2025-11-10T12:30:50-06:00 2024-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2024-01-01 951643360 MISSION HOSPITAL REGIONAL MEDICAL CENTER MISS 9493641400 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 EILEEN HAUBL CHIEF ACCOUNTING OFFICER 9493647767 2025-11-05 1 1 EVA NITTA P01286320 4158948000 2024 2025-03-06 01:10:19Z PROVIDENCE MISSION HOSPITAL SETH TEIGEN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 965058955 0 0928 X WWW.MISSION4HEALTH.ORG X 1941 CA SEE SCHEDULE O.AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 16 14 3144 785 246573 206194 15286638 64554563 813142809 868553265 -556529 5717069 12787474 15340905 840660392 954165802 663501 1433488 0 0 268818113 325597878 0 0 2253248 568925975 598827335 838407589 925858701 2252803 28307101 705245194 697134273 417637489 350270687 287607705 346863586 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 890038216 1433488 884128534 SEE SCHEDULE O.AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE HEALTH 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 125,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,014 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE AFFILIATE FAMILY INCLUDES: - PROVIDENCE ACROSS FIVE WESTERN STATES - 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 SEATTLE, WA IN 2024, PROVIDENCE MINISTRIES AND AFFILIATES PROVIDED $1.9 BILLION IN COMMUNITY BENEFIT PROGRAMS. THIS INCLUDES FREE AND DISCOUNTED CARE, UNCOMPENSATED AND SUBSIDIZED CARE, AND OTHER COMMUNITY HEALTH ACTIVITIES. ONE OF THESE VITAL PROGRAMS, MEDICAID, IS A LIFELINE FOR MILLIONS OF INDIVIDUALS, INCLUDING SENIORS, CHILDREN, PREGNANT PATIENTS, THOSE WITH DISABILITIES AND VETERANS. WE ARE GRATEFUL TO EVERYONE IN OUR COMMUNITIES WHO HAS JOINED US IN ADVOCATING FOR CONTINUED FUNDING AND EXPANSION OF THIS PROGRAM. TOGETHER, WE ARE HELPING TO ENSURE MORE PEOPLE HAVE ACCESS TO NEEDED CARE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT THROUGH OUR COMMUNITY BENEFIT PROGRAMS, WE FOCUS ON MEETING THE DIVERSE NEEDS OF THE PEOPLE WE SERVE BY WORKING TO ENSURE BASIC HEALTH NEEDS ARE MET, REMOVING BARRIERS TO CARE, BUILDING COMMUNITY RESILIENCE AND INNOVATING FOR THE FUTURE. PROVIDENCE CONTINUES TO WORK TOWARDS CARBON NEGATIVE AND IN 2024 DECREASED EMISSIONS BY 19 PERCENT COMPARED TO OUR 2019 BASELINE. OUR EFFORTS EARNED US A SYSTEM RECORD 55 ENVIRONMENTAL EXCELLENCE AWARDS FROM PRACTICE GREENHEALTH AND MADE US THE FIRST LARGE SYSTEM TO RECEIVE THE JOINT COMMISSION'S SUSTAINABLE HEALTHCARE CERTIFICATION IN 2024 FOR EACH OF OUR HOSPITALS.PROVIDENCE MISSION HOSPITAL MEDICAL CENTER: PROVIDENCE MISSION HOSPITAL CONTINUES ITS TRADITION OF COMPASSION AND COMMITMENT TO OUR COMMUNITIES BY INVESTING IN INITIATIVES THAT ADDRESS IDENTIFIED COMMUNITY NEEDS. THE PRIORITY HEALTH AREAS OUTLINED IN THE 2024-2026 COMMUNITY HEALTH IMPROVEMENT PLAN INCLUDE: ACCESS TO CARE, MENTAL HEALTH/SUBSTANCE USE, AND ECONOMIC SECURITY. THREE KEY PROGRAM ACCOMPLISHMENTS FOR MISSION HOSPITAL ARE HIGHLIGHTED BELOW: CAMINO HEALTH CENTER, FAMILY RESOURCE CENTER, AND EQUITY THROUGH PARTNERSHIP. IN CY24, PROVIDENCE MISSION HOSPITAL REPORTED $5.7M IN FINANCIAL ASSISTANCE (FREE AND DISCOUNTED CARE) AND $68.7M OF UNPAID COST OF MEDICAID. PROVIDENCE MISSION HOSPITAL IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY.2024 PROGRAM SERVICE 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 HEALTH INSURANCE, WE PROVIDED GRANTS TOTALING $1,000,000 IN 2024. CAMINO HEALTH CENTER UPHELD ITS COMMITMENT TO DELIVERING HIGH-QUALITY CARE WHILE ADHERING TO ALL NECESSARY HEALTH AND SAFETY PRECAUTIONS. THROUGHOUT THE YEAR, CAMINO SERVED A TOTAL OF 17,174 PATIENTS, UNDERSCORING ITS CONTINUED DEDICATION TO ACCESSIBLE, HIGH-QUALITY HEALTHCARE. OF THESE PATIENTS, 61% WERE FEMALE AND 39% WERE MALE. THE ETHNIC COMPOSITION INCLUDED 9,270 INDIVIDUALS IDENTIFYING AS HISPANIC/LATINO, 5,837 AS NON-HISPANIC/LATINO, AND 2,002 WHO CHOSE NOT TO DISCLOSE THEIR ETHNICITY. REFLECTING THE CULTURAL AND LINGUISTIC NEEDS OF THE COMMUNITY, 57% OF PATIENTS PRIMARILY SPOKE SPANISH, A NEED THAT CAMINO EFFECTIVELY MET THROUGH ITS PREDOMINANTLY BILINGUAL STAFF.ECONOMIC HARDSHIP REMAINED A KEY FACTOR AMONG THOSE SERVED, WITH 85% OF PATIENTS (14,704 INDIVIDUALS) LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. THIS MARKED AN 8% INCREASE FROM 2023, INDICATING A GROWING DEMAND FOR AFFORDABLE HEALTHCARE.TWO KEY POLICY CHANGES, THE 50+ MEDI-CAL EXPANSION AND THE FULL-SCOPE MEDI-CAL EXPANSION FOR ADULTS AGES 26 TO 49, SIGNIFICANTLY INCREASED COVERAGE ACCESS. AS A RESULT, CAMINO SAW A 40% REDUCTION IN THE NUMBER OF UNINSURED PATIENTS, DEMONSTRATING THE POSITIVE IMPACT OF EXPANDED HEALTHCARE COVERAGE.CAMINO RECORDED 72,488 VISITS ACROSS ITS DEPARTMENTS, INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH, AND OPTOMETRY. THE CLINIC REMAINED COMMITTED TO PEDIATRIC CARE, SERVING 2,313 CHILDREN UNDER AGE 18. ADOLESCENT WEIGHT SCREENING AND FOLLOW-UP RATES IMPROVED FROM 20% TO 55%, HIGHLIGHTING STRENGTHENED EFFORTS IN PREVENTIVE CARE.THE DENTAL DEPARTMENT LED IN PREVENTIVE CARE, FOCUSING ON CHILDREN AGES 6 TO 9 IDENTIFIED AS MODERATE TO HIGH RISK FOR DEVELOPING CARIES. IMPRESSIVELY, 75% OF THESE CHILDREN RECEIVED DENTAL SEALANTS ON THEIR FIRST PERMANENT MOLARS.THE PRENATAL PROGRAM ALSO ACHIEVED OUTSTANDING RESULTS: 81% OF PREGNANT PATIENTS RECEIVING CARE DURING THEIR FIRST TRIMESTER. EARLY PRENATAL CARE IS ESSENTIAL TO SUPPORTING HEALTHY PREGNANCIES AND OUTCOMES FOR BOTH MOTHERS AND THEIR BABIES. MENTAL HEALTH REMAINED A KEY PRIORITY. CAMINO SCREENED AND FOLLOWED UP WITH 91% OF PATIENTS AGED 12 AND OLDER FOR MENTAL HEALTH CONCERNS, REPRESENTING A 38% INCREASE FROM PREVIOUS YEAR. ADDITIONALLY, ADVERSE CHILDHOOD EXPERIENCES (ACES) SCREENINGS WERE IMPLEMENTED TO SUPPORT MORE COMPREHENSIVE AND TRAUMA-INFORMED CARE. IN 2024, THE MEDICAL DEPARTMENT ACHIEVED A 70% CERVICAL CANCER SCREENING RATE, DEMONSTRATING PROGRESS IN PREVENTIVE CARE. CHRONIC DISEASE MANAGEMENT ALSO IMPROVED, WITH CONTROLLED BLOOD PRESSURE RATES RISING FROM 55% TO 60%, REFLECTING THE CAMINO'S EFFECTIVENESS IN MANAGING LONG-TERM HEALTH CONDITIONS. OVERALL, CAMINO HEALTH CENTER CONTINUES TO PLAY A CRUCIAL ROLE IN SERVING THE UNDERSERVED POPULATION IN SOUTH ORANGE COUNTY, CONSISTENTLY ADAPTING AND EXPANDING SERVICES TO MEET COMMUNITY HEALTH NEEDS. CONNECTING OUR COMMUNITY THROUGH FAMILY RESOURCE CENTERS: PROVIDENCE MISSION HOSPITAL OPERATES TWO FAMILY RESOURCE CENTERS (FRC) IN THE COMMUNITY, PROVIDING ACCESS TO VITAL 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 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 AND 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. 890038216 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 0 0 0 0 0 1 1 1 0 0 1 X 206 0 1 3144 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 16 14 0 0 0 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 ATTN TAX DEPT RENTON WA 98057 SETH TEIGEN CEO/PRESIDENT 55.00 0.00 X X 0 1152429 190124 STEPHEN TOCCI MD TRUSTEE 0.50 0.00 X 0 33000 0 ELIZABETH JENSEN TRUSTEE 0.50 0.00 X 0 0 0 GINNY RIPSLINGER TRUSTEE 0.50 0.00 X 0 0 0 GLORIA LUNA TRUSTEE 0.50 0.00 X 0 0 0 JAIME MUNOZ TRUSTEE 0.50 0.00 X 0 0 0 JAMES BASTIAN TRUSTEE 0.50 0.00 X 0 0 0 JAMES R QUANDT BOARD CHAIR - THRU 6/24 1.00 0.00 X 0 0 0 JEREMY LASTER TRUSTEE 0.50 0.00 X 0 0 0 JOSH RANDALL MD TRUSTEE 0.50 0.00 X 0 0 0 LINDA SIEGLEN MD BOARD CHAIR 1.00 0.00 X 0 0 0 MICHAEL MOODIAN TRUSTEE 0.50 0.50 X 0 0 0 RAUL RUDY MARQUEZ MD TRUSTEE 0.50 2.00 X 0 0 0 REZA DEHKORDI MD TRUSTEE 0.50 0.00 X 0 0 0 SERENA BENSON TRUSTEE 0.50 0.00 X 0 0 0 SR HERLINDA RAMIREZ MACHADO TRUSTEE 0.50 0.00 X 0 0 0 STEVEN PAL TRUSTEE - THRU 12/31/24 0.50 0.00 X 0 0 0 JIM WATSON ESQ SECRETARY 0.50 54.50 X 0 955923 128530 JIM MARTIN ASSISTANT TREASURER 0.50 54.50 X 0 820365 96888 EILEEN HAUBL SVP & CHIEF FINANCIAL OFFICER 27.50 27.50 X 0 474159 42013 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0.50 54.50 X 0 316554 18932 BRIAN LEE HELLELAND CHIEF EXEC SO CA OC/HD 13.00 42.00 X 0 1529981 233268 EVELYN SCHLOSSER EXEC DIR ACUTE CARE OPERATIONS 55.00 0.00 X 358241 0 27880 MELANIE SPENCER WOLF CHIEF MEDICAL OFFICER HOSPITAL 50.00 0.00 X 497935 0 26152 JENNIFER CORD CHIEF NURSING OFFICER 50.00 0.00 X 417455 0 32188 NICOLE BALSAMO AVP FOUNDATION/CPO 50.00 0.00 X 388060 0 17873 MARIA LEXA BATAC SUPERVISOR NURSING 50.00 0.00 X 333111 0 41447 JOE JUNG EXECUTIVE DIRECTOR NURSING 50.00 0.00 X 306178 0 18167 JO ANN ESCASA-HAIGH FRMR ASSISTANT TREASURER 0.00 0.00 X 0 879466 0 MICHAEL MARINO DO FRMR OFF. - SVP, CHIEF MED INFO 0.00 0.00 X 0 493170 0 MARK JABLONSKI FRMR OFF. - PSJH CMO 0.00 55.00 X 0 338483 39179 TERRENCE WOOTEN FORMER CE QVMC 0.00 0.00 X 0 694493 0 2300980 7688023 912641 1031 1 1 0 AYA HEALTHCARE INC PO BOX 674907 DALLAS TX 75267 STAFFING SERVICES 13103864 CASS INFORMATION SYSTEMS INC 12444 POWERSCOURT DR 550 ST LOUIS MO 63131 PAYMENT SERVICES 9999159 CO ARCHITECTS 5750 WILSHIRE BLVD STE 550 LOS ANGELES CA 90036 ARCHITECT SERVICES 5821464 SOUTH ORANGE COUNTY SURGICAL MED GR 24411 HEALTH CENTER DR STE 350 LAGUNA HILLS CA 92653 MEDICAL SERVICES 4977512 ALLIED UNIVERSAL SECURITY 1551 N TUSTIN AVE STE 650 SANTA ANA CA 92705 SECURITY SERVICES 2957054 166 453825 808514 63292224 64554563 NET PATIENT REVENUE 622110 863338992 863325585 13407 MOB RENTAL REVENUE 531120 4804712 4804712 JV INCOME 900099 333402 333402 OTHER PATIENT SERVICE 622110 76159 76159 868553265 2592778 3827 2588951 1544192 11795857 26830 10188928 1517362 1606929 3124291 3124291 213692 453825 677395 -463703 -463703 PROFESSIONAL SVC FEES 900099 9933024 9933024 CAFETERIA REVENUE 722514 2202919 2202919 EDUCATION REVENUE 611710 321451 321451 3347214 3117875 229339 15804608 954165802 879310415 246573 10054251 X 1433488 1433488 386122 367599 17354 1169 254203412 242009152 11424738 769522 14895094 14180569 669435 45090 37528491 35728231 1686654 113606 18584759 17693239 835260 56260 1128155 1074037 50703 3415 2108 2007 95 6 94322 94322 146057944 139051474 6564325 442145 131963 125633 5931 399 8764660 8344215 393913 26532 319246 303932 14348 966 24055434 22901484 1081130 72820 436033 415116 19597 1320 7153016 6809882 321480 21654 22184004 21119827 997022 67155 59323 56477 2666 180 SYSTEM COST ALLOCATION 197738298 188252696 8887010 598592 MEDICAL SUPPLIES 147676928 147676928 HOSPITAL FEE 32297809 32297809 UBI TAXES PAID 20000 20000 10708092 10194421 481254 32417 925858701 890038216 33567237 2253248 1388814 357040 12547454 3842474 6441705 41754468 129586867 123721305 1723186 0 17562758 18129650 0 1005317 766552047 447441808 319500000 319110239 67744758 55250510 4367432 4700835 20872745 19354595 123509475 109907840 705245194 697134273 54277925 61863632 2243776 1439734 361115788 286967321 417637489 350270687 X 148790720 173716948 138816985 173146638 287607705 346863586 705245194 697134273 X 28307101 2508701 28440079 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 82289 82289 0 PART II-B, LINE 1, LOBBYING ACTIVITIES: THE OTHER LOBBYING EXPENDITURES REPORTED REPRESENT THE PORTION OF DUES PAID TO ASSOCIATIONS AND ALLIANCES THAT IS ALLOCATED TO LOBBYING ACTIVITIES. PROVIDENCE'S ADVOCACY AGENDA THE PROVIDENCE FAMILY OF ORGANIZATIONS ADVOCATES FOR THE HEALTH AND WELL-BEING OF ALL, ESPECIALLY THE POOR AND VULNERABLE. GROUNDED IN OUR MISSION AND INSPIRED BY OUR BELIEF THAT HEALTH IS A HUMAN RIGHT, WE WORK WITH LAWMAKERS AND COMMUNITY PARTNERS TO REMOVE THE CAUSES OF OPPRESSION AND PROMOTE JUSTICE FOR ALL. CORE TO THIS WORK IS ADVANCING POLICIES THAT INCREASE EQUITABLE ACCESS TO HIGH-QUALITY CARE, STRENGTHEN THE HEALTH CARE WORKFORCE AND ADDRESS SOCIAL AND ENVIRONMENTAL JUSTICE. PRESERVE AFFORDABLE ACCESS TO CARE - SUSTAIN MEDICARE AND MEDICAID: PROTECT HEALTH CARE COVERAGE AND SUPPORT REIMBURSEMENT RATES THAT APPROPRIATELY REFLECT THE COST OF DELIVERING CARE, ESPECIALLY FOR VULNERABLE POPULATIONS. - REDUCE MEDICATION COSTS: INCREASE PHARMACEUTICAL PRICING TRANSPARENCY AND PROTECT THE 340B DRUG PRICING PROGRAM, WHICH PROVIDES ACCESS TO LIFE-CHANGING MEDICATIONS FOR LOW-INCOME PATIENTS. - INCREASE CARE ACCESSIBILITY: PROMOTE CARE DELIVERY INNOVATION, INCLUDING MAINTAINING TELEHEALTH FLEXIBILITIES AND HOSPITAL-AT-HOME PROGRAMS. - PROTECT THE ABILITY OF NONPROFIT HEALTH CARE TO CARE FOR ALL: PRESERVE TAX-EXEMPT STATUS TO SUPPORT COMMUNITY NEEDS AND PROMOTE SUSTAINABLE FINANCIAL ASSISTANCE PROGRAMS. IMPROVE HEALTH SYSTEM SUSTAINABILITY - PROMOTE COLLABORATION AND ACCOUNTABILITY WITH INSURERS: INCREASE PARTNERSHIPS BETWEEN PAYERS AND PROVIDERS TO STRENGTHEN VALUE-BASED CARE AND LESSEN THE BURDEN ON PATIENTS. - ENSURE SUSTAINABLE HEALTH CARE COST GROWTH: ENSURE REASONABLE COST GROWTH TARGETS DON'T PENALIZE PROVIDERS FOR COSTS OUTSIDE OUR CONTROL, LIKE LABOR AND PHARMACEUTICAL COSTS. - PRESERVE RURAL HEALTH CARE: ENHANCE FUNDING TO PROTECT RURAL CLINICS AND PREVENT HOSPITAL CLOSURES. STRENGTHEN AND DEVELOP OUR WORKFORCE - GROW THE PHYSICIAN AND PROVIDER WORKFORCE: INCREASE FUNDING FOR SCHOLARSHIPS, LOAN FORGIVENESS AND RESIDENCY TRAINING PROGRAMS. - EXPAND THE NURSING AND CAREGIVER PIPELINE: SUPPORT RECRUITMENT, RETENTION AND ADVANCED EDUCATION FOR NURSES AND OTHER ALLIED HEALTH PROFESSIONALS. - REFORM THE PHYSICIAN PAYMENT SYSTEM: SUPPORT REIMBURSEMENT RATES THAT REFLECT THE INCREASED COST OF DELIVERING HIGH-QUALITY CARE. - REDUCE ADMINISTRATIVE BURDEN: REMOVE BARRIERS TO LICENSURE FOR HEALTH CARE WORKERS AND REDUCE THE UNNECESSARY PRIOR AUTHORIZATION AND COVERAGE DENIALS TO HELP ADDRESS BURNOUT AND SUPPORT CAREGIVERS AT THE BEDSIDE. - ELIMINATE VIOLENCE AGAINST CAREGIVERS: SUPPORT CONTINUED HEALTH CARE WORKPLACE SAFETY AND FUND SUPPORT PROGRAMS TO KEEP CAREGIVERS SAFE. ADVANCE CARE DELIVERY AND INNOVATION - IMPROVE HOSPITAL CAPACITY: DEVELOP SOLUTIONS TO REDUCE UNNECESSARY LENGTHS OF STAY AND ENSURE PATIENTS RECEIVE CARE IN THE APPROPRIATE SETTINGS, INCLUDING IMPROVING ACCESS TO POST-ACUTE CARE SERVICES. - INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES: IMPROVE ACCESS ALONG THE CONTINUUM OF CARE, INCLUDING TREATMENT FOR PATIENTS IN CRISIS, COMMUNITY-BASED SERVICES, AND PREVENTATIVE SERVICES. - ADVANCE HEALTH IT: PROTECT HEALTH SYSTEMS FROM CYBERSECURITY THREATS AND PROMOTE APPROPRIATE REGULATION OF AI IN HEALTH CARE TO ALLOW FOR INNOVATION. - IMPROVE COORDINATION OF CARE: BOLSTER PALLIATIVE CARE AND LONG-TERM SERVICES, INCLUDING THE PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). PROMOTE SOCIAL AND ENVIRONMENTAL JUSTICE - ADVANCE HEALTH EQUITY: SUPPORT POLICIES THAT SEEK TO ADDRESS INEQUITIES IN HEALTH CARE DELIVERY, ESPECIALLY FOR UNDERSERVED POPULATIONS, INCLUDING IMMIGRANTS. - ADDRESS SOCIAL DETERMINANTS OF HEALTH: IMPROVE ACCESS TO HOUSING, TRANSPORTATION, HEALTHY FOOD, EDUCATION, AND EMPLOYMENT. - IMPROVE STEWARDSHIP OF OUR ENVIRONMENT: INCREASE FUNDING AND SUPPORT POLICIES TO DECARBONIZE THE HEALTH CARE SECTOR AND ADDRESS ENVIRONMENTAL JUSTICE AND CLIMATE RESILIENCY. 13571368 1904280 15475648 11583118 1988250 13571368 9364978 3650391 -1432251 11583118 8148164 1216814 9364978 7060954 1087210 8148164 0.29000 0.67000 0.04000 0 0 47148883 47148883 368090596 198287309 169803287 35430871 18778307 16652564 279893254 230376192 49517062 35988443 35988443 319110239 HOSPITAL FEE/PROVIDER TAX RECEIVABLE 49985582 RIGHT OF USE OPERATING LEASES 48932920 OTHER ASSETS 6923806 DUE FROM THIRD PARTY 3483900 CHARITABLE GIFT ANNUITIES 581632 109907840 I/C - TE BOND LIABILITIES 127058343 DUE TO THIRD PARTY 56037916 CAPITAL LEASE OBLIGATIONS 47043569 HOSPITAL FEE/PROVIDER TAX LIABILITY 35801426 DUE TO AFFILIATES 16382721 ACCRUED RETIREMENT COMPENSATION 4031482 CHARITABLE GIFT ANNUITIES/TRUST FUND OBLIGATIONS 309422 OTHER LIABILITIES 302442 286967321 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 667517 453825 213692 0 0 230923 110000 192872 143600 667517 453825 213692 230923 110000 192872 143600 677395 -463703 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 5742802 5742802 0.00620 154675027 85913879 68761148 0.07430 11259 11567 0 0.00000 160429088 85925446 74503950 0.08050 5267409 1330511 3936898 0.00430 30000 30000 0.00000 1395548 1395548 0.00150 6692957 1330511 5362446 0.00580 167122045 87255957 79866396 0.08630 308047 308047 0.00030 308047 308047 0.00030 0 272682143 417123312 -144441169 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 0.43220 0.00000 0.28870 3 MISSION VIEJO PHYSICIAN PARTNERS I LLC MEDICAL OFFICE BUILDING 0.24800 0.00000 0.11440 1 1 MISSION HOSPITAL REGIONAL MEDICAL CTR 27700 MEDICAL CENTER ROAD MISSION VIEJO CA 92691 WWW.MISSION4HEALTH.ORG 06000146 X X X MISSION HOSPITAL REGIONAL MEDICAL CTR 1 0 0 1 X X X X X X X X X 23 1 1 0 1 X SEE PART V, SECTION C X 1 24 1 SEE PART V, SECTION C 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X X 1 X 0 1 SCHEDULE H, PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE COMMUNITY'S HEALTH NEEDS, DENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5: IN CONDUCTING THE 2023 CHNA TO IDENTIFY NEEDS AND BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS AND OTHER KEY STAKEHOLDERS, REPRESENTATIVES FROM PROVIDENCE ORANGE COUNTY, IN PARTNERSHIP WITH CHARITABLE VENTURES, CARRIED OUT THREE APPROACHES TO GAIN COMMUNITY INPUT: 1) COMMUNITY LISTENING SESSIONS, 2) A KEY INFORMANT SURVEY, AND 3) DIALOGUE SESSIONS WITH LEADERS FROM EACH OF THE THREE PROVIDENCE ORANGE COUNTY HOSPITALS. EIGHT LISTENING SESSIONS WERE HELD WITH SPECIFIC COMMUNITIES THAT HAVE UNIQUE NEEDS: ASIAN AMERICAN/NATIVE HAWAIIAN/PACIFIC ISLANDER (AANHPI), BLACK/AFRICAN AMERICAN, LGBTQIA, INDIVIDUALS WITH DISABILITIES, OLDER ADULTS, KOREAN-SPEAKING, SPANISH-SPEAKING IN SOUTH ORANGE COUNTY, AND VIETNAMESE-SPEAKING. THESE SESSIONS WERE HELD ONLINE AS WELL AS IN PERSON, IN SETTINGS THAT WERE MOST ACCESSIBLE FOR PARTICIPANTS. THEY WERE CONDUCTED IN PARTNERSHIP WITH TRUSTED MESSENGER ORGANIZATIONS WITH UNIQUE CONNECTIONS AND LANGUAGE SKILLS TO REACH COMMUNITY MEMBERS. DURING THESE SESSIONS, THE NEEDS, ISSUES, BARRIERS, VISIONS FOR HEALTH, COMMUNITY STRENGTHS, AND IDEAS FOR INNOVATION, COLLABORATION, AND THE PURSUIT OF EQUITY WERE DISCUSSED. SEVEN SESSIONS WERE DIRECTED TOWARD RESIDENTS, WITH ONE SPECIFIC TO THE MISSION HOSPITAL SERVICE AREA (SOUTH ORANGE COUNTY-SPANISH-SPEAKING), AND ONE WAS DIRECTED TOWARD PROVIDERS TO THE AANHPI COMMUNITY. THE KEY INFORMANT SURVEY WAS DISTRIBUTED WIDELY TO FAITH- AND COMMUNITY-BASED ORGANIZATIONS, SCHOOL DISTRICTS, AND EDUCATIONAL INSTITUTIONS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), MEDICAL CENTERS, LAW ENFORCEMENT, CITY REPRESENTATIVES, GOVERNMENT AGENCIES, AND OTHER PROVIDERS AND LEADERS KNOWLEDGEABLE ABOUT COMMUNITY HEALTH. FINALLY, FEEDBACK FROM THE PROVIDENCE LEADERSHIP WAS ALSO OBTAINED. OUR PUBLIC HEALTH AGENCY, THE ORANGE COUNTY HEALTH CARE AGENCY, WAS ENGAGED THROUGH KEY INFORMANT SURVEYS AND WAS REPRESENTED ON MISSION HOSPITAL'S COMMUNITY HEALTH COMMITTEE, WHERE PRIORITY AREAS WERE IDENTIFIED. OUR COMMUNITY HEALTH INVESTMENT LEADERS MAINTAINED CLOSE COMMUNICATIONS WITH KEY ORANGE COUNTY HEALTH CARE AGENCY STAFF WHO WERE CONDUCTING A COINCIDING NEEDS ASSESSMENT FOR ORANGE COUNTY. THE OC HEALTH CARE AGENCY OFFICE OF POPULATION HEALTH AND EQUITY PRIORITIES FOR 2023-2028 AND THE 2020-2022 ORANGE COUNTY HEALTH IMPROVEMENT PLAN WERE REVIEWED AND USED AS A REFERENCE TO ENSURE ALIGNMENT WITH COUNTY PUBLIC HEALTH FINDINGS AND PRIORITIES. SCHEDULE H, PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES THAT CONDUCTED THE CHNA:ST JUDE MEDICAL CENTER AND ST JOSEPH HOSPITAL ORANGE. SCHEDULE H, PART V, SECTION B, LINE 7A, CHNA REPORT WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTS PLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB, MISSION VIEJO AND LAGUNA BEACH. SCHEDULE H, PART V, SECTION B, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTS PLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB, MISSION VIEJO AND LAGUNA BEACH. SCHEDULE H, PART V, SECTION B, LINE 11: FOR CALENDAR YEARS 2024-2026, THE HOSPITAL IDENTIFIED THE FOLLOWING THREE (3) PRIORITIES: PRIORITY 1: ACCESS TO CARE ACCESS TO CARE GOES BEYOND MEDICAL CARE AND INCLUDES DENTAL, VISION, PRIMARY CARE, TRANSPORTATION, CULTURALLY APPROPRIATE CARE, AND CARE COORDINATION. PEOPLE WITHOUT INSURANCE ARE LESS LIKELY TO HAVE A PRIMARY CARE PROVIDER AND MAY NOT BE ABLE TO AFFORD THE HEALTH CARE SERVICES AND MEDICATIONS THEY NEED. STRATEGIES TO INCREASE INSURANCE COVERAGE RATES ARE CRITICAL FOR ENSURING THAT MORE PEOPLE RECEIVE IMPORTANT HEALTH CARE SERVICES, SUCH AS PREVENTIVE CARE AND TREATMENT FOR CHRONIC ILLNESSES. IN 2024, THIS NEED WAS ADDRESSED BY: 1. FAMILY RESOURCE CENTERS PROVIDE HEALTH AND SOCIAL SERVICES TO LOW-INCOME RESIDENTS AND THOSE UNINSURED/UNDERINSURED IN SAN JUAN CAPISTRANO AND LAKE FOREST. SERVICES INCLUDE CONNECTING RESIDENTS TO HEALTH CARE, PREVENTATIVE AND HOUSING RESOURCES. SPONSORED BY MISSION HOSPITAL IN COLLABORATION WITH COMMUNITY NONPROFIT AGENCIES, THESE CENTERS ARE FULL-SERVICE WRAP-AROUND RESOURCE CENTERS FOR COMMUNITIES IN NEED. IN 2024, 1360 INDIVIDUALS RECEIVED EDUCATION ON MEDI-CAL EXPANSION TO AID IN A SEAMLESS TRANSITION TO MEDI-CAL, OF WHICH 690 INDIVIDUALS ENROLLED IN HEALTH INSURANCE THROUGH THE CENTERS. 2. PROVIDING YEAR-ROUND GRANT FUNDING 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, HEALTHCARE AND MENTAL HEALTH 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 PROVIDE THESE RESIDENTS WITH THE WRAP-AROUND SUPPORT NEEDED TO DEVELOP LONGER-TERM HOUSING SOLUTIONS. FRIENDSHIP SHELTER ASSISTED 18 INDIVIDUALS WITH 1980 BED NIGHTS & FAMILY ASSISTANCE MINISTRIES PROVIDED 67 INDIVIDUALS WITH 957 MOTEL NIGHTS; THIS PROVIDES STABILIZATION AND A SAFE PLACE TO BE WHILE BRIDGING THE CLIENTS TO LONG-TERM HOUSING. 3. HOSPITAL PATIENTS REQUIRING POST DISCHARGE HOUSING AND RECUPERATIVE CARE ARE CONNECTED TO RECUPERATIVE CARE SERVICES. RECUPERATIVE CARE PROVIDERS OFFER CASE MANAGEMENT AND CONNECT PEOPLE EXPERIENCING HOMELESSNESS WITH HOUSING, MEDICAL CARE, MENTAL HEALTH, AND WORKFORCE SERVICES. IN 2024, 112 INDIVIDUALS WERE PLACED IN RECUPERATIVE CARE PROGRAMS THAT IMPROVED CONTINUITY OF CARE. PRIORITY 2: BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH & SUBSTANCE USE) MENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING. IT AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE HEALTHY CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD. MENTAL HEALTH PROGRAMS INCLUDE THE PREVENTION, SCREENING, ASSESSMENT, AND TREATMENT OF MENTAL DISORDERS AND BEHAVIORAL CONDITIONS. MENTAL HEALTH IS AN IMPORTANT PART OF OVERALL HEALTH AND WELL-BEING. SUBSTANCE USE/MISUSE OCCURS WHEN THE RECURRENT USE OF ALCOHOL OR DRUGS CAUSES CLINICALLY SIGNIFICANT IMPAIRMENT, INCLUDING HEALTH PROBLEMS, DISABILITY, AND INABILITY TO MEET MAJOR RESPONSIBILITIES AT WORK, SCHOOL, OR HOME. SUBSTANCE USE/MISUSE INCLUDES THE USE OF ILLEGAL DRUGS AND THE INAPPROPRIATE USE OF LEGAL SUBSTANCES, SUCH AS ALCOHOL, PRESCRIPTION DRUGS, AND TOBACCO. IN 2024, THIS NEED WAS ADDRESSED BY: 1. UTILIZING EVIDENCE-BASED THERAPEUTIC SERVICES, INCLUDING SUPPORT GROUPS, INDIVIDUAL THERAPY, PSYCHIATRY, AND PSYCHOEDUCATIONAL GROUPS IN AN IN-HOUSE PROGRAM. ABOUT 236 INDIVIDUALS RECEIVED MENTAL HEALTH COUNSELING, OF WHICH 25 ALSO ENGAGED IN PSYCHIATRY SERVICES AND AN ADDITIONAL 134 INDIVIDUALS PARTICIPATED IN SUPPORT & PSYCHOEDUCATION GROUPS. A REGIONAL EFFORT WAS MADE BY PROVIDENCE, FOR THREE ORANGE COUNTY HOSPITALS TO TAKE PART IN A GRANT FUNDED PSYCHIATRY PROGRAM, AT MISSION HOSPITAL THIS INITIATIVE IS IMPLEMENTED AT THE FAMILY RESOURCE CENTERS TO PROVIDE CULTURALLY SENSITIVE PSYCHIATRY SERVICES TO THE MOST VULNERABLE AND UNDERINSURED RESIDENTS INCLUDING CHILDREN, TEENS AND ADULTS. SERVICES INCLUDE ASSESSMENT, DIAGNOSIS, AND TREATMENT OF MENTAL, EMOTIONAL AND BEHAVIORAL DISORDERS. 2. THE EACH MIND MATTERS CAMPAIGN REDUCES STIGMA AND INCREASES AWARENESS OF MENTAL HEALTH THROUGH THE 'PROMISE TO TALK' STIGMA REDUCTION CAMPAIGN, A REGIONAL EFFORT BY THE THREE ORANGE COUNTY HOSPITALS THAT ARE PART OF THE PROVIDENCE ST. JOSEPH HEALTH SYSTEM. MISSION HOSPITAL INVESTED $88,177 IN EACH MIND MATTERS. THE 'PROMISE TO TALK' CAMPAIGN ACQUIRED 3.6 MILLION IMPRESSIONS ACROSS ALL SOCIAL MEDIA AND WEB PLATFORMS. IN 2024, 21,073 TOTAL ENCOUNTERS WERE COMPLETED, AND 850 TOTAL PROMISES WERE MADE. THE PROMISE TO TALK WEBSITE HAD 12,651 VISITS. THE GREEN BENCH OC IS A CAMPAIGN TO MAKE THE GREEN BENCH A RECOGNIZABLE SYMBOL OF MENTAL HEALTH STIGMA REDUCTION IN ORANGE COUNTY, AIMING TO REDUCE MENTAL HEALTH STIGMA IN TARGET COMMUNITIES. THE GREEN BENCH SYMBOLIZES A PLACE TO TALK TO SOMEONE ABOUT MENTAL HEALTH. THIS CAMPAIGN ALLOWS US TO CONTINUE HAVING IMPORTANT CONVERSATIONS WITH COMMUNITY MEMBERS AND CREATE INTEREST AROUND THE STIGMA REDUCTION MOVEMENT. IN 2024, WE PARTNERED WITH 19 ORGANIZATIONS AND PAINTED OR INSTALLED 28 GREEN BENCHES AT PARKS, SCHOOLS, COMMUNITY-BASED ORGANIZATIONS, AND ALL THREE PROVIDENCE HOSPITALS. 3. IN 2024, PROVIDENCE MISSION HOSPITAL ADDRESSED YOUTH SUBSTANCE BY PROVIDING EDUCATION AND AWARENESS THROUGH COMMUNITY-BASED SOCIAL MEDIA CAMPAIGNS: RAISING HEALTHY TEENS (FOR PARENTS), CRIANZA POSITIVA (SPANISH-LANGUAGE), AND STRENGTH IN NUMBERS (FOR YOUTH). THESE EFFORTS REACHED 2,595 UNIQUE INDIVIDUALS INCLUDING STUDENTS, PARENTS, AND YOUTH-SERVING ADULTS IN SOUTH ORANGE COUNTY AND 3,122 ENCOUNTERS, WITH OVER 492,000 IMPRESSIONS (NUMBER OF AD EXPOSURES) AND 16,070 DIGITAL ENGAGEMENTS (NUMBER OF CLICKS ACROSS ALL DIGITAL ADS AND SOCIAL SHARES). THESE CAMPAIGNS ARE BUILDING A MORE SUPPORTIVE COMMUNITY BY PROVIDING FAMILIES WITH TOOLS TO STRENGTHEN COMMUNICATION AND HELP TEENS REACH THEIR FULL POTENTIAL-FREE FROM DRUGS AND ALCOHOL. PRIORITY 3: ECONOMIC SECURITY AN INDIVIDUAL'S INCOME IS DIRECTLY CONNECTED TO POVERTY. IF A PERSON OR FAMILY'S TOTAL INCOME IS LESS THAN CERTAIN FEDERAL POVERTY MEASURES, THEN THEY ARE CONSIDERED TO BE IN POVERTY. PEOPLE WITH DISABILITIES, INJURIES, OR CONDITIONS LIKE ARTHRITIS MAY BE ESPECIALLY LIMITED IN THEIR ABILITY TO WORK. IN ADDITION, MANY PEOPLE WITH STEADY WORK STILL DON'T EARN ENOUGH TO AFFORD THE THINGS THEY NEED TO STAY HEALTHY. EMPLOYMENT PROGRAMS, CAREER COUNSELING, AND HIGH-QUALITY CHILDCARE OPPORTUNITIES CAN HELP MORE PEOPLE FIND AND KEEP JOBS. FURTHERMORE, POLICIES TO HELP PEOPLE PAY FOR FOOD, HOUSING, HEALTH CARE, AND EDUCATION CAN REDUCE POVERTY AND IMPROVE HEALTH AND WELL-BEING. IN 2024, THIS NEED WAS ADDRESSED BY: 1. NEW PARTNERSHIPS ESTABLISHED THROUGH THE FAMILY RESOURCE CENTERS TO COORDINATE EMPLOYMENT, ENTREPRENEURSHIP AND FINANCIAL EMPOWERMENT. BY PROVIDING ACCESS TO EDUCATION, MENTORSHIP AND ESSENTIAL RESOURCES THAT FOSTER ECONOMIC STABILITY AND EMPOWERING INDIVIDUALS AND FAMILIES TO ACHIEVE THEIR FINANCIAL GOALS. 2. ONE KEY PARTNER IS ORANGE COUNTY UNITED WAY WITH ITS SIGNATURE SPARKPOINT OC PROGRAM THAT PROVIDED FREE 12-MONTH FINANCIAL LITERACY COACHING TO INDIVIDUALS AND FAMILIES THAT INCLUDED TOPICS SUCH AS SAVINGS STRATEGIES, MANAGING IRA ACCOUNTS, BUDGETING, AND IMPROVING FICO SCORES. IN 2024, 10 FAMILIES RECEIVED PERSONALIZED ONE-ON-ONE SUPPORT. 3. CIELO, A NON-PROFIT ORGANIZATION, EMPOWERS ASPIRING ENTREPRENEURS BY OFFERING FREE BUSINESS WORKSHOPS AND SUPPORT TO HELP INDIVIDUALS TRANSFORM THEIR PROJECTS INTO SUSTAINABLE BUSINESSES THROUGH MENTORSHIP. 4. FOR SIX YEARS, THE COPE HEALTH SCHOLARS PROGRAM PROVIDES YOUNG ADULTS WITH MEDICAL INTERNSHIPS IN MULTIPLE DEPARTMENTS. THE PROGRAM IS 15 MONTHS LONG AND IS GEARED TOWARD FIRST-GENERATION ADULTS WHO ARE RACIALLY DIVERSE. PROGRAMS SHOWCASE THE MANY OPPORTUNITIES IN HEALTH CARE AND PROGRESSIVELY INTEGRATE COMMUNITY INTO THE FUTURE HEALTH CARE WORKFORCE. 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 HAVE 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 PARTNERING WITH LIKE-MINDED ORGANIZATIONS, AND BY FUNDING OTHER NON-PROFITS. SCHEDULE H, PART V, SECTION B, LINE 11: (CONTINUE) FURTHERMORE, PROVIDENCE 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 2023 CHNA WILL NOT BE ADDRESSED, AND AN EXPLANATION IS PROVIDED BELOW: CULTURALLY AND LINGUISTICALLY CONCORDANT SERVICES WHILE THIS WAS NOT SELECTED AS A PRIORITY ISSUE, MISSION HOSPITAL WORKS TO INTEGRATE CULTURALLY AND LINGUISTICALLY CONCORDANT SERVICES IN ITS COMMUNITY-BASED PROGRAMMING AND PROVIDES INTERPRETER SERVICES FOR MULTIPLE LANGUAGES IN ITS HOSPITAL-BASED SETTINGS. ISOLATION MISSION HOSPITAL DOES NOT DIRECTLY ADDRESS ISSUES OF ISOLATION IN THE COMMUNITY; HOWEVER, IT WORKS WITH LOCAL ORGANIZATIONS THAT ADDRESS THIS ISSUE THROUGH COMMUNITY BUILDING AND OTHER COMMUNITY-BASED OUTREACH. HOUSING MISSION HOSPITAL DOES NOT DIRECTLY ADDRESS HOUSING; HOWEVER, WE PARTNER WITH SEVERAL SOUTH COUNTY ORGANIZATIONS WITH EXPERTISE IN HOUSING. IN 2024, THE CARE NAVIGATION PROGRAM PROVIDED CARE NAVIGATION SERVICE TO 357 UNSTABLY HOUSED INDIVIDUALS. ALONG WITH THE PROGRAM, IN COLLABORATION, MISSION HOSPITAL, FAM, AND FRIENDSHIP SHELTER PROVIDED BRIDGE AND PERMANENT HOUSING SOLUTION FOR IDENTIFIES RESIDENTS IN SOUTH ORANGE COUNTY. ACCESS TO SAFE, RELIABLE, AFFORDABLE TRANSPORTATION MISSION HOSPITAL CURRENTLY FUNDS AGE WELL'S SENIOR NON-EMERGENCY TRANSPORTATION SERVICES THAT PROVIDES SAFE TRANSPORT, TO LOW-INCOME SENIORS, TO AND FROM MEDICAL APPOINTMENTS. APPROXIMATELY 518 UNIQUE SENIORS RECEIVED ACCESS TO 3,233 AGE-APPROPRIATE TRANSPORTATION RIDES. IN ADDITION, UBER HEALTH SERVICES IS UTILIZED FOR SAFE DISCHARGES FOR PATIENTS WHO LACK SAFE TRANSPORTATION. IN 2024, UBER HEALTH WAS PROVIDE TO 348 PATIENTS DISCHARGING FROM THE HOSPITAL. ACCESS TO DENTAL CARE MISSION HOSPITAL DOES NOT DIRECTLY PROVIDE DENTAL SERVICES; HOWEVER, WE PARTNER WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS THAT OFFER THIS SERVICE. IN EXAMPLE, CAMINO HEALTH CENTERS THAT HAVE THREE LOCATIONS STRATEGICALLY PLACED IN SOUTH ORANGE COUNTY. AGING CONCERNS AND ISSUES COMPARED TO OTHER PRIORITIES FACING THE COMMUNITY, THIS ISSUE WAS NOT SELECTED. MISSION HOSPITAL FUNDS AGE WELL SENIOR SERVICES TO PROVIDE NON-EMERGENCY MEDICAL TRANSPORTATION FOR THOSE NEEDING ACCESS TO MEDICAL SERVICES IN SOUTH ORANGE COUNTY. FOOD INSECURITY MISSION HOSPITAL DOES NOT DIRECTLY ADDRESS FOOD INSECURITY; HOWEVER, WE PARTNER WITH COMMUNITY ORGANIZATIONS THAT HELP ADDRESS THIS ISSUE. IN COLLABORATION WITH SECOND FOOD HARVEST, THE SOUTH ORANGE COUNTY FAMILY RESOURCE CENTER HOST A MOBILE FOOD PANTRY ONCE A MONTH, YEAR-ROUND. IN ADDITION, PARTNERSHIPS WITH COALITION, SOCIAL SERVICES AGENCY, AND COMMUNITY HEALTH INITIATIVE OF ORANGE COUNTY CREATED OPEN ACCESS TO CAL-FRESH ENROLLMENT IN SOUTH ORANGE COUNTY. DOMESTIC VIOLENCE, CHILD ABUSE/NEGLECT MISSION HOSPITAL DOES NOT DIRECTLY ADDRESS DOMESTIC VIOLENCE; HOWEVER, WE PARTNER WITH COMMUNITY ORGANIZATIONS WHICH SPECIALIZE IN DOMESTIC VIOLENCE AND CHILD ABUSE/NEGLECT THROUGH OUR OPERATION OF TWO-FAMILY RESOURCE CENTERS. IN ADDITION, MISSION HOSPITAL WILL COLLABORATE, WHEN FEASIBLE, WITH ORGANIZATIONS THAT ADDRESS THE AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE AND REFERRAL TO ADDRESS THESE UNMET NEEDS. SCHEDULE H, PART V, LINE 16A: FAP WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, LINE 16B: FAP APPLICATION WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, LINE 16C: FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, LINE 20E THE HOSPITAL(S) DID NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. SCHEDULE H, PART V, LINE 24 IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE. 1 1 - MISSION AMBULATORY SURGICENTER LTD 26730 CROWN VALLEY PARKWAY MISSION VIEJO CA 92691 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/SOCAL/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 OUR COMMUNITY BUILDING AT MISSION. WE ACHIEVE THIS EFFORT THROUGH CONTINUED COLLABORATION WITH CAPISTRANO UNIFIED SCHOOL DISTRICT'S ADULT TRANSITION PROGRAM. SINCE 2006, MISSION HOSPITAL, THROUGH ITS PROJECT MISSION PROGRAM, HAS HOSTED YOUNG ADULTS WITH DISABILITIES EACH FALL, PROVIDING THEM WITH WORK EXPERIENCE IN A HOSPITAL SETTING. THESE STUDENT INTERNS ARE PLACED IN HOSPITAL DEPARTMENTS SUCH AS NUTRITIONAL CARE SERVICES, ENVIRONMENTAL SERVICES, AND CENTRAL SUPPLY TO LEARN JOB SKILLS THAT WILL HELP THEM ATTAIN LONG-TERM EMPLOYMENT EITHER AT THE HOSPITAL OR WITH A LOCAL ORGANIZATION. MANY OF THESE STUDENTS WOULD FACE SIGNIFICANT CHALLENGES IN OBTAINING PERMANENT, ONGOING WORK BECAUSE OF THEIR DISABILITIES. IN 2024, A TOTAL OF 9 INTERNS RECEIVED 341 HOURS OF MENTORING AND JOB COACHING SUPPORT. LEADERSHIP DEVELOPMENT: MISSION HOSPITAL HAS PARTNERED WITH THE SISTERS OF ST. JOSEPH TO FOSTER LEADERSHIP DEVELOPMENT AS PART OF THEIR ST. JOSEPH WORKER PROGRAM. THIS PROGRAM SUPPORTS WOMEN IN A 10-MONTH FORMATION PROGRAM WITH THE SISTERS, DURING WHICH THEY WORK WITH LOCAL COMMUNITIES AND DEVELOP PUBLIC HEALTH AND ADVOCACY SKILLS. MISSION HOSPITAL HOSTED TWO ST. JOSEPH WORKERS, WHO COMPLETED 173 HOURS OF SERVICE AND DEVELOPMENT. THE HOSPITAL PROVIDED $308,047 IN COMMUNITY-BUILDING ACTIVITIES BY OFFERING THE COPE HEALTH SCHOLARS PROGRAM. COPE PROVIDES YOUNG ADULTS WITH MEDICAL INTERNSHIPS IN MULTIPLE DEPARTMENTS. THE PROGRAM IS 15 MONTHS LONG AND IS GEARED TOWARD FIRST-GENERATION ADULTS WHO ARE RACIALLY DIVERSE. IN 2024, 184 YOUNG SCHOLARS COMPLETED 4,532 HOURS OF CLINICAL/ADMINISTRATIVE EXPERIENCE AND WORKFORCE DEVELOPMENT. 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. 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 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 THE 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, PROVIDING 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 NONPROFITS 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 ASSISTANCE THE 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, THE SANTA ANA MOUNTAINS IN THE EAST, AND THE PACIFIC OCEAN IN THE WEST. OUR HOSPITAL'S 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 114 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 581,000 PERMANENT RESIDENTS IN THE TOTAL SERVICE AREA, ROUGHLY 43% 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% OF FPL IS EQUIVALENT TO AN ANNUAL HOUSEHOLD INCOME OF $53,000 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. INDIVIDUALS AGES 18-34 AND 65 AND OLDER ARE MORE LIKELY TO LIVE IN HIGH NEEDS CENSUS TRACTS. POPULATION BY RACE AND ETHNICITY: INDIVIDUALS WHO IDENTIFY AS HISPANIC, ASIAN, BLACK/AFRICAN AMERICAN, AND "OTHER" RACE ARE OVERREPRESENTED IN HIGH-NEED CENSUS TRACTS COMPARED TO MISSION HOSPITAL SERVICE AREA OVERALL. PEOPLE IDENTIFYING AS WHITE ARE LESS LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS. SOCIOECONOMIC INDICATORS: THE MEDIAN INCOME FOR THE TOTAL SERVICE AREA FOR MISSION HOSPITAL IS ABOUT $25,000 HIGHER THAN ORANGE COUNTY OVERALL. THERE IS OVER A $42,000 DIFFERENCE IN MEDIAN INCOME BETWEEN MISSION HOSPITAL'S 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, 31.2% 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 COMMUNITES WITHIN THEIR TOTAL SERVICE AREA, STRETCHING BETWEEN DANA POINT AND SAN CLEMENTE, ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS/MEDICALLY UNDERSERVED POPULATIONS, 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 ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. MISSION HOSPITAL 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 TRUSTEES. 2) OPEN MEDICAL STAFF. 3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. 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 FIVE (5) 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 2024, MEETINGS WERE HELD IN PERSON AND/OR VIRTUALLY, THUS PARTICIPATION REMAINED HIGH AND TECHNOLOGY ALLOWED FOR OPEN ENGAGEMENT AMONG MEMBERS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: FOR NEARLY 170 YEARS, PROVIDENCE HAS BEEN DEDICATED TO SUPPORTING COMMUNITIES ACROSS THE SEVEN STATES WE SERVE. WE HAVE ALWAYS BELIEVED IN THE POWER OF COLLABORATION, RECOGNIZING THAT STRONG PARTNERSHIPS ARE ESSENTIAL TO OUR VISION OF HEALTH FOR A BETTER WORLD. AS WE FOCUS ON OUR CORE OPERATIONS OF DELIVERING HIGH-QUALITY, COMPASSIONATE CARE, WE RELY ON PARTNERS IN LOCAL COMMUNITIES TO HELP US GET UPSTREAM SO WE CAN ADDRESS THE SOCIAL FACTORS THAT AFFECT HEALTH, ESPECIALLY IN COMMUNITIES EXPERIENCING HIGH LEVELS OF HEALTH DISPARITIES. AT THE HEART OF THIS COLLABORATION IS OUR COMMUNITY BENEFIT PROGRAMS. EVERY YEAR, OUR FAMILY OF ORGANIZATIONS IDENTIFIES UNMET COMMUNITY NEEDS AND RESPONDS WITH STRATEGIC CONTRIBUTIONS AND PARTNERSHIPS. THROUGH THIS WORK, WE AIM TO MEET BASIC HEALTH NEEDS, REMOVE BARRIERS TO HEALTH, BUILD RESILIENT COMMUNITIES AND FIND INNOVATIVE WAYS TO SERVE THOSE WHO ARE MOST VULNERABLE. TOGETHER, OUR 125,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,014 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 - WASHINGTON THE 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 SEATTLE, WA. IN 2024, PROVIDENCE MINISTRIES AND AFFILIATES PROVIDED $1.9 BILLION IN COMMUNITY BENEFIT PROGRAMS. THIS INCLUDES FREE AND DISCOUNTED CARE, UNCOMPENSATED AND SUBSIDIZED CARE, AND OTHER COMMUNITY HEALTH ACTIVITIES. ONE OF THESE VITAL PROGRAMS, MEDICAID, IS A LIFELINE FOR MILLIONS OF INDIVIDUALS, INCLUDING SENIORS, CHILDREN, PREGNANT PATIENTS, THOSE WITH DISABILITIES AND VETERANS. WE ARE GRATEFUL TO EVERYONE IN OUR COMMUNITIES WHO HAS JOINED US IN ADVOCATING FOR CONTINUED FUNDING AND EXPANSION OF THIS PROGRAM. TOGETHER, WE ARE HELPING TO ENSURE MORE PEOPLE HAVE ACCESS TO NEEDED CARE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT THROUGH OUR COMMUNITY BENEFIT PROGRAMS, WE FOCUS ON MEETING THE DIVERSE NEEDS OF THE PEOPLE WE SERVE BY WORKING TO ENSURE BASIC HEALTH NEEDS ARE MET, REMOVING BARRIERS TO CARE, BUILDING COMMUNITY RESILIENCE AND INNOVATING FOR THE FUTURE. PROVIDENCE CONTINUES TO WORK TOWARDS CARBON NEGATIVE AND IN 2024 DECREASED EMISSIONS BY 19 PERCENT COMPARED TO OUR 2019 BASELINE. OUR EFFORTS EARNED US A SYSTEM RECORD 55 ENVIRONMENTAL EXCELLENCE AWARDS FROM PRACTICE GREENHEALTH AND MADE US THE FIRST LARGE SYSTEM TO RECEIVE THE JOINT COMMISSION'S SUSTAINABLE HEALTHCARE CERTIFICATION IN 2024 FOR EACH OF OUR HOSPITALS. THE FOLLOWING ARE KEY EXAMPLES OF HOW WE ARE INVESTING IN ADVANCING THE HEALTH OF OUR COMMUNITIES: ST. JOSEPH FUND: ST. JOSEPH FUND (SJF) IS PROVIDENCE'S GRANTMAKING FOUNDATION. IT INVESTS IN AND FOSTERS LONG-TERM PARTNERSHIPS, ROOTED IN LOVE, WITH COMMUNITIES TO ENSURE THEY ARE LIVELY, HOPEFUL, HEALTHY, AND JUST. ITS PARTNERSHIPS ARE TAILORED TO PROVIDE EACH GROUP WITH CAPACITY-BUILDING SUPPORT SPECIFIC TO THEIR NEEDS. TOGETHER, THEY BUILD RELATIONSHIPS AND FOSTER ONGOING DIALOGUES BEYOND A GRANT TERM. EACH PARTNERSHIP ENCOURAGES THE ACCESSIBILITY OF STAFF TO GENERATE IDEAS AND INNOVATIONS. SJF INVESTS IN REGIONAL NONPROFITS AND COLLABORATIVES ACROSS ALASKA, CALIFORNIA, MONTANA, OREGON, AND WASHINGTON TO STRENGTHEN AND BUILD THE POWER OF COMMUNITIES, FOCUSING ON BUILDING COMMUNITY IN FOUR KEY AREAS: - DISASTER RESPONSE AND RESILIENCE - LIFELONG EDUCATION THAT OPENS DOORS - POSITIVE CHANGE THROUGH COMMUNITY POWER - COMMUNITY HEALING AND RESILIENCE CAPACITY BUILDING IS AT THE CENTER OF SJF'S WORK. BY THAT, IT MEANS INFRASTRUCTURE DEVELOPMENT, INTERNAL ASSESSMENTS, RESEARCH, TRAINING, COHORT LEARNING, EXAMINING POLICIES AND PROCEDURES, AND MORE TO ENCOMPASS THE BUILDING BLOCKS FOR ORGANIZATIONAL POWER TO CARRY FORTH DIRECT COMMUNITY AND SOCIAL IMPACT. IT PARTNERS WITH COMMUNITY MEMBERS TO GO THE DISTANCE WITH THEM TOWARD WHOLENESS. THE SJF DOESN'T JUST FUND INITIATIVES - IT REMAINS PARTNERS LONG AFTER THE GRANT FUNDS HAVE BEEN EXPENDED. SJF LEADERS AND THOSE AT THEIR NONPROFIT PARTNERS EACH HAVE LIVED EXPERIENCE AND UNDERSTAND THE NEEDS OF UNDERSERVED COMMUNITIES. THE SJF TEAM IS MOTIVATED BY COMPASSION, KINDNESS, AND THE DESIRE TO BENEFIT OTHERS AND BELIEVES THIS LEADS TO MORE POSITIVE OUTCOMES AND CREATES A SENSE OF FULFILLMENT AND SATISFACTION. ABOVE ALL, SJF BELIEVES IN THE POWER OF THE COMMUNITY. IT CELEBRATES AND CENTERS COMMUNITY EXPERTISE AND EXPERIENCE. IT LISTENS TO THEIR WISDOM. IT UNDERSTANDS THEIR NEEDS. AND IT INVESTS IN THEIR OPPORTUNITIES. SJF ENVISIONS WORKING AND LIVING TOGETHER IN LIVELY, HOPEFUL, HEALTHY, AND JUST COMMUNITIES. THE SJF INVESTS IN LONG-TERM PARTNERSHIPS ROOTED IN LOVE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/INITIATIVES/ST-JOSEPH-FUND INVESTING IN OUR COMMUNITIES IS AN ESSENTIAL WAY WE LIVE OUR MISSION:FOR 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 EFFORTS. BELOW WE HIGHLIGHT KEY EXAMPLES. THE PROVIDENCE FAMILY OF ORGANIZATIONS IS A TIRELESS ADVOCATE FOR HEALTH AND SOCIAL PROGRAMS, AND POLICIES THAT CONTRIBUTE TO THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. GROUNDED IN OUR MISSION AND BELIEF THAT EVERY PERSON IS EQUAL IN DIGNITY AND VALUE, WE ADVOCATE FOR MORE JUST AND EQUITABLE HEALTH CARE FOR ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. WE BELIEVE THAT HEALTH IS A HUMAN RIGHT AND WE PARTNER WITH LAWMAKERS TO ADVANCE POLICIES THAT BRING OUR VISION OF HEALTH FOR A BETTER WORLD TO LIFE.THROUGH A COLLABORATION WITH LIKEMINDED STAKEHOLDERS AND ASSOCIATIONS, PROVIDENCE LED LOCAL, STATE AND FEDERAL POLICY PRIORITIES TO EXPAND ACCESS AND COVERAGE TO SOME OF OUR MOST VULNERABLE IN OUR COMMUNITIES. SOME OF OUR ACHIEVEMENTS INCLUDE:- EXPANDING ACCESS TO CARE FOR UNDERSERVED POPULATIONS- PRESERVING THE MEDICAID PROGRAM- SUPPORTING OPERATIONAL AND FINANCIAL STABILITY THROUGH IMPROVED REIMBURSEMENT- ADVANCING POLICIES THAT STRENGTHEN THE HEALTHCARE WORKFORCE PIPELINE- INCREASING ACCESS TO MENTAL HEALTH SERVICESADVOCACY 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 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 CHANGE TO 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 CAMINO HEALTH CENTER 31351 RANCHO VIEJO ROAD SAN JUAN CAPISTRANO CA 92675 330574214 501(C)(3) 1000000 0 COMMUNITY BENEFIT RESTRICTED GRANT FAMILY ASSISTANCE MINISTRIES 1030 CALLE NEGOCIO SAN CLEMENTE CA 92673 330864870 501(C)(3) 150000 0 COMMUNITY BENEFIT RESTRICTED GRANT ORANGE COUNTY UNITED WAY 18012 MITCHELL S IRVINE CA 92614 330047994 501(C)(3) 175000 0 COMMUNITY BENEFIT RESTRICTED GRANT ST JUDE NEIGHBORHOOD HEALTH CENTERS 731 S HIGHLAND AVE FULLERTON CA 92832 453977605 501(C)(3) 48048 0 COMMUNITY BENEFIT RESTRICTED GRANT FRIENDSHIP SHELTER INC 3345 MICHELSON DIRVE SUITE 100 IRVINE CA 92612 330219404 501(C)(3) 18000 0 COMMUNITY BENEFIT RESTRICTED GRANT RSM CHAMBER OF COMMERCE 22232 EI PASEO RANCHO SANTA MARGARITA CA 92688 822513823 501(C)(6) 12500 0 COMMUNITY BENEFIT RESTRICTED GRANT 5 1 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 BRIAN LEE HELLELAND CHIEF EXEC SO CA OC/HD 0 733551 0 542161 0 254269 0 222377 0 10891 0 1763249 0 163607 SETH TEIGEN CEO/PRESIDENT 0 578574 0 432222 0 141633 0 169864 0 20260 0 1342553 0 117493 JIM WATSON ESQ SECRETARY 0 494455 0 358832 0 102636 0 110879 0 17651 0 1084453 0 77014 JIM MARTIN ASSISTANT TREASURER 0 463263 0 290109 0 66993 0 88541 0 8347 0 917253 0 64532 JO ANN ESCASA-HAIGH FRMR ASSISTANT TREASURER 0 0 0 0 0 879466 0 0 0 0 0 879466 0 0 TERRENCE WOOTEN FORMER CE QVMC 0 0 0 0 0 694493 0 0 0 0 0 694493 0 262982 MELANIE SPENCER WOLF CHIEF MEDICAL OFFICER HOSPITAL 449804 0 45772 0 2359 0 20044 0 6108 0 524087 0 0 0 EILEEN HAUBL SVP & CHIEF FINANCIAL OFFICER 0 406971 0 51078 0 16110 0 38006 0 4007 0 516172 0 9857 MICHAEL MARINO DO FRMR OFF. - SVP, CHIEF MED INFO 0 0 0 0 0 493170 0 0 0 0 0 493170 0 0 JENNIFER CORD CHIEF NURSING OFFICER 372754 0 36980 0 7721 0 20256 0 11932 0 449643 0 4035 0 NICOLE BALSAMO AVP FOUNDATION/CPO 322046 0 41860 0 24154 0 16717 0 1156 0 405933 0 0 0 EVELYN SCHLOSSER EXEC DIR ACUTE CARE OPERATIONS 315200 0 31697 0 11344 0 18471 0 9409 0 386121 0 1321 0 MARK JABLONSKI FRMR OFF. - PSJH CMO 0 278570 0 26314 0 33599 0 30201 0 8978 0 377662 0 1944 MARIA LEXA BATAC SUPERVISOR NURSING 309054 0 17600 0 6457 0 30689 0 10758 0 374558 0 726 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0 287131 0 28005 0 1418 0 14332 0 4600 0 335486 0 0 JOE JUNG EXECUTIVE DIRECTOR NURSING 276459 0 27098 0 2621 0 13732 0 4435 0 324345 0 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. THESE REIMBURSEMENTS ARE NOT REPORTED AS TAXABLE COMPENSATION. 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.THIS BENEFIT IS CONSIDERED A TAXABLE BENEFIT AND IS INCLUDED ON THE EMPLOYEE'S FORM W-2. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE. PART I, LINE 3 DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING 2024: JO ANN ESCASA-HAIGH - $879,466 TERRENCE WOOTEN - $423,259 MICHAEL MARINO, D.O. - $493,170 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: BRIAN LEE HELLELAND - $163,607 SETH TEIGEN - $117,493 JIM WATSON, ESQ - $77,014 JIM MARTIN - $64,532 TERRENCE WOOTEN - $262,982 EILEEN HAUBL - $9,857 JENNIFER CORD - $4,035 EVELYN SCHLOSSER - $1,321 MARK JABLONSKI - $1,944 MARIA LEXA BATAC - $726 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 2428954 MEDICAL SERVICES 0 FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: (CONTINUE) THESE CENTERS SERVE AS LIFELINES FOR MANY PEOPLE IN THE COMMUNITY. OUR MONTHLY FOOD DISTRIBUTION PROVIDES FOR NEARLY 600 PEOPLE. COMBINED, THE TWO CENTERS RECORDED 49,922 VISITS IN CY24. ADDRESSING EQUITY THROUGH COMMUNITY PARTNERSHIPS: EVERYONE SHOULD HAVE A FAIR AND JUST OPPORTUNITY TO ATTAIN THEIR FULL POTENTIAL, AND NO ONE SHOULD BE DISADVANTAGED OR EXCLUDED BASED ON CHARACTERISTICS. IN 2020, WE GATHERED A GROUP OF NONPROFIT LEADERS AND RESIDENTS FROM SOUTH ORANGE COUNTY TO EXPLORE HOW TO COLLECTIVELY ADRESS ISSUES OF INEQUALITY. OVER THE COURSE OF TWO YEARS, THE SOUTH OC FOR ALL (PREVIOUSLY 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, WITH MOST OF ITS 900 HOUSEHOLDS SPEND 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 DESIGNED FOR THE MOST VULNERABLE FAMILIES IN OUR COMMUNITIES, BY PROVIDING RESEARCH SUPPORT TO DEVELOP LONG-TERM HOUSING SOLUTIONS, AND BY EMPOWERING RESIDENTS TO SHARE THEIR EXPERIENCES AND BUILD LEADERSHIP AND CIVIC ENGAGEMENT SKILLS TO EFFECT CHANGE IN THEIR LOCAL COMMUNITIES. IN 2024, THE COLLABORATIVE HIRED A MANAGER. THIS ROLE HELPED THE COLLABORATIVE STAY ON TRACK WITH GRANT REQUIREMENTS. IN MAY 2024, IT MOVED ITS FIRST COLLECTIVE PROJECT FORWARD: ESTABLISHING A COHESIVE COLLABORATIVE ENGAGEMENT STRUCTURE THAT HAS FULFILLED COMPLEX, INTEGRATED SCOPES OF WORK AMONG DIVERSE IMPLEMENTATION TEAMS. WHILE FOSTERING MUTUAL TRUST, RESIDENT ENGAGEMENT AND COMMUNITY VOICE. THE COLLABORATIVE'S MISSION AND VISION HAVE BEEN PUT INTO PRACTICE THROUGH INCREASED STAFF PARTICIPATION AND DEVELOPMENT, COUNTY-WIDE CROSS-COLLABORATION AND ALIGNMENT OF STRATEGIC PARTNERSHIP, AND CREATION OF UNIQUE DIGITAL & DATA SUPPORTS. 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 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. 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 PROVIDENCE CHIEF RISK OFFICER, AND/OR PROVIDENCE CHIEF COMPLIANCE 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, 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 2025. 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 11,135,844. MANAGEMENT AND GENERAL EXPENSES 525,700. FUNDRAISING EXPENSES 35,409. TOTAL EXPENSES 11,696,953. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 9,799,423. MANAGEMENT AND GENERAL EXPENSES 462,610. FUNDRAISING EXPENSES 31,159. TOTAL EXPENSES 10,293,192. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 41,087,289. MANAGEMENT AND GENERAL EXPENSES 1,939,644. FUNDRAISING EXPENSES 130,646. TOTAL EXPENSES 43,157,579. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 60,275,669. MANAGEMENT AND GENERAL EXPENSES 2,845,486. FUNDRAISING EXPENSES 191,660. TOTAL EXPENSES 63,312,815. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 16,753,249. MANAGEMENT AND GENERAL EXPENSES 790,885. FUNDRAISING EXPENSES 53,271. TOTAL EXPENSES 17,597,405. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 22,465,040. OTHER CHANGES IN NET ASSETS 5,975,039. 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 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 LHH LLC 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 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 NORTHWEST HOPE & HEALING 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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 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