2023-11-14T19:22:27-06:00 2022-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2022-01-01 951643359 ST JOSEPH HOSPITAL OF ORANGE STJO 7147718000 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 EILEEN HAUBL CFO/TREASURER 7147718000 2023-11-14 1 EILEEN HAUBL 999009999 0 EVA NITTA P01286320 4158948000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PROVIDENCE ST JOSEPH HOSPITAL JEREMY ZOCH 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 875622642 0 0928 X WWW.PROVIDENCE.ORG/LOCATIONS X 1941 CA 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. 16 14 3358 86 329455 0 12706448 13542832 775477083 842817743 29710763 10579055 2281612 8090636 820175906 875030266 1090123 2006517 0 0 242493359 259347120 0 0 4178953 596798559 590904726 840382041 852258363 -20206135 22771903 1038724574 967534077 543673730 480543832 495050844 486990245 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 820188502 2006517 847055851 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, WAAS 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.ST. JOSEPH HOSPITAL ORANGE2022 PROGRAM SERVICE ACCOMPLISHMENTS: (JANUARY 1 - DECEMBER 31, 2022) IN 2022, PROVIDENCE ST. HOSPITAL ORANGE (SJO) CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. IN 2022, SJO FOCUSED ON ADDRESSING MENTAL HEALTH, HEALTH CARE ACCESS, HOUSING AND HOMELESSNESS.PRIORITY 1: MENTAL HEALTH COVERS ALL AREAS OF EMOTIONAL, BEHAVIORAL, AND SOCIAL WELL-BEING FOR ALL AGES. INCLUDES ISSUES OF STRESS, DEPRESSION, COPING SKILLS, AS WELL AS MORE SERIOUS HEALTH CONDITIONS SUCH AS MENTAL ILLNESS AND ADVERSE CHILDHOOD EXPERIENCES. SUBSTANCE USE PERTAINS TO THE MISUSE OF ALL DRUGS, INCLUDING ALCOHOL, MARIJUANA, OPIATES, PRESCRIPTION MEDICATION, AND OTHER LEGAL OR ILLEGAL SUBSTANCES. IT DOES NOT ENCOMPASS CIGARETTE SMOKING, WHICH WAS CONSIDERED SEPARATELY. MENTAL HEALTH CHALLENGES CAN IMPEDE PEOPLE'S ABILITIES TO REALIZE THEIR POTENTIAL, COPE WITH STRESSES, WORK PRODUCTIVELY AND FRUITFULLY, AND MAKE CONTRIBUTIONS TO THEIR COMMUNITIES. PROVIDENCE ST. JOSEPH HOSPITAL WORKED ON INCREASING AWARENESS AND SERVICES ADDRESSING MENTAL HEALTH ALONG WITH SUBSTANCE USE. IN 2022 THIS NEED WAS ADDRESSED BY: 1. EACH MIND MATTERS CAMPAIGN - REDUCED STIGMA AND INCREASED AWARENESS OF MENTAL HEALTH THROUGH "PROMISES TO TALK" CAMPAIGN, PIVOTED EFFORTS TO AN ONLINE/WEB-BASED FORMAT TO REACH POPULATION DURING THE COVID PANDEMIC. THIS IS A REGIONAL EFFORT BY THE THREE ORANGE COUNTY HOSPITALS FORMING PART OF THE PROVIDENCE ST. JOSEPH HEALTH SYSTEM. 2. POST PARTUM DEPRESSION - EACH WOMAN IN LABOR & DELIVERY WAS GIVEN THE EDINBURGH POSTNATAL DEPRESSION SCALE TO IDENTIFY PATIENTS THAT ARE SUFFERING FROM A DEPRESSIVE ILLNESS. 3. IN PATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES INCLUDING A PSYCHIATRIC EMERGENCY SERVICE UNIT (PES) A 23-HOUR EMERGENCY TRIAGE AND STABILIZATION UNIT ASSISTED PATIENTS WITH ALTERNATIVES TO INPATIENT TREATMENT AND A HAND-OFF WAS DONE TO A LOWER LEVEL OF CARE SUCH AS PARTIAL HOSPITAL PROGRAM OR A PROVIDER IN THE COMMUNITY. 4. YEAR-ROUND GRANTS PROVIDED TO LA AMISTAD FEDERALLY QUALIFIED HEALTH CENTER (FQHC) TO PROVIDE MENTAL HEALTH AND PSYCHIATRY SERVICES TO LOW INCOME FAMILIES AND RESIDENTS.PRIORITY 2: HEALTH CARE ACCESS INCREASING HEALTH CARE ACCESS AS WELL AS OTHER RESOURCES FOR AREAS THAT HAVE THE BIGGEST CHALLENGES. IN 2022 THIS NEED WAS ADDRESSED BY: PROVIDING YEAR-ROUND GRANT FUNDS TO LA AMISTAD FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WHICH PROVIDES MEDICAL, DENTAL, MENTAL, GRIEF COUNSELING AND VISION SERVICES TO LOW-INCOME FAMILIES AND RESIDENTS.PRIORITY 3: HOUSING & HOMELESSNESS PRIMARILY FOCUSED ON THE CONDITION OF HOMELESSNESS, INCLUDING HELPING HOMELESS INDIVIDUALS, PREVENTION OF HOMELESSNESS, AND MITIGATING ITS IMPACT ON COMMUNITIES. HOMELESSNESS AND AFFORDABLE HOUSING ARE SIGNIFICANT NEEDS IN OUR COMMUNITIES. HOMELESSNESS HAS A RIPPLE EFFECT THROUGHOUT THE COMMUNITY; IT IMPACTS THE AVAILABILITY OF HEALTHCARE RESOURCES, CRIME AND SAFETY, THE WORKFORCE, AND THE USE OF TAX DOLLARS. AFFORDABLE HOUSING BENEFITS OUR COMMUNITIES AND CREATES STRONGER OUTCOMES IN EMPLOYMENT, HEALTH AND EDUCATION. WE WILL BE WORKING TO REDUCE CHRONIC HOMELESSNESS, SUPPORT THE NUMBER OF PERSONS ENTERING BRIDGE AND SUPPORTIVE HOUSING AND STRENGTHEN AFFORDABLE HOUSING POLICIES IN THE 2021-2028 HOUSING ELEMENT PLANS. SOCIAL DETERMINANTS OF HEALTH, LIKE HOUSING, HAVE A SUBSTANTIAL IMPACT ON HEALTH BEHAVIORS AND HEALTH OUTCOMES. ADDRESSING HOUSING INSTABILITY, HOUSING AFFORDABILITY, AND PREVENTING HOMELESSNESS WILL IMPROVE HEALTH AND THE COMMUNITIES WE SERVE.IN 2022 THIS NEED WAS ADDRESSED BY:1. JAMBOREE HOUSING GRANT - A MULTIPLE ACCESS APPROACH TO ADDRESSING THE NEEDS OF THE MEDICAID HOMELESS POPULATION. HOMELESSNESS AND MENTAL HEALTH ARE DEEPLY INTERTWINED. JAMBOREE HOUSING COORDINATED PHYSICAL, BEHAVIORAL HEALTH, AND SOCIAL SERVICES IN A PATIENT CENTERED APPROACH WITH THE GOALS OF IMPROVED HEALTH AND WELL-BEING. ONCE A HOMELESS PATIENT WAS REFERRED TO JAMBOREE HOUSING, THEY WERE CONNECTED TO WRAP-AROUND PROGRAMS THAT INCLUDED: ONE-ON-ONE CALOPTIMA (ORANGE COUNTY MEDICAID HEALTH PLAN) PERSONAL CARE COORDINATOR, PERMANENT SUPPORTIVE HOUSING, LINKAGE TO MENTAL HEALTH AND OR SUBSTANCE USE DISORDER TREATMENT, AND OTHER COMMUNITY REFERRALS. ST. JOSEPH HOSPITAL PROVIDED A CERTIFIED ADDICTION SPECIALIST.2. HOMELESS NAVIGATOR PROGRAM HAS A LICENSED CLINICAL SOCIAL WORKER (LCSW) HELPING PATIENTS EXPERIENCING HOMELESSNESS CONNECT TO SERVICES.3. HOSPITAL PATIENTS REQUIRING HOUSING AND RECUPERATIVE CARE WERE CONNECTED TO ILLUMINATION FOUNDATION. ILLUMINATION FOUNDATION PROVIDED CASE MANAGEMENT AND CONNECTS PEOPLE EXPERIENCING HOMELESSNESS WITH HOUSING, MEDICAL CARE, MENTAL HEALTH AND WORKFORCE SERVICES.4. PROVIDED GRANTS TO FORM AND BUILD CAPACITY OF THE ORANGE COUNTY HOUSING ADVOCACY COLLABORATIVE AND THE ORANGE COUNTY EVICTION PREVENTION COLLABORATIVE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/ST-JOSEPH-HOSPITAL-ORANGE 820188502 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 1 0 0 1 X 205 0 1 3358 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 16 14 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 CA X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 JO ANN ESCASA-HAIGH ASSISTANT TREASURER - THRU 12/22 0.50 64.50 X 0 2157414 35815 JEREMY ZOCH CHIEF EXECUTIVE - SJO 27.50 27.50 X X 0 1093751 172125 JIM WATSON ESQ SECRETARY 0.50 54.50 X 0 837237 124389 SCOTT RUSK CHIEF MEDICAL OFFICER - SJO 50.00 0.00 X 625339 0 71608 EILEEN HAUBL CFO/TREASURER 27.50 27.50 X 0 534924 57086 MICHELLE GENOVA CHIEF PATIENT CARE SERVICES/CNO 50.00 0.00 X 376300 0 56878 AMY DAUGHERTY MINISTRY CHIEF, PHILANTHROPY OFFICER 50.00 0.00 X 404386 0 22782 CHRISTINE PHIPPS EXECUTIVE DIRECTOR NURSING 50.00 0.00 X 315050 0 26563 ARUEL LIBETA ACUTE CARE RN 50.00 0.00 X 303126 0 36956 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0.50 54.50 X 0 256992 31183 PETER SMETHURST MD BOARD MEMBER 0.50 49.50 X 0 79537 0 BECKY NGUYEN BOARD MEMBER 0.50 0.00 X 0 0 0 CHRISTOPHER WILLS MD BOARD MEMBER, CHAIR 0.50 0.00 X 0 0 0 JON COLEMAN BOARD MEMBER 0.50 0.00 X 0 0 0 KATHLEEN O'LEARY BOARD MEMBER, VICE CHAIR 0.50 0.00 X 0 0 0 KENNETH COSGROVE BOARD MEMBER 0.50 0.00 X 0 0 0 KEVIN SNYDER BOARD MEMBER 0.50 0.00 X 0 0 0 MARY ANNE FOO BOARD MEMBER 0.50 1.00 X 0 0 0 MICHELLE HOBBY-MEARS BOARD MEMBER 0.50 0.00 X 0 0 0 RUBEN SMITH BOARD MEMBER 0.50 0.00 X 0 0 0 SISTER JUDITH DUGAN BOARD MEMBER 0.50 0.50 X 0 0 0 SISTER KAREN CLOCK BOARD MEMBER 0.50 0.50 X 0 0 0 SISTER SUZANNE SASSUS BOARD MEMBER 0.50 0.50 X 0 0 0 SUDEEP KUKREJA MD BOARD MEMBER 0.50 0.00 X 0 0 0 TANJA CEBULA BOARD MEMBER - FOUNDATION CHAIR 0.50 0.00 X 0 0 0 2024201 4959855 635385 867 0 1 0 CASS INFORMATION SYSTEMS INC 12444 POWERSCOURT DR 500 ST LOUIS MO 63131 TECHNOLOGY SERVICES 3884581 AMN LOS ANGELES AMN SHIFTWISE 12400 HIGH BLUFF DR SAN DIEGO CA 92130 STAFFING SERVICES 1670943 INTEGRATED CRITICAL CARE & PULMONARY 24422 AV DE LA CARLOTA LAGUNA H CA 92653 MEDICAL SERVICES 1429165 ALLIED ANEST MEDICAL GROUP INC PO BOX 1628 ORANGE CA 92856 MEDICAL SERVICES 956703 MCDERMOTT WILL AND EMERY LLP PO BOX 6043 CHICAGO IL 60680 LEGAL SERVICES 872815 24 535775 1510711 105114 11391232 34694 13542832 NET PATIENT REVENUE 621110 833495873 833495873 JV INCOME 900099 4794834 4794834 MOB RENTAL REVENUE 531120 3715756 3715756 APPEARANCE CENTER 456199 443787 130934 312853 PHARMACY REVENUE 456110 367493 367493 842817743 5873516 16602 5856914 4032896 672643 0 0 4032896 672643 4705539 4705539 1067010 535775 592376 474634 474634 INTERAFFILIATE REVENUE 900099 2819072 2819072 CAFETERIA REVENUE 722514 1243209 1243209 PARKING REVENUE 812930 920997 920997 2632724 498039 2134685 7616002 875030266 846742998 329455 14414981 X 2006517 2006517 236548853 225309171 9775064 1464618 4337883 4131768 179257 26858 1291727 1230350 53379 7998 17168657 16352883 709472 106302 5379683 5124066 222308 33309 2020410 1924409 83491 12510 160722853 153086063 6641656 995134 258190 245922 10669 1599 10041327 9564211 414944 62172 244678 233052 10111 1515 12853011 12242297 531133 79581 195015 185749 8059 1207 55162 52541 2279 342 11227082 10693624 463944 69514 28765999 27399175 1188716 178108 33488 31897 1384 207 SYSTEM COST ALLOCATION 178422632 169944833 7373076 1104723 MEDICAL SUPPLIES 146503183 146503183 HOSPITAL FEE 28810645 28810645 LICENSES AND TAXES 1780675 1696066 73585 11024 3590693 3420080 148381 22232 852258363 820188502 27890908 4178953 26407240 55492853 109000 10529772 1803342 101805539 109284985 757719 758827 12035409 13160749 6345769 6169941 962041856 621742122 356632329 340299734 393456839 343049820 17383625 15255073 8529917 12564000 75754803 98671366 1038724574 967534077 99063222 75275619 3498119 3583737 220000 116000 440996389 401464476 543673730 480543832 X 448971065 437168712 46079779 49821533 495050844 486990245 1038724574 967534077 X 22771903 -50743257 19910755 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 148209 148209 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. 34026615 66906 -7232191 26861330 31046161 368268 4103014 1493829 34023614 27675429 3352438 3338355 3320061 31046161 22446035 479135 4750259 27675429 25887675 242508 -1246719 2437429 22446035 0.74000 0.26000 0.00000 0 0 22771661 22771661 595773425 323150056 272623369 326297623 298592066 27705557 17199147 17199147 340299734 HOSPITAL FEE/PROVIDER TAX RECEIVABLE 72907395 RIGHT OF USE OPERATING LEASES 9816783 DUE FROM THIRD PARTY 3182606 CHARITABLE GIFT ANNUITIES 7135244 OTHER ASSETS 5629338 98671366 I/C TAX EXEMPT BOND LIABILITIES 209110967 CAPITAL LEASE OBLIGATION 74264721 HOSPITAL FEE/PROVIDER TAX LIABILITY 33268714 DUE TO THIRD PARTY 30788884 DUE TO AFFILIATES 13575549 OTHER LIABILITIES 40455641 401464476 PART V, LINE 4: THE ENDOWMENT FUNDS MAINTAINED BY THE HOSPITAL ARE INTENDED TO SUPPORT THE MISSION OF THE HOSPITAL, INCLUDING ACQUISITION OF BUILDINGS AND EQUIPMENT, AND SUPPORT OF VARIOUS HOSPITAL PROGRAMS, RESEARCH, EDUCATION AND COMMUNITY OUTREACH. GOLF 601505 174275 427230 163966 GALA/CELEBRATION 1001280 361500 639780 34980 393430 1602785 535775 1067010 34980 557396 592376 474634 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 5001519 0 5001519 0.00590 206466558 136903504 69563054 0.08160 211468077 136903504 74564573 0.08750 1275363 151728 1123635 0.00130 412967 82503 330464 0.00040 7434196 5614924 1819272 0.00210 1367842 0 1367842 0.00160 10490368 5849155 4641213 0.00540 221958445 142752659 79205786 0.09290 324656 0 324656 0.00040 324656 324656 0.00040 0 198905690 294928430 -96022740 X 1 0 1 COMPREHENSIVE IMAGING DIAGNOSTIC IMAGING CENTER 0.50000 0.50000 2 ST JOSEPH PHYSICIAN VENTURES REAL ESTATE: DOCTOR OFFICES 0.60320 0.39680 3 ST JOSEPH SATELLITE DIALYSIS DIALYSIS SERVICE 0.60770 0.39230 1 1 ST JOSEPH HOSPITAL OF ORANGE 1100 WEST STEWART DRIVE ORANGE CA 92868 HTTPS://WWW.PROVIDENCE.ORG/OBP 060000172 X X X X ST JOSEPH HOSPITAL OF ORANGE 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION C X 1 21 1 SEE PART V, SECTION C 0 1 X 300.000000000000 400.000000000000 X 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 SCHEDULE H, PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5: IN CONDUCTING THE 2021 CHNA TO IDENTIFY NEEDS, THE HOSPITAL LEVERAGED PREVIOUSLY COLLECTED INFORMATION FROM LOCAL PARTNERS IN ORANGE COUNTY. IT WAS DECIDED THAT THE FOCUS GROUPS CONDUCTED BY KAISER PERMANENTE AND THE ORANGE COUNTY HEALTH IMPROVEMENT PARTNERSHIP IN 2019, AS WELL AS THE CALOPTIMA MEMBER SURVEY WOULD BE UTILIZED IN PLACE OF PLANNED FOCUS GROUPS THAT WERE CANCELLED DUE TO THE COVID-19 PANDEMIC. ORANGE COUNTY HEALTH IMPROVEMENT PARTNERSHIP (HIP), KAISER PERMANENTE, AND CALOPTIMA, AND UNIVERSITY OF CALIFORNIA, IRVINE (UCI) CONDUCTED VARIOUS COMMUNITY AND STAKEHOLDER ENGAGEMENT SESSIONS IN 2019. WHILE PROVIDENCE ORANGE COUNTY HAD PLANNED SEVERAL FOR SPRING 2020, THESE SESSIONS HAD TO BE CANCELLED DUE TO THE COVID-19 PANDEMIC. IN LIEU OF THOSE SESSIONS, WE ARE LEVERAGING THE PREVIOUSLY COLLECTED INFORMATION FROM LOCAL PARTNERS AND WILL UPDATE WITH ADDITIONAL COMMUNITY FEEDBACK AND INPUT AS APPROPRIATE IN RESPONSE TO THE PANDEMIC.ORANGE COUNTY HEALTH IMPROVEMENT PARTNERSHIP-OVERALL, THE HIP IDENTIFIED HOMELESSNESS AND HOUSING; ENVIRONMENTAL HEALTH; SAFETY; MENTAL HEALTH AND SUBSTANCE USE; ACCESS TO CARE; NUTRITION; EARLY CHILDHOOD DEVELOPMENT; AND SUPPORT FOR AGING POPULATIONS AS THE KEY THEMES FROM THE SESSIONS. THEY CONDUCTED SIX DIVERSE FOCUS GROUPS WITH UNDER-REPRESENTED COMMUNITIES, INCLUDING VIETNAMESE OLDER ADULTS, SPANISH-SPEAKING ADULTS AND MOTHERS, ADOLESCENTS, AND SERVICE PROVIDERS.KAISER PERMANENTE CHNA 2019 (ANAHEIM AND IRVINE)- KAISER PERMANENTE'S 2019 CHNA INCLUDED FOCUS GROUPS BASED UPON HIGH-LEVEL FINDINGS FROM SECONDARY DATA ANALYSIS. ADDITIONALLY, 18 STAKEHOLDER INTERVIEWS WERE CONDUCTED REPRESENTING THE NON-PROFIT SECTOR, EDUCATION, AND COUNTY AGENCIES. THESE STAKEHOLDERS IDENTIFIED HOUSING INSECURITY, FOOD INSECURITY, ASTHMA AND STROKE DISPARITIES, ORAL HEALTH, MENTAL HEALTH/SUICIDE, AND OLDER ADULT HEALTH AS KEY NEEDS. KAISER PERMANENTE'S IDENTIFIED PRIORITIES FOR THE SERVICE AREA WERE ACCESS TO HEALTH CARE; ECONOMIC, HOUSING, AND FOOD INSECURITIES; MENTAL HEALTH AND SUBSTANCE USE; STROKE; AND SUICIDE.CALOPTIMA MEMBER SURVEY- CALOPTIMA IS THE COUNTY ORGANIZED HEALTH SYSTEM THAT ADMINISTERS HEALTH INSURANCE PROGRAMS FOR LOW-INCOME CHILDREN, ADULTS, SENIORS AND PEOPLE WITH DISABILITIES. CALOPTIMA DID NOT CONDUCT FOCUS GROUPS, BUT RATHER EMBEDDED SEVEN (7) SOCIAL DETERMINANTS OF HEALTH QUESTIONS IN A COMPREHENSIVE MEMBER SURVEY. THE IDENTIFIED NEEDS FROM THE SURVEY WERE ACCESS BARRIERS TO HEALTH CARE, NEGATIVE SOCIAL AND ENVIRONMENTAL IMPACTS AND LACK OF AWARENESS OF BENEFITS AND RESOURCES.UNIVERSITY OF CALIFORNIA, IRVINE CHNA 2019-THE UCI CHNA INCLUDED INPUT FROM STAKEHOLDERS GATHERED IN FALL 2018, INCLUDING ORANGE COUNTY HEALTH CARE AGENCY. STAKEHOLDERS WERE ASKED TO RANK ORDER IDENTIFIED HEALTH NEEDS. THE PERCENTAGE OF RESPONSES WERE PRESENTED FOR THOSE NEEDS WITH SEVERE OR SIGNIFICANT IMPACT ON THE COMMUNITY, HAD WORSENED OVER TIME, AND HAD A SHORTAGE OR ABSENCE OF RESOURCES AVAILABLE IN THE COMMUNITY, AND LEVEL OF IMPORTANCE IN THE COMMUNITY. SUBSTANCE USE AND MISUSE; MENTAL HEALTH; AND HOUSING AND HOMELESSNESS WERE THE TOP RANKED PRIORITIES. SCHEDULE H, PART V, SECTION B, LINE 6A: ST. JUDE MEDICAL CENTER AND MISSION HOSPITAL SCHEDULE H, PART V, SECTION B, LINE 6B: INPUT FROM THE OC HEALTH IMPROVEMENT PARTNERSHIP AND THE CALOPTIMA MEMBER SURVEY SCHEDULE H, PART V, SECTION B, LINE 7A: CHNA REPORT WEBSITEHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB. SCHEDULE H, PART V, SECTION B, LINE 10A: IMPLEMENTATION STRATEGY WEBSITEHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB. SCHEDULE H, PART V, SECTION B, LINE 11: FOR CALENDAR YEAR 2021-2023 ST. JOSEPH HOSPITAL ORANGE IDENTIFIED AND WILL FOCUS ON THE FOLLOWING THREE (3) PRIORITIES:PRIORITY 1: MENTAL HEALTHCOVERS ALL AREAS OF EMOTIONAL, BEHAVIORAL, AND SOCIAL WELL-BEING FOR ALL AGES. INCLUDES ISSUES OF STRESS, DEPRESSION, COPING SKILLS, AS WELL AS MORE SERIOUS HEALTH CONDITIONS SUCH AS MENTAL ILLNESS AND ADVERSE CHILDHOOD EXPERIENCES. SUBSTANCE USE PERTAINS TO THE MISUSE OF ALL DRUGS, INCLUDING ALCOHOL, MARIJUANA, OPIATES, PRESCRIPTION MEDICATION, AND OTHER LEGAL OR ILLEGAL SUBSTANCES. IT DOES NOT ENCOMPASS CIGARETTE SMOKING, WHICH WAS CONSIDERED SEPARATELY. MENTAL HEALTH CHALLENGES CAN IMPEDE PEOPLE'S ABILITIES TO REALIZE THEIR POTENTIAL, COPE WITH STRESSES, WORK PRODUCTIVELY AND FRUITFULLY, AND MAKE CONTRIBUTIONS TO THEIR COMMUNITIES. PROVIDENCE ST. JOSEPH HOSPITAL (WHICH WILL BE ADDRESSED SIMPLY AS "ST. JOSEPH HOSPITAL" THROUGHOUT THE REST OF THIS REPORT) WILL WORK ON INCREASING AWARENESS AND SERVICES ADDRESSING MENTAL HEALTH ALONG WITH SUBSTANCE USE. IN 2022 MENTAL HEALTH WAS ADDRESSED BY THE FOLLOWING ACTIVITIES:AVOIDABLE ED VISITSST. JOSEPH HOSPITAL, IN PARTNERSHIP WITH ST. JUDE MEDICAL CENTER AND MISSION HOSPITAL CONTINUES TO PARTICIPATE IN MEETINGS WITH BEWELL TO DESIGN A SEAMLESS REFERRAL PROCESS TO DECREASE AVOIDABLE ED VISITS IN CENTRAL ORANGE COUNTY. BEHAVIORAL HEALTH MEDICATIONS AND TREATMENTST. JOSEPH HOSPITAL OFFERS A THE MEDICATION ASSISTANCE TREATMENT (MAT) PROGRAM AND A CHEMICAL ADDICTION PROGRAM. THE MAT PROGRAM IS INTENDED TO SERVE INDIVIDUALS STRUGGLING WITH OPIOID ADDICTION OR SUBSTANCE ABUSE DISORDER. IT FOCUSES PRIMARILY ON PSYCHOTHERAPY ASSISTED BY PSYCHIATRIC PRESCRIBED MEDICATION DESIGNED TO ALLEVIATE WITHDRAWAL SYMPTOMS AND CRAVINGS. IN 2022, THERE WERE 154 ENCOUNTERS WITH PATIENTS (ED AND INPATIENTS). ALTHOUGH OUTREACH WAS MADE TO A LARGER GROUP OF PATIENTS IN THE HOSPITAL, ONLY A FEW ACCEPTED SERVICES. EACH MIND MATTERS:ST. JOSEPH HOSPITAL INVESTED $329,136 FOR EACH MIND MATTERS AND OTHER MENTAL HEALTH STRATEGIES. EACH MIND MATTERS, THE MENTAL HEALTH STIGMA REDUCTION CAMPAIGN CONTINUES TO PROVIDE VIRTUAL COMMUNICATION. PROMISE TO TALK ACQUIRED 9.5M IMPRESSIONS ACROSS ALL SOCIAL MEDIA AND WEB PLATFORMS, A 7% INCREASE OVER THE PREVIOUS YEAR. IN 2022, 81,186 TOTAL ENCOUNTERS WERE COMPLETED AND 3,442 TOTAL PROMISES, A 26% INCREASE FROM THE PRIOR YEAR. DURING MENTAL HEALTH AWARENESS MONTH IN MAY 2022, OUR IN-PERSON DIA DEL NINO OUTREACH EVENT BROUGHT IN OVER 550 PROMISES TO TALK, ENCOURAGING OPEN CONVERSATIONS TO REDUCE THE STIGMA SURROUNDING MENTAL HEALTH. PROMISE TO TALK MARKED ITS RETURN TO IN-PERSON OUTREACH THROUGH ITS PARTNERSHIP WITH THE LIME TRUCK, WHICH PROVIDED LUNCH TO OVER 400 DIA DEL NINO ATTENDEES. IN MAY, WE ALSO LAUNCHED THE GREEN BENCH OC CAMPAIGN, WHERE WE PAINTED 10 PARK BENCHES IN ORANGE COUNTY LIME GREEN WITH THE GOAL OF SYMBOLIZING A PLACE TO TALK TO SOMEONE ABOUT MENTAL HEALTH. THIS CAMPAIGN ALLOWS US TO CONTINUE HAVING IMPORTANT CONVERSATIONS WITH MEMBERS OF THE COMMUNITY AND CREATE INTEREST AROUND THE STIGMA REDUCTION MOVEMENT. THE CAMPAIGN'S SOCIAL MEDIA RESOUNDED STRONGLY WITH THE COMMUNITY AND PERFORMED EXTREMELY WELL, SEEING A 30% INCREASE IN MONTHLY GROWTH DURING MAY. OUR ANNUAL SURVEY OF 600+ RESIDENTS PROVIDE FURTHER INFORMATION ABOUT THE EFFECTIVENESS OF THE PROGRAM. THIS YEAR, RESPONDENTS' OVERALL WILLINGNESS TO TALK ABOUT MENTAL HEALTH WITH A FRIEND, NEIGHBOR OR FAMILY MEMBER REMAINED FLAT AT 95%, WHICH IS AN EXCEPTIONALLY STRONG RATING. JUST LIKE LAST YEAR, 95% OF RESPONDENTS EITHER 'AGREE OR 'SOMEWHAT AGREE' THAT OPEN CONVERSATIONS ABOUT MENTAL ILLNESS ARE HEALTHY.PROVIDENCE WORK 2BE WELL:PROVIDENCE WORK2BEWELL (W2BW) IS A MENTAL HEALTH AND WELLNESS PROGRAM FOCUSED ON PROVIDING MENTAL HEALTH RESOURCES AND EDUCATION FOR TEENS, PARENTS, AND EDUCATORS. THE GOAL IS TO PROMOTE TEEN WELLNESS ACROSS THE COUNTRY, AND WORK TO NORMALIZE THE CONVERSATION ABOUT MENTAL HEALTH AND REDUCE THE STIGMA THAT SURROUNDS IT. WORK2BEWELL IS COMMITTED TO ANTI-RACIST WORK. IT BRINGS A DIVERSITY, EQUITY AND, INCLUSION LENS TO PROGRAMMING AND ARE WORKING TO EXPAND RESOURCES FOR BIPOC TEENS. WE ARE STRATEGIZING CULTURE AND LANGUAGESPECIFIC RESOURCES FOR THE FUTURE AS WE WORK TO REDUCE MENTAL HEALTH STIGMA AND PROMOTE TEEN WELLNESS. PROVIDENCE ST. JOSEPH HOSPITAL WORK 2BE WELL SIGNED AN MOU WITH THE SANTA ANA UNIFIED SCHOOL DISTRICT AND BEGAN IMPLEMENTATION JULY 2022. FOUR HIGH SCHOOLS ARE PARTICIPATING IN WORK2BEWELL PROGRAM. POST PARTUM DEPRESSION PROGRAM:IN 2022, ST. JOSEPH HOSPITAL'S WOMEN'S SERVICES POSTPARTUM DEPRESSION PROGRAM SERVED 993 UNIQUE WOMEN AND REFERRED A TOTAL OF 3,340 ENCOUNTERS/SESSIONS. POLICY EFFORTS TO ADDRESS MENTAL HEALTHFINALLY, WITH LEADERSHIP FROM PROVIDENCE, AND HOSPITALS ACROSS THE STATE, THE LEGISLATURE TOOK ACTION TO ADDRESS CRITICAL BEHAVIORAL HEALTH NEEDS. A $15 BILLION BEHAVIORAL HEALTH PACKAGE WAS APPROVED WITH INVESTMENTS THAT INCLUDE INFRASTRUCTURE AND CAPACITY BUILDING, HOUSING AND CRISIS SUPPORT, AND SIGNIFICANT WORKFORCE INCENTIVE PROGRAMS.COMMUNITY ASSISTANCE, RECOVERY, AND EMPOWERMENT (CARE) COURT PROGRAMAUTHORIZES SPECIFIED ADULT PERSONS TO PETITION A CIVIL COURT TO CREATE A VOLUNTARY CARE AGREEMENT OR A COURT-ORDERED CARE PLAN AND IMPLEMENT SERVICES, TO BE PROVIDED BY COUNTY BEHAVIORAL HEALTH AGENCIES, TO PROVIDE BEHAVIORAL HEALTH CARE, INCLUDING STABILIZATION MEDICATION, HOUSING, AND OTHER ENUMERATED SERVICES TO ADULTS WHO ARE CURRENTLY EXPERIENCING A SEVERE MENTAL ILLNESS AND HAVE A DIAGNOSIS IDENTIFIED IN THE DISORDER CLASS SCHIZOPHRENIA AND OTHER PSYCHOTIC DISORDERS, AND WHO MEET OTHER SPECIFIED CRITERIA. MEDI-CAL MENTAL HEALTH BENEFITSASSEMBLY BILL 1019 WILL REQUIRE A MEDI-CAL MANAGED CARE PLAN, NO LATER THAN JANUARY 1, 2025, TO CONDUCT ANNUAL OUTREACH AND EDUCATION FOR ITS ENROLLEES REGARDING THE MENTAL HEALTH BENEFITS THAT ARE COVERED BY THE MEDI-CAL MANAGED CARE PLAN. THE BILL WOULD REQUIRE A MEDI-CAL MANAGED CARE PLAN TO ALSO CONDUCT ANNUAL OUTREACH AND EDUCATION TO INFORM PRIMARY CARE PROVIDERS REGARDING THOSE MENTAL HEALTH BENEFITS. ADVANCE HEALTH CARE DIRECTIVES: MENTAL HEALTH TREATMENTTHE HEALTH CARE DECISIONS LAW AUTHORIZES AN ADULT HAVING CAPACITY TO GIVE AN INDIVIDUAL HEALTH CARE INSTRUCTION. CURRENT LAW AUTHORIZES THE INDIVIDUAL INSTRUCTION TO BE LIMITED TO TAKE EFFECT ONLY IF A SPECIFIED CONDITION ARISES. CURRENT LAW AUTHORIZES A WRITTEN ADVANCE HEALTH CARE DIRECTIVE TO INCLUDE THE INDIVIDUAL'S NOMINATION OF A CONSERVATOR OF THE PERSON OR ESTATE OR BOTH, OR A GUARDIAN OF THE PERSON OR ESTATE OR BOTH, FOR CONSIDERATION IF PROTECTIVE PROCEEDINGS FOR THE INDIVIDUAL'S PERSON OR ESTATE ARE THEREAFTER COMMENCED. PRIORITY 2: HEALTH CARE ACCESSINCREASING HEALTH CARE ACCESS AS WELL AS OTHER RESOURCES FOR AREAS THAT HAVE THE BIGGEST CHALLENGES.IN 2022 HEALTH CARE ACCESS WAS ADDRESSED BY THE FOLLOWING:ACCESS TO MEDICAL, DENTAL, MENTAL HEALTH AND VISION SERVICES TO THE UNINSUREDST. JOSEPH HOSPITAL INVESTED $1.4 MILLION IN CAPITAL AND OPERATING SUPPORT TO SJNHC FOR ALL ACCESS INITIATIVES IN 2022. THROUGH THIS FUNDING LA AMISTAD (A FEDERALLY QUALIFIED HEALTH CENTER (FQHC)) IS ABLE TO CONTINUE TO PROVIDE MUCH NEEDED MEDICAL, DENTAL, MENTAL HEALTH AND VISION SERVICES TO LOW-INCOME FAMILIES AND RESIDENTS. THIS EXTERNAL FUNDING ENSURES THAT UNINSURED PESRON WHO ARE NOT ELIGIBLE FOR FEDERAL OR STATE INSURANCE PRODUCTS CAN CONTINUE TO GET AFFORDABLE CARE. AND IN THE CASE OF PERSON WHO ARE ELIGIBLE FOR INSURANCE PRODUCTS, THEY ONLY PAY A NOMINAL CO-PAY. IN CY 22, ST. JUDE NEIGHBORHOOD HEALTH CENTER (LA AMISTAD) PROVIDED 21,011 PRIMARY CARE, DENTAL, VISION AND MENTAL HEALTH VISITS TO THE UNINSURED AND UNDERINSURED POPULATION OF CENTRAL ORANGE COUNTY. OF THE 21,011 TOTAL VISITS, 10,364 WERE VIRTUAL VISITS. THROUGH FUNDING FROM ST. JOSEPH HOSPITAL, LA AMISTAD WAS ABLE TO HIRE A BILINGUAL OBGYN AND PEDIATRICIAN TO PROVIDE CARE ON SITE. TRANSITIONAL CARE CLINICTHROUGH FUNDED IN THE AMOUNT OF $100,000 BY ST. JOSEPH ORANGE, LA AMISTAD WAS ABLE ESTABLISH A TRANSITIONAL CARE CLINIC WHICH SERVED APPROXIMATELY 786 PATIENTS WHO IN CY22 DISCHARGED FROM CENTRAL ORANGE COUNTY. THE PROGRAM SERVES UNINSURED AND UNDERINSURED PATIENTS WHO NEED POST-HOSPITAL FOLLOW-UP CARE OUTPATIENT VISITS ADDITIONALLY, THE CLINIC PROVIDES THEM WITH A SECURE MEDICAL HOME AND RESOURCES TO OBTAIN PROPER MEDICAL INSURANCE ALONG WITH EDUCATION AND SUPPORT IN ACCESSING APPROPRIATE CARE. SCHEDULE H, PART V, SECTION B, LINE 11 (CONTINUED): MEDICAL HOMEST. JOSEPH HOSPITAL PROVIDED $150,000 TO CONTINUE TO FUND THE AVOIDABLE EMERGENCY DEPARTMENT NAVIGATOR PROGRAM THAT LOOKS AT THE ROOT CAUSE BEHIND WHY INDIVIDUALS ARE PRESENTING TO THE ED MULTIPLE TIMES AND SEEKS TO PROVIDE RESOURCES TO ENSURE APPROPRIATE ACCESS TO CARE. THE NAVIGATOR IS A LICENSED CLINICAL SOCIAL WORKER, WHO FOCUSES ON HOW TO BEST SERVE THE MEDI-CAL PATIENT POPULATION, DECREASE INAPPROPRIATE VISITS, AND INCREASE EDUCATION AROUND ALTERNATE SITES FOR SUITABLE ACCESS TO CARE. IN 2022, THE AED NAVIGATOR SERVED 3,141 INDIVIDUALS IN THE HOSPITAL'S EMERGENCY CENTER TO ACCESS APPROPRIATE HEALTH COVERAGE AND RESOURCES.PRIORITY 3: HOUSING & HOMELESSNESSPRIMARILY FOCUSED ON THE CONDITION OF HOMELESSNESS, INCLUDING HELPING HOMELESS INDIVIDUALS, PREVENTION OF HOMELESSNESS, AND MITIGATING ITS IMPACT ON COMMUNITIES. HOMELESSNESS AND AFFORDABLE HOUSING ARE SIGNIFICANT NEEDS IN OUR COMMUNITIES. HOMELESSNESS HAS A RIPPLE EFFECT THROUGHOUT THE COMMUNITY; IT IMPACTS THE AVAILABILITY OF HEALTHCARE RESOURCES, CRIME AND SAFETY, THE WORKFORCE, AND THE USE OF TAX DOLLARS. AFFORDABLE HOUSING BENEFITS OUR COMMUNITIES AND CREATES STRONGER OUTCOMES IN EMPLOYMENT, HEALTH AND EDUCATION. WE WILL BE WORKING TO REDUCE CHRONIC HOMELESSNESS, SUPPORT THE NUMBER OF PERSONS ENTERING BRIDGE AND SUPPORTIVE HOUSING AND STRENGTHEN AFFORDABLE HOUSING POLICIES IN THE 2021-2028 HOUSING ELEMENT PLANS. SOCIAL DETERMINANTS OF HEALTH, LIKE HOUSING, HAVE A SUBSTANTIAL IMPACT ON HEALTH BEHAVIORS AND HEALTH OUTCOMES. ADDRESSING HOUSING INSTABILITY, HOUSING AFFORDABILITY, AND PREVENTING HOMELESSNESS WILL IMPROVE HEALTH AND THE COMMUNITIES WE SERVE.IN 2022 THIS NEED WAS ADDRESSED BY:IN 2022, 630 HOUSING CHAMPIONS WERE TRAINED BY OUR PARTNERS OC UNITED WAY AND OC PEOPLE FOR HOUSING, YIMBY AND ENGAGED IN HOUSING ELEMENT WORK TO PROMOTE STRONGER POLICIES THAT WILL RESULT IN AFFORDABLE HOUSING.THE HOMELESS NAVIGATOR PROVIDED SERVICES TO 708 INDIVIDUAL HOMELESS PATIENTS. THE GREATEST CHALLENGE HAS BEEN IDENTIFYING THE APPROPRIATE LEVEL OF CARE POST DISCHARGE, WHICH IMPACTS THE NUMBER OF CUSTODIAL DAYS A HOMELESS PATIENT SPENDS IN THE HOSPITAL. WE HAD 356 CUSTODIAL DAYS FOR HOMELESS PATIENTS. CLIENTS ARE MOST OFTEN DISCHARGED TO SNFS (SKILLED NURSING FACILITIES), RECUPERATIVE CARE FACILITIES, STEP-DOWN UNITS, SOBER LIVING HOMES, FAMILY/FRIENDS, AND SHELTERS. THIS PROVIDES STABILIZATION AND A SAFE PLACE FOR PATIENTS WHILE BRIDGING OTHER OPTIONS AND COMMUNITY RESOURCES. A REGIONAL HOMELESS CARE NAVIGATOR WORK GROUP HAS BEEN CONVENED TO SHARE BEST PRACTICES AND COLLECT COMMON METRICS ACROSS THE THREE PROVIDENCE HOSPITALS IN ORANGE COUNTY. IN 2022 THERE WERE 1,687 (SJO), 767 (ST. JUDE), 439(MISSION), 404 (MISSION LAGUNA) ENCOUNTERS WITH HOMELESS PATIENTS.THE POINT IN TIME COUNT (CONDUCTED BY THE COUNTY) NOTED THAT FROM 2019 TO 2022 THERE WAS A 16.65% REDUCTION IN THE NUMBER OF INDIVIDUALS EXPERIENCING CHRONIC HOMELESSNESS IN ORANGE COUNTY.THE STATUTORY NUMBER IN THE CAL AIM REGULATION IS 14 IN LIEU SERVICES PROVIDED. ENHANCED CARE MANAGEMENT (ECM) -OUTREACH AND ENGAGEMENT, COMPREHENSIVE ASSESSMENT AND CARE MANAGEMENT PLAN, ENHANCED CARE COORDINATION, HEALTH PROMOTION, COMPREHENSIVE TRANSITIONAL CARE, MEMBER AND FAMILY SUPPORTS, COORDINATION OF AND REFERRAL TO COMMUNITY AND SOCIAL SUPPORT SERVICES. COMMUNITY SUPPORTS INCLUDE 90-DAYS IN RECUPERATIVE CARE, SHORT-TERM POST HOSPITALIZATION HOUSING UP TO 6 MONTHS, DAY HABILITATION PROGRAMS, PERSONAL CARE HOMEMAKER SERVICES, MEALS/MEDICALLY TAILORED MEALS, AND SOBERING CENTERS. FLEXIBLE WRAP-AROUND SERVICES, PROVIDE AS A SUBSTITUTE TO, OR TO AVOID, OTHER COVERED SERVICES, SUCH AS HOSPITAL ADMISSIONS, SKILLED NURSING FACILITY PLACEMENT OR ED USE. FOUR (4) COMMUNITY SUPPORTS LAUNCHED ON JAN. 1, 2022, HOUSING TRANSITION NAVIGATION SERVICES, HOUSING TENANCY AND SUSTAINING SERVICES, HOUSING DEPOSITS AND RECUPERATIVE CARE. ST. JOSEPH HOSPITAL INVESTED $405,000 TO SUPPORT THIS EFFORT AND OUR PARTNERS, WHICH INCLUDE ONE HOMELESS NAVIGATOR AND GRANTS TO PARTNER ORGANIZATIONS.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. OUR MISSION, "AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE," IS BEST LIVED BY PARTNERING WITH LIKE-MINDED ORGANIZATIONS THAT COUNT WITH THE CAPACITY AND EXPERTISE TO ADDRESS THE NEEDS OF ORANGE COUNTY RESIDENTS. WE ARE COMMITTED TO LIVING OUT OUR MISSION THROUGH OUR OWN COMMUNITY BENEFIT PROGRAMS, BY PARTNERSHIP WITH LIKE-MINDED PARTNERS AND BY FUNDING OTHER NON-PROFITS.FURTHERMORE, ST. JOSEPH HOSPITAL WILL ENDORSE LOCAL NON-PROFIT ORGANIZATIONS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT ST. JOSEPH HOSPITAL'S SERVICE AREAS.THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE HOSPITAL'S 2021 CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW:OBESITY/FOOD INSECURITY/NUTRITION:CONCERNS ABOUT HEALTHY EATING HABITS, NUTRITION KNOWLEDGE, AND CHALLENGES OF COST AND AVAILABILITY OF HEALTHY OPTIONS. OBESITY IS PRIMARILY DEFINED AS THE HEALTH CONDITION IN WHICH INDIVIDUALS ARE SUFFICIENTLY OVERWEIGHT AS TO HAVE DETRIMENTAL EFFECTS ON THEIR OVERALL HEALTH. ST. JOSEPH HOSPITAL DONATES TO MEALS ON WHEELS AND HAS DONE SO FOR YEARS.ECONOMIC ISSUES:IDENTIFIED AS A ROOT CAUSE OF OTHER HEALTH ISSUES, THIS ISSUE COVERS THE EFFECTS OF POVERTY AND ECONOMIC CONCERNS AS WELL AS DIFFICULTIES AROUND FINDING JOBS THAT PAY LIVABLE SALARIES. WHILE ST. JOSEPH HOSPITAL HAS NOT SELECTED ECONOMIC ISSUES AS A TOP PRIORITY, THE MAJORITY OF ITS COMMUNITY BENEFIT PROGRAMS ARE TARGETED TO THE LOW-INCOME POPULATION. ST. JOSEPH HOSPITAL PARTNERS WITH ORANGE COUNTY COMMUNITY ACTION PARTNERSHIP, THE COUNTY ANTI-POVERTY AGENCY ON SEVERAL INITIATIVES AS WELL AS THE INTERSECTIONS INITIATIVE OF CENTRAL ORANGE COUNTY, A COLLABORATIVE ADDRESS WORKFORCE IN LOW INCOME AREAS. ST. JOSEPH HOSPITAL HAS A POLICY OF A JUST LIVING WAGE AND IN THAT WAY SERVES AS A ROLE MODEL FOR OTHER ORGANIZATIONS IN THE COMMUNITY. IN ADDITION, SANTA ANA W-O-R-K CENTER AND THE CAMBODIAN FAMILY NON-PROFITS ALSO ADDRESS ECONOMIC ISSUES.SAFETY:ENCOMPASSES THE INCIDENCE OF CRIME AND VIOLENCE AS WELL AS THE FEAR OF IT, WHICH PREVENTS PEOPLE FROM USING OPEN SPACE OR ENJOYING THEIR COMMUNITY. THE DECLINING CRIME RATE HAS NOT MADE THIS A PRIORITY, BUT ST. JOSEPH HOSPITAL PARTICIPATES IN LOCAL COLLABORATIVES THAT FOCUS ON THE NEEDS OF AT-RISK YOUTH WITH A GOAL TO REDUCE GANG INVOLVEMENT AND CRIME.DIABETES:SPECIFICALLY FOCUSED ON THE HEALTH CONDITION OF DIABETES, AND AWARENESS AND PREVENTION OF IT. ST. JOSEPH HOSPITAL WILL CONTINUE TO WORK WITH THE OC HEALTH IMPROVEMENT PARTNERSHIP WHICH IS ADDRESSING DIABETES IN ORANGE COUNTY. LA AMISTAD FEDERALLY QUALIFIED HEALTH CENTER (FQHC) PROVIDES DIABETES SERVICES TO FAMILIES AND RESIDENTS WITH LOW INCOME. IN ADDITION, OTHER NON-PROFITS ADDRESSING DIABETES ARE THE LATINO HEALTH ACCESS ORGANIZATION AND AMERICAN DIABETES ASSOCIATION.EARLY CHILDHOOD DEVELOPMENT:WHILE THIS DID NOT MAKE THE TOP PRIORITIES, THE DIRECTOR, COMMUNITY HEALTH INVESTMENT PARTICIPATES IN THE SANTA ANA EARLY LEARNING INITIATIVE WHICH IS ADDRESSING THIS ISSUE.ENVIRONMENT/CLIMATE:PROVIDENCE ST. JOSEPH HEALTH HAS COMMITTED TO BEING CARBON NEGATIVE BY 2030. THIS EFFORT WILL INVOLVE ALL HOSPITAL STAFF.AGING POPULATION: (THIS WAS NOT IDENTIFIED IN THE 2021 CHNA)WHILE THIS IS NOT ONE OF THE SELECTED PRIORITIES, ST. JOSEPH HOSPITAL PARTNERS WITH THE SOUTHERN CALIFORNIA COUNCIL ON AGING. OVER THE PAST TWO YEARS, ST. JOSEPH HOSPITAL HAS FUNDED A PROGRAM THAT PROVIDES ISOLATED, LOW-INCOME OLDER ADULTS IN CENTRAL ORANGE COUNTY WITH SOCIAL SERVICE RESOURCES AND REFERRALS, MENTAL HEALTH SERVICES, AND A VOLUNTEER VISITING PROGRAM.PREVENTION:DECREASING THE CHANCE OF GETTING A DISEASE.EQUITY/RACIAL DISPARITIES:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.SEXUALLY TRANSMITTED DISEASES:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.STROKE:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.CANCER:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.TEEN BIRTH RATE:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.ALZHEIMER DISEASE:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.IN ADDITION, ST. JOSEPH HOSPITAL WILL COLLABORATE WITH SEVERAL LOCAL ORGANIZATIONS THAT ADDRESS THE AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS THESE UNMET NEEDS. SCHEDULE H, PART V, LINE 13A: ST. JOSEPH HOSPITAL OF ORANGE 100% DISCOUNT WAS UP TO 300% FPL AND 75% DISCOUNT BETWEEN 301% TO 400% FPL. THE FPL THRESHOLD PERCENTAGE WAS RAISED DURING THE YEAR TO COMPLY WITH NEW STATE LAW. SCHEDULE H, PART V, SECTION B, LINE 13H: THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDER-INSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 16A: FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16B: FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16C: FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT/FINANCIAL-ASSISTANCE#TABCONTENT-1-PANE-4 SCHEDULE H, PART V, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. 13 1 - CENTER FOR CANCER PREVENTION & TREATMENT 1000 WEST LA VETA ORANGE CA 92868 CANCER CENTER 2 - RADIOLOGYIMAGING CENTER 1140 WEST LA VETA ORANGE CA 92868 RADIOLOGY AND IMAGING CENTER 3 - OUTPATIENT SURGICENTER 1140 WEST LA VETA ORANGE CA 92868 OUTPATIENT SURGERY 4 - ST JOSEPH SISTER ELIZABETH BUILDING 1300 WEST PALMYRA ORANGE CA 92868 DIALYSIS, BEHAVIORAL HLTH, RENAL TRANS & SLEEP CTR 5 - MATERNAL FETAL TESTING 1140 WEST LA VETA ORANGE CA 92868 FETAL TESTING 6 - PHYSICAL REHABILITATION 1310 WEST STEWART DRIVE SUITE 203 ORANGE CA 92868 PHYSICAL THERAPY 7 - ST JOSEPH HOSPITAL WOUND CARE CENTER 1140 WEST LA VETA ORANGE CA 92868 WOUND CARE CENTER 8 - CARDIAC REHABILITATION CENTER 1140 WEST LA VETA ORANGE CA 92868 CARDIOLOGY SERVICES 9 - COMPREHENSIVE IMAGING PARTNERS OF OC LLC 1 CITY BOULEVARD WEST SUITE 1100 ORANGE CA 92868 IMAGING CENTER 10 - SANTA ANA DIALYSIS CENTER 2212 EAST 4TH STREET SUITE 101 SANTA ANA CA 92705 DIALYSIS SERVICE 11 - HEART & VASCULAR WELLNESS CLINIC 1120 WEST LA VETA ORANGE CA 92868 HEART WELLNESS 12 - MOTHER BABY 363 SOUTH MAIN STREET ORANGE CA 92868 WOMEN & CHILDREN 13 - SINUS CENTER 1140 WEST LA VETA SUITE 510 ORANGE CA 92868 SINUS CENTER 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: ST. JOSEPH HOSPITAL OF ORANGE PREPARES AN ANNUAL REPORT AND IT ISPUBLICLY AVAILABLE ATHTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/ST-JOSEPH-HOSPITAL-ORANGE/ABOUT-US/COMMUNITY-BENEFIT PART I, LINE 7: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER. PART I, LINE 7G: NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL PROVIDED $324,656 IN COMMUNITY BUILDING ACTIVITIES BY OFFERING COPE HEALTH SCHOLARS PROGRAM. COPE PROVIDES YOUNG ADULTS WITH MEDICAL INTERNSHIPS IN MULTIPLE DEPARTMENTS. THE PROGRAM IS 15 MONTHS AND IS GEARED TOWARD FIRST GENERATION ADULTS WHO ARE RACIALLY DIVERSE. 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 ASCOMMUNITY 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. THIS INFORMATION IS INCLUDED IN OUR CHARITY POLICY HOWEVER THIS DETAIL IS NOT ADDRESSED IN OUR COLLECTION POLICY. PART VI, LINE 2: NEEDS ASSESSMENTWITH THE INPUT OF MORE THAN 450 KEY STAKEHOLDERS, ST. JOSEPH HOSPITAL OF ORANGE DEFINED ITS FIVE-YEAR STRATEGIC JOURNEY, WHICH FORMS THE FOUNDATION FOR OUR COMMITMENT TO EACH PATIENT WE SERVE:PROVIDENCE STRATEGIC FRAMEWORK -STRENGTHEN THE CORE: WE WILL DELIVER OUTSTANDING, AFFORDABLE HEALTH CARE, HOUSING, EDUCATION AND OTHER ESSENTIAL SERVICES TO OUR PATIENTS AND COMMUNITIES. WE SEEK TO CREATE A PLACE WHERE CAREGIVERS ARE FULFILLED AND INSPIRED TO CARRY ON THE MISSION.-BE OUR COMMUNITIES' HEALTH PARTNER: WE WILL BE OUR COMMUNITIES' HEALTH PARTNER, AIMING FOR PHYSICAL, SPIRITUAL, AND EMOTIONAL WELL-BEING. WE SEEK TO EASE THE WAY OF OUR NEIGHBORS IN THEIR JOURNEY TO GOOD LIFE. -TRANSFORM OUR FUTURE: WE WILL RESPOND TO THE SIGNS OF THE TIMES, PURSUING NEW OPPORTUNITIES THAT TRANSFORM OUR SERVICES. WE SEEK TO EXPAND AND SUSTAIN OUR MISSION.-PROVIDENCE SOCAL REGION STRATEGIC VISION: BE OUR COMMUNTIY'S HEALTH PARTNER OF CHOICE KNOWN FOR EASE-OF-USE, KEEPING OUR PATIENTS WELL AND OUTSTANDING QUALITY.-STRENGTHEN THE CORE: PROVIDING EXCEPTIONAL, PERSONALIZED CARE WITH COMPASSION.-SIMPLIFY ACCESS: KNOW OUR COMMUNITIES AND EASE THEIR WAY THROUGH THE CARE CONTINUUM. TRANSFORM CARE, IMPROVE POPULATION HEALTH OUTCOMES, AND REDUCE HEALTH DISPARITIES, ESPECIALLY FOR THE POOR AND VULNERABLE POPULATIONS. LEAD THE WAY IN IMPROVING OUR NATION'S MENTAL AND EMOTIONAL WELL-BEING. ENGAGING WITH PARTNERS TO ENSURE HEALTH EQUITY FOR ALL BY ADDRESSING SYSTEMIC RACISM AND THE SOCIAL DETERMINANTS OF HEALTH, WITH A FOCUS ON EDUCATION, HOUSING AND THE ENVIRONMENT.-TRANSFORM HEALTH: USE OUR HIGH VALUE NETWORK OF CARE TO KEEP PATIENTS WELL AND PROVIDE COORDINATED CARE WHEN SICK. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE 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 INFORMATIONST. JOSEPH HOSPITAL OF ORANGE PROVIDES ORANGE COUNTY COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL'S TOTAL SERVICE AREA EXTENDS FROM YORBA LINDA IN THE NORTH, LAKE FOREST IN THE SOUTH, CORONA IN THE EAST AND HUNTINGTON BEACH IN THE WEST. OUR HOSPITAL TOTAL SERVICE AREA (TSA), INCLUDES THE CITIES OF ANAHEIM, BUENA PARK, CORONA, COSTA MESA, CYPRESS, FOOTHILL RANCH, FOUNTAIN VALLEY, FULLERTON, GARDEN GROVE, IRVINE, LAKE FOREST, ORANGE, PLACENTIA, SANTA ANA, SILVERADO, STANTON, TUSTIN, VILLA PARK, WESTMINSTER AND YORBA LINDA. TOTAL SERVICE AREA (TSA): THE COMMUNITY SERVED BY ST. JOSEPH HOSPITAL OF ORANGE IS BASED UPON GEOGRAPHIC ACCESS AND OTHER AREA HOSPITALS, AS WELL AS PATIENT ZIP CODES. FOR MORE GRANULAR DATA, CENSUS TRACTS THAT OVERLAP THE ZIP CODES IN TABLE 1 WERE REFERENCED. THE SERVICE AREA FOR ST. JOSEPH HOSPITAL OF ORANGE WAS DEFINED USING CENSUS TRACTS INSIDE NORTH AND CENTRAL ORANGE COUNTY WITH THE EXCLUSION OF THE CITY OF YORBA LINDA. THIS INCLUDES, BUT IS NOT LIMITED TO, THE CITIES OF ANAHEIM, BREA, BUENA PARK, CYPRESS, FULLERTON, COSTA MESA, GARDEN GROVE, SANTA ANA, WEST MINISTER AND ORANGE. IN TOTAL, THERE ARE 458 CENSUS TRACTS WITHIN THE SERVICE AREA OF ST. JOSEPH HOSPITAL OF ORANGE.POPULATION AND AGE DEMOGRAPHICS:THE POPULATION IN ST. JOSEPH HOSPITAL OF ORANGE'S TOTAL SERVICE AREA MAKES UP 80% OF ORANGE COUNTY. THE MALE-TO-FEMALE DISTRIBUTION IS ROUGHLY EQUAL ACROSS GEOGRAPHIES. INDIVIDUALS UNDER THE AGE OF 35 ARE MORE LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS. POPULATION BY RACE AND ETHNICITY:INDIVIDUALS WHO IDENTIFY AS HISPANIC AND "OTHER" RACE ARE SUBSTANTIALLY MORE LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS. PEOPLE IDENTIFYING AS WHITE ARE LESS LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS.SOCIOECONOMIC INDICATORS:THE HIGH NEED SERVICE AREA'S MEDIAN HOUSEHOLDS INCOME IS APPROXIMATELY $40,000 LESS THAN THE BROADER SERVICE AREA, AND $28,000 LESS THAN ORANGE COUNTY OVERALL.HOUSING COST BURDEN:SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS THAT SPEND 50% OR MORE OF THEIR INCOME ON HOUSING COSTS. THE TOTAL SERVICE AREA AND ORANGE COUNTY HAVE ROUGHLY THE SAME PERCENTAGE OF RENTER HOUSEHOLDS THAT ARE SEVERELY HOUSING COST BURDENED (28%). IN THE HIGH NEED SERVICE AREA, 32% OF RENTER HOUSEHOLDS ARE SEVERELY HOUSING COST BURDENED COMPARED TO 24% IN THE BROADER SERVICE AREA.HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND MEDICALLY UNDERSERVED AREAS (MUA) & MEDICALLY UNDERSERVED POPULATIONS (MUP):THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA) DEMOGRAPHICS (I.E., LOW-INCOME POPULATION) OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). ST JOSEPH HOSPITAL IS NOT LOCATED IN A SHORTAGE AREA. LARGE PORTIONS OF THE TOTAL SERVICE AREA TO THE WEST AND SOUTH OF ST. JOSEPH HOSPITAL ARE DESIGNATED AS SHORTAGE AREAS. MEDICALLY UNDERSERVED AREAS (MUA) AND MEDICALLY UNDERSERVED POPULATIONS (MUP) ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MUA ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND COMPARED WITH NATIONAL AVERAGES TO DETERMINE AN AREA'S LEVEL OF MEDICAL "UNDER SERVICE." MUP ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MUA AND MUP ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. ALTHOUGH ST. JOSEPH HOSPITAL IS NOT LOCATED IN A MEDICALLY UNDERSERVED AREA/MEDICALLY UNDERSERVED POPULATIONS AREA, AREAS TO THE SOUTH AND WEST OF ST. JOSEPH HOSPITAL ARE LOCATED IN A MEDICALLY UNDERSERVED AREA/MEDICALLY UNDERSERVED POPULATIONS AREA, SIGNIFYING THE IMPORTANCE OF ST JOSEPH HOSPITAL TO THE COMMUNITY IT SERVES.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN THE COMMUNITY INCLUDE: HOAG, AHMC ANAHEIM, CHOC, CORONA REGIONAL MEDICAL CENTER, KAISER, KPC HEALTHCARE, INC., ORANGE COAST MEMORIAL, PRIME HEALTHCARE, TENET HEALTH, AND UCI MEDICAL CENTER. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHST. JOSEPH HOSPITAL OF ORANGE PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. ST. JOSEPH HOSPITAL OF ORANGE IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) A COMMUNITY BENEFIT COMMITTEE THAT HAS COMMUNITY REPRESENTATION AND IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES2) OPEN MEDICAL STAFF3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.LOCAL COMMUNITY BENEFIT COMMITTEE:THE ROLE OF ST. JOSEPH HEALTH, ST. JOSEPH OF ORANGE'S COMMUNITY HEALTH COMMITTEE IS TO SUPPORT THE BOARD OF TRUSTEES IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE COMMUNITY HEALTH COMMITTEE ACTS IN ACCORDANCE WITH A BOARD APPROVED CHARTER. THE COMMUNITY HEALTH COMMITTEE IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS "IDENTIFIED SIGNIFICANT NEEDS" IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORTS AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES. THE COMMUNITY HEALTH COMMITTEE HAS A MINIMUM OF EIGHT (8) MEMBERS INCLUDING THREE (3) MEMBERS OF THE BOARD OF TRUSTEES. CURRENT MEMBERSHIP INCLUDES FOUR (4) BOARD OF TRUSTEES AND TEN (10) COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE CB COMMITTEE GENERALLY MEETS EVERY VIRTUALLY EVERY QUARTER. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMAT 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 ST JUDE NEIGHBORHOOD HEALTH CENTERS 731 S HIGHLAND AVENUE FULLERTON CA 92832 453977605 501(C)(3) 0 320626 OPERATIONAL SUPPORT HOPE BUILDERS CAREER CONNECTIONS 801 N BROADWAY SANTA ANA CA 92701 711024210 501(C)(3) 0 15000 OPERATIONAL SUPPORT 2 0 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT 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. 0 1 0 0 0 0 0 1 0 JO ANN ESCASA-HAIGH ASSISTANT TREASURER - THRU 12/22 0 841148 0 989404 0 326862 0 27450 0 8365 0 2193229 0 284024 JEREMY ZOCH CHIEF EXECUTIVE - SJO 0 545886 0 319575 0 228290 0 162986 0 9139 0 1265876 0 208736 JIM WATSON ESQ SECRETARY 0 466229 0 228525 0 142483 0 98225 0 26164 0 961626 0 119387 SCOTT RUSK CHIEF MEDICAL OFFICER - SJO 417915 0 125972 0 81452 0 21930 0 49678 0 696947 0 51277 0 EILEEN HAUBL CFO/TREASURER 0 411026 0 107000 0 16898 0 35796 0 21290 0 592010 0 10748 MICHELLE GENOVA CHIEF PATIENT CARE SERVICES/CNO 290114 0 82770 0 3416 0 31602 0 25276 0 433178 0 0 0 AMY DAUGHERTY MINISTRY CHIEF, PHILANTHROPY OFFICER 293449 0 108040 0 2897 0 16112 0 6670 0 427168 0 0 0 CHRISTINE PHIPPS EXECUTIVE DIRECTOR NURSING 241389 0 68517 0 5144 0 5470 0 21093 0 341613 0 0 0 ARUEL LIBETA ACUTE CARE RN 261596 0 21000 0 20530 0 21859 0 15097 0 340082 0 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0 219186 0 36718 0 1088 0 13600 0 17583 0 288175 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. 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, LINE 4B 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: JO ANN ESCASA-HAIGH - $ 284,024 JEREMY ZOCH - $ 208,736 JIM WATSON, ESQ - $ 119,387 SCOTT RUSK - $ 51,277 EILEEN HAUBL - $ 10,748 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. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 956703 MEDICAL SVC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 150412 REPAIR SVC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 313217 MEDICAL SVC 0 X 2 34694 FMV 0 0 1 0 PART I, COLUMN (B): THE AMOUNTS REPORTED IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED. 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 4 IN MAY 2022, ST. JOSEPH HOSPITAL ORANGE AMENDED ITS BYLAWS TO CHANGE THE CORPORATE MEMBERSHIP STRUCTURE OF THE CORPORATION, WITH ST. JOSEPH HEALTH SYSTEM AS THE SOLE CORPORATE MEMBER. THE ORGANIZATION APPROVED THE SOUTHERN CALIFORNIA COMMUNITY MINISTRY BOARD UNIFORM CHARTER, INCORPORATED IN THE REVISED BYLAWS. THE BYLAWS WERE ALSO UPDATED TO CHANGE THE NUMBER OF BOARD MEMBERS AND THE TERM OF THE CHAIR AND VICE CHAIR POSITIONS. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HOSPITAL OF ORANGE. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. JOSEPH HOSPITAL OF ORANGE HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBER RESERVE THE RIGHT TO APPOINT THE ST. JOSEPH HOSPITAL OF ORANGE'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE ST. JOSEPH HOSPITAL OF ORANGE BOARD AS NOMINATIONS MUST BE APPROVED BY JOSEPH HEALTH SYSTEM, AS A CORPORATE MEMBER, AND ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, EXEMPT PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. THE CORPORATE MEMBER, ST. JOSEPH HEALTH SYSTEM, RESERVES THE RIGHT TO APPROVE THE PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. FORM 990, PART VI, SECTION B, LINE 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 15B 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 15,934,378. MANAGEMENT AND GENERAL EXPENSES 691,315. FUNDRAISING EXPENSES 103,581. TOTAL EXPENSES 16,729,274. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 466,249. MANAGEMENT AND GENERAL EXPENSES 20,228. FUNDRAISING EXPENSES 3,031. TOTAL EXPENSES 489,508. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,450,989. MANAGEMENT AND GENERAL EXPENSES 106,336. FUNDRAISING EXPENSES 15,933. TOTAL EXPENSES 2,573,258. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 25,798,935. MANAGEMENT AND GENERAL EXPENSES 1,119,290. FUNDRAISING EXPENSES 167,706. TOTAL EXPENSES 27,085,931. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 102,079,975. MANAGEMENT AND GENERAL EXPENSES 4,428,751. FUNDRAISING EXPENSES 663,569. TOTAL EXPENSES 107,172,295. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 6,355,537. MANAGEMENT AND GENERAL EXPENSES 275,736. FUNDRAISING EXPENSES 41,314. TOTAL EXPENSES 6,672,587. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 29,782,314. CHANGE IN INVESTMENT IN JOINT VENTURES 6,891,055. OTHER CHANGES IN NET ASSETS -16,762,614. 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 98057 844273963 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 822913146 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL GROUP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752743883 HEALTHCARE TX 501(C)(3) 3 CHS 1 EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANSITIONAL CARE WA 501(C)(3) 10 N/A 0 GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 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 GRACE CLINIC OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 203856995 HEALTHCARE TX 501(C)(3) 3 CHS 1 HMTS INC 1 HOAG DRIVE NEWPORT BEACH CA 92658 453583707 HEALTHCARE CA 501(C)(3) 12, I HMHP 1 HOAG CHARITY SPORTS 2081 BUSINESS CENTER DR STE 195 NEWPORT BEACH CA 92663 452982422 SUPPORT CA 501(C)(3) 7 HHF 1 HOAG CLINIC 1 HOAG DRIVE NEWPORT BEACH CA 92658 330676831 HEALTHCARE CA 501(C)(3) 10 HMHP 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 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752133781 HEALTHCARE TX 501(C)(3) 10 CHS 1 INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 814260130 HEALTHCARE WA 501(C)(3) PF PHS SJHS 1 INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 912003593 HEALTHCARE WA 501(C)(3) 7 WHC 1 KADLEC AUXILIARY INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 916033089 SUPPORT WA 501(C)(3) 12, III KRMC 1 KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND WA 99352 237005501 SUPPORT WA 501(C)(3) 7 KRMC 1 KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 910655392 HEALTHCARE WA 501(C)(3) 3 WHC 1 LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330844408 IMAGING SERVICES CA 501(C)(3) 10 PHS SOCAL 1 LUBBOCK HERITAGE HOSPITAL LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 264021016 HEALTHCARE TX 501(C)(3) 3 CHS 1 LUNDBERG ASSOCIATION PROVIDENCE HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911562797 SUPPORT OR 501(C)(3) 7 PHS OR 1 METHODIST CHILDREN'S HOSPITAL 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752428911 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL LEVELLAND 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752246348 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL PLAINVIEW 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752426010 HEALTHCARE TX 501(C)(3) 3 CHS 1 MISSION HOSPITAL REGIONAL MEDICAL CTR 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951643360 HEALTHCARE CA 501(C)(3) 3 CHN 1 NORTHWEST HOPE & HEALING FOUNDATION PO BOX 16069 SEATTLE WA 98116 200799737 SUPPORT WA 501(C)(3) 12, I SHS 1 OPEN DOOR VENTURES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911608508 SUPPORT WA 501(C)(3) 7 PHS WA 1 PACMED CLINICS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 562290878 HEALTHCARE WA 501(C)(3) 10 WHC 1 PH&S FOUNDATIONSFVSA & SCVSA 501 SOUTH BUENA VISTA STREET BURBANK CA 915054809 953544877 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE ALASKA FOUNDATION 3760 PIPER STREET SUITE 2021 ANCHORAGE AK 99508 920093565 HEALTHCARE AK 501(C)(3) 7 PHS WA 1 PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION 540 SOUTH MAIN ST MT ANGEL OR 97362 911940286 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE BLANCHET ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911789266 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE CHILDREN'S HEALTH FOUNDATION 4805 NE GLISAN ST STE 2N35 PORTLAND OR 97213 930800140 SUPPORT OR 501(C)(3) 7 PHS OR 1 PROVIDENCE COMMUNITY HEALTH FOUNDATION 940 ROYAL AVE SUITE 410 MEDFORD OR 97504 930692907 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE DETHMAN HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 473385506 SUPPORT WA 501(C)(3) 7 N/A 0 PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 954322584 SUPPORT CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311744654 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE HEALTH & SERVICES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911549796 HEALTHCARE WA 501(C)(3) 12, II PSJH 0 PROVIDENCE HEALTH & SERVICES - MONTANA 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 810231793 HEALTHCARE MT 501(C)(3) 3 PHS WA 1 PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216587 HEALTHCARE OR 501(C)(3) 3 PHS 1 PROVIDENCE HEALTH & SERVICES - WASHINGTON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216586 HEALTHCARE WA 501(C)(3) 3 PHS 1 PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911303277 HEALTHCARE WA 501(C)(3) 3 PMWHC 1 PROVIDENCE HEALTH ASSURANCE 4400 NE HALSEY ST STE 609 ATTN ACCO PORTLAND OR 97213 550828701 MEDICAID HEALTHCARE PROVIDER OR 501(C)(4) N/A PHP 1 PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA) 101 W 8TH AVE SPOKANE WA 99204 320014330 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE HEALTH PLAN 4400 NE HALSEY ST STE 609 ATTN ACCO PORTLAND OR 97213 930863097 HEALTHCARE OR 501(C)(4) N/A PPP 1 PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216589 HEALTHCARE CA 501(C)(3) 3 PHS 1 PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC 810 12TH STREET PO BOX 149 HOOD RIVER OR 97031 930921990 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY 1615 75TH ST SW SUITE 210 EVERETT WA 98203 272552749 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 2811 SOUTH 102ND NO 220 TUKWILA WA 98168 912077378 HEALTHCARE WA 501(C)(3) 7 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) 7 PHS W WA 1 PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330185031 HEALTHCARE CA 501(C)(3) 3 SJHS 1 PROVIDENCE MEDICAL INSTITUTE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330283773 HEALTHCARE CA 501(C)(3) 12, I PHS SOCAL 1 PROVIDENCE MILWAUKIE FOUNDATION 10150 SE 32ND AVE MILWAUKIE OR 97222 943079515 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE MINISTRIES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 RELIGIOUS ORG WA 501(C)(3) 1 N/A 0 PROVIDENCE MOUNT ST VINCENT FOUNDATION 4831 35TH AVE SW SEATTLE WA 981262799 911188119 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE NEWBERG HEALTH FOUNDATION 1001 PROVIDENCE DRIVE NEWBERG OR 97132 930889144 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE PETER CLAVER ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311629656 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE PLAN PARTNERS 4400 NE HALSEY ST STE 609 ATTN ACCO PORTLAND OR 97213 911861964 HEALTHCARE WA 501(C)(4) N/A PHS OR 1 PROVIDENCE PORTLAND MEDICAL FOUNDATION 4805 NE GLISAN ST PORTLAND OR 972132967 931231494 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE ROSSI ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311584166 SUPPORT WA 501(C)(3) 10 PHS WA 1 PROVIDENCE SAINT JOHN'S HEALTH CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951684082 HEALTHCARE CA 501(C)(3) 3 PHS SOCAL 1 PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 814542216 HEALTHCARE CA 501(C)(3) 3 PHS SOCAL 1 PROVIDENCE SEASIDE HOSPITAL FOUNDATION 725 S WAHANNA ROAD SEASIDE OR 97138 930927320 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN) 413 LILLY ROAD NE 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