2025-11-07T10:55:58-06:00 2024-12-31 346565596 ERNST & YOUNG US LLP 2323 VICTORY AVENUE SUITE 2000 DALLAS TX 75219 990 2024-01-01 951643359 ST JOSEPH HOSPITAL OF ORANGE STJO 7147718000 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 JIM MARTIN CHIEF ACCOUNTING OFFICER 7147718000 2025-11-05 1 1 RYAN MAYOR P01650740 2149698000 2025-10-29 2024 2025-03-06 01:10:19Z PROVIDENCE ST JOSEPH HOSPITAL BRIAN LEE HELLELAND 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 971102510 0 0928 X WWW.PROVIDENCE.ORG/LOCATIONS X 1941 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. 16 14 3461 330 48566 0 7265513 14168750 901602906 915912103 12915928 31261552 7172560 8761863 928956907 970104268 4163400 778492 0 0 288313781 347466975 0 0 3907406 663113622 662081012 955590803 1010326479 -26633896 -40222211 979736039 939395968 467881308 417618105 511854731 521777863 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 979845125 778492 925025081 SEE SCHEDULE O 979845125 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 X 295 0 1 3461 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 16 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 CA X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 BRIAN LEE HELLELAND CEO/PRESIDENT 14.00 41.00 X X 0 1529981 233268 JIM WATSON ESQ 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 ASSISTANT TREASURER 0.00 0.00 X 0 879466 0 JEREMY ZOCH FORMER SJO CE 0.00 0.00 X 0 598250 0 EILEEN HAUBL CFO/TREASURER 27.50 27.50 X 0 474159 42013 ELAINE LEE CHIEF MEDICAL OFFICER HOSPITAL 50.00 0.00 X 454823 0 31103 TROY GIDEON CHIEF ADMINISTRATIVE OFFICER 55.00 0.00 X 342131 58762 46872 MICHELLE GENOVA CHIEF NURSING OFFICER 50.00 0.00 X 329375 0 40586 AMY DAUGHERTY EXECUTIVE DIR. FOUNDATION/CPO 50.00 0.00 X 337158 0 23285 LISA COWAN EXECUTIVE DIRECTOR NURSING 50.00 0.00 X 315834 0 23052 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0.50 54.50 X 0 316554 18932 JOHN CROSS MD BOARD MEMBER 0.50 0.00 X 112962 0 0 ALEX RAMIREZ MD BOARD MEMBER 0.50 0.00 X 0 0 0 BECKY NGUYEN BOARD MEMBER 0.50 0.00 X 0 0 0 CHRISTOPHER WILLS MD BOARD MEMBER 0.50 0.00 X 0 0 0 GADDI VASQUEZ BOARD MEMBER (PART-YEAR) 0.50 0.00 X 0 0 0 JON COLEMAN BOARD MEMBER 0.50 0.00 X 0 0 0 KATHLEEN O'LEARY BOARD CHAIR 1.00 0.00 X 0 0 0 KEVIN SNYDER BOARD MEMBER 0.50 0.00 X 0 0 0 MELISSA RUDOLPH BOARD MEMBER 0.50 0.00 X 0 0 0 MICHELLE HOBBY-MEARS BOARD MEMBER 0.50 0.00 X 0 0 0 RUBEN SMITH BOARD MEMBER 0.50 0.00 X 0 0 0 SISTER JUDITH DUGAN BOARD MEMBER 0.50 0.50 X 0 0 0 SISTER KAREN CLOCK BOARD MEMBER 0.50 0.00 X 0 0 0 SISTER SUZANNE SASSUS BOARD MEMBER 0.50 0.00 X 0 0 0 SUDEEP KUKREJA MD BOARD MEMBER 0.50 0.00 X 0 0 0 1892283 5633460 684529 1101 1 1 0 LAYTON CONSTRUCTION CO LLC 9090 S SANDY PKWY SANDY UT 84070 CONSTRUCTION SERVICES 11355417 CASS INFORMATION SYSTEMS INC 12444 POWERSCOURT DR 550 SAINT LOUIS MO 63131 PAYMENT SERVICES 9282768 AYA HEALTHCARE INC PO BOX 674907 DALLAS TX 75267 STAFFING SERVICES 7842533 ONELEGACY 221 S FIGUEROA ST STE 500 LOS ANGELES CA 90012 MEDICAL SERVICES 4507300 INTEGRATED CRITICAL CARE & PULMONARY S 24422 AV DE LA CARLOTA LAGUNA H CA 92653 MEDICAL SERVICES 4275461 154 854461 5000 104981 13204308 14168750 NET PATIENT REVENUE 622110 907019397 907019397 MOB RENTAL REVENUE 531120 5239517 5239517 JV INCOME 900099 3054636 3054636 OTHER PATIENT SERVICE 622110 598553 598553 915912103 6744187 20450 6723737 7984479 16797772 260217 4669 7724262 16793103 24517365 24517365 354125 854461 733356 -379231 -379231 INTERAFFILIATE REVENUE 900099 4116923 4116923 CAFETERIA REVENUE 722514 1824466 1824466 PARKING REVENUE 812930 1793832 1793832 1405873 1377757 28116 9141094 970104268 919785564 48566 36101388 X 778492 778492 112963 108735 3677 551 270751897 260619512 8812056 1320329 16107409 15504619 524242 78548 40354081 38843905 1313388 196788 20140625 19386900 655509 98216 665700 640788 21666 3246 1319880 1270486 42958 6436 3956 3808 129 19 495376 495376 192163277 184971925 6254263 937089 172170 165726 5604 840 7839397 7546022 255146 38229 10639 10241 346 52 19343590 18619692 629568 94330 174109 167593 5667 849 115369 111051 3755 563 11607045 11172673 377770 56602 20260966 19502737 659426 98803 SYSTEM COST ALLOCATION 188932704 181862250 6149119 921335 MEDICAL SUPPLIES 168952634 168952634 UBI TAXES PAID 10000 9626 325 49 HOSPITAL FEE 38831511 38831511 11182689 10764199 363958 54532 1010326479 979845125 26573948 3907406 102764536 181922701 123500 137500 2662925 2068204 119897371 109295362 831916 1291581 13540907 13363782 1679502 1966783 984901297 665016156 330593003 319885141 266810621 167833385 5499722 5361551 11618500 10673000 123713536 125596978 979736039 939395968 55372581 51812895 11377458 9635864 80000 68000 401051269 356101346 467881308 417618105 X 451264964 449423520 60589767 72354343 511854731 521777863 979736039 939395968 X -40222211 -765031 50910374 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 86593 86593 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. 32265932 279228 5424053 2540055 35429158 26861330 17050 5707576 320024 32265932 34026615 66906 -7232191 26861330 31046161 368268 4103014 1493829 34023614 27675429 3352438 3338355 3320061 31046161 0.45000 0.55000 0.00000 0 0 22771660 22771660 601697760 346957908 254739852 349634057 318058248 31575809 10797820 10797820 319885141 HOSPITAL FEE/PROVIDER TAX RECEIVABLE 78656115 RIGHT OF USE OPERATING LEASES 24624352 DUE FROM THIRD PARTY 9361524 OTHER ASSETS 8799303 CHARITABLE GIFT ANNUITIES 4155684 125596978 I/C TAX EXEMPT BOND LIABILITIES 199325851 HOSPITAL FEE/PROVIDER TAX LIABILITY 42343890 CAPITAL LEASE OBLIGATIONS 40794225 DUE TO THIRD PARTY 36961006 LONG-TERM MASTER TRUST DEBT 22527023 ACCRUED RETIREMENT COMPENSATION 4904452 LONG-TERM LINE OF CREDIT 3210869 DUE TO AFFILIATES 2932499 CHARITABLE GIFT ANNUITIES/TRUST FUND OBLIGATIONS 2829490 OTHER LIABILITIES 272041 356101346 PART V, LINE 4: THE ENDOWMENT FUNDS MAINTAINED BY THE HOSPITAL ARE INTENDED TO SUPPORT THE MISSION OF THE HOSPITAL, INCLUDING ACQUISITION OF BUILDINGS AND EQUIPMENT AND SUPPORT OF VARIOUS HOSPITAL PROGRAMS, RESEARCH, EDUCATION AND COMMUNITY OUTREACH. GALA/CELEBRATION 784000 626693 157307 137474 176168 163039 GOLF 424586 227768 196818 31460 134133 11204 79878 1208586 854461 354125 31460 134133 148678 176168 242917 733356 -379231 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 6249921 0 6249921 0.00620 212974723 160588796 52385927 0.05190 11534 10927 607 0.00000 219236178 160599723 58636455 0.05810 1104608 163110 941498 0.00090 326169 79050 247119 0.00020 14134552 10640619 3493933 0.00350 776453 0 776453 0.00080 16341782 10882779 5459003 0.00540 235577960 171482502 64095458 0.06350 238290 238290 0.00020 238290 238290 0.00020 0 255638945 370971666 -115332721 X 1 0 1 COMPREHENSIVE IMAGING DIAGNOSTIC IMAGING CENTER 0.50000 0.50000 2 ST JOSEPH PHYSICIAN VENTURES REAL ESTATE: DOCTOR OFFICES 0.71480 0.28520 1 1 ST JOSEPH HOSPITAL OF ORANGE 1100 WEST STEWART DRIVE ORANGE CA 92868 HTTPS://WWW.PROVIDENCE.ORG/OBP 060000172 X X X X ST JOSEPH HOSPITAL OF ORANGE 1 0 0 1 X X X X X X X X X 23 1 1 0 1 X SEE PART V, SECTION C X 1 24 1 SEE PART V, SECTION C 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X X 1 X 0 1 SCHEDULE H, PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITTY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5: IN CONDUCTING THE 2023 CHNA TO IDENTIFY THE NEEDS AND BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF THE COMMUNITY MEMBERS AND OTHER KEY STAKEHOLDERS, REPRESENTATIVES FROM PROVIDENCE ORANGE COUNTY, IN PARTNERSHIP WITH CHARITABLE VENTURES, CARRIED OUT THREE APPROACHES FOR GAINING COMMUNITY INPUT: 1) COMMUNITY LISTENING SESSIONS, 2) A KEY INFORMANT SURVEY, AND 3) DIALOGUE SESSIONS WITH LEADERS FROM EACH OF THE THREE PROVIDENCE ORANGE COUNTY HOSPITALS.EIGHT LISTENING SESSIONS WERE HELD WITH SPECIFIC COMMUNITIES THAT HAVE UNIQUE NEEDS: ASIAN AMERICAN/NATIVE HAWAIIAN/PACIFIC ISLANDER (AANHPI), BLACK/AFRICAN AMERICAN, INDIVIDUALS WITH DISABILITIES, LGBTQIA, OLDER ADULTS, KOREAN-SPEAKING, SPANISH-SPEAKING IN SOUTH ORANGE COUNTY, AND VIETNAMESE-SPEAKING. THESE SESSIONS WERE HELD BOTH ONLINE AND IN PERSON, IN SETTINGS THAT WERE MOST ACCESSIBLE FOR PARTICIPANTS. SESSIONS WERE CONDUCTED IN PARTNERSHIP WITH TRUSTED MESSENGER ORGANIZATIONS WITH UNIQUE CONNECTIONS AND LANGUAGE SKILLS TO REACH COMMUNITY MEMBERS. DURING THESE SESSIONS, THE NEEDS, ISSUES, BARRIERS, VISIONS FOR HEALTH, COMMUNITY STRENGTHS, AND IDEAS FOR INNOVATION, COLLABORATION, AND THE PURSUIT OF EQUITY WERE DISCUSSED. SEVEN SESSIONS WERE DIRECTED TOWARD RESIDENTS, AND ONE WAS DIRECTED TOWARD PROVIDERS SERVING AANHPI COMMUNITY.THE KEY INFORMANT SURVEY WAS DISTRIBUTED WIDELY TO FAITH-BASED AND COMMUNITY-BASED ORGANIZATIONS, SCHOOL DISTRICTS AND EDUCATIONAL INSTITUTIONS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), MEDICAL CENTERS, LAW ENFORCEMENT AGENCIES, CITY REPRESENTATIVES, GOVERNMENT AGENCIES, AND OTHER PROVIDERS AND LEADERS WHO ARE KNOWLEDGEABLE ABOUT COMMUNITY HEALTH. FINALLY, FEEDBACK FROM PROVIDENCE LEADERSHIP WAS ALSO OBTAINED.OUR PUBLIC HEALTH AGENCY, THE ORANGE COUNTY HEALTH CARE AGENCY, WAS ENGAGED THROUGH KEY INFORMANT SURVEYS. OUR COMMUNITY HEALTH INVESTMENT LEADERS MAINTAINED CLOSE COMMUNICATION WITH KEY STAFF FROM THE ORANGE COUNTY HEALTH CARE AGENCY STAFF, WHO WERE CONDUCTING A CONCURRENT NEEDS ASSESSMENT FOR ORANGE COUNTY. THE OC HEALTH CARE AGENCY'S OFFICE OF POPULATION HEALTH AND EQUITY PRIORITIES FOR 2023-2028 AND THE 2020-2022 ORANGE COUNTY HEALTH IMPROVEMENT PLAN WERE REVIEWED AND USED AS A REFERENCE TO ENSURE ALIGNMENT WITH COUNTY PUBLIC HEALTH FINDINGS AND PRIORITIES. SCHEDULE H, PART V, SECTION B, LINE 6A: ST. JUDE MEDICAL CENTER AND MISSION HOSPITAL SCHEDULE H, PART V, SECTION B, LINE 7A: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB, ORANGE. SCHEDULE H, PART V, SECTION B, LINE 10A: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB, ORANGE. SCHEDULE H, PART V, SECTION B, LINE 11: FOR CALENDAR YEARS 2024-2026, ST. JOSEPH HOSPITAL ORANGE IDENTIFIED AND WILL FOCUS ON THE FOLLOWING THREE (3) PRIORITIES:PRIORITY 1: ACCESS TO CAREACCESS TO CARE EXTENDS BEYOND MEDICAL CARE AND INCLUDES DENTAL, VISION, PRIMARY CARE, TRANSPORTATION, CULTURALLY APPROPRIATE CARE, AND CARE COORDINATION. PEOPLE WITHOUT INSURANCE ARE LESS LIKELY TO HAVE A PRIMARY CARE PROVIDER AND MAY NOT BE ABLE TO AFFORD THE HEALTH CARE SERVICES AND MEDICATIONS THEY NEED. STRATEGIES TO INCREASE INSURANCE COVERAGE RATES ARE CRITICAL FOR ENSURING MORE PEOPLE RECEIVE IMPORTANT HEALTH CARE SERVICES, SUCH AS PREVENTIVE CARE AND TREATMENT FOR CHRONIC ILLNESSES.IN 2024, ACCESS TO CARE WAS ADDRESSED BY THE FOLLOWING:ACCESS TO MEDICAL, DENTAL, MENTAL HEALTH AND VISION SERVICES TO THE UNINSUREDST. JOSEPH HOSPITAL PROVIDED $412,555 IN FINANCIAL SUPPORT TO ST. JUDE NEIGHBORHOOD HEALTH CENTERS THROUGH THIS FUNDING, LA AMISTAD, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), CONTINUES TO PROVIDE MUCH-NEEDED MEDICAL, DENTAL, MENTAL HEALTH AND VISION SERVICES TO LOW-INCOME FAMILIES AND RESIDENTS. THIS EXTERNAL FUNDING ENSURES THAT UNINSURED INDIVIDUALS WHO ARE NOT ELIGIBLE FOR FEDERAL OR STATE HEALTH INSURANCE CAN RECEIVE AFFORDABLE CARE, AND THOSE WHO ARE ELIGIBLE FOR HEALTH INSURANCE ONLY PAY A NOMINAL CO-PAY. IN 2024, ST. JUDE NEIGHBORHOOD HEALTH CENTER (LA AMISTAD) PROVIDED 24,360 PRIMARY CARE, DENTAL, VISION AND MENTAL/BEHAVIORAL HEALTH VISITS TO THE UNINSURED AND UNDERINSURED POPULATION OF CENTRAL ORANGE COUNTY. WITH FUNDING FROM ST. JOSEPH HOSPITAL, LA AMISTAD WAS ABLE TO HIRE A BILINGUAL OBGYN AND PEDIATRICIAN TO EXPAND OBSTETRIC SERVICES FOR PREGNANT CLINIC PATIENT. IN 2024, LA AMISTAD PROVIDED 559 OB. VISITS. TRANSITIONAL CARE CLINICFUNDED BY A $100,000 GRANT FROM ST. JOSEPH ORANGE, LA AMISTAD CONTINUES TO FUND A TRANSITIONAL CARE CLINIC, WHICH SERVED APPROXIMATELY 524 PATIENTS DISCHARGED FROM HOSPITALS IN CENTRAL COUNTY IN 2024. THE PROGRAM SERVES UNINSURED AND UNDERINSURED PATIENTS WHO NEED POST-HOSPITAL FOLLOW-UP CARE THROUGH OUTPATIENT VISITS. ADDITIONALLY, THE CLINIC PROVIDES THEM WITH A STABLE MEDICAL HOME AND RESOURCES TO OBTAIN APPROPRIATE MEDICAL INSURANCE, ALONG WITH EDUCATION AND SUPPORT IN ACCESSING PROPER CARE.MEDICAL HOMEST. JOSEPH HOSPITAL PROVIDED $150,000 TO CONTINUE FUNDING THE AVOIDABLE EMERGENCY DEPARTMENT (AED) NAVIGATOR PROGRAM, WHICH EXAMINES THE ROOT CAUSE BEHIND WHY INDIVIDUALS PRESENT TO THE ED MULTIPLE TIMES AND SEEKS TO PROVIDE RESOURCES TO ENSURE APPROPRIATE ACCESS TO CARE. THE NAVIGATOR IS A LICENSED CLINICAL SOCIAL WORKER, WHO FOCUSES ON HOW TO BEST SERVE THE MEDI-CAL PATIENT POPULATION, REDUCING INAPPROPRIATE VISITS, AND INCREASING EDUCATION AROUND ALTERNATE SITES FOR SUITABLE ACCESS TO CARE. IN 2024, THE AED NAVIGATOR SERVED 3,209 INDIVIDUALS IN THE HOSPITAL'S EMERGENCY CENTER TO ACCESS APPROPRIATE HEALTH COVERAGE AND RESOURCES.PRIORITY 2: BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH & SUBSTANCE USE)MENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING. IT AFFECTS HOW WE THINK, FEEL, AND ACT, AND HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE HEALTHY CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE TO ADULTHOOD. MENTAL HEALTH PROGRAMS INCLUDE PREVENTION, SCREENING, ASSESSMENT, AND TREATMENT OF MENTAL DISORDERS AND BEHAVIORAL CONDITIONS. MENTAL HEALTH IS AN IMPORTANT PART OF OVERALL HEALTH AND WELL-BEING. SUBSTANCE USE OR MISUSE OCCURS WHEN THE RECURRENT USE OF ALCOHOL OR DRUGS CAUSES CLINICALLY SIGNIFICANT IMPAIRMENT, SUCH AS HEALTH PROBLEMS, DISABILITY, AND INABILITY TO MEET MAJOR RESPONSIBILITIES AT WORK, SCHOOL, OR HOME. SUBSTANCE USE OR MISUSE INCLUDES THE USE OF ILLEGAL DRUGS AND THE INAPPROPRIATE USE OF LEGAL SUBSTANCES, SUCH AS ALCOHOL, PRESCRIPTION DRUGS, AND TOBACCO.IN 2024 MENTAL HEALTH WAS ADDRESSED BY THE FOLLOWING ACTIVITIES:EACH MIND MATTERS/PROMISE TO TALK:ST. JOSEPH HOSPITAL INVESTED $88,177 IN EACH MIND MATTERS AND OTHER MENTAL HEALTH STRATEGIES. EACH MIND MATTERS, THE MENTAL HEALTH STIGMA REDUCTION CAMPAIGN, CONTINUES TO PROVIDE VIRTUAL COMMUNICATION. PROMISE TO TALK ACQUIRED 3.6 MILLION IMPRESSIONS ACROSS ALL SOCIAL MEDIA AND WEB PLATFORMS. IN 2024, A TOTAL OF 21,085 ENCOUNTERS WERE COMPLETED, WITH 850 TOTAL PROMISES. THE PROMISE TO TALK WEBSITE HAD 12,651 VISITS. GREEN BENCH OC IS A CAMPAIGN AIMED AT MAKING THE GREEN BENCH A RECOGNIZABLE SYMBOL OF MENTAL HEALTH STIGMA REDUCTION IN ORANGE COUNTY AND REDUCING MENTAL HEALTH STIGMA IN TARGET COMMUNITIES. THE GREEN BENCH SYMBOLIZES A PLACE TO TALK TO SOMEONE ABOUT MENTAL HEALTH. THIS CAMPAIGN ALLOWS US TO CONTINUE HAVING IMPORTANT CONVERSATIONS WITH MEMBERS OF THE COMMUNITY AND CREATE INTEREST AROUND THE STIGMA REDUCTION MOVEMENT. IN 2024, WE PARTNERED WITH 19 ORGANIZATIONS HAVE EITHER PAINTED OR INSTALLED 28 GREEN BENCHES AT PARKS, SCHOOLS, COMMUNITY-BASED ORGANIZATIONS, AND ALL THREE PROVIDENCE HOSPITALS. PROMISE TO TALK ATTENDED FIVE COMMUNITY OUTREACH EVENTS ATTENDED BY OVER 4,300 PARTICIPANTS. EVENT INCLUDED DIA DEL NINO, CINCO DE MAYO, SAN JUAN CAPISTRANO SCHOOL RESOURCE FAIR, INTERNATIONAL WINTER HOLIDAY FESTIVAL, AND FULLERTON MUSEUM CENTER WINTER MARKET. DURING MENTAL HEALTH AWARENESS MONTH IN MAY 2024, OUR IN-PERSON EVENTS ENCOURAGED OPEN CONVERSATIONS TO REDUCE THE STIGMA SURROUNDING MENTAL HEALTH. PROMISE TO TALK MADE ITS RETURN TO IN-PERSON OUTREACH THROUGH A PARTNERSHIP WITH THE LIME TRUCK, WHICH PROVIDED LUNCHES AT A COUPLE OF THESE EVENTS. THIS YEAR, WE TAILORED OUR RESOURCES FOR BACK-TO-SCHOOL, WHICH CAN BE A STRESSFUL AND CHALLENGING TIME FOR PARENTS AND CHILDREN. WE ALSO INTRODUCED THE FIRST-EVER HOLIDAY TOOLKIT, WITH RESOURCES TO SUPPORT OUR COMMUNITY DURING THE HOLIDAYS. WE HAD 1,472,049 SOCIAL MEDIA IMPRESSIONS DURING BACK-TO-SCHOOL AND HOLIDAY SEASONS. 33 SCHOOLS AND 261 PARTNER ORGANIZATIONS WERE SENT TOOLKITS. THE HOLIDAY TOOLKIT WAS ALSO SENT TO ATTENDEES OF THE OC PREVENTION NETWORK CONFERENCE THAT TOOK PLACE IN OCTOBER. WE PROMOTED AND BOOSTED POSTS ON SOCIAL MEDIA GEOTARGETED TO LOW-INCOME COMMUNITIES IN ORANGE COUNTY. TARGETED ENGLISH, SPANISH AND VIETNAMESE SPEAKERS WITH META ADS TO PARTICIPATE IN OUR ANNUAL MENTAL HEALTH ASSESSMENT. PROMISE TO TALK'S YEARLY ASSESSMENT SAW AN INCREASE IN POSITIVE SENTIMENT SCORES AROUND MENTAL HEALTH COMPARED TO PREVIOUS YEARS.IN-PERSON EVENTS WERE SUCCESSFUL AND ENERGIZING. WE NOT ONLY COLLECTED PROMISES AT OUR FIVE EVENTS WE BEGAN TO COLLECT PERSONAL ANECDOTES TO USE IN FUTURE NEWSLETTERS AND SOCIALS. IMPRESSIONS (PAID AND ORGANIC SOCIAL) INCREASED 4.7% COMPARED TO 2023, REVEALING THAT OUR CONTENT CONTINUES TO RESONATE WITH OUR TARGET AUDIENCE.POST PARTUM DEPRESSION PROGRAM:IN 2024, ST. JOSEPH HOSPITAL'S WOMEN'S SERVICES POSTPARTUM DEPRESSION PROGRAM SERVED 431 NEW MOMS AND REFERRED A TOTAL OF 1,257 SESSIONS. A TOTAL OF 1,672 MOMS RECEIVED 46-WEEK FOLLOW-UP CALLS. IN 2023, THE PROGRAM IMPLEMENTED THE ADVERSE CHILDHOOD EXPERIENCE (ACE) SURVEY WITH ALL NEW MOMS. IN 2024, 336 OF THE NEW MOMS TOOK THE ACE SURVEY. FINDINGS FROM THE SURVEY HELPED MOMS BETTER UNDERSTAND THEIR HISTORY WITH MENTAL ILLNESS AND SUPPORT THEIR RECOVERY FROM POSTPARTUM DEPRESSION.PSYCHIATRIC CONSULTATION ST. JUDE NEIGHBORHOOD HEALTH CENTERTHIS PROGRAM PROVIDES PSYCHIATRIC CONSULTATIONS AND SUPPORT FOR PRIMARILY SPANISH-SPEAKING PATIENTS AT COMMUNITY HEALTH CENTERS. IT IS COLLABORATIVELY FUNDED BY THREE MINISTRIES: ST. JOSEPH HOSPITAL ORANGE (SJO - $48,048, MAIN SUBMISSION PORTAL), MISSION HOSPITAL (MH - $48,048), AND ST. JUDE MEDICAL CENTER (SJMC - $48,048), TOTALING A COMBINED CONTRIBUTION OF $144,144.THERE IS A SIGNIFICANT SHORTAGE OF BILINGUAL AND BICULTURAL PSYCHIATRISTS ACROSS ORANGE COUNTY. LOW-INCOME, UNINSURED, OR PUBLICLY INSURED PATIENTS WHO PREFER RECEIVING CARE IN SPANISH OFTEN FACE SUBSTANTIAL BARRIERS TO ACCESSING TIMELY MENTAL HEALTH SERVICES. THESE GAPS IN CARE LEAD TO INCREASED PSYCHIATRIC CRISES, OFTEN RESULTING IN EMERGENCY ROOM VISITS OR ONGOING SUFFERING THAT IMPACTS INDIVIDUALS, FAMILIES, AND THE BROADER COMMUNITY.THROUGH THIS INITIATIVE, PATIENTS RECEIVE PSYCHIATRIC EVALUATIONS AND MEDICATION MANAGEMENT, WITH REFERRALS FOR IN-HOUSE COUNSELING AND THERAPY SERVICES AS NEEDED. IN 2024, PSYCHIATRIC VISITS WERE PROVIDED FOR 111 PATIENTS AT ST. JOSEPH HOSPITAL ORANGE. SCHEDULE H, PART V, SECTION B, LINE 11 (CONTINUED): PRIORITY 3: HOMELESSNESS & HOUSINGLACK OF AFFORDABLE HOUSING CAN HAVE A NUMBER OF NEGATIVE IMPACTS ON INDIVIDUALS, FAMILIES, AND COMMUNITIES. WHEN BASIC NEEDS, SUCH AS HOUSING, ARE NOT MET, THEY IMPACT A FAMILY'S EMOTIONAL, PSYCHOLOGICAL, DEVELOPMENTAL, AND PHYSICAL WELL-BEING. OVER THE LAST FEW YEARS, ORANGE COUNTY HAS BEEN FACING A CRITICAL HOUSING SHORTAGE. IT HAS BECOME EVER MORE DIFFICULT FOR COMMUNITIES WITH LOW INCOMES WHO WORK IN ORANGE COUNTY TO ALSO LIVE THERE. AS A RESULT, FAMILIES MUST SEEK SUBSTANDARD HOUSING WITH MULTIPLE FAMILIES LIVING IN ONE DWELLING. AFFORDABLE HOUSING IS DEFINED BY AN INDIVIDUAL OR FAMILY SPENDING 30% OR LESS OF THEIR GROSS INCOME TOWARD HOUSING. LOW-INCOME COMMUNITIES IN ORANGE COUNTY CAN EXPECT TO SPEND OVER 50% OF THEIR GROSS INCOME ON HOUSING.IN 2024 THIS NEED WAS ADDRESSED BY:HOMELESS NAVIGATOR:THE HOMELESS NAVIGATOR PROVIDED SERVICES TO 477 INDIVIDUAL HOMELESS PATIENTS. THE GREATEST CHALLENGE HAS BEEN IDENTIFYING THE APPROPRIATE LEVEL OF CARE POST-DISCHARGE, WHICH IMPACTS THE NUMBER OF CUSTODIAL CARE DAYS A HOMELESS PATIENT SPENDS IN THE HOSPITAL. WE HAD 492 CUSTODIAL DAYS FOR HOMELESS PATIENTS. CLIENTS ARE MOST OFTEN DISCHARGED TO SNFS (SKILLED NURSING FACILITIES), RECUPERATIVE CARE FACILITIES, STEP-DOWN UNITS, SOBER LIVING HOMES, FAMILY/FRIENDS, AND SHELTERS. THIS PROVIDES STABILIZATION AND A SAFE PLACE FOR PATIENTS WHILE BRIDGING OTHER OPTIONS AND COMMUNITY RESOURCES.THE STATUTORY NUMBER IN THE CLAIM REGULATION IS 14 IN LIEU OF SERVICES PROVIDED. ENHANCED CARE MANAGEMENT (ECM) INCLUDES OUTREACH AND ENGAGEMENT, COMPREHENSIVE ASSESSMENT AND CARE MANAGEMENT PLAN, ENHANCED CARE COORDINATION, HEALTH PROMOTION, COMPREHENSIVE TRANSITIONAL CARE, MEMBER AND FAMILY SUPPORT, COORDINATION OF AND REFERRAL TO COMMUNITY AND SOCIAL SUPPORT SERVICES. COMMUNITY SUPPORT INCLUDES 90 DAYS IN RECUPERATIVE CARE, SHORT-TERM POST-HOSPITALIZATION HOUSING UP TO 6 MONTHS, DAY HABILITATION PROGRAMS, PERSONAL CARE HOMEMAKER SERVICES, MEALS/MEDICALLY TAILORED MEALS, AND SOBERING CENTERS. FLEXIBLE WRAP-AROUND SERVICES, PROVIDED AS A SUBSTITUTE FOR OR TO AVOID OTHER COVERED SERVICES, SUCH AS HOSPITAL ADMISSIONS, SKILLED NURSING FACILITY PLACEMENT, OR ED USE.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. OUR MISSION, "AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE," IS BEST LIVED BY PARTNERING WITH LIKE-MINDED ORGANIZATIONS THAT COUNT WITH THE CAPACITY AND EXPERTISE TO ADDRESS THE NEEDS OF ORANGE COUNTY RESIDENTS. WE ARE COMMITTED TO LIVING OUT OUR MISSION THROUGH OUR OWN COMMUNITY BENEFIT PROGRAMS, BY PARTNERING WITH LIKE-MINDED ORGANIZATIONS, AND BY FUNDING OTHER NON-PROFITS.FURTHERMORE, ST. JOSEPH HOSPITAL WILL ENDORSE LOCAL NONPROFIT ORGANIZATIONS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT ST. JOSEPH HOSPITAL'S SERVICE AREAS.THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE HOSPITAL'S 2023 CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW:CULTURALLY AND LINGUISTICALLY CONCORDANT SERVICES:WHILE THIS IDENTIFIED NEED WAS CALLED OUT AS A COMMUNITY NEED, IT WAS NOT SELECTED AS ONE OF THE TOP PRIORITIES BECAUSE IT WILL BE EMBEDDED IN THE THREE (3) PRIORITY NEEDS IDENTIFIED. ADDITIONALLY, IT WILL SERVE AS A MODEL FOR HOW WE ADDRESS HEALTH EQUITY AMONG OUR COMMUNITIES. THE FOLLOWING ORGANIZATIONS CURRENTLY ADDRESSING CULTURALLY AND LINGUISTICALLY CONCORDANT SERVICES: LGTBQ CENTER OC, VITAL ACCESS CARE FOUNDATION (VIETNAMESE), KOREAN COMMUNITY SERVICES (KCS), OMID MULTICULTURAL INSTITUTE FOR DEVELOPMENT (FARSI AND ARABIC), LATINO HEALTH ACCESS, CHIRLA, THE CAMBODIAN FAMILY, HOPE COMMUNITY SERVICES, AND GOOD HANDS FOUNDATION.LACK OF COMMUNITY INVOLVEMENT AND ENGAGEMENT:THERE ARE SEVERAL REASONS FOR LACK OF COMMUNITY INVOLVEMENT AND ENGAGEMENT. FACTORS INCLUDE ORANGE COUNTY BEING A DIVERSE COMMUNITY OF RESIDENTS FROM VARIOUS BACKGROUNDS, CULTURES, AND LANGUAGES. THIS DIVERSITY CAN MAKE IT DIFFICULT TO CREATE A SENSE OF UNITY AND COMMON PURPOSE AMONG RESIDENTS. IN ADDITION, ORANGE COUNTY HAS SIGNIFICANT ECONOMIC DISPARITIES, WHICH CAN LIMIT RESIDENTS' PARTICIPATION IN COMMUNITY INVOLVEMENT. RESOURCES AND INFRASTRUCTURE ARE NEEDED TO SUPPORT COMMUNITY ENGAGEMENT. ADDRESSING THESE BARRIERS REQUIRES COORDINATED EFFORTS INVOLVING LOCAL GOVERNMENT, COMMUNITY ORGANIZATIONS, AND RESIDENTS. THANKFULLY, EXPERT PROGRAMS AND ORGANIZATIONS SUCH AS SANTA ANA EARLY LEARNING INITIATIVE, COMMUNITY ACTION PARTNERSHIP OF ORANGE COUNTY, AND LATINO HEALTH ACCESS ARE CURRENTLY MAKING GREAT STRIDES IN ADDRESSING COMMUNITY INVOLVEMENT AND ENGAGEMENT IN THE MOST UNDERSERVED COMMUNITIES.ACCESS TO SAFE, RELIABLE, AFFORDABLE TRANSPORTATION:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.ECONOMIC SECURITY:THE LACK OF LIVING WAGE JOBS AND UNEMPLOYMENT IN ORANGE COUNTY SIGNIFICANTLY HINDER THE ABILITY FOR RESIDENTS TO THRIVE IN THE COMMUNITIES WHERE THEY LIVE AND WORK. ACCESS TO EDUCATION, JOB TRAINING, INCREASING AFFORDABLE HOUSING, AND HEALTH CARE ARE KEY FACTORS THAT IMPROVE ECONOMIC SECURITY AMONG UNDERSERVED COMMUNITIES. ORGANIZATIONS SUCH AS COMMUNITY ACTION PARTNERSHIP OF ORANGE COUNTY, TALLER SAN JOSE/HOPE BUILDERS, ONE STOP, CIELO, AND OC SOCIAL SERVICES ARE CURRENTLY ADDRESSING ECONOMIC INSECURITY. ST. JOSEPH HOSPITAL CONTINUES TO LOOK FOR WAYS TO ERADICATE SYSTEMIC INEQUITIES AND INFRASTRUCTURAL THAT IMPEDE ECONOMIC SECURITY AMONG OUR COMMUNITIES.FOOD INSECURITY:THE COVID PANDEMIC BROUGHT TO LIGHT IMMEDIATE NEEDS AROUND FOOD INSECURITY, PARTICULARLY IMPACTING UNDERSERVED COMMUNITIES. AS A RESULT, MANY ORGANIZATIONS (NON-PROFIT, PRIVATE, AND GOVERNMENT) SHIFTED THEIR FOCUS TO ADDRESS FOOD INSECURITY, WHICH LED TO CONCERTED AND COORDINATED EFFORTS THAT MOBILIZED ACCESS FOR THOSE MOST IN NEED. TODAY, THESE ORGANIZATIONS AND SYSTEMS SUCH AS SECOND HARVEST, ABOUND, BRACKEN'S KITCHEN, TO NAME A FEW, HAVE ADVANCED THE CAUSE FOR FOOD AVAILABILITY AND DISTRIBUTION IN ORANGE COUNTY. ST. JOSEPH HOSPITAL STAYS INFORMED, ENGAGED, AND SUPPORTIVE OF THESE EFFORTS WHEN APPROPRIATE.BASIC NEEDS:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.RACISM AND DISCRIMINATION:GROUNDSWELL, FORMERLY KNOWN AS ORANGE COUNTY HUMAN RELATIONS, BRINGS DIVERSE PEOPLE TOGETHER TO BUILD A MORE EQUITABLE FUTURE, TO ENGAGE IN DIALOGUE AND CONFLICT RESOLUTION PROCESSES TO FOSTER UNDERSTANDING AND EMPATHY, TO PARTNER TO PREVENT AND RESPOND TO CONFLICT AND HARM, AND PROVIDE TRAINING, TOOLS, AND SUPPORT LEADERSHIP DEVELOPMENT IN UNDERSERVED COMMUNITIES. THEY WORK WITH SCHOOLS AND YOUTH, OFFER MEDIATION SERVICES, AND PROVIDE ANTI-HATE PROGRAMS. GROUNDSWELL IS CONSIDERED ONE OF ORANGE COUNTY'S PREMIER ORGANIZATIONS CURRENTLY ADDRESSING AND RESPONDING TO RACISM AND DISCRIMINATION ISSUES THAT IMPACT OUR COMMUNITIES.AGING CONCERNS AND ISSUES:WHILE THIS IS NOT ONE OF THE SELECTED PRIORITIES, ST. JOSEPH HOSPITAL PARTNERS WITH THE SOUTHERN CALIFORNIA COUNCIL ON AGING. OVER THE PAST SEVERAL YEARS, ST. JOSEPH HOSPITAL HAS FUNDED A PROGRAM THAT PROVIDES ISOLATED, LOW-INCOME OLDER ADULTS IN CENTRAL ORANGE COUNTY WITH SOCIAL SERVICE RESOURCES AND REFERRALS, MENTAL HEALTH SERVICES, AND A VOLUNTEER VISITING PROGRAM.IN ADDITION, ST. JOSEPH HOSPITAL WILL COLLABORATE WITH SEVERAL LOCAL ORGANIZATIONS THAT ADDRESS THE AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS THESE UNMET NEEDS. 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 HOSPITAL DID NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR. SCHEDULE H, PART V, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE. 1 1 - COMPREHENSIVE IMAGING PARTNERS OF OC LLC 1 CITY BOULEVARD WEST SUITE 1100 ORANGE CA 92868 IMAGING 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: ST. JOSEPH HOSPITAL OF ORANGE PREPARES AN ANNUAL REPORT AND IT ISPUBLICLY AVAILABLE ATHTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/ST-JOSEPH-HOSPITAL-ORANGE/ABOUT-US/COMMUNITY-BENEFIT PART I, LINE 7: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER. PART I, LINE 7G: NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL PROVIDED $238,290 IN COMMUNITY-BUILDING ACTIVITIES BY OFFERING THE COPE HEALTH SCHOLARS PROGRAM. COPE PROVIDES YOUNG ADULTS WITH MEDICAL INTERNSHIPS IN MULTIPLE DEPARTMENTS. THE PROGRAM IS 15 MONTHS LONG AND IS GEARED TOWARD FIRST-GENERATION ADULTS WHO ARE RACIALLY DIVERSE. 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 ASCOMMUNITY 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. THIS INFORMATION IS INCLUDED IN OUR CHARITY POLICY HOWEVER THIS DETAIL IS NOT ADDRESSED IN OUR COLLECTION POLICY. PART VI, LINE 2: NEEDS ASSESSMENTWITH THE INPUT OF MORE THAN 450 KEY STAKEHOLDERS, ST. JOSEPH HOSPITAL OF ORANGE 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 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: COMMUNITY INFORMATIONST. JOSEPH HOSPITAL OF ORANGE PROVIDES ORANGE COUNTY COMMUNITIES WITH ACCESS TO ADVANCED CARE. THE HOSPITAL'S TOTAL SERVICE AREA EXTENDS FROM YORBA LINDA IN THE NORTH, LAKE FOREST IN THE SOUTH, CORONA IN THE EAST AND HUNTINGTON BEACH IN THE WEST. OUR HOSPITAL'S TOTAL SERVICE AREA (TSA), INCLUDES THE CITIES OF ANAHEIM, BUENA PARK, CORONA, COSTA MESA, CYPRESS, FOOTHILL RANCH, FOUNTAIN VALLEY, FULLERTON, GARDEN GROVE, IRVINE, LAKE FOREST, ORANGE, PLACENTIA, SANTA ANA, SILVERADO, STANTON, TUSTIN, VILLA PARK, WESTMINSTER, AND YORBA LINDA.TOTAL SERVICE AREA (TSA):THE COMMUNITY SERVED BY ST. JOSEPH HOSPITAL OF ORANGE IS DETERMINED BY GEOGRAPHIC ACCESS AND OTHER AREA HOSPITALS, AS WELL AS PATIENT ZIP CODES. FOR MORE GRANULAR DATA, CENSUS TRACTS OVERLAPPING THE ZIP CODES IN TABLE 13 IN THE CHNA WERE REFERENCED. THE SERVICE AREA FOR ST. JOSEPH HOSPITAL OF ORANGE WAS DEFINED USING CENSUS TRACTS INSIDE NORTH AND CENTRAL ORANGE COUNTY EXCLUDING THE CITY OF YORBA LINDA. THIS INCLUDES, BUT IS NOT LIMITED TO, THE CITIES OF ANAHEIM, BREA, BUENA PARK, CYPRESS, FULLERTON, COSTA MESA, GARDEN GROVE, IRVINE, SANTA ANA, WESTMINSTER AND ORANGE. IN TOTAL, THERE ARE 484 CENSUS TRACTS WITHIN THE SERVICE AREA OF ST. JOSEPH HOSPITAL OF ORANGE.POPULATION AND AGE DEMOGRAPHICS:THE POPULATION IN ST. JOSEPH HOSPITAL ORANGE'S TOTAL SERVICE AREA MAKES UP 80% OF ORANGE COUNTY. THE MALE-TO-FEMALE DISTRIBUTION IS ROUGHLY EQUAL ACROSS GEOGRAPHIES. INDIVIDUALS UNDER THE AGE OF 35 ARE MORE LIKELY TO LIVE IN HIGH-NEED CENSUS TRACTS.POPULATION BY RACE AND ETHNICITY:INDIVIDUALS WHO IDENTIFY AS HISPANIC AND "OTHER" RACE ARE SUBSTANTIALLY MORE LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS. INDIVIDUALS IDENTIFYING AS WHITE ARE LESS LIKELY TO LIVE IN HIGH-NEED CENSUS TRACTS.SOCIOECONOMIC INDICATORS:THE MEDIAN HOUSEHOLD INCOME IN THE HIGH- NEED SERVICE AREA IS APPROXIMATELY $45,000 LESS THAN THAT OF THE BROADER SERVICE AREA AND $26,000 LESS THAN ORANGE COUNTY OVERALL.HOUSING COST BURDEN:SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS THAT SPEND 50% OR MORE OF THEIR INCOME ON HOUSING COSTS. THE TOTAL SERVICE AREA AND ORANGE COUNTY HAVE ROUGHLY THE SAME PERCENTAGE OF RENTER HOUSEHOLDS THAT ARE SEVERELY HOUSING COST- BURDENED (28%). IN THE HIGH NEED SERVICE AREA, 30% OF RENTER HOUSEHOLDS ARE SEVERELY HOUSING COST-BURDENED COMPARED TO 25% 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 JOSEPH HOSPITAL IS NOT LOCATED IN A SHORTAGE AREA. LARGE PORTIONS OF THE TOTAL SERVICE AREA TO THE WEST AND SOUTH OF ST. JOSEPH HOSPITAL ARE DESIGNATED AS SHORTAGE AREAS.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. ALTHOUGH ST. JOSEPH HOSPITAL IS NOT LOCATED IN A MEDICALLY UNDERSERVED AREA/MEDICALLY UNDERSERVED POPULATIONS AREA, AREAS TO THE SOUTH AND WEST OF ST. JOSEPH HOSPITAL ARE LOCATED IN A MEDICALLY UNDERSERVED AREA/MEDICALLY UNDERSERVED POPULATIONS AREA, SIGNIFYING THE IMPORTANCE OF ST JOSEPH HOSPITAL TO THE COMMUNITY IT SERVES.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN THE COMMUNITY INCLUDE: HOAG, AHMC ANAHEIM, CHOC, CORONA REGIONAL MEDICAL CENTER, KAISER, KPC HEALTHCARE, INC., ORANGE COAST MEMORIAL, PRIME HEALTHCARE, TENET HEALTH, AND UCI MEDICAL CENTER. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHST. JOSEPH HOSPITAL OF ORANGE 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. JOSEPH HOSPITAL OF ORANGE 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 TRUSTEES2. OPEN MEDICAL STAFF3. ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDSLOCAL COMMUNITY HEALTH COMMITTEE:THE ROLE OF ST. JOSEPH HEALTH, ST. JOSEPH OF ORANGE'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 BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORTS AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES.THE COMMUNITY HEALTH COMMITTEE HAS A MINIMUM OF EIGHT (8) MEMBERS INCLUDING THREE (3) MEMBERS OF THE BOARD OF TRUSTEES. CURRENT MEMBERSHIP INCLUDES THREE (3) MEMBERS OF THE BOARD OF TRUSTEES AND THIRTEEN (13) 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 MEETS VIRTUALLY EVERY QUARTER.SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. 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-FUNDINVESTING 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 REVENUE FULLERTON CA 92832 453977605 501(C)(3) 460603 0 OPERATIONAL SUPPORT & COMMUNITY BENEFIT PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330185031 501(C)(3) 150000 0 COMMUNITY BENEFIT COUNCIL ON AGING ORANGE COUNTY 2 EXECUTIVE CIRCLE SITE 175 IRVINE CA 92614 952874089 501(C)(3) 130000 0 COMMUNITY BENEFIT LATINO HEALTH ACCESS 450 WEST FOURTH STREET STE 130 SANTA ANA CA 92701 330562943 501(C)(3) 20000 0 SPONSORSHIP 4 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 CEO/PRESIDENT 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 JEREMY ZOCH FORMER SJO CE 0 0 0 0 0 598250 0 0 0 0 0 598250 0 0 EILEEN HAUBL CFO/TREASURER 0 406971 0 51078 0 16110 0 38006 0 4007 0 516172 0 9857 ELAINE LEE CHIEF MEDICAL OFFICER HOSPITAL 353386 0 85000 0 16437 0 18983 0 12120 0 485926 0 0 0 TROY GIDEON CHIEF ADMINISTRATIVE OFFICER 288059 52617 44072 0 10000 6145 29621 5088 10380 1783 382132 65633 266 0 MICHELLE GENOVA CHIEF NURSING OFFICER 311791 0 15608 0 1976 0 30051 0 10535 0 369961 0 349 0 AMY DAUGHERTY EXECUTIVE DIR. FOUNDATION/CPO 316683 0 16496 0 3979 0 16367 0 6918 0 360443 0 2228 0 LISA COWAN EXECUTIVE DIRECTOR NURSING 246313 0 13354 0 56167 0 14025 0 9027 0 338886 0 0 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. THESE REIMBURSEMENTS ARE NOT REPORTED AS TAXABLE COMPENSATION. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THIS BENEFIT IS CONSIDERED A TAXABLE BENEFIT AND IS INCLUDED ON THE EMPLOYEE'S FORM W-2. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE. PART I, LINE 3 DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING 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: BRIAN LEE HELLELAND - $163,607 JIM WATSON, ESQ - $77,014 JIM MARTIN - $64,532 EILEEN HAUBL - $9,857 TROY GIDEON - $266 MICHELLE GENOVA - $349 AMY DAUGHERTY - $2,228 PART I, LINE 7 NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 166826 MEDICAL SVC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 3295302 MEDICAL SVC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 2657992 CONST. SVCS 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 395881 PLUMBING 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 159201 REPAIR SVC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 636884 CONST. SVCS 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 590982 CONST. SVCS 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 190079 MEDICAL SVC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 243583 CONST. SVCS 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 4275461 MEDICAL SVC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 11355417 CONST. SVCS 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 2840839 LAUNDRY SVC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 146763 MEDICAL SVC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 699988 TECH. SVCS 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 694683 MEDICAL SVC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 1410595 REPAIR SVC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 210407 REPAIR SVC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 2072435 MEDICAL SVC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 2485734 STAFFING 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIB 832746 CONST. SVCS 0 FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE 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. JOSEPH HOSPITAL ORANGE 2024 PROGRAM SERVICE ACCOMPLISHMENTS: IN 2024, PROVIDENCE ST. JOSEPH HOSPITAL ORANGE (SJO) CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. THE FOCUS OF SJO COMMUNITY BENEFIT ACTIVITIES AND INVESTMENTS WAS CONSISTENT WITH THE PRIORITY HEALTH NEEDS ADDRESSED IN THE 2024-2026 COMMUNITY HEALTH IMPROVEMENT PLAN: MENTAL HEALTH, ACCESS TO CARE, HOMELESSNESS AND HOUSING. THREE KEY PROGRAM ACCOMPLISHMENTS FOR ST. JOSEPH HOSPITAL ORANGE ARE HIGHLIGHTED BELOW: EACH MIND MATTERS CAMPAIGN, ST. JUDE NEIGHBORHOOD HEALTH CENTER, AND THE HOMELESS NAVIGATOR PROGRAM. IN CY24, PROVIDENCE ST. JOSEPH HOSPITAL ORANGE REPORTED $6.2M IN FINANCIAL ASSISTANCE (FREE AND DISCOUNTED CARE), AND $52M OF UNPAID COST OF MEDICAID. PROVIDENCE ST. JOSEPH HOSPITAL ORANGE IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. PRIORITY 1: MENTAL HEALTH MENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING. IT AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE HEALTHY CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD. MENTAL HEALTH PROGRAMS INCLUDE THE PREVENTION, SCREENING, ASSESSMENT, AND TREATMENT OF MENTAL DISORDERS AND BEHAVIORAL CONDITIONS. MENTAL HEALTH IS AN IMPORTANT PART OF OVERALL HEALTH AND WELL-BEING. SUBSTANCE USE/MISUSE OCCURS WHEN THE RECURRENT USE OF ALCOHOL OR DRUGS CAUSES CLINICALLY SIGNIFICANT IMPAIRMENT, INCLUDING HEALTH PROBLEMS, DISABILITY, AND INABILITY TO MEET MAJOR RESPONSIBILITIES AT WORK, SCHOOL, OR HOME. SUBSTANCE USE/MISUSE INCLUDES THE USE OF ILLEGAL DRUGS AND THE INAPPROPRIATE USE OF LEGAL SUBSTANCES, SUCH AS ALCOHOL, PRESCRIPTION DRUGS AND TOBACCO. PRIORITY 1: MENTAL HEALTH ACCOMPLISHMENT EACH MIND MATTERS CAMPAIGN IN 2024, ST. JOSEPH HOSPITAL CONTINUED ITS COMMITMENT TO ADDRESSING MENTAL HEALTH NEEDS THROUGH THE SUPPORT OF THE EACH MIND MATTERS STIGMA REDUCTION CAMPAIGN AND OTHER MENTAL HEALTH INITIATIVES. THESE EFFORTS, FOCUSED ON REDUCING THE STIGMA SURROUNDING MENTAL ILLNESS AND PROMOTING HELP-SEEKING BEHAVIOR, LED TO MEASURABLE COMMUNITY IMPACT AND A NET COMMUNITY BENEFIT OF $88,177. THE PROMISE TO TALK CAMPAIGN REMAINED A CORE COMPONENT OF THE INITIATIVE, USING VIRTUAL COMMUNICATION STRATEGIES TO ENGAGE THE PUBLIC IN CONVERSATIONS AROUND MENTAL HEALTH. IN 2024, THE CAMPAIGN ACHIEVED SIGNIFICANT REACH WITH 3.6 MILLION IMPRESSIONS ACROSS SOCIAL MEDIA AND WEB PLATFORMS. IN TOTAL, THE PROGRAM RECORDED 21,085 ENCOUNTERS AND RECEIVED 850 INDIVIDUAL PROMISES TO TALK, REFLECTING A GROWING AWARENESS AND WILLINGNESS WITHIN THE COMMUNITY TO ENGAGE IN OPEN DIALOGUE ABOUT MENTAL WELL-BEING. THE PROMISE TO TALK WEBSITE ALSO SAW STRONG ENGAGEMENT, WITH 12,651 VISITS DURING THE YEAR. ANOTHER KEY COMPONENT OF THE CAMPAIGN IS GREEN BENCH OC, WHICH PROMOTES THE GREEN BENCH AS A POWERFUL VISUAL SYMBOL FOR MENTAL HEALTH AWARENESSA PLACE WHERE PEOPLE CAN SIT AND TALK OPENLY ABOUT EMOTIONAL WELL-BEING. IN 2024, THE CAMPAIGN PARTNERED WITH 19 LOCAL ORGANIZATIONS AND FACILITATED THE INSTALLATION OR PAINTING OF 28 GREEN BENCHES AT COMMUNITY PARKS, SCHOOLS, NONPROFITS, AND AT ALL THREE PROVIDENCE HOSPITALS IN THE REGION. THESE INSTALLATIONS SERVE AS BOTH PHYSICAL AND SYMBOLIC SPACES FOR REDUCING STIGMA AND ENCOURAGING COMMUNITY CONNECTION. TO FURTHER INCREASE VISIBILITY AND COMMUNITY ENGAGEMENT, PROMISE TO TALK PARTICIPATED IN FIVE IN-PERSON OUTREACH EVENTS, REACHING OVER 4,300 COMMUNITY MEMBERS. THROUGH THIS MULTIFACETED APPROACHCOMBINING DIGITAL ENGAGEMENT, GRASSROOTS OUTREACH, AND STRONG COMMUNITY PARTNERSHIPSST. JOSEPH HOSPITAL'S MENTAL HEALTH CAMPAIGNS CONTINUE TO BUILD A CULTURE OF OPENNESS, REDUCE STIGMA, AND SUPPORT THE EMOTIONAL WELL-BEING OF ORANGE COUNTY RESIDENTS. PRIORITY 2: ACCESS TO CARE ACCESS TO CARE GOES BEYOND MEDICAL CARE, AND INCLUDES DENTAL, VISION, PRIMARY CARE, TRANSPORTATION, CULTURALLY APPROPRIATE CARE, AND CARE COORDINATION. PEOPLE WITHOUT INSURANCE ARE LESS LIKELY TO HAVE A PRIMARY CARE PROVIDER, AND THEY MAY NOT BE ABLE TO AFFORD THE HEALTHCARE SERVICES AND MEDICATIONS THEY NEED. STRATEGIES TO INCREASE INSURANCE COVERAGE RATES ARE CRITICAL FOR MAKING SURE MORE PEOPLE GET IMPORTANT HEALTHCARE SERVICES, LIKE PREVENTIVE CARE AND TREATMENT FOR CHRONIC ILLNESSES. PRIORITY 2: ACCESS TO CARE ACCOMPLISHMENT ST. JUDE NEIGHBORHOOD HEALTH CENTER IN 2024, ST. JOSEPH HOSPITAL PROVIDED $412,555 IN FINANCIAL SUPPORT TO ST. JUDE NEIGHBORHOOD HEALTH CENTERS, ENABLING LA AMISTAD, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), TO CONTINUE DELIVERING MUCH-NEEDED MEDICAL, DENTAL, MENTAL HEALTH, AND VISION SERVICES TO LOW-INCOME AND UNDERSERVED RESIDENTS OF CENTRAL ORANGE COUNTY. 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. AS A RESULT, LA AMISTAD PROVIDED A TOTAL OF 24,360 VISITS ACROSS PRIMARY CARE, DENTAL, VISION, AND BEHAVIORAL HEALTH SERVICES IN 2024. THE MOBILE OPTOMETRY VAN, WHICH IS OPERATED BY LA AMISTAD AND SERVES THE REGION ONCE PER WEEK, CONTINUED PROVIDING REGULAR OUTREACH AT ST. BONIFACE CATHOLIC CHURCH IN ANAHEIM, OFFERING VISION SERVICES TO THOSE WHO MIGHT OTHERWISE GO WITHOUT CARE. ST. JOSEPH HOSPITAL'S INVESTMENT ALSO ALLOWED LA AMISTAD TO EXPAND ITS OBSTETRIC AND PEDIATRIC SERVICES BY HIRING A BILINGUAL OB/GYN AND PEDIATRICIAN. THIS EXPANSION ALLOWED THE CLINIC TO BETTER SERVE PREGNANT WOMEN AND CHILDREN IN THE COMMUNITY. IN 2024, THE CLINIC PROVIDED 559 OBSTETRIC VISITS, ENSURING THAT EXPECTANT MOTHERS RECEIVED CONSISTENT AND COMPASSIONATE PRENATAL CARE. TO FURTHER REDUCE BARRIERS TO ACCESS, LA AMISTAD CONTINUED OFFERING VIRTUAL CLINIC VISITS, HELPING PATIENTS RECEIVE CARE WITHOUT TRANSPORTATION OR SCHEDULING CHALLENGES. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: (CONTINUE) ADDITIONALLY, A $100,000 GRANT FROM ST. JOSEPH HOSPITAL SUPPORTED THE ONGOING OPERATIONS OF THE TRANSITIONAL CARE CLINIC, WHICH SERVES UNINSURED AND UNDERINSURED PATIENTS RECENTLY DISCHARGED FROM LOCAL HOSPITALS. IN 2024, THE CLINIC CARED FOR APPROXIMATELY 524 PATIENTS, PROVIDING TIMELY POST-HOSPITAL FOLLOW-UP CARE AND CONNECTING THEM WITH A STABLE MEDICAL HOME. THE PROGRAM ALSO SUPPORTS PATIENTS IN NAVIGATING INSURANCE ENROLLMENT, ACCESSING NEEDED MEDICAL RESOURCES, AND RECEIVING HEALTH EDUCATION TO IMPROVE LONG-TERM OUTCOMES. THROUGH THESE EFFORTS, ST. JOSEPH HOSPITAL'S PARTNERSHIP WITH LA AMISTAD HAS STRENGTHENED THE HEALTHCARE SAFETY NET FOR VULNERABLE POPULATIONS ACROSS CENTRAL ORANGE COUNTY. PRIORITY 3: HOMELESSNESS & HOUSING LACK OF AFFORDABLE HOUSING CAN HAVE A NUMBER OF NEGATIVE IMPACTS ON INDIVIDUALS, FAMILIES, AND COMMUNITIES. WHEN BASIC NEEDS, SUCH AS HOUSING, ARE NOT MET, THEY IMPACT A FAMILY'S EMOTIONAL, PSYCHOLOGICAL, DEVELOPMENTAL, AND PHYSICAL WELL-BEING. OVER THE LAST FEW YEARS, ORANGE COUNTY HAS BEEN FACING A CRITICAL HOUSING SHORTAGE. IT HAS BECOME EVER MORE DIFFICULT FOR COMMUNITIES WITH LOW INCOMES WHO WORK IN ORANGE COUNTY TO ALSO LIVE IN ORANGE COUNTY. AS A RESULT, FAMILIES MUST SEEK SUBSTANDARD HOUSING WITH MULTIPLE FAMILIES LIVING IN ONE DWELLING. AFFORDABLE HOUSING IS DEFINED BY AN INDIVIDUAL OR FAMILY SPENDING 30% OR LESS OF THEIR GROSS INCOME TOWARD HOUSING. LOW-INCOME HOUSEHOLDS IN ORANGE COUNTY OFTEN SPEND MORE THAN 50% OF THEIR GROSS INCOME ON HOUSING. PRIORITY 3: HOMELESSNESS & HOUSING ACCOMPLISHMENT-HOMELESS NAVIGATOR PROGRAM IN 2024, THE HOMELESS NAVIGATOR PROGRAM AT ST. JOSEPH HOSPITAL PROVIDED CRITICAL SUPPORT TO INDIVIDUALS EXPERIENCING HOMELESSNESS AND CO-OCCURRING MENTAL HEALTH CONDITIONS. THIS PROGRAM, ALIGNED WITH THE HOSPITAL'S COMMUNITY BENEFIT PRIORITIES OF HOMELESSNESS AND MENTAL HEALTH, YIELDED A NET COMMUNITY BENEFIT OF $148,744. LED BY A LICENSED CLINICAL SOCIAL WORKER (LCSW), THE PROGRAM HELPED HOMELESS PATIENTS CONNECT TO APPROPRIATE SERVICES AND RESOURCES WHILE WORKING TO IDENTIFY SUITABLE DISCHARGE DESTINATIONS THAT PROMOTE CONTINUITY OF CARE. ONE OF THE ONGOING CHALLENGES HAS BEEN SECURING APPROPRIATE POST-DISCHARGE PLACEMENT, WHICH DIRECTLY IMPACTS THE NUMBER OF CUSTODIAL CARE DAYSHOSPITAL DAYS WHERE A PATIENT REMAINS SOLELY DUE TO A LACK OF HOUSING OR FOLLOW-UP CARE. IN 2024, ST. JOSEPH HOSPITAL RECORDED 492 CUSTODIAL DAYS FOR HOMELESS PATIENTS, HIGHLIGHTING BOTH THE NEED FOR CONTINUED INVESTMENT IN DISCHARGE PLANNING AND THE SYSTEMIC BARRIERS THAT HOMELESS INDIVIDUALS FACE WHEN TRANSITIONING OUT OF ACUTE CARE SETTINGS. IN ADDITION TO THE LCSW-LED NAVIGATOR SERVICES, THE LCSW IS ALSO A CERTIFIED ADDICTION SPECIALIST, EXPANDING ITS CAPACITY TO ASSIST INDIVIDUALS STRUGGLING WITH SUBSTANCE USE DISORDERS. THESE HEALTHCARE SUPPORT SERVICES AIM TO INCREASE ACCESS TO CARE AND IMPROVE HEALTH OUTCOMES, PARTICULARLY FOR THOSE LIVING IN POVERTY OR WITH COMPLEX SOCIAL AND MEDICAL NEEDS. THROUGH STRENGTHENED CARE COORDINATION, ENHANCED DATA SHARING, AND PATIENT-CENTERED OUTREACH, THE HOMELESS NAVIGATOR PROGRAM IS BUILDING A MORE SEAMLESS CONTINUUM OF CARE. THIS MODEL MINIMIZES THE BURDEN ON PATIENTS AND HELPS MEET ESSENTIAL NEEDS SUCH AS SHELTER, MEDICAL AND MENTAL HEALTH TREATMENT, SUBSTANCE USE RECOVERY SERVICES, AND ACCESS TO PUBLIC BENEFITS. ST. JOSEPH HOSPITAL REMAINS COMMITTED TO SUPPORTING THE MOST VULNERABLE MEMBERS OF THE COMMUNITY THROUGH THIS INNOVATIVE AND IMPACTFUL PROGRAM. OVERALL, THE PROGRAM PROVIDED SUPPORT TO 477 HOMELESS PATIENTS, ADDRESSING BOTH IMMEDIATE NEEDS AND LONG-TERM CARE COORDINATION. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/ST-JOSEPH-HOSPITAL-ORANGE 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. JOSEPH HOSPITAL OF ORANGE. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. JOSEPH HOSPITAL OF ORANGE HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBER RESERVE THE RIGHT TO APPOINT THE ST. JOSEPH HOSPITAL OF ORANGE'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE ST. JOSEPH HOSPITAL OF ORANGE BOARD AS NOMINATIONS MUST BE APPROVED BY JOSEPH HEALTH SYSTEM, AS A 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/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN JUNE 2025. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE. FORM 990, PART IX, LINE 11G OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 125,310,637. MANAGEMENT AND GENERAL EXPENSES 4,236,998. FUNDRAISING EXPENSES 634,838. TOTAL EXPENSES 130,182,473. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 31,028,007. MANAGEMENT AND GENERAL EXPENSES 1,049,118. FUNDRAISING EXPENSES 157,191. TOTAL EXPENSES 32,234,316. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 13,754,526. MANAGEMENT AND GENERAL EXPENSES 465,067. FUNDRAISING EXPENSES 69,682. TOTAL EXPENSES 14,289,275. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 8,800,969. MANAGEMENT AND GENERAL EXPENSES 297,578. FUNDRAISING EXPENSES 44,587. TOTAL EXPENSES 9,143,134. AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 6,062,563. MANAGEMENT AND GENERAL EXPENSES 204,987. FUNDRAISING EXPENSES 30,714. TOTAL EXPENSES 6,298,264. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 15,223. MANAGEMENT AND GENERAL EXPENSES 515. FUNDRAISING EXPENSES 77. TOTAL EXPENSES 15,815. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 56,160,619. CHANGE IN INVESTMENT IN JOINT VENTURES -1,787,746. OTHER CHANGES IN NET ASSETS -3,462,499. 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