4A (Expenses $ 719769091 including grants of $ 3059021) (Revenue $ 748495248)
"SEE SCHEDULE OAT 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.2021 PROGRAM SERVICE ACCOMPLISHMENTS: (JANUARY 1 - DECEMBER 31, 2021)IN 2021, PROVIDENCE ST. JUDE MEDICAL CENTER CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. IN 2021, WE FOCUSED ON ADDRESSING MENTAL HEALTH, ACCESS TO CARE, HOMELESSNESS AND HOUSING, HEALTH EQUITY AND RACIAL DISPARITIES.PRIORITY 1: MENTAL HEALTHCOVERS ALL AREAS OF EMOTIONAL, BEHAVIORAL, AND SOCIAL WELL-BEING FOR ALL AGES. INCLUDES ISSUES OF STRESS, DEPRESSION, COPING SKILLS, STIGMA, AS WELL AS MORE SERIOUS HEALTH CONDITIONS SUCH AS MENTAL ILLNESS AND ADVERSE CHILDHOOD EXPERIENCES. SUBSTANCE USE PERTAINS TO THE MISUSE OF ALL DRUGS, INCLUDING ALCOHOL, MARIJUANA, OPIATES, PRESCRIPTION MEDICATION, AND OTHER LEGAL OR ILLEGAL SUBSTANCES. IT DOES NOT ENCOMPASS CIGARETTE SMOKING, WHICH WAS CONSIDERED SEPARATELY. MENTAL HEALTH CHALLENGES CAN IMPEDE PEOPLE'S ABILITIES TO REALIZE THEIR POTENTIAL, COPE WITH STRESSES, WORK PRODUCTIVELY AND FRUITFULLY, AND MAKE CONTRIBUTIONS TO THEIR COMMUNITIES. PROVIDENCE ST. JUDE MEDICAL CENTER (WHICH WILL BE ADDRESSED SIMPLY AS ""ST. JUDE MEDICAL CENTER"" THROUGHOUT THE REST OF THIS REPORT) WILL WORK ON INCREASING AWARENESS AND SERVICES ADDRESSING MENTAL HEALTH ALONG WITH SUBSTANCE USE.IN 2021 THIS NEED WAS ADDRESSED BY:1. EACH MIND MATTERS CAMPAIGN REDUCED STIGMA AND INCREASED AWARENESS OF MENTAL HEALTH THROUGH ""PROMISES TO TALK"" CAMPAIGN, A REGIONAL EFFORT BY THE THREE ORANGE COUNTY HOSPITALS FORMING PART OF THE PROVIDENCE ST. JOSEPH HEALTH SYSTEM.2. YEAR-ROUND GRANTS PROVIDED TO ST. JUDE NEIGHBORHOOD HEALTH CENTERS FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT PROVIDED MENTAL HEALTH AND PSYCHIATRY SERVICES TO LOW-INCOME FAMILIES AND RESIDENTS.3. GRANTS TO CAL STATE FULLERTON AND FULLERTON SCHOOL DISTRICT THAT INCREASED THE NUMBER OF AT-RISK LOW-INCOME STUDENTS IN THE FULLERTON SCHOOL DISTRICT AND THE NUMBER OF LOW-INCOME RESIDENTS TO HAVE ACCESS TO MENTAL HEALTH SERVICES.PRIORITY 2: ACCESS TO CAREINCREASING HEALTH CARE ACCESS AS WELL AS OTHER RESOURCES FOR AREAS THAT HAVE THE BIGGEST CHALLENGES.IN 2021 THIS NEED WAS ADDRESSED BY:1. PROVIDING YEAR-ROUND GRANT FUNDS TO ST. JUDE NEIGHBORHOOD HEALTH CENTERS FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT PROVIDED MEDICAL, DENTAL AND MENTAL HEALTH SERVICES TO LOW-INCOME FAMILIES AND RESIDENTS. CAPITAL FUNDS WERE PROVIDED FOR A NEW ANAHEIM HEALTH CENTER SITE WHICH OPENED IN LATE 2021PRIORITY 3: HOMELESSNESS AND HOUSINGPRIMARILY FOCUSED ON THE CONDITION OF HOMELESSNESS, INCLUDING HELPING HOMELESS INDIVIDUALS, PREVENTION OF HOMELESSNESS, AND MITIGATING ITS IMPACT ON COMMUNITIES. HOMELESSNESS AND AFFORDABLE HOUSING ARE SIGNIFICANT NEEDS IN OUR COMMUNITIES. HOMELESSNESS HAS A RIPPLE EFFECT THROUGHOUT THE COMMUNITY; IT IMPACTS THE AVAILABILITY OF HEALTHCARE RESOURCES, CRIME AND SAFETY, THE WORKFORCE, AND THE USE OF TAX DOLLARS. AFFORDABLE HOUSING BENEFITS OUR COMMUNITIES AND CREATES STRONGER OUTCOMES IN EMPLOYMENT, HEALTH AND EDUCATION. WE WORKED TO REDUCE CHRONIC HOMELESSNESS, SUPPORT THE NUMBER OF PERSONS ENTERING BRIDGE AND SUPPORTIVE HOUSING AND STRENGTHEN AFFORDABLE HOUSING POLICIES IN THE 2021-2028 HOUSING ELEMENT PLANS. SOCIAL DETERMINANTS OF HEALTH, LIKE HOUSING, HAVE A SUBSTANTIAL IMPACT ON HEALTH BEHAVIORS AND HEALTH OUTCOMES. ADDRESSING HOUSING INSTABILITY, HOUSING AFFORDABILITY, AND PREVENTING HOMELESSNESS WILL IMPROVE HEALTH AND THE COMMUNITIES WE SERVE.IN 2021 THIS NEED WAS ADDRESSED BY:1. AN IN-HOUSE COMMUNITY CARE NAVIGATOR PROGRAM HAD A LICENSED CLINICAL SOCIAL WORKER (LCSW) AND AN LMFT ASSISTING PEOPLE EXPERIENCING HOMELESSNESS.2. PROVIDING CHEMICAL DEPENDENCY SERVICES IN-HOUSE BY A CERTIFIED CHEMICAL DEPENDENCY COUNSELOR.3. PROVIDED GRANT FUNDS TO THE NON-PROFIT ILLUMINATION FOUNDATION, HELPING CHILDREN AND FAMILIES EXPERIENCING HOMELESSNESS WITH SUPPORTIVE SERVICES.4. HOSPITAL PATIENTS REQUIRING HOUSING AND RECUPERATIVE CARE WERE CONNECTED TO THE ILLUMINATION FOUNDATION. ILLUMINATION FOUNDATION PROVIDED CASE MANAGEMENT AND CONNECTED PEOPLE EXPERIENCING HOMELESSNESS WITH HOUSING, MEDICAL CARE, MENTAL HEALTH, AND WORKFORCE SERVICES.5. PROVIDED GRANTS TO FORM AND BUILD CAPACITY OF THE ORANGE COUNTY HOUSING ADVOCACY COLLABORATIVE AND THE ORANGE COUNTY EVICTION PREVENTION COLLABORATIVE.PRIORITY 4: HEALTHY EQUITY AND RACIAL DISPARITIESEVERYONE SHOULD HAVE A FAIR AND JUST OPPORTUNITY TO ATTAIN THEIR FULL POTENTIAL AND THAT NO ONE SHOULD BE DISADVANTAGED, EXCLUDED, OR DISMISSED FROM ACHIEVING THAT POTENTIAL BASED ON INHERENT CHARACTERISTICS SUCH AS RACE, ETHNICITY OR GENDER IDENTITY. WE WORKED ON STRATEGIES THAT INCREASE INCLUSION, DIVERSITY AND MULTICULTURALISM, BOTH WITHIN OUR ORGANIZATION AS WELL AS THE BROADER COMMUNITIES OF SOUTH ORANGE COUNTY. THE NEED FOR INCREASED HEALTH EQUITY AND THE PRESENCE OF HEALTH DISPARITIES BY RACE ARE KEY PRIORITIES TO ADDRESS.IN 2021 THIS NEED WAS ADDRESSED BY:1. INTEGRATED PREVENTION AND ADDRESSED RACIAL DISPARITIES AS A CORNERSTONE OF EACH OF THESE PRIORITY AREAS.2. EQUITY ISSUES RESULTING FROM THE COVID-19 PANDEMIC WERE ADDRESSED THROUGH SUPPORTT FOR COMMUNITY COVID VACCINE CLINICS. OVER 10,000 VACCINATIONS WERE PROVIDED.3. ST. JUDE MEDICAL CENTER CONTINUED TO SUPPORT THE MOVE MORE, EAT HEALTHY INITIATIVE AS PART OF THE HEALTH EQUITY/RACIAL DISPARITIES PRIORITY. THIS INITIATIVE ALSO ADDRESSED FOOD INSECURITY AND NUTRITION. ST. JUDE MEDICAL CENTER DONATED UNUSED FOOD AS PART OF OUR EFFORTS TO ADDRESS FOOD INSECURITY. THE INITIATIVE ALSO ADDRESSED FOOD INSECURITY AND NUTRITION. ST. JUDE MEDICAL CENTER DONATED UNUSED FOOD AS PART OF OUR EFFORTS TO ADDRESS FOOD INSECURITY. ST. JUDE MEDICAL CENTER DONATES TO MEALS ON WHEELS AND FOOD FINDERS, INC. AND HAS DONE SO FOR YEARS.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/ST-JUDE-MEDICAL-CENTER"

SCHEDULE H, 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.

SCHEDULE H, PART V, SECTION B, LINE 5:
IN CONDUCTING THE 2021 CHNA TO IDENTIFY NEEDS, ST. JUDE MEDICAL CENTER LEVERAGED PREVIOUSLY COLLECTED INFORMATION FROM LOCAL PARTNERS IN ORANGE COUNTY. IT WAS DECIDED THAT THE FOCUS GROUPS CONDUCTED BY KAISER PERMANENTE AND THE ORANGE COUNTY HEALTH IMPROVEMENT PARTNERSHIP IN 2019, AS WELL AS THE CALOPTIMA MEMBER SURVEY WOULD BE UTILIZED IN PLACE OF PLANNED FOCUS GROUPS THAT WERE CANCELLED DUE TO THE COVID-19 PANDEMIC.KAISER CONDUCTED A SURVEY WITH 271 RESPONDENTS WHICH CONCLUDED IN JANUARY 30, 2019. REPRESENTATION IN THE SURVEY WERE MINORITY, MEDICALLY UNDERSERVED AND LOW-INCOME INDIVIDUALS.KAISER ORGANIZED ELEVEN (11) FOCUS GROUPS IN THE CITIES OF ANAHEIM AND MIDWAY CITY, IN NEIGHBORHOODS WHERE HEALTH, PHYSICAL ENVIRONMENT AND SOCIO-ECONOMIC MATTERS ARE OF GREAT CONCERN. BOTH THESE CITIES WERE TARGETED BECAUSE OF THE GREAT NEED IDENTIFIED THROUGH ORANGE COUNTY INDICATORS. CONSIDER THIS IN SANTA ANA 58% OF PEOPLE 25 YEARS AND OLDER HAVE A HIGH SCHOOL DEGREE COMPARED TO 98% IN COTO DE CAZA. MEDIAN HOUSEHOLD INCOME IN MIDWAY CITY IS $41,897 COMPARED TO $182,401 IN COTO DE CAZA.IN ALL ELEVEN (11) FOCUS GROUPS THERE WAS REPRESENTATION OF MINORITY, MEDICALLY UNDERSERVED AND LOW-INCOME INDIVIDUALS. FOCUS GROUP WITH SENIORS INCLUDED STROKE SURVIVORS AND SENIOR RESIDENTS. THREE (3) YOUTH MENTAL HEALTH FOCUS GROUPS WERE HELD WITH BOTH STUDENTS AND SCHOOL STAFF PARTICIPATION. THREE (3) PERMANENT SUPPORTIVE HOUSING GROUPS WITH RESIDENTS WERE HELD, ONE MENTAL HEALTH (SUICIDE) FOCUS GROUP, A COMMUNITY RESIDENTS FOCUS GROUP AND ANOTHER HELD AT THE CENTER FOR HEALTHY NEIGHBORHOODS WITH LOW INCOME LATINO RESIDENTS IN FULLERTON.ALL ELEVEN (11) FOCUS GROUPS FOLLOWED THE SAME PROTOCOL, AND THE SAME TEN (10) STRATEGIC LEARNING QUESTIONS WERE ASKED. IN TOTAL THERE WERE 131 FOCUS GROUP PARTICIPANTS; WITH SOME FOCUS GROUPS REACHING AS HIGH AS EIGHTEEN (18) PARTICIPANTS, AND THE LOWEST PARTICIPATION LEVEL OF SEVEN (7).ADDITIONALLY, KAISER ALSO HELD A KEY COMMUNITY STAKEHOLDERS FOCUS GROUP. THE EIGHTEEN (18) PARTICIPANTS SPANNED THE FOLLOWING SECTORS: AFFORDABLE HOUSING, COMMUNITY-BASED ORGANIZATION, EDUCATION, HOUSING AND PUBLIC HEALTH.THE PARTICIPATING AGENCIES WERE:1. 211 ORANGE COUNTY2. ALZHEIMER'S OC3. AMERICAN FOUNDATION OF SUICIDE PREVENTION4. COUNCIL ON AGING5. HEALTHY SMILES FOR KIDS OC6. HOME AND CARE SERVICES, SENIORSERV7. ILLUMINATION FOUNDATION8. KENNEDY COMMISSION9. ORANGE COUNTY CONGREGATION COMMUNITY ORGANIZATION10. ORANGE COUNTY FAIR HOUSING COUNCIL11. ORANGE COUNTY FOOD ACCESS COALITION12. OC HEALTH CARE AGENCY13. REGIONAL ASTHMA MANAGEMENT AND PREVENTION14. SAN CLEMENTE WELLNESS AND PREVENTION CENTER15. STROKE BOOT CAMP16. STUDENT MENTAL HEALTH, OC DEPARTMENT OF EDUCATION17. UCI INSTITUTE FOR CLINICAL AND TRANSLATIONAL SCIENCE18. WESTERN YOUTH SERVICES

SCHEDULE H, PART V, SECTION B, LINE 6A:
ST. JOSEPH HOSPITAL ORANGEMISSION HOSPITAL

SCHEDULE H, PART V, SECTION B, LINE 6B:
INPUT FROM THE ORANGE COUNTY HEALTH IMPROVEMENT PARTNERSHIP AND THE CALOPTIMA MEMBER SURVEY.

SCHEDULE H, PART V, SECTION B, LINE 7A
HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTS

SCHEDULE H, PART V, SECTION B, LINE 10A
"HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE ""SOUTHERN CALIFORNIA"" TAB."

SCHEDULE H, PART V, SECTION B, LINE 11
"FOR CALENDAR YEAR 2021-2023 ST. JUDE MEDICAL CENTER IDENTIFIED THE FOLLOWING FOUR (4) PRIORITIES:PRIORITY 1: MENTAL HEALTHCOVERS ALL AREAS OF EMOTIONAL, BEHAVIORAL, AND SOCIAL WELL-BEING FOR ALL AGES. INCLUDES ISSUES OF STRESS, DEPRESSION, COPING SKILLS, STIGMA, AS WELL AS MORE SERIOUS HEALTH CONDITIONS SUCH AS MENTAL ILLNESS AND ADVERSE CHILDHOOD EXPERIENCES. SUBSTANCE USE PERTAINS TO THE MISUSE OF ALL DRUGS, INCLUDING ALCOHOL, MARIJUANA, OPIATES, PRESCRIPTION MEDICATION, AND OTHER LEGAL OR ILLEGAL SUBSTANCES. IT DOES NOT ENCOMPASS CIGARETTE SMOKING, WHICH WAS CONSIDERED SEPARATELY. MENTAL HEALTH CHALLENGES CAN IMPEDE PEOPLE'S ABILITIES TO REALIZE THEIR POTENTIAL, COPE WITH STRESSES, WORK PRODUCTIVELY AND FRUITFULLY, AND MAKE CONTRIBUTIONS TO THEIR COMMUNITIES. PROVIDENCE ST. JUDE MEDICAL CENTER (WHICH WILL BE ADDRESSED SIMPLY AS ""ST. JUDE MEDICAL CENTER"" THROUGHOUT THE REST OF THIS REPORT) WILL WORK ON INCREASING AWARENESS AND SERVICES ADDRESSING MENTAL HEALTH ALONG WITH SUBSTANCE USE.IN 2021 THIS NEED WAS ADDRESSED BY:1. EACH MIND MATTERS CAMPAIGN REDUCED STIGMA AND INCREASED AWARENESS OF MENTAL HEALTH THROUGH ""PROMISES TO TALK"" CAMPAIGN, A REGIONAL EFFORT BY THE THREE ORANGE COUNTY HOSPITALS FORMING PART OF THE PROVIDENCE ST. JOSEPH HEALTH SYSTEM.2. YEAR-ROUND GRANTS PROVIDED TO ST. JUDE NEIGHBORHOOD HEALTH CENTERS FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT PROVIDED MENTAL HEALTH AND PSYCHIATRY SERVICES TO LOW-INCOME FAMILIES AND RESIDENTS.3. GRANTS TO CAL STATE FULLERTON AND FULLERTON SCHOOL DISTRICT THAT INCREASED THE NUMBER OF AT-RISK LOW-INCOME STUDENTS IN THE FULLERTON SCHOOL DISTRICT AND THE NUMBER OF LOW-INCOME RESIDENTS TO HAVE ACCESS TO MENTAL HEALTH SERVICES.PRIORITY 2: ACCESS TO CAREINCREASING HEALTH CARE ACCESS AS WELL AS OTHER RESOURCES FOR AREAS THAT HAVE THE BIGGEST CHALLENGES.IN 2021 THIS NEED WAS ADDRESSED BY:1. PROVIDING YEAR-ROUND GRANT FUNDS TO ST. JUDE NEIGHBORHOOD HEALTH CENTERS FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT PROVIDED MEDICAL, DENTAL AND MENTAL HEALTH SERVICES TO LOW-INCOME FAMILIES AND RESIDENTS. CAPITAL FUNDS WERE PROVIDED FOR A NEW ANAHEIM HEALTH CENTER SITE WHICH OPENED IN LATE 2021.PRIORITY 3: HOMELESSNESS AND HOUSINGPRIMARILY FOCUSED ON THE CONDITION OF HOMELESSNESS, INCLUDING HELPING HOMELESS INDIVIDUALS, PREVENTION OF HOMELESSNESS, AND MITIGATING ITS IMPACT ON COMMUNITIES. HOMELESSNESS AND AFFORDABLE HOUSING ARE SIGNIFICANT NEEDS IN OUR COMMUNITIES. HOMELESSNESS HAS A RIPPLE EFFECT THROUGHOUT THE COMMUNITY; IT IMPACTS THE AVAILABILITY OF HEALTHCARE RESOURCES, CRIME AND SAFETY, THE WORKFORCE, AND THE USE OF TAX DOLLARS. AFFORDABLE HOUSING BENEFITS OUR COMMUNITIES AND CREATES STRONGER OUTCOMES IN EMPLOYMENT, HEALTH AND EDUCATION. WE WORKED TO REDUCE CHRONIC HOMELESSNESS, SUPPORT THE NUMBER OF PERSONS ENTERING BRIDGE AND SUPPORTIVE HOUSING AND STRENGTHEN AFFORDABLE HOUSING POLICIES IN THE 2021-2028 HOUSING ELEMENT PLANS. SOCIAL DETERMINANTS OF HEALTH, LIKE HOUSING, HAVE A SUBSTANTIAL IMPACT ON HEALTH BEHAVIORS AND HEALTH OUTCOMES. ADDRESSING HOUSING INSTABILITY, HOUSING AFFORDABILITY, AND PREVENTING HOMELESSNESS WILL IMPROVE HEALTH AND THE COMMUNITIES WE SERVE.IN 2021 THIS NEED WAS ADDRESSED BY:1. AN IN-HOUSE COMMUNITY CARE NAVIGATOR PROGRAM HAD A LICENSED CLINICAL SOCIAL WORKER (LCSW) AND AN LMFT ASSISTING PEOPLE EXPERIENCING HOMELESSNESS.2. PROVIDING CHEMICAL DEPENDENCY SERVICES IN-HOUSE BY A CERTIFIED CHEMICAL DEPENDENCY COUNSELOR.3. PROVIDED GRANT FUNDS TO THE NON-PROFIT ILLUMINATION FOUNDATION, HELPING CHILDREN AND FAMILIES EXPERIENCING HOMELESSNESS WITH SUPPORTIVE SERVICES.4. HOSPITAL PATIENTS REQUIRING HOUSING AND RECUPERATIVE CARE WERE CONNECTED TO ILLUMINATION FOUNDATION. ILLUMINATION FOUNDATION PROVIDED CASE MANAGEMENT AND CONNECTED PEOPLE EXPERIENCING HOMELESSNESS WITH HOUSING, MEDICAL CARE, MENTAL HEALTH AND WORKFORCE SERVICES.5. PROVIDED GRANTS TO FORM AND BUILD CAPACITY OF THE ORANGE COUNTY HOUSING ADVOCACY COLLABORATIVE AND THE ORANGE COUNTY EVICTION PREVENTION COLLABORATIVE.PRIORITY 4: HEALTHY EQUITY AND RACIAL DISPARITIESEVERYONE SHOULD HAVE A FAIR AND JUST OPPORTUNITY TO ATTAIN THEIR FULL POTENTIAL AND THAT NO ONE SHOULD BE DISADVANTAGED, EXCLUDED, OR DISMISSED FROM ACHIEVING THAT POTENTIAL BASED ON INHERENT CHARACTERISTICS SUCH AS RACE, ETHNICITY OR GENDER IDENTITY. WE WORKED ON STRATEGIES THAT INCREASE INCLUSION, DIVERSITY AND MULTICULTURALISM, BOTH WITHIN OUR ORGANIZATION AS WELL AS THE BROADER COMMUNITIES OF SOUTH ORANGE COUNTY. THE NEED FOR INCREASED HEALTH EQUITY AND THE PRESENCE OF HEALTH DISPARITIES BY RACE ARE KEY PRIORITIES TO ADDRESS.IN 2021 THIS NEED WAS ADDRESSED BY:1. INTEGRATED PREVENTION AND ADDRESSED RACIAL DISPARITIES AS A CORNERSTONE OF EACH OF THESE PRIORITY AREAS.2. EQUITY ISSUES RESULTING FROM THE COVID-19 PANDEMIC WERE ADDRESSED THROUGH SUPPORTT FOR COMMUNITY COVID VACCINE CLINICS. OVER 10,000 VACCINATIONS WERE PROVIDED.3. ST. JUDE MEDICAL CENTER CONTINUED TO SUPPORT THE MOVE MORE, EAT HEALTHY INITIATIVE AS PART OF THE HEALTH EQUITY/RACIAL DISPARITIES PRIORITY. THIS INITIATIVE ALSO ADDRESSED FOOD INSECURITY AND NUTRITION. ST. JUDE MEDICAL CENTER DONATED UNUSED FOOD AS PART OF OUR EFFORTS TO ADDRESS FOOD INSECURITY. INITIATIVE ALSO ADDRESSED FOOD INSECURITY AND NUTRITION. ST. JUDE MEDICAL CENTER DONATED UNUSED FOOD AS PART OF OUR EFFORTS TO ADDRESS FOOD INSECURITY. ST. JUDE MEDICAL CENTER DONATES TO MEALS ON WHEELS AND FOOD FINDERS, INC. AND HAS DONE SO FOR YEARS."

SCHEDULE H, PART V, SECTION B, LINE 11 (CONTINUED)
"NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. OUR MISSION, ""AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE,"" IS BEST LIVED BY PARTNERING WITH LIKE-MINDED ORGANIZATIONS THAT COUNT WITH THE CAPACITY AND EXPERTISE TO ADDRESS THE NEEDS OF ORANGE COUNTY RESIDENTS. WE ARE COMMITTED TO LIVING OUT OUR MISSION THROUGH OUR OWN COMMUNITY BENEFIT PROGRAMS, BY PARTNERSHIP WITH LIKE-MINDED PARTNERS AND BY FUNDING OTHER NON-PROFITS.FURTHERMORE, ST. JUDE MEDICAL CENTER WILL ENDORSE LOCAL NON-PROFIT ORGANIZATIONS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT ST. JUDE'S MEDICAL CENTER SERVICE AREAS.FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE HOSPITAL'S 2021 CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW:ECONOMIC ISSUES:WHILE ST. JUDE MEDICAL CENTER HAS NOT SELECTED ECONOMIC ISSUES AS A TOP PRIORITY, THE MAJORITY OF ITS COMMUNITY BENEFIT PROGRAMS ARE TARGETED TO THE LOW-INCOME POPULATION. ST. JUDE MEDICAL CENTER PARTNERS WITH ORANGE COUNTY COMMUNITY ACTION PARTNERSHIP, THE COUNTY ANTI-POVERTY AGENCY ON SEVERAL INITIATIVES. ST. JUDE MEDICAL CENTER HAS A POLICY OF A JUST LIVING WAGE AND IN THAT WAY SERVES AS A ROLE MODEL FOR OTHER ORGANIZATIONS IN THE COMMUNITY.SAFETY:ENCOMPASSES THE INCIDENCE OF CRIME AND VIOLENCE AS WELL AS THE FEAR OF IT, WHICH PREVENTS PEOPLE FROM USING OPEN SPACE OR ENJOYING THEIR COMMUNITY. THE DECLINING CRIME RATE HAS NOT MADE THIS A PRIORITY, BUT ST. JUDE MEDICAL CENTER ACTIVELY PARTICIPATES IN FIVE LOCAL CITY COLLABORATIVES THAT FOCUS ON THE NEEDS OF AT-RISK YOUTH WITH A GOAL TO REDUCE GANG INVOLVEMENT AND CRIME. IN ADDITION, ST. JUDE MEDICAL CENTER PARTNERS WITH THE CENTER FOR HEALTHY NEIGHBORHOODS AND HABITAT FOR HUMANITY, WHO HAVE A PRIORITY ON SAFETY ISSUES.DIABETES:SPECIFICALLY FOCUSED ON THE HEALTH CONDITION OF DIABETES, AND AWARENESS AND PREVENTION OF IT. ST. JUDE MEDICAL CENTER WILL CONTINUE TO WORK WITH THE OC HEALTH IMPROVEMENT PARTNERSHIP WHICH IS ADDRESSING DIABETES IN ORANGE COUNTY.EARLY CHILDHOOD DEVELOPMENT:WHILE THIS DID NOT MAKE THE TOP PRIORITIES, THE REGIONAL DIRECTOR, COMMUNITY HEALTH INVESTMENT SERVES AS CO-CHAIR OF EARLY CHILDHOOD OC, WHICH IS ADDRESSING THIS ISSUE.ENVIRONMENT/CLIMATE:PROVIDENCE ST. JOSEPH HEALTH HAS COMMITTED TO BEING CARBON NEGATIVE BY 2030. THIS EFFORT WILL INVOLVE ALL HOSPITAL STAFF. THE REGIONAL DIRECTOR, COMMUNITY HEALTH INVESTMENT HAS BEEN APPOINTED TO THE SYSTEM ENVIRONMENTAL JUSTICE WORK GROUP.AGING POPULATION: (THIS WAS NOT IDENTIFIED IN THE 2021 CHNA)WHILE THIS IS NOT ONE OF THE SELECTED PRIORITIES, ST. JUDE MEDICAL CENTER HAS ONE OF THE ONLY HOSPITAL- BASED SENIOR SERVICES DEPARTMENTS IN ORANGE COUNTY. THIS DEPARTMENT PROVIDES A HOME ASSISTANCE VOLUNTEER PROGRAM, NON-EMERGENCY MEDICAL TRANSPORTATION, LATE LIFE DEPRESSION PROGRAMS, CHRONIC DISEASE MANAGEMENT PROGRAMS AND INFORMATION AND REFERRAL. ST. JUDE MEDICAL CENTER ALSO SERVES AS THE SPONSOR OF CAREGIVER RESOURCE CENTER OC, WHICH PROVIDES SUPPORT TO FAMILY CAREGIVERS WHO CARE FOR A LOVED ONE.PREVENTION:DECREASING THE CHANCE OF GETTING A DISEASE. ALL COMMUNITY BENEFIT PROGRAMS INTEGRATE PREVENTION IN THE WORK, EVEN THOUGH IT WAS NOT IDENTIFIED AS A SEPARATE PRIORITY.SEXUALLY TRANSMITTED DISEASES:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED BECAUSE OC HEALTH CARE AGENCY HAS SERVICES IN THIS AREA.STROKE:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED. ST. JUDE MEDICAL CENTER IS A COMPREHENSIVE STROKE CENTER. ST. JUDE NEIGHBORHOOD HEALTH CENTER HAS ACHIEVED RECOGNITION BY THE AMERICAN HEART ASSOCIATION FOR ITS HYPERTENSION OUTCOMES.CANCER:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED. ST. JUDE MEDICAL CENTER OFFERS COMPREHENSIVE CANCER SERVICES.TEEN BIRTH RATE:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED BECAUSE THE TEEN BIRTH RATE IS GOING DOWN,ALZHEIMER DISEASE:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED, HOWEVER ST. JUDE'S CAREGIVER RESOURCE CENTER OC SUPPORTS FAMILY CAREGIVERS DEALING WITH ALZHEIMER'S DISEASE.IN ADDITION, ST. JUDE MEDICAL CENTER COLLABORATES WITH SEVERAL LOCAL ORGANIZATIONS THAT ADDRESS THE AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS THESE UNMET NEEDS."

SCHEDULE H, PART V, SECTION B, LINE 13A
1/1/2021 5/14/2021 ST. JUDE MEDICAL CENTER 100% DISCOUNT WAS UP TO 200% FPL AND 75% DISCOUNT BETWEEN 201% TO 500% FPL. EFFECTIVE 5/15/21 THROUGH 12/31/2021, ST. JUDE MEDICAL CENTER 100% DISCOUNT WAS UP TO 300% FPL AND 75% DISCOUNT BETWEEN 301% TO 350% FPL. SCHEDULE H, PART V, SECTION B, LINE 13HTHE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDER INSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE.

SCHEDULE H, PART V, SECTION B, LINE 16A
FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT

SCHEDULE H, PART V, LINE 16B
FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT/FINANCIAL-ASSISTANCE#TABCONTENT-1-PANE-3

SCHEDULE H, PART V, LINE 16C
FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/PLAIN-LANGUAGE-SUMMARY

SCHEDULE H PART V, SECTION B, LINE 22A AND 22D
PRIOR TO 5/15/2021 ST. JUDE HOSPITAL, INC USED THE PROSPECTIVE MEDICARE OR MEDICAID AGB METHOD. EFFECITVE 5/15/2021 ST. JUDE HOSPITAL, INC WENT LIVE ON EPIC AND MOVED TO THE LOOK BACK METHOD BASED ON CLAIMS ALLOWED BY MEDICARE FEE FOR SERVICE AND ALL PRIVATE HEALTH INSURERS THAT PAYCLAIMS TO THE HOSPITAL FACILITY DURING A PRIOR 12 MONTH PERIOD.

SCHEDULE H, PART V, SECTION B, LINE 24
FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.

PART I, LINE 3C:
IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.

PART I, LINE 6A:
ST. JUDE HOSPITAL PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/ST-JUDE-MEDICAL-CENTER/ABOUT-US/COMMUNITY-BENEFIT

PART I, LINE 7:
THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER.

PART I, LINE 7G:
NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.

PART III, LINE 4:
AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019.

PART III, LINE 8:
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. THIS INFORMATION IS INCLUDED IN OUR CHARITY POLICY HOWEVER THIS DETAIL IS NOT ADDRESSED IN OUR COLLECTION POLICY.

PART VI, LINE 2:
ST. JUDE MEDICAL CENTER'S COMMUNITY BENEFIT PLAN IS ALIGNED WITH ST. JUDE MEDICAL CENTER'S STRATEGIC PLAN.1. IMPROVE ACCESS TO CARE, ESPECIALLY TO THE POOR AND VULNERABLE- THE PRIORITY OF INCREASING ACCESS TO CARE IN OUR PLAN IS ADDRESSING THIS PRIORITY IN THE STRATEGIC PLAN. THE SUPPORT OF ST. JUDE NEIGHBORHOOD HEALTH CENTERS (FQHC) IS A KEY INVESTMENT TO IMPLEMENT THIS PRIORITY.2. ADDRESSING WHOLE PERSON CARE AND THE SOCIAL DETERMINANTS OF HEALTH THIS PRIORITY IN THE STRATEGIC PLAN IS BEING ADDRESSED BY THE INVESTMENTS IN MENTAL HEALTH, SUCH AS THE BE WELL INITIATIVE, EACH MIND MATTERS AND SCHOOL-BASED INITIATIVES, AS WELL AS EFFORTS IN SOCIAL DETERMINANTS OF HEALTH SCREENING.

PART VI, LINE 3:
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME 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.

PART VI, LINE 5:
"PROMOTION OF COMMUNITY HEALTHST. JUDE MEDICAL CENTER PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. ST. JUDE MEDICAL CENTER IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) A COMMUNITY HEALTH COMMITTEE THAT HAS COMMUNITY REPRESENTATION AND IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES2) OPEN MEDICAL STAFF3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.LOCAL COMMUNITY HEALTH COMMITTEE:THE ROLE OF THE PROVIDENCE ST. JUDE MEDICAL CENTER COMMUNITY HEALTH COMMITTEE IS TO SUPPORT THE BOARD OF TRUSTEES IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE COMMITTEE ACTS IN ACCORDANCE WITH A BOARD-APPROVED CHARTER. THE COMMUNITY HEALTH COMMITTEE IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS ""IDENTIFIED SIGNIFICANT NEEDS"" IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORTS, AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES.THE COMMUNITY HEALTH COMMITTEE HAS A MINIMUM OF EIGHT MEMBERS INCLUDING THREE MEMBERS OF THE BOARD OF TRUSTEES. CURRENT MEMBERSHIP INCLUDES THREE MEMBERS OF THE BOARD OF TRUSTEES AND TWENTY-TWO (22) COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE COMMUNITY BENEFIT COMMITTEE GENERALLY MEETS QUARTERLY."

PART VI, LINE 7, REPORTS FILED WITH STATES
CA

PART VI, LINE 4:
"ST JUDE MEDICAL CENTER PROVIDES NORTH ORANGE COUNTY AND PARTS OF LOS ANGELES, RIVERSIDE AND SAN BERNARDINO COUNTIES' COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL'S TOTAL SERVICE AREA EXTENDS FROM WALNUT IN THE NORTH, ANAHEIM IN THE SOUTH, CORONA IN THE EAST AND BUENA PARK IN THE WEST. OUR HOSPITAL TOTAL SERVICE AREA (TSA) INCLUDES THE CITIES OF ANAHEIM, BREA, BUENA PARK, CHINO, CHINO HILLS, DIAMOND BAR, FULLERTON, HACIENDA HEIGHTS, LA HABRA, LA MIRADA, PLACENTIA, ROWLAND HEIGHTS, WALNUT, WHITTIER AND YORBA LINDA.TOTAL SERVICE AREA (TSA):THE COMMUNITY SERVED BY ST. JUDE MEDICAL CENTER IS BASED UPON GEOGRAPHIC ACCESS AND OTHER HOSPITALS IN THE AREA, AS WELL AS PATIENT ZIP CODES. THE TOTAL SERVICE AREA WAS LATER DIVIDED INTO THE ""BROADER SERVICE AREA AND ""HIGH NEED SERVICE AREA"" (TOTAL SERVICE AREA = BROADER SERVICE AREA + HIGH NEED SERVICE AREA.) OF THE OVER 1,700,000 PERMANENT RESIDENTS IN THE TOTAL SERVICE AREA, ROUGHLY 45% LIVE IN THE HIGH NEED SERVICE AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FPL COMPARED TO CENSUS TRACTS IN THE TOTAL SERVICE AREA. THESE HOUSEHOLDS ARE MORE LIKELY TO REGULARLY MAKE SPENDING TRADEOFFS REGARDING UTILITIES, RENT, GROCERIES, MEDICINE, AND OTHER BASIC EXPENSES.POPULATION AND AGE DEMOGRAPHICS:PEOPLE UNDER THE AGE OF 35 ARE MORE LIKELY TO LIVE IN THE HIGH NEED SERVICE AREA, WHILE THOSE AGED 55 TO 64 ARE LESS LIKELY. THE RATIO OF MALES-TO-FEMALES IS ROUGHLY PROPORTIONAL ACROSS THE GEOGRAPHIES.POPULATION BY RACE AND ETHNICITY:INDIVIDUALS WHO IDENTIFY AS HISPANIC AND ""OTHER"" RACE ARE SUBSTANTIALLY MORE LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS. PEOPLE IDENTIFYING AS ASIAN ARE LESS LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS.SOCIOECONOMIC INDICATORS:THE MEDIAN HOUSEHOLD INCOME FOR THE TOTAL SERVICE AREA FOR ST. JUDE MEDICAL CENTER IS ABOUT $4,000 LOWER THAN ORANGE COUNTY OVERALL. THERE IS OVER A $40,000 DIFFERENCE IN MEDIAN INCOME BETWEEN THE BROADER SERVICE AREA AND THE HIGH NEED SERVICE AREA.HOUSING COST BURDEN:SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS THAT SPEND 50% OR MORE OF THEIR INCOME ON HOUSING COSTS. THE TOTAL SERVICE AREA AND ORANGE COUNTY HAVE ROUGHLY THE SAME PERCENTAGE OF RENTER HOUSEHOLDS THAT ARE SEVERELY HOUSING COST BURDENED (28%). IN THE HIGH NEED SERVICE AREA, 31% OF RENTER HOUSEHOLDS ARE SEVERELY HOUSING COST BURDENED. WITHIN THE TOTAL SERVICE AREA THERE ARE CENSUS TRACTS IN WHICH OVER 30% OF HOUSEHOLDS ARE EXPERIENCING SEVERE HOUSING COST BURDEN.HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND MEDICALLY UNDERSERVED AREAS (MUA) & MEDICALLY UNDERSERVED POPULATIONS (MUP):THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA) DEMOGRAPHICS (I.E., LOW-INCOME POPULATION) OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). ALTHOUGH ST JUDE MEDICAL CENTER IS NOT LOCATED IN A SHORTAGE AREA, LARGE PORTIONS OF THE TOTAL SERVICE AREA TO THE SOUTH ARE DESIGNATED AS HPSA, PRIMARY CARE SHORTAGE AREAS.MEDICALLY UNDERSERVED AREAS (MUA) AND MEDICALLY UNDERSERVED POPULATIONS (MUP) ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MUA ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND COMPARED WITH NATIONAL AVERAGES TO DETERMINE AN AREA'S LEVEL OF MEDICAL ""UNDER SERVICE."" MUP ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MUA AND MUP ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. A PORTION OF ST. JUDE MEDICAL CENTER'S TOTAL SERVICE AREA IS LOCATED IN A MEDICALLY UNDERSERVED POPULATION AREA (MUPA), SIGNIFYING THE IMPORTANCE OF ST. JUDE MEDICAL CENTER TO THE COMMUNITY IT SERVES.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN THE COMMUNITY INCLUDE: AHMC HEALTHCARE, ANAHEIM GLOBAL MEDICAL CENTER, KAISER, PLACENTIA LINDA HOSPITAL, PIH HEALTH AND WEST ANAHEIM MEDICAL CENTER."

PART VI, LINE 6:
AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OURSERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE HEALTH CARE FOR EVERYONE REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE-TODAY.TOGETHER, OUR 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 52 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIALSERVICES 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 A YEAR 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.