TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) KEVIN MANEMANN...................................................................... DIV. CHIEF EXEC - SOUTH - THRU 2/23	0.50 ................. 54.50			X			0	2,026,390	13,287
(2) LAUREEN DRISCOLL RN...................................................................... PRESIDENT (PART YEAR)	1.00 ................. 64.00	X	X				0	1,726,763	275,234
(3) NATHAN HUSMANN...................................................................... CFO/TREASURER	27.00 ................. 28.00		X				0	1,095,778	198,695
(4) TERRENCE WOOTEN...................................................................... CHIEF EXEC QVMC - THRU 11/23	54.00 ................. 1.00			X			0	912,433	34,576
(5) OLUYEMI ADEYANJU ESQ...................................................................... SECRETARY	49.00 ................. 1.00		X				0	739,595	90,126
(6) FRANK BEIRNE...................................................................... FRMR REGIONAL COO NORTHERN CA	0.00 ................. 0.00					X	0	803,851	0
(7) CHARLES KASSIS...................................................................... CHIEF EXEC - SONOMA - THRU 11/23	55.00 ................. 0.00			X			0	728,177	40,077
(8) CHAD KRILICH...................................................................... FORMER CMO	0.00 ................. 0.00					X	522,765	0	0
(9) ROBERTA LUSKIN-HAWK MD...................................................................... FRMR CHIEF EXEC EUREKA	0.00 ................. 0.00					X	0	489,091	0
(10) RUSS BRAUN...................................................................... CHIEF MEDICAL OFFICER HOSPITAL	50.00 ................. 0.00				X		458,947	0	24,501
(11) PATTI PILGRIM...................................................................... REGIONAL CFO, TREASURER - THRU 4/23	54.50 ................. 0.50		X				0	453,848	28,286
(12) NAYDU LUCAS...................................................................... CHIEF NURSING OFFICER	50.00 ................. 0.00				X		423,271	0	48,788
(13) STACIE MILLER...................................................................... CHIEF NURSING OFFICER	50.00 ................. 0.00				X		417,458	0	45,359
(14) REBECCA ALTHOFF...................................................................... ACUTE CARE RN	50.00 ................. 0.00				X		411,925	0	46,029
(15) TARINDER KHATKAR...................................................................... CHIEF NURSING OFFICER	50.00 ................. 0.00				X		416,880	0	19,164
(16) DARIAN HARRIS MHA...................................................................... CHIEF EXEC HUMBOLDT - THRU 7/23	27.25 ................. 27.75			X			0	354,702	21,511
(17) DONALD ANDERSON JR...................................................................... ASSISTANT SECRETARY FOR ENROLLMENT	0.50 ................. 54.50		X				0	292,875	30,846

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)
(18) KEVIN KLOCKENGA........................................................................ FRMR KE - REG CHIEF EXEC. - NO CA	0.00 .......................0.00		X	281,492
(19) ALEX DE MORAES........................................................................ BOARD MEMBER (PART YEAR)	0.50 .......................0.00	X		0
(20) ARIEL KELLEY........................................................................ BOARD MEMBER - THRU 12/31/23	0.50 .......................0.00	X		0
(21) CON HEWITT........................................................................ BOARD MEMBER	0.50 .......................0.00	X		0
(22) JAMES DEVORE MD........................................................................ BOARD MEMBER	0.50 .......................0.00	X		0
(23) JED WEISSBERG MD........................................................................ BOARD MEMBER	0.50 .......................0.00	X		0
(24) JENNIELYNN HOLMES........................................................................ BOARD MEMBER (PART YEAR)	0.50 .......................0.00	X		0
(25) JOHN ARYANPUR MD........................................................................ VICE CHAIR	1.00 .......................0.00	X		0
(26) JUDY COFFEY........................................................................ CHAIR	1.00 .......................0.00	X		0
(27) KEITH FLAMER........................................................................ BOARD MEMBER (PART YEAR)	0.50 .......................0.00	X		0
(28) PAM KINDIG........................................................................ BOARD MEMBER	0.50 .......................0.00	X		0
(29) SISTER MARY BERNADETTE MCNULTY........................................................................ BOARD MEMBER	0.50 .......................0.00	X		0
(30) TIM HERMAN........................................................................ BOARD MEMBER - THRU 12/31/23	0.50 .......................0.00	X		0

(A) Name and business address	(B) Description of services	(C) Compensation
AMN LOS ANGELESAMN SHIFTWISE 12400 HIGH BLUFF DR SAN DIEGO,CA92130	STAFFING SERVICES	24,807,443
AYA HEALTHCARE INC PO BOX 674907 DALLAS,TX75267	STAFFING SERVICES	23,649,064
CASS INFORMATION SYSTEMS INC 12444 POWERSCOURT DR STE 550 ST LOUIS,MO63131	PAYMENT SERVICES	15,169,379
ANESTHESIA AND ANALGESIA 2455 BENNETT VALLEY RD STE C219 SANTA ROSA,CA95404	MEDICAL SERVICES	8,341,812
MISSION LINEN SUPPLY 702 E MONTECITO ST SANTA BARBARA,CA93103	LAUNDRY SERVICES	3,841,030
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 195

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

ST JOSEPH HEALTH NORTHERN CALIFORNIA
LLC

Employer identification number

81-4791043

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

ST JOSEPH HEALTH NORTHERN CALIFORNIA
LLC

Employer identification number

81-4791043

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC		Employer identification number 81-4791043

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC			Employer identification number 81-4791043
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

ST JOSEPH HEALTH NORTHERN CALIFORNIA
LLC

Employer identification number

81-4791043

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2022

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2022

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

180,095

Total. Add lines 1c through 1i ....................................................................................................

180,095

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	LOBBYING ACTIVITY INCLUDES SUPPORT FOR COUNTY OF SONOMA: MENTAL HEALTH, ADDICTION AND HOMELESS SERVICE; NORTH SONOMA COUNTY HEALTHCARE DISTRICT AND PETALUMA HEALTH CARE DISTRICT. ADDITIONALLY, A PORTION OF THE DUES PAID TO ALLIANCE OF CATHOLIC HEALTH CARE, AMERICAN HOSPITAL ASSOCIATION AND CALIFORNIA HOSPITAL ASSOCIATION FOR LOBBYING SERVICES.

Schedule C (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

ST JOSEPH HEALTH NORTHERN CALIFORNIA
LLC

Employer identification number

81-4791043

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	9,665,056	10,861,840	9,300,091	10,385,095	1,446,786
b	Contributions ...	470,015		533,646	7,500	8,019,532
c	Net investment earnings, gains, and losses	241,984	-1,134,967	1,054,452	928,391	955,593
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...				2,000,000
f	Administrative expenses ....		61,817	26,349	20,895	36,816
g	End of year balance ......	10,377,055	9,665,056	10,861,840	9,300,091	10,385,095

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

0 %

Permanent endowment right arrow

95.290 %

Term endowment right arrow

4.710 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	22,254,253		22,254,253
b	Buildings ....	802,451,507	379,659,024	422,792,483
c	Leasehold improvements	141,020,444	107,571,678	33,448,766
d	Equipment ....	482,347,131	432,149,912	50,197,219
e	Other .....	81,258,120		81,258,120
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				609,950,841

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)HOSPITAL FEE/PROVIDER TAX RECEIVABLE				172,388,673
(2)RIGHT OF USE OPERATING LEASES				21,223,967
(3)DUE FROM THIRD PARTY				39,090,769
(4)OTHER ASSETS				525,924
(5)CHARITABLE GIFT ANNUITIES				314,452
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				233,543,785

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
I/C - TAX-EXEMPT BOND LIABILITIES	248,712,487
DUE TO AFFILIATES	136,978,797
HOSPITAL FEE/PROVIDER TAX LIABILITY	82,123,593
DUE TO THIRD PARTY	64,596,359
LONG-TERM LINE OF CREDIT	42,809,561
CAPITAL LEASE OBLIGATIONS	10,124,940
ACCRUED RETIREMENT COMPENSATION	6,111,185
CHARITABLE GIFT ANNUITIES/TRUST FUND OBLIGATIONS	132,167
OTHER CURRENT AND LT LIABILITIES	-20,881,784
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	570,707,305
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART V, LINE 4:	INTENDED USE OF ENDOWMENT FUNDS THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS INCLUDES SCHOLARSHIPS FOR EMPLOYEES WHO WISH TO RETURN TO SCHOOL TO BECOME NURSES AND MEET THE CRITICAL NEEDS OF THE HOSPITAL, AS WELL AS THE COMMUNITY'S NEEDIEST INDIVIDUALS.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

ST JOSEPH HEALTH NORTHERN CALIFORNIA
LLC

Employer identification number

81-4791043

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 30000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	8,219,222		8,219,222	0.540 %
b	Medicaid (from Worksheet 3, column a) . . . . .	388,184,733	278,410,786	109,773,947	7.160 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	396,403,955	278,410,786	117,993,169	7.700 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	16,082,906	2,211,134	13,871,772	0.910 %
f	Health professions education (from Worksheet 5) . . .	3,561,933	1,261,954	2,299,979	0.150 %
g	Subsidized health services (from Worksheet 6) . . . .	5,024,764	3,183,005	1,841,759	0.120 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	6,453,179		6,453,179	0.420 %
j	Total. Other Benefits . .	31,122,782	6,656,093	24,466,689	1.600 %
k	Total. Add lines 7d and 7j .	427,526,737	285,066,879	142,459,858	9.300 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

561,795,854

Enter Medicare allowable costs of care relating to payments on line 5.....

702,092,566

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-140,296,712

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 CENTER FOR MATERNAL NEWBORN AND CHILD HEALTH LLC	CLINICAL HOSPITAL SERVICES	50.000 %	0 %	50.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?4Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Other (describe)	Facility reporting group
1	SANTA ROSA MEMORIAL HOSPITAL 1165 MONTGOMERY DRIVE SANTA ROSA,CA95405 WWW.PROVIDENCE.ORG 6933475	X	X		X	DESIGNATED TRAUMA CENTER, LEVEL II	A
2	QUEEN OF THE VALLEY MEDICAL CENTER 1000 TRANCAS STREET NAPA,CA94558 WWW.PROVIDENCE.ORG 110000060	X	X		X	DESIGNATED TRAUMA CENTER, LEVEL III
3	REDWOOD MEMORIAL HOSPITAL 3300 RENNER DRIVE FORTUNA,CA95540 WWW.PROVIDENCE.ORG D-0295172	X	X	X	X		A
4	ST JOSEPH HOSPITAL OF EUREKA 2700 DOLBEER STREET EUREKA,CA95501 WWW.PROVIDENCE.ORG D-0189726	X	X		X		A

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	SJHNC LLC (GROUP A - 1 3 & 4)
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 23

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 23

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SJHNC LLC (GROUP A - 1 3 & 4)
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	SJHNC LLC (GROUP A - 1 3 & 4)
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	SJHNC LLC (GROUP A - 1 3 & 4)
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	QUEEN OF THE VALLEY MEDICAL CENTER (2)
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 23

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 23

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	QUEEN OF THE VALLEY MEDICAL CENTER (2)
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	QUEEN OF THE VALLEY MEDICAL CENTER (2)
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	QUEEN OF THE VALLEY MEDICAL CENTER (2)
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
QUEEN OF THE VALLEY MEDICAL CENTER (2)	PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
QUEEN OF THE VALLEY MEDICAL CENTER (2)	PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS AN IMPORTANT TOOL WE USE TO BETTER UNDERSTAND HEALTH DISPARITIES AND INEQUITIES WITHIN THE COMMUNITIES WE SERVE, AS WELL AS THE COMMUNITY STRENGTHS AND ASSETS.THE EQUITY FRAMEWORK IS FOUNDATIONAL TO OUR OVERALL CHNA FRAMEWORK, A MODIFIED VERSION OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). THE MODIFIED MAPP FRAMEWORK TAKES A MIXED-METHODS APPROACH TO PRIORITIZE HEALTH NEEDS, CONSIDERING POPULATION HEALTH DATA, COMMUNITY INPUT, INTERNAL UTILIZATION DATA, COMMUNITY STRENGTHS AND ASSETS, AND A PRIORITIZATION PROTOCOL.IN GATHERING INFORMATION ON THE COMMUNITIES SERVED BY THE PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER AND NAPA COUNTY HEALTH AND HUMAN SERVICES AGENCY, WE LOOKED NOT ONLY AT THE HEALTH CONDITIONS OF THE POPULATION, BUT ALSO AT SOCIOECONOMIC FACTORS, THE PHYSICAL ENVIRONMENT, AND HEALTH BEHAVIORS. IN ADDITION, WE RECOGNIZE THAT THERE ARE OFTEN GEOGRAPHIC AREAS WHERE THE CONDITIONS FOR SUPPORTING HEALTH ARE POORER THAN NEARBY AREAS. WHENEVER POSSIBLE AND RELIABLE, DATA ARE REPORTED AT CENSUS TRACT LEVEL. THESE SMALLER GEOGRAPHIC AREAS ALLOW US TO BETTER UNDERSTAND THE NEIGHBORHOOD LEVEL NEEDS OF OUR COMMUNITIES AND BETTER ADDRESS INEQUITIES WITHIN AND ACROSS COMMUNITIES.COMMUNITY INPUT:THROUGH A MIXED-METHODS APPROACH, USING QUANTITATIVE AND QUALITATIVE DATA, WE COLLECTED INFORMATION FROM THE FOLLOWING SOURCES: AMERICAN COMMUNITY SURVEY, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, LOCAL PUBLIC HEALTH DATA, CALIFORNIA HEALTHY KIDS SURVEY, FEEDING AMERICA, U.S. CENSUS BUREAU, AND THE LIVE HEALTHY NAPA COUNTY LANGUAGE INCLUSION SURVEY. TO ACTIVELY ENGAGE THE COMMUNITY, WE CONDUCTED 15 LISTENING SESSIONS WITH PEOPLE WHO HAVE CHRONIC CONDITIONS, ARE FROM DIVERSE COMMUNITIES, HAVE LOW-INCOMES, AND/OR ARE MEDICALLY UNDERSERVED. WE ALSO CONDUCTED 4 CAREGIVER LISTENING SESSIONS, 12 KEY INFORMANT INTERVIEWS, AND 7 ADDITIONAL PRELIMINARY DATA FEEDBACK SESSIONS WITH 13 REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE THESE POPULATIONS, SPECIFICALLY SEEKING TO GAIN DEEPER UNDERSTANDING OF COMMUNITY STRENGTHS AND OPPORTUNITIES. ALL COMMUNITY INPUT WAS COLLECTED FROM MARCH 2023-MAY 2023.KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH:- ALISSA ABDO, EXECUTIVE DIRECTOR FOR ON THE MOVE (EDUCATION)- LIZ ALESSIO, CITY COUNCILMEMBER FOR NAPA CITY COUNCIL (ELECTED OFFICIAL)- JESUS ROSAS, DIRECTOR FOR COMMUNITY HEALTH INITIATIVE (HEALTH INSURANCE/ACCESS)- MICHELE GRUPE, EXECUTIVE DIRECTOR FOR COPE FAMILY (FAMILY RESOURCE CENTERS)- ROB WEISS, EXECUTIVE DIRECTOR FOR MENTIS (MENTAL HEALTH)- JENNY OCON, EXECUTIVE DIRECTOR FOR UPVALLEY FAMILY CENTERS (FAMILY RESOURCE CENTERS)- ALICIA HARDY, CEO FOR OLE HEALTH (FQHC)- SOLICIA AGUILAR, PROGRAM DIRECTOR FOR LGBTQIA+ CONNECTION (EDUCATION, SOCIAL JUSTICE)- ESMERALDA GIL, DIRECTOR FOR PUERTAS ABIERTAS (FAMILY RESOURCE CENTERS)- JOELLE GALLAGHER, DISTRICT SUPERVISOR FOR NAPA COUNTY BOARD OF SUPERVISORS (ELECTED OFFICIAL)- TRACY LAMB, EXECUTIVE DIRECTOR FOR NEWS (SOCIAL SERVICES)- CHARLIE TOLEDO, EXECUTIVE DIRECTOR FOR SUSCOL INTERTRIBAL COUNCIL (NATIVE AMERICAN)MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS BEING REPRESENTED BY ORGANIZATIONS OR INDIVIDUALS THAT PROVIDED INPUT:- YOUTH, FOSTER YOUTH- LGBTQIA+ INDIVIDUALS- OLDER ADULTS- AGRICULTURAL WORKERS- INDIVIDUALS ACCESSING NAPA COUNTY MENTAL HEALTH SERVICES- INDIVIDUALS EXPERIENCING HOMELESSNESSNONPROFIT AND GOVERNMENT STAKEHOLDER INTERVIEWS:A TOTAL OF 12 KEY INFORMANT INTERVIEWS WERE COMPLETED BY REPRESENTATIVES FROM QVMC. KEY INFORMANTS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WHO ARE ECONOMICALLY POOR AND VULNERABLE. QVMC AIMED TO ENGAGE STAKEHOLDERS FROM SOCIAL SERVICE AGENCIES, HEALTH CARE, EDUCATION, HOUSING, AND GOVERNMENT, AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES. INCLUDED IN THE INTERVIEWS WAS A PUBLIC HEALTH OFFICER FROM NAPA COUNTY PUBLIC HEALTH.DATA LIMITATIONS AND INFORMATION GAPS:WHILE CARE WAS TAKEN TO SELECT AND GATHER DATA THAT WOULD TELL THE STORY OF THE HOSPITAL'S SERVICE AREA, IT IS IMPORTANT TO RECOGNIZE THE LIMITATIONS AND GAPS IN INFORMATION THAT NATURALLY OCCUR, INCLUDING THE FOLLOWING:- NOT ALL DESIRED DATA WERE READILY AVAILABLE, SO SOMETIMES WE HAD TO RELY ON TANGENTIAL OR PROXY MEASURES OR NOT HAVE ANY DATA AT ALL. FOR EXAMPLE, THERE IS LITTLE COMMUNITY-LEVEL QUANTITATIVE DATA ON BARRIERS TO ACCESSING TRANSPORTATION.- WHILE MOST INDICATORS ARE RELATIVELY CONSISTENT FROM YEAR TO YEAR, OTHER INDICATORS ARE CHANGING QUICKLY (SUCH AS PERCENTAGE OF PEOPLE UNINSURED) AND THE MOST RECENT DATA AVAILABLE ARE NOT A GOOD REFLECTION OF THE CURRENT STATE.- REPORTING DATA AT THE COUNTY LEVEL CAN MASK INEQUITIES WITHIN COMMUNITIES. THIS CAN ALSO BE TRUE WHEN REPORTING DATA BY RACE, WHICH CAN MASK WHAT IS HAPPENING WITHIN RACIAL AND ETHNIC SUBGROUPS. THEREFORE, WHEN APPROPRIATE AND AVAILABLE, WE DISAGGREGATED THE DATA BY GEOGRAPHY AND RACE.- DATA THAT ARE GATHERED THROUGH INTERVIEWS AND SURVEYS MAY BE BIASED DEPENDING ON WHO IS WILLING TO RESPOND TO THE QUESTIONS AND WHETHER THEY ARE REPRESENTATIVE OF THE POPULATION.- THE ACCURACY OF DATA GATHERED THROUGH INTERVIEWS AND SURVEYS DEPENDS ON HOW CONSISTENTLY THE QUESTIONS ARE INTERPRETED ACROSS ALL RESPONDENTS AND HOW HONEST PEOPLE ARE IN PROVIDING THEIR ANSWERS.
QUEEN OF THE VALLEY MEDICAL CENTER (2)	PART V, SECTION B, LINE 6B: QUEEN OF THE VALLEY MEDICAL CENTER COLLABORATED WITH MANY LOCAL GOVERNMENT AGENCIES AND NOT-FOR-PROFIT ORGANIZATIONS:- ABODE- ALDEA- CITY OF NAPA- CALIFORNIA GROWER'S ASSOCIATION- COMMUNITY ACTION NAPA VALLEY- COMMUNITY ACTIVE NAPA VALLEY- COMMUNITY ORGANIZATION ACTIVE IN DISASTER- COMMUNICARE+OLE- COMMUNITY HEALTH INITIATIVE- COMMUNITY RESOURCES FOR CHILDREN- COPE FAMILY CENTER- FEEDING IT FORWARD- FIRST 5 NAPA COUNTY- GIRLS ON THE RUN- KAISER PERMANENTE- LGBTQIA+ CONNECTION- MENTIS- MOLLY'S ANGELS- NAPA CITY COUNCIL- NAPA CO OFFICE OF EDUCATION- NAPA COUNTY BOARD OF SUPERVISORS- NAPA COUNTY HHSA- NAPA FARMERS MARKET- NAPA VALLEY UNIFIED SCHOOL DISTRICT- NAPA VALLEY VINE TRAIL COALITION- NURTURING EMPOWERMENT WORTH SAFETY (NEWS)- ON THE MOVE- PARTNERSHIP HEALTH PLAN- PUERTAS ABIERTAS- SUSCOL INTERTRIBAL COUNCIL- UP VALLEY FAMILY CENTERS
QUEEN OF THE VALLEY MEDICAL CENTER (2)	PART V, SECTION B, LINE 11: THE 2023 COMMUNITY HEALTH NEEDS PRIORITIZED NEEDS ARE LISTED BELOW:1) HOUSING2) BEHAVIORAL HEALTH3) ACCESS TO HEALTH SERVICES4) RACIAL EQUITY & LGBTQIA+ INCLUSION5) ECONOMIC STABILITY HOUSINGLIMITED HOUSING STOCK PUSHES PRICES SO HIGH AS TO BE OUT OF REACH FOR MANY AND CREATES AN ESPECIALLY DIFFICULT SITUATION FOR PEOPLE WITH LOW INCOMES. COST OF LIVING IS VERY HIGH, AND MANY WORKERS ARE NOT PAID A LIVING WAGE. HOUSING STABILITY CREATES A FOUNDATION FOR FURTHER STABILITY. FEAR OF, AND DISRESPECT TO, UNHOUSED INDIVIDUALS CAN RESULT IN FEELINGS OF ISOLATION. PAPERWORK AND HOUSING SUPPORT SYSTEMS ARE CUMBERSOME. DEMAND FOR LOW-COST OPTIONS MAY LEAD TO UNFAIR HOUSING PRACTICES FROM LANDLORDS.STRATEGIES TO ADDRESS HOUSING AND HOMELESSNESS INCLUDE- SUPPORT THE DEVELOPMENT OF AFFORDABLE HOUSING STOCK, INCLUDING PERMANENT SUPPORTIVE HOUSING UNITS- SUPPORT THE LAUNCH OF A HOUSING ADVOCACY ORGANIZATION TO PROMOTE AN INCREASE IN SUPPLY, AFFORDABILITY AND DIVERSITY OF HOMES- INVEST IN RESPITE SHELTER SERVICES SUPPORTED WITH CARE NETWORK COMPLEX CARE MANAGEMENT- ADMINISTER COMMUNITY GRANTS TO EXPAND SUPPORTIVE SERVICES FOR THOSE EXPERIENCING OR AT RISK OF HOMELESSNESS- ENHANCE CARE NETWORK OUTREACH AT THE SOUTH NAPA SHELTER AND ENHANCE CARE NETWORK CARE MANAGEMENT SERVICES AT SUPPORTIVE HOUSING LOCATIONSBEHAVIORAL HEALTHTHE SCALE OF THE MENTAL HEALTH CRISIS APPEARS TO HAVE OVERWHELMED THE CARE SYSTEM. MENTAL HEALTH IS OFTEN AN UNADDRESSED, UNDERLYING ISSUE. THERE ARE VALUABLE SOURCES OF MENTAL HEALTH SUPPORT OUTSIDE THE FORMAL CARE SYSTEM AND PARTICIPANTS REPORT RELYING ON FRIENDS AND FAMILY FOR COMFORT OR STRENGTH. THE TASK OF PROVIDING MENTAL HEALTH SUPPORT CAN BE A HEAVY WEIGHT TO BEAR. MENTAL HEALTH PROVIDERS OFTEN EXPERIENCE COMPASSION FATIGUE AND OPPORTUNITIES FOR SELF-CARE CAN BE DIFFICULT TO ACCESS WITH BUSY CASELOADS. SUBSTANCES SUCH AS ALCOHOL, TOBACCO, AND DRUGS MAY BE USED AS A FORM OF SELF-MEDICATION. THERE ARE COMMON MISCONCEPTIONS ABOUT SUBSTANCE USE (ACROSS ALL DEMOGRAPHICS), LEADING PEOPLE TO UNDER-ESTIMATE THE HARM DONE.STRATEGIES TO ADDRESS BEHAVIORAL HEALTH INCLUDE- INCREASE LOCAL CAPACITY TO PROVIDE CULTURALLY APPROPRIATE MENTAL HEALTH SERVICES- INCREASE SUPPORT TO EMERGENCY DEPARTMENT PATIENTS WITH SUBSTANCE USE DISODERS- CARE NETWORK TO ENHANCE THE CONTINUUM OF CARE INCREASING IDENTIFICATION, SCREENING, AND ACCESS TO MENTAL HEALTH AND SDOH SERVICES FOR EMERGENCY ROOM LATINE PATIENTS- CARE NETWORK TO INCREASE PERCENTAGE OF ENROLLED ECM CLIENTS WHO ARE SCREENED WITH THE PHQ-9- ADMINISTER COMMUNITY GRANTS TO ENHANCE RESOURCES TO EXPAND PREVENTION, EDUCATION, AND INTERVENTION OF BEHAVIORAL HEALTH SERVICESACCESS TO HEALTH SERVICESPARTICIPANTS NAMED COST AND DIFFICULTY NAVIGATING COMPLEX SYSTEMS AS BARRIERS TO ACCESSING HEALTHCARE. BECAUSE MANY PEOPLE HAVE NO STABLE RELATIONSHIP WITH A PRIMARY CARE PROVIDER AND WAIT TIMES FOR APPOINTMENTS CAN BE MONTHS, THE EMERGENCY ROOM OFTEN BECOMES THE FIRST ACCESS POINT FOR CARE. IT IS DIFFICULT TO ACCESS TRANSGENDER CARE IN NAPA COUNTY. THERE IS CONCERN AROUND LACK OF ACCESS TO HEALTH INSURANCE FOR MIXED STATUS FAMILIES (FAMILIES WITH A VARIETY OF DOCUMENTATION STATUSES, INCLUDING UNDOCUMENTED STATUS), AS WELL AS PEOPLE LOSING THEIR INSURANCE DUE TO JOB LOSS DURING THE PANDEMIC. CAREGIVERS AND COMMUNITY MEMBERS SHARED THAT ACCESSING DENTAL CARE CAN BE VERY DIFFICULT FOR ALL AGES BECAUSE THERE ARE FEW DENTAL APPOINTMENTS AVAILABLE LOCALLY.STRATEGIES TO ADDRESS ACCESS TO HEALTH SERVICES INCLUDE- BUILD A NETWORK OF BILINGUAL BICULTURAL BIRTH DOULAS IN NAPA COUNTY- IDENTIFY TRANSGENDER CARE SERVICE GAPS, AND SPECIFIC SERVICE NEEDS, TO INCREASE ACCESS TO LOCAL TRANSGENDER CARE- PROVIDE EARLY ORAL HEALTH SCREENING, PREVENTION, TREATMENT, AND EDUCATION TO LOW-INCOME CHILDREN; COMPLETE DENTAL CARE DELIVERY, INCLUDING CHECKUP, TREATMENT, AND ORAL HEALTH EDUCATION FOR PATIENT/PARENT- INCREASE ACCESS TO SPECIALTY CARE INCLUDING HIV CARE, DIAGNOSTIC SCREENINGS, AND PROCEDURES- MAINTAIN NUMBER OF CARE NETWORK CLIENTS ENROLLED IN ENHANCED CARE MANAGEMENT (ECMRACIAL EQUITY & LGBTQIA+ INCLUSIONRACISM IS OFTEN SEEN AS A BARRIER TO HEALTH BY NAPA COUNTY RESIDENTS OF COLOR. IT IS FELT DURING SYSTEM NAVIGATION, IN A LACK OF REPRESENTATION IN LEADERSHIP POSITIONS, AND IN DAY-TO-DAY INTERPERSONAL INTERACTIONS WITH LAW ENFORCEMENT AND OTHER COMMUNITY MEMBERS. MARGINALIZED GROUPS OFTEN EXPERIENCE PREJUDICE AND HATE SPEECH THAT MAKE THEM ISOLATED AND FEARFUL. MANY FEEL THAT CULTURAL COMMUNITY EVENTS ARE INAUTHENTIC AND CREATED FOR TOURISTS. COMMUNITY MEMBERS SEEKING TO BE ALLIES ARE CONCERNED ABOUT "DOING IT WRONG."RACIAL EQUITY AND LGBTQIA+ INCLUSION WAS IDENTIFIED AS A CHIP PRIORITY AND AS A CROSSCUTTING THEME AND ROOT CAUSE AMONG ALL PRIORITIZED NEED AREAS. BECAUSE PROMOTING RACIAL EQUITY AND LGBTQIA+ INCLUSION IS FOUNDATIONAL TO ADDRESSING THE OTHER NEEDS, THE RELATED STRATEGIES WILL BE INCORPORATED INTO OTHER PRIORITY COMMUNITY NEED AREAS.ECONOMIC STABILITYMANY PARTICIPANTS SPOKE TO THE NEED FOR LIVING WAGE JOBS AND INCREASED WAGES TO MEET THE HIGH COST OF LIVING IN NAPA COUNTY. THEY SHARED THAT FAMILIES WITH LOW INCOMES OFTEN EXPERIENCE HOUSING INSTABILITY AND USE MOST OF THEIR INCOME TO MEET BASIC NEEDS, OFTEN BEING FORCED TO MAKE SPENDING TRADEOFFS. A LARGE PROPORTION OF EMPLOYMENT OPPORTUNITIES CENTER AROUND AGRICULTURE AND HOSPITALITY, WHICH OFTEN COME WITH LOW WAGES AND CAN SOMETIMES HAVE POOR WORKING CONDITIONS. MANY PEOPLE THAT WORK IN NAPA, INCLUDING TEACHERS, LIBRARIANS AND OTHERS WHO SERVE THE COMMUNITY, CANNOT AFFORD TO LIVE HERE. YOUTH ARE HIGHLY AWARE OF THE FINANCIAL STRESS OF THEIR FAMILIES AND FEAR FOR THEIR OWN FINANCIAL FUTURE.STRATEGIES TO ADDRESS ECONOMIC STABILITY INCLUDE- ADMINISTER COMMUNITY GRANTS TO SUPPORT AND BUILD CAPACITY TO FRESH, NUTRITIOUS, CULTURALLY, AND/OR MEDICALLY APPROPRIATE FOOD- ADMINISTER COMMUNITY GRANTS TO SUPPORT AND BUILD CAPACITY TO ACCESSIBLE AND AFFORDABLE TRANSPORTATION- ADMINISTER COMMUNITY GRANTS TO SUPPORT AND BUILD CAPACITY OF LOCAL EMERGENCY FUNDS FOR BASIC NEEDSFULL DETAIL OF STRATEGIES TO ADDRESS COMMUNITY HEALTH NEEDS CAN FOUND IN THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) HERE: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSNEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN FULLY ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WHILE QUEEN OF THE VALLEY MEDICAL CENTER WILL EMPLOY STRATEGIES TO ADDRESS EACH OF THE FOUR SIGNIFICANT HEALTH NEEDS THAT WERE PRIORITIZED DURING THE CHNA PROCESS, PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND GOVERNMENT AGENCIES ARE CRITICAL FOR ACHIEVING THE ESTABLISHED GOALS.QUEEN OF THE VALLEY MEDICAL CENTER WILL COLLABORATE WITH NAPA COUNTY, THE CITY OF NAPA, OLE HEALTH, ADVENTIST HEALTH, MENTIS, ABODE, AND A VARIETY OF LOCAL FAMILY RESOURCE CENTERS THAT ADDRESS THE COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS UNMET NEEDS.FURTHERMORE, ST. JOSEPH HEALTH QUEEN OF THE VALLEY WILL ENDORSE LOCAL NONPROFIT ORGANIZATION PARTNERS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT QUEEN OF THE VALLEY SERVICE AREAS.
QUEEN OF THE VALLEY MEDICAL CENTER (2)	PART V, SECTION B, LINE 13H: QUEEN OF THE VALLEY MEDICAL CENTER:THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT.
QUEEN OF THE VALLEY MEDICAL CENTER (2)	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.
QUEEN OF THE VALLEY MEDICAL CENTER (2)	PART V, SECTION B, LINE 11 (CONTINUED):THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED WITH THE FOLLOWING EXPLANATION: QUEEN OF THE VALLEY DOES NOT DIRECTLY ADDRESS IMMIGRATION STATUS. HOWEVER, COMMUNITY BENEFIT SERVICES ARE PROVIDED WITHOUT CONSIDERATION OF IMMIGRATION STATUS AND THE MEDICAL CENTER PROVIDES CHARITY MEDICAL CARE. IN ADDITION, QUEEN OF THE VALLEY MEDICAL CENTER AND COMMUNITY BENEFIT PROGRAMS PARTNER WITH MULTIPLE COMMUNITYBASED ORGANIZATIONS TO ADDRESS THE NEEDS OF THE UNDOCUMENTED. WHILE CANCER, HEART DISEASE, DIABETES AND ASTHMA ARE NOT A PRIMARY FOCUS OF THE PLAN, THE SERVICE AREA INCLUDES QUEEN OF THE VALLEY MEDICAL CENTER, ST. HELENA HOSPITAL, KAISER CLINIC AND OLE HEALTH THAT PROVIDE MEDICAL SERVICES TO INDIVIDUALS WITH THESE CONDITIONS. ALSO, QUEEN OF THE VALLEY'S CARE NETWORK PROVIDES CARE COORDINATION AND CARE MANAGEMENT FOR LOW INCOME PERSONS WITH COMPLEX MEDICAL CONDITIONS INCLUDING CHRONIC DISEASES SUCH AS THESE. QUEEN OF THE VALLEY DOES NOT DIRECTLY ADDRESS ISSUES OF TRANSPORTATION AND TRAFFIC. AS A PARTNER IN LIVE HEALTHY NAPA COUNTY, QUEEN OF THE VALLEY PARTNERS WITH THE COMMUNITY TO IMPROVE CONDITIONS THROUGH ADVOCACY AND PARTNERSHIPS. IN ADDITION, TRANSPORTATION SUPPORT IS PROVIDED TO QUEEN OF THE VALLEY CARE NETWORK CLIENTS. WHILE ACCESS TO FOOD IS NOT A PRIMARY FOCUS OF THE CB IMPLEMENTATION STRATEGY, QUEEN OF THE VALLEY COMMUNITY BENEFIT PROVIDES FUNDING SUPPORT TO LOCAL FOOD SAFETY NET ORGANIZATIONS, WORKS DIRECTLY WITH COMMUNITY PARTNERS SUCH AS THE NAPA VALLEY FARMER'S MARKET AND LIVE HEALTHY NAPA COUNTY TO EXPAND ACCESS, AND DIRECTLY ASSISTS LOWINCOME CHRONICALLY ILL CARE NETWORK CLIENTS WITH FOOD ACCESS. IN ADDITION, QUEEN OF THE VALLEY WILL COLLABORATE WITH PUBLIC AGENCIES AND COMMUNITYBASED ORGANIZATIONS THAT ADDRESS LANGUAGE BARRIERS AND AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL AND ADDRESS THESE UNMET NEEDS.
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: SANTA ROSA MEMORIAL HOSPITAL, - FACILITY 3: REDWOOD MEMORIAL HOSPITAL, - FACILITY 4: ST. JOSEPH HOSPITAL OF EUREKA
SJHNC, LLC (GROUP A - 1, 3 & 4) PART V, SECTION B, LINE 3J:	PART V, SECTION B, LINE 3ESANTA ROSA MEMORIAL HOSPITAL (1), REDWOOD MEMORIAL HOSPITAL (3) AND ST. JOSEPH HOSPITAL OF EUREKA (4)THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
SJHNC, LLC (GROUP A - 1, 3 & 4) PART V, SECTION B, LINE 5:	SANTA ROSA MEMORIAL HOSPITAL (1) THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS AN IMPORTANT TOOL WE USE TO BETTER UNDERSTAND HEALTH DISPARITIES AND INEQUITIES WITHIN THE COMMUNITIES WE SERVE, AS WELL AS THE COMMUNITY STRENGTHS AND ASSETS.THE EQUITY FRAMEWORK IS FOUNDATIONAL TO OUR OVERALL CHNA FRAMEWORK, A MODIFIED VERSION OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). THE MODIFIED MAPP FRAMEWORK TAKES A MIXED-METHODS APPROACH TO PRIORITIZE HEALTH NEEDS, CONSIDERING POPULATION HEALTH DATA, COMMUNITY INPUT, INTERNAL UTILIZATION DATA, COMMUNITY STRENGTHS AND ASSETS, AND A PRIORITIZATION PROTOCOL.IN GATHERING INFORMATION ON THE COMMUNITIES SERVED BY THE HOSPITAL, WE LOOKED NOT ONLY AT THE HEALTH CONDITIONS OF THE POPULATION, BUT ALSO AT SOCIOECONOMIC FACTORS, THE PHYSICAL ENVIRONMENT, AND HEALTH BEHAVIORS. IN ADDITION, WE RECOGNIZE THAT THERE ARE OFTEN GEOGRAPHIC AREAS WHERE THE CONDITIONS FOR SUPPORTING HEALTH ARE POORER THAN NEARBY AREAS. WHENEVER POSSIBLE AND RELIABLE, DATA ARE REPORTED AT CENSUS TRACT LEVEL. THESE SMALLER GEOGRAPHIC AREAS ALLOW US TO BETTER UNDERSTAND THE NEIGHBORHOOD LEVEL NEEDS OF OUR COMMUNITIES AND BETTER ADDRESS INEQUITIES WITHIN AND ACROSS COMMUNITIES.COMMUNITY INPUT:TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, REPRESENTATIVES FROM SANTA ROSA MEMORIAL HOSPITAL CONDUCTED 14 KEY INFORMANT INTERVIEWS WITH REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS AND IN PARTNERSHIP WITH ON THE MARGINS, LLC, CONDUCTED 3 LISTENING SESSIONS WITH COMMUNITY MEMBERS. ADDITIONALLY, REPRESENTATIVES FROM COMMUNITY HEALTH INVESTMENT CONDUCTED ONE PROVIDENCE CAREGIVER LISTENING SESSION. DURING THESE INTERVIEWS AND LISTENING SESSIONS, COMMUNITY MEMBERS AND NONPROFIT AND GOVERNMENT KEY INFORMANTS DISCUSSED THE ISSUES AND OPPORTUNITIES OF THE PEOPLE, NEIGHBORHOODS, AND CITIES OF THE SERVICE AREA. BELOW IS A HIGH-LEVEL SUMMARY OF THE FINDINGS OF THESE SESSIONS.NONPROFIT AND GOVERNMENT STAKEHOLDER INTERVIEWS:A TOTAL OF 14 KEY INFORMANT INTERVIEWS WERE COMPLETED BY REPRESENTATIVES FROM SANTA ROSA MEMORIAL AND PETALUMA VALLEY HOSPITALS. KEY INFORMANTS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WHO HAVE LOW INCOMES, HAVE CHRONIC CONDITIONS, AND/OR ARE MEDICALLY UNDERSERVED. SANTA ROSA MEMORIAL AND PETALUMA VALLEY HOSPITALS AIMED TO ENGAGE STAKEHOLDERS FROM SOCIAL SERVICE AGENCIES, HEALTH CARE, EDUCATION, HOUSING, AND GOVERNMENT, AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES. INCLUDED IN THE INTERVIEWS WAS A REPRESENTATIVE FROM THE SONOMA COUNTY HUMAN SERVICES DEPARTMENT.KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH:- KT SWAN, PROGRAM DIRECTOR FOR BUCKELEW PROGRAMS (BEHAVIORAL HEALTH)- STEPHANIE MERRIDA-GRANT, ASSISTANT DIRECTOR OF OUTREACH AND ENGAGEMENT FOR CATHOLIC CHARITIES OF SANTA ROSA (SOCIAL SERVICES, HOMELESS SERVICES)- CHRIS CABRAL, CHIEF EXECUTIVE OFFICER FOR COMMITTEE ON THE SHELTERLESS (SOCIAL SERVICES)- KISMET BALDWIN SANTANA MD, INTERIM HEALTH OFFICER FOR COUNTY OF SONOMA PUBLIC HEALTH (PUBLIC HEALTH)- JEN KLOSE, EXECUTIVE DIRECTOR FOR GENERATION HOUSING (AFFORDABLE HOUSING)- KIMBERLY BENDER, EXECUTIVE DIRECTOR FOR HEALTHCARE FOUNDATION OF NORTHERN SONOMA COUNTY (PHILANTHROPY, HEALTHCARE)- STEPHANIE MANIERI, EXECUTIVE DIRECTOR FOR LATINO SERVICE PROVIDERS (SOCIAL SERVICES)- TASHA BOLLINGER, MEDICAL PARTNERSHIP ATTORNEY FOR LEGAL AID OF SONOMA COUNTY (SOCIAL SERVICES)- ESTHER LEMUS, SUPERIVISING ATTORNEY FOR LEGAL AID OF SONOMA COUNTY (SOCIAL SERVICES)- MICHELINE WHITE, EXECUTIVE DIRECTOR FOR MENDONOMA HEALTH ALLIANCE (HEALTHCARE, SOCIAL SERVICES)- ANNIE NICOL, DIRECTOR OF HEALTH SERVICES FOR PETALUMA HEALTH CENTER (HEALTHCARE)- RAMONA FAITH, CHIEF EXECUTIVE OFFICER FOR PETALUMA HEALTHCARE DISTRICT (SOCIAL SERVICES)- ELECE HEMPEL, SECRETARY FOR PETALUMA HEALTHCARE DISTRICT (SOCIAL SERVICES)- TROY GIDEON, CHIEF ADMINISTRATIVE OFFICER FOR PROVIDENCE PETALUMA VALLEY AND HEALDSBURG HOSPITAL- CHUCK KASSIS, CHIEF EXECUTIVE FOR PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL- MARGARET SLUYK, CHIEF EXECUTIVE OFFICER FOR REACH FOR HOME (SOCIAL SERVICES)MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS BEING REPRESENTED BY ORGANIZATIONS OR INDIVIDUALS THAT PROVIDED INPUT:- LATINX- INDIGENOUS/NATIVE AMERICAN- BBIPOC- INDIVIDUALS EXPERIENCING HOMELESSNESS (OR AT-RISK)- INDIVIDUALS EXPERIENCING BEHAVIORAL HEALTH ISSUES- OLDER ADULTSDATA LIMITATIONS AND INFORMATION GAPS:WHILE CARE WAS TAKEN TO SELECT AND GATHER DATA THAT WOULD TELL THE STORY OF THE HOSPITAL'S SERVICE AREA, IT IS IMPORTANT TO RECOGNIZE THE LIMITATIONS AND GAPS IN INFORMATION THAT NATURALLY OCCUR, INCLUDING THE FOLLOWING:- NOT ALL DESIRED DATA WERE READILY AVAILABLE, SO SOMETIMES WE HAD TO RELY ON TANGENTIAL OR PROXY MEASURES OR NOT HAVE ANY DATA AT ALL. FOR EXAMPLE, THERE IS LITTLE COMMUNITY-LEVEL DATA ON THE INCIDENCE OF MENTAL HEALTH OR SUBSTANCE USE.- WHILE MOST INDICATORS ARE RELATIVELY CONSISTENT FROM YEAR TO YEAR, OTHER INDICATORS ARE CHANGING QUICKLY (SUCH AS PERCENTAGE OF PEOPLE UNINSURED) AND THE MOST RECENT DATA AVAILABLE ARE NOT A GOOD REFLECTION OF THE CURRENT STATE.- REPORTING DATA AT THE COUNTY LEVEL CAN MASK INEQUITIES WITHIN COMMUNITIES. THIS CAN ALSO BE TRUE WHEN REPORTING DATA BY RACE, WHICH CAN MASK WHAT IS HAPPENING WITHIN RACIAL AND ETHNIC SUBGROUPS. THEREFORE, WHEN APPROPRIATE AND AVAILABLE, WE DISAGGREGATED THE DATA BY GEOGRAPHY AND RACE.- DATA GATHERED THROUGH INTERVIEWS AND SURVEYS MAY BE BIASED DEPENDING ON WHO IS WILLING TO RESPOND TO THE QUESTIONS AND WHETHER THEY ARE REPRESENTATIVE OF THE POPULATION AS A WHOLE.- THE ACCURACY OF DATA GATHERED THROUGH INTERVIEWS AND SURVEYS DEPENDS ON HOW CONSISTENTLY THE QUESTIONS ARE INTERPRETED ACROSS ALL RESPONDENTS AND HOW HONEST PEOPLE ARE IN PROVIDING THEIR ANSWERS.REDWOOD MEMORIAL HOSPITAL (3) AND ST. JOSEPH HOSPITAL OF EUREKA (4)THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS AN IMPORTANT TOOL WE USE TO BETTER UNDERSTAND HEALTH DISPARITIES AND INEQUITIES WITHIN THE COMMUNITIES WE SERVE, AS WELL AS THE COMMUNITY STRENGTHS AND ASSETS.THE EQUITY FRAMEWORK IS FOUNDATIONAL TO OUR OVERALL CHNA FRAMEWORK, A MODIFIED VERSION OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). THE MODIFIED MAPP FRAMEWORK TAKES A MIXED-METHODS APPROACH TO PRIORITIZE HEALTH NEEDS, CONSIDERING POPULATION HEALTH DATA, COMMUNITY INPUT, INTERNAL UTILIZATION DATA, COMMUNITY STRENGTHS AND ASSETS, AND A PRIORITIZATION PROTOCOL.IN GATHERING INFORMATION ON THE COMMUNITIES SERVED BY THE HOSPITAL, WE LOOKED NOT ONLY AT THE HEALTH CONDITIONS OF THE POPULATION, BUT ALSO AT SOCIOECONOMIC FACTORS, THE PHYSICAL ENVIRONMENT, AND HEALTH BEHAVIORS. IN ADDITION, WE RECOGNIZE THAT THERE ARE OFTEN GEOGRAPHIC AREAS WHERE THE CONDITIONS FOR SUPPORTING HEALTH ARE POORER THAN NEARBY AREAS. WHENEVER POSSIBLE AND RELIABLE, DATA ARE REPORTED AT CENSUS TRACT LEVEL. THESE SMALLER GEOGRAPHIC AREAS ALLOW US TO BETTER UNDERSTAND THE NEIGHBORHOOD LEVEL NEEDS OF OUR COMMUNITIES AND BETTER ADDRESS INEQUITIES WITHIN AND ACROSS COMMUNITIES.COMMUNITY INPUT:TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, REPRESENTATIVES FROM ST. JOSEPH AND REDWOOD MEMORIAL HOSPITALS CONDUCTED 13 KEY INFORMANT INTERVIEWS WITH REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS, 7 LISTENING SESSIONS WITH COMMUNITY MEMBERS, AND 3 LISTENING SESSIONS WITH PROVIDENCE CAREGIVERS WHO WORK DIRECTLY WITH UNDERSERVED POPULATIONS IN THE COMMUNITY. ALL COMMUNITY INPUT WAS COLLECTED BETWEEN MARCH AND MAY 2023.NONPROFIT AND GOVERNMENT STAKEHOLDER INTERVIEWS:A TOTAL OF 10 KEY INFORMANT INTERVIEWS WERE COMPLETED BY REPRESENTATIVES FROM ST. JOSEPH AND REDWOOD MEMORIAL HOSPITALS. KEY INFORMANTS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WHO HAVE LOW INCOMES, HAVE CHRONIC CONDITIONS, AND/OR ARE MEDICALLY UNDERSERVED. ST. JOSEPH AND REDWOOD MEMORIAL HOSPITALS AIMED TO ENGAGE STAKEHOLDERS FROM SOCIAL SERVICE AGENCIES, HEALTH CARE, EDUCATION, HOUSING, AND GOVERNMENT, AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES. INCLUDED IN THE INTERVIEWS WAS A REPRESENTATIVE FROM THE HUMBOLDT COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES.
SJHNC, LLC (GROUP A - 1, 3 & 4) PART V, SECTION B, LINE 6A:	SANTA ROSA MEMORIAL HOSPITAL (1)MANY LOCAL GOVERNMENT AGENCIES AND NOT-FOR-PROFIT ORGANIZATIONS COLLABORATED WITH ST. JOSEPH HEALTH IN THE CHNA PROCESS. AMONG THESE ARE THE HOSPITAL FACILITIES:- SUTTER HEALTH- KAISER PERMANENTE- SONOMA WEST MEDICAL CENTERREDWOOD MEMORIAL HOSPITAL (3) AND ST. JOSEPH HOSPITAL OF EUREKA (4)ST. JOSEPH HOSPITAL EUREKA CONDUCTED THE CHNA IN PARTNERSHIP WITH REDWOOD MEMORIAL HOSPITAL.
SJHNC, LLC (GROUP A - 1, 3 & 4) PART V, SECTION B, LINE 6B:	SANTA ROSA MEMORIAL HOSPITAL (1)MANY LOCAL GOVERNMENT AGENCIES AND NOT-FOR-PROFIT ORGANIZATIONS COLLABORATED WITH ST. JOSEPH HEALTH IN THE CHNA PROCESS. AMONG THESE ARE THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:- SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES- SONOMA COUNTY DEPARTMENT OF PUBLIC HEALTH- BURBANK HOUSING- BUCKELEW PROGRAMS- PETALUMA PEOPLE SERVICES CENTER- WEST COUNTY HEALTH CENTERS- HEALTHY PETALUMA- PETALUMA HEALTH CENTER- ALLIANCE MEDICAL CENTER- LATINO SERVICE PROVIDERS- CATHOLIC CHARITIES OF THE DIOCESE OF SANTA ROSA- COMMITTEE ON THE SHELTERLESS- GENERATION HOUSING- LEGAL AID OF SONOMA COUNTY- MENDONOMA HEALTH ALLIANCE- REACH FOR HOME- ON THE MARGINSREDWOOD MEMORIAL HOSPITAL (3) AND ST. JOSEPH HOSPITAL OF EUREKA (4)SEVERAL PEOPLE AND ENTITIES COLLABORATED TO MAKE THIS CHNA POSSIBLE. THE DATA ANALYTICS TEAM FROM PROVIDENCE ORGANIZED DATA AND CREATED THE HUMBOLDT COUNTY DATA HUB THAT ALLOWED VISUALIZATION OF DATA ON CENSUS-TRACT MAPS.THE PROVIDENCE COMMUNITY RESOURCE CENTERS HELD COMMUNITY LISTENING SESSIONS WITH THE COMMUNITY MEMBERS THEY SERVE, AND WE ARE GRATEFUL FOR THE LEADERSHIP OF THE COORDINATORS AT THESE CENTERS WHO MADE THESE LISTENING SESSIONS HAPPEN. THE PASO A PASO PROGRAM HOSTED A COMMUNITY LISTENING SESSION AT THE LOLETA COMMUNITY RESOURCE CENTER THAT WAS WELL ATTENDED AND LIVELY. BEING A TRUSTED PROGRAM WITH DECADES OF EXPERIENCE SERVING THE HISPANIC/LATINO COMMUNITY IN HUMBOLDT COUNTY, PASO A PASO WAS ABLE TO LEAN ON RELATIONSHIPS TO CREATE A SAFE SPACE FOR A ROBUST AND LIVELY CONVERSATION ON HEALTH, WELLBEING, AND COMMUNITY NEEDS.WE CONTINUE TO PARTNER CLOSELY WITH THE COUNTY OF HUMBOLDT PUBLIC HEALTH DEPARTMENT AND ALIGN WITH LIVE WELL HUMBOLDT, WHICH IS A NETWORK OF COMMUNITY HEALTH IMPROVEMENT COLLABORATORS COMMITTED TO TAKING ACTIONS TO IMPROVE HEALTH AND WELLBEING.THERE WERE SEVERAL KEY INFORMANTS REPRESENTING MULTIPLE LOCAL NON-PROFIT ORGANIZATIONS, EDUCATIONAL INSTITUTIONS, OR GOVERNMENT AGENCIES, THAT WERE GENEROUS WITH THEIR TIME AND ALLOWED OUR COMMUNITY HEALTH NEEDS ASSESSMENT TEAM TO INTERVIEW THEM. THANK YOU TO ALL THOSE WHO CONTRIBUTED THEIR TIME AND EXPERTISE. A COMPLETE LIST OF KEY INFORMANTS CAN BE FOUND IN THE APPENDIX.HEARTFELT GRATITUDE IS EXTENDED TO THE CAREGIVERS THAT WORK IN THE COMMUNITY HEALTH INVESTMENT DIVISION OF PROVIDENCE ST. JOSEPH AND REDWOOD MEMORIAL HOSPITALS. THESE CAREGIVERS SHARED THEIR EXPERIENCES AND EXPERTISE BUILT FROM YEARS OF WORKING WITH UNDERSERVED COMMUNITIES. THEIR INSIGHTS INTO THE STRENGTHS OF THE COMMUNITIES THEY SERVE AND THEIR IDENTIFICATION OF UNMET NEEDS, IS VALUABLE.AND FINALLY, THIS CHNA WOULD NOT BE POSSIBLE WITHOUT THE GENEROUS, HONEST, AND INSIGHTFUL CONTRIBUTIONS OF THE COMMUNITY MEMBERS THAT PARTICIPATED IN LISTENING SESSIONS. WE ARE FOREVER GRATEFUL FOR THE CANDID CONVERSATIONS AND SHARING THE THINGS THAT HAVE MOST IMPACTED HEALTH AND WELLBEING IN YOUR LIVES AND THE LIVES OF FAMILIES, FRIENDS, AND NEIGHBORS.
SJHNC, LLC (GROUP A - 1, 3 & 4) PART V, SECTION B, LINE 11:	SANTA ROSA MEMORIAL HOSPITAL (1)THE 2023 COMMUNITY HEALTH NEEDS PRIORITIZED NEEDS ARE LISTED BELOW:1) BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER2) HOMELESSNESS AND HOUSING INSTABILITY3) ACCESS TO HEALTH CARE AND DENTAL SERVICES4) AGING ISSUESBEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERPUBLICLY AVAILABLE DATA ALONG WITH PROVIDENCE HOSPITALIZATION DATA SHOW WORSENING TRENDS OF INDIVIDUALS EXPERIENCING A BEHAVIORAL HEALTH CRISIS, MANY OF WHOM ARE UTILIZING EMERGENCY ROOMS FOR CARE. SUBSTANCE USE DISORDER WAS IDENTIFIED AS THE LEADING BEHAVIORAL HEALTH DIAGNOSIS BEING TREATED AT SANTA ROSA MEMORIAL AND PETALUMA VALLEY HOSPITALS. KEY INFORMANTS, COMMUNITY MEMBERS AND CAREGIVERS ALL SHARED THAT LACK OF BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES WAS A MAJOR BARRIER IN SONOMA COUNTY. THE LACK OF BILINGUAL/BICULTURAL PROVIDERS AND THE ABSENCE OF MEDICAL DETOX WAS ALSO A COMMONLY VOICED NEED. DATA SHOWED PARTICULAR CONCERN FOR YOUTH.STRATEGIES TO ADDRESS BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER INCLUDE:- LEVERAGE PARTNERSHIPS BETWEEN THE MOBILE HEALTH CLINIC AND BEHAVIORAL HEALTH COMMUNITY-BASED ORGANIZATIONS- CONNECT PATIENTS TO MEDICATION-ASSISTED TREATMENT PROGRAMS THROUGH SUBSTANCE USE NAVIGATION- PROVIDE COMPREHENSIVE CASE MANAGEMENT TO HIGH-RISK AND SEVERE AND PERSISTENT MENTAL ILLNESS POPULATION THROUGH ENHANCED CARE MANAGEMENT (ECM)- ADMINISTER COUNTY-WIDE COMMUNITY GRANTS TO COMMUNITY BASED ORGANIZATIONS ADDRESSING BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERHOMELESS AND HOUSING INSTABILITYOVER 25% OF SONOMA COUNTY IS EXPERIENCING SEVERE HOUSE COST BURDEN, SPENDING 50% OR MORE OF THEIR HOUSEHOLD INCOME ON HOUSING. ADDITIONALLY, OVER 2800 INDIVIDUALS WERE FOUND TO BE EXPERIENCING HOMELESSNESS IN 2022. MOST KEY INFORMANTS IDENTIFIED THE NEED FOR ADDITIONAL PERMANENT SUPPORTIVE HOUSING, HOUSING ACCEPTING HOUSING VOUCHERS, AFFORDABLE HOUSING, AND SHELTER BEDS. OLDER ADULTS AND BBIPOC POPULATION EXPERIENCE ADDITIONAL BARRIERS TO HOUSING IN SONOMA COUNTY.STRATEGIES TO ADDRESS HOMELESSNESS AND HOUSING INSTABILITY INCLUDE:- INVEST IN THE MAINTENANCE AND EXPANSION OF EXISTING RECUPERATIVE BEDS AND SERVICES- PRIORITIZE FUNDING TOWARDS MAINTAINING OPERATIONAL EXPENSES AT ESTABLISHED PERMANENT SUPPORTIVE HOUSING (PSH) LOCATIONS FOR SUSTAINABILITY OF HOUSING UNITS- PROVIDE COMPREHENSIVE CASE MANAGEMENT TO UNHOUSED POPULATION THROUGH CARE NETWORK'S ENHANCED CARE MANAGEMENT PROGRAM- PROVIDE SUPPORT TO COMMUNITY BASED ORGANIZATIONS FOCUSED ON ADVOCATING FOR HOUSING INITIATIVES WITH THE GOAL OF INCREASING THE SUPPLY AND AFFORDABILITY OF HOMES IN SONOMA COUNTYACCESS TO HEALTH CARE AND DENTAL SERVICESFEWER PEOPLE SAW A PRIMARY CARE DOCTOR OR DENTIST OVER THE PAST YEAR IN 2022. THIS TREND COUPLED WITH QUALITATIVE DATA EXPRESSING LACK OF PRIMARY MEDICAL AND DENTAL PROVIDERS, HIGHLIGHTED LACK OF APPROPRIATE LEVEL OF HEALTH CARE ACCESS IN SONOMA COUNTY. EMERGENCY TRANSPORT TIMES WERE SOME OF THE LONGEST IN THE STATE OF CALIFORNIA IN NORTHERN SONOMA COUNTY. KEY INFORMANTS AND CAREGIVERS EXPRESSED THE NEED FOR EXTENDED HOURS, BILINGUAL/BICULTURAL PROVIDERS AND TRANSPORTATION OPTIONS TO BREAK DOWN ACCESS BARRIERS FOR OLDER ADULTS, PEOPLE EXPERIENCING HOMELESSNESS, AND AGRICULTURAL WORKERS. ACCESS WAS NOTED TO BE HIGHLY LINKED TO ECONOMIC INSECURITY.STRATEGIES TO ADDRESS ACCESS TO CARE INCLUDE:- ENGAGE HIGH-RISK INDIVIDUALS WITH CARE NETWORK'S COMPLEX CARE MANAGEMENT AND ENHANCED CARE MANAGEMENT TEAMS TO INCREASE ACCESS TO HEALTH CARE- PROVIDE COMMUNITY HEALTH WORKER SERVICES INCLUDING SCREENINGS, EDUCATION, NAVIGATION, AND ADVOCACY FOR BBIPOC AND VULNERABLE POPULATIONS- PROVIDE DENTAL CARE TO UN- AND UNDERINSURED PATIENTS THROUGH PROVIDENCE DENTAL CLINIC- PROVIDE PRIMARY CARE AND LINKAGES TO MEDICAL HOMES FOR UN- AND UNDERINSURED PATIENTS THROUGH PROVIDENCE MOBILE HEALTH CLINIC WITH THE GOAL OF REDUCING AVOIDABLE EMERGENCY DEPARTMENT VISITSAGING ISSUESTHERE IS A GROWING POPULATION OF OLDER ADULTS (OVER 60) IN SONOMA COUNTY WITHOUT ADEQUATE RESOURCES TO MEET THEIR NEEDS. OLDER ADULTS EXPERIENCING HOMELESSNESS AND HOUSING INSTABILITY AS WELL AS MENTAL HEALTH ISSUES DUE TO ISOLATION, IS ON THE RISE IN SONOMA COUNTY. A LACK OF PROVIDERS WITH EXPERIENCE SPECIFIC TO GERIATRIC CONDITIONS IS OF CONCERN.STRATEGIES TO ADDRESS AGING ISSUES INCLUDE:- SUPPORT COMMUNITY BASED ORGANIZATIONS THROUGH GRANTS AND PARTNERSHIPS TO INCREASE TRANSPORTATION ACCESS- SERVING SENIORS THROUGH DIRECT SERVICE PROGRAMS- PRIVATE DUTY CAREGIVING- ADMINISTER COMMUNITY GRANTS TO ADDRESS AGING ISSUESFULL DETAIL OF STRATEGIES TO ADDRESS COMMUNITY HEALTH NEEDS CAN FOUND IN THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) HERE: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSNEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM:NO SINGLE HOSPITAL FACILITY CAN FULLY ADDRESS ALL THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WHILE SANTA ROSA MEMORIAL EMPLOYS STRATEGIES TO ADDRESS EACH OF THE FOUR SIGNIFICANT HEALTH NEEDS THAT WERE PRIORITIZED DURING THE CHNA PROCESS, PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND GOVERNMENT AGENCIES ARE CRITICAL FOR ACHIEVING THE ESTABLISHED GOALS.SANTA ROSA MEMORIAL HOSPITAL COLLABORATED WITH COMMUNITY-BASED ORGANIZATIONS, FQHCS, AND A VARIETY OF LOCAL FAMILY RESOURCE CENTERS THAT ADDRESS THE COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS UNMET NEEDS. WE CONTINUED FUNDING OTHER LOCAL NONPROFIT ORGANIZATIONS THROUGH GRANTS FROM OUR CARE FOR THE POOR PROGRAM MANAGED BY THE SRMH COMMUNITY HEALTH INVESTMENT DEPARTMENT.
SJHNC, LLC (GROUP A - 1, 3 & 4) PART V, SECTION B, LINE 13H:	SANTA ROSA MEMORIAL HOSPITAL (1), REDWOOD MEMORIAL HOSPITAL (3) AND ST. JOSEPH HOSPITAL OF EUREKA (4):THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT.
SJHNC, LLC (GROUP A - 1, 3 & 4) 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.
SJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 7A:	CHNA WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSUNDER NORTHERN CALIFORNIA.
QUEEN OF THE VALLEY MEDICAL CENTER - PART V, SECTION B, LINE 7A:	CHNA WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSUNDER NORTHERN CALIFORNIA.SJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 9:SANTA ROSA MEMORIAL HOSPITAL (1)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 16, 2024, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).REDWOOD MEMORIAL HOSPITAL (3) & ST. JOSEPH HOSPITAL OF EUREKA (4)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 10, 2024, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).QUEEN OF THE VALLEY MEDICAL CENTER - PART V, SECTION B, LINE 9:THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 18, 2024, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).
SJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 10A:	IMPLEMENTATION STRATEGY WEBSITEHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSUNDER NORTHERN CALIFORNIA. QUEEN OF THE VALLEY MEDICAL CENTER - PART V, SECTION B, LINE 10A:IMPLEMENTATION STRATEGY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSUNDER NORTHERN CALIFORNIA.
SJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 5 (CONT):	CAREGIVER LISTENING SESSIONS:A TOTAL OF 3 LISTENING SESSIONS WERE COMPLETED WITH INTERNAL CAREGIVERS WHO REPRESENT THE NEEDS AND CHALLENGES OF THE CLIENTS THEY SERVE.KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH:- SOFIA PEREIRA, PUBLIC HEALTH DIRECTOR FOR COUNTY OF HUMBOLDT DHHS (PUBLIC HEALTH)- CHERYL CHURCHILL, EXECUTIVE DIRECTOR FOR HOUSING AUTHORITIES OF THE CITY OF EUREKA & THE COUNTY OF HUMBOLDT (HOUSING)- EMI BOTZLER-RODGERS LMFT, BEHAVIORAL HEALTH DIRECTOR FOR COUNTY OF HUMBOLDT, DHHS (BEHAVIORAL HEALTH)- ANTOINEETE MARTINEZ MD, FAMILY MEDICINE AND OBSTETRICS PHYSICIAN FOR UNITED INDIAN HEALTH SERVICES (INDIGENOUSE HEALTH CARE)- JASMINE GUERRA, EXECUTIVE DIRECTOR FOR HUMBOLDT AREA CENTER FOR HARM REDUCTION (HARM REDUCTION)- JEREMY CAMPBELL, EXECUTIVE DIRECTOR FOR WATERFRONT RECOVERY SERVICES (BEHAVIORAL HEALTH)- ELIZABETH ROSE-MARINI, COMMUNITY ENGAGEMENT AND PARTNERSHIPS COORDINATOR FOR EUREKA VA CLINIC (VETERANS' HEALTH CARE)- LEONARD LA FRANCE, POLICE COMMANDER FOR EUREKA POLICE DEPARTMENT (LAW ENFORCEMENT AND HOMELESS OUTREACH)- ANDREW RIX, MANAGER FOR WORKFORCE AND ECONOMIC DEVELOPMENT CAL POLY HUMBOLDT (ECONOMIC DEVELOPMENT)- SEAN GARDNER, GRADUATE STUDENT FOR SCHOOL OF PSYCHOLOGY AT CAL POLY HUMBOLDT (EDUCATION AND MENTAL HEALTH)- TERESA GARCIA-RODRIGUEZ, ADRIANNA RODRIGUEZ-TORRES AND ANGEL MARTINEZ, LATINO HEALTH COORDINATORS FOR OPEN DOOR COMMUNITY HEALTH CENTERS (HEALTH CARE)- STEPHANIE BRITTAIN, HEALTH COORDINATOR FOR NORTH COAST CHILDREN'S SERVICES (CHILD DEVELOPMENT)- BRENDA PEREZ, EXECUTIVE DIRECTOR FOR CENTRO DEL PUEBLO (IMMIGRANT RIGHTS) MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS REPRESENTED BY ORGANIZATIONS OR INDIVIDUALS PROVIDING INPUT:- SENIORS, ELDERS- FAMILIES WITH CHILDREN- LATINX POPULATION- NATIVE AMERICAN/INDIGENOUS POPULATIONS- VETERANS- HOUSING SHELTER PARTICIPANTS- INDIVIDUALS EXPERIENCING HOMELESSNESS- INDIVIDUALS EXPERIENCING BEHAVIORAL HEALTH ISSUESDATA LIMITATIONS AND INFORMATION GAPS:WHILE CARE WAS TAKEN TO SELECT AND GATHER DATA THAT WOULD TELL THE STORY OF THE HOSPITAL'S SERVICE AREA, IT IS IMPORTANT TO RECOGNIZE THE LIMITATIONS AND GAPS IN INFORMATION THAT NATURALLY OCCUR, INCLUDING THE FOLLOWING:- NOT ALL DESIRED DATA WERE READILY AVAILABLE, SO SOMETIMES WE HAD TO RELY ON TANGENTIAL OR PROXY MEASURES OR NOT HAVE ANY DATA AT ALL. FOR EXAMPLE, THERE IS LITTLE COMMUNITY-LEVEL DATA ON THE INCIDENCE OF MENTAL HEALTH OR SUBSTANCE USE.- WHILE MOST INDICATORS ARE RELATIVELY CONSISTENT FROM YEAR TO YEAR, OTHER INDICATORS ARE CHANGING QUICKLY (SUCH AS PERCENTAGE OF PEOPLE UNINSURED) AND THE MOST RECENT DATA AVAILABLE ARE NOT A GOOD REFLECTION OF THE CURRENT STATE.- REPORTING DATA AT THE COUNTY LEVEL CAN MASK INEQUITIES WITHIN COMMUNITIES. THIS CAN ALSO BE TRUE WHEN REPORTING DATA BY RACE, WHICH CAN MASK WHAT IS HAPPENING WITHIN RACIAL AND ETHNIC SUBGROUPS. THEREFORE, WHEN APPROPRIATE AND AVAILABLE, WE DISAGGREGATED THE DATA BY GEOGRAPHY AND RACE.- DATA THAT ARE GATHERED THROUGH INTERVIEWS AND SURVEYS MAY BE BIASED DEPENDING ON WHO IS WILLING TO RESPOND TO THE QUESTIONS AND WHETHER THEY ARE REPRESENTATIVE OF THE POPULATION AS A WHOLE.- THE ACCURACY OF DATA GATHERED THROUGH INTERVIEWS AND SURVEYS DEPENDS ON HOW CONSISTENTLY THE QUESTIONS ARE INTERPRETED ACROSS ALL RESPONDENTS AND HOW HONEST PEOPLE ARE IN PROVIDING THEIR ANSWERS.
SJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 11 (CONT):	WITH RESPECT TO SOME OF THE OTHER NEEDS IDENTIFIED IN THE CHNA PROCESS THAT WERE NOT PRIORITIZED FOR ACTION THROUGH THIS PLAN, WE INTEND TO REMAIN ENGAGED IN ADDRESSING ORAL HEALTH NEEDS THROUGH OUR ONGOING COMMUNITY DENTAL CLINIC AND MOBILE DENTAL CLINIC. AND WHILE FOOD AND NUTRITION IS NOT TO BE DIRECTLY ADDRESSED BY OUR OWN PROGRAMMING, WE ANTICIPATE THAT OUR ONGOING SUPPORT OF LOCAL INITIATIVES AND ORGANIZATIONS INVOLVED IN MEDICALLY TAILORED AND HOME-DELIVERED MEALS FOR THE MOST VULNERABLE WILL INCLUDE A CONSIDERATION AND INCLUSION OF STRATEGIES TO ADDRESS THIS NEED. CHI CONTINUED TO SUPPORT A CONTRACT WITH A PRIVATE DUTY CARE GIVING AGENCY FOR PATIENTS WHO ARE AT-RISK OR UNABLE TO RECEIVE GOVERNMENT FUNDED CAREGIVING.REDWOOD MEMORIAL HOSPITAL (3) AND ST. JOSEPH HOSPITAL OF EUREKA (4)COMMUNITY HEALTH NEEDS PRIORITIZED:1) HOMELESSNESS & HOUSING INSTABILITY2) BEHAVIORAL HEALTH & ACCESS TO CARE3) ACCESS TO HEALTH CARE SERVICES4) FOOD INSECURITYHOMELESSNESS & HOUSING INSTABILITYKEY INFORMANTS, PROVIDENCE CAREGIVERS, AND COMMUNITY MEMBERS IDENTIFIED HOUSING AS A BASIC NEED AND NAMED IT AS THE NUMBER ONE SOCIAL DETERMINANT OF HEALTH. THEY IDENTIFIED A NEED FOR MORE AFFORDABLE HOUSING ACROSS THE SPECTRUM, INCLUDING SUPPORTIVE HOUSING AND TRANSITIONAL HOUSING. THERE IS ALSO A NEED FOR MORE SUPPORT FOR PEOPLE EXPERIENCING HOMELESSNESS. EQUITABLE AND INCLUSIVE HOUSING WAS EXPLICITLY PRIORITIZED.KEY INFORMANTS NOTED FINDING STABLE, AFFORDABLE HOUSING FOR THE FOLLOWING POPULATIONS CAN BE MORE DIFFICULT: FAMILIES WITH CHILDREN, PEOPLE WITH MENTAL HEALTH CHALLENGES, AND PEOPLE WITH A SUBSTANCE USE DISORDER. CAREGIVERS NOTED THAT MOLD AND SUB-STANDARD HOUSING CONDITIONS CONTRIBUTE TO UNHEALTHY AND UNSAFE LIVING CONDITIONS.STRATEGIES TO ADDRESS HOMELESSNESS AND HOUSING INSTABILTY INCLUDE:- MAINTAIN PERMANENT SUPPORTIVE HOUSING PROJECTS PREVIOUSLY ESTABLISHED; PROVIDE SUPPORTIVE SERVICES TO TENANTS- INVEST IN RESPITE AND RECUPERATIVE CARE BEDS COUPLED WITH COMPLEX CARE MANAGEMENT SERVICES- SUPPORT PROGRAMS AND INTERVENTIONS INTENDED TO SERVE THOSE WHO ARE HOMELESS AND PREVENT HOMELESSNESS AMONGST THOSE AT-RISK OF LOSING THEIR HOMES- SUPPORT LOCAL HOMELESS SERVICES PROVIDERS THORUGH GRANTS AND PARTNERSHIPSBEHAVIORAL HEALTH & ACCESS TO CAREMOST KEY INFORMANTS, CAREGIVERS, AND COMMUNITY MEMBERS SPOKE TO A LACK OF BEHAVIORAL HEALTH SERVICES TO MEET NEEDS ACROSS THE CONTINUUM OF CARE, CITING A NEED FOR LOCAL RESIDENTIAL TREATMENT CENTERS, CRISIS SERVICES, LOW-BARRIER SUBSTANCE USE DISORDER (SUD) TREATMENT PROGRAMS, AND MENTAL HEALTH SERVICES IN GENERAL. COMMUNITY MEMBERS AND CAREGIVERS SPOKE TO A NEED FOR MORE MENTAL HEALTH SERVICES AND SUPPORT GROUPS IN SPANISH SPECIFICALLY. EQUITABLE AND INCLUSIVE ACCESS TO BEHAVIORAL HEALTH CARE AND SERVICES WAS EXPLICITLY PRIORITIZED. ALL GROUPS WERE PARTICULARLY CONCERNED ABOUT INCREASED DEPRESSION AND ANXIETY FOR YOUNG PEOPLE, AND MANY SPOKE TO THE IMPORTANCE OF ADDRESSING ADVERSE CHILDHOOD EXPERIENCES (ACES). KEY INFORMANTS NOTED SEEING AN INCREASE IN ALCOHOL USE, SUD, DOMESTIC VIOLENCE, DEATH BY SUICIDE, ISOLATION, OVERDOSES, AND DISTRESS SINCE THE START OF THE PANDEMIC.STRATEGIES TO ADDRESS BEHAVIORAL HEALTH INCLUDE:- CULTURALLY AND LINGUISTICALLY APPROPRIATE PRIMARY PREVENTION CLASSES AND EVENTS AS WELL AS PSYCHOTHERAPY FOR MILD TO MODERATE BEHAVIORAL HEALTH NEEDS- INCREASE ACCESS TO MEDICATION ASSISTED TREATMENT FOR EMERGENCY ROOM PATIENTS VIA THE SUBSTANCE USE NAVIGATOR AND BEHAVIORAL HEALTH NAVIGATOR- PROVIDE COMPREHENSIVE, COMMUNITY BASED INTENSIVE, CASE MANAGEMENT FOR PRIORITY POPULATIONS- MAINTAIN SUPPORT FOR PLACE-BASED COMMUNITY RESOURCE CENTERS IN RURAL POCKETS OF HUMBOLDT COUNTY TO PREVENT SOCIAL ISOLATION AND PROMOTE FAMILY AND COMMUNITY STRENGHTENING- INCREASE LOCAL CAPACITY TO PROVIDE CULTURALLY APPROPRIATE MENTAL HEALTH AND SUD SERVICES WHEN NEEDED (FROM PREVENTION TO CRISIS INTERVENTION)ACCESS TO HEALTH CARE SERVICESCOMMUNITY MEMBERS, CAREGIVERS, AND KEY INFORMANTS EMPHASIZED ACCESSING PRIMARY CARE AND SPECIALTY CARE IS DIFFICULT IN HUMBOLDT COUNTY FOR MANY PEOPLE. LOCAL PRIMARY CARE CLINICS HAVE LIMITED AVAILABILITY AND MANY PATIENTS DRIVE OUT OF HUMBOLDT TO ACCESS PRIMARY AND SPECIALTY CARE. TRANSPORTATION IS A SIGNIFICANT AND PERSISTENT BARRIER TO CARE. MANY PEOPLE LACK SUFFICIENT FUNDS TO TRAVEL OUT OF THE COUNTY TO ACCESS CARE. TO ADDRESS BARRIERS TO CARE, CAREGIVERS SHARED A NEED FOR MORE CULTURALLY MATCHED PROVIDERS, CASE MANAGEMENT, MEDICATION MANAGEMENT, AND WARM HANDOFFS. MANY PROGRAMS THAT PROVIDE SUPPORT HAVE WAITLISTS. EQUITABLE AND INCLUSIVE ACCESS TO CARE WAS EXPLICITLY PRIORITIZED. THERE IS A NEED FOR MORE BILINGUAL, SPANISH-SPEAKING, HEALTH CARE PROVIDERS AND BLACK, BROWN, INDIGENOUS, AND PERSONS OF COLOR (BBIPOC) PROVIDERS. ADDITIONALLY, DENTAL CARE WAS HIGHLIGHTED AS A MAJOR AND FRUSTRATING CHALLENGE FOR MANY PEOPLE IN HUMBOLDT COUNTY, WITH FEW LOCAL DENTAL PROVIDERS AND DIFFICULTY AFFORDING AND ACCESSING SERVICES. THE COSTS AND TIME ASSOCIATED WITH TRAVEL OUT OF THE AREA IS BURDENSOME.STRATEGIES TO ADDRESS ACCESS TO CARE INCLUDE:- INCREASE ACCESS TO CANCER CARE AT ST. JOSEPH HOSPITAL BY PROVIDING TEMPORARY LODGING, TRANSPORTATION ASSISTANCE AND OTHER SUPPORTIVE SERVICES- IMPROVE ACCESS TO FOLLOW UP CARE AND SDOH SUPPORTS FOR PATIENTS RECENTLY DISCHARGED FROM THE HOSPITAL WITH CRHONIC HEALTH CONDITIONS- IMPROVE BIRTH EQUITY FOR PRIORITY POPULATIONS VIA MULTIPLE STRATEGIES INCLUDING INCREASE THE CAPACITY OF INDIGENOUS DOULAS- CONTINUE TO SUPPORT PROGRAMS THAT DEPLOY COMMUNITY HEALTH WORKERS, NAVIGATORS AND SOCIAL WORKERS TO PROVIDE ENROLLMENT, NAVIGATION, CARE COORDINATION SERVICES AND TRANSPORTATION- INCREASE ACCESS TO SPECIALTY CARE AND PROCEDURES FOR UNINSURED- CONTINUE TO SUPPORT ACCESS TO DENTAL CARE IN HUMBOLDT COUNTY; INCLUDES PREVENTIONFOOD INSECURITYKEY INFORMANTS HIGHLIGHTED FOOD INSECURITY AS A KEY NEED AND SIGNIFICANT IN MANY PARTS OF HUMBOLDT COUNTY. KEY INFORMANTS AND CAREGIVERS NOTED MORE RURAL OR ISOLATED PARTS OF THE COUNTY DO NOT HAVE ACCESS TO AFFORDABLE, HEALTHY FOOD OPTIONS. PEOPLE MAY HAVE TO USE THEIR CALFRESH BENEFITS TO BUY FOOD AT GAS STATIONS. COMMUNITY MEMBERS WOULD LIKE TO SEE MORE FOOD RESOURCES AND PANTRIES, PARTICULARLY IN COMMUNITIES BESIDES EUREKA. FOOD PROGRAMS FOR FAMILIES WITH CHILDREN OVER FIVE YEARS IS ALSO NEEDED. EQUITABLE AND INCLUSIVE ACCESS TO HIGH QUALITY FOOD WAS EXPLICITLY PRIORITIZED.STRATEGIES TO ADDRESS FOOD INSECURITY INCLUDE:- OPERATE FOOD PANTRIES AND FOOD PROGRAMS IN ISOLATED COMMUNITIES IN PARTNERSHIP WITH FOOD FOR PEOPLE- SUPPORT AND BUILD CAPACITY IN LOCAL FOOD SECURITY PROGRAMS- SUPPORT AND BUILD CAPACITY FOR LOCAL SCHOOL FARMS AND COMMUNITY GARDENS THAT EMPHASIZE FOOD SOVEREIGNTY AND CULTURALLY RELEVANT FOODSFULL DETAIL OF STRATEGIES TO ADDRESS COMMUNITY HEALTH NEEDS CAN FOUND IN THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) HERE: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSNEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN FULLY ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WHILE ST. JOSEPH HOSPITAL WILL EMPLOY STRATEGIES TO ADDRESS EACH OF THE FOUR SIGNIFICANT HEALTH NEEDS THAT WERE PRIORITIZED DURING THE CHNA PROCESS, PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND GOVERNMENT AGENCIES ARE CRITICAL FOR ACHIEVING THE ESTABLISHED GOALS.ST. JOSEPH HOSPITAL WILL COLLABORATE WITH OPEN DOOR COMMUNITY HEALTH CENTERS, THE PUBLIC HEALTH DEPARTMENT, HUMBOLDT STATE UNIVERSITY, THE HUMBOLDT NETWORK OF FAMILY RESOURCE CENTERS, LOCAL PHILANTHROPY, AND OTHERS TO ADDRESS THE COMMUNITY NEEDS AND COORDINATE CARE AND REFERRALS TO ADDRESS UNMET NEEDS.FURTHERMORE, REDWOOD MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL WILL ENDORSE LOCAL NON-PROFIT ORGANIZATION PARTNERS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT REDWOOD MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL SERVICE AREAS.
SJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 11 (CONT):	THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW:WHILE WE COULD NOT PRIORITIZE ALL OF THE NEEDS IDENTIFIED, WE WILL BE ABLE TO AFFECT MANY OF THE NEEDS BY WORKING ON ROOT CAUSE. FOR EXAMPLE, HEART DISEASE IS NOT A PRIORITY NEED, BUT WE WILL IMPACT THIS HEALTH OUTCOME BY FOCUSING OUR EFFORTS ON PROMOTING GOOD NUTRITION AND FOOD SECURITY. DENTAL CARE IS NOT A PRIORITIZED NEED BUT REDWOOD MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL IS COMMITTED TO WORKING WITH PARTNERS ON THE MULTI-YEAR DENTAL TRANSFORMATION GRANT OUR PUBLIC HEALTH DEPARTMENT RECEIVED FROM THE CA DEPARTMENT OF HEALTH CARE SERVICES. ADDITIONALLY, REDWOOD MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL DOES NOT HAVE A PROGRAM IN PLACE TO DIRECTLY PREVENT ASTHMA OCCURRENCE IN OUR SERVICE AREA; HOWEVER, WE PARTNER WITH SEVERAL ENTITIES, INCLUDING THE PUBLIC HEALTH DEPARTMENT THAT DO ADDRESS ASTHMA PREVENTION. FURTHERMORE, OUR EFFORTS TO IMPROVE THE QUALITY OF HOUSING IN OUR SERVICE HAS THE POTENTIAL TO IMPACT ASTHMA OCCURRENCE.IN ADDITION, REDWOOD MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL WILL COLLABORATE WITH LOCAL ORGANIZATION(S) THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL AND ADDRESS THESE UNMET NEEDS.
SJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 16A:	FINANCIAL ASSISTANCE POLICY HTTPS://WWW.PROVIDENCE.ORG/OBP/NORCAL/FINANCIAL-ASSISTANCEQUEEN OF THE VALLEY MEDICAL CENTER - PART V, SECTION B, LINE 16A:FINANCIAL ASSISTANCE POLICY HTTPS://WWW.PROVIDENCE.ORG/OBP/NORCAL/FINANCIAL-ASSISTANCESJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 16B:FINANCIAL ASSISTANCE APPLICATION HTTPS://WWW.PROVIDENCE.ORG/OBP/NORCAL/FINANCIAL-ASSISTANCEQUEEN OF THE VALLEY MEDICAL CENTER - PART V, SECTION B, LINE 16B:FINANCIAL ASSISTANCE APPLICATION HTTPS://WWW.PROVIDENCE.ORG/OBP/NORCAL/FINANCIAL-ASSISTANCESJHNC, LLC (GROUP A - 1, 3 & 4) - PART V, SECTION B, LINE 16C:PLAIN LANGUAGE SUMMARY HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCEQUEEN OF THE VALLEY MEDICAL CENTER - PART V, SECTION B, LINE 16C:PLAIN LANGUAGE SUMMARY:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?4
Name and address		Type of Facility (describe)
1	1 - NKM - GASTROENTEROLOGY & RHEUMATOLOGY 2752 HARRISON AVE STE A2 EUREKA,CA95501	SPECIALTY CLINIC
2	2 - NQM - DENTAL 3488 VILLA LANE STE 102 NAPA,CA94558	SPECIALTY CLINIC
3	3 - NRM - ST JOSEPH HEALTH RURAL HEALTH CLIN 3302 RENNER DR FORTUNA,CA955407103	SPECIALTY CLINIC
4	4 - NSM - LAB 110 LYNCH CREEK WAY STE B PETALUMA,CA95401	SPECIALTY CLINIC
5
6
7
8
9
10

Schedule H (Form 990) 2023

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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:	SANTA ROSA MEMORIAL HOSPITALSANTA ROSA MEMORIAL HOSPITAL PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT:HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/NORCAL/SANTA-ROSA-MEMORIAL-HOSPITAL/COMMUNITY-SUPPORTREDWOOD MEMORIAL HOSPITALREDWOOD MEMORIAL HOSPITAL PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/NORCAL/REDWOOD-MEMORIAL/COMMUNITY-SUPPORTST. JOSEPH HOSPITAL OF EUREKAST. JOSEPH HOSPITAL OF EUREKA PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT:HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/NORCAL/ST-JOSEPH-HOSPITAL-EUREKA/COMMUNITY-SUPPORTQUEEN OF THE VALLEY MEDICAL CENTERQUEEN OF THE VALLEY MEDICAL CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE ATHTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/NORCAL/QUEEN-OF-THE-VALLEY/ABOUT-US/COMMUNITY-OUTREACH
PART I, LINE 7:	THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING WORKSHEET 2, 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:	COLLECTION ACTIVITYOUR 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 AND WHILE PENDING A FINAL DETERMINATION FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:	NEEDS ASSESSMENT:SANTA ROSA MEMORIAL HOSPITALTHROUGH A MIXED-METHODS APPROACH USING QUANTITATIVE AND QUALITATIVE DATA, OUR CHNA PROCESS USED SEVERAL SOURCES OF INFORMATION TO IDENTIFY COMMUNITY NEEDS. ACROSS SONOMA COUNTY, INFORMATION COLLECTED INCLUDES PUBLIC HEALTH DATA REGARDING HEALTH BEHAVIORS, MORBIDITY AND MORTALITY, AND HOSPITAL-LEVEL DATA. IN 2019, ST. JOSEPH HEALTH SONOMA PARTNERED WITH SUTTER HEALTH AND KAISER PERMANENTE TO GATHER DATA FROM LISTENING SESSIONS AND INTERVIEWS WITH DIVERSE, LOW-INCOME AND MEDICALLY UNDERSERVED COMMUNITIES IN SONOMA COUNTY. IN 2020, INDIVIDUAL STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE THESE POPULATIONS TO BETTER UNDERSTAND THE IMPACTS OF COVID-19 IN OUR COMMUNITIES. IN ADDITION, STAKEHOLDER PARTICIPATION IN HEALTH ACTION SONOMA COUNTY, A MULTISECTOR COLLABORATIVE, ENSURES ONGOING ASSESSMENT TO ADDRESS SIGNIFICANT NEEDS AS THEY ARISE THROUGHOUT THE YEAR.REDWOOD MEMORIAL HOSPITALIN ADDITION TO THE CHNA, ADDITIONAL COMMUNITY NEEDS EMERGE OVER TIME. TO ENSURE A CONTINUOUS CONNECTION TO EMERGING COMMUNITY NEEDS, REDWOOD MEMORIAL HOSPITAL, FORTUNA COMMUNITY BENEFIT STAFF ARE CORE MEMBERS OF MULTIPLE CROSS-SECTOR COLLABORATIVES INCLUDING AN ACCOUNTABLE COMMUNITY FOR HEALTH, COAD AND LIVE WELL HUMBOLDT (LWH). HUMBOLDT COUNTY PUBLIC HEALTH SERVES AS THE BACKBONE ORGANIZATION OF LWH, AND THIS PUBLIC AND PRIVATE SECTOR COLLABORATIVE CONSISTS OF OVER 20 AGENCIES. FRONTLINE CB CAREGIVERS ALSO PROVIDE ONGOING INFORMATION AND FEEDBACK ABOUT NEEDS THEIR CLIENTS FACE IN REAL TIME. THE ORGANIZATION ALSO PARTNERS WITH CAL POLY HUMBOLDT, COLLEGE OF THE REDWOODS AND OTHER NONPROFITS TO CONDUCT SURVEYS OF VULNERABLE POPULATIONS. IN ADDITION TO LWH, REDWOOD MEMORIAL HOSPITAL, FORTUNA STRATEGIC SERVICES CONDUCT ANALYSIS AND REPORT ON COMMUNITY NEEDS AND TRENDS.ST. JOSEPH HOSPITAL OF EUREKAIN ADDITION TO THE CHNA, ADDITIONAL COMMUNITY NEEDS EMERGE OVER TIME. TO ENSURE A CONTINUOUS CONNECTION TO EMERGING COMMUNITY NEEDS, ST. JOSEPH HOSPITAL COMMUNITY BENEFIT STAFF ARE CORE MEMBERS OF MULTIPLE CROSS-SECTOR COLLABORATIVES INCLUDING AN ACCOUNTABLE COMMUNITY FOR HEALTH, COAD AND LIVE WELL HUMBOLDT (LWH). HUMBOLDT COUNTY PUBLIC HEALTH SERVES AS THE BACKBONE ORGANIZATION OF LWH, AND THIS PUBLIC AND PRIVATE SECTOR COLLABORATIVE CONSISTS OF OVER 20 AGENCIES. FRONTLINE CB CAREGIVERS ALSO PROVIDE ONGOING INFORMATION AND FEEDBACK ABOUT NEEDS THEIR CLIENTS FACE IN REAL TIME. THE ORGANIZATION ALSO PARTNERS WITH CAL POLY HUMBOLDT, COLLEGE OF THE REDWOODS AND OTHER NONPROFITS TO CONDUCT SURVEYS OF VULNERABLE POPULATIONS. IN ADDITION TO LWH, ST. JOSEPH HOSPITAL STRATEGIC SERVICES CONDUCT ANALYSIS AND REPORT ON COMMUNITY NEEDS AND TRENDS.QUEEN OF THE VALLEY MEDICAL CENTERIN ADDITION TO THE CHNA, ADDITIONAL COMMUNITY NEEDS EMERGE OVER TIME. TO ENSURE A CONTINUOUS CONNECTION TO EMERGING COMMUNITY NEEDS, QUEEN OF THE VALLEY COMMUNITY BENEFIT STAFF ARE CORE MEMBERS OF LIVE HEALTHY NAPA COUNTY (LHNC). NAPA COUNTY PUBLIC HEALTH SERVES AS THE BACKBONE ORGANIZATION OF LHNC, AND THIS PUBLIC AND PRIVATE SECTOR COLLABORATIVE CONSISTS OF OVER 40 AGENCIES. LHNC MEETS REGULARLY, HAS A WEB SITE AND SENDS ELECTRONIC NEWSLETTERS AND UPDATES FOR ANY URGENT COMMUNITY NEEDS THAT ARISE BETWEEN MEETINGS. QUEEN OF THE VALLEY IS ALSO ACTIVE IN THE NAPA VALLEY COMMUNITY ORGANIZATIONS ACT DEVELOPS AND ENHANCES PARTNERSHIPS FOR COMMUNICATION, COORDINATION AND COLLABORATION AMONGST THE WHOLE COMMUNITY DURING ALL PHASES OF DISASTER. NAPA'S COMMUNITY LEADERS COALITION WORKS TO MOBILIZE COMMUNITY LEADERS TO COLLECTIVELY ADVOCATE FOR THE NEEDS OF VULNERABLE POPULATIONS THROUGHOUT NAPA COUNTY. QUEEN OF THE VALLEY STRATEGIC SERVICES CONTINUOUSLY CONDUCTS ANALYSIS AND REPORTS ON COMMUNITY NEEDS AND TRENDS.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS 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:	SANTA ROSA MEMORIAL HOSPITALSANTA ROSA MEMORIAL HOSPITAL (SRMH), FOUNDED BY THE SISTERS OF ST. JOSEPH OF ORANGE, HAS BEEN SERVING THE HEALTHCARE NEEDS OF FAMILIES IN THE COMMUNITY FOR MORE THAN 60 YEARS. DURING THIS TIME, ITS MISSION HAS REMAINED THE SAME: TO CONTINUALLY IMPROVE THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES SERVED. PART OF A LARGER HEALTHCARE SYSTEM KNOWN AS PROVIDENCE ST. JOSEPH HEALTH (PSJH), SRMH IS PART OF A COUNTYWIDE DELIVERY NETWORK THAT INCLUDES THREE HOSPITALS, URGENT CARE FACILITIES, HOSPICE, HOME HEALTH SERVICES, AND OTHER FACILITIES FOR TREATING THE HEALTHCARE NEEDS OF THE COMMUNITY IN SONOMA COUNTY AND THE REGION. THE MINISTRY'S CORE FACILITIES ARE PETALUMA VALLEY HOSPITAL (PVH), AN 80-BED ACUTE CARE HOSPITAL, SANTA ROSA MEMORIAL HOSPITAL, A FULL SERVICE, STATE OF THE ART 330-BED ACUTE CARE HOSPITAL THAT INCLUDES A LEVEL II TRAUMA CENTER FOR THE COASTAL REGION FROM SAN FRANCISCO TO THE OREGON BORDER, AND HEALDSBURG HOSPITAL, A 43-BED CRITICAL ACCESS HOSPITAL AND CERTIFIED STROKE CENTER. MAJOR PROGRAMS AND SERVICES INCLUDE CRITICAL CARE, CARDIOVASCULAR CARE, STROKE CARE, WOMEN'S AND CHILDREN'S SERVICES, CANCER CARE, AND ORTHOPEDICS. SRMH IS HOME TO THE NORMA & EVERT PERSON HEART & VASCULAR INSTITUTE AND THE UCSF NEONATAL INTENSIVE CARE NURSERY. SRMH PROVIDES SOUTHERN MENDOCINO, NORTHERN MARIN, AND SONOMA COUNTIES' COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL'S SERVICE AREA EXTENDS FROM UKIAH IN THE NORTH, MARSHALL IN THE SOUTH, SONOMA VALLEY IN THE EAST AND BODEGA BAY IN THE WEST. SRMH'S TOTAL SERVICE AREA (TSA) INCLUDES THE CITIES OF SANTA ROSA, PETALUMA, SEBASTOPOL, WINDSOR, HEALDSBURG, ROHNERT PARK, COTATI, SONOMA, CLOVERDALE, UKIAH, AND POINT ARENA.DEFINING THE COMMUNITY:SONOMA COUNTY IS A LARGE, URBAN-RURAL COUNTY ENCOMPASSING 1,575 SQUARE MILES. SONOMA COUNTY RESIDENTS INHABIT NINE CITIES AND A LARGE UNINCORPORATED AREA, INCLUDING MANY GEOGRAPHICALLY ISOLATED COMMUNITIES. THE MAJORITY OF THE COUNTY'S POPULATION RESIDES WITHIN ITS CITIES, THE LARGEST OF WHICH ARE CLUSTERED ALONG THE HIGHWAY 101 CORRIDOR. SANTA ROSA IS THE LARGEST CITY WITH A POPULATION ESTIMATED TO BE NEARLY 171,000 IN 2012 AND IS THE SERVICE HUB FOR THE ENTIRE COUNTY AND THE LOCATION OF THE COUNTY'S THREE MAJOR HOSPITALS. AT LEAST PART OF SONOMA COUNTY, CALIFORNIA, IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA (MUA). THE AREA IS 0.8 SQUARE MILES AND IS LOCATED NEAR DOWNTOWN SANTA ROSA. THE CLOVERDALE AREA IN SONOMA COUNTY IS A DESIGNATED PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA (PC-HSPA). SRMH PROVIDES SONOMA COUNTY COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL IS LOCATED IN DOWNTOWN SANTA ROSA, ABOUT 55 MILES NORTH OF SAN FRANCISCO JUST OFF THE HIGHWAY 101 CORRIDOR IN CENTRAL SONOMA COUNTY. SRMH'S PRIMARY SERVICE AREA IS LIMITED TO A TIGHT RADIUS, BUT ITS SECONDARY SERVICE AREA COMPRISES THE ENTIRE COUNTY, PLUS NORTHERN MARIN COUNTY AND SOUTHERN MENDOCINO COUNTY. THE CHNA PROCESS AND DATA GATHERING ADDRESSES SONOMA COUNTY.SRMH TOTAL SERVICE AREA:THE COMMUNITY SERVED BY SRMH IS DEFINED BASED ON THE GEOGRAPHIC ORIGINS OF SRMH'S INPATIENTS. THE SRMH TOTAL SERVICE AREA IS COMPRISED OF BOTH THE PRIMARY SERVICE AREA (PSA) AS WELL AS THE SECONDARY SERVICE AREA (SSA) AND IS ESTABLISHED BASED ON THE FOLLOWING CRITERIA:- PSA: 70% OF DISCHARGES (EXCLUDING NORMAL NEWBORNS)- SSA: 71%-85% OF DISCHARGES (DRAW RATES PER ZIP CODE ARE CONSIDERED AND PSA/SSA ARE MODIFIED ACCORDINGLY)- INCLUDES ZIP CODES FOR CONTINUITY- NATURAL BOUNDARIES ARE CONSIDERED (I.E., FREEWAYS, MOUNTAIN RANGES, ETC.)- CITIES ARE PLACED IN PSA OR SSA, BUT NOT BOTH THE PSA IS THE GEOGRAPHIC AREA FROM WHICH THE MAJORITY OF SRMH'S PATIENTS ORIGINATE. THE CITIES AND TOWNS IN THE SRMH PSA INCLUDE SANTA ROSA, SEBASTOPOL, WINDSOR, FORESTVILLE, ROHNERT PARK AND COTATI/PENNGROVE. THE SSA IS WHERE AN ADDITIONAL POPULATION OF THE HOSPITAL'S INPATIENTS RESIDE. THE SSA INCLUDES ALL OF SONOMA COUNTY, UKIAH TO THE NORTH IN MENDOCINO COUNTY, AND NORTHERN MARIN COUNTY TO THE SOUTH.OTHER HOSPITALS IN SERVICE AREATHE MINISTRY'S SERVICE AREA IS ALSO SERVED BY SUTTER SANTA ROSA REGIONAL HOSPITAL AND KAISER PERMANENTE SANTA ROSA MEDICAL CENTER AND MEDICAL OFFICES.REDWOOD MEMORIAL HOSPITALBASED ON THE AVAILABILITY OF DATA, GEOGRAPHIC ACCESS TO THE FACILITY, AND OTHER HOSPITALS IN NEIGHBORING COUNTIES, HUMBOLDT COUNTY SERVES AS THE BOUNDARY FOR THE HOSPITAL SERVICE AREA.ST. JOSEPH AND REDWOOD MEMORIAL HOSPITAL PROVIDE HUMBOLDT COUNTY COMMUNITIES WITH ACCESS TO ADVANCED AND COMPASSIONATE CARE. THE HOSPITAL'S COMMUNITY EXTENDS FROM THE HUMBOLDT-DEL NORTE COUNTY LINE IN THE NORTH, GARBERVILLE IN THE SOUTH, WILLOW CREEK, HOOPA, AND BRIDGEVILLE IN THE EAST AND IS BORDERED BY THE PACIFIC OCEAN IN THE WEST. THIS INCLUDES A POPULATION OF APPROXIMATELY 137,000 PEOPLE.TO FACILITATE IDENTIFYING HEALTH DISPARITIES AND SOCIAL INEQUITIES BY PLACE, WE DESIGNATED A "HIGH NEED" SERVICE AREA AND A "BROADER" SERVICE AREA, WHICH TOGETHER MAKE UP THE HUMBOLDT COUNTY SERVICE AREA. BASED ON WORK DONE BY THE PUBLIC HEALTH ALLIANCE OF SOUTHERN CALIFORNIA AND THEIR HEALTHY PLACES INDEX (HPI) TOOL, WE IDENTIFIED THE HIGH NEED SERVICE AREA BASED ON INCOME, EDUCATION, ENGLISH PROFICIENCY, AND LIFE EXPECTANCY.FOR THIS ANALYSIS, CENSUS TRACKS WITH MORE PEOPLE BELOW 200% FEDERAL POVERTY LEVEL (FPL), MORE PEOPLE WITHOUT A HIGH SCHOOL DIPLOMA, MORE LIMITED ENGLISH HOUSEHOLDS, AND A LOWER LIFE EXPECTANCY AT BIRTH WERE IDENTIFIED AS "HIGH NEED." THE MEAN VALUE OF NEAREST NEIGHBORS WAS USED TO INSERT MISSING DATA FOR VARIABLES BY WAY OF THE NEIGHBORHOOD SUMMARY STATISTICS GEOPROCESSING TOOL IN ARCGIS PRO 3.1. ALL VARIABLES WERE WEIGHTED EQUALLY. THE CENSUS TRACTS WERE ASSIGNED A SCORE BETWEEN 0 AND 100 WHERE 0 REPRESENTS THE CENSUS TRACT WITH THE LOWEST NEED AND 100 REPRESENTS THE HIGHEST NEED, ACCORDING TO THE CRITERIA. CENSUS TRACTS THAT SCORED HIGHER THAN THE AVERAGE WERE CLASSIFIED AS A HIGH NEED SERVICE AREA AND ARE DEPICTED IN GREEN. IN THE HUMBOLDT SERVICE AREA, 20 OF 35 CENSUS TRACTS (57%) SCORED ABOVE THE AVERAGE OF 62.5 ON THE PROVIDENCE NEED INDEX (PNI), INDICATING A HIGH NEED.MORE OF THE POPULATION THAT IDENTIFIES AS HISPANIC IS IN THE HIGH NEED SERVICE AREA (14.5%) COMPARED TO THE OVERALL POPULATION OF HISPANIC PEOPLE LIVING IN HUMBOLDT COUNTY (12.3%), INDICATING A DISPARITY. SIMILARLY, THE FOLLOWING RACIAL GROUPS ARE OVERREPRESENTED IN THE HIGH NEED SERVICE AREA COMPARED TO THE OVERALL POPULATION LIVING IN HUMBOLDT COUNTY: AMERICAN INDIAN, ASIAN, BLACK OR AFRICAN AMERICAN, NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, OTHER OR TWO OR MORE RACES.A SIGNIFICANT DISPARITY IN MEDIAN INCOME EXISTS IN HUMBOLDT COUNTY BETWEEN HOUSEHOLDS IN THE HIGH NEED SERVICE AREA VERSUS THOSE IN THE BROADER SERVICE AREA (A DIFFERENCE OF $18,263). BUT AN EVEN GREATER DISPARITY IN MEDIAN INCOME EXISTS BETWEEN HOUSEHOLDS IN HUMBOLDT COUNTY VERSUS THE STATE OF CALIFORNIA (A DIFFERENCE OF $29,855).HUMBOLDT COUNTY AS A WHOLE (32.6%) AND THE HIGH NEED SERVICE AREA (34.6%) ALSO HAVE A GREATER PERCENTAGE OF RENTER HOUSEHOLDS SPENDING MORE THAN 50% OF INCOME ON HOUSING COSTS THAN THE STATE OF CALIFORNIA (26.3%). THIS INDICATES A SEVERE HOUSING COST BURDEN. COUNTY HEALTH RANKINGS AND ROADMAPS EXPLAINS THE LINK BETWEEN HEALTH AND HOUSING IN THE FOLLOWING WAY: "THERE IS A STRONG AND GROWING EVIDENCE BASE LINKING STABLE AND AFFORDABLE HOUSING TO HEALTH. AS HOUSING COSTS HAVE OUTPACED LOCAL INCOMES, HOUSEHOLDS NOT ONLY STRUGGLE TO ACQUIRE AND MAINTAIN ADEQUATE SHELTER, BUT ALSO FACE DIFFICULT TRADE-OFFS IN MEETING OTHER BASIC NEEDS. WHEN THE MAJORITY OF A PAYCHECK GOES TOWARD THE RENT OR MORTGAGE, IT MAKES IT HARD TO AFFORD DOCTOR VISITS, HEALTHY FOODS, UTILITY BILLS, AND RELIABLE TRANSPORTATION TO WORK OR SCHOOL. THIS CAN, IN TURN, LEAD TO INCREASED STRESS LEVELS AND EMOTIONAL STRAIN."HEALTH PROFESSIONS SHORTAGE AREA:HUMBOLDT COUNTY IS A HEALTH PROFESSIONAL SHORTAGE AREA IN THE AREAS OF PRIMARY CARE, MENTAL HEALTH AND DENTAL HEALTH. IT IS RURAL AND A MEDICALLY UNDERSERVED AREA. REDWOOD MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL ARE LOCATED IN A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA), WITH HUMBOLDT COUNTY HAVING FOUR DESIGNATED HIGH NEED HPSAS FOR PRIMARY CARE.A MAJORITY OF THE COUNTY IS DESIGNATED AS A DENTAL HEALTH HPSA, AND ALL OF THE COUNTY IS DESIGNATED AS A MENTAL HEALTH HPSA. ADDITIONALLY, THE FOLLOWING FACILITIES ARE ALL DESIGNATED HPSA FOR PRIMARY CARE, DENTAL HEALTH, AND MENTAL HEALTH: KARUK TRIBE OF CALIFORNIA CLINIC-ORLEANS, K'IMA W MEDICAL CENTER, OPEN DOOR COMMUNITY HEALTH CENTERS, POTAWOT HEALTH VILLAGE, SOUTHERN TRINITY HEALTH SERVICES, EUREKA HEALTH CENTER, AND REDWOODS RURAL HEALTH CENTER, INCORPORATED.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH:SANTA ROSA MEMORIAL HOSPITAL (1), QUEEN OF THE VALLEY MEDICAL CENTER (2), REDWOOD MEMORIAL HOSPITAL (3) AND ST. JOSEPH HOSPITAL OF EUREKA (4)THE HOSPITAL PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. THE HOSPITAL IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) A COMMUNITY BENEFIT 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.
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 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-REPORTENVIRONMENTAL, 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.THE FOLLOWING ARE KEY EXAMPLES OF HOW WE ARE INVESTING IN ADVANCING THE HEALTH OF OUR COMMUNITIES: ST. JOSEPH FUND:ST. JOSEPH FUND (SJF) IS PROVIDENCE'S GRANTMAKING FOUNDATION. IT INVESTS IN AND FOSTERS LONG-TERM PARTNERSHIPS, ROOTED IN LOVE, WITH COMMUNITIES TO ENSURE THEY ARE LIVELY, HOPEFUL, HEALTHY, AND JUST.ITS PARTNERSHIPS ARE TAILORED TO PROVIDE EACH GROUP WITH CAPACITY-BUILDING SUPPORT SPECIFIC TO THEIR NEEDS. TOGETHER, THEY BUILD RELATIONSHIPS AND FOSTER ONGOING DIALOGUES BEYOND A GRANT TERM. EACH PARTNERSHIP ENCOURAGES THE ACCESSIBILITY OF STAFF TO GENERATE IDEAS AND INNOVATIONS.SJF INVESTS IN REGIONAL NONPROFITS AND COLLABORATIVES ACROSS ALASKA, CALIFORNIA, MONTANA, OREGON, AND WASHINGTON TO STRENGTHEN AND BUILD THE POWER OF COMMUNITIES, FOCUSING ON BUILDING COMMUNITY IN FOUR KEY AREAS:- DISASTER RESPONSE AND RESILIENCE- LIFELONG EDUCATION THAT OPENS DOORS- POSITIVE CHANGE THROUGH COMMUNITY POWER- COMMUNITY HEALING AND 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 MISSIONFOR 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.
PART VI, LINE 7, REPORTS FILED WITH STATES	CA
SCHEDULE H, PART VI, LINE 4 (CONTINUED):	REDWOOD MEMORIAL HOSPITAL (CONTINUED)MEDICAL UNDERSERVED AREA/MEDICAL PROFESSIONAL SHORTAGE AREA:MEDICALLY UNDERSERVED AREAS (MUAS) AND MEDICALLY UNDERSERVED POPULATIONS (MUPS) ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATIONS THAT DEMONSTRATE A SHORTAGE OF HEALTH CARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING THE COMMUNITY HEALTH CENTER FUND TO THE AREAS OF GREATEST NEED. MUAS ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND WITH NATIONAL AVERAGES TO DETERMINE AN AREA'S LEVEL OF MEDICAL "UNDER SERVICE." MUPS ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MUAS AND MUPS ARE PERMANENTLY SET AND NO RENEWAL PROCESS IS NECESSARY. THERE ARE MUAS IN HUMBOLDT COUNTY, BUT NO MUPS.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN HUMBOLDT COUNTY INCLUDE ST. JOSEPH HOSPITAL IN EUREKA, MAD RIVER COMMUNITY HOSPITAL IN ARCATA AND JEROLD PHELPS COMMUNITY HOSPITAL IN GARBERVILLE.
SCHEDULE H, PART VI, LINE 4 (CONTINUED):	ST. JOSEPH HOSPITAL OF EUREKACOMMUNITY INFORMATION:BASED ON THE AVAILABILITY OF DATA, GEOGRAPHIC ACCESS TO THE FACILITY, AND OTHER HOSPITALS IN NEIGHBORING COUNTIES, HUMBOLDT COUNTY SERVES AS THE BOUNDARY FOR THE HOSPITAL SERVICE AREA.ST. JOSEPH AND REDWOOD MEMORIAL HOSPITAL PROVIDE HUMBOLDT COUNTY COMMUNITIES WITH ACCESS TO ADVANCED AND COMPASSIONATE CARE. THE HOSPITAL'S COMMUNITY EXTENDS FROM THE HUMBOLDT-DEL NORTE COUNTY LINE IN THE NORTH, GARBERVILLE IN THE SOUTH, WILLOW CREEK, HOOPA, AND BRIDGEVILLE IN THE EAST AND IS BORDERED BY THE PACIFIC OCEAN IN THE WEST. THIS INCLUDES A POPULATION OF APPROXIMATELY 137,000 PEOPLE.TO FACILITATE IDENTIFYING HEALTH DISPARITIES AND SOCIAL INEQUITIES BY PLACE, WE DESIGNATED A "HIGH NEED" SERVICE AREA AND A "BROADER" SERVICE AREA, WHICH TOGETHER MAKE UP THE HUMBOLDT COUNTY SERVICE AREA. BASED ON WORK DONE BY THE PUBLIC HEALTH ALLIANCE OF SOUTHERN CALIFORNIA AND THEIR HEALTHY PLACES INDEX (HPI) TOOL, WE IDENTIFIED THE HIGH NEED SERVICE AREA BASED ON INCOME, EDUCATION, ENGLISH PROFICIENCY, AND LIFE EXPECTANCY.FOR THIS ANALYSIS, CENSUS TRACKS WITH MORE PEOPLE BELOW 200% FEDERAL POVERTY LEVEL (FPL), MORE PEOPLE WITHOUT A HIGH SCHOOL DIPLOMA, MORE LIMITED ENGLISH HOUSEHOLDS, AND A LOWER LIFE EXPECTANCY AT BIRTH WERE IDENTIFIED AS "HIGH NEED." THE MEAN VALUE OF NEAREST NEIGHBORS WAS USED TO INSERT MISSING DATA FOR VARIABLES BY WAY OF THE NEIGHBORHOOD SUMMARY STATISTICS GEOPROCESSING TOOL IN ARCGIS PRO 3.1. ALL VARIABLES WERE WEIGHTED EQUALLY. THE CENSUS TRACTS WERE ASSIGNED A SCORE BETWEEN 0 AND 100 WHERE 0 REPRESENTS THE CENSUS TRACT WITH THE LOWEST NEED AND 100 REPRESENTS THE HIGHEST NEED, ACCORDING TO THE CRITERIA. CENSUS TRACTS THAT SCORED HIGHER THAN THE AVERAGE WERE CLASSIFIED AS A HIGH NEED SERVICE AREA AND ARE DEPICTED IN GREEN. IN THE HUMBOLDT SERVICE AREA, 20 OF 35 CENSUS TRACTS (57%) SCORED ABOVE THE AVERAGE OF 62.5 ON THE PROVIDENCE NEED INDEX (PNI), INDICATING A HIGH NEED.MORE OF THE POPULATION THAT IDENTIFIES AS HISPANIC IS IN THE HIGH NEED SERVICE AREA (14.5%) COMPARED TO THE OVERALL POPULATION OF HISPANIC PEOPLE LIVING IN HUMBOLDT COUNTY (12.3%), INDICATING A DISPARITY. SIMILARLY, THE FOLLOWING RACIAL GROUPS ARE OVERREPRESENTED IN THE HIGH NEED SERVICE AREA COMPARED TO THE OVERALL POPULATION LIVING IN HUMBOLDT COUNTY: AMERICAN INDIAN, ASIAN, BLACK OR AFRICAN AMERICAN, NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, OTHER OR TWO OR MORE RACES.A SIGNIFICANT DISPARITY IN MEDIAN INCOME EXISTS IN HUMBOLDT COUNTY BETWEEN HOUSEHOLDS IN THE HIGH NEED SERVICE AREA VERSUS THOSE IN THE BROADER SERVICE AREA (A DIFFERENCE OF $18,263). BUT AN EVEN GREATER DISPARITY IN MEDIAN INCOME EXISTS BETWEEN HOUSEHOLDS IN HUMBOLDT COUNTY VERSUS THE STATE OF CALIFORNIA (A DIFFERENCE OF $29,855).HUMBOLDT COUNTY AS A WHOLE (32.6%) AND THE HIGH NEED SERVICE AREA (34.6%) ALSO HAVE A GREATER PERCENTAGE OF RENTER HOUSEHOLDS SPENDING MORE THAN 50% OF INCOME ON HOUSING COSTS THAN THE STATE OF CALIFORNIA (26.3%). THIS INDICATES A SEVERE HOUSING COST BURDEN. COUNTY HEALTH RANKINGS AND ROADMAPS EXPLAINS THE LINK BETWEEN HEALTH AND HOUSING IN THE FOLLOWING WAY: "THERE IS A STRONG AND GROWING EVIDENCE BASE LINKING STABLE AND AFFORDABLE HOUSING TO HEALTH. AS HOUSING COSTS HAVE OUTPACED LOCAL INCOMES, HOUSEHOLDS NOT ONLY STRUGGLE TO ACQUIRE AND MAINTAIN ADEQUATE SHELTER, BUT ALSO FACE DIFFICULT TRADE-OFFS IN MEETING OTHER BASIC NEEDS. WHEN THE MAJORITY OF A PAYCHECK GOES TOWARD THE RENT OR MORTGAGE, IT MAKES IT HARD TO AFFORD DOCTOR VISITS, HEALTHY FOODS, UTILITY BILLS, AND RELIABLE TRANSPORTATION TO WORK OR SCHOOL. THIS CAN, IN TURN, LEAD TO INCREASED STRESS LEVELS AND EMOTIONAL STRAIN."THE FOLLOWING VARIABLES WERE USED FOR THE PNI ANALYSIS: POPULATION BELOW 200% THE FEDERAL POVERTY LEVEL (AMERICAN COMMUNITY SURVEY, 2021); PERCENT OF POPULATION WITH AT LEAST A HIGH SCHOOL EDUCATION (AMERICAN COMMUNITY SURVEY, 2021); PERCENT OF POPULATION, AGES 5 YEARS AND OLDER IN LIMITED ENGLISH HOUSEHOLDS (AMERICAN COMMUNITY SURVEY, 2021); LIFE EXPECTANCY AT BIRTH (ESTIMATES BASED ON CDC, 2010 - 2015 DATA)HEALTH PROFESSIONS SHORTAGE AREAHUMBOLDT COUNTY IS A HEALTH PROFESSIONAL SHORTAGE AREA IN THE AREAS OF PRIMARY CARE, MENTAL HEALTH AND DENTAL HEALTH. IT IS RURAL AND A MEDICALLY UNDERSERVED AREA. REDWOOD MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL ARE LOCATED IN A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA), WITH HUMBOLDT COUNTY HAVING FOUR DESIGNATED HIGH NEED HPSAS FOR PRIMARY CARE. A MAJORITY OF THE COUNTY IS DESIGNATED AS A DENTAL HEALTH HPSA, AND ALL OF THE COUNTY IS DESIGNATED AS A MENTAL HEALTH HPSA. ADDITIONALLY, THE FOLLOWING FACILITIES ARE ALL DESIGNATED HPSA FOR PRIMARY CARE, DENTAL HEALTH, AND MENTAL HEALTH: KARUK TRIBE OF CALIFORNIA CLINIC-ORLEANS, K'IMA W MEDICAL CENTER, OPEN DOOR COMMUNITY HEALTH CENTERS, POTAWOT HEALTH VILLAGE, SOUTHERN TRINITY HEALTH SERVICES, EUREKA HEALTH CENTER, AND REDWOODS RURAL HEALTH CENTER, INCORPORATED.MEDICALLY UNDERSERVED AREAS (MUAS) AND MEDICALLY UNDERSERVED POPULATIONS (MUPS) ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATIONS THAT DEMONSTRATE A SHORTAGE OF HEALTH CARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING THE COMMUNITY HEALTH CENTER FUND TO THE AREAS OF GREATEST NEED. MUAS ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND WITH NATIONAL AVERAGES TO DETERMINE AN AREA'S LEVEL OF MEDICAL "UNDER SERVICE." MUPS ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MUAS AND MUPS ARE PERMANENTLY SET AND NO RENEWAL PROCESS IS NECESSARY. THERE ARE MUAS IN HUMBOLDT COUNTY, BUT NO MUPS.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN HUMBOLDT COUNTY INCLUDE REDWOOD MEMORIAL IN FORTUNA AND MAD RIVER COMMUNITY HOSPITAL IN ARCATA.
SCHEDULE H, PART VI, LINE 4 (CONTINUED):	QUEEN OF THE VALLEY MEDICAL CENTERQUEEN OF THE VALLEY MEDICAL CENTER'S TOTAL HOSPITAL SERVICE AREA (TSA) INCLUDES APPROXIMATELY 138,000 PEOPLE AND PORTIONS OF NAPA AND SONOMA COUNTIES. THE PRIMARY SERVICE AREA (PSA) CONSISTS OF THE ZIP CODES FOR THE CITIES OF NAPA AND YOUNTVILLE, AND THE SECONDARY SERVICE AREA CONSISTS OF THE CITIES OF AMERICAN CANYON, ST. HELENA, AND BOYES HOT SPRINGS IN SONOMA. OVER 75% OF THE POPULATION OF THE TSA IS IN NAPA COUNTY, AND APPROXIMATELY 90% OF NAPA COUNTY'S POPULATION IS WITHIN THE TSA.A PREMIUM WINE PRODUCING REGION, THERE IS A LARGE AGRICULTURE AND HOSPITALITY INDUSTRY. ALTHOUGH OFTEN VIEWED AS A COMMUNITY OF WEALTH, THE LARGE NUMBER OF LOW WAGE EARNERS IN THESE INDUSTRIES COMBINED WITH THE HIGH COST OF LIVING LEND TO POCKETS OF POVERTY AND INDIVIDUALS AND FAMILIES HAVING DIFFICULTY MEETING BASIC NEEDS.ETHNIC DIVERSITY OF THE TSA INCLUDE 34.7% LATINO, 51% NON-LATINO WHITE WITH JUST UNDER 8% ASIAN AND 2.0% BLACK. NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDERS, AMERICAN INDIAN AND ALASKA NATIVE, AND THOSE IDENTIFYING AS "SOME OTHER RACE" EACH MADE UP UNDER ONE PERCENT OF THE POPULATION.THE MEDIAN HOUSEHOLD INCOME IS $97,421. QUEEN OF THE VALLEY'S TSA HAS A HIGHER PERCENTAGE OF OLDER ADULTS (21.0%) THAN THE MEDICAL UNDERSERVED AREA/MEDICAL PROFESSIONAL SHORTAGE AREA. MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS 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. MEDICALLY UNDERSERVED AREAS 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". MEDICALLY UNDERSERVED POPULATIONS ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. QUEEN OF THE VALLEY, ALONG WITH THE MAJORITY OF THE TSA IS LOCATED IN A MEDICALLY UNDERSERVED POPULATIONS AREA, SIGNIFYING THE IMPORTANCE OF THE MEDICAL CENTER TO THE COMMUNITY IT SERVES STATE.HEALTH PROFESSIONS SHORTAGE AREATHE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. CLINICIANS IN HPSAS ARE WORKING IN AREAS WITH FEWER RESOURCES, HIGHER PATIENT LOADS, AND CHALLENGES WITH RECRUITMENT AND RETENTION. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). ALTHOUGH NAPA COUNTY IS NOT DESIGNATED AS AN HPSA FOR PRIMARY CARE, DENTAL HEALTH, OR MENTAL HEALTH, LARGE PORTIONS OF THE SERVICE AREA TO THE NORTH ARE DESIGNATED AS SHORTAGE AREAS. MOST OF THE GEOGRAPHY TO THE NORTH OF NAPA COUNTY IS CONSIDERED A MENTAL HEALTH HPSA.OTHER HOSPITALS IN SERVICE AREATHERE IS ONE OTHER HOSPITAL IN THE COMMUNITY: ST. HELENA HOSPITAL.
SCHEDULE H, PART VI, LINE 6 (CONTINUED):	HEALTH EQUITYCHANGE BEGINS WITH USAT 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 RESPONSIBILITYIN 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 DESIGNED TO BETTER SERVE VULNERABLE POPULATIONS AND PROMOTE JUSTICE IN OUR COMMUNITIES. 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-RESPONSIBILITYENVIRONMENTAL STEWARDSHIPTHE 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/

Schedule H (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
ST JOSEPH HEALTH NORTHERN CALIFORNIA
LLC

Employer identification number
81-4791043

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) ABODE SERVICES 40849 FREMONT BLVD FREMONT,CA94538	94-3087060	501(C)(3)	13,000	COMMUNITY BENEFIT RESTRICTED GRANT
(2) AGEWELL PACE 5789 STATE FARM DRIVE ROHNERT PARK,CA94928	87-3207747	501(C)(3)	200,000	COMMUNITY BENEFIT RESTRICTED GRANT
(3) ALTERNATIVES FOR BETTER LIVING 701 SCHOOL STREET NAPA,CA94559	94-3306094	501(C)(3)	9,280	COMMUNITY BENEFIT RESTRICTED GRANT
(4) AMBULATORY SURGERY ACCESS COALITION 353 KEARNY STREET SUITE 201 SAN FRANCISCO,CA94108	94-3180356	501(C)(3)	185,000	COMMUNITY BENEFIT RESTRICTED GRANT
(5) ATHLETIC REHAB CLINIC 1255 N DUTTON AVE SANTA ROSA,CA95401	87-2108616	501(C)(3)	25,000	SPONSORSHIP
(6) BUCKELEW PROGRAMS 201 ALAMEDA DEL PRADO SUITE 103 NOVATO,CA94949	23-7088977	501(C)(3)	349,000	COMMUNITY BENEFIT RESTRICTED GRANT
(7) BURBANK HOUSING 1425 CORPORATE CNTR PKWY SANTA ROSA,CA95407	94-2837785	501(C)(3)	700,000	COMMUNITY BENEFIT RESTRICTED GRANT
(8) CATHOLIC CHARITIES OF THE DIOCESE OF SANTA ROSA PO BOX 4900 SANTA ROSA,CA95402	94-2479393	501(C)(3)	747,340	COMMUNITY BENEFIT RESTRICTED GRANT
(9) CERES COMMUNITY PROJECT PO BOX 1562 SEBASTOPOL,CA95473	26-2250997	501(C)(3)	75,000	COMMUNITY BENEFIT RESTRICTED GRANT
(10) COMMITTEE ON THE SHELTERLESS PO BOX 2744 PETALUMA,CA94953	68-0176855	501(C)(3)	284,486	COMMUNITY BENEFIT RESTRICTED GRANT
(11) COMMUNITY HEALTH INITIATIVE NAPA COUNTY INC 2140 JEFFERSON ST STE D NAPA,CA94559	25-1924934	501(C)(3)	15,000	COMMUNITY BENEFIT RESTRICTED GRANT
(12) COMMUNITY RESOURCES FOR CHILDREN 3299 CLAREMONT WAY STE 1 NAPA,CA94558	94-2524785	501(C)(3)	10,000	COMMUNITY BENEFIT RESTRICTED GRANT
(13) COPE FAMILY CENTER 707 RANDOLPH STREET NAPA,CA94559	94-2322399	501(C)(3)	99,500	COMMUNITY BENEFIT RESTRICTED GRANT
(14) COPPERTOWER FAMILY MEDICAL CENTER INC 106 E 1ST STREET CLOVERDALE,CA95425	68-0345901	501(C)(3)	99,500	COMMUNITY BENEFIT RESTRICTED GRANT
(15) GIRLS ON THE RUN NAPA VALLEY 3299 CLAREMONT WAY STE 6 NAPA,CA94558	55-0906534	501(C)(3)	10,000	COMMUNITY BENEFIT RESTRICTED GRANT
(16) HUMANIDAD THERAPY AND EDUCATION SERVICES 1260 N DUTTON AVE SUITE 230 SANTA ROSA,CA95401	46-3725156	501(C)(3)	95,000	COMMUNITY BENEFIT RESTRICTED GRANT
(17) JAMBOREE HOUSING CORPORATION 17701 COWAN STE 200 IRVINE,CA92614	33-0413518	501(C)(3)	500,000	COMMUNITY BENEFIT RESTRICTED GRANT
(18) LEGAL AID OF SONOMA COUNTY 144 SOUTH E STREET SUITE 100 SANTA ROSA,CA95404	68-0008581	501(C)(3)	156,093	COMMUNITY BENEFIT RESTRICTED GRANT
(19) MENDONOMA HEALTH ALLIANCE 39251 S HIGHWAY 1 GUALALA,CA95445	82-1813874	501(C)(3)	65,000	COMMUNITY BENEFIT RESTRICTED GRANT
(20) MENTIS 709 FRANKLIN ST NAPA,CA94559	94-1236934	501(C)(3)	34,727	OPERATIONAL SUPPORT
(21) MOLLYS ANGELS 433 SOSCOL AVE 100 NAPA,CA94559	31-1675725	501(C)(3)	12,000	COMMUNITY BENEFIT RESTRICTED GRANT
(22) NAMI SONOMA COUNTY 182 FARMERS LN 202 SANTA ROSA,CA95404	68-0041644	501(C)(3)	65,120	COMMUNITY BENEFIT RESTRICTED GRANT
(23) NAPA VALLEY COMMUNITY ORGANIZATIONS ACTIVE IN DISASTER 980 TRANCAS ST SUITE 9 NAPA,CA94558	92-0361721	501(C)(3)	14,000	COMMUNITY BENEFIT RESTRICTED GRANT
(24) OLE HEALTH 1141 PEAR TREE LANE NAPA,CA94558	23-7221695	501(C)(3)	70,000	COMMUNITY BENEFIT RESTRICTED GRANT
(25) ON THE MARGINS INC 132 MARINERO CIRCLE TIBURON,CA94920	92-2312966	501(C)(3)	250,000	COMMUNITY BENEFIT RESTRICTED GRANT
(26) ON THE MOVE 780 LINCOLN AVE ATTN BRODIE AZEVEDO NAPA,CA94558	75-3149095	501(C)(3)	55,000	COMMUNITY BENEFIT RESTRICTED GRANT
(27) PUERTAS ABIERTAS COMMUNITY RESOURCE CENT RESOURCE CENT 952 NAPA ST NAPA,CA94559	20-3126333	501(C)(3)	15,000	COMMUNITY BENEFIT RESTRICTED GRANT
(28) SANTA ROSA COMMUNITY HEALTH 3569 ROUND BARN CIR SANTA ROSA,CA95403	68-0365296	501(C)(3)	275,065	COMMUNITY BENEFIT RESTRICTED GRANT
(29) SANTA ROSA FIRE FOUNDATION PO BOX 1251 SANTA ROSA,CA95402	87-1382136	501(C)(3)	6,500	OPERATIONAL SUPPORT
(30) SHARE THE CARE NAPA VALLEY 162 S COOMBS ST NAPA,CA94559	81-5288335	501(C)(3)	25,000	COMMUNITY BENEFIT RESTRICTED GRANT
(31) ST JOSEPH HEALTH SYSTEM FOUNDATION 3345 MICHELSON DR SUITE 100 IRVINE,CA92612	33-0143024	501(C)(3)	7,985,399	OPERATIONAL SUPPORT
(32) THE LIVING ROOM CENTER INC 1207 CLEVELAND AVE SANTA ROSA,CA95401	58-2675876	501(C)(3)	400,000	COMMUNITY BENEFIT RESTRICTED GRANT
(33) TIDES CENTER 427 MENDOCINO AVE SUITE 100 SANTA ROSA,CA95401	94-3213100	501(C)(3)	250,000	COMMUNITY BENEFIT RESTRICTED GRANT
(34) UPVALLEY FAMILY RESOURCE CENTER 1500 CEDAR STREET CALISTOGA,CA94515	80-0023012	501(C)(3)	30,000	COMMUNITY BENEFIT RESTRICTED GRANT
(35) VIA HEART PROJECT 1725 CLAY STREET SUITE 100 SAN FRANCISCO,CA94109	27-1530938	501(C)(3)	20,000	COMMUNITY BENEFIT RESTRICTED GRANT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2023

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

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.

Schedule I (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

ST JOSEPH HEALTH NORTHERN CALIFORNIA
LLC

Employer identification number

81-4791043

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1KEVIN MANEMANN DIV. CHIEF EXEC - SOUTH - THRU 2/23	(i) (ii)	0 ------------- 115,132	0 ------------- 1,717,844	0 ------------- 193,414	0 ------------- 9,900	0 ------------- 3,387	0 ------------- 2,039,677	0 ------------- 170,754
2LAUREEN DRISCOLL RN PRESIDENT (PART YEAR)	(i) (ii)	0 ------------- 865,621	0 ------------- 500,000	0 ------------- 361,142	0 ------------- 240,719	0 ------------- 34,515	0 ------------- 2,001,997	0 ------------- 0
3NATHAN HUSMANN CFO/TREASURER	(i) (ii)	0 ------------- 525,717	0 ------------- 488,588	0 ------------- 81,473	0 ------------- 165,017	0 ------------- 33,678	0 ------------- 1,294,473	0 ------------- 57,263
4TERRENCE WOOTEN CHIEF EXEC QVMC - THRU 11/23	(i) (ii)	0 ------------- 359,303	0 ------------- 424,891	0 ------------- 128,239	0 ------------- 9,900	0 ------------- 24,676	0 ------------- 947,009	0 ------------- 4,006
5OLUYEMI ADEYANJU ESQ SECRETARY	(i) (ii)	0 ------------- 388,930	0 ------------- 301,838	0 ------------- 48,827	0 ------------- 76,133	0 ------------- 13,993	0 ------------- 829,721	0 ------------- 47,943
6FRANK BEIRNE FRMR REGIONAL COO NORTHERN CA	(i) (ii)	0 ------------- 0	0 ------------- 409,060	0 ------------- 394,791	0 ------------- 0	0 ------------- 0	0 ------------- 803,851	0 ------------- 0
7CHARLES KASSIS CHIEF EXEC - SONOMA - THRU 11/23	(i) (ii)	0 ------------- 419,683	0 ------------- 203,869	0 ------------- 104,625	0 ------------- 14,850	0 ------------- 25,227	0 ------------- 768,254	0 ------------- 0
8CHAD KRILICH FORMER CMO	(i) (ii)	0 ------------- 0	0 ------------- 0	522,765 ------------- 0	0 ------------- 0	0 ------------- 0	522,765 ------------- 0	55,951 ------------- 0
9ROBERTA LUSKIN-HAWK MD FRMR CHIEF EXEC EUREKA	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 489,091	0 ------------- 0	0 ------------- 0	0 ------------- 489,091	0 ------------- 0
10RUSS BRAUN CHIEF MEDICAL OFFICER HOSPITAL	(i) (ii)	381,290 ------------- 0	40,948 ------------- 0	36,709 ------------- 0	18,359 ------------- 0	6,142 ------------- 0	483,448 ------------- 0	0 ------------- 0
11PATTI PILGRIM REGIONAL CFO, TREASURER - THRU 4/23	(i) (ii)	0 ------------- 138,985	0 ------------- 277,043	0 ------------- 37,820	0 ------------- 14,850	0 ------------- 13,436	0 ------------- 482,134	0 ------------- 13,469
12NAYDU LUCAS CHIEF NURSING OFFICER	(i) (ii)	303,487 ------------- 0	48,802 ------------- 0	70,982 ------------- 0	17,527 ------------- 0	31,261 ------------- 0	472,059 ------------- 0	0 ------------- 0
13STACIE MILLER CHIEF NURSING OFFICER	(i) (ii)	344,458 ------------- 0	32,069 ------------- 0	40,931 ------------- 0	17,437 ------------- 0	27,922 ------------- 0	462,817 ------------- 0	0 ------------- 0
14REBECCA ALTHOFF ACUTE CARE RN	(i) (ii)	393,439 ------------- 0	0 ------------- 0	18,486 ------------- 0	34,028 ------------- 0	12,001 ------------- 0	457,954 ------------- 0	10,735 ------------- 0
15TARINDER KHATKAR CHIEF NURSING OFFICER	(i) (ii)	239,162 ------------- 0	0 ------------- 0	177,718 ------------- 0	4,093 ------------- 0	15,071 ------------- 0	436,044 ------------- 0	0 ------------- 0
16DARIAN HARRIS MHA CHIEF EXEC HUMBOLDT - THRU 7/23	(i) (ii)	0 ------------- 203,683	0 ------------- 116,801	0 ------------- 34,218	0 ------------- 4,950	0 ------------- 16,561	0 ------------- 376,213	0 ------------- 0
17DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT	(i) (ii)	0 ------------- 266,681	0 ------------- 24,827	0 ------------- 1,367	0 ------------- 15,474	0 ------------- 15,372	0 ------------- 323,721	0 ------------- 0
18KEVIN KLOCKENGA FRMR KE - REG CHIEF EXEC. - NO CA	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 281,492	0 ------------- 0	0 ------------- 0	0 ------------- 281,492	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. 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 COMOPENSATION 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 A SEVERANCE PAYMENT IN 2023: TERRENCE WOOTEN - $32,558 FRANK BEIRNE - $394,790 CHARLES KASSIS - $37,626 CHAD KRILICH - $466,814 ROBERTA LUSKIN-HAWK, M.D. - $489,091 TARINDER KHATKAR - $106,400 KEVIN KLOCKENGA - $281,492 NON-QUALIFIED RETIREMENT PLAN 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: KEVIN MANEMANN - $170,754 NATHAN HUSMANN - $57,263 TERRENCE WOOTEN - $4,006 OLUYEMI ADEYANJU, ESQ. - $47,943 CHAD KRILICH - $55,951 PATTI PILGRIM - $13,469 REBECCA ALTHOFF - $10,735
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.

Schedule J (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

ST JOSEPH HEALTH NORTHERN CALIFORNIA
LLC

Employer identification number

81-4791043

Return Reference	Explanation
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION 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.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS:	AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE 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 STANDARDS PROVIDENCE 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. ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC ON MARCH 31, 2018, ST. JOSEPH HOSPITAL OF EUREKA, REDWOOD MEMORIAL HOSPITAL, SANTA ROSA MEMORIAL HOSPITAL, AND QUEEN OF THE VALLEY MEDICAL CENTER, COLLECTIVELY THE "HOSPITALS", TRANSFERRED ALL OF THEIR NET ASSETS TO ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC, A RELATED 501(C) (3) ORGANIZATION. ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC WAS CREATED TO CONSOLIDATE AND SIMPLIFY THE CURRENT STRUCTURE BY MOVING THE OPERATIONS OF THE HOSPITALS INTO A SINGLE LEGAL ENTITY. THE OPERATION OF THE HOSPITALS REMAIN THE SAME. 2023 PROGRAM SERVICE ACCOMPLISHMENTS PROVIDENCE ST. JOSEPH HEALTH NORTHERN CALIFORNIA IS COMPRISED OF FOUR MAIN HOSPITAL FACILITIES: SANTA ROSA MEMORIAL HOSPITAL, QUEEN OF THE VALLEY MEDICAL CENTER, REDWOOD MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL EUREKA. EACH HOSPITAL FACILITY HAS ITS OWN SERVICE AREA, CONDUCTS ITS OWN CHNA, PREPARES ITS OWN IMPLEMENTATION STRATEGY AND SUBMITS ITS OWN ANNUAL REPORTS. THE THREE PROGRAM ACCOMPLISHMENTS FOR ST. JOSEPH NORCAL ARE HIGHLIGHTED BELOW: CARE NETWORK, PASO A PASO AND MOBILE HEALTH CLINIC. CARE NETWORK: CARE (CARE MANAGEMENT, ADVOCACY, RESOURCES AND EDUCATION) NETWORK IS A NATIONALLY RECOGNIZED, MISSION-DRIVEN, INTENSIVE, COMMUNITY-BASED MEDICAL AND PSYCHOSOCIAL CARE MANAGEMENT PROGRAM UTILIZING AN INTERDISCIPLINARY, RN, SOCIAL WORK, COMMUNITY HEALTH BEHAVIORAL AND SPIRITUAL APPROACH. SERVICES ARE PROVIDED TO PERSONS WITH COMPLEX HEALTH, BEHAVIORAL AND SOCIAL CHALLENGES. CLIENTS ARE SERVED IN THE COMMUNITY THEY RESIDE, INCLUDING ENCAMPMENTS, SHELTERS, HOME OR AS NEEDED IN A HEALTH PROVIDER OFFICE OR OTHER COMMUNITY SERVICE LOCATION. THE PROGRAM IS AIMED AT CARE COORDINATION AND IMPROVING DISEASE MANAGEMENT AND QUALITY OF LIFE WHILE REDUCING OVERALL GOVERNMENT BURDEN OF HEALTHCARE COST. IN SONOMA COUNTY, CARE NETWORK EXPANDED TO ADD AN ADDITIONAL COMMUNITY HEALTH WORKER TO THE HIGH-UTILIZER TEAM AND ONE ADDITIONAL SUBSTANCE USE NAVIGATOR, WORKING WITH CLIENTS WITH BEHAVIORAL HEALTH CHALLENGES, CO-OCCURRING SUBSTANCE USE DISORDERS, AS WELL AS COMPLEX MEDICAL CONDITIONS THAT REQUIRE CARE COORDINATION, CASE MANAGEMENT AND CONNECTION TO MENTAL HEALTH SERVICES. ADDITIONALLY, CARE NETWORK HAS ESTABLISHED A NARCAN DISTRIBUTION PROGRAM WITH THE LOCAL PROVIDENCE EMERGENCY DEPARTMENTS. CARE NETWORK REGION-WIDE HAS BEEN ACCEPTED AS ENHANCED CARE MANAGEMENT PROVIDERS THROUGH PARTNERSHIP HEALTH PLAN OF CALIFORNIA. CARE NETWORK PROGRAMS WERE SELECTED TO CONDUCT OUTREACH, ENROLLMENT AND ENHANCED SERVICES FOR POPULATIONS OF FOCUS INCLUDING THOSE EXPERIENCING HOMELESSNESS, HIGH UTILIZERS OF EMERGENCY DEPARTMENTS, AND ADULTS WITH SERIOUS MENTAL ILLNESS OR SUBSTANCE USE DISORDER. IN 2023, CARE NETWORK ENROLLED 255 INDIVIDUALS IN ECM SERVICES AND HELPED THEM ACCESS NEEDED HOUSING, FOOD, SKILLED NURSING, SUD AND MENTAL HEALTH SERVICES AND CRITICAL MEDICAL CARE. ACROSS ALL SERVICE AREAS, CARE NETWORK SERVED PATIENTS THROUGH 88,074 ENCOUNTERS. CY23 NET BENEFIT = $7,410,814. PASO A PASO: ST. JOSEPH HEALTH NORTHERN CALIFORNIA OFFERS A CONTINUUM OF COMMUNITY HEALTH IMPROVEMENT SERVICES TO ITS COMMUNITIES IN ORDER TO MEET IDENTIFIED NEEDS. THIS INCLUDES A PROGRAM CALLED PASO A PASO (STEP BY STEP) WHICH IS INTENDED TO PROVIDE PERINATAL AND PARENTING EDUCATION AND SUPPORT SERVICES AND COMMUNITY-BASED CASE MANAGEMENT SERVICES TO SPANISH SPEAKING PEOPLE, PRIMARILY LATINA BIRTHING PEOPLE AND THEIR FAMILY, IN THE HOSPITAL SERVICE AREA. THE PASO A PASO PROGRAM ALSO PROVIDES PRIMARY PREVENTION INTERVENTIONS INCLUDING HEALTH AND WELLBEING PROMOTION, CULTURAL CELEBRATIONS, NATIVE FOOD GARDENS, SUPPORT GROUPS, INCLUSIVE ACTIVITIES FOR FAMILIES WITH CHILDREN WITH SPECIAL NEEDS AND MORE. IN 2023, THE PASO A PASO PROGRAM HAD 18,283 ENCOUNTERS. INCLUDED IN THESE ENCOUNTER NUMBERS ARE ALSO LATINO OUTREACH FOR HEALTH INSURANCE ENROLLMENT, HEALTHCARE NAVIGATION AND SOCIAL SERVICES CONNECTIONS AND SUPPORT. THE PASO A PASO PROGRAM IS STAFFED WITH COMMUNITY HEALTH WORKERS THAT ARE BI-LINGUAL AND BI-CULTURAL AS WELL AS ONE MASTERS PREPARED SOCIAL WORKER THAT IS ALSO CULTURALLY MATCHED. CY23 NET BENEFIT = $733,508. MOBILE HEALTH CLINIC: OUR MOBILE HEALTH CLINIC SERVES PATIENTS IN THEIR COMMUNITIES AT NO COST. THE PROGRAM SEEKS TO PROVIDE CARE TO THOSE WHO FALL THROUGH THE TRADITIONAL PRIMARY CARE SAFETY NET, AND FOR REASONS RELATED TO TRANSPORTATION, POVERTY, OR OTHER FACTORS, FACE INSURMOUNTABLE BARRIERS TO ACCESSING CARE AT COMMUNITY HEALTH CENTERS OR OTHER MEDICAL HOMES. THE CLINIC OFFERS HEALTH SCREENINGS, TREATMENT OF MINOR MEDICAL PROBLEMS, HEALTH AND NUTRITIONAL EDUCATION, AND INFORMATION AND REFERRALS. IN 2023, IN OUR SERVICE AREA, THE CLINIC SERVED 1,678 PATIENTS OVER 3,767 ENCOUNTERS AT SEVERAL LOCATIONS, INCLUDING THE CITIES OF SONOMA/BOYES HOT SPRINGS, SANTA ROSA, CLOVERDALE, WINDSOR, ROHNERT PARK, PETALUMA, BODEGA BAY, AND SEBASTOPOL. THE MOBILE HEALTH TEAM ALSO SERVED SEVERAL LOCAL HOMELESS SHELTERS, ENCAMPMENTS AND RURAL COMMUNITIES, PROVIDING DIRECT PATIENT CARE. CY23 NET BENEFIT = $891,767. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/NORTHERN-CALIFORN IA
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 KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATION'S SECTION 4960 TAX ANALYSIS AND REPORTING.
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC.
FORM 990, PART VI, SECTION A, LINE 7A	CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBER RESERVES THE RIGHT TO APPOINT THE ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, EXEMPT PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. THE CORPORATE MEMBER, ST. JOSEPH HEALTH SYSTEM, RESERVES THE RIGHT TO APPROVE THE PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, REVISED IN 2023, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR 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 15B	PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN JUNE 2024.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART IX, LINE 11G	MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 101,649,358. MANAGEMENT AND GENERAL EXPENSES 4,690,446. FUNDRAISING EXPENSES 249,208. TOTAL EXPENSES 106,589,012. AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 44,237,138. MANAGEMENT AND GENERAL EXPENSES 2,041,252. FUNDRAISING EXPENSES 108,454. TOTAL EXPENSES 46,386,844. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 69,477,300. MANAGEMENT AND GENERAL EXPENSES 3,205,918. FUNDRAISING EXPENSES 170,333. TOTAL EXPENSES 72,853,551. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 21,761,012. MANAGEMENT AND GENERAL EXPENSES 1,004,127. FUNDRAISING EXPENSES 53,350. TOTAL EXPENSES 22,818,489. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 8,314,913. MANAGEMENT AND GENERAL EXPENSES 383,678. FUNDRAISING EXPENSES 20,385. TOTAL EXPENSES 8,718,976. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 510. MANAGEMENT AND GENERAL EXPENSES 24. FUNDRAISING EXPENSES 1. TOTAL EXPENSES 535.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 43,408,074. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT 1,648,124. OTHER CHANGES IN NET ASSETS 540,301.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

ST JOSEPH HEALTH NORTHERN CALIFORNIA
LLC

Employer identification number

81-4791043

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)COLLABRIA CARE 414 SOUTH JEFFERSON STREET NAPA,CA94559 68-0393144	HEALTHCARE	CA	501(C)(3)	10	SJHCN	Yes
(2)COVENANT ACO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 61-1573313	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes
(3)COVENANT CHILDREN'S PHYSICIANS GROUP 3615 19TH STREET LUBBOCK,TX79410 88-1290850	HEALTHCARE	TX	501(C)(3)	PENDING	CHS	Yes
(4)COVENANT HEALTH NETWORK INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 46-1259908	HEALTHCARE	CA	501(C)(3)	12, III	SJHS	Yes
(5)COVENANT HEALTH PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 46-3516417	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes
(6)COVENANT HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 75-2765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes
(7)COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK,TX79410 75-2897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes
(8)COVENANT HOME AND COMMUNITY CARE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 92-0275096	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes
(9)COVENANT HOSPITAL HOBBS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 84-4273963	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(10)COVENANT MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 82-2913146	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(11)COVENANT MEDICAL GROUP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 75-2743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(12)EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT,WA982065128 94-3264605	TRANSITIONAL CARE	WA	501(C)(3)	10	N/A		No
(13)GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 20-1910170	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(14)GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC,WA98188 27-3133200	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes
(15)GRACE CLINIC OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 20-3856995	HEALTHCARE	TX	501(C)(3)	3	LHH LLC	Yes
(16)HOSPICE OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 75-2133781	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes
(17)INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-4260130	HEALTHCARE	WA	501(C)(3)	PF	PHS SJHS	Yes
(18)INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-2003593	HEALTHCARE	WA	501(C)(3)	7	WHC	Yes
(19)KADLEC AUXILIARY INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-6033089	SUPPORT	WA	501(C)(3)	12, III	KRMC	Yes
(20)KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND,WA99352 23-7005501	SUPPORT	WA	501(C)(3)	7	KRMC	Yes
(21)KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-0655392	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes
(22)LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 33-0844408	IMAGING SERVICES	CA	501(C)(3)	10	PHS SOCAL	Yes
(23)LUBBOCK HERITAGE HOSPITAL LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 26-4021016	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(24)LUNDBERG ASSOCIATION PROVIDENCE HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1562797	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes
(25)METHODIST CHILDREN'S HOSPITAL 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 75-2428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(26)METHODIST HOSPITAL LEVELLAND 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 75-2246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(27)METHODIST HOSPITAL PLAINVIEW 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 75-2426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(28)MISSION HOSPITAL REGIONAL MEDICAL CTR 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-1643360	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(29)NORTHWEST HOPE & HEALING FOUNDATION PO BOX 16069 SEATTLE,WA98116 20-0799737	SUPPORT	WA	501(C)(3)	12, I	SHS	Yes
(30)OPEN DOOR VENTURES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1608508	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(31)PACMED CLINICS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 56-2290878	HEALTHCARE	WA	501(C)(3)	10	WHC	Yes
(32)PH&S FOUNDATIONSFVSA & SCVSA 501 SOUTH BUENA VISTA STREET BURBANK,CA915054809 95-3544877	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes
(33)PROVIDENCE ALASKA FOUNDATION 3760 PIPER STREET SUITE 2021 ANCHORAGE,AK99508 92-0093565	HEALTHCARE	AK	501(C)(3)	7	PHS WA	Yes
(34)PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION 540 SOUTH MAIN ST MT ANGEL,OR97362 91-1940286	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(35)PROVIDENCE BLANCHET ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1789266	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(36)PROVIDENCE CHILDREN'S HEALTH FOUNDATION 4805 NE GLISAN ST STE 2N35 PORTLAND,OR97213 93-0800140	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes
(37)PROVIDENCE COMMUNITY HEALTH FOUNDATION 940 ROYAL AVE SUITE 410 MEDFORD,OR97504 93-0692907	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(38)PROVIDENCE DETHMAN HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 47-3385506	SUPPORT	WA	501(C)(3)	7	N/A		No
(39)PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-4322584	SUPPORT	CA	501(C)(3)	7	PHS SOCAL	Yes
(40)PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 31-1744654	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(41)PROVIDENCE HEALTH & SERVICES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1549796	HEALTHCARE	WA	501(C)(3)	12, II	PSJH		No
(42)PROVIDENCE HEALTH & SERVICES - MONTANA 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-0231793	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes
(43)PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 51-0216587	HEALTHCARE	OR	501(C)(3)	3	PHS	Yes
(44)PROVIDENCE HEALTH & SERVICES - WASHINGTON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 51-0216586	HEALTHCARE	WA	501(C)(3)	3	PHS	Yes
(45)PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1303277	HEALTHCARE	WA	501(C)(3)	3	PMWHC	Yes
(46)PROVIDENCE HEALTH ASSURANCE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 55-0828701	MEDICAID HEALTHCARE PROVIDER	OR	501(C)(4)	N/A	PHP	Yes
(47)PROVIDENCE HEALTH PLAN 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 93-0863097	HEALTHCARE	OR	501(C)(4)	N/A	PH GROUP LLC	Yes
(48)PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 51-0216589	HEALTHCARE	CA	501(C)(3)	3	PHS	Yes
(49)PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC 810 12TH STREET PO BOX 149 HOOD RIVER,OR97031 93-0921990	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(50)PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY 1615 75TH ST SW SUITE 210 EVERETT,WA98203 27-2552749	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes
(51)PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 2811 SOUTH 102ND NO 220 TUKWILA,WA98168 91-2077378	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes
(52)PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA) 101 W 8TH AVE SPOKANE,WA99204 32-0014330	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes
(53)PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION 4101 TORRANCE BLVD TORRANCE,CA90503 51-0224944	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes
(54)PROVIDENCE MARIANWOOD FOUNDATION 3725 PROVIDENCE POINT DRIVE SE ISSAQUAH,WA980297219 93-1554288	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes
(55)PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 33-0185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(56)PROVIDENCE MEDICAL INSTITUTE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 33-0283773	HEALTHCARE	CA	501(C)(3)	12, I	PHS SOCAL	Yes
(57)PROVIDENCE MILWAUKIE FOUNDATION 10150 SE 32ND AVE MILWAUKIE,OR97222 94-3079515	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(58)PROVIDENCE MINISTRIES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057	RELIGIOUS ORG	WA	501(C)(3)	1	N/A		No
(59)PROVIDENCE MOUNT ST VINCENT FOUNDATION 4831 35TH AVE SW SEATTLE,WA981262799 91-1188119	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes
(60)PROVIDENCE NEWBERG HEALTH FOUNDATION 1001 PROVIDENCE DRIVE NEWBERG,OR97132 93-0889144	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(61)PROVIDENCE PETER CLAVER ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 31-1629656	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(62)PROVIDENCE PLAN PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1861964	HEALTHCARE	WA	501(C)(4)	N/A	PHS OR	Yes
(63)PROVIDENCE PORTLAND MEDICAL FOUNDATION 4805 NE GLISAN ST PORTLAND,OR972132967 93-1231494	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(64)PROVIDENCE ROSSI ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 31-1584166	SUPPORT	WA	501(C)(3)	10	PHS WA	Yes
(65)PROVIDENCE SAINT JOHN'S HEALTH CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-1684082	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes
(66)PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-4542216	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes
(67)PROVIDENCE SEASIDE HOSPITAL FOUNDATION 725 S WAHANNA ROAD SEASIDE,OR97138 93-0927320	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(68)PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-2171539	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(69)PROVIDENCE ST FRANCIS ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 94-3244854	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(70)PROVIDENCE ST JOSEPH HEALTH 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-1244422	HEALTHCARE	WA	501(C)(3)	12, III	N/A		No
(71)PROVIDENCE ST JOSEPH HEALTH FOUNDATION 4400 NE HALSEY ST STE 599 PORTLAND,OR97213 94-3078543	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes
(72)PROVIDENCE ST JOSEPH MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-0463482	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes
(73)PROVIDENCE ST MARY FOUNDATION 401 W POPLAR STREET WALLA WALLA,WA99362 45-2841492	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes
(74)PROVIDENCE ST VINCENT MEDICAL FOUNDATION 9205 SW BARNES ROAD STE MT2111 PORTLAND,OR97225 93-0575982	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(75)PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN) 413 LILLY ROAD NE OLYMPIA,WA985065166 91-1097056	SUPPORT	WA	501(C)(3)	7	PHS W WA	Yes
(76)PROVIDENCE TRINITYCARE HOSPICE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-3264139	HEALTHCARE	CA	501(C)(3)	10	PHS SOCAL	Yes
(77)PROVIDENCE TRINITYCARE HOSPICE FOUNDATION 5315 TORRANCE BLVD NO B-1 TORRANCE,CA90503 33-0261016	HEALTHCARE	CA	501(C)(3)	7	PTCH	Yes
(78)PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION 1500 DIVISION STREET OREGON CITY,OR97045 93-1003750	HEALTHCARE	OR	501(C)(3)	12, I	PHS OR	Yes
(79)REDWOOD MEMORIAL FOUNDATION 2700 DOBEER STREET EUREKA,CA95501 94-2779313	HEALTHCARE	CA	501(C)(3)	7	SJHNC LLC	Yes
(80)SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-4291515	HEALTHCARE	CA	501(C)(3)	4	PSJHC	Yes
(81)SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION 2121 SANTA MONICA BLVD SANTA MONICA,CA90404 95-6100079	SUPPORT SAINT JOHN HEALTH CENTER & SJCI	CA	501(C)(3)	7	PSJHC	Yes
(82)SEATTLE SCIENCE FOUNDATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 61-1502822	PHYSICIAN COLLABORATION	WA	501(C)(3)	7	WHC	Yes
(83)SISTERS OF PROVIDENCE OF MONTANA CORPORATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 26-2612415	SHELL CORPORATION	MT	501(C)(3)	1	PHS WA		No
(84)SISTERS OF ST JOSEPH OF ORANGE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-1643383	RELIGIOUS ORG	CA	501(C)(3)	1	N/A		No
(85)SRM ALLIANCE HOSPITAL SERVICES (PVH) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 68-0395200	HEALTHCARE	CA	501(C)(3)	3	SJHNC LLC	Yes
(86)ST JOSEPH HEALTH MINISTRY 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 27-1666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO		No
(87)ST JOSEPH HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-3589356	HEALTHCARE	CA	501(C)(3)	12, I	PSJH		No
(88)ST JOSEPH HEALTH SYSTEM FOUNDATION 3345 MICHELSON DRIVE SUITE 100 IRVINE,CA92612 33-0143024	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes
(89)ST JOSEPH HOME CARE NETWORK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 68-0331084	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes
(90)ST JOSEPH HOSPITAL OF ORANGE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-1643359	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(91)ST JUDE HOSPITAL INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-1643325	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(92)ST LUKE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 94-3176618	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(93)ST MARY MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 95-1914489	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(94)ST PATRICK HOSPITAL FOUNDATION 502 W SPRUCE STREET MISSOULA,MT59802 23-7056976	HEALTHCARE	MT	501(C)(3)	7	PHS WA	Yes
(95)ST THOMAS CHILD AND FAMILY CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-0233495	EDUCATION	MT	501(C)(3)	10	PHS WA	Yes
(96)SWEDISH EDMONDS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 27-2305304	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes
(97)SWEDISH HEALTH SERVICES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-0433740	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes
(98)SWEDISH MEDICAL CENTER FOUNDATION 747 BROADWAY SEATTLE,WA98122 91-0983214	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes
(99)SWEDISH MJM HOLDINGS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 27-3139262	HOLDING COMPANY	WA	501(C)(3)	12, I	SHS	Yes
(100)TARZANA MEDICAL CENTER LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 83-3972614	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes
(101)THE GAMELIN ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1180824	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(102)THE GAMELIN OREGON ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 91-1214491	SUPPORT	OR	501(C)(3)	10	PHS OR	Yes
(103)TRI-CITIES CANCER CENTER FOUNDATION 7350 W DESCHUTES AVE BUILDING A KENNEWICK,WA99336 91-1739024	SUPPORT	WA	501(C)(3)	7	KRMC	Yes
(104)UNIVERSITY OF PROVIDENCE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-0231777	EDUCATION	MT	501(C)(3)	2	PHS	Yes
(105)WESTERN HEALTHCONNECT 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 45-4171900	HEALTHCARE	WA	501(C)(3)	3	PHS W WA	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) 20TH STREET SURGERY LLC 1301 20TH STREET STE 140 SANTA MONICA,CA90404 73-1735618	AMBULATORY SURGERY CENTER	CA	N/A					No			No
(2) BRIDGEPORT MEDICAL IMAGING LLC (BMI) 4400 NE HALSEY 495 PORTLAND,OR97213 26-0796953	IMAGING - DIAGNOSTICS	OR	N/A					No		Yes
(3) BROADWAY IMAGING LLC PO BOX 4587 MISSOULA,MT598064587 52-2405971	MEDICAL IMAGING	MT	N/A					No		Yes
(4) CANBY MEDICAL CENTER I LLC 4800 SW MACADAM AVE STE 120 PORTLAND,OR97239 20-5470937	REAL ESTATE - MOB	OR	N/A					No		Yes
(5) CENTER FOR MEDICAL IMAGING LLC (CMI) 4400 NE HALSEY 495 PORTLAND,OR97213 20-0477972	IMAGING - DIAGNOSTICS	OR	N/A					No		Yes
(6) CLACKAMAS RADIATION ONCOLOGY CENTER LLC 4400 NE HALSEY 495 PORTLAND,OR97213 26-0381897	RADIATION ONCOLOGY	OR	N/A					No		Yes
(7) COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY 1031 W CHAPMAN AVE 101 ORANGE,CA92868 26-4591502	HEALTHCARE	CA	N/A					No		Yes
(8) COVENANT HIGH PLAINS SURGERY CENTER LLC 40 VALLEY STREAM PKWY MALVERN,PA19355 75-2177401	HEALTHCARE	PA	N/A					No		Yes
(9) COVENANT PARK PHASE I VENTURE LLC 3615 19TH ST LUBBOCK,TX79410 87-1464045	REAL ESTATE	TX	N/A					No			No
(10) CSS JV LLC 11782 SW BARNES ROAD STE 200 BLDG C PORTLAND,OR97225 26-3638838	AMBULATORY SURGERY CENTER	OR	N/A					No			No
(11) FIRST HILL SURGERY CENTER LLC 1101 MADISON STREET STE 200 SEATTLE,WA98104 47-2066485	AMBULATORY SURGERY CENTER	WA	N/A					No		Yes
(12) FULLERTON SURGICAL CENTER LP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 47-0927394	AMBULATORY SURGERY CENTER	CA	N/A					No		Yes
(13) GREATER VALLEY MEDICAL BUILDING LP 501 S BUENA VISTA ST BURBANK,CA91505 95-4570858	REAL ESTATE - MOB	CA	N/A					No		Yes
(14) HERITAGE INVESTMENT GROUP I LLC 500 S MAIN STREET STE 1000 ORANGE,CA92868 27-1000061	INVESTMENTS	CA	N/A					No			No
(15) IMAGING ASSOCIATES LLC 3650 PIPER STREET STE A ANCHORAGE,AK99508 20-3906048	MEDICAL IMAGING	AK	N/A					No		Yes
(16) LSC REAL PROPERTY LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 47-4646059	REAL ESTATE	TX	N/A					No		Yes
(17) METHODIST DIAGNOSTIC IMAGING 4005 24TH STREET LUBBOCK,TX79410 75-2343261	HEALTHCARE	TX	N/A					No		Yes
(18) MISSION VIEJO PARTNERS II LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 82-3943675	REAL ESTATE - MOB	CA	N/A					No		Yes
(19) NORTH OC IMAGING JV HOLDINGS LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 85-2444305	HEALTHCARE	CA	N/A					No			No
(20) OREGON ADVANCED IMAGING LLC 881 OHARE PARKWAY MEDFORD,OR97504 45-0471748	MEDICAL IMAGING	OR	N/A					No		Yes
(21) PAVILION SURGERY CENTER LLC 1140 WEST LAVETA AVE ORANGE,CA92868 81-4376492	AMBULATORY SURGERY CENTER	CA	N/A					No			No
(22) PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC 19625 62ND AVENUE SOUTH SUITE 101 KENT,WA98032 45-2901632	MEDICAL EQUIPMENT	WA	N/A					No		Yes
(23) PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC 1221 MADISON STREET SEATTLE,WA98104 20-3132044	MEDICAL IMAGING	WA	N/A					No		Yes
(24) PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-2701056	INVESTMENTS	WA	PHS WA	N/A	-860,125	1,645,462		No			No	1.740 %
(25) PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 82-3765555	MEDICAL	AL	N/A					No			No
(26) PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 82-3270499	MEDICAL	AL	N/A					No		Yes
(27) PROVIDENCE ALASKA HOUSE I OWNER LP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 88-2819223	SUPPORTIVE HOUSING	AK	N/A					No			No
(28) PROVIDENCE HOUSE OAKLAND LP 540 23RD ST OAKLAND,CA94612 81-1441264	SUPPORTIVE HOUSING	CA	N/A					No		Yes
(29) PROVIDENCE IMAGING CENTER JOINT VENTURE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 92-0118807	MEDICAL IMAGING	AK	N/A					No			No
(30) PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 82-3190634	INVESTMENTS	WA	PHS WA	N/A	16,212,051	213,578,290		No	-50,021		No	7.050 %
(31) PROVIDENCE SURGERY CENTER LLC 902 N ORANGE ST MISSOULA,MT59802 84-1401625	AMBULATORY SURGERY CENTER	MT	N/A					No			No
(32) PROVIDENCEUSP SPOKANE SURGERY CENTERS LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 88-1149413	AMBULATORY SURGERY CENTER	WA	N/A					No			No
(33) PROVIDENCEUSP SURGERY CTRS LLC 11550 INDIAN HILLS ROAD 160 MISSION HILLS,CA91345 20-0684116	AMBULATORY SURGERY CENTER	CA	N/A					No			No
(34) RADIATION THERAPY INNOVATIONS LLC 1221 MADISON ST 1ST FL SEATTLE,WA98104 30-0553035	HEALTHCARE	WA	N/A					No		Yes
(35) RIVERSIDE HEALTHCARE 1107 HAZELTINE BLVD 200 CHASKA,MN55318 41-1594648	HEALTHCARE	MN	N/A					No		Yes
(36) ST JOSEPH PHYSICIAN VENTURES I LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 45-4521884	REAL ESTATE	CA	N/A					No		Yes
(37) ST JOSEPHSATELLITE DIALYSIS CENTERS LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 81-4657391	HEALTHCARE	CA	N/A					No			No
(38) ST JUDE SURGICAL CENTERS LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON,WA98057 82-3352570	AMBULATORY SURGERY CENTER	CA	N/A					No		Yes
(39) ST PETER-SOUTH SOUND REGIONAL MRI CENTER 3417 ENSIGN RD NE OLYMPIA,WA98506 91-1455338	MEDICAL IMAGING	WA	N/A					No		Yes
(40) SURGERY CENTER AT TANASBOURNE LLC 11221 ROE AVE STE 300 LEAWOOD,KS66211 20-8187971	AMBULATORY SURGERY CENTER	KS	N/A					No		Yes
(41) THE MADISON SPOKANE INN LLC 15 WEST ROCKWOOD BLVD SPOKANE,WA99204 84-1606484	HOTEL SERVICES	WA	N/A					No		Yes
(42) WON-ONC LLC 1900 COOKS HILL RD CENTRALIA,WA98531 26-2181194	REAL ESTATE - MOB	WA	N/A					No		Yes

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) 1221 MADISON STREET OWNERS ASSOC 747 BROADWAY SEATTLE,WA98122 20-1954319	OWNERS' ASSOCIATION	WA	N/A	C					No
(2) ADVATA INC (FKA KENSCI INC) 615 2ND AVE 700 SEATTLE,WA98104 47-4048082	HEALTHCARE	WA	N/A	C					No
(3) AMERICAN UNITY GROUP LTD 90 PITTS BAY ROAD PEMBROKE HM08 BD	CAPTIVE INSURANCE	BD	N/A	C					No
(4) AYIN HEALTH HOLDINGS INC 4400 NE HALSEY ST STE 609 ATTN ACCO PORTLAND,OR97213 83-3037172	HEALTHCARE	DE	N/A	C					No
(5) AYIN HEALTH SOLUTIONS INC 4400 NE HALSEY ST STE 609 ATTN ACCO PORTLAND,OR97213 93-1211733	HEALTHCARE	OR	N/A	C					No
(6) BOURGET HEALTH SERVICES INC 101 W 8TH AVE TAF C-9 SPOKANE,WA99204 91-1354431	CLINICAL/MEDICAL LAB	WA	N/A	C					No
(7) CARON CORPORATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 81-0486082	MEDICAL PHYSICIAN SERVICE	MT	N/A	C					No
(8) CLOUD 21 LIMITED 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057	HEALTHCARE	UK	N/A	C					No
(9) ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA 1301 20TH ST STE 280 SANTA MONICA,CA90404 95-2880495	HEALTHCARE	CA	N/A	S					No
(10) HCSA PROPERTIES LLC 1600 M STREET NW AUBURN,WA98001 46-0620892	REAL ESTATE RENTAL	WA	N/A	C					No
(11) KENSCI ASIA PACIFIC PTE LTD 615 2ND AVE 700 SEATTLE,WA98104	HEALTHCARE	SN	N/A	C					No
(12) KENSCI TECH INDIA PRIVATE LIMITED 615 2ND AVE 700 SEATTLE,WA98104	HEALTHCARE	IN	N/A	C					No
(13) LUBBOCK METHODIST HOSP PRACTICE MGMT 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 75-2578995	INACTIVE	TX	N/A	C					No
(14) LUBBOCK METHODIST HOSPITAL SVCS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 75-2118585	HEALTHCARE	TX	N/A	C					No
(15) MEDICAL SPECIALTIES MANAGERS INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 33-0406218	HEALTHCARE	WA	N/A	C					No
(16) MISSION VIEJO MEDICAL VENTURES INC 27800 MEDICAL CENTER RD 354 MISSION VIEJO,CA92691 33-0212905	HEALTHCARE	CA	N/A	C					No
(17) PHN HOLDINGS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 46-1814184	STRATEGIC PLANNING SERVICES	CA	N/A	C					No
(18) PRAIA HEALTH INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 99-0552297	HEALTHCARE	DE	N/A	C					No
(19) PROVIDENCE GLOBAL CENTER LLP 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 98-1516461	IT SVCS	IN	N/A	C					No
(20) PROVIDENCE HEALTH CARE VENTURES INC 101 W 8TH AVE TAF C-9 SPOKANE,WA99204 90-0155714	CLINICAL/MEDICAL LAB	WA	N/A	C					No
(21) PROVIDENCE HEALTH NETWORK 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 80-0886966	PREPAID HEALTHCARE	CA	N/A	C					No
(22) PROVIDENCE PARTNERS HOLDINGS INC 4400 NE HALSEY ST STE 609 ATTN ACCO PORTLAND,OR97213 88-2962549	INVESTMENT	DE	N/A	C					No
(23) PROVIDENCE PHYSICIAN SERVICES CO 101 W 8TH AVE TAF C-9 SPOKANE,WA99204 91-1216033	HEALTHCARE	WA	N/A	C					No
(24) PROVIDENCE ST JOSEPH HEALTH NETWORK 20555 EARL ST TORRANCE,CA90503 82-3771547	HEALTHCARE	CA	N/A	C					No
(25) PROVSOURCE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 90-2318536	HEALTHCARE	DE	N/A	C					No
(26) ST JOSEPH HEALTH 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 46-2340232	HOLDING COMPANY	CA	N/A	C					No
(27) ST JOSEPH HEALTH SOURCE INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 46-1900168	HEALTHCARE	CA	N/A	C					No
(28) ST JOSEPH MEDICAL PLAZA ASSOCIATION 1140 W LA VETA STE 400 ORANGE,CA92868 33-0621539	CONDO ASSOCIATION	CA	N/A	C					No
(29) ST JOSEPH PROF SVCS ENTERPRSES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 33-0155323	HEALTHCARE	CA	N/A	C					No
(30) TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC) 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 84-2092143	HOLDING COMPANY	DE	N/A	C					No
(31) TEGRIA INSIGHTS GROUP HOLDINGS INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 86-1400769	HOLDING COMPANY	WA	N/A	C					No
(32) TEGRIA INSIGHTS GROUP INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 86-1532593	HEALTHCARE	WA	N/A	C					No
(33) TEGRIA PRODUCTS GROUP INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 87-0995138	HOLDING COMPANY	DE	N/A	C					No
(34) TEGRIA RCM GROUP US INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 86-3046450	HOLDING COMPANY	DE	N/A	C					No
(35) TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC) 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 84-4686520	HOLDING COMPANY	DE	N/A	C					No
(36) TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP) 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 84-4704409	HOLDING COMPANY	DE	N/A	C					No
(37) TEGRIA SERVICES GROUP-CAN INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057	HEALTHCARE	CA	N/A	C					No
(38) TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC) 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 90-0872936	HEALTHCARE	WI	N/A	C					No
(39) TRUSANA INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 92-2370159	HEALTHCARE	DE	N/A	C					No
(40) VINSERRA INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 95-3943315	INVESTMENT	CA	N/A	C					No
(41) WEIGHT LOSS INC (FKA HMR WEIGHT MANAGEMENT SERVICES CORP) 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA98057 46-3598718	HEALTHCARE	WA	N/A	C					No

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ST JOSEPH HEALTH SYSTEM FOUNDATION	B	7,985,399	ACCRUAL
(2) REDWOOD MEMORIAL FOUNDATION	C	846,396	ACCRUAL
(3) PROVIDENCE MEDICAL FOUNDATION	J	2,087,010	ACCRUAL
(4) PROVIDENCE MEDICAL FOUNDATION	K	1,396,099	ACCRUAL
(5) PROVIDENCE HEALTH & SERVICES - WASHINGTON	L	3,064,709	ACCRUAL
(6) PROVIDENCE MEDICAL FOUNDATION	L	217,858	ACCRUAL
(7) COVENANT HEALTH SYSTEM	M	82,368	ACCRUAL
(8) PROVIDENCE MEDICAL FOUNDATION	M	217,858	ACCRUAL
(9) PROVIDENCE MEDICAL FOUNDATION	O	102,530,511	ACCRUAL

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	5,406
6	Total number of volunteers (estimate if necessary) .............	6	78
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	342,105
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	11,787

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	7,191,874	13,329,974
9	Program service revenue (Part VIII, line 2g) .........	1,286,812,037	1,454,736,280
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-16,263,525	26,075,773
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	11,061,684	10,055,531
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,288,802,070	1,504,197,558
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	5,939,230	13,258,946
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	511,844,106	527,941,247
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,945,397
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	943,187,369	991,218,372
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,460,970,705	1,532,418,565
19	Revenue less expenses. Subtract line 18 from line 12.......	-172,168,635	-28,221,007
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,241,817,376	1,393,234,313
21	Total liabilities (Part X, line 26).............	537,328,384	665,214,964
22	Net assets or fund balances. Subtract line 21 from line 20.....	704,488,992	728,019,349

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,473,981,200 including grants of $ 13,258,946 ) (Revenue $ 1,464,791,811 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,473,981,200

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	2,651,246	9,904,995	916,479

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	846,396
e	Government grants (contributions)		1e	2,544,810

f	All other contributions, gifts, grants, and similar amounts not included above		1f	9,938,768

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		13,329,974

		Business Code
2a	NET PATIENT REVENUE	622110	1,447,225,039	1,447,225,039
b	MOB RENTAL REVENUE	531120	6,753,990	6,753,990
c	PATHOLOGY & LABORATORY	621500	392,126		392,126
d	CAFETERIA REVENUE	722514	365,125	365,125
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,454,736,280

3 Investment income (including dividends, interest, and othersimilar amounts) ......			6,140,955		-50,021	6,190,976
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	12,332,890	7,601,928
b	Less: cost or other basis and sales expenses	7b	0	0
c	Gain or (loss)	7c	12,332,890	7,601,928
d	Net gain or (loss).........			19,934,818			19,934,818
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	CATERING REVENUE		722514	1,406,169	1,406,169
b	PHARMACY REVENUE		456110	561,180	561,180
c	INTERAFFILIATE REVENUE		900099	217,858	217,858
d	All other revenue ....			7,870,324	7,870,324
e	Total. Add lines 11a–11d ......			10,055,531
12	Total revenue. See instructions.....			1,504,197,558	1,464,399,685	342,105	26,125,794

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	13,258,946	13,258,946
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	479,448,435	457,229,359	21,098,114	1,120,962
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	11,623,002	11,084,357	511,470	27,175
9	Other employee benefits .......	2,691,427	2,566,698	118,436	6,293
10	Payroll taxes ...........	34,178,383	32,594,454	1,504,019	79,910
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	767,821	732,238	33,788	1,795
c	Accounting ...........	30,093	28,699	1,324	70
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	55,374		55,374
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	257,367,407	245,440,231	11,325,445	601,731
12	Advertising and promotion ....	278,524	265,617	12,256	651
13	Office expenses .......	15,916,397	15,178,783	700,401	37,213
14	Information technology ......	621,201	592,413	27,336	1,452
15	Royalties ..
16	Occupancy ...........	26,165,896	24,953,290	1,151,429	61,177
17	Travel ............	1,546,663	1,474,986	68,061	3,616
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	23,769	22,667	1,046	56
20	Interest ...........	13,183,521	12,572,558	580,140	30,823
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	45,641,334	43,526,178	2,008,445	106,711
23	Insurance ...	7,378	7,036	325	17
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SYSTEM COST ALLOCATION	357,956,881	341,368,087	15,751,882	836,912
b	MEDICAL SUPPLIES	199,159,792	199,159,792
c	HOSPITAL FEE	60,164,144	60,164,144
d	UBI TAXES PAID	81,500	77,723	3,586	191
e	All other expenses	12,250,677	11,682,944	539,091	28,642
25	Total functional expenses. Add lines 1 through 24e	1,532,418,565	1,473,981,200	55,491,968	2,945,397
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			17,021	1	16,191,294
2	Savings and temporary cash investments .........			-285,617,448	2
3	Pledges and grants receivable, net ......			3,566,806	3	4,041,055
4	Accounts receivable, net .............			213,859,279	4	229,906,135
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			665,567	7	634,074
8	Inventories for sale or use ............			21,057,642	8	21,443,846
9	Prepaid expenses and deferred charges ......			2,069,707	9	2,506,344
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,529,331,455
b	Less: accumulated depreciation	10b	919,380,614	635,476,571	10c	609,950,841
11	Investments—publicly traded securities .			426,343,159	11	226,288,583
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			46,865,976	13	48,728,356
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			177,513,096	15	233,543,785
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,241,817,376	16	1,393,234,313

17	Accounts payable and accrued expenses .....	121,947,740	17	90,975,920
18	Grants payable ...		18
19	Deferred revenue .........	1,983,880	19	1,481,739
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	2,050,000	23	2,050,000
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	411,346,764	25	570,707,305
26	Total liabilities. Add lines 17 through 25..	537,328,384	26	665,214,964

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	621,287,787	27	640,637,480
28	Net assets with donor restrictions ...........	83,201,205	28	87,381,869
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	704,488,992	32	728,019,349
33	Total liabilities and net assets/fund balances ........	1,241,817,376	33	1,393,234,313