2023-05-02T18:22:38-05:00 2022-12-31 346565596 ERNST & YOUNG US LLP 370 17TH STREET SUITE 4800 DENVER CO 80202 990EZ 2022-01-01 461259908 COVENANT HEALTH NETWORK INC COVE 9493814000 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 ERIK WEXLER PRESIDENT 9493814000 2023-04-29 1 ERIK WEXLER 999009999 0 ANDREW JAMESON P01894820 7209314000 2023-04-27 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X X HTTPS://WWW.PROVIDENCE.ORG/ X X 0 X 0 0 0 0 0 0 0 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. COVENANT HEALTH NETWORK, INC. WAS FORMED TO FACILITATE THE AFFILIATION BETWEEN ST. JOSEPH HEALTH SYSTEM (SJHS) AND HOAG HEALTH NETWORK (HOAG). THE BOARD SHALL BE RESPONSIBLE FOR PROVIDING STRATEGIC PLANNING, LEADERSHIP, AND OVERSIGHT FOR THE REGION, INCLUDING THE FOLLOWING ACTIVITIES, BUT SUBJECT IN ALL INSTANCES TO SUCH POWERS AND RIGHTS OF APPROVAL RESERVED TO HOAG, SJHS, ST. JOSEPH HEALTH MINISTRY (SJHM) OR ANY OF THE SJHS SOUTHERN CALIFORNIA HOSPITALS:1 - OVERSEE THE CHARITABLE MISSION OF THE CORPORATION;2 - DEVELOP AND OVERSEE IMPLEMENTATION OF STRATEGY FOR THE REGION, INCLUDING A POPULATION HEALTH STRATEGY FOR THE REGION;3 - COLLABORATE WITH HOSPITALS, PHYSICIANS, AND OTHER STAKEHOLDERS THROUGHOUT THE REGION TO ACCOMPLISH STRATEGIC OBJECTIVES;4 - ASSESS MAJOR OPPORTUNITIES AND RISKS FACING THE REGION AND IDENTIFY OPTIONS AND RECOMMEND STRATEGIES TO CAPITALIZE ON SUCH OPPORTUNITIES AND MINIMIZE SUCH RISKS;5 - ENSURE REGION PERFORMANCE METRICS ARE IN PLACE AND OVERSEE ONGOING PERFORMANCE RELATIVE TO SUCH METRICS; AND6 - EXERCISE SUCH RESERVED POWERS AND OTHER RIGHTS AS THE CORPORATION MAY HOLD AS A MEMBER OR CO-MEMBER, PARTNER OR SHAREHOLDER OF ANY OTHER ENTITY, AS SPECIFIED IN THE GOVERNANCE MATRIX OR IN THE ARTICLES OF INCORPORATION, BYLAWS OR OTHER GOVERNING DOCUMENTS OF SUCH OTHER ENTITY. THE BOARD HOLDS REGULAR BOARD MEETINGS OVERSEEING THE IMPLEMENTATION OF THE STRATEGIC PLAN IN ACCORDANCE WITH REQUIREMENTS INSTITUTED BY THE CALIFORNIA ATTORNEY GENERAL IN CONNECTION WITH THE SJHS AND HOAG AFFILIATION. 0 0 RICHARD BLAIR DIRECTOR/CHAIR 1.00 0 0 0 DAN YOUNG DIRECTOR 0.50 0 0 0 GEORGE WOOD DIRECTOR 0.50 0 0 0 JOHN TANGREDI DIRECTOR 0.50 0 0 0 SISTER LINDA BUCK DIRECTOR 0.50 0 0 0 ERIK WEXLER PRESIDENT 0.50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JIM MARTIN 1801 LIND AVE SW RENTON WA 98057 4255253985 0 0 0 0 0 1 0 0 0 0 0 NONE NONE 1 X X X 5 MISSION HOSPITAL REGIONAL MEDICAL CENTER 951643360 3 1 0 0 ST JOSEPH HOSPITAL OF ORANGE 951643359 3 1 0 0 ST JUDE HOSPITAL 951643325 3 1 0 0 ST MARY MEDICAL CENTER 951914489 3 1 0 0 HOAG MEMORIAL HOSPITAL PRESBYTERIAN 951643327 3 1 0 0 5 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 X 1 1 PART I, LINE 12G, COLUMN VI COVENANT HEALTH NETWORK, INC. (CHN) WAS FORMED TO FACILITATE THE AFFILIATION BETWEEN ST. JOSEPH HEALTH SYSTEM (SJHS) AND HOAG HEALTH NETWORK (HOAG). CHN PROVIDES NON MONETARY SUPPORT IN THE FORM OF GOVERNANCE AND STRATEGIC PLANNING TO THE SUPPORTED ORGANIZATIONS LISTED IN SCHEDULE A, PART I. SEE THE CHN STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS, FORM 990-EZ, PART III FOR ADDITIONAL INFORMATION. PART IV, SECTION A, LINE 2: MISSION HOSPITAL REGIONAL MEDICAL CENTER (MHRMC), ST. JOSEPH HOSPITAL OF ORANGE (SJHO), ST. JUDE HOSPITAL, INC (SJMC), AND ST. MARY MEDICAL CENTER (SMMC) ARE INCLUDED IN THE GROUP RULING ISSUED TO THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS BY THE IRS (GROUP EXEMPTION NUMBER 0928), WHICH EXEMPTS THE FOLLOWING FROM INCOME TAX UNDER IRC SECTION 501(C)(3): THE AGENCIES AND INSTRUMENTALITIES AND THE EDUCATIONAL, CHARITABLE, AND RELIGIOUS INSTITUTIONS OPERATED, SUPERVISED OR CONTROLLED BY OR IN CONNECTION WITH THE ROMAN CATHOLIC CHURCH IN THE UNITED STATES, ITS TERRITORIES OR POSSESSIONS APPEARING IN THE OFFICIAL CATHOLIC DIRECTORY. MHRMC, SJHO, SJMC, AND SMMC ARE LISTED IN THE OFFICIAL CATHOLIC DIRECTORY AND ARE THEREBY EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AS A RESULT OF THE GROUP RULING, MHRMC, SJHO, SJMC, AND SMMC DO NOT HAVE A DETERMINATION LETTER FROM THE IRS. PART IV, SECTION D, LINE 2: THE COVENANT HEALTH NETWORK, INC. (CHN) BOARD MEETS MONTHLY. AGENDA TOPICS INCLUDE BUT ARE NOT LIMITED TO: QUALITY AND SAFETY, STRATEGIC PLANNING, POPULATION HEALTH, AND FINANCIAL REPORTING. MOST OF THE TOPICS ARE FOCUSED ON STRATEGIC PLANNING AND THE EFFORTS UNDERWAY. CHN ALSO SHARES THE MONTHLY TRACKERS (SOCAL AND EACH MINISTRY), STRATEGIC TACTICAL STATUS REPORT (PROGRESS MADE ON OUR STRATEGIC PLAN), AND QUARTERLY FINANCIAL STATEMENTS. CHN REGULARLY INTERFACES WITH THE SUPPORTED ORGANIZATIONS AT BOTH A GOVERNANCE AND LEADERSHIP LEVEL THROUGHOUT THE YEAR. PART IV, SECTION D, LINE 3: COVENANT HEALTH NETWORK, INC. CURRENTLY HOLDS NO ASSETS. HOWEVER, IF THE ORGANIZATION HOLDS ASSETS IN THE FUTURE, THE SUPPORTED ORGANIZATIONS WILL HAVE SIGNIFICANT VOICE IN DIRECTING THE USE OF THE ASSETS THROUGH THE PROCESS DESCRIBED IN VARIOUS GOVERNANCE DOCUMENTS. PART IV, SECTION E, LINE 3A: THE SUPPORTED ORGANIZATION HOSPITALS HAVE A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE SUPPORTED ORGANIZATION HOSPITAL BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE SUPPORTED ORGANIZATION HOSPITAL BOARD AS NOMINATIONS MUST BE APPROVED BY THEIR CORPORATE MEMBER. THE TRUSTEES ARE THEN APPROVED AND ELECTED BY THE COVENANT HEALTH NETWORK, INC. BOARD. PART IV, SECTION E, LINE 3B: THE FOLLOWING ARE ACTIVITIES PERFORMED BY COVENANT HEALTH NETWORK, INC. THAT WOULD OTHERWISE BE CARRIED OUT BY THE SUPPORTED ORGANIZATIONS: - STRATEGIC PLANNING - OVERSIGHT OF CALIFORNIA ATTORNEY GENERAL REQUIREMENTS REPORTING TO THE CALIFORNIA ATTORNEY GENERAL FORM 990EZ, PARTS I & II THE ORGANIZATION DOES NOT HAVE ANY REVENUES, EXPENDITURES, ASSETS, OR LIABILITIES. THE ORGANIZATION'S ACTIVITY RELATES TO STRATEGIC PLANNING AND GOVERNANCE.