2025-11-04T18:59:19-06:00 2024-12-31 346565596 ERNST & YOUNG US LLP 370 17TH STREET SUITE 4800 DENVER CO 80202 990 2024-01-01 951914489 ST MARY MEDICAL CENTER STMA 7602422311 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 JIM MARTIN CHIEF ACCOUNTING OFFICER 7602422311 2025-10-30 1 1 ANDREW JAMESON P01894820 7209314000 2025-10-28 2024 2025-03-06 01:10:19Z PROVIDENCE ST MARY MEDICAL CENTER RANDY CASTILLO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 426011122 0 0928 X PROVIDENCE.ORG/LOCATIONS/ST-MARY-MEDICAL-CENTER X 1953 CA 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. 15 14 1913 83 26937 3948 6448492 3250297 369563490 406583658 12059893 14164620 7648734 1563986 395720609 425562561 2369483 1681924 0 0 151048204 197678892 0 0 1204435 232637972 227611079 386055659 426971895 9664950 -1409334 619205470 621664236 74659632 70155808 544545838 551508428 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 413596899 1681924 408017069 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. ST. MARY MEDICAL CENTERPROVIDENCE ST. MARY MEDICAL CENTER 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, BEHAVIORAL HEALTH, AND CHRONIC DISEASE PREVENTION AND TREATMENT. THREE KEY PROGRAM ACCOMPLISHMENTS FOR ST. MARY ARE HIGHLIGHTED BELOW: THE ST. JUDE NEIGHBORHOOD HEALTH CENTER, CALFRESH NUTRITION EDUCATION, AND COVID HEALTH EDUCATION. IN CY24, PROVIDENCE ST. MARY MEDICAL CENTER REPORTED $6M IN FINANCIAL ASSISTANCE (FREE AND DISCOUNTED CARE), AND $19M OF UNPAID COST OF MEDICAID. PROVIDENCE ST. MARY MEDICAL CENTER IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. 2024 PROGRAM SERVICE ACCOMPLISHMENTS ACCESS TO CARE: ACCESS TO CARE REMAINS THE HIGHEST COMMUNITY PRIORITY IDENTIFIED IN THE 2024-2026 COMMUNITY HEALTH NEEDS ASSESSMENT. ACCESS IS PROVIDED TO UNDERINSURED AND UNINSURED RESIDENTS IN SEVERAL WAYS. FOR THE PURPOSES OF THIS REPORT, WE ARE HIGHLIGHTING OUR PARTNERSHIP AND SUPPORT OF THE ST. JUDE NEIGHBORHOOD ST. MARY FEDERALLY QUALIFIED HEALTH CENTER. RESIDENTS IN HIGH-NEED AREAS HAVE ACCESS TO HEALTH CARE SERVICES THROUGH THREE FIXED CLINIC SITES LOCATED IN HESPERIA, ADELANTO, AND APPLE VALLEY. IN 2024, ST. MARY MEDICAL CENTER PROVIDED OVER $1,200,000 IN FINANCIAL SUPPORT TO ST. JUDE NEIGHBORHOOD HEALTH CENTERS, A FEDERALLY QUALIFIED HEALTH CENTER, DIRECTLY BENEFITING HIGH-NEED COMMUNITIES INCLUDING ADELANTO, APPLE VALLEY, AND HESPERIA. THIS CRITICAL FUNDING ENSURED THAT UNINSURED INDIVIDUALS WHO ARE NOT ELIGIBLE FOR FEDERAL OR STATE HEALTH INSURANCE COULD RECEIVE AFFORDABLE CARE, WHILE THOSE WHO ARE ELIGIBLE FOR INSURANCE PAID ONLY A NOMINAL CO-PAY A TOTAL OF 5,313 INDIVIDUALSINCLUDING CHILDREN, ADULTS, AND OLDER ADULTSRECEIVED CARE. SERVICES OFFERED INCLUDED PRIMARY CARE, DIABETES EDUCATION AND TREATMENT, HEALTH SCREENINGS, DISEASE PREVENTION, CHRONIC DISEASE MANAGEMENT, PERINATAL CARE, PHYSICAL EXAMS AND WELL-WOMAN VISITS, AND BEHAVIORAL HEALTH SUPPORT. THE MOST FREQUENTLY ACCESSED SERVICES INCLUDED PRIMARY CARE, WITH 344 UNINSURED AND 1,711 INSURED INDIVIDUALS SERVED; MATERNITY CARE, WITH 30 UNINSURED AND 408 INSURED INDIVIDUALS; DIABETES MANAGEMENT, WITH 55 UNINSURED AND 303 INSURED INDIVIDUALS; AND HYPERTENSION MANAGEMENT, WITH 69 UNINSURED AND 365 INSURED INDIVIDUALS. CALFRESH NUTRITION EDUCATION:ST. MARY'S SERVICE AREA HAS HIGH RATES OF OBESITY AND DIABETES. IN 2024, IN PARTNERSHIP WITH THE SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH, COMMUNITY HEALTH EFFORTS FOCUSED ON HEALTHY EATING AND ACTIVE LIVING TO MANAGE AND PROMOTE HEALTHY LIFESTYLE CHANGES. THIS INCLUDES PROMOTING CONSUMPTION OF FRESH PRODUCE, FRUITS AND VEGETABLES. THESE EFFORTS REACHED 212 PATIENTS. THIS WAS ACHIEVED THROUGH BOTH INDIRECT EDUCATION AND IN-PERSON ENGAGEMENT. INDIRECT EDUCATION INCLUDED SOCIAL MEDIA POSTS OFFERING HEALTHY RECIPES, PHYSICAL ACTIVITY IDEAS, AND NUTRITION INFORMATION. IN-PERSON ACTIVITIES FEATURED HEALTHY FOOD AND BEVERAGE SAMPLES, SUCH AS CUCUMBER OR FRUIT-INFUSED WATER, AS ALTERNATIVES TO SUGARY DRINKS. COMMUNITY RESIDENTS ACTIVELY PARTICIPATED IN THESE EVENTS. THESE ACTIVITIES WERE HOSTED IN PARTNERSHIP WITH FOUR (4) HEALTH CARE PROVIDERS IN 2024, WHO SUPPORTED THE PROGRAM BY PROVIDING SPACE AND OUTREACH ASSISTANCE. ADDITIONALLY, PARTICIPANTS RECEIVED INFORMATION ABOUT LOCAL FOOD RESOURCES TO HELP ADDRESS FOOD INSECURITY CONCERNS. A GRANT FOR CONTINUING THIS WORK FROM OCTOBER 2024 THROUGH SEPTEMBER 2026 WAS AWARDED BY THE SAN BERNARDINO DEPARTMENT OF PUBLIC HEALTH IN THE AMOUNT OF $371,650 (THIS IS FROM A FEDERAL SOURCE - USDA). THE LONG-TERM GOAL FOR THIS EFFORT IS TO PROMOTE COMMUNITY WELLBEING BY OFFERING WAYS TO PREVENT AND MANAGE CHRONIC CONDITIONS. COVID HEALTH EDUCATION:CHRONIC DISEASE PREVENTION AND PROMOTION OF VACCINE CONFIDENCE WERE ALSO PROVIDED IN 2024. THIS WAS ACCOMPLISHED THROUGH COMMUNITY-BASED OUTREACH AND EDUCATION, PARTNERSHIP WITH SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH. ADDITIONALLY, WE COORDINATED OUTREACH AND EDUCATION EFFORTS WITH SYMBA CENTER TO TARGET UNHOUSED INDIVIDUALS AT RISK OF CONTRACTING COVID. WE ALSO ENGAGED EL SOL NEIGHBORHOOD EDUCATION CENTER TO TARGET UNDERSERVED POPULATIONS INCLUDING LOW-INCOME LATINO AND AFRICAN AMERICAN NEIGHBORHOODS. THESE POPULATIONS BOTH HEAD HIGHER MORTALITY RATES FROM COVID. THE ACCOMPLISHMENTS OF THESE EFFORTS WERE THAT MORE THAN 1 OF 3 UNHOUSED PERSONS ACROSS 5 HOMELESS SHELTERS WAS VACCINATED AND DECREASED RISKS OF CONTAGION. THESE EFFORTS ALSO RESULTED IN MORE THAN 7,555 REFERRALS TO COMMUNITY MEMBERS ABOUT WHERE THEY COULD BE TESTED. WE ALSO FACILITATED AND SCHEDULED COVID VACCINATION APPOINTMENTS FOR MORE THAN 6,201 INDIVIDUALS. IN PARTNERSHIP WITH SAN BERNARDINO COUNTY PUBLIC HEALTH, 10 POP-UP COVID VACCINATION CLINICS WERE IMPLEMENTED IN THE HIGH DESERT RESULTING IN 143 NEWLY VACCINATED INDIVIDUALS. IN ADDITION, WE DISTRIBUTED 5,596 PIECES OF PERSONAL PROTECTIVE EQUIPMENT TO AID IN DECREASING RISKS OF COVID-19. A ROBUST SOCIAL MEDIA CAMPAIGN WAS ALSO LAUNCHED, CALLED, "OUR HEALTH, OUR HIGH DESERT" THAT INCLUDED A MESSAGING VIDEO WITH LOCAL TRUSTED MESSENGERS ENCOURAGING COVID VACCINATIONS. THERE WERE ALSO COMMUNITY BILLBOARDS WITH THESE MESSAGES LOCATED IN NEIGHBORHOODS WITH HIGH RATES OF COVID DISEASE. IN ADDITION, MESSAGING VIDEO CLIPS WERE USED IN COMMUNITY-BASED MOVIE THEATERS, REACHING 126,000 MOVIEGOERS. MESSAGING VIDEOS WERE ALSO PROMOTED THROUGH GOOGLE, YOUTUBE, HULU AND DISNEY, ACHIEVING AN EXCESS OF 6 MILLION VIEWS. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/ST-MARY-MEDICAL-CENTER 413596899 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 114 0 1 1913 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 15 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA GA X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 RANDY CASTILLO TRUSTEE/CEO 55.00 0.00 X X 0 776978 102391 PRASHANTH KUMAR TRUSTEE 0.50 0.00 X 1100 0 0 ADOLPH COLLASO TRUSTEE 0.50 0.00 X 0 0 0 CR BURKE TRUSTEE/CHAIR 1.00 0.00 X 0 0 0 DEREK KING EDD TRUSTEE 0.50 0.00 X 0 0 0 JASON CUNNINGHAM TRUSTEE - THRU 12/31/24 0.50 0.00 X 0 0 0 JASON LAMOREAUX TRUSTEE 0.50 0.00 X 0 0 0 JOVY YANKASKAS TRUSTEE 0.50 0.00 X 0 0 0 MARGARET CURRAN TRUSTEE 0.50 0.00 X 0 0 0 MARK LAURON MD TRUSTEE 0.50 0.00 X 0 0 0 PAUL GOSTANIAN TRUSTEE 0.50 0.00 X 0 0 0 REGINA WEATHERSPOON-BELL TRUSTEE - THRU 12/31/24 0.50 0.00 X 0 0 0 SISTER JUDITH DUGAN TRUSTEE 0.50 0.50 X 0 0 0 SISTER PAULETTE DETERS TRUSTEE 0.50 0.00 X 0 0 0 ZIAD EL HAJJAOUI TRUSTEE 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 GENE GUTIERREZ CFO 27.50 27.50 X 0 415037 40039 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0.50 54.50 X 0 316554 18932 BRIAN LEE HELLELAND CHIEF EXEC SO CA OC/HD 14.00 41.00 X 0 1529981 233268 KEVIN PARK CHIEF MEDICAL OFFICER HOSPITAL 50.00 0.00 X 543493 0 28545 J TUCKER EXECUTIVE DIRECTOR NURSING 50.00 0.00 X 342457 0 29769 JESSICA SADOWSKI CHIEF NURSING OFFICER 50.00 0.00 X 295535 0 33197 FE NAVARRETE ACUTE CARE RN 50.00 0.00 X 278101 0 37017 NARCISO VIZCARRA ACUTE CARE RN 50.00 0.00 X 276639 0 26436 JO ANN ESCASA-HAIGH FRMR ASSISTANT TREASURER 0.00 0.00 X 0 879466 0 1737325 5694304 775012 671 1 1 0 AYA HEALTHCARE INC PO BOX 674907 DALLAS TX 75267 STAFFING SERVICES 13093380 ALLIED ANEST MEDICAL GROUP INC PO BOX 1628 ORANGE CA 92856 MEDICAL SERVICES 4371687 OBHG CALIFORNIA PC 777 LOWNDES HILL RD BLDG 1 GREENVILLE SC 29607 MEDICAL SERVICES 4133715 CASS INFORMATION SYSTEMS INC 12444 POWERSCOURT DR 550 ST LOUIS MO 63131 TECHNOLOGY SERVICES 3288447 HOSPITALIST MEDICINE PHYSICIANS OF CALIF PO BOX 742936 PLLC LOS ANGELES CA 90074 MEDICAL SERVICES 2889532 69 76806 1130543 2042948 3250297 NET PATIENT REVENUE 622110 405663277 405663277 OTHER PATIENT SVC REV 622110 920381 920381 406583658 3968072 26937 3941135 31953 4185 27768 27768 27768 10384735 210077 346357 51907 10038378 158170 10196548 10196548 148919 76806 46112 102807 102807 CAFETERIA REVENUE 722514 791795 791795 INTERAFFILIATE REVENUE 900099 479838 479838 EDUCATION REVENUE 611710 25308 25308 136470 136470 1433411 425562561 408017069 26937 14268258 X 1681924 1681924 1100 1064 33 3 153310176 148172167 4652924 485085 8867688 8570498 269132 28058 24343914 23528057 738831 77026 11156014 10782134 338582 35298 1064740 1029056 32315 3369 617633 617633 59192823 57209047 1796486 187290 154168 149001 4679 488 5041939 4872964 153022 15953 180021 173987 5464 570 5049708 4880473 153257 15978 106810 103230 3242 338 173505 167690 5266 549 1703607 1646513 51704 5390 8890432 8592480 269822 28130 5434 5252 165 17 SYSTEM COST ALLOCATION 90599297 87562969 2749665 286663 MEDICAL SUPPLIES 42654526 42654526 HOSPITAL FEE 1357908 1357908 LICENSES AND TAXES 864490 835518 26237 2735 9954038 9620441 302102 31495 426971895 413596899 12170561 1204435 110567643 248973897 1655670 1195854 2463556 1930563 57211124 58421260 0 60543 5141073 4856644 43946 14646 302161368 194220599 111671110 107940769 228899909 82317619 2050000 1991518 99501439 113960923 619205470 621664236 27543338 27845049 787584 757361 46328710 41553398 74659632 70155808 X 531609147 539144922 12936691 12363506 544545838 551508428 619205470 621664236 X -1409334 -4979449 13351373 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 43689 43689 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. 2096620 4165 124571 121726 2103629 1947557 2699 151114 4750 2096620 2184881 6061 -231635 11750 1947557 1746006 9713 429162 2184881 1748966 12338 -15298 1746006 0.00000 0.86950 0.13050 0 0 47402199 47402199 117355403 88537808 28817595 450395 226961 223434 123200332 105455830 17744502 13753039 13753039 107940769 HOSPITAL FEE/PROVIDER TAX RECEIVABLE 109760290 OTHER ASSETS 1839329 RIGHT OF USE OPERATING LEASES 1006395 DUE FROM THIRD PARTY 697621 CHARITABLE GIFT ANNUITIES 657288 113960923 I/C - TAX-EXEMPT BOND LIABILITIES 20634073 LONG-TERM MASTER TRUST DEBT 10732725 DUE TO THIRD PARTY 6410215 ACCRUED RETIREMENT COMPENSATION 2021016 CAPITAL LEASE OBLIGATIONS 1319407 CHARITABLE GIFT ANNUITIES/TRUST FUND OBLIGATIONS 180047 OTHER LIABILITIES 132266 DUE TO AFFILIATES 123649 41553398 SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS USE ENDOWMENT FUNDS WERE DESIGNED TO PROVIDE SCHOLARSHIP FUNDS FOR NURSING STUDENTS. 2024 GALA 225725 76806 148919 0 4362 38000 0 1750 2000 225725 76806 148919 4362 38000 1750 2000 46112 102807 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 6139587 0 6139587 0.01440 160722496 141534408 19188088 0.04490 59465 59916 0 0.00000 166921548 141594324 25327675 0.05930 875807 426677 449130 0.00110 15000 0 15000 0.00000 1230965 0 1230965 0.00290 2121772 426677 1695095 0.00400 169043320 142021001 27022770 0.06330 0 140336577 174953743 -34617166 X 1 0 1 1 ST MARY MEDICAL CENTER 18300 US HIGHWAY 18 APPLE VALLEY CA 92307 WWW.PROVIDENCE.ORG/LOCATIONS 240000207 X X X ST MARY MEDICAL CENTER 1 0 0 1 X X X X X X X X X 23 1 0 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 PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE COMMUNITY'S HEALTH NEEDS, IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 FOR THE 2023 CHNA, INPUT FROM PEOPLE REPRESENTING THE BROAD AND LOCAL COMMUNITIES (AKA. KEY INFORMANTS) FOR ST. MARY MEDICAL CENTER'S SERVICE AREA WERE SOLICITED. ADDITIONALLY, TO ENSURE ANY COMMUNITY BENEFIT ACTIVITIES RESULTING FROM THE COMPLETION OF 2023 CHNA ADVANCE HEALTH EQUITY WITHIN OUR PRIMARY SERVICE AREA, EFFORTS WERE MADE TO SECURE SURVEY PARTICIPATION FROM PRIMARILY LOW-INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS TO UNDERSTAND THE CURRENT HEALTH DISPARITIES. MULTIPLE ATTEMPTS WERE MADE BETWEEN 5/15/23 AND 11/16/23, RESULTING IN THE COMPLETION OF 471 SURVEYS, ALONG WITH 46 INTERVIEWS CONDUCTED WITH KEY INFORMANTS. FOR COMPARABILITY OF RESPONSES BETWEEN COMMUNITY MEMBERS AND KEY INFORMANTS, THE COMMUNITY WELL-BEING SURVEY WAS ORALLY ADMINISTERED TO KEY INFORMANTS DURING THE INTERVIEW PROCESS. IN ADDITION TO BEING ORALLY ADMINISTERED THE COMMUNITY WELL-BEING SURVEY, KEY INFORMANTS WERE ASKED TO DISCUSS THE FOLLOWING TOPICS: (1) THE TOP HEALTH PROBLEMS IN THE COMMUNITY THEY SERVE AND OBSTACLES TO ADDRESS THEM; (2) THE COMMUNITY STRENGTHS; (3) PRIORITIZATION AND DISCUSSION OF UNMET HEALTH-RELATED NEEDS IN THE COMMUNITY, INCLUDING SOCIAL DETERMINANTS OF HEALTH; (4) SUGGESTIONS FOR HOW TO LEVERAGE COMMUNITY STRENGTHS TO ADDRESS COMMUNITY NEEDS; (5) SUCCESSFUL COMMUNITY HEALTH INITIATIVES AND PROGRAMS, AND (6) OPPORTUNITIES FOR COLLABORATION BETWEEN ORGANIZATIONS TO ADDRESS HEALTH EQUITY. THE 46 COMMUNITY INFORMANTS INTERVIEWED REPRESENTED THE FOLLOWING AGENCIES: INSTITUTE FOR PUBLIC HEALTH STRATEGIES, HIGH DESERT COMMUNITY COALITION, HESPERIA UNIFIED SCHOOL DISTRICT, RESCUE MISSION ALLIANCE - VICTOR VALLEY, HIGH DESERT FOOD COLLABORATIVE, EXCELSIOR CHARTER SCHOOLS VICTORVILLE, SNOWLINE SCHOOL DISTRICT, LIFE LINE CHURCH OF THE HIGH DESERT, VICTOR VALLEY CHURCH OF CHRIST, CITY OF ADELANTO, ST. JUDE COMMUNITY HEALTH CENTER, GOODWILL SOCAL VICTORVILLE, FAMILY ASSISTANCE CENTER, SAN BERNARDINO COUNTY EQUITY ELEMENT GROUP, RE-IMAGINING OUR COMMUNITIES OF MILLIONAIRE MIND KIDS, CALIFORNIA HEALTH COLLABORATIVE, TOWN OF APPLE VALLEY, VICTOR VALLEY FAMILY RESOURCE CENTER, HIGHER PRAISE TABERNACLE NORTH, SAN BERNARDINO COUNTY HOMELESS PROVIDER NETWORK, SYMBA CENTER, ROCKING OUR DISABILITIES, HIGH DESERT SECOND CHANCE, PLANNED PARENTHOOD VICTORVILLE, SAN BERNARDINO COUNTY FIRST DISTRICT SUPERVISOR PAUL COOK, INLAND EMPIRE HEALTH PLAN, YOUNG VISIONARY YOUTH LEADERSHIP ACADEMY, ST. JOHN OF GOD HEALTHCARE SERVICES, SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH, EL SOL NEIGHBORHOOD EDUCATIONAL CENTER, KINGDOM HALL OF JEHOVAH'S WITNESS, CALVARY CHAPEL APPLE VALLEY, VICTOR VALLEY CHRISTIAN CHURCH, OUR LADY OF THE DESERT, ST. HILARY'S EPISCOPAL CHURCH, HIGH DESERT CHURCH, DESERT COMMUNITIES UNITED WAY, LIFE POINT BAPTIST CHURCH, AZUSA PACIFIC UNIVERSITY, FIRST5 SAN BERNARDINO COUNTY, MOURNING SUN CHILDREN'S FOUNDATION, MOUNTAIN DESERT CAREER PATHWAYS, AND CITY OF VICTORVILLE. SCHEDULE H, PART V, SECTION B, LINE 7A CHNA REPORT WEBSITEHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTS PLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB, APPLE VALLEY 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, APPLE VALLEY SCHEDULE H, PART V, SECTION B, LINE 11 THROUGH A COLLABORATIVE PROCESS, THE COMMUNITY HEALTH COMMUNITY IDENTIFIED ACCESS TO CARE, BEHAVIORAL HEALTH, CHRONIC DISEASE PREVENTION AND TREATMENT AS PRIORITY HEALTH AREAS FOR THE 2024-2026 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).PRIORITY 1: ACCESS TO CARE INCLUDES MOST BARRIERS TO ACCESSING HEALTH CARE SERVICES AND OTHER NECESSARY RESOURCES, SUCH AS TRANSPORTATION, A SHORTAGE OF PROVIDERS, PARTICULARLY SPECIALISTS SUCH AS PEDIATRICIANS, DENTISTS, AND ORTHOPEDISTS, LANGUAGE BARRIERS, AND RESOURCES BEING UNAVAILABLE OUTSIDE OF WORKING HOURS. THIS NEED EMERGED AS A CONSISTENT PRIORITY. IN 2024, ACCESS TO CARE WAS ADDRESSED BY THE FOLLOWING COMMUNITY BENEFIT PROGRAMS: FEDERALLY QUALIFIED HEALTH CENTER: ST. JUDE NEIGHBORHOOD HEALTH CENTERSST. MARY MEDICAL CENTER PROVIDED OVER $1,200,000 IN FINANCIAL SUPPORT TO ST. JUDE NEIGHBORHOOD HEALTH CENTERS (IN ADELANTO, APPLE VALLEY & HESPERIA), WHICH PROVIDED HEALTH SERVICES TO 5,313 INDIVIDUALS. ST. JUDE NEIGHBORHOOD HEALTH CENTER IS A HEALTH RESOURCE AND SERVICE ADMINISTRATION-DESIGNATED FEDERALLY QUALIFIED HEALTH CENTER (FQHC). PRIORITY 2: BEHAVIORAL HEALTH COVERS ALL AREAS OF EMOTIONAL, BEHAVIORAL, AND SOCIAL WELL-BEING FOR ALL AGES. INCLUDES ISSUES OF STRESS, DEPRESSION, COPING SKILLS, AS WELL AS MORE SERIOUS HEALTH CONDITIONS SUCH AS MENTAL ILLNESS AND ADVERSE CHILDHOOD EXPERIENCES. SUBSTANCE USE PERTAINS TO THE MISUSE OF ALL DRUGS, INCLUDING ALCOHOL, MARIJUANA, OPIATES, PRESCRIPTION MEDICATION, AND OTHER LEGAL OR ILLEGAL SUBSTANCES. IT DOES NOT ENCOMPASS CIGARETTE SMOKING, WHICH WAS CONSIDERED SEPARATELY. MENTAL HEALTH CHALLENGES CAN IMPEDE PEOPLE'S ABILITIES TO REALIZE THEIR POTENTIAL, COPE WITH STRESS, WORK PRODUCTIVELY AND FRUITFULLY, AND MAKE CONTRIBUTIONS TO THEIR COMMUNITIES. THESE WERE COMBINED BY THE COMMUNITY BENEFIT COMMITTEE. COMMITTEE MEMBERS DISCUSSED THAT MENTAL HEALTH WILL BE A PRIORITY FOCUS OF PROVIDENCE ST. JOSEPH HEALTH OVER THE NEXT TEN YEARS. MENTAL HEALTH WAS A FREQUENT THEME IN THE 2017 CHNA FOCUS GROUPS AND THE FORUM, PARTICULARLY FOCUSING ON THE STRESSES CAUSED BY ECONOMIC INSECURITY, THE CHALLENGES FACED BY CHILDREN AND TEENS, AND THE LACK OF PROVIDERS. DATA SHOWS THAT THERE ARE RELATIVELY LOW NUMBERS OF BEHAVIORAL HEALTH PROVIDERS IN THE COUNTY OF SAN BERNARDINO WHEN COMPARED TO THE STATE. THE COUNTY IS A HEALTH AND MENTAL HEALTH PROFESSIONAL SHORTAGE AREA. IN 2024, MENTAL HEALTH AND SUBSTANCE USE WAS ADDRESSED BY THE FOLLOWING COMMUNITY PROGRAM: PERINATAL WOMEN EXPERIENCING MENTAL HEALTH CRISES AND SUBSTANCE USE DISORDERS PROGRAM ST. MARY MEDICAL CENTER IS SEEKING FUNDING TO EXPAND ITS BEHAVIORAL HEALTH AND SUBSTANCE USE INTERVENTIONS THROUGH THE IMPLEMENTATION OF BRIDGE BUILDER NAVIGATORS IN BOTH THE GENERAL AND OBSTETRIC EMERGENCY DEPARTMENTS. THESE NAVIGATORS PLAY A VITAL ROLE IN ADDRESSING THE CRITICAL NEEDS OF PERINATAL WOMEN EXPERIENCING MENTAL HEALTH CRISES AND SUBSTANCE USE DISORDERS. ST. MARY HAS PARTICIPATED IN THE STATEWIDE BRIDGE PROGRAM PILOT, LAUNCHED IN RESPONSE TO RISING OPIOID USE AND MENTAL HEALTH CRISES. CURRENTLY, THE EMERGENCY DEPARTMENT (ED) SEES OVER 4,400 VISITS ANNUALLY INVOLVING A MENTAL HEALTH OR SUBSTANCE USE DIAGNOSIS - YET THE EXISTING PROGRAM CAN ONLY REACH A SMALL FRACTION OF THESE PATIENTS. BRIDGE BUILDER NAVIGATORS ARE TRAINED TO ASSIST WITH INITIAL ASSESSMENT, CARE COORDINATION, FOLLOW-UP, AND CONNECTION TO COMMUNITY-BASED TREATMENT AND RECOVERY RESOURCES. THE HOSPITAL'S OBSTETRICS EMERGENCY DEPARTMENT (OB-ED) HAS SEEN A 30% RISE IN BABIES BORN TO MOTHERS WITH SUBSTANCE USE HISTORIES. THESE INFANTS OFTEN SUFFER FROM WITHDRAWAL SYMPTOMS, PREMATURE BIRTH, AND OTHER SERIOUS COMPLICATIONS. WHILE THE HOSPITAL PROVIDES IMMEDIATE CLINICAL CARE, THE SUPPORT MANY MOTHERS NEED EXTENDS BEYOND THE HOSPITAL WALLS. TO BRIDGE THIS GAP, ST. MARY HAS EMBEDDED A COMMUNITY HEALTH NAVIGATOR WITHIN ITS LABOR AND DELIVERY UNIT. THIS NAVIGATOR ENGAGES WITH EXPECTANT MOTHERS AT A CRITICAL TIME, OFFERING SUPPORT, EDUCATION, AND CONSISTENT FOLLOW-UP THROUGHOUT PREGNANCY AND AFTER DELIVERY. OFTEN, SEEING THEIR NEWBORNS IN THE NEONATAL INTENSIVE CARE UNIT INSPIRES MOTHERS TO SEEK HELP - THE ON-SITE NAVIGATOR CAN NURTURE THIS MOTIVATION, ACTING AS A COACH AND SUPPORT SYSTEM TO GUIDE THEM INTO RECOVERY SERVICES. SINCE THE HIRING OF A FULL-TIME COMMUNITY HEALTH WORKER/NAVIGATOR ON OCTOBER 7, 2024, ST. MARY HAS STRENGTHENED ITS OUTREACH. DURING THIS REPORTING PERIOD, 461 UNIQUE INDIVIDUALS RECEIVED INITIAL CONSULTATIONS, FOLLOW-UP CARE COORDINATION, OR OUTREACH SERVICES - 15 OF WHOM WERE PERINATAL PATIENTS FROM THE LABOR & DELIVERY UNIT. TO FURTHER REACH PERINATAL POPULATIONS, ST. MARY IS NOW COLLABORATING WITH THE HIGH DESERT MATERNAL & BIRTH WORKERS COLLECTIVE TO IDENTIFY AT-RISK WOMEN EARLIER AND STRENGTHEN REFERRAL PATHWAYS. TOGETHER, WE AIM TO ENSURE THAT EVERY MOTHER AND BABY RECEIVES THE SUPPORT NECESSARY FOR A HEALTHIER START. PRIORITY 3: CHRONIC DISEASE AND PREVENTION CHRONIC DISEASES ARE SOME OF THE MOST PRESSING HEALTH ISSUES FACING OUR COMMUNITIES. THERE ARE LONG-TERM CONDITIONS THAT CAN OFTEN BE PREVENTED OR BETTER MANAGED THROUGH EARLY INTERVENTION, EDUCATION, AND ACCESS TO CARE.AS MENTIONED IN THE CHNA, COMMUNITIES EXPERIENCING HIGH RATES OF POVERTY AND HEALTH DISPARITIES FACE EVEN GREATER CHALLENGES. INCOME PLAYS A CRITICAL ROLE IN DETERMINING WHETHER INDIVIDUALS CAN ACCESS HEALTHY FOOD, STABLE HOUSING, RELIABLE TRANSPORTATION, AND HEALTHCARE SERVICES. WHEN THESE BASIC NEEDS ARE UNMET, THE ABILITY TO PREVENT OR MANAGE CHRONIC CONDITIONS BECOMES SIGNIFICANTLY MORE DIFFICULT. ADDITIONALLY, HEALTH BEHAVIORS ARE HEAVILY INFLUENCED BY THE ENVIRONMENT IN WHICH A PERSON LIVES. LIMITED ACCESS TO SAFE SPACES FOR PHYSICAL ACTIVITY, FRESH PRODUCE, OR CONSISTENT MEDICAL CARE CAN CONTRIBUTE TO THE DEVELOPMENT AND WORSENING OF CHRONIC DISEASES. ADDRESSING CHRONIC DISEASE AND PREVENTION IS ESSENTIAL TO IMPROVING QUALITY OF LIFE, REDUCING HEALTH INEQUITIES, AND CREATING SUSTAINABLE, LONG-TERM HEALTH IMPROVEMENTS IN UNDERSERVED COMMUNITIES. IN 2024, CHRONIC DISEASE AND PREVENTION WAS ADDRESSED BY THE FOLLOWING PROGRAM: CALFRESH NUTRITION EDUCATION PROGRAM THE CALFRESH NUTRITION EDUCATION PROGRAM CONTINUES TO PLAY A VITAL ROLE IN ADDRESSING FOOD INSECURITY AND SUPPORTING CHRONIC DISEASE PREVENTION FOR LOW-OR NO-INCOME INDIVIDUALS AND FAMILIES. BY PROVIDING ACCESS TO NUTRITIOUS FOODS AND EDUCATION ON HEALTHY EATING HABITS, CALFRESH HELPS REDUCE THE RISK OF DIET-RELATED CHRONIC CONDITIONS SUCH AS DIABETES, HYPERTENSION, AND OBESITY. IN 2024, ST. MARY MEDICAL CENTER PARTNERED WITH FOUR LOCAL MEDICAL PROVIDERS TO OFFER CALFRESH NUTRITION EDUCATION AS PART OF A BROADER COMMUNITY HEALTH INITIATIVE. THROUGH THESE PARTNERSHIPS, WE PROVIDED FOOD ASSISTANCE REFERRALS TO 212 PATIENTS DURING BOTH DIRECT AND INDIRECT NUTRITION EDUCATION SESSIONS. THESE CLASSES FOCUSED ON PROMOTING BALANCED DIETS, UNDERSTANDING FOOD LABELS, AND MAKING HEALTHIER FOOD CHOICES ON A LIMITED BUDGET. IN ADDITION, WE SUPPORTED OUR CLINIC PARTNERS BY EDUCATING THEM ABOUT RESOURCES THAT COULD BE MADE AVAILABLE TO THEIR PATIENTS. THIS INCLUDED INFORMATION ABOUT AVAILABLE FOOD DISTRIBUTION SITES IN THE COMMUNITY AS WELL AS A COMPREHENSIVE LIST OF LOCAL SUMMER MEAL PROGRAM LOCATIONS, ENSURING CHILDREN AND FAMILIES HAD ACCESS TO NUTRITIOUS MEALS DURING THE SCHOOL BREAK. THIS EFFORT NOT ONLY HELPED TO ALLEVIATE IMMEDIATE FOOD INSECURITY BUT ALSO CONTRIBUTED TO THE LONG-TERM PREVENTION OF CHRONIC DISEASES BY ENCOURAGING CONSISTENT ACCESS TO HEALTHY FOODS. BY INTEGRATING CALFRESH NUTRITION EDUCATION WITH HEALTHCARE SERVICES, WE CONTINUE TO SUPPORT THE WELL-BEING OF OUR MOST VULNERABLE COMMUNITY MEMBERS THROUGH SUSTAINABLE, PREVENTIVE APPROACHES. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM AS MANY OF THE SIGNIFICANT HEALTH NEEDS (I.E., CANCER, DIABETES, CEREBROVASCULAR & CARDIOVASCULAR HEALTH, OBESITY AND RESPIRATORY HEALTH) IDENTIFIED IN THE 2023 CHNA HAVE THE SAME COMMON MODIFIABLE (I.E., UNHEALTHY DIET, PHYSICAL INACTIVITY, AND NICOTINE PRODUCT USE) AND INTERMEDIATE RISK FACTORS (I.E., RAISED BLOOD PRESSURE, ELEVATED GLUCOSE, ABNORMAL BLOOD LIPIDS, AND OVERWEIGHT/OBESITY), THE COMMUNITY HEALTH COMMITTEE AGREED TO FOCUS ON CHRONIC DISEASE PREVENTION AND TREATMENT. SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 20E THE HOSPITALS DID NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. SCHEDULE H, 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. 1 1 - PROVIDENCE ST MARY MEDICAL CENTER 11965 CACTUS RD STE J ADELANTO CA 923014907 SPECIALTY CLINIC PART I, LINE 3C: IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS. PART I, LINE 6A: ST. MARY MEDICAL CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/SOCAL/ST-MARY-MEDICAL-CENTER/ABOUT-US/COMMUNITY-BENEFIT PART I, LINE 7: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER. PART I, LINE 7G: NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. PART III, LINE 4: AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019. PART III, LINE 8: COMMUNITY BENEFITSTHE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. PART III, LINE 9B: COLLECTION ACTIVITYOUR 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. THIS INFORMATION IS INCLUDED IN OUR CHARITY POLICY HOWEVER THIS DETAIL IS NOT ADDRESSED IN OUR COLLECTION POLICY. PART VI, LINE 2: WITH THE INPUT OF MORE THAN 450 KEY STAKEHOLDERS, ST. MARY MEDICAL CENTER DEFINED ITS FIVE-YEAR STRATEGIC JOURNEY, WHICH FORMS THE FOUNDATION FOR OUR COMMITMENT TO EACH PATIENT WE SERVE: PROVIDENCE STRATEGIC FRAMEWORK STRENGTHEN THE CORE: WE WILL DELIVER OUTSTANDING, AFFORDABLE HEALTH CARE, HOUSING, EDUCATION AND OTHER ESSENTIAL SERVICES TO OUR PATIENTS AND COMMUNITIES. WE SEEK TO CREATE A PLACE WHERE CAREGIVERS ARE FULFILLED AND INSPIRED TO CARRY ON THE MISSION. BE OUR COMMUNITIES' HEALTH PARTNER: WE WILL BE OUR COMMUNITIES' HEALTH PARTNER, AIMING FOR PHYSICAL, SPIRITUAL, AND EMOTIONAL WELL-BEING. WE SEEK TO EASE THE WAY OF OUR NEIGHBORS IN THEIR JOURNEY TO GOOD LIFE. TRANSFORM OUR FUTURE: WE WILL RESPOND TO THE SIGNS OF THE TIMES, PURSUING NEW OPPORTUNITIES THAT TRANSFORM OUR SERVICES. WE SEEK TO EXPAND AND SUSTAIN OUR MISSION. PROVIDENCE SOCAL REGION STRATEGIC VISION: BE OUR COMMUNITY'S HEALTH PARTNER OF CHOICE, KNOWN FOR EASE-OF-USE, KEEPING OUR PATIENTS WELL, AND PROVIDING OUTSTANDING QUALITY. STRENGTHEN THE CORE: PROVIDING EXCEPTIONAL, PERSONALIZED CARE WITH COMPASSION. SIMPLIFY ACCESS: KNOW OUR COMMUNITIES AND EASE THEIR WAY THROUGH THE CARE CONTINUUM. TRANSFORM CARE, IMPROVE POPULATION HEALTH OUTCOMES, AND REDUCE HEALTH DISPARITIES, ESPECIALLY FOR THE POOR AND VULNERABLE POPULATIONS. LEAD THE WAY IN IMPROVING OUR NATION'S MENTAL AND EMOTIONAL WELL-BEING. ENGAGE WITH PARTNERS TO ENSURE HEALTH EQUITY FOR ALL BY ADDRESSING SYSTEMIC RACISM AND THE SOCIAL DETERMINANTS OF HEALTH, WITH A FOCUS ON EDUCATION, HOUSING, AND THE ENVIRONMENT. TRANSFORM HEALTH: USE OUR HIGH-VALUE NETWORK OF CARE TO KEEP PATIENTS WELL AND PROVIDE COORDINATED CARE WHEN SICK. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS 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: COMMUNITY INFORMATIONST. MARY MEDICAL CENTER PROVIDES THE VICTOR VALLEY AND BARSTOW COMMUNITIES WITH ACCESS TO ADVANCED CARE. THE FACILITY IS THE ONLY PROVIDENCE ST. JOSEPH HEALTH HOSPITAL OPERATING IN SAN BERNARDINO COUNTY AND THE ONLY NON-PROFIT HOSPITAL IN THE HIGH DESERT REGION. THE HOSPITAL'S TOTAL SERVICE AREA EXTENDS FROM HIGHWAY 58 AND THE I-15 FREEWAY IN THE NORTH, HIGHWAY 395 AND THE I-15 FREEWAY IN THE SOUTH, UNINCORPORATED COMMUNITIES INCLUDING LUCERNE VALLEY IN THE EAST AND UNINCORPORATED COMMUNITIES OF EL MIRAGE IN THE WEST. OUR HOSPITAL'S TOTAL SERVICE AREA (TSA) INCLUDES THE CITIES OF ADELANTO, APPLE VALLEY, BARSTOW, HESPERIA, ORO GRANDE, VICTORVILLE, AND SEVERAL SMALLER UNINCORPORATED COMMUNITIES (I.E., HELENDALE, LUCERNE VALLEY, OAK HILLS, PHELAN, SNOWLINE, AND WRIGHTWOOD). TOTAL SERVICE AREA: THE 2023 CHNA WAS PREPARED TO IDENTIFY THE HEALTH NEEDS IN PROVIDENCE ST. MARY MEDICAL CENTER'S PRIMARY SERVICE AREA. A ZIP CODE WAS IDENTIFIED TO BE WITHIN OUR PRIMARY SERVICE AREA (AKA. HIGH NEED AREA) IF 70% OR MORE INPATIENT ADMISSIONS WERE RECEIVED FROM A PARTICULAR ZIP CODE DURING THE PRECEDING FISCAL YEAR. AS SUCH, THE PRIMARY SERVICE AREA FOR PROVIDENCE ST. MARY MEDICAL CENTER FOR THE 2023 CHNA IS COMPRISED OF THE FOLLOWING 13 ZIP CODES: ADELANTO (92301), APPLE VALLEY (92307 & 92308), HELENDALE (92342), HESPERIA (92344 & 92345), LUCERNE VALLEY (92356), ORO GRANDE (92368), PHELAN (92371), PINON HILLS (92372) AND VICTORVILLE (92392, 92394 & 92395). THE TOTAL POPULATION FOR THE NINE TOWNS AND CITIES THAT COMPRISE PROVIDENCE ST. MARY MEDICAL CENTER'S SERVICE AREA IN 2021, WAS ESTIMATED AT 419,075. POPULATION AND AGE DEMOGRAPHICS: THE POPULATION IN ST. MARY MEDICAL CENTER'S TOTAL SERVICE AREA MAKES UP 19% OF SAN BERNARDINO COUNTY. BY 2030, THE CALIFORNIA DEPARTMENT OF FINANCE ESTIMATES THAT ONE IN FOUR CALIFORNIANS WILL BE 60 YEARS AND OLDER. DESPITE THIS, THE SERVICE AREA IS AGING AT A SLOWER RATE EVIDENT BY: (A) 11.8% INDIVIDUALS 65 YEARS AND OLDER COMPARED TO THE STATE (14.4%); (B) 29.7% OF INDIVIDUALS AGED 0-17 COMPARED TO COUNTY (26.4%) AND STATE (22.8%); AND (C) MEDIAN AGE FALLING BELOW THE STATE (37 YRS.), APART FROM LUCERNE VALLEY (40.2 YRS.) AND HELENDALE (42.1 YRS.) IN 2021. POPULATION BY RACE AND ETHNICITY: INDIVIDUALS WHO IDENTIFY AS HISPANIC, "OTHER" RACE, AND BLACK ARE MORE LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS. PEOPLE IDENTIFYING AS ASIAN AND WHITE ARE LESS LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS. ACCORDING TO THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY 2017-2021 POPULATION ESTIMATES, THE RACIAL AND ETHNIC COMPOSITION OF ST. MARY MEDICAL CENTER IS: 36.8% WHITE, 7% BLACK, 0.31% AMERICAN INDIAN/ALASKA NATIVE, 3.5% ASIAN, 0.22% NATIVE HAWAIIAN/PACIFIC ISLANDER, 4.4% TWO OR MORE RACES, AND 47.6% HISPANIC/LATINO. SOCIOECONOMIC INDICATORS: THE POPULATION IN ST. MARY MEDICAL CENTER'S TOTAL SERVICE AREA IS MORE LIKELY TO BE AT OR BELOW 200% FPL COMPARED TO SAN BERNARDINO COUNTY OVERALL, INCLUDING NEARLY 60% OF HOUSEHOLDS IN THE "HIGH NEED SERVICE AREA". THE MEDIAN INCOME IN ST. MARY MEDICAL CENTER'S TOTAL SERVICE AREA IS ALMOST $8,000 LOWER THAN THAT OF THE COUNTY OVERALL. THE MEDIAN INCOME FOR HOUSEHOLDS IN THE HIGH NEED CENSUS TRACTS ARE APPROXIMATELY $20,000 LOWER THAN THE "BROADER SERVICE AREA". HOUSING COST BURDEN: SEVERE HOUSING COST BURDEN REPRESENTS HOUSEHOLDS THAT SPEND 50% OR MORE OF THEIR INCOME ON HOUSING COSTS. A SLIGHTLY GREATER PROPORTION OF RENTER HOUSEHOLDS ARE SEVERELY HOUSING COST BURDENED IN ST. MARY MEDICAL CENTER'S TOTAL SERVICE AREA COMPARED TO SAN BERNARDINO COUNTY. ON AVERAGE, ABOUT 31% OF HOUSEHOLDS IN THE TOTAL SERVICE AREA ARE SEVERELY BURDENED BY HOUSING COSTS. IN THE "HIGH NEED SERVICE AREA", 35% OF RENTER HOUSEHOLDS ARE SEVERELY HOUSING COST BURDENED, COMPARED TO 26% IN THE "BROADER SERVICE AREA".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). ST. MARY MEDICAL CENTER IS LOCATED IN A REGION LISTED AS A MEDICAL HEALTH PROFESSIONAL SHORTAGE AREA FOR PRIMARY CARE AND MENTAL HEALTH. 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 "UNDERSERVICE". 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. THE AREA WEST OF THE HOSPITAL INCLUDING PORTIONS OF VICTORVILLE AND ADELANTO ARE DESIGNATED MUAS, SIGNIFYING THE IMPORTANCE OF ST. MARY MEDICAL CENTER TO THE COMMUNITY IT SERVES.OTHER HOSPITALS IN SERVICE AREATHERE ARE A TOTAL OF FOUR HOSPITALS IN THE VAST GEOGRAPHICAL AREA. THESE INCLUDE: DESERT VALLEY HOSPITAL, KPC HEALTH - VICTOR VALLEY GLOBAL MEDICAL CENTER, AND BARSTOW COMMUNITY HOSPITAL. ST. MARY MEDICAL CENTER IS THE ONLY NON-PROFIT HOSPITAL IN THE ENTIRE HIGH DESERT REGION. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHST. MARY MEDICAL CENTER PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. ST. MARY MEDICAL CENTER IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1. A COMMUNITY HEALTH COMMITTEE THAT HAS COMMUNITY REPRESENTATION AND IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES. 2. OPEN MEDICAL STAFF.3. ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. PLEASE SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. LOCAL COMMUNITY HEALTH COMMITTEE: THE ROLE OF THE ST. MARY MEDICAL CENTER'S COMMUNITY HEALTH COMMITTEE IS TO SUPPORT THE BOARD OF TRUSTEES IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE COMMUNITY HEALTH COMMITTEE ACTS IN ACCORDANCE WITH A BOARD APPROVED CHARTER. THE COMMUNITY HEALTH COMMITTEE IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS "IDENTIFIED SIGNIFICANT NEEDS" IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES. THE COMMUNITY HEALTH 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 TWO (2) COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE COMMUNITY HEALTH COMMITTEE GENERALLY MEETS BIYEARLY. 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 SERVICES ADVOCACY 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-STEWARDSHIP WELL BEING TRUST:PROVIDENCE'S WELL BEING TRUST IS A FOUNDATION DEDICATED TO ADVANCING THE MENTAL, SOCIAL, AND SPIRITUAL HEALTH FOR ALL. WITH A BOLD MISSION, VISION AND OVERARCHING GOAL, WELL BEING TRUST IS INVESTING IN APPROACHES THAT HAVE THE POTENTIAL TO MODEL THE WAY FORWARD AND ADVANCE CLINICAL, COMMUNITY AND CULTURAL CHANGETO TRANSFORM THE HEALTH OF THE NATION AND IMPROVE WELL-BEING FOR EVERYONE. FOR MORE INFORMATION GO TO: HTTPS://WELLBEINGTRUST.ORG/ABOUT/ PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 ST JUDE NEIGHBORHOOD HEALTH CENTERS 731 S HIGHLAND AVE FULLERTON CA 92832 453977605 501(C)(3) 1616051 0 OPPERATIONAL SUPPORT MILLIONAIRE MIND KIDS 13554 DELAWARE RD APPLE VALLEY CA 92308 204418118 501(C)(3) 45000 0 OPERATIONAL SUPPORT LOMA LINDA UNIVERSITY MEDICAL CENTER 197 E CAROLINE STREET 2100 SAN BERNARDINO CA 92408 371705906 501(C)(3) 15508 0 OPERATIONAL SUPPORT 3 0 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION. 1 1 0 0 0 0 0 1 0 BRIAN LEE HELLELAND CHIEF EXEC SO CA OC/HD 0 733551 0 542161 0 254269 0 222377 0 10891 0 1763249 0 163607 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 RANDY CASTILLO TRUSTEE/CEO 0 455645 0 222641 0 98692 0 89881 0 12510 0 879369 0 73126 KEVIN PARK CHIEF MEDICAL OFFICER HOSPITAL 429606 0 72706 0 41181 0 21509 0 7036 0 572038 0 0 0 GENE GUTIERREZ CFO 0 362356 0 36880 0 15801 0 18844 0 21195 0 455076 0 10231 J TUCKER EXECUTIVE DIRECTOR NURSING 152000 0 21757 0 168700 0 15751 0 14018 0 372226 0 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0 287131 0 28005 0 1418 0 14332 0 4600 0 335486 0 0 JESSICA SADOWSKI CHIEF NURSING OFFICER 245792 0 28158 0 21585 0 13592 0 19605 0 328732 0 0 0 FE NAVARRETE ACUTE CARE RN 268269 0 300 0 9532 0 25841 0 11176 0 315118 0 0 0 NARCISO VIZCARRA ACUTE CARE RN 269461 0 0 0 7178 0 18261 0 8175 0 303075 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 IN 2024: JO ANN ESCASA-HAIGH - $879,466 J. TUCKER - $155,894 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 JIM WATSON, ESQ - $77,014 JIM MARTIN - $64,532 RANDY CASTILLO - $73,126 GENE GUTIERREZ - $10,231 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 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 ST. MARY MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. MARY MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE ST. MARY MEDICAL CENTER'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE ST. MARY MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER AND ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, EXEMPT PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. THE CORPORATE MEMBER, ST. JOSEPH HEALTH SYSTEM, RESERVES THE RIGHT TO APPROVE THE PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, REVISED IN 2023, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR 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/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. 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 8,701,555. MANAGEMENT AND GENERAL EXPENSES 273,247. FUNDRAISING EXPENSES 28,487. TOTAL EXPENSES 9,003,289. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 5,706,824. MANAGEMENT AND GENERAL EXPENSES 179,207. FUNDRAISING EXPENSES 18,683. TOTAL EXPENSES 5,904,714. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 26,768,740. MANAGEMENT AND GENERAL EXPENSES 840,596. FUNDRAISING EXPENSES 87,635. TOTAL EXPENSES 27,696,971. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 11,292,556. MANAGEMENT AND GENERAL EXPENSES 354,610. FUNDRAISING EXPENSES 36,969. TOTAL EXPENSES 11,684,135. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 4,739,372. MANAGEMENT AND GENERAL EXPENSES 148,826. FUNDRAISING EXPENSES 15,516. TOTAL EXPENSES 4,903,714. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 14,532,559. OTHER CHANGES IN NET ASSETS -1,181,186. 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 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