2023-11-14T12:57:36-06:00 2022-12-31 346565596 ERNST & YOUNG US LLP 370 17TH STREET SUITE 4800 DENVER CO 80202 990 2022-01-01 910655392 KADLEC REGIONAL MEDICAL CENTER KADL 5099464611 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 JIM MARTIN CHIEF ACCOUNTING OFFICER 4255253985 2023-11-14 1 JIM MARTIN 999009999 0 ANDREW JAMESON P01894820 7209314000 2023-11-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z GREG HOFFMAN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 806716167 0 X HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/HOME X 1947 WA TO PROVIDE QUALITY HEALTH CARE TO EVERY PATIENT IN TRI-CITIES, WA. 10 10 4565 131 2083182 1731621 12292388 4837430 764464204 760690869 19979808 8796325 32058527 17545261 828794927 791869885 2842187 1416051 0 0 322446202 339021080 0 0 402135 456014314 464436290 781302703 804873421 47492224 -13003536 935169169 952578159 417151133 468426210 518018036 484151949 X THE MISSION OF KADLEC REGIONAL MEDICAL CENTER IS TO PROVIDE QUALITY HEALTH CARE TO EVERY PATIENT WE SERVE. 0 0 715332935 1416051 784872479 SEE SCHEDULE OAT 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.2022 PROGRAM SERVICE ACCOMPLISHMENTSKADLEC PARTNERS WITH GRACE CLINIC TO COVER UNMET NEEDS. GRACE CLINIC PROVIDES FREE MEDICAL, DENTAL, AND MENTAL HEALTH SERVICES TO THOSE WHO ARE UNINSURED. KADLEC SUPPORTS GRACE CLINIC THROUGH COMMUNITY BENEFIT FUNDING, EQUIPMENT DONATIONS, AND VOLUNTEER INVOLVEMENT BY CAREGIVERS. IN 2022, GRACE CLINIC SERVED 5,844 PATIENTS. COMMUNITY BENEFIT $62,494.KADLEC'S COMMUNITY HEALTH DEPARTMENT INCLUDES A RESOURCE LENDING LIBRARY, SUPPORT GROUPS, EDUCATIONAL PROGRAMS, AND HEALTHY AGES. SUPPORT GROUPS INCLUDE THOSE FOR PEOPLE LIVING WITH NEUROLOGICAL DISORDERS AND CHRONIC CONDITIONS AND FOR FAMILY CAREGIVERS. KADLEC'S LIBRARY INCLUDES FUNCTIONING AS THE IN-PERSON COMMUNITY RESOURCE DESK PROVIDING COMMUNITY RESOURCES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. EDUCATIONAL PROGRAMS IN 2022 INCLUDED ADULT AND YOUTH MENTAL HEALTH FIRST AID; QUESTION, PERSUADE, REFER; 10 WARNING SIGNS OF ALZHEIMER'S; MTHFR; UNDERSTANDING ALZHERIMER'S AND DEMENTIA; ALZHEIMER'S LEGAL AND FINANCIAL; PEDIATRIC AUTISM AND ADHD; UNDERSTANDING GRIEF; ALZHEIMER'S DIFFICULT BEHAVIORS; COMPASSION FATIGUE; HEART FAILURE; PRESERVING THE BRAIN; ALZHEIMER'S HEALTHY LIVING FOR YOUR BRAIN AND BODY; PEDIATRIC AUTISM; ALZHEIMER'S EFFECTIVE COMMUNICATION; DATING, MARRIAGE, AND AUTISM; ALZHEIMER'S DEMENTIA CONVERSATIONS; THE UPSIDE OF DOWNSIZING; SLEEP AND AGING; ALZHEIMER'S WHEN LIVING AT HOME IS NO LONGER AN OPTION; CAREGIVERS CONFERENCE; HOARDING; DECLUTTER AND DOWNSIZING; DECLUTTER YOUR MIND. IN 2022, 517 PEOPLE PARTICIPATED IN MEDICARE EDUCATION, CONSULTATIONS AND OPEN ENROLLMENT COMPARISONS AND APPOINTMENTS. 9,829 PERSONS SERVED BY COMMUNITY HEALTH DEPARTMENT PROGRAMS AND RESOURCES. COMMUNITY BENEFIT $504,435.IN 2022, KADLEC'S COMMUNITY HEALTH WORKERS PARTNERNED WITH THE MID-COLUMBIA LIBRARY PASCO BRANCH TO START A MONTHLY LIBRARY-BASED HOMELESS OUTREACH PROGRAM, HOMEROOM CONNECT. HOMEROOM CONNECT INVITES COMMUNITY PARTNERS TO SHARE RESOURCES, PROVIDE A WARM BREAKFAST, AND JOIN THEM TO OFFER A WELCOMING ENVIRONMENT TO THOSE EXPERIENCING HOMELESSNESS.THE UNPAID COST OF MEDICAID CARE FOR 9,583 PERSONS WAS $59,723,825. 715332935 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 117 0 1 4565 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 WA X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 MARY LYONS PHD BOARD CHAIR 1.00 26.50 X 0 75936 0 RICHARD BLAIR DIRECTOR 0.50 14.50 X 0 61313 0 MICHAEL MURPHY DIRECTOR 0.50 13.50 X 0 50668 0 CHARLES SORENSON MD DIRECTOR 0.50 13.50 X 0 50000 0 ISIAAH CRAWFORD PHD DIRECTOR 0.50 15.00 X 0 50000 0 CHRISTINA FISHER DIRECTOR - THRU 11/22 0.50 13.50 X 0 40000 0 ERIC SPRUNK DIRECTOR 0.50 13.50 X 0 40000 0 MARY BETH KINGSTON DIRECTOR (PART YEAR) 0.50 12.50 X 0 0 0 SISTER CAROL PACINI LCM DIRECTOR 0.50 13.50 X 0 0 0 SISTER DIANE HEJNA CSJ RN DIRECTOR 0.50 13.50 X 0 0 0 SISTER PHYLLIS HUGHES RSM DRPH DIRECTOR 0.50 13.50 X 0 0 0 GREG HOFFMAN PRESIDENT/CEO & TREASURER 0.50 64.50 X 0 2619615 278536 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 0.50 64.50 X 0 2157414 35815 JOHN WHIPPLE SECRETARY - THRU 5/22 0.50 54.50 X 0 1743754 11047 ANNA NEWSOM SECRETARY (PART YEAR) 0.50 54.50 X 0 801000 225085 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0.50 54.50 X 0 256992 31183 REZA KALEEL CHIEF EXEC KADLEC SVC AREA 54.50 0.50 X 0 843468 157961 KIRK HARPER COO KADLEC 55.00 0.00 X 371139 0 53009 SPENCER HARRIS CFO SERVICE AREA PSJH 55.00 0.00 X 0 308011 26898 MELVIN WAHL PHYSICIAN 50.00 0.00 X 1540162 0 5775 JOSHUA BALES PHYSICIAN 50.00 0.00 X 1496885 0 36427 IYAD JAMALI PHYSICIAN 50.00 0.00 X 1420874 0 27263 JUAN CORDERO PHYSICIAN 50.00 0.00 X 1190621 0 130246 ARASH MOTAGHI PHYSICIAN 50.00 0.00 X 1211387 0 9695 MIKE BUTLER FORMER PRESIDENT 0.00 0.00 X 0 1835706 7828 JIM WATSON ESQ FRMR OFF - PSJH SEC./ASST. SEC. 0.00 55.00 X 0 837237 124389 CINDY STRAUSS FORMER SECRETARY 0.00 0.00 X 0 146754 0 7231068 11917868 1161157 734 1 1 0 NUWEST GROUP HOLDINGS LLC PO BOX 940 ROSEVILLE CA 956610940 STAFFING SERVICES 7680185 PREMIER ANESTHESIA OF RICHLAND PO BOX 405815 ATLANTA GA 30384 MEDICAL SERVICES 3571181 BOUTEN CONSTRUCTION COMPANY PO BOX 3507 SPOKANE WA 992203507 CONSTRUCTION SERVICES 2741842 ARFC PO BOX 100741 PASADENA CA 911890741 MEDICAL SERVICES 2705020 LOCUMSMART LLC 901 WOODLAND ST NASHVILLE TN 372063719 TECHNOLOGY SERVICES 1817723 60 1353069 3484361 4837430 NET PATIENT REVENUE 622110 737871859 737871859 PHARMACY REVENUE 456110 20991552 20991552 JV INCOME 621610 1827458 1827458 760690869 5042167 13529 5028638 971397 7849941 -6878544 -6878544 -6878544 10750499 6996341 3754158 3754158 3754158 INTERAFFILIATE REVENUE 900099 18102977 18102977 COST RECOVERIES 900099 5108155 5108155 CLINICAL ENGINEERING 541900 242195 242195 970478 970478 24423805 791869885 783045021 2083182 1904252 1416051 1416051 424147 424147 312329401 270595168 41541748 192485 4994942 4321637 670231 3074 1333606 1153839 178946 821 19938984 17251260 2675453 12271 399902 345996 53660 246 1463904 1463904 58891706 50953254 7902207 36245 259866 224837 34869 160 7336694 6347727 984452 4515 1944146 1682080 260869 1197 20242474 17513840 2716176 12458 432875 374525 58084 266 665850 576095 89345 410 9970577 8626569 1337872 6136 20697834 17907818 2777277 12739 18298 15832 2455 11 SYSTEM COST ALLOCATION 184388372 159533290 24741600 113482 MEDICAL SUPPLIES 135296891 135296891 HOSPITAL FEE 13297085 13297085 UBI TAXES PAID 28824 24938 3868 18 9100992 7874203 1221188 5601 804873421 715332935 89138351 402135 186096291 217667395 138365 72309314 77560654 6762029 6868068 1749917 482187886 176332466 312015231 305855420 268702768 241356657 22189597 21871069 21180838 19948219 44163184 61312312 935169169 952578159 50472150 145353493 526 0 366678457 323072717 417151133 468426210 X 504077732 469123627 13940304 15028322 518018036 484151949 935169169 952578159 X -13003536 -34577938 13715387 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6252 6252 0 PART II-B, LINE 1: PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS FOR LOBBYING ACTIVITIES THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION ALLOCATED TO LOBBYING ACTIVITIES. 15231826 15231826 288553781 70887361 217666420 5526703 3473420 2053283 148761903 101971685 46790218 24113673 24113673 305855420 RIGHT OF USE OPERATING LEASES 47860247 OTHER ASSETS 8351569 HOSPITAL FEE/PROVIDER TAX RECEIVABLE 4310709 DUE FROM THIRD PARTY 789787 61312312 I/C - TAX EXEMPT BOND LIABILITIES 241004783 OTHER LIABILITIES 35598543 CAPITAL LEASE OBLIGATION 29050287 DUE TO AFFILIATES 11279481 DUE TO THIRD PARTY 6139623 323072717 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 14990662 0 14990662 0.01860 164905430 105181604 59723826 0.07420 179896092 105181604 74714488 0.09280 926291 108096 818195 0.00100 11101604 1793151 9308453 0.01160 178840 111796 67044 0.00010 105039 0 105039 0.00010 12311774 2013043 10298731 0.01280 192207866 107194647 85013219 0.10560 3470 0 3470 0.00000 2176 0 2176 0.00000 400 0 400 0.00000 6046 6046 0.00000 0 271642804 323212626 -51569822 X 1 0 1 1 KADLEC REGIONAL MEDICAL CENTER 888 SWIFT BOULEVARD RICHLAND WA 99352 PROVIDENCE.ORG/LOCATIONS/KADLEC/HOME HAC.FS.161 X X X INPATIENT REHAB KADLEC REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 1 PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN NO PARTICULAR ORDER ARE BEHAVIORAL HEALTH, ACCESS TO HEALTH, HOUSING AND HOMELESSNESS, AND COMMUNITY PARTNERSHIP DEVELOPMENT. WITH THE SERIOUS BEHAVIORAL HEALTH WORKFORCE SHORTAGE, INCREASE IN NEED, AND EXISTING COALITIONS WORKING TOWARDS SOLUTIONS, THE STEERING COMMITTEE IDENTIFIED BEHAVIORAL HEALTH AS A PRIORITY AREA. THE CHNA IDENTIFIED A NEED FOR ACCESS TO HEALTHCARE, BUT ALSO ACCESS TO COMMUNITY SUPPORTS THAT ENABLE HEALTH. ACCESS TO HEALTH WILL INCLUDE A FOCUS ON ADDRESSING BARRIERS TO MEDICAL CARE, INCLUDING HEALTHCARE PROVIDER TO PATIENT RATIOS AND LINGUISTICALLY APPROPRIATE, CULTURALLY RESPONSIVE, AND ACCESSIBLE CARE. IN ADDITION, THIS PRIORITY INCLUDES ACCESS TO SAFE AND NUTRITIOUS FOOD; TRANSPORTATION; SAFE, LICENSED, AND AFFORDABLE CHILDCARE; HEALTH EDUCATION; CHRONIC DISEASE PREVENTION; AND RESOURCE AWARENESS. THE STEERING COMMITTEE IDENTIFIED HOUSING AND HOMELESSNESS AS A PRIORITY DUE TO THE RAPID GROWTH OUR COMMUNITY IS EXPERIENCING, THE LACK OF LOW-BARRIER SOLUTIONS TO HOMELESSNESS, AND THE COMPLEXITY OF SOLVING THESE ISSUES THROUGH EFFECTIVE COMMUNITY PARTNERSHIPS. THE COMMUNITY PARTNERSHIP DEVELOPMENT PRIORITY WILL IMPACT THE OTHER THREE PRIORITY AREAS BY IMPROVING COMMUNICATIONS, CLARIFYING COALITION FUNCTIONS, AND EXPANDING THE WORK OF COMMUNITY HEALTH IMPROVEMENT TO NON-TRADITIONAL PARTNERSHIPS. PART V, SECTION B, LINE 5: KADLEC REGIONAL MEDICAL CENTER TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH. THE 2022 CHNA WAS COMPLETED IN COLLABORATION WITH THE BENTON FRANKLIN HEALTH DISTRICT (BFHD), BENTON FRANKLIN COMMUNITY HEALTH ALLIANCE (BFCHA), AND PROSSER MEMORIAL HEALTH (PMH). MEMBERS OF EACH ORGANIZATION FORMED THE CHNA STEERING COMMITTEE. STEERING COMMITTEE MEMBERS COMPLETED 21 INTERVIEWS WITH 33 WORKING PARTNERS AND COMMUNITY COLLABORATORS (PARTNERS) WERE CONDUCTED. PARTNERS WERE SELECTED BY MEMBERS OF CHNA STEERING COMMITTEE BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WHO ARE ECONOMICALLY POOR AND VULNERABLE. THE STEERING COMMITTEE AIMED TO ENGAGE PARTNERS FROM HOSPITALS, SOCIAL SERVICE AGENCIES, CLINICS, AND GOVERNMENT TO ENSURE A WIDE RANGE OF PERSPECTIVES. PARTNERS WERE ASKED TO RANK UNMET HEALTH-RELATED COMMUNITY NEEDS. FOR THOSE NEEDS, PARTNERS SHARED WHICH POPULATIONS ARE MOST AFFECTED, GAPS IN COMMUNITY SERVICES TO ADDRESS THE NEEDS, AND BARRIERS TO SERVICES. (SEE APPENDIX 2, PGS. 74-105 CHNA FOR DETAILED INFORMATION). TEN LISTENING SESSIONS WERE COMPLETED WITH 67 COMMUNITY MEMBER PARTICIPANTS. ONE LISTENING SESSION WAS CONDUCTED IN SPANISH. (SEE APPENDIX 2 OF CHNA PG. 74 FOR DETAILED INFORMATION). PARTICIPANTS SHARED THEIR VISION FOR A HEALTHY COMMUNITY, THE HEALTH-RELATED NEEDS OF THE COMMUNITY, AND THE ASSETS THAT CURRENTLY HELP THE COMMUNITY BE HEALTHY. BENTON-FRANKLIN HEALTH DISTRICT CONTRACTED WITH ZENCITY, A WELL-RESPECTED COMMUNITY INPUT AND INSIGHTS PLATFORM, TO CONDUCT A COMMUNITY SURVEY IN ENGLISH AND SPANISH. SURVEYS WERE COMPLETED BY 657 COMMUNITY MEMBERS. (SEE APPENDIX 1 OF CHNA PGS. 53-67 FOR DETAILED INFORMATION).WORKING PARTNERS AND COMMUNITY COLLABORATORS (PARTNERS) INCLUDED (ORGANIZED BY ORGANIZATION, NAME)-ARC OF TRI-CITIES, DONNA TRACY-BENTON COUNTY DEPARTMENT OF HUMAN SERVICES, KYLE SULLIVAN-BOYS AND GIRLS CLUBS OF BENTON AND FRANKLIN COUNTIES, BRIAN ACE-COLUMBIA BASIN COLLEGE, REBEKAH WOODS, JD, PHD & DOUGLAS HUGHES, MAE-CI, CSFA, CST, CRCST-COMMUNITY HEALTH PLAN OF WASHINGTON, BLANCHE BARAJAS-PASCO FIRE DEPARTMENT/EMS, BEN SHEARER-FAMILY LEARNING CENTER, TERESA ROOSENDAAL-GREATER COLUMBIA BEHAVIORAL HEALTH, CAMERON FORDMEIR-YOUTH SUICIDE PREVENTION COALITION, CAMERON FORDMEIR-HPMC OCCUPATIONAL MEDICAL SERVICES, KAREN PHILLIPS, MD & AUDREY WRIGHT-KENNEWICK POLICE DEPARTMENT, CHRIS GUERRERO-KENNEWICK SCHOOL DISTRICT, ALYSSA ST. HILAIRE, TRACI PIERCE, ROBYN CHASTAIN-KIONA-BENTON CITY SCHOOL DISTRICT, PETE PETERSON-LOURDES HEALTH, JOAN WHITE-WAGONER-TRIOS HEALTH, JOHN SOLHEIM-NORTH FRANKLIN SCHOOL DISTRICT, JIM JACOBS-PROSSER MEMORIAL HEALTH, CRAIG MARKS & KRISTI MELLEMA-SENIOR LIFE RESOURCES NORTHWEST, GRANT BAYNES-TRI-CITIES CHAMBER OF COMMERCE, MARTIN VALADEZ-HERITAGE UNIVERSITY, MARTIN VALADEZ-TRI-CITY DEVELOPMENT COUNCIL (TRIDEC), KARL DYE-VISIT TRI-CITIES, KARL DYE-TRI-CITY UNION GOSPEL MISSION, SUSAN CAMPBELL, RN-TWO RIVERS HEALTH DISTRICT, KENNEWICK PUBLIC HOSPITAL DISTRICT, GARY LONG & WANDA BRIGGS-UNITED WAY OF BENTON AND FRANKLIN COUNTIES, DR. LOANN AYERS & PAUL KLEIN-YAKIMA VALLEY FARM WORKERS CLINICS (LOCALLY KNOWN AS MIRAMAR), MICHEAL YOUNG PART V, SECTION B, LINE 6A: PROSSER MEMORIAL HEALTH WAS A COLLABORATOR IN THE CHNA PROCESS. PART V, SECTION B, LINE 6B: KADLEC'S CHNA WAS A COLLABORATION WITH THE BENTON FRANKLIN HEALTH DISTRICT AND BENTON FRANKLIN COMMUNITY HEALTH ALLIANCE. PART V, SECTION B, LINE 7A: CHNA REPORT WEBSITEHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "WASHINGTON" TAB. PART V, SECTION B, LINE 9: THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 19, 2023 IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1). PART V, SECTION B, LINE 10A: IMPLEMENTATION STRATEGY WEBSITEHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "WASHINGTON" TAB. PART V, SECTION B, LINE 11: IN 2022, KADLEC REGIONAL MEDICAL CENTER ADDRESSED NEEDS IDENTIFIED IN ITS MOST RECENT CHNA WITH STRATEGIES OUTLINED IN THE 2020-2022 KADLEC CHIP. PRIORITY NEED AREAS WERE THE FOLLOWING: 1) BEHAVIORAL HEALTH CHALLENGES, 2) ACCESS AND COST OF HEALTH CARE, 3) SOCIAL DETERMINANTS OF HEALTH (SDOH), AND 4) OBESITY/MAINTAINING HEALTHY WEIGHT.PRIORITY 1: BEHAVIORAL HEALTH CHALLENGESTHREE SOCIAL WORKERS ARE IMBEDDED IN THERE KADLEC CLINICS. BETWEEN JANUARY 2020 AND SEPTEMBER 2022, 669 PEOPLE WERE TRAINED IN MENTAL HEALTH FIRST AID AND OTHER MENTAL HEALTH AND SUICIDE PREVENTION PROGRAMS. KADLED, KEY CONNECTION, THE BEHAVIORAL HEALTH COMMITTEE OF THE BENTON FRANKLIN COMMUNITY HEALTH ALLIANCE, BENTON FRANKLIN HEALTH DISTRICT, EDUCTIONAL SERVICE DISTRICT 123, AND SCHOOL DISTRICTS PARTNERED TO DEVELOP POSITIVE MESSAGING SIGNS TO SUPPORT YOUTH MENTAL HEALTH AND RESILIENCE. KADLEC HOUSED, COORDINATED, AND DISTRIBUTED SIGNS THROUGHOUT THE COMMUNITY. KADLEC PARTNERED WITH RANCH & HOME TO PROVIDE 500 FREE FIREARM LOCK BOXES AND SAFE STORAGE EDUCATION AS A MEANS OF PREVENTING SUICIDE.PRIORITY 2: ACCESS AND COST OF HEALTH CAREEXPANDED TELEMEDICINE SERVICES COMPLETED 31,111 TELEMEDICINE VISITS IN 2022. KADLEC'S FAMILY MEDICINE RESIDENCY PROGRAM RESIDENTS GRADUATED IN 2022 WITH FOUR OF THE EIGHT STAYING WITHIN KADLEC. BETWEEN JANUARY 2020 AND AUGUST 2022, 1,079 PEOPLE PARTICIPATED IN MEDICARE EDUCATION PROGRAMS AND/OR CONSULTATIONS. AS PART OF KADLEC'S COMMITMENT TO ADDRESSING HEALTH EQUITY, THREE BILINGUAL/BICULTURAL SPANISH-SPEAKING COMMUNITY HEALTH WORKERS JOINED KADLEC'S POPULATION HEALTH TEAM.PRIORITY 3: SOCIAL DETERMINANTS OF HEALTHA BUILT FOR ZERO PRESENATION WAS MADE AT THE HOUSING CONTINUUM OF CARE TASK FORCE MEETING IN APRIL OF 2022 TO INTRODUCE THE MODEL TO COMMUNITY PARTNERS.PRIORITY 4: OBESITY/MAINTAINING HEALTHY WEIGHTTHE STRATEGY TO ADDRESS OBESITY AND MAINTAIN HEALTHY WEIGHT IS TO IMPLEMENT THE COORDINATED APPROACH TO CHILD HEALTH (CATCH) PROGRAM IN PARTNERSHIP WITH SCHOOLS AND PROGRAMS. WHILE IT WAS NOT POSSIBLE TO GET CATCH STARTED IN SCHOOLS, EDUCATIONAL NUTRITION PRESENTATIONS WERE MADE TO 360 MIDDLE SCHOOL STUDENTS AND TEN PRESCHOOL CHILDREN IN 2022.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, AND SOME NEEDS IDENTIFIED IN THE CHNA ARE THE MISSION OF OTHER ORGANIZATIONS. FOR EXAMPLE, ADDRESSING FOOD INSECURITY IS THE MISSION OF SECOND HARVEST, THE COMMUNITY ACTION COALITION, AND LOCAL FOOD BANKS. WHILE ADDRESSING FOOD INSECURITY IS NOT A DIRECT FOCUS OF THE KADLEC CHIP, FOOD INSECURITY IS ADDRESSED IN SEVERAL WAYS. KADLEC ORGANIZES AN ANNUAL FOOD DRIVE TO PROVIDE FOOD FOR THOSE IN NEED. KADLEC'S PROJECT HOMECOMING PROGRAM ADDRESSES THE NUTRITIONAL NEEDS OF PATIENTS WHEN THEY ARE DISCHARGED FROM THE MEDICAL CENTER THROUGH A PARTNERSHIP WITH MEALS ON WHEELS IF THEY WERE DIAGNOSED WITH MALNUTRITION WHILE IN OUR CARE. WHILE POVERTY WAS NOT A PRIORITIZED NEED IN THE 2020-2022 CHIP, KADLEC'S FINANCIAL AID PROGRAM (FAP) PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. KADLEC'S MEDICATION ASSISTANCE PROGRAM SERVED 644 PEOPLE IN 2022. POVERTY AND FOOD INSECURITY ARE ADDRESSED THROUGH THE COMMUNITY RESOURCE DESK BY CONNECTING COMMUNITY MEMBERS IN NEED WITH RESOURCES AND SERVICES. PART V, SECTION B, LINE 13A DURING 1/1/2022 - 06/30/2022 KADLEC REGIONAL 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, KADLEC REGIONAL 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/LOCATIONS/KADLEC/REGIONAL-MEDICAL-CENTER/PATIENTS-AND-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/REGIONAL-MEDICAL-CENTER/PATIENTS-AND-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/REGIONAL-MEDICAL-CENTER/PATIENTS-AND-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. 24 1 - KC - EAST KENNEWICK SR HEALTH CLINIC 911 S WASHINGTON ST KENNEWICK WA 99336 SENIOR CARE 2 - KC - HERMISTON ON 11TH CARDIOLOGY 600 NW 11TH ST HERMISTON OR 97838 SPECIALTY CLINIC 3 - KC - KC RICHLAND NEPHROLOGY 900 STEVENS DR 101 RICHLAND WA 993523535 SPECIALTY CLINIC 4 - KC - NW ORTHOPEDICS & SPORTS MEDICINE 1351 FOWLER ST 200 RICHLAND WA 993524714 SPECIALTY CLINIC 5 - KC - NW ORTHOPEDICS & SPORTS MEDICINE 875 SWIFT BLVD RICHLAND WA 993523592 SPECIALTY CLINIC 6 - KADLEC CLINIC - PERINATAL CLINIC 969 STEVENS DR RICHLAND WA 993523352 SPECIALTY CLINIC 7 - KADLEC CLINIC - RICHLAND REHAB CENTER 1745 PIKE AVE RICHLAND WA 99354 REHAB & PHYSICAL THERAPY 8 - KRMC - AMB SURGERY CTR SPAULDING CAMPUS 1351 FOWLER ST RICHLAND WA 993524714 SPECIALTY CLINIC 9 - KRMC - ASSOC PHYSICIANS FOR WOMEN 945 GOETHALS DR RICHLAND WA 993523552 SPECIALTY CLINIC 10 - KRMC - FERTILITY CENTER 945 GOETHALS DR RICHLAND WA 993523352 SPECIALTY CLINIC 11 - KRMC - KADLEC AMB ENDOSCOPY CTR 1270 LEE BLVD RICHLAND WA 993524231 SPECIALTY CLINIC 12 - KRMC - KC ASSOC PHYSICIANS FOR WOMEN 900 STEVENS DR RICHLAND WA 993523535 SPECIALTY CLINIC 13 - KRMC - KADLEC CLINIC GASTROENTEROLOGY 1270 LEE BLVD RICHLAND WA 993524231 SPECIALTY CLINIC 14 - KRMC - KC HERMISTON NEPHROLOGY 1050 W ELM AVE HERMISTON OR 978382715 SPECIALTY CLINIC 15 - KRMC - KADLEC INLAND CARDIOLOGY 3001 ST ANTHONY WAY PENDLETON OR 978013836 SPECIALTY CLINIC 16 - KRMC - KADLEC OCCUPATIONAL MEDICINE 510 N COLORADO ST KENNEWICK WA 993367770 SPECIALTY CLINIC 17 - KRMC - KADLEC URGENT CARE CLEARWATER 4804 W CLEARWATER AVE KENNEWICK WA 99336 URGENT CARE 18 - KRMC - KENNEWICK PRIMARY CARE 3900 S ZINTEL WAY KENNEWICK WA 993377509 PRIMARY CARE 19 - KRMC - PASCO PRIMARY CARE 9605 SANDIFUR PKWY PASCO WA 993018028 PRIMARY CARE 20 - KRMC - SOUTH RICHLAND PRIMARY CARE 560 GAGE BLVD RICHLAND WA 993528650 PRIMARY CARE 21 - KRMC - TRI-CITIES CANCER CENTER 600 NW 11TH ST HERMISTON OR 978388605 SPECIALTY CLINIC 22 - KRMC - TRI-CITIES CANCER CENTER 7350 W DESCHUTES AVE KENNEWICK WA 993367802 SPECIALTY CLINIC 23 - KRMC - WEST KENNEWICK PRIMARY CARE 9040 W CLEARWATER AVE KENNEWICK WA 99336 PRIMARY CARE 24 - KRMC - WEST RICHLAND PRIMARY CARE 3950 KEENE RD RICHLAND WA 99353 PRIMARY CARE 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: KADLEC (AFFILIATED WITH PROVIDENCE HEALTH & SERVICES - WASHINGTON 51-0216586) PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/-/MEDIA/PROJECT/PSJH/PROVIDENCE/SOCAL/FILES/ABOUT/COMMUNITY-BENEFIT/CBR-EXECUTIVE-SUMMARIES/2022/2022_ES_TAB_TWO-STORIES_SE_WA_FINAL.PDF?LA=EN&REV=0751DC9DC651431C976B96C5CBAD44DB&HASH=1DB152650C9CA56C3D4EE50F08DF68FC 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 II, COMMUNITY BUILDING ACTIVITIES: KADLEC IS PROUD TO SUPPORT COMMUNITY BUILDING ACTIVITIES BY PARTICIPATING IN COMMUNITY COLLABORATIONS THAT ADDRESS HEALTH AND SAFETY ISSUES. KADLEC LEADS THE COMMUNITY HEALTH COUNCIL, PARTICIPATES IN THE HEALTH EQUITY AND ACCESS TEAM, YOUTH SUICIDE PREVENTION COALITION, HUMAN SERVICES COALITION, AND BENTON-FRANKLIN COMMUNITY HEALTH ALLIANCE BEHAVIORAL HEALTH COMMITTEE. KADLEC'S EXECUTIVE TEAM MEMBER(S) PARTICIPATED ON THE FOLLOWING BOARDS: WSU ADVISORY COUNCIL, TRI-CITIES DIVERSITY & INCLUSION COUNCIL, TRI-CITIES REGIONAL CHAMBER OF COMMERCE, AND TRI-CITY DEVELOPMENT COUNCIL (TRIDEC). 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: OUR 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 ASSESSMENT:IN ADDITION TO THE CHNA, WE UTILIZE OUR RELATIONSHIPS WITH OTHER ORGANIZATIONS TO UNDERSTAND COMMUNITY NEEDS. WE PARTICIPATE IN COMMUNITY MEETINGS AND HOLD COMMUNITY HEALTH COUNCIL MEETINGS EVERY OTHER MONTH TO BRING COMMUNITY PARTNERS TOGETHER WITH THE GOAL OF UNDERSTANDING COMMUNITY NEEDS AND DEVELOPING COLLABORATIONS TO ADDRESS THEM. WE UTILIZE CURRENT DATA, RELEVANT REPORTS, PUBLIC HEALTH INFORMATION, AND ECONOMIC AND COMMUNITY DEVELOPMENTS TO ESTIMATE COMMUNITY HEALTH NEEDS AND TO ADJUST PROGRAMS AND SERVICES ACCORDINGLY. KADLEC WORKS CLOSELY AND CONSISTENTLY WITH THE BENTON-FRANKIN HEALTH DEPARTMENT TO UNDERSTAND AND ADDRESS HEALTH NEEDS. PART VI, LINE 3: COMMUNICATION TO THE PUBLIC:KADLEC POSTS NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS ADMITTING/REGISTRATION, BILLING OFFICE, EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS.EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE POLICIES CONTAINS BRIEF INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR A DISCOUNTED PAYMENT. THE NOTICES ALSO INCLUDE A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION.KADLEC 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 ASSISTANT POLICIES, KADLEC ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.KADLEC 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 INFORMATION:BENTON AND FRAKLIN COUNTIES ARE LOCATED IN SOUTH CENTRAL WASHINGTON JUST WEST OF THE CONFLUENCE OF THE COLUMBIA AND SNAKE RIVERS. PASCO IS THE COUNTY SEAT OF FRANKLIN COUNTY WHILE PROSSER, LOCATED 30 MILES WEST, IS THE BENTON COUNTY SEAT. MANY COUNTY FACILITIES ARE LOCATED IN KENENWICK. WITH A COMBINED POPULATION OF MORE THAN 300,000, THE AREA IS WASHINGTON'S THIRD LARGEST METRO AREA AND AMONG THE FASTEST GROWING. THE AREA'S THREE LARGEST CITIES, KENNWICK, PASO, AND RICHLAND BECAME KNOWN AS THE "TRI-CITIES NOT LONG AFTER WWII. OTHER PRINCIPAL CITIES IN BENTON COUNTY ARE WEST RICHLAND AND BENTON CITY. OUTSIDE OF PASCO, FRANKLIN COUNTY'S SMALL TOWNS SUPPORT SOME OF THE COUNTRY'S MOST PRODUCTIVE FARMLAND IRRIGATED BY THE COLUMBIA BASIN PROJECT. THEY INCLUDE ELTOPIA, BASIN CITY, MESA, CONNELL, AND KAHLOTUS. THE RICH AGRICULTURAL OPPORTUNITIES PROVIDE RESIDENTS WITH ACCESS TO FRESH AND LOCALLY GROWN FOOD. IN FACT, FOR FIVE MONTHS OF THE YEAR, THERE ARE FARMERS' MARKETS OPEN THROUGHOUT THE REGION NEARLY DAILY. ADDITIONALLY, MULTIPLE LOCAL FARMS OFFER YOU PICK AND ROADSIDE PRODUCE SALES. WITH OVER 300 DAYS OF SUNSHINE PER YEAR, MULTIPLE PAVED AND NATURAL TRAILS, AND NUMEROUS COMMUNITY PARKS, THIS REGION OFFERS OPPORTUNTIES FOR OUTDOOR RECREATION FOR ALL AGES AND ABILITY LEVELS IN A HIGH-DESERT CLIMATE. IN ADDITION TO KADLEC, HOSPITAL SYSTEMS SERVING BENTON AND FRANKLIN COUNTIES AND BEYOND INCLUDE TRIOS HEALTH, LOURDES HEALTH, AND PROSSER MEMORIAL HEALTH. FEDERALLY QUALIFIED HEALTH CENTERS SERVING THE AREA ARE MIRAMAR HEALTH CENTERS, TRI-CITIES COMMUNITY HEALTH, AND COLUMBIA BASIN HEALTH ASSOCIATION. BASED ON THE AVAILABILITY OF DATA, GEOGRAPHIC ACCESS TO THESE FACILITIES, AND OTHER HOSPITALS IN NEIGHBORING COUNTIES, BENTON AND FRANKLIN COUNTIES SERVE AS THE BOUNDARY FOR THE SERVICE AREA.THE AGE DISTRIBUTION IN BENTON AND FRANKLIN COUNTIES IS ROUGHLY SIMILAR, WITH THOSE AGED BETWEEN 25-44 AND 45-64 REPRESENTING THE LARGEST AGE GROUPS. THE MALE-TO-FEMALE RATIO IS APPROXIMATELY EQUAL IN BENTON AND FRANKLIN COUNTIES. MOST OF THE RESIDENTS IN BENTON AND FRANKLIN COUNTIES IDENTIFY AS WHITE, AT 82.1% AND 85.7% RESPECTIVELY. THE WHITE POPULATION IS UNDER-REPRESENTED IN THE HIGH NEED SERVICE AREA, MAKING UP 70.6%, COMPARED TO 85.7% OF THE BROADER SERVICE AREA. OVER HALF (53.1%) OF THE POPULATION IN FRANKLIN COUNTY IDENTIFIES AS HISPANIC, COMPARED TO 21.7% IN BENTON COUNTY. THE HISPANIC POPULATION MAKES UP 47.7% OF THE HIGH NEED SERVICE AREA COMPARED TO 16.9% OF THE BROADER SERVICE AREA. (2019 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES). IN BENTON COUNTY, 21.7% OF THE POPULATION 5 YEARS AND OLDER SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME, WITH 8.1% OF THE POPULATION REPORTING SPEAKING ENGLISH LESS THAN "VERY WELL AND 16.7% SPEAKING SPANISH. IN FRANKLIN COUNTY, 48.5% OF THE POPULATION 5 YEARS AND OLDER SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME, WITH 23.5% OF THE POPULATION REPORTING SPEAKING ENGLISH LESS THAN "VERY WELL AND 44.6% SPEAKING SPANISH. (2021 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATE).BENTON AND FRANKLIN COUNTIES ARE DESIGNATED BY THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA) AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) HAVING SHORTAGES OF PRIMARY CARE, DENTAL, AND MENTAL HEALTH PROVIDERS MEANING THERE ARE NOT ENOUGH PROVIDERS FOR THE POPULATION SIZE, GEOGRAPHIC LOCATION, OR FACILITY TYPE.FRANKLIN COUNTY IS ALSO CONSIDERED TO BE A MEDICALLY UNDERSERVED AREA (MUA) HAVING TOO FEW PRIMARY CARE PROVIDERS, HIGH INFANT MORTALITY, HIGH POVERTY, OR A HIGH ELDERLY POPULATION. THESE DEFINITIONS AND MORE INFORMATION CAN BE FOUND ON THE WEBSITE FOR THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA).OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN THE TRI-CITIES AREA INCLUDE: TRIOS HEALTH, LOURDES HEALTH, PROSSER MEMORIAL HEALTH.KADLEC'S MOST SIGNIFICANT COLLABORATION IN 2022 WAS ON THE CHNA. KADLEC PARTNERED WITH THE BENTON FRANKLIN HEALTH DISTRICT, BENTON FRANKLIN COMMUNITY HEALTH ALLIANCE, AND PROSSER MEMORIAL HEALTH TO COMPLETE THE CHNA PROCESS AND BEGIN THE COMMUNITY HEALTH IMPROVEMENT PLAN PROCESS. KADLEC LEADERSHIP PARTICIPATED IN THE FOLLOWING COMMUNITY MEETINGS: WASHINGTON STATE UNIVERSITY ADVISORY COUNCIL, HEALTH EQUITY AND ACCESS TEAM, TRI-CITIES DIVERSITY AND INCLUSION COUNCIL, AND TRIDEC. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:KADLEC REGIONAL MEDICAL CENTER PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. KADLEC REGIONAL MEDICAL CENTER 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 SYSTEM: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, WAAS 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 PART VI, LINE 7, REPORTS FILED WITH STATES WA 1 KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND WA 99352 237005501 501(C)(3) 1393884 0 SPONSORSHIP BENTON-FRANKLIN COMMUNITY HEALTH ALLIANCE 7102 W OKANOGAN PLACE KENNEWICK WA 99336 030452352 501(C)(3) 18000 0 OPERATIONAL SUPPORT 2 0 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION. 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 FORMER 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 MELVIN WAHL PHYSICIAN 1299701 0 79927 0 160534 0 0 0 5775 0 1545937 0 138324 0 JOSHUA BALES PHYSICIAN 1204108 0 149736 0 143041 0 0 0 36427 0 1533312 0 115151 0 IYAD JAMALI PHYSICIAN 1087453 0 0 0 333421 0 0 0 27263 0 1448137 0 305397 0 JUAN CORDERO PHYSICIAN 971772 0 100000 0 118849 0 115130 0 15116 0 1320867 0 95726 0 ARASH MOTAGHI PHYSICIAN 940661 0 158451 0 112275 0 0 0 9695 0 1221082 0 90636 0 ANNA NEWSOM SECRETARY (PART YEAR) 0 535718 0 50000 0 215282 0 202914 0 22171 0 1026085 0 0 REZA KALEEL CHIEF EXEC KADLEC SVC AREA 0 462422 0 221047 0 159999 0 133471 0 24490 0 1001429 0 158459 JIM WATSON ESQ FRMR OFF - PSJH SEC./ASST. SEC. 0 466229 0 228525 0 142483 0 98225 0 26164 0 961626 0 119387 KIRK HARPER COO KADLEC 288642 0 75344 0 7153 0 31627 0 21382 0 424148 0 5695 0 SPENCER HARRIS CFO SERVICE AREA PSJH 0 222645 0 64072 0 21294 0 23200 0 3698 0 334909 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0 219186 0 36718 0 1088 0 13600 0 17583 0 288175 0 0 CINDY STRAUSS FORMER 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. 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 IN 2022: MIKE BUTLER - $1,835,706 JOHN WHIPPLE - $186,674 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 MELVIN WAHL - $138,324 JOSHUA BALES - $115,151 IYAD JAMALI - $305,397 JUAN CORDERO - $95,726 ARASH MOTAGHI - $90,636 REZA KALEEL - $158,459 JIM WATSON, ESQ - $119,387 KIRK HARPER - $5,695 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 AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD 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 V, LINE 15: 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. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS WESTERN HEALTHCONNECT IS THE SOLE CORPORATE MEMBER OF KADLEC REGIONAL MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS KADLEC REGIONAL MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE KADLEC REGIONAL MEDICAL CENTER'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE KADLEC REGIONAL MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY WESTERN HEALTHCONNECT, AS THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & 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 FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, 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 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 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, 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 XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 13,199,600. OTHER CHANGES IN NET ASSETS 1,088,018. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT -572,231. TRI-CITY REGIONAL SURGERY CENTER LLC 1096 GOETHALS DR RICHLAND WA 99352 911728399 HEALTHCARE WA 335463 0 KRMC 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 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