2021-11-13T19:31:19-06:00 2020-12-31 346565596 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2020-01-01 752246348 METHODIST HOSPITAL LEVELLAND METH 8068944963 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 JENNIFER BRYAN CFO 8068944963 2021-11-13 1 JENNIFER BRYAN 999009999 AERRIAL ORR P01598400 4048748300 2021-11-07 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z COVENANT HOSPITAL LEVELLAND BRUCE WHITE 1900 COLLEGE AVE LEVELLAND TX 793366508 29115620 0 X WWW.COVENANTHEALTH.ORG/LEVELLAND/ X 1998 TX SEE SCHEDULE O.AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 8 6 234 22 0 0 0 3736829 26230801 25131718 177121 243134 7395 762 26415317 29112443 0 0 0 0 11476849 11008783 0 0 0 17681522 18954511 29158371 29963294 -2743054 -850851 16666011 30129720 6024344 12308171 10641667 17821549 X AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 0 0 28599376 0 25132480 SEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE PURSUE INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA2020 - AN UNPRECEDENTED YEAROVER THE PAST YEAR, OUR COMMUNITIES HAVE FACED EXTRAORDINARY CHALLENGES. BUT EVEN DURING THE MOST DIFFICULT PUBLIC HEALTH CRISIS OF OUR TIME, COMMUNITIES HAVE ALSO SHOWN REMARKABLE STRENGTH AND RESOLVE. THERE IS SO MUCH GOOD THAT CAN BE ACCOMPLISHED AT THE COMMUNITY LEVEL, ESPECIALLY WHEN LIKE-MINDED ORGANIZATIONS WORK TOGETHER. IN SERVICE TO OUR MISSION, PROVIDENCE PARTNERS WITH COMMUNITY-BASED ORGANIZATIONS TO IDENTIFY URGENT HEALTH NEEDS AND ENVIRONMENTAL FACTORS THAT ARE IMPACTING THE WELL-BEING OF OUR COMMUNITIES. WE ACT TO PROVIDE SHORT-TERM SOLUTIONS AND ENVISION LONG-TERM RESULTS BY WISELY INVESTING IN OUR COMMUNITIES TO HELP BUILD A MORE EQUITABLE AND SUSTAINABLE FUTURE. IN 2020, WE INVESTED $1.7 BILLION IN COMMUNITY BENEFIT ACROSS SEVEN REGIONS, TO SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT CREATE LASTING CHANGE AT THE COMMUNITY LEVEL. THESE EFFORTS SEEK TO MITIGATE IMMEDIATE CHALLENGES WHILE FINDING SOLUTIONS TO DEEP-ROOTED PROBLEMS, IMPROVE ACCESS TO HEALTH CARE, AND ADVANCE INNOVATIVE CARE MODELS TO MEET THE EVOLVING NEEDS OF OUR COMMUNITIES.CARING FOR OUR COMMUNITIES HAS NEVER BEEN MORE IMPORTANT. TO ACHIEVE OUR VISION OF HEALTH FOR A BETTER WORLD, OUR PROVIDENCE FAMILY OF ORGANIZATIONS FOCUSED ON FOUR COMMUNITY INITIATIVES IN 2020:1 - FOUNDATIONS OF HEALTH;2 - REMOVING BARRIERS TO CARE;3 - COMMUNITY RESILIENCE; AND4 - INNOVATING FOR THE FUTURE.WE CHOSE THESE FOCUS AREAS BECAUSE THEY ARE ALL FOUNDATIONAL TO HEALTH AND WELL-BEING, REPRESENTING IDENTIFIED NEEDS THAT ARE INTEGRAL TO IMPROVING QUALITY OF LIFE. REALIZING OUR MISSION: COVENANT LEVELLAND, IS PART OF NEWLY FORMED PROVIDENCE ST. JOSEPH HEALTH. COVENANT LEVELLAND IS ONE OF SIX COVENANT HEALTH HOSPITALS. COVENANT HEALTH IS THE LARGEST AND MOST CLINICALLY INTEGRATED HEALTH NETWORK SERVING THE WEST TEXAS/EASTERN NEW MEXICO REGION. COVENANT'S CHRISTIAN MINISTRY OF HEALING SERVES A TWENTY ONE COUNTY SERVICE AREA COVERING MORE THAN 30,000 SQUARE MILES AND 750,000 PEOPLE. OUR MISSION OF HEALING INCLUDES SEVEN HOSPITALS, MORE THAN 1,100 LICENSED BEDS, 5,000 CAREGIVERS, 350 OWNED OR ALIGNED PROVIDERS, AND MORE THAN 600 ADMITTING PHYSICIANS. COVENANT HEALTH DELIVERS ANNUALLY AN AVERAGE DAILY CENSUS OF MORE THAN 400 AT ITS HOSPITALS, MORE THAN 28,000 PATIENT DISCHARGES, AND MORE THAN 85,000 EMERGENCY ROOM VISITS. COVENANT IS THE MOST AWARDED HEALTH PROVIDER IN THE REGION BASED ON ANNUAL QUALITY AND SAFETY AWARDS FROM HEALTHGRADES AND US NEWS.MORE THAN A HEALTH SYSTEM, COVENANT IS THE LARGEST PRIVATE EMPLOYER IN LUBBOCK AND THE SOUTH PLAINS PROVIDING MORE THAN $1.1 BILLION IN ANNUAL ECONOMIC IMPACT TO THE COMMUNITIES IT SERVES AND IS CONSISTENTLY RATED AS ONE OF THE BEST PLACES TO WORK IN LUBBOCK. COVENANT IS COMMITTED TO OFFERING ACCESSIBLE, AFFORDABLE CARE TO LUBBOCK'S SURROUNDING AREAS WITH HOSPITALS AND SERVICES OFFERED BY COVENANT HOSPITAL LEVELLAND AND COVENANT HOSPITAL PLAINVIEW, AND COVENANT MEDICAL GROUP, A LARGE EMPLOYED PHYSICIAN GROUP COMPRISED OF APPROXIMATELY 200 PRIMARY CARE AND SPECIALIST PHYSICIANS ACROSS WEST TEXAS AND EASTERN NEW MEXICO.PROGRAM SERVICE ACCOMPLISHMENTS:COVENANT HEALTHCOVENANT HEALTH HAS A RICH HISTORY IN THE TEXAS/NEW MEXICO REGION. WHILE HEALTH CARE IN OUR REGION HAS CHANGED OVER THE YEARS, OUR COMMITMENT TO FULFILLING OUR MISSION, VISION, VALUES AND PROMISE HAVE NOT WAIVERED. DURING THE TRYING TIMES OF THE PANDEMIC THAT BEGAN IN 2020, OUR COMMITMENT TO OUR COMMUNITIES STRENGTHENED IN HOW WE CARE FOR EACH OTHER, ESPECIALLY OUR PATIENTS.BELOW WE HIGHLIGHT TWO PRIORITY AREA ACCOMPLISHMENTS ACROSS COVENANT HOSPITALSPRIORITY 1: MENTAL AND BEHAVIORAL HEALTH MENTAL AND BEHAVIORAL HEALTH TREATMENT, INTERVENTION AND PREVENTION SERVICES FOR THE COMMUNITY, INCLUDING RELATED ISSUES SUCH AS SUBSTANCE USE MENTAL AND BEHAVIORAL HEALTH NO TIME IN RECENT HISTORY TESTED MENTAL AND BEHAVIORAL HEALTH MORE THAN THE COVID-19 PANDEMIC OF 2020. THE COVENANT COMMUNITY COUNSELING CENTER MET THE NEEDS OF OUR COMMUNITY AND PROVIDED ALL SERVICES AT NO CHARGE TO THOSE WHO SOUGHT OUR CARE. WHILE THE METHOD IN WHICH SERVICES WERE PROVIDED RELIED UPON TELETHERAPY, WE WERE ABLE TO INCREASE OUR OUTREACH TO THOSE IN OUR RURAL COMMUNITIES WHO HAVE LIMITED MOBILITY OR LACK OF TRANSPORTATION. OUR CAREGIVERS SAW SUCCESS IN PROVIDING CAREER DEVELOPMENT TO CLIENTS, MANY OF WHOM BECAME UNEMPLOYED DUE TO THE PANDEMIC. WE WATCHED FIRST-HAND AS CLIENTS TRANSITIONED FROM ONE INDUSTRY TO ANOTHER, THUS TRULY SEEING THE HAND OF GOD IN OUR WORK. THIS WORK OPENED OPPORTUNITIES TO SEE OTHER NEEDS OF OUR CLIENTS, INCLUDING LEGAL ISSUES, FOOD INSUFFICIENCY, ACCESS TO MEDICAL CARE OR SOCIAL ISOLATION. THE MOST REWARDING OF ALL IS TO KNOW OUR CAREGIVERS PROVIDED HOPE FOR THEIR CLIENTS, TOUCHING LIVES, ONE DAY, ONE PERSON AND ONE MIRACLE AT A TIMEPRIORITY 2: ACCESS TO HEALTH SERVICES ACCESS TO HEALTH SERVICES INCLUDING BUT NOT LIMITED TO PREVENTION, MENTAL HEALTH, ORAL HEALTH, PRESCRIPTION ASSISTANCE, HEALTH/COMMUNITY NAVIGATION, TRANSPORTATION AND HEALTH EDUCATION/PREVENTION SERVICES CARING FOR OUR COMMUNITY HAS ALWAYS BEEN A PRIORITY AND A PASSION FOR THE CAREGIVERS AT COVENANT HEALTH. WHILE 2020 PRESENTED MANY CHALLENGES, OUR COMMITMENT TO COMPASSION FOR THOSE WHO NEEDED IT THE MOST DID NOT WAIVER. ONE OF THE HIGHLIGHTS OF THAT COMMITMENT COMES FROM OUR CAREGIVERS WITH COMMUNITY NAVIGATION SERVICES. AFTER MULTIPLE EMERGENCY DEPARTMENT VISITS TO ONE OF OUR MINISTRIES, A 66-YEAR-OLD MALE WITH MANY HEALTH ISSUES WAS REFERRED TO OUR TEAM. WE WERE ABLE TO PROVIDE THE PATIENT LIFESAVING MEDICATION AND GUIDANCE FOR HIS DIET. BECAUSE HE WAS DIABETIC, ACCESS TO AFFORDABLE FOOD THAT WAS SUPPORTIVE TO HIS DIET WAS AN ISSUE. IN ADDITION, HE STRUGGLED WITH PAYING HIS RENT, UTILITIES AND OTHER LIFE NEEDS. OUR NAVIGATION TEAM ASSISTED HIM WITH MEDICATION, DIET EDUCATION AND SOCIAL NEEDS THROUGH A SOCIAL WORKER. COVENANT HEALTH'S PARTNERSHIP WITH GOVERNMENT AGENCIES AND CATHOLIC SERVICES ALLOWED US TO PROVIDE HOPE FOR THIS PATIENT, TOUCHING HIS LIFE, ONE DAY, ONE PERSON AND ONE MIRACLE AT A TIME. 28599376 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 50 0 1 234 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X BRUCE WHITE 8067254963 1900 COLLEGE AVENUE LEVELLAND TX 793366508 BRUCE WHITE BOARD MEMBER/CEO COV LEVELLAND 40.00 0.00 X X 66795 224185 31453 MICHAEL BAILEY CHIEF OF STAFF/BOARD MEMBER 40.00 0.00 X X 0 196755 24084 CHAD ALEXANDER BOARD MEMBER 2.00 0.00 X 0 0 0 DALLAS PENA BOARD MEMBER/VICE CHAIR 2.00 0.00 X 0 0 0 JANNA WORLEY BOARD MEMBER 2.00 0.00 X 0 0 0 JESUS M RODRIGUEZ BOARD MEMBER 2.00 0.00 X 0 0 0 LUIS PEREZ BOARD MEMBER 2.00 0.00 X 0 0 0 RICHARD ELLIS BOARD MEMBER 2.00 0.00 X 0 0 0 JAMES KELLY SECRETARY 5.00 45.00 X 0 444840 91419 JENNIFER BRYAN CFO 25.00 25.00 X 0 126254 14697 GREG MCKAY PHYSICIAN ASSISTANT 40.00 0.00 X 210170 0 34785 AMIE BROGDEN CLINIC NURSE PRACTITIONER 40.00 0.00 X 157813 0 17630 TOMMIE VIDALES CLINIC NURSE PRACTITIONER 40.00 0.00 X 139979 0 35205 JESSICA MAPLES DIR, NURSING 40.00 0.00 X 124315 0 32661 GARY JACKSON PHYSICIAN ASSISTANT 40.00 0.00 X 124376 0 13595 823448 992034 295529 10 0 1 0 COVENANT MEDICAL GROUP 2215 NASHVILLE AVE LUBBOCK TX 79410 MEDICAL SERVICES 2055082 MCKESSON 6555 STATE HWY 161 IRVING TX 75039 MEDICAL SERVICES 1153639 EMERGENCY STAFFING SOLUTIONS INC 17304 PRESTON RD STE 1400 DALLAS TX 75252 STAFFING SERVICES 895416 CARDINAL HEALTH 411 INC PO BOX 56412 LOS ANGELES CA 90074 MEDICAL SERVICES 530459 DAVID L GREEN CRNA PC 1505 S HWY 70 SWEETWATER TX 79556 MEDICAL SERVICES 471000 16 3736829 3736829 NET PATIENT REVENUE 622110 25053564 25053564 MOB RENT REVENUE 531120 45100 45100 CAFETERIA REVENUE 722514 33054 33054 25131718 246311 246311 3177 -3177 -3177 -3177 REBATES AND REFUNDS 900099 762 762 762 29112443 25132480 0 243134 X 75383 75383 10011145 9592595 418550 196596 186969 9627 20105 19120 985 705554 671003 34551 1408752 1408752 5129135 4877963 251172 85554 81364 4190 580014 551611 28403 181891 172984 8907 5338 5077 261 9162 8713 449 3041 3041 590655 590655 SYSTEM COST ALLOCATION 7485365 7118810 366555 MEDICAL SUPPLIES 3134757 2981249 153508 HOSPITAL FEE 170625 170625 DUES & SUBSCRIPTIONS 93883 89286 4597 76339 72600 3739 29963294 28599376 1363918 0 4273123 13557048 3574868 7647430 2802508 741899 328386 362589 10631334 8561949 2521460 2069385 2684901 5270604 480765 480765 16666011 30129720 1943811 2388489 5415340 4080533 4504342 6024344 12308171 X 10641667 17821549 10641667 17821549 16666011 30129720 X -850851 368135 7662598 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 907 907 0 PART II-B, LINE 1: THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION FOR LOBBYING. 25980 25980 1474909 1105064 369845 2347915 2173437 174478 6750747 5283448 1467299 31783 31783 2069385 DUE TO AFFILIATES 1173654 DUE TO THIRD PARTY 611264 OTHER LIABILITIES 2719424 4504342 1 1 X 1 X 175.000000000000 1 X 1 1 1 0 1 1 1706 1916426 0 1916426 0.06400 6777 5023493 5183513 0 0.00000 130 215487 62723 152764 0.00510 8613 7155406 5246236 2069190 0.06910 1 0 76188 0 76188 0.00250 1 250 22143 0 22143 0.00070 1 651 4283 0 4283 0.00010 3 901 102614 102614 0.00330 3 9514 7258020 5246236 2171804 0.07240 0 5836115 8250722 -2414607 X 1 1 1 1 METHODIST HOSPITAL LEVELLAND 1900 COLLEGE AVE LEVELLAND TX 79336 WWW.COVENANTHEALTH.ORG/LEVELLAND/ 307 X X X RURAL HEALTH CLINIC METHODIST HOSPITAL LEVELLAND 1 0 0 1 X X X X X X X X X 19 1 1 0 1 X SEE SCHEDULE H, PART V, SECTION C X 1 20 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 175.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 SCHEDULE H, PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5: TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, COVENANT HEALTH LUBBOCK HOSPITALS IN PARTNERSHIP WITH COVENANT HEALTH LEVELLAND AND COVENANT HEALTH PLAINVIEW, HELD TEN STAKEHOLDER FOCUS GROUPS DURING THE SUMMER OF 2020 IN WHICH NONPROFIT AND GOVERNMENT STAKEHOLDERS, AS WELL AS PUBLIC HEALTH EXPERTS, DISCUSSED THE ISSUES AND OPPORTUNITIES OF THE PEOPLE, NEIGHBORHOODS, AND CITIES OF THE SERVICE AREA. STAKEHOLDERS 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. ADDITIONALLY, COMMUNITY MEMBERS WHO UTILIZE OUTREACH SERVICES COMPLETED JUST UNDER ONE HUNDRED COMMUNITY SURVEYS. BELOW IS A HIGH-LEVEL SUMMARY OF THE FINDINGS FROM THESE SESSIONS; FULL DETAILS ON THE PROTOCOLS AND METHODOLOGY ARE AVAILABLE IN APPENDIX 3 WHICH IS AVAILABLE ONLINE ON COVENANT HEALTH'S WEBSITE.FINDINGS FROM LEVELLAND STAKEHOLDER LISTENING SESSIONS STAKEHOLDERS WERE ASKED TO SPEAK TO THE UNMET HEALTH-RELATED NEEDS IN THE LEVELLAND COMMUNITY. UNMET HEALTH-RELATED NEEDS ACROSS THE BOARD, STAKEHOLDERS WERE MOST CONCERNED ABOUT THE FOLLOWING HEALTH-RELATED NEEDS:PRIORITY 1: MENTAL AND BEHAVIORAL HEALTH MENTAL AND BEHAVIORAL HEALTH TREATMENT, INTERVENTION AND PREVENTION SERVICES FOR THE COMMUNITY, INCLUDING RELATED ISSUES SUCH AS SUBSTANCE USEPRIORITY 2: ACCESS TO HEALTH SERVICES ACCESS TO HEALTH SERVICES INCLUDING BUT NOT LIMITED TO PREVENTION, MENTAL HEALTH, ORAL HEALTH, PRESCRIPTION ASSISTANCE, HEALTH/COMMUNITY NAVIGATION, TRANSPORTATION AND HEALTH EDUCATION/PREVENTION SERVICES.3. BEHAVIORAL HEALTH CHALLENGES (INCLUDES BOTH MENTAL HEALTH AND SUBSTANCE USE DISORDER) AND ACCESS TO BEHAVIORAL HEALTH CARE 4. FOOD INSECURITY, INCLUDING OBESITY AND NUTRITION 5. ECONOMIC INSECURITY SCHEDULE H, PART V, SECTION B, LINE 6A: THE NEEDS ASSESSMENT WAS CONDUCTED AS A COLLABORATIVE EFFORT BETWEEN THE FOLLOWING COVENANT HEALTH ENTITIES: COVENANT HEALTH MEDICAL CENTER, COVENANT HEALTH CHILDREN'S, COVENANT HEALTH PLAINVIEW, COVENANT HEALTH LEVELLAND AND COVENANT SPECIALTY HOSPITAL (JOINT VENTURE).THESE FACILITIES ARE REFERRED TO COLLECTIVELY AS COVENANT HEALTH AND ALL SERVE THE SAME GEOGRAPHIC SERVICE AREA OF WEST TEXAS AND EASTERN NEW MEXICO. SCHEDULE H, PART V, SECTION B, LINE 7A: CHNA WEBSITE ADDRESS:HTTPS://WWW.COVENANTHEALTH.ORG/DOCUMENTS/2019CHNA-COVENANTLEVELLAND.PDF SCHEDULE H, PART V, SECTION B, LINE 10A: IMPLEMENTATION STRATEGY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSCLICK ON "TEXAS" TAB SCHEDULE H, PART V, SECTION B, LINE 11: COVENANT HEALTH IS WORKING BOTH INTERNALLY AND WITH COMMUNITY PARTNERS TO ADDRESS SIGNIFICANT HEALTH NEEDS IDENTIFIED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT. COVENANT HEALTH'S FY20-22 COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORT FOCUSES ON THE PRIORITIES SELECTED BY THE CHNA PROCESS.RANKED SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS:PRIORITY 1: MENTAL AND BEHAVIORAL HEALTHMENTAL AND BEHAVIORAL HEALTH TREATMENT, INTERVENTION AND PREVENTION SERVICES FOR THE COMMUNITY, INCLUDING RELATED ISSUES SUCH AS SUBSTANCE USE2020 ACCOMPLISHMENTS: DURING 2020 COVENANT HEALTH OPENED A COMMUNITY RESOURCE CENTER WITHIN THE LUBBOCK YWCA BUILDING, THIS CENTER WILL EXPAND ACCESS TO MENTAL HEALTH COUNSELING SERVICES FOR LOW-INCOME AND UN-INSURED. ADDITIONALLY TELE-COUNSELING SERVICES BEGAN IN 2020 WHICH ALLOWED OUR OUTREACH COUNSELING CENTER TO CONTINUE TO PROVIDE COUNSELING SERVICES FOR LOW-INCOME AND UN-INSURED PERSON IN OUR COMMUNITY FREE OF CHARGE DURING THE PANDEMIC. COVENANT HEALTH BEGAN AN ANTI-STIGMA CAMPAIGN FOR MENTAL AND BEHAVIORAL HEALTH IN 2020 WHICH WILL CONTINUE INTO 2021. COVENANT HEALTH PROVIDED A THREE-YEAR GRANT TO LUBBOCK INDEPENDENT SCHOOL DISTRICT TO PROVIDE EARLY INTERVENTION FOR YOUTH AND FAMILIES. COVENANT HEALTH ALSO DIRECTLY RUNS OUTREACH COUNSELING SERVICES FOR THE COMMUNITY.PRIORITY 2: ACCESS TO HEALTH SERVICESACCESS TO HEALTH SERVICES INCLUDING BUT NOT LIMITED TO PREVENTION, MENTAL HEALTH, ORAL HEALTH, PRESCRIPTION ASSISTANCE, HEALTH/COMMUNITY NAVIGATION, TRANSPORTATION AND HEALTH EDUCATION/PREVENTION SERVICES2020 ACCOMPLISHMENTS: EXPANDED COMMUNITY NAVIGATION SERVICES TO CONNECT VULNERABLE PERSONS TO MEDICAL HOMES AND PRESCRIPTION PROGRAMS; ADDED A FIXED SITE DENTAL OUTREACH CLINIC IN HALE COUNTY; PROVIDED GRANTS AND DONATIONS TO LOCAL COMMUNITY CLINICS AND HEALTH CENTERS; PROVIDED GRANT AND IN-KIND STAFF SUPPORT TO PRESCRIPTION ASSISTANCE PROGRAM WITH CATHOLIC CHARITIES.PRIORITY 3: HOUSING INSECURITY/HOMELESSNESSSAFE, AFFORDABLE, STABLE HOUSING AND PERMANENT SUPPORTIVE HOUSING SOLUTIONS FOR PEOPLE EXPERIENCING CHRONIC HOMELESSNESS2020 ACCOMPLISHMENTS: PROVIDED GRANT FUNDING TO OPEN DOOR FOR EXPANSION OF PERMANENT SUPPORTIVE HOUSING PROGRAM; CONNECTED COVENANT NAVIGATION, COUNSELING AND HEALTH EDUCATION SERVICES TO NON-PROFITS ADDRESSING HOUSING AND HOMELESSNESS; HELD COMMUNITY HOUSING WORKSHOPPRIORITY 4: FOOD INSECURITY AND NUTRITIONACCESS TO HEALTHY FOOD, NUTRITION EDUCATION, AND HEALTHY LIFESTYLE SUPPORT2020 ACCOMPLISHMENTS: SCREENED FOR FOOD INSECURITY WITHIN COMMUNITY NAVIGATION PROGRAM AND CONNECTED INDIVIDUALS IN NEED WITH FOOD ASSISTANCE AND SNAP ENROLLMENT ASSISTANCE; PROVIDED GRANT FUNDS TO DOUBLE UP FOOD BUCKS TO PROVIDE FRESH FARM GROWN FOOD ALTERNATIVES TO FAMILIES ON FOOD ASSISTANCE PROGRAMS; PROVIDED FREE HEALTH AND NUTRITION EDUCATION SERVICES THROUGH COVENANT HEALTH EDUCATION OUTREACH; PROVIDED TELE-HEALTH EDUCATION DURING THE PANDEMIC; INVESTED FUNDING INTO LOCAL FOOD BANK PROGRAMSPOTENTIAL RESOURCES AVAILABLE TO ADDRESS SIGNIFICANT HEALTH NEEDSUNDERSTANDING THE POTENTIAL RESOURCES TO ADDRESS SIGNIFICANT HEALTH NEEDS IS FUNDAMENTAL TO DETERMINING CURRENT STATE CAPACITY AND GAPS. THE ORGANIZED HEALTH CARE DELIVERY SYSTEMS INCLUDE THE LOCAL HEALTH DEPARTMENTS, SEVERAL FEDERALLY QUALIFIED HEALTH CENTERS, COVENANT HEALTH HOSPITALS AND CLINICS, TEXAS TECH HEALTH SCIENCES CENTER, STARCARE, AND UNIVERSITY MEDICAL CENTER. WITHIN COVENANT HEALTH, DIRECT OUTREACH PROGRAMS ARE DESIGNATED TO ADDRESS COMMUNITY NEEDS. IN ADDITION, THERE ARE NUMEROUS SOCIAL SERVICE NON-PROFIT AGENCIES, FAITH-BASED ORGANIZATIONS, AND PRIVATE AND PUBLIC-SCHOOL SYSTEMS THAT CONTRIBUTE RESOURCES TO ADDRESS THESE IDENTIFIED NEEDS. FOR A LIST OF POTENTIALLY AVAILABLE RESOURCES AVAILABLE TO ADDRESS SIGNIFICANT HEALTH NEEDS SEE APPENDIX 5.FOR MORE INFORMATION ON THE KEY STRATEGIES FOR ADDRESSING THIS HEALTH NEEDS GO TO THE COVENANT HEALTH FY20-FY22 CB PLAN LOCATED AVAILABLE ONLINE AT HTTPS://WWW.COVENANTHEALTH.ORG/FOR-COMMUNITY/COMMUNITY-BENEFIT/NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA ARE NOT ADDRESSED THROUGH DIRECT ONGOING HOSPITAL PROGRAMMING HOWEVER ARE ADDRESSED BY COVENANT HEALTH COMMUNITY PARTNERSHIPS:RESOURCE LOCAL RESOURCE AWARENESS AND ACCESS, POVERTY, ECONOMIC INSECURITY, TRANSPORTATION, AND CHILDCARE COVENANT HEALTH PARTNERS WITH AND PROVIDES FUNDING TO SEVERAL ORGANIZATIONS THAT PROVIDE SERVICES IN THESE AREAS, INCLUDING BUT NOT LIMITED TO SOUTH PLAINS COMMUNITY ACTION ASSOCIATION, CATHOLIC CHARITIES, LOCAL FQHC'S, THE SOUTH PLAINS FOOD BANK, YWCA, WOMEN'S PROTECTIVE SERVICES, MEALS ON WHEELS, AND FAMILY GUIDANCE AND OUTREACH CENTER. WE ALSO HAVE BEGUN HOSTING AN ANNUAL CHILD ABUSE PREVENTION SUMMIT AND HAVE AN INTERNAL FOOD PANTRY FOR PATIENT'S FAMILIES IN NEED.WE ARE COMMITTED TO CONTINUE OUR MISSION THROUGH COMMUNITY BENEFIT PROGRAM AND BY FUNDING OTHER LOCAL NON-PROFITS THROUGH OUR WELLNESS AND PREVENTION GRANTS FUNDED THROUGH OUR CARE FOR THE POOR DOLLARS AND MANAGED BY COVENANT HEALTH COMMUNITY OUTREACH. IN ADDITION, WE COLLABORATE WITH LOCAL ORGANIZATION(S) AND LOCAL FEDERALLY QUALIFIED HEALTH CLINICS THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE. SCHEDULE H, PART V, SECTION B, LINE 13H: THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDER-INSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 16A: THE FAP IS MADE WIDELY AVAILABLE AT: HTTPS://WWW.COVENANTHEALTH.ORG/DOCUMENTS/PATIENT-FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-POLICY-SJH-TX.ENGLISH.PDF SCHEDULE H, PART V, SECTION B, LINE 16B: THE FAP APPLICATION FORM IS MADE WIDELY AVAILABLE AT: HTTPS://WWW.COVENANTHEALTH.ORG/DOCUMENTS/PATIENT-FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-APPLICATION-SJH-TX.ENGLISH.PDF SCHEDULE H, PART V, SECTION B, LINE 16C: THE FAP PLAIN LANGUAGE SUMMARY IS MADE WIDELY AVAILABLE AT: HTTPS://WWW.COVENANTHEALTH.ORG/DOCUMENTS/PATIENT-FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-BROCHURE-SJH-TEXAS-ENGLISH-.PDF SCHEDULE H, PART V, SECTION B, LINE 16J: THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDE THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. IN ADDITION, POLICY NOTICES ARE POSTED IN CONSPICUOUS AREAS SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMISSIONS OFFICES AND OTHER OUTPATIENT SETTINGS. INDIVIDUAL NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS TO PATIENTS WHO HAVE NOT PROVIDED PROOF OF THIRD-PARTY COVERAGE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE ALSO PROVIDED UPON REQUEST. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA. 4 1 - FAMILY MEDICINE CLINIC 116 A JOHN DUPREE LEVELLAND TX 79336 RURAL HEALTH CLINIC 2 - LEVELLAND CLINIC SOUTH 1804 S COLLEGE AVE LEVELLAND TX 79336 RURAL HEALTH CLINIC 3 - LEVELLAND CLINIC NORTH 103 JOHN DUPREE LEVELLAND TX 79336 RURAL HEALTH CLINIC 4 - SUNDOWN RHC 209 E RICHARDSON SUNDOWN TX 79372 RURAL HEALTH CLINIC 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: COVENANT HEALTH PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE ATHTTPS://WWW.COVENANTHEALTH.ORG/FOR-COMMUNITY/COMMUNITY-BENEFIT/ PART I, LINE 7: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS. 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: PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE. PART VI, LINE 2: NEEDS ASSESSMENTCOVENANT HEALTH AS PART OF ITS STRATEGIC PLANNING PROCESS DEVELOPS A FIVE-YEAR STRATEGIC PLAN WHICH ESTABLISHES A VISION FOR THE ORGANIZATION WHILE SETTING A GUIDE FOR THE ANNUAL STRATEGIC PLAN. AS PART OF THE PLANNING PROCESS, WE ANALYZE EXTERNAL MARKET INFORMATION (INCLUDING BUT NOT LIMITED TO POPULATION ESTIMATES, DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION, REGIONAL USE RATES AND MARKET UTILIZATION TREND ANALYSES) AND INTERNAL INFORMATION (INCLUDING BUT NOT LIMITED TO INPATIENT, OUTPATIENT/SAME DAY, AND EMERGENCY VISIT DATA BY PATIENT ORIGIN, BY AGE COHORTS, BY RACE AND ETHNICITY AND INCOME STRATA) TO BETTER UNDERSTAND THE NEEDS OF OUR PATIENTS AND COMMUNITY. THIS WORK IS USED TO DEVELOP SERVICE AND PHYSICIAN/PROVIDER NEED PROJECTIONS TO DETERMINE GAPS IN OUR COMMUNITY. AS A FAITH BASED PROVIDER THIS INFORMATION ALSO IS USED TO DETERMINE NEEDS FOR THE UNDERSERVED AND VULNERABLE IN OUR COMMUNITY AND REGION. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE. PART VI, LINE 4: COMMUNITY INFORMATIONCOVENANT HEALTH PROVIDES WEST TEXAS AND EASTERN NEW MEXICO COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE CHNA SERVICE AREA, INCLUDING LUBBOCK, HOCKLEY, AND HALE COUNTIES, IS HOME TO APPROXIMATELY 379,000 PEOPLE. THE SERVICE AREA FOR COVENANT MEDICAL CENTER, COVENANT CHILDREN'S HOSPITAL, COVENANT SPECIALTY HOSPITAL, AND GRACE HOSPITAL IS THE ENTIRETY OF LUBBOCK COUNTY. COVENANT LEVELLAND SERVES HOCKLEY COUNTY, AND COVENANT PLAINVIEW SERVES HALE COUNTY. DUE TO THE LEVEL OF CARE PROVIDED AT THESE SIX HOSPITALS, COVENANT HOSPITALS SEE PATIENTS FROM SURROUNDING COUNTIES, ALTHOUGH FOR THE PURPOSES OF THIS CHNA, THE TOTAL SERVICE AREAS WILL INCLUDE LUBBOCK, HOCKLEY, AND HALE COUNTIES. DATA COLLECTED IN THIS CHNA FOCUS ON THESE THREE COUNTIES, WHICH ARE WITHIN A GEOGRAPHIC AREA THAT IS DIRECTLY SERVED BY THE COVENANT COMMUNITY HEALTH OUTREACH PROGRAMS.SURROUNDING COUNTIES OUTSIDE OF THE CHNA SERVICE AREA WHERE PATIENTS MAY LIVE INCLUDE THE FOLLOWING: CASTRO, SWISHER, BAILY, COCHRAN, YOAKUM, GAINES, DAWSON, SCURRY, LAMB, TERRY, LYNN, GARZA, CROSBY, AND FLOYD COUNTIES IN TEXAS, AS WELL AS CURRY, ROOSEVELT, LEA, AND EDDY IN NEW MEXICO. FOR THE MOST PART, THE AGE DISTRIBUTION FOR AGE GROUPS 85+ AND UNDER 5 YEARS ARE ROUGHLY PROPORTIONAL ACROSS THE BROADER SERVICE AREA, HIGH NEED SERVICE AREA, AND THREE COUNTIES. WHILE THE BROADER AND HIGH NEED SERVICE AREAS ARE ROUGHLY PROPORTIONAL, HALE COUNTY HAS A SLIGHTLY GREATER PROPORTION OF PEOPLE UNDER 18 YEARS. PEOPLE BETWEEN 18 AND 34 ARE SUBSTANTIALLY MORE LIKELY TO LIVE IN A HIGH NEED AREA, LIKELY YOUNG FAMILIES AND THOSE IN AND AROUND COLLEGE TOWNS. THOSE AGES 35 TO 84 ARE LESS LIKELY TO LIVE IN A HIGH NEED AREA. THE POPULATION OF LUBBOCK COUNTY IS APPROXIMATELY 5 TIMES THAT OF HALE AND HOCKLEY COUNTIES COMBINED. THE HISPANIC POPULATION IS OVER-REPRESENTED IN THE HIGH NEED COMMUNITIES, REPRESENTING NEARLY 50% OF THE POPULATION IN THOSE AREAS COMPARED TO 31% IN THE BROADER SERVICE AREA. THOSE WHO IDENTIFY AS WHITE ARE LESS LIKELY TO LIVE IN HIGH NEED COMMUNITIES, WHILE THOSE WHO IDENTIFY AS "OTHER" RACE POPULATION AND AS BLACK ARE MORE LIKELY TO LIVE IN THE HIGH NEED COMMUNITIES. WHILE THE BLACK POPULATION MAKES UP NEARLY 4% OF THE BROADER SERVICE AREA, THEY MAKE UP ALMOST 11% OF THE HIGH NEED SERVICE AREA. APPROXIMATELY 60% OF THE POPULATION IN HALE COUNTY IDENTIFIES AS HISPANIC, AS DO NEARLY 50% OF THE POPULATION OF HOCKLEY COUNTY. THE MEDIAN INCOME FOR THE HIGH NEED SERVICE AREA IS LOWER THAN THAT OF ALL THREE COUNTIES AND THE STATE OF TEXAS. IT IS ALSO ABOUT HALF THE MEDIAN INCOME OF THE BROADER SERVICE AREA. CENSUS TRACTS WITH THE LOWEST MEDIAN HOUSEHOLDS INCOMES ARE FOUND NEAR COVENANT MEDICAL CENTER, COVENANT CHILDREN'S HOSPITAL, GRACE MEDICAL CENTER AND COVENANT HEALTH PLAINVIEW. SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS THAT ARE SPENDING 50% OR MORE OF THEIR INCOME ON HOUSING COSTS. THE HIGH NEED SERVICE AREA HAS A HIGHER PERCENTAGE OF RENTER HOUSEHOLDS WITH SEVERE HOUSING COST BURDEN THAN EACH OF THE COUNTIES IN THE TOTAL SERVICE AREA AND THE STATE OF TEXAS.LUBBOCK COUNTY HAS THE HIGHEST PERCENTAGE OF HOUSEHOLDS THAT ARE SEVERELY HOUSING COST BURDEN WHEN COMPARED TO HALE AND HOCKLEY COUNTIES. CENSUS TRACTS AROUND COVENANT MEDICAL CENTER, COVENANT CHILDREN'S HOSPITAL, AND GRACE MEDICAL CENTER HAVE THE HIGHEST PERCENTAGE OF HOUSEHOLDS THAT ARE SEVERELY HOUSING COST BURDENED IN THE SERVICE AREA. HEALTH PROFESSIONAL SHORTAGE AREA THE 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. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). LARGE PORTIONS OF THE COVENANT HEALTH SERVICE AREA ARE DESIGNATED AS SHORTAGE AREAS.HOSPITAL SERVING LUBBOCK COUNTY INCLUDE: UMC HEALTH SYSTEM, SOUTHWEST REGIONAL MEDICAL CENTER, COVENANT SPECIALTY HOSPITAL, COVENANT CHILDREN'S HOSPITALFOR MORE INFORMATION, GO TO THE COVENANT HEALTH'S FY20 COMMUNITY BENEFITREPORT POSTED AT HTTPS://WWW.COVENANTHEALTH.ORG/FOR-COMMUNITY/COMMUNITY-BENEFIT/ PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHCOVENANT HOSPITAL LEVELLAND PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. COVENANT HOSPITAL LEVELLAND 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 TRUSTEES.2) OPEN MEDICAL STAFF.3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE PURSUE INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA2020 - AN UNPRECEDENTED YEAROVER THE PAST YEAR, OUR COMMUNITIES HAVE FACED EXTRAORDINARY CHALLENGES. BUT EVEN DURING THE MOST DIFFICULT PUBLIC HEALTH CRISIS OF OUR TIME, COMMUNITIES HAVE ALSO SHOWN REMARKABLE STRENGTH AND RESOLVE. THERE IS SO MUCH GOOD THAT CAN BE ACCOMPLISHED AT THE COMMUNITY LEVEL, ESPECIALLY WHEN LIKE-MINDED ORGANIZATIONS WORK TOGETHER. IN SERVICE TO OUR MISSION, PROVIDENCE PARTNERS WITH COMMUNITY BASED ORGANIZATIONS TO IDENTIFY URGENT HEALTH NEEDS AND ENVIRONMENTAL FACTORS THAT ARE IMPACTING THE WELL-BEING OF OUR COMMUNITIES. WE ACT TO PROVIDE SHORT-TERM SOLUTIONS AND ENVISION LONG-TERM RESULTS BY WISELY INVESTING IN OUR COMMUNITIES TO HELP BUILD A MORE EQUITABLE AND SUSTAINABLE FUTURE. PART VI, LINE 7, REPORTS FILED WITH STATES TX 0 1 0 0 0 0 0 1 0 JAMES KELLY SECRETARY 0 314976 0 126345 0 3519 0 63433 0 27986 0 536259 0 0 BRUCE WHITE BOARD MEMBER/CEO COV LEVELLAND 47677 174745 18545 47300 573 2140 3032 7182 5556 15683 75383 247050 0 0 GREG MCKAY PHYSICIAN ASSISTANT 210170 0 0 0 0 0 6572 0 28213 0 244955 0 0 0 MICHAEL BAILEY CHIEF OF STAFF/BOARD MEMBER 0 190314 0 35 0 6406 0 4158 0 19926 0 220839 0 0 AMIE BROGDEN CLINIC NURSE PRACTITIONER 157813 0 0 0 0 0 4811 0 12819 0 175443 0 0 0 TOMMIE VIDALES CLINIC NURSE PRACTITIONER 139129 0 0 0 850 0 4516 0 30689 0 175184 0 0 0 JESSICA MAPLES DIR, NURSING 109919 0 11474 0 2922 0 3901 0 28760 0 156976 0 0 0 PART I, LINE 1A PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE. PART I, LINE 3 DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY THE FILING ORGANIZATION AND ITS TAX-EXEMPT PARENT, COVENANT HEALTH SYSTEM. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. PART I, LINE 4B 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. NO INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR. 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, WHICH IS A PERFORMANCE-BASED ANNUAL INCENTIVE PLAN THAT AFFORDS PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS COVENANT HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF COVENANT HOSPITAL LEVELLAND. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS COVENANT HOSPITAL LEVELLAND HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBER RESERVES THE RIGHT TO APPOINT TRUSTEES TO THE COVENANT HOSPITAL LEVELLAND BOARD. ALL TRUSTEE NOMINATIONS THAT COME FROM THE COVENANT HOSPITAL LEVELLAND BOARD AS NOMINATIONS MUST BE APPROVED BY THE COVENANT HEALTH SYSTEM (CHS), 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 COVENANT 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, COVENANT 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 FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. 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, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE 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 REGULARLY. 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 THE FILING ORGANIZATION AND ITS TAX-EXEMPT PARENT, COVENANT HEALTH SYSTEM. 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 2020. 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 AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 95,534. MANAGEMENT AND GENERAL EXPENSES 4,919. TOTAL EXPENSES 100,453. GENERAL CONSUTING FEES: PROGRAM SERVICE EXPENSES 1,534,236. MANAGEMENT AND GENERAL EXPENSES 79,000. TOTAL EXPENSES 1,613,236. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,938,295. MANAGEMENT AND GENERAL EXPENSES 151,296. TOTAL EXPENSES 3,089,591. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 309,898. MANAGEMENT AND GENERAL EXPENSES 15,957. TOTAL EXPENSES 325,855. FORM 990, PART XI, LINE 9: OTHER CHANGES IN NET ASSETS 177,233. NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 7,485,365. COVENANT ACO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501(C)(3) 12,I CHS 1 COVENANT HEALTH NETWORK INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 461259908 HEALTHCARE CA 501(C)(3) 12, III SJHS 1 COVENANT HEALTH PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 463516417 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS 1 COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS 1 COVENANT HOSPITAL HOBBS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 844273963 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 822913146 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL GROUP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752743883 HEALTHCARE TX 501(C)(3) 3 CHS 1 EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANSITIONAL CARE WA 501(C)(3) 10 N/A 0 GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 201910170 SUPPORT WA 501(C)(3) 7 PHS WA 1 GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC WA 98188 273133200 HEALTHCARE WA 501(C)(3) 7 SHS 1 GRACE CLINIC OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 203856995 HEALTHCARE TX 501(C)(3) 3 CHS 1 HMTS INC 1 HOAG DRIVE NEWPORT BEACH CA 92658 453583707 HEALTHCARE CA 501(C)(3) 12, I HMHP 1 HOAG CHARITY SPORTS 2081 BUSINESS CENTER DR STE 195 NEWPORT BEACH CA 92663 452982422 SUPPORT CA 501(C)(3) 7 HHF 1 HOAG CLINIC 1 HOAG DRIVE NEWPORT BEACH CA 92658 330676831 HEALTHCARE CA 501(C)(3) 10 HMHP 1 HOAG HOSPITAL FOUNDATION 330 PLACENTIA AVE NEWPORT BEACH CA 92663 953222343 FUNDRAISING CA 501(C)(3) 7 HMHP 1 HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG ROAD BOX 6100 NEWPORT BEACH CA 92663 951643327 HEALTHCARE CA 501(C)(3) 3 CHN 1 HOSPICE OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752133781 HEALTHCARE TX 501(C)(3) 10 CHS 1 INLAND NORTHWEST HEALTH SERVICES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911307555 HEALTHCARE WA 501(C)(3) 3 PHS WA 1 INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 814260130 HEALTHCARE WA 501(C)(3) 7 PHS SJHS 1 INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 912003593 HEALTHCARE WA 501(C)(3) 7 WHC 1 KADLEC AUXILIARY INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 916033089 SUPPORT WA 501(C)(3) 12, III KRMC 1 KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND WA 99352 237005501 SUPPORT WA 501(C)(3) 7 KRMC 1 KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 910655392 HEALTHCARE WA 501(C)(3) 3 WHC 1 LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330844408 IMAGING SERVICES CA 501(C)(3) 10 PHS SOCAL 1 LUBBOCK HERITAGE HOSPITAL LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 264021016 HEALTHCARE TX 501(C)(3) 3 CHS 1 LUNDBERG ASSOCIATION PROVIDENCE HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911562797 SUPPORT OR 501(C)(3) 7 PHS OR 1 MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 912054035 RESEARCH WA 501(C)(3) 7 SHS 1 METHODIST CHILDREN'S HOSPITAL 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752428911 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL PLAINVIEW 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752426010 HEALTHCARE TX 501(C)(3) 3 CHS 1 MISSION HOSPITAL REGIONAL MEDICAL CTR 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951643360 HEALTHCARE CA 501(C)(3) 3 CHN 1 NORTHWEST HOPE & HEALING FOUNDATION PO BOX 16069 SEATTLE WA 98116 200799737 SUPPORT WA 501(C)(3) 12, I SHS 1 PACMED CLINICS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 562290878 HEALTHCARE WA 501(C)(3) 10 WHC 1 PH&S FOUNDATIONSFVSA & SCVSA 501 SOUTH BUENA VISTA STREET BURBANK CA 915054809 953544877 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE ALASKA FOUNDATION 3760 PIPER STREET SUITE 2021 ANCHORAGE AK 99508 920093565 HEALTHCARE AK 501(C)(3) 7 PHS WA 1 PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION 540 SOUTH MAIN ST MT ANGEL OR 97362 911940286 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE BLANCHET ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911789266 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE CHILDREN'S HEALTH FOUNDATION 4805 NE GLISAN ST STE 2N35 PORTLAND OR 97213 930800140 SUPPORT OR 501(C)(3) 7 PHS OR 1 PROVIDENCE COMMUNITY HEALTH FOUNDATION 940 ROYAL AVE SUITE 410 MEDFORD OR 97504 930692907 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE DETHMAN HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 473385506 SUPPORT WA 501(C)(3) 7 N/A 0 PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 954322584 SUPPORT CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311744654 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE HEALTH & SERVICES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911549796 HEALTHCARE WA 501(C)(3) 12, II PSJH 0 PROVIDENCE HEALTH & SERVICES - MONTANA 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 810231793 HEALTHCARE MT 501(C)(3) 3 PHS WA 1 PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216587 HEALTHCARE OR 501(C)(3) 3 PHS 1 PROVIDENCE HEALTH & SERVICES - WASHINGTON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216586 HEALTHCARE WA 501(C)(3) 3 PHS 1 PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911303277 HEALTHCARE WA 501(C)(3) 3 PMWHC 1 PROVIDENCE HEALTH ASSURANCE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 550828701 MEDICAID HEALTHCARE PROVIDER OR 501(C)(4) N/A PHP 1 PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON 101 W 8TH AVE SPOKANE WA 99204 320014330 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA) 413 LILLY ROAD NE OLYMPIA WA 985065166 911433382 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE HEALTH PLAN 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 930863097 HEALTHCARE OR 501(C)(4) N/A PPP 1 PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216589 HEALTHCARE CA 501(C)(3) 3 PHS 1 PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC 810 12TH STREET PO BOX 149 HOOD RIVER OR 97031 930921990 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE HOSPICE AND HOME CARE FOUNDATION 2731 WETMORE AVE STE 500 EVERETT WA 98201 272552749 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 2811 SOUTH 102ND NO 220 TUKWILA WA 98168 912077378 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION 4101 TORRANCE BLVD TORRANCE CA 90503 510224944 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE MARIANWOOD FOUNDATION 3725 PROVIDENCE POINT DRIVE SE ISSAQUAH WA 980297219 931554288 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330185031 HEALTHCARE CA 501(C)(3) 3 SJHS 1 PROVIDENCE MEDICAL INSTITUTE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330283773 HEALTHCARE CA 501(C)(3) 12, I PHS SOCAL 1 PROVIDENCE MILWAUKIE FOUNDATION 10150 SE 32ND AVE MILWAUKIE OR 97222 943079515 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE MINISTRIES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 RELIGIOUS ORG WA 501(C)(3) 1 N/A 0 PROVIDENCE MOUNT ST VINCENT FOUNDATION 4831 35TH AVE SW SEATTLE WA 981262799 911188119 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE NEWBERG HEALTH FOUNDATION 1001 PROVIDENCE DRIVE NEWBERG OR 97132 930889144 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE PETER CLAVER ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311629656 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE PLAN PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911861964 HEALTHCARE WA 501(C)(4) N/A PHS OR 1 PROVIDENCE PORTLAND MEDICAL FOUNDATION 4805 NE GLISAN ST PORTLAND OR 972132967 931231494 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE ROSSI ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311584166 SUPPORT WA 501(C)(3) 10 PHS WA 1 PROVIDENCE SAINT JOHN'S HEALTH CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951684082 HEALTHCARE CA 501(C)(3) 3 PHS SOCAL 1 PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 814542216 HEALTHCARE CA 501(C)(3) 3 PHS SOCAL 1 PROVIDENCE SEASIDE HOSPITAL FOUNDATION 725 S WAHANNA ROAD SEASIDE OR 97138 930927320 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN) 413 LILLY ROAD NE OLYMPIA WA 985065166 911097056 SUPPORT WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 912171539 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE ST FRANCIS 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