4A (Expenses $ 476533598 including grants of $ 2819034) (Revenue $ 423314019)
SEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE HEALTH CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 52 HOSPITALS, 1,085 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- 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 ACCOMPLISHMENTSFOR MORE THAN SEVENTY-FIVE YEARS, PROVIDENCE SAINT JOHN'S HEALTH CENTER HAS OFFERED A RANGE OF HEALTH CARE PROGRAMS AND SERVICES UNPARALLELED ON THE WESTSIDE OF LOS ANGELES.IN ADDITION, PROVIDENCE SAINT JOHN'S MADE PROGRESS TOWARD FOUR KEY INITIATIVES.INITIATIVE 1: STRENGTHEN INFRASTRUCTURE OF CONTINUUM OF CARE FOR PATIENTS EXPERIENCING HOMELESSNESS AS A HOSPITAL THAT SEES A SIGNIFICANT NUMBER OF PATIENTS EXPERIENCING HOMELESSNESS THAT COME IN THROUGH OUR EMERGENCY DEPARTMENTS FOR CARE.2021 ACCOMPLISHMENTS:- OVER 540 PATIENTS SCREENED FOR HOMELESSNESS- 84 PATIENTS LINKED TO HOMELESS SERVICE PROVIDERS- 48 PATIENTS DISCHARGED TO TEMPORARY/PERMANENT HOUSING- $150,000 IN GRANTS AWARDED BY PSJHC TO LOCAL HOMELESS SERVICE PROVIDERSINITIATIVE 2: IMPROVE ACCESS TO HEALTH CARE SERVICES. WE WILL CONTINUE TO PROVIDE FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY CLINICS AND NONPROFIT ORGANIZATIONS THAT IMPROVE HEALTH CARE ACCESS TO UNDERSERVED AND VULNERABLE POPULATIONS.2021 ACCOMPLISHMENTS:- $275,000 IN GRANTS AWARDED FROM PSJHC TO LOCAL ORGANIZATIONS FOR ACCESS TO CARE- $136,662 OF IN-KIND LAB AND DIAGNOSTIC SERVICES PROVIDED TO LOCAL FQHCSINITIATIVE 3: IMPROVE ACCESS TO BEHAVIORAL HEALTH AND REDUCE STIGMA PSJHC HAS HAD A LONGSTANDING COMMITMENT TO IMPROVING ACCESS TO BEHAVIORAL HEALTH THROUGH THE CHILD AND FAMILY DEVELOPMENT CENTER (CFDC).DUE TO THE PANDEMIC, STAFFING AND SERVICES FOR WOMEN'S HEALTH CONTINUE TO BE MODIFIED FOR SOCIAL DISTANCING AND TO RESPOND TO COVID-19 SURGES IN THE COMMUNITY, WHICH HINDERED OUR ABILITY TO START UP THESE SUPPORT SERVICE PROGRAMS FOR NEW MOTHERS AND THEIR FAMILIES. RESOURCES FOR THESE PROGRAMS SHIFTED TO RESPOND TO ECONOMIC IMPACT OF COVID-19 AS MORE EFFORT AND TIME WENT INTO DELIVERING BASIC NEEDS SUCH AS FOOD, DIAPERS AND WIPES, AND HELPING FAMILIES TO ACCESS FOOD PANTRIES.CHILD AND FAMILY DEVELOPMENT CENTER:CAPACITY BUILDING FOR LOCAL ORGANIZATIONS THROUGH TRAUMA INFORMED TRAININGS:- 10 IN-SERVICE TRAININGS TO SCHOOL STAFF AND PARENTS- 8 IN-SERVICE TRAININGS TO AFTER SCHOOL STAFFINITIATIVE 4: TRAIN AND DEPLOY A WORKFORCE OF COMMUNITY HEALTH WORKERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH IN UNDERSERVED POPULATIONS. PROVIDENCE HAS A LONG HISTORY IN EMPLOYING COMMUNITY HEALTH WORKERS (CHWS) IN A DIVERSE BREADTH OF ROLES IN PROGRAMS THAT ADDRESS SOCIAL DETERMINANTS OF HEALTH.CHW ACADEMY: IN COLLABORATION WITH CHARLES DREW UNIVERSITY, DEVELOP AN ACADEMY FOR COMMUNITY HEALTH WORKERS THAT FOCUS ON INTEGRATION INTO HEALTH CARE ORGANIZATIONS- 11 OF 13 CHW INTERNS FROM OUR FIRST COHORT COMPLETED THEIR SIX-MONTH INTERNSHIPS. 5 OF THESE INTERNS WERE PLACED IN LOCATIONS WITHIN THE SAINT JOHN'S SERVICE AREA. A SECOND COHORT OF 16 CHWS BEGAN IN AUGUST 2021, WITH AN END DATE IN 2022.FOR MORE INFORMATION BY NEED AREA GO TO OUR CB ANNUAL REPORT LOCATED AT: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/SOUTHERN-CALIFORNIA

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.

PART V, SECTION B, LINE 5:
"PROVIDENCE CONDUCTED KEY INFORMANT INTERVIEWS IN ITS SERVICE AREA, IN COLLABORATION WITH KAISER PERMANENTE WEST LOS ANGELES, UCLA HEALTH, AND CEDARS SINAI MEDICAL CENTER, WITH INDIVIDUALS WHO WORK WITH A VARIETY OF LOW-INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS THROUGHOUT THE HOSPITAL'S SERVICE AREA. EACH MEDICAL CENTER USED A COMMON SET OF QUESTIONS DEVELOPED BY THE LA PARTNERSHIP, A COLLABORATIVE OF HOSPITALS ACROSS LOS ANGELES COUNTY, AND SHARED THE DATA WITH EACH OTHER. (SEE BELOW FOR LIST OF ORGANIZATIONS SERVING THE SAINT JOHN'S SERVICE AREA):- BOYS AND GIRLS CLUBS OF SANTA MONICA (COMMUNITY BASED ORGANIZATION, YOUTH PROGRAMMING)- CALIFORNIA COMMUNITY FOUNDATION (COMMUNITY BASED ORGANIZATION, SOCIAL JUSTICE AND ADVOCACY)- CATHOLIC CHARITIES OF LA (NATIONAL ORGANIZATION, HOMELESS SERVICES)- COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- DIDI HIRSCH MENTAL HEALTH SERVICES (COMMUNITY BASED ORGANIZATION, BEHAVIORAL HEALTH)- JEWISH FAMILY SERVICES OF LOS ANGELES (NATIONAL ORGANIZATION, SOCIAL SERVICES)- L.A. CARE HEALTH PLAN (COMMUNITY BASED ORGANIZATION, HEALTH CARE COVERAGE)- LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH (GOVERNMENT, BEHAVIORAL HEALTH)- LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH (GOVERNMENT, PUBLIC HEALTH)- PUBLIC HEALTH, MENTAL HEALTH AND HEALTH SERVICES (GOVERNMENT, PUBLIC HEALTH)- LOS ANGELES LGBT CENTER (COMMUNITY BASED ORGANIZATION, SOCIAL SERVICES, HEALTH, AND ADVOCACY)- LOS ANGELES UNIFIED SCHOOL DISTRICT (SCHOOL DISTRICT, EDUCATION)- MATERNAL MENTAL HEALTH NOW (COMMUNITY BASED ORGANIZATION, BEHAVIORAL HEALTH)- MEALS ON WHEELS WEST (NATIONAL ORGANIZATION, FOOD SECURITY)- SABAN COMMUNITY CLINIC (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- SAFE PLACE FOR YOUTH (COMMUNITY BASED ORGANIZATION, HOMELESSNESS)- SANTA MONICA COLLEGE (COLLEGE, EDUCATION)- SANTA MONICA- MALIBU UNIFIED SCHOOL DISTRICT (SCHOOL DISTRICT, EDUCATION)- ST. JOSEPH CENTER (COMMUNITY BASED ORGANIZATION, HOMELESSNESS)- THE ACHIEVABLE FOUNDATION (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- THE L.A. TRUST FOR CHILDREN'S HEALTH (COMMUNITY BASED ORGANIZATION, HEALTH CARE AND ADVOCACY)- THE PEOPLE CONCERN (COMMUNITY BASED ORGANIZATION, SOCIAL SERVICES)- UCLA BICYCLE ACADEMY (GROUP, TRANSPORTATION)- UCLA DAVID GEFFEN SCHOOL OF MEDICINE (UNIVERSITY, HEALTH CARE)- UCLA/ VA VETERAN FAMILY WELLNESS CENTER (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- UNIHEALTH FOUNDATION (COMMUNITY BASED ORGANIZATION, HEALTH GRANTMAKING)- VENICE FAMILY CLINIC (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- WISE & HEALTHY AGING (COMMUNITY BASED ORGANIZATION, SENIOR SERVICES)- WORKFORCE DEVELOPMENT, AGING AND COMMUNITY SERVICES (COMMUNITY BASED ORGANIZATION, WORKFORCE DEVELOPMENT)PROVIDENCE SAINT JOHN'S HEALTH CENTER CONDUCTED LISTENING SESSIONS BETWEEN APRIL AND JULY 2019 WITH COMMUNITY MEMBERS AND INTERVIEWS WITH COMMUNITY STAKEHOLDERS, INCLUDING LA COUNTY DEPARTMENT OF PUBLIC HEALTH, AS PART OF THEIR COLLECTION OF PRIMARY DATA.IN ADDITION TO CONDUCTING KEY INFORMANT INTERVIEWS AS PART OF ITS PRIMARY DATA COLLECTION, PROVIDENCE ALSO INCLUDED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY AS PART OF ITS CHNA OVERSIGHT COMMITTEE.THE CHNA OVERSIGHT COMMITTEE, AUTHORIZED BY THE GOVERNING BOARD, MET IN AUGUST 2019 AND SEPTEMBER 2019 TO PRIORITIZE AND RECOMMEND THE TOP IDENTIFIED HEALTH NEEDS TO BE ADDRESSED OVER THE NEXT THREE YEARS. THE EXTERNAL REPRESENTATIVES INCLUDED THE PERSPECTIVE OF A FQHC, HOMELESS SERVICES PROVIDER, PUBLIC SCHOOLS, THE MANAGER OF THE HUMAN SERVICES DIVISION FOR THE CITY OF SANTA MONICA AND THE AREA HEALTH OFFICER FOR SPA 5 AND SPA 6 FROM THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH. THE GROUP PARTICIPATED IN TWO MEETINGS TO REVIEW THE ASSEMBLED PRIMARY AND SECONDARY DATA FOR EACH IDENTIFIED HEALTH NEED. THE FIRST MEETING INCLUDED DISCUSSIONS ON HOW EACH ISSUE AFFECTED THE COMMUNITIES IN THE REGION, USING THE IDENTIFIED NEEDS OF FOOD INSECURITY AND HOMELESSNESS AND HOUSING INSTABILITY TO FAMILIARIZE AND PREPARE THE PARTICIPANTS FOR CRITERIA THAT WOULD BE APPLIED DURING THE PRIORITIZATION MEETING. IN THE SECOND MEETING COMMITTEE PARTICIPANTS RECEIVED A QUESTIONNAIRE AT THE START OF THE MEETING AND ASKED TO RATE THE SEVERITY OF EACH IDENTIFIED HEALTH NEED USING THREE CRITERIA: (1) THE CHANGE OVER TIME, (2) THE AVAILABILITY OF COMMUNITY RESOURCES/ASSETS TO ADDRESS THE HEALTH NEED, AND (3) THE COMMUNITY READINESS TO IMPLEMENT/SUPPORT PROGRAMS TO ADDRESS THE HEALTH NEED. OVERSIGHT COMMITTEE MEMBERS WERE THEN ASKED TO CONSIDER THE THREE QUESTIONS BELOW AND GIVEN THREE DOTS, OR ""VOTES,"" TO ASSIGN TO THE IDENTIFIED HEALTH NEEDS, RESULTING IN A LIST OF PRIORITIZED NEEDS.- HOW DOES THIS NEED IMPACT THE WORK OF YOUR ORGANIZATION AND THE CLIENTS YOU SERVE?- WHAT OTHER SERVICE GAPS CURRENTLY EXIST?- WHAT ROLE CAN PROVIDENCE PLAY IN ADDRESSING THIS NEED?"

PART V, SECTION B, LINE 6A:
THE 2019 PROVIDENCE SAINT JOHN'S HEALTH CENTER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) KEY INFORMANT INTERVIEW DATA COLLECTION PROCESS WAS CONDUCTED BY SAINT JOHN'S COMMUNITY HEALTH INVESTMENT STAFF IN COLLABORATION WITH THE CEDARS SINAI MEDICAL CENTER (LOS ANGELES, CA), KAISER PERMANENTE MEDICAL CENTER (WEST LOS ANGELES, CA), AND UCLA HEALTH SYSTEM (WESTWOOD, CA).

PART V, SECTION B, LINE 6B:
THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH THE CENTER FOR NONPROFIT MANAGEMENT (CNM) - LOS ANGELES, CA

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 BOARD COMMITTEE ON COMMUNITY BENEFITS IDENTIFIED THE FOLLOWING AS THE HIGHEST PRIORITY NEEDS WITHIN OUR COMMUNITIES:1. HOMELESSNESS AND HOUSING INSTABILITY2. BEHAVIORAL HEALTH3. ECONOMIC INSECURITY4. ACCESS TO HEALTH CARETHE FOUR PRIORITIZED HEALTH NEEDS ARE BEING ADDRESSED WITHIN THE CONTEXT OF FOUR INITIATIVES THAT MAKE UP THE THREE-YEAR IMPLEMENTATION STRATEGY:1) STRENGTHEN INFRASTRUCTURE OF CONTINUUM OF CARE FOR PATIENTS EXPERIENCING HOMELESSNESS:- SCREENED OVER 540 ER PATIENTS FOR HOMELESSNESS.- PARTNERSHIPS WITH RECUPERATIVE CARE AGENCIES WERE STRENGTHENED, PARTICULARLY WITH NATIONAL HEALTH FOUNDATION. $42,940 OF EXPENSES WERE COVERED BY PROVIDENCE TO SUPPORT 14 PSJHC PATIENTS EXPERIENCING HOMELESSNESS WHO WERE TRANSFERRED TO RECUPERATIVE CARE POST-DISCHARGE.- $150,000 IN GRANTS AWARDED BY PSJHC TO LOCAL HOMELESS SERVICE PROVIDERS.2) INITIATIVE #2: IMPROVE ACCESS TO HEALTH CARE SERVICESOUR GOAL IS TO IMPROVE ACCESS TO QUALITY HEALTH CARE SERVICES FOR VULNERABLE POPULATIONS BY:- $275,000 IN GRANTS AWARDED FROM PSJHC TO LOCAL ORGANIZATIONS FOR ACCESS TO CARE.- $136,662 IN-KIND LAB AND DIAGNOSTIC SERVICES PROVIDED TO LOCAL FQHCS.3) INITIATIVE #3: IMPROVE ACCESS TO BEHAVIORAL HEALTH AND REDUCE STIGMA OUR GOAL IS TO:- 40 PRE/PERINATAL SUPPORT GROUPS IN THE COMMUNITY.- 10 TRAUMA-INFORMED TRAININGS AT SCHOOLS TO TEACHERS AND PARENTS.- CONDUCTED 10 PARENTING GROUPS IN THE COMMUNITY.4) INITIATIVE #4: TRAIN AND DEPLOY A WORKFORCE OF COMMUNITY HEALTH WORKERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH IN UNDERSERVED POPULATIONS:- 30 PEOPLE PARTICIPATED IN OUR FEAST PROGRAM TO PROVIDE NUTRITION EDUCATION FOR COMMUNITY MEMBERS.- 192 PEOPLE TRAINED IN MENTAL HEALTH FIRST AID.- 42 PEOPLE PARTICIPATED IN CREATING HEALTHIER ATTITUDES TODAY PROGRAM TO PROVIDE MENTAL HEALTH SUPPORT.- RECRUITED 5 COMMUNITY MEMBERS FROM THE ST. JOHN'S SERVICE AREA FOR OUR CHW ACADEMY TO TRAIN COMMUNITY HEALTH WORKERS FROM WITHIN OUR LOCAL COMMUNITY.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 CHNA WILL NOT BE ADDRESS AND AN EXPLANATION IS PROVIDED BELOW: ORAL HEALTH: THIS WAS IDENTIFIED AS THE LOWEST PRIORITY NEED IN THE 2019 CHNA. FURTHERMORE, 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 CENTERS 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.

PART V, LINE 16A, FAP WEBSITE:
HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE

PART V, LINE 16B, FAP APPLICATION WEBSITE:
HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/FINANCIAL-ASSISTANCE-APPLICATION

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

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:
PROVIDENCE SAINT JOHN'S HEALTH CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE ATHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/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:
NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.

PART II, COMMUNITY BUILDING ACTIVITIES:
PROVIDENCE SAINT JOHN'S EXTENDS CARE BEYOND THE HOSPITAL'S WALLS TO IMPROVE THE HEALTH OF THE COMMUNITY AND CONDUCTS COMMUNITY BUILDING ACTIVITIES THROUGH ITS FOCUS ON THE INFANT & TODDLER PRESCHOOL PROGRAM OPERATED BY THE HOSPITAL'S CHILD AND FAMILY DEVELOPMENT CENTER (CFDC). PROVIDENCE SAINT JOHN'S PROVIDES CHILD CARE SERVICES TO EMPLOYEES AND RESIDENTS OF SANTA MONICA, SERVING 25 CHILDREN IN 2021.

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:
NEEDS ASSESSMENT:IN ADDITION TO COMPLETING A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT, PROVIDENCE SAINT JOHN'S SEEKS FEEDBACK ON EMERGING NEEDS AND ISSUES IN THE COMMUNITY. THIS IS ACCOMPLISHED THROUGH A NUMBER OF WAYS:-THE HOSPITAL PARTICIPATES IN THE WESTSIDE COALITION, AN ALLIANCE OF 70 ORGANIZATIONS, PUBLIC AGENCIES AND FAITH COMMUNITIES COMMITTED TO WORKING COLLABORATIVELY ON ISSUES OF HOUSING, HUNGER AND HEALTH THROUGH SERVICE COORDINATION, PUBLIC EDUCATION AND ADVOCACY. A WORKGROUP FOCUSES ON IMPROVING COORDINATION OF CARE FOR FREQUENT USERS OF THE AREA HOSPITALS' EMERGENCY DEPARTMENTS, ESPECIALLY FOR THOSE WHO ARE HOMELESS.-PROVIDENCE SAINT JOHN'S MAINTAINS ONGOING COMMUNICATION WITH KEY COLLABORATORS IN THE COMMUNITY TO IDENTIFY KEY NEEDS AND ISSUES FACING THE AREA. THESE ORGANIZATIONS INCLUDE VENICE FAMILY CLINIC, THE PEOPLE CONCERN, SAFE PLACE FOR YOUTH, CITY OF SANTA MONICA, ST. MONICA CHURCH, KAISER PERMANENTE WEST LOS ANGELES, UCLA MEDICAL CENTER, CEDARS SINAI MEDICAL CENTER AND WISE AND HEALTHY AGING.-PROVIDENCE SAINT JOHN'S HOLDS AN ANNUAL PUBLIC MEETING WITH LOCAL RESIDENTS TO PRESENT PROGRESS ON THE IMPLEMENTATION STRATEGY AND SEEK THEIR INPUT ON ISSUES THEY FEEL ARE FACING THE COMMUNITY.

PART VI, LINE 3:
COMMUNICATION TO THE PUBLIC:PROVIDENCE HOSPITALS POST NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS ADMITTING/REGISTRATION, BILLING OFFICE, EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS.EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE POLICIES CONTAINS BRIEF INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR A DISCOUNTED PAYMENT. THE NOTICES ALSO INCLUDE A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION.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:THE SERVICE AREA DEFINED FOR THE PROVIDENCE SAINT JOHN'S HEALTH CENTER (PSJHC) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDES THE ZIP CODES LOCATED WITHIN SERVICE PLANNING AREA (SPA) 5 OF LOS ANGELES COUNTY. THE PLANNING AREA INCLUDES THE COMMUNITIES LOCATED ON THE WEST SIDE OF THE COUNTY (REFERRED TO AS ""THE WESTSIDE"" LOCALLY, AND IN THE CHNA REPORT), AND REPRESENTS THE AREA WHERE A SIGNIFICANT PORTION (OVER 70%) OF THE PATIENTS SERVED BY THE HOSPITAL RESIDES. THE AREA INCLUDES 20 DISTINCT COMMUNITIES AND 30 ZIP CODES. THE TOTAL POPULATION OF THE PSJHC SERVICE AREA IN 2019 IS 682,449 PERSONS. A BREAKDOWN OF DEMOGRAPHICS SHOWS:- AGE: A MAJORITY OF RESIDENTS IN THE SERVICE AREA ARE BETWEEN 20 AND 39 YEARS OLD. CHILDREN UNDER THE AGE OF 19 COMPRISE 17.6% OF THE POPULATION. ADULTS 60 YEARS OF AGE AND OLDER MAKE UP 20.5% OF THE TOTAL SERVICE AREA POPULATION.- RACE/ETHNICITY: 66.8% WERE WHITE, 14.5% WERE ASIAN/PACIFIC ISLANDER/HAWAIIAN, 0.4% WERE ALASKA NATIVE OR AMERICAN INDIAN, 6.0% WERE AFRICAN AMERICAN OR BLACK, AND 5.7% WERE OF TWO OR MORE RACES.- INCOME: IN 2019, THE MEDIAN HOUSEHOLD INCOME OF THE AREA VARIED SIGNIFICANTLY FROM A LOW OF $65,417 IN PALMS TO $200,001 IN BEL AIR. ALTHOUGH THE WESTSIDE CONTAINS MANY AFFLUENT COMMUNITIES, THERE ARE AREAS WITHIN SPA 5 WITH A HIGHER PORTION OF LOW-INCOME HOUSEHOLDS. APPROXIMATELY 23.0 % OF THE POPULATION HAS ANNUAL INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL.- EDUCATION: THE VAST MAJORITY (94.4 %) OF ADULTS AGE 25+ LIVING IN THE PSJHC SERVICE AREA HAVE AT LEAST GRADUATED FROM HIGH SCHOOL.- LANGUAGE: WITHIN THE PSJHC SERVICE AREA, APPROXIMATELY 10.8% OF THE GENERAL POPULATION AGE 5 AND OLDER HAS LIMITED ENGLISH PROFICIENCY.HEALTH PROFESSIONS SHORTAGE AREA AND MEDICALLY UNDERSERVED POPULATIONS THE PSJHC SERVICE AREA HAS A LARGE SUPPLY OF PHYSICIANS DUE IN PART THAT THERE IS A LARGE MEDICAL SCHOOL AND ACADEMIC MEDICAL CENTER IN THE VICINITY. HOWEVER, THE PROVIDERS IN THE AREA ARE NOT EQUALLY ACCESSIBLE TO ALL RESIDENTS. THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA) DEFINES A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AS A SHORTAGE OF PRIMARY CARE, DENTAL CARE OR MENTAL HEALTH PROVIDERS BY GEOGRAPHIES OR POPULATIONS. SIX OF THE EIGHTEEN HIGH-NEED CENSUS TRACTS (SEE THE HEALTHY PLACES INDEX MAP ON PAGE 8 OF THE CHNA REPORT) FALL WITHIN A PRIMARY CARE SHORTAGE AREA. DURING COMMUNITY STAKEHOLDER INTERVIEWS, MANY PARTICIPANTS ECHOED THE NEED FOR MORE PROVIDERS WHO ACCEPT MEDI-CAL IN THEIR AREAS AND THAT TRANSPORTATION IS A BARRIER TO ACCESSING CARE. A SIGNIFICANT PORTION OF SANTA MONICA HAS A SHORTAGE OF PRIMARY CARE PROVIDERS.OTHER HOSPITALS IN SERVICE AREATHE OTHER HOSPITALS IN SANTA MONICA INCLUDE UCLA SANTA MONICA MEDICAL CENTER."

PART VI, LINE 5:
PROMOTION OF COMMUNITY HEALTH:PROVIDENCE SAINT JOHN'S HEALTH 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. PROVIDENCE SAINT JOHN'S HEALTH CENTER IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) OPEN MEDICAL STAFF.2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.

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

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