2024-07-01T10:04:30-05:00 2021-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2021-01-01 811244422 PROVIDENCE ST JOSEPH HEALTH PROV 4255253985 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 JIM MARTIN CHIEF ACCOUNTING OFFICER 4255253985 2024-07-01 1 JIM MARTIN 999009999 EVA NITTA P01286320 4158948000 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z X GREG HOFFMAN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 53864395 0 X HTTPS://WWW.PROVIDENCE.ORG X 2015 WA SEE SCHEDULE O.AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 11 10 14 0 0 0 0 0 30856850 53864395 0 0 0 0 30856850 53864395 0 1000 0 0 22651639 43927446 0 0 0 4622273 5292439 27273912 49220885 3582938 4643510 3567394523 3371048239 3526040146 3321332290 41354377 49715949 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 34454919 1000 53864395 SEE SCHEDULE O.PROVIDENCEAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE PURSUE INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 52 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA2021 WAS MARKED BY THREE MAJOR SURGES IN COVID-19 VOLUMES, A NATIONAL SHORTAGE OF HEALTH CARE PERSONNEL, AS WELL AS DEFERRALS OF NON-EMERGENT CARE. EVEN WITH THESE TREMENDOUS CHALLENGES, THE PROVIDENCE FAMILY OF ORGANIZATIONS CONTINUED TO INVEST IN OUR COMMUNITIES, GUIDED BY OUR STRATEGIC PLAN AND OUR COMMUNITY BENEFIT PRIORITIES.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORTENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSOVER THE LAST TWO YEARS, PROVIDENCE ADVANCED A SOCIAL RESPONSIBILITY FRAMEWORK THAT INCLUDES A STRONGER COMMITMENT TO DIVERSITY, EQUITY, INCLUSION, AND ENVIRONMENTAL STEWARDSHIP. WE UPDATED OUR INTEGRATED STRATEGIC & FINANCIAL PLAN TO MORE CLEARLY EXPRESS OUR COMMITMENT AND ACCELERATION OF THIS IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES IN THE COMMUNITIES WE SERVE. PROVIDENCE'S SOCIAL RESPONSIBILITY FRAMEWORK AIMS TO DEPLOY THE ASSETS OF OUR SYSTEM TO SUPPORT COMMUNITY HEALTH IMPROVEMENT, STRENGTHEN LOCAL ECONOMIES AND REDUCE OUR CARBON FOOTPRINT. IN 2021, OUR SUSTAINABLE AND INCLUSIVE PURCHASING PROGRAM COMMITTED TO INCREASE OUR SPEND WITH WOMEN AND MINORITY OWNED BUSINESS ENTERPRISES BY OVER $300 MILLION ACROSS THE NEXT FIVE YEARS. WE ALSO DEPLOY AN INVESTING PORTFOLIO WHICH INCLUDES SHAREHOLDER ADVOCACY, IMPACT INVESTING, AND SOCIALLY CONSCIOUS PORTFOLIO SCREENS. IN 2021, PROVIDENCE MADE PROGRESS TOWARDS ITS CLIMATE COMMITMENT TO BECOME CARBON NEGATIVE BY 2030. WE ARE IMPLEMENTING AN ENVIRONMENTAL STEWARDSHIP SYSTEM STRATEGY THAT ENCOURAGES WASTE REDUCTIONS, EFFICIENT ENERGY AND WATER USE, LOCAL AGRICULTURE PARTNERSHIPS, LESS TOXIC AND FEWER CHEMICAL USE, AND A REDUCTION IN CARBON FROM TRAVEL.PROVIDENCE ST. JOSEPH HEALTH IS THE PARENT ORGANIZATION OF PROVIDENCE HEALTH & SERVICES AND ST. JOSEPH HEALTH SYSTEM. IT STRIVES TO SUPPORT IMPROVEMENTS IN HEALTH CARE DELIVERY AND OUTCOMES WITHIN THE CONTEXT OF NONPROFIT, CHARITABLE OWNERSHIP. 34454919 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 14 1 0 1 CA IN SN 0 0 0 0 0 0 0 0 1 0 X 11 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 ROD F HOCHMAN MD PRESIDENT/CEO 62.50 2.50 X X 8639819 0 840345 DEBRA CANALES EVP CAO PSJH 62.50 2.50 X 3078475 0 427939 RHONDA MEDOWS MD PRESIDENT POP HEALTH/AYIN 63.50 1.50 X 2607205 0 314009 LISA VANCE PRESIDENT STRAT & OPS (NORTH) 64.00 1.00 X 2303141 0 608229 MIKE BUTLER FORMER PRESIDENT 0.00 2.00 X 2359254 0 7651 AMY COMPTON-PHILLIPS MD EVP CHIEF CLINICAL OFC PSJH 62.00 3.00 X 1886882 0 303676 BJ MOORE EVP/CHIEF INVESTMENT OFFICER 63.00 2.00 X 1801329 0 372327 CINDY STRAUSS FORMER SECRETARY 0.00 0.00 X 1927096 0 17855 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 47.00 18.00 X 1456676 0 262400 GREG HOFFMAN TREASURER/VP 0.50 64.50 X 0 1407278 273342 AARON MARTIN EVP CHIEF MKT/DIGITAL INNO OFC 55.00 0.00 X 1436105 0 235997 DOUGAL HEWITT EVP CHIEF MISSION OFFICER PSJH 65.00 0.00 X 1061589 0 196726 OREST HOLUBEC EVP CHIEF COMMUNICATION OFCR 55.00 0.00 X 1049938 0 191597 JOHN WHIPPLE SECRETARY 0.50 54.50 X 0 1038537 185449 JIM WATSON ESQ ASSISTANT SECRETARY 0.50 54.50 X 0 760088 126854 VENKAT BHAMIDIPATI FORMER EVP/TREASURER 0.00 0.00 X 750000 0 0 CARLADENISE EDWARDS FORMER EVP CHIEF STRATEGY OFFICER 0.00 0.00 X 550805 0 0 VERONA DORCH SECRETARY - THRU 3/21 52.00 3.00 X 0 515954 4717 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0.50 54.50 X 0 242551 24080 RICHARD BLAIR DIRECTOR 0.50 13.50 X 0 90000 0 DAVE OLSEN DIRECTOR 0.50 12.50 X 0 50000 0 MARY LYONS PHD BOARD CHAIR 1.00 25.00 X 0 48750 0 CHARLES SORENSON MD DIRECTOR 0.50 12.50 X 0 40000 0 ISIAAH CRAWFORD PHD DIRECTOR 0.50 14.00 X 0 30000 0 MICHAEL MURPHY DIRECTOR 0.50 12.50 X 0 30000 0 KATHARIN DYER DIRECTOR - THRU 8/21 0.50 12.50 X 0 20000 0 SISTER CAROL PACINI LCM DIRECTOR (PART YEAR) 0.50 12.50 X 0 0 0 SISTER DIANE HEJNA CSJ RN DIRECTOR 0.50 12.50 X 0 0 0 SISTER LUCILLE DEAN SP DIRECTOR 0.50 12.50 X 0 0 0 SR PHYLLIS HUGHES RSM DRPH DIRECTOR 0.50 12.50 X 0 0 0 30908314 4273158 4393193 14 1 1 0 0 RELATED EO MGMT FEES 561000 49220885 49220885 JV INCOME 621110 4643510 4643510 53864395 53864395 53864395 0 0 1000 1000 26163035 18314124 7848911 12906065 9034245 3871820 4298975 3009282 1289693 559371 391560 167811 16840 11788 5052 61625 43137 18488 10932 7652 3280 2957 2070 887 197463 138224 59239 124874 87412 37462 TAXES & LICENSES 4833428 3383400 1450028 SPECIAL EVENTS 18940 13258 5682 DUES & SUBSCRIPTIONS 5889 4122 1767 RECRUITING & RELOCATION 344 241 103 19147 13404 5743 49220885 34454919 14765966 0 20208 20208 5005596 5005596 39125863 38339373 3523242856 3327683062 3567394523 3371048239 3130146 8902290 3522910000 3312430000 3526040146 3321332290 X 41354377 49715949 41354377 49715949 3567394523 3371048239 X 4643510 3718062 X 0 1 X 1 0 X X X 11 PROVIDENCE HEALTH & SERVICES - WASHINGTON 510216586 3 1 0 0 PROVIDENCE HEALTH & SERVICES - OREGON 510216587 3 1 0 0 PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA 510216589 3 1 0 0 PROVIDENCE HEALTH & SERVICES - MONTANA 810231793 3 1 0 0 MISSION HOSPITAL REGIONAL MEDICAL CENTER 951643360 3 1 0 0 ST JOSEPH HOSPITAL OF ORANGE 951643359 3 1 0 0 ST JUDE HOSPITAL 951643325 3 1 0 0 ST MARY MEDICAL CENTER 951914489 3 1 0 0 PROVIDENCE MEDICAL FOUNDATION 330185031 3 1 0 0 PROVIDENCE SAINT JOHN'S HEALTH CENTER 951684082 3 1 0 0 ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC 814791043 3 1 0 0 11 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART I, LINE 12G COLUMN VI PROVIDENCE ST. JOSEPH HEALTH (PSJH) PROVIDES SUPPORT TO ITS SUPPORTED ORGANIZATIONS THROUGH VARIOUS ADMINISTRATIVE AND GOVERNANCE ACTIVITIES INCLUDING: * MAINTAINING THE RELATIONSHIPS PSJH AND THE SUPPORTED ORGANIZATIONS HAVE ESTABLISHED WITH LIKE-MINDED FAITH-BASED AND SECULAR ORGANIZATIONS, AND IN SUCH CAPACITY PROVIDE OVERALL MISSION, VISION, STRATEGIC, FINANCIAL AND OPERATIONAL DIRECTION FOR SUCH MINISTRIES AND ORGANIZATIONS; * FACILITATING THE ESTABLISHMENT, OPERATION, AND MAINTENANCE OF THE CHARITABLE AND EDUCATIONAL ACTIVITIES AND FACILITIES OF THE SUPPORTED ORGANIZATION INCLUDING HOSPITALS, NURSING HOMES AND OTHER FACILITIES DESIGNED TO MEET THE HEALTH, EDUCATIONAL AND SOCIAL NEEDS OF THE COMMUNITIES SERVED BY THE SUPPORTED ORGANIZATIONS; * FACILITATING THE ESTABLISHMENT, OPERATION AND MAINTENANCE OF A VARIETY OF PROGRAMS CONDUCTED BY THE SUPPORTED ORGANIZATIONS THAT PROVIDE HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE AND RELATED SERVICES WITH PARTICULAR CONSIDERATION FOR THE SPECIAL NEEDS OF THE POOR AND VULNERABLE IN THE COMMUNITIES SERVED BY THE SUPPORTED ORGANIZATIONS; * FACILITATING THE PROVISION OF SCIENTIFIC RESEARCH, EDUCATIONAL, CHARITABLE AND SUCH OTHER ACTIVITIES, SERVICES AND PROGRAMS CONDUCTED BY THE SUPPORTED ORGANIZATIONS; * ENGAGING, AS APPROPRIATE, IN OTHER CHARITABLE WORKS WHICH ARE CONSISTENT WITH THE OBJECTIVES OF THE SUPPORTED ORGANIZATIONS AND THE MISSION AND VALUES OF THE CO-SPONSORS. PSJH HAS SEVERAL COMMITTEES DEVOTED TO VARIOUS SUPPORT FUNCTIONS FOR THE SUPPORTED ORGANIZATIONS. THEY INCLUDE THE AUDIT AND COMPLIANCE COMMITTEE, GOVERNANCE COMMITTEE, WORKLIFE COMMITTEE, FINANCE COMMITTEE, NOMINATING COMMITTEE, EXECUTIVE COMPENSATION COMMITTEE, AND QUALITY AND PATIENT SAFETY COMMITTEE. THESE COMMITTEES OF THE PSJH BOARD, IN THE PERFORMANCE OF THEIR RESPECTIVE DUTIES, PROVIDE OVERALL MANAGEMENT AND COORDINATION SERVICES FOR THE SUPPORTED ORGANIZATIONS. THE AUDIT & COMPLIANCE COMMITTEE PROVIDES ALL SYSTEM SUPPORTED ORGANIZATIONS WITH ACCOUNTING AND FINANCIAL REPORTING PROCESSES, INTERNAL CONTROL SYSTEMS, INCLUDING INFORMATION SECURITY, SYSTEM-WIDE INTEGRITY AND COMPLIANCE PROGRAM, ENTERPRISE RISK MANAGEMENT PROGRAM, AND THE ALIGNMENT OF PSJH'S BUSINESS PRACTICES WITH ITS MISSION AND CORE VALUES. THE WORKLIFE COMMITTEE PROVIDES HUMAN RESOURCES STRATEGIES, PLANS, AND POLICIES THAT HAVE SIGNIFICANT IMPLICATIONS FOR THE ATTAINMENT OF ITS STRATEGIC GOALS, AND ALIGNMENT OF PSJH STRATEGIES AND OBJECTIVES FOR ALL SUPPORTED ORGANIZATIONS OF THE SYSTEM. THE FINANCE COMMITTEE APPROVES FINANCIAL POLICIES, GOALS, AND BUDGETS THAT SUPPORT THE MISSION, VALUES, AND STRATEGIC GOALS OF THE SUPPORTED ORGANIZATIONS. THE QUALITY AND PATIENT SAFETY COMMITTEE REVIEWS AND SEEKS TO CONTINUOUSLY IMPROVE MATTERS CONCERNING OR RELATING TO THE QUALITY OF MEDICAL CARE DELIVERED TO PATIENTS, INCLUDING PATIENT SAFETY, CARE EFFECTIVENESS, COMPASSIONATE SERVICE, SEAMLESSNESS, PERSONALIZATION, EXPERIENCE, AND VALUE OF CARE OF ALL SUPPORTED ORGANIZATIONS IN ACCORDANCE WITH THE MISSION, VALUES, AND PHILOSOPHY OF THE PSJH AND ALL THE SUPPORTED ORGANIZATIONS. * CONDUCTING THEIR RESPONSIBILITIES, THE MEMBERS OF THE STANDING COMMITTEES OF PSJH BOARD ARE EXPECTED TO SUPPORT THE EFFORTS OF PSJH AND THE PSJH BOARD IN WORKING CLOSELY AND CONTINUOUSLY WITH, AND BEING RESPONSIVE TO THE NEEDS OF, THE SUPPORTED ORGANIZATIONS AND THEIR RESPECTIVE GOVERNING BODIES. PART IV, SECTION A, LINE 2 THE FOLLOWING SUPPORTED ORGANIZATIONS ARE EXEMPT UNDER GROUP EXEMPTION #0928 AND ARE LISTED IN THE OFFICIAL CATHOLIC DIRECTORY FOR 2021: PROVIDENCE HEALTH & SERVICES - MONTANA MISSION HOSPITAL REGIONAL MEDICAL CENTER DBA PROVIDENCE MISSION HOSPITAL ST. JOSEPH HOSPITAL OF ORANGE DBA PROVIDENCE ST. JOSEPH HOSPITAL ST. JUDE HOSPITAL DBA PROVIDENCE ST. JUDE MEDICAL CENTER ST. MARY MEDICAL CENTER DBA PROVIDENCE ST. MARY MEDICAL CENTER THE ABOVE SUPPORTED ORGANIZATIONS ARE PUBLICLY SUPPORTED HOSPITAL ORGANIZATIONS DESCRIBED IN IRC SECTION 170(B)(1)(A)(III). PART IV, SECTION A, LINE 6 IN ADDITION TO THE ENTITIES SPECIFICALLY INDICATED AS SUPPORTING ORGANIZATIONS IN ITS GOVERNING DOCUMENTS, PSJH ALSO SUPPORTS OTHER ORGANIZATIONS WITHIN THE PSJH SYSTEM THAT ARE DESCRIBED IN IRC SECTION 501(C)(3) AND ARE OPERATED, SUPERVISED, OR CONTROLLED DIRECTLY BY OR IN CONNECTION WITH SUCH PUBLICLY SUPPORTED ORGANIZATIONS IN ACCORDANCE WITH TREASURY REGULATIONS 1.509(A)-4(E)(1). PART IV, SECTION D, LINE 3 THE OFFICERS AND DIRECTORS OF PROVIDENCE ST. JOSEPH HEALTH (PSJH) WORK CLOSELY WITH ITS SUPPORTED ORGANIZATIONS. THROUGH THESE RELATIONSHIPS AND BOARD AND OFFICER OVERLAP, THE SUPPORTED ORGANIZATIONS MEET THE "SIGNIFICANT VOICE" TEST. * THE SENIOR EXECUTIVES OF PSJH CONTROL AND MANAGE EACH SUPPORTED ORGANIZATION BY PROVIDING OVERALL SENIOR MANAGEMENT AND COORDINATION FOR THE PSJH SYSTEM. THIS SENIOR LEADERSHIP ENSURES COORDINATED INTERACTION WITH THE SUPPORTED ORGANIZATIONS, INCLUDING 20 DESIGN PLANS THAT COORDINATE FUNCTIONS THROUGHOUT THE COMBINED SYSTEM. THE PLANS INCLUDE VISION AND GUIDING PRINCIPLES OF EACH SYSTEM OFFICE FUNCTIONS (I.E. ENTERPRISE RISK MANAGEMENT, MARKETING, FINANCE, LEGAL, ETC.); DESIGN PLANS FOR EACH FUNCTION THAT INCLUDES PROCESS AND WORK DESIGN, ORGANIZATIONAL STRUCTURE, AND KEY PERFORMANCE METRICS; AND IMPLEMENTATION PLANS WHICH INCLUDE A 6 MONTH, 12 MONTH AND GREATER THAN 2 YEAR ROAD MAP TO IMPLEMENT THE DESIGN PLANS. * THE OFFICERS (INCLUDING THE CORPORATE EXECUTIVES AND DIRECTORS) OF THE SUPPORTED ORGANIZATIONS WORK IN AN INTEGRATED, DAY-TO-DAY MANNER ON A BROAD RANGE OF STRATEGIC AND OPERATIONAL ISSUES WITH THE OFFICERS AND DIRECTORS OF PSJH IN ORDER TO ACCOMPLISH THE OVERARCHING CHARITABLE GOALS AND OBJECTIVES OF THE PSJH SYSTEM. THERE ARE REGULAR OPERATIONS MEETINGS/CALLS WITH THE HOSPITAL CHIEF EXECUTIVES OF THE SUPPORTED ORGANIZATIONS AND THE PSJH PRESIDENT, OPERATIONS AND SERVICES, OFFICERS AND OTHER PSJH EXECUTIVES. * THE DIRECTORS OF THE SUPPORTED ORGANIZATIONS CONDUCT THEIR DUTIES IN AN INTEGRATED, DAY-TO-DAY MANNER ON A BROAD RANGE OF STRATEGIC AND OPERATIONAL ISSUES WITH THE OFFICERS AND DIRECTORS OF PSJH IN ORDER TO ACCOMPLISH THE OVERARCHING CHARITABLE GOALS AND OBJECTIVES OF THE PSJH SYSTEM. BOTH THE PH&S SHARED GOVERNANCE AND THE SJHS TIERED GOVERNANCE MODELS COORDINATE GOVERNANCE APPROVALS IN FURTHERANCE OF THE CHARITABLE PURPOSES AND GOALS OF ALL ENTITIES. * MULTIPLE FORUMS, COUNCILS, OPERATIONAL COMMITTEES AND OTHER ORGANIZATIONAL MANAGEMENT VEHICLES WILL EXIST WITHIN THE PSJH SYSTEM THROUGH WHICH THE CORPORATE GOVERNANCE, EXECUTIVE LEADERSHIP AND MEDICAL STAFF LEADERSHIP OF THE SUPPORTED ORGANIZATIONS WILL INTERACT IN THE ORDINARY COURSE OF PSJH'S ACTIVITIES. IN ADDITION, THE CALIFORNIA ATTORNEY GENERAL REQUIREMENTS INCLUDE THE EXPANSION OF PROVIDENCE CLINICAL INSTITUTES ACROSS THE COMBINED SYSTEM. THIS WILL REQUIRE THE PARTICIPATION OF PHYSICIANS AT ALL OF THE SUPPORTED ORGANIZATIONS. * THE EVALUATION OF THE PERFORMANCE OF EACH OF THE PSJH TRUSTEES, COMMITTEE MEMBERS AND CORPORATE EXECUTIVES IS BASED IN PART ON THE EXTENT TO WHICH THEY ARE, IN THEIR DUTIES, ATTENTIVE TO THE NEEDS AND INTERESTS OF THE SUPPORTED ORGANIZATIONS. THE PSJH BOARD ENGAGES IN AN ASSESSMENT PROCESS TO EVALUATE ITS PERFORMANCE AND FULFILLMENT OF FIDUCIARY DUTIES, INCLUDING OVERSIGHT (GOVERNANCE, COMPLIANCE) OF THE SUPPORTED ORGANIZATION'S LOCAL MINISTRY AND COMMUNITY MINISTRY BOARDS. PERFORMANCE OF PSJH EXECUTIVES WILL BE BASED IN PART ON THEIR LEADERSHIP/SERVICE TO THE SUPPORTED ORGANIZATIONS. IN SOME CASES, SATISFACTION SURVEYS RELATED TO SYSTEM SERVICES ARE CONDUCTED TO SOLICIT FEEDBACK FROM THE SUPPORTED ORGANIZATIONS. * IN THE PERFORMANCE OF EACH PSJH EXECUTIVE'S DUTIES, THE EXECUTIVE IS EXPECTED TO WORK CLOSELY AND CONTINUOUSLY WITH, AND BE RESPONSIVE TO THE NEEDS OF, THE SUPPORTED ORGANIZATIONS (AS THEY RELATE TO THE SCOPE OF THAT EXECUTIVE'S PARTICULAR DUTIES AND RESPONSIBILITIES). PSJH EXECUTIVES ARE EXPECTED TO WORK CLOSELY AND REGULARLY WITH LEADERSHIP AT THE SUPPORTED ORGANIZATIONS TO ENSURE ACHIEVEMENT OF STRATEGIC PLANS AND OBJECTIVES IN FURTHERANCE OF THE MISSION AND CHARITABLE PURPOSES OF THE ORGANIZATION(S). * THE COMMITTEES OF THE PSJH BOARD REQUIRE THE COMMITTEES, IN THE PERFORMANCE OF THEIR RESPECTIVE DUTIES, TO BE SUPPORTIVE OF, AND ACT CONSISTENT WITH THE RESPONSIBILITIES OF THE PSJH BOARD IN THE IMPLEMENTATION OF PSJHS' CHARITABLE MISSION OF PROVIDING OVERALL MANAGEMENT AND COORDINATION SERVICES FOR THE PSJH SYSTEM. * CERTAIN CRITICAL DECISIONS WITH RESPECT TO (A) CORPORATE STRATEGY; (B) CONSOLIDATED BUDGETING AND ACCOUNTING; (C) CORPORATE GOVERNANCE; (D) MATERIAL TRANSACTIONS; AND (E) AMENDMENT OF BYLAWS AND ARTICLES OF INCORPORATION, MUST BE INITIATED AT THE SUPPORTED ORGANIZATION LEVEL AND PSJH CANNOT IMPLEMENT OR INITIATE ANY DECISIONS WITH RESPECT TO THOSE MATTERS WITHOUT PRIOR ACTION BY THE SUPPORTED ORGANIZATIONS. STRATEGY AND BUDGETS ARE ESTABLISHED THROUGH A COLLABORATIVE PROCESS REFERRED TO AS THE INTEGRATED STRATEGIC AND FINANCIAL PLANNING PROCESS THAT INCLUDES THE SUPPORTED ORGANIZATION (LEADERSHIP AND GOVERNANCE). PART IV, SECTION E, LINE 3A PROVIDENCE ST. JOSEPH HEALTH (PSJH) IS THE SOLE MEMBER OF PROVIDENCE HEALTH & SERVICES (PH&S) AND ST. JOSEPH HEALTH SYSTEM (SJHS). PSJH HAS THE POWER TO ELECT THE DIRECTORS OF ITS SUPPORTED ORGANIZATIONS. IN SOME CASES, THE DIRECTORS OF THE SUPPORTED ORGANIZATIONS ARE THE SAME AS PSJH'S BOARD AND IN OTHER CASES, PSJH ELECTS DIRECTORS OF THE SUPPORTED ORGANIZATION'S BOARDS THROUGH SJHS. PART IV, SECTION E, LINE 3B PSJH HAS DIRECTION AND CONTROL OVER THE SUPPORTED ORGANIZATIONS. * IN PERFORMING THEIR DUTIES, THE SENIOR EXECUTIVES OF PSJH ARE EXPECTED TO CONTROL AND MANAGE EACH SUPPORTED ORGANIZATION BY PROVIDING OVERALL SENIOR MANAGEMENT AND COORDINATION FOR THE PSJH SYSTEM. THIS SENIOR LEADERSHIP ENSURES COORDINATED INTERACTION WITH THE SUPPORTED ORGANIZATIONS, INCLUDING 20 DESIGN PLANS THAT COORDINATE FUNCTIONS THROUGHOUT THE COMBINED SYSTEM. THE PLANS INCLUDE: 1) VISION AND GUIDING PRINCIPLES OF EACH SYSTEM OFFICE FUNCTIONS (I.E. ENTERPRISE RISK MANAGEMENT, MARKETING, FINANCE, LEGAL, ETC.). 2) DESIGN PLANS FOR EACH FUNCTION THAT INCLUDES PROCESS AND WORK DESIGN, ORGANIZATIONAL STRUCTURE, AND KEY PERFORMANCE METRICS. 3) IMPLEMENTATION PLANS WHICH INCLUDES A 6 MONTH, 12 MONTH AND GREATER THAN 2 YEAR ROAD MAP TO IMPLEMENT THE DESIGN PLANS. * THE OFFICERS (INCLUDING THE CORPORATE EXECUTIVES) OF THE SUPPORTED ORGANIZATIONS WORK IN AN INTEGRATED, DAY-TO-DAY MANNER ON A BROAD RANGE OF STRATEGIC AND OPERATIONAL ISSUES WITH THE OFFICERS AND DIRECTORS OF PSJH IN ORDER TO ACCOMPLISH THE OVERARCHING CHARITABLE GOALS AND OBJECTIVES OF THE PSJH SYSTEM. THERE ARE REGULAR OPERATIONS MEETINGS/CALLS WITH THE HOSPITAL CHIEF EXECUTIVES OF THE SUPPORTED ORGANIZATIONS AND PSJH PRESIDENT, OPERATIONS AND SERVICES, OFFICERS AND OTHER PSJH EXECUTIVES. 0 I/C - TAX-EXEMPT BOND RECEIVABLES 3312430000 OTHER RECEIVABLES 14000000 DUE FROM AFFILIATES 1253062 3327683062 SOUTH ASIA 0 0 INVESTMENTS 102370 SOUTH ASIA 0 0 PROGRAM SERVICES FOREIGN TRAVEL 21683 0 0 0 0 0 0 124053 0 124053 0 0 1 0 0 0 PART III ACCOUNTING METHOD: PART I, LINE 3, COLUMN (F) THE AMOUNTS REPORTED IN COLUMN F WERE REPORTED USING THE ACCRUAL METHOD OF ACCOUNTING. 1 1 X 1 X 1 X 1 1 0 1 1 9418 9418 0.00020 25693 10255 15438 0.00030 35111 10255 24856 0.00050 35111 10255 24856 0.00050 0 77986 X 0 1 HOAG ORTHOPEDIC INSTITUTE LLC SPECIALTY HOSPITAL 0.05000 0.00000 0.44000 1 1 HOAG ORTHOPEDIC INSTITUTE 16520 SAND CANYON AVENUE IRVINE CA 92618 WWW.HOAGORTHOPEDICINSTITUTE.COM 200835010044 X ORTHOPEDIC HOSPITAL HOAG ORTHOPEDIC INSTITUTE 1 0 0 1 X X X X X X X X X 19 1 1 0 1 X SEE PART V, SECTION C X 1 20 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 HOAG ORTHOPEDIC INSTITUTE PART V, SECTION B, LINE 3J: LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. HOAG ORTHOPEDIC INSTITUTE PART V, SECTION B, LINE 5: INPUT FROM COMMUNITY REPRESENTATIVES TARGETED INTERVIEWS AND FOCUS GROUPS WERE USED TO GATHER INFORMATIONAND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THECOMMUNITY SERVED BY HOAG ORTHOPEDIC INSTITUTE (HOI). HOI UTILIZED AMIXED-METHODS APPROACH TO CONDUCT THE COMMUNITY HEALTH NEEDSASSESSMENT. THE FOLLOWING DATA SOURCES INFORMED THIS REPORT:- KEY STAKEHOLDER INTERVIEWS (KSIS). SEMI-STRUCTURED INTERVIEWS WERECONDUCTED WITH 21 INDIVIDUALS. INTERVIEWEES WERE SELECTED INCOLLABORATION WITH HOAG HOSPITAL COMMUNITY BENEFIT STAFF. INTERVIEWSWERE CONDUCTED TO OBTAIN INFORMATION ABOUT THE HEALTH NEEDS OF ORANGECOUNTY RESIDENTS FROM A SYSTEMS-LEVEL PERSPECTIVE. PARTICIPATINGINTERVIEWEES REPRESENTED THE FOLLOWING: HEALTH EDUCATORS/SERVICEPROVIDERS, MEDICAL RESEARCH, EXECUTIVE DIRECTORS/CEO'S OF COMMUNITYORGANIZATIONS, LOCAL FUNDING AGENCIES, HEALTH SERVICES COORDINATORS,COUNTY HEALTH OFFICER, COUNTY PUBLIC HEALTH NURSE, MENTAL HEALTH SPECIALISTS, AND CITY OFFICIALS. INTERVIEWEES PROVIDED INFORMATION ABOUT: (1) HEALTH PRIORITIES; (2)CAUSES AND CONTRIBUTING FACTORS OF POOR HEALTH; (3) ACCESS TO ANDAVAILABILITY OF SERVICE PROVISION; (4) THEIR STRENGTHS AS SERVICEPROVIDERS; AND (5) RECOMMENDATIONS AND STRATEGIES FOR IMPROVING THEPROVISION OF HEALTH SERVICES TO ORANGE COUNTY RESIDENTS.- PROVIDER SURVEY. THE PROVIDER SURVEY WAS DEVELOPED AND ADMINISTEREDONLINE BY EVALCORP DURING MARCH AND APRIL 2020 TO INDIVIDUALS AT OVER170 ORGANIZATIONS/DEPARTMENTS THAT PROVIDE OR FUND HEALTH SERVICES TOCOMMUNITY MEMBERS. THE SURVEY WAS DISTRIBUTED TO A WIDE RANGE OFCOUNTY, PRIVATE, AND NON-PROFIT AGENCIES WHO SERVE RESIDENTS OF ORANGECOUNTY. DURING THE TWO-MONTH SURVEY ADMINISTRATION TIMEFRAME, A TOTALOF 140 RESPONSES WERE COLLECTED AND USED FOR ANALYSIS. THE PURPOSE OFTHE SURVEY WAS TO OBTAIN PROVIDERS' PERSPECTIVES AND EXPERIENCESREGARDING PRIORITY HEALTH NEEDS, AND THE AVAILABILITY AND PROVISION OFHEALTH SERVICES THROUGHOUT ORANGE COUNTY.- COMMUNITY MEMBER SURVEY. THE COMMUNITY SURVEY WAS DEVELOPED BYEVALCORP AND DISTRIBUTED ONLINE FROM JULY 1 THROUGH AUGUST 10, 2020 TOCOMMUNITY MEMBERS VIA 18 COMMUNITY-BASED AGENCIES. THE SURVEY WASDISTRIBUTED THROUGH A WIDE RANGE OF COUNTY, PRIVATE, AND NON-PROFITAGENCIES WHO SERVE RESIDENTS OF ORANGE COUNTY. DURING THE FIVE-WEEKSURVEY ADMINISTRATION TIMEFRAME, A TOTAL OF 548 RESPONSES WERECOLLECTED.- FOCUS GROUPS. FOCUS GROUPS WERE CONDUCTED TO ASSESS CURRENT MENTALAND BEHAVIORAL HEALTH NEEDS, ACCESS TO CARE, AVAILABILITY OF EXISTINGRESOURCES, AND NEEDS CAN BE ADDRESSED WITHIN ORANGE COUNTY. ALL FOCUSGROUPS USED A SEMI-STRUCTURED PROTOCOL AND WERE FACILITATED IN ONE OFTHE FOLLOWING LANGUAGES: SPANISH, ENGLISH, VIETNAMESE, OR CAMBODIAN(KHMER). FOCUS GROUPS WERE PURPOSIVELY SAMPLED TO REPRESENT A VARIETYOF AGES FROM YOUTH TO OLDER ADULTS, RACE/ETHNICITIES, AND VULNERABLE ORUNDERSERVED POPULATIONS (E.G., LGBTQ+ AND VETERANS). EIGHT FOCUS GROUPSWERE SUCCESSFULLY CONDUCTED WITH A TOTAL OF 54 PARTICIPANTS INATTENDANCE ACROSS THE EIGHT SESSIONS. TABLE 2 OF THE 2019 CHNA PROVIDESFURTHER DETAILS ABOUT EACH OF THE FOCUS GROUPS. THE FOLLOWING COMMUNITY PARTNERS/ORGANIZATIONS ASSISTED US THROUGHOUTTHE DATA COLLECTION PROCESS:- ACCESS CALIFORNIA SERVICES- ALZHEIMER'S FAMILY CENTER- AMERICAN LEGION - CALOPTIMA- CAMBODIAN FAMILY- COMMUNITY HEALTH INITIATIVES OF ORANGE COUNTY- COUNCIL ON AGING- FIRST 5 ORANGE COUNTY- GIRLS INC. - HUMAN OPTIONS- ILLUMINATION FOUNDATION- JAMBOREE HOUSING- KIDS HEALTHY - MOMS ORANGE COUNTY- NAMI- NEWPORT MESA UNIFIED SCHOOL DISTRICT - HOPE CLINIC- OMID MULTICULTURAL INSTITUTE FOR DEVELOPMENT (OMID) - ORANGE COUNTY ASIAN PACIFIC ISLANDER COMMUNITY ALLIANCE - ORANGE COUNTY HUMAN RELATIONS- ORANGE COUNTY MECCA- ORANGE COUNTY UNITED WAY- ORANGE COUNTY WOMEN'S HEALTH PROJECT- RADIANT HEALTH CENTERS- SECOND HARVEST FOOD BANK- SHARE OURSELVES- UNIVERSITY OF CALIFORNIA, IRVINE HOAG ORTHOPEDIC INSTITUTE PART V, SECTION B, LINE 6A: HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND HOAG ORTHOPEDIC INSTITUTE CONDUCTED A JOINT CHNA. HOAG ORTHOPEDIC INSTITUTE PART V, SECTION B, LINE 11: THE 2019 CHNA IDENTIFIED THE FOLLOWING AS HOI'S SIGNIFICANT NEEDS TO BE ADDRESSED: MENTAL HEALTH, ACCESS TO CARE, ECONOMIC SECURITY, PREVENTION OF CHRONIC DISEASE AND MANAGEMENT, WOMEN'S HEALTH, AND SUBSTANCE USE. FOR EACH HEALTH NEED THE HOSPITALS PLAN TO ADDRESS, THE STRATEGIES BELOW OUTLINE THE ACTIONS THE HOSPITALS INTEND TO TAKE, INCLUDING PROGRAMS AND RESOURCES IT PLANS TO COMMIT AND PLANNED COLLABORATION WITH OTHER ORGANIZATIONS. MENTAL HEALTHSTRATEGIES1) PROVIDE MENTAL HEALTH CARE SERVICES THROUGH HOAG'S MENTAL HEALTHCENTER PRIMARILY FOCUSED ON THE LOW-INCOME POPULATION2) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY NONPROFITORGANIZATIONS THAT FOCUS ON MENTAL HEALTH THAT GOES BEYOND OUR SCOPE OFCARE. 3) PROVIDE WORKFORCE DEVELOPMENT OPPORTUNITIES (INTERNSHIPS, INTERNALAND EXTERNAL PROFESSIONAL DEVELOPMENT) FOR THE MENTAL HEALTHPROFESSION. 4) USE EXISTING PATHWAYS TO EXPAND OUR CONTINUUM OF CARE FOR MENTALHEALTH.ACCESS TO CARESTRATEGIES1) PROVIDE FINANCIAL ASSISTANCE THROUGH FREE AND DISCOUNTED CARE FORHEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FINANCIALASSISTANCE POLICY. 2) OFFER INFORMATION AND ENROLLMENT ASSISTANCE FOR NO COST AND LOW-COSTINSURANCE PROGRAMS. 3) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY CLINICS. 4) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY NONPROFITORGANIZATIONS THAT REDUCE BARRIERS TO ACCESSING CARE. 5) PROVIDE PARTNERS WITH SPACE AND RESOURCES AT THE MELINDA HOAG SMITHCENTER FOR HEALTHY LIVING. 6) PROVIDE TRANSPORTATION SUPPORT FOR SENIORS TO INCREASE ACCESS TOHEALTH CARE SERVICES.ECONOMIC SECURITYSTRATEGIES1) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY NONPROFITORGANIZATIONS THAT FOCUS ON ECONOMIC SECURITY MEASURES. 2) BUILD COMMUNITY CAPACITY BY PROVIDING COLLABORATIVE PARTNERS WITHSPACE AND RESOURCES AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING3) CONTINUE AND EXPAND PROGRAMS THAT ALLEVIATE FOOD INSECURITY PREVENTION OF CHRONIC DISEASE AND MANAGEMENTSTRATEGIES1) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY CLINICS. 2) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY NONPROFITORGANIZATIONS THAT FOCUS ON DISEASE PREVENTION, INCLUDING OBESITYPREVENTION AND CHRONIC DISEASE MANAGEMENT. 3) PROVIDE PARTNERS WITH SPACE AND RESOURCES AT THE MELINDA HOAG SMITHCENTER FOR HEALTHY LIVING. 4) OFFER CHRONIC DISEASE PREVENTION, MANAGEMENT, EDUCATION, CARENAVIGATION, SCREENINGS AND SUPPORT GROUPS. 5) CONTINUE TO PROVIDE WELLNESS AND PREVENTION PROGRAMS TO VULNERABLE COMMUNITIES.WOMEN'S HEALTHSTRATEGIES1) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO ORGANIZATIONS FOCUSED ONWOMEN'S HEALTH.2) COLLABORATE WITH HOAG WOMEN'S HEALTH INSTITUTE IN IDENTIFYING GAPSIN CARE FOR THE LOW INCOME AND VULNERABLE PATIENT POPULATION.3) OFFER HEALTH EDUCATION, CARE NAVIGATION, ADVOCACY AND RESOURCEBROKERING.SUBSTANCE USESTRATEGIES1) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO ORGANIZATIONS FOCUSED ONSUBSTANCE USE.2) COLLABORATE WITH HOAG'S ADDICTION TREATMENT CENTERS TO DEVELOPOPPORTUNITIES FOR LOW-INCOME POPULATION.3) COLLABORATE WITH FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) THATADDRESS SUBSTANCE USE DISORDERS AND PROVIDE MEDICATION-ASSISTEDTREATMENT (MAT).TO ACCOMPLISH SOME OF THESE STRATEGIES HOAG WILL ALSO COLLABORATE WITHCOMMUNITY PARTNERS. SHARING RESOURCES AND ENHANCING THE CAPACITY OFPARTNER ORGANIZATIONS SUPPORTS THE ACHIEVEMENTS OF OUR GOALS. POTENTIALCOLLABORATIVE PARTNERS INCLUDE, BUT ARE NOT LIMITED TO:- ADVOCACY GROUPS- COMMUNITY HEALTH CENTERS AND COMMUNITY CLINICS- COMMUNITY-BASED ORGANIZATIONS- FAITH BASED ORGANIZATIONS- FAMILY RESOURCE CENTERS- FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS)- LOCAL MUNICIPALITIES- MENTAL HEALTH ASSOCIATIONS- ORANGE COUNTY HEALTH CARE AGENCY- SCHOOL DISTRICTS AND SCHOOLS- LOCAL FOOD BANKS - SENIOR CENTERS AND ADULT DAY CENTERS HOAG ORTHOPEDIC INSTITUTE PART V, SECTION B, LINE 13H: HOAG ORTHOPEDIC INSTITUTE PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE FAMILY INCOME LEVELS OF UP TO 400% THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES. HOI GIVES CONSIDERATION TO ELIGIBLE PATIENTS WITH INSURANCE IF THEY INCUR HIGH MEDICAL COSTS AS DEFINED BY CALIFORNIA LAW, AND ALSO HAVE FAMILY INCOMES UP TO 400% OF THE FPL. HOI'S POLICY ALSO PROVIDES FOR DISCRETIONARY DETERMINATION OF CHARITY CARE TAKING INTO CONSIDERATION INDIVIDUAL FACTS AND CIRCUMSTANCES. HOAG ORTHOPEDIC INSTITUTE PART V, SECTION B, LINE 15E: PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE PROGRAM (FAP) APPLICATION. APPLICATIONS CAN BE FOUND ON THE HOAG.ORG WEBSITE, VIA FINANCIAL COUNSELORS, BY MAIL, AND BY CONTACTING HOAG'S PATIENT FINANCIAL SERVICES CALL CENTER AT (949) 764-8404 FOR HOI. SCHEDULE H, PART V, SECTION B, LINE 7B HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/DEPARTMENT-OF-COMMUNITY-HEALTH/REPORTS/SCHEDULE H, PART V, SECTION B, LINE 10AHTTPS://WWW.HOAG.ORG/ABOUT-HOAG/DEPARTMENT-OF-COMMUNITY-HEALTH/REPORTS/ SCHEDULE H, PART V, SECTION B, LINE 16A HTTPS://WWW.HOAGORTHOPEDICINSTITUTE.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART V, SECTION B, LINE 16B HTTPS://WWW.HOAGORTHOPEDICINSTITUTE.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART V, SECTION B, LINE 16C HTTPS://WWW.HOAGORTHOPEDICINSTITUTE.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/ 4 1 - MAIN ST SPECIALTY SURGEY CENTER 280 MAIN STREET 100 ORANGE CA 92660 OUTPATIENT SURGERY CENTER 2 - ORTHOPEDIC SURGERY CENTER OF OC 22 CORPORATE PLAZA DR STE 150 NEWPORT BEACH CA 92660 OUTPATIENT ORTHOPEDIC SURGERY CENTER 3 - DIAGNOSTIC & INTERVENTIONAL SURGICAL CTR 13160 MINDANAO WAY STE 150 MARINA DEL REY CA 90292 OUTPATIENT SURGERY CENTER 4 - CALIFORNIA SPECIALTY SURGERY CENTER 26371 CROWN VALLEY PARKWAY MISSION VIEJO CA 92691 OUTPATIENT SURGERY CENTER PART I, LINE 3C: IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES, INCLUDING BUT NOT LIMITED TO DISABILITY AND HOMELESSNESS ARE CONSIDERED WHEN DETERMINING ELIGIBILITY. SCHEDULE H, PART I, LINE 6A THE MAJORITY OWNER OF HOAG ORTHOPEDIC INSTITUTE PREPARES AN ANNUAL REPORT WHICH INCLUDES THE INSTITUTE'S ACTIVITY AND IT IS PUBLICLY AVAILABLE AT: HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/ SCHEDULE H, PART I, LINE 7 COST ACCOUNTING SYSTEM WAS USED TO DERIVE THE COST-TO-CHARGE RATIO. THE COST ACCOUNTING SYSTEM ADDRESSES INPATIENT, OUTPATIENT AND VARIOUS PAYOR TYPES. FOR THE SECTIONS OF LINE 7 AS APPLICABLE, WORKSHEET 2 WAS NOT USED WHILE THE COST TO CHARGE RATIO WAS USED.SCHEDULE H, PART I, LINE 7FTHE PROPORTIONATE SHARE OF THE ORGANIZATION'S JOINT VENTURE EXPENSES HAVE BEEN INCLUDED IN THE CALCULATION OF THE COMMUNITY BENEFIT EXPENSE PERCENTAGES. SCHEDULE H, PART I, LINE 7G NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. PART III, LINE 2: AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TOMAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONSSATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLYRESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OFDECEMBER 31, 2019. PART III, LINE 8: TREATMENT OF MEDICARE SHORTFALL/(SURPLUS) AS COMMUNITY BENEFIT THE ORGANIZATION DOES NOT TREAT THE SURPLUS FROM MEDICARE AS A COMMUNITY BENEFIT. MEDICARE COSTING METHODOLOGY MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. PART III, LINE 9B: PATIENT ACCOUNTS MANAGEMENT IS RESPONSIBLE FOR THE COLLECTION OF PATIENT ACCOUNTS AFTER DISCHARGE. PROCEDURES ARE FOLLOWED IN ACCORDANCE WITH THE FAIR DEBT COLLECTION PRACTICES ACT.ACCOUNTS UNPAID AFTER ONE HUNDRED FIFTY (150) DAYS MAY BE RECOMMENDED FOR ASSIGNMENT TO AN OUTSIDE COLLECTION AGENCY. ALL APPROPRIATE EFFORTS TO COLLECT AND/OR RESOLVE THE BALANCES DUE WITH THE PATIENT, GUARANTOR OR THIRD PARTY PAYOR MUST BE EXHAUSTED PRIOR TO RECOMMENDATION TO COLLECTORS. PART VI, LINE 2: NEEDS ASSESSMENTHOI CONDUCTED A NEW 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOPED A RELATED IMPLEMENTATION STRATEGY WHICH WERE ADOPTED NOVEMBER 5-6, 2020. PRIORITIZED NEEDS FROM THIS CHNA WILL BE USED TO PLAN AND EVALUATE PROGRAMMING FOR 3 YEARS, 2020-2022. A DESCRIPTION OF HOW THEY ARE BEING ADDRESSED WILL BE PROVIDED WITH THE SCHEDULE H EACH TAX YEAR. HOI'S 2019 CHNA AND 2020-2022 IMPLEMENTATION STRATEGIES MAY BE VIEWED ONLINE AT: HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/DEPARTMENT-OF-COMMUNITY-HEALTH/REPORTS/IN ADDITION TO THE COMMUNITY WIDE NEEDS ASSESSMENT CONDUCTED EVERY THREE YEARS, HOAG CONTINUALLY ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IN VARIOUS WAYS. MANY OF THE COMMUNITY BENEFIT STAFF SERVE ON BOARD OF DIRECTORS AND COMMITTEES OF NONPROFIT ORGANIZATIONS WHICH ALLOWS THEM TO BE ACTIVELY ENGAGED WITH THE COMMUNITY AS WELL AND PROVIDE SUPPORT AND STRATEGIC DIRECTION. CLIENTS THAT ACCESS SERVICES AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING ALSO COMPLETE A SCREENING TOOL WHICH ALLOWS US TO ASSESS FUTURE PROGRAMMING NEEDS FOR THE COMMUNITY. THE DIRECTOR OF THE DEPARTMENT SERVES AS THE CHAIR OF THE ORANGE COUNTY MENTAL HEALTH BOARD AND IS ALSO AN ACTIVE MEMBER OF THE BE WELL ORANGE COUNTY PARTNERSHIP WHICH ALLOWS FOR CONTINUOUS ASSESSMENT OF MENTAL HEALTH NEEDS, GAPS AND OPPORTUNITIES FOR THE COUNTY. THE DIRECTOR OF COMMUNITY BENEFIT ALSO COFOUNDED THE COMMUNITY SUICIDE PREVENTION INITIATIVE WITH THE GOAL OF INCREASING AWARENESS AND ACCESSIBILITY TO AVAILABLE RESOURCES, HOSTING COMMUNITY EDUCATIONAL EVENTS, AND REDUCING SUICIDE IN ORANGE COUNTY. COMMUNITY BENEFIT STAFF ALSO HOLD A SEAT WITH THE ORANGE COUNTY HEALTH CARE AGENCY'S HEALTH IMPROVEMENT PARTNERSHIP AND ORANGE COUNTY GRANTMAKERS WHICH BRINGS TOGETHER VARIOUS HEALTH RELATED ORGANIZATIONS AND PHILANTHROPIC FUNDERS TO DISCUSS COMMUNITY NEEDS, PROGRAMMING, AND COLLABORATIVE OPPORTUNITIES. HOAG'S CENTER FOR HEALTHY LIVING ALSO HOSTS A MONTHLY PROFESSIONAL NETWORK RESOURCE EXCHANGE MEETING WHICH BRINGS TOGETHER COMMUNITY LEADERS FROM THE NONPROFIT SECTOR, LOCAL SCHOOL DISTRICTS, AND HEALTH RELATED SERVICES TO DISCUSS RECENT HEALTH TRENDS AND OPPORTUNITIES TO MEET THOSE NEEDS. COMMUNITY BENEFIT STAFF ALSO INTERFACES WITH VARIOUS CITY OFFICIALS IN ORANGE COUNTY WHICH ALLOWS HOAG TO BE ENGAGED AND COLLABORATE ON ISSUES THAT ARISE. OUR ROBUST COMMUNITY BENEFIT GRANTS PROGRAM ALSO PROVIDES US WITH A LENS INTO COMMUNITY NEED AS WE INTERFACE WITH OVER 80 NONPROFIT ORGANIZATIONS WHO APPLY FOR PROGRAM FUNDING. THE APPLICATION PROCESS FOR FUNDING PROVIDES US WITH A LEARNING OPPORTUNITY ABOUT THE ORGANIZATIONS MISSION AS WELL AS GAPS AND NEEDS THEIR COMMUNITY IS FACED WITH. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE HOI PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE FAMILY INCOME LEVELS OF UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES.HOAG GIVES CONSIDERATION TO ELIGIBLE PATIENTS WITH INSURANCE IF THEY INCUR HIGH MEDICAL COSTS AS DEFINED BY CALIFORNIA LAW, AND ALSO HAVE FAMILY INCOMES UP TO 400% OF THE FPL.HOI INFORMS AND EDUCATES PATIENTS ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE IN THE FOLLOWING WAYS:- FINANCIAL ASSISTANCE NOTICES PRINTED IN ENGLISH AND SPANISH ARE ALSO PLACED IN THE PUBLIC ADMISSION AREAS AT HOAG ORTHOPEDIC INSTITUTE.- STATEMENTS MAILED TO THE PATIENT INCLUDE A CLEAR AND CONSPICUOUS NOTICE ADVISING THE PATIENT OF HOAG FINANCIAL ASSISTANCE PROGRAM AND THE APPROPRIATE CONTACT INFORMATION.- PATIENT CAN ALSO VISIT PATIENT FINANCIAL SERVICES TO MEET WITH A FINANCIAL COUNSELOR OR BY CONTACTING HOAG'S PATIENT FINANCIAL SERVICES CALL CENTER TO ANSWER ANY QUESTIONS REGARDING FINANCIAL ASSISTANCE OPTIONS.- HOI DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. PART VI, LINE 4: COMMUNITY INFORMATION HOAG'S COMMUNITY, AS DEFINED FOR THE PURPOSE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES 53 ZIP CODES SPANNING 27 CITIES AND UNINCORPORATED COMMUNITIES IN BOTH ORANGE COUNTY AND LOS ANGELES COUNTY (ONE ZIP CODE IS LOCATED IN LONG BEACH). THIS COMMUNITY DEFINITION WAS DETERMINED BECAUSE A MAJORITY OF HOAG'S PATIENTS ORIGINATE FROM THIS AREA. THE POPULATION OF THE HOSPITAL'S SERVICE AREA IS ESTIMATED AT 1,991,457 PEOPLE.POPULATIONORANGE COUNTY IS THE 47TH LARGEST COUNTY IN CALIFORNIA IN TERMS OF GEOGRAPHIC AREA. IN 2018, THE ORANGE COUNTY POPULATION WAS 3.16 MILLION PEOPLE (3,164,182). BETWEEN 2013 AND 2018, THE TOTAL POPULATION OF ORANGE COUNTY INCREASED BY 112,411, WHICH INDICATES A POPULATION GROWTH RATE OF 3.7% DURING THE FIVE-YEAR PERIOD. IN GENERAL, ORANGE COUNTY'S POPULATIONGROWTH RATE IS COMPARABLE TO THE STATE POPULATION GROWTH OF 3.9%. TABLE 4 OF THE 2019 CHNA PROVIDES FURTHER DETAILS. GENDERFROM THE TOTAL ORANGE COUNTY POPULATION, HOAG HOSPITAL SERVES APPROXIMATELY 2M PEOPLE (1,977,308). FEMALES COMPRISED A SLIGHTLY HIGHER PERCENTAGE (51%) OF THE TOTAL POPULATION SERVED BY HOAG HOSPITAL COMPARED TO MALES (50%). THESE NUMBERS ARE SIMILAR ACROSS ORANGE COUNTY AND CALIFORNIA.AGEIN 2018, THE MEDIAN AGE OF ORANGE COUNTY RESIDENTS WAS 38 YEARS. IT IS EXPECTED THAT THE ADULT POPULATION 18 YEARS AND OLDER WILL INCREASE BY 4.4% (107,213) BY 2023 (0.9% GROWTH RATE PER YEAR). THE AGE DISTRIBUTION OF THE HOAG SERVICE AREA IS 22% CHILDREN AND YOUTH, 64% ADULTS, AND 14% SENIORS 65 AND OLDER. TABLE 5 OF THE 2019 CHNA DETAILS THE AGE DISTRIBUTION OF COMMUNITY MEMBERS IN THE HOAG SERVICE AREA COMPARED TO ORANGE COUNTY AND CALIFORNIA.THE SENIOR POPULATION IN THE HOAG SERVICE IS COMPARABLE ACROSS ORANGE COUNTY AND CALIFORNIA IN GENERAL (14% RESPECTIVELY). THE PERCENTAGE OF YOUTH AND YOUNG ADULTS IS SLIGHTLY LOWER COMPARED TO THE COUNTY AND STATE LEVEL.RACE AND ETHNICITY IN 2018, THE THREE MAJOR RACIAL AND ETHNIC GROUPS IN THE HOAG SERVICE AREA WERE: CAUCASIANS (64%), HISPANIC/LATINOS (31%), AND ASIANS (22%). THESE FIGURES ARE LOWER THAN THE PROPORTION OF THE POPULATION IN ORANGE COUNTY PERTAINING TO THESE RACIAL AND ETHNIC GROUPS EXCEPT FOR BLACK OR AFRICAN AMERICANS (2%). TABLE 6 OF THE 2019 CHNA DISPLAYS THE RACE AND ETHNICITY PROPORTIONS OF HOAG, ORANGE COUNTY, AND CALIFORNIA. LANGUAGE THE U.S. CENSUS BUREAU DEFINES THOSE WITH LIMITED ENGLISH" AS THE POPULATION 5 YEARS AND OLDER WHO SPEAK ENGLISH "LESS THAN VERY WELL". THE PERCENTAGE OF THE POPULATION IN THE HOAG SERVICE AREA WHO FALL WITHIN THIS CATEGORY OF ENGLISH PROFICIENCY IS 18%, WHICH IS SLIGHTLY COMPARABLE TO THAT OF THE COUNTY (18%). FROM THOSE WITH LIMITED ENGLISH SKILLS, THE PREDOMINANT LANGUAGE WITHIN THE HOAG SERVICE AREA IS SPANISH (53%), FOLLOWED BY ASIAN AND PACIFIC ISLANDER LANGUAGES (39%). SEE TABLE 8 OF THE 2019 CHNA. HOUSEHOLD SIZE AND MEDIAN HOUSEHOLD INCOME THERE ARE A TOTAL OF 676,685 OCCUPIED HOUSING UNITS IN THE SERVICE AREA OF WHICH 32% ARE 2 PERSON HOUSEHOLDS, WHICH IS COMPARABLE TO THE COUNTY STATES' OF 31% (TABLE 9). IN GENERAL, THE AVERAGE HOUSEHOLD SIZE IN THE HOAG SERVICE AREA IS 2.84 WHICH IS SLIGHTLY LOWER THAN THE AVERAGE HOUSEHOLD SIZE IN THE COUNTY (3.02) AND THE STATE'S AVERAGE (2.96).ONE OF THE MOST INFLUENTIAL SOCIAL DETERMINANTS OF HEALTH IS INCOME. A HOUSEHOLD'S INCOME WILL DETERMINE A FAMILY'S ABILITY AND RESOURCES TO ACCESS HEALTH CARE OR CONTINUE RECEIVING IT. POVERTYAS OF 2018, 11% OF THE HOAG SERVICE AREA POPULATION WAS LIVING 100% BELOW THE FEDERAL POVERTY LEVEL WHICH WAS COMPARABLE TO THAT OF THE COUNTY IN (11%) AND STATE (12%). IN THE HOAG SERVICE AREA, 29% OF THE POPULATION UNDER 18 YEARS WERE LIVING BELOW 100% THE FEDERAL POVERTY LEVEL.ADDITIONALLY, DATA OUTLINED IN THE 2019 - AN EQUITY PROFILE OF ORANGE COUNTY REPORT FOUND THAT PEOPLE OF COLOR ARE MORE LIKELY TO BE IN POVERTY OR AMONG THE WORKING POOR. POVERTY WAS FOUND TO BE HIGHEST AMONG LATINOS AND NATIVE AMERICANS; WITH LATINOS HAVING THE HIGHEST SHARE OF WORKING POOR.FOR MORE DETAILS ON THIS INFORMATION, PLEASE REFER TO THE 2019 CHNA AT: HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/DEPARTMENT-OF-COMMUNITY-HEALTH/REPORTS/OTHER HOSPITALS IN THE AREA INCLUDE, BUT ARE NOT LIMITED TO:- AHMC ANAHEIM REGIONAL MEDICAL CENTER - ANAHEIM- ANAHEIM GENERAL HOSPITAL (ANAHEIM, BUENA PARK)- CHAPMAN MEDICAL CENTER - ORANGE - CHILDREN'S HOSPITAL AT MISSION - MISSION VIEJO- CHILDREN'S HOSPITAL OF ORANGE COUNTY - ORANGE- FOUNTAIN VALLEY RGNL HOSP AND MED CTR - FOUNTAIN VALLEY- GARDEN GROVE HOSPITAL AND MEDICAL CENTER - GARDEN GROVE- HUNTINGTON BEACH HOSPITAL - HUNTINGTON BEACH- KAISER PERMANENTE (IRVINE, ANAHEIM)- KINDRED HOSPITAL (SANTA ANA, WESTMINSTER)- LA PALMA INTERCOMMUNITY HOSPITAL - LA PALMA- MISSION HOSPITAL LAGUNA BEACH - LAGUNA BEACH- MISSION HOSPITAL REGIONAL MEDICAL CENTER - MISSION VIEJO- ORANGE COAST MEMORIAL MEDICAL CENTER - FOUNTAIN VALLEY- SADDLEBACK MEMORIAL MEDICAL CENTER (LAGUNA HILLS/SAN CLEMENTE)- ST. JOSEPH HOSPITAL - ORANGE- ST. JUDE MEDICAL CENTER - FULLERTON- UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER - ORANGE- WESTERN MEDICAL CENTER - SANTA ANA PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH HOAG ORTHOPEDIC INSTITUE PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. HOI IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:- COMMUNITY BENEFIT STAFF CONTINUOUSLY ASSESS THE HEALTH NEEDS OF THE COMMUNITY BY SERVING ON BOARD OF DIRECTORS AND COMMITTEES OF NONPROFIT ORGANIZATIONS WHICH ALLOWS THEM TO BE ACTIVELY ENGAGED WITH THE COMMUNITY AND PROVIDE SUPPORT AND STRATEGIC DIRECTION. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMIN 2013, HOAG MEMORIAL HOSPITAL PRESBYTERIAN BECAME AFFILIATED WITH ST. JOSEPH HEALTH, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. TOGETHER, THE COMBINED CAREGIVERS SERVE IN 51 HOSPITALS, 1,085 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.EFFECTIVE FEBRUARY 1, 2022, HOAG AND PROVIDENCE HEALTH & SERVICES ANNOUNCED THEIR AGREEMENT TO END THEIR AFFILIATION; HOWEVER, THE FILING ORGANIZATION MAINTAINS OWNERSHIP INTEREST IN HOAG ORTHOPEDIC INSTITUTE. PART VI, LINE 7, REPORTS FILED WITH STATES CA X X X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 ROD F HOCHMAN MD PRESIDENT/CEO 2224561 0 5586400 0 828858 0 810415 0 29930 0 9480164 0 764400 0 DEBRA CANALES EVP CAO PSJH 1103566 0 671005 0 1303904 0 410295 0 17644 0 3506414 0 1251780 0 RHONDA MEDOWS MD PRESIDENT POP HEALTH/AYIN 1092734 0 536536 0 977935 0 294426 0 19583 0 2921214 0 925168 0 LISA VANCE PRESIDENT STRAT & OPS (NORTH) 1273462 0 766134 0 263545 0 580007 0 28222 0 2911370 0 211879 0 MIKE BUTLER FORMER PRESIDENT 0 0 0 0 2359254 0 7651 0 0 0 2366905 0 0 0 AMY COMPTON-PHILLIPS MD EVP CHIEF CLINICAL OFC PSJH 988719 0 510324 0 387839 0 270192 0 33484 0 2190558 0 341291 0 BJ MOORE EVP/CHIEF INVESTMENT OFFICER 964096 0 831999 0 5234 0 339993 0 32334 0 2173656 0 0 0 CINDY STRAUSS FORMER SECRETARY 228582 0 263565 0 1434949 0 6525 0 11330 0 1944951 0 397592 0 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 810289 0 339019 0 307368 0 235035 0 27365 0 1719076 0 266274 0 GREG HOFFMAN TREASURER/VP 0 875809 0 415999 0 115470 0 241752 0 31590 0 1680620 0 76348 AARON MARTIN EVP CHIEF MKT/DIGITAL INNO OFC 809570 0 351062 0 275473 0 222987 0 13010 0 1672102 0 251577 0 DOUGAL HEWITT EVP CHIEF MISSION OFFICER PSJH 661561 0 302394 0 97634 0 183792 0 12934 0 1258315 0 54164 0 OREST HOLUBEC EVP CHIEF COMMUNICATION OFCR 538173 0 309999 0 201766 0 160532 0 31065 0 1241535 0 164043 0 JOHN WHIPPLE SECRETARY 0 485477 0 301033 0 252027 0 156256 0 29193 0 1223986 0 180264 JIM WATSON ESQ ASSISTANT SECRETARY 0 450443 0 287615 0 22030 0 94222 0 32632 0 886942 0 0 VENKAT BHAMIDIPATI FORMER EVP/TREASURER 0 0 0 0 750000 0 0 0 0 0 750000 0 0 0 CARLADENISE EDWARDS FORMER EVP CHIEF STRATEGY OFFICER 0 0 0 0 550805 0 0 0 0 0 550805 0 0 0 VERONA DORCH SECRETARY - THRU 3/21 0 167297 0 273000 0 75657 0 1673 0 3044 0 520671 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0 210749 0 30761 0 1041 0 12268 0 11812 0 266631 0 0 PART I, LINE 1A PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING 2021: MIKE BUTLER - $ 2,355,018 VENKAT BHAMIDIPATI - $750,000 CARLADENISE EDWARDS - $ 550,805 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: ROD F. HOCHMAN, MD - $ 764,400 DEBRA CANALES - $ 1,251,780 RHONDA MEDOWS, MD - $ 925,168 LISA VANCE - $ 211,879 AMY COMPTON-PHILLIPS, MD - $ 341,291 CINDY STRAUSS - $ 397,592 JO ANN ESCASA-HAIGH - $ 266,274 GREG HOFFMAN - $ 76,348 AARON MARTIN - $ 251,577 DOUGAL HEWITT - $ 54,164 OREST HOLUBEC - $ 164,043 JOHN WHIPPLE - $ 180,264 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. A AIDEA 2011A 926001185 011903DZ1 2011-11-17 126601436 SEE PART VI 0 0 0 B CHFFA 2019B 521643828 13032UUP1 2019-10-01 150006043 SEE PART VI 0 0 0 C CHFFA 2009C&D 521643828 13032UGR3 2009-08-27 421100000 SEE PART VI 0 0 0 D CHFFA 2019C 521643828 13032UUU0 2019-10-15 393290698 SEE PART VI 0 0 0 A 122720000 126618614 1601436 125000000 17178 2012 0 0 1 1 B 150006043 150006043 2012 1 0 1 1 C 295920280 426930280 4480280 180000000 242450000 2009 1 0 1 1 D 393290698 393290698 2009 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: AIDEA 2011A DATE THE REBATE COMPUTATION WAS PERFORMED: 01/19/2017 ISSUER NAME: CHFFA 2009C&D DATE THE REBATE COMPUTATION WAS PERFORMED: 05/29/2020 ISSUER NAME: CHFFA 2019C DATE THE REBATE COMPUTATION WAS PERFORMED: 11/12/2021 ISSUER NAME: CHFFA 2013A-D DATE THE REBATE COMPUTATION WAS PERFORMED: 07/22/2021 ISSUER NAME: CHFFA 2014A DATE THE REBATE COMPUTATION WAS PERFORMED: 07/10/2019 ISSUER NAME: CHFFA 2014B DATE THE REBATE COMPUTATION WAS PERFORMED: 08/06/2019 ISSUER NAME: CHFFA 2016B DATE THE REBATE COMPUTATION WAS PERFORMED: 11/12/2021 ISSUER NAME: LHFDC 2008B DATE THE REBATE COMPUTATION WAS PERFORMED: 06/19/2018 ISSUER NAME: LHFDC 2016C DATE THE REBATE COMPUTATION WAS PERFORMED: 11/16/2021 ISSUER NAME: MFFA 2016F DATE THE REBATE COMPUTATION WAS PERFORMED: 11/16/2021 ISSUER NAME: OFA 2011C DATE THE REBATE COMPUTATION WAS PERFORMED: 01/19/2017 ISSUER NAME: OFA 2013A DATE THE REBATE COMPUTATION WAS PERFORMED: 11/01/2018 ISSUER NAME: OFA 2015C DATE THE REBATE COMPUTATION WAS PERFORMED: 10/21/2020 ISSUER NAME: WHCFA 2011B DATE THE REBATE COMPUTATION WAS PERFORMED: 09/08/2021 ISSUER NAME: WHCFA 2012A-D DATE THE REBATE COMPUTATION WAS PERFORMED: 09/18/2017 ISSUER NAME: WHCFA 2014C DATE THE REBATE COMPUTATION WAS PERFORMED: 10/03/2019 ISSUER NAME: WHCFA 2014D DATE THE REBATE COMPUTATION WAS PERFORMED: 01/06/2020 ISSUER NAME: WHCFA 2015A DATE THE REBATE COMPUTATION WAS PERFORMED: 09/14/2020 ISSUER NAME: WHCFA 2016DE DATE THE REBATE COMPUTATION WAS PERFORMED: 11/16/2021 PART I - PURPOSE OF BOND AIDEA 2011A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ALASKA MEDICAL CENTER (PAMC) & LONG TERM CARE FACILITY. CHEFFA 2019B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CHFFA REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON JULY 29, 2009. PROCEEDS ORIGINALLY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE HOLY CROSS MEDICAL CENTER. CHFFA 2009C&D THE PROCEEDS DERIVED FROM THE SALE OF THE 2009A BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $180,000,000. PROJECT FUNDS TO BE UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL, ST. JOSEPH HOSPITAL OF EUREKA, AND ST. JUDE MEDICAL CENTER. ORIGINAL ISSUE DATE AUGUST 27, 2009 ORIGINAL CUSIP 13033LCA3. IN ADDITION, THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON JANUARY 29, 2004 ORIGINAL CUSIP 130911VQ0 & REFUNDED MAY 15, 2008 CUSIP 130795TU1 & REFUNDED AGAIN AUGUST 27, 2009 CUSIP 133033LCN5. CHEFFA 2019C THE PROCEEDS DERIVED FROM THE SALE OF BONDS WERE USED TO REFUND THE CHFFA SERIES A&B REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON AUGUST 27, 2009 (CHFFA A&B) & TO REFUND THE CHFFA SERIES B&C REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON JULY 24, 2013 (CHFFA B&C). PROCEEDS ORIGINALLY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: ST. JOSEPH HOSPITAL ORANGE, MISSION HOSPITAL, ST. MARY MEDICAL CENTER, SANTA ROSA MEMORIAL HOSPITAL, ST. JOSEPH HOSPITAL OF EUREKA, AND ST. JUDE MEDICAL CENTER. IN ADDITION, PROCEEDS WERE PARTIALLY UTILIZED FOR CERTAIN COST OF ACQUISITION OF THE FOLLOWING HEALTH CARE FACILITIES: HOAG HOSPITAL NEWPORT BEACH. CHFFA 2013A-D THE PROCEEDS DERIVED FROM THE SALE OF THE 2013A-D BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE, REFINANCING OF OUTSTANDING INDEBTEDNESS OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $110,684,400. PROCEEDS TO BE UTILIZED FOR CERTAIN COST OF ACQUISITION, CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: HOAG HOSPITAL NEWPORT BEACH, ST. JOSEPH HOSPITAL, ORANGE, ST. JUDE MEDICAL CENTER , ST. MARY MEDICAL CENTER, SANTA ROSA MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL OF EUREKA. ORIGINAL ISSUE DATE JULY 24, 2013. CHFFA 2014A THE PROCEEDS DERIVED FROM THE SALE OF THE 2014A BONDS WERE USED TO FUND CERTAIN COST OF ISSUANCE & REFINANCE THE CHFFA 2008C BONDS, WHICH HAD PREVIOUSLY ADVANCE REFUNDED THE 1998 BONDS AND CURRENT REFUNDED THE 2001ABC BONDS & FINANCED ACQUISITION OF TARZANA MC. PROCEEDS OF THE PRIOR BONDS WERE UTILIZED FOR CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST. JOSEPH MC, PROVIDENCE HOLY CROSS MS, PROVIDENCE LCM MC'S IN TORRANCE & SAN PEDRO. ON 10/1/2019 THE PROCEEDS ALLOCATED TO TARZANA MC WERE REMEDIATED. CHFFA 2014B THE PROCEEDS DERIVED FROM THE SALE OF THE 2014B BONDS WERE USED TO REFUND CERTAIN COST OF ISSUANCE AND REFUND PH&S COMMERCIAL PAPER BORROWING ASSOCIATED WITH THE ACQUISITION OF THE FOLLOWING HEALTH CARE FACILITY: PROVIDENCE ST. JOHN'S HEALTH CENTER. CHFFA 2016A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CHFFA INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON APRIL 17, 2007 AND CONVERTED MARCH 27, 2008. PROCEEDS ORIGINALLY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL, QUEEN OF THE VALLEY MEDICAL CENTER, ST. JUDE MEDICAL CENTER, ST. JOSEPH HOSPITAL (ORANGE), ST. MARY REGIONAL MEDICAL CENTER AND SANTA ROSA MEMORIAL HOSPITAL. CHFFA 2016B THE PROCEEDS DERIVED FROM THE SALE OF THE 2016B-1,2 &3 BONDS WERE USED TO REFUND THE SJHS 2011A-D BONDS, ORIGINALLY USED TO FUND CERTAIN COST OF ISSUANCE AND CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: QUEEN OF THE VALLEY MEDICAL CENTER, ST. JOSEPH HOSPITAL OF EUREKA AND ST. JUDE MEDICAL CENTER. LHFDC 2008B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE LHFDC INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON DECEMBER 1, 1998. REFUNDED ON JUNE 19, 2008 WITH CUSIP 549208D49, CONVERTED JULY 14, 2011. LHFDC 2016C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENT REFUND THE LHFDC REVENUE BONDS ISSUANCE OF MAY 15, 2008 WITH CUSIP 549208DX1, CONVERTED AUGUST 27, 2009. MFFA 2016F THE PROCEEDS DERIVED FROM THE SALE OF BONDS REFUNDED THE MFFA 2006B BONDS WHICH WERE ORIGINALLY USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST. JOSEPH MEDICAL CENTER MONTANA LOCATED IN POLSON, MT. OFA 2011C THE PROCEEDS DERIVED FROM THE SALE OF BONDS REFUNDED THE SERIES 1999 & 2005 BONDS AND ADVANCE REFUNDED THE OFA SERIES 2002 BONDS. OFA 2013A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ADVANCE REFUNDED THE HFAMC SERIES 2004 BONDS FOR WHICH WERE PROCEEDS ORIGINALLY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE PORTLAND MEDICAL CENTER. OFA 2015C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST. VINCENT MEDICAL CENTER. WHCFA 2011B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ADVANCE REFUNDED THE WHCFA SERIES 2001A BONDS FOR WHICH PROCEEDS WERE ORIGINALLY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE PORTLAND MEDICAL CENTER PROVIDENCE MEDICAL CENTER EVERETT & PROVIDENCE ST. PETER HOSPITAL. WHCFA 2012A-D CURRENTLY REFUND ALL OUTSTANDING SWEDISH HEALTH SERVICES WHCFA BONDS. THE PROCEEDS DERIVED FROM THE SALE OF BONDS CURRENTLY REFUND SWEDISH HEALTH SERVICES WHCFA BONDS SERIES 1998, 2009ABC, & 2011ABCD, FOR WHICH WERE PROCEEDS ORIGINALLY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: SWEDISH HEALTH SYSTEM - FIRST HILL CAMPUS, BALLARD CAMPUS, CHERRY HILL MEDICAL CENTER, & ISSAQUAH CAMPUS. WHCFA 2014C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: SWEDISH EDMONDS & TO REFINANCE A BORROWING RELATED TO THE CONSTRUCTION AT: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2014D THE PROCEEDS DERIVED FROM THE SALE OF BONDS CURRENT REFUNDED THE WHCFA SERIES 2006A, SERIES 2006B, SERIES 2010 & SERIES 2012 BONDS FOR WHICH PROCEEDS WERE ORIGINALLY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: KADLEC REGIONAL MEDICAL CENTER IN ADDITION CREATED A PROJECT FUND FOR SAME IN THE AMOUNT OF $9,840,477.94. WHCFA 2015A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: KADLEC REGIONAL MEDICAL CENTER & PROVIDENCE SACRED HEART MEDICAL CENTER. WHCFA 2016DE THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006A, WHICH HAD ADVANCE REFUNDED THE SERIES 1998 BONDS. THIS ISSUE IS HELD IN TWO PRIVATE PLACEMENTS WITH WELLS FARGO & BANK OF AMERICA. PART I - PURPOSE OF BOND (CONTINUED) WHCFA 2018B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006CDE, WHICH WERE USED TO CURRENTLY REFUND WHCFA SERIES 2002AB & WHCFA 1994 & 1995 BONDS. WHCFA 2021B CURRENTLY REFUND ALL OUTSTANDING SWEDISH HEALTH SERVICES WHCFA BONDS.THE PROCEEDS DERIVED FROM THE SALE OF BONDS CURRENTLY REFUND SWEDISH HEALTH SERVICES WHCFA BONDS SERIES 1998, 2009ABC, & 2011ABCD, FOR WHICH WERE PROCEEDS ORIGINALLY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: SWEDISH HEALTH SYSTEM - FIRST HILL CAMPUS, BALLARD CAMPUS, CHERRY HILL MEDICAL CENTER, & ISSAQUAH CAMPUS. PFA 2021C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ALASKA MEDICAL CENTER (PAMC) & LONG TERM CARE FACILITY. A CHFFA 2013A-D 521643828 13033LY76 2013-07-24 701719855 SEE PART VI 0 0 0 B CHFFA 2014A 521643828 13033L4J3 2014-06-11 305080327 SEE PART VI 0 0 0 C CHFFA 2014B 521643828 13033L4N4 2014-08-06 126434498 SEE PART VI 0 0 0 D CHFFA 2016A 521643828 13032UFP8 2016-09-28 490804875 SEE PART VI 0 0 0 A 955000 340300000 701719855 585978231 5057223 110684400 2014 1 1 1 1 B 35510000 70515000 305080327 48925000 2808157 302272170 2012 0 1 1 1 C 126434498 1434498 125000000 2014 0 0 1 1 D 490804875 480221287 3547888 7035700 2008 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A CHFFA 2016B 521643828 13032UGP7 2016-09-28 304049410 SEE PART VI 0 0 0 B LHFDC 2008B 521313557 549208EM4 2008-06-19 115035840 SEE PART VI 0 0 0 C LHFDC 2016C 521313557 549208EP7 2016-09-28 39215000 SEE PART VI 0 0 0 D MFFA 2016F 810302402 61204KCB5 2006-06-22 50645000 SEE PART VI 0 0 0 A 95240000 304049410 1939410 302110000 2013 0 0 0 1 B 133355000 136185000 602023 1035827 134547150 1998 1 0 1 1 C 10330000 39215000 215000 39000000 2004 1 0 1 1 D 23525000 50810000 165000 50645000 2002 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 1 1 MORGAN STANLEY CAPITAL SERVICES 25.000000000000 0 1 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 D 1 A OFA 2011C 936001787 68608JPT2 2011-11-17 24927615 SEE PART VI 0 0 0 B OFA 2013A 936001787 68608JRH6 2013-09-18 86048852 SEE PART VI 0 0 0 C OFA 2015C 936001787 68608JTT8 2015-09-13 72245909 SEE PART VI 0 0 0 D WHCFA 2011B 911108929 93978HDA0 2011-07-13 101152957 SEE PART VI 0 0 0 A 16555000 24927615 345182 24582433 2005 1 1 1 1 B 52700000 86048852 910360 85138491 2005 1 1 1 1 C 72245909 1015122 71230787 654532 2018 0 0 1 1 D 91170000 101296076 1060339 100235737 2004 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 A WHCFA 2012A-D 911108929 93978HGG4 2012-07-19 819489529 SEE PART VI 0 0 0 B WHCFA 2014C 911108929 93978HKL8 2014-09-10 99611469 SEE PART VI 0 0 0 C WHCFA 2014D 911108929 93978HKN4 2014-11-06 196677761 SEE PART VI 0 0 0 D WHCFA 2015A 911108929 93978HQU2 2015-08-12 75900634 SEE PART VI 0 0 0 A 70100000 260000000 819530895 7422456 242643 812108439 2011 0 0 1 1 B 11870000 99611469 1128161 98483308 2015 0 0 1 1 C 3150000 200084061 113591420 1736112 198347949 2014 0 0 1 1 D 75900634 1106316 74794318 2018 0 0 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 A WHCFA 2016DE 911108929 000000000 2016-09-28 210860000 SEE PART VI 0 0 0 B WHCFA 2018B 911108929 93978HUY9 2018-01-30 166652252 SEE PART VI 0 0 0 C WHCFA 2021B 911108929 93978HYG4 2021-10-01 220676413 SEE PART VI 0 0 0 D PFA 2021C 273866124 74442PTB1 2021-10-06 122720304 SEE PART VI 0 0 0 A 36110000 44610000 210860000 305000 210555000 2009 1 0 1 1 B 166652252 166652252 2009 1 0 1 1 C 220676413 220676413 2011 0 0 1 1 D 122720304 122720304 2012 0 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 0 FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE MINISTRIES AND ST. JOSEPH HEALTH MINISTRY SERVE AS THE CANONICAL CO-SPONSORS (CO-SPONSORS COUNCIL) AND CORPORATE MEMBERS OF PROVIDENCE ST. JOSEPH HEALTH. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE ST. JOSEPH HEALTH HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE ST. JOSEPH HEALTH'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE ST. JOSEPH HEALTH BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE MINISTRIES AND ST. JOSEPH HEALTH MINISTRY, AS THE CORPORATE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE 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. MANAGEMENT PRESENTED THE RETURNS TO THE AUDIT COMMITTEE, AND DISCUSSED KEY DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION 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 2021. 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 XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 9,148,062. CHANGE IN INVESTMENT IN JOINT VENTURES -5,430,000. FORM 990, ITEM B, AMENDED RETURN THE ORGANIZATION IS AMENDING ITS FORM 990 FOR THE TAX YEAR ENDING DECEMBER 31, 2021 TO REPORT ITS PROPORTIONATE SHARE OF HOAG ORTHOPEDIC INSTITUTE IN SCHEDULE H. INCLUDED BELOW IS A DETAIL OF THE CHANGES MADE: FORM 990, PART I FORM 990, PART III, LINE 4A FORM 990, PART IV, LINES 20A & 20B FORM 990, PART VI, LINES 16A, 16B & 20 FORM 990, PART VIII, LINE 2B FORM 990, PART X, LINES 13 & 27 FORM 990, PART XI, LINE 9 FORM 990, SCHEDULE H FORM 990, SCHEDULE R, PART III - HOAG ORTHOPEDIC INSTITUTE 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 HEALTH NETWORK INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 461259908 HEALTHCARE CA 501(C)(3) 12, III SJHS 1 COVENANT HEALTH PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 463516417 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS 1 COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS 1 COVENANT HOSPITAL HOBBS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 844273963 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 822913146 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL GROUP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752743883 HEALTHCARE TX 501(C)(3) 3 CHS 1 EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANSITIONAL CARE WA 501(C)(3) 10 N/A 0 GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 201910170 SUPPORT WA 501(C)(3) 7 PHS WA 1 GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC WA 98188 273133200 HEALTHCARE WA 501(C)(3) 7 SHS 1 GRACE CLINIC OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 203856995 HEALTHCARE TX 501(C)(3) 3 CHS 1 HMTS INC 1 HOAG DRIVE NEWPORT BEACH CA 92658 453583707 HEALTHCARE CA 501(C)(3) 12, I HMHP 1 HOAG CHARITY SPORTS 2081 BUSINESS CENTER DR STE 195 NEWPORT BEACH CA 92663 452982422 SUPPORT CA 501(C)(3) 7 HHF 1 HOAG CLINIC 1 HOAG DRIVE NEWPORT BEACH CA 92658 330676831 HEALTHCARE CA 501(C)(3) 10 HMHP 1 HOAG HOSPITAL FOUNDATION 330 PLACENTIA AVE NEWPORT BEACH CA 92663 953222343 FUNDRAISING CA 501(C)(3) 7 HMHP 1 HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG ROAD BOX 6100 NEWPORT BEACH CA 92663 951643327 HEALTHCARE CA 501(C)(3) 3 CHN 1 HOSPICE OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752133781 HEALTHCARE TX 501(C)(3) 10 CHS 1 INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 814260130 HEALTHCARE WA 501(C)(3) PF PHS SJHS 1 INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 912003593 HEALTHCARE WA 501(C)(3) 7 WHC 1 KADLEC AUXILIARY INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 916033089 SUPPORT WA 501(C)(3) 12, III KRMC 1 KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND WA 99352 237005501 SUPPORT WA 501(C)(3) 7 KRMC 1 KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 910655392 HEALTHCARE WA 501(C)(3) 3 WHC 1 LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330844408 IMAGING SERVICES CA 501(C)(3) 10 PHS SOCAL 1 LUBBOCK HERITAGE HOSPITAL LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 264021016 HEALTHCARE TX 501(C)(3) 3 CHS 1 LUNDBERG ASSOCIATION PROVIDENCE HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911562797 SUPPORT OR 501(C)(3) 7 PHS OR 1 METHODIST CHILDREN'S HOSPITAL 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752428911 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL LEVELLAND 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752246348 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL PLAINVIEW 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752426010 HEALTHCARE TX 501(C)(3) 3 CHS 1 MISSION HOSPITAL REGIONAL MEDICAL CTR 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951643360 HEALTHCARE CA 501(C)(3) 3 CHN 1 NORTHWEST HOPE & HEALING FOUNDATION PO BOX 16069 SEATTLE WA 98116 200799737 SUPPORT WA 501(C)(3) 12, I SHS 1 OPEN DOOR VENTURES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911608508 SUPPORT WA 501(C)(3) 7 PHS WA 1 PACMED CLINICS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 562290878 HEALTHCARE WA 501(C)(3) 10 WHC 1 PH&S FOUNDATIONSFVSA & SCVSA 501 SOUTH BUENA VISTA STREET BURBANK CA 915054809 953544877 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE ALASKA FOUNDATION 3760 PIPER STREET SUITE 2021 ANCHORAGE AK 99508 920093565 HEALTHCARE AK 501(C)(3) 7 PHS WA 1 PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION 540 SOUTH MAIN ST MT ANGEL OR 97362 911940286 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE BLANCHET ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911789266 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE CHILDREN'S HEALTH FOUNDATION 4805 NE GLISAN ST STE 2N35 PORTLAND OR 97213 930800140 SUPPORT OR 501(C)(3) 7 PHS OR 1 PROVIDENCE COMMUNITY HEALTH FOUNDATION 940 ROYAL AVE SUITE 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