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
2021
Open to Public
Inspection
Name of the organization
PROVIDENCE ST JOSEPH HEALTH
 
Employer identification number

81-1244422
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.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................11
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) PROVIDENCE HEALTH & SERVICES - WASHINGTON
  		510216586 3 Yes   0 0
(B) PROVIDENCE HEALTH & SERVICES - OREGON
  		510216587 3 Yes   0 0
(C) PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
  		510216589 3 Yes   0 0
(D) PROVIDENCE HEALTH & SERVICES - MONTANA
  		810231793 3 Yes   0 0
(E) MISSION HOSPITAL REGIONAL MEDICAL CENTER
  		951643360 3 Yes   0 0
(F) ST JOSEPH HOSPITAL OF ORANGE
  		951643359 3 Yes   0 0
(G) ST JUDE HOSPITAL
  		951643325 3 Yes   0 0
(H) ST MARY MEDICAL CENTER
  		951914489 3 Yes   0 0
(I) PROVIDENCE MEDICAL FOUNDATION
  		330185031 3 Yes   0 0
(J) PROVIDENCE SAINT JOHN'S HEALTH CENTER
  		951684082 3 Yes   0 0
(K) ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
  		814791043 3 Yes   0 0
Total
11
 0 0
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2021
Page 2

Schedule A (Form 990) 2021
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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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  
12
12
 
13
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
14
14
 
15
15
 
16a
33 1/3% support test—2021. 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
b
33 1/3% support test—2020. 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—2021. 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
b
10%-facts-and-circumstances test—2020. 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
18
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) 2021
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Schedule A (Form 990) 2021
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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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.)..            
14
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
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2021. 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
b
33 1/3% support tests—2020. 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
20
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) 2021
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Schedule A (Form 990) 2021
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
No
1
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.
1
Yes
 
2
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).
2
Yes
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
No
b
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.
3b
 
 
c
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.
3c
 
 
4a
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.
4a
 
No
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
No
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
No
7
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) .
7
 
No
8
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).
8
 
No
9a
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.
9a
 
No
b
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.
9b
 
No
c
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.
9c
 
No
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
 
No
b
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) 2021
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Schedule A (Form 990) 2021
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
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
 
No
b
A family member of a person described on 11a above?
11b
 
No
c
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
 
No
Section B. Type I Supporting Organizations
Yes
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
Yes
 
2
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).
2
Yes
 
3
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.
3
Yes
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
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.
2a
 
 
b
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.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
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.
3a
Yes
 
b
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.
3b
Yes
 
Schedule A (Form 990) 2021
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Schedule A (Form 990) 2021
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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  
7
Schedule A (Form 990) 2021
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Schedule A (Form 990) 2021
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 2021 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-2021 		(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2021:
a From 2016.......  
b From 2017.......  
c From 2018.......  
d From 2019.......  
e From 2020.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2021 distributable amount  
i Carryover from 2016 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2021 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2021 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2021, 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 2021. 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 2022. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2017.....  
b Excess from 2018.....  
c Excess from 2019.....  
d Excess from 2020.....  
e Excess from 2021.....  
Schedule A (Form 990) (2021)
Page 8

Schedule A (Form 990) 2021
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
PART I, LINE 12G COLUMN VI PROVIDENCE ST. JOSEPH HEALTH (PSJH) PROVIDES SUPPORT TO ITS SUPPORTED ORGANIZATIONS THROUGH VARIOUS ADMINISTRATIVE AND GOVERNANCE ACTIVITIES INCLUDING: * MAINTAINING THE RELATIONSHIPS PSJH AND THE SUPPORTED ORGANIZATIONS HAVE ESTABLISHED WITH LIKE-MINDED FAITH-BASED AND SECULAR ORGANIZATIONS, AND IN SUCH CAPACITY PROVIDE OVERALL MISSION, VISION, STRATEGIC, FINANCIAL AND OPERATIONAL DIRECTION FOR SUCH MINISTRIES AND ORGANIZATIONS; * FACILITATING THE ESTABLISHMENT, OPERATION, AND MAINTENANCE OF THE CHARITABLE AND EDUCATIONAL ACTIVITIES AND FACILITIES OF THE SUPPORTED ORGANIZATION INCLUDING HOSPITALS, NURSING HOMES AND OTHER FACILITIES DESIGNED TO MEET THE HEALTH, EDUCATIONAL AND SOCIAL NEEDS OF THE COMMUNITIES SERVED BY THE SUPPORTED ORGANIZATIONS; * FACILITATING THE ESTABLISHMENT, OPERATION AND MAINTENANCE OF A VARIETY OF PROGRAMS CONDUCTED BY THE SUPPORTED ORGANIZATIONS THAT PROVIDE HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE AND RELATED SERVICES WITH PARTICULAR CONSIDERATION FOR THE SPECIAL NEEDS OF THE POOR AND VULNERABLE IN THE COMMUNITIES SERVED BY THE SUPPORTED ORGANIZATIONS; * FACILITATING THE PROVISION OF SCIENTIFIC RESEARCH, EDUCATIONAL, CHARITABLE AND SUCH OTHER ACTIVITIES, SERVICES AND PROGRAMS CONDUCTED BY THE SUPPORTED ORGANIZATIONS; * ENGAGING, AS APPROPRIATE, IN OTHER CHARITABLE WORKS WHICH ARE CONSISTENT WITH THE OBJECTIVES OF THE SUPPORTED ORGANIZATIONS AND THE MISSION AND VALUES OF THE CO-SPONSORS. PSJH HAS SEVERAL COMMITTEES DEVOTED TO VARIOUS SUPPORT FUNCTIONS FOR THE SUPPORTED ORGANIZATIONS. THEY INCLUDE THE AUDIT AND COMPLIANCE COMMITTEE, GOVERNANCE COMMITTEE, WORKLIFE COMMITTEE, FINANCE COMMITTEE, NOMINATING COMMITTEE, EXECUTIVE COMPENSATION COMMITTEE, AND QUALITY AND PATIENT SAFETY COMMITTEE. THESE COMMITTEES OF THE PSJH BOARD, IN THE PERFORMANCE OF THEIR RESPECTIVE DUTIES, PROVIDE OVERALL MANAGEMENT AND COORDINATION SERVICES FOR THE SUPPORTED ORGANIZATIONS. THE AUDIT & COMPLIANCE COMMITTEE PROVIDES ALL SYSTEM SUPPORTED ORGANIZATIONS WITH ACCOUNTING AND FINANCIAL REPORTING PROCESSES, INTERNAL CONTROL SYSTEMS, INCLUDING INFORMATION SECURITY, SYSTEM-WIDE INTEGRITY AND COMPLIANCE PROGRAM, ENTERPRISE RISK MANAGEMENT PROGRAM, AND THE ALIGNMENT OF PSJH'S BUSINESS PRACTICES WITH ITS MISSION AND CORE VALUES. THE WORKLIFE COMMITTEE PROVIDES HUMAN RESOURCES STRATEGIES, PLANS, AND POLICIES THAT HAVE SIGNIFICANT IMPLICATIONS FOR THE ATTAINMENT OF ITS STRATEGIC GOALS, AND ALIGNMENT OF PSJH STRATEGIES AND OBJECTIVES FOR ALL SUPPORTED ORGANIZATIONS OF THE SYSTEM. THE FINANCE COMMITTEE APPROVES FINANCIAL POLICIES, GOALS, AND BUDGETS THAT SUPPORT THE MISSION, VALUES, AND STRATEGIC GOALS OF THE SUPPORTED ORGANIZATIONS. THE QUALITY AND PATIENT SAFETY COMMITTEE REVIEWS AND SEEKS TO CONTINUOUSLY IMPROVE MATTERS CONCERNING OR RELATING TO THE QUALITY OF MEDICAL CARE DELIVERED TO PATIENTS, INCLUDING PATIENT SAFETY, CARE EFFECTIVENESS, COMPASSIONATE SERVICE, SEAMLESSNESS, PERSONALIZATION, EXPERIENCE, AND VALUE OF CARE OF ALL SUPPORTED ORGANIZATIONS IN ACCORDANCE WITH THE MISSION, VALUES, AND PHILOSOPHY OF THE PSJH AND ALL THE SUPPORTED ORGANIZATIONS. * CONDUCTING THEIR RESPONSIBILITIES, THE MEMBERS OF THE STANDING COMMITTEES OF PSJH BOARD ARE EXPECTED TO SUPPORT THE EFFORTS OF PSJH AND THE PSJH BOARD IN WORKING CLOSELY AND CONTINUOUSLY WITH, AND BEING RESPONSIVE TO THE NEEDS OF, THE SUPPORTED ORGANIZATIONS AND THEIR RESPECTIVE GOVERNING BODIES.
PART IV, SECTION A, LINE 2 THE FOLLOWING SUPPORTED ORGANIZATIONS ARE EXEMPT UNDER GROUP EXEMPTION #0928 AND ARE LISTED IN THE OFFICIAL CATHOLIC DIRECTORY FOR 2021: PROVIDENCE HEALTH & SERVICES - MONTANA MISSION HOSPITAL REGIONAL MEDICAL CENTER DBA PROVIDENCE MISSION HOSPITAL ST. JOSEPH HOSPITAL OF ORANGE DBA PROVIDENCE ST. JOSEPH HOSPITAL ST. JUDE HOSPITAL DBA PROVIDENCE ST. JUDE MEDICAL CENTER ST. MARY MEDICAL CENTER DBA PROVIDENCE ST. MARY MEDICAL CENTER THE ABOVE SUPPORTED ORGANIZATIONS ARE PUBLICLY SUPPORTED HOSPITAL ORGANIZATIONS DESCRIBED IN IRC SECTION 170(B)(1)(A)(III).
PART IV, SECTION A, LINE 6 IN ADDITION TO THE ENTITIES SPECIFICALLY INDICATED AS SUPPORTING ORGANIZATIONS IN ITS GOVERNING DOCUMENTS, PSJH ALSO SUPPORTS OTHER ORGANIZATIONS WITHIN THE PSJH SYSTEM THAT ARE DESCRIBED IN IRC SECTION 501(C)(3) AND ARE OPERATED, SUPERVISED, OR CONTROLLED DIRECTLY BY OR IN CONNECTION WITH SUCH PUBLICLY SUPPORTED ORGANIZATIONS IN ACCORDANCE WITH TREASURY REGULATIONS 1.509(A)-4(E)(1).
PART IV, SECTION D, LINE 3 THE OFFICERS AND DIRECTORS OF PROVIDENCE ST. JOSEPH HEALTH (PSJH) WORK CLOSELY WITH ITS SUPPORTED ORGANIZATIONS. THROUGH THESE RELATIONSHIPS AND BOARD AND OFFICER OVERLAP, THE SUPPORTED ORGANIZATIONS MEET THE "SIGNIFICANT VOICE" TEST. * THE SENIOR EXECUTIVES OF PSJH CONTROL AND MANAGE EACH SUPPORTED ORGANIZATION BY PROVIDING OVERALL SENIOR MANAGEMENT AND COORDINATION FOR THE PSJH SYSTEM. THIS SENIOR LEADERSHIP ENSURES COORDINATED INTERACTION WITH THE SUPPORTED ORGANIZATIONS, INCLUDING 20 DESIGN PLANS THAT COORDINATE FUNCTIONS THROUGHOUT THE COMBINED SYSTEM. THE PLANS INCLUDE VISION AND GUIDING PRINCIPLES OF EACH SYSTEM OFFICE FUNCTIONS (I.E. ENTERPRISE RISK MANAGEMENT, MARKETING, FINANCE, LEGAL, ETC.); DESIGN PLANS FOR EACH FUNCTION THAT INCLUDES PROCESS AND WORK DESIGN, ORGANIZATIONAL STRUCTURE, AND KEY PERFORMANCE METRICS; AND IMPLEMENTATION PLANS WHICH INCLUDE A 6 MONTH, 12 MONTH AND GREATER THAN 2 YEAR ROAD MAP TO IMPLEMENT THE DESIGN PLANS. * THE OFFICERS (INCLUDING THE CORPORATE EXECUTIVES AND DIRECTORS) OF THE SUPPORTED ORGANIZATIONS WORK IN AN INTEGRATED, DAY-TO-DAY MANNER ON A BROAD RANGE OF STRATEGIC AND OPERATIONAL ISSUES WITH THE OFFICERS AND DIRECTORS OF PSJH IN ORDER TO ACCOMPLISH THE OVERARCHING CHARITABLE GOALS AND OBJECTIVES OF THE PSJH SYSTEM. THERE ARE REGULAR OPERATIONS MEETINGS/CALLS WITH THE HOSPITAL CHIEF EXECUTIVES OF THE SUPPORTED ORGANIZATIONS AND THE PSJH PRESIDENT, OPERATIONS AND SERVICES, OFFICERS AND OTHER PSJH EXECUTIVES. * THE DIRECTORS OF THE SUPPORTED ORGANIZATIONS CONDUCT THEIR DUTIES IN AN INTEGRATED, DAY-TO-DAY MANNER ON A BROAD RANGE OF STRATEGIC AND OPERATIONAL ISSUES WITH THE OFFICERS AND DIRECTORS OF PSJH IN ORDER TO ACCOMPLISH THE OVERARCHING CHARITABLE GOALS AND OBJECTIVES OF THE PSJH SYSTEM. BOTH THE PH&S SHARED GOVERNANCE AND THE SJHS TIERED GOVERNANCE MODELS COORDINATE GOVERNANCE APPROVALS IN FURTHERANCE OF THE CHARITABLE PURPOSES AND GOALS OF ALL ENTITIES. * MULTIPLE FORUMS, COUNCILS, OPERATIONAL COMMITTEES AND OTHER ORGANIZATIONAL MANAGEMENT VEHICLES WILL EXIST WITHIN THE PSJH SYSTEM THROUGH WHICH THE CORPORATE GOVERNANCE, EXECUTIVE LEADERSHIP AND MEDICAL STAFF LEADERSHIP OF THE SUPPORTED ORGANIZATIONS WILL INTERACT IN THE ORDINARY COURSE OF PSJH'S ACTIVITIES. IN ADDITION, THE CALIFORNIA ATTORNEY GENERAL REQUIREMENTS INCLUDE THE EXPANSION OF PROVIDENCE CLINICAL INSTITUTES ACROSS THE COMBINED SYSTEM. THIS WILL REQUIRE THE PARTICIPATION OF PHYSICIANS AT ALL OF THE SUPPORTED ORGANIZATIONS. * THE EVALUATION OF THE PERFORMANCE OF EACH OF THE PSJH TRUSTEES, COMMITTEE MEMBERS AND CORPORATE EXECUTIVES IS BASED IN PART ON THE EXTENT TO WHICH THEY ARE, IN THEIR DUTIES, ATTENTIVE TO THE NEEDS AND INTERESTS OF THE SUPPORTED ORGANIZATIONS. THE PSJH BOARD ENGAGES IN AN ASSESSMENT PROCESS TO EVALUATE ITS PERFORMANCE AND FULFILLMENT OF FIDUCIARY DUTIES, INCLUDING OVERSIGHT (GOVERNANCE, COMPLIANCE) OF THE SUPPORTED ORGANIZATION'S LOCAL MINISTRY AND COMMUNITY MINISTRY BOARDS. PERFORMANCE OF PSJH EXECUTIVES WILL BE BASED IN PART ON THEIR LEADERSHIP/SERVICE TO THE SUPPORTED ORGANIZATIONS. IN SOME CASES, SATISFACTION SURVEYS RELATED TO SYSTEM SERVICES ARE CONDUCTED TO SOLICIT FEEDBACK FROM THE SUPPORTED ORGANIZATIONS. * IN THE PERFORMANCE OF EACH PSJH EXECUTIVE'S DUTIES, THE EXECUTIVE IS EXPECTED TO WORK CLOSELY AND CONTINUOUSLY WITH, AND BE RESPONSIVE TO THE NEEDS OF, THE SUPPORTED ORGANIZATIONS (AS THEY RELATE TO THE SCOPE OF THAT EXECUTIVE'S PARTICULAR DUTIES AND RESPONSIBILITIES). PSJH EXECUTIVES ARE EXPECTED TO WORK CLOSELY AND REGULARLY WITH LEADERSHIP AT THE SUPPORTED ORGANIZATIONS TO ENSURE ACHIEVEMENT OF STRATEGIC PLANS AND OBJECTIVES IN FURTHERANCE OF THE MISSION AND CHARITABLE PURPOSES OF THE ORGANIZATION(S). * THE COMMITTEES OF THE PSJH BOARD REQUIRE THE COMMITTEES, IN THE PERFORMANCE OF THEIR RESPECTIVE DUTIES, TO BE SUPPORTIVE OF, AND ACT CONSISTENT WITH THE RESPONSIBILITIES OF THE PSJH BOARD IN THE IMPLEMENTATION OF PSJHS' CHARITABLE MISSION OF PROVIDING OVERALL MANAGEMENT AND COORDINATION SERVICES FOR THE PSJH SYSTEM. * CERTAIN CRITICAL DECISIONS WITH RESPECT TO (A) CORPORATE STRATEGY; (B) CONSOLIDATED BUDGETING AND ACCOUNTING; (C) CORPORATE GOVERNANCE; (D) MATERIAL TRANSACTIONS; AND (E) AMENDMENT OF BYLAWS AND ARTICLES OF INCORPORATION, MUST BE INITIATED AT THE SUPPORTED ORGANIZATION LEVEL AND PSJH CANNOT IMPLEMENT OR INITIATE ANY DECISIONS WITH RESPECT TO THOSE MATTERS WITHOUT PRIOR ACTION BY THE SUPPORTED ORGANIZATIONS. STRATEGY AND BUDGETS ARE ESTABLISHED THROUGH A COLLABORATIVE PROCESS REFERRED TO AS THE INTEGRATED STRATEGIC AND FINANCIAL PLANNING PROCESS THAT INCLUDES THE SUPPORTED ORGANIZATION (LEADERSHIP AND GOVERNANCE).
PART IV, SECTION E, LINE 3A PROVIDENCE ST. JOSEPH HEALTH (PSJH) IS THE SOLE MEMBER OF PROVIDENCE HEALTH & SERVICES (PH&S) AND ST. JOSEPH HEALTH SYSTEM (SJHS). PSJH HAS THE POWER TO ELECT THE DIRECTORS OF ITS SUPPORTED ORGANIZATIONS. IN SOME CASES, THE DIRECTORS OF THE SUPPORTED ORGANIZATIONS ARE THE SAME AS PSJH'S BOARD AND IN OTHER CASES, PSJH ELECTS DIRECTORS OF THE SUPPORTED ORGANIZATION'S BOARDS THROUGH SJHS.
PART IV, SECTION E, LINE 3B PSJH HAS DIRECTION AND CONTROL OVER THE SUPPORTED ORGANIZATIONS. * IN PERFORMING THEIR DUTIES, THE SENIOR EXECUTIVES OF PSJH ARE EXPECTED TO CONTROL AND MANAGE EACH SUPPORTED ORGANIZATION BY PROVIDING OVERALL SENIOR MANAGEMENT AND COORDINATION FOR THE PSJH SYSTEM. THIS SENIOR LEADERSHIP ENSURES COORDINATED INTERACTION WITH THE SUPPORTED ORGANIZATIONS, INCLUDING 20 DESIGN PLANS THAT COORDINATE FUNCTIONS THROUGHOUT THE COMBINED SYSTEM. THE PLANS INCLUDE: 1) VISION AND GUIDING PRINCIPLES OF EACH SYSTEM OFFICE FUNCTIONS (I.E. ENTERPRISE RISK MANAGEMENT, MARKETING, FINANCE, LEGAL, ETC.). 2) DESIGN PLANS FOR EACH FUNCTION THAT INCLUDES PROCESS AND WORK DESIGN, ORGANIZATIONAL STRUCTURE, AND KEY PERFORMANCE METRICS. 3) IMPLEMENTATION PLANS WHICH INCLUDES A 6 MONTH, 12 MONTH AND GREATER THAN 2 YEAR ROAD MAP TO IMPLEMENT THE DESIGN PLANS. * THE OFFICERS (INCLUDING THE CORPORATE EXECUTIVES) OF THE SUPPORTED ORGANIZATIONS WORK IN AN INTEGRATED, DAY-TO-DAY MANNER ON A BROAD RANGE OF STRATEGIC AND OPERATIONAL ISSUES WITH THE OFFICERS AND DIRECTORS OF PSJH IN ORDER TO ACCOMPLISH THE OVERARCHING CHARITABLE GOALS AND OBJECTIVES OF THE PSJH SYSTEM. THERE ARE REGULAR OPERATIONS MEETINGS/CALLS WITH THE HOSPITAL CHIEF EXECUTIVES OF THE SUPPORTED ORGANIZATIONS AND PSJH PRESIDENT, OPERATIONS AND SERVICES, OFFICERS AND OTHER PSJH EXECUTIVES.
Schedule A (Form 990) 2021


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