TO GO THE DISTANCE WITH THEM TOWARD WHOLENESS. THE SJF DOESN'T JUST FUND INITIATIVES - IT REMAINS PARTNERS LONG AFTER THE GRANT FUNDS HAVE BEEN EXPENDED. SJF LEADERS AND THOSE AT THEIR NONPROFIT PARTNERS EACH HAVE LIVED EXPERIENCE AND UNDERSTAND THE NEEDS OF UNDERSERVED COMMUNITIES. THE SJF TEAM IS MOTIVATED BY COMPASSION, KINDNESS, AND THE DESIRE TO BENEFIT OTHERS AND BELIEVES THIS LEADS TO MORE POSITIVE OUTCOMES AND CREATES A SENSE OF FULFILLMENT AND SATISFACTION. ABOVE ALL, SJF BELIEVES IN THE POWER OF THE COMMUNITY. IT CELEBRATES AND CENTERS COMMUNITY EXPERTISE AND EXPERIENCE. IT LISTENS TO THEIR WISDOM. IT UNDERSTANDS THEIR NEEDS. AND IT INVESTS IN THEIR OPPORTUNITIES. SJF ENVISIONS WORKING AND LIVING TOGETHER IN LIVELY, HOPEFUL, HEALTHY, AND JUST COMMUNITIES. THE SJF INVESTS IN LONG-TERM PARTNERSHIPS ROOTED IN LOVE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/INITIATIVES/ST-JOSEPH-FUND INVESTING IN OUR COMMUNITIES IS AN ESSENTIAL WAY WE LIVE OUR MISSION:FOR GENERATIONS, THE PROVIDENCE FAMILY OF ORGANIZATIONS HAS SERVED AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. GUIDED BY COMMUNITY HEALTH NEEDS ASSESSMENTS, WE CONTINUE OUR LONGSTANDING COMMITMENT TO THOSE IN NEED THROUGH COMMUNITY BENEFIT AND OTHER HIGH-IMPACT EFFORTS. BELOW WE HIGHLIGHT KEY EXAMPLES. THE PROVIDENCE FAMILY OF ORGANIZATIONS IS A TIRELESS ADVOCATE FOR HEALTH AND SOCIAL PROGRAMS, AND POLICIES THAT CONTRIBUTE TO THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. GROUNDED IN OUR MISSION AND BELIEF THAT EVERY PERSON IS EQUAL IN DIGNITY AND VALUE, WE ADVOCATE FOR MORE JUST AND EQUITABLE HEALTH CARE FOR ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. WE BELIEVE THAT HEALTH IS A HUMAN RIGHT AND WE PARTNER WITH LAWMAKERS TO ADVANCE POLICIES THAT BRING OUR VISION OF HEALTH FOR A BETTER WORLD TO LIFE.THROUGH A COLLABORATION WITH LIKEMINDED STAKEHOLDERS AND ASSOCIATIONS, PROVIDENCE LED LOCAL, STATE AND FEDERAL POLICY PRIORITIES TO EXPAND ACCESS AND COVERAGE TO SOME OF OUR MOST VULNERABLE IN OUR COMMUNITIES. SOME OF OUR ACHIEVEMENTS INCLUDE:- EXPANDING ACCESS TO CARE FOR UNDERSERVED POPULATIONS- PRESERVING THE MEDICAID PROGRAM- SUPPORTING OPERATIONAL AND FINANCIAL STABILITY THROUGH IMPROVED REIMBURSEMENT- ADVANCING POLICIES THAT STRENGTHEN THE HEALTHCARE WORKFORCE PIPELINE- INCREASING ACCESS TO MENTAL HEALTH SERVICESADVOCACY AND SOCIAL RESPONSIBILITY: IN PARTNERSHIP WITH COMMUNITIES, THE PROVIDENCE FAMILY OF ORGANIZATIONS ADVOCATES FOR RESPONSIBLE, SUSTAINABLE, AND EQUITABLE POLICIES AND PRACTICES. WE REACH BEYOND THE WALLS OF HOSPITALS AND CARE FACILITIES TO WORK WITH LOCAL, STATE AND NATIONAL PARTNERS TO ADVANCE POLICIES THAT SERVE VULNERABLE POPULATIONS AND PROMOTE JUSTICE. WE ALSO PARTNER TO PROMOTE PRACTICES AND INFRASTRUCTURE THAT WILL SUSTAIN THE PLANET FOR FUTURE GENERATIONS AND TRANSFORM OUR COMMUNITIES FOR A HEALTHIER, MORE EQUITABLE WORLD. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITY WELL BEING TRUST: PROVIDENCE'S WELL BEING TRUST IS A FOUNDATION DEDICATED TO ADVANCING THE MENTAL, SOCIAL, AND SPIRITUAL HEALTH FOR ALL. WITH A BOLD MISSION, VISION AND OVERARCHING GOAL, WELL BEING TRUST IS INVESTING IN APPROACHES THAT HAVE THE POTENTIAL TO MODEL THE WAY FORWARD AND ADVANCE CLINICAL, COMMUNITY AND CULTURAL CHANGE TO TRANSFORM THE HEALTH OF THE NATION AND IMPROVE WELL-BEING FOR EVERYONE. FOR MORE INFORMATION GO TO: HTTPS://WELLBEINGTRUST.ORG/ABOUT/
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
CAMINO HEALTH CENTER
31351 RANCHO VIEJO ROADSAN JUAN CAPISTRANOCA92675330574214501(C)(3)$1,000,000$0COMMUNITY BENEFIT RESTRICTED GRANT
FAMILY ASSISTANCE MINISTRIES
1030 CALLE NEGOCIOSAN CLEMENTECA92673330864870501(C)(3)$150,000$0COMMUNITY BENEFIT RESTRICTED GRANT
ORANGE COUNTY UNITED WAY
18012 MITCHELL SIRVINECA92614330047994501(C)(3)$175,000$0COMMUNITY BENEFIT RESTRICTED GRANT
ST JUDE NEIGHBORHOOD HEALTH CENTERS
731 S HIGHLAND AVEFULLERTONCA92832453977605501(C)(3)$48,048$0COMMUNITY BENEFIT RESTRICTED GRANT
FRIENDSHIP SHELTER INC
3345 MICHELSON DIRVE SUITE 100IRVINECA92612330219404501(C)(3)$18,000$0COMMUNITY BENEFIT RESTRICTED GRANT
RSM CHAMBER OF COMMERCE
22232 EI PASEORANCHO SANTA MARGARITACA92688822513823501(C)(6)$12,500$0COMMUNITY BENEFIT RESTRICTED GRANT
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRIAN LEE HELLELAND
CHIEF EXEC SO CA OC/HD$0$733,551$0$542,161$0$254,269$0$222,377$0$10,891$0$1,763,249$0$163,607
SETH TEIGEN
CEO/PRESIDENT$0$578,574$0$432,222$0$141,633$0$169,864$0$20,260$0$1,342,553$0$117,493
JIM WATSON ESQ
SECRETARY$0$494,455$0$358,832$0$102,636$0$110,879$0$17,651$0$1,084,453$0$77,014
JIM MARTIN
ASSISTANT TREASURER$0$463,263$0$290,109$0$66,993$0$88,541$0$8,347$0$917,253$0$64,532
JO ANN ESCASA-HAIGH
FRMR ASSISTANT TREASURER$0$0$0$0$0$879,466$0$0$0$0$0$879,466$0$0
TERRENCE WOOTEN
FORMER CE QVMC$0$0$0$0$0$694,493$0$0$0$0$0$694,493$0$262,982
MELANIE SPENCER WOLF
CHIEF MEDICAL OFFICER HOSPITAL$449,804$0$45,772$0$2,359$0$20,044$0$6,108$0$524,087$0$0$0
EILEEN HAUBL
SVP & CHIEF FINANCIAL OFFICER$0$406,971$0$51,078$0$16,110$0$38,006$0$4,007$0$516,172$0$9,857
MICHAEL MARINO DO
FRMR OFF. - SVP, CHIEF MED INFO$0$0$0$0$0$493,170$0$0$0$0$0$493,170$0$0
JENNIFER CORD
CHIEF NURSING OFFICER$372,754$0$36,980$0$7,721$0$20,256$0$11,932$0$449,643$0$4,035$0
NICOLE BALSAMO
AVP FOUNDATION/CPO$322,046$0$41,860$0$24,154$0$16,717$0$1,156$0$405,933$0$0$0
EVELYN SCHLOSSER
EXEC DIR ACUTE CARE OPERATIONS$315,200$0$31,697$0$11,344$0$18,471$0$9,409$0$386,121$0$1,321$0
MARK JABLONSKI
FRMR OFF. - PSJH CMO$0$278,570$0$26,314$0$33,599$0$30,201$0$8,978$0$377,662$0$1,944
MARIA LEXA BATAC
SUPERVISOR NURSING$309,054$0$17,600$0$6,457$0$30,689$0$10,758$0$374,558$0$726$0
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT$0$287,131$0$28,005$0$1,418$0$14,332$0$4,600$0$335,486$0$0
JOE JUNG
EXECUTIVE DIRECTOR NURSING$276,459$0$27,098$0$2,621$0$13,732$0$4,435$0$324,345$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1APROVIDENCE 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. THESE REIMBURSEMENTS ARE NOT REPORTED AS TAXABLE COMPENSATION. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE.THIS BENEFIT IS CONSIDERED A TAXABLE BENEFIT AND IS INCLUDED ON THE EMPLOYEE'S FORM W-2. 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 3DESCRIPTION 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-BTHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING 2024: JO ANN ESCASA-HAIGH - $879,466 TERRENCE WOOTEN - $423,259 MICHAEL MARINO, D.O. - $493,170 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: BRIAN LEE HELLELAND - $163,607 SETH TEIGEN - $117,493 JIM WATSON, ESQ - $77,014 JIM MARTIN - $64,532 TERRENCE WOOTEN - $262,982 EILEEN HAUBL - $9,857 JENNIFER CORD - $4,035 EVELYN SCHLOSSER - $1,321 MARK JABLONSKI - $1,944 MARIA LEXA BATAC - $726
PART I, LINE 7NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUBSTANTIAL CONTRIBUTORBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSUBSTANTIAL CONTRIBUTORRelationshipDescriptionTxt
Transaction$2,428,954TransactionAmt
TransactionMEDICAL SERVICESTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: (CONTINUE)THESE CENTERS SERVE AS LIFELINES FOR MANY PEOPLE IN THE COMMUNITY. OUR MONTHLY FOOD DISTRIBUTION PROVIDES FOR NEARLY 600 PEOPLE. COMBINED, THE TWO CENTERS RECORDED 49,922 VISITS IN CY24. ADDRESSING EQUITY THROUGH COMMUNITY PARTNERSHIPS: EVERYONE SHOULD HAVE A FAIR AND JUST OPPORTUNITY TO ATTAIN THEIR FULL POTENTIAL, AND NO ONE SHOULD BE DISADVANTAGED OR EXCLUDED BASED ON CHARACTERISTICS. IN 2020, WE GATHERED A GROUP OF NONPROFIT LEADERS AND RESIDENTS FROM SOUTH ORANGE COUNTY TO EXPLORE HOW TO COLLECTIVELY ADRESS ISSUES OF INEQUALITY. OVER THE COURSE OF TWO YEARS, THE SOUTH OC FOR ALL (PREVIOUSLY SOUTH ORANGE COUNTY EQUITY COLLABORATIVE) FORMED WITH A DOZEN NON-PROFIT AND RESIDENT LEADERS. OUR MISSION: TO ADVANCE EQUITY AND JUSTICE FOR SOUTH ORANGE COUNTY'S MOST VULNERABLE RESIDENTS THROUGH COMMUNITY ENGAGEMENT, COORDINATED ADVOCACY, AND LEVERAGING RESOURCES.IN 2022, OUR COLLABORATIVE WAS THE RECIPIENT OF A $500,000 CDC GRANT THROUGH ORANGE COUNTY UNITED WAY TO STRENGTHEN OUR COLLABORATIVE EFFORTS AND ADDRESS HOUSING DISPARITIES IN SAN JUAN CAPISTRANO, A NEIGHBORHOOD THAT IS SEVERELY RENT BURDENED, WITH MOST OF ITS 900 HOUSEHOLDS SPEND MORE THAN 50 PERCENT OF THEIR ANNUAL INCOME ON RENT. IN DECEMBER 2022, OUR COLLABORATIVE RECEIVED ANOTHER $150,000 THROUGH THE AMERICAN RECOVERY PLAN ACT (ARPA) FROM SUPERVISOR LISA BARTLETT'S OFFICE. TOGETHER, THESE FUNDS ARE ENABLING OUR COLLABORATIVE TO RE-ENVISION HOW HOUSING SUPPORT SERVICES ARE DESIGNED FOR THE MOST VULNERABLE FAMILIES IN OUR COMMUNITIES, BY PROVIDING RESEARCH SUPPORT TO DEVELOP LONG-TERM HOUSING SOLUTIONS, AND BY EMPOWERING RESIDENTS TO SHARE THEIR EXPERIENCES AND BUILD LEADERSHIP AND CIVIC ENGAGEMENT SKILLS TO EFFECT CHANGE IN THEIR LOCAL COMMUNITIES. IN 2024, THE COLLABORATIVE HIRED A MANAGER. THIS ROLE HELPED THE COLLABORATIVE STAY ON TRACK WITH GRANT REQUIREMENTS. IN MAY 2024, IT MOVED ITS FIRST COLLECTIVE PROJECT FORWARD: ESTABLISHING A COHESIVE COLLABORATIVE ENGAGEMENT STRUCTURE THAT HAS FULFILLED COMPLEX, INTEGRATED SCOPES OF WORK AMONG DIVERSE IMPLEMENTATION TEAMS. WHILE FOSTERING MUTUAL TRUST, RESIDENT ENGAGEMENT AND COMMUNITY VOICE. THE COLLABORATIVE'S MISSION AND VISION HAVE BEEN PUT INTO PRACTICE THROUGH INCREASED STAFF PARTICIPATION AND DEVELOPMENT, COUNTY-WIDE CROSS-COLLABORATION AND ALIGNMENT OF STRATEGIC PARTNERSHIP, AND CREATION OF UNIQUE DIGITAL & DATA SUPPORTS. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/MISSION-HOSPITAL-MISSION-VIEJO
FORM 990, PART V, LINE 15:INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATION'S SECTION 4960 TAX ANALYSIS AND REPORTING.
FORM 990, PART VI, SECTION A, LINE 6CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF MISSION HOSPITAL REGIONAL MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7ACLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS MISSION HOSPITAL REGIONAL MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE MISSION HOSPITAL REGIONAL MEDICAL CENTER'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE MISSION HOSPITAL REGIONAL MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BCLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, EXEMPT PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. THE CORPORATE MEMBER, ST. JOSEPH HEALTH SYSTEM, RESERVES THE RIGHT TO APPROVE THE PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS TO REVIEW 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, REVISED IN 2023, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR PROVIDENCE CHIEF RISK OFFICER, AND/OR PROVIDENCE CHIEF COMPLIANCE OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS RECUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15BPROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN JUNE 2025.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART IX, LINE 11GAGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 11,135,844. MANAGEMENT AND GENERAL EXPENSES 525,700. FUNDRAISING EXPENSES 35,409. TOTAL EXPENSES 11,696,953. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 9,799,423. MANAGEMENT AND GENERAL EXPENSES 462,610. FUNDRAISING EXPENSES 31,159. TOTAL EXPENSES 10,293,192. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 41,087,289. MANAGEMENT AND GENERAL EXPENSES 1,939,644. FUNDRAISING EXPENSES 130,646. TOTAL EXPENSES 43,157,579. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 60,275,669. MANAGEMENT AND GENERAL EXPENSES 2,845,486. FUNDRAISING EXPENSES 191,660. TOTAL EXPENSES 63,312,815. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 16,753,249. MANAGEMENT AND GENERAL EXPENSES 790,885. FUNDRAISING EXPENSES 53,271. TOTAL EXPENSES 17,597,405.
FORM 990, PART XI, LINE 9:NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 22,465,040. OTHER CHANGES IN NET ASSETS 5,975,039.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (102 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
COLLABRIA CARE
414 SOUTH JEFFERSON STREETNAPACA94559680393144HEALTHCARECA501(C)(3)10SJHCNYes (1)
COVENANT ACO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057611573313HEALTHCARETX501(C)(3)12, ICHSYes (1)
COVENANT CHILDREN'S PHYSICIANS GROUP
3615 19TH STREETLUBBOCKTX79410881290850HEALTHCARETX501(C)(3)PENDINGCHSYes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057463516417HEALTHCARETX501(C)(3)12, ICHSYes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752765566HEALTHCARETX501(C)(3)3SJHSYes (1)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACELUBBOCKTX79410752897026HEALTHCARETX501(C)(3)7CHSYes (1)
COVENANT HOME AND COMMUNITY CARE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057920275096HEALTHCARETX501(C)(3)10CHSYes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057844273963HEALTHCARETX501(C)(3)3CHSYes (1)
COVENANT MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057822913146HEALTHCARETX501(C)(3)3CHSYes (1)
COVENANT MEDICAL GROUP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752743883HEALTHCARETX501(C)(3)3CHSYes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128EVERETTWA982065128943264605TRANSITIONAL CAREWA501(C)(3)100N/A
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057201910170SUPPORTWA501(C)(3)7PHS WAYes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104SEATACWA98188273133200HEALTHCAREWA501(C)(3)7SHSYes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057203856995HEALTHCARETX501(C)(3)3LHH LLCYes (1)
HOSPICE OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752133781HEALTHCARETX501(C)(3)10CHSYes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057912003593HEALTHCAREWA501(C)(3)7WHCYes (1)
KADLEC AUXILIARY INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057916033089SUPPORTWA501(C)(3)12, IIIKRMCYes (1)
KADLEC FOUNDATION
888 SWIFT BLVDRICHLANDWA99352237005501SUPPORTWA501(C)(3)7KRMCYes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057910655392HEALTHCAREWA501(C)(3)3WHCYes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330844408IMAGING SERVICESCA501(C)(3)10PHS SOCALYes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057264021016HEALTHCARETX501(C)(3)3CHSYes (1)
LUNDBERG ASSOCIATION PROVIDENCE HOUSE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911562797SUPPORTOR501(C)(3)7PHS ORYes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752428911HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752246348HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752426010HEALTHCARETX501(C)(3)3CHSYes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069SEATTLEWA98116200799737SUPPORTWA501(C)(3)12, ISHSYes (1)
OPEN DOOR VENTURES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911608508SUPPORTWA501(C)(3)7PHS WAYes (1)
PACMED CLINICS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057562290878HEALTHCAREWA501(C)(3)10WHCYes (1)
PH&S FOUNDATIONSFVSA & SCVSA
501 SOUTH BUENA VISTA STREETBURBANKCA915054809953544877HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE ALASKA FOUNDATION
3760 PIPER STREET SUITE 2021ANCHORAGEAK99508920093565HEALTHCAREAK501(C)(3)7PHS WAYes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
540 SOUTH MAIN STMT ANGELOR97362911940286HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911789266SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
4805 NE GLISAN ST STE 2N35PORTLANDOR97213930800140SUPPORTOR501(C)(3)7PHS ORYes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
940 ROYAL AVE SUITE 410MEDFORDOR97504930692907HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057473385506SUPPORTWA501(C)(3)70N/A
PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057954322584SUPPORTCA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311744654SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911549796HEALTHCAREWA501(C)(3)12, IIPSJH0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810231793HEALTHCAREMT501(C)(3)3PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216587HEALTHCAREOR501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216586HEALTHCAREWA501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911303277HEALTHCAREWA501(C)(3)3PMWHCYes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057550828701MEDICAID HEALTHCARE PROVIDEROR501(C)(4)N/APHPYes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057930863097HEALTHCAREOR501(C)(4)N/APH GROUP LLCYes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216589HEALTHCARECA501(C)(3)3PHSYes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
810 12TH STREET PO BOX 149HOOD RIVEROR97031930921990HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY
1615 75TH ST SW SUITE 210EVERETTWA98203272552749HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
2811 SOUTH 102ND NO 220TUKWILAWA98168912077378HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA)
101 W 8TH AVESPOKANEWA99204320014330HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
4101 TORRANCE BLVDTORRANCECA90503510224944HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330185031HEALTHCARECA501(C)(3)3SJHSYes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330283773HEALTHCARECA501(C)(3)12, IPHS SOCALYes (1)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32ND AVEMILWAUKIEOR97222943079515HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057RELIGIOUS ORGWA501(C)(3)10N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVE SWSEATTLEWA981262799911188119HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVENEWBERGOR97132930889144HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311629656SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911861964HEALTHCAREWA501(C)(4)N/APHS ORYes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN STPORTLANDOR972132967931231494HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311584166SUPPORTWA501(C)(3)10PHS WAYes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951684082HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814542216HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA ROADSEASIDEOR97138930927320HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057912171539SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057943244854SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057811244422HEALTHCAREWA501(C)(3)12, III0N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
4400 NE HALSEY ST STE 599PORTLANDOR97213943078543HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810463482HEALTHCAREMT501(C)(3)3PHS WAYes (1)
PROVIDENCE ST MARY FOUNDATION
401 W POPLAR STREETWALLA WALLAWA99362452841492HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
9205 SW BARNES ROAD STE MT2111PORTLANDOR97225930575982HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN)
413 LILLY ROAD NEOLYMPIAWA985065166911097056SUPPORTWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057953264139HEALTHCARECA501(C)(3)10PHS SOCALYes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
5315 TORRANCE BLVD NO B-1TORRANCECA90503330261016HEALTHCARECA501(C)(3)7PTCHYes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1500 DIVISION STREETOREGON CITYOR97045931003750HEALTHCAREOR501(C)(3)12, IPHS ORYes (1)
REDWOOD MEMORIAL FOUNDATION
2700 DOBEER STREETEUREKACA95501942779313HEALTHCARECA501(C)(3)7SJHNC LLCYes (1)
SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057954291515HEALTHCARECA501(C)(3)4PSJHCYes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
2121 SANTA MONICA BLVDSANTA MONICACA90404956100079SUPPORT SAINT JOHN HEALTH CENTER & SJCICA501(C)(3)7PSJHCYes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057611502822PHYSICIAN COLLABORATIONWA501(C)(3)7WHCYes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057262612415SHELL CORPORATIONMT501(C)(3)1PHS WA0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643383RELIGIOUS ORGCA501(C)(3)10N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057680395200HEALTHCARECA501(C)(3)3SJHNC LLCYes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057271666576RELIGIOUS ORGCA501(C)(3)1SSJO0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814791043HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057953589356HEALTHCARECA501(C)(3)12, IPSJH0
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE SUITE 100IRVINECA92612330143024HEALTHCARECA501(C)(3)10SJHSYes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057680331084HEALTHCARECA501(C)(3)10SJHSYes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643359HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JUDE HOSPITAL INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643325HEALTHCARECA501(C)(3)3SJHSYes (1)
ST LUKE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057943176618SUPPORTWA501(C)(3)7PHS WAYes (1)
ST MARY MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951914489HEALTHCARECA501(C)(3)3SJHSYes (1)
ST PATRICK HOSPITAL FOUNDATION
502 W SPRUCE STREETMISSOULAMT59802237056976HEALTHCAREMT501(C)(3)7PHS WAYes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810233495EDUCATIONMT501(C)(3)10PHS WAYes (1)
SWEDISH EDMONDS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057272305304HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057910433740HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAYSEATTLEWA98122910983214HEALTHCAREWA501(C)(3)7SHSYes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057273139262HOLDING COMPANYWA501(C)(3)12, ISHSYes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057833972614HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911180824SUPPORTWA501(C)(3)7PHS WAYes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911214491SUPPORTOR501(C)(3)10PHS ORYes (1)
TRI-CITIES CANCER CENTER FOUNDATION
7350 W DESCHUTES AVE BUILDING AKENNEWICKWA99336911739024SUPPORTWA501(C)(3)7KRMCYes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810231777EDUCATIONMT501(C)(3)2PHSYes (1)
WESTERN HEALTHCONNECT
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057454171900HEALTHCAREWA501(C)(3)3PHS W WAYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (38 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctUBI Code VUBICodeVAmt
20TH STREET SURGERY LLC
1301 20TH STREET STE 140SANTA MONICACA90404731735618AMBULATORY SURGERY CENTERCAN/A00
BRIDGEPORT MEDICAL IMAGING LLC (BMI)
4400 NE HALSEY 495PORTLANDOR97213260796953IMAGING - DIAGNOSTICSORN/A0Yes (1)
BROADWAY IMAGING LLC
PO BOX 4587MISSOULAMT598064587522405971MEDICAL IMAGINGMTN/A0Yes (1)
CANBY MEDICAL CENTER I LLC
4800 SW MACADAM AVE STE 120PORTLANDOR97239205470937REAL ESTATE - MOBORN/A0Yes (1)
CENTER FOR MEDICAL IMAGING LLC (CMI)
4400 NE HALSEY 495PORTLANDOR97213200477972IMAGING - DIAGNOSTICSORN/A0Yes (1)
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY 495PORTLANDOR97213260381897RADIATION ONCOLOGYORN/A0Yes (1)
COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY
1031 W CHAPMAN AVE 101ORANGECA92868264591502HEALTHCARECAN/A0Yes (1)
COVENANT HIGH PLAINS SURGERY CENTER LLC
569 BROOKWOOD VILLAGE STE 901BIRMINGHAMAL35209752177401HEALTHCARETXN/A0Yes (1)
COVENANT PARK PHASE I VENTURE LLC
3615 19TH STLUBBOCKTX79410871464045REAL ESTATETXN/A00
CSS JV LLC
11782 SW BARNES ROAD STE 200 BLDG CPORTLANDOR97225263638838AMBULATORY SURGERY CENTERORN/A00
FIRST HILL SURGERY CENTER LLC
1101 MADISON STREET STE 200SEATTLEWA98104472066485AMBULATORY SURGERY CENTERWAN/A0Yes (1)
FULLERTON SURGICAL CENTER LP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057470927394AMBULATORY SURGERY CENTERCAN/A0Yes (1)
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA STBURBANKCA91505954570858REAL ESTATE - MOBCAN/A0Yes (1)
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000ORANGECA92868271000061INVESTMENTSCAN/A00
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE AANCHORAGEAK99508203906048MEDICAL IMAGINGAKN/A0Yes (1)
LSC REAL PROPERTY LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057474646059REAL ESTATETXN/A0Yes (1)
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREETLUBBOCKTX79410752343261HEALTHCARETXN/A0Yes (1)
MISSION VIEJO PARTNERS II LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823943675REAL ESTATE - MOBCA0Yes (1)MHRMCEXCLUDED$112,744$10,747,9650.35970
NORTH OC IMAGING JV HOLDINGS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057852444305HEALTHCARECAN/A00
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAYMEDFORDOR97504450471748MEDICAL IMAGINGORN/A0Yes (1)
PAVILION SURGERY CENTER LLC
1140 WEST LAVETA AVEORANGECA92868814376492AMBULATORY SURGERY CENTERCAN/A00
PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC
19625 62ND AVENUE SOUTH SUITE 101KENTWA98032452901632MEDICAL EQUIPMENTWAN/A0Yes (1)
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREETSEATTLEWA98104203132044MEDICAL IMAGINGWAN/A0Yes (1)
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057812701056INVESTMENTSWAN/A00
PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209823765555MEDICALALN/A00
PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209823270499MEDICALALN/A0Yes (1)
PROVIDENCE HOUSE OAKLAND LP
540 23RD STOAKLANDCA94612811441264SUPPORTIVE HOUSINGCAN/A0Yes (1)
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057920118807MEDICAL IMAGINGAKN/A00
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823190634INVESTMENTSWA00PHS WAEXCLUDED$2,339,098-$425,4510.00630$3,827
PROVIDENCEUSP SPOKANE SURGERY CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057881149413AMBULATORY SURGERY CENTERWAN/A00
PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROAD 160MISSION HILLSCA91345200684116AMBULATORY SURGERY CENTERCAN/A00
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON ST 1ST FLSEATTLEWA98104300553035HEALTHCAREWAN/A0Yes (1)
RIVERSIDE HEALTHCARE
1107 HAZELTINE BLVD 200CHASKAMN55318411594648HEALTHCAREMNN/A0Yes (1)
ST JOSEPH PHYSICIAN VENTURES I LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057454521884REAL ESTATECAN/A0Yes (1)
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814657391HEALTHCARECAN/A00
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823352570AMBULATORY SURGERY CENTERCAN/A0Yes (1)
ST PETER-SOUTH SOUND REGIONAL MRI CENTER
3417 ENSIGN RD NEOLYMPIAWA98506911455338MEDICAL IMAGINGWAN/A0Yes (1)
WON-ONC LLC
1900 COOKS HILL RDCENTRALIAWA98531262181194REAL ESTATE - MOBWAN/A0Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (41 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
1221 MADISON STREET OWNERS ASSOC
747 BROADWAYSEATTLEWA98122201954319OWNERS' ASSOCIATIONWAN/AC0
ADVATA INC (FKA KENSCI INC)
615 2ND AVE 700SEATTLEWA98104474048082HEALTHCAREWAN/AC0
AYIN HEALTH HOLDINGS INC
4400 NE HALSEY ST STE 609 ATTN ACCOPORTLANDOR97213833037172HEALTHCAREDEN/AC0
AYIN HEALTH SOLUTIONS INC
4400 NE HALSEY ST STE 609 ATTN ACCOPORTLANDOR97213931211733HEALTHCAREORN/AC0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9SPOKANEWA99204911354431CLINICAL/MEDICAL LABWAN/AC0
CARON CORPORATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057810486082MEDICAL PHYSICIAN SERVICEMTN/AC0
CLOUD 21 LIMITED
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057HEALTHCAREN/AC0UK
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280SANTA MONICACA90404952880495HEALTHCARECAN/AS0
HOSPITAL CENTRAL SERVICES ASSOCIATION
1600 M STREET NWAUBURNWA98001910818155LAUNDRY SERVICESWAN/AC0
INTEGRIS SOLUTIONS LIMITED
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057HEALTHCAREN/AC0UK
KENSCI ASIA PACIFIC PTE LTD
615 2ND AVE 700SEATTLEWA98104HEALTHCAREN/AC0SN
KENSCI TECH INDIA PRIVATE LIMITED
615 2ND AVE 700SEATTLEWA98104HEALTHCAREN/AC0IN
LINDY TRANSFER HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057934609079HEALTHCAREWAN/AC0
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752578995INACTIVETXN/AC0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752118585HEALTHCARETXN/AC0
MEDICAL SPECIALTIES MANAGERS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330406218HEALTHCAREWAN/AC0
MISSION VIEJO MEDICAL VENTURES INC
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330212905HEALTHCARECAC0MHRMC$11,288$373,6631.00000
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461814184STRATEGIC PLANNING SERVICESCAN/AC0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057981516461IT SVCSN/AC0IN
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9SPOKANEWA99204900155714CLINICAL/MEDICAL LABWAN/AC0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057800886966PREPAID HEALTHCARECAN/ACYes (1)
PROVIDENCE PARTNERS HOLDINGS INC
4400 NE HALSEY ST STE 609 ATTN ACCOPORTLANDOR97213882962549INVESTMENTDEN/AC0
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE TAF C-9SPOKANEWA99204911216033HEALTHCAREWAN/AC0
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL STTORRANCECA90503823771547HEALTHCARECAN/AC0
PROVSOURCE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057902318536HEALTHCAREDEN/AC0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057462340232HOLDING COMPANYCAN/AC0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461900168HEALTHCARECAN/AC0
ST JOSEPH MEDICAL PLAZA ASSOCIATION
1140 W LA VETA STE 400ORANGECA92868330621539CONDO ASSOCIATIONCAN/AC0
ST JOSEPH PROF SVCS ENTERPRISES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330155323HEALTHCARECAN/AC0
TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057842092143HOLDING COMPANYDEN/AC0
TEGRIA INSIGHTS GROUP HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057861400769HOLDING COMPANYWAN/AC0
TEGRIA INSIGHTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057861532593HEALTHCAREWAN/AC0
TEGRIA PRODUCTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057870995138HOLDING COMPANYDEN/AC0
TEGRIA RCM GROUP US INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057863046450HOLDING COMPANYDEN/AC0
TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844686520HOLDING COMPANYDEN/AC0
TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844704409HOLDING COMPANYDEN/AC0
TEGRIA SERVICES GROUP-CAN INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057HEALTHCAREN/AC0CA
TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057900872936HEALTHCAREWIN/AC0
TRUSANA INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057922370159HEALTHCAREDEN/AC0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057953943315INVESTMENTCAN/AC0
WEIGHT LOSS INC (FKA HMR WEIGHT MANAGEMENT SERVICES CORP)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057463598718HEALTHCAREWAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PROVIDENCE HEALTH & SERVICES - WASHINGTON
L$125,592COST
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
J$1,353,079COST
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
L$16,885,682COST
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
O$50,099,201COST