2023-11-14T17:30:09-06:00 2022-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2022-01-01 951643360 MISSION HOSPITAL REGIONAL MEDICAL CENTER MISS 9493641400 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 EILEEN HAUBL CFO SERVICE AREA 9493647767 2023-11-14 1 EILEEN HAUBL 999009999 0 EVA NITTA P01286320 4158948000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PROVIDENCE MISSION HOSPITAL EILEEN HAUBL 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 775903182 0 0928 X WWW.MISSION4HEALTH.ORG X 1941 CA SEE SCHEDULE O 13 11 3124 448 40554 1224 29684240 15209962 729148561 748045373 4968713 881328 2053498 10615256 765855012 774751919 686385 1573358 0 0 236681209 248850055 0 0 2325144 529536731 516265297 766904325 766688710 -1049313 8063209 719397717 658780814 414017002 373552426 305380715 285228388 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 730483299 1573358 759242124 SEE SCHEDULE O SEE SCHEDULE O 730483299 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 152 0 1 3124 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 13 11 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 CA X AARON NEUHARTH 9493647767 27700 MEDICAL CENTER ROAD MISSION VIEJO CA 92691 JO ANN ESCASA-HAIGH ASSISTANT TREASURER 0.50 64.50 X 0 2157414 35815 SETH TEIGEN CHIEF EXECUTIVE, MHRMC 55.00 0.00 X X 0 842251 194366 MICHAEL MARINO DO FORMER OFF. - SVP, CHIEF MED INFO 0.00 55.00 X 0 1013580 10159 JIM WATSON ESQ SECRETARY 0.50 54.50 X 0 837237 124389 TERRENCE WOOTEN FORMER KE - QVMC CE 0.00 55.00 X 0 636393 142582 LINDA SIEGLEN CHIEF MEDICAL OFFICER HOSPITAL 50.00 0.00 X 589422 0 31564 EILEEN HAUBL SVP & CHIEF FINANCIAL OFFICER 27.50 27.50 X 0 534924 57086 JENNIFER CORD CHIEF NURSING OFFICER 50.00 0.00 X 426301 0 38567 JOHN MILLER MINISTRY CHIEF, PHILANTHROPY OFF. 50.00 0.00 X 415128 0 32377 EVELYN SCHLOSSER EXEC DIR ACUTE CARE OPERATIONS 55.00 0.00 X 400235 0 38573 MARK JABLONSKI FORMER OFF. - PSJH CMO 0.00 55.00 X 0 336522 43601 MARIA LEXA BATAC CLINICAL COORDINATOR 50.00 0.00 X 300888 0 19227 DHARM PATEL SUPERVISOR CLINICAL LAB - THRU 11/22 50.00 0.00 X 303983 0 4420 DEANNE NIEDZIELA FORMER KE - DIR, NURSING 0.00 55.00 X 257296 0 47970 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0.50 54.50 X 0 256992 31183 STEPHEN TOCCI MD TRUSTEE 0.50 0.00 X 0 25700 0 GINNY RIPSLINGER TRUSTEE 0.50 0.00 X 0 0 0 JAIME MUNOZ BOARD VICE CHAIR 1.00 0.00 X 0 0 0 JAMES R QUANDT TRUSTEE 0.50 0.00 X 0 0 0 LISA PERRINE TRUSTEE 0.50 0.00 X 0 0 0 MARCELO MILLS TRUSTEE 0.50 0.00 X 0 0 0 MARK HEBNER TRUSTEE 0.50 0.00 X 0 0 0 MELANIE SPENCER-WOLF TRUSTEE 0.50 0.00 X 0 0 0 PATRICIA WALLACE MD TRUSTEE 0.50 0.00 X 0 0 0 REZA DEHKORDI MD TRUSTEE 0.50 0.00 X 0 0 0 SHANNON DWYER ESQ TRUSTEE 0.50 0.00 X 0 0 0 STEVEN PAL BOARD CHAIR 1.00 0.00 X 0 0 0 2693253 6641013 851879 834 1 1 0 AMN LOS ANGELES AMN SHIFTWISE 12400 HIGH BLUFF DR SAN DIEGO CA 92130 STAFFING SERVICES 3551762 CASS INFORMATION SYSTEMS INC 12444 POWERSCOURT DR 500 ST LOUIS MO 63131 TECHNOLOGY SERVICES 2422770 S ORANGE CTY SURGICAL MED GR 24411 HEALTH CTR DR 350 LAGUNA HILLS CA 92653 MEDICAL SERVICES 1175872 HEALTHCARE DESIGN AND CONSTRUCTION 18302 IRVINE BLVD STE 120 TUSTIN CA 92780 CONSTRUCTION SERVICES 1145342 MISSION VIEJO ANESTHESIA CONST INC 26522 LA ALAMEDA 370 MISSION VIEJO CA 92691 MEDICAL SERVICES 1029631 40 167500 1658829 100000 500000 12783633 124044 15209962 NET PATIENT REVENUE 621110 742675574 742637380 38194 MOB RENTAL REVENUE 531120 4917493 4917493 JV INCOME 900099 452306 452306 748045373 1231824 2360 1229464 350496 -350496 -350496 -350496 181078 1658829 800767 -619689 -619689 PROFESSIONAL SERVICE 900099 8856416 8856416 CAFETERIA REVENUE 722514 1867041 1867041 PHARMACY REVENUE 812930 79371 79371 432117 432117 11234945 774751919 759242124 40554 259279 X 1573358 1573358 438808 438808 226998463 213987519 12165118 845826 3772266 3556050 202160 14056 1263241 1190835 67699 4707 16377277 15438575 877678 61024 1265919 1193360 67842 4717 124641604 117497482 6679691 464431 896396 845017 48039 3340 12551640 11832214 672657 46769 5285 4982 283 20 22839638 21530532 1224003 85103 126316 119076 6769 471 7092466 6685945 380094 26427 27382720 25813215 1467473 102032 49169 46351 2635 183 SYSTEM COST ALLOCATION 170305804 160544331 9126891 634582 MEDICAL SUPPLIES 114838774 114838774 HOSPITAL FEE 25827396 25827396 LICENSES AND TAXES 1603600 1511686 85939 5975 6838570 6446601 366488 25481 766688710 730483299 33880267 2325144 69603636 11803678 -81823810 9533247 7769097 134013596 109067132 11031382 364622 13689954 16335662 3379268 1947933 723521531 397038917 339025876 326482614 60398766 62045269 6374357 3980424 3955140 13663350 22516237 112503819 120517282 719397717 658780814 67866703 73745952 2120246 2306048 344030053 297500426 414017002 373552426 X 187134236 159559740 118246479 125668648 305380715 285228388 719397717 658780814 X 8063209 -7855295 -20360241 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 167035 167035 0 PART II-B, LINE 1: THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES PAID TO AMERICAN HOSPITAL ASSOCIATION, ALLIANCE OF CATHOLIC HEALTH CARE AND CALIFORNIA HOSPITAL ASSOCIATION ALLOCATED TO LOBBYING EXPENDITURES. 9364978 3650391 -1432251 11583118 8148164 1216814 9364978 7060954 1087210 8148164 5451584 446403 1190792 27825 7060954 5547788 179437 -254088 21553 5451584 0.28000 0.70000 0.02000 0 0 49101906 49101906 358909926 174025241 184884685 31395632 16916007 14479625 262884793 206097669 56787124 21229274 21229274 326482614 RIGHT OF USE OPERATING LEASES 59078733 HOSPITAL FEE/PROVIDER TAX RECEIVABLE 42015633 OTHER ASSETS 13738988 DUE FROM THIRD PARTY 2961856 CHARITABLE GIFT ANNUITIES 2722072 120517282 I/C - TE BOND LIABILITIES 129939929 CAPITAL LEASE OBLIGATIONS 63097213 DUE TO AFFILIATES 54761867 HOSPITAL FEE/PROVIDER TAX LIABILITY 30624402 DUE TO THIRD PARTY 11118739 OTHER LIABILITIES 5119842 ACCRUED RETIREMENT COMPENSATION 2838434 297500426 SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS THE USE OF THE RESTRICTED ENDOWMENTS ARE SPECIFIED WHEN PUT IN PLACE BY THE DONORS. LIKE ALL ENDOWMENTS, ONLY THE DISTRIBUTED EARNED INCOME IS AVAILABLE FOR USE. THE UNRESTRICTED INCOME IS USED AT THE DISCRETION OF THE EXECUTIVE LEADERSHIP OF THE HOSPITAL FOR CAPITAL/BUILDING, EQUIPMENT AND PROGRAM NEEDS. GALA 1484749 1375989 108760 162376 178000 73300 216843 GOLF TOURNAMENT 174825 128187 46638 39044 13758 14990 12613 180333 154653 25680 0 37721 18505 33617 1839907 1658829 181078 201420 229479 106795 263073 800767 -619689 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 5103440 0 5103440 0.00670 116533861 67195826 49338035 0.06440 0 0 121637301 67195826 54441475 0.07110 3707078 739215 2967863 0.00390 30000 0 30000 0.00000 9230420 5576503 3653917 0.00480 0 0 2020369 0 2020369 0.00260 14987867 6315718 8672149 0.01130 136625168 73511544 63113624 0.08240 0 0 0 0 0 0 0 0 0 0 0 0 0 0 243824 0 243824 0.00030 0 0 243824 243824 0.00030 0 203397878 313836640 -110438762 X 1 0 1 MISSION EDUCATION CONFERENCE CENTER LLC PHYSICIAN OFFICE & CONF ED CT 0.50000 0.00000 0.50000 2 MISSION AMBULATORY SURGICENTER LTD DBA MISSION SURGERY CENTER OUTPATIENT SURGERY CENTER 0.32790 0.00000 0.63670 3 MISSION VIEJO PHYSICIAN PARTNERS I LLC MEDICAL OFFICE BUILDING 0.24800 0.00000 0.12640 1 1 MISSION HOSPITAL REGIONAL MEDICAL CTR 27700 MEDICAL CENTER ROAD MISSION VIEJO CA 92691 HTTPS://WWW.PROVIDENCE.ORG/OBP 06000146 X X X MISSION HOSPITAL REGIONAL MEDICAL CTR 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 0 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. KAISER CONDUCTED A SURVEY WITH 271 RESPONDENTS WHICH CONCLUDED ON JANUARY 30, 2019. REPRESENTATION IN THE SURVEY WERE MINORITY, MEDICALLY UNDERSERVED AND LOW-INCOME INDIVIDUALS. KAISER ORGANIZED ELEVEN (11) FOCUS GROUPS IN THE CITIES OF ANAHEIM AND MIDWAY CITY, IN NEIGHBORHOODS WHERE HEALTH, PHYSICAL ENVIRONMENT AND SOCIO-ECONOMIC MATTERS ARE OF GREAT CONCERN. BOTH THESE CITIES WERE TARGETED BECAUSE OF THE GREAT NEED IDENTIFIED THROUGH ORANGE COUNTY INDICATORS. CONSIDER THIS IN SANTA ANA 58% OF PEOPLE 25 YEARS AND OLDER HAVE A HIGH SCHOOL DEGREE COMPARED TO 98% IN COTO DE CAZA. MEDIAN HOUSEHOLD INCOME IN MIDWAY CITY IS $41,897 COMPARED TO $182,401 IN COTO DE CAZA. IN ALL ELEVEN (11) FOCUS GROUPS THERE WAS REPRESENTATION OF MINORITY, MEDICALLY UNDERSERVED AND LOW-INCOME INDIVIDUALS. FOCUS GROUP WITH SENIORS INCLUDED STROKE SURVIVORS AND SENIOR RESIDENTS. THREE (3) YOUTH MENTAL HEALTH FOCUS GROUPS WERE HELD WITH BOTH STUDENTS AND SCHOOL STAFF PARTICIPATION. THREE (3) PERMANENT SUPPORTIVE HOUSING GROUPS WITH RESIDENTS WERE HELD, ONE (1) MENTAL HEALTH (SUICIDE) FOCUS GROUP, A COMMUNITY RESIDENTS FOCUS GROUP, AND ANOTHER HELD AT THE CENTER FOR HEALTHY NEIGHBORHOODS WITH LOW INCOME LATINO RESIDENTS IN FULLERTON. ALL ELEVEN (11) FOCUS GROUPS FOLLOWED THE SAME PROTOCOL, AND THE SAME TEN (10) STRATEGIC LEARNING QUESTIONS WERE ASKED. IN TOTAL YOU HAD 131 FOCUS GROUP PARTICIPANTS; WITH SOME FOCUS GROUPS REACHING AS HIGH AS EIGHTEEN (18) PARTICIPANTS, AND THE LOWEST PARTICIPATION LEVEL OF SEVEN (7). ADDITIONALLY, KAISER ALSO HELD A KEY COMMUNITY STAKEHOLDERS FOCUS GROUP. THE EIGHTEEN (18) PARTICIPANTS SPANNED THE FOLLOWING SECTORS: AFFORDABLE HOUSING, COMMUNITY-BASED ORGANIZATION, EDUCATION, HOUSING AND PUBLIC HEALTH. THE PARTICIPATING AGENCIES ARE AS FOLLOWS: 1. 211 ORANGE COUNTY 2. ALZHEIMER'S OC 3. AMERICAN FOUNDATION OF SUICIDE PREVENTION 4. COUNCIL ON AGING 5. HEALTHY SMILES FOR KIDS OC 6. HOME AND CARE SERVICES, SENIORSERV 7. ILLUMINATION FOUNDATION 8. KENNEDY COMMISSION 9. ORANGE COUNTY CONGREGATION COMMUNITY ORGANIZATION 10. ORANGE COUNTY FAIR HOUSING COUNCIL 11. ORANGE COUNTY FOOD ACCESS COALITION 12. OC HEALTH CARE AGENCY 13. REGIONAL ASTHMA MANAGEMENT AND PREVENTION 14. SAN CLEMENTE WELLNESS AND PREVENTION CENTER 15. STROKE BOOT CAMP 16. STUDENT MENTAL HEALTH, OC DEPARTMENT OF EDUCATION 17. UCI INSTITUTE FOR CLINICAL AND TRANSLATIONAL SCIENCE 18. WESTERN YOUTH SERVICESTHE SAME TEN (10) STRATEGIC LEARNING QUESTIONS WERE ASKED AS IN THE RESIDENT FOCUS GROUPS. THE TOP PRIORITIES IDENTIFIED THROUGH KAISER'S WORK WERE ACCESS TO HEALTH CARE, ECONOMIC, HOUSING AND FOOD INSECURITIES, MENTAL HEALTH AND SUBSTANCE USE INCLUDING SUICIDE AND STROKE.THE ORANGE COUNTY HEALTH IMPROVEMENT PARTNERSHIP, ON WHICH PROVIDENCE ST. JUDE MEDICAL CENTER PARTICIPATES, ALSO CONDUCTED FOCUS GROUPS. IN TOTAL SIX (6) FOCUS GROUPS WERE CONDUCTED WITH REPRESENTATION FROM UNDERREPRESENTED COMMUNITIES, INCLUDING VIETNAMESE OLDER ADULTS, SPANISH-SPEAKING ADULTS AND MOTHERS, ADOLESCENTS AND SERVICE PROVIDERS. ALL SIX (6) FOCUS GROUPS WERE ASKED FIVE (5) STRATEGIC LEARNING QUESTIONS. THE TOP PRIORITIES IDENTIFIED WERE HOMELESSNESS AND HOUSING, ENVIRONMENT, SAFETY, MENTAL HEALTH WITH SUBSTANCE USE, ACCESS TO CARE, NUTRITION, EARLY CHILD DEVELOPMENT AND AGING POPULATION. 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. SCHEDULE H, PART V, SECTION B, LINE 6A: ST JUDE MEDICAL CENTER AND ST JOSEPH HOSPITAL ORANGE.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 WEBSITE: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, IMPLEMENTATION STRATEGY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/SOUTHERN-CALIFORNIAPLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB. SCHEDULE H, PART V, SECTION B, LINE 11: FOR CALENDAR YEARS 2021-2023 THE HOSPITAL IDENTIFIED THE FOLLOWING THREE (3) PRIORITIES:PRIORITY 1: MENTAL HEALTH & SUBSTANCE USECOVERS 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. WE WILL BE FOCUSING ON INCREASING SERVICES TO SOUTH ORANGE COUNTY RESIDENTS AND REDUCING THE RATES OF SUBSTANCE USE AMONG YOUTH IN OUR COASTAL COMMUNITIES. PROVIDENCE MISSION HOSPITAL MISSION VIEJO AND PROVIDENCE MISSION HOSPITAL LAGUNA BEACH (WHICH WILL BE ADDRESSED SIMPLY AS "MISSION HOSPITAL" THROUGHOUT THE REST OF THIS REPORT) WILL WORK ON INCREASING AWARENESS AND SERVICES ADDRESSING MENTAL HEALTH ALONG WITH SUBSTANCE USE. IN 2022, THIS NEED WAS ADDRESSED BY:1. THERAPEUTIC SERVICES, INCLUDING SUPPORT GROUPS, INDIVIDUAL THERAPY AND PSYCHOEDUCATIONAL GROUPS IN AN IN-HOUSE PROGRAM.2. EACH MIND MATTERS CAMPAIGN REDUCES STIGMA AND INCREASES 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. 3. YOUTH SUBSTANCE USE EFFORTS, INCLUDING A COMMUNITY-WIDE SOCIAL MEDIA CAMPAIGN FOR PARENTS CALLED RAISING HEALTHY TEENS AND ONE FOR YOUTH CALLED STRENGTH IN NUMBERS.PRIORITY 2: HOUSING & HOMELESSNESSPRIMARILY FOCUSED ON SUPPORTING EFFORTS TOWARD AFFORDABLE HOUSING AND 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. FAMILY RESOURCE CENTERS PROVIDE HEALTH AND SOCIAL SERVICES TO THE LOW-INCOME RESIDENTS IN SAN JUAN CAPISTRANO & LAKE FOREST. SERVICES INCLUDE CONNECTING RESIDENTS TO HOUSING RESOURCES. SPONSORED BY MISSION HOSPITAL IN COLLABORATION WITH COMMUNITY NON-PROFIT AGENCIES, THE CENTERS ARE FULL-SERVICE WRAP-AROUND RESOURCE CENTERS FOR OUR COMMUNITIES IN NEED. 2. PROVIDING YEAR-ROUND GRANT FUNDS TO FRIENDSHIP SHELTER AND FAMILY ASSISTANCE MINISTRIES. FRIENDSHIP SHELTER OPERATES THE CITY OF LAGUNA BEACH'S (ALTERNATIVE SLEEPING LOCATIONS) ASL EMERGENCY SHELTER PROVIDING MEALS, SHOWERS, LAUNDRY AND RESOURCES TO CONNECT GUESTS TO HOUSING, HEALTH AND MENTAL CARE. FAMILY ASSISTANCE MINISTRIES PARTNERED WITH MISSION HOSPITAL TO PROVIDE SHORT-TERM MOTEL ACCOMMODATIONS FOR HOMELESS PATIENTS DISCHARGED FROM THE HOSPITAL. BOTH COLLABORATIONS ALLOW MISSION HOSPITAL TO SERVE THE NEEDS OF ITS VULNERABLE COMMUNITIES AND GET THESE RESIDENTS THE WRAP-AROUND SUPPORT NEEDED TO DEVELOP LONGER-TERM HOUSING SOLUTIONS. 3. HOSPITAL PATIENTS REQUIRING HOUSING AND RECUPERATIVE CARE ARE CONNECTED TO RECUPERATIVE CARE SERVICES. RECUPERATIVE CARE PROVIDERS OFFER CASE MANAGEMENT AND CONNECTS PEOPLE EXPERIENCING HOMELESSNESS WITH HOUSING, MEDICAL CARE, MENTAL HEALTH AND WORKFORCE SERVICES. 4. HOSPITAL ACTED AS A LEAD AGENCY IN THE SOUTH ORANGE COUNTY EQUITY COLLABORATIVE, WHICH INITIATED IN 2020. IN NOVEMBER 2022, PROVIDENCE WAS AWARDED A COLLABORATIVE GRANT BY THE ORANGE COUNTY UNITED WAY TO WORK TOWARD SYSTEMS CHANGE IN HOUSING FOR AN UNDER-RESOURCED NEIGHBORHOOD IN SAN JUAN CAPISTRANO. THIS AWARD BRINGS $500,000 TO THE COMMUNITY TO ADDRESS UPSTREAM BARRIERS CAUSING HOUSING INSTABILITY. EFFORTS ON THIS PROJECT WILL COMMENCE IN EARLY 2023.PRIORITY 3: EQUITY & RACIAL DISPARITIEEVERYONE 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 WILL BE WORKING ON STRATEGIES THAT INCREASE INCLUSION, DIVERSITY AND MULTICULTURALISM, BOTH WITHIN OUR ORGANIZATION AS WELL AS THE BROADER COMMUNITIES OF SOUTH ORANGE COUNTY.IN 2022, THIS NEED WAS ADDRESSED BY:1. SERVICES TO PROMOTE INCLUSION, DIVERSION AND MULTICULTURALISM, AN IN-HOUSE PROGRAM RUN BY THE HOSPITAL.2. HOSPITAL'S FAMILY RESOURCE CENTERS OFFERED SERVICES TO THE LOCAL COMMUNITY TO INCREASE INCLUSION AND BELONGING AMONGST RESIDENTS IN SOUTH ORANGE COUNTY. SERVICES INCLUDED VOTING REGISTRATION & EDUCATION, AND DISCUSSIONS ABOUT INCLUSION & BELONGING AND EQUITY. MULTIPLE COMMUNITY STAKEHOLDERS, RESIDENTS AND FAITH COMMUNITY LEADERS PARTICIPATED IN THESE EVENTS TO SUPPORT LOCAL RESIDENTS WHO FEEL MARGINALIZED AND ISOLATED.3. HOSPITAL LED EFFORTS TO FURTHER ESTABLISH THE SOUTH ORANGE COUNTY EQUITY COLLABORATIVE. THIS COLLABORATIVE, COMPRISED OF A DOZEN NON-PROFIT ORGANIZATIONS, IS DEDICATED TO WORKING ON EQUITY, WITH A VISION THAT ALL PEOPLE IN SOUTH ORANGE COUNTY FEEL WELCOME, HAVE. IN NOVEMBER 2022, PROVIDENCE WAS AWARDED A COLLABORATIVE GRANT BY THE ORANGE COUNTY UNITED WAY TO WORK TOWARD SYSTEMS CHANGE IN HOUSING FOR AN UNDER-RESOURCED NEIGHBORHOOD IN SAN JUAN CAPISTRANO. THIS AWARD BRINGS $500,000 TO THE COMMUNITY TO ADDRESS UPSTREAM BARRIERS CAUSING HOUSING INSTABILITY. EFFORTS ON THIS PROJECT WILL COMMENCE IN EARLY 2023.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO 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, MISSION 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 MISSION'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:CANCER:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED. DIABETES:SPECIFICALLY FOCUSED ON THE HEALTH CONDITION OF DIABETES, AND AWARENESS AND PREVENTION OF IT. LOCAL FEDERALLY QUALIFIED HEALTH CENTERS PROVIDE PRIMARY MEDICAL CARE TO RESIDENTS WITH LOW INCOMES WHO HAVE DIABETES. MISSION HOSPITAL PROVIDES YEARLY GRANT FUNDS TO CAMINO HEALTH CENTER FEDERALLY QUALIFIED HEALTH CENTER (FQHC) ENSURING THE DOOR REMAINS OPEN FOR MANY FAMILIES AND RESIDENTS WITH LOW-INCOMES NEEDING DIABETES SERVICES. IN ADDITION, LAGUNA BEACH COMMUNITY CLINIC ALSO PROVIDES DIABETES SERVICES. EARLY CHILDHOOD EDUCATION:GIVEN OTHER PRIORITIES, RESOURCE CONSTRAINTS, AND LACK OF EXPERTISE TO OFFER THIS PROGRAM, THIS ISSUE WAS NOT SELECTED. ECONOMIC MOBILITY: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. GIVEN OTHER PRIORITIES, RESOURCE CONSTRAINTS AND LACK OF EXPERTISE TO OFFER THIS PROGRAM, THIS ISSUE WAS NOT SELECTED. OUR FAMILY RESOURCE CENTERS ADDRESS THIS NEED, AS WELL AS OTHER COMMUNITY-BASED ORGANIZATIONS: FAMILIES FORWARD, FAMILY ASSISTANCE MINISTRY, AND SOUTH COUNTY OUTREACH. ENVIRONMENT/CLIMATE:PROVIDENCE ST. JOSEPH HEALTH HAS COMMITTED TO BEING CARBON NEGATIVE BY 2030. THIS EFFORT WILL INVOLVE ALL HOSPITAL STAFF. THE REGIONAL DIRECTOR, COMMUNITY HEALTH INVESTMENT HAS BEEN APPOINTED TO THE SYSTEM ENVIRONMENTAL JUSTICE WORK GROUP. SCHEDULE H, PART V, SECTION B, LINE 11: (CONTINUE) FOOD INSECURITY:CONCERNS ABOUT HEALTHY EATING HABITS, NUTRITION KNOWLEDGE, AND CHALLENGES OF COST AND AVAILABILITY OF HEALTHY OPTIONS. GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT CHNA, THIS NEED BECAME A LOWER PRIORITY COMPARED TO OTHERS WHEN REVIEWING THE IMPACT MISSION HOSPITAL COULD HAVE TO RESOLVE THIS ISSUE. THE FAMILY RESOURCE CENTERS ADDRESS THIS NEED THROUGH MONTHLY FOOD DISTRIBUTIONS, AS WELL AS OTHER COMMUNITY-BASED ORGANIZATIONS: FAMILIES FORWARD, FAMILY ASSISTANCE MINISTRY, FATHER SERRA'S FOOD PANTRY, MISSION BASILICA, HELPING HANDS WORLDWIDE, LAGUNA FOOD PANTRY, SECOND HARVEST FOOD BANK, SOUTH COUNTY OUTREACH, AND WOMEN, INFANT & CHILDREN'S CLINIC (WIC). HEALTH CARE ACCESS:LOCAL FEDERALLY QUALIFIED HEALTH CENTERS PROVIDE PRIMARY CARE SERVICES TO RESIDENTS OF SOUTH ORANGE COUNTY WITH LOW INCOMES. WE WILL MAINTAIN MANY OF THE PROGRAMS CURRENTLY IN PLACE THROUGH COMMUNITY HEALTH INVESTMENT TO CONTINUE SUPPORTING ACCESS TO CARE SUCH AS HEALTH INSURANCE ENROLLMENT, CARE NAVIGATION AND MEDICAL TRANSPORTATION SERVICES. OBESITY:GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT CHNA, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS. 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. GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT CHNA, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS. SENIOR HEALTH:GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT CHNA, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS.IN ADDITION, MISSION HOSPITAL WILL COLLABORATE, WHEN FEASIBLE, WITH ORGANIZATIONS THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL TO ADDRESS THESE UNMET NEEDS. SCHEDULE H, PART V, SECTION B, LINE 13A: MISSION HOSPITAL 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.PART V, SECTION B, LINE 13H:MISSION HOSPITAL REGIONAL MEDICAL CENTERTHE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT.SCHEDULE H, PART V, SECTION B, LINE 16A:FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT/FINANCIAL-ASSISTANCESCHEDULE H, PART V, SECTION B, LINE 16B:FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT/FINANCIAL-ASSISTANCESCHEDULE 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 4 1 - MISSION AMBULATORY SURGICENTER LTD 26730 CROWN VALLEY PARKWAY MISSION VIEJO CA 92691 OUTPATIENT SURGERY CENTER 2 - CALIFORNIA SPECIALTY SURGERY CTR LP 26371 CROWN VALLEY PARKWAY MISSION VIEJO CA 92691 OUTPATIENT SURGERY CENTER 3 - FAMILY RESOURCE CENTER 22481 ASPAN STREET LAKE FOREST CA 92630 OUTPATIENT SURGERY CENTER 4 - CHEC FAMILY RESOURCE CENTER 27412 CALLE ARROYO MISSION VIEJO CA 92675 OUTPATIENT SURGERY 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: MISSION HOSPITAL REGIONAL MEDICAL CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/MISSION-HOSPITAL-MISSION-VIEJO/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: FOSTERING A PREPARED AND PRODUCTIVE WORKFORCE IS THE PRIMARY FOCUS OF OURCOMMUNITY BUILDING AT MISSION. WE COMPLETE THIS EFFORT THROUGHCONTINUED COLLABORATION WITH CAPISTRANO UNIFIED SCHOOL DISTRICT ADULTTRANSITION PROGRAM. SINCE 2006, MISSION HOSPITAL HOSTS YOUNG ADULTS WITHDISABILITIES EACH FALL TO PROVIDE WORK EXPERIENCE IN A HOSPITAL SETTING.THESE STUDENT INTERNS ARE PLACED IN HOSPITAL DEPARTMENTS SUCH ASNUTRITIONAL CARE SERVICES, ENVIRONMENTAL SERVICES AND CENTRAL SUPPLY TOLEARN JOB SKILLS THAT WILL HELP THEM ATTAIN LONG-TERM EMPLOYMENT EITHERAT THE HOSPITAL OR A LOCAL ORGANIZATION. MANY OF THESE STUDENTS WOULD BEHIGHLY CHALLENGED TO FIND PERMANENT, ON-GOING WORK BECAUSE OF THEIRDISABILITIES. IN 2022, 3 INTERNS RECEIVED MENTORING/JOB COACHINGSUPPORT.LEADERSHIP DEVELOPMENT: MISSION HOSPITAL HAS PARTNERED WITH THE SISTERSOF ST. JOSEPH TO FOSTER LEADERSHIP DEVELOPMENT AS PART OF THEIR ST.JOSEPH WORKER PROGRAM. THIS PROGRAM SUPPORTS WOMEN FOR A 10 MONTHFORMATION PROGRAM WITH THE SISTERS WHILE THEY WORK WITH LOCAL COMMUNITIESAND DEVELOP PUBLIC HEALTH AND ADVOCACY SKILLS. 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: COLLECTION ACTIVITY: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. THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH, AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD-PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT-SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS. WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS. PART VI, LINE 2: AN ANNUAL MARKET ASSESSMENT IS COMPLETED FOR OUR LOCAL MARKET THAT PROVIDES INFORMATION ON DEMOGRAPHICS, COUNTY HEALTH RANKINGS, PHYSICIAN LANDSCAPE, ACUTE CARE UTILIZATION RATES, MARKET SHARE, OUTMIGRATION TO OTHER MEDICAL FACILITIES FOR TREATMENT, EMERGENCY DEPARTMENT AND ANCILLARY UTILIZATION, AS WELL AS SERVICE LINE FORECASTS. IN ADDITION, OUR COMMUNITY HEALTH INVESTMENT TEAM WORKS CLOSELY WITH NON-PROFITS AND RESIDENTS THROUGH OUR OUTREACH PROGRAMS AND FAMILY RESOURCE CENTERS. THROUGH THIS CLOSE CONTACT THE TEAM CONSISTENTLY ASSESSES NEEDS AND MAY CREATE ADDITIONAL OPPORTUNITIES FOR UNIQUE SERVICES AS IDENTIFIED THROUGHOUT THE YEAR. 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 HIGH VOLUME 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. PART VI, LINE 4: COMMUNITY INFORMATIONMISSION HOSPITAL PROVIDES SOUTH ORANGE COUNTY COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL'S SERVICE AREA EXTENDS FROM THE JUNCTION OF THE 405 AND 5 FREEWAYS IN THE NORTH, TO CAMP PENDLETON IN THE SOUTH, SANTA ANA MOUNTAINS IN THE EAST AND THE PACIFIC OCEAN IN THE WEST. OUR HOSPITAL TOTAL SERVICE AREA INCLUDES THE CITIES OF ALISO VIEJO, CAPISTRANO BEACH, DANA POINT, FOOTHILL RANCH, LADERA RANCH, LAGUNA BEACH, LAGUNA HILLS, LAGUNA NIGUEL, LAGUNA WOODS, LAKE FOREST, MISSION VIEJO, RANCHO SANTA MARGARITA, SAN CLEMENTE, SAN JUAN CAPISTRANO, AND TRABUCO CANYON. TOTAL SERVICE AREA:THE TOTAL SERVICE AREA FOR MISSION HOSPITAL WAS DEFINED USING CENSUS TRACTS INSIDE SOUTH ORANGE COUNTY. IN TOTAL, THERE ARE 109 CENSUS TRACTS WITHIN THE TOTAL SERVICE AREA OF MISSION HOSPITAL. 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 590,000 PERMANENT RESIDENTS IN THE TOTAL SERVICE AREA, ROUGHLY 42% LIVE IN THE HIGH NEED AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FEDERAL POVERTY LEVEL (FPL) COMPARED TO CENSUS TRACTS IN THE TOTAL SERVICE AREA. FOR REFERENCE, 200% FPL IS EQUIVALENT TO AN ANNUAL HOUSEHOLD INCOME OF $52,400 OR LESS FOR A FAMILY OF FOUR. THESE HOUSEHOLDS ARE MORE LIKELY TO REGULARLY MAKE SPENDING TRADEOFFS REGARDING UTILITIES, RENT, GROCERIES, MEDICINE, AND OTHER BASIC EXPENSES.POPULATION AND AGE DEMOGRAPHICS:THE POPULATION IN MISSION HOSPITAL'S TOTAL SERVICE AREA MAKES UP 18% OF ORANGE COUNTY. THE MALE-TO FEMALE DISTRIBUTION IS ROUGHLY EQUAL ACROSS THE GEOGRAPHIES. THE HIGH NEED SERVICE AREA HAS A HIGHER PERCENTAGE OF PEOPLE OVER THE AGE OF 65 AND BETWEEN AGES 18 AND 34. PEOPLE AGES 35 TO 54 AND UNDER THE AGE OF 18 ARE LESS LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS.POPULATION BY RACE AND ETHNICITY:INDIVIDUALS IDENTIFYING AS HISPANIC HAD A HIGHER PERCENTAGE LIVING IN HIGH NEED SERVICE AREAS, 27.3% VERSUS THE BROADER SERVICE AREA, 15.2%. THE SAME WAS NOTED FOR INDIVIDUALS IDENTIFYING AS "OTHER" RACE, 10.5% VERSUS 4.0%. PEOPLE IDENTIFYING AS WHITE WERE LESS LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS, 71% LIVED IN HIGH NEED SERVICE AREAS, AND 76.8% IN THE BROADER COMMUNITY. SOCIOECONOMIC INDICATORS:THE MEDIAN INCOME FOR THE TOTAL SERVICE AREA FOR MISSION HOSPITAL IS ABOUT $20,000 HIGHER THAN ORANGE COUNTY OVERALL. THE HIGH NEED SERVICE AREA'S MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $40,000 LESS THAN THAT OF THE BROADER SERVICE AREA, AND $3,000 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, 30% OF RENTER HOUSEHOLDS ARE SEVERELY HOUSING COST BURDENED. WITHIN THE TOTAL SERVICE AREA THERE ARE CENSUS TRACTS IN WHICH OVER 50% 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). MISSION HOSPITAL IS NOT LOCATED IN A SHORTAGE AREA. 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. MISSION HOSPITAL VIEJO AND MISSION HOSPITAL LAGUNA BEACH CAMPUSES ARE NOT LOCATED IN MEDICALLY UNDERSERVED AREAS. HOWEVER, COASTAL COMMUNIITES WITHIN THEIR TOTAL SERVICE AREA, STRETCHING BETWEEN DANA POINT AND SAN CLEMENTE, ARE DESIGNATED AS MEDICALLY UNDERSERVED AREA/MEDICALLY UNDERSERVED POPULATION AREAS, SIGNIFYING THE IMPORTANCE OF MISSION HOSPITAL TO THE COMMUNITY IT SERVES.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITAL IN THE COMMUNITY INCLUDE: SADDLEBACK HOSPITAL. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHMISSION HOSPITAL PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSESTHE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIALASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. MISSION HOSPITALIS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITSSURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWINGMECHANISMS:1) A COMMUNITY HEALTH COMMITTEE THAT HAS COMMUNITY REPRESENTATION AND ISA SUBCOMMITTEE OF THE BOARD OF TRUSTEES.2) OPEN MEDICAL STAFF.3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.LOCAL COMMUNITY HEALTH COMMITTEE:THE ROLE OF THE MISSION HOSPITAL'S COMMUNITY HEALTH (CH) COMMITTEE IS TO SUPPORT THE LOCAL MINISTRY BOARD IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE CH COMMITTEE ACTS IN ACCORDANCE WITH A BOARD APPROVED CHARTER. THE CH 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 (CHNA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES. THE CH COMMITTEE HAS A MINIMUM OF EIGHT (8) MEMBERS INCLUDING THREE (3) MEMBERS OF THE LOCAL MINISTRY BOARD. CURRENT MEMBERSHIP INCLUDES FOUR (4) MEMBERS OF THE MINISTRY BOARD AND SEVEN (7) COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS, MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE CH COMMITTEE GENERALLY MEETS SIX TIMES PER YEAR. IN 2022, MEETINGS WERE HELD VIRTUALLY DUE TO CONTINUING COVID RESTRICTIONS. PARTICIPATION REMAINED HIGH AND TECHNOLOGY ALLOWED FOR OPEN ENGAGEMENT AMONG MEMBERS. 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 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.INVESTING 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 FUND SINCE 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-FUND HEALTH EQUITY CHANGE 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 RESPONSIBILITY IN 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-RESPONSIBILITY ENVIRONMENTAL STEWARDSHIP THE 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-STEWARDSHIP WELL BEING TRUST PROVIDENCE'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 ORANGE COUNTY UNITED WAY 18012 MITCHELL S IRVINE CA 92614 330047994 501(C)(3) 100000 0 OPERATIONAL SUPPORT CAMINO HEALTH CENTER 30300 CAMINO CAPISTRANO SAN JUAN CA 92675 330574214 501(C)(3) 1463358 0 OPERATIONAL SUPPORT FRIENDSHIP SHELTER INC PO BOX 4252 LAGUNA BEACH CA 92652 330219404 501(C)(3) 10000 0 OPERATIONAL SUPPORT 3 0 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION. 1 1 0 0 0 0 0 1 0 JO ANN ESCASA-HAIGH ASSISTANT TREASURER 0 841148 0 989404 0 326862 0 27450 0 8365 0 2193229 0 284024 SETH TEIGEN CHIEF EXECUTIVE, MHRMC 0 533348 0 225280 0 83623 0 155103 0 39263 0 1036617 0 61983 MICHAEL MARINO DO FORMER OFF. - SVP, CHIEF MED INFO 0 457840 0 230830 0 324910 0 0 0 10159 0 1023739 0 143774 JIM WATSON ESQ SECRETARY 0 466229 0 228525 0 142483 0 98225 0 26164 0 961626 0 119387 TERRENCE WOOTEN FORMER KE - QVMC CE 0 383887 0 214403 0 38103 0 124991 0 17591 0 778975 0 0 LINDA SIEGLEN CHIEF MEDICAL OFFICER HOSPITAL 447857 0 96848 0 44717 0 14548 0 17016 0 620986 0 7397 0 EILEEN HAUBL SVP & CHIEF FINANCIAL OFFICER 0 411026 0 107000 0 16898 0 35796 0 21290 0 592010 0 10748 JENNIFER CORD CHIEF NURSING OFFICER 345654 0 71909 0 8738 0 17360 0 21207 0 464868 0 4679 0 JOHN MILLER MINISTRY CHIEF, PHILANTHROPY OFF. 290050 0 91288 0 33790 0 4322 0 28055 0 447505 0 2164 0 EVELYN SCHLOSSER EXEC DIR ACUTE CARE OPERATIONS 302689 0 64158 0 33388 0 15918 0 22655 0 438808 0 25352 0 MARK JABLONSKI FORMER OFF. - PSJH CMO 0 299054 0 5000 0 32468 0 26998 0 16603 0 380123 0 2795 MARIA LEXA BATAC CLINICAL COORDINATOR 297843 0 0 0 3045 0 0 0 19227 0 320115 0 0 0 DHARM PATEL SUPERVISOR CLINICAL LAB - THRU 11/22 250150 0 1587 0 52246 0 0 0 4420 0 308403 0 0 0 DEANNE NIEDZIELA FORMER KE - DIR, NURSING 227051 0 27593 0 2652 0 23692 0 24278 0 305266 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, LINES 4A-B THE FOLLOWING INDIVIDUALS RECIEVED SEVERANCE PAYMENTS DURING 2022: MICHAEL MARINO, D.O. - $100,876 DHARM PATEL - $27,696 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 OF DURING THE CURRENT YEAR: JO ANN ESCASA-HAIGH - $284,024 SETH TEIGEN - $61,983 MICHAEL MARINO, D.O. - $143,774 JIM WATSON, ESQ - $119,387 LINDA SIEGLEN - $7,397 EILEEN HAUBL - $10,748 JENNIFER CORD - $4,679 JOHN MILLER - $2,164 EVELYN SCHLOSSER - $25,352 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. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 344000 MEDICAL SVC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 158569 MEDICAL SVC 0 X 8 124044 FMV 0 0 1 0 PART I, COLUMN (B): THE AMOUNTS REPORTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION 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. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE PURSUE 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 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 STANDARDS PROVIDENCE 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. MISSION HOSPITAL 2022 PROGRAM SERVICE ACCOMPLISHMENTS: (JANUARY 1 - DECEMBER 31, 2022) IN 2022, PROVIDENCE MISSION HOSPITAL MEDICAL CENTER CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. WE WOULD LIKE TO HIGHLIGHT THE FOLLOWING ACCOMPLISHMENTS: ACCESS TO HEALTH CARE FOR THOSE IN GREATEST NEED: CAMINO HEALTH CENTER MISSION HOSPITAL IS A PROUD SPONSOR OF CAMINO HEALTH CENTER, A FEDERALLY-QUALIFIED HEALTH CENTER LOCATED IN THE HEART OF OUR SERVICE AREA. TO SUPPORT CAMINO'S CORE SERVICES AND OFFSET THE OUT OF POCKET EXPENSES FOR PATIENTS WITHOUT HEALTHCARE INSURANCE, WE PROVIDED GRANTS TOTALING $1,463,358. DESPITE THE CHALLENGES POSED BY THE COVID-19 PANDEMIC, CAMINO HEALTH CENTER CONTINUED TO PROVIDE QUALITY CARE FOR ITS PATIENTS WHILE TAKING NECESSARY PRECAUTIONS. THE CLINIC SUCCESSFULLY ACHIEVED ITS UNIQUE PATIENT GOAL BY SERVING A TOTAL OF 15,673 PATIENTS. OF THOSE SERVED, 11,791 PATIENTS LIVED AT OR BELOW 100% OF THE POVERTY LEVEL, ACCOUNTING FOR 75% OF THE CLINIC'S PATIENT POPULATION. CAMINO RECORDED A TOTAL OF 63,848 VISITS ACROSS ITS MEDICAL, DENTAL, BEHAVIORAL, AND OPTOMETRY DEPARTMENTS. THIS REPRESENTS AN INCREASE OF OVER 6,000 ENCOUNTERS COMPARED TO 2021. THE CLINIC ALSO PROVIDED CARE TO A TOTAL OF 2,679 CHILDREN UNDER THE AGE OF 18. NOTABLY, THE DENTAL DEPARTMENT SAW AN IMPROVEMENT IN THE PERCENTAGE OF CHILDREN BETWEEN 6 AND 9 YEARS OLD WHO WERE AT MODERATE TO HIGH RISK OF CARIES AND RECEIVED A SEALANT ON THEIR FIRST PERMANENT MOLAR. THIS PERCENTAGE INCREASED FROM 76% IN 2021 TO 82% IN 2022. CAMINO'S PRENATAL PROGRAM DEMONSTRATED ITS EFFECTIVENESS, AS 82% OF PREGNANT WOMEN RECEIVED CARE DURING THEIR FIRST TRIMESTER, ENSURING THE WELL-BEING OF BOTH MOTHER AND UNBORN BABY. ADDITIONALLY, THE PANDEMIC AFFECTED PEOPLE'S MENTAL HEALTH, AND CAMINO ADDRESSED THIS ISSUE BY SCREENING AND FOLLOWING UP WITH 90% OF PATIENTS AGED 12 OR OLDER. THE MEDICAL DEPARTMENT ALSO DID AN EXCELLENT JOB SCREENING FOR CERVICAL CANCER, ACHIEVING A RATE OF 68% IN 2022. OVERALL, CAMINO HEALTH CENTER CONTINUES TO SERVE THE UNDERSERVED POPULATION IN SOUTH ORANGE COUNTY. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: (CONTINUE) CONNECTING OUR COMMUNITY THROUGH FAMILY RESOURCE CENTERS: PROVIDENCE MISSION HOSPITAL OPERATES TWO FAMILY RESOURCE CENTERS (FRC) IN THE COMMUNITY TO PROVIDE ACCESS TO SOCIAL SERVICES FOR COMMUNITY MEMBERS WITH LIMITED RESOURCES. BOTH FRCS ARE PART OF ORANGE COUNTY'S FAMILIES AND COMMUNITIES TOGETHER (FACT) PLATFORM. FACT IS A NETWORK OF 16 FAMILY RESOURCE CENTERS LOCATED THROUGHOUT ORANGE COUNTY'S HIGHEST-RISK COMMUNITIES. THESE CENTERS PROVIDE ESSENTIAL FAMILY SUPPORT SERVICES, EDUCATION AND RESOURCES AND ARE AIMED AT ADDRESSING CURRENT COMMUNITY NEEDS. THE FOLLOWING SERVICES ARE PROVIDED: MENTAL HEALTH SERVICES, LIFE SKILLS PROGRAMS, HEALTH INSURANCE ENROLLMENT AND COUNSELING, PARENTING CLASSES, FAMILY ADVOCACY, INFORMATION & RESOURCE REFERRAL SERVICES, PERSONAL EMPOWERMENT PROGRAMS, COMMUNITY ENGAGEMENT AND LEADERSHIP DEVELOPMENT, LEGAL COUNSELING, ENGLISH AS A SECOND LANGUAGE CLASSES, CHILDREN'S PROGRAMMING, FOOD DISTRIBUTIONS, AND SEASONAL PROGRAMS. THESE CENTERS ARE LIFELINES FOR MANY PEOPLE IN THE COMMUNITY. OUR MONTHLY FOOD DISTRIBUTION PROVIDES FOOD FOR NEARLY 500 PEOPLE EACH MONTH. OUR TWO CENTERS PROVIDED 51,269 COMBINED VISITS IN CY22. ADDRESSING EQUITY THROUGH COMMUNITY PARTNERSHIPS: EVERYONE 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. IN 2020, WE GATHERED A GROUP OF NON-PROFIT LEADERS AND RESIDENTS FROM SOUTH ORANGE COUNTY TO CONSIDER HOW WE COULD TOGETHER ADDRESS ISSUES OF INEQUITY. OVER THE COURSE OF TWO YEARS, THE SOUTH ORANGE COUNTY EQUITY COLLABORATIVE FORMED WITH A DOZEN NON-PROFIT AND RESIDENT LEADERS. OUR MISSION: TO ADVANCE EQUITY AND JUSTICE FOR SOUTH ORANGE COUNTY'S MOST VULNERABLE RESIDENTS THROUGH COMMUNITY ENGAGEMENT, COORDINATED ADVOCACY, AND LEVERAGING RESOURCES. IN 2022, OUR COLLABORATIVE WAS THE RECIPIENT OF A $500,000 CDC GRANT THROUGH ORANGE COUNTY UNITED WAY TO STRENGTHEN OUR COLLABORATIVE EFFORTS AND ADDRESS HOUSING DISPARITIES IN SAN JUAN CAPISTRANO, A NEIGHBORHOOD THAT IS SEVERELY RENT BURDENED AND MOST OF ITS 900 HOUSEHOLDS PAY MORE THAN 50 PERCENT OF THEIR ANNUAL INCOME ON RENT. IN DECEMBER 2022, OUR COLLABORATIVE RECEIVED ANOTHER $150,000 THROUGH THE AMERICAN RECOVERY PLAN ACT (ARPA) FROM SUPERVISOR LISA BARTLETT'S OFFICE. TOGETHER, THESE FUNDS ARE ENABLING OUR COLLABORATIVE TO RE-ENVISION HOW HOUSING SUPPORT SERVICES ARE REDESIGNED FOR THE MOST VULNERABLE FAMILIES IN OUR COMMUNITIES, PROVIDING RESEARCH SUPPORT TO DEVELOP LONG-TERM SOLUTIONS FOR HOUSING, AND EMPOWERING RESIDENTS TO SHARE THEIR EXPERIENCES AND BUILD LEADERSHIP AND CIVIC ENGAGEMENT SKILLS TO CREATE CHANGE IN THEIR LOCAL COMMUNITIES. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/MISSION-HOSPITAL-MISSION-VIEJO 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 MISSION HOSPITAL REGIONAL MEDICAL CENTER UPDATED ITS BYLAWS ON MARCH 1, 2022 TO REFLECT CHANGES IN ITS CORPORATE MEMBERSHIP. THE SOLE MEMBER OF THE MISSION HOSPITAL REGIONAL MEDICAL CENTER SHALL BE ST. JOSEPH HEALTH SYSTEM, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF MISSION HOSPITAL REGIONAL MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS MISSION HOSPITAL REGIONAL MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE MISSION HOSPITAL REGIONAL MEDICAL CENTER'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE MISSION HOSPITAL REGIONAL MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER AND THE 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 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 22,621,458. MANAGEMENT AND GENERAL EXPENSES 1,286,022. FUNDRAISING EXPENSES 89,416. TOTAL EXPENSES 23,996,896. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 1,262,460. MANAGEMENT AND GENERAL EXPENSES 71,770. FUNDRAISING EXPENSES 4,990. TOTAL EXPENSES 1,339,220. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 4,284,818. MANAGEMENT AND GENERAL EXPENSES 243,590. FUNDRAISING EXPENSES 16,937. TOTAL EXPENSES 4,545,345. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 27,946,893. MANAGEMENT AND GENERAL EXPENSES 1,588,771. FUNDRAISING EXPENSES 110,465. TOTAL EXPENSES 29,646,129. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 51,840,287. MANAGEMENT AND GENERAL EXPENSES 2,947,103. FUNDRAISING EXPENSES 204,908. TOTAL EXPENSES 54,992,298. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 9,541,566. MANAGEMENT AND GENERAL EXPENSES 542,435. FUNDRAISING EXPENSES 37,715. TOTAL EXPENSES 10,121,716. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -16,145,751. OTHER CHANGES IN NET ASSETS -4,214,490. 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 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 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