2024-11-12T13:46:57-06:00 2023-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2023-01-01 510216589 PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA PROV 4255253985 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 HELEN ANDRUS CHIEF ACCOUNTING OFFICER 4255253985 2024-11-12 1 1 EVA NITTA P01286320 4158948000 2023 2024-10-15 13:58:12Z ERIK WEXLER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 2190739358 0 0928 X HTTP://CALIFORNIA.PROVIDENCE.ORG/ X 1903 CA SEE SCHEDULE OAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 11 11 13194 3560 -8549392 351188 39080962 66971656 1695202975 1890412941 4833233 4626255 236171077 207762503 1975288247 2169773355 7561224 1996606 0 0 736067366 801674661 0 0 3071873 1374013293 1493108154 2117641883 2296779421 -142353636 -127006066 1734938016 2506012773 4094208599 3835592397 -2359270583 -1329579624 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 2058542683 1996606 2095436275 SEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE 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 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL 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-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND.THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES.WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL , SOCIAL, AND GOVERNANCE STANDARDSPROVIDENCE CONTINUES TO EXECUTE ON OUR INTEGRATED STRATEGIC AND FINANCIAL PLAN, WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THE IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES AND REDUCE OUR CARBON FOOTPRINT IN THE COMMUNITIES WE SERVE. PROVIDENCE ADVANCES PROGRESS ON OUR CARBON NEGATIVE GOAL AND IN 2023 WE ESTIMATED THAT WE DECREASED EMISSIONS BY OVER 12 PERCENT COMPARED TO OUR 2019 BASELINE. IN ADDITION, OUR EFFORTS LED TO THE INTRODUCTION OF THE GREEN HOSPITALS ACT, LEGISLATION MODELED AFTER PROVIDENCE THAT WOULD PROVIDE CRITICAL FEDERAL FUNDING TO WEATHERIZE AND MODERNIZE HEALTH CARE FACILITIES. PROVIDENCE COMPLETED A COMPREHENSIVE CLIMATE RESILIENCE PLAN IN ALIGNMENT WITH OUR COMMITMENT TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES CLIMATE PLEDGE. WE CONTINUE TO REDUCE GREENHOUSE GAS EMISSIONS WITH A FOCUS ON LED LIGHTING UPGRADES, WATER CONSERVATION, MORE EFFICIENT DELIVERY OF NITROUS OXIDE GAS DURING ANESTHESIA, AND ADVANCING OUR WASTE OPTIMIZATION WORK ACROSS ALL HOSPITALS AND CLINICS.2023 PROGRAM SERVICE ACCOMPLISHMENTSPROVIDENCE CONTINUES ITS MISSION OF SERVICE IN THE SOUTH BAY SERVICE AREA OF LOS ANGELES COUNTY THROUGH TWO MINISTRIES: PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO AND PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE. PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE IS LOCATED AT 4101 TORRANCE BOULEVARD, TORRANCE, CA, 90503. IT IS AN ACUTE CARE HOSPITAL WITH 327 LICENSED BEDS FOUNDED IN 1960. PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO IS LOCATED AT 1300 WEST SEVENTH STREET, SAN PEDRO, CA, 90732. IT IS AN ACUTE CARE HOSPITAL WITH 231 LICENSED BEDS FOUNDED IN 1925. THESE TWO PROVIDENCE MEDICAL CENTERS SHARE THE SOUTH BAY AS A COMMON SERVICE AREA BECAUSE OF THEIR GEOGRAPHIC PROXIMITY TO EACH OTHER, WHICH IS MADE UP OF A POPULATION OF 884,116 PEOPLE.THE PROVIDENCE LOS ANGELES SERVICE AREA - VALLEY SERVICE AREA IS COMPRISED OF THE GEOGRAPHICALLY CONTIGUOUS SERVICE AREAS OF THE THREE PROVIDENCE MEDICAL CENTERS: NAMELY, PROVIDENCE HOLY CROSS MEDICAL CENTER (PHCMC; MISSION HILLS); PROVIDENCE ST. JOSEPH MEDICAL CENTER (PSJMC; BURBANK); AND PROVIDENCE CEDARS-SINAI TARZANA MEDICAL CENTER (PCSTMC; TARZANA). PROVIDENCE CEDAR-SINAI TARZANA INFORMATION IS REFLECTED IN A SEPARATE 990 SCHEDULE H AND PROGRAM ACCOMPLISHMENTS NARRATIVE.DURING CALENDAR YEAR 2023, THE COMBINED ECONOMIC VALUE OF COMMUNITY BENEFIT PROVIDED BY LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE, PROVIDENCE HOLY CROSS AND PROVIDENCE ST. JOSEPH MEDICAL CENTER BURBANK, THE SOUTHERN CALIFORNIA REGIONAL OFFICE AND HOME HEALTH AGENCIES WAS $198M (INCLUDES CHARITY CARE, MEDI-CAL SHORTFALL AND COMMUNITY BENEFIT SERVICES), EXCLUDING COMMUNITY BUILDING.SOUTH BAY:IN RESPONSE TO COMMUNITY, THE SOUTH BAY HOSPITALS ADDRESSED THE FOLLOWING NEEDS WITHIN OUR COMMUNITIES:1. ACCESS TO HEALTH CARE AND PREVENTATIVE CARE2. HOMELESSNESS AND HOUSING INSTABILITY3. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE/MISUSE)THESE THREE PRIORITIZED HEALTH NEEDS ARE BEING ADDRESSED WITHIN OUR COMMUNITY-BASED PROGRAMS THAT PROVIDE INFORMATION, RESOURCES, AND ASSISTANCE TO THE UNDERSERVED COMMUNITIES WITHIN OUR SOUTH BAY (SB) SERVICE AREA AS PART OF A THREE-YEAR IMPLEMENTATION STRATEGY. BELOW ARE THE 2023 ACCOMPLISHMENTS.1. ACCESS TO HEALTH CARE AND PREVENTATIVE CARE- ASSISTED WITH OVER 2,800 INSURANCE APPLICATIONS THROUGH OUR COMMUNITY HEALTH INSURANCE PROGRAM, WITH 94% OF THEM CONFIRMED ENROLLED.- CONDUCTED 1,217 HOME VISITATIONS TO PREGNANT AND/OR NEW PARENTS, PROVIDING THEM INFORMATION AND SUPPORTING THEM THROUGH THEIR JOURNEY OF PREGNANCY AND EARLY PARENTHOOD.- ADMINISTERED 3,490 CHILDHOOD VACCINES AND 267 INFLUENZA VACCINES.- 34,275 OUTREACH CONTACTS MADE TO DELIVER GRASSROOTS OUTREACH THAT PROMOTES INFORMATION ON COVID-19 PREVENTION, LOCAL TESTING, AND VACCINATIONS TO COMMUNITY RESIDENTS THROUGH OUR COMMUNITY PUBLIC HEALTH TEAM.- PROVIDED 1,140 FOLLOW-UP PRIMARY CARE REFERRALS AND APPOINTMENTS MADE THROUGH OUR ED COMMUNITY HEALTH WORKER PROGRAM.2. HOMELESSNESS AND HOUSING INSTABILITY- COMPLETED DISCHARGE PAPERWORK FOR 416 HOMLESS PATIENTS AND CONNECTED 155 OF THEM TO SHELTER/HOUSING THROUGH OUR HOMELESS NAVIGATORS PROGRAM.- PROVIDED FINANCIAL SUPPORT TO LOCAL PARTNERS, AWARDING $1,705,000 TO SIX GRANTEES TO PROVIDE HOMELESSNESS AND HOUSING SUPPORT THROUGH RECUPERATIVE CARE, STREET MEDICINE, AND INTERIM HOUSING.3. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE/MISUSE)- HAD 370 PARTICIPANTS TRAINED IN MENTAL HEALTH FIRST AID- COMPLETED 848 MENTAL HEALTH SCREENINGS BY OUR STAFF AT THE VASEK POLAK HEALTH CLINIC, REFERRING 177 FOR THERAPY SERVICES.- AWARDED $2,141,176 TO SEVEN LOCAL PARTNERS SUPPORTING ACCESS TO MENTAL HEALTH SERVICES.SAN FERNANDO VALLEY:THESE THREE PRIORITIZED HEALTH NEEDS ARE BEING ADDRESSED WITHIN OUR COMMUNITY-BASED PROGRAMS THAT PROVIDE INFORMATION, RESOURCES, AND ASSISTANCE TO THE UNDERSERVED COMMUNITIES WITHIN OUR SAN FERNANDO VALLEY (SFV) SERVICE AREA AS PART OF A THREE-YEAR IMPLEMENTATION STRATEGY.1. ACCESS TO HEALTH CARE AND PREVENTIVE CARE:- ASSISTED WITH OVER 1,092 INSURANCE APPLICATIONS IN 2023 THROUGH OUR SFV COMMUNITY HEALTH INSURANCE PROGRAM, CONFIRMING ENROLLMENT FOR 94% OF THEM.- PROVIDED 528 FLU VACCINATIONS AND 129 COVID-19 VACCINES TO COMMUNITY MEMBERS AT LOCAL SCHOOL SITES IN THE SFV.- MADE PRIMARY CARE REFERRALS FOR 377 EMERGENCY DEPARTMENT PATIENTS, AS WELL AS 300 MEDI-CAL APPOINTMENTS, LINKING PATIENTS TO FINANCIAL COUNSELORS.- AWARDED $4,225,188 TO LOCAL ORGANIZATIONS WORKING TO INCREASE ACCESS TO CARE FOR LOW-INCOME AND VULNERABLE COMMUNITY MEMBERS.2. HOUSING AND HOMELESSNESS- COMPLETED DISCHARGE PAPERWORK FOR 648 HOMELESS PATIENTS VISITING OUR SFV EMERGENCY DEPARTMENTS, SUCCESSFULLY CONNECTING 190 OF THEM IN A FORM OF HOUSING.- AWARDED $2,421,000 TO LOCAL ORGANIZATIONS SUPPORTING HOMELESSNESS AND HOUSING INSTABILITY WITHIN THE SFV.3. MENTAL HEALTH INCLUDING SUBSTANCE USE/MISUSE- PROVIDED 32 MENTAL HEALTH FIRST AID TRAINING SESSIONS AT COMMUNITY LOCATIONS IN THE SFV, WITH 451 PARTICIPANTS COMPLETING THEM.- CONTACTED 343 PATIENTS IN OUR SFV EMERGENCY DEPARTMENTS, SCREENING THEM FOR MENTAL HEALTH, BEHAVIORAL HEALTH, OR SUBSTANCE USE/MISUSE ISSUES. 115 OF THEM WERE SUCCESSFULLY REFERRED TO ADDITIONAL SERVICES.- AWARDED $1,917,878 TO ORGANIZATIONS WITHIN THE SFV PROVIDING MENTAL HEALTH SUPPORT TO UNDERSERVED POPULATIONS. 2058542683 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 565 0 1 13194 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 CA X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 ERIK WEXLER PRESIDENT/CEO 0.50 64.50 X 0 5154374 461693 GREG HOFFMAN EVP & CFO/TREASURER 0.50 64.50 X 0 3204594 334955 JO ANN ESCASA-HAIGH FRMR EVP/TREASURER/CFO 0.00 1.00 X 0 3291797 10754 ANNA NEWSOM EVP & CHIEF LEGAL OFFICER/SECRETARY 1.00 64.00 X 0 1917204 412545 KEVIN MANEMANN DIV CHF EXEC SOUTH - THRU 2/23 0.50 54.50 X 0 2026390 13287 LAUREEN DRISCOLL RN DIV CHF EXEC SOUTH (PART YEAR) 62.50 2.50 X 0 1726763 275234 JEREMY ZOCH CHIEF EXECUTIVE SJO - THRU 9/23 18.00 37.00 X 0 1873290 36993 BRIAN LEE HELLELAND DIVISION COO - SOUTH 54.00 1.00 X 0 1636484 245496 BERNIE KLEIN MD CHIEF EXEC PROV HOLY CROSS MC 54.50 0.50 X 0 1535785 258015 GARRY OLNEY CHIEF EXECUTIVE LCM MC 55.00 0.00 X 0 1324604 206887 NATHAN HUSMANN DIVISION CFO - SOUTH 28.00 27.00 X 0 1095778 198695 JIM WATSON ESQ ASSISTANT SECRETARY 0.50 54.50 X 0 968691 146931 JIM MARTIN ASSISTANT TREASURER (PART YEAR) 1.00 54.00 X 0 828928 115635 KARL KEELER CHIEF EXEC PROV ST JOSEPH MC 54.50 0.50 X 0 705497 228964 REX HOFFMAN CHIEF MEDICAL OFFICER HOSPITAL 50.00 0.00 X 611821 0 55483 GLEN KOMATSU CHIEF MEDICAL OFFICER HOSPITAL 50.00 0.00 X 563396 0 79655 LISA LAURENT CHIEF MEDICAL OFFICER HOSPITAL 50.00 0.00 X 564426 0 47528 AMY HEROLD CHIEF MEDICAL OFFICER HOSPITAL 50.00 0.00 X 537530 0 62975 JOHN WHIPPLE FRMR SECRETARY 0.00 0.00 X 0 541701 0 GREGORY GISSENDANNER ED ASSOCIATE CHIEF PHILANTHROPY OFFICER 50.00 0.00 X 468007 0 22945 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0.50 54.50 X 0 292875 30846 MARY LYONS PHD DIRECTOR 0.50 13.00 X 0 100085 0 MICHAEL MURPHY BOARD CHAIR 1.00 26.00 X 0 75066 0 CHARLES SORENSON MD DIRECTOR 0.50 13.00 X 0 50000 0 ISIAAH CRAWFORD PHD DIRECTOR 0.50 14.50 X 0 50000 0 RICHARD BLAIR DIRECTOR 0.50 13.00 X 0 50000 0 ERIC SPRUNK DIRECTOR 0.50 13.50 X 0 40000 0 MARY BETH KINGSTON DIRECTOR 0.50 13.00 X 0 40000 0 MARVIN O'QUINN DIRECTOR (PART YEAR) 0.50 12.50 X 0 0 0 SISTER CAROL PACINI LCM DIRECTOR 0.50 13.00 X 0 0 0 SISTER DIANE HEJNA CSJ RN DIRECTOR 0.50 13.00 X 0 0 0 SISTER PHYLLIS HUGHES RSM DRPH DIRECTOR 0.50 13.00 X 0 0 0 2745180 28529906 3245516 3087 1 1 0 AMN LOS ANGELES AMN SHIFTWISE 12400 HIGH BLUFF DR CORP HQ SAN DIEGO CA 92130 STAFFING SERVICES 67228851 MCCARTHY BUILDING COMPANIES 3117 S BIG BEND BLVD SAINT LOUIS MO 63143 CONSTRUCTION SERVICES 59152009 CASS INFORMATION SYSTEMS INC 12444 POWERSCOURT DR 550 ST LOUIS MO 63131 PAYMENT SERVICES 26166176 AYA HEALTHCARE PO BOX 674907 DALLAS TX 75267 STAFFING SERVICES 22075400 AV CONSTRUCTION 18444 WARD ST FOUNTAIN VALLEY CA 92708 CONSTRUCTION SERVICES 16682359 348 25919228 29629367 11423061 66971656 NET PATIENT REVENUE 622110 1889333499 1889333499 OTHER PATIENT SERVICE 622110 1662672 1662672 JV INCOME 900099 -583230 -583230 1890412941 4227679 -8733015 12960694 23243456 20687910 2555546 2555546 2555546 301394 375275 278093 0 23301 375275 398576 398576 INTERAFFILIATE REVENUE 900099 175336695 175336695 MISC REVENUE 900099 11234594 11050971 183623 COST RECOVERIES 900099 7522890 7522890 11112778 11112778 205206957 2169773355 2095436275 -8549392 15914816 X 1996606 1996606 725859921 635966692 88733967 1159262 17352173 15203214 2121246 27713 4714885 4130976 576379 7530 53747682 47091366 6570476 85840 4163043 3647476 508918 6649 27294 27294 260078917 227869764 31793784 415369 1458766 1278107 178329 2330 25632917 22458440 3133539 40938 110823 97098 13548 177 32192316 28205498 3935404 51414 4378729 3836451 535285 6993 19242502 16859438 2352332 30732 64570832 56574137 7893570 103125 19356 16959 2366 31 SYSTEM COST ALLOCATION 702940758 615885924 85932176 1122658 MEDICAL FEES 253787905 253787905 HOSPITAL FEES 117500300 117500300 UBI TAXES PAID 45000 39427 5573 6958696 6096905 850679 11112 2296779421 2058542683 235164865 3071873 126913750 248797681 68062444 137148 6110810 9983288 240345451 168532667 8591057 7257418 16694971 17439771 2201365 3518898 2243758191 1496511692 756969282 747246499 7804836 7694650 206613639 755039598 294630411 540365155 1734938016 2506012773 1030493371 166862883 880318 2447084 3062834910 3666282430 4094208599 3835592397 X -2463048228 -1458599421 103777645 129019797 -2359270583 -1329579624 1734938016 2506012773 X -127006066 -159194 1156856219 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 304468 304468 0 PART II-B, LINE 1I, LOBBYING ACTIVITIES THE LOBBYING EXPENDITURES REPORTED REPRESENT THE PORTION OF DUES PAID TO ALLIANCE OF CATHOLIC HEALTH CARE, AMERICAN HOSPITAL ASSOCIATION AND CALIFORNIA HOSPITAL ASSOCIATION FOR LOBBYING SERVICES. 689162 37817 3579 723400 661628 39754 -12220 689162 552550 60991 48087 661628 552550 552550 511439 35929 5182 552550 0.00000 1.00000 0.00000 0 1 1 37922161 37922161 1145308708 651925016 493383692 63305186 25331833 37973353 915912806 819254843 96657963 81309330 81309330 747246499 HEALTHCARE JOINT VENTURES 542085316 F BENEFICIAL INTEREST IN FOUNDATION 212954282 F 755039598 HOSPITAL FEE/PROVIDER TAX RECEIVABLE 303432244 RIGHT OF USE OPERATING LEASES 112931453 DUE FROM AFFILIATES 20506617 DUE FROM THIRD PARTY 20108603 OTHER ASSETS 1647540 INVESTMENT IN CORP SUBSIDIARIES 81738698 540365155 DUE TO AFFILIATES 2910649327 I/C - TAX-EXEMPT BOND LIABILITIES 263820000 OTHER LIABILITIES 188269508 HOSPITAL FEE/PROVIDER TAX LIABILITY 178853751 CAPITAL LEASE OBLIGATIONS 67407182 DUE TO THIRD PARTY 57282662 3666282430 PART V, LINE 4: THE HIGH SCHOOL HAS TWO ENDOWMENT FUNDS ESTABLISHED FOR SCHOLARSHIP PURPOSES AND IS DONOR-RESTRICTED. 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 12717333 0 12717333 0.00550 633956594 484730014 149226580 0.06500 646673927 484730014 161943913 0.07050 20354942 6638775 13716167 0.00600 6801296 50051 6751245 0.00290 15886707 0 15886707 0.00690 43042945 6688826 36354119 0.01580 689716872 491418840 198298032 0.08630 0 715815850 897732234 -181916384 X 1 0 4 1 PROVIDENCE ST JOSEPH MEDICAL CENTER 501 S BUENA VISTA ST BURBANK CA 91505 HTTPS://WWW.PROVIDENCE.ORG/OBP 930000159 X X X A 2 PROVIDENCE LCM MED CTR - TORRANCE 4101 TORRANCE BOULEVARD TORRANCE CA 90505 HTTPS://WWW.PROVIDENCE.ORG/OBP 930000089 X X X B 3 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI ST MISSION HILLS CA 91345 HTTPS://WWW.PROVIDENCE.ORG/OBP 930000404 X X X X A 4 PROVIDENCE LCM MED CTR - SAN PEDRO 1300 WEST SEVENTH STREET SAN PEDRO CA 90732 HTTPS://WWW.PROVIDENCE.ORG/OBP 930000142 X X X B PHS - SOUTHERN CALIFORNIA ( GROUP A) 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE LINE 10A URL BELOW X SEE PART V, SECTION C X 1 23 1 SEE PART V, SECTION C 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 1 PHS - SOUTHERN CALIFORNIA ( GROUP B) 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE LINE 10A URL BELOW X SEE PART V, SECTION C X 1 23 1 SEE PART V, SECTION C 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 1 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: PROVIDENCE ST. JOSEPH MEDICAL CENTER, - FACILITY 3: PROVIDENCE HOLY CROSS MEDICAL CENTER PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 2: PROVIDENCE LCM MED. CTR. - TORRANCE, - FACILITY 4: PROVIDENCE LCM MED. CTR. - SAN PEDRO PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY ARE PRIORITIZED BASED ON THE METHODOLOGY DESCRIBED IN THE MOST RECENT CHNA SECTION ON SIGNIFICANT HEALTH NEEDS. PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 5: PROVIDENCE ST. JOSEPH AND PROVIDENCE HOLY CROSS (PROVIDENCE VSA) CONDUCTED KEY INFORMANT INTERVIEWS AND LISTENING SESSIONS WITH INDIVIDUALS WHO REPRESENT A VARIETY OF LOW-INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS THROUGHOUT THE HOSPITALS' SERVICE AREA. BOTH MEDICAL CENTERS ARE GOVERNED BY THE VALLEY SERVICE AREA COMMUNITY MINISTRY BOARD.PROVIDENCE VSA RECOGNIZES THE VALUE OF INPUT FROM COMMUNITY MEMBERS AND LOCAL STAKEHOLDERS DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. AS THE PEOPLE WHO LIVE AND WORK IN THE SAN FERNANDO VALLEY, THEY HAVE FIRST-HAND KNOWLEDGE OF THE NEEDS AND STRENGTHS OF THEIR COMMUNITY AND THEIR OPINIONS HELP TO SHAPE OUR FUTURE DIRECTION. TO BETTER UNDERSTAND THEIR UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE, PROVIDENCE VSA CONDUCTED STAKEHOLDER INTERVIEWS WITH REPRESENTATIVES OF COMMUNITY-BASED ALONG WITH LISTENING SESSIONS WITH COMMUNITY MEMBERS. DURING THESE INTERVIEWS AND LISTENING SESSIONS, COMMUNITY MEMBERS AND NONPROFIT AND GOVERNMENT STAKEHOLDERS DISCUSSED THE ISSUES AND OPPORTUNITIES OF THE PEOPLE, NEIGHBORHOODS, AND CITIES OF THE SERVICE AREA. KEY TAKEAWAYS GATHERED THROUGH ORGANIZATIONAL LEADER INTERVIEWS AND COMMUNITY RESIDENT LISTENING SESSIONS ARE INCLUDED IN THIS REPORT, ORGANIZED BY RELEVANT HEALTH NEED.2022 CHNA KEY INFORMANTS: - ALL-INCLUSIVE COMMUNITY HEALTH CENTER (COMMUNITY BASED ORGANIZATION, HEALTH CARE) - ASCENCIA (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS) - BCR, A PLACE TO GROW (COMMUNITY BASED ORGANIZATION, MENTAL HEALTH) - BURBANK COMMUNITY YMCA (NATIONAL ORGANIZATION, HEALTHY LIVING AND YOUTH DEVELOPMENT) - CITY OF BURBANK (GOVERNMENT) - CITY OF SAN FERNANDO (GOVERNMENT) - COMPREHENSIVE COMMUNITY HEALTH CENTER (COMMUNITY BASED ORGANIZATION, HEALTH CARE) - EL PROYECTO DEL BARRIO (COMMUNITY BASED ORGANIZATION, HEALTH CARE) - HELPING HANDS SENIOR FOUNDATION (COMMUNITY BASED ORGANIZATION, AGING SERVICES) - HOME AGAIN LA (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS) - HOPE OF THE VALLEY RESCUE MISSION (HOUSING/HOMELESSNESS) - KIDS' COMMUNITY DENTAL CLINIC (COMMUNITY BASED ORGANIZATION, DENTAL CARE) - LA FAMILY HOUSING (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS) - LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH (GOVERNMENT, PUBLIC HEALTH) - MEND (COMMUNITY BASED ORGANIZATION, FOOD INSECURITY) - NORTH VALLEY CARING SERVICES (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS) - NORTHEAST VALLEY HEALTH CORPORATION (COMMUNITY BASED ORGANIZATION, HEALTH CARE) - ONEGENERATION (COMMUNITY BASED ORGANIZATION, AGING SERVICES) - SAN FERNANDO COMMUNITY HEALTH CENTER (COMMUNITY BASED ORGANIZATION, HEALTH CARE) - SHERMAN OAKS ADULT CENTER & BERNARDI SENIOR CENTER (COMMUNITY BASED ORGANIZATION, AGING SERVICES) - TARZANA TREATMENT CENTERS (COMMUNITY BASED ORGANIZATION, HEALTH CARE) - THE OFFICE OF LAUSD SCHOOL BOARD MEMBER (GOVERNMENT, EDUCATION) - THE VILLAGE FAMILY SERVICES (COMMUNITY BASED ORGANIZATION, ACCESS TO CARE) - YMCA OF METROPOLITAN LOS ANGELES (NATIONAL ORGANIZATION, HEALTHY LIVING AND YOUTH DEVELOPMENT)THE 2022 CHNA WAS APPROVED BY THE VALLEY SERVICE AREA BOARD OF DIRECTORS ON OCTOBER 20, 2022, AND WAS MADE PUBLICLY AVAILABLE ON DECEMBER 28, 2022. PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 6A: PROVIDENCE ST. JOSEPH MEDICAL CENTER AND PROVIDENCE HOLY CROSS MEDICAL CENTER COLLABORATED WITH PROVIDENCE CEDAR SINAI TARZANA MEDICAL CENTER TO COMPLETE THEIR JOINT COMMUNITY HEALTH NEEDS ASSESSMENT. THE THREE MEDICAL CENTERS AGREED UPON A COMMON DEFINITION OF COMMUNITY (SERVICE PLANNING AREA 2-SAN FERNANDO VALLEY) AND THE PRIMARY AND SECONDARY DATA WAS COLLECTED ACROSS THE SAN FERNANDO VALLEY. PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH BIEL CONSULTING, INC, WHO TOOK PART IN STAKEHOLDER INTERVIEWS AND REVIEWED LISTENING SESSION SUMMARIES AND SECONDARY DATA, CONSOLIDATING THE INFORMATION AND HELPING WRITE OUR REPORT. PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, LINE 7B, CHNA REPORT WEBSITE: HTTPS://PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/PDFS/2022/2022-CHNA-PROVIDENCESAINTJOSEPHMEDICALCENTER.PDFHTTPS://PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/PDFS/2022/2022-CHNA-PROVIDENCEHOLYCROSSMEDICALCENTER.PDF PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 10A: HTTPS://PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/REPORTS/2023-2025_CHIP_SAINTJOSEPHMEDICALCENTER.PDFHTTPS://PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/REPORTS/2023-2025_CHIP_HOLYCROSSMEDICALCENTER.PDFOUR THREE-YEAR IMPLEMENTATION PLAN WAS ADOPTED IN RESPONSE TO THE IDENTIFIED HEALTH NEEDS FROM OUR MOST RECENT CHNA AND SERVES AS THE IMPLEMENTATION STRATEGY FOR OUR HOSPITAL TO ADDRESS THESE NEEDS. PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 11: IN DEVELOPING THE LIST OF PRIORITY NEEDS, PROVIDENCE LOOKED AT BRINGING ITS EXPERTISE AND RESOURCES TO THOSE ISSUES WHERE IT CAN MAKE POSITIVE CHANGE. IN OUR 2022 CHNA, THE MISSION COMMUNITY HEALTH COMMITTEE ADOPTED THE FOLLOWING AS THE HIGHEST PRIORITY NEEDS WITHIN OUR COMMUNITIES:1) ACCESS TO HEALTH CARE AND PREVENTIVE CARE2) HOUSING AND HOMELESSNESS3) BEHAVIORAL HEALTH (MENTAL HEALTH INCLUDING SUBSTANCE USE/MISUSE)THESE THREE PRIORITIZED HEALTH NEEDS ARE BEING ADDRESSED WITHIN OUR COMMUNITY-BASED PROGRAMS THAT PROVIDE INFORMATION, RESOURCES, AND ASSISTANCE TO THE UNDERSERVED COMMUNITIES WITHIN OUR SAN FERNANDO VALLEY (SFV) SERVICE AREA AS PART OF A THREE-YEAR IMPLEMENTATION STRATEGY.1. ACCESS TO HEALTH CARE AND PREVENTIVE CARE:- ASSISTED WITH OVER 1,092 INSURANCE APPLICATIONS IN 2023 THROUGH OUR SFV COMMUNITY HEALTH INSURANCE PROGRAM, CONFIRMING ENROLLMENT FOR 94% OF THEM.- PROVIDED 528 FLU VACCINATIONS AND 129 COVID-19 VACCINES TO COMMUNITY MEMBERS AT LOCAL SCHOOL SITES IN THE SFV.- MADE PRIMARY CARE REFERRALS FOR 377 EMERGENCY DEPARTMENT PATIENTS, AS WELL AS 300 MEDI-CAL APPOINTMENTS, LINKING PATIENTS TO FINANCIAL COUNSELORS.- AWARDED $4,225,188 TO LOCAL ORGANIZATIONS WORKING TO INCREASE ACCESS TO CARE FOR LOW-INCOME AND VULNERABLE COMMUNITY MEMBERS.2. HOUSING AND HOMELESSNESS- COMPLETED DISCHARGE PAPERWORK FOR 648 HOMELESS PATIENTS VISITING OUR SFV EMERGENCY DEPARTMENTS, SUCCESSFULLY CONNECTING 190 OF THEM IN A FORM OF HOUSING.- AWARDED $2,421,000 TO LOCAL ORGANIZATIONS SUPPORTING HOMELESSNESS AND HOUSING INSTABILITY WITHIN THE SFV.3. MENTAL HEALTH INCLUDING SUBSTANCE USE/MISUSE- PROVIDED 32 MENTAL HEALTH FIRST AID TRAINING SESSIONS AT COMMUNITY LOCATIONS IN THE SFV, WITH 451 PARTICIPANTS COMPLETING THEM.- CONTACTED 343 PATIENTS IN OUR SFV EMERGENCY DEPARTMENTS, SCREENING THEM FOR MENTAL HEALTH, BEHAVIORAL HEALTH, OR SUBSTANCE USE/MISUSE ISSUES. 115 OF THEM WERE SUCCESSFULLY REFERRED TO ADDITIONAL SERVICES.- AWARDED $1,917,878 TO ORGANIZATIONS WITHIN THE SFV PROVIDING MENTAL HEALTH SUPPORT TO UNDERSERVED POPULATIONS.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. OUR ABILITY TO ADDRESS ALL OF THE IDENTIFIED HEALTH NEEDS IS LINKED TO OUR MISSION TO PAY SPECIAL ATTENTION TO THE POOR AND VULNERABLE AND BY THE STRENGTH OF OUR PARTNERSHIPS WITH OTHER ORGANIZATIONS WHO CAN SUPPLEMENT OR COMPLEMENT OUR ANNUALLY BUDGETED RESOURCES. ONE HEALTH NEED THAT WAS IDENTIFIED IN OUR CHNA WAS DENTAL CARE, AND WHILE PROVIDENCE VSA DEEPLY UNDERSTANDS THE IMPORTANT ROLE IT PLAYS IN THE OVERALL HEALTH OF OUR COMMUNITY MEMBERS, WE BELIEVE THERE ARE ORGANIZATIONS THAT ARE BETTER SITUATED AND RESOURCED TO ADDRESS THIS PARTICULAR NEED. AND WHILE WE CANNOT DIRECTLY TACKLE IT OURSELVES, WE WILL CONTINUE TO PARTNER WITH THESE COMMUNITY ORGANIZATIONS TO SUPPORT AND ASSIST THEM IN WHATEVER WAYS WE CAN, LIKE GRANT FUNDING, WHICH WAS PROVIDED IN 2023. PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 16A: FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 16B: FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 16C: FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE. PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY ARE PRIORITIZED BASED ON THE METHODOLOGY DESCRIBED IN THE MOST RECENT CHNA SECTION ON SIGNIFICANT HEALTH NEEDS. PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 5: PROVIDENCE SOUTH BAY RECOGNIZES THE VALUE OF INPUT FROM COMMUNITY MEMBERS AND LOCAL STAKEHOLDERS DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. AS THE PEOPLE WHO LIVE AND WORK IN THE SOUTH BAY, THEY HAVE FIRST-HAND KNOWLEDGE OF THE NEEDS AND STRENGTHS OF THEIR COMMUNITY AND THEIR OPINIONS HELP TO SHAPE OUR FUTURE DIRECTION. TO BETTER UNDERSTAND THEIR UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE, PROVIDENCE SOUTH BAY CONDUCTED STAKEHOLDER INTERVIEWS WITH REPRESENTATIVES OF COMMUNITY-BASED ALONG WITH LISTENING SESSIONS WITH COMMUNITY MEMBERS. DURING THESE INTERVIEWS AND LISTENING SESSIONS, COMMUNITY MEMBERS AND NONPROFIT AND GOVERNMENT STAKEHOLDERS DISCUSSED THE ISSUES AND OPPORTUNITIES OF THE PEOPLE, NEIGHBORHOODS, AND CITIES OF THE SERVICE AREA. KEY TAKEAWAYS GATHERED THROUGH ORGANIZATIONAL LEADER INTERVIEWS AND COMMUNITY RESIDENT LISTENING SESSIONS ARE INCLUDED IN THIS REPORT, ORGANIZED BY RELEVANT HEALTH NEED.2022 CHNA KEY INFORMANTS:- BEACH CITIES HEALTH DISTRICT (COMMUNITY BASED ORGANIZATION, HEALTH ACCESS AND EDUCATION)- BEHAVIORAL HEALTH SERVICES, INC. (COMMUNITY BASED ORGANIZATION, BEHAVIORAL HEALTH)- BLUE SHIELD PROMISE/LA CARE HEALTH PLAN (COMMUNITY BASED ORGANIZATION, ACCESS)- BOYS & GIRLS CLUBS OF THE LOS ANGELES HARBOR (NATIONAL ORGANIZATION, YOUTH DEVELOPMENT)- CALIFORNIA COMMUNITY FOUNDATION (COMMUNITY BASED ORGANIZATION, ACCESS)- CARING HOUSE (COMMUNITY BASED ORGANIZATION, HOSPICE CARE)- CHILD LANE (COMMUNITY BASED ORGANIZATION, EARLY EDUCATION)- CITY OF CARSON (GOVERNMENT)- CITY OF LAWNDALE (GOVERNMENT)- CITY OF TORRANCE (GOVERNMENT)- COMMUNITY'S CHILD (COMMUNITY BASED ORGANIZATION, HOUSING/ HOMELESSNESS)- EXP THE OPPORTUNITY ENGINE (YOUTH EMPLOYMENT SERVICES)- GOODWILL INDUSTRIES (COMMUNITY BASED ORGANIZATION, EMPLOYMENT SERVICES)- HARBOR INTERFAITH SERVICES (HOUSING/HOMELESSNESS)- LAWNDALE ELEMENTARY SCHOOL DISTRICT (SCHOOL DISTRICT, EDUCATION)- LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH (GOVERNMENT)- LOS ANGELES HARBOR COLLEGE (SCHOOL, EDUCATION)- LOS ANGELES HOMELESS SERVICES AGENCY (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS)- LOS ANGELES POLICE DEPARTMENT (GOVERNMENT)- LOS ANGELES UNIFIED SCHOOL DISTRICT (SCHOOL DISTRICT, EDUCATION)- MYCHAL'S LEARNING PLACE (COMMUNITY BASED ORGANIZATION, EMPLOYMENT SERVICES)- NATIONAL HEALTH FOUNDATION (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS)- OFFICE OF SAMOAN AFFAIRS (COMMUNITY BASED ORGANIZATION, ACCESS)- RICHSTONE FAMILY CENTER (COMMUNITY BASED ORGANIZATION, CHILD ABUSE TREATMENT AND PREVENTION)- SAN PEDRO UNITED METHODIST CHURCH (RELIGIOUS ORGANIZATION)- SOUTH BAY CHILDREN'S HEALTH CENTER (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- SOUTH BAY FAMILY HEALTH CARE (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- SOUTH BAY VILLAGE (COMMUNITY BASED ORGANIZATION, AGING SERVICES)- THE VOLUNTEER CENTER SOUTH BAY, HARBOR, LONG BEACH (COMMUNITY BASED ORGANIZATION, MENTAL HEALTH, FOOD INSECURITY, COMMUNITY WELLBEING)- UNIHEALTH FOUNDATION (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS)- VOLUNTEER CENTER SOUTH BAY-HARBOR-LONG BEACH (COMMUNITY BASED ORGANIZATION, VOLUNTEER SERVICES)- WILMINGTON COMMUNITY CLINIC (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- WILMINGTON YMCA (NATIONAL ORGANIZATION, HEALTHY LIVING AND YOUTH DEVELOPMENT)- YMCA OF METROPOLITAN LOS ANGELES (NATIONAL ORGANIZATION, HEALTHY LIVING AND YOUTH DEVELOPMENT)IN ADDITION TO CONDUCTING KEY INFORMANT INTERVIEWS AS PART OF ITS PRIMARY DATA COLLECTION, PROVIDENCE ALSO CONDUCTED LISTENING SESSIONS WITH PEOPLE WHO HAVE CHRONIC CONDITIONS, ARE FROM DIVERSE COMMUNITIES, HAVE LOW-INCOMES, AND/OR ARE MEDICALLY UNDERSERVED.THE 2022 CHNA WAS APPROVED BY THE MISSION COMMUNITY HEALTH COMMITTEE ON BEHALF OF THE PROVIDENCE LITTLE COMPANY OF MARY COMMUNITY MINISTRY BOARD ON SEPTEMBER 13, 2022, AND WAS MADE PUBLICLY AVAILABLE BY DECEMBER 28, 2022. PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 6A: PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO AND PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE COLLABORATED TOGETHER TO COMPLETE THEIR JOINT COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITALS AGREED UPON A COMMON DEFINITION OF COMMUNITY (SERVICE PLANNING AREA 8 - SOUTH BAY, EXCLUDING LONG BEACH) AND THE PRIMARY AND SECONDARY DATA WAS COLLECTED ACROSS THE SOUTH BAY. PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH BIEL CONSULTING, INC, WHO TOOK PART IN STAKEHOLDER INTERVIEWS AND REVIEWED LISTENING SESSION SUMMARIES AND SECONDARY DATA, CONSOLIDATING THE INFORMATION AND HELPING WRITE OUR REPORT. PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, LINE 7B, CHNA REPORT WEBSITE: HTTPS://PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/PDFS/2022/2022-CHNA-PROVIDENCELITTLECOMPANYOFMARYTORRANCE.PDFHTTPS://PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/PDFS/2022/2022-CHNA-PROVIDENCELITTLECOMPANYOFMARYSANPEDRO.PDF PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 10A: HTTPS://PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/REPORTS/2023-2025_CHIP_LITTLECOMPANYOFMARYTORRANCE.PDFHTTPS://PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/REPORTS/2023-2025_CHIP_LITTLECOMPANYOFMARYSANPEDRO.PDFOUR THREE-YEAR IMPLEMENTATION PLAN WAS ADOPTED IN RESPONSE TO THE IDENTIFIED HEALTH NEEDS FROM OUR MOST RECENT CHNA AND SERVES AS THE IMPLEMENTATION STRATEGY FOR OUR HOSPITAL TO ADDRESS THESE NEEDS. PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 11: IN DEVELOPING THE LIST OF PRIORITY NEEDS, PROVIDENCE LOOKED AT BRINGING ITS EXPERTISE AND RESOURCES TO THOSE ISSUES WHERE IT CAN MAKE POSITIVE CHANGE. IN OUR LATEST CHNA, THE MISSION COMMUNITY HEALTH COMMITTEE ADOPTED THE FOLLOWING AS THE HIGHEST PRIORITY NEEDS WITHIN OUR COMMUNITIES:1. ACCESS TO HEALTH CARE AND PREVENTATIVE CARE2. HOMELESSNESS AND HOUSING INSTABILITY3. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE/MISUSE)THESE THREE PRIORITIZED HEALTH NEEDS ARE BEING ADDRESSED WITHIN OUR COMMUNITY-BASED PROGRAMS THAT PROVIDE INFORMATION, RESOURCES, AND ASSISTANCE TO THE UNDERSERVED COMMUNITIES WITHIN OUR SOUTH BAY (SB) SERVICE AREA AS PART OF A THREE-YEAR IMPLEMENTATION STRATEGY.1. ACCESS TO HEALTH CARE AND PREVENTATIVE CARE- ASSISTED WITH OVER 2,863 INSURANCE APPLICATIONS THROUGH OUR COMMUNITY HEALTH INSURANCE PROGRAM, WITH 94% OF THEM CONFIRMED ENROLLED.- CONDUCTED 1,217 HOME VISITATIONS TO PREGNANT AND/OR NEW PARENTS, PROVIDING THEM INFORMATION AND SUPPORTING THEM THROUGH THEIR JOURNEY OF PREGNANCY AND EARLY PARENTHOOD.- ADMINISTERED 3,490 CHILDHOOD VACCINES AND 267 INFLUENZA VACCINES.- 34,275 OUTREACH CONTACTS MADE TO DELIVER GRASSROOTS OUTREACH THAT PROMOTES INFORMATION ON COVID-19 PREVENTION, LOCAL TESTING, AND VACCINATIONS TO COMMUNITY RESIDENTS THROUGH OUR COMMUNITY PUBLIC HEALTH TEAM.- PROVIDED 1,140 FOLLOW-UP PRIMARY CARE REFERRALS AND APPOINTMENTS MADE THROUGH OUR ED COMMUNITY HEALTH WORKER PROGRAM.2. HOMELESSNESS AND HOUSING INSTABILITY- COMPLETED DISCHARGE PAPERWORK FOR 416 HOMLESS PATIENTS AND CONNECTED 155 OF THEM TO SHELTER/HOUSING THROUGH OUR HOMELESS NAVIGATORS PROGRAM.- PROVIDED FINANCIAL SUPPORT TO LOCAL PARTNERS, AWARDING $1,705,000 TO SIX GRANTEES TO PROVIDE HOMELESSNESS AND HOUSING SUPPORT THROUGH RECUPERATIVE CARE, STREET MEDICINE, AND INTERIM HOUSING.3. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE/MISUSE)- HAD 370 PARTICIPANTS TRAINED IN MENTAL HEALTH FIRST AID- COMPLETED 848 MENTAL HEALTH SCREENINGS BY OUR STAFF AT THE VASEK POLAK HEALTH CLINIC, REFERRING 177 FOR THERAPY SERVICES.- AWARDED $2,141,176 TO SEVEN LOCAL PARTNERS SUPPORTING ACCESS TO MENTAL HEALTH SERVICES.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW:- ORAL HEALTH: OUR HEALTH FACILITIES DO NOT PROVIDE ORAL HEALTH CARE, AND IT IS NOT OUR AREA OF EXPERTISE WITHIN THE PROVIDENCE HEALTH SYSTEM IN THE LOS ANGELES REGION. HOWEVER, THERE ARE A NUMBER OF COMMUNITY PARTNERS INCLUDING LOCAL FEDERALLY QUALIFIED HEALTH CLINICS WHO ARE FOCUSING ON INCREASING ACCESS TO ORAL HEALTH CARE, ESPECIALLY FOR THE MEDI-CAL POPULATION. FOR COMMUNITY MEMBERS IN NEED OF THESE SERVICES, WE REFER THEM TO THESE PROVIDERS OF LOW-COST DENTAL CARE. PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 16A: FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 16B: FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 16C: FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE. 8 1 - PROVIDENCE LCMMC TORRANCE PHARMACY 4101 TORRANCE BLVD TORRANCE CA 905034607 PHARMACY 2 - PROVIDENCE ST ELIZABETH CARE CENTER 10425 MAGNOLIA BLVD NORTH HOLLYWOOD CA 91601 SKILLED NURSING FACILITY 3 - PROVIDENCE HCMC - TRAUMA CENTER 15031 RINALDI ST MISSION HILLS CA 913451207 CLINIC/GROUP PRACTICE 4 - PROVIDENCE HOME HEALTH LA COUNTY NORTH C BURBANK CA 915021211 HOME HEALTH 5 - PROVIDENCEUCLAUSP SURGERY CENTERS 14201 DALLAS PARKWAY DALLAS TX 75254 AMBULATORY SURGERY CENTER 6 - PROVIDENCEUSP SOUTH BAY SURGERY CNTR 14201 DALLAS PARKWAY DALLAS TX 75254 AMBULATORY SURGERY CENTER 7 - PROVIDENCEUSP SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 AMBULATORY SURGERY CENTER 8 - COAST SURGERY CENTER LP 14201 DALLAS PARKWAY DALLAS TX 75254 AMBULATORY SURGERY CENTER PART I, LINE 3C: IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS. PART I, LINE 6A: PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/SOUTHERN-CALIFORNIA PART I, LINE 7: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER. PART I, LINE 7G: THERE WERE NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS. PART III, LINE 4: AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019. PART III, LINE 8: THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. PART III, LINE 9B: OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE.THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS.WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS. PART VI, LINE 2: NEEDS ASSESSMENT:REPORTING GROUP AEVERY THREE YEARS, PROVIDENCE HOLY CROSS AND PROVIDENCE SAINT JOSEPH MEDICAL CENTERS CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE COMMUNITIES IN THE SAN FERNANDO VALLEY. THESE TWO MEDICAL CENTERS SHARE A COMMON GOVERNING BOARD KNOWN AS THE VALLEY SERVICE AREA COMMUNITY MINISTRY BOARD (VSA CMB). THE VSA CMB HAS DELEGATED APPROVAL OF THE CHNA TO THE MISSION COMMUNITY HEALTH COMMITTEE, WHICH IS CHAIRED BY A MEMBER OF THE VSA CMB. THIS ONGOING OVERSIGHT ENSURES CONTINUING ENGAGEMENT BY THE VSA CMB AS THEY RECEIVE REPORTS FROM THE COMMITTEE CHAIR AT EVERY MEETING. THE PRIORITIZED NEEDS IDENTIFIED IN THE 2022 CHNA ARE LISTED ABOVE IN PART V, SECTION B, AND THEY BECOME THE BASIS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN/IMPLEMENTATION STRATEGY THAT SETS FORTH OBJECTIVES TO BE ACCOMPLISHED OVER THREE YEARS, UNTIL THE NEXT CHNA IS CONDUCTED.THE 2022 CHNA WAS APPROVED BY THE MISSION COMMUNITY HEALTH COMMITTEE OF THE VSA SERVICE AREA CMB ON OCTOBER 20, 2022. THE CHNA REPORT WAS MADE PUBLICLY AVAILABLE ON DECEMBER 28, 2022.REPORTING GROUP BEVERY THREE YEARS, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTERS, SAN PEDRO AND TORRANCE CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE COMMUNITIES IN THE SOUTH BAY. THESE TWO MEDICAL CENTERS SHARE A COMMON GOVERNING BOARD KNOWN AS THE PROVIDENCE LITTLE COMPANY OF MARY COMMUNITY MINISTRY BOARD. THIS BOARD HAS DELEGATED APPROVAL OF THE CHNA TO THE MISSION COMMUNITY HEALTH COMMITTEE, WHICH IS CHAIRED BY A MEMBER OF THE COMMUNITY MINISTRY BOARD. THIS ONGOING OVERSIGHT ENSURES CONTINUING ENGAGEMENT BY THE BOARD AS THEY RECEIVE REPORTS FROM THE COMMITTEE CHAIR AT EVERY MEETING. THE PRIORITIZED NEEDS IDENTIFIED IN THE 2022 CHNA ARE LISTED ABOVE IN PART V, SECTION B, AND THEY BECOME THE BASIS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN/IMPLEMENTATION STRATEGY THAT SETS FORTH OBJECTIVES TO BE ACCOMPLISHED OVER THREE YEARS, UNTIL THE NEXT CHNA IS CONDUCTED.THE 2022 CHNA WAS APPROVED BY THE MISSION COMMUNITY HEALTH COMMITTEE OF THE PROVIDENCE LITTLE COMPANY OF MARY COMMUNITY BOARD ON SEPTEMBER 13, 2022, AND MADE PUBLICLY AVAILABLE BY DECEMBER 28, 2022. PART VI, LINE 3: COMMUNICATION TO THE PUBLIC:REPORTING GROUPS A & BTHE 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 INFORMATION:REPORTING GROUP ATHE PROVIDENCE SAN FERNANDO VALLEY SERVICE AREA (VSA) IS COMPRISED OF THE SERVICE AREAS OF TWO PROVIDENCE MEDICAL CENTERS: PROVIDENCE HOLY CROSS MEDICAL CENTER (PHCMC; MISSION HILLS) AND PROVIDENCE ST. JOSEPH MEDICAL CENTER (PSJMC; BURBANK). THE PROVIDENCE SAN FERNANDO VALLEY COMMUNITY BENEFIT SERVICE AREA CONSISTS OF HIGH NEED COMMUNITIES WITHIN EACH OF THE THREE MEDICAL CENTERS SERVICE AREAS. SIMILARLY, THE PROVIDENCE SAN FERNANDO VALLEY BROADER SERVICE AREA CONSISTS OF ZIP CODES WITHIN THE SFV SERVICE AREA, BUT OUTSIDE OF THE COMMUNITY BENEFIT SERVICE AREA. COMMUNITIES IN THE BROADER SERVICE AREA ARE MORE RESOURCE-RICH WITH A POPULATION ON THE HIGHER END OF THE SOCIOECONOMIC SPECTRUM. THIS ENTIRE SERVICE AREA ROUGHLY ALIGNS WITH LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH'S SERVICE PLANNING AREA (SPA) 2.POPULATION AND AGE DEMOGRAPHICSTHE TOTAL POPULATION OF THE PROVIDENCE SAN FERNANDO VALLEY (SFV) SERVICE AREA IN 2022 IS 2,230,501 PEOPLE, WHICH REPRESENTS A 0.2% INCREASE COMPARED TO THE 2022 POPULATION, OR APPROXIMATELY 5,000 ADDITIONAL RESIDENTS LIVING IN THE AREA. THE TOTAL POPULATION OF THE SFV COMMUNITY BENEFIT SERVICE AREA IS JUST OVER 52% OF THE TOTAL SERVICE AREA POPULATION, WITH NEARLY 1.2 MILLION PEOPLE. THE MAJORITY OF RESIDENTS IN THE SFV SERVICE AREA ARE BETWEEN 10 AND 39 YEARS OLD.ADULTS 60 YEARS OF AGE AND OLDER MAKE UP 19.7% OF THE TOTAL SERVICE AREA POPULATION, COMPARED TO THE STATE OF CALIFORNIA, ADULTS 65 AND OLDER MAKE UP 15.2% OF THE POPULATION.POPULATION BY RACE AND ETHNICITYAMONG SFV COMMUNITY BENEFIT SERVICE AREA RESIDENTS, IN 2022, 57.9% WERE WHITE, 8.9% WERE ASIAN/PACIFIC ISLANDER/HAWAIIAN, 0.6% WERE ALASKA NATIVE OR AMERICAN INDIAN, 3.8% WERE AFRICAN AMERICAN OR BLACK, AND 3.1% WERE OF TWO OR MORE RACES. APPROXIMATELY 57.9% OF THE RESIDENTS IDENTIFY AS LATINO.INCOME LEVELSIN 2022, THE MEDIAN HOUSEHOLD INCOME OF THE SFV SERVICE AREA VARIED SIGNIFICANTLY FROM A LOW OF $48,888 FOR THE COMMUNITY OF GLENDALE, TO $187,297 FOR THE COMMUNITY OF LA CANADA FLINTRIDGE. THE MEDIAN HOUSEHOLD INCOME IN THE SFV HIGH NEED SERVICE AREA IS JUST $55,396, COMPARED TO LOS ANGELES COUNTY'S $65,817. THE HIGH NEED SERVICE AREA IS ALSO HOME TO A HIGHER CONCENTRATION OF LOW-INCOME RESIDENTS; APPROXIMATELY 45% OF FAMILIES HAVE ANNUAL INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL; $51,500 FOR A FAMILY OF 4) COMPARED TO 34.9% IN LOS ANGELES COUNTY AS A WHOLE.EDUCATION LEVELWHILE MANY OF THE ADULTS LIVING IN THE SFV COMMUNITY BENEFIT SERVICE AREA HAVE AT LEAST A HIGH SCHOOL DIPLOMA (71.6%), THERE WERE SEVERAL ZIP CODES WITH A HIGH CONCENTRATION OF ADULTS WHO HAD NOT COMPLETED HIGH SCHOOL. THESE ZIP CODES INCLUDED PACOIMA (91331; 44.8%), SAN FERNANDO (91340; 39.3%), PANORAMA CITY (91402; 36.4%) AND SUN VALLEY (91352; 34.1%).ECONOMIC INDICATORSTHE PERCENT UNEMPLOYED IN THE HIGH NEED SFV COMMUNITY BENEFIT SERVICE AREA AVERAGES 6.5%. IN THE BROADER SERVICE AREA, IT IS ONLY 5.3%. 12.9% OF HOUSEHOLDS RECEIVE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS, COMPARED TO JUST 3.3% IN THE BROADER SERVICE AREA AND 8.7% FOR LA COUNTY.LANGUAGE PROFICIENCYWHILE 9.4% OF SAN FERNANDO VALLEY RESIDENTS EXPERIENCE DIFFICULTIES WITH LIMITED ENGLISH PROFICIENCY, IN THE HIGH NEED SFV COMMUNITY BENEFIT SERVICE AREA, 16% OF RESIDENTS HAVE THIS STRUGGLE. IN LA COUNTY, THAT NUMBER IS 10.8%, STILL LOWER THAN THE HIGH NEED SFV COMMUNITY BENEFIT SERVICE AREA.HEALTH PROFESSION SHORTAGE AREATHE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA) DEFINES A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AS SHORTAGES OF PRIMARY CARE, DENTAL CARE OR MENTAL HEALTH PROVIDERS BY GEOGRAPHIES OR POPULATIONS. THERE ARE PRIMARY CARE SHORTAGE AREAS IN THE SAN FERNANDO VALLEY WITH THE BOUNDARY OF THE HIGH NEED COMMUNITY AS DEFINED BY THE COMMUNITY NEEDS INDEX.OTHER HOSPITALS IN SERVICE AREATHE HOSPITALS IN THE SERVICE AREA INCLUDE: PROVIDENCE HOLY CROSS MEDICAL CENTER, PROVIDENCE ST. JOSEPH MEDICAL CENTER, PROVIDENCE CEDAR SINAI (TARZANA), KAISER FOUNDATION HOSPITAL PANORAMA CITY, MISSION COMMUNITY HOSPITAL, DIGNITY MEDICAL CENTER, NORTHRIDGE, AND VALLEY PRESBYTERIAN HOSPITAL.REPORTING GROUP BTHE TWO PROVIDENCE SOUTH BAY COMMUNITY MEDICAL CENTERS, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO AND PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE (HEREAFTER SOUTH BAY COMMUNITY), SHARE A COMMON GEOGRAPHY BECAUSE OF THEIR CLOSE PROXIMITY TO EACH OTHER. THE SOUTH BAY COMMUNITY SERVICE AREA IS COMPOSED OF 16 DISTINCT MUNICIPALITIES AND IS A DEMOGRAPHICALLY AND GEOGRAPHICALLY DIVERSE REGION STRETCHING FROM EL SEGUNDO (NORTH), TO CARSON (EAST), TO THE PORT OF LOS ANGELES (SOUTH), TO THE PACIFIC OCEAN (WEST).POPULATION AND AGE DEMOGRAPHICSTHE SOUTH BAY SERVICE AREA IS SLIGHTLY YOUNGER, ON AVERAGE, THAN THE TOTAL POPULATION OF THE STATE OF CALIFORNIA. PEOPLE UNDER THE AGE OF 40 ARE DISPROPORTIONATELY REPRESENTED IN THE HIGH NEED SERVICE AREA, WHILE PEOPLE AGED 40 AND OLDER ARE MORE LIKELY TO LIVE IN THE BROADER SERVICE AREA. ADULTS AGED 60 YEARS AND OLDER MAKE UP 21.3% OF THE TOTAL SERVICE AREA POPULATION, WHICH IS GREATER THAN THE STATE POPULATION AGED 65 AND OVER.POPULATION BY RACE/ETHNICITYAPPROXIMATELY 47.9% OF SOUTH BAY RESIDENTS IDENTIFY AS WHITE, WHILE 35.7% IDENTIFY AS ASIAN/PACIFIC ISLANDER, AMERICAN INDIAN/ALASKAN NATIVE, OR ANOTHER RACE. 10% IDENTIFY AS BLACK. WHILE 36.8% OF RESIDENTS IN THE GENERAL COMMUNITY IDENTIFY AS HISPANIC, IN OUR HIGH NEED SERVICE AREA, 60% DO SO.INCOME LEVELSIN 2022, 25.9% OF SOUTH BAY RESIDENTS FELL BELOW 200% OF THE FEDERAL POVERTY LEVEL. HOWEVER, IN THE PROVIDENCE SOUTH BAY HIGH NEED SERVICE AREAS, THAT NUMBER IS 41.7%, WHICH IS HIGHER THAN THE PERCENTAGE OF LOS ANGELES COUNTY (34.9%).EDUCATION LEVELWHILE MANY OF THE ADULTS AGE 25+ LIVING IN HOUSEHOLDS IN THE SOUTH BAY HAVE AT LEAST GRADUATED FROM HIGH SCHOOL, THE 72.1% WITH A HIGH SCHOOL DIPLOMA IN PROVIDENCE SOUTH BAY HIGH NEED SERVICE AREAS IS LESS THAN LOS ANGELES COUNTY, WHICH IS 79.1%.ECONOMIC INDICATORSTHE SOUTH BAY SERVICE AREA HAS SOME NOTABLE ECONOMIC INDICATORS. THE PERCENT UNEMPLOYED IN THE AREA AVERAGES 5.1%, WHILE IN THE HIGH NEED SERVICE AREAS, IT CLIMBS TO 6.1%.LANGUAGE PROFICIENCYWITHIN LOS ANGELES COUNTY, 10.8% OF RESIDENTS HAVE LIMITED ENGLISH PROFICIENCY. IN THE PROVIDENCE SOUTH BAY HIGH NEED SERVICE AREAS, HOWEVER, IT IS 12.7%, MORE THAN DOUBLE THAT OF THE BROADER SERVICE AREA (5.3%).OTHER HOSPITALS IN SERVICE AREAIN ADDITION TO PROVIDENCE LITTLE COMPANY OF MARY SAN PEDRO AND PROVIDENCE LITTLE COMPANY OF MANY IN TORRANCE, THE OTHER HOSPITALS IN THE SERVICE AREA INCLUDE KAISER PERMANENTE HARBOR CITY, TORRANCE MEMORIAL, AND HARBOR UCLA. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:REPORTING GROUPS A & BACROSS SOUTHERN CALIFORNIA, PROVIDENCE IS BRINGING TO LIFE OUR VISION OF HEALTH FOR A BETTER WORLD. BY TAPPING THE EXPERTISE OF COMMUNITY PARTNERS, WE FOCUS ON REDUCING HEALTH DISPARITIES AS WE ADDRESS OUR NEIGHBORS' CHALLENGES. TOGETHER WE SEEK INNOVATIVE AND COMPASSIONATE WAYS TO MEET A RANGE OF NEEDS.IN 2023, PROVIDENCE INVESTED $198 MILLION IN COMMUNITY BENEFIT ACROSS PROVIDENCE SOUTHERN CALIFORNIA HOSPITALS IN LOS ANGELES- SOUTH BAY AND SAN FERNANDO VALLEY, HOME HEALTH AND REGIONAL OFFICE. TARGETED INVESTMENTS SUPPORTED THESE AND MANY OTHER PROGRAMS:- $149 MILLION TO COVER THE UNPAID COSTS OF MEDI-CAL AND OTHER MEANS-TESTED GOVERNMENT// PROGRAMS.- $13 MILLION IN FREE AND DISCOUNTED CARE FOR THE UNINSURED AND UNDERINSURED.- OFFERING FREE VACCINATIONS FOR SCHOOL CHILDREN IN UNDERSERVED SOUTH BAY COMMUNITIES.PROVIDENCE SOUTHERN CALIFORNIA PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) THE MISSION COMMUNITY HEALTH COMMITTEE (MCHC) OF THE SOUTH BAY AND SAN FERNANDO VALLEY HOSPITAL COMMUNITY MINISTRY BOARDS ARE RESPONSIBLE FOR THE OVERSIGHT OF THE MINISTRY'S COMMUNITY HEALTH NEEDS ASSESSMENT AND THE PRIORITIZATION OF THE IDENTIFIED SIGNIFICANT COMMUNITY NEEDS,2) WE HAVE AN OPEN MEDICAL STAFF, 3) SURPLUS FUNDS ARE USED TO ADVANCE PATIENT CARE AND FUND A ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.FURTHERMORE, SURPLUS FUNDS ARE USED TO MAKE IMPROVEMENTS IN OUR HOSPITALS, AND TO ADVANCE HEALTH PROFESSIONS EDUCATION AND MEDICAL RESEARCH.AS A NOT-FOR-PROFIT CATHOLIC HEALTH CARE MINISTRY, PROVIDENCE HEALTH & SERVICES EMBRACES ITS RESPONSIBILITY TO PROVIDE FOR THE NEEDS OF THE COMMUNITIES IT SERVES - ESPECIALLY THE POOR AND VULNERABLE. PROVIDENCE'S NOT-FOR-PROFIT, TAX-EXEMPT STATUS ENABLES PROVIDENCE TO SERVE ITS COMMUNITIES, TO SOLICIT DONATIONS THROUGH ITS FOUNDATIONS AND TO RESPOND TO COMMUNITY NEEDS THAT OTHERWISE WOULD GO UNMET.HEALTH CARE IS FUNDAMENTALLY DIFFERENT FROM MOST OTHER GOODS AND SERVICES. IT IS ABOUT THE MOST HUMAN AND INTIMATE NEED OF PEOPLE, THEIR FAMILIES AND COMMUNITIES. PROVIDENCE EXECUTIVES ARE ENGAGED ON MANY LOCAL AREA BOARDS AND SOCIAL SERVICE ORGANIZATIONS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:REPORTING GROUPS A & B:PROVIDENCE'S MORE THAN 165-YEAR LEGACY OF INVESTING IN ITS COMMUNITIES IS ROOTED IN A TRADITION OF CARING FOR THOSE IN NEED, WITH COMPASSION AND IN PARTNERSHIP WITH THE PEOPLE WE SERVE.TO ACHIEVE OUR VISION OF HEALTH FOR A BETTER WORLD, THE PROVIDENCE FAMILY OF ORGANIZATIONS COMBINES A LONG-STANDING COMMITMENT TO IMPROVING COMMUNITY HEALTH WITH HIGH-QUALITY CARE TO CREATE HEALTHY COMMUNITIES AND PROMOTE HEALTH EQUITY.TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 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- WASHINGTONTHE 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.2023 HIGHLIGHTS AND KEY INSTITUTES:INVESTING IN THE COMMUNITIES WE SERVE IS AN ESSENTIAL WAY THE PROVIDENCE FAMILY OF ORGANIZATIONS LIVES ITS MISSION AND WORKS TOWARD OUR VISION OF HEALTH FOR A BETTER WORLD. FOR GENERATIONS, PROVIDENCE MINISTRIES AND AFFILIATES HAVE SERVED AS A VITAL SAFETY NET. GUIDED BY COMMUNITY HEALTH NEEDS ASSESSMENTS, WE CONTINUE OUR LONGSTANDING COMMITMENT TO THOSE WHO ARE VULNERABLE THROUGH COMMUNITY BENEFIT AND OTHER HIGH-IMPACT INVESTMENTS. IN 2023, PROVIDENCE MINISTRIES AND AFFILIATES INVESTED NEARLY $2.1 BILLION IN COMMUNITY BENEFIT PROGRAMS, INCLUDING PROACTIVE COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND FREE, DISCOUNTED AND UNCOMPENSATED CARE. THIS SIGNIFICANT INVESTMENT IN COMMUNITY BENEFIT PROGRAMS REPRESENTS AN INCREASED FOCUS ON ADDRESSING ROOT CAUSES OF COMMUNITY HEALTH ISSUES AND PROGRAMS THAT INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES. INVESTMENTS WENT DEEP INTO COMMUNITIES TO SUPPORT ORGANIZATIONS AND CAUSES THAT SERVE THOSE IN NEED; ADDRESS GAPS IN SERVICES AND RESOURCES THAT CONTRIBUTE TO OVERALL HEALTH; AND ENHANCE CARE DELIVERY WITH INNOVATIVE SOLUTIONS TO HEALTH CARE'S BIGGEST CHALLENGES. AN EXAMPLE OF THIS IMPORTANT WORK CAN BE FOUND IN THE LAUNCH OF THE PROVIDENCE HEALTH EQUITY FELLOWSHIP, WHICH WAS CREATED TO BUILD CAREGIVERS' CAPACITY AND EXPERTISE THROUGH CLASSROOM LEARNING AND THE REAL-TIME APPLICATION OF HEALTH EQUITY PRINCIPLES. FELLOWS MOOJAN REZVAN AND SHELLEY SCHOEPFLIN SANDERS, M.D., HAVE DEDICATED THEIR PROJECTS TO IMPROVING THE HEALTH OUTCOMES OF SEPSIS PATIENTS. INITIAL OUTCOMES FROM BOTH PROGRAMS ARE PROMISING, WITH AVERAGE LENGTHS OF STAY AND READMISSION RATES IMPROVING. TOGETHER, CAREGIVERS AND COMMUNITY LEADERS AND ORGANIZATIONS TOUCHED THE LIVES OF THOUSANDS OF PEOPLE AND PATIENTS THROUGH THESE INVESTMENTS IN 2023. THEY ALSO HELPED TO BUILD AND STRENGTHEN COMMUNITY RESILIENCE AND THE HUMAN CONNECTION, ESPECIALLY IN TIMES OF NEED. OUR COMMITMENT TO MEETING THE DIVERSE NEEDS OF THE COMMUNITIES WE SERVE DOMESTICALLY AND ABROAD HAS NEVER BEEN STRONGER. FOR THE PAST SEVEN YEARS, PROVIDENCE HAS FUNDED HEALTH PARTNERS IN MANGOCHI DISTRICT, MALAWI TO BUILD CRITICAL HEALTH SYSTEM INFRASTRUCTURE FOR 1.5 MILLION PEOPLE. IN 2023, INVESTMENTS EXPANDED HEALTH CARE TRAINING AND WATER, SANITATION AND HYGIENE IMPROVEMENTS, INCLUDING A RELIABLE WATER SOURCE, ACCESSIBLE TOILETS AND SAFE MEDICAL WASTE DISPOSAL AT TWO CLINICS. MORE EXAMPLES OF THIS IMPORTANT WORK ARE CAPTURED THROUGHOUT PROVIDENCE'S 2023 ANNUAL REPORT TO OUR COMMUNITIES, WHICH WE INVITE CAREGIVERS, COMMUNITY PARTNERS AND OTHER STAKEHOLDERS TO READ. WE COULDN'T BE PROUDER OF THIS WORK, THESE PROGRAMS AND THEIR IMPACT.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORTTHE 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 RESILIENCECAPACITY 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 INVESTMENTS.OUR INVESTMENTS GO BEYOND THE WALLS OF OUR HOSPITALS AND CLINICS AND DEEP INTO COMMUNITIES TO SUPPORT ORGANIZATIONS AND CAUSES THAT SERVE THOSE IN NEED; ADDRESS GAPS IN SERVICES AND RESOURCES THAT CONTRIBUTE TO OVERALL HEALTH; AND ENHANCE CARE DELIVERY WITH INNOVATIVE SOLUTIONS TO HEALTH CARE'S BIGGEST CHALLENGES. THIS IS HOW WE INVEST IN HEALTH TODAY TO CREATE A BETTER FUTURE. BELOW WE HIGHLIGHT KEY EXAMPLES.HEALTH EQUITY:CHANGE BEGINS WITH US:AT PROVIDENCE, WE RECOGNIZE THAT INEQUITY PERSISTS IN NEARLY EVERY MAJOR FACET OF SOCIETY. THAT INCLUDES IN HEALTH CARE AND THE SOCIAL DETERMINANTS OF HEALTH. AND THE CONSEQUENCES ARE OFTEN DEADLY, LEADING TO HIGHER MORTALITY AND MORBIDITY RATES FOR COMMUNITIES OF COLOR AND MARGINALIZED POPULATIONS. TOWARD THAT END:- WE ARE INVESTING $50 MILLION OVER FIVE YEARS TO IMPROVE HEALTH EQUITY IN OUR COMMUNITIES. OUR HEALTH EQUITY STRATEGIC PLAN AND INTERVENTIONS ARE INFORMED BY ADVANCED DATA ANALYTICS AND THE HEALTH PRIORITIES IDENTIFIED WITH OUR LOCAL COMMUNITY PARTNERS AND CARE TEAMS.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/HEALTH-EQUITYADVOCACY 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 PART VI, LINE 6 (CONTINUATION): ENVIRONMENTAL STEWARDSHIP:THE PROVIDENCE FAMILY OF ORGANIZATIONS HAS A VISION OF HEALTH FOR A BETTER WORLD. AS SUCH, WE ARE CALLED TO CARE WISELY FOR OUR COMMUNITIES, RESOURCES, AND EARTH. OUR ORGANIZATIONS STRIVE TO BECOME CARBON NEGATIVE BY 2030. THIS BOLD COMMITMENT GOES BEYOND ADDRESSING CARBON EMISSIONS. THE CLIMATE CRISIS CANNOT BE SOLVED WITHOUT ALSO RESPONDING TO SOCIAL AND RACIAL INEQUITIES.WE ARE COMMITTED TO HEALTH EQUITY, INCLUDING ENVIRONMENTAL EQUITY, AS CLIMATE CHANGE IMPACTS WORSEN, AND DISPARITIES AND INEQUITIES WIDEN DUE TO HISTORICAL AND STRUCTURAL CAUSES OF OPPRESSION.THE CURRENT CRISIS CALLS FOR US TO ACT BOLDLY, WITH COMPASSION. WE ARE DOING SO BY HELPING TO CARE FOR OUR COMMON HOME, ENSURING EQUITY TODAY, AND PASSING A HEALTHY PLANET TO THE GENERATIONS OF TOMORROW.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITY/ENVIRONMENTAL-STEWARDSHIPWELL BEING TRUSTPROVIDENCE'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/INSTITUTE FOR SYSTEMS BIOLOGY: ON OUR JOURNEY TO CREATE HEALTHIER COMMUNITIES, WE ARE TURNING TO THE SCIENCE OF GENOMICS TO HELP INDIVIDUALS MAP A PERSONAL PATH TO WELLNESS. IT'S A UNIQUE APPROACH TO PERSONALIZED MEDICINE THAT WE CALL SCIENTIFIC WELLNESS.THE INSTITUTE FOR SYSTEMS BIOLOGY IS A NOT-FOR-PROFIT BIOMEDICAL RESEARCH ORGANIZATION THAT IS PART OF THE PROVIDENCE FAMILY. THE SCIENTISTS AND ENGINEERS AT ISB ARE WORKING TO UNLOCK THE MYSTERY OF THE GENOME TO LEARN HOW WE CAN KEEP PEOPLE HEALTHY WELL INTO THEIR 90S.THIS IS A PROACTIVE APPROACH TO MEDICINE THAT WILL HELP US SHIFT FROM A DISEASE FOCUS TO A WELLNESS FOCUS. WITH ISB, WE ARE PURSUING RESEARCH IN THE AREAS OF BREAST CANCER SURVIVORSHIP, ALZHEIMER'S, GLIOBLASTOMA AND MARKERS TO HELP US IDENTIFY AND REVERSE DISEASE AT THE EARLIEST POSSIBLE STAGES. OUR PARTNERSHIP GIVES US THE OPPORTUNITY TO BRING THESE ADVANCES TO PEOPLE IN THE COMMUNITIES WE SERVE.FOR MORE INFORMATION GO TO: HTTPS://ISBSCIENCE.ORG/ PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: CA 1 PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION 4101 TORRANCE BLVD TORRANCE CA 90503 510224944 501 (C) (3) 1425891 0 SPONSORSHIP PROVIDENCE HEALTH & SERVICES FOUNDATION - VSA 501 SOUTH BUENA VISTA ST BURBANK CA 915054809 953544877 501 (C) (3) 268022 0 SPONSORSHIP CSUDH FOUNDATION 100 E VICTORIA ST CLINICAL SCIENCES PROGRAM CARSON CA 97047 952543028 501 (C) (3) 28800 0 SPONSORSHIP BURBANK CHAMBER OF COMMERCE 200 W MAGNOLIA BLVD BURBANK CA 91502 950583680 501 (C) (6) 10000 0 SPONSORSHIP 3 1 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION. 1 1 0 0 0 0 0 1 0 ERIK WEXLER PRESIDENT/CEO 0 1601628 0 2527326 0 1025420 0 426357 0 35336 0 5616067 0 366950 GREG HOFFMAN EVP & CFO/TREASURER 0 1088176 0 2008809 0 107609 0 297744 0 37211 0 3539549 0 80207 JO ANN ESCASA-HAIGH FRMR EVP/TREASURER/CFO 0 44915 0 1744873 0 1502009 0 8269 0 2485 0 3302551 0 603250 ANNA NEWSOM EVP & CHIEF LEGAL OFFICER/SECRETARY 0 853122 0 1025045 0 39037 0 407728 0 4817 0 2329749 0 36047 KEVIN MANEMANN DIV CHF EXEC SOUTH - THRU 2/23 0 115132 0 1717844 0 193414 0 9900 0 3387 0 2039677 0 170754 LAUREEN DRISCOLL RN DIV CHF EXEC SOUTH (PART YEAR) 0 865621 0 500000 0 361142 0 240719 0 34515 0 2001997 0 0 JEREMY ZOCH CHIEF EXECUTIVE SJO - THRU 9/23 0 403819 0 713904 0 755567 0 9900 0 27093 0 1910283 0 505924 BRIAN LEE HELLELAND DIVISION COO - SOUTH 0 682875 0 701652 0 251957 0 208217 0 37279 0 1881980 0 133676 BERNIE KLEIN MD CHIEF EXEC PROV HOLY CROSS MC 0 684163 0 648033 0 203589 0 212935 0 45080 0 1793800 0 173566 GARRY OLNEY CHIEF EXECUTIVE LCM MC 0 584639 0 547093 0 192872 0 170571 0 36316 0 1531491 0 147007 NATHAN HUSMANN DIVISION CFO - SOUTH 0 525717 0 488588 0 81473 0 165017 0 33678 0 1294473 0 57263 JIM WATSON ESQ ASSISTANT SECRETARY 0 480026 0 399066 0 89599 0 107204 0 39727 0 1115622 0 64477 JIM MARTIN ASSISTANT TREASURER (PART YEAR) 0 435246 0 339361 0 54321 0 83489 0 32146 0 944563 0 52013 KARL KEELER CHIEF EXEC PROV ST JOSEPH MC 0 560463 0 117439 0 27595 0 192904 0 36060 0 934461 0 0 REX HOFFMAN CHIEF MEDICAL OFFICER HOSPITAL 524397 0 78006 0 9418 0 23506 0 31977 0 667304 0 6796 0 GLEN KOMATSU CHIEF MEDICAL OFFICER HOSPITAL 460902 0 38573 0 63921 0 51564 0 28091 0 643051 0 26935 0 LISA LAURENT CHIEF MEDICAL OFFICER HOSPITAL 448590 0 50000 0 65836 0 21486 0 26042 0 611954 0 0 0 AMY HEROLD CHIEF MEDICAL OFFICER HOSPITAL 460516 0 40973 0 36041 0 22536 0 40439 0 600505 0 33960 0 JOHN WHIPPLE FRMR SECRETARY 0 0 0 0 0 541701 0 0 0 0 0 541701 0 0 GREGORY GISSENDANNER ED ASSOCIATE CHIEF PHILANTHROPY OFFI 367277 0 76914 0 23816 0 18951 0 3994 0 490952 0 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0 266681 0 24827 0 1367 0 15474 0 15372 0 323721 0 0 PART I, LINE 1A PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION OR GROSS-UP PAYMENTS TAX INDEMNIFICATION OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES RELATED TO RELOCATION OF NEWLY HIRED EMPLOYEES AND CURRENT EMPLOYEES RELOCATING TO A NEW POSITION. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE ELIGIBLE EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES INCLUDE RENT (EXCLUDING AMOUNTS WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL TITLE CLEARS), NON-REFUNDABLE SECURITY DEPOSITS AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE MAY APPROVE TEMPORARY HOUSING ASSISTANCE FOR UP TO SIX MONTHS WHEN FAMILY RELOCATION IS DELAYED TO ACCOMMODATE THE SCHOOL YEAR OR EQUIVALENT CIRCUMSTANCES. ONLY IN EXTENUATING CIRCUMSTANCES IS HOUSING EXTENDED BEYOND THIS SIX-MONTH PERIOD. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE. PART I, LINE 3 DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: JO ANN ESCASA-HAIGH - $811,414 JEREMY ZOCH - $158,766 JOHN WHIPPLE - $539,282 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: ERIK WEXLER - $366,950 GREG HOFFMAN - $80,207 KEVIN MANEMANN - $170,754 JO ANN ESCASA-HAIGH - $603,250 JEREMY ZOCH - $505,924 BRIAN LEE HELLELAND - $133,676 BERNIE KLEIN, M.D. - $173,566 GARRY OLNEY - $147,007 NATHAN HUSMANN - $57,263 JIM WATSON, ESQ - $64,477 JIM MARTIN - $52,013 REX HOFFMAN - $6,796 GLEN KOMATSU - $26,935 AMY HEROLD - $33,960 PART I, LINE 7 NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUATION) IN ADDITION, IN FY23 THE FOLLOWING HEALTH EQUITY EFFORTS INCLUDED GRANT MAKING TO THE FOLLOWING NON-PROFITS: IDREAM FOR RACIAL EQUALITY, THE LGBTQ+ CENTER OF LONG BEACH AND THE TIGER WOOD FOUNDATION, TOTALING $1.2M. IDREAM FOR RACIAL HEALTH EQUALITY WAS FUNDED $295,343 TO IMPLEMENT ITS BLACK MAMAS GLOWING PROGRAM FOCUSED ON ADDRESSING BLACK MATERIAL MORTALITYAND LOW BIRTH WEIGHT THROUGH SUPPORT GROUP FOR EXPECTANT MOTHERS THAT IS CULTURALLY APPROPRIATE AND RESPONSIVE. THIS PEER SUPPORT GROUP IS INTENDED TO REDUCE ISOLATION AND BUILD COMMUNITY FOR BLACK BIRTHING FAMILES AND THE EXPANDED BLACK PRENATAL WORKFORCE INCLUDING BIRTH WORKERS. INCREASING ACCESS TO CARE FOR THE LGBTQ+ COMMUNITY: IN FY23, PROVIDENCE GRANTED $106,765 TO THE LGBTQ+ CENTER IN LONG BEACH TO HELP ADDRESS ACCESS BARRIERS TO BASIC HEALTH CARE EXPERIENCED BY THE OLDER ADULT LGBTQ+ COMMUNITY. THROUGH THIS FINANCIAL SUPPORT A LINGUISTICALLY AND CULTURALLY RESPONSIVE PATIENT NAVIGATOR WAS HIRED TO SUPPORT ACCESS TO CARE AND HEALTH CARE COVERAGE. PARTNERSHIP WITH THE TIGER WOODS FOUNDATION/YOUTH CAREER MENTORSHIP: IN FY2023, PROVIDENCE FUNDED $800,000 TO PROVIDE CAREER PATH MENTORSHIP PROGRAMMING. EMPOWERED HEALTH BY PROVIDENCE AND TGR FOUNDATION WAS CREATED TO INVEST IN YOUTH BY PROVIDING MEANINGFUL CAREER PATHS GUIDED BY MENTORS TO ENSURE THEY HAVE THE ABILITY TO REACH THEIR FULL POTENTIAL. YOUTH AND THEIR FAMILIES ALSO WILL HAVE EASY ACCESS TO HEALTH PROGRAMS THAT PROVIDE MULTI-GENERATIONAL CARE IN A TRUSTED, CULTURALLY SENSITIVE ENVIRONMENT. FOR MORE INFORMATION GO TO: HTTPS://PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/SOUTHERN-CALIFORNIA FORM 990, PART V, LINE 15 INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATIONS SECTION 4960 TAX ANALYSIS AND REPORTING. FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA. FORM 990, PART VI, SECTION A, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH & SERVICES, AS THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE DEPARTMENT OF LEGAL AFFAIRS. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. MANAGEMENT PRESENTED THE RETURNS TO THE AUDIT AND COMPLIANCE COMMITTEE, AND DISCUSSED KEY DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, REVISED IN 2023, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR 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 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, 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 THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A TAX EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES-WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN JUNE 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE. FORM 990, PART IX, LINE 11G AGENCY/CONTRACT LABOR: PROGRAM SERVICE EXPENSES 70,907,377. MANAGEMENT AND GENERAL EXPENSES 9,893,431. FUNDRAISING EXPENSES 129,252. TOTAL EXPENSES 80,930,060. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 36,313,784. MANAGEMENT AND GENERAL EXPENSES 5,066,721. FUNDRAISING EXPENSES 66,194. TOTAL EXPENSES 41,446,699. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 56,460,862. MANAGEMENT AND GENERAL EXPENSES 7,877,765. FUNDRAISING EXPENSES 102,919. TOTAL EXPENSES 64,441,546. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 29,833,539. MANAGEMENT AND GENERAL EXPENSES 4,162,558. FUNDRAISING EXPENSES 54,382. TOTAL EXPENSES 34,050,479. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 169,338. MANAGEMENT AND GENERAL EXPENSES 23,627. FUNDRAISING EXPENSES 309. TOTAL EXPENSES 193,274. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 34,184,864. MANAGEMENT AND GENERAL EXPENSES 4,769,682. FUNDRAISING EXPENSES 62,313. TOTAL EXPENSES 39,016,859. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -141,856,653. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT 3,023,638. OTHER CHANGES IN NET ASSETS 1,298,930,106. CHANGE IN INVESTMENT IN JOINT VENTURES -3,591,942. INVESTMENT IN CORPORATE SUBSIDIARIES 351,070. 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