2023-11-14T14:20:43-06:00 2022-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2022-01-01 951684082 PROVIDENCE SAINT JOHN'S HEALTH CENTER PROV 3108295511 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 JIM MARTIN CHIEF ACCOUNTING OFFICER 4255253985 2023-11-07 1 JIM MARTIN 999009999 0 EVA NITTA P01286320 4158948000 2023-11-05 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z GREG HOFFMAN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 468942275 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. 10 10 1924 100 6466737 0 8458012 17951447 420208837 447569890 2217669 261030 4438840 2367220 435323358 468149587 2819034 6077677 0 0 149786999 150318051 0 0 0 402132092 443284379 554738125 599680107 -119414767 -131530520 662566140 666988301 241539006 193091365 421027134 473896936 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 526569995 6077677 449933037 SEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND.THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES.WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSPROVIDENCE CONTINUES TO ADVANCE A SOCIAL RESPONSIBILITY FRAMEWORK THAT INCLUDES A STRONGER COMMITMENT TO DIVERSITY, EQUITY, INCLUSION ("DEI"), AND ENVIRONMENTAL STEWARDSHIP. IN 2022, WE ELEVATED THE WORK OF DEI, BY RESTRUCTURING RESOURCES WITH PLANS TO ALIGN AND SCALE DEI STRATEGIES ACROSS THE PROVIDENCE FAMILY OF ORGANIZATIONS. WE CONTINUE TO EXECUTE ON OUR INTEGRATED STRATEGIC & FINANCIAL PLAN WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THIS IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES IN THE COMMUNITIES WE SERVE. PROVIDENCE'S SOCIAL RESPONSIBILITY FRAMEWORK AIMS TO DEPLOY THE ASSETS OF OUR SYSTEM TO SUPPORT COMMUNITY HEALTH IMPROVEMENT, STRENGTHEN LOCAL ECONOMIES AND REDUCE OUR CARBON FOOTPRINT. WE HAVE IMPLEMENTED AN ENVIRONMENTAL STEWARDSHIP SYSTEM STRATEGY THAT ENCOURAGES WASTE REDUCTIONS, EFFICIENT ENERGY AND WATER USAGE, LOCAL AGRICULTURE PARTNERSHIPS, LESS TOXIC AND FEWER CHEMICAL USE, AND A REDUCTION IN CARBON FROM TRAVEL. WE HAVE ALSO HELD ENVIRONMENTAL STEWARDSHIP AS ONE OF THE TOP PRIORITIES FOR OUR LEADERSHIP INCENTIVE PROGRAM TO ENSURE ALIGNMENT AND MOMENTUM CONTINUES. IN APRIL 2022, PROVIDENCE PUBLISHED ITS FIRST ENVIRONMENTAL STEWARDSHIP REPORT, IN WHICH WE REPORTED 12 PERCENT REDUCTION IN CARBON EMISSIONS IN SEVEN KEY CATEGORIES IN OUR ACUTE CARE FACILITIES SINCE OUR 2019 BASELINE. AS OF SEPTEMBER 30, 2022, (THE MOST RECENT DATA AVAILABLE), WE HAVE INCREASED THAT REDUCTION TO 13 PERCENT.2022 PROGRAM SERVICE ACCOMPLISHMENTSFOR MORE THAN SEVENTY-FIVE YEARS, SAINT JOHN'S HEALTH CENTER HAS OFFERED A RANGE OF HEALTH CARE PROGRAMS AND SERVICES UNPARALLELED ON THE WESTSIDE OF LOS ANGELES.IN ADDITION, PROVIDENCE SAINT JOHN'S MADE PROGRESS TOWARD FOUR KEY INITIATIVES.INITIATIVE 1: STRENGTHEN INFRASTRUCTURE OF CONTINUUM OF CARE FOR PATIENTS EXPERIENCING HOMELESSNESS AS A HOSPITAL THAT SEES A SIGNIFICANT NUMBER OF PATIENTS EXPERIENCING HOMELESSNESS THAT COME IN THROUGH OUR EMERGENCY DEPARTMENTS FOR CARE.2022 ACCOMPLISHMENTS:- SCREENED OVER 282 ER PATIENTS FOR HOMELESSNESS.- DISCHARGED OVER 25 PATIENTS TO TEMPORARY/PERMANENT HOUSING.- $150,000 IN GRANTS AWARDED BY PSJHC TO LOCAL HOMELESS SERVICE PROVIDERS.INITIATIVE 2: IMPROVE ACCESS TO HEALTH CARE SERVICES WE WILL CONTINUE TO PROVIDE FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY CLINICS AND NONPROFIT ORGANIZATIONS THAT IMPROVE HEALTH CARE ACCESS TO UNDERSERVED AND VULNERABLE POPULATIONS.2022 ACCOMPLISHMENTS:- $275,000 IN GRANTS AWARDED FROM PSJHC TO LOCAL ORGANIZATIONS FOR ACCESS TO CARE.- $110,226 IN-KIND LAB AND DIAGNOSTIC SERVICES PROVIDED TO LOCAL FQHCS.- $150,000 IN GRANTS AWARDED FROM SAINT JOHN'S HEALTH CENTER FOUNDATION TO LOCAL ORGANIZATIONS FOR ACCESS TO CARE.INITIATIVE 3: IMPROVE ACCESS TO BEHAVIORAL HEALTH AND REDUCE STIGMA.- 52 FAMILIES LINKED TO SERVICES THROUGH THE WARM LINE REFERRAL.- 11 TRAININGS AT SCHOOLS FOR TEACHERS AND PARENTS HOSTED BY THE CHILD AND FAMILY DEVELOPMENT CENTER.- 44 CHILDREN PROVIDED MENTAL HEALTH SERVICES IN SMMUSD PRESCHOOL CLASSROOMS.INITIATIVE 4: TRAIN AND DEPLOY A WORKFORCE OF COMMUNITY HEALTH WORKERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH IN UNDERSERVED POPULATIONS PROVIDENCE HAS A LONG HISTORY IN EMPLOYING COMMUNITY HEALTH WORKERS (CHWS) IN A DIVERSE BREADTH OF ROLES IN PROGRAMS THAT ADDRESS SOCIAL DETERMINANTS OF HEALTH.- 71 CALFRESH APPLICATIONS ASSISTED, WITH 35 CONFIRMED ENROLLMENTS.- 121 PEOPLE TRAINED IN MENTAL HEALTH FIRST AID.- ONE CHW INTERN PLACED AT A HEALTHCARE LOCATION IN THE SAINT JOHN'S SERVICE AREA THROUGH PROVIDENCE'S COMMUNITY HEALTH WORKER ACADEMY PROGRAM.FOR MORE INFORMATION BY NEED AREA GO TO OUR CB ANNUAL REPORT LOCATED AT: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/SOUTHERN-CALIFORNIA 526569995 1 1 0 1 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 181 0 1 1924 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 CA X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 ERIK WEXLER FRMR KE - PSJH PRES. STRAT. OPS (SO) 0.00 65.00 X 0 4701760 400152 GREG HOFFMAN PRESIDENT/CEO 0.50 64.50 X 0 2619615 278536 JO ANN ESCASA-HAIGH TREASURER/CFO/VP 0.50 64.50 X 0 2157414 35815 MIKE BUTLER FRMR PRESIDENT 0.00 0.00 X 0 1835706 7828 JOHN WHIPPLE SECRETARY - THRU 5/22 0.50 54.50 X 0 1743754 11047 MICHAEL RICKS CHIEF EXEC ST JOHNS HEALTH CNT 54.50 0.50 X 0 1234832 239813 ANNA NEWSOM SECRETARY (PART YEAR) 0.50 54.50 X 0 801000 225085 JIM WATSON ESQ FRMR OFF - PSJH SEC./ASST. SEC. 0.00 55.00 X 0 837237 124389 ROBERT KLEIN PRESIDENT/CEO-FOUNDATION 0.00 55.00 X 717866 0 95910 STELLA NICHOLS DIR FINANCE-FOUNDATION 0.50 54.50 X 455370 0 59725 MINA KANG CHIEF MEDICAL OFFICER HOSPITAL 50.00 0.00 X 459313 0 50552 JARED AMERSON COO ST JOHNS HEALTH CNT 55.00 0.00 X 477401 0 32455 NAHID NOORI ULTRASOUND TECHNICIAN GF 50.00 0.00 X 405986 0 33338 MICHAEL AVILA SVP DEVELOPMENT-FOUNDATION 50.00 0.00 X 356195 0 28013 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0.50 54.50 X 0 256992 31183 CINDY STRAUSS FRMR SECRETARY 0.00 0.00 X 0 146754 0 MARY LYONS PHD BOARD CHAIR 1.00 26.50 X 0 75936 0 RICHARD BLAIR DIRECTOR 0.50 14.50 X 0 61313 0 MICHAEL MURPHY DIRECTOR 0.50 13.50 X 0 50668 0 CHARLES SORENSON MD DIRECTOR 0.50 13.50 X 0 50000 0 ISIAAH CRAWFORD PHD DIRECTOR 0.50 15.00 X 0 50000 0 CHRISTINA FISHER DIRECTOR - THRU 11/22 0.50 13.50 X 0 40000 0 ERIC SPRUNK DIRECTOR 0.50 13.50 X 0 40000 0 MARY BETH KINGSTON DIRECTOR (PART YEAR) 0.50 12.50 X 0 0 0 SISTER CAROL PACINI LCM DIRECTOR 0.50 13.50 X 0 0 0 SISTER DIANE HEJNA CSJ RN DIRECTOR 0.50 13.50 X 0 0 0 SISTER PHYLLIS HUGHES RSM DRPH DIRECTOR 0.50 13.50 X 0 0 0 2872131 16702981 1653841 572 1 1 0 AMN HEALTHCARE INC PO BOX 56157 LOS ANGELES CA 900176157 STAFFING SERVICES 25494697 AMN LOS ANGELES AMN SHIFTWISE 12400 HIGH BLUFF DR SAN DIEGO CA 92130 STAFFING SERVICES 11391758 CROTHALL SERVICES GROUP 13028 COLLECTION CTR DR CHICAGO IL 60693 CLEANING SERVICES 3147548 CASS INFORMATION SYSTEMS INC 12444 POWERSCOURT DR 550 ST LOUIS MO 63131 TECHNOLOGY SERVICES 3036064 SPECIALTYCARE CARDIOVASCULAR 214 CENTERVILLE DR 100 BRENTWOOD TN 37027 MEDICAL SERVICES 2353789 81 14899405 3052042 17951447 NET PATIENT REVENUE 621110 447569890 441103153 6466737 447569890 283884 283884 640050 769834 -129784 -129784 -129784 22854 -22854 -22854 -22854 133857 0 133857 133857 PARKING REVENUE 812930 1476235 1476235 CHILD CARE SERVICE REV 624410 322465 322465 PHARMACY REVENUE 456110 275373 275373 289074 289074 2363147 468149587 443466300 6466737 265103 X 6077677 6077677 509856 437979 71877 137366962 118001575 19365387 2210178 1898597 311581 10231055 8788726 1442329 6664666 5725111 939555 101551340 87235082 14316258 57452 57452 3565193 3062588 502605 23635 20303 3332 13046718 11207449 1839269 304776 261810 42966 4626439 4626439 10720552 9209216 1511336 108235 108235 SYSTEM COST ALLOCATION 191847205 164801435 27045770 MEDICAL SUPPLIES 86014164 86014164 HOSPITAL FEE 17419719 17419719 LICENSES AND TAXES 3635726 3123177 512549 3698559 3177152 521407 599680107 526569995 73110112 0 5600 3015707 -3723029 422652 1512375 67168074 80752261 1000 7608344 8913109 1055109 891217 374787236 89810487 293045682 284976749 274985137 276414431 21997571 10512452 662566140 666988301 52666841 46826127 274233 20821863 188597932 125443375 241539006 193091365 X 246663609 296210284 174363525 177686652 421027134 473896936 662566140 666988301 X -131530520 184400322 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 131409 131409 0 PART II-B, LINE 1: THE LOBBYING EXPENDITURES REPORTED REPRESENT THE PORTION OF DUES PAID TO ALLIANCE OF CATHOLIC HEALTH CARE, AMERICAN HOSPITAL ASSOCIATION AND CALIFORNIA HOSPITAL ASSOCIATION ALLOCATED TO LOBBYING ACTIVITIES. 150000000 150000000 113603166 26298783 87304383 1581421 1102625 478796 80191722 62409079 17782643 29410927 29410927 284976749 BENEFICIAL INTEREST IN FOUNDATION 276414431 C 276414431 DUE TO AFFILIATES 10656090 CAPITAL LEASE OBLIGATIONS 812661 I/C - TAX-EXEMPT BOND LIABILITIES 118740000 HOSPITAL FEE/PROVIDER TAX LIABILITY 20363519 DUE TO THIRD PARTY -25128895 125443375 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 2216791 0 2216791 0.00370 65444383 29407516 36036867 0.06010 67661174 29407516 38253658 0.06380 905027 249373 655654 0.00110 792544 0 792544 0.00130 5886904 1823158 4063746 0.00680 789417 0 789417 0.00130 8373892 2072531 6301361 0.01050 76035066 31480047 44555019 0.07430 1336099 220826 1115273 0.00190 15846 0 15846 0.00000 1351945 220826 1131119 0.00190 0 194980000 310277651 -115297651 X 1 0 1 SM WILSHIRE IMAGING OUTPATIENT IMAGING CENTER 0.50000 0.00000 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 22 1 1 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 1 PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY ARE PRIORITIZED BASED ON THE METHODOLOGY DESCRIBED IN THE MOST RECENT CHNA SECTION ON SIGNIFICANT HEALTH NEEDS. PART V, SECTION B, LINE 5: PROVIDENCE SAINT JOHN'S HEALTH CENTER PARTICIPATED IN A COLLABORATIVE PROCESS TO IDENTIFY A DIVERS GROUP OF 31 INDIVIDUAL STAKEHOLDER INTERVIEWS, WHICH INCLUDED CEDARS-SINAI MEDICAL CENTER, CEDERS-SINAI MARINA DEL REY HOSPITAL, PROVIDENCE SAINT JOHN'S HEALTH CENTER, RONALD REAGAN UCLA MEDICAL CENTER, UCLA MEDICAL CENTER, SANTA MONICA, AND RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA. GIVEN THAT THESE PARTNERS SHARE AN OVERLAPPING SERVICE AREA, A COLLABORATIVE EFFORT INCREASED PRIMARY DATA COLLECTION EFFICIENCY AND REDUCED REDUNDANCIES. KEY INFORMANT INTERVIEWS WERE CONDUCTED, AND ORGANIZATIONS THAT PARTICIPATED ARE LISTED BELOW ALONG WITH THE NEED AREAS THEY ADDRESS.-ASIAN AMERICANS ADVANCING JUSTICE (COMMUNITY BASED ORGANIZATION, SOCIAL JUSTICE AND ADVOCACY).-CALIFORNIA COMMUNITY FOUNDATION (COMMUNITY BASED ORGANIZATION, SOCIAL JUSTICE AND ADVOCACY).-CATHOLIC CHARITIES OF LA (NATIONAL ORGANIZATION, HOMELESS SERVICES).-CHARLES R. DREW UNIVERSITY OF MEDICINE AND SCIENCE (COLLEGE, EDUCATION).-CITY OF LOS ANGELES (GOVERNMENT).-CITY OF SANTA MONICA (GOVERNMENT).-COMMUNITY CORPORATION OF SANTA MONICA (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS).-COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY (COMMUNITY BASED ORGANIZATION, HEALTH CARE).-DIDI HIRSCH MENTAL HEALTH SERVICES (COMMUNITY BASED ORGANIZATION, BEHAVIORAL HEALTH).-JEWISH FAMILY SERVICES OF LOS ANGELES (NATIONAL ORGANIZATION, SOCIAL SERVICES).-L.A. CARE HEALTH PLAN (COMMUNITY BASED ORGANIZATION, HEALTH CARE COVERAGE).-LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH (GOVERNMENT, BEHAVIORAL HEALTH).-LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH (GOVERNMENT, PUBLIC HEALTH).-LOS ANGELES HOMELESS SERVICES AUTHORITY (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS).-LOS ANGELES LGBT CENTER (COMMUNITY BASED ORGANIZATION, SOCIAL SERVICES, HEALTH, AND ADVOCACY).-LOS ANGELES UNIFIED SCHOOL DISTRICT (SCHOOL DISTRICT, EDUCATION).-MEALS ON WHEELS WEST (NATIONAL ORGANIZATION, FOOD SECURITY).-NATIONAL ALLIANCE ON MENTAL ILLNESS WESTSIDE LOS ANGELES (NATIONAL ORGANIZATION, BEHAVIORAL HEALTH).-PUBLIC HEALTH ALLIANCE OF SOUTHERN CALIFORNIA (COMMUNITY BASED ORGANIZATION, SOCIAL JUSTICE AND ADVOCACY).-SANTA MONICA COLLEGE (COLLEGE, EDUCATION).-SANTA MONICA - MALIBU UNIFIED SCHOOL DISTRICT (SCHOOL DISTRICT, EDUCATION).-SANTA MONICA YMCA (NATIONAL ORGANIZATION, HEALTHY LIVING AND YOUTH DEVELOPMENT).-ST. JOSEPH CENTER (COMMUNITY BASED ORGANIZATION, HOMELESSNESS).-THE MAR VISTA FAMILY CENTER (COMMUNITY BASED ORGANIZATION, EARLY EDUCATION).-THE PEOPLE CONCERN (COMMUNITY BASED ORGANIZATION, SOCIAL SERVICES).-TWIN TOWN TREATMENT CENTERS (COMMUNITY BASED ORGANIZATION, BEHAVIORAL HEALTH).-UCLA/ VA VETERAN FAMILY WELLNESS CENTER (COMMUNITY BASED ORGANIZATION, HEALTH CARE).-UNIHEALTH FOUNDATION (COMMUNITY BASED ORGANIZATION, HEALTH GRANTMAKING).-UNITED WAY OF GREATER LOS ANGELES (COMMUNITY BASED ORGANIZATION, SOCIAL JUSTICE AND ADVOCACY).-VENICE FAMILY CLINIC (COMMUNITY BASED ORGANIZATION, HEALTH CARE).-WISE & HEALTHY AGING (COMMUNITY BASED ORGANIZATION, SENIOR SERVICES).PROVIDENCE SAINT JOHN'S HEALTH CENTER CONDUCTED LISTENING SESSIONS IN JUNE 2022, WITH COMMUNITY MEMBERS AND INTERVIEWS WITH COMMUNITY STAKEHOLDERS AS PART OF THEIR COLLECTION OF PRIMARY DATA. THE 2022 CHNA WAS APPROVED BY THE BOARD OF DIRECTORS ON NOVEMBER 30, 2022, AND MADE PUBLICLY AVAILABLE BY DECEMBER 28, 2022. PART V, SECTION B, LINE 6A: THE 2022 PROVIDENCE SAINT JOHN'S HEALTH CENTER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) KEY INFORMANT INTERVIEW DATA COLLECTION PROCESS WAS CONDUCTED BY BIEL CONSULTING INC. IN COLLABORATION WITH THE CEDARS-SINAI MEDICAL CENTER, CEDARS-SINAI MARINA DEL REY HOSPITAL, AND THE RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA. PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH BIEL CONSULTING, INC. PART V, SECTION B, LINE 7A: CHNA REPORT WEBSITEHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER SOUTHERN CALIFORNIA PART V, SECTION B, LINE 9: THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 26, 2023 IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1). PART V, SECTION B, LINE 10A: IMPLEMENTATION STRATEGY WEBSITEHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER SOUTHERN CALIFORNIA PART V, SECTION B, LINE 11: IN DEVELOPING THE LIST OF PRIORITY NEEDS, PROVIDENCE LOOKED AT BRINGING ITS EXPERTISE AND RESOURCES TO THOSE ISSUES WHERE IT CAN MAKE POSITIVE CHANGE. IN OUR 2022 CHNA, THE BOARD COMMITTEE ON COMMUNITY BENEFITS IDENTIFIED THE FOLLOWING AS THE HIGHEST PRIORITY NEEDS WITHIN OUR COMMUNITIES:1. HOMELESSNESS AND HOUSING INSTABILITY2. BEHAVIORAL HEALTH3. ACCESS TO HEALTH CARE AND PREVENTATIVE CAREWHILE THE IMPLEMENTATION STRATEGY FOR THE IDENTIFIED HEALTH NEEDS FROM THE 2022 CHNA IS SET TO BE APPROVED IN 2023, THE FIVE PRIORITIZED HEALTH NEEDS FROM THE 2020-2022 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ARE BEING ADDRESSED WITHIN THE CONTEXT OF FOUR INITIATIVES THAT MAKE UP ITS THREE-YEAR IMPLEMENTATION STRATEGY BASED UPON THE NEEDS PRIORITIZED IN THE 2019 CHNA:1) STRENGTHEN INFRASTRUCTURE OF CONTINUUM OF CARE FOR PATIENTS EXPERIENCING HOMELESSNESS- SCREENED OVER 282 ER PATIENTS FOR HOMELESSNESS.-DISCHARGED OVER 25 PATIENTS TO TEMPORARY/PERMANENT HOUSING-$150,000 IN GRANTS AWARDED BY PSJHC TO LOCAL HOMELESS SERVICE PROVIDERS2) INITIATIVE #2: IMPROVE ACCESS TO HEALTH CARE SERVICESOUR GOAL IS TO IMPROVE ACCESS TO QUALITY HEALTH CARE SERVICES FOR VULNERABLE POPULATIONS BY:-$275,000 IN GRANTS AWARDED FROM PSJHC TO LOCAL ORGANIZATIONS FOR ACCESS TO CARE-$110,226 IN-KIND LAB AND DIAGNOSTIC SERVICES PROVIDED TO LOCAL FQHCS-$150,000 IN GRANTS AWARDED FROM SAINT JOHN'S HEALTH CENTER FOUNDATION TO LOCAL ORGANIZATIONS FOR ACCESS TO CARE.3) INITIATIVE #3: IMPROVE ACCESS TO BEHAVIORAL HEALTH AND REDUCE STIGMA OUR GOAL IS TO:-52 FAMILIES LINKED TO SERVICES THROUGH THE WARM LINE REFERRAL-11 TRAININGS AT SCHOOLS FOR TEACHERS AND PARENTS HOSTED BY THE CHILD AND FAMILY DEVELOPMENT CENTER-44 CHILDREN PROVIDED MENTAL HEALTH SERVICES IN SMMUSD PRESCHOOL CLASSROOMS4) INITIATIVE #4: TRAIN AND DEPLOY A WORKFORCE OF COMMUNITY HEALTH WORKERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH IN UNDERSERVED POPULATIONS-71 CALFRESH APPLICATIONS ASSISTED, WITH 35 CONFIRMED ENROLLMENTS-121 PEOPLE TRAINED IN MENTAL HEALTH FIRST AID-ONE CHW INTERN PLACED AT A HEALTHCARE LOCATION IN THE SAINT JOHN'S SERVICE AREA THROUGH PROVIDENCE'S COMMUNITY HEALTH WORKER ACADEMY PROGRAMNEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. OUR HEALTH FACILITIES DO NOT PROVIDE ORAL HEALTH CARE, AND IT IS NOT OUR AREA OF EXPERTISE WITHIN THE PROVIDENCE HEALTH SYSTEM IN THE LOS ANGELES REGION. HOWEVER, THERE ARE A NUMBER OF COMMUNITY PARTNERS INCLUDING LOCAL FEDERALLY QUALIFIED HEALTH CENTERS WHO ARE FOCUSING ON INCREASING ACCESS TO ORAL HEALTH CARE ESPECIALLY FOR THE MEDI-CAL POPULATION. FOR COMMUNITY MEMBERS IN NEED OF THESE SERVICES WE REFER THEM TO THESE PROVIDERS OF LOW-COST DENTAL CARE. PART V, SECTION B, LINE 13A: THE FPL THRESHOLD PERCENTAGE WAS RAISED DURING THE YEAR TO COMPLY WITH NEW STATE LAW. PART V, LINE 16A FAP WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE PART V, LINE 16B FAP WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/FINANCIAL-ASSISTANCE PART V, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/FINANCIAL-ASSISTANCE#TABCONTENT-6-COLLAPSE-3 PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. 99 1 - PSJHC - HEMATOLOGY 2021 SANTA MONICA BLVD STE 400E SANTA MONICA CA 90404 SPECIALTY CLINIC 2 - SJPP - WEST HILLS HOSPITAL & MEDICAL CTR 7300 MEDICAL CENTER DR WEST HILLS CA 91307 SPECIALTY CLINIC 3 - SJPP - PROVIDENCE SJ MED FDN 12414 EXPOSITION BLVD LOS ANGELES CA 90064 SPECIALTY CLINIC 4 - SJPP - BEACHWOOD POST ACUTE & REHAB 1340 15TH ST SANTA MONICA CA 90404 SPECIALTY CLINIC 5 - SJPP - BERKLEY EAST CONVALESCENT HOSPITAL 2021 ARIZONA AVE SANTA MONICA CA 90404 SPECIALTY CLINIC 6 - SJPP - BERKLEY WEST CONVALESCENT HOSPITAL 1623 ARIZONA AVE SANTA MONICA CA 90404 SPECIALTY CLINIC 7 - SJPP - BRENTWOOD HEALTH CARE CENTER 1321 FRANKLIN ST SANTA MONICA CA 90404 SPECIALTY CLINIC 8 - SJPP - CA REHABILITATION INSTITUTE 2070 CENTURY PARK E LOS ANGELES CA 90067 SPECIALTY CLINIC 9 - SJPP - CARDIAC ELECTROPHYSIOLOGY INSTITUTE 8631 W 3RD ST STE 610E LOS ANGELES CA 90048 SPECIALTY CLINIC 10 - SJPP - CEDARS-SINAI MARINA DEL REY HOSPITA 4650 LINCOLN BOULEVARD MARINA DEL REY CA 90292 SPECIALTY CLINIC 11 - SJPP - CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD WEST HOLLYWOOD CA 90048 SPECIALTY CLINIC 12 - SJPP - CEDARS-SINAI SURGERY CENTER 2121 WILSHIRE BLVD STE 201 SANTA MONICA CA 90403 SPECIALTY CLINIC 13 - SJPP - CHILDRENS HOSPITAL LOS ANGELES 4650 W SUNSET BLVD LOS ANGELES CA 90027 SPECIALTY CLINIC 14 - SJPP - COUNTRY VILLA WESTWOOD HEALTHCARE C 12121 SANTA MONICA BLVD LOS ANGELES CA 90025 SPECIALTY CLINIC 15 - SJPP - DISNEY FAMILY CANCER CENTER 181 S BUENA VISTA STE 335 BURBANK CA 91505 SPECIALTY CLINIC 16 - SJPP - FIRESIDE HEALTH CARE CENTER 947 3RD ST SANTA MONICA CA 90403 SPECIALTY CLINIC 17 - SJPP - GOOD SAMARITAN HOSPITAL 1225 WILSHIRE BLVD LOS ANGELES CA 90017 SPECIALTY CLINIC 18 - SJPP - GOOD SHEPHERD HEALTH CENTER 1131 ARIZONA AVE SANTA MONICA CA 90401 SPECIALTY CLINIC 19 - SJPP - HOAG HOSPITAL IRVINE 16200 SAND CANYON AVE IRVINE CA 92618 SPECIALTY CLINIC 20 - SJPP - HOAG HOSPITAL NEWPORT BEACH 1 HOAG DR NEWPORT BEACH CA 92663 SPECIALTY CLINIC 21 - SJPP - KINDRED HOSPITAL 5525 W SLAUSON AVE LOS ANGELES CA 90056 SPECIALTY CLINIC 22 - SJPP - ONE MEDICAL WITH PROVIDENCE 10000 WASHINGTON BLVD STE 108 CULVER CITY CA 90232 SPECIALTY CLINIC 23 - SJPP - ONE MEDICAL WITH PROVIDENCE 10250 SANTA MONICA BLVD STE 1280 LOS ANGELES CA 90067 SPECIALTY CLINIC 24 - SJPP - ONE MEDICAL WITH PROVIDENCE 12301 WILSHIRE BLVD STE 100 LOS ANGELES CA 90025 SPECIALTY CLINIC 25 - SJPP - ONE MEDICAL WITH PROVIDENCE 525 BROADWAY STE 1101 SANTA MONICA CA 90401 SPECIALTY CLINIC 26 - SJPP - ONE MEDICAL WITH PROVIDENCE 6250 TOPANGA CANYON BLVD STE 1585 WOODLAND HILLS CA 91367 SPECIALTY CLINIC 27 - SJPP - ONE MEDICAL WITH PROVIDENCE 6400 E PACIFIC COAST HWY D-210 LONG BEACH CA 90803 SPECIALTY CLINIC 28 - SJPP - ONE MEDICAL WITH PROVIDENCE 700 S FLOWER ST STE 2340 LOS ANGELES CA 90017 SPECIALTY CLINIC 29 - SJPP - ONE MEDICAL WITH PROVIDENCE 740 S ALLIED WAY STE D EL SEGUNDO CA 90245 SPECIALTY CLINIC 30 - SJPP - ONE MEDICAL WITH PROVIDENCE 8570 W SUNSET BLVD WEST HOLLYWOOD CA 90069 SPECIALTY CLINIC 31 - SJPP - ONE MEDICAL WITH PROVIDENCE 9725 WILSHIRE BLVD BEVERLY HILLS CA 90212 SPECIALTY CLINIC 32 - SJPP - PACIFIC EYE & EAR SPECIALISTS 11645 WILSHIRE BLVD STE 600 LOS ANGELES CA 90025 SPECIALTY CLINIC 33 - SJPP - PACIFIC EYE & EAR SPECIALISTS 2125 ARIZONA AVE SANTA MONICA CA 90404 SPECIALTY CLINIC 34 - SJPP - PACIFIC HEART INSTITUTE 2001 SANTA MONICA BLVD STE 280W SANTA MONICA CA 90404 SPECIALTY CLINIC 35 - SJPP - PACIFIC POST-ACUTE 1323 17TH ST SANTA MONICA CA 90404 SPECIALTY CLINIC 36 - SJPP - PAVILION SURGERY CENTER 1140 W LA VETA AVE STE 300 ORANGE CA 92868 SPECIALTY CLINIC 37 - SJPP - PROVIDENCE CEDARS-SINAI TARZANA MED 18321 CLARK ST TARZANA CA 91356 SPECIALTY CLINIC 38 - SJPP - PROVIDENCE HOLY CROSS MEDICAL CTR 15031 RINALDI ST MISSION HILLS CA 91345 PRIMARY CARE 39 - SJPP - PLCM MEDICAL CENTER SAN PEDRO 1300 W 7TH ST SAN PEDRO CA 90732 PRIMARY CARE 40 - SJPP - PLCM MEDICAL CENTER TORRANCE 4101 TORRANCE BLVD TORRANCE CA 90503 SPECIALTY CLINIC 41 - SJPP - PLCM MEDICAL CENTER TORRANCE 5215 TORRANCE BLVD STE 300 TORRANCE CA 90503 SPECIALTY CLINIC 42 - SJPP - PSJHC 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 PRIMARY CARE 43 - SJPP - PROVIDENCE SJ MED FDN 101 E VALENCIA MESA DR FULLERTON CA 92835 SPECIALTY CLINIC 44 - SJPP - PROVIDENCE SJ MED FDN 11550 INDIAN HILLS RD STE 261 MISSION HILLS CA 91345 SPECIALTY CLINIC 45 - SJPP - PROVIDENCE SJ MED FDN 12555 W JEFFERSON BLVD STE 301 LOS ANGELES CA 90066 SPECIALTY CLINIC 46 - SJPP - PROVIDENCE SJ MED FDN 12555 W JEFFERSON BLVD STE 302 LOS ANGELES CA 90066 SPECIALTY CLINIC 47 - SJPP - PROVIDENCE SJ MED FDN 12555 W JEFFERSON BLVD STE 303 LOS ANGELES CA 90066 SPECIALTY CLINIC 48 - SJPP - PROVIDENCE SJ MED FDN 1301 20TH ST STE 110 SANTA MONICA CA 90404 SPECIALTY CLINIC 49 - SJPP - PROVIDENCE SJ MED FDN 1301 20TH ST STE 145 SANTA MONICA CA 90404 SPECIALTY CLINIC 50 - SJPP - PROVIDENCE SJ MED FDN 1301 20TH ST STE 150 SANTA MONICA CA 90404 SPECIALTY CLINIC 51 - SJPP - PROVIDENCE SJ MED FDN 1301 20TH ST STE 250 SANTA MONICA CA 90404 SPECIALTY CLINIC 52 - SJPP - PROVIDENCE SJ MED FDN 1301 20TH ST STE 270 SANTA MONICA CA 90404 SPECIALTY CLINIC 53 - SJPP - PROVIDENCE SJ MED FDN 1301 20TH ST STE 290 SANTA MONICA CA 90404 SPECIALTY CLINIC 54 - SJPP - PROVIDENCE SJ MED FDN 1301 20TH ST STE 300A SANTA MONICA CA 90404 SPECIALTY CLINIC 55 - SJPP - PROVIDENCE SJ MED FDN 1301 20TH ST STE 540 SANTA MONICA CA 90404 SPECIALTY CLINIC 56 - SJPP - PROVIDENCE SJ MED FDN 181 S BUENA VISTA ST FL 3 BURBANK CA 91505 SPECIALTY CLINIC 57 - SJPP - PROVIDENCE SJ MED FDN 1811 WILSHIRE BLVD STE 110 SANTA MONICA CA 90403 SPECIALTY CLINIC 58 - SJPP - PROVIDENCE SJ MED FDN 1811 WILSHIRE BLVD STE 201 SANTA MONICA CA 90403 SPECIALTY CLINIC 59 - SJPP - PROVIDENCE SJ MED FDN 1821 WILSHIRE BLVD STE 100 SANTA MONICA CA 90403 SPECIALTY CLINIC 60 - SJPP - PROVIDENCE SJ MED FDN 1821 WILSHIRE BLVD STE 120 SANTA MONICA CA 90403 SPECIALTY CLINIC 61 - SJPP - PROVIDENCE SJ MED FDN 1821 WILSHIRE BLVD STE 301 SANTA MONICA CA 90403 SPECIALTY CLINIC 62 - SJPP - PROVIDENCE SJ MED FDN 1831 WILSHIRE BLVD STE A SANTA MONICA CA 90403 SPECIALTY CLINIC 63 - SJPP - PROVIDENCE SJ MED FDN 1831 WILSHIRE BLVD STE B SANTA MONICA CA 90403 SPECIALTY CLINIC 64 - SJPP - PROVIDENCE SJ MED FDN 2001 SANTA MONICA BLVD STE 360W SANTA MONICA CA 90404 SPECIALTY CLINIC 65 - SJPP - PROVIDENCE SJ MED FDN 2001 SANTA MONICA BLVD STE 460W SANTA MONICA CA 90404 SPECIALTY CLINIC 66 - SJPP - PROVIDENCE SJ MED FDN 2001 SANTA MONICA BLVD STE 680W SANTA MONICA CA 90404 SPECIALTY CLINIC 67 - SJPP - PROVIDENCE SJ MED FDN 2001 SANTA MONICA BLVD STE 760W SANTA MONICA CA 90404 SPECIALTY CLINIC 68 - SJPP - PROVIDENCE SJ MED FDN 2021 SANTA MONICA BLVD STE 245E SANTA MONICA CA 90404 SPECIALTY CLINIC 69 - SJPP - PROVIDENCE SJ MED FDN 2021 SANTA MONICA BLVD STE 335E SANTA MONICA CA 90404 SPECIALTY CLINIC 70 - SJPP - PROVIDENCE SJ MED FDN 2021 SANTA MONICA BLVD STE 400E SANTA MONICA CA 90404 SPECIALTY CLINIC 71 - SJPP - PROVIDENCE SJ MED FDN 2021 SANTA MONICA BLVD STE 421E SANTA MONICA CA 90404 SPECIALTY CLINIC 72 - SJPP - PROVIDENCE SJ MED FDN 2021 SANTA MONICA BLVD STE 424E SANTA MONICA CA 90404 SPECIALTY CLINIC 73 - SJPP - PROVIDENCE SJ MED FDN 2021 SANTA MONICA BLVD STE 625E SANTA MONICA CA 90404 SPECIALTY CLINIC 74 - SJPP - PROVIDENCE SJ MED FDN 2336 SANTA MONICA BLVD STE 207 SANTA MONICA CA 90404 SPECIALTY CLINIC 75 - SJPP - PROVIDENCE SJ MED FDN 2701 OCEAN PARK BLVD STE 118 SANTA MONICA CA 90405 SPECIALTY CLINIC 76 - SJPP - PROVIDENCE SJ MED FDN 4201 TORRANCE BLVD STE 520 TORRANCE CA 90503 SPECIALTY CLINIC 77 - SJPP - PROVIDENCE SJ MED FDN 8631 W 3RD ST STE 531E LOS ANGELES CA 90048 SPECIALTY CLINIC 78 - SJPP - PROVIDENCE SJ MED FDN 881 ALMA REAL DR STE 101 PACIFIC PALISADES CA 90272 SPECIALTY CLINIC 79 - SJPP - PROVIDENCE SJ MED FDN 881 ALMA REAL DR STE 316 PACIFIC PALISADES CA 90272 SPECIALTY CLINIC 80 - SJPP - PROVIDENCE SJ MED FDN 901 WILSHIRE BLVD FL 1 SANTA MONICA CA 90401 SPECIALTY CLINIC 81 - SJPP - PROVIDENCE SJ MED FDN 901 WILSHIRE BLVD FL 2 SANTA MONICA CA 90401 SPECIALTY CLINIC 82 - SJPP - PROVIDENCE SJ MED FDN 901 WILSHIRE BLVD FL 3 SANTA MONICA CA 90401 SPECIALTY CLINIC 83 - SJPP - PROVIDENCE SJ MED FDN 970 MONUMENT ST STE 220 PACIFIC PALISADES CA 90272 SPECIALTY CLINIC 84 - SJPP - PROVIDENCE ST JUDE MEDICAL CENTER 2151 N HARBOR BLVD STE 3100 FULLERTON CA 92835 SPECIALTY CLINIC 85 - SJPP - PSJMC 501 S BUENA VISTA ST BURBANK CA 91505 PRIMARY CARE 86 - SJPP - REHAB CENTER OF SANTA MONICA 1338 20TH ST SANTA MONICA CA 90404 SPECIALTY CLINIC 87 - SJPP - SANTA MONICA HEALTHCARE CENTER 1320 20TH ST SANTA MONICA CA 90404 SPECIALTY CLINIC 88 - SJPP - SANTA MONICA WOMENS HEALTH 2001 SANTA MONICA BLVD STE 970W SANTA MONICA CA 90404 SPECIALTY CLINIC 89 - SJPP - SEAPORT 17TH CARE CENTER 1330 17TH ST SANTA MONICA CA 90404 SPECIALTY CLINIC 90 - SJPP - SOCAL HEAD & NECK 1301 20TH ST STE 300 SANTA MONICA CA 90404 SPECIALTY CLINIC 91 - SJPP - SOCAL HOSPITAL CULVER CITY 3828 DELMAS TERRACE CULVER CITY CA 90232 SPECIALTY CLINIC 92 - SJPP - SOCAL MEDICAL GASTROENTEROLOGY 1301 20TH ST STE 280 SANTA MONICA CA 90404 SPECIALTY CLINIC 93 - SJPP - SOCAL MED GASTROENTEROLOGY GROUP 2336 SANTA MONICA BLVD STE 204 SANTA MONICA CA 90404 SPECIALTY CLINIC 94 - SJPP - SPEC SURGICAL BEVERLY HILLS 8670 WILSHIRE BLVD STE 300 BEVERLY HILLS CA 90211 SPECIALTY CLINIC 95 - SJPP - ST JOSEPH HOSPITAL ORANGE 1100 W STEWART DR ORANGE CA 92868 SPECIALTY CLINIC 96 - SJPP - UCLA 1225 15TH ST SANTA MONICA CA 90404 SPECIALTY CLINIC 97 - SJPP - VALLEY PRESBYTERIAN HOSPITAL 15107 VANOWEN ST VAN NUYS CA 91405 SPECIALTY CLINIC 98 - SJPP - VISTA DEL SOL 11620 W WASHINGTON BLVD LOS ANGELES CA 90066 SPECIALTY CLINIC 99 - SJPP - WINDSOR CARE CTR CHEVIOT HILLS 3533 MOTOR AVE LOS ANGELES CA 90034 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://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/SOUTHERN-CALIFORNIA PART I, LINE 7: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER. PART I, LINE 7G: NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. PART II, COMMUNITY BUILDING ACTIVITIES: PROVIDENCE SAINT JOHN'S EXTENDS CARE BEYOND THE HOSPITAL'S WALLS TO IMPROVE THE HEALTH OF THE COMMUNITY AND CONDUCTS COMMUNITY BUILDING ACTIVITIES THROUGH ITS FOCUS ON THE INFANT & TODDLER PRESCHOOL PROGRAM OPERATED BY THE HOSPITAL'S CHILD AND FAMILY DEVELOPMENT CENTER (CFDC). PROVIDENCE SAINT JOHN'S PROVIDES CHILD CARE SERVICES TO EMPLOYEES AND RESIDENTS OF SANTA MONICA, SERVING 38 CHILDREN IN 2022.ADDITIONALLY, A 10-WEEK INTERNSHIP PROGRAM WAS CREATED TO PROVIDE TECHNICAL TRAINING AND HEALTH CARE KNOWLEDGE FOR GRADUATE STUDENTS TO ADVANCE AS HOSPITAL ADMINISTRATORS AND HEALTH SYSTEM LEADERS POST-GRADUATION. 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: 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 PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: NEEDS ASSESSMENT:EVERY THREE YEARS, PROVIDENCE SAINT JOHN'S CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE COMMUNITIES IN SANTA MONICA. THROUGH A MIXED-METHODS APPROACH, USING QUANTITATIVE AND QUALITATIVE DATA, WE COLLECTED INFORMATION FROM EXISTING DATA SOURCHES. TO ACTIVELY ENGAGE THE COMMUNITY, WE CONDUCTED LISTENING SESSIONS WITH PEOPLE WHO HAVE CHRONIC CONDITIONS, ARE FROM DIVERSE COMMUNITIES, HAVE LOW-INCOMES, AND/OR ARE MEDICALLY UNDERSERVED. WE ALSO CONDUCTED STAKEHOLDER INTERVIEWS WITH REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE THESE POPULATIONS, SPECIFICALLY SEEKING TO GAIN A DEEPER UNDERSTANDING OF COMMUNITY STRENGTHS AND OPPORTUNITIES.THE 2022 CHNA WAS APPROVED BY THE BOARD OF DIRECTORS ON NOVEMBER 30, 2022, AND MADE PUBLICLY AVAILABLE BY DECEMBER 28, 2022. PART VI, LINE 3: COMMUNICATION TO THE PUBLIC: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 WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS. WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS. PART VI, LINE 4: COMMUNITY INFORMATION:THE SERVICE AREA DEFINED FOR THE PROVIDENCE SAINT JOHN'S HEALTH CENTER (PSJHC) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDES THE ZIP CODES LOCATED WITHIN SERVICE PLANNING AREA (SPA) 5 OF LOS ANGELES COUNTY. THE PLANNING AREA INCLUDES THE COMMUNITIES LOCATED ON THE WEST SIDE OF THE COUNTY (REFERRED TO AS "THE WESTSIDE" LOCALLY, AND IN THE CHNA REPORT), AND REPRESENTS THE AREA WHERE A SIGNIFICANT PORTION (OVER 70%) OF THE PATIENTS SERVED BY THE HOSPITAL RESIDES. THE AREA INCLUDES 20 DISTINCT COMMUNITIES AND 30 ZIP CODES.- AGE: A MAJORITY OF RESIDENTS IN THE SERVICE AREA ARE BETWEEN 20 AND 39 YEARS OLD. CHILDREN UNDER THE AGE OF 19 COMPRISE 19% OF THE POPULATION. ADULTS 60 YEARS OF AGE AND OLDER MAKE UP 21.5% OF THE TOTAL SERVICE AREA POPULATION.- RACE/ETHNICITY: 69.7% OF RESIDENTS IDENTIFY AS WHITE, WHILE 13.8% IDENTIFY AS ASIAN/PACIFIC ISLANDER/HAWAIIAN, 0.5% AS ALASKA NATIVE OR AMERICAN INDIAN, 5.9% AS AFRICAN AMERICAN OR BLACK, AND 5.5% ARE OF TWO OR MORE RACES. AND WHILE 16% OF THE SERVICE AREA IDENTIFIES AS HISPANIC, IN THE HIGH NEED SERVICE AREA, 28% OF RESIDENTS IDENTIFY AS SUCH.- INCOME: IN 2022, 20.8% OF THE TOTAL SERVICE AREA FALLS BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN THE HIGH NEED SERVICE AREA, HOWEVER, 34.8% IS BELOW THAT LEVEL. THIS MIRRORS LOS ANGELES COUNTY, WHICH IS AT 34.9%.- EDUCATION: THE VAST MAJORITY (94.4 %) OF ADULTS AGE 25+ LIVING IN THE PSJHC SERVICE AREA HAVE AT LEAST GRADUATED FROM HIGH SCHOOL.- LANGUAGE: WITHIN THE PSJHC SERVICE AREA, APPROXIMATELY 4.5% OF THE GENERAL POPULATION HAS LIMITED ENGLISH PROFICIENCY. IN THE HIGH NEED SERVICE AREAS, THAT NUMBER IS ALMOST DOUBLE, AT 8.0%.OTHER HOSPITALS IN SERVICE AREA:THE OTHER HOSPITALS IN SANTA MONICA INCLUDE UCLA SANTA MONICA MEDICAL CENTER. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:PROVIDENCE SAINT JOHN'S HEALTH CENTER PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE 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: AFFILIATED HEALTH CARE SYSTEM: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 CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND.THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES.WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 CITY OF SANTA MONICA 1685 MAIN ST RM 111 BUILDING AND SAFETY DIVISION SANTA MONICA CA 90401 GOVERNMENTAL 5000000 0 OPERATIONAL SUPPORT SALVATION ARMY SOUTH DIV 16941 KEEGAN AVE CARSON CA 90746 222406433 501(C)(3) 250000 0 COMMUNITY BENEFIT RESTRICTED GRANT VENICE FAMILY CLINIC 604 ROSE AVENUE VENICE CA 90291 952769432 501(C)(3) 175000 0 COMMUNITY BENEFIT RESTRICTED GRANT THE PEOPLE CONCERN 2116 ARLINGTON AVENUE SUITE LOS ANGELES CA 90018 956143865 501(C)(3) 150000 0 COMMUNITY BENEFIT RESTRICTED GRANT SAINT ANNE SCHOOL 2015 COLORADO AVE SANTA MONICA CA 90404 951690538 501(C)(3) 50000 0 COMMUNITY BENEFIT RESTRICTED GRANT WESTSIDE FAMILY HEALTH CENTER 3681 SEPULVEDA BLVD CULVER CITY CA 90230 952931931 501(C)(3) 50000 0 COMMUNITY BENEFIT RESTRICTED GRANT 6 0 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION. 1 1 0 0 0 0 0 1 0 ERIK WEXLER FRMR KE - PSJH PRES. STRAT. OPS (SO) 0 1437860 0 2266630 0 997270 0 382614 0 17538 0 5101912 0 884974 GREG HOFFMAN PRESIDENT/CEO 0 919782 0 1584583 0 115250 0 253823 0 24713 0 2898151 0 89848 JO ANN ESCASA-HAIGH TREASURER/CFO/VP 0 841148 0 989404 0 326862 0 27450 0 8365 0 2193229 0 284024 MIKE BUTLER FRMR PRESIDENT 0 0 0 0 0 1835706 0 7828 0 0 0 1843534 0 0 JOHN WHIPPLE SECRETARY - THRU 5/22 0 319672 0 277940 0 1146142 0 5571 0 5476 0 1754801 0 855652 MICHAEL RICKS CHIEF EXEC ST JOHNS HEALTH CNT 0 613657 0 266755 0 354420 0 169072 0 70741 0 1474645 0 51690 ANNA NEWSOM SECRETARY (PART YEAR) 0 535718 0 50000 0 215282 0 202914 0 22171 0 1026085 0 0 JIM WATSON ESQ FRMR OFF - PSJH SEC./ASST. SEC. 0 466229 0 228525 0 142483 0 98225 0 26164 0 961626 0 119387 ROBERT KLEIN PRESIDENT/CEO-FOUNDATION 468046 0 167943 0 81877 0 60943 0 34967 0 813776 0 46792 0 STELLA NICHOLS DIR FINANCE-FOUNDATION 337543 0 98186 0 19641 0 39799 0 19926 0 515095 0 14715 0 MINA KANG CHIEF MEDICAL OFFICER HOSPITAL 376613 0 61281 0 21419 0 18656 0 31896 0 509865 0 0 0 JARED AMERSON COO ST JOHNS HEALTH CNT 323734 0 132411 0 21256 0 18222 0 14233 0 509856 0 0 0 NAHID NOORI ULTRASOUND TECHNICIAN GF 398139 0 0 0 7847 0 31362 0 1976 0 439324 0 6635 0 MICHAEL AVILA SVP DEVELOPMENT-FOUNDATION 289798 0 44360 0 22037 0 15653 0 12360 0 384208 0 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0 219186 0 36718 0 1088 0 13600 0 17583 0 288175 0 0 CINDY STRAUSS FRMR SECRETARY 0 0 0 146754 0 0 0 0 0 0 0 146754 0 0 PART I, LINE 1A PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION 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. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES ONLY FOR PURPOSES OF RELOCATION ASSISTANCE TO A NEWLY HIRED EMPLOYEE. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE NEWLY HIRED EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES ARE RENT (EXCLUDING "RENT" WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL THE TITLE CLEARS) AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE MAY APPROVE TEMPORARY HOUSING ASSISTANCE FOR UP TO SIX MONTHS WHEN FAMILY RELOCATION IS DELAYED TO ACCOMMODATE THE SCHOOL YEAR OR EQUIVALENT CIRCUMSTANCES. ONLY IN EXTENUATING CIRCUMSTANCES IS HOUSING EXTENDED BEYOND THIS SIX-MONTH PERIOD. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE. PART I, LINE 3 DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: MIKE BUTLER - $1,835,706 JOHN WHIPPLE - $186,674 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: ERIK WEXLER - $884,974 GREG HOFFMAN - $89,848 JO ANN ESCASA-HAIGH - $284,024 JOHN WHIPPLE - $855,652 MICHAEL RICKS - $51,690 JIM WATSON, ESQ - $119,387 ROBERT KLEIN - $46,792 STELLA NICHOLS - $14,715 NAHID NOORI - $6,635 PART I, LINE 7 NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY. FORM 990, PART V, LINE 15: INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATION'S SECTION 4960 TAX ANALYSIS AND REPORTING. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS 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 CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE SAINT JOHN'S HEALTH CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE SAINT JOHN'S HEALTH CENTER'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE SAINT JOHN'S HEALTH CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA, AS THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, 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 THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS 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, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 PROCESS 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 2023. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE. FORM 990, PART IX, LINE 11G AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 36,054,494. MANAGEMENT AND GENERAL EXPENSES 5,916,948. TOTAL EXPENSES 41,971,442. BILLING AND COLLECTIONS: PROGRAM SERVICE EXPENSES 100,804. MANAGEMENT AND GENERAL EXPENSES 16,543. TOTAL EXPENSES 117,347. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 5,416,367. MANAGEMENT AND GENERAL EXPENSES 888,887. TOTAL EXPENSES 6,305,254. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 12,026,653. MANAGEMENT AND GENERAL EXPENSES 1,973,709. TOTAL EXPENSES 14,000,362. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 25,163,743. MANAGEMENT AND GENERAL EXPENSES 4,129,653. TOTAL EXPENSES 29,293,396. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 8,473,021. MANAGEMENT AND GENERAL EXPENSES 1,390,518. TOTAL EXPENSES 9,863,539. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 183,628,968. OTHER CHANGES IN NET ASSETS 2,665,186. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT -1,893,832. COLLABRIA CARE 414 SOUTH JEFFERSON STREET NAPA CA 94559 680393144 HEALTHCARE CA 501(C)(3) 10 SJHCN 1 COVENANT ACO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT CHILDREN'S PHYSICIANS GROUP 3615 19TH STREET LUBBOCK TX 79410 881290850 HEALTHCARE TX 501(C)(3) PENDING CHS 1 COVENANT HEALTH NETWORK INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 461259908 HEALTHCARE CA 501(C)(3) 12, III SJHS 1 COVENANT HEALTH PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 463516417 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 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 HOME AND COMMUNITY CARE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 920275096 HEALTHCARE TX 501(C)(3) 10 CHS 1 COVENANT HOSPITAL HOBBS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 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