2023-11-15T00:08:24-06:00 2022-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2022-01-01 951643325 ST JUDE HOSPITAL STJU 7144467200 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 EUGENE GUTIERREZ CFO 7144467200 2023-11-08 1 EUGENE GUTIERREZ 999009999 0 EVA NITTA P01286320 4158948000 2023-11-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PROVIDENCE ST JUDE MEDICAL CENTER LAURA RAMOS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 824295723 0 0928 X WWW.STJUDEMEDICALCENTER.ORG 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. 15 12 3226 376 58526 51773 12060563 3677693 748495248 801175481 30857057 13397542 -29311 5788415 791383557 824039131 3059021 953281 0 0 228158473 255726812 0 0 2411168 520418830 529293693 751636324 785973786 39747233 38065345 1232178178 1162664799 501650633 447701456 730527545 714963343 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 756294537 953281 806908824 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 ACCOMPLISHMENTS: (JANUARY 1 - DECEMBER 31, 2022)IN 2022, PROVIDENCE ST. JUDE MEDICAL CENTER CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. IN 2022, WE FOCUSED ON ADDRESSING MENTAL HEALTH, ACCESS TO CARE, HOMELESSNESS AND HOUSING, HEALTH EQUITY AND RACIAL DISPARITIES.PRIORITY 1: MENTAL HEALTHPROVIDENCE ST. JUDE MEDICAL CENTER IS WORKING ON INCREASING AWARENESS AND SERVICES ADDRESSING MENTAL HEALTH ALONG WITH SUBSTANCE USE. EFFORTS INCLUDE ADDRESSING ALL AREAS OF EMOTIONAL, BEHAVIORAL, AND SOCIAL WELL-BEING FOR ALL AGES. ALONG WITH ISSUES OF STRESS, DEPRESSION, COPING SKILLS, STIGMA, 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.IN 2022 MENTAL HEALTH WAS ADDRESSED BY:1. EACH MIND MATTERS CAMPAIGN REDUCED STIGMA AND INCREASED AWARENESS OF MENTAL HEALTH THROUGH "PROMISES TO TALK" CAMPAIGN, A REGIONAL EFFORT BY THE THREE ORANGE COUNTY HOSPITALS FORMING PART OF THE PROVIDENCE ST. JOSEPH HEALTH SYSTEM. EACH MIND MATTERS ACQUIRED 9.5 MILLION IMPRESSIONS ACROSS ALL SOCIAL MEDIA AND WEB PLATFORMS, A 7% INCREASE OVER THE PREVIOUS YEAR. THE YEAR ENDED WITH 81,186 TOTAL ENCOUNTERS AND 3,442 TOTAL PROMISES, A 26% INCREASE FROM THE PRIOR YEAR.2. YEAR-ROUND GRANTS PROVIDED TO ST. JUDE NEIGHBORHOOD HEALTH CENTERS FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT PROVIDED MENTAL HEALTH AND PSYCHIATRY SERVICES TO LOW-INCOME FAMILIES AND RESIDENTS.3. THE MEDICATION ASSISTANCE TREATMENT (MAT) PROGRAM CONTINUES TO BE FULLY IMPLEMENTED IN THE HOSPITAL EMERGENCY DEPARTMENT. THE EMERGENCY DEPARTMENT IMPLEMENTED COMMUNITY NALOXONE DISTRIBUTION. A TOTAL OF 839 PATIENTS RECEIVED MAT SERVICES IN THE ED. IN ADDITION, THE SUBSTANCE USE DISORDER PROGRAM COUNSELOR PROVIDED 1,151 ENCOUNTERS AND SERVED 979 UNIQUE PATIENTS.4. GRANTS TO FULLERTON SCHOOL DISTRICT THAT INCREASED THE NUMBER OF AT-RISK LOW-INCOME STUDENTS IN THE FULLERTON SCHOOL DISTRICT AND THE NUMBER OF LOW-INCOME RESIDENTS TO HAVE ACCESS TO MENTAL HEALTH SERVICES.PRIORITY 2: ACCESS TO CAREINCREASING HEALTH CARE ACCESS AS WELL AS OTHER RESOURCES FOR AREAS THAT HAVE THE BIGGEST CHALLENGES.IN 2022 ACCESS TO CARE NEED WAS ADDRESSED BY:1. $3,4 MILLION WAS GRANTED TO ST. JUDE NEIGHBORHOOD HEALTH CENTERS FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT PROVIDED MEDICAL, DENTAL AND MENTAL HEALTH SERVICES TO LOW-INCOME FAMILIES AND RESIDENTS. THIS INCLUDED CAPITAL FUNDS FOR A NEW ANAHEIM HEALTH CENTER SITE IN THE PONDEROSA PARK NEIGHBORHOOD. THE FQHC PROVIDED 22,701 PRIMARY CARE, DENTAL, AND MENTAL HEALTH VISITS TO THE UNINSURED AND UNDERINSURED POPULATION OF NORTH ORANGE COUNTY.PRIORITY 3: HOMELESSNESS AND HOUSINGPRIMARILY 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 WORKED 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 HOMELESSNESS AND HOUSING WAS ADDRESSED BY:1. AN IN-HOUSE COMMUNITY CARE NAVIGATOR PROGRAM HAD A LICENSED CLINICAL SOCIAL WORKER (LCSW) AND AN MASTERS PREPARED COMMUNITY CARE NAVIGATOR ASSISTING PEOPLE EXPERIENCING HOMELESSNESS.2. PROVIDING CHEMICAL DEPENDENCY SERVICES IN-HOUSE BY A CERTIFIED CHEMICAL DEPENDENCY COUNSELOR.3. HOSPITAL PATIENTS REQUIRING HOUSING AND RECUPERATIVE CARE WERE CONNECTED TO THE ILLUMINATION FOUNDATION. ILLUMINATION FOUNDATION PROVIDED CASE MANAGEMENT AND CONNECTED 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. 260 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. SEE SCHEDULE O 756294537 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 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 162 0 1 3226 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 15 12 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 0.50 64.50 X 0 2157414 35815 BRIAN LEE HELLELAND FRMR OFF. - DIV COO - SOUTH 0.00 55.00 X 0 1372933 214008 LAURA RAMOS CEO 55.00 0.00 X X 0 794695 168977 GENE GUTIERREZ CHIEF FINANCIAL OFFICER 27.50 27.50 X 0 436494 52432 JULIE KIM CNO - SJF 50.00 0.00 X 396343 0 57689 DUB DREES MINISTRY CHIEF, PHILANTHROPY OFFICER 50.00 0.00 X 400310 0 44524 MOHAMMAD TARKHAN CLINICAL COORDINATOR 50.00 0.00 X 337265 0 54481 MARK JABLONSKI FRMR OFF. - PSJH CMO 0.00 55.00 X 0 336522 43601 TROY GIDEON EXEC DIR ACUTE CARE OPERATIONS 55.00 0.00 X 326588 0 52144 DANIEL KIM EXECUTIVE MEDICAL DIRECTOR 50.00 0.00 X 334885 0 37480 ELIZABETH THOMAS EXECUTIVE DIRECTOR NURSING 50.00 0.00 X 298717 0 23929 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0.50 54.50 X 0 256992 31183 LORRAINE VAIANA SECRETARY 1.00 49.00 X 88861 0 3020 PANAGIOTIS BOUGAS MD TRUSTEE 0.50 0.00 X 0 31250 0 DENNIS BUCHANAN MD TRUSTEE 0.50 0.00 X 0 4875 0 ADAM LOESER TRUSTEE 0.50 0.00 X 0 0 0 ALAN WEINBERG MD TRUSTEE 0.50 0.00 X 0 0 0 FIENCIO FEEDY MARES TRUSTEE 0.50 0.00 X 0 0 0 GIRIBALA R PATEL TRUSTEE 0.50 0.00 X 0 0 0 HAROLD HAMUD TRUSTEE 0.50 0.00 X 0 0 0 JAMES HARDEMAN TRUSTEE 0.50 0.00 X 0 0 0 JOE LINS TRUSTEE 0.50 0.00 X 0 0 0 MIKE HERNANDEZ CHAIR 1.00 0.00 X 0 0 0 SISTER KARIN NUERNBERG TRUSTEE 0.50 0.00 X 0 0 0 SISTER MARY ROGERS CSJ TRUSTEE 0.50 0.00 X 0 0 0 STEWART SHANFIELD MD TRUSTEE 0.50 0.00 X 0 0 0 SUELING CHEN MD TRUSTEE 0.50 0.00 X 0 0 0 2182969 5391175 819283 844 1 1 0 CASS INFORMATION SYSTEMS INC 12444 POWERSCOURT DR STE 550 SAINT LOUIS MO 63131 TECHNOLOGY SERVICES 4097982 VARIAN MEDICAL SYSTEMS INC 3100 HANSEN WAY PALO ALTO CA 94304 MEDICAL SERVICES 2060715 AMN LOS ANGELES AMN SHIFTWISE 12400 HIGH BLUFF DR CORPORATE SAN DIEGO CA 92130 STAFFING SERVICES 1784086 PROVIDENCE MEDICAL FOUNDATION 3345 MICHELSON DR STE 200 IRVINE CA 92612 MEDICAL SERVICES 1434349 HEALTHCARE DESIGN AND CONSTRUCTION 18302 IRVINE BLVD STE 120 TUSTIN CA 92780 INSTALLATION SERVICES 1004879 21 263535 31643 3382515 10100 3677693 NET PATIENT REVENUE 621110 795451942 795451942 CAFETERIA REVENUE 621990 2174202 2174202 MOB RENTAL REVENUE 531120 1829675 1829675 JV INCOME 900099 1257063 1216968 40095 PHARMACY REVENUE 524292 385751 385751 76848 76848 801175481 7633696 18431 7615265 5763846 0 5763846 5763846 5763846 311664 263535 256592 55072 55072 INTERAFFILIATE REVENUE 900099 2843867 2843867 MISCELLANEOUS REVENUE 900099 1673443 1673443 EDUCATION REVENUE 611600 614047 614047 601986 601986 5733343 824039131 806868729 58526 13434183 X 953281 953281 2456237 2456237 229746476 220005882 8877860 862734 4002082 3832406 154648 15028 2863127 2741739 110637 10751 16658890 15952600 643733 62557 1308129 1252668 50549 4912 137624349 131789469 5318079 516801 193156 184967 7464 725 11268244 10790503 435427 42314 8089 7746 313 30 15343365 14692850 592898 57617 150123 143758 5801 564 11506749 11018895 444644 43210 32745621 31357300 1265356 122965 1920 1839 74 7 SYSTEM COST ALLOCATION 173270866 165924676 6695531 650659 MEDICAL SUPPLIES 117463692 117463692 UBI TAX EXPENSE 22000 22000 HOSPITAL FEE 23005206 23005206 5382184 5175060 186830 20294 785973786 756294537 27268081 2411168 6843609 49345291 69394193 198911 5075563 5253618 98903725 98309156 11574161 16325958 5882031 2192470 1096874518 558793309 552108031 538081209 368141920 363999951 11774008 9789472 2205000 102480937 76963763 1232178178 1162664799 55894717 73017711 1716942 2006909 444038974 372676836 501650633 447701456 X 659964486 643659943 70563059 71303400 730527545 714963343 1232178178 1162664799 X 38065345 -62088370 8458823 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 145076 145076 0 PART II-B, LINE 1: THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES PAID TO THE ALLIANCE OF CATHOLIC HEALTH CARE, THE CALIFORNIA HOSPITAL ASSOCIATION, AND THE AMERICAN HOSPITAL ASSOCIATION ALLOCATED TO LOBBYING ACTIVITIES. 25613980 968071 -3753981 637650 22190420 26326028 1381940 3868871 154252 5808607 25613980 22451624 169600 3840310 135506 26326028 16746743 1480881 4224800 800 22451624 17612720 425920 -817366 474530 16746744 0.88190 0.11810 0.00000 0 0 6457972 6457972 756636228 289564773 467071455 11984225 11124333 859892 307967822 258104203 49863619 13828271 13828271 538081209 HOSPITAL FEE/PROVIDER TAX RECEIVABLE 38937600 RIGHTS OF USE OPERATING LEASES 36398567 DUE FROM THIRD PARTY 5682087 CHARITABLE GIFT ANNUITIES 242983 OTHER ASSETS -4297474 76963763 I/C - TAX-EXEMPT BOND LIABILITIES 230301672 OTHER LIABILITIES 45946690 DUE TO THIRD PARTY 28337222 CAPITAL LEASE OBLIGATIONS 28025585 HOSPITAL FEE/PROVIDER TAX LIABILITY 27585851 DUE TO AFFILIATES 12479816 372676836 SCHEDULE D, PART V, LINE 4 INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS THE ENDOWMENT FUNDS PROVIDE INCOME TO SUPPORT CARE FOR THE POOR PROGRAMS, NURSING SCHOLARSHIPS, AND ACTIVITIES DESIGNATED BY THE BOARD TO SUPPORT ST. JUDE MEDICAL CENTER'S CONTINUING NEEDS AND MISSION. CA A WALK AMONG THE STARS (WATS) 575199 263535 311664 81708 41138 10000 123746 575199 263535 311664 81708 41138 10000 123746 256592 55072 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 3279691 3279691 0.00420 115028611 63664657 51363954 0.06540 118308302 63664657 54643645 0.06960 4797762 2583471 2214291 0.00280 95815 95815 0.00010 19273523 16898666 2374857 0.00300 862021 862021 0.00110 25029121 19482137 5546984 0.00700 143337423 83146794 60190629 0.07660 0 192845005 276111336 -83266331 X 1 0 1 1 ST JUDE HOSPITAL 101 E VALENCIA MESA DRIVE FULLERTON CA 92835 HTTPS://WWW.PROVIDENCE.ORG/OBP HSC30168F X X X X ST JUDE HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 21 1 SEE SCHEDULE H, 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 OF THE COMMUNITY ARE PRIORITIZED BASED ON THE METHODOLOGY DESCRIBED IN THE MOST RECENT CHNA SECTION ON SIGNIFICANT HEALTH NEEDS. SCHEDULE H, PART V, SECTION B, LINE 5: IN CONDUCTING THE 2021 CHNA TO IDENTIFY NEEDS, ST. JUDE MEDICAL CENTER 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 A COUNTY ORGANIZED HEALTH SYSTEM THAT ADMINISTERS HEALTH INSURANCE PROGRAMS FOR CHILDREN, ADULTS, SENIORS WITH LOW INCOMES AND PEOPLE WITH DISABILITIES. THEY ADMINISTERED A MEMBER SURVEY AS PART OF A COMPREHENSIVE ASSESSMENT. THE SURVEY REACHED A WIDE VARIETY OF DEMOGRAPHICS AND INCLUDED INSIGHTS INTO NEEDS BEYOND MEMBERS' IMMEDIATE HEALTH CARE NEEDS, INCLUDING SOCIAL DETERMINANTS OF HEALTH. THE REPORT NOTES ACCESS BARRIERS, LACK OF AWARENESS OF BENEFITS AND RESOURCES, AND NEGATIVE SOCIAL AND ENVIRONMENTAL IMPACTS AS THE KEY THEMES IDENTIFIED.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. JOSEPH HOSPITAL ORANGEMISSION HOSPITAL SCHEDULE H, PART V, SECTION B, LINE 6B: INPUT FROM THE OC HEALTH IMPROVEMENT PARTNERSHIP AND THE CAL OPTIMA MEMBER SURVEY. SCHEDULE H, PART V, SECTION B, LINE 7A HTTPS://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 HTTPS://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. JUDE MEDICAL CENTER IDENTIFIED THE FOLLOWING FOUR (4) PRIORITIES:PRIORITY 1: MENTAL HEALTHIMPROVED SYSTEM TO ACCESS MENTAL HEALTH AND SUBSTANCE USE SERVICES TO ENSURE THAT PATIENTS RECEIVED CARE AT THE APPROPRIATE LEVEL OF CARE NOT IN THE EMERGENCY DEPARTMENT, REDUCED MENTAL HEALTH STIGMA IN THE COMMUNITY AND INCREASE IN RESOURCES FOR YOUTH.IN 2022 MENTAL HEALTH WAS ADDRESSED BY:AVOIDABLE ED VISITSST. JUDE MEDICAL CENTER, IN PARTNERSHIP WITH ST. JOSEPH HOSPITAL ORANGE 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. IN FY22, SJMC FUNDED $150,000 TOWARD AVAILABLE ED NAVIGATOR.BEHAVIORAL HEALTH MEDICATIONS AND TREATMENTST. JUDE, IN PARTNERSHIP WITH ST. JOSEPH HOSPITAL ORANGE, 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, THE EMERGENCY ROOM IMPLEMENTED THE COMMUNITY NALOXONE DISTRIBUTION. 839 PATIENTS RECEIVED MAT SERVICES IN THE ED.EACH MIND MATTERS:ST. JUDE MEDICAL CENTER INVESTED $129,884 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 DA DEL NIO 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 DA DEL NIO 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.PRIORITY 2: ACCESS TO CAREINCREASING HEALTH CARE ACCESS AS WELL AS OTHER RESOURCES FOR AREAS THAT HAVE THE BIGGEST CHALLENGES.IN 2022 ACCESS TO CARE WAS ADDRESSED BY:$3.4 MILLION WERE INVESTED IN 2022 FOR CAPITAL SUPPORT TO ST. JUDE NEIGHBORHOOD HEALTH CENTERS' THAT PROVIDES MEDICAL, DENTAL AND MENTAL HEALTH SERVICES TO LOW-INCOME FAMILIES AND RESIDENTS. THIS FUNDING SUPPORTED THE DEVELOPMENT OF A NEWER SITE IN ANAHEIM AND CONTINUED OPERATIONS TO SUBSIDIZE UNINSURED PATIENTS AND ENROLLMENT ASSISTANCE TO ELIGIBLE LOW-INCOME FAMILIES ENROLL IN MEDICAID/CALOPTIMA HEALTH INSURANCE.CAPITAL FUNDS WERE PROVIDED FOR A NEW ANAHEIM HEALTH CENTER SITE WHICH OPENED IN LATE 2021. COVID-19 REQUIRED THAT THE HEALTH CENTER PIVOT TO VIRTUAL OPERATIONS AND BY THE END OF 2022 APPROXIMATELY 48% OF CLINIC VISITS ARE STILL VIRTUAL. ST. JUDE NEIGHBORHOOD HEALTH CENTER PROVIDED 22,701 PRIMARY CARE, DENTAL, AND MENTAL HEALTH VISITS TO THE UNINSURED AND UNDERINSURED POPULATION OF NORTH ORANGE COUNTY.PRIORITY 3: HOMELESSNESS AND HOUSINGPRIMARILY 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 WORKED 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 HOMELESS AND HOUSING WAS ADDRESSED BY:260 HOUSING CHAMPIONS WERE TRAINED BY OUR PARTNERS OC UNITED WAY AND OC PEOPLE FOR HOUSING/YES IN MY BACK YARD (YIMBY) AND ENGAGED IN HOUSING ELEMENT WORK TO PROMOTE STRONGER POLICIES THAT WILL RESULT IN AFFORDABLE HOUSING. THE CITY OF BUENA PARK, BREA, FULLERTON, LA HABRA, PLACENTIA, AND YORBA LINDA PASSED AN INCLUSIONARY HOUSING ORDINANCE AS A DIRECT RESULT OF THIS EFFORT. TWO AFFORDABLE HOUSING PROJECTS WITH A TOTAL OF 80 UNITS OF AFFORDABLE HOUSING WERE APPROVED BY THE LOCAL CITY COUNCIL IN BUENA PARK WITH THE SUPPORT OF THE HOUSING CHAMPIONS. IN ADDITION, ST. JUDE MEDICAL CENTER PROVIDED IN-KIND SUPPORT FOR UNITY HOUSE WHICH PROVIDES RECUPERATIVE CARE TO HOMELESS WOMEN.HOMELESS CARE NAVIGATION PROGRAMTHE HOMELESS CARE NAVIGATION PROGRAM CONTINUED WITH TWO CARE NAVIGATORS WHO PROVIDED SERVICE TO OVER 1,187 UNIQUE HOMELESS CLIENTS WITH A TOTAL OF 3,199 ENCOUNTERS. A REGIONAL HOMELESS CARE NAVIGATOR WORK GROUP CONTINUE TO MEET TO SHARE THE BEST PRACTICES AND COLLECT COMMON METRICS. A TOTAL OF $287,206 WAS INVESTED IN THE HOMELESS AND HOUSING INITIATIVE IN FY22.POINT IN TIME SURVEY OF ORANGE COUNTY (2022 VS 2019)IN 2019 BASED ON THE POINT IN TIME SUMMARY THERE WERE A TOTAL OF 6,860 INDIVIDUALS EXPERIENCING HOMELESSNESS (NORTH: 2,765; CENTRAL: 3,332; SOUTH: 763). IN 2022 PER THE POINT IN TIME SUMMARY THERE WERE A TOTAL OF 5,718 INDIVIDUALS EXPERIENCING HOMELESSNESS (NORTH: 2,419; CENTRAL: 2,714; SOUTH: 585). WHILE THAT'S NOT TO SAY THAT OUR EFFORTS ALONE HAVE IMPACTED THE REDUCTION IN HOMELESSNESS, IT SPEAKS TO THE WORK THAT IS BEING DONE TO BE PART OF THE SOLUTION TO END HOMELESSNESS. SOME LEARNINGS WE HAVE FOUND IS THAT PATIENTS ARE NOT COMING TO THE ER FOR INADEQUATE CARE, THEY ARE IN FACT IN NEED OF EMERGENCY CARE. IN 2021 THE TOP 10 MOST COMMON DIAGNOSES WERE SUICIDAL IDEATIONS, CHEST PAIN, CELLULITIS, STIMULANT ABUSE, INTOXICATION, INJURIES, ALCOHOL ABUSE WITH INTOXICATION, BRIEF PSYCHOTIC DISORDER, MAJOR DEPRESSIVE DISORDER, AND ANXIETY DISORDER. WE WORK CLOSELY WITH THE CASE MANAGEMENT DEPARTMENT. IT IS A BEST PRACTICE FOR CASE MANAGERS TO IDENTIFY WHEN DELAYS OF CARE/DISCHARGE OCCUR BY CONSISTENTLY TRACKING PATIENT NIGHTS THAT MAY BE AVOIDABLE AND/OR MEDICALLY NECESSARY LONG LENGTH OF STAY (MNLOS). IN ADDITION, WE TRACKED, REVIEWED, AND UPDATED ENCOUNTERS, CUSTODIAL DAYS, DISCHARGE DESTINATIONS, AND RESOURCES PROVIDED MONTHLY.PRIORITY 4: HEALTHY EQUITY AND RACIAL DISPARITIESEVERYONE SHOULD HAVE A FAIR AND JUST OPPORTUNITY TO ATTAIN THEIR FULL POTENTIAL AND NO ONE SHOULD BE DISADVANTAGED, EXCLUDED, OR DISMISSED FROM ACHIEVING THAT POTENTIAL BASED ON INHERENT CHARACTERISTICS SUCH AS RACE, ETHNICITY OR GENDER IDENTITY. WE WORKED ON STRATEGIES THAT INCREASE INCLUSION, DIVERSITY AND MULTICULTURALISM, BOTH WITHIN OUR ORGANIZATION AS WELL AS THE BROADER COMMUNITIES OF SOUTH ORANGE COUNTY. THE NEED FOR INCREASED HEALTH EQUITY AND THE PRESENCE OF HEALTH DISPARITIES BY RACE ARE KEY PRIORITIES TO ADDRESS.IN 2022 HEALTH EQUITY AND RACIAL DISPARITIES WERE ADDRESSED BY:THE MOVE MORE EAT HEALTHY INITIATIVE CONTINUED IN A VIRTUAL FORMAT TO REACH LOW-INCOME FAMILIES PROVIDING 11,289 ENCOUNTERS. A TOTAL OF $359,578 WAS INVESTED IN MOVE MORE EAT HEALTHY INITIATIVES. THE FITNESSGRAM RESULTS FOR BODY COMPOSITION ARE NO LONGER COLLECTED IN THE STATE OF CALIFORNIA. HOWEVER, WE HAVE GAINED COMMITMENT FROM SCHOOLS TO SURVEY 5TH GRADE STUDENTS. THE MEDICAL CENTER IS WORKING WITH HASC/COMMUNITIES LIFTING COMMUNITIES, THE COUNTY OF ORANGE HEALTH CARE AGENCY AND OTHER PARTNERS TO ALIGN EFFORTS FOR COLLECTIVE IMPACT. SCHEDULE H, PART V, SECTION B, LINE 11 (CONTINUED) 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, IN PARTNERSHIP WITH LIKE-MINDED PARTNERS AND BY FUNDING OTHER NON-PROFITS.FURTHERMORE, ST. JUDE MEDICAL CENTER 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. JUDE'S MEDICAL CENTER SERVICE AREAS.FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE HOSPITAL'S 2021 CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW:ECONOMIC ISSUES:WHILE ST. JUDE MEDICAL CENTER HAS NOT SELECTED ECONOMIC ISSUES AS A TOP PRIORITY, THE MAJORITY OF ITS COMMUNITY BENEFIT PROGRAMS ARE TARGETED TO THE LOW-INCOME POPULATION. ST. JUDE MEDICAL CENTER PARTNERS WITH ORANGE COUNTY COMMUNITY ACTION PARTNERSHIP, THE COUNTY ANTI-POVERTY AGENCY ON SEVERAL INITIATIVES. ST. JUDE MEDICAL CENTER HAS A POLICY OF A JUST LIVING WAGE AND IN THAT WAY SERVES AS A ROLE MODEL FOR OTHER ORGANIZATIONS IN THE COMMUNITY.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. JUDE MEDICAL CENTER ACTIVELY PARTICIPATES IN FIVE LOCAL CITY COLLABORATIVES THAT FOCUS ON THE NEEDS OF AT-RISK YOUTH WITH A GOAL TO REDUCE GANG INVOLVEMENT AND CRIME. IN ADDITION, ST. JUDE MEDICAL CENTER PARTNERS WITH THE CENTER FOR HEALTHY NEIGHBORHOODS AND HABITAT FOR HUMANITY, WHO HAVE A PRIORITY ON SAFETY ISSUES.DIABETES:SPECIFICALLY FOCUSED ON THE HEALTH CONDITION OF DIABETES, AND AWARENESS AND PREVENTION OF IT. ST. JUDE NEIGHBORHOOD HEALTH CENTER SERVES MANY LOW-INCOME PERSONS WITH DIABETES. ST. JUDE MEDICAL CENTER PROVIDES GRANTS TO SUPPORT THESE EFFORTS.EARLY CHILDHOOD DEVELOPMENT:WHILE THIS DID NOT MAKE THE TOP PRIORITIES, THE REGIONAL DIRECTOR, COMMUNITY HEALTH INVESTMENT SERVES AS CO-CHAIR OF EARLY CHILDHOOD OC, 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.PREVENTION:DECREASING THE CHANCE OF GETTING A DISEASE. ALL COMMUNITY BENEFIT PROGRAMS INTEGRATE PREVENTION IN THE WORK, EVEN THOUGH IT WAS NOT IDENTIFIED AS A SEPARATE PRIORITY.SEXUALLY TRANSMITTED DISEASES:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED BECAUSE OC HEALTH CARE AGENCY HAS SERVICES IN THIS AREA.STROKE:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED. ST. JUDE MEDICAL CENTER IS A COMPREHENSIVE STROKE CENTER. ST. JUDE NEIGHBORHOOD HEALTH CENTER HAS ACHIEVED RECOGNITION BY THE AMERICAN HEART ASSOCIATION FOR ITS HYPERTENSION OUTCOMES.CANCER:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED. ST. JUDE MEDICAL CENTER OFFERS COMPREHENSIVE CANCER SERVICES.TEEN BIRTH RATE:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED BECAUSE THE TEEN BIRTH RATE IS GOING DOWN.ALZHEIMER DISEASE:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED, HOWEVER ST. JUDE'S CAREGIVER RESOURCE CENTER OC SUPPORTS FAMILY CAREGIVERS DEALING WITH ALZHEIMER'S DISEASE.IN ADDITION, ST. JUDE MEDICAL CENTER COLLABORATES WITH SEVERAL LOCAL ORGANIZATIONS THAT ADDRESS THE AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS THESE UNMET NEEDS. SCHEDULE H, PART V, SECTION B, LINE 13A ST. JUDE MEDICAL CENTER 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 13HTHE 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 SCHEDULE H, PART V, LINE 16B FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT SCHEDULE H, PART V, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/FINANCIAL-ASSISTANCE#TABCONTENT-6-PANE-3 SCHEDULE H, PART V, SECTION B, LINE 24 FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. 12 1 - IMAGING SERVICES 2141 N HARBOR BLVD SUITE 16000 FULLERTON CA 92835 OUTPATIENT SERVICES 2 - ST JUDE PLAZA SURGERY CENTER 2141 N HARBOR BLVD SUITE 41000 FULLERTON CA 92835 OUTPATIENT FACILITIES 3 - KNOTT FAMILY ENDOSCOPY CENTER 1839 SUNNYCREST DRIVE FULLERTON CA 92835 OUTPATIENT FACILITIES 4 - IMAGING CENTER 2151 N HARBOR BLVD SUITE 1400 FULLERTON CA 92835 OUTPATIENT FACILITIES 5 - RADIATION THERAPY 2151 N HARBOR BLVD SUITE 1500 FULLERTON CA 92835 OUTPATIENT FACILITIES 6 - ST JUDE CENTERS FOR REHAB & WELLNESS 2767 E IMPERIAL HWY BREA CA 92821 OUTPATIENT FACILITIES 7 - BREAST CENTER 2151 N HARBOR BLVD SUITE 2100 FULLERTON CA 92835 OUTPATIENT FACILITIES 8 - CARDIAC REHAB CTRHEART FAILURE CLINIC 100 E VALENCIA MESA DR SUITE 200 FULLERTON CA 92835 OUTPATIENT FACILITIES 9 - WELLNESS-SYNERGY 2767 E IMPERIAL HWY BREA CA 92821 OUTPATIENT FACILITIES 10 - ST JUDE MEDICAL PLAZA LABORATORY 2141-2151 N HARBOR BLVD SUITE 1700 FULLERTON CA 92835 OUTPATIENT FACILITIES 11 - ONCOLOGY SERVICES 101 EAST VALENCIA MESA DRIVE FULLERTON CA 92835 OUTPATIENT FACILITIES 12 - ST JUDE IMAGING CENTER 4300 ROSE DRIVE SUITE B YORBA LINDA CA 92886 OUTPATIENT FACILITIES 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. JUDE HOSPITAL PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/SOCAL/ST-JUDE-MEDICAL-CENTER/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 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: ST. JUDE MEDICAL CENTER'S STRATEGIC PLAN INCLUDES A STRATEGIC RESPONSE TO THE POOR AND VULNERABLE IN THE COMMUNITY. SJMC AIMS TO:1. IMPROVE ACCESS TO CARE, ESPECIALLY TO THE POOR AND VULNERABLE- THE PRIORITY OF INCREASING ACCESS TO CARE IN OUR PLAN IS ADDRESSING THIS PRIORITY IN THE STRATEGIC PLAN. THE SUPPORT OF ST. JUDE NEIGHBORHOOD HEALTH CENTERS (FQHC) IS A KEY INVESTMENT TO IMPLEMENT THIS PRIORITY.2. ADDRESSING WHOLE PERSON CARE AND THE SOCIAL DETERMINANTS OF HEALTH THIS PRIORITY IN THE STRATEGIC PLAN IS BEING ADDRESSED BY THE INVESTMENTS IN MENTAL HEALTH, SUCH AS THE BE WELL INITIATIVE, EACH MIND MATTERS AND SCHOOL-BASED INITIATIVES, AS WELL AS EFFORTS IN SOCIAL DETERMINANTS OF HEALTH SCREENING. 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: ST JUDE MEDICAL CENTER PROVIDES NORTH ORANGE COUNTY AND PARTS OF LOS ANGELES, RIVERSIDE AND SAN BERNARDINO COUNTIES' COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL'S TOTAL SERVICE AREA EXTENDS FROM WALNUT IN THE NORTH, ANAHEIM IN THE SOUTH, CORONA IN THE EAST AND BUENA PARK IN THE WEST. OUR HOSPITAL TOTAL SERVICE AREA (TSA) INCLUDES THE CITIES OF ANAHEIM, BREA, BUENA PARK, CHINO, CHINO HILLS, DIAMOND BAR, FULLERTON, HACIENDA HEIGHTS, LA HABRA, LA MIRADA, PLACENTIA, ROWLAND HEIGHTS, WALNUT, WHITTIER AND YORBA LINDA.TOTAL SERVICE AREA (TSA):THE COMMUNITY SERVED BY ST. JUDE MEDICAL CENTER IS BASED UPON GEOGRAPHIC ACCESS AND OTHER HOSPITALS IN THE AREA, AS WELL AS PATIENT ZIP CODES. THE TOTAL SERVICE AREA WAS LATER DIVIDED INTO THE "BROADER SERVICE AREA AND "HIGH NEED SERVICE AREA" (TOTAL SERVICE AREA = BROADER SERVICE AREA + HIGH NEED SERVICE AREA.) OF THE OVER 1,700,000 PERMANENT RESIDENTS IN THE TOTAL SERVICE AREA, ROUGHLY 45% LIVE IN THE HIGH NEED SERVICE AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FPL COMPARED TO CENSU TRACTS IN THE TOTAL SERVICE AREA. THESE HOUSEHOLDS ARE MORE LIKELY TO REGULARLY MAKE SPENDING TRADEOFFS REGARDING UTILITIES, RENT, GROCERIES, MEDICINE, AND OTHER BASIC EXPENSES.POPULATION AND AGE DEMOGRAPHICS:PEOPLE UNDER THE AGE OF 35 ARE MORE LIKELY TO LIVE IN THE HIGH NEED SERVICE AREA, WHILE THOSE AGED 55 TO 64 ARE LESS LIKELY. THE RATIO OF MALES-TO-FEMALES IS ROUGHLY PROPORTIONAL ACROSS THE GEOGRAPHIES.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 ASIAN ARE LESS LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS.SOCIOECONOMIC INDICATORS:THE MEDIAN HOUSEHOLD INCOME FOR THE TOTAL SERVICE AREA FOR ST. JUDE MEDICAL CENTER IS ABOUT $4,000 LOWER THAN ORANGE COUNTY OVERALL. THERE IS OVER A $40,000 DIFFERENCE IN MEDIAN INCOME BETWEEN THE BROADER SERVICE AREA AND THE HIGH NEED SERVICE AREA.HOUSING COST BURDEN:SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS THAT SPEND 50% OR MORE OF THEIR INCOME ON HOUSING COSTS. THE TOTAL SERVICE AREA AND ORANGE COUNTY HAVE ROUGHLY THE SAME PERCENTAGE OF RENTER HOUSEHOLDS THAT ARE SEVERELY HOUSING COST BURDENED (28%). IN THE HIGH NEED SERVICE AREA, 31% OF RENTER HOUSEHOLDS ARE SEVERELY HOUSING COST BURDENED. WITHIN THE TOTAL SERVICE AREA THERE ARE CENSUS TRACTS IN WHICH OVER 30% OF HOUSEHOLDS ARE EXPERIENCING SEVERE HOUSING COST BURDEN.HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND MEDICALLY UNDERSERVED AREAS (MUA) & MEDICALLY UNDERSERVED POPULATIONS (MUP):THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA) DEMOGRAPHICS (I.E., LOW-INCOME POPULATION) OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). ALTHOUGH ST JUDE MEDICAL CENTER IS NOT LOCATED IN A SHORTAGE AREA, LARGE PORTIONS OF THE TOTAL SERVICE AREA TO THE SOUTH ARE DESIGNATED AS HPSA, PRIMARY CARE 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. A PORTION OF ST. JUDE MEDICAL CENTER'S TOTAL SERVICE AREA IS LOCATED IN A MEDICALLY UNDERSERVED POPULATION AREA (MUPA), SIGNIFYING THE IMPORTANCE OF ST. JUDE MEDICAL CENTER TO THE COMMUNITY IT SERVES.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN THE COMMUNITY INCLUDE: AHMC HEALTHCARE, ANAHEIM GLOBAL MEDICAL CENTER, KAISER, PLACENTIA LINDA HOSPITAL, PIH HEALTH AND WEST ANAHEIM MEDICAL CENTER. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHST. JUDE MEDICAL 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. ST. JUDE MEDICAL CENTER IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) A COMMUNITY HEALTH COMMITTEE THAT HAS COMMUNITY REPRESENTATION AND IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES2) OPEN MEDICAL STAFF3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDSLOCAL COMMUNITY HEALTH COMMITTEE:THE ROLE OF THE PROVIDENCE ST. JUDE MEDICAL CENTER COMMUNITY HEALTH COMMITTEE IS TO SUPPORT THE BOARD OF TRUSTEES IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE 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 MEMBERS INCLUDING THREE MEMBERS OF THE BOARD OF TRUSTEES. CURRENT MEMBERSHIP INCLUDES THREE MEMBERS OF THE BOARD OF TRUSTEES AND TWENTY-TWO (22) COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE COMMUNITY BENEFIT COMMITTEE GENERALLY MEETS QUARTERLY. PART VI, LINE 6: PROVIDENCE'S MORE THAN 165-YEAR LEGACY OF INVESTING IN ITS COMMUNITIES IS ROOTED IN A TRADITION OF CARING FOR THOSE IN NEED, WITH COMPASSION AND IN PARTNERSHIP WITH THE PEOPLE WE SERVE.TO ACHIEVE OUR VISION OF HEALTH FOR A BETTER WORLD, THE PROVIDENCE FAMILY OF ORGANIZATIONS COMBINES A LONG-STANDING COMMITMENT TO IMPROVING COMMUNITY HEALTH WITH HIGH-QUALITY CARE TO CREATE HEALTHY COMMUNITIES AND PROMOTE HEALTH EQUITY.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.PROVIDENCE ACROSS FIVE WESTERN STATES:- ALASKA- MONTANA- OREGON- NORTHERN CALIFORNIA- SOUTHERN CALIFORNIA- WASHINGTONTHE PROVIDENCE AFFILIATE FAMILY INCLUDES:- COVENANT HEALTH IN WEST TEXAS AND NEW MEXICO- FACEY MEDICAL GROUP IN LOS ANGELES, CA.- KADLEC IN SOUTHEAST WASHINGTON- PACIFIC MEDICAL CENTERS IN SEATTLE, WA.- SWEDISH HEALTH SERVICES IN 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-REPORTINVESTING IN OUR COMMUNITIES IS AN ESSENTIAL WAY WE LIVE OUR MISSIONFOR GENERATIONS, THE PROVIDENCE FAMILY OF ORGANIZATIONS HAS SERVED AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. GUIDED BY COMMUNITY HEALTH NEEDS ASSESSMENTS, WE CONTINUE OUR LONGSTANDING COMMITMENT TO THOSE IN NEED THROUGH COMMUNITY BENEFIT AND OTHER HIGH-IMPACT INVESTMENTS.OUR INVESTMENTS GO BEYOND THE WALLS OF OUR HOSPITALS AND CLINICS AND DEEP INTO COMMUNITIES TO SUPPORT ORGANIZATIONS AND CAUSES THAT SERVE THOSE IN NEED; ADDRESS GAPS IN SERVICES AND RESOURCES THAT CONTRIBUTE TO OVERALL HEALTH; AND ENHANCE CARE DELIVERY WITH INNOVATIVE SOLUTIONS TO HEALTH CARE'S BIGGEST CHALLENGES. THIS IS HOW WE INVEST IN HEALTH TODAY TO CREATE A BETTER FUTURE. BELOW WE HIGHLIGHT KEY EXAMPLES.ST. JOSEPH COMMUNITY PARTNERSHIP FUNDSINCE 1986, THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND HAS MADE INVESTMENTS AND BUILT PARTNERSHIPS IN THE CALIFORNIA COMMUNITIES SERVED BY ST. JOSEPH HEALTH MINISTRIES. AFTER 35 YEARS, WE HAD THE OPPORTUNITY TO EXPAND OUR FOCUS AND SUPPORT PROGRAMS AND COMMUNITIES THROUGHOUT PROVIDENCE.TODAY, THE FUND REPRESENTS PROVIDENCE'S SHARED COMMITMENT TO SOLVING COMPLEX CHALLENGES AND BUILDING VIBRANT, HEALTHY COMMUNITIES. WE DO THIS BY BUILDING CAPACITY AND CREATING LINKAGES ACROSS THE COMMUNITIES PROVIDENCE SERVES. THIS HELPS US MAXIMIZE THE DIRECT IMPACT OF OUR INVESTMENTS AND ADDRESS COMMON ISSUES THAT AFFECT PEOPLE THROUGHOUT OUR SYSTEM.THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND SERVES AS PROVIDENCE'S STRATEGIC GRANT MAKING FOUNDATION FOR FUNDING KEY SYSTEM AND REGIONAL INITIATIVES IN THE AREAS OF HOUSING, EDUCATION, DISASTER RESPONSE AND RECOVERY, AND NONPROFIT AND COMMUNITY CAPACITY BUILDING. THROUGH THE FUND WE INCUBATE AND ACCELERATE PROGRAMS THAT CREATE SCALABLE IMPACT IN OUR COMMUNITIES TO IMPROVE THE HEALTH AND WELLBEING OF THE ECONOMICALLY POOR, UTILIZE THE STRENGTHS AND DIVERSITY OF OUR NEIGHBORS TO BUILD VIBRANT COMMUNITIES AND LEVERAGE BEST PRACTICES AND LESSONS LEARNED FROM THESE INVESTMENTS TO EXPAND TO COMMUNITIES ACROSS OUR GEOGRAPHICAL FOOTPRINT. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/COMMUNITY-PARTNERSHIPS/ST-JOSEPH-COMMUNITY-PARTNERSHIP-FUNDHEALTH EQUITYCHANGE BEGINS WITH USAT PROVIDENCE, WE RECOGNIZE THAT INEQUITY PERSISTS IN NEARLY EVERY MAJOR FACET OF SOCIETY. THAT INCLUDES IN HEALTH CARE AND THE SOCIAL DETERMINANTS OF HEALTH. AND THE CONSEQUENCES ARE OFTEN DEADLY, LEADING TO HIGHER MORTALITY AND MORBIDITY RATES FOR COMMUNITIES OF COLOR AND MARGINALIZED POPULATIONS. TOWARD THAT END:- WE ARE INVESTING $50 MILLION OVER FIVE YEARS TO IMPROVE HEALTH EQUITY IN OUR COMMUNITIES. OUR HEALTH EQUITY STRATEGIC PLAN AND INTERVENTIONS ARE INFORMED BY ADVANCED DATA ANALYTICS AND THE HEALTH PRIORITIES IDENTIFIED WITH OUR LOCAL COMMUNITY PARTNERS AND CARE TEAMS.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/HEALTH-EQUITYADVOCACY AND SOCIAL RESPONSIBILITYIN PARTNERSHIP WITH COMMUNITIES, THE PROVIDENCE FAMILY OF ORGANIZATIONS ADVOCATES FOR RESPONSIBLE, SUSTAINABLE, AND EQUITABLE POLICIES AND PRACTICES. WE REACH BEYOND THE WALLS OF HOSPITALS AND CARE FACILITIES TO WORK WITH LOCAL, STATE AND NATIONAL PARTNERS TO ADVANCE POLICIES THAT SERVE VULNERABLE POPULATIONS AND PROMOTE JUSTICE. WE ALSO PARTNER TO PROMOTE PRACTICES AND INFRASTRUCTURE THAT WILL SUSTAIN THE PLANET FOR FUTURE GENERATIONS AND TRANSFORM OUR COMMUNITIES FOR A HEALTHIER, MORE EQUITABLE WORLD.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITYENVIRONMENTAL STEWARDSHIPTHE PROVIDENCE FAMILY OF ORGANIZATIONS HAS A VISION OF HEALTH FOR A BETTER WORLD. AS SUCH, WE ARE CALLED TO CARE WISELY FOR OUR COMMUNITIES, RESOURCES, AND EARTH. OUR ORGANIZATIONS STRIVE TO BECOME CARBON NEGATIVE BY 2030. THIS BOLD COMMITMENT GOES BEYOND ADDRESSING CARBON EMISSIONS. THE CLIMATE CRISIS CANNOT BE SOLVED WITHOUT ALSO RESPONDING TO SOCIAL AND RACIAL INEQUITIES.WE ARE COMMITTED TO HEALTH EQUITY, INCLUDING ENVIRONMENTAL EQUITY, AS CLIMATE CHANGE IMPACTS WORSEN, AND DISPARITIES AND INEQUITIES WIDEN DUE TO HISTORICAL AND STRUCTURAL CAUSES OF OPPRESSION.THE CURRENT CRISIS CALLS FOR US TO ACT BOLDLY, WITH COMPASSION. WE ARE DOING SO BY HELPING TO CARE FOR OUR COMMON HOME, ENSURING EQUITY TODAY, AND PASSING A HEALTHY PLANET TO THE GENERATIONS OF TOMORROW.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITY/ENVIRONMENTAL-STEWARDSHIPWELL BEING TRUSTPROVIDENCE'S WELL BEING TRUST IS A FOUNDATION DEDICATED TO ADVANCING THE MENTAL, SOCIAL, AND SPIRITUAL HEALTH FOR ALL. WITH A BOLD MISSION, VISION AND OVERARCHING GOAL, WELL BEING TRUST IS INVESTING IN APPROACHES THAT HAVE THE POTENTIAL TO MODEL THE WAY FORWARD AND ADVANCE CLINICAL, COMMUNITY AND CULTURAL CHANGETO TRANSFORM THE HEALTH OF THE NATION AND IMPROVE WELL-BEING FOR EVERYONE. FOR MORE INFORMATION GO TO: HTTPS://WELLBEINGTRUST.ORG/ABOUT/ PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 CITY OF LA HABRA 101 W LA HABRA BLVD LA HABRA CA 90631 GOVT 59875 0 COMMUNITY BENEFIT RESTRICTED GRANT ONEOC 1901 E 4TH ST STE 100 SANTA ANA CA 92705 952021700 501 (C) 3 55000 0 COMMUNITY BENEFIT RESTRICTED GRANT BUENA PARK SCHOOL DISTRICT 6885 ORANGETHORPE AVE BUENA PARK CA 90620 460681058 501 (C) 3 28288 0 COMMUNITY BENEFIT RESTRICTED GRANT FULLERTON SCHOOL DISTRICT 1401 W VALENCIA DR FULLERTON CA 92833 330755742 501 (C) 3 22320 0 COMMUNITY BENEFIT RESTRICTED GRANT CITY OF BUENA PARK 6650 BEACH BLVD BUENA PARK CA 90261 GOVT 11643 0 COMMUNITY BENEFIT RESTRICTED GRANT LA HABRA CITY SCHOOL DISTRICT 500 N WALNUT ST LA HABRA CA 90631 330043931 501 (C) 3 7201 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. 0 1 0 0 0 0 0 1 0 JO ANN ESCASA-HAIGH ASSISTANT TREASURER 0 841148 0 989404 0 326862 0 27450 0 8365 0 2193229 0 284024 BRIAN LEE HELLELAND FRMR OFF. - DIV COO - SOUTH 0 648525 0 411400 0 313008 0 191575 0 22433 0 1586941 0 224847 LAURA RAMOS CEO 0 499431 0 281893 0 13371 0 149053 0 19924 0 963672 0 0 GENE GUTIERREZ CHIEF FINANCIAL OFFICER 0 341103 0 92000 0 3391 0 16331 0 36101 0 488926 0 0 JULIE KIM CNO - SJF 284828 0 90524 0 20991 0 30311 0 27378 0 454032 0 0 0 DUB DREES MINISTRY CHIEF, PHILANTHROPY OFFICER 301218 0 90661 0 8431 0 16598 0 27926 0 444834 0 1940 0 MOHAMMAD TARKHAN CLINICAL COORDINATOR 330805 0 6400 0 60 0 26345 0 28136 0 391746 0 0 0 MARK JABLONSKI FRMR OFF. - PSJH CMO 0 299054 0 5000 0 32468 0 26998 0 16603 0 380123 0 2795 TROY GIDEON EXEC DIR ACUTE CARE OPERATIONS 248948 0 75180 0 2460 0 23579 0 28565 0 378732 0 0 0 DANIEL KIM EXECUTIVE MEDICAL DIRECTOR 282758 0 29061 0 23066 0 14557 0 22923 0 372365 0 0 0 ELIZABETH THOMAS EXECUTIVE DIRECTOR NURSING 209479 0 63930 0 25308 0 13567 0 10362 0 322646 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 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 BRIAN LEE HELLELAND - $224,847 DUB DREES - $1,940 MARK JABLONSKI - $2,795 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 III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): PRIORITY 4: HEALTHY EQUITY AND RACIAL DISPARITIES EVERYONE SHOULD HAVE A FAIR AND JUST OPPORTUNITY TO ATTAIN THEIR FULL POTENTIAL AND THAT NO ONE SHOULD BE DISADVANTAGED, EXCLUDED, OR DISMISSED FROM ACHIEVING THAT POTENTIAL BASED ON INHERENT CHARACTERISTICS SUCH AS RACE, ETHNICITY OR GENDER IDENTITY. WE WORKED ON STRATEGIES THAT INCREASE INCLUSION, DIVERSITY AND MULTICULTURALISM, BOTH WITHIN OUR ORGANIZATION AS WELL AS THE BROADER COMMUNITIES OF SOUTH ORANGE COUNTY. THE NEED FOR INCREASED HEALTH EQUITY AND THE PRESENCE OF HEALTH DISPARITIES BY RACE ARE KEY PRIORITIES TO ADDRESS. IN 2022 THIS HEALTH EQUITY AND RACIAL DISPARITIES WAS ADDRESSED BY: 1. INTEGRATED PREVENTION AND ADDRESSED RACIAL DISPARITIES AS A CORNERSTONE OF EACH OF THESE PRIORITY AREAS. 2. ST. JUDE MEDICAL CENTER CONTINUED TO SUPPORT THE MOVE MORE, EAT HEALTHY INITIATIVE AS PART OF THE HEALTH EQUITY/RACIAL DISPARITIES PRIORITY. MOVE MORE EAT HEALTHY SERVED A TOTAL OF 16,675 PARTICIPANTS. THIS INITIATIVE ALSO ADDRESSED FOOD INSECURITY AND NUTRITION. ST. JUDE MEDICAL CENTER DONATED UNUSED FOOD AS PART OF OUR EFFORTS TO ADDRESS FOOD INSECURITY. THE INITIATIVE ALSO ADDRESSED FOOD INSECURITY AND NUTRITION. ST. JUDE MEDICAL CENTER DONATED UNUSED FOOD AS PART OF OUR EFFORTS TO ADDRESS FOOD INSECURITY. ST. JUDE MEDICAL CENTER DONATES TO MEALS ON WHEELS AND FOOD FINDERS, INC. AND HAS DONE SO FOR YEARS. A TOTAL OF 8,068 MEALS WERE PROVIDED. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/ST-JUDE-MEDICAL-CENTER 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. JUDE HOSPITAL 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 CORPORATE MEMBER OF PROVIDENCE ST. JUDE MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. JUDE MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE ST. JUDE MEDICAL CENTER'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE ST. JUDE MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER. 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 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 OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 91,509,757. MANAGEMENT AND GENERAL EXPENSES 3,692,678. FUNDRAISING EXPENSES 358,848. TOTAL EXPENSES 95,561,283. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 13,366,160. MANAGEMENT AND GENERAL EXPENSES 539,362. FUNDRAISING EXPENSES 52,414. TOTAL EXPENSES 13,957,936. AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 12,698,083. MANAGEMENT AND GENERAL EXPENSES 512,404. FUNDRAISING EXPENSES 49,794. TOTAL EXPENSES 13,260,281. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 8,241,569. MANAGEMENT AND GENERAL EXPENSES 332,571. FUNDRAISING EXPENSES 32,319. TOTAL EXPENSES 8,606,459. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 5,796,087. MANAGEMENT AND GENERAL EXPENSES 233,889. FUNDRAISING EXPENSES 22,729. TOTAL EXPENSES 6,052,705. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 177,813. MANAGEMENT AND GENERAL EXPENSES 7,175. FUNDRAISING EXPENSES 697. TOTAL EXPENSES 185,685. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -516,811. OTHER CHANGES IN NET ASSETS 9,039,010. CHANGE IN INVESTMENT IN JOINT VENTURES -63,376. SJMC IMAGING HOLDINGS LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 854206400 HEALTHCARE CA 0 0 SJMC 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 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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 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