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JOSEPH MEDICAL CENTER. 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. PROVIDENCE ST. JOSEPH MEDICAL CENTER AIMED TO ENGAGE STAKEHOLDERS FROM SOCIAL SERVICE AGENCIES, HEALTH CARE, EDUCATION, HOUSING, AND GOVERNMENT, AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES. INCLUDED IN THE INTERVIEWS WAS A REPRESENTATIVE FROM THE LAKE COUNTY PUBLIC HEALTH.COMMUNITY SURVEY:IN JULY 2020, THE HOSPITAL INVITED HOUSEHOLDS IN LAKE COUNTY TO RESPOND TO AN ANONYMOUS ONLINE SURVEY. POSTCARDS WITH THE SURVEY LINK WERE MAILED TO HOUSEHOLDS WITH AN ANNUAL INCOME OF $35,000 OR LESS IN ZIP CODES 59821, 59860, 59864 AND 59865. THE SURVEY LINK WAS ALSO SHARED BY PROVIDENCE STAFF AND PARTNER ORGANIZATIONS IN THE COMMUNITY. THE SURVEY WAS OPEN FROM JULY 8 JULY 26 AND 220 RESPONSES WERE RECEIVED. SEE APPENDIX 3 FOR A SUMMARY OF THE SURVEY RESPONSES, AS WELL AS A COMPARISON TO 2017 SURVEY RESPONSES. COMMUNITY INPUT: QUALITATIVE DATA CHALLENGES IN OBTAINING COMMUNITY INPUT OBTAINING ROBUST COMMUNITY INPUT DURING THE COVID-19 PANDEMIC WAS ESPECIALLY CHALLENGING AND PREVENTED PROVIDENCE ST. JOSEPH MEDICAL CENTER FROM COMPLETING ANY IN-PERSON CONVERSATIONS. IN PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT YEARS, THE HOSPITAL CONDUCTED PUBLIC IN-PERSON LISTENING SESSIONS OR FOCUS GROUPS IN ACCESSIBLE PUBLIC SPACES. OUR INITIAL PLANNING FOR THIS ASSESSMENT INCLUDED THE INTENT FOR PUBLIC LISTENING SESSIONS BUT GIVEN THE NEED TO AVOID IN-PERSON INTERACTION DUE TO COVID-19, WE SHIFTED OUR COMMUNITY INPUT STRATEGY TO FOCUS ON ONLINE STAKEHOLDER INTERVIEWS AND ANONYMOUS ONLINE SURVEYS. ADDITIONALLY, DUE TO MANY COMMUNITY ORGANIZATIONS ENGAGING IN COVID-19 RESPONSE, SOME ORGANIZATIONS HAD LIMITED CAPACITY AND WERE NOT ABLE TO PARTICIPATE IN INTERVIEWS. PART V, SECTION B, LINE 7A: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSAND CLICK ON "MONTANA" TABPART V, SECTION B, LINE 10A:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSAND CLICK ON "MONTANA" TAB PART V, SECTION B, LINE 11: AS A RESULT OF THE FINDINGS OF OUR 2020 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, PROVIDENCE ST. JOSEPH MEDICAL CENTER WILL FOCUS ON THE FOLLOWING AREAS FOR ITS 2021-2023 COMMUNITY BENEFIT EFFORTS: PRIORITY 1: ACCESS TO MENTAL HEALTH SERVICES ACCESS TO MENTAL HEALTH AND BEHAVIORAL HEALTH SERVICES, INCLUDING FOR CHILDREN AND ADOLESCENTS, REGARDLESS OF PAYER SOURCE OR ABILITY TO PAY FOR SERVICES, AS WELL AS RAPID ACCESS FOR PEOPLE EXPERIENCING A MENTAL HEALTH CRISIS. STRATEGIES FOR ADDRESSING ACCESS TO MENTAL HEALTH SERVICES INCLUDE: INTEGRATED MENTAL HEALTH CARE IN PRIMARY CARE SETTING; INCREASED INPATIENT TREATMENT ACCESS; TRAUMA-INFORMED CARE FOR RURAL YOUTH; IMPROVED CRISIS MENTAL HEALTH RESPONSE; INCREASED REGIONAL COORDINATION FOR ACUTE MENTAL HEALTH SERVICES; MONTANA SERVICE AREA HEALTH DISPARITY INTERVENTION IN SUPPORT OF NATIVE AMERICAN POPULATION. PRIORITY 2: ACCESS TO SUBSTANCE ABUSE DISORDER TREATMENT SERVICES ACCESS TO BOTH OUTPATIENT AND INPATIENT ALCOHOL AND DRUG TREATMENT AND DETOX, REGARDLESS OF PAYER SOURCE OR ABILITY TO PAY, AS WELL AS EXPANDED TREATMENT MODELS, SUCH AS MEDICATION-ASSISTED TREATMENT AND PEER SUPPORT PROGRAMS. STRATEGIES FOR ADDRESSING ACCESS TO SUBSTANCE USE DISORDER TREATMENT INCLUDE: IMAT (INTEGRATED MEDICATION-ASSISTED TREATMENT); BRIDGE TO HOPE PROTOCOL FOR DRUG-AFFECTED NEWBORNS AND THEIR CAREGIVERS (INTEGRATED INTO LONG-TERM MEADOWLARK INITIATIVE IN 2022); IMPROVED ACCESS TO CHEMICAL DEPENDENCY EVALUATIONS; COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS TO INCREASE ACCESS TO PEER SUPPORT SERVICES; MONTANA SERVICE AREA HEALTH DISPARITY INTERVENTION IN SUPPORT OF NATIVE AMERICAN POPULATION.PRIORITY 3: SAFE AND AFFORDABLE HOUSING SAFE AND AFFORDABLE HOUSING ALLOWS HOUSEHOLDS TO PAY FOR OTHER NONDISCRETIONARY EXPENSES THAT ARE INTEGRAL TO GOOD HEALTH, LIKE HEALTHY FOOD, HEALTH CARE, AND EDUCATION.STRATEGIES FOR ADDRESSING SAFE AND AFFORDABLE HOUSING INCLUDE: COLLABORATION WITH SKC TRIBAL HOUSING AUTHORITY AND COC REPRESENTATIVE TO ASSESS COMMUNITY NEED; COLLABORATION WITH CONTINUUM OF CARE REPRESENTATIVE TO ASSESS HOUSING SUPPORT RESOURCES. PROVIDENCE ST. JOSEPH MEDICAL CENTER PROVIDERS AND STAFF RECEIVE ONGOING INFORMATION REGARDING PROVIDENCE MONTANA'S MEDICAL-LEGAL PARTNERSHIP, WHICH OFFERS CIVIL-LEGAL ASSISTANCE THAT CAN SUPPORT PEOPLE IN MAINTAINING THEIR HOUSING AND BEING ABLE TO OBTAIN FUTURE HOUSING.ENVIRONMENTAL STEWARDSHIPGREEN 4 GOOD (G4G) IS AN INITIATIVE AT ST. JOSEPH MEDICAL CENTER TO DECREASE THE ENVIRONMENTAL IMPACTS OF OUR DAILY HEALTHCARE WORK. THROUGH G4G, ST. JOSEPH MEDICAL CENTER WORKS TO REDUCE IMPACTS TO THE NATURAL ENVIRONMENT, IN TURN CREATING A HEALTHIER ENVIRONMENT FOR PATIENTS, STAFF MEMBERS, AND COMMUNITIES. IN 2022, PRACTICE GREENHEALTH RECOGNIZED PROVIDENCE ST. JOSEPH MEDICAL CENTER AS A PARTNER FOR CHANGE. IN 2022, PROVIDENCE ST. JOSEPH MEDICAL CENTER STAFF PARTICIPATED IN A HIGHWAY CLEAN UP EVENT, MANAGED AN HERB GARDEN, AND A COMPOSTING EFFORT LED BY KITCHEN STAFF.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO COLLABORATING WITH PARTNER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE NEEDS IDENTIFIED IN OUR CHNA, WITH FULL ACKNOWLEDGMENT THAT THESE NEEDS ARE AMONG THE MOST CHALLENGING TO ADDRESS IN ANY COMMUNITY, AND REQUIRE LONG-TERM FOCUS AND INVESTMENT FROM ALL LEVELS OF COMMUNITY STAKEHOLDERS. SCHEDULE H, PART V, SECTION B, LINE 13A: 1/1/2022 06/30/2022 PROVIDENCE ST. JOSEPH MEDICAL CENTER 100% DISCOUNT WAS UP TO 300% FPL AND 75% DISCOUNT BETWEEN 301% TO 350% FPL.EFFECTIVE 7/01/22 THROUGH 12/31/2022, PROVIDENCE ST. JOSEPH MEDICAL CENTER 100% DISCOUNT WAS UP TO 300% FPL AND 75% DISCOUNT BETWEEN 301% TO 400% FPL.THE FPL THRESHOLD PERCENTAGE WAS RAISED DURING THE YEAR TO COMPLY WITH NEW STATE LAW.PART V, SECTION B, LINE 16A, FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/MT/FINANCIAL-ASSISTANCEPART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/MT/FINANCIAL-ASSISTANCE-APPLICATIONPART V, SECTION B, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/MT/FINANCIAL-ASSISTANCEPART V, SECTION B, LINE 20E:FINANCIAL ASSISTANCE INFORMATION ALONG WITH PAYMENT OPTIONS ARE GIVEN ON EACH BILLING STATEMENT TO THE PATIENT.PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. 1 1 - PROV ST JOSEPH ASSISTED LIVING CTR 11 SEVENTEENTH AVE EAST POLSON MT 59660 ASSISTED LIVING 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: PROVIDENCE ST. JOSEPH MEDICAL CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSAND CLICK ON "MONTANA" TAB. PART I, LINE 7: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER. PART I, LINE 7G: NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. PART III, LINE 4: AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019. PART III, LINE 8: THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. PART III, LINE 9B: COLLECTION ACTIVITYOUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: NEEDS ASSESSMENTEVERY THREE YEARS, PROVIDENCE ST. JOSEPH MEDICAL CENTER CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR LAKE COUNTY. THE CHNA IS CONDUCTED AS PART OF OUR TRADITION OF CARE TO DISCERN THE NEEDS OF THOSE WE SERVE AND TO CREATE PARTNERSHIPS THAT RESPOND EFFECTIVELY. IN ADDITION, IT MEETS REQUIREMENTS OUTLINED IN SECTION 501(R)(3) OF THE IRS CODE. THE GOALS OF THIS ASSESSMENT ARE TO: - ENGAGE PUBLIC HEALTH AND COMMUNITY STAKEHOLDERS THAT INCLUDE LOW-INCOME, MINORITY AND OTHER UNDERSERVED POPULATIONS. - ASSESS AND UNDERSTAND THE COMMUNITY'S HEALTH ISSUES AND NEEDS.- UNDERSTAND THE HEALTH BEHAVIORS, RISK FACTORS AND SOCIAL DETERMINANTS THAT HAVE AN IMPACT ON HEALTH.- IDENTIFY COMMUNITY RESOURCES AND COLLABORATION OPPORTUNITIES WITH COMMUNITY PARTNERS.- ESTABLISH FINDINGS, INCLUDING PRIORITIZED HEALTH NEEDS, THAT CAN BE USED TO DEVELOP AND IMPLEMENT A 2021-2023 COMMUNITY HEALTH IMPROVEMENT PLAN. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS 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.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS.WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS. PART VI, LINE 4: COMMUNITY INFORMATIONPROVIDENCE ST. JOSEPH MEDICAL CENTER IS A 22 BED ACUTE CARE, JOINT COMMISSION ACCREDITED, CRITICAL ACCESS HOSPITAL LOCATED ON THE FLATHEAD INDIAN RESERVATION IN POLSON, MONTANA, WHICH IS ABOUT ONE AND A HALF HOURS NORTH OF MISSOULA. PROVIDENCE ST. JOSEPH MEDICAL CENTER PROVIDES COMMUNITY HOSPITAL CARE FOR THE MORE THAN 28,000 RESIDENTS OF LAKE COUNTY.PROVIDENCE ST. JOSEPH MEDICAL CENTER SERVES A HIGHER PERCENTAGE OF OLDER ADULTS, WITH 16% OF THE PRIMARY SERVICE AREA'S POPULATION OVER THE AGE OF 65. WITH APPROXIMATELY 18% OF THE POPULATION LIVING IN POVERTY, THE COMMUNITY IS CHARACTERIZED BY LOWER INCOME LEVELS THAN THE NATIONAL AVERAGE.THE SERVICE AREA WHERE PROVIDENCE ST. JOSEPH MEDICAL CENTER IS LOCATED ENCOMPASSES RURAL COMMUNITIES FROM LAKE, LINCOLN, FLATHEAD AND SANDERS COUNTIES WITH APPROXIMATELY 147,000 RESIDENTS LIVING IN AN AREA OF 12,967 SQUARE MILES. EACH OF THESE COUNTIES IS DESIGNATED A MENTAL HEALTH PROFESSIONAL SHORTAGE AREA BY THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES.OTHER HOSPITALS IN SERVICE AREA:ST. LUKE COMMUNITY HEALTH CARE PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHPROVIDENCE HEALTH & SERVICES - MONTANA PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE HEALTH & SERVICES - MONTANA IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) OPEN MEDICAL STAFF2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMPROVIDENCE'S MORE THAN 165-YEAR LEGACY OF INVESTING IN ITS COMMUNITIES IS ROOTED IN A TRADITION OF CARING FOR THOSE IN NEED, WITH COMPASSION AND IN PARTNERSHIP WITH THE PEOPLE WE SERVE.TO ACHIEVE OUR VISION OF HEALTH FOR A BETTER WORLD, THE PROVIDENCE FAMILY OF ORGANIZATIONS COMBINES A LONG-STANDING COMMITMENT TO IMPROVING COMMUNITY HEALTH WITH HIGH-QUALITY CARE TO CREATE HEALTHY COMMUNITIES AND PROMOTE HEALTH EQUITY.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.PROVIDENCE ACROSS FIVE WESTERN STATES:- ALASKA- MONTANA- OREGON- NORTHERN CALIFORNIA- SOUTHERN CALIFORNIA- WASHINGTONTHE PROVIDENCE AFFILIATE FAMILY INCLUDES:- 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 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-REPORTINVESTING IN OUR COMMUNITIES IS AN ESSENTIAL WAY WE LIVE OUR MISSIONFOR GENERATIONS, THE PROVIDENCE FAMILY OF ORGANIZATIONS HAS SERVED AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. GUIDED BY COMMUNITY HEALTH NEEDS ASSESSMENTS, WE CONTINUE OUR LONGSTANDING COMMITMENT TO THOSE IN NEED THROUGH COMMUNITY BENEFIT AND OTHER HIGH-IMPACT INVESTMENTS.OUR INVESTMENTS GO BEYOND THE WALLS OF OUR HOSPITALS AND CLINICS AND DEEP INTO COMMUNITIES TO SUPPORT ORGANIZATIONS AND CAUSES THAT SERVE THOSE IN NEED; ADDRESS GAPS IN SERVICES AND RESOURCES THAT CONTRIBUTE TO OVERALL HEALTH; AND ENHANCE CARE DELIVERY WITH INNOVATIVE SOLUTIONS TO HEALTH CARE'S BIGGEST CHALLENGES. THIS IS HOW WE INVEST IN HEALTH TODAY TO CREATE A BETTER FUTURE. BELOW WE HIGHLIGHT KEY EXAMPLES.ST. JOSEPH COMMUNITY PARTNERSHIP FUNDSINCE 1986, THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND HAS MADE INVESTMENTS AND BUILT PARTNERSHIPS IN THE CALIFORNIA COMMUNITIES SERVED BY ST. JOSEPH HEALTH MINISTRIES. AFTER 35 YEARS, WE HAD THE OPPORTUNITY TO EXPAND OUR FOCUS AND SUPPORT PROGRAMS AND COMMUNITIES THROUGHOUT PROVIDENCE.TODAY, THE FUND REPRESENTS PROVIDENCE'S SHARED COMMITMENT TO SOLVING COMPLEX CHALLENGES AND BUILDING VIBRANT, HEALTHY COMMUNITIES. WE DO THIS BY BUILDING CAPACITY AND CREATING LINKAGES ACROSS THE COMMUNITIES PROVIDENCE SERVES. THIS HELPS US MAXIMIZE THE DIRECT IMPACT OF OUR INVESTMENTS AND ADDRESS COMMON ISSUES THAT AFFECT PEOPLE THROUGHOUT OUR SYSTEM.THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND SERVES AS PROVIDENCE'S STRATEGIC GRANT MAKING FOUNDATION FOR FUNDING KEY SYSTEM AND REGIONAL INITIATIVES IN THE AREAS OF HOUSING, EDUCATION, DISASTER RESPONSE AND RECOVERY, AND NONPROFIT AND COMMUNITY CAPACITY BUILDING. THROUGH THE FUND WE INCUBATE AND ACCELERATE PROGRAMS THAT CREATE SCALABLE IMPACT IN OUR COMMUNITIES TO IMPROVE THE HEALTH AND WELLBEING OF THE ECONOMICALLY POOR, UTILIZE THE STRENGTHS AND DIVERSITY OF OUR NEIGHBORS TO BUILD VIBRANT COMMUNITIES AND LEVERAGE BEST PRACTICES AND LESSONS LEARNED FROM THESE INVESTMENTS TO EXPAND TO COMMUNITIES ACROSS OUR GEOGRAPHICAL FOOTPRINT. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/COMMUNITY-PARTNERSHIPS/ST-JOSEPH-COMMUNITY-PARTNERSHIP-FUNDHEALTH EQUITYCHANGE BEGINS WITH USAT PROVIDENCE, WE RECOGNIZE THAT INEQUITY PERSISTS IN NEARLY EVERY MAJOR FACET OF SOCIETY. THAT INCLUDES IN HEALTH CARE AND THE SOCIAL DETERMINANTS OF HEALTH. AND THE CONSEQUENCES ARE OFTEN DEADLY, LEADING TO HIGHER MORTALITY AND MORBIDITY RATES FOR COMMUNITIES OF COLOR AND MARGINALIZED POPULATIONS. TOWARD THAT END:- WE ARE INVESTING $50 MILLION OVER FIVE YEARS TO IMPROVE HEALTH EQUITY IN OUR COMMUNITIES. OUR HEALTH EQUITY STRATEGIC PLAN AND INTERVENTIONS ARE INFORMED BY ADVANCED DATA ANALYTICS AND THE HEALTH PRIORITIES IDENTIFIED WITH OUR LOCAL COMMUNITY PARTNERS AND CARE TEAMS.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/HEALTH-EQUITYADVOCACY AND SOCIAL RESPONSIBILITYIN PARTNERSHIP WITH COMMUNITIES, THE PROVIDENCE FAMILY OF ORGANIZATIONS ADVOCATES FOR RESPONSIBLE, SUSTAINABLE, AND EQUITABLE POLICIES AND PRACTICES. WE REACH BEYOND THE WALLS OF HOSPITALS AND CARE FACILITIES TO WORK WITH LOCAL, STATE AND NATIONAL PARTNERS TO ADVANCE POLICIES THAT SERVE VULNERABLE POPULATIONS AND PROMOTE JUSTICE. WE ALSO PARTNER TO PROMOTE PRACTICES AND INFRASTRUCTURE THAT WILL SUSTAIN THE PLANET FOR FUTURE GENERATIONS AND TRANSFORM OUR COMMUNITIES FOR A HEALTHIER, MORE EQUITABLE WORLD.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITYENVIRONMENTAL STEWARDSHIPTHE PROVIDENCE FAMILY OF ORGANIZATIONS HAS A VISION OF HEALTH FOR A BETTER WORLD. AS SUCH, WE ARE CALLED TO CARE WISELY FOR OUR COMMUNITIES, RESOURCES, AND EARTH. OUR ORGANIZATIONS STRIVE TO BECOME CARBON NEGATIVE BY 2030. THIS BOLD COMMITMENT GOES BEYOND ADDRESSING CARBON EMISSIONS. THE CLIMATE CRISIS CANNOT BE SOLVED WITHOUT ALSO RESPONDING TO SOCIAL AND RACIAL INEQUITIES.WE ARE COMMITTED TO HEALTH EQUITY, INCLUDING ENVIRONMENTAL EQUITY, AS CLIMATE CHANGE IMPACTS WORSEN, AND DISPARITIES AND INEQUITIES WIDEN DUE TO HISTORICAL AND STRUCTURAL CAUSES OF OPPRESSION.THE CURRENT CRISIS CALLS FOR US TO ACT BOLDLY, WITH COMPASSION. WE ARE DOING SO BY HELPING TO CARE FOR OUR COMMON HOME, ENSURING EQUITY TODAY, AND PASSING A HEALTHY PLANET TO THE GENERATIONS OF TOMORROW.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITY/ENVIRONMENTAL-STEWARDSHIPWELL BEING TRUSTPROVIDENCE'S WELL BEING TRUST IS A FOUNDATION DEDICATED TO ADVANCING THE MENTAL, SOCIAL, AND SPIRITUAL HEALTH FOR ALL. WITH A BOLD MISSION, VISION AND OVERARCHING GOAL, WELL BEING TRUST IS INVESTING IN APPROACHES THAT HAVE THE POTENTIAL TO MODEL THE WAY FORWARD AND ADVANCE CLINICAL, COMMUNITY AND CULTURAL CHANGETO TRANSFORM THE HEALTH OF THE NATION AND IMPROVE WELL-BEING FOR EVERYONE. FOR MORE INFORMATION GO TO: HTTPS://WELLBEINGTRUST.ORG/ABOUT/ PART VI, LINE 7, REPORTS FILED WITH STATES MT 1 1 0 0 0 0 0 1 0 GREG HOFFMAN PRESIDENT/CEO & TREASURER 0 919782 0 1584583 0 115250 0 253823 0 24713 0 2898151 0 89848 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 0 841148 0 989404 0 326862 0 27450 0 8365 0 2193229 0 284024 MIKE BUTLER FRMR PRESIDENT 0 0 0 0 0 1835706 0 7828 0 0 0 1843534 0 0 JOHN WHIPPLE SECRETARY - THRU 5/22 0 319672 0 277940 0 1146142 0 5571 0 5476 0 1754801 0 855652 ROBERT HELLRIGEL FRMR EVP CE HOME & COMM CARE 0 613354 0 432607 0 333365 0 4493 0 10891 0 1394710 0 165001 ANNA NEWSOM SECRETARY (PART YEAR) 0 535718 0 50000 0 215282 0 202914 0 22171 0 1026085 0 0 JOYCE DOMBROUSKI CHIEF EXEC WESTERN MT SVC AREA 0 439109 0 245954 0 141308 0 145731 0 22075 0 994177 0 113749 JIM WATSON ESQ FRMR OFF - PSJH SEC./ASST. SEC. 0 466229 0 228525 0 142483 0 98225 0 26164 0 961626 0 119387 KELLY BAGNELL PHYSICIAN 275281 0 82867 0 64775 0 34185 0 9572 0 466680 0 17979 0 REBECCA BONTADELLI ER PHYSICIAN 326322 0 41818 0 31125 0 32594 0 15772 0 447631 0 14404 0 ARON HAIRE PHYSICIAN 311987 0 35260 0 857 0 15184 0 28592 0 391880 0 0 0 JAMIE STRAUB PHYSICIAN 301876 0 32657 0 9091 0 25960 0 14444 0 384028 0 6985 0 JUDITH ULESAN PHYSICIAN 351942 0 0 0 720 0 15222 0 3072 0 370956 0 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0 219186 0 36718 0 1088 0 13600 0 17583 0 288175 0 0 DEVIN HUNTLEY COO PSJMC 187708 0 48631 0 1084 0 10806 0 3978 0 252207 0 0 0 CINDY STRAUSS FRMR SECRETARY 0 0 0 146754 0 0 0 0 0 0 0 146754 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. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES ONLY FOR PURPOSES OF RELOCATION ASSISTANCE TO A NEWLY HIRED EMPLOYEE. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE NEWLY HIRED EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES ARE RENT (EXCLUDING "RENT" WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL THE TITLE CLEARS) AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE MAY APPROVE TEMPORARY HOUSING ASSISTANCE FOR UP TO SIX MONTHS WHEN FAMILY RELOCATION IS DELAYED TO ACCOMMODATE THE SCHOOL YEAR OR EQUIVALENT CIRCUMSTANCES. ONLY IN EXTENUATING CIRCUMSTANCES IS HOUSING EXTENDED BEYOND THIS SIX-MONTH PERIOD. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE. PART I, LINE 3 DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: MIKE BUTLER - $1,835,706 JOHN WHIPPLE - $186,674 ROBERT HELLRIGEL - $95,175 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: GREG HOFFMAN - $89,848 JO ANN ESCASA-HAIGH - $284,024 JOHN WHIPPLE - $855,652 ROBERT HELLRIGEL - $165,001 JOYCE DOMBROUSKI - $113,749 JIM WATSON, ESQ - $119,387 KELLY BAGNELL - $17,979 REBECCA BONTADELLI - $14,404 JAMIE STRAUB - $6,985 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 I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY. TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES: -PROVIDENCE ACROSS SEVEN WESTERN STATES -COVENANT HEALTH IN WEST TEXAS -PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA -KADLEC IN SOUTHEAST WASHINGTON -PACIFIC MEDICAL CENTERS IN SEATTLE, WA -SWEDISH HEALTH SERVICES IN SEATTLE, WA AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND. THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES. WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDS PROVIDENCE CONTINUES TO 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 ACCOMPLISHMENTS IN 2022, PROVIDENCE ST. JOSEPH MEDICAL CENTER CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. IN 2022 WE FOCUSED ON IDENTIFIED PRIORITY NEEDS OF ACCESS TO MENTAL HEALTH SERVICES, SAFE AND AFFORDABLE HOUSING, ACCESS TO SUBSTANCE USE DISORDER TREATMENT, AND SAFE AND AFFORDABLE HOUSING. CARING FOR MONTANA DURING THE COVID PANDEMIC IN 2022 PROVIDENCE MONTANA CONTINUED TO CARE FOR OUR COMMUNITIES AS THE COVID-19 PANDEMIC LESSENED IN INTENSITY. DESPITE COVID-19 INFECTIONS DECREASING OVERALL, MANY COMMUNITY HEALTH NEEDS BECAME MORE APPARENT, INCLUDING MENTAL HEALTH AND SUBSTANCE USE TREATMENT ACCESS AND MORE PEOPLE BECOMING HOUSING INSECURE. FOOD INSECURITY AND POOR NUTRITION FUNDING WAS PROVIDED TO LOCAL NONPROFITS TO ENSURE STUDENTS IN FOOD-INSECURE HOUSEHOLDS RECEIVE TRANSPORTATION TO SCHOOL FOR MEALS AND ACTIVITIES WHILE SCHOOL IS ON BREAK. MENTAL HEALTH PROVIDENCE MEDICAL GROUP ADDED BEHAVIORAL HEALTH CARE MANAGERS TO NINE PRIMARY CARE CLINICS WITH FUNDING FROM MONTANA HEALTHCARE FOUNDATION IN 2020. OVER 8,000 BEHAVIORAL HEALTH TELEHEALTH SESSIONS WERE COMPLETED IN FOR PATIENTS OF PROVIDENCE MONTANA. ACCESS TO SUBSTANCE ABUSE DISORDER TREATMENT JOURNEY OF HOPE, RECENTLY INTEGRATED INTO LONG-TERM MEADOWLARK INITIATIVE, COMBINES PRE-AND POST-NATAL SCREENINGS, LACTATION CLINIC SERVICES, AND PEDIATRIC INTERVENTIONS WITH BEHAVIORAL HEALTH AND TRAUMA-INFORMED CARE TO SUPPORT PARENTS AND INFANTS WITH HEALTH ISSUES CAUSED BY SUBSTANCE USE. THE PROGRAM ALSO OFFERS POSTPARTUM SUPPORT. OF 155 OBSTETRICS PATIENTS SCREENED IN 2022, 52 WERE POSITIVE FOR SUBSTANCE USE AND WERE REFERRED FOR ADDITIONAL SUPPORT AND RESOURCES. PROVIDENCE MEDICAL GROUP INCLUDES SIX PROVIDERS TRAINED IN INTEGRATED MEDICATION ASSISTED TREATMENT (IMAT) AS OF 2022. MEDICATION ASSISTANCE PRESCRIPTIONS FUNDED BY HOSPITAL FOR PATIENTS WHO CANNOT AFFORD MEDICATION. ENROLLMENT ASSISTANCE YEAR-ROUND ASSISTANCE FOR ENROLLMENT IN MEDICAID AND MARKETPLACE PLANS; ASSISTANCE FOR APPLYING FOR SSDI. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/MONTANA FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES - MONTANA IS THE SOLE CORPORATE MEMBER OF PROVIDENCE ST. JOSEPH MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE ST. JOSEPH MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE ST. JOSEPH MEDICAL CENTER GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE ST. JOSEPH MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH & SERVICES - MONTANA, AS THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL AND TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS 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 A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 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 2023. 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 2,256,507. MANAGEMENT AND GENERAL EXPENSES 341,627. FUNDRAISING EXPENSES 5,728. TOTAL EXPENSES 2,603,862. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,071,363. MANAGEMENT AND GENERAL EXPENSES 162,200. FUNDRAISING EXPENSES 2,720. TOTAL EXPENSES 1,236,283. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 940,359. MANAGEMENT AND GENERAL EXPENSES 142,367. FUNDRAISING EXPENSES 2,387. TOTAL EXPENSES 1,085,113. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 679,145. MANAGEMENT AND GENERAL EXPENSES 102,820. FUNDRAISING EXPENSES 1,724. TOTAL EXPENSES 783,689. MEDICAL DIRECTOR & PHYSICIANS FEES: PROGRAM SERVICE EXPENSES 668,064. MANAGEMENT AND GENERAL EXPENSES 101,142. FUNDRAISING EXPENSES 1,696. TOTAL EXPENSES 770,902. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 224. MANAGEMENT AND GENERAL EXPENSES 34. FUNDRAISING EXPENSES 1. TOTAL EXPENSES 259. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 17,590,904. OTHER CHANGES IN NET ASSETS -109,501. COLLABRIA CARE 414 SOUTH JEFFERSON STREET NAPA CA 94559 680393144 HEALTHCARE CA 501(C)(3) 10 SJHCN 1 COVENANT ACO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT CHILDREN'S PHYSICIANS GROUP 3615 19TH STREET LUBBOCK TX 79410 881290850 HEALTHCARE TX 501(C)(3) PENDING 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 HOME AND COMMUNITY CARE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 920275096 HEALTHCARE TX 501(C)(3) 10 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 INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 814260130 HEALTHCARE WA 501(C)(3) PF 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 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 LEVELLAND 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752246348 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 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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 4400 NE HALSEY ST STE 609 ATTN ACCO PORTLAND OR 97213 550828701 MEDICAID HEALTHCARE PROVIDER OR 501(C)(4) N/A PHP 1 PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA) 101 W 8TH AVE SPOKANE WA 99204 320014330 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE HEALTH PLAN 4400 NE HALSEY ST STE 609 ATTN ACCO PORTLAND OR 97213 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 SNOHOMISH COUNTY 1615 75TH ST SW SUITE 210 EVERETT WA 98203 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 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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 ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 943244854 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE ST JOSEPH HEALTH 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 811244422 HEALTHCARE WA 501(C)(3) 12, III N/A 0 PROVIDENCE ST JOSEPH HEALTH FOUNDATION 4400 NE HALSEY ST STE 599 PORTLAND OR 97213 943078543 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE ST MARY FOUNDATION 401 W POPLAR STREET WALLA WALLA WA 99362 452841492 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE ST VINCENT MEDICAL FOUNDATION 9205 SW BARNES ROAD STE MT2111 PORTLAND OR 97225 930575982 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE TRINITYCARE HOSPICE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 953264139 HEALTHCARE CA 501(C)(3) 10 PHS SOCAL 1 PROVIDENCE TRINITYCARE HOSPICE FOUNDATION 5315 TORRANCE BLVD NO B-1 TORRANCE CA 90503 330261016 HEALTHCARE CA 501(C)(3) 7 PTCH 1 PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION 1500 DIVISION STREET OREGON CITY OR 97045 931003750 HEALTHCARE OR 501(C)(3) 12, I PHS OR 1 REDWOOD MEMORIAL FOUNDATION 2700 DOBEER STREET EUREKA CA 95501 942779313 HEALTHCARE CA 501(C)(3) 7 SJHNC LLC 1 SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 954291515 HEALTHCARE CA 501(C)(3) 4 PSJHC 1 SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 956100079 SUPPORT SAINT JOHN HEALTH CENTER & JWCI CA 501(C)(3) 7 PSJHC 1 SEATTLE SCIENCE FOUNDATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 611502822 PHYSICIAN COLLABORATION WA 501(C)(3) 7 WHC 1 SISTERS OF PROVIDENCE OF MONTANA CORPORATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 262612415 SHELL CORPORATION MT 501(C)(3) 1 PHS WA 0 SISTERS OF ST JOSEPH OF ORANGE 1801 LIND AVENUE SW ATTN 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