The Gamelin - California Association

What it reported doing in 2022

Providenceat providence, we use our voice to advocate for vulnerable populations and needed reforms in health care. We are also pursuing innovative ways to transform health care by keeping people healthy, and making our services more convenient, accessible and affordable for all. In an increasingly uncertain world, we are committed to high-quality, compassionate care for everyone - regardless of coverage or ability to pay. We help people and communities benefit from the best health care model for the future - today. Together, our 117,000 caregivers (all employees) serve in 51 hospitals, 1,000 clinics and a comprehensive range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. The providence family includes: -providence across seven western states-covenant health in west Texas-providence facey medical foundation in los angeles, ca-kadlec in southeast Washington-pacific medical centers in seattle, wa-swedish health services in seattle, wa as a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Delivering services across seven states, providence is committed to touching millions of more lives and enhancing the health of the american west to transform care for the next generation and beyond. Through community benefit programs and other high-impact investments, we work to ensure basic health needs are met and serve to remove barriers to care, build community resilience and innovate for the future. Ministries and affiliates support organizations, programs and initiatives that improve health and well-being and increase equitable access to quality care at the community level and at scale across seven states. We are proud of our history and continued commitment to helping build a more equitable, sustainable future. Our steadfast commitment to responding to community need is one of the many ways ministries, affiliates and caregivers live out our shared mission and continue to serve as a vital safety net for those who are vulnerable. For more information go to: https://www.providence.org/about/annual-report environmental, social, and governance standardsprovidence continues to advance a social responsibility framework that includes a stronger commitment to diversity, equity, inclusion ("dei"), and environmental stewardship. In 2022, we elevated the work of dei, by restructuring resources with plans to align and scale dei strategies across the providence family of organizations. We continue to execute on our integrated strategic & financial plan which clearly expresses our commitment and acceleration of this important work to address social, racial, and economic disparities in the communities we serve. Providence's social responsibility framework aims to deploy the assets of our system to support community health improvement, strengthen local economies and reduce our carbon footprint. We have implemented an environmental stewardship system strategy that encourages waste reductions, efficient energy and water usage, local agriculture partnerships, less toxic and fewer chemical use, and a reduction in carbon from travel. We have also held environmental stewardship as one of the top priorities for our leadership incentive program to ensure alignment and momentum continues. In april 2022, providence published its first environmental stewardship report, in which we reported 12 percent reduction in carbon emissions in seven key categories in our acute care facilities since our 2019 baseline. As of september 30, 2022, (the most recent data available), we have increased that reduction to 13 percent. Program service accomplishmentsthe gamelin - California association ceased conducting its program service operations and sold its net assets to a California limited partnership on may 25, 2017.

Financial Efficiency

• Mission deployment rate: Limited
• Program expense ratio: Limited

Transparency & Controls

• Consistency checks: 50%; rating input score 50; 0th percentile among comparable filings
• Major donor itemization: Limited

Sustainability

• Operating margin: Limited
• Total-asset coverage ratio: Limited
• Liabilities to assets ratio: Limited
• Officer compensation ratio: Limited

Growth

• Program expense growth: Limited
• Revenue growth: -18.4% per year; rating input score 0; 17th percentile among comparable filings
• Asset growth: -20.1% per year; rating input score 0; 10th percentile among comparable filings