2018-11-13T23:14:37-06:00 2017-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2017-01-01 951684082 PROVIDENCE SAINT JOHN'S HEALTH CENTER PROV 3108295511 1801 LIND AVE SW No 9016 RENTON WA 980579016 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 4255253985 2018-11-13 1 EVA NITTA P01286320 4158948000 198.134.52.71 2018-11-13 22:39:15 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F9954457A230D2217538EB78B690AB1CFA3B7FEF 2017 2019-02-21 02:37:17Z MIKE BUTLER 1801 LIND AVE SW No 9016 RENTON WA 980579016 403656789 0 0928 X CALIFORNIA.PROVIDENCE.ORG/SAINT-JOHNS/ X 1942 CA SEE SCHEDULE OAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 13 13 2154 377 5610436 31955 7118518 9280236 338324481 386932647 672889 650499 1943671 6163116 348059559 403026498 594175 807987 0 0 133713250 146157253 0 0 0 183539078 237861163 317846503 384826403 30213056 18200095 496516885 534303984 255377563 234314941 241139322 299989043 X AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 0 0 338440043 388746047 SEE SCHEDULE OPROVIDENCE ST. JOSEPH HEALTH SYSTEMON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 50 HOSPITALS, 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.THE FOUNDERS OF BOTH ORGANIZATIONS WERE COURAGEOUS WOMEN AHEAD OF THEIR TIME. THE SISTERS OF PROVIDENCE AND THE SISTERS OF ST. JOSEPH OF ORANGE BROUGHT HEALTH CARE AND OTHER SOCIAL SERVICES TO THE AMERICAN WEST WHEN IT WAS STILL A RUGGED, UNTAMED FRONTIER. NOW, AS WE FACE A DIFFERENT LANDSCAPE - A CHANGING HEALTH CARE ENVIRONMENT - WE DRAW UPON THEIR PIONEERING AND COMPASSIONATE SPIRIT TO PLAN FOR THE NEXT CENTURY OF HEALTH CARE.PROVIDENCE HEALTH & SERVICESIN 1856, MOTHER JOSEPH AND FOUR SISTERS OF PROVIDENCE ESTABLISHED HOSPITALS, SCHOOLS AND ORPHANAGES ACROSS THE NORTHWEST. OVER THE YEARS, OTHER CATHOLIC SISTERS TRANSFERRED SPONSORSHIP OF THEIR MINISTRIES TO PROVIDENCE, INCLUDING THE LITTLE COMPANY OF MARY, DOMINICANS AND CHARITY OF LEAVENWORTH. RECENTLY, SWEDISH HEALTH SERVICES, KADLEC REGIONAL MEDICAL CENTER AND PACIFIC MEDICAL CENTERS HAVE JOINED PROVIDENCE AS SECULAR PARTNERS WITH A COMMON COMMITMENT TO SERVING ALL MEMBERS OF THE COMMUNITY. TODAY, PROVIDENCE SERVES ALASKA, CALIFORNIA, MONTANA, OREGON AND WASHINGTON.ST. JOSEPH HEALTH SYSTEMIN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIFORNIA TO PROVIDE EDUCATION AND HEALTH CARE. THEY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA.PROVIDENCE SAINT JOHN'S HEALTH CENTER HAS BEEN SERVING THE SANTA MONICA AND WESTSIDE LOS ANGELES COUNTY COMMUNITIES SINCE 1942, AND SINCE THAT TIME HAS EARNED A REPUTATION FOR CLINICAL EXCELLENCE AND AWARD-WINNING CARE IN A COMPASSIONATE AND TRANQUIL HEALING ENVIRONMENT.TODAY, PROVIDENCE SAINT JOHN'S IS A NATIONALLY RENOWNED 266-BED HOSPITAL WITH PHYSICIANS, NURSES, VOLUNTEERS AND SUPPORT STAFF WHO WORK AS A TEAM TO PROVIDE THE BEST POSSIBLE MEDICAL CARE TO ITS PATIENTS AND THE COMMUNITY. PROVIDENCE SAINT JOHN'S PROVIDES THE LATEST IN DIAGNOSTIC TECHNOLOGY AND SPECIALTY CARE WITH A STRONG COMMITMENT TO ITS CORE SERVICE LINES: HEART AND VASCULAR CARE, ONCOLOGY, ORTHOPEDICS AND WOMEN'S HEALTH. SAINT JOHN'S ALSO IS HOME TO THE WORLD-RENOWNED JOHN WAYNE CANCER INSTITUTE, DEDICATED TO CLINICAL RESEARCH AND MEDICAL ADVANCEMENTS IN CANCER CARE.PROVIDENCE SAINT JOHN'S REPUTATION FOR ACADEMICALLY-BASED CARE GUIDED BY RESEARCH AND EVIDENCE-BASED MEDICINE IS DUE TO THE COMMITMENT TO EXCELLENCE BY OUR PHYSICIANS, NURSES AND CAREGIVERS. OUR CANCER SURGEONS CARE FOR PATIENTS IN THE CANCER CENTER AND HOLD FACULTY POSITIONS AT THE JOHN WAYNE CANCER INSTITUTE AND OTHER TEACHING INSTITUTIONS IN THE COMMUNITY. NEARLY EVERY CORE SERVICE LINE AT PROVIDENCE SAINT JOHN'S PARTICIPATES IN RESEARCH OR CLINICAL TRIALS.FOUNDED BY THE SISTERS OF CHARITY OF LEAVENWORTH, WHO IN 2014 PASSED ITS SPONSORSHIP TO PROVIDENCE HEALTH & SERVICES, PROVIDENCE SAINT JOHN'S IS ROOTED IN THE CATHOLIC HEALTH CARE TRADITION, WHICH IS DEVOTED TO PROVIDING LEADING-EDGE MEDICINE WITH UNWAVERING COMPASSION AND PERSONALIZED CARE. IN LINE WITH BOTH ITS CATHOLIC MISSION AND ITS RESPONSIBILITIES AS A NON-PROFIT HEALTH CARE PROVIDER, PROVIDENCE SAINT JOHN'S SEEKS TO CREATE HEALTHIER COMMUNITIES BY INVESTING IN COMMUNITY BENEFIT PROGRAMS, WITH AN EMPHASIS ON THE POOR AND VULNERABLE.PROVIDENCE SAINT JOHN'S CONTINUALLY HAS ACHIEVED TOP RATINGS AND DISTINGUISHED HOSPITAL AWARDS FOR CLINICAL EXCELLENCE AND PATIENT SAFETY BY THE NATION'S LEADING ACCREDITATION ORGANIZATIONS, SUCH AS HEALTHGRADES, THE JOINT COMMISSION AND LEAPFROG GROUP. WITHIN THE PAST DECADE, PROVIDENCE SAINT JOHN'S HAS RECEIVED MULTIPLE ACCLAMATIONS BY THESE ORGANIZATIONS FOR A VARIETY OF SERVICES INCLUDING CARDIAC CARE, CORONARY INTERVENTION, CRITICAL CARE, ORTHOPEDICS, PULMONARY CARE, JOINT REPLACEMENT, NEUROSURGERY, AND WOMEN'S HEALTH.THROUGH THE DEDICATION AND COLLABORATIVE EFFORTS OF THE COMMUNITY, FRIENDS, PATRONS, PHYSICIANS, NURSES, STAFF AND VOLUNTEERS, PROVIDENCE SAINT JOHN'S CONTINUES ITS WORLD-CLASS TRADITION ESTABLISHED MORE THAN 70 YEARS AGO BY PROVIDING BREAKTHROUGH MEDICINE IN AN ENVIRONMENT OF INSPIRED HEALING.YEAR AFTER YEAR, PROVIDENCE SAINT JOHN'S HEALTH CENTER ALONG WITH ITS STAFF, PHYSICIANS AND NURSES ARE RECOGNIZED BY THE NATION'S LEADING HEALTHCARE RATING ORGANIZATIONS, THE MEDICAL COMMUNITY AND THE MEDIA FOR CLINICAL EXCELLENCE AND EXCEPTIONAL PATIENT CARE. THIS COMES NATURALLY, GIVEN PROVIDENCE SAINT JOHN'S MISSION TOWARDS PROVIDING CUTTING-EDGE MEDICINE WITH UNWAVERING COMPASSION AND PERSONALIZED CARE.STATISTICS:LICENSED BEDS - 266BIRTHS - 1,879ADMISSIONS - 12,378ED VISITS - 29,374INPATIENT SURGERIES - 4,727OUTPATIENT SURGERIES - 4,048 807987 807987 SEE SCHEDULE OAS STATED IN THE MISSION OF PROVIDENCE SAINT JOHN'S HEALTH CENTER, "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," IT HIGHLIGHTS THE ORGANIZATION'S COMMITMENT TO SERVING THOSE MOST IN NEED. THE MAJORITY OF THE COMMUNITY BENEFITS PROVIDED BY PROVIDENCE SAINT JOHN'S (INCLUDING GOODS, SERVICES AND FINANCIAL RESOURCES) ARE FOCUSED ON THOSE LIVING IN POVERTY IN OUR COMMUNITY.OUR COMMUNITY IS FORTUNATE TO HAVE MANY OUTSTANDING ORGANIZATIONS AND AGENCIES DELIVERING VITAL SERVICES FOR THOSE LIVING IN POVERTY. THE PEOPLE CONCERN, SAINT JOSEPH CENTER, VENICE FAMILY CLINIC, AND WESTSIDE FAMILY HEALTH CENTER ARE JUST A FEW EXAMPLES OF THESE PARTNERS. PROVIDENCE SAINT JOHN'S COMMITMENT TO CARE FOR THE POOR AND UNDERSERVED INCLUDES PARTNERSHIPS WITH DEDICATED ORGANIZATIONS SUCH AS THESE.OUR CARE OF THOSE LIVING IN POVERTY IS BUILT ON YET ANOTHER ESSENTIAL PARTNERSHIP. THE DEDICATED PHYSICIANS WHO PROVIDE PROFESSIONAL DIAGNOSTIC AND THERAPEUTIC SERVICES TO THE PATIENTS REFERRED FROM AREA CLINICS. THESE PHYSICIANS VOLUNTEER THEIR TIME AND PROFESSIONAL SKILLS, AS PROVIDENCE SAINT JOHN'S PROVIDES THE STAFF, RESOURCES AND FACILITIES TO OFFER THESE SERVICES AT NO CHARGE TO THOSE PATIENTS LIVING IN POVERTY.PROVIDENCE SAINT JOHN'S HEALTH CENTER HAS BEEN FORTUNATE TO COLLABORATE WITH MANY EXTRAORDINARY PARTNERS, SUCH AS THE SANTA MONICA-MALIBU UNIFIED SCHOOL DISTRICT (SMMUSD), VENICE FAMILY CLINIC AND THE PEOPLE CONCERN TO SERVE THE NEEDS OF THE COMMUNITY. PROVIDENCE SAINT JOHN'S SUPPORTS SMMUSD'S SCHOOL NURSE PROGRAM IN ORDER TO ENHANCE THE HEALTH STATUS OF OUR COMMUNITY'S SCHOOL AGE CHILDREN. THE HEALTH CENTER WORKS WITH THE PEOPLE CONCERN TO ADDRESS THE NEEDS OF THOSE WHO ARE HOMELESS AND LIVING IN THE AREA. THROUGH THE PARTNERSHIP WITH VENICE FAMILY CLINIC, THOSE PERSONS WHO ARE UNINSURED ARE ABLE TO GET THE MEDICAL CARE AND HELP THAT THEY NEED. PROVIDENCE SAINT JOHN'S IS A MAJOR EMPLOYER AND A NOT-FOR-PROFIT CORPORATE CITIZEN ON THE WESTSIDE. AS SUCH, WE SUPPORT COMMUNITY ORGANIZATIONS SUCH AS VENICE FAMILY CLINIC, SANTA MONICA-MALIBU UNIFIED SCHOOL DISTRICT, WESTSIDE FAMILY HEALTH CENTER, THE PEOPLE CONCERN, ST. JOSEPH CENTER, SAINT JOHN'S CHILD AND FAMILY DEVELOPMENT CENTER, WISE & HEALTHY AGING, STEP UP ON SECOND, UPWARD BOUND HOUSE, ST. ANNE'S SCHOOL, PICO YOUTH & FAMILY CENTER, MEALS ON WHEELS WEST, BOYS AND GIRLS CLUB OF SANTA MONICA, SAFE PLACE FOR YOUTH AND THE WESTSIDE COALITION.IN ADDITION TO PARTNERING WITH AND SUPPORTING LOCAL ORGANIZATIONS IN THE COMMUNITY, PSJHC ALSO PROVIDES COMMUNITY OUTREACH PROGRAMS TO ADDRESS SOME OF THE PRIORITY HEALTH NEEDS IN THE AREA. THESE PROGRAMS INCLUDE THE CHILD AND FAMILY DEVELOPMENT CENTER PROVIDING OUTPATIENT MENTAL HEALTH SERVICES TO LOW INCOME CHILDREN AND THEIR FAMILIES. THE HOMELESS CARE COORDINATION PROGRAM SERVES PATIENTS WHO ARE HOMELESS SEEKING CARE AT THE HOSPITAL BY TRYING TO LINK THEM WITH SHELTER AND OTHER SERVICES. THE COMMUNITY HEALTH PARTNERSHIP PROGRAM FOCUSES ON DISEASE PREVENTION AND HEALTH PROMOTION BY BRINGING EDUCATION, ACTIVITIES, AND SCREENING PROGRAMS TO THE LOCAL RESIDENTS. THE COMMUNITY HEALTH EDUCATION PROGRAM OFFERS A SERIES OF FREE HEALTH FORUMS FOR THE WESTSIDE RESIDENTS FOCUSED ON DIFFERENT HEALTH TOPICS OF INTEREST TO THE COMMUNITY. 339248030 1 1 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 344 0 1 2154 1 1 1 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 CA X JO ANN ESCASA-HAIGH 9493814000 3345 MICHELSON DRIVE SUITE 100 IRVINE CA 92612 X RICHARD BLAIR CHAIR 0.10 7.70 X 0 60360 0 DAVE OLSEN VICE CHAIR 0.10 7.00 X 0 30360 0 DICK P ALLEN DIRECTOR 0.10 5.00 X 0 30360 0 ISIAAH CRAWFORD PHD DIRECTOR 0.10 4.10 X 0 30360 0 LUCILLE DEAN SP DIRECTOR 0.10 5.50 X 0 0 0 SR DIANE HEJNA CSJ RN DIRECTOR 0.10 5.30 X 0 0 0 MICHAEL HOLCOMB DIRECTOR 0.10 5.50 X 0 30360 0 SR PHYLLIS HUGHES RSM DIRECTOR 0.10 5.00 X 0 0 0 SALLYE LINER MSN RN DIRECTOR 0.10 5.00 X 0 25360 0 MARY LYONS PHD DIRECTOR 0.10 4.60 X 0 30360 0 WALTER NOCE JR DIRECTOR 0.10 5.50 X 0 30360 0 CAROLINA REYES MD DIRECTOR 0.10 6.00 X 0 30360 0 PHOEBE YANG DIRECTOR 0.10 5.50 X 0 25360 0 MIKE BUTLER PRESIDENT 1.00 59.00 X 0 2529152 2095457 VENKAT BHAMIDIPATI EVP/TREASURER 1.00 59.00 X 0 638309 847978 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 1.00 59.00 X 0 1372090 667685 CINDY STRAUSS SECRETARY 1.00 59.00 X 0 1743082 1020214 TAMMY TEODOSIO ASSISTANT SECRETARY 1.00 59.00 X 0 117493 23110 JOHN WHIPPLE ASSISTANT SECRETARY 1.00 59.00 X 0 754800 485048 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 1.00 59.00 X 0 248186 20012 JAMES ULI CFO/ST. JOHN'S 48.00 2.00 X 0 316579 24095 MARCEL LOH CEO/ST. JOHN'S 45.00 5.00 X 0 1364710 768684 ERIK WEXLER CE/CA REGION 8.00 57.00 X 0 1324542 1156330 DAWNA HENDEL CNO - THRU 4/17 40.00 0.00 X 386239 0 21748 ROBERT KLEIN PRESIDENT/CEO FOUNDATION 1.00 40.00 X 516157 0 59915 DONALD LARSEN JR CMO 40.00 0.00 X 493082 0 41079 STELLA NICHOLS CFO/FOUNDATION 1.00 40.00 X 290933 0 35557 DAVID TAM COO 40.00 0.00 X 570240 0 59083 ROD HOCHMAN MD FORMER - PRESIDENT/CEO 0.00 65.00 X 0 5269095 6313965 TODD HOFHEINS FORMER - EVP/CFO/TREAS. 0.00 60.00 X 0 2139114 45475 CRAIG WRIGHT MD FORMER - SVP/PHYSICIAN SERVICES 0.00 0.00 X 0 245590 10916 DAVID BROWN FORMER - VP/STRATEGY & BIZ DVLPMT 0.00 55.00 X 0 700285 457360 DEBBIE BURTON FORMER - SVP/CHIEF NURSING OFFICER 0.00 60.00 X 0 776449 387202 DEBRA CANALES FORMER - EVP/CAO 0.00 60.00 X 0 1674402 1236264 AMY COMPTON-PHILLIPS FORMER - EVP/CHIEF CLINICAL OFFICER 0.00 55.00 X 0 1491216 1024801 MARY CRANSTOUN FORMER - VP/TOTAL REWARDS 0.00 60.00 X 0 705405 482346 JOHN FLETCHER FORMER - VP/OPERATIONS SUPPORT 0.00 0.00 X 0 103970 20386 JOEL GILBERTSON FORMER - SVP/COMMUNITY PARTNERSHIPS 0.00 60.00 X 0 856314 552384 OREST HOLUBEC FORMER - SVP/CHIEF COMM/EXT AFF OFF 0.00 55.00 X 0 788870 484008 AARON MARTIN FORMER - SVP/STRATEGY & INNOVATION 0.00 70.00 X 0 900371 716019 TOM MCDONAGH FORMER - VP/CHIEF INVESTMENT OFFICER 0.00 58.00 X 0 830621 546487 RHONDA MEDOWS MD FORMER - EVP/POPULATION HEALTH 0.00 60.00 X 0 1582404 1126342 JACK MUDD FORMER - SVP/MISSION LEADERSHIP 0.00 0.00 X 0 439799 277760 JANICE NEWELL FORMER - SVP/CHIEF INFORMATION OFFCR 0.00 60.00 X 0 1396825 738630 HARVEY SMITH FORMER - SVP/CHIEF CUSTOMER SVC. OFF 0.00 50.00 X 0 1048182 47496 GREG TILL FORMER - VP/CHIEF TALENT OFFICER 0.00 65.00 X 0 713560 491592 SHARON TONCRAY FORMER - SVP/CHIEF LABOR EE COUNSEL 0.00 60.00 X 0 766530 557321 LISA VANCE FORMER - SVP/CLINICAL PROGRAM SRVCS 0.00 60.00 X 0 1691102 682325 MIKE WATERS FORMER - VP,CAO/PHYSICIAN SERVICES 0.00 60.00 X 0 642910 463750 PAUL STODDART FORMER - VP/MARKETING 0.00 0.00 X 0 175547 8264 2256651 35671104 23997088 442 1 1 0 RIGHTSOURCING INC PO BOX 515743 LOS ANGELES CA 90051 STAFFING 9714335 AV CONSTRUCTION INC 18444 WARD STREET FOUNTAIN VALLEY CA 92708 CONSTRUCTION 2534065 ARUP LABORATORIES INC CCHCA PO BOX 27964 SALT LAKE CITY UT 84127 LAB SERVICES 1482995 SPECIALTYCARE CARDIOVASCULAR PO 11407 BIRMINGHAM AL 35246 TRANSFUSION SERVICES 1033419 PERKINS EASTMAN ARCHITECTS 115 FIFTH AVENUE NEW YORK NY 10003 ARCHITECT SERVICES 903690 105 7295041 1885668 99527 9280236 ACUTE CARE 900099 329916320 324305884 5610436 PRIMARY CARE 621110 57010327 57010327 HEALTHCARE JV 621110 6000 6000 386932647 1511481 407441 1104040 1104040 1104040 650499 0 650499 650499 650499 197996 222850 -24854 -24854 CAFETERIA 722410 1410897 1410897 CONCIERGE REVENUE 621110 1377827 1377827 PARKING REVENUE 812930 494480 494480 1800726 435573 1365153 5083930 403026498 383135611 5610436 5000215 X 772972 772972 35015 35015 134376986 119939976 14437010 1922165 1715654 206511 9858102 8798981 1059121 1451489 1451489 45900 45900 100623593 88138306 12485287 398565 398565 4877907 3551348 1326559 700750 566641 134109 17693458 11414586 6278872 224711 143267 81444 348676 178716 169960 4773112 4773112 9840049 6135446 3704603 1765202 1599319 165883 MEDICAL SUPPLIES 76166633 76166633 PROVIDER TAX 11713554 11713554 PARKING 3144224 3144224 BAD DEBTS 3074662 3074662 1018678 529842 488836 384826403 339248030 45578373 0 X 338159 19207 82097 94968 44333510 53433639 6146180 6756759 1409269 7871017 338220905 42092754 284780911 296128151 132315402 145474015 8181359 27111357 16344869 496516885 534303984 36808358 50643175 913115 2237190 118740000 98916090 181434576 255377563 234314941 X 154587279 205030816 70692481 80022400 15859562 14935827 241139322 299989043 496516885 534303984 X 18200095 40649626 X 0 1 X 1 1 1 X 150000000 150000000 103775485 11229889 92545596 1399244 615330 783914 60150729 30247535 29903194 22895447 22895447 296128151 BENEFICIAL INTEREST IN FOUNDATION 145474015 C 145474015 120000 THIRD PARTY SETTLEMENTS 78841 OTHER PAYABLES 23616763 DUE TO AFFILIATES 37696688 I/C - TAX-EXEMPT BOND LIABILITIES 118740000 UNPAID CLAIMS PAYABLE 1182284 181434576 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 3454994 3454994 0.00910 21498443 1157655 20340788 0.05330 24953437 1157655 23795782 0.06240 1178678 456896 721782 0.00190 669051 669051 0.00180 5009464 5009464 0.01310 1050349 1050349 0.00280 7907542 456896 7450646 0.01960 32860979 1614551 31246428 0.08200 1766805 593127 1173678 0.00310 1766805 593127 1173678 0.00310 1 3074662 0 146806041 225697537 -78891496 X 1 1 1 SM WILSHIRE IMAGING OUTPATIENT IMAGING CENTER 0.50000 0.50000 1 1 SAINT JOHN'S HEALTH CENTER 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 CALIFORNIA.PROVIDENCE.ORG/SAINT-JOHNS/ 930000158 X X X SAINT JOHN'S HEALTH CENTER 1 0 0 1 X X X X X X X X X 16 1 1 0 1 X SEE LINE 10A URL BELOW X 1 17 1 WWW.PSJHEALTH.ORG/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS 0 1 X 300.000000000000 350.000000000000 X X X X X 1 1 X X X X 1 X WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE X WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE-APPLICATION X WWW.PROVIDENCE.ORG/OBP/PLAIN-LANGUAGE-SUMMARY X X X X X X 1 X 0 X X X X 1 X 0 1 SAINT JOHN'S HEALTH CENTER Part V, Section B, Line 3j: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SAINT JOHN'S HEALTH CENTER Part V, Section B, Line 5: PROVIDENCE SAINT JOHN'S SOUGHT THE INPUT FROM KEY LEADERS IN THE FOLLOWING ORGANIZATIONS IN CONDUCTING THE LAST COMMUNITY HEALTH NEEDS ASSESSMENT IN 2017.-HEALTH DEPUTIES FROM SPAS 2 AND 3 FOR THE L.A. COUNTY BOARD OF SUPERVISORS (LOCAL COUNTY GOVERNMENT REPRESENTATIVE SERVING ALL RESIDENTS OF THE TWO SPAS)-CALIFORNIA COMMUNITY FOUNDATION (LOCAL PHILANTHROPY PROVIDING GRANTS TO SERVE LOW-INCOME, UNDERSERVED, MARGINALIZED, DIFFERENT ETHNIC GROUPS AND OTHERS IN L.A.)- VENICE FAMILY CLINIC (ORGANIZATION SERVES THE LOCAL INCOME AND UNINSURED BY PROVIDING MEDICAL CARE SERVICES)-DIDI HIRSCH MENTAL HEALTH CENTER (PROVIDES MENTAL HEALTH SERVICES TO THOSE WHO ARE LOW INCOME ON THE WESTSIDE OF L.A.)-SOUTHSIDE COALITION OF COMMUNITY HEALTH CENTERS (ORGANIZATION REPRESENTS COMMUNITY CLINICS SERVING THE LOW INCOME AND UNINSURED)-SANTA MONICA CHAMBER OF COMMERCE (REPRESENTS BUSINESSES IN THE SANTA MONICA COMMUNITY)-UNIHEALTH FOUNDATION (PHILANTHROPIC FOUNDATION PROVIDING FUNDS FOR PROJECTS THAT SERVE THOSE IN POVERTY, UNINSURED, MARGINALIZED, ETHNIC MINORITIES AND OTHERS IN THE SOUTHERN CALIFORNIA AREA)-WESTSIDE FAMILY HEALTH CENTER (COMMUNITY CLINIC PROVIDING PRIMARY MEDICAL CARE TO THOSE LIVING IN POVERTY AND THE UNINSURED RESIDING ON THE WESTSIDE)-SABAN CLINIC (COMMUNITY CLINIC PROVIDING PRIMARY MEDICAL CARE TO THOSE LIVING IN POVERTY AND THE UNINSURED ON THE WESTSIDE OF L.A.)-LOS ANGELES CITY DEPARTMENT OF PARKS AND RECREATION (GOVERNMENT DEPARTMENT OVERSEEING PARKS AND RECREATION PROGRAMS WITHIN THE CITY OF L.A.)-L.A. GAY AND LESBIAN CENTER (NONPROFIT THAT PROVIDES FREE AND DISCOUNTED SERVICES SUCH AS CLASSES, SUPPORT GROUPS, MEDICAL CARE AND MENTAL HEALTH SERVICES TO LGBTQ PERSONS RESIDING IN LOS ANGELES)-MAR VISTA FAMILY CENTER (COMMUNITY CENTER PROVIDING CLASSES, COUNSELING, INFORMATION AND OTHER SERVICES TO LOW INCOME RESIDENTS LIVING IN MAR VISTA)-U.S. VETERAN'S INITIATIVE (NONPROFIT PROVIDING SERVICES TO VETERANS LIVING IN L.A.)-THE L.A. TRUST FOR CHILDREN'S HEALTH (NONPROFIT SERVING LOW INCOME AND VULNERABLE CHILDREN AND THEIR FAMILIES)-CRENSHAW CHAMBER OF COMMERCE (ORGANIZATION REPRESENTING BUSINESSES IN THE CRENSHAW AREA)-L.A. COUNTY DEPARTMENT OF PLANNING (COUNTY DEPARTMENT OVERSEEING URBAN PLANNING FOR LOS ANGELES COUNTY)-LOS ANGELES URBAN LEAGUE(NONPROFIT THAT HELPS THE UNDERSERVED COMMUNITIES IN L.A. TO PARTICIPATE TO THE FULLEST EXTENT IN AMERICAN LIFE BY HELPING TO CHANGE SOCIAL AND ECONOMIC CONDITIONS)-JEWISH FAMILY SERVICES (NONPROFIT PROVIDING SOCIAL SERVICES, INFORMATION AND REFERRAL TO MEMBERS OF THE JEWISH COMMUNITY AND OTHERS LIVING ON THE WESTSIDE)-KOREAN AMERICAN FAMILY SERVICES (NONPROFIT PROVIDING SOCIAL SERVICES, INFORMATION AND REFERRAL TO MEMBERS OF THE KOREAN COMMUNITY AND OTHERS)-SOUTH L.A. WOMEN, INFANTS AND CHILDREN (NONPROFIT PROVIDING INFORMATION AND OTHER SERVICES TO LOW INCOME WOMEN, INFANTS AND CHILDREN LIVING IN THE SOUTHERN PART OF L.A. COUNTY)-CITY OF WEST HOLLYWOOD (CITY GOVERNMENT REPRESENTING THE RESIDENTS OF WEST HOLLYWOOD)-HEALTHY AFRICAN AMERICAN FAMILIES (NONPROFIT FOCUSED ON IMPROVING THE HEALTH OUTCOMES FOR LOW INCOME AFRICAN AMERICANS, LATINOS AND KOREANS LIVING IN L.A.)-SANTA MONICA-MALIBU UNIFIED SCHOOL DISTRICT (LOCAL SCHOOL DISTRICT SERVING THE CITIES OF SANTA MONICA AND MALIBU)-UCLA KAISER PERMANENTE CENTER FOR HEALTH EQUITY (ACADEMIC RESEARCH CENTER ADDRESSING HEALTH DISPARITIES AMONG DIFFERENT ETHNIC GROUPS, GENDERS, AND INCOME LEVELS WITHIN L.A. COUNTY)-CHARLES R. DREW UNIVERSITY OF MEDICINE AND SCIENCE (MEDICAL COLLEGE LOCATED IN AN UNDERSERVED AND LOW INCOME AREA OF L.A. COUNTY AND TRAINING A LARGE PROPORTION OF ETHNIC MINORITIES)-CITY OF L.A. HOUSING AUTHORITY (CITY GOVERNMENT AGENCY OVERSEEING AFFORDABLE, PUBLIC AND SECTION 8 HOUSING WITHIN THE CITY OF L.A.)-HOMELESS OUTREACH PROGRAM INTEGRATED CARE SYSTEM (NONPROFIT ORGANIZATION HELPING TO COORDINATE HOMELESS SERVICES AND RESOURCES FOR PERSONS WITHOUT PERMANENT HOUSING)-FIRST AFRICAN AMERICAN EPISCOPAL CHURCH OF L.A. (EPISCOPAL CHURCH IN L.A. PROVIDING OUTREACH SERVICES TO LOW INCOME PERSONS LIVING IN THE SOUTHERN AREA OF L.A. COUNTY)-WEST LOS ANGELES COMMUNITY DEVELOPMENT CORP. (NONPROFIT ORGANIZATION FOCUSED ON INCREASING ECONOMIC AND SOCIAL JUSTICE AND TO ALLEVIATE POVERTY AMONG THOSE WHO ARE CONSIDERED LOW INCOME IN LOS ANGELES)-OPCC/THE PEOPLE CONCERN (NONPROFIT ORGANIZATION PROVIDING TEMPORARY SHELTER, PERMANENT HOUSING AND OTHER SERVICES TO HOMELESS INDIVIDUALS LIVING ON THE WESTSIDE OF L.A.)-LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH (COUNTY AGENCY OVERSEEING MENTAL HEALTH SERVICES IN L.A. AND PROVIDING COUNSELING AND OTHER MENTAL HEALTH SERVICES TO THE LOW INCOME AND UNINSURED POPULATIONS)-WISE AND HEALTHY AGING (NONPROFIT PROVIDING SOCIAL, MENTAL HEALTH, EDUCATIONAL, AND OTHER SERVICES TO SENIORS LIVING ON THE WESTSIDE OF L.A.)-STEP UP ON SECOND (NONPROFIT SERVING HOMELESS INDIVIDUALS BY PROVIDING SHELTER, HOUSING AND OTHER SERVICES LOCATED ON THE WESTSIDE OF L.A.)-LOS ANGELES UNIFIED SCHOOL DISTRICT (SCHOOL DISTRICT ADMINISTERING ELEMENTARY, MIDDLE, HIGH AND ADULT SCHOOLS WITHIN THE CITY OF L.A.)-UCLA DAVID GEFFEN SCHOOL OF MEDICINE (MAJOR MEDICAL SCHOOL LOCATED ON THE WESTSIDE)-SANTA MONICA COLLEGE (COMMUNITY COLLEGE SERVING STUDENTS OF ALL ETHNICITIES, GENDERS, AND INCOME LEVELS SERVING THE WESTSIDE OF L.A.)-ST. MONICA CHURCH (CATHOLIC CHURCH PROVIDING VARIOUS OUTREACH PROGRAMS TO SERVE THOSE WHO ARE LOW INCOME AND LIVING IN THE SANTA MONICA AREA)-MEALS ON WHEELS WEST (NONPROFIT PROVIDING FREE AND LOW COST MEALS TO SENIORS AND THOSE ARE LOW INCOME LIVING ON THE WESTSIDE OF L.A.)-L.A. CARE HEALTH PLAN (INSURANCE COMPANY PROVIDING COVERAGE TO THOSE WHO ARE LOW INCOME LIVING IN L.A. COUNTY)-LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH AREA HEALTH OFFICER (LOCAL COUNTY PUBLIC HEALTH DEPARTMENT OFFICE SERVING RESIDENTS OF THE WESTSIDE AND SOUTHSIDE OF L.A. COUNTY) SAINT JOHN'S HEALTH CENTER Part V, Section B, Line 6a: PROVIDENCE SAINT JOHN'S HEALTH CENTER CONDUCTED PART OF THE PRIMARY DATA COLLECTION FOR THE CHNA IN PARTNERSHIP WITH THE OTHER HOSPITALS IN THE AREA INCLUDING:-CEDARS-SINAI MEDICAL CENTER-KAISER PERMANENTE MEDICAL CENTER WEST LOS ANGELES-UCLA MEDICAL CENTER, RONALD REAGAN AND SANTA MONICA CAMPUSES SAINT JOHN'S HEALTH CENTER Part V, Section B, Line 11: PROVIDENCE SAINT JOHN'S SOLICITED INPUT FROM KEY COMMUNITY STAKEHOLDERS, MEMBERS OF THE COMMUNITY ADVISORY COMMITTEE AND LOCAL RESIDENTS TO HELP IDENTIFY THE PRIORITY NEEDS. THESE TOP FIVE PRIORITY NEEDS IDENTIFIED IN THE 2016 CHNA INCLUDED:-ACCESS TO AFFORDABLE PRIMARY AND SPECIALTY CARE.-BETTER MANAGEMENT AND PREVENTION OF CHRONIC ILLNESSES.-THE NEED FOR MORE PREVENTION PROGRAMS FOCUSED ON REDUCING OBESITY AND IMPROVING NUTRITION.-IMPROVE ACCESS TO AFFORDABLE MENTAL HEALTH AND SUBSTANCE ABUSE PROGRAMS.-GROWING NUMBER OF HOMELESS PERSONS LIVING IN THE AREA.PROVIDENCE SAINT JOHN'S DEVELOPED IMPLEMENTATION STRATEGIES AROUND EACH OF THESE FIVE PRIORITY NEEDS THAT INCLUDED SPECIFIC METRICS TO ACHIEVE THE STRATEGIES. A COPY OF THE COMMUNITY HEALTH IMPROVEMENT PLAN IS INCLUDED AS AN APPENDIX WITHIN THE COMMUNITY HEALTH NEEDS ASSESSMENT. WITH SOME STRATEGIES THE ORGANIZATION IS DEVELOPING SPECIFIC PROGRAMS TO ADDRESS THE NEEDS, SUCH AS THE IMPLEMENTATION OF THE HOMELESS CARE COORDINATION PROGRAM. WITH OTHER STRATEGIES PROVIDENCE SAINT JOHN'S IS PARTNERING WITH OTHER ORGANIZATIONS TO WORK ON ADDRESSING THE NEEDS COLLABORATIVELY THROUGH JOINT PROJECTS OR GRANT FUNDING. FOR NEEDS THAT PROVIDENCE SAINT JOHN'S IS UNABLE TO FOCUS ON AT THIS TIME (DUE TO LACK OF EXPERTISE IN THIS AREA AND THE AVAILABILITY OF FUNDING) SUCH AS HAVING MORE AFFORDABLE HOUSING TO ADDRESS HOMELESSNESS OR PROVIDING MORE ECONOMIC OPPORTUNITIES, THE HOSPITAL IS FUNDING ORGANIZATIONS IN THE COMMUNITY THROUGH GRANTS TO SUPPORT THEIR EFFORTS. THESE INCLUDE GRANTS TO ORGANIZATIONS SUCH AS UPWARD BOUND HOUSE, STEP UP ON SECOND, AND SAFE PLACE FOR YOUTH. SAINT JOHN'S HEALTH CENTER Part V, Section B, Line 24: FOR NON-MEDICALLY NECESSARY SERVICES, A PATIENT MAY BE CHARGED FULL BILLED CHARGES. 13 1 - SANTA MONICA WILSHIRE IMAGING 2200-2202 WILSHIRE BLVD SANTA MONICA CA 90404 OUTPATIENT/IMAGING CTR 2 - FAMILY AND OBESITY MEDICINE 12304 SANTA MONICA BLVD SUITE 101 LOS ANGELES CA 90025 PRIMARY CARE 3 - PEDIATRICS KIDDOX 1245 16TH ST SUITE 305 SANTA MONICA CA 90404 PRIMARY CARE 4 - FAMILY MEDICINE 1811 WILSHIRE BLVD SUITE 201 SANTA MONICA CA 90403 PRIMARY CARE 5 - FAMILY MEDICINE 1821 WILSHIRE BLVD SUITE 301 SANTA MONICA CA 90403 PRIMARY CARE 6 - PEDIATRICS 2021 SANTA MONICA BLVD SUITE 245E SANTA MONICA CA 90404 PRIMARY CARE 7 - PEDIATRICS 2021 SANTA MONICA BLVD SUITE 421E SANTA MONICA CA 90404 PRIMARY CARE 8 - FAMILY MEDICINE PEAK 2143 S SEPULVEDA BL 300 LOS ANGELES CA 90025 PRIMARY CARE 9 - INTERNAL MEDICINE 1301 20TH ST SUITE 110 SANTA MONICA CA 90404 SPECIALTY CLINIC 10 - NEPHROLOGY & INTERNAL MEDICINE 1301 20TH ST SUITE 290 SANTA MONICA CA 90404 SPECIALTY CLINIC 11 - RHEUMATOLOGY 2021 SANTA MONICA BLVD SUITE 335E SANTA MONICA CA 90404 SPECIALTY CLINIC 12 - HOSPITAL MEDICINE 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 SPECIALTY CLINIC 13 - RHEUMATOLOGY 2336 SANTA MONICA BL 207 SANTA MONICA CA 90404 SPECIALTY CLINIC Part I, Line 3c: IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS. Part I, Line 6a: PROVIDENCE SAINT JOHN'S HEALTH CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://CALIFORNIA.PROVIDENCE.ORG/SAINT-JOHNS/ABOUT/COMMUNITY-OUTREACH/ Part I, Line 7: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. Part I, Line 7g: NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 3,074,662. Part II, Community Building Activities: PROVIDENCE SAINT JOHN'S EXTENDS CARE BEYOND THE HOSPITAL'S WALLS TO IMPROVE THE HEALTH OF THE COMMUNITY. THROUGH COMMUNITY BUILDING ACTIVITIES THE ORGANIZATION FOCUSES ON ISSUES SUCH AS HOMELESSNESS, POVERTY, ENVIRONMENTAL STEWARDSHIP AND IMPROVEMENTS IN EDUCATION.PROVIDENCE SAINT JOHN'S LEADERS SERVE ON THE BOARDS OF LOCAL NONPROFIT ORGANIZATIONS SUCH AS MEALS ON WHEELS WEST AND WISE AND HEALTHY AGING. MANY OF THE EMPLOYEES AT THE HOSPITAL DONATE THEIR TIME THROUGH VOLUNTEER ACTIVITIES WITH NONPROFITS IN THE AREA. PROVIDENCE ST. JOSEPH HEALTH (THE PARENT COMPANY OF PROVIDENCE SAINT JOHN'S HEALTH CENTER) ENCOURAGES VOLUNTEERISM AMONG THE EMPLOYEES THROUGH THE VOLUNTEERS IN PARTNERSHIP PROGRAM. IN ADDITION, PROVIDENCE SAINT JOHN'S DOES COLLECTIONS OF GOODS THROUGHOUT THE YEAR TO HELP ORGANIZATIONS SERVING THOSE MOST IN NEED. EXAMPLES OF THESE DONATION DRIVES INCLUDE A SHOE COLLECTION, SCHOOL SUPPLY COLLECTION, SOCKS AND UNDERWEAR FOR THE HOMELESS SHELTER, AND GIFTS FOR LOW INCOME FAMILIES AT THE HOLIDAYS. Part III, Line 2: THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE. Part III, Line 3: THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION, THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. Part III, Line 4: THE HEALTH SYSTEM PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE HEALTH SYSTEM ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. Part III, Line 8: THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. Part III, Line 9b: PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE. Part VI, Line 2: NEEDS ASSESSMENT:IN ADDITION TO COMPLETING A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT, PROVIDENCE SAINT JOHN'S SEEKS FEEDBACK ON EMERGING NEEDS AND ISSUES IN THE COMMUNITY. THIS IS ACCOMPLISHED THROUGH A NUMBER OF WAYS:-THE HOSPITAL PARTICIPATES ON THE WESTSIDE COALITION WHICH IS A MULTI-SECTORAL GROUP OF ORGANIZATIONS ADDRESSING ISSUES OF HEALTH, MENTAL HEALTH, SOCIAL ISSUES AND HOUSING WITHIN SERVICE PLANNING AREA 5.-PROVIDENCE SAINT JOHN'S MAINTAINS ONGOING COMMUNICATION WITH KEY COLLABORATORS IN THE COMMUNITY TO IDENTIFY KEY NEEDS AND ISSUES FACING THE AREA. THESE ORGANIZATIONS INCLUDE VENICE FAMILY CLINIC, THE PEOPLE CONCERN, SAFE PLACE FOR YOUTH, CITY OF SANTA MONICA, ST. MONICA CHURCH, KAISER PERMANENTE WEST LOS ANGELES, UCLA MEDICAL CENTER, CEDARS SINAI MEDICAL CENTER AND WISE AND HEALTHY AGING.-PROVIDENCE SAINT JOHN'S HOLDS AN ANNUAL MEETING WITH LOCAL RESIDENTS TO SEEK THEIR INPUT ON ISSUES THEY FEEL ARE FACING THE COMMUNITY. Part VI, Line 3: COMMUNICATION TO THE PUBLIC:PROVIDENCE HOSPITALS POST NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS ADMITTING/REGISTRATION, BILLING OFFICE, EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS.EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE POLICIES CONTAINS BRIEF INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR A DISCOUNTED PAYMENT. THE NOTICES ALSO INCLUDE A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION.AT THE TIME OF REGISTRATION, PATIENTS RECEIVE A PACKET THAT INCLUDES INFORMATION ON CHARITY CARE AND FINANCIAL ASSISTANCE. IF PATIENTS HAVE ANY QUESTIONS, PROVIDENCE HAS FINANCIAL COUNSELORS THAT WILL EDUCATE THEM ON ANY FINANCIAL ASSISTANCE THROUGH THE HOSPITAL OR ANY GOVERNMENT PROGRAM THAT THE PATIENT MAY QUALIFY FOR.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS.WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS. Part VI, Line 4: THE COMMUNITY SERVED BY PROVIDENCE SAINT JOHN'S HEALTH CENTER INCLUDES THE AREA THAT REPRESENTS SERVICE PLANNING AREA 5 OF LOS ANGELES COUNTY. THIS AREA INCLUDES THE WESTERN PORTION OF LOS ANGELES COUNTY STRETCHING FROM THE SANTA MONICA MOUNTAINS TO THE COAST. THE AREA INCLUDES 20 DISTINCT COMMUNITIES AND 30 ZIP CODES AND INCLUDES A POPULATION OF OVER 674,700 PERSONS. A BREAKDOWN OF THE DEMOGRAPHICS OF THE AREA SHOWS:-68.5% OF THE POPULATION IS WHITE, 13.4% ASIAN, AND 6.0% AFRICAN AMERICAN. LATINOS REPRESENT APPROXIMATELY 15.4% OF THE AREA POPULATION.-APPROXIMATELY 24% OF THE POPULATION IN THE AREA HAS ANNUAL INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL.-THE AREA INCLUDES COMMUNITIES WITH SIGNIFICANT INCOME SUCH AS BEL AIR AND PACIFIC PALISADES AND AREAS WITH A MIX OF LOWER INCOME HOUSEHOLDS SUCH AS MAR VISTA.-THOSE PERSONS OVER 25 YEARS OF AGE WHO HAVE NOT GRADUATED FROM HIGH SCHOOLS REPRESENT 6% OF THE POPULATION.-SENIORS, AGE 65+, REPRESENT 16.3% OF THE POPULATION WHILE CHILDREN/YOUTH, AGE 0-17 REPRESENT 15.9% OF THE POPULATION.-THE AREA IS EVENLY SPLIT BETWEEN MALES AND FEMALES.-THE NUMBER OF HOUSING UNITS IN THE AREA IS 330,749.-APPROXIMATELY 5.3% OF THE RESIDENTS IN THE AREA ARE UNINSURED.-OF THE POPULATION AGE 5 AND OLDER, APPROXIMATELY 10.8% HAVE LIMITED ENGLISH PROFICIENCY.THERE ARE SIX OTHER HOSPITALS SERVING THE PROVIDENCE SAINT JOHN'S HEALTH CENTER COMMUNITY. Part VI, Line 5: PROVIDENCE SAINT JOHN'S HEALTH CENTER PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERSINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE SAINT JOHN'S HEALTH CENTER IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) OPEN MEDICAL STAFF 2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. Part VI, Line 6: ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 50 HOSPITALS AND 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. Part VI, Line 7, Reports Filed With States CA 1 VENICE FAMILY CLINIC 604 ROSE AVE VENICE CA 90291 952769432 501(c)(3) 175000 SUPPORT HOMELESS HEALTHCARE PROGRAM. OCEAN PARK COMMUNITY CENTER 1453 16TH ST SANTA MONICA CA 90404 956143865 501(c)(3) 150000 SUPPORT RECUPERATIVE CARE PROGRAM FOR HOMELESS RECOVERING FROM ILLNESS. WISE AND HEALTHY AGING 1527 4TH STREET FLOOR 2 SANTA MONICA CA 90401 952788014 501(c)(3) 86622 SUPPORT TRAINING AND EDUCATION CENTER. WESTSIDE FAMILY HEALTH CENTER 1711 OCEAN PARK BLVD SANTA MONICA CA 90405 952931931 501(c)(3) 50000 SUPPORT DIABETES MANAGEMENT PROGRAM. SANTA MONICA MALIBU UNIFIED SCHOOL DISTRICT 1651 16TH ST SANTA MONICA CA 90401 956002855 Government 50000 SUPPORT SCHOOL NURSING SERVICES. SAINT ANNE SCHOOL 2015 COLORADO BLVD SANTA MONICA CA 90404 951690538 501(c)(3) 40000 SUPPORT SCHOOL NURSING, COUNSELING, TUITION. PALISADES WILL ROGERS 5 AND 10K RUN FOUNDATION P O BOX 601 PACIFIC PALISADES CA 90272 463944524 501(c)(3) 35000 SUPPORT 5/10K RUNS ST JOSEPH CENTER 204 HAMPTON DR VENICE CA 90291 953874381 501(c)(3) 35000 SUPPORT CAFE SERVING HOMELESS AND LOW INCOME CLIENTS. THE ACHIEVABLE FOUNDATION 5901 GREEN VALLEY CIR STE 405 CULVER CITY CA 90230 954552419 501(c)(3) 26000 SUPPORT TO SERVE UNMET NEEDS OF MOST VULNERABLE COMMUNITY MEMBERS. BEAUTY BUS FOUNDATION 2716 OCEAN PARK BLVD STE 1062 SANTA MONICA CA 90405 263075655 501(c)(3) 20000 PROVIDE PAMPERING SERVICES FOR PATIENTS AND CAREGIVERS. CLARIS HEALTH 11500 W OLYMPIC BLVD STE 560 LOS ANGELES CA 90064 954806856 501(c)(3) 16000 SUPPORT SATELLITE CLINIC AND SUPPORT SERVICES. UPWARD BOUND HOUSE 1104 WASHINGTON BLVD SANTA MONICA CA 90403 954288926 501(c)(3) 15000 SUPPORT TEMPORARY/TRANSITIONAL SHELTER PROGRAM. COMMUNITY PARTNERS FOR SAFE PLACE FOR YOUTH 2469 LINCOLN BLVD SANTA MONICA CA 90291 954302067 501(c)(3) 11000 SUPPORT FOR MENTAL HEALTH SERVICES FOR HOMELESS YOUTH AT DROP-IN CENTER. MEALS ON WHEELS WEST 1823 MICHIGAN AVE STE A SANTA MONICA CA 90404 954613280 501(c)(3) 10000 SUPPORT HOME DELIVERED MEALS PROGRAM. SANTA MONICA HISTORICAL SOCIETY P O BOX 3059 SANTA MONICA CA 90408 953019295 501(c)(3) 10000 SPONSOR "KEEPING HISTORY ALIVE" PROGRAM. BOYS AND GIRLS CLUB OF SANTA MONICA 1220 LINCOLN BLVD SANTA MONICA CA 90401 951890706 501(c)(3) 10000 SUPPORT HEALTHY LIFESTYLES PROGRAM. STEP UP ON SECOND STREET 1328 2ND ST SANTA MONICA CA 90401 954109386 501(c)(3) 10000 SUPPORT SERVICES FOR HOMELESS CLIENTS. PICO YOUTH AND FAMILY CENTER 715 PICO BLVD SANTA MONICA CA 90405 481269398 501(c)(3) 10000 SUPPORT PROGRAMS - FITNESS, HEALTH EDUCATION, MENTAL WELLNESS. 18 PROVISION OF SUPPLIES 1000 21533 COST SUPPLIES SUCH AS THROWS, CLOTHING AND HYGIENE KITS FOR HOMELESS PERSONS. NURSING SCHOLARSHIPS 8 7832 GROCERY GIFT CARDS 60 5650 COST GROCERY GIFTS CARDS FOR NEEDY FAMILIES. Part I, Line 2: PROVIDENCE SAINT JOHN'S HEALTH CENTER MONITORS THE USE OF GRANT FUNDS THROUGH REGULAR MEETINGS WITH AGENCY REPRESENTATIVES TO DISCUSS PROGRAMS. ADDITIONALLY, SAINT JOHN'S RECEIVES AN ANNUAL REPORT OF FUND USAGE ON THE NUMBER OF INDIVIDUALS SERVED FOR CERTAIN PROGRAMS. 1 1 0 0 0 0 0 0 0 MIKE BUTLER PRESIDENT 0 1294695 0 1189568 0 44889 0 2065833 0 29624 0 4624609 0 0 VENKAT BHAMIDIPATI EVP/TREASURER 0 318745 0 300000 0 19564 0 832107 0 15871 0 1486287 0 0 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 0 623838 0 711543 0 36709 0 647363 0 20322 0 2039775 0 0 CINDY STRAUSS SECRETARY 0 697944 0 624379 0 420759 0 988958 0 31256 0 2763296 0 386962 JOHN WHIPPLE ASSISTANT SECRETARY 0 415579 0 303904 0 35317 0 459620 0 25428 0 1239848 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0 192673 0 44659 0 10854 0 11200 0 8812 0 268198 0 0 JAMES ULI CFO/ST. JOHN'S 0 266195 0 23979 0 26405 0 15430 0 8665 0 340674 0 0 MARCEL LOH CEO/ST. JOHN'S 0 546332 0 210183 0 608195 0 742649 0 26035 0 2133394 0 336641 ERIK WEXLER CE/CA REGION 0 802883 0 474585 0 47074 0 1134710 0 21620 0 2480872 0 0 DAWNA HENDEL CNO - THRU 4/17 68094 0 44793 0 273352 0 15018 0 6730 0 407987 0 0 0 ROBERT KLEIN PRESIDENT/CEO FOUNDATION 411983 0 45483 0 58691 0 44353 0 15562 0 576072 0 28284 0 DONALD LARSEN JR CMO 376750 0 63894 0 52438 0 28030 0 13049 0 534161 0 0 0 STELLA NICHOLS CFO/FOUNDATION 270094 0 18323 0 2516 0 22655 0 12902 0 326490 0 0 0 DAVID TAM COO 457058 0 75660 0 37522 0 33689 0 25394 0 629323 0 0 0 ROD HOCHMAN MD FORMER - PRESIDENT/CEO 0 1974688 0 2203431 0 1090976 0 6285602 0 28363 0 11583060 0 1049676 TODD HOFHEINS FORMER - EVP/CFO/TREAS. 0 15196 0 527139 0 1596779 0 10544 0 34931 0 2184589 0 777867 CRAIG WRIGHT MD FORMER - SVP/PHYSICIAN SERVICES 0 0 0 0 0 245590 0 3661 0 7255 0 256506 0 100000 DAVID BROWN FORMER - VP/STRATEGY & BIZ DVLPMT 0 373180 0 325150 0 1955 0 429702 0 27658 0 1157645 0 0 DEBBIE BURTON FORMER - SVP/CHIEF NURSING OFFICER 0 353784 0 266872 0 155793 0 356594 0 30608 0 1163651 0 118981 DEBRA CANALES FORMER - EVP/CAO 0 835135 0 795839 0 43428 0 1213992 0 22272 0 2910666 0 0 AMY COMPTON-PHILLIPS FORMER - EVP/CHIEF CLINICAL OFFICER 0 745415 0 499341 0 246460 0 992391 0 32410 0 2516017 0 0 MARY CRANSTOUN FORMER - VP/TOTAL REWARDS 0 393699 0 291571 0 20135 0 454896 0 27450 0 1187751 0 0 JOHN FLETCHER FORMER - VP/OPERATIONS SUPPORT 0 101601 0 0 0 2369 0 8415 0 11971 0 124356 0 0 JOEL GILBERTSON FORMER - SVP/COMMUNITY PARTNERSHIPS 0 470184 0 351171 0 34959 0 523643 0 28741 0 1408698 0 0 OREST HOLUBEC FORMER - SVP/CHIEF COMM/EXT AFF OFF 0 415423 0 338118 0 35329 0 455947 0 28061 0 1272878 0 0 AARON MARTIN FORMER - SVP/STRATEGY & INNOVATION 0 564005 0 316363 0 20003 0 707371 0 8648 0 1616390 0 0 TOM MCDONAGH FORMER - VP/CHIEF INVESTMENT OFFICER 0 467734 0 324164 0 38723 0 516307 0 30180 0 1377108 0 0 RHONDA MEDOWS MD FORMER - EVP/POPULATION HEALTH 0 858356 0 681403 0 42645 0 1101998 0 24344 0 2708746 0 0 JACK MUDD FORMER - SVP/MISSION LEADERSHIP 0 183227 0 160613 0 95959 0 260329 0 17431 0 717559 0 59649 JANICE NEWELL FORMER - SVP/CHIEF INFORMATION OFFCR 0 599228 0 478973 0 318624 0 721041 0 17589 0 2135455 0 286030 HARVEY SMITH FORMER - SVP/CHIEF CUSTOMER SVC. OFF 0 48492 0 372926 0 626764 0 34353 0 13143 0 1095678 0 86922 GREG TILL FORMER - VP/CHIEF TALENT OFFICER 0 396535 0 297987 0 19038 0 461102 0 30490 0 1205152 0 0 SHARON TONCRAY FORMER - SVP/CHIEF LABOR EE COUNSEL 0 416606 0 321829 0 28095 0 526958 0 30363 0 1323851 0 0 LISA VANCE FORMER - SVP/CLINICAL PROGRAM SRVCS 0 562680 0 510329 0 618093 0 654509 0 27816 0 2373427 0 579369 MIKE WATERS FORMER - VP,CAO/PHYSICIAN SERVICES 0 431525 0 194089 0 17296 0 451441 0 12309 0 1106660 0 0 PAUL STODDART FORMER - VP/MARKETING 0 0 0 0 0 175547 0 0 0 8264 0 183811 0 0 Part I, Line 3 THE CEO/PRESIDENT IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE ST. JOSEPH HEALTH (PSJH), AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PSJH. Part I, Lines 4a-b THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: HARVEY SMITH - $519,285 TODD HOFHEINS - $793,260 PAUL STODDART - $177,790 CRAIG WRIGHT, MD - $144,200 BEGINNING IN JULY 2015, NEW EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PLAN PROVIDES FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND ARE SUBJECT TO A FIVE YEAR OR AGE 65 VESTING SCHEDULE. CERTAIN EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY. THE AMOUNTS SHOWN IN COLUMN F OF PART II REFLECT CURRENT YEAR PAYOUTS FROM THESE PLANS. FORM 990, SCHEDULE J, PART II - EXECUTIVE INCENTIVE PROGRAM THE PROVIDENCE EXECUTIVE INCENTIVE PROGRAM PROVIDES A LUMP SUM AWARD ANNUALLY AS A PERCENT OF THE EXECUTIVE'S BASE PAY. PERCENT OPPORTUNITIES ARE ALIGNED WITH OUR TOTAL COMPENSATION PHILOSOPHY AS OUTLINED IN PART VI, SECTION B, LINE 15 (PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT, OFFICERS & KEY EMPLOYEES). FOR PROVIDENCE LEADERS, THE PERFORMANCE AWARD IS BASED ON THE LEVEL OF ACCOMPLISHMENT OF ANNUAL SYSTEM AND FUNCTIONAL (OR MARKET) OBJECTIVES. IN 2017, 60 PERCENT OF THE PARTICIPANT AWARDS WERE BASED ON PRE-DETERMINED ORGANIZATIONAL GOALS CONSISTENT WITH PROVIDENCE'S STRATEGIC PRIORITIES. IN 2017 THE PERCENT ALLOCATION FOR EACH OF THESE STRATEGIC PRIORITIES WAS AS OUTLINED BELOW: SYSTEM GOALS: FIRST-YEAR TURNOVER - 10% INPATIENT EXPERIENCE - 5% PATIENT EXPERIENCE - 5% MEDICAL GROUP PATIENT EXPERIENCE - 5% COMMUNITY BENEFIT - 10% CLINICAL EXCELLENCE - 15% FREE CASH FLOW - 10% THE REMAINING 40% WAS BASED ON A ROBUST SET OF FUNCTION SPECIFIC GOALS DESIGNED TO ALIGN CRITICAL MISSION AND BUSINESS DRIVERS. Form 990, Part VI, Section A, line 6 PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA IS THE SOLE CORPORATE MEMBER OF PROVIDENCE SAINT JOHN'S HEALTH CENTER. Form 990, Part VI, Section A, line 7a PROVIDENCE SAINT JOHN'S HEALTH CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE PROVIDENCE SAINT JOHN'S HEALTH CENTER BOARD. Form 990, Part VI, Section A, line 7b POWERS OF THE CORPORATE MEMBER INCLUDE THE POWER TO: 1) CHANGE THE MISSION AND PHILOSOPHY. 2) ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) IMPLEMENT CORPORATE GOALS, POLICIES AND PROCEDURES. 4) APPROVE THE ACQUISITION OF ASSETS, INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE, TRANSFER, ASSUMPTION, OR ENCUMBERING OF ASSETS. 5) APPROVE THE MERGER, DISSOLUTION OR CORPORATE RESTRUCTURING. 6) APPROVE ALL LONG-RANGE AND STRATEGIC PLANS AND OPERATING AND CAPITAL BUDGETS AND DEVIATIONS THERETO. 7) APPOINT THE AUDITORS. Form 990, Part VI, Section B, line 11b THE FORM 990 WAS PREPARED BY THE TAX DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AND WAS REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD. DURING THE FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE COMMITTEE CHAIR THEN PROVIDED A SUMMARY AT THE FULL BOARD MEETING. Form 990, Part VI, Section B, line 12c BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY REAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PSJH COI POLICY AND IN CONNECTION WITH THAT INDIVIDUAL SATISFYING HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY AND/OR IF AT ANY TIME AN ACTUAL, REAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PSJH CHIEF LEGAL OFFICER AND/OR THE PSJH CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR CONSIDER MATTERS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER. PSJH CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING WHEN ACTION IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE PLAN TO MANAGE CONFLICTS. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF COI DISCLOSURES IS RETAINED PER ORGANIZATION RETENTION POLICY. Form 990, Part VI, Section B, line 15 THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE ST. JOSEPH HEALTH, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE ST. JOSEPH HEALTH'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ST. JOSEPH HEALTH ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE ST. JOSEPH HEALTH HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE ST. JOSEPH HEALTH MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE ST. JOSEPH HEALTH'S LEGAL ENTITIES. PROVIDENCE ST. JOSEPH HEALTH ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE ST. JOSEPH HEALTH HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS OFFICERS, INCLUDING OUR SENIOR EXECUTIVES. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED BY THE PROVIDENCE ST. JOSEPH HEALTH COMMITTEE. THE BOARD RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE ST. JOSEPH HEALTH IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS WHOSE REVENUE IS SIMILAR TO THAT OF PROVIDENCE ST. JOSEPH HEALTH. ADDITIONALLY, PROVIDENCE ST. JOSEPH HEALTH'S LABOR MARKET CONTINUES TO SPREAD ACROSS HEALTH CARE AND INTO GENERAL INDUSTRY. BECAUSE OF THIS, PROVIDENCE ST. JOSEPH HEALTH ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY FOR-PROFIT MARKET DATA, WHERE APPLICABLE. BASE SALARIES FOR PROVIDENCE ST. JOSEPH HEALTH EXECUTIVES ARE GENERALLY TARGETED TO THE MEDIAN LEVEL OF THE MARKET, AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY ACHIEVE SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE ST. JOSEPH HEALTH OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS AND MIRRORS BEST PRACTICES. THE PROCESS TO REVIEW COMPENSATION WAS LAST COMPLETED MARCH 2018. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE PSJH COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PSJH INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990. Form 990, Part IX, line 11g AGENCY CONTRACT: Program service expenses 12,166,567. Management and general expenses 1,074,675. Fundraising expenses 0. Total expenses 13,241,242. MEDICAL DIRECTOR/MEDICAL PHYSICIANS FEES: Program service expenses 56,968,919. Management and general expenses 0. Fundraising expenses 0. Total expenses 56,968,919. REPAIRS AND MAINTENANCE: Program service expenses 2,742,781. Management and general expenses 2,356,217. Fundraising expenses 0. Total expenses 5,098,998. TRANSCRIPTION: Program service expenses 9,916. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,916. DIETARY: Program service expenses 1,883,369. Management and general expenses 2,790,003. Fundraising expenses 0. Total expenses 4,673,372. OTHER PATIENT SERVICES: Program service expenses 11,843,286. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,843,286. OTHER ADMINISTRATIVE SERVICES: Program service expenses 2,168,726. Management and general expenses 3,983,668. Fundraising expenses 0. Total expenses 6,152,394. GENERAL CONSULTING FEES: Program service expenses 326,745. Management and general expenses 2,058,901. Fundraising expenses 0. Total expenses 2,385,646. BILLING AND COLLECTIONS: Program service expenses 0. Management and general expenses 221,823. Fundraising expenses 0. Total expenses 221,823. RECORDS MANAGMENT: Program service expenses 27,997. Management and general expenses 0. Fundraising expenses 0. Total expenses 27,997. FORM 990, PART X, LINE 20 THE TAX-EXEMPT BOND LIABILITIES WERE TRANSFERRED FROM PROVIDENCE SAINT JOHN'S HEALTH CENTER TO ITS TAX EXEMPT PARENT, PROVIDENCE ST. JOSEPH HEALTH, DURING THE YEAR ENDED 12/31/17. THE TAX-EXEMPT BOND LIABILITY IN PART X, LINE 20 HAS BEEN RECLASSED AS AN INTERCOMPANY LIABILITY FOR TAX-EXEMPT BONDS IN PART X, LINE 25. Form 990, Part XI, line 9: FAS 136 RECLASSED FROM REVENUE TO CHANGE IN NET ASSETS 4,766,429. REVERSE 2016 OVERACCRUAL OF CHARITY CARE 1,133,795. RECLASS OVERACCRUAL OF 2017 CHARITY CARE TO CHANGE IN NET ASSETS 212,084. FAS 136 IN NET ASSETS 8,406,184. NET ASSET TRANSFERS TO/FROM AFFILIATES 26,131,133. ROUNDING 1. COVENANT ACO 3615 19TH STREET LUBBOCK TX 79410 611573313 HEALTHCARE TX 501(c)(3) 12,I CHS 1 COVENANT HEALTH NETWORK INC 3345 MICHELSON DRIVE SUITE 100 IRVINE CA 92612 461259908 HEALTHCARE CA 501(c)(3) 12,III SJHS 1 COVENANT HEALTH PARTNERS 3615 19TH STREET LUBBOCK TX 79410 463516417 HEALTHCARE TX 501(c)(3) 12,I CHS 1 COVENANT HEALTH SYSTEM 3615 19TH STREET LUBBOCK TX 79410 752765566 HEALTHCARE TX 501(c)(3) 3 SJHS 1 COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(c)(3) 7 CHS 1 COVENANT MEDICAL GROUP 3420 22ND PLACE LUBBOCK TX 79410 752743883 HEALTHCARE TX 501(c)(3) 3 CHS 1 E WA & MT UNEMPLOYMENT COMPENSATION INSURANCE TRUST 1801 LIND AVENUE SW 9016 RENTON WA 980579016 911082119 UNEMPLOYMENT WA 501(c)(3) 12,I PHS WA 1 EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANS. CARE WA 501(c)(3) 10 N/A 0 FACEY MEDICAL FOUNDATION 15451 SAN FERNANDO MISSION BLVD 200 MISSION HILLS CA 913451420 954322584 SUPPORT CA 501(c)(3) 7 PHS SOCAL 1 GAMELIN WASHINGTON ASSOCIATION 1423 FIRST AVENUE SEATTLE WA 98101 201910170 SUPPORT WA 501(c)(3) 7 PHS WA 1 GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC WA 98188 273133200 HEALTHCARE WA 501(c)(3) 7 SHS 1 HMTS INC 1 HOAG DRIVE NEWPORT BEACH CA 92658 453583707 HEALTHCARE CA 501(c)(3) 12,I HMHP 1 HOAG CHARITY SPORTS 330 PLACENTIA AVE NEWPORT BEACH CA 92663 452982422 SUPPORT CA 501(c)(3) 7 HHF 1 HOAG HOSPITAL FOUNDATION 330 PLACENTIA AVE NEWPORT BEACH CA 92663 953222343 FUNDRAISING CA 501(c)(3) 7 HMHP 1 HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG ROAD BOX 6100 NEWPORT BEACH CA 92663 951643327 HEALTHCARE CA 501(c)(3) 3 CHN 1 HOSPICE OF LUBBOCK 3702 21ST STREET LUBBOCK TX 79410 752133781 HEALTHCARE TX 501(c)(3) 10 CHS 1 INLAND NORTHWEST HEALTH SERVICES 601 W 1ST AVENUE SPOKANE WA 99201 911307555 HEALTHCARE WA 501(c)(3) 3 PHS WA 1 INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVENUE SW 9016 RENTON WA 98057 814260130 HEALTHCARE WA 501(c)(3) 7 PHS SJHS 1 INSTITUTE FOR SYSTEMS BIOLOGY 401 TERRY AVE N SEATTLE WA 98109 912003593 HEALTHCARE WA 501(c)(3) 7 WHC 1 JOHN WAYNE CANCER INSTITUTE 2200 SANTA MONICA BLVD SANTA MONICA CA 90404 954291515 HEALTHCARE CA 501(c)(3) 4 PSJHC 1 KADLEC AUXILIARY INC 888 SWIFT BLVD RICHLAND WA 99352 916033089 SUPPORT WA 501(c)(3) 12,III KRMC 1 KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND WA 99352 237005501 SUPPORT WA 501(c)(3) 12,I KRMC 1 KADLEC NEUROLOGICAL RESOURCE CENTER 1268 LEE BLVD RICHLAND WA 99352 911266345 HEALTHCARE WA 501(c)(3) 10 WHC 1 KADLEC REGIONAL MEDICAL CENTER 888 SWIFT BLVD RICHLAND WA 99352 910655392 HEALTHCARE WA 501(c)(3) 3 WHC 1 LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION 4101 TORRANCE BLVD TORRANCE CA 90503 330844408 IMAGING SVCS CA 501(c)(3) 10 PHS SOCAL 1 LUBBOCK METHODIST HOSPITAL FOUNDATION 3615 19TH STREET LUBBOCK TX 79410 752220963 HEALTHCARE TX 501(c)(3) 7 CHS 1 LUNDBERG ASSOCIATION 5921 E BURNSIDE PORTLAND OR 97215 911562797 SUPPORT OR 501(c)(3) 7 PHS OR 1 MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH 747 BROADWAY SEATTLE WA 98122 912054035 RESEARCH WA 501(c)(3) 7 SHS 1 METHODIST CHILDREN'S HOSPITAL 3610 21ST STREET LUBBOCK TX 79410 752428911 HEALTHCARE TX 501(c)(3) 3 CHS 1 METHODIST HOSPITAL LEVELLAND 1900 COLLEGE AVENUE LEVELLAND TX 79336 752246348 HEALTHCARE TX 501(c)(3) 3 CHS 1 METHODIST HOSPITAL PLAINVIEW 2601 DIMMITT ROAD PLAINVIEW TX 79072 752426010 HEALTHCARE TX 501(c)(3) 3 CHS 1 MISSION HOSPITAL REGIONAL MEDICAL CTR 27700 MEDICAL CENTER ROAD MISSION VIEJO CA 92691 951643360 HEALTHCARE CA 501(c)(3) 3 CHN 1 PACMED CLINICS 1200 12TH AVE S SEATTLE WA 98144 562290878 HEALTHCARE WA 501(c)(3) 10 WHC 1 PH&S FOUNDATIONSFVSA & SCVSA 501 S BUENA VISTA STREET BURBANK CA 91505 953544877 HEALTHCARE CA 501(c)(3) 7 PHS SOCAL 1 PROVIDENCE ALASKA FOUNDATION 3300 PROVIDENCE DRIVE - B TOWER2 ANCHORAGE AK 99508 920093565 HEALTHCARE AK 501(c)(3) 12,I PHS WA 1 PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION 540 SOUTH MAIN ST MT ANGEL OR 973629532 911940286 HEALTHCARE OR 501(c)(3) 7 PHS OR 1 PROVIDENCE BLANCHET ASSOCIATION 1700 PROVIDENCE PL CENTRALIA WA 98531 911789266 SUPPORT WA 501(c)(3) 7 PHS WA 1 PROVIDENCE CHILD CENTER FOUNDATION 830 NE 47TH PORTLAND OR 97213 930800140 SUPPORT OR 501(c)(3) 7 PHS OR 1 PROVIDENCE COMMUNITY HEALTH FOUNDATION 1111 CRATER LAKE AVE MEDFORD OR 97504 930692907 HEALTHCARE OR 501(c)(3) 7 PHS OR 1 PROVIDENCE DETHMAN HOUSE 1205 MONTELLO AVE HOOD RIVER OR 97031 473385506 SUPPORT WA 501(c)(3) 7 N/A 0 PROVIDENCE FOUNDATION 1801 LIND AVENUE SW 9016 RENTON WA 980579016 943078543 HEALTHCARE WA 501(c)(3) 12,I PHS WA 1 PROVIDENCE GAMELIN HOUSE ASSOCIATION 4515 MLK JR WAY S STE 200 SEATTLE WA 98108 311744654 SUPPORT WA 501(c)(3) 7 PHS WA 1 PROVIDENCE HEALTH & SERVICES 1801 LIND AVENUE SW 9016 RENTON WA 980579016 911549796 HEALTHCARE WA 501(c)(3) 12,II PSJH 0 PROVIDENCE HEALTH & SERVICES - MONTANA 500 W BROADWAY PO BOX 4587 MISSOULA MT 598064587 810231793 HEALTHCARE MT 501(c)(3) 3 PHS WA 1 PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVENUE SW 9016 RENTON WA 980579016 510216587 HEALTHCARE OR 501(c)(3) 3 PHS 1 PROVIDENCE HEALTH & SERVICES - WASHINGTON 1801 LIND AVENUE SW 9016 RENTON WA 980579016 510216586 HEALTHCARE WA 501(c)(3) 3 PHS 1 PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON 1801 LIND AVENUE SW 9016 RENTON WA 980579016 911303277 HEALTHCARE WA 501(c)(3) 3 PMWHC 1 PROVIDENCE HEALTH ASSURANCE 4400 NE HALSEY BLDG 2 PORTLAND OR 97213 550828701 MEDICAID OR 501(c)(4) N/A PHP 1 PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON 101 W 8TH AVE SPOKANE WA 99204 320014330 HEALTHCARE WA 501(c)(3) 7 PHS WA 1 PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA) 914 S SCHEUBER ROAD CENTRALIA WA 98531 911433382 HEALTHCARE WA 501(c)(3) 7 PHS W WA 1 PROVIDENCE HEALTH PLAN 4400 NE HALSEY BLDG 2 PORTLAND OR 97213 930863097 HEALTHCARE OR 501(c)(4) N/A PPP 1 PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA 1801 LIND AVENUE SW 9016 RENTON WA 980579016 510216589 HEALTHCARE CA 501(c)(3) 3 PHS 1 PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC 811 13TH ST HOOD RIVER OR 97031 930921990 HEALTHCARE OR 501(c)(3) 7 PHS OR 1 PROVIDENCE HOSPICE AND HOME CARE FOUNDATION 2731 WETMORE AVENUE SUITE 500 EVERETT WA 98201 272552749 HEALTHCARE WA 501(c)(3) 7 PHS W WA 1 PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 425 PONTIUS AVENUE NORTH 300 SEATTLE WA 981095452 912077378 HEALTHCARE WA 501(c)(3) 12,I PHS W WA 1 PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION 4101 TORRANCE BLVD TORRANCE CA 90503 510224944 HEALTHCARE CA 501(c)(3) 7 PHS SOCAL 1 PROVIDENCE MARIANWOOD FOUNDATION 3725 PROVIDENCE POINT DRIVE SE ISSAQUAH WA 980297219 931554288 HEALTHCARE WA 501(c)(3) 12,I PHS W WA 1 PROVIDENCE MEDICAL INSTITUTE 4101 TORRANCE BLVD TORRANCE CA 90503 330283773 HEALTHCARE CA 501(c)(3) 12,I PHS SOCAL 1 PROVIDENCE MILWAUKIE FOUNDATION 10150 SE 32ND MILWAUKIE OR 97222 943079515 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