Covenant Health System

“Classes of members or stockholders st. Joseph health system and lubbock methodist hospital system are the corporate members of covenant health system.”

“Classes of persons and the nature of their rights covenant health system has a tiered governance in which the corporate members reserve the right to appoint the covenant health system's governing board. All nominations that come from the covenant health system board as nominations must be approved by the st. Joseph health system, as the corporate member, and the st. Joseph health ministry, as the organizational sponsor. The st. Joseph health system member approves 50% of the board nominations, plus the voting ceo. The lubbock methodist health system approves the other 50% of board nominations.”

“Classes of persons, decisions requiring approval & type of voting rights the reserved rights in our tiered governance structure contemplate approval by the st. Joseph health system member of financing, budgets, unbudgeted expenditures of defined amounts, strategic plan, appointment of auditors, creation or investment in a legally recognized entity, joint ventures, purposes, sale or disposition of real property, merger or sale of substantially all assets, appointment and removal of trustees, adoption or amendment of articles or bylaws. The corporate member, st. Joseph health system, reserves the right to approve the purposes, sale or disposition of real property, merger or sale of substantially all assets, appointment and removal of trustees, adoption or amendment of articles or bylaws.”

“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.”

“Process to monitor transactions for conflicts of interest providence takes the issue of conflicts of interest, and independent unconflicted decision-making, very seriously. Providence has a comprehensive conflict of interest policy and interest disclosure policy, revised in 2023, and carefully and thoroughly administers these policies. Board members, sponsors, senior leaders and key core leaders are required to disclose any actual or potential conflict of interest in accordance with the providence conflict of interest policy, and so that the individual satisfies his or her fiduciary obligations to the organization. Disclosures are made annually, as well as any time an actual or potential conflict of interest arises. Providence chief legal officer and/or providence chief risk officer, and/or providence chief compliance officer, review all disclosures. Where appropriate, the ceo and/or the board chair will review conflict of interest situations that involve senior leadership or a board member other than the chair. Providence chief legal officer and/or chief risk officer review matters where conflict is difficult or cannot be readily resolved and present recommendations to the appropriate board committee or the ceo, for discussion and resolution. When appropriate, the individual with the real/potential conflict that is being reviewed may participate in the discussion but is recused from the meeting, and from any final discussion and vote, when a decision is being made on whether a conflict exists, or when the action giving rise to the conflict of interest is decided. Where appropriate, chief risk officer or chief legal officer will provide a plan to manage conflicts and avoid participation by the conflicted individual in the matter giving rise to the conflict of interest. Auditing and monitoring of this process is done periodically. All documentation of conflict of interest disclosures is retained in accordance with organization retention policy.”

“Process for determining compensation the organization's chief executive officer/president/executive director is paid by a related tax-exempt organization, providence health & services washington, and is disclosed as a person paid by a related organization. It is providence's intention to make financial information accessible and transparent. Although the filing of form 990 provides insight into how providence achieves its mission, delivers its programs and stewards its finances, deciphering the information directly from form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary board, with responsibility for financial oversight associated with fulfillment of the providence mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of providence's legal entities. Providence also maintains a network of community entity boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its senior executives, including all officers. Salaries for senior executives are reviewed at least annually by the executive compensation committee, which is a committee of the providence board consisting only of outside, independent directors. The committee makes sure, at each of its meetings, that no member of the committee has a conflict of interest as to any executive whose compensation is reviewed by the committee. The executive compensation committee retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the united states. Providence is one of the larger health systems in the country, and as such, the board benchmarks executive compensation against other large, not-for-profit health systems that are substantially similar to providence in size and complexity (such as having a similar amount of annual net revenue). Additionally, because providence often looks to general industry for leaders in certain functional areas, providence also takes into consideration general industry market data in these special situations. Base salaries for providence executives are generally targeted to the "median" level of the market data (where half the salaries in the data are lower and half the salaries in the data are higher), as identified by the independent consultant and reviewed with the executive compensation committee. The president/ceo utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for other senior executives. This process includes a rigorous analysis of those recommendations with the executive compensation committee as a part of the review and approval process. Total compensation is tied closely to performance of the organization and the individual. Performance incentives allow executives to earn additional compensation if they help lead providence in achieving specific organizational goals for furthering providence's operating commitments and strategic objectives. The board of directors conducts a thorough review process to ensure performance incentives are aligned with appropriate market practices. The board's process for setting, reviewing and approving executive compensation fully complies with irs standards (to assure that all compensation is considered reasonable) and reflects best governance practices in the industry. The process was last completed in june 2025.”

“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.”

“At providence, we use our voice to advocate for vulnerable populations and needed reforms in health care. We are also pursuing innovative ways to transform health care by keeping people healthy, and making our services more convenient, accessible and affordable for all. In an increasingly uncertain world, we are committed to high-quality, compassionate health care for everyone - regardless of coverage or ability to pay. We help people and communities benefit from the best health care model for the future - today. Together, our 125,000 caregivers (all employees) serve in 51 hospitals, 1,014 clinics and a comprehensive range of health and social services across alaska, california, montana, new mexico, oregon, texas and washington. The providence affiliate family includes: -providence across five western states -covenant health in west texas and new mexico -facey medical group in los angeles, ca -kadlec in southeast washington -pacific medical centers in seattle, wa -swedish health services in seattle, wa in 2024, providence ministries and affiliates provided $1.9 billion in community benefit programs. This includes free and discounted care, uncompensated and subsidized care, and other community health activities. One of these vital programs, medicaid, is a lifeline for millions of individuals, including seniors, children, pregnant patients, those with disabilities and veterans. We are grateful to everyone in our communities who has joined us in advocating for continued funding and expansion of this program. Together, we are helping to ensure more people have access to needed care. For more information go to: https://www.providence.org/about/annual-report through our community benefit programs, we focus on meeting the diverse needs of the people we serve by working to ensure basic health needs are met, removing barriers to care, building community resilience and innovating for the future. Providence continues to work towards carbon negative and in 2024 decreased emissions by 19 percent compared to our 2019 baseline. Our efforts earned us a system record 55 environmental excellence awards from practice greenhealth and made us the first large system to receive the joint commission's sustainable healthcare certification in 2024 for each of our hospitals. 2024 program service accomplishments: covenant health lubbock hospitals: covenant medical center, grace surgical hospital, covenant children's hospital and covenant specialty hospital work collaboratively through a centralized/shared service community benefit/community health investment department to meet the needs identified in the chna. The lubbock based facilities are referred to collectively as covenant health lubbock hospitals and all serve the same geographic service area of west texas and eastern new mexico. Additionally, due to overlapping service areas, close geographic proximity to one another, and shared community benefit outreach programs, the covenant health lubbock hospitals worked with covenant health plainview, covenant health levelland and covenant hobbs hospital to develop a regional approach to many of their chip's. While there are some differences in select strategies and community partners, covenant medical center, covenant children's, grace surgical hospital, covenant specialty hospital, covenant health plainview, covenant hobbs hospital, and covenant health levelland share many similar outreach strategies, which allows for more effectively leveraging investments in the region to meet community needs.”

“Covenant 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. Below we highlight three priority area accomplishments across covenant health lubbock hospitals: mental/relational health and substance misuse: mental, behavioral health treatment, and substance misuse intervention, and prevention services for the community; including social and relational health, stigma reduction, and community education, community education and awareness through partnerships with non-profits, law enforcement, and schools; support for accessibility and availability of addiction treatment options. 1. The covenant community outreach counseling program provides counseling services to low-income, uninsured and vulnerable persons in our communities. In 2023 and 2024 service sites were expanded to include on-site counseling support for various community partners including the lubbock ywca and lubbock children's health clinic. Wrap around counseling services were made available to lubbock isd students enrolled in the community advocacy program. Tele-health counseling services were continued to support levelland, plainview and surrounding communities. A counseling internship program was expanded through partnerships with area universities creating a significant increase in services provided to the community. The internship program has grown from 2 counselor interns at the end of 2022 to 6 interns at the end of 2024. In 2024, the covenant community counseling center completed 3536 counseling encounters. Covenant also participated in a regional-wide mental health collaborative-west texas mental health collaborative which provides support to the entire texas service area. Through this collaborative we have supported the creation of a new diversion center which is under construction and the collaborative has also brought several mental health conferences to the region. Additionally, covenant health participated in the american foundation for suicide prevention west texas chapter out of the darkness walk to raise awareness for suicide prevent, partnered with several local non-profits addressing mental health through grants, sponsorships and in-kind support, participated in community events to educate the public on mental health issues, partnered with providence well-being trust to provide matching mental health access expansion grants, and provided education on substance mis-use and naloxone administration for a local non-profit housing/homelessness organization. Covenant health also continues to expand access to children and their families through the relational health unit in our covenant children's hospital. Access to care and health resources: issues related to accessing health services and resources including social determinants of health with an emphasis on vulnerable populations. 2. Through covenant heath's community dental outreach program, we were able to provide low-cost dental services to dentally un-insured through dental outreach clinics in lubbock and plainview, partnering with lubbock impact to hold full-day dental clinics, and performing dental outreach in lubbock and hockley counties. In 2024, this program totaled approximately 1,600 dental encounters providing access to the full array of dental services from extractions to dentures to low-income dentally uninsured adults in our service area. This provided access to dental for adults in our service area who would otherwise likely be without dental care. Additionally, we completed dental outreach in littlefield and levelland school districts, the lubbock ywca and lubbock impact. The dental outreach program also completed hygiene education through attending community events and provided hygiene items to low income community members in need. 3. Covenant's community health education program provides free health education to community members throug”

“Individuals listed as officers and key employees of the organization that are paid by a related organization are common law employees of the related organization. It is the intention of providence and the filing organization to make information accessible and transparent, reporting those employees of a related organization who have officer and key employee responsibilities to the filing organization. The related organization common law employees are included in the related organization's section 4960 tax analysis and reporting.”

“General consulting fees: program service expenses 1,020,782. Management and general expenses 680,521. Total expenses 1,701,303. Repairs & maintenance: program service expenses 3,838,519. Management and general expenses 2,559,013. Total expenses 6,397,532. Agency & contract labor: program service expenses 156,674. Management and general expenses 104,450. Total expenses 261,124. Medical director & med physician fees: program service expenses 745,885. Management and general expenses 497,256. Total expenses 1,243,141. Other patient services: program service expenses 7,328,490. Management and general expenses 4,885,660. Total expenses 12,214,150.”

“Change in equity related to investments -1,140,228. Net asset transfers between related tax-exempt organizations -66,235,906. Other changes in net assets -11,962,675. Change in investment in joint ventures -5,018,663.”