2025-11-13T08:23:20-06:00 2024-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2024-01-01 510216589 PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA PROV 4255253985 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 HELEN ANDRUS CHIEF ACCOUNTING OFFICER 4255253985 2025-11-05 1 1 EVA NITTA P01286320 4158948000 2025-10-29 2024 2025-03-06 01:10:19Z ERIK WEXLER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 2351193819 0 0928 X HTTP://CALIFORNIA.PROVIDENCE.ORG/ X 1903 CA SEE SCHEDULE OAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 12 12 13185 3560 -5281796 4201646 66971656 37112727 1890412941 2020220877 4626255 8149083 207762503 261310520 2169773355 2326793207 1996606 16183908 0 0 801674661 1008361826 0 0 2805130 1493108154 1144871689 2296779421 2169417423 -127006066 157375784 2506012773 3528554236 3835592397 4844372357 -1329579624 -1315818121 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 1952545866 16183908 2270341949 SEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE 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. 2024 PROGRAM SERVICE ACCOMPLISHMENTS PROVIDENCE CONTINUES ITS MISSION OF SERVICE IN THE SOUTH BAY SERVICE AREA OF LOS ANGELES COUNTY THROUGH TWO MINISTRIES: PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO AND PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE. PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE IS LOCATED AT 4101 TORRANCE BOULEVARD, TORRANCE, CA, 90503. IT IS AN ACUTE CARE HOSPITAL WITH 327 LICENSED BEDS FOUNDED IN 1960. PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO IS LOCATED AT 1300 WEST SEVENTH STREET, SAN PEDRO, CA, 90732. IT IS AN ACUTE CARE HOSPITAL WITH 231 LICENSED BEDS FOUNDED IN 1925. THESE TWO PROVIDENCE MEDICAL CENTERS SHARE THE SOUTH BAY AS A COMMON SERVICE AREA BECAUSE OF THEIR GEOGRAPHIC PROXIMITY TO EACH OTHER, WHICH IS MADE UP OF A POPULATION OF 884,116 PEOPLE. THE PROVIDENCE LOS ANGELES SERVICE AREA - VALLEY SERVICE AREA IS COMPRISED OF THE GEOGRAPHICALLY CONTIGUOUS SERVICE AREAS OF THE THREE PROVIDENCE MEDICAL CENTERS: NAMELY, PROVIDENCE HOLY CROSS MEDICAL CENTER (PHCMC; MISSION HILLS); PROVIDENCE ST. JOSEPH MEDICAL CENTER (PSJMC; BURBANK); AND PROVIDENCE CEDARS-SINAI TARZANA MEDICAL CENTER (PCSTMC; TARZANA). PROVIDENCE CEDAR-SINAI TARZANA INFORMATION IS REFLECTED IN A SEPARATE 990 SCHEDULE H AND PROGRAM ACCOMPLISHMENTS NARRATIVE. DURING CALENDAR YEAR 2024, THE COMBINED ECONOMIC VALUE OF COMMUNITY BENEFIT PROVIDED BY LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE, PROVIDENCE HOLY CROSS AND PROVIDENCE ST. JOSEPH MEDICAL CENTER BURBANK, THE SOUTHERN CALIFORNIA REGIONAL OFFICE AND HOME HEALTH AGENCIES WAS $95M (INCLUDES CHARITY CARE, MEDICAL SHORTFALL AND COMMUNITY BENEFIT SERVICES), EXCLUDING COMMUNITY BUILDING. SOUTH BAY: IN RESPONSE TO COMMUNITY, THE SOUTH BAY HOSPITALS ADDRESSED THE FOLLOWING NEEDS WITHIN OUR COMMUNITIES: 1. ACCESS TO HEALTH CARE AND PREVENTATIVE CARE 2. HOMELESSNESS AND HOUSING INSTABILITY 3. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE/MISUSE) THESE THREE PRIORITIZED HEALTH NEEDS ARE BEING ADDRESSED WITHIN OUR COMMUNITY-BASED PROGRAMS THAT PROVIDE INFORMATION, RESOURCES, AND ASSISTANCE TO THE UNDERSERVED COMMUNITIES WITHIN OUR SOUTH BAY (SB) SERVICE AREA AS PART OF A THREE-YEAR IMPLEMENTATION STRATEGY. BELOW ARE THE 2024 ACCOMPLISHMENTS. 1. ACCESS TO HEALTH CARE AND PREVENTATIVE CARE - ASSISTED WITH 1,126 HOUSEHOLD INSURANCE APPLICATIONS, HELPING 2,050 INDIVIDUALS THROUGH OUR COMMUNITY HEALTH INSURANCE PROGRAM, WITH 63% OF THEM CONFIRMED ENROLLED. - CONDUCTED 1,218 HOME VISITATIONS TO PREGNANT AND/OR NEW PARENTS, PROVIDING THEM INFORMATION AND SUPPORTING THEM THROUGH THEIR JOURNEY OF PREGNANCY AND EARLY PARENTHOOD. - ADMINISTERED 3,805 CHILDHOOD VACCINES AND 320 INFLUENZA VACCINES AT COMMUNITY SITES. - CONDUCTED 6,919 HOUSEHOLD VISITS TO CONDUCT SCREENINGS, PROVIDE REFERRALS, AND OUTREACH IN WILMINGTON THROUGH OUR COMMUNITY PUBLIC HEALTH TEAM. - PROVIDED 2,092 FOLLOW-UP PRIMARY CARE REFERRALS AND APPOINTMENTS MADE THROUGH OUR ED COMMUNITY HEALTH WORKER PROGRAM, WITH 1,330 INDIVIDUALS SUCCESSFULLY KEEPING THEIR APPOINTMENT. 2. HOMELESSNESS AND HOUSING INSTABILITY - COMMUNITY HEALTH WORKER HOMELESS CARE NAVIGATORS PROVIDED ASSESSMENT AND RESOURCE REFERRAL ASSISTANCE FOR 292 HOMELESS PATIENTS, SUCCESSFULLY CONNECTING 71 OF THEM TO A FORM OF HOUSING AFTER DISCHARGE FROM THE HOSPITAL.3. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE/MISUSE) - HELD 18 MENTAL HEALTH FIRST AID TRAININGS, WITH 251 INDIVIDUALS SUCCESSFULLY COMPLETING THE CLASS. - REFERRED 225 PATIENTS FOR INDIVIDUAL THERAPY AT OUR VASEK POLAK CLINIC, WITH 87 ENROLLING IN THE PROGRAM. - FOLLOW UP OUTREACH POST-DISCHARGE TO 481 EMERGENCY DEPARTMENT PATIENTS WHO WERE DIAGNOSED WITH BEHAVIORAL HEALTH CONDITIONS, ENROLLING 161 OF THEM IN FURTHER SERVICES (THERAPY, COUNSELING, AND SUBSTANCE ABUSE FACILITIES) SAN FERNANDO VALLEY: IN RESPONSE TO COMMUNITY, THE SAN FERNANDO VALLEY HOSPITALS ADDRESSED THE FOLLOWING NEEDS WITHIN OUR COMMUNITIES: 1. ACCESS TO HEALTH CARE AND PREVENTATIVE CARE 2. HOMELESSNESS AND HOUSING INSTABILITY 3. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE/MISUSE) THESE THREE PRIORITIZED HEALTH NEEDS ARE BEING ADDRESSED WITHIN OUR COMMUNITY-BASED PROGRAMS THAT PROVIDE INFORMATION, RESOURCES, AND ASSISTANCE TO THE UNDERSERVED COMMUNITIES WITHIN OUR SAN FERNANDO VALLEY (SFV) SERVICE AREA AS PART OF A THREE-YEAR IMPLEMENTATION STRATEGY. 1. ACCESS TO HEALTH CARE AND PREVENTIVE CARE: - ASSISTED WITH OVER 480 HOUSEHOLD INSURANCE APPLICATIONS FOR OVER 850 INDIVIDUALS IN 2024 THROUGH OUR SFV COMMUNITY HEALTH INSURANCE PROGRAM, CONFIRMING ENROLLMENT FOR 80% OF THEM. - PROVIDED 610 FLU VACCINATIONS TO COMMUNITY MEMBERS AT LOCAL SCHOOL SITES IN THE SFV. - MADE PRIMARY CARE REFERRALS FOR 246 EMERGENCY DEPARTMENT PATIENTS, AS WELL AS 300 MEDI-CAL APPOINTMENTS, LINKING PATIENTS TO FINANCIAL COUNSELORS. - IDENTIFIED 145 INDIVIDUALS WHO SCREENED POSITIVE FOR SOCIAL DETERMINANTS OF HEALTH NEEDS, PROVIDING THEM REFERRALS AND RESOURCES TO ADDRESS THOSE NEEDS. 2. HOUSING AND HOMELESSNESS - COMPLETED DISCHARGE PAPERWORK FOR 677 HOMELESS PATIENTS VISITING OUR SFV EMERGENCY DEPARTMENTS, SUCCESSFULLY CONNECTING 135 OF THEM IN A FORM OF HOUSING. 3. MENTAL HEALTH INCLUDING SUBSTANCE USE/MISUSE - PROVIDED 26 MENTAL HEALTH FIRST AID TRAINING SESSIONS AT COMMUNITY LOCATIONS IN THE SFV, WITH 323 PARPARTICIPANTS COMPLETING THEM. - CONTACTED 376 PATIENTS IN OUR SFV EMERGENCY DEPARTMENTS, SCREENING THEM FOR MENTAL HEALTH, BEHAVIORAL HEALTH, OR SUBSTANCE USE/MISUSE ISSUES. 163 OF THEM WERE SUCCESSFULLY REFERRED TO ADDITIONAL SERVICES. 1952545866 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 625 0 1 13185 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 CA X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 ERIK WEXLER PRESIDENT/CEO 0.50 64.50 X 0 8590356 535028 GREG HOFFMAN EVP & CFO/TREASURER 0.50 64.50 X 0 3880224 390705 ANNA NEWSOM EVP & CHIEF LEGAL OFFICER/SECRETARY 0.50 64.50 X 0 2610531 285144 LAUREEN DRISCOLL RN DIVISION CHIEF EXEC - SOUTH 63.00 2.00 X 0 2086520 309720 GARRY OLNEY FORMER KE - CE NOR CA 0.00 55.00 X 0 1680593 210448 MICHAEL RICKS CHIEF EXEC SO CA LA COASTAL 27.00 28.00 X 0 1588494 232067 BRIAN LEE HELLELAND FRMR KE - CHIEF EXEC SO CA OC/HD 0.00 55.00 X 0 1529981 233268 BERNIE KLEIN MD CHIEF EXEC PROV HOLY CROSS MC 54.50 0.50 X 0 1361688 235492 NATHAN HUSMANN FRMR KE - CFO MANAGED CARE 0.00 55.00 X 0 1136956 192223 KARL KEELER CHIEF EXEC SO CA LA VALLEY 54.50 0.50 X 0 964251 198640 JIM WATSON ESQ ASSISTANT SECRETARY 0.50 54.50 X 0 955923 128530 JIM MARTIN ASSISTANT TREASURER 0.50 54.50 X 0 820365 96888 JO ANN ESCASA-HAIGH FRMR EVP/TREASURER/CFO 0.00 0.00 X 0 879466 0 SHELBY ARVESON DIVISION CFO - SOUTH 53.00 2.00 X 0 511276 131279 GLEN KOMATSU CHIEF MEDICAL OFFICER HOSPITAL 50.00 0.00 X 553494 0 71900 REX HOFFMAN CHIEF MEDICAL OFFICER HOSPITAL 50.00 0.00 X 583011 0 33330 JEREMY ZOCH FORMER SJO CE 0.00 0.00 X 0 598250 0 LISA LAURENT CHIEF MEDICAL OFFICER HOSPITAL 50.00 0.00 X 520673 0 27533 GREGORY GISSENDANNER AVP FOUNDATION/CPO 50.00 0.00 X 467362 0 21352 RENEE BIANCANIELLO AVP FOUNDATION/CPO 50.00 0.00 X 448973 0 32906 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0.50 54.50 X 0 316554 18932 MARY LYONS PHD DIRECTOR 0.50 13.00 X 0 100944 0 MICHAEL MURPHY BOARD CHAIR 0.50 13.00 X 0 75168 0 RICHARD BLAIR DIRECTOR 0.50 13.00 X 0 51379 0 CHARLES SORENSON MD DIRECTOR 0.50 13.00 X 0 50000 0 ISIAAH CRAWFORD PHD DIRECTOR 0.50 14.50 X 0 50000 0 MARVIN O'QUINN DIRECTOR 0.50 12.50 X 0 42989 0 ERIC SPRUNK DIRECTOR 0.50 13.00 X 0 40000 0 MARY BETH KINGSTON DIRECTOR 0.50 13.00 X 0 40000 0 SISTER CAROL PACINI LCM DIRECTOR - THRU 12/31/24 0.50 13.00 X 0 0 0 SISTER DIANE HEJNA CSJ RN DIRECTOR 0.50 13.00 X 0 0 0 SISTER DONNA MARKHAM DIRECTOR 0.50 12.50 X 0 0 0 SISTER PHYLLIS HUGHES RSM DRPH DIRECTOR 0.50 13.00 X 0 0 0 2573513 29961908 3385385 3482 1 1 0 AYA HEALTHCARE PO BOX 674907 DALLAS TX 75267 STAFFING SERVICES 42084098 CASS INFORMATION SYSTEMS INC 12444 POWERSCOURT DR 550 ST LOUIS MO 63131 PAYMENT SERVICES 28542722 AV CONSTRUCTION 18444 WARD ST FOUNTAIN VALLEY CA 92708 CONSTRUCTION SERVICES 14431120 BUENA VISTA ANESTHESIA MED GRP PO BOX 60790 PASADENA CA 91116 MEDICAL SERVICES 8779559 MISSION LINEN SUPPLY 702 E MONTECITO ST SANTA BARBARA CA 93103 LAUNDRY SERVICES 8204941 346 29634621 1647301 5830805 37112727 NET PATIENT REVENUE 622110 2017097794 2017097794 OTHER PATIENT SERVICE 622110 3758450 3758450 JV INCOME 900099 -635367 -635367 2020220877 4156953 -9597114 13754067 34160184 23628896 10531288 10531288 10531288 772318 3991528 771716 0 602 3991528 3992130 3657158 334972 INTERAFFILIATE REVENUE 900099 198090619 198090619 COST RECOVERIES 900099 29219290 29219290 CAFETERIA REVENUE 722514 5505957 5505957 17963366 17305206 658160 250779232 2326793207 2270341949 -5281796 24620327 16183908 16183908 785374333 688223528 95894206 1256599 45778960 40116103 5589611 73246 119044891 104319038 14535381 190472 58163642 50968799 7101781 93062 6192111 5426147 756057 9907 215131770 188519969 26267590 344211 2153655 1887248 262961 3446 28655632 25110930 3498853 45849 698946 612487 85341 1118 24952810 21866148 3046738 39924 4078079 3573620 497933 6526 18274794 16014202 2231352 29240 56395502 49419378 6885891 90233 328 287 40 1 SYSTEM COST ALLOCATION 368328379 322766159 44972895 589325 MEDICAL FEES 260991056 260991056 HOSPITAL FEES 139036669 139036669 UBI TAXES PAID 55001 48197 6716 88 19926957 17461993 2433081 31883 2169417423 1952545866 214066427 2805130 X 248797681 848037140 137148 179763 9983288 6079636 168532667 350994354 7257418 5513810 17439771 18425166 3518898 878582 2602759575 1589692268 747246499 1013067307 7694650 7694650 755039598 764932091 540365155 512751737 2506012773 3528554236 166862883 140324245 2447084 4752754 3666282430 4699295358 3835592397 4844372357 X -1458599421 -1433520063 129019797 117701942 -1329579624 -1315818121 2506012773 3528554236 X 157375784 -143614281 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 432472 432472 0 PART II-B, LINE 1: THE LOBBYING EXPENDITURES REPORTED REPRESENT THE PORTION OF DUES PAID TO ALLIANCE OF CATHOLIC HEALTH CARE, AMERICAN HOSPITAL ASSOCIATION AND CALIFORNIA HOSPITAL ASSOCIATION FOR LOBBYING SERVICES. PART II-B, LINE 1I, LOBBYING ACTIVITIES OUR 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. 723400 244005 32944 10500 989849 689162 37817 3579 723400 661628 39754 -12220 689162 552550 60991 48087 661628 552550 552550 0.00000 0.97388 0.02612 0 1 1 187922161 187922161 1308582395 722564591 586017804 61432948 25910126 35522822 940662222 841217551 99444671 104159849 104159849 1013067307 HEALTHCARE JOINT VENTURES 546122578 F BENEFICIAL INTEREST IN FOUNDATION 218809513 F 764932091 HOSPITAL FEE/PROVIDER TAX RECEIVABLE 300432403 RIGHT OF USE OPERATING LEASES 124200260 DUE FROM AFFILIATES 15629172 DUE FROM THIRD PARTY 14394683 INVESTMENT IN CORP SUBSIDIARIES 58095219 512751737 DUE TO AFFILIATES 3956818005 LONG-TERM MASTER TRUST DEBT 133501555 I/C - TAX-EXEMPT BOND LIABILITIES 250625000 HOSPITAL FEE/PROVIDER TAX LIABILITY 153160790 CAPITAL LEASE OBLIGATIONS 70269074 DUE TO THIRD PARTY 62206139 OTHER LIABILITIES 72714795 4699295358 PART V, LINE 4: THE HIGH SCHOOL HAS TWO ENDOWMENT FUNDS ESTABLISHED FOR SCHOLARSHIP PURPOSES AND IS DONOR-RESTRICTED. 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 19681977 0 19681977 0.00910 615996281 560710301 55285980 0.02550 3480611 4097787 0 0.00000 639158869 564808088 74967957 0.03460 25989650 8582391 17407259 0.00800 1535394 32904 1502490 0.00070 0 0 0 0 1010949 0 1010949 0.00050 28535993 8615295 19920698 0.00920 667694862 573423383 94888655 0.04380 0 706568648 803168282 -96599634 X 1 0 4 1 PROVIDENCE ST JOSEPH MEDICAL CENTER 501 S BUENA VISTA ST BURBANK CA 91505 HTTPS://WWW.PROVIDENCE.ORG/OBP 930000159 X X X A 2 PROVIDENCE LCM MED CTR - TORRANCE 4101 TORRANCE BOULEVARD TORRANCE CA 90505 HTTPS://WWW.PROVIDENCE.ORG/OBP 930000089 X X X A 3 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI ST MISSION HILLS CA 91345 HTTPS://WWW.PROVIDENCE.ORG/OBP 930000404 X X X X A 4 PROVIDENCE LCM MED CTR - SAN PEDRO 1300 WEST SEVENTH STREET SAN PEDRO CA 90732 HTTPS://WWW.PROVIDENCE.ORG/OBP 930000142 X X X A PHS - SOUTHERN CALIFORNIA ( GROUP A) 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X 1 23 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 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: PROVIDENCE ST. JOSEPH MEDICAL CENTER, - FACILITY 2: PROVIDENCE LCM MED. CTR. - TORRANCE, - FACILITY 3: PROVIDENCE HOLY CROSS MEDICAL CENTER, - FACILITY 4: PROVIDENCE LCM MED. CTR. - SAN PEDRO PHS - SOUTHERN CALIFORNIA ( GROUP A) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY ARE PRIORITIZED BASED ON THE METHODOLOGY DESCRIBED IN THE MOST RECENT CHNA SECTION ON SIGNIFICANT HEALTH NEEDS. PART V, SECTION B FACILITY REPORTING GROUP B PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 5: PROVIDENCE ST. JOSEPH MEDICAL CENTER AND PROVIDENCE HOLY CROSS MEDICAL CENTER PROVIDENCE ST. JOSEPH AND PROVIDENCE HOLY CROSS (PROVIDENCE VSA) CONDUCTED KEY INFORMANT INTERVIEWS AND LISTENING SESSIONS WITH INDIVIDUALS WHO REPRESENT A VARIETY OF LOW-INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS THROUGHOUT THE HOSPITALS' SERVICE AREA. BOTH MEDICAL CENTERS ARE GOVERNED BY THE VALLEY SERVICE AREA COMMUNITY MINISTRY BOARD.PROVIDENCE VSA RECOGNIZES THE VALUE OF INPUT FROM COMMUNITY MEMBERS AND LOCAL STAKEHOLDERS DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. AS THE PEOPLE WHO LIVE AND WORK IN THE SAN FERNANDO VALLEY, THEY HAVE FIRST-HAND KNOWLEDGE OF THE NEEDS AND STRENGTHS OF THEIR COMMUNITY AND THEIR OPINIONS HELP TO SHAPE OUR FUTURE DIRECTION. TO BETTER UNDERSTAND THEIR UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE, PROVIDENCE VSA CONDUCTED STAKEHOLDER INTERVIEWS WITH REPRESENTATIVES OF COMMUNITY-BASED ALONG WITH LISTENING SESSIONS WITH COMMUNITY MEMBERS. DURING THESE INTERVIEWS AND LISTENING SESSIONS, COMMUNITY MEMBERS AND NONPROFIT AND GOVERNMENT STAKEHOLDERS DISCUSSED THE ISSUES AND OPPORTUNITIES OF THE PEOPLE, NEIGHBORHOODS, AND CITIES OF THE SERVICE AREA. KEY TAKEAWAYS GATHERED THROUGH ORGANIZATIONAL LEADER INTERVIEWS AND COMMUNITY RESIDENT LISTENING SESSIONS ARE INCLUDED IN THIS REPORT, ORGANIZED BY RELEVANT HEALTH NEED.2022 CHNA KEY INFORMANTS: - ALL-INCLUSIVE COMMUNITY HEALTH CENTER (COMMUNITY BASED ORGANIZATION, HEALTH CARE) - ASCENCIA (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS) - BCR, A PLACE TO GROW (COMMUNITY BASED ORGANIZATION, MENTAL HEALTH) - BURBANK COMMUNITY YMCA (NATIONAL ORGANIZATION, HEALTHY LIVING AND YOUTH DEVELOPMENT) - CITY OF BURBANK (GOVERNMENT) - CITY OF SAN FERNANDO (GOVERNMENT) - COMPREHENSIVE COMMUNITY HEALTH CENTER (COMMUNITY BASED ORGANIZATION, HEALTH CARE) - EL PROYECTO DEL BARRIO (COMMUNITY BASED ORGANIZATION, HEALTH CARE) - HELPING HANDS SENIOR FOUNDATION (COMMUNITY BASED ORGANIZATION, AGING SERVICES) - HOME AGAIN LA (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS) - HOPE OF THE VALLEY RESCUE MISSION (HOUSING/HOMELESSNESS) - KIDS' COMMUNITY DENTAL CLINIC (COMMUNITY BASED ORGANIZATION, DENTAL CARE) - LA FAMILY HOUSING (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS) - LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH (GOVERNMENT, PUBLIC HEALTH) - MEND (COMMUNITY BASED ORGANIZATION, FOOD INSECURITY) - NORTH VALLEY CARING SERVICES (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS) - NORTHEAST VALLEY HEALTH CORPORATION (COMMUNITY BASED ORGANIZATION, HEALTH CARE) - ONEGENERATION (COMMUNITY BASED ORGANIZATION, AGING SERVICES) - SAN FERNANDO COMMUNITY HEALTH CENTER (COMMUNITY BASED ORGANIZATION, HEALTH CARE) - SHERMAN OAKS ADULT CENTER & BERNARDI SENIOR CENTER (COMMUNITY BASED ORGANIZATION, AGING SERVICES) - TARZANA TREATMENT CENTERS (COMMUNITY BASED ORGANIZATION, HEALTH CARE) - THE OFFICE OF LAUSD SCHOOL BOARD MEMBER (GOVERNMENT, EDUCATION) - THE VILLAGE FAMILY SERVICES (COMMUNITY BASED ORGANIZATION, ACCESS TO CARE) - YMCA OF METROPOLITAN LOS ANGELES (NATIONAL ORGANIZATION, HEALTHY LIVING AND YOUTH DEVELOPMENT)THE 2022 CHNA WAS APPROVED BY THE VALLEY SERVICE AREA BOARD OF DIRECTORS ON OCTOBER 20, 2022, AND WAS MADE PUBLICLY AVAILABLE ON DECEMBER 28, 2022. PROVIDENCE LCM MED. CTR. - TORRANCE AND PROVIDENCE LCM MED. CTR. - SAN PEDRO PROVIDENCE SOUTH BAY RECOGNIZES THE VALUE OF INPUT FROM COMMUNITY MEMBERS AND LOCAL STAKEHOLDERS DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. AS THE PEOPLE WHO LIVE AND WORK IN THE SOUTH BAY, THEY HAVE FIRST-HAND KNOWLEDGE OF THE NEEDS AND STRENGTHS OF THEIR COMMUNITY AND THEIR OPINIONS HELP TO SHAPE OUR FUTURE DIRECTION. TO BETTER UNDERSTAND THEIR UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE, PROVIDENCE SOUTH BAY CONDUCTED STAKEHOLDER INTERVIEWS WITH REPRESENTATIVES OF COMMUNITY-BASED ALONG WITH LISTENING SESSIONS WITH COMMUNITY MEMBERS. DURING THESE INTERVIEWS AND LISTENING SESSIONS, COMMUNITY MEMBERS AND NONPROFIT AND GOVERNMENT STAKEHOLDERS DISCUSSED THE ISSUES AND OPPORTUNITIES OF THE PEOPLE, NEIGHBORHOODS, AND CITIES OF THE SERVICE AREA. KEY TAKEAWAYS GATHERED THROUGH ORGANIZATIONAL LEADER INTERVIEWS AND COMMUNITY RESIDENT LISTENING SESSIONS ARE INCLUDED IN THIS REPORT, ORGANIZED BY RELEVANT HEALTH NEED.2022 CHNA KEY INFORMANTS:- BEACH CITIES HEALTH DISTRICT (COMMUNITY BASED ORGANIZATION, HEALTH ACCESS AND EDUCATION)- BEHAVIORAL HEALTH SERVICES, INC. (COMMUNITY BASED ORGANIZATION, BEHAVIORAL HEALTH)- BLUE SHIELD PROMISE/LA CARE HEALTH PLAN (COMMUNITY BASED ORGANIZATION, ACCESS)- BOYS & GIRLS CLUBS OF THE LOS ANGELES HARBOR (NATIONAL ORGANIZATION, YOUTH DEVELOPMENT)- CALIFORNIA COMMUNITY FOUNDATION (COMMUNITY BASED ORGANIZATION, ACCESS)- CARING HOUSE (COMMUNITY BASED ORGANIZATION, HOSPICE CARE)- CHILD LANE (COMMUNITY BASED ORGANIZATION, EARLY EDUCATION)- CITY OF CARSON (GOVERNMENT)- CITY OF LAWNDALE (GOVERNMENT)- CITY OF TORRANCE (GOVERNMENT)- COMMUNITY'S CHILD (COMMUNITY BASED ORGANIZATION, HOUSING/ HOMELESSNESS)- EXP THE OPPORTUNITY ENGINE (YOUTH EMPLOYMENT SERVICES)- GOODWILL INDUSTRIES (COMMUNITY BASED ORGANIZATION, EMPLOYMENT SERVICES)- HARBOR INTERFAITH SERVICES (HOUSING/HOMELESSNESS)- LAWNDALE ELEMENTARY SCHOOL DISTRICT (SCHOOL DISTRICT, EDUCATION)- LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH (GOVERNMENT)- LOS ANGELES HARBOR COLLEGE (SCHOOL, EDUCATION)- LOS ANGELES HOMELESS SERVICES AGENCY (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS)- LOS ANGELES POLICE DEPARTMENT (GOVERNMENT)- LOS ANGELES UNIFIED SCHOOL DISTRICT (SCHOOL DISTRICT, EDUCATION)- MYCHAL'S LEARNING PLACE (COMMUNITY BASED ORGANIZATION, EMPLOYMENT SERVICES)- NATIONAL HEALTH FOUNDATION (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS)- OFFICE OF SAMOAN AFFAIRS (COMMUNITY BASED ORGANIZATION, ACCESS)- RICHSTONE FAMILY CENTER (COMMUNITY BASED ORGANIZATION, CHILD ABUSE TREATMENT AND PREVENTION)- SAN PEDRO UNITED METHODIST CHURCH (RELIGIOUS ORGANIZATION)- SOUTH BAY CHILDREN'S HEALTH CENTER (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- SOUTH BAY FAMILY HEALTH CARE (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- SOUTH BAY VILLAGE (COMMUNITY BASED ORGANIZATION, AGING SERVICES)- THE VOLUNTEER CENTER SOUTH BAY, HARBOR, LONG BEACH (COMMUNITY BASED ORGANIZATION, MENTAL HEALTH, FOOD INSECURITY, COMMUNITY WELLBEING)- UNIHEALTH FOUNDATION (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS)- VOLUNTEER CENTER SOUTH BAY-HARBOR-LONG BEACH (COMMUNITY BASED ORGANIZATION, VOLUNTEER SERVICES)- WILMINGTON COMMUNITY CLINIC (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- WILMINGTON YMCA (NATIONAL ORGANIZATION, HEALTHY LIVING AND YOUTH DEVELOPMENT)- YMCA OF METROPOLITAN LOS ANGELES (NATIONAL ORGANIZATION, HEALTHY LIVING AND YOUTH DEVELOPMENT)IN ADDITION TO CONDUCTING KEY INFORMANT INTERVIEWS AS PART OF ITS PRIMARY DATA COLLECTION, PROVIDENCE ALSO CONDUCTED LISTENING SESSIONS WITH PEOPLE WHO HAVE CHRONIC CONDITIONS, ARE FROM DIVERSE COMMUNITIES, HAVE LOW-INCOMES, AND/OR ARE MEDICALLY UNDERSERVED.THE 2022 CHNA WAS APPROVED BY THE MISSION COMMUNITY HEALTH COMMITTEE ON BEHALF OF THE PROVIDENCE LITTLE COMPANY OF MARY COMMUNITY MINISTRY BOARD ON SEPTEMBER 13, 2022, AND WAS MADE PUBLICLY AVAILABLE BY DECEMBER 28, 2022. PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 6A: PROVIDENCE ST. JOSEPH MEDICAL CENTER AND PROVIDENCE HOLY CROSS MEDICAL CENTER PROVIDENCE ST. JOSEPH MEDICAL CENTER AND PROVIDENCE HOLY CROSS MEDICAL CENTER COLLABORATED WITH PROVIDENCE CEDAR SINAI TARZANA MEDICAL CENTER TO COMPLETE THEIR JOINT COMMUNITY HEALTH NEEDS ASSESSMENT. THE THREE MEDICAL CENTERS AGREED UPON A COMMON DEFINITION OF COMMUNITY (SERVICE PLANNING AREA 2-SAN FERNANDO VALLEY) AND THE PRIMARY AND SECONDARY DATA WAS COLLECTED ACROSS THE SAN FERNANDO VALLEY. PROVIDENCE LCM MED. CTR. - TORRANCE AND PROVIDENCE LCM MED. CTR. - SAN PEDRO PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO AND PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE COLLABORATED TOGETHER TO COMPLETE THEIR JOINT COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITALS AGREED UPON A COMMON DEFINITION OF COMMUNITY (SERVICE PLANNING AREA 8 - SOUTH BAY, EXCLUDING LONG BEACH) AND THE PRIMARY AND SECONDARY DATA WAS COLLECTED ACROSS THE SOUTH BAY. PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH BIEL CONSULTING, INC, WHO TOOK PART IN STAKEHOLDER INTERVIEWS AND REVIEWED LISTENING SESSION SUMMARIES AND SECONDARY DATA, CONSOLIDATING THE INFORMATION AND HELPING WRITE OUR REPORT. PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, LINE 7A CHNA REPORT WEBSITE:PROVIDENCE ST. JOSEPH MEDICAL CENTER HTTPS://PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/PDFS/2022/2022-CHNA-PROVIDENCESAINTJOSEPHMEDICALCENTER.PDF PROVIDENCE HOLY CROSS MEDICAL CENTER HTTPS://PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/PDFS/2022/2022-CHNA-PROVIDENCEHOLYCROSSMEDICALCENTER.PDF PROVIDENCE LCM MED. CTR. - TORRANCE HTTPS://PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/PDFS/2022/2022-CHNA-PROVIDENCELITTLECOMPANYOFMARYTORRANCE.PDF PROVIDENCE LCM MED. CTR. - SAN PEDRO HTTPS://PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/PDFS/2022/2022-CHNA-PROVIDENCELITTLECOMPANYOFMARYSANPEDRO.PDF PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 10A: PROVIDENCE ST. JOSEPH MEDICAL CENTER AND PROVIDENCE HOLY CROSS MEDICAL CENTER HTTPS://PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/REPORTS/2023-2025_CHIP_SAINTJOSEPHMEDICALCENTER.PDFHTTPS://PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/REPORTS/2023-2025_CHIP_HOLYCROSSMEDICALCENTER.PDFOUR THREE-YEAR IMPLEMENTATION PLAN WAS ADOPTED IN RESPONSE TO THE IDENTIFIED HEALTH NEEDS FROM OUR MOST RECENT CHNA AND SERVES AS THE IMPLEMENTATION STRATEGY FOR OUR HOSPITAL TO ADDRESS THESE NEEDS.PROVIDENCE LCM MED. CTR. - TORRANCE AND PROVIDENCE LCM MED. CTR. - SAN PEDRO HTTPS://PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/REPORTS/2023-2025_CHIP_LITTLECOMPANYOFMARYTORRANCE.PDFHTTPS://PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/REPORTS/2023-2025_CHIP_LITTLECOMPANYOFMARYSANPEDRO.PDFOUR THREE-YEAR IMPLEMENTATION PLAN WAS ADOPTED IN RESPONSE TO THE IDENTIFIED HEALTH NEEDS FROM OUR MOST RECENT CHNA AND SERVES AS THE IMPLEMENTATION STRATEGY FOR OUR HOSPITAL TO ADDRESS THESE NEEDS. PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 11: PROVIDENCE ST. JOSEPH MEDICAL CENTER AND PROVIDENCE HOLY CROSS MEDICAL CENTER IN DEVELOPING THE LIST OF PRIORITY NEEDS, PROVIDENCE LOOKED AT BRINGING ITS EXPERTISE AND RESOURCES TO THOSE ISSUES WHERE IT CAN MAKE POSITIVE CHANGE. IN OUR 2022 CHNA, THE MISSION COMMUNITY HEALTH COMMITTEE ADOPTED THE FOLLOWING AS THE HIGHEST PRIORITY NEEDS WITHIN OUR COMMUNITIES: 1) ACCESS TO HEALTH CARE AND PREVENTIVE CARE 2) HOUSING AND HOMELESSNESS 3) BEHAVIORAL HEALTH (MENTAL HEALTH INCLUDING SUBSTANCE USE/MISUSE) THESE THREE PRIORITIZED HEALTH NEEDS ARE BEING ADDRESSED WITHIN OUR COMMUNITY-BASED PROGRAMS THAT PROVIDE INFORMATION, RESOURCES, AND ASSISTANCE TO THE UNDERSERVED COMMUNITIES WITHIN OUR SAN FERNANDO VALLEY (SFV) SERVICE AREA AS PART OF A THREE-YEAR IMPLEMENTATION STRATEGY. 1. ACCESS TO HEALTH CARE AND PREVENTIVE CARE: - ASSISTED WITH OVER 480 HOUSEHOLD INSURANCE APPLICATIONS FOR OVER 850 INDIVIDUALS IN 2024 THROUGH OUR SFV COMMUNITY HEALTH INSURANCE PROGRAM, CONFIRMING ENROLLMENT FOR 80% OF THEM. - PROVIDED 610 FLU VACCINATIONS TO COMMUNITY MEMBERS AT LOCAL SCHOOL SITES IN THE SFV. - MADE PRIMARY CARE REFERRALS FOR 246 EMERGENCY DEPARTMENT PATIENTS, AS WELL AS 300 MEDI-CAL APPOINTMENTS, LINKING PATIENTS TO FINANCIAL COUNSELORS. - IDENTIFIED 145 INDIVIDUALS WHO SCREENED POSITIVE FOR SOCIAL DETERMINANTS OF HEALTH NEEDS, PROVIDING THEM REFERRALS AND RESOURCES TO ADDRESS THOSE NEEDS. 2. HOUSING AND HOMELESSNESS - COMPLETED DISCHARGE PAPERWORK FOR 677 HOMELESS PATIENTS VISITING OUR SFV EMERGENCY DEPARTMENTS, SUCCESSFULLY CONNECTING 135 OF THEM IN A FORM OF HOUSING. 3. MENTAL HEALTH INCLUDING SUBSTANCE USE/MISUSE - PROVIDED 26 MENTAL HEALTH FIRST AID TRAINING SESSIONS AT COMMUNITY LOCATIONS IN THE SFV, WITH 323 PARTICIPANTS COMPLETING THEM. - CONTACTED 376 PATIENTS IN OUR SFV EMERGENCY DEPARTMENTS, SCREENING THEM FOR MENTAL HEALTH, BEHAVIORAL HEALTH, OR SUBSTANCE USE/MISUSE ISSUES. 163 OF THEM WERE SUCCESSFULLY REFERRED TO ADDITIONAL SERVICES. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. OUR ABILITY TO ADDRESS ALL OF THE IDENTIFIED HEALTH NEEDS IS LINKED TO OUR MISSION TO PAY SPECIAL ATTENTION TO THE POOR AND VULNERABLE AND BY THE STRENGTH OF OUR PARTNERSHIPS WITH OTHER ORGANIZATIONS WHO CAN SUPPLEMENT OR COMPLEMENT OUR ANNUALLY BUDGETED RESOURCES. ONE HEALTH NEED THAT WAS IDENTIFIED IN OUR CHNA WAS DENTAL CARE, AND WHILE PROVIDENCE VSA DEEPLY UNDERSTANDS THE IMPORTANT ROLE IT PLAYS IN THE OVERALL HEALTH OF OUR COMMUNITY MEMBERS, WE BELIEVE THERE ARE ORGANIZATIONS THAT ARE BETTER SITUATED AND RESOURCED TO ADDRESS THIS PARTICULAR NEED. AND WHILE WE CANNOT DIRECTLY TACKLE IT OURSELVES, WE WILL CONTINUE TO PARTNER WITH THESE COMMUNITY ORGANIZATIONS TO SUPPORT AND ASSIST THEM IN WHATEVER WAYS WE CAN.PROVIDENCE LCM MED. CTR. - TORRANCE AND PROVIDENCE LCM MED. CTR. - SAN PEDRO IN DEVELOPING THE LIST OF PRIORITY NEEDS, PROVIDENCE LOOKED AT BRINGING ITS EXPERTISE AND RESOURCES TO THOSE ISSUES WHERE IT CAN MAKE POSITIVE CHANGE. IN OUR LATEST CHNA, THE MISSION COMMUNITY HEALTH COMMITTEE ADOPTED THE FOLLOWING AS THE HIGHEST PRIORITY NEEDS WITHIN OUR COMMUNITIES: 1. ACCESS TO HEALTH CARE AND PREVENTATIVE CARE 2. HOMELESSNESS AND HOUSING INSTABILITY 3. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE/MISUSE) THESE THREE PRIORITIZED HEALTH NEEDS ARE BEING ADDRESSED WITHIN OUR COMMUNITY-BASED PROGRAMS THAT PROVIDE INFORMATION, RESOURCES, AND ASSISTANCE TO THE UNDERSERVED COMMUNITIES WITHIN OUR SOUTH BAY (SB) SERVICE AREA AS PART OF A THREE-YEAR IMPLEMENTATION STRATEGY. 1. ACCESS TO HEALTH CARE AND PREVENTATIVE CARE - ASSISTED WITH 1,126 HOUSEHOLD INSURANCE APPLICATIONS, HELPING 2,050 INDIVIDUALS THROUGH OUR COMMUNITY HEALTH INSURANCE PROGRAM, WITH 63% OF THEM CONFIRMED ENROLLED. - CONDUCTED 1,218 HOME VISITATIONS TO PREGNANT AND/OR NEW PARENTS, PROVIDING THEM INFORMATION AND SUPPORTING THEM THROUGH THEIR JOURNEY OF PREGNANCY AND EARLY PARENTHOOD. - ADMINISTERED 3,805 CHILDHOOD VACCINES AND 320 INFLUENZA VACCINES AT COMMUNITY SITES. - CONDUCTED 6,919 HOUSEHOLD VISITS TO CONDUCT SCREENINGS, PROVIDE REFERRALS, AND OUTREACH IN WILMINGTON THROUGH OUR COMMUNITY PUBLIC HEALTH TEAM. - PROVIDED 2,092 FOLLOW-UP PRIMARY CARE REFERRALS AND APPOINTMENTS MADE THROUGH OUR ED COMMUNITY HEALTH WORKER PROGRAM, WITH 1,330 INDIVIDUALS SUCCESSFULLY KEEPING THEIR APPOINTMENT. 2. HOMELESSNESS AND HOUSING INSTABILITY - COMMUNITY HEALTH WORKER HOMELESS CARE NAVIGATORS PROVIDED ASSESSMENT AND RESOURCE REFERRAL ASSISTANCE FOR 292 HOMELESS PATIENTS, SUCCESSFULLY CONNECTING 71 OF THEM TO A FORM OF HOUSING AFTER DISCHARGE FROM THE HOSPITAL.3. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE/MISUSE) - HELD 18 MENTAL HEALTH FIRST AID TRAININGS, WITH 251 INDIVIDUALS SUCCESSFULLY COMPLETING THE CLASS.- REFERRED 225 PATIENTS FOR INDIVIDUAL THERAPY AT OUR VASEK POLAK CLINIC, WITH 87 ENROLLING IN THE PROGRAM. - FOLLOW UP OUTREACH POST-DISCHARGE TO 481 EMERGENCY DEPARTMENT PATIENTS WHO WERE DIAGNOSED WITH BEHAVIORAL HEALTH CONDITIONS, ENROLLING 161 OF THEM IN FURTHER SERVICES (THERAPY, COUNSELING, AND SUBSTANCE ABUSE FACILITIES) NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW: - ORAL HEALTH: OUR HEALTH FACILITIES DO NOT PROVIDE ORAL HEALTH CARE, AND IT IS NOT OUR AREA OF EXPERTISE WITHIN THE PROVIDENCE HEALTH SYSTEM IN THE LOS ANGELES REGION. HOWEVER, THERE ARE A NUMBER OF COMMUNITY PARTNERS INCLUDING LOCAL FEDERALLY QUALIFIED HEALTH CLINICS WHO ARE FOCUSING ON INCREASING ACCESS TO ORAL HEALTH CARE, ESPECIALLY FOR THE MEDI-CAL POPULATION. FOR COMMUNITY MEMBERS IN NEED OF THESE SERVICES, WE REFER THEM TO THESE PROVIDERS OF LOW-COST DENTAL CARE. PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 16A: FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 16B: FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 16C: FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 20E: THE HOSPITALS DID NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR.PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, 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. 8 1 - PROVIDENCE LCMMC TORRANCE PHARMACY 4101 TORRANCE BLVD TORRANCE CA 905034607 PHARMACY 2 - PROVIDENCE ST ELIZABETH CARE CENTER 10425 MAGNOLIA BLVD NORTH HOLLYWOOD CA 91601 SKILLED NURSING FACILITY 3 - PROVIDENCE HCMC - TRAUMA CENTER 15031 RINALDI ST MISSION HILLS CA 913451207 CLINIC/GROUP PRACTICE 4 - PROVIDENCE HOME HEALTH LA COUNTY NORTH C BURBANK CA 915021211 HOME HEALTH 5 - PROVIDENCEUCLAUSP SURGERY CENTERS 14201 DALLAS PARKWAY DALLAS TX 75254 AMBULATORY SURGERY CENTER 6 - PROVIDENCEUSP SOUTH BAY SURGERY CNTR 14201 DALLAS PARKWAY DALLAS TX 75254 AMBULATORY SURGERY CENTER 7 - PROVIDENCEUSP SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 AMBULATORY SURGERY CENTER 8 - COAST SURGERY CENTER LP 14201 DALLAS PARKWAY DALLAS TX 75254 AMBULATORY 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: PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/SOUTHERN-CALIFORNIA 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: THERE WERE NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS. PART III, LINE 4: AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019. PART III, LINE 8: THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. PART III, LINE 9B: OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE.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 TOAPPLY 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 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: NEEDS ASSESSMENTPROVIDENCE ST. JOSEPH MEDICAL CENTER AND PROVIDENCE HOLY CROSS MEDICAL CENTER EVERY THREE YEARS, PROVIDENCE HOLY CROSS AND PROVIDENCE SAINT JOSEPH MEDICAL CENTERS CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE COMMUNITIES IN THE SAN FERNANDO VALLEY. THESE TWO MEDICAL CENTERS SHARE A COMMON GOVERNING BOARD KNOWN AS THE VALLEY SERVICE AREA COMMUNITY MINISTRY BOARD (VSA CMB). THE VSA CMB HAS DELEGATED APPROVAL OF THE CHNA TO THE MISSION COMMUNITY HEALTH COMMITTEE, WHICH IS CHAIRED BY A MEMBER OF THE VSA CMB. THIS ONGOING OVERSIGHT ENSURES CONTINUING ENGAGEMENT BY THE VSA CMB AS THEY RECEIVE REPORTS FROM THE COMMITTEE CHAIR AT EVERY MEETING. THE PRIORITIZED NEEDS IDENTIFIED IN THE 2022 CHNA ARE LISTED ABOVE IN PART V, SECTION B, AND THEY BECOME THE BASIS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN/IMPLEMENTATION STRATEGY THAT SETS FORTH OBJECTIVES TO BE ACCOMPLISHED OVER THREE YEARS, UNTIL THE NEXT CHNA IS CONDUCTED. THE 2022 CHNA WAS APPROVED BY THE MISSION COMMUNITY HEALTH COMMITTEE OF THE VSA SERVICE AREA CMB ON OCTOBER 20, 2022. THE CHNA REPORT WAS MADE PUBLICALLY AVAILABLE ON DECEMBER 28, 2022.PROVIDENCE LCM MED. CTR. - TORRANCE AND PROVIDENCE LCM MED. CTR. - SAN PEDRO EVERY THREE YEARS, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTERS, SAN PEDRO AND TORRANCE CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE COMMUNITIES IN THE SOUTH BAY.THESE TWO MEDICAL CENTERS SHARE A COMMON GOVERNING BOARD KNOWN AS THE PROVIDENCE LITTLE COMPANY OF MARY COMMUNITY MINISTRY BOARD. THIS BOARD HAS DELEGATED APPROVAL OF THE CHNA TO THE MISSION COMMUNITY HEALTH COMMITTEE, WHICH IS CHAIRED BY A MEMBER OF THE COMMUNITY MINISTRY BOARD. THIS ONGOING OVERSIGHT ENSURES CONTINUING ENGAGEMENT BY THE BOARD AS THEY RECEIVE REPORTS FROM THE COMMITTEE CHAIR AT EVERY MEETING. THE PRIORITIZED NEEDS IDENTIFIED IN THE 2022 CHNA ARE LISTED ABOVE IN PART V, SECTION B, AND THEY BECOME THE BASIS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN/IMPLEMENTATION STRATEGY THAT SETS FORTH OBJECTIVES TO BE ACCOMPLISHED OVER THREE YEARS, UNTIL THE NEXT CHNA IS CONDUCTED. THE 2022 CHNA WAS APPROVED BY THE MISSION COMMUNITY HEALTH COMMITTEE OF THE PROVIDENCE LITTLE COMPANY OF MARY COMMUNITY BOARD ON SEPTEMBER 13, 2022, AND MADE PUBLICLY AVAILABLE BY DECEMBER 28, 2022. PART VI, LINE 3: COMMUNICATION TO THE PUBLIC: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 4: PROVIDENCE ST. JOSEPH MEDICAL CENTER AND PROVIDENCE HOLY CROSS MEDICAL CENTER THE PROVIDENCE SAN FERNANDO VALLEY SERVICE AREA (VSA) IS COMPRISED OF THE SERVICE AREAS OF TWO PROVIDENCE MEDICAL CENTERS: PROVIDENCE HOLY CROSS MEDICAL CENTER (PHCMC; MISSION HILLS) AND PROVIDENCE ST. JOSEPH MEDICAL CENTER (PSJMC; BURBANK). THE PROVIDENCE SAN FERNANDO VALLEY COMMUNITY BENEFIT SERVICE AREA CONSISTS OF HIGH NEED COMMUNITIES WITHIN EACH OF THE THREE MEDICAL CENTERS SERVICE AREAS. SIMILARLY, THE PROVIDENCE SAN FERNANDO VALLEY BROADER SERVICE AREA CONSISTS OF ZIP CODES WITHIN THE SFV SERVICE AREA, BUT OUTSIDE OF THE COMMUNITY BENEFIT SERVICE AREA. COMMUNITIES IN THE BROADER SERVICE AREA ARE MORE RESOURCE-RICH WITH A POPULATION ON THE HIGHER END OF THE SOCIOECONOMIC SPECTRUM. THIS ENTIRE SERVICE AREA ROUGHLY ALIGNS WITH LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH'S SERVICE PLANNING AREA (SPA) 2. POPULATION AND AGE DEMOGRAPHICS THE TOTAL POPULATION OF THE PROVIDENCE SAN FERNANDO VALLEY (SFV) SERVICE AREA IN 2022 IS 2,230,501 PEOPLE, WHICH REPRESENTS A 0.2% INCREASE COMPARED TO THE 2022 POPULATION, OR APPROXIMATELY 5,000 ADDITIONAL RESIDENTS LIVING IN THE AREA. THE TOTAL POPULATION OF THE SFV COMMUNITY BENEFIT SERVICE AREA IS JUST OVER 52% OF THE TOTAL SERVICE AREA POPULATION, WITH NEARLY 1.2 MILLION PEOPLE. THE MAJORITY OF RESIDENTS IN THE SFV SERVICE AREA ARE BETWEEN 10 AND 39 YEARS OLD. ADULTS 60 YEARS OF AGE AND OLDER MAKE UP 19.7% OF THE TOTAL SERVICE AREA POPULATION, COMPARED TO THE STATE OF CALIFORNIA, ADULTS 65 AND OLDER MAKE UP 15.2% OF THE POPULATION. POPULATION BY RACE AND ETHNICITY AMONG SFV COMMUNITY BENEFIT SERVICE AREA RESIDENTS, IN 2022, 57.9% WERE WHITE, 8.9% WERE ASIAN/PACIFIC ISLANDER/HAWAIIAN, 0.6% WERE ALASKA NATIVE OR AMERICAN INDIAN, 3.8% WERE AFRICAN AMERICAN OR BLACK, AND 3.1% WERE OF TWO OR MORE RACES. APPROXIMATELY 57.9% OF THE RESIDENTS IDENTIFY AS LATINO. INCOME LEVELS IN 2022, THE MEDIAN HOUSEHOLD INCOME OF THE SFV SERVICE AREA VARIED SIGNIFICANTLY FROM A LOW OF $48,888 FOR THE COMMUNITY OF GLENDALE, TO $187,297 FOR THE COMMUNITY OF LA CANADA FLINTRIDGE. THE MEDIAN HOUSEHOLD INCOME IN THE SFV HIGH NEED SERVICE AREA IS JUST $55,396, COMPARED TO LOS ANGELES COUNTY'S $65,817. THE HIGH NEED SERVICE AREA IS ALSO HOME TO A HIGHER CONCENTRATION OF LOW-INCOME RESIDENTS; APPROXIMATELY 45% OF FAMILIES HAVE ANNUAL INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL; $51,500 FOR A FAMILY OF 4) COMPARED TO 34.9% IN LOS ANGELES COUNTY AS A WHOLE. EDUCATION LEVEL WHILE MANY OF THE ADULTS LIVING IN THE SFV COMMUNITY BENEFIT SERVICE AREA HAVE AT LEAST A HIGH SCHOOL DIPLOMA (71.6%), THERE WERE SEVERAL ZIP CODES WITH A HIGH CONCENTRATION OF ADULTS WHO HAD NOT COMPLETED HIGH SCHOOL. THESE ZIP CODES INCLUDED PACOIMA (91331; 44.8%), SAN FERNANDO (91340; 39.3%), PANORAMA CITY (91402; 36.4%) AND SUN VALLEY (91352; 34.1%). ECONOMIC INDICATORS THE PERCENT UNEMPLOYED IN THE HIGH NEED SFV COMMUNITY BENEFIT SERVICE AREA AVERAGES 6.5%. IN THE BROADER SERVICE AREA, IT IS ONLY 5.3%. 12.9% OF HOUSEHOLDS RECEIVE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS, COMPARED TO JUST 3.3% IN THE BROADER SERVICE AREA AND 8.7% FOR LA COUNTY. LANGUAGE PROFICIENCY WHILE 9.4% OF SAN FERNANDO VALLEY RESIDENTS EXPERIENCE DIFFICULTIES WITH LIMITED ENGLISH PROFICIENCY, IN THE HIGH NEED SFV COMMUNITY BENEFIT SERVICE AREA, 16% OF RESIDENTS HAVE THIS STRUGGLE. IN LA COUNTY, THAT NUMBER IS 10.8%, STILL LOWER THAN THE HIGH NEED SFV COMMUNITY BENEFIT SERVICE AREA. HEALTH PROFESSION SHORTAGE AREA THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA) DEFINES A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AS SHORTAGES OF PRIMARY CARE, DENTAL CARE OR MENTAL HEALTH PROVIDERS BY GEOGRAPHIES OR POPULATIONS. THERE ARE PRIMARY CARE SHORTAGE AREAS IN THE SAN FERNANDO VALLEY WITH THE BOUNDARY OF THE HIGH NEED COMMUNITY AS DEFINED BY THE COMMUNITY NEEDS INDEX. OTHER HOSPITALS IN SERVICE AREATHE HOSPITALS IN THE SERVICE AREA INCLUDE: PROVIDENCE HOLY CROSS MEDICAL CENTER, PROVIDENCE ST. JOSEPH MEDICAL CENTER, PROVIDENCE CEDAR SINAI (TARZANA), KAISER FOUNDATION HOSPITAL PANORAMA CITY, MISSION COMMUNITY HOSPITAL, DIGNITY MEDICAL CENTER, NORTHRIDGE, AND VALLEY PRESBYTERIAN HOSPITAL. PROVIDENCE LCM MED. CTR. - TORRANCE AND PROVIDENCE LCM MED. CTR. - SAN PEDRO THE TWO PROVIDENCE SOUTH BAY COMMUNITY MEDICAL CENTERS, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO AND PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE (HEREAFTER SOUTH BAY COMMUNITY), SHARE A COMMON GEOGRAPHY BECAUSE OF THEIR CLOSE PROXIMITY TO EACH OTHER. THE SOUTH BAY COMMUNITY SERVICE AREA IS COMPOSED OF 16 DISTINCT MUNICIPALITIES AND IS A DEMOGRAPHICALLY AND GEOGRAPHICALLY DIVERSE REGION STRETCHING FROM EL SEGUNDO (NORTH), TO CARSON (EAST), TO THE PORT OF LOS ANGELES (SOUTH), TO THE PACIFIC OCEAN (WEST). POPULATION AND AGE DEMOGRAPHICS THE SOUTH BAY SERVICE AREA IS SLIGHTLY YOUNGER, ON AVERAGE, THAN THE TOTAL POPULATION OF THE STATE OF CALIFORNIA. PEOPLE UNDER THE AGE OF 40 ARE DISPROPORTIONATELY REPRESENTED IN THE HIGH NEED SERVICE AREA, WHILE PEOPLE AGED 40 AND OLDER ARE MORE LIKELY TO LIVE IN THE BROADER SERVICE AREA. ADULTS AGED 60 YEARS AND OLDER MAKE UP 21.3% OF THE TOTAL SERVICE AREA POPULATION, WHICH IS GREATER THAN THE STATE POPULATION AGED 65 AND OVER. POPULATION BY RACE/ETHNICITY APPROXIMATELY 47.9% OF SOUTH BAY RESIDENTS IDENTIFY AS WHITE, WHILE 35.7% IDENTIFY AS ASIAN/PACIFIC ISLANDER, AMERICAN INDIAN/ALASKAN NATIVE, OR ANOTHER RACE. 10% IDENTIFY AS BLACK. WHILE 36.8% OF RESIDENTS IN THE GENERAL COMMUNITY IDENTIFY AS HISPANIC, IN OUR HIGH NEED SERVICE AREA, 60% DO SO. INCOME LEVELS IN 2022, 25.9% OF SOUTH BAY RESIDENTS FELL BELOW 200% OF THE FEDERAL POVERTY LEVEL. HOWEVER, IN THE PROVIDENCE SOUTH BAY HIGH NEED SERVICE AREAS, THAT NUMBER IS 41.7%, WHICH IS HIGHER THAN THE PERCENTAGE OF LOS ANGELES COUNTY (34.9%). EDUCATION LEVEL WHILE MANY OF THE ADULTS AGE 25+ LIVING IN HOUSEHOLDS IN THE SOUTH BAY HAVE AT LEAST GRADUATED FROM HIGH SCHOOL, THE 72.1% WITH A HIGH SCHOOL DIPLOMA IN PROVIDENCE SOUTH BAY HIGH NEED SERVICE AREAS IS LESS THAN LOS ANGELES COUNTY, WHICH IS 79.1%. ECONOMIC INDICATORS THE SOUTH BAY SERVICE AREA HAS SOME NOTABLE ECONOMIC INDICATORS. THE PERCENT UNEMPLOYED IN THE AREA AVERAGES 5.1%, WHILE IN THE HIGH NEED SERVICE AREAS, IT CLIMBS TO 6.1%. LANGUAGE PROFICIENCY WITHIN LOS ANGELES COUNTY, 10.8% OF RESIDENTS HAVE LIMITED ENGLISH PROFICIENCY. IN THE PROVIDENCE SOUTH BAY HIGH NEED SERVICE AREAS, HOWEVER, IT IS 12.7%, MORE THAN DOUBLE THAT OF THE BROADER SERVICE AREA (5.3%). OTHER HOSPITALS IN SERVICE AREAIN ADDITION TO PROVIDENCE LITTLE COMPANY OF MARY SAN PEDRO AND PROVIDENCE LITTLE COMPANY OF MANY IN TORRANCE, THE OTHER HOSPITALS IN THE SERVICE AREA INCLUDE KAISER PERMANENTE HARBOR CITY, TORRANCE MEMORIAL, AND HARBOR UCLA. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:ACROSS SOUTHERN CALIFORNIA, PROVIDENCE IS BRINGING TO LIFE OUR VISION OF HEALTH FOR A BETTER WORLD. BY TAPPING THE EXPERTISE OF COMMUNITY PARTNERS, WE FOCUS ON REDUCING HEALTH DISPARITIES AS WE ADDRESS OUR NEIGHBORS' CHALLENGES. TOGETHER WE SEEK INNOVATIVE AND COMPASSIONATE WAYS TO MEET A RANGE OF NEEDS. IN 2024, PROVIDENCE HEALTH AND SERVICES SOUTHERN CALIFORNIA INVESTED $95 MILLION IN COMMUNITY BENEFIT ACROSS PROVIDENCE SOUTHERN CALIFORNIA HOSPITALS IN LOS ANGELES- SOUTH BAY AND SAN FERNANDO VALLEY, HOME HEALTH AND REGIONAL OFFICE. TARGETED INVESTMENTS SUPPORTED THESE AND MANY OTHER PROGRAMS: - $55 MILLION TO COVER THE UNPAID COSTS OF MEDICAID. - $19.6 MILLION IN FREE AND DISCOUNTED CARE FOR THE UNINSURED AND UNDERINSURED. - OFFERING FREE VACCINATIONS FOR SCHOOL CHILDREN IN UNDERSERVED SOUTH BAY COMMUNITIES. PROVIDENCE SOUTHERN CALIFORNIA PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) THE MISSION COMMUNITY HEALTH COMMITTEE (MCHC) OF THE SOUTH BAY AND SAN FERNANDO VALLEY HOSPITAL COMMUNITY MINISTRY BOARDS ARE RESPONSIBLE FOR THE OVERSIGHT OF THE MINISTRY'S COMMUNITY HEALTH NEEDS ASSESSMENT AND THE PRIORITIZATION OF THE IDENTIFIED SIGNIFICANT COMMUNITY NEEDS, 2) WE HAVE AN OPEN MEDICAL STAFF, 3) SURPLUS FUNDS ARE USED TO ADVANCE PATIENT CARE AND FUND A ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. FURTHERMORE, SURPLUS FUNDS ARE USED TO MAKE IMPROVEMENTS IN OUR HOSPITALS, AND TO ADVANCE HEALTH PROFESSIONS EDUCATION AND MEDICAL RESEARCH. AS A NOT-FOR-PROFIT CATHOLIC HEALTH CARE MINISTRY, PROVIDENCE HEALTH & SERVICES EMBRACES ITS RESPONSIBILITY TO PROVIDE FOR THE NEEDS OF THE COMMUNITIES IT SERVES - ESPECIALLY THE POOR AND VULNERABLE. PROVIDENCE'S NOT-FOR-PROFIT, TAX-EXEMPT STATUS ENABLES PROVIDENCE TO SERVE ITS COMMUNITIES, TO SOLICIT DONATIONS THROUGH ITS FOUNDATIONS AND TO RESPOND TO COMMUNITY NEEDS THAT OTHERWISE WOULD GO UNMET. HEALTH CARE IS FUNDAMENTALLY DIFFERENT FROM MOST OTHER GOODS AND SERVICES. IT IS ABOUT THE MOST HUMAN AND INTIMATE NEED OF PEOPLE, THEIR FAMILIES AND COMMUNITIES. PROVIDENCE EXECUTIVES ARE ENGAGED ON MANY LOCAL AREA BOARDS AND SOCIAL SERVICE ORGANIZATIONS. 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 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 FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITY/ENVIRONMENTAL-STEWARDSHIPWELL 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 6 (CONTINUATION): INSTITUTE FOR SYSTEMS BIOLOGY: ON OUR JOURNEY TO CREATE HEALTHIER COMMUNITIES, WE ARE TURNING TO THE SCIENCE OF GENOMICS TO HELP INDIVIDUALS MAP A PERSONAL PATH TO WELLNESS. IT'S A UNIQUE APPROACH TO PERSONALIZED MEDICINE THAT WE CALL SCIENTIFIC WELLNESS.THE INSTITUTE FOR SYSTEMS BIOLOGY IS A NOT-FOR-PROFIT BIOMEDICAL RESEARCH ORGANIZATION THAT IS PART OF THE PROVIDENCE FAMILY. THE SCIENTISTS AND ENGINEERS AT ISB ARE WORKING TO UNLOCK THE MYSTERY OF THE GENOME TO LEARN HOW WE CAN KEEP PEOPLE HEALTHY WELL INTO THEIR 90S.THIS IS A PROACTIVE APPROACH TO MEDICINE THAT WILL HELP US SHIFT FROM A DISEASE FOCUS TO A WELLNESS FOCUS. WITH ISB, WE ARE PURSUING RESEARCH IN THE AREAS OF BREAST CANCER SURVIVORSHIP, ALZHEIMER'S, GLIOBLASTOMA AND MARKERS TO HELP US IDENTIFY AND REVERSE DISEASE AT THE EARLIEST POSSIBLE STAGES. OUR PARTNERSHIP GIVES US THE OPPORTUNITY TO BRING THESE ADVANCES TO PEOPLE IN THE COMMUNITIES WE SERVE.FOR MORE INFORMATION GO TO: HTTPS://ISBSCIENCE.ORG/ PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: CA 1 PROVIDENCE HEALTH & SERVICES FOUNDATION VSA 501 S BUENA VISTA ST BURBANK CA 91505 953544877 501(C)(3) 9602388 0 SPONSORSHIP PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION 4101 TORRANCE BLVD TORRANCE CA 90503 510224944 501(C)(3) 5129182 0 SPONSORSHIP TGR FOUNDATION - A TIGER WOODS CHARITY 1 TIGER WOODS WAY ANAHEIM CA 92801 200677815 501(C)(3) 800000 0 SPONSORSHIP AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 200000 0 SPONSORSHIP MAYORS FUND FOR LOS ANGELES 1000 N ALAMEDA ST 340 LOS ANGELES CA 900121804 471084641 501(C)(3) 100000 0 COMMUNITY BENEFIT RESTRICTED GRANT SOUTH LOS ANGELES COMMUNITY DEVELOPMENT AND EMPOWERMENT CORP 2270 S HARVARD BLVD LOS ANGELES CA 900182142 474716969 501(C)(3) 100000 0 COMMUNITY BENEFIT RESTRICTED GRANT ARMENIAN AMERICAN MEDICAL SOCIETY PO BOX 32 GLENDALE CA 912090035 954108352 501(C)(3) 100000 0 SPONSORSHIP JEWISH FAMILY SERVICE OF LA 330 N FAIRFAX AVE LOS ANGELES CA 900362109 951691013 501(C)(3) 75188 0 SPONSORSHIP CSUDH FOUNDATION 100 E VICTORIA ST CARSON CA 97047 952543028 501(C)(3) 14400 0 SPONSORSHIP LEADERSHIP BURBANK 200 W MAGNOLIA BLVD BURBANK CA 915021724 912168014 501(C)(3) 13000 0 SPONSORSHIP HOLLYWOOD CHAMBER OF COMMERCE 6255 W SUNSET BLVD STE 150 LOS ANGELES CA 900287058 950838840 501(C)(6) 12800 0 SPONSORSHIP BURBANK CHAMBER OF COMMERCE 200 W MAGNOLIA BLVD BURBANK CA 91502 950583680 501(C)(6) 11000 0 COMMUNITY BENEFIT RESTRICTED GRANT ORANGE COUNTY BUSINESS COUNCIL 2 PARK PLZ STE 100 IRVINE CA 926145904 237084107 501(C)(6) 10750 0 SPONSORSHIP HOPE BUILDERS 801 N BROADWAY SANTA ANA CA 927013457 711024210 501(C)(3) 10000 0 SPONSORSHIP ORANGE COUNTY HISPANIC CHAMBER 27762 ANTONIO PKWY STE L1 PMB 463 LADERA RANCH CA 926941141 330234833 501(C)(6) 5200 0 SPONSORSHIP 11 4 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 ERIK WEXLER PRESIDENT/CEO 0 1968391 0 6173417 0 448548 0 519036 0 15992 0 9125384 0 409440 GREG HOFFMAN EVP & CFO/TREASURER 0 1402471 0 2154592 0 323161 0 377326 0 13379 0 4270929 0 239249 ANNA NEWSOM EVP & CHIEF LEGAL OFFICER/SECRETARY 0 1053930 0 1511654 0 44947 0 284757 0 387 0 2895675 0 0 LAUREEN DRISCOLL RN DIVISION CHIEF EXEC - SOUTH 0 1069196 0 973551 0 43773 0 300285 0 9435 0 2396240 0 0 GARRY OLNEY FORMER KE - CE NOR CA 0 648004 0 475203 0 557386 0 195060 0 15388 0 1891041 0 153246 MICHAEL RICKS CHIEF EXEC SO CA LA COASTAL 0 631427 0 466443 0 490624 0 181629 0 50438 0 1820561 0 165002 BRIAN LEE HELLELAND FRMR KE - CHIEF EXEC SO CA OC/HD 0 733551 0 542161 0 254269 0 222377 0 10891 0 1763249 0 163607 BERNIE KLEIN MD CHIEF EXEC PROV HOLY CROSS MC 0 704512 0 447878 0 209298 0 221744 0 13748 0 1597180 0 178774 NATHAN HUSMANN FRMR KE - CFO MANAGED CARE 0 568543 0 424809 0 143604 0 178479 0 13744 0 1329179 0 116109 KARL KEELER CHIEF EXEC SO CA LA VALLEY 0 640257 0 280998 0 42996 0 183557 0 15083 0 1162891 0 0 JIM WATSON ESQ ASSISTANT 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 EVP/TREASURER/CFO 0 0 0 0 0 879466 0 0 0 0 0 879466 0 0 SHELBY ARVESON DIVISION CFO - SOUTH 0 396249 0 30254 0 84773 0 127421 0 3858 0 642555 0 0 GLEN KOMATSU CHIEF MEDICAL OFFICER HOSPITAL 471445 0 24591 0 57458 0 61069 0 10831 0 625394 0 19705 0 REX HOFFMAN CHIEF MEDICAL OFFICER HOSPITAL 539895 0 26782 0 16334 0 24951 0 8379 0 616341 0 11432 0 JEREMY ZOCH FORMER SJO CE 0 0 0 0 0 598250 0 0 0 0 0 598250 0 0 LISA LAURENT CHIEF MEDICAL OFFICER HOSPITAL 461674 0 45492 0 13507 0 20544 0 6989 0 548206 0 0 0 GREGORY GISSENDANNER AVP FOUNDATION/CPO 390178 0 52783 0 24401 0 19154 0 2198 0 488714 0 0 0 RENEE BIANCANIELLO AVP FOUNDATION/CPO 397510 0 39366 0 12097 0 24905 0 8001 0 481879 0 8189 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0 287131 0 28005 0 1418 0 14332 0 4600 0 335486 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 OR GROSS-UP PAYMENTS TAX INDEMNIFICATION 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. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES RELATED TO RELOCATION OF NEWLY HIRED EMPLOYEES AND CURRENT EMPLOYEES RELOCATING TO A NEW POSITION. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE ELIGIBLE EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES INCLUDE RENT (EXCLUDING AMOUNTS WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL TITLE CLEARS), NON-REFUNDABLE SECURITY DEPOSITS AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE MAY APPROVE TEMPORARY HOUSING ASSISTANCE FOR UP TO SIX MONTHS WHEN FAMILY RELOCATION IS DELAYED TO ACCOMMODATE THE SCHOOL YEAR OR EQUIVALENT CIRCUMSTANCES. ONLY IN EXTENUATING CIRCUMSTANCES IS HOUSING EXTENDED BEYOND THIS SIX-MONTH PERIOD. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING 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 RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: JO ANN ESCASA-HAIGH - $879,466 JEREMY ZOCH - $598,250 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: ERIK WEXLER - $409,440 GREG HOFFMAN - $239,249 GARRY OLNEY - $153,246 MICHAEL RICKS - $165,002 BRIAN LEE HELLELAND - $163,607 BERNIE KLEIN, MD - $178,774 NATHAN HUSMANN - $116,109 JIM WATSON, ESQ - $77,014 JIM MARTIN - $64,532 GLEN KOMATSU - $19,705 REX HOFFMAN - $11,432 RENEE BIANCANIELLO - $8,189 PART I, LINE 7 NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUATION) IN ADDITION, IN FY24 THE FOLLOWING HEALTH EQUITY EFFORTS INCLUDED GRANT MAKING TO THE FOLLOWING NON-PROFITS: THE LGBTQ+ CENTER OF LONG BEACH AND THE TIGER WOOD FOUNDATION, TOTALING $900,000 PARTNERSHIP WITH THE TIGER WOODS FOUNDATION/YOUTH CAREER MENTORSHIP: IN FY24, PROVIDENCE FUNDED $800,000 TO PROVIDE CAREER PATH MENTORSHIP PROGRAMMING. EMPOWERED HEALTH BY PROVIDENCE AND TGR FOUNDATION WAS CREATED TO INVEST IN YOUTH BY PROVIDING MEANINGFUL CAREER PATHS GUIDED BY MENTORS TO ENSURE THEY HAVE THE ABILITY TO REACH THEIR FULL POTENTIAL. YOUTH AND THEIR FAMILIES ALSO WILL HAVE EASY ACCESS TO HEALTH PROGRAMS THAT PROVIDE MULTI-GENERATIONAL CARE IN A TRUSTED, CULTURALLY SENSITIVE ENVIRONMENT. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/SOUTHERN-CALIFORN IA 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 ORGANIZATIONS SECTION 4960 TAX ANALYSIS AND REPORTING. FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA. FORM 990, PART VI, SECTION A, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH & SERVICES, AS THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE DEPARTMENT OF LEGAL AFFAIRS. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. MANAGEMENT PRESENTED THE RETURNS TO THE AUDIT AND COMPLIANCE COMMITTEE, AND DISCUSSED KEY DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. 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 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A 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 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 X PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA HAS UPDATED THE FOLLOWING FORM 990 SECTIONS TO INCLUDE AMOUNTS RELATED TO REAL PROPERTY DETERMINED TO BE LEGALLY OWNED BY PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA. THE REAL PROPERTY WAS PREVIOUSLY REPORTED ON PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA'S TAX-EXEMPT AFFILIATE PROVIDENCE SAINT JOHN'S HEALTH CENTER'S FORM 990. - FORM 990, PART X, LINE 10A - FORM 990, PART X, LINE 10B - FORM 990, PART X, LINE 10C - FORM 990, SCHEDULE D, PART VI, LINE 1A - FORM 990, SCHEDULE D, PART VI, LINE 1B - FORM 990, SCHEDULE D, PART VI, LINE 1E FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -439,976,249. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT 17,173,085. OTHER CHANGES IN NET ASSETS -49,429,038. CHANGE IN INVESTMENT IN JOINT VENTURES -3,591,942. REAL PROPERTY TRANSFER (SEE FORM 990, PART X NARRATIVE) 274,114,644. INVESTMENT IN CORPORATE SUBSIDIARIES 58,095,219. 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