2023-11-14T08:36:09-06:00 2022-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2022-01-01 510216586 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROV 4255253985 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 JIM MARTIN CHIEF ACCOUNTING OFFICER 4255253985 2023-11-14 1 JIM MARTIN 999009999 0 EVA NITTA P01286320 4158948000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JIM MARTIN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 6177251005 0 X WASHINGTON.PROVIDENCE.ORG X 1859 WA 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. 10 10 44297 3710 3544738 2613443 267445611 73772552 8734213683 9174559726 235415579 95153161 235843198 -3278677905 9472918071 6064807534 21558631 22588902 0 0 5186424054 5614734233 0 0 2612420 4169338553 4237207293 9377321238 9874530428 95596833 -3809722894 11792986725 8832233459 8893985905 7052095655 2899000820 1780137804 X 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. 0 0 5727150934 22588902 5899437438 SEE SCHEDULE OPROVIDENCE'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 COMMUNITYNEED 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-REPORT2022 PROGRAM SERVICE ACCOMPLISHMENTSIN 2022, PROVIDENCE WASHINGTON AND PROVIDENCE ALASKA CONTINUED THE TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. THE FOLLOWING ARE HIGHLIGHTED ACCOMPLISHMENTS IN 2022.STREET MEDICINE TAKES CARE WHERE IT'S NEEDED MOSTTO MEET THE EVOLVING NEEDS OF THE COMMUNITY, IN 2022, PROVIDENCE ST. PETER HOSPITAL LAUNCHED AN OUTREACH MODEL CALLED STREET MEDICINE, WHERE THE PROVIDENCE TEAM MEETS CLIENTS WHERE THEY ARE, REMOVING THE OBSTACLE OF FINDING TRANSPORTATION. NOW MOBILIZED, THE TEAM WORKS OUT OF A DONATED, REFURBISHED AMBULANCE AND MEDICAL RV.SERVICES INCLUDE BASIC HEALTH CARE, WOUND CARE, PRESCRIBING NECESSARY MEDICATIONS, AND MENTAL HEALTH COUNSELING. THEY PROVIDE DIRECT, COMPREHENSIVE CARE AND HELP MAKE CONNECTIONS TO OTHER SOCIAL SERVICE AGENCIES. THEY ALSO PARTNER WITH THE COUNTY TO JOINTLY OPERATE A HOMELESS OUTREACH STABILIZATION TEAM WITH ESTABLISHED CONNECTIONS IN LOCAL ENCAMPMENTS AND TINY-HOME COMMUNITIES. ADDITIONALLY, THE TEAM TRAVELS TO OTHER LOCATIONS TO PROVIDE CARE, INCLUDING SHELTERS, PLACES THAT PROVIDE FREE MEAL SERVICES, AND THE COUNTY JUSTICE CENTER.THE PROVIDENCE ST. PETER STREET MEDICINE TEAM IS COMPRISED OF ONE ARNP PROGRAM MANAGER; FIVE PROVIDERS, INCLUDING ONE ARNP/PRESCRIBER FOCUSED ON PHYSICAL HEALTH, TWO MENTAL HEALTH COUNSELORS, AND TWO PATIENT NAVIGATORS; NURSING PROGRAM STUDENTS; LEADERS AND RESIDENTS FROM THE ST. PETER FAMILY MEDICINE RESIDENCY PROGRAM; AND SELECT VOLUNTEERS WHO ARE PROVIDENCE SWEDISH CAREGIVERS.THE NEW APPROACH IS EFFECTIVE AT REACHING THE COMMUNITY'S MOST VULNERABLE RESIDENTS. THE PROGRAM MANAGER SAID, "WE COME ALONGSIDE OUR PATIENTS AND WALK WITH THEM TOWARD ACHIEVING HEALTH, ONE STEP AT A TIME. EARLIER ACCESS TO TREATMENT AND INTERVENTIONS, OR EVEN PREVENTATIVE SERVICES, REDUCES AVOIDABLE EMERGENCY DEPARTMENT VISITS AND BENEFITS THE ENTIRE COMMUNITY.GOING TO THE PEOPLE AND STANDING WITH THEM IN SOLIDARITY BUILDS TRUST, SHOWS INTEGRITY AND DISPLAYS THE ACTION BEHIND OUR COMMITMENT TO THE PROVIDENCE MISSION."PROVIDENCE SWEDISH EASES FINANCIAL STRESS ON FAMILIES AT ST. PETER HOSPITAL SPECIAL CARE NURSERYTHE SPECIAL CARE NURSERY AT ST. PETER HOSPITAL IS A 13-BED, LEVEL 2 NEONATAL CARE NURSERY DESIGNED TO PROVIDE A HIGHER LEVEL OF CARE COMPARED TO A REGULAR NEWBORN NURSERY. THE SPECIAL CARE NURSERY CARES FOR BABIES BORN PREMATURELY AT A GESTATIONAL AGE OF 32 WEEKS OR EARLIER, OR BABIES WITH RESPIRATORY DISTRESS, JAUNDICE, NEONATAL ABSTINENCE SYNDROME,NEONATAL OPIATE WITHDRAWAL SYNDROME OR OTHER MORE COMPLEX CONDITIONS. THE COSTS ASSOCIATED WITH CARING FOR A BABY IN THE SPECIAL CARE NURSERY CAN BE SUBSTANTIAL, INCLUDING SPECIALIZED MEDICAL EQUIPMENT, AROUND-THE-CLOCK MONITORING, AND HIGHLY-SKILLED CARE. MANY FAMILIES FACE FINANCIAL CHALLENGES THAT MAKE IT DIFFICULT TO AFFORD CARE.THE SPECIAL CARE NURSERY HAS A TEAM OF COMPASSIONATE HEALTHCARE PROFESSIONALS THAT ENSURE BABIES RECEIVE AROUND-THE-CLOCK ATTENTION AND TREATMENT TAILORED TO THEIR SPECIFIC NEEDS INCLUDING: DEDICATED CAREGIVERS, HOSPITALISTS FROM SEATTLE CHILDREN'S HOSPITAL, A PEDIATRICIAN THAT IS IN-HOUSE 24/7 ATTENDING TO ALL DELIVERIES, AND A RESPIRATORY THERAPY TEAM THAT ATTENDS TO ALL HIGH-RISK DELIVERIES AND ASSISTS BABIES IN THE NURSERY THAT REQUIRE ANY SORT OF RESPIRATORY SUPPORT.THE NEXT NEAREST LEVEL 2 NURSERIES ARE IN TACOMA, 30 MILES TO THE NORTH, AND VANCOUVER, 110 MILES TO THE SOUTH, SO ST. PETER CAREGIVERS SERVE BABIES REQUIRING A HIGHER LEVEL OF CARE FROM SEVERAL COUNTIES IN THE REGION.BROTHER FRANCIS SHELTER HOMELESS RESPITEPROVIDENCE PILOTED A TWO BED HOMELESS RESPITE PROGRAM AT THE LARGEST HOMELESS SHELTER IN ANCHORAGE, ALASKA IN 2016 OPERATED BY CATHOLIC SOCIAL SERVICES. AFTER DEMONSTRATING THE VALUE OF THE PROGRAM, PROVIDENCE APPROACHED CATHOLIC SOCIAL SERVICES AS WELL AS THE TWO OTHER MAJOR HOSPITALS IN ANHORAGE (ALASKA NATIVE MEDICAL CENTER AND ALASKA REGIONAL HOSPITAL) PROPOSING A PARTNERSHIP. THROUGH THAT PARTNERSHIP, THE HOSPITALS PROVIDE FUNDING FOR CSS TO OPERATE A TEN BED RESPITE PROGRAM, WITH PROVIDENCE FUNDING MORE THAN HALF THE PROGRAM ANNUALLY ($265,000 IN 2022). THE TEN BED PROGRAM PROVIDES A SAFE SPACE FOR THE SELF-CARE AND RECUPERATION OF PATIENTS DISCHARGED FROM MEDICAL FACILITIES IN ANCHORAGE. THE MEDICAL RESPITE SPACE PROVIDES GUESTS WITH 24-HOUR ACCESS TO A FURNISHED SEMI-PRIVATE ROOM, 3 MEALS A DAY, A COMMON AREA WITH A TELEVISION, KITCHENETTE, AND LAUNDRY. CASE MANAGERS ASSIST GUESTS WITH TRANSPORTATION FOR FOLLOW-UP APPOINTMENTS AND HELP GUESTS MEET THEIR DIVERSE HEALTHCARE GOALS. ROUGHLY 15O INDIVIDUALS ARE SERVED BY THE HOMELESS RESPITE PROGRAM ANNUALLY.THE CHILDREN'S LUNCHBOX:THE CHILDREN'S LUNCHBOX IN ANCHORAGE, ALASKA HAS PLAYED A VITAL ROLE IN FEEDING HUNGRY CHILDREN SINCE 1998. IN 2022, THE PROGRAM CONTINUED TO MEET GROWING NEEDS AND ENSURE NO CHILD WENT HUNGRY. BUOYED BY A $175,000 INVESTMENT FROM PROVIDENCE HEALTH & SERVICES ALASKA, IN PARTNERSHIP WITH PROVIDENCE ALASKA FOUNDATION, AND GENEROUS DONATIONS FROM OTHER INDIVIDUAL AND CORPORATE DONORS AND GRANTS, BEAN'S CAF WAS ABLE TO EXPAND THE CHILDREN'S LUNCHBOX TO MEET THE GROWING NEED OF FAMILIES. IN 2022, CHILDREN'S LUNCHBOX PROVIDED IN EXCESS OF 250,000 MEALS TO CHILDREN AND FAMILIES WHICH INCLUDED PROVIDING BETWEEN 200 AND 250 MEALS EVERY WEEKDAY THAT ARE DISTRIBUTED THROUGHOUT 13 SITES IN ANCHORAGE FOR THE CHILDREN OF ANCHORAGE. THAT NUMBER INCREASES DAILY. FRESH MEALS ARE ASSEMBLED EACH WEEK AND PACKAGED IN VACUUM-SEALED CONTAINERS. THE SHELF-STABLE PANTRY PACKS ARE PACKAGED BY VOLUNTEERS IN AN OFF-SITE WAREHOUSE, FOLLOWING COVID-19 SAFETY PROTOCOL, OR BY VOLUNTEERS AT HOME. THE PANTRY BOXES CONTAINBREAKFAST, LUNCH OR DINNER AND CAN BE PICKED UP VIA MOBILE PICK-UP OR DELIVERY AT DESIGNATED LOCATIONS THROUGHOUT TOWN.MEDICAL RESIDENTS INCREASING ACCESS TO CAREIN 2022, MEDICAL RESIDENTS AT PROVIDENCE REGIONAL MEDICAL CENTER EVERETT LOGGED MORE THAN 600 HOURS CARING FOR THE HEALTH AND WELL-BEING OF VULNERABLE CITIZENS IN SNOHOMISH COUNTY. THROUGH A PARTNERSHIP WITH PROVIDENCE, WASHINGTON STATE UNIVERSITY INTERNAL MEDICINE RESIDENCY PROGRAM, AND MERCY WATCH, MEDICAL RESIDENTS TREAT UNHOUSED CLIENTS AT HYGIENE STATIONS, POP-UP CLINICS, AND ON THE STREET. THIS IS HELPING TO IMPROVE ACCESS TO CARE AND BUILDING CONNECTIONS WITH A POPULATION THAT IS OFTEN DISTRUSTFUL OF THE MEDICAL ESTABLISHMENT. THE RELATIONSHIPS AND TRUST NURTERED BY THE MEDICAL RESIDENTS HAVE RESULTED IN MANY CLIENTS ESTABLISHING A CONNECTION WITH THE PROVIDENCE-WSU INTERNAL MEDICINE CLINIC FOR ONGOING CARE. 5727150934 1 1 0 1 0 0 0 1 0 1 1 0 1 1 1 0 0 1 0 0 1 1 0 0 1 0 1 1 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 X 2969 0 1 44297 1 1 1 1 CA IN SN TW UK 0 0 0 1 1 0 0 0 0 1 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WA CA OR X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 ERIK WEXLER PRESIDENT STRAT & OPS (SOUTH) 61.50 3.50 X 4701760 0 400152 DAVID YAM FORMER NEUROSURGEON 0.00 0.00 X 4500000 0 0 LISA VANCE PRESIDENT STRAT & OPS (NORTH) 0.50 64.50 X 0 3578819 373270 AMY COMPTON-PHILLIPS MD FRMR KE - PSJH EVP/CHF CLIN. OFC. 0.00 65.00 X 0 3802673 8688 DEBRA CANALES FRMR KE - PSJH EVP/CAO 0.00 65.00 X 0 3335977 472282 GUY HUDSON MD DIVISION CHIEF EXEC - NORTH 63.00 2.00 X 3182849 0 440797 RHONDA MEDOWS MD FRMR KE - PSJH PRES. EVP/POP. HEALTH 0.00 65.00 X 0 3000545 320205 GREG HOFFMAN PRESIDENT/CEO & TREASURER 50.00 15.00 X 2619615 0 278536 KEVIN MANEMANN CHIEF EXECUTIVE PSJH SO CA 51.50 3.50 X 2756394 0 39523 WASIF RASHEED CHIEF REV AND GROWTH OFFICER 54.50 0.50 X 2338077 0 391090 GREG TILL CHIEF PEOPLE OFFICER 55.00 0.00 X 2026619 0 402506 JOEL GILBERTSON DIVISION CHIEF EXEC - CENTRAL 14.00 41.00 X 2134351 0 264363 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 0.50 64.50 X 0 2157414 35815 MIKE WATERS EVP AMBULATORY CARE NET - THRU 7/22 53.00 2.00 X 2090589 0 1570 DONALD ANTONUCCI CEO PROVIDENCE HEALTH PLAN 0.00 55.00 X 1852789 0 227584 PRESTON SIMMONS SVP CE AK REGION - THRU 10/22 54.00 1.00 X 1899552 0 37361 DAVID BROWN SVP CAO AMBULATORY CARE - THRU 8/22 55.00 0.00 X 1886009 0 40716 MIKE BUTLER FRMR PRESIDENT 0.00 0.00 X 0 1835706 7828 JOHN WHIPPLE SECRETARY - THRU 5/22 46.50 8.50 X 1743754 0 11047 RICHARD PARKS EXECUTIVE ADVISOR 50.00 0.00 X 1449843 0 234647 OREST HOLUBEC FRMR KE - PSJH SVP/CHIEF COMM/EXT AFF OFF 0.00 55.00 X 0 1327235 300531 TODD CZARTOSKI CHIEF MED. TECH. OFF. TH - THRU 8/22 50.00 0.00 X 1540002 0 11344 KEVIN BROOKS DIVISION COO - NORTH 27.50 27.50 X 1298890 0 212858 SCOTT O'BRIEN DIVISION COO - CENTRAL 13.00 42.00 X 1320902 0 182976 BRADEN BATKOFF SVP CLIN PROG SVCS OPS - THRU 5/22 55.00 0.00 X 1410961 0 14158 SYLVAIN TREPANIER SVP CHIEF NURSING OFFICER 55.00 0.00 X 1157762 0 210888 ALI SANTORE SVP GOVT AFFAIRS & SOCIAL RESP 63.00 2.00 X 1135327 0 157497 AARON MARTIN FRMR KE - PSJH EVP CHF MKT/DIG INN. 0.00 55.00 X 0 1251952 28903 MARY CRANSTOUN SVP TOTAL REWARDS - TALENT ACQ 54.00 1.00 X 1010556 0 191806 ELLA GOSS REGIONAL CHIEF EXEC - AK 54.50 0.50 X 928350 0 176132 SARA VAEZY EVP CHF MKT/DIG INNO OFC (PART YEAR) 55.00 0.00 X 906874 0 195608 MARYBETH FORMBY DIVISION CFO - NORTH 27.00 28.00 X 909353 0 128392 HODA ASMAR EVP SYS CHF MEDICAL OFF (PART YEAR) 55.00 0.00 X 811062 0 217291 ANNA NEWSOM SECRETARY (PART YEAR) 46.50 8.50 X 801000 0 225085 JIM WATSON ESQ ASSISTANT SECRETARY 46.50 8.50 X 837237 0 124389 HELEN ANDRUS REGIONAL CFO WA AND MT 27.50 27.50 X 750190 0 105778 DARREN REDICK FRMR KE-CHIEF EXEC PRMCE 0.00 55.00 X 753240 0 26601 THOMAS ARNOLD GVP REAL ESTATE 55.00 0.00 X 742317 0 30992 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 43.00 12.00 X 256992 0 31183 CINDY STRAUSS FRMR SECRETARY 0.00 0.00 X 0 146754 0 MARY LYONS PHD BOARD CHAIR 1.00 26.50 X 75936 0 0 RICHARD BLAIR DIRECTOR 0.50 14.50 X 61313 0 0 MICHAEL MURPHY DIRECTOR 0.50 13.50 X 50668 0 0 CHARLES SORENSON MD DIRECTOR 0.50 13.50 X 50000 0 0 ISIAAH CRAWFORD PHD DIRECTOR 0.50 15.00 X 50000 0 0 CHRISTINA FISHER DIRECTOR - THRU 11/22 0.50 13.50 X 40000 0 0 ERIC SPRUNK DIRECTOR 0.50 13.50 X 40000 0 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 52121133 20437075 6560392 10838 1 1 0 MICROSOFT CORPORATION PO BOX 844510 DALLAS TX 752844510 TECHNOLOGY SERVICES 179039553 AYA HEALTHCARE INC PO BOX 123519 DALLAS TX 753123519 STAFFING SERVICES 60589512 CROSS COUNTRY STAFFING INC PO BOX 404674 ATLANTA GA 303844674 STAFFING SERVICES 60003193 IBM CORP PO BOX 676673 DALLAS TX 752676673 TECHNOLOGY SERVICES 58491789 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 TECHNOLOGY SERVICES 56125778 1567 1254570 24435902 40779743 7302337 73772552 NET PATIENT REVENUE 621110 5169099797 5168508640 591157 CORP SVCS-AFFILIATE 900099 3985471491 3985471491 JV INCOME 900099 19988438 19988438 9174559726 62797234 -36870 62834104 28431673 35630217 -7198544 -7198544 -7198544 108982228 47361527 29264774 61620701 -29264774 32355927 32355927 248272 1254570 186953 61319 61319 COST RECOVERY 900099 40939657 40939657 PROFESSIONAL SVCS FEES 541900 28133229 28133229 DISAFFILIATION LOSS 900099 -3407916729 -3407916729 67303163 64312712 2990451 -3271540680 6064807534 5899437438 3544738 88052806 X 21740226 21740226 848676 848676 48059855 25888256 22156575 15024 3583988485 1930576146 1652291933 1120406 340902607 183632968 157163068 106571 1420006315 764910472 654651929 443914 221776971 119463925 102243716 69330 44051353 23729008 20308574 13771 10539695 5677385 4859015 3295 16455505 16455505 1783270105 960689375 822210149 370581 23399275 12604416 10787544 7315 94280834 50785969 43465391 29474 186448271 100433522 85956463 58286 189525345 102091040 87375057 59248 28002228 15083875 12909600 8753 178312007 96050785 82205479 55743 360464060 194170076 166181298 112686 25733796 13861945 11863806 8045 MEDICAL SUPPLIES 816236100 816236100 LICENSES AND TAXES 68523070 36911113 31590536 21421 HOSPITAL FEE 64711116 64711116 UBI TAXES PAID 358442 193081 165249 112 346896091 186861459 159926187 108445 9874530428 5727150934 4144767074 2612420 670463745 292769465 407158235 385990940 10766473 3187476 656239247 874139471 7569736 24311088 135851577 103650709 105129444 128858513 7472973936 4857256743 2695930878 2615717193 3183011683 2500830564 403138094 640588668 83967079 50082502 3433760534 1212106870 11792986725 8832233459 1654761967 1527389243 29626102 69026261 24730122 7184867714 5455680151 8893985905 7052095655 X 2812467680 1685089123 86533140 95048681 2899000820 1780137804 11792986725 8832233459 X -3809722894 -387974915 3078834793 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 240000 1 520000 0 1 1035643 1795643 0 PART II-B, LINE 1: OUR 2022 ADVOCACY AGENDA AT PROVIDENCE, OUR FAMILY OF ORGANIZATIONS IS WORKING TO IMPROVE AND SIMPLIFY HEALTH FOR EVERYONE, WITH A SPECIAL FOCUS ON THOSE WHO ARE POOR AND VULNERABLE. CONTINUING IN THE PIONEER SPIRIT OF OUR FOUNDERS, WE ARE COORDINATING ACROSS SEVEN STATES TO ADVANCE POPULATION HEALTH AND LEAD THE PARADIGM SHIFT TOWARD VALUE-BASED CARE. THERE ARE OPPORTUNITIES TO INNOVATE AND STREAMLINE POLICY WHILE ALSO ENSURING ACCESS TO AFFORDABLE CARE FOR ALL. WE URGED POLICYMAKERS TO PARTNER WITH US AND OTHER HEALTH CARE STAKEHOLDERS TO FIND NEW WAYS TO CREATE HEALTHIER COMMUNITIES. A FOUNDATION THAT CAN SUPPORT FUTURE CARE MODELS THE MEDICARE AND MEDICAID PROGRAMS SERVE AS A PLATFORM FOR INNOVATION AND IMPROVEMENTS IN HOW CARE IS DELIVERED AND PAID FOR. THESE IMPORTANT SOCIAL PROGRAMS ARE THE FOUNDATION OF OUR NATIONAL HEALTH CARE SYSTEM, PROVIDING ACCESS TO CARE FOR OUR ELDERLY AND THE POOR ACROSS THE COUNTRY. PROVIDENCE IS COMMITTED TO ADVANCING NEW CARE AND DELIVERY MODELS THAT WILL MAINTAIN OR IMPROVE ACCESS TO CARE ACROSS OUR SEVEN STATE FOOTPRINT. WE ASKED POLICYMAKERS TO: - PROTECT CARE DELIVERY AND ACCESS TO MEDICAID BY PRESERVING CURRENT COVERAGE LEVELS AND ENSURING ADEQUATE FUNDING - ADVANCE DELIVERY AND PAYMENT INNOVATION BY INCREASING PROVIDERS' ABILITY TO PARTICIPATE IN ALTERNATIVE PAYMENT MODELS - EXPAND MEDICARE ADVANTAGE AS AN IMPORTANT COVERAGE OPTION FOR SENIORS - STOP UNREASONABLE INCREASES IN PRESCRIPTION DRUG COSTS AND PROTECT SAFETY NET PROGRAMS THAT ALREADY HELP WITH AFFORDABILITY, SUCH AS THE 340B DRUG PRICING PROGRAM - PROTECT AND EXPAND OUR PHYSICIAN SUPPLY THROUGH GRADUATE MEDICAL EDUCATION REFORMS - IMPROVE PALLIATIVE CARE BY MODERNIZING MEDICARE AND MEDICAID COVERAGE AND PAYMENT POLICY PROMOTE HEALTHY INSURANCE MARKETS AND AFFORDABLE COVERAGE FOR ALL AS CONGRESS CONSIDERS REFORMS TO THE AFFORDABLE CARE ACT, IT IS IMPORTANT TO MAINTAIN THE STABILITY OF HEALTH INSURANCE MARKETS RATHER THAN MAKING WHOLESALE CHANGES THAT MAY CAUSE INSURERS TO WITHDRAW COVERAGE AND DISPLACE INSURED POPULATIONS. IN ADDITION, SOME MECHANISM IS NEEDED TO DRIVE FULL PARTICIPATION IN RISK POOLS. THESE CHANGES WILL ENSURE THAT CONSUMERS HAVE CHOICE OF INSURANCE PLANS IN THEIR COMMUNITIES, HELP MAKE AFFORDABLE INSURANCE AVAILABLE FOR ALL PEOPLE, AND HELP INCREASE MARKETPLACE STABILITY. WE ASKED POLICYMAKERS TO: - MODIFY AGE BANDS AND SUPPORT PREMIUM AND COST- SHARING SUBSIDIES, FOR BROAD AFFORDABILITY - GIVE ENROLLEES WITH PREMIUM TAX CREDITS A GRACE PERIOD FOR MISSED PAYMENTS TO HELP THEM MAINTAIN COVERAGE - REDUCE CHURN BY REQUIRING DOCUMENTATION FOR INDIVIDUALS BUYING INSURANCE DURING A SPECIAL ENROLLMENT PERIOD TO REDUCE SELECTIVE COVERAGE DROPS AND RE-ENROLLMENTS - ESTABLISH A CONTINUOUS COVERAGE REQUIREMENT AND/OR KEEP A VERSION OF THE INDIVIDUAL MANDATE CLOSE THE GAPS IN OUR MENTAL HEALTH SYSTEM WE ALL MUST DO MORE TO RESPOND TO THE EFFECTS OF MENTAL ILLNESS. PROVIDENCE AND OUR FAMILY OF ORGANIZATIONS STRONGLY SUPPORT REMOVING BARRIERS TO ACCESS AND CLOSING GAPS IN SUPPORT FOR INDIVIDUALS AND FAMILIES FACING BEHAVIORAL HEALTH CRISES. SPECIFICALLY, WE ASKED POLICYMAKERS TO: - IMPROVE FUNDING AND ACCESS TO INPATIENT PSYCHIATRIC CARE - IMPROVE POLICY TO SUPPORT ACCESS TO COMMUNITY-BASED BEHAVIORAL HEALTH SERVICES - STRENGTHEN INTEGRATION BETWEEN PHYSICAL CARE AND MENTAL HEALTH CARE - ADOPT NEW POLICIES TO REDUCE OPIOID ABUSE AND IMPROVE ACCESS TO SUBSTANCE ABUSE TREATMENT BUILD NEW PATHWAYS TO HEALTH CARE THROUGH DIGITAL INNOVATION NEW TECHNOLOGIES OFFER TREMENDOUS OPPORTUNITIES TO SERVE OUR COMMUNITIES USING DIGITAL PLATFORMS. POTENTIAL EXISTS TO IMPROVE OUTCOMES THROUGH POPULATION HEALTH STRATEGIES THAT ALSO HELP BEND THE COST CURVE. IT'S TIME FOR POLICIES TO KEEP PACE WITH DIGITAL INNOVATION AND SUPPORT THE EXPANSION OF TELEHEALTH AND OTHER MOBILE TECHNOLOGIES THAT ALLOW PATIENTS TO RECEIVE CARE CLOSER TO HOME. WE ASKED POLICYMAKERS TO: - SUPPORT MEDICARE AND MEDICAID ALTERNATIVE PAYMENT MODELS THAT ENCOURAGE THE SHIFT TO VALUE-BASED PAYMENT - REMOVE POLICY BARRIERS TO TELEHEALTH ACCESS AND COVERAGE IN RURAL AND URBAN COMMUNITIES - SUPPORT POLICY THAT ENABLES DIGITAL HEALTH, ESPECIALLY THE USE OF APP-BASED CARE CONNECTIONS, MOBILE IN-HOME VISITS AND NEW TECHNOLOGIES TO IMPROVE ACCESS TO AFFORDABLE CARE LIVING OUR MISSION IN DIVERSE WAYS AS A NOT-FOR-PROFIT HEALTH SYSTEM, WE RESPOND TO UNMET NEEDS BY MAKING INVESTMENTS THROUGH COMMUNITY BENEFIT AND OTHER SOCIALLY RESPONSIBLE PROGRAMS. WE ADVOCATE ON ISSUES THAT AFFECT INDIVIDUALS, COMMUNITIES AND THE OVERALL HEALTH OF THE PEOPLE WE SERVE ACROSS OUR SEVEN STATES. THESE PRIORITIES INCLUDE: - ADVANCING ENVIRONMENTAL STEWARDSHIP FOCUSED ON IMPROVING COMMUNITY HEALTH AND LIMITING EXPOSURE TO TOXIC CHEMICALS AND HEAVY METALS - PROTECTING CRUCIAL SAFETY NET PROGRAMS THAT ARE KEY SOCIAL DETERMINANTS OF HEALTH INCLUDING ACCESS FOR SAFE AND AFFORDABLE HOUSING AND FOOD SECURITY - ADVOCATING FOR A JUST APPROACH TO IMMIGRATION POLICY THAT INCLUDES ENDING HUMAN TRAFFICKING - SUPPORTING OUR COMMUNITIES THROUGH NOT-FOR-PROFIT PHILANTHROPIC INVESTMENTS ENCOURAGED AND STRENGTHENED BY TAX REFORM - STRENGTHENING CONSCIENCE PROTECTIONS FOR FAITH-BASED HEALTH CARE PROVIDERS TO SERVE THEIR COMMUNITIES CONSISTENT WITH THEIR TRADITION 20000 X 0 5181112 131093 222589 79377 30462 5424955 4771547 183436 339178 72214 40835 5181112 4409252 115730 343663 64109 32989 4771547 4273843 111328 135488 81956 29451 4409252 4202915 113806 204390 193582 53686 4273843 0.00000 0.00470 0.99530 0 0 350393483 350393483 2264600837 1363548935 901051902 307633106 229065614 78567492 3700222737 3264642194 435580543 850123773 850123773 2615717193 BENEFICIAL INTEREST IN FOUNDATION 148686704 C HEALTHCARE JOINT VENTURES 491901964 C 640588668 OTHER ASSETS 427733970 RIGHT OF USE OPERATING LEASES 235858679 INVESTMENT IN CORP SUBSIDIARIES 200365011 CHARITABLE GIFT ANNUITIES 196800782 DUE FROM AFFILIATES 106573578 DUE FROM THIRD-PARTY 27841390 HOSPITAL FEE RECEIVABLE 16933460 1212106870 OTHER LIABILITIES 2912766380 ACCRUED RETIREMENT COMPENSATION 1226184540 DUE TO THIRD-PARTY 626774420 I/C - TAX-EXEMPT BOND LIABILITIES 429989699 CAPITAL LEASE OBLIGATIONS 229565788 DUE TO AFFILIATES 30399324 5455680151 PART III, LINE 4: ARTWORK IS RECEIVED FROM A LOCAL WORLD-RENOWNED GLASS SCULPTOR DALE CHIHULY, AND IS DISPLAYED AT PROVIDENCE HOSPICE AND HOME CARE OF SNOHOMISH COUNTY TO ENHANCE THE ENVIRONMENT FOR THE PATIENTS AND THEIR FAMILIES. PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED TO BE USED TO PROVIDE HOME HEALTH SERVICES TO THE POOR & VULNERABLE IN EASTERN WASHINGTON AND TO SUPPORT HOSPITAL OPERATIONS IN EVERETT. THE PRINCIPAL IS AVAILABLE IN CASE OF EMERGENCY/CRISIS, THROUGH AN APPLICATION PROCESS. 1 CENTRAL AMERICA AND THE CARIBBEAN 0 0 GRANTMAKING 450720 SUB-SAHARAN AFRICA 0 5 GRANTMAKING 317956 SUB-SAHARAN AFRICA 0 0 GRANTMAKING 25000 SUB-SAHARAN AFRICA 0 0 GRANTMAKING 25000 NORTH AMERICA 0 0 GRANTMAKING 30000 SOUTH ASIA 0 0 INVESTMENTS 23754608 NORTH AMERICA 0 0 INVESTMENTS 9934469 EUROPE 0 0 INVESTMENTS 3351038 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICE FOREIGN TRAVEL 2761 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICE FOREIGN TRAVEL 4557 EUROPE 0 0 PROGRAM SERVICE FOREIGN TRAVEL 86300 NORTH AMERICA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 37092 SOUTH ASIA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 649966 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 2937 0 5 0 0 0 5 37888791 783613 38672404 CENTRAL AMERICA AND THE CARIBBEAN MEDICAL MISSION TRIPS 450720 CHECK 0 NORTH AMERICA MEDICAL MISSION TRIPS 30000 CHECK 0 SUB-SAHARAN AFRICA MEDICAL MISSION TRIPS 317956 CHECK 0 SUB-SAHARAN AFRICA MEDICAL MISSION TRIPS 25000 CHECK 0 SUB-SAHARAN AFRICA MEDICAL MISSION TRIPS 25000 CHECK 0 5 0 1 0 1 1 1 0 PART I, LINE 2: PROVIDENCE HEALTH & SERVICES - WASHINGTON (PH&S - WA) REQUIRES A POTENTIAL RECIPIENT TO COMPLETE AN APPLICATION WHICH INCLUDES WHO WILL BE SERVED/BENEFITTING FROM THE DONATION. PH&S - WA ALSO ASKS THE RECIPIENT TO PROVIDE FEEDBACK ON HOW USEFUL THE DONATIONS WERE AND WHAT PROBLEMS THEY ENCOUNTERED. PART III ACCOUNTING METHOD: PART I, LINE 3, COLUMN (F) THE AMOUNTS REPORTED IN COLUMN F WERE REPORTED USING THE ACCRUAL METHOD OF ACCOUNTING. GALA 1463321 1224819 238502 5947 120140 9231 2977 FAMILY SING ALONG CONCERT 19958 10908 9050 566 24250 9231 1 19563 18843 720 5380 9231 1502842 1254570 248272 6513 149770 27693 2977 186953 61319 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 75553451 75553451 0.00770 1165107095 828870383 336236712 0.03410 492377 322340 170037 0.00000 1241152923 829192723 411960200 0.04180 7220296 925829 6294467 0.00060 75226160 15728782 59497378 0.00600 76782373 43644653 33137720 0.00340 72457 72457 0.00000 9858466 1205 9857261 0.00100 169159752 60300469 108859283 0.01100 1410312675 889493192 520819483 0.05280 857 857 0.00000 429 429 0.00000 2663 2663 0.00000 8910 8910 0.00000 12859 12859 0.00000 0 1780684652 2259682262 -478997610 X 1 0 1 SURGERY CENTER OF OLYMPIA LLC DBA SOUTH SOUND SURGERY CENTER AMBULATORY SURGERY CENTER 0.33000 0.00000 0.67000 13 1 PROVIDENCE ALASKA MEDICAL CENTER 3200 PROVIDENCE DRIVE ANCHORAGE AK 99508 ALASKA.PROVIDENCE.ORG/ GACH-007 X X X X X D 2 PROVIDENCE SHMC & CHILDREN'S HOSPITAL 101 WEST 8TH AVENUE SPOKANE WA 99204 WASHINGTON.PROVIDENCE.ORG/ 00000162 X X X X C 3 PROVIDENCE ST PETER HOSPITAL 413 LILLY ROAD NE OLYMPIA WA 98506 WASHINGTON.PROVIDENCE.ORG/ 00000159 X X X A 4 PROVIDENCE REGIONAL MED CTRCOLBY 1700 13TH STREET EVERETT WA 98201 WASHINGTON.PROVIDENCE.ORG/ 00000084 X X X B 5 PROVIDENCE REGIONAL MED CTRPACIFIC 916 PACIFIC AVENUE EVERETT WA 98208 WASHINGTON.PROVIDENCE.ORG/ 00000084 X X X B 6 PROVIDENCE HOLY FAMILY HOSPITAL 5633 NORTH LIDGERWOOD STREET SPOKANE WA 99208 WASHINGTON.PROVIDENCE.ORG/ 00000139 X X X C 7 PROVIDENCE CENTRALIA HOSPITAL 914 S SCHEUBER ROAD CENTRALIA WA 98531 WASHINGTON.PROVIDENCE.ORG/ 00000191 X X A 8 PROVIDENCE ST MARY MEDICAL CENTER 401 W POPLAR STREET WALLA WALLA WA 99362 WASHINGTON.PROVIDENCE.ORG/ 00000050 X X X 9 PROVIDENCE MT CARMEL HOSPITAL 982 EAST COLUMBIA COLVILLE WA 99114 WASHINGTON.PROVIDENCE.ORG/ 00000030 X X X X E 10 PROVIDENCE ST JOSEPH'S HOSPITAL 500 EAST WEBSTER STREET CHEWELAH WA 99109 WASHINGTON.PROVIDENCE.ORG/ 00000194 X X X E 11 PROVIDENCE KODIAK IS MED CTR 1915 REZANOF DRIVE KODIAK ISLAND AK 99615 ALASKA.PROVIDENCE.ORG/ GACH-008 X X 12 ALASKA SPECIALTY HOSPITAL 4800 CORDOVA STREET ANCHORAGE AK 99503 ALASKA.PROVIDENCE.ORG/ LTACH-001 X LONG TERM ACUTE HOSPITAL D 13 ST LUKE'S REHABILITATION INSTITUTE 711 S COWLEY STREET SPOKANE WA 99202 WWW.ST-LUKES.ORG 157 X C PROVIDENCE ST MARY MEDICAL CENTER (8) 8 0 0 1 X X X X X X X X X 21 1 0 1 1 X SEE LINE 10A URL BELOW X 1 22 1 HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X WWW.PROVIDENCE.ORG/OBP/WA/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 1 PROVIDENCE KODIAK IS MED CTR (11) 11 0 0 1 X X X X X X X X X 22 1 0 1 1 X SEE LINE 10A URL BELOW X 1 22 1 HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE X WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE X WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 1 PHS - 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MARY MEDICAL CENTER (8) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS: PRIORITY 1, BEHAVIORAL HEALTH CHALLENGES AND ACCESS TO CARE. BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES SIGNIFICANTLY IMPACT YOUTH AND THOSE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH. PRIORITY 2, ACCESS TO HEALTH CARE SERVICES. BARRIERS TO ACCESS HEALTH CARE SERVICES ARE RELATED TO INSURANCE OR COST, PROVIDER AVAILABILITY, DISTANCE TO CARE, OR TRANSPORTATION AND SIGNIFICANTLY IMPACT THE AGING POPULATION, THOSE LIVING WITH DISABILITIES, AND THOSE WHO ARE BLACK, BROWN, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC). PRIORITY 3, HOMELESSNESS / LACK OF SAFE, AFFORDABLE HOUSING. BARRIERS TO ADDRESSING HOMELESSNESS INCLUDE THE LACK OF AFFORDABLE HOUSING AND ECONOMIC INSECURITY. PROVIDENCE KODIAK IS. MED. CTR. (11) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PROVIDENCE ST. MARY MEDICAL CENTER (8) PART V, SECTION B, LINE 5: TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, REPRESENTATIVES FROM PSMMC CONDUCTED 15 STAKEHOLDER INTERVIEWS, INCLUDING 21 PARTICIPANTS, AND THREE LISTENING SESSIONS WITH 15 COMMUNITY MEMBERS BETWEEN MAY AND JUNE OF 2021. STAKEHOLDERS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND THEIR ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WITH LOW INCOMES, AND UNDERSERVED AND UNDER-RESOURCED COMMUNITIES. STAKEHOLDERS WERE FROM THE FOLLOWING ORGANIZATIONS AND MUNICIPALITIES: BLUE MOUNTAIN ACTION COUNCIL, BLUE MOUNTAIN HEART TO HEART, CATHOLIC CHARITIES WALLA WALLA, CENTER FOR HUMANITARIAN ENGAGEMENT-WALLA WALLA UNIVERSITY, CITY OF COLLEGE PLACE, CITY OF WALLA WALLA, COMPREHENSIVE HEALTHCARE, DAYTON CHRONICLE, FAMILY MEDICAL CENTER/YAKIMA VALLEY FARM WORKERS CLINIC, MILTON-FREEWATER DOWNTOWN ALLIANCE AND BROADWAY DENTAL CARE, PROVIDENCE MEDICAL GROUP POPULATION HEALTH, WALLA WALLA PUBLIC SCHOOLS, YMCA, YOUTH WOMEN AND CHILDREN'S CENTER, AS WELL AS THE PUBLIC HEALTH OFFICER/MEDICAL DIRECTOR AND THE ADMINISTRATIVE DIRECTOR FROM THE WALLA WALLA COUNTY DEPARTMENT OF COMMUNITY HEALTH, THE LOCAL HEALTH DEPARTMENT. LISTENING SESSION PARTICIPANTS WERE THOSE RECEIVING SERVICES THROUGH AGING & LONG TERM CARE, RESIDENTS OF THE SLEEP CENTER WHICH IS A SHELTER COMMUNITY FOR THE UNSHELTERED HOMELESS POPULATION, AND MOTHERS OF THOSE LIVING WITH DISABILITIES WHO UTILIZE THE SERVICES AND RESOURCES OF THE DISABILITY NETWORK. PSMMC FIELDED A COMMUNITY SURVEY FROM JULY 6 TO AUGUST 16, 2021 IN ENGLISH AND SPANISH. ABOUT 50 COMMUNITY MEMBERS TOOK THE SURVEY IN ENGLISH. PROVIDENCE KODIAK IS. MED. CTR. (11) PART V, SECTION B, LINE 5: PROVIDENCE KODIAK ISLAND MEDICAL LEADERSFORMED THE KODIAK CHNA ADVISORY COMMITTEE. COMMITTEE MEMBERS WERE INVITED AND SELECTED TO ENSURE THE ASSESSMENT PROCESS WAS GUIDED BY COMMUNITY STAKEHOLDERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. TOGETHER, THESE PARTNERS BROUGHT IN THE PUBLIC HEALTH PERSPECTIVE AND THE INTERESTS OF MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.COMMUNITY HEALTH SURVEYTHE 36-QUESTION SURVEY WAS FIELDED SUMMER OF 2022, WITH EXTENSIVE HELP FROM THE KODIAK CHNA ADVISORY COMMITTEE AND COLLABORATION WITH KODIAK AREA NATIVE ASSOCIATION. EVERY EFFORT WAS MADE TO ENSURE THAT THE SURVEY REPRESENTED THE DIVERSITY OF THE COMMUNITY AND CAPTURED INPUT FROM THOSE WITH LOW INCOMES AND OTHERWISE UNDERSERVED IN THE COMMUNITY.STAKEHOLDER INTERVIEWS: IN THE MONTH OF JUNE, TEN COMMUNITY LEADERS WERE INTERVIEWED INDIVIDUALLY REGARDING THE HEALTH NEEDS OF THE COMMUNITY PROVIDENCE KODIAK IS. MED. CTR. (11) PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH PARTICIPATION FROM THE KODIAK AREA NATIVE ASSOCIATION. PROVIDENCE ST. MARY MEDICAL CENTER (8) PART V, SECTION B, LINE 11: AS A RESULT OF THE FINDINGS OF OUR 2021 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, PSMMC WILL FOCUS ON THE FOLLOWING AREAS FOR ITS 2022-2024 COMMUNITY BENEFIT EFFORTS OUTLINED IN THE PSMMC CHIP: PRIORITY 1, BEHAVIORAL HEALTH CHALLENGES AND ACCESS TO CARE. BARRIERS TO MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES SIGNIFICANTLY IMPACT YOUTH AND THOSE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH. PRIORITY 2, ACCESS TO HEALTH CARE SERVICES. BARRIERS TO ACCESS HEALTH CARE SERVICES ARE RELATED TO INSURANCE OR COST, PROVIDER AVAILABILITY, DISTANCE TO CARE, OR TRANSPORTATION AND SIGNIFICANTLY IMPACT THE AGING POPULATION, THOSE LIVING WITH DISABILITIES, AND THOSE WHO ARE BLACK, BROWN, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC). PRIORITY 3, HOMELESSNESS / LACK OF SAFE, AFFORDABLE HOUSING. BARRIERS TO ADDRESSING HOMELESSNESS INCLUDE THE LACK OF AFFORDABLE HOUSING AND ECONOMIC INSECURITY. STRATEGIES TO ADDRESS BEHAVIORAL HEALTH CHALLENGES AND ACCESS TO CARE INCLUDE BEHAVIORAL HEALTH NAVIGATION SERVICES IN THE EMERGENCY DEPARTMENT (ED), COMMUNITY PARAMEDIC PROGRAM, INTEGRATING BEHAVIORAL HEALTH IN PRIMARY CARE, ENHANCING TELEHEALTH FOR BEHAVIORAL HEALTH SERVICES VIA ED AND ON MOBILE OUTREACH SERVICES TEAM (MOST) MOBILE VAN, AND BY CONNECTING WITH PEOPLE IN NEED OF CULTURALLY RESPONSIVE BEHAVIORAL HEALTH SERVICES WHO PRIMARY LANGUAGE IS SPANISH THROUGH PROMOTORES DE SALUD. STRATEGIES TO ADDRESS ACCESS TO HEALTH CARE SERVICES INCLUDE UTILIZING COMMUNITY HEALTH WORKERS AND PROMOTORES DE SALUD AND THE MOBILE OUTREACH SERVICES TEAM (MOST) MOBILE VAN TO OUTREACH TO PEOPLE WITH LOW INCOMES, UNDERSERVED AND UNDER-RESOURCED COMMUNITIES, THE SOUTHEAST WASHINGTON (SEWA) FALLS PREVENTION COMMUNITY PARTNERSHIP PROGRAM TO DECREASE EMERGENCY MEDICAL SERVICE CALLS FOR LIFT ASSISTS, AND THE HEALTH EQUITY NURSE SERVING EARLY HEAD START FAMILIES. STRATEGIES TO ADDRESS HOMELESSNESS AND LACK OF SAFE, AFFORDABLE HOUSING INCLUDE SUPPORTING THE WORK OF THE ANCHOR COMMUNITY INITIATIVE, IMPLEMENTING COMMUNITY SOLUTIONS BUILT FOR ZERO (BFZ), HAVING A PSMMC REPRESENTATIVE FILL THE OPEN HEALTH CARE POSITION ON THE WALLA WALLA COUNCIL ON HOUSING, THROUGH COMMUNITY COLLABORATIONS, EXPLORE OPPORTUNITIES TO INCREASE PERMANENT SUPPORTIVE HOUSING, EXPLORE COLLABORATIONS AND INVEST IN MEDICAL RESPITE SERVICES TO CLOSE THE GAP IN CARE IN THE HEALTH AND HOMELESS SERVICES CONTINUUM, COLLABORATE WITH COMMUNITY PARTNERS TO CREATE PERMANENTLY AFFORDABLE HOME OWNERSHIP OPPORTUNITIES FOR LOW-AND MODERATE-INCOME HOUSEHOLDS.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO 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 ACKNOWLEDGEMENT 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. PROVIDENCE KODIAK IS. MED. CTR. (11) PART V, SECTION B, LINE 11: IN THE FALL OF 2022, MEMBERS OF THE CHNA ADVISORY COMMITTEE WERE ASKED TO RATE THE HEALTH ISSUES IDENTIFIED PREVIOUSLY ACCORDING TO THREE KEY CRITERIA, INCLUDING SIZE, SERIOUSNESS, AND ABILITY TO IMPACT. THE COMMITTEE INDIVIDUALLY RATING THE HEALTH ISSUES AND THE GROUP CONVENED TO IDENTIFY THE TOP PRIORITIES. THE CHNA ADVISORY COMMITTEE IDENTIFIED THE FOLLOWING THREE PRIORITIES. THE FOLLOWING IS AN OUTLINE OF THE PKIMC COMMUNITY HEALTH IMPROVEMENT PLAN THAT WAS APPROVED BY THE PROVIDENCE ALASKA REGION BOARD IN APRIL OF 2023 TO ADDRESS THE THREE PRIORITY AREAS.BEHAVIORAL HEALTH(INCLUDES BOTH SUBSTANCE ABUSE AND MENTAL HEALTH) POOR MENTAL HEALTH AND THE RELATED ISSUE OF SUBSTANCE ABUSE WERE IDENTIFIED AS PROBLEMS IN THE KODIAK COMMUNITY. REMOTE, RAINY CLIMATES ALONG WITH LONG, DARK WINTERS ARE KNOWN TO HAVE A NEGATIVE IMPACT ON MENTAL HEALTH AND ARE FREQUENTLY ASSOCIATED WITH INCREASED SUBSTANCE ABUSE.PKIMC AND PROVIDENCE KODIAK ISLAND COUNSELLING CENTER (PKICC) PROVIDE A WIDE ARRAY OF BEHAVIORAL HEALTH COUNSELLING, SUD, SAFETY-NET, AND PSYCHIATRIC EMERGENCY SERVICES. SPECIFIC ACTIONS CALLED OUT IN THE COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS NEED IDENTIFIED IN THE CHNA ARE AS FOLLOWS:ESTABLISH OUTPATIENT CENTER FOR URGENT CARE / CRISIS ENGAGEMENT - INCLUDING CREATION OF PROCESSES AND WORKFLOWS TO TRIAGE AND ENSURE WALK-IN CAPACITY FOR EMERGENT NEED AND CRISIS APPOINTMENTS, COLLABORATION WITH COMMUNITY MH PROVIDERS TO CREATE EMERGENT CAPACITY, COMMUNITY EDUCATION UTILIZING OUTPATIENT CRISIS ENGAGEMENT TO SUPPORT INDIVIDUALS BEFORE THE CRISIS ESCALATES TO A HIGHER LEVEL OF CARE (ED VISIT) TO ADDRESS THE NEEDS OF INDIVIDUALS EXPERIENCING ACUTE BEHAVIORAL HEALTH CRISIS OR EMERGENT NEED FOR MENTAL HEALTH THERAPY OR COUNSELING TO REDUCE INCIDENCE OF ACUTE MENTAL HEALTH CRISIS PRESENTING AT ED (RIGHT CARE, RIGHT PLACE, RIGHT TIME)ADOPT INNOVATIVE EVIDENCE-BASED GROUP-WORK MODELS TO ADDRESS CAPACITY CHALLENGES DUE TO PROVIDER SHORTAGES LEVERAGING ADVANTAGES OF GROUP WORK MODELS SUCH AS POSITIVE PEER CULTURE, FORGED CONNECTION, AND DIALECTICAL BEHAVIORAL THERAPY GROUP WORK TO SERVE PEOPLE IN NEED OF MENTAL HEALTH THERAPY OR COUNSELING AND REDUCE WAIT LISTS FOR MENTAL HEALTH SERVICES.ECONOMIC SECURITY / BASIC NEEDSIN ADDITION TO ADDRESSING THE BASIC NEED FOR ACCESS TO HEALTHCARE WHICH IS ADDRESSED IN A SUBSEQUENT PRIORITY, PROVIDENCE KODIAK ISLAND MEDICAL CENTER IS WORKING WITH THE COMMUNITY TO HELP ACHIEVE THE GOAL OF ESTABLISHING A SUFFICIENT SUPPLY OF SAFE, AFFORDABLE HOUSING UNITS TO ENSURE THAT ALL PEOPLE IN THE COMMUNITY HAVE ACCESS TO A HEALTHY PLACE TO LIVE AND ARE ABLE TO MEET THEIR BASIC NEEDS AND THE GOAL OF ESTABLISHING SUFFICIENT CHILD CARE CAPACITY TO MEET THE NEEDS OF THE COMMUNITY. ACTIONS IDENTIFIED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN TO HELP ACHIEVE THESE GOALS ARE AS FOLLOWS:PKIMC WILL PARTNER WITH COMMUNITY EMPLOYERS, THE KODIAK ECONOMIC DEVELOPMENT CORPORATION, AND THE CITY OF KODIAK IN ESTABLISHING A KODIAK ISLAND COMMUNITY LAND TRUST AS A VEHICLE TO ADDRESS THE HOUSING SHORTAGE IN KODIAK.PARTNER WITH KANA, KCHC, AND STATE DEPARTMENT OF HEALTH AND SOCIAL SERVICES IN DEPLOYING A COMMUNITY CHILDCARE SURVEY TO EXPLORE A COLLABORATIVE COMMUNITY RESPONSE TO THE CHILDCARE SHORTAGE IN KODIAK.ACCESS TO HEALTHCAREPROVIDENCE KODIAK ISLAND MEDICAL CENTER PROVIDES A WIDE ARRAY OF HEALTH SERVICES NEED ON KODIAK ISLAND AND WORKS TO IMPROVE ACCESS IN MANY WAYS, INCLUDING PROVIDING CHARITY CARE AND SUBSIDIZING NEEDED SERVICES. IN THE WAKE OF COVID AND THE DISRUPTION IT HAS CAUSED, MAINTAINING SUFFICIENT WORKFORCE HAS ARISEN AS ONE OF THE GREATEST THREATS TO ACCESS TO HEALTHCARE ON KODIAK ISLAND. IN RESPONSE TO THAT, THE SPECIFIC ACTIONS CALLED OUT IN THE COMMUNITY HEALTH IMPROVEMENT PLAN TO IMPROVE ACCESS ARE AS FOLLOWS:NURTURE HEALTHCARE WORKFORCE TO ENSURE SUSTAINABLE STAFFING, CAREGIVER SATISFACTION, QUALITY, AND SUCCESSION PLANNING THROUGH WORK WITH PKIMC CAREGIVER ENGAGEMENT COMMITTEE AND THROUGH PARTNERSHIP WITH THE KODIAK HOSPITAL AUXILIARY TO ADDRESS ONGOING WORKFORCE SHORTAGES TO REDUCE BURNOUT INDEX AND IMPROVE JOB SATISFACTION SCORES OF CAREGIVERS. DEVELOP 16 NEW WORKFORCE HOUSING UNITS TO HELP ADDRESS KODIAK HOUSING SHORTAGES CONTRIBUTING TO ONGOING WORKFORCE SHORTAGES ON TARGET FOR COMPLETION IN THE FALL OF 2023.HEALTHY BEHAVIORS / PHYSICAL HEALTHGIVEN STAFFING CHALLENGES IN THE WAKE OF COVID AND THE FACT THAT THE PREVENTIVE, COMMUNITY-HEALTH NATURE OF THIS NEEDS AREA DOES NOT FALL INTO THE CORE COMPETENCIES OR KEY FUNCTIONS OF THE HOSPITAL, PKIMC WILL NOT BE ADDRESSING THIS NEED IN FAVOR OF DIRECTING FINITE RESOURCES TO THE OTHER NEEDS AREAS. PROVIDENCE ST. MARY MEDICAL CENTER (8) PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES PROVIDENCE KODIAK IS. MED. CTR. (11) PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. PART V, SECTION B, LINE 9: PROVIDENCE KODIAK IS. MED. CTR. (11)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 18, 2023, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1). PART V, SECTION B, LINE 9: PHS - WASHINGTON (GROUP B - 4 & 5)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 21, 2023, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1). PART V, SECTION B, LINE 9: PHS - WASHINGTON (GROUP E - 9 & 10)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT ON OCTOBER 26, 2022, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1). PROVIDENCE ST. MARY MEDICAL CENTER (8): PART V, SECTION B, LINE 13A:1/1/2022 - 06/30/2022 PROVIDENCE ST. MARY 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. MARY 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. SCHEDULE H, PART V, SECTION B. FACILITY REPORTING GROUP B: PART V, SECTION B, LINE 13A:1/1/2022 - 06/30/2022 REPORTING GROUP B 100% DISCOUNT WAS UP TO 300% FPL AND 75% DISCOUNT BETWEEN 301% TO 350% FPL.EFFECTIVE 7/01/22 THROUGH 12/31/2022, REPORTING GROUP B 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. SCHEDULE H, PART V, SECTION B. FACILITY REPORTING GROUP C: PART V, SECTION B, LINE 13A:1/1/2022 - 06/30/2022 REPORTING GROUP C 100% DISCOUNT WAS UP TO 300% FPL AND 75% DISCOUNT BETWEEN 301% TO 350% FPL.EFFECTIVE 7/01/22 THROUGH 12/31/2022, REPORTING GROUP C 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. SCHEDULE H, PART V, SECTION B. FACILITY REPORTING GROUP E: PART V, SECTION B, LINE 13A:1/1/2022 - 06/30/2022 REPORTING GROUP E 100% DISCOUNT WAS UP TO 300% FPL AND 75% DISCOUNT BETWEEN 301% TO 350% FPL.EFFECTIVE 7/01/22 THROUGH 12/31/2022, REPORTING GROUP E 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 FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 3: PROVIDENCE ST. PETER HOSPITAL, - FACILITY 7: PROVIDENCE CENTRALIA HOSPITAL PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 5: BETWEEN MAY 27 AND JULY 14, 2020 REPRESENTATIVES FROM PROVIDENCE SOUTHWEST WASHINGTON CONDUCTED INTERVIEWS WITH REPRESENTATIVES FROM 5 COMMUNITY-BASED ORGANIZATIONS, INCLUDING 24 STAKEHOLDERS, PEOPLE WHO ARE INVESTED IN THE WELL-BEING OF THE COMMUNITY AND HAVE FIRST-HAND KNOWLEDGE OF COMMUNITY NEEDS AND STRENGTHS. A TOTAL OF 5 STAKEHOLDER INTERVIEWS, WHICH INCLUDED 24 PARTICIPANTS, WERE COMPLETED BY REPRESENTATIVES FROM PROVIDENCE SOUTHWEST WASHINGTON. 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 SOUTHWEST WASHINGTON AIMED TO ENGAGE STAKEHOLDERS FROM SOCIAL SERVICE AGENCIES, HEALTH CARE, EDUCATION, HOUSING, AND GOVERNMENT, AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES. SEVERAL ATTEMPTS WERE MADE TO CONNECT WITH REPRESENTATIVES FROM LEWIS COUNTY PUBLIC HEALTH AND SOCIAL SERVICES AND THURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICES, BUT DUE TO COMPETING PRIORITIES RELATED TO COVID-19, THEY WERE NOT ABLE TO PARTICIPATE IN STAKEHOLDER INTERVIEWS. DR. RACHEL WOOD, LEWIS COUNTY'S HEALTH OFFICER, IS A PROVIDENCE BOARD MEMBER AND SERVED ON THE CHNA OVERSIGHT COMMITTEE, PROVIDING INSIGHT DURING THE DATA REVIEW AND PRIORITIZATION PROCESSES.FOR DETAILED LIST OF STAKEHOLDERS GO TO PG. 58 OF CHNA REPORT LOCATED AT:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: ST. PETER AND CENTRALIA PHS - WASHINGTON (GROUP A - 3 & 7) 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 SOUTHWEST WASHINGTON WILL FOCUS ON THE FOLLOWING AREAS FOR ITS 2021-2023 COMMUNITY BENEFIT EFFORTS: PRIORITY 1: HOMELESSNESS/LACK OF SAFE AND AFFORDABLE HOUSINGHOMELESSNESS AND A LACK OF SAFE, AFFORDABLE HOUSING WAS PRIORITIZED BY ALL STAKEHOLDERS AND CONSISTENTLY RANKED AS THE MOST IMPORTANT ISSUE THAT NEEDS TO BE ADDRESSED IN THE SERVICE AREA. DESPITE EFFORTS TO ADDRESS HOUSING CHALLENGES, THERE IS A LACK OF HOUSING AVAILABLE IN THURSTON AND LEWIS COUNTIES, PARTICULARLY AFFORDABLE RENTAL UNITS AND PERMANENT SUPPORTIVE HOUSING. STRATEGIES TO ADDRESS HOMELESSNESS AND LACK OF SAFE AND AFFORDABLE HOUSING INCLUDE: SUPPORT OF COMMUNITY BASED RESPITE CARE SERVICES; IMPLEMENTATION OF A CRISIS RESPONSE UNIT MODEL WITH COMMUNITY PARTNERS; COLLABORATION WITH PROVIDENCE REGIONAL EFFORTS TO IMPLEMENT COMMUNITY SOLUTIONS' BUILT FOR ZERO MODEL PRIORITY 2: BEHAVIORAL HEALTH (INCLUDES MENTAL HEALTH AND SUBSTANCE USE)THERE IS A LACK OF MENTAL HEALTH AND SUBSTANCE USE TREATMENT SERVICES IN THE COMMUNITY. GAPS INCLUDE A LACK OF BEHAVIORAL HEALTH INTEGRATION INTO PRIMARY CARE, SCHOOL-BASED MENTAL HEALTH SERVICES, A LOCAL INPATIENT DETOX FACILITY, AND CASE MANAGEMENT SERVICES. PEOPLE HAVE DIFFICULTY ACCESSING MENTAL HEALTH SERVICES DUE TO LONG WAIT TIMES, A LACK OF PROVIDERS WHO TAKE MEDICAID AND MEDICARE, AND TRANSPORTATION BARRIERS. THESE POPULATIONS INCLUDE SCHOOL-AGED CHILDREN, OLDER ADULTS, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE LIVING IN RURAL COMMUNITIES, VETERANS, PEOPLE WHO ARE UNDOCUMENTED, AND MONOLINGUAL SPANISH SPEAKERS. STRATEGIES TO ADDRESS BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH AND SUBSTANCE USE) INCLUDE: INTEGRATING HEALTH SERVICES IN PRIMARY AND BEHAVIORAL HEALTH CARE; INTEGRATED MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDER; MENTAL HEALTH CRISIS RESPONSE FOR PEOPLE EXPERIENCING HOMELESSNESS. PRIORITY 3: ACCESS TO HEALTH CARE THERE ARE A NUMBER OF BARRIERS TO ACCESSING HEALTH CARE. A COMMON CONCERN WAS TRANSPORTATION, PARTICULARLY FOR OLDER ADULTS, PEOPLE EXPERIENCING HOMELESSNESS, AND PEOPLE LIVING IN RURAL COMMUNITIES. LANGUAGE BARRIERS PREVENT PEOPLE FROM RECEIVING APPROPRIATE AND RESPONSIVE CARE AND DOCUMENTATION STATUS IS A BARRIER TO ACCESSING HEALTH INSURANCE.STRATEGIES TO ADDRESS ACCESS TO CARE INCLUDE: IMPLEMENTATION OF CRISIS RESPONSE UNIT MOBILE OUTREACH CLINICS WITH COMMUNITY PARTNERS; SUPPORT OF PATIENTS IN NEED OF RESOURCES TO SAFELY DISCHARGE OR IN NEED OF ACCESS TO CARE.EQUITY FRAMEWORK STAKEHOLDERS CHOSE TO PRIORITIZE A FOURTH HEALTH-RELATED NEED, HEALTH AND RACIAL EQUITY, THROUGHOUT THE IMPROVEMENT PLANS FOR ALL THREE NEEDS LISTED ABOVE. THIS MEANS WHEN ADDRESSING HOUSING, MENTAL HEALTH AND SUBSTANCE USE, AND ACCESS TO CARE, PROVIDENCE SOUTHWEST WASHINGTON WILL USE AN EQUITY FRAMEWORK FOR APPROACHING PLANNING AND IMPLEMENTATION.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. IN ADDITION TO THE PRIORITIZED NEEDS, PROVIDENCE SOUTHWEST IDENTIFIED IN THE COURSE OF THE CHNA THE FOLLOWING NEEDS: UNEMPLOYMENT AND LACK OF LIVING WAGE JOBS; FOOD INSECURITY; ACCESS TO ORAL HEALTH CARE. WHILE THESE NEEDS HAVE NOT BEEN PRIORITIZED FOR THE 2021-2023 CHIP, PROVIDENCE SOUTHWEST RECOGNIZES THESE NEEDS AS IMPORTANT TO THE OVERALL HEALTH OF OUR COMMUNITIES. WE ARE COMMITTED TO COLLABORATING WITH PARTNER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS THE NEEDS PRIORITIZED IN THIS CHIP, 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. PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 4: PROVIDENCE REGIONAL MED. CTR.,COLBY, - FACILITY 5: PROVIDENCE REGIONAL MED. CTR.,PACIFIC PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 5: TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, PROVIDENCE CONDUCTED LISTENING SESSION, STAKEHOLDER INTERVIEWS, ACOMMUNITY SURVEY, AND A COMMUNITY HEALTH SUMMIT. THE STAKEHOLDER INTERVIEWS AND LISTENING SESSIONS WERE CONDUCTED BETWEEN MARCH AND APRIL 2022, THE COMMUNITY SURVEY IN MAY 2022, AND THE COMMUNITY HEALTH SUMMIT IN OCTOBER 2022. STAKEHOLDERS WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVED PEOPLE EXPERIENCING HEALTH DISPARITIES AND SYSTEMIC INEQUITIES. PROVIDENCE AIMED TO ENGAGE STAKEHOLDERS FROM SOCIAL SERVICE AGENCIES, MEDICALLY UNDERSERVED, EDUCATION, FAITH COMMUNITIES, GOVERNMENT GROUPS, AND THOSE REPRESENTING THE BLACK, BROWN, INDIGENOUS, AND OTHER PEOPLE OF COLOR (BBIPOC), AMONG OTHERS, TO ENSURE A WIDE RANGE OF PERSPECTIVES. THE GOAL OF THE INTERVIEWS AND LISTENING SESSIONS WAS TO IDENTIFY WHAT NEEDS ARE CURRENTLY NOT BEING MET IN THE COMMUNITY AND WHAT ASSETS COULD BE LEVERAGED TO ADDRESS THOSE NEEDS.A CHNA ADVISORY COMMITTEE WAS ESTABLISHED TO INFORM AND GUIDE THE CHNA PROCESS AND TO IDENTIFY THE TOP HEALTH PRIORITIES FOR THE COMMUNITY BASED ON COMMUNITY INPUT AND COMMUNITY HEALTH DATA. THE COMMITTEE WAS COMPRISED OF LOCAL COMMUNITY LEADERS WHO REPRESENT THE BROAD INTEREST AND DEMOGRAPHICS OF THE COMMUNITY. THE CHNA ADVISORY COMMITTEE MET MONTHLY FROM FEBRUARY THROUGH OCTOBER 2022 TO PROVIDE INPUT INTO THE CHNA AND CHIP PRIORITIES.PROVIDENCE'S "EDGE OF AMAZING" ANNUAL COMMUNITY HEALTH SUMMIT BRINGS TOGETHER OVER 300 MEMBERS OF THE COMMUNITY REPRESENTING INDIVIDUALS, PRIVATE AND PUBLIC ORGANIZATIONS, EDUCATIONAL INSTITUTIONS, GOVERNMENT, YOUTH, SENIORS AND OTHERS TO IDENTIFY AND DEVELOP WAYS TO IMPROVE COMMUNITY HEALTH AND WELL-BEING ACROSS SNOHOMISH COUNTY. AT THE SUMMIT, PARTICIPANTS REVIEW AND GIVE FEEDBACK ON THE CURRENT STATE OF HEALTH IN SNOHOMISH COUNTY, SET A VISION AND PRIORITIES, AND SHARE BEST PRACTICES.DUE TO THE LIMITED DATA AVAILABLE THROUGH LOCAL, STATE, AND NATIONAL SOURCES, PROVIDENCE CONDUCTS AN ANNUAL SURVEY TO OBTAIN ADDITIONAL FEEDBACK DIRECTLY FROM SNOHOMISH COUNTY RESIDENTS ON THE COMMUNITY STRENGTHS AND INDICATORS OF HEALTH AND WELL-BEING. THE 2022 HEALTH AND WELL-BEING MONITOR SURVEY WAS CONDUCTED IN MAY 2022.A TOTAL OF 536 ADULTS OVER THE AGE OF 18 TOOK THE SURVEY THROUGH PHONE AND ONLINE SURVEYS.APPENDIX 2 AND APPENDIX 4 IN THE CHNA INCLUDES A COMPLETE LIST OF SOURCES AND PARTICIPANTS, LOCATED AT: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: EVERETT. PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 11: BASED ON THE OUTCOME OF THE CHNA EVALUATION, PRMCE MADE A COMMITMENT TO FOCUS ON FOUR PRIORITY AREAS OF HEALTH NEED: BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE), ACCESS TO HEALTH CARE, HOUSING INSTABILITY/HOMELESSNESS, AND HEALTH EQUITY (RACISM/DISCRIMINATION) BECAUSE WE BELIEVE THAT WE CAN HAVE THE GREATEST IMPACT AND POSITIVE INFLUENCE ON THE OUTCOMES.THE FOLLOWING INFORMATION OUTLINES PRMCE'S PLAN TO ADDRESS THE FOUR PRIORITY AREAS OVER A THREE-YEAR PERIOD. PRMCE ANTICIPATES THAT IMPLEMENTATION STRATEGIES AND TACTICS MAY CHANGE OVER TIME, THEREFORE A FLEXIBLE APPROACH IS BEST SUITED FOR THE DEVLEOPMENT OF ITS REPSONSE TO THE CHNA. FOR EXAMPLE, CERTAIN COMMUNITY HEALTH NEEDS MAY BECOME MORE PRONOUNCED (SUCH AS THE CASE DURING THE COVID-19 PANDEMIC) AND REQUIRE CHANGES TO THE INITIATIVES IDENTIFIED IN THE CHIP. THE TARGET POPULATION FOR THE IMPROVEMENT PLAN IS THE SNOHOMISH COUNTY COMMUNITY, WITH EMPHASIS ON VULNERABLE POPULATIONS.BEHAVIORAL HEALTH IS FOUNDATIONAL TO AN INDIVIDUAL'S QUALITY OF LIFE AND PHYSICAL HEALTH. THE GOAL IS TO IMPROVE ACCESS TO QUALITY, BEHAVIORAL HEALTH CARE, INCLUDING MENTAL HEALTH AND SUBSTANCE USE, THAT IS PATIENT-CENTERED AND EQUITABLE. STRATEGIES INCLUDE:A. PROVIDE OPTIONS FOR OUTPATIENTS WITH ACUTE PSYCHIATRIC NEEDS OR THOSE NEEDING A STEP DOWN FROM INPATIENT CARE THROUGH PARTIAL HOSPITALIZATION OR INTENSIVE OUTPATIENT PROGRAMS.B. INCREASE ACCESS TO MENTAL HEALTH AND CRISIS SERVICES FOR ADULTS AND ADOLESCENTS THROUGH TIMELY SERVICES.C. INCREASE ACCESS TO SUBSTANCE USE TREATMENT OPTIONS.D. INCREASE MENTAL HEALTH SCREENINGS, INCLUDING DEPRESSION AND SUICIDE SCREENINGS, IN THE EMERGENGY DEPARTMENT, PRIMARY CARE, AND URGENT CARE SETTINGS.E. PROVIDE FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY PARTNERS WHO ARE FOCUSING ON INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES.HOUSING INSTABILITY AND HOMELESSNESS HAVE A HIGH NEGATIVE IMPACT ON AN INDIVIDUAL'S HEALTH STATUS AND PERSONS EXPERIENCING HOMELESSNESS HAVE INCREASED NEED FOR MEDICAL CARE. THE GOAL IS TO IMPROVE ACCESS TO SAFE, QUALITY, AFFORDABLE HOUSING AND REDUCE THE NUMBER OF INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY. STRATEGIES INCLUDE:A. IDENTIFY SOLUTIONS FOR INPATIENTS EXPERIENCING HOUSING INSTABILITY/HOMELESSNESS IN NEED OF RESOURCES TO SAFELY DISCHARGE HOME OR TO AN ALTERNATIVE SETTING.B. COLLOBORATE WITH COMMUNITY AGENCIES ON PROGRAMS AND INTERVENTIONS TO ADDRESS HOUSING INSTABILITY AND HOMELESSNES.C. PROVIDE FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY PARTNERS WHO ARE FOCUSING ON HOUSING INSTABILITY OR HOMELESSNESS.HEALTH EQUITY. WE ACKNOWLEDGE THAT ALL PEOPLE DO NOT HAVE EQUAL OPPORTUNITIES AND ACCESS TO LIVING THEIR FULLEST, HEALTHIEST LIVES DUE TO SYSTEMS OF OPPRESSION AND INEQUITIES. THE GOAL IS TO BE A COMMUNITY PARTNER IN UNDOING INSTITUTIONAL RACISM THAT PREVENTS OUR COMMUNITY MEMBERS FROM FEELING SAFE, RESPECTED, AND HEARD WHEN ACCESSING HEALTH SERVICES. STRATEGIES INCLUDE:A. LEVERAGE BEST PRACTICES TO ENHANCE THE CARE ENVIRONMENT (WORKFORCE AND PHYSCAL SETTING) TO IMPROVE CULTURAL INCLUSIVITY.B. IMPLEMENT TOOLS AND BENCHMARKS TO HELP PEOPLE AND ORGANIZATIONS MEASURE IMPROVEMENTS IN WELL-BEING AND FEELING OF BELONGING IN THEIR COMMUNITY.C. CREATE BETTER CONNECTIONS TO HEALTH CARE RESOURCES, REACHING DIVERSE COMMUNITIES WHERE THEY LIVE, WORK, AND PLAY.D. PROVIDE HEALTH AND WELL-BEING INFORMATION THAT FOCUS ON A PARTICULAR GEOGRAPHIC AREA, WELL-BEING TOPIC, OR COMMUNITY.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMTHERE ARE A NUMBER OF HEALTH NEEDS IN OUR COMMUNITY, HOWEVER, DUE TO THE LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS, RESOURCE CONSTRAINTS, OR ABSENCE OF EXPERTISE, PRMCE CANNOT DIRECTLY ADDRESS ALL OF THE NEEDS IDENTIFIED IN THE CHNA. PRMCE HAS CHOSEN TO CONCENTRATE ON THOSE NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN THE ORGANIZATIONS AREA OF FOCUS AND EXPERTISE. ALTHOUGH FOOD INSECURITY AND ECONOMIC INSTABILITY WERE IDENTIFIED IN THE CHNA AS A SIGNIFICANT NEED FOR SNOHOMISH COUNTY, THESE NEEDS WILL NOT BE ADDRESSED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN DUE TO RESOURCE RESTRAINTS AND RELATIVE LOW PRIORITY ASSIGNED TO THESE NEEDS. HOWEVER, PRMCE MAY COLLABORATE WITH LOCAL ORGANIZATIONS THAT ADDRESS THESE UNMET COMMUNITY NEEDS. PHS - WASHINGTON (GROUP B - 4 & 5) PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. PART V, SECTION B FACILITY REPORTING GROUP C FACILITY REPORTING GROUP C CONSISTS OF: - FACILITY 6: PROVIDENCE HOLY FAMILY HOSPITAL, - FACILITY 2: PROVIDENCE SHMC & CHILDREN'S HOSPITAL, - FACILITY 13: ST. LUKE'S REHABILITATION INSTITUTE PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 5: PROVIDENCE SACRED HEART MEDICAL CENTER, PROVIDENCE HOLY FAMILY HOSPITAL AND ST. LUKE'S REHABILITATION HOSPITAL PROVIDE CARE TO SPOKANE COUNTY, WHICH INCLUDES A POPULATION OF APPROXIMATELY 528,652 PEOPLE.APPROXIMATELY 60 INDICATORS WERE CHOSEN THAT HELP ILLUSTRATE THE HEALTH OF THE COMMUNITY. DEMOGRAPHIC DATA AND DATA ON KEY SOCIOECONOMIC DRIVERS OF HEALTH STATUS INCLUDING POVERTY, HOUSING AND EDUCATIONAL ATTAINMENT ARE PRESENTED FIRST. THIS IS FOLLOWED BY THE DATA AND ANALYSIS OF EACH HEALTH INDICATOR AND IDENTIFIED DISPARITIES AND TRENDS IN THE DATA. INPUT WAS GATHERED THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THEIR COMMUNITIES.PARTICIPANTS WERE PRIORITIZED TO INCLUDE GROUPS EXPERIENCING INEQUITIES IN THE DETERMINANTS OF HEALTH OR WHO HAVE HISTORICALLY BEEN EXCLUDED FROM COMMUNITY CONVERSATIONS. A LIST OF PARTICIPATING COMMUNITY PARTNERS CAN BE FOUND IN THE 2021 CHNA. THE 2021 CHNA WAS APPROVED BY THE PROVIDENCE HEALTH CARE COMMUNITY MINISTRY BOARD ON NOVEMBER 4, 2021, AND MADE PUBLICLY AVAILABLE BY DECEMBER 28, 2021. PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 6A: SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY, ST. LUKE'S REHABILITATION INSTITUTE AND WA MULTICARE HEALTH SYSTEM, SPOKANE, WA. PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 6B: SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY, PROVIDENCE ST. LUKE'S MEDICAL CENTER AND WA MULTICARE HEALTH SYSTEM, SPOKANE, WA.CHNA WAS CONDUCTED IN PARTNERSHIP WITH PRIORITY SPOKANE, SPOKANE, WA SPOKANE REGIONAL HEALTH DISTRICT, SPOKANE, WA MULTICARE HEALTH SYSTEM, SPOKANE, WA PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 11: AS A RESULT OF THE FINDINGS OF OUR 2021 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, PROVIDENCE HOLY FAMILY HOSPITAL, AND ST. LUKE'S REHABILITATION CENTER WILL FOCUS ON THE FOLLOWING AREAS FOR ITS 2022-2024 COMMUNITY BENEFIT EFFORTS:HIGH HOUSING COST BURDEN/HOMELESSNESS: THIS NEED INCLUDES THE LACK OF AVAILABLE HOUSING (LOW VACANCY RATE) AND THE LACK OF AFFORDABLE HOUSING, ALONG WITH SPECIFIC BARRIERS THAT PREVENT PEOPLE FROM ACCESSING HOUSING. HOUSING INSTABILITY AND A LACK OF AFFORDABLE HOUSING IS A THREAT TO HEALTH AND WELL-BEING. FOOD INSECURITY IS RELATED TO HOUSING INSTABILITY, AND ALSO AN IMPORTANT COMPONENT OF HEALTH. DOMESTIC VIOLENCE AND CHILD ABUSE: DOMESTIC VIOLENCE AND CHILD ABUSE WERE IDENTIFIED THROUGHOUT ALL AREAS OF NEED, FROM HOUSING AND ECONOMIC PRESSURES TO MENTAL HEALTH AND DISCRIMINATION. PROVIDENCE IS INCLUDING CHILD ABUSE DUE TO OUR CHILDREN'S HOSPITAL AND THE EXTREME CASES OF CHILD ABUSE WE SEE THROUGH THAT SPECIALTY. POOR MENTAL HEALTH: THERE IS A LACK OF MENTAL HEALTH SERVICES AVAILABLE IN LANGUAGES OTHER THAN ENGLISH, AND THE BARRIERS TO ACCESSING MENTAL HEALTH SERVICES ARE EVEN GREATER FOR PEOPLE THAT ARE UNDOCUMENTED. STIGMA AND SHAME AROUND MENTAL HEALTH IS PREVALENT IN SOME COMMUNITIES AND THEREFORE MENTAL HEALTH ISSUES ARE UNDERREPORTED OR HIDDEN. STAKEHOLDERS SHARED STRESSORS, TRAUMA, CULTURE SHOCK, THE FEAR OF DEPORTATION, BASIC NEEDS NOT BEING MET, FAMILY VIOLENCE, RACISM, AND DISCRIMINATION AS SOME OF THE CAUSES FOR MENTAL HEALTH ISSUES. ACCESS TO HEALTH SERVICES: THROUGHOUT THE PANDEMIC THERE HAS BEEN A NEED TO FOCUS ON ACCESS TO HEALTH CARE, INCLUDING HEALTH EDUCATION AND PREVENTIVE SERVICES. THIS HAS BEEN A CONTINUED NEED OF PEOPLE WITH LOW INCOMES AND THOSE EXPERIENCING VULNERABILITIES, AS EVIDENT IN THE DATA RELATED TO HOMELESSNESS AND FEEDBACK FROM FOCUS GROUPS AND INTERVIEWS.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUING OUR MISSION THROUGH OUR COMMUNITY BENEFIT GRANTS FUNDING PROGRAM AS WELL AS PARTNERSHIP OPPORTUNITIES. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW:RACISM/DISCRIMINATION: PROVIDENCE IS NOT THE LEADER IN THIS EFFORT. WE SEE A FIFTH HEALTH-RELATED NEED, RACISM AND DISCRIMINATION, THROUGHOUT THE IMPROVEMENT PLANS FOR ALL FOUR NEEDS LISTED ABOVE. THIS MEANS WHEN ADDRESSING THE OTHER COMMUNITY NEEDS WE WILL USE AN EQUITY AND ANTI-RACIST FRAMEWORK. WE ARE ALSO COMMITTED TO SUPPORTING ORGANIZATIONS THAT ARE PROMOTING HEALTH EQUITY IN OUR COMMUNITY AND ARE CONTINUALLY LOOKING TO IMPROVE OUR KNOWLEDGE AND INTERNAL PROCESSES, AS WELL AS ADDRESS HEALTH DISPARITIES AND SOCIAL INEQUITIES IN OUR COMMUNITIES. WE WILL LOOK TO THOSE WITH LIVED EXPERIENCE TO GUIDE US IN IDENTIFYING HOW TO ADDRESS THE NEEDS OUR COMMUNITIES ARE EXPERIENCING. PHS - WASHINGTON (GROUP C - 2, 6 & 13) PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. PART V, SECTION B FACILITY REPORTING GROUP D FACILITY REPORTING GROUP D CONSISTS OF: - FACILITY 1: PROVIDENCE ALASKA MEDICAL CENTER, - FACILITY 12: ALASKA SPECIALTY HOSPITAL PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 5: PAMC WITH ALASKA SPECIALTY HOSPITAL CONDUCTED THE 2021 CHNA IN COLLABORATION WITH A DIVERSE STAKEHOLDER GROUP OF COMMUNITY PARTNERS IN ORDER TO IDENTIFY AND ADDRESS THE MOST SIGNIFICANT COMMUNITY HEALTH NEED PRIORITIES IN ANCHORAGE. REPRESENTATIVES FROM EACH OF THE PARTNER ORGANIZATIONS COMPRISED THE ANCHORAGE CHNA ADVISORY GROUP, WHICH DIRECTED THE ASSESSMENT PROCESS FROM ITS INCEPTION TO COMPLETION. THESE ORGANIZATIONS WERE CHOSEN DUE TO THE FACT THAT THEY SERVE AND REPRESENT THE BROADEST INTERESTS OF THE COMMUNITY OF ANCHORAGE. THE COMPLETE LIST OF ALL COMMUNITY PARTICIPANTS CAN BE VIEWED AT:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER ALASKA: ANCHORAGE PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 6A: PROVIDENCE ALASKA MEDICAL CENTER AND ALASKA SPECIALTY HOSPITAL. PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 6B: THE CHNA FOR PROVIDENCE ALASKA MEDICAL CENTER WAS PREPARED IN COLLABORATION WITH CATHOLIC SOCIAL SERVICES, UNITED WAY, ANCHORAGE NEIGHBORHOOD HEALTH CENTER, ANCHORAGE COMMUNITY LAND TRUST, ANCHORAGE HEALTH DEPARTMENT, ANCHORAGE LITERACY PROGRAM, AND ALASKA NATIVE HERITAGE CENTER. PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 11: PAMC DEVELOPED ANCHORAGE COMMUNITY HEALTH IMPROVEMENT PLAN IN RESPONSE TO THE NEEDS IDENTIFIED IN THE 2021 CHNA. THE DEVELOPMENT PROCESS INCLUDED INPUT FROM PROVIDENCE CAREGIVERS, COMMUNITY PARTNERS AND THE PROVIDENCE HEALTH AND SERVICES ALASKA COMMUNITY MINISTRY BOARD. GREAT ATTENTION HAS BEEN PAID TO STABLISHING MEANINGFUL MEASURES BY WHICH WE INTEND TO EVALUATE THE IMPACT OF OUR ACTIVITIES AND THE ACTIVITIES OF OUR PARTNERS. IN SOME CASES, OUR EFFORTS HAVE BEEN CONFOUNDED BY THE LACK OF OR LIMITED AVAILABILITY OF DATA. THE EFFORT TO MEASURE OUR IMPACT WILL BE AN ONGOING CHALLENGE AND JOURNEY AS WE SEEK TO IMPROVE THE HEALTH OF OUR COMMUNITY. NOTE: THE EMERGENCE OF THE COVID-19 PANDEMIC SUBSTANTIALLY IMPACTED PAMC IMPLEMENTATION OF SERVICES. PRIORITIZED COMMUNITY HEALTH NEEDS: POVERTY/SOCIAL DETERMINANTS OF HEALTH (HOMELESSNESS): SERVING THE POOR AND VULNERABLE IS CORE TO PROVIDENCE'S MISSION. HOWEVER, PROVIDING THE BASIC FOOD AND SHELTER NEEDS OF THE COMMUNITY DIRECTLY IS NOT WITHIN THE CORE COMPETENCIES OR SERVICES OF PROVIDENCE. TO ADDRESS THIS ISSUE, PROVIDENCE COLLABORATES WITH, AND PROVIDES COMMUNITY INVESTMENT FUNDING SUPPORT TO SISTER AGENCIES AND ORGANIZATIONS THAT DIRECTLY ADDRESS THE CAUSES AND IMPACTS OF POVERTY. PROVIDENCE HEALTH SERVICES ALASKA (PHSA) HAS MADE THE FIGHT AGAINST HOMELESSNESS A PRIORITY SINCE 2015, PROVIDING ABOUT $2.5 MILLION PER YEAR IN FUNDING. THAT WORK HAS PRIMARILY LED TO ADVANCES IN INFRASTRUCTURE AND THE COLLECTING OF DATA SO THAT HOMELESS SERVICE PROVIDERS CAN GET A TRUE SENSE OF THE SCALE OF THE PROBLEM. BEGINNING IN 2020, PROVIDENCE PARTNERED WITH RASMUSON FOUNDATION, PREMERA BLUE CROSS BLUE SHIELD OF ALASKA, AND WEIDNER APARTMENT HOMES TO PLEDGE A COMBINED $40 MILLION OVER FIVE YEARS TO CREATING SOLUTIONS FOR HOMELESSNESS IN THE STATEA JOINT EFFORT THAT WAS SUCCESSFUL ENOUGH TO ATTRACT PARTNERS LIKE THE BEZOS FOUNDATION. PROVIDENCE'S PORTION OF THAT COMMITMENT WAS $15M ($3M ANNUALLY 2020-2024).PROVIDENCE DISTRIBUTED THE $3M IN GRANTS TO AN ARRAY OF COMMUNITY PARTNERS TO ADDRESS HOMELESSNESS IN THE COMMUNITY. THOSE EFFORTS INCLUDE:TEN-BED HOMELESS RESPITE PROGRAM, BASED IN THE BROTHER FRANCIS EMERGENCY HOMELESS SHELTER. PROVIDENCE PILOTED A TWO BED HOMELESS RESPITE PROGRAM AT THE LARGEST HOMELESS SHELTER IN ANCHORAGE IN 2016 OPERATED BY CATHOLIC SOCIAL SERVICES. AFTER DEMONSTRATING THE VALUE OF THE PROGRAM, PROVIDENCE APPROACHED CATHOLIC SOCIAL SERVICES AS WELL AS THE TWO OTHER MAJOR HOSPITALS IN ANHORAGE (ALASKA NATIVE MEDICAL CENTER AND ALASKA REGIONAL HOSPITAL) PROPOSING A PARTNERSHIP. THROUGH THAT PARTNERSHIP, THE HOSPITALS PROVIDE FUNDING FOR CSS TO OPERATE A TEN BED RESPITE PROGRAM, WITH PROVIDENCE FUNDING.MORE THAN HALF THE PROGRAM ANNUALLY ($265,000 IN 2022). THE TEN BED PROGRAM PROVIDES A SAFE SPACE FOR THE SELF-CARE AND RECUPERATION OF PATIENTS DISCHARGED FROM MEDICAL FACILITIES IN ANCHORAGE. THE MEDICAL RESPITE SPACE PROVIDES GUESTS WITH 24-HOUR ACCESS TO A FURNISHED SEMI-PRIVATE ROOM, 3 MEALS A DAY, A COMMON AREA WITH A TELEVISION, KITCHENETTE, AND LAUNDRY. CASE MANAGERS ASSIST GUESTS WITH TRANSPORTATION FOR FOLLOW-UP APPOINTMENTS AND HELP GUESTS MEET THEIR DIVERSE HEALTHCARE GOALS. ROUGHLY 15O INDIVIDUALS ARE SERVED BY THE HOMELESS RESPITE PROGRAM ANNUALLY.COVENANT HOUSE BRIDGE-TO-SUCCESS PROGRAM SERVES TRANSITIONAL AGE YOUTH (AGES 18-24) EXPERIENCING HOMELESSNESS AND WILL OFFER HOUSING ALONG WITH EDUCATION, AND EMPLOYMENT OPPORTUNITIES. THE PROGRAM INCLUDES 22 ON-SITE MICRO-APARTMENTS THAT WILL ALLOW A YOUNG PERSON TO MOVE SEAMLESSLY FROM SHELTER TO APARTMENT LIVING. IN THIS ENVIRONMENT THEY CAN SUPPORTIVELY GAIN INDEPENDENCE, AND ULTIMATELY CROSS THAT BRIDGE TOWARD SECURING THEIR OWN PERMANENT HOUSING - SUCCESSFULLY LAUNCHING THEM INTO ADULTHOOD. THE PROGRAM ALSO INCLUDES COVEY ACADEMY, A TRAINING CENTER OFFERING EDUCATION OR WORKFORCE DEVELOPMENT, TO HELP YOUNG PEOPLE TAKE THE NEXT STEP TOWARD INDEPENDENCE AND CREATE PATHWAYS TO EMPLOYMENT.THE CHILDREN'S LUNCHBOX IN ANCHORAGE, ALASKA HAS PLAYED A VITAL ROLE IN FEEDING HUNGRY CHILDREN SINCE 1998. IN 2022, THE PROGRAM CONTINUED TO MEET GROWING NEEDS AND ENSURE NO CHILD WENT HUNGRY. BUOYED BY A $175,000 INVESTMENT FROM PROVIDENCE HEALTH & SERVICES ALASKA IN PARTNERSHIP WITH PROVIDENCE ALASKA FOUNDATION, AND GENEROUS DONATIONS FROM OTHER INDIVIDUAL AND CORPORATE DONORS AND GRANTS, BEAN'S CAF WAS ABLE TO EXPAND THE CHILDREN'S LUNCHBOX TO MEET THE GROWING NEED OF FAMILIES. IN 2022, CHILDREN'S LUNCHBOX PROVIDED IN EXCESS OF 250,000 MEALS TO CHILDREN AND FAMILIES WHICH INCLUDED PROVIDING BETWEEN 200 AND 250 MEALS EVERY WEEKDAY THAT ARE DISTRIBUTED THROUGHOUT 13 SITES IN ANCHORAGE FOR THE CHILDREN OF ANCHORAGE. THAT NUMBER INCREASES DAILY. FRESH MEALS ARE ASSEMBLED EACH WEEK AND PACKAGED IN VACUUM-SEALED CONTAINERS. THE SHELF-STABLE PANTRY PACKS ARE PACKAGED BY VOLUNTEERS IN AN OFF-SITE WAREHOUSE, FOLLOWING COVID-19 SAFETY PROTOCOL, OR BY VOLUNTEERS AT HOME. THE PANTRY BOXES CONTAIN BREAKFAST, LUNCH OR DINNER AND CAN BE PICKED UP VIA MOBILE PICK-UP OR DELIVERY AT DESIGNATED LOCATIONS THROUGHOUT TOWN.IN ADDITION TO COMMUNITY PARTNERSHIP GRANT FUNDED PROGRAMS THAT MEET COMMUNITY NEED, IN 2022 PROVIDENCE LAID THE PLANNING, DEVELOPMENT, AND IMPLIMENTATION GROUNDWORK FOR A $20.5M, 51-UNIT PERMANENT SUPPORTIVE HOUSING FACILITY IN ANCHORAGE WHICH BROKE GROUND IN SPRING OF 2023 AND IS EXPECTED TO OPEN IN THE FALL OF 2024. THE FACILITY IS DESIGNED TO ADDRESS THE NEEDS OF ELDERS WITH SIGNIFICANT HEALTH CONDITIONS WHO ARE EXPERIENCING HOMELESSNESS. IN ADDITION TO THE 51 STUDIO UNITS, THE FACILITY WILL INCLUDE SUPPORT SPACE FOR SOCIAL SERVICES, SUCH AS CASE MANAGEMENT CONSULT ROOMS; A RECEPTION AREA; ADMINISTRATIVE AND SERVICE PROVIDER OFFICES; EXAM ROOMS; AND A COMPUTER LAB AREA. A COMMON LAUNDRY AREA AND GATHERING SPACES ARE ALSO INCLUDE.MENTAL HEALTHPHSA IS THE LARGEST MENTAL HEALTH SERVICES PROVIDER IN THE STATE OF ALASKA AND IS CONTINUING ITS COMMITMENT BY PROVIDING THE ONLY PSYCHIATRIC EMERGENCY DEPARTMENT SERVING THE ANCHORAGE COMMUNITY, INPATIENT AND OUTPATIENT SERVICES FOR ADULTS AND ADOLESCENTS, TELEHEALTH AND TELEPSYCH SERVICES, CRISIS RECOVERY CENTER, RESIDENTIAL TREATMENT PROGRAMS, PMGA BEHAVIORAL HEALTH CLINICS, AS WELL AS INTEGRATING MENTAL HEALTH INTO PROVIDENCE RUN PRIMARY CARE CLINICS INCLUDING THE ALASKA FAMILY MEDICINE RESIDENCY. MENTAL HEALTH IS ANOTHER ISSUE THAT PERENNIALLY APPEARS ON PROVIDENCE'S COMMUNITY NEEDS ASSESSMENTS. BUT THE PANDEMIC - THE HEALTH CRISIS, ITSELF, THE ADVERSE ECONOMIC IMPACT, AND THE EFFECTS OF THE SOCIAL ISOLATION - HAS ONLY HEIGHTENED THE IMPORTANCE OF ACCESS TO BEHAVIORAL HEALTHCARE, PARTICULARLY FOR ADOLESCENTS. THAT'S WHY PROVIDENCE HAS PARTNERED WITH VOLUNTEERS OF AMERICAN ALASKA TO EMBED BEHAVIORAL HEALTH COUNSELORS IN ANCHORAGE SCHOOL DISTRICT (ASD) SCHOOLS. THIS WILL BOOST DELIVERY, RAISE AWARENESS OF THE NEED FOR SERVICES, AND BOLSTER THE COMMUNITY'S OVERALL ABILITY TO COORDINATE CARE AMONG YOUTH. PHS - WASHINGTON (GROUP D - 1 & 12) PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES PART V, SECTION B FACILITY REPORTING GROUP E FACILITY REPORTING GROUP E CONSISTS OF: - FACILITY 9: PROVIDENCE MT. CARMEL HOSPITAL, - FACILITY 10: PROVIDENCE ST. JOSEPH'S HOSPITAL PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 5: PROVIDENCE MOUNT CARMEL HOSPITAL AND ST. JOSEPH HOSPITAL UTILIZED SURVEYS OF THE COMMUNITY THROUGHOUT THE MONTH OF APRIL 2022. A LIST OF THOSE WILLING TO GIVE THEIR NAMES IS LISTED ON PAGE 35 OF THE NEEDS ASSESSMENT DOCUMENT. OVER 100 EMAIL AND PERSONAL INVITATIONS WERE SENT TO TARGETED ORGANIZATIONS AND INDIVIDUALS, INCLUDING LOCAL CITY GOVERNMENT, COUNTY GOVERNMENT, SCHOOL DISTRICTS, THE CHEWELAH TRIBE, AND VARIOUS SOCIAL SERVICE AGENCIES. ANNOUNCEMENTS WERE PLACED IN LOCAL NEWSPAPERS AND POSTED IN COMMUNITY CENTERS. THE COMPLETE LIST OF ALL COMMUNITY PARTICIPANTS CAN BE VIEWED ATHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: CHEWELAH AND COLVILLE. PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 6A: PROVIDENCE MOUNT CARMEL HOSPITAL & PROVIDENCE ST. JOSEPH HOSPITAL. PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 11: THE LIST BELOW SUMMARIZES THE RANK-ORDERED SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIZATION PROCESS: MENTAL HEALTH MENTAL HEALTH AND BEHAVIORAL HEALTH PROGRAMS INCLUDE THE PREVENTION, SCREENING, ASSESSMENT, AND TREATMENT OF MENTAL DISORDERS AND BEHAVIORAL CONDITIONS, REGARDLESS OF PAYER SOURCE OR ABILITY TO PAY. ACCESS ACCESS TO CARE GOES BEYOND MEDICAL CARE, AND INCLUDES DENTAL, VISION, PRIMARY CARE, TRANSPORTATION, CULTURALLY APPROPRIATE CARE, AND CARE COORDINATION. IN RURAL AREAS, ACCESS TO SPECIALTY CARE IS OF PARTICULAR CONCERN TO COMMUNITY MEMBERS. SUBSTANCE USE/MISUSE SUBSTANCE USE/MISUSE OCCURS WHEN THE RECURRENT USE OF ALCOHOL AND/OR DRUGS CAUSES CLINICALLY SIGNIFICANT IMPAIRMENT, INCLUDING HEALTH PROBLEMS, DISABILITY, AND INABILITY TO MEET MAJOR RESPONSIBILITIES AT WORK, SCHOOL, OR HOME. SUBSTANCE USE/MISUSE INCLUDES THE USE OF ILLEGAL DRUGS AND THE INAPPROPRIATE USE OF LEGAL SUBSTANCES, SUCH AS ALCOHOL, PRESCRIPTION DRUGS AND TOBACCO. ADEQUATE ACCESS TO TREATMENT, REGARDLESS OF PAYER SOURCE OR ABILITY TO PAY, INCLUDES ACCESS TO OUTPATIENT, INPATIENT AND EXPANDED TREATMENT MODELS, SUCH AS MEDICATION-ASSISTED TREATMENT AND PEER-SUPPORT PROGRAMS. ECONOMIC SECURITY PEOPLE WITH DISABILITIES, INJURIES, OR CONDITIONS LIKE ARTHRITIS MAY BE ESPECIALLY LIMITED IN THEIR ABILITY TO WORK. IN ADDITION, MANY PEOPLE WITH STEADY WORK STILL DO NOT EARN ENOUGH TO AFFORD THE THINGS THEY NEED TO STAY HEALTHY. HOUSING INSTABILITY HOUSING INSTABILITY ENCOMPASSES SEVERAL CHALLENGES SUCH AS HAVING TROUBLE PAYING RENT, OVERCROWDING, MOVING FREQUENTLY, STAYING WITH RELATIVES, OR SPENDING THE BULK OF HOUSEHOLD INCOME ON HOUSING. HOUSEHOLDS ARE CONSIDERED "COST BURDENED" IF SPENDING MORE THAN 30% OF HOUSEHOLD INCOME ON HOUSING, AND "SEVERELY COST BURDENED" IF SPENDING MORE THAN 50% OF HOUSEHOLD INCOME ON HOUSING. COST-BURDENED HOUSEHOLDS HAVE LITTLE LEFT OVER EACH MONTH TO SPEND ON OTHER NECESSITIES SUCH AS FOOD, CLOTHING, UTILITIES, AND HEALTH CARE.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. WE WILL COLLABORATE WITH COMMUNITY PARTNERS TO ADVANCE EFFORTS TO ADDRESS THE PRIORITIZED NEEDS. PHS - WASHINGTON (GROUP E - 9 & 10) PART V, SECTION B, LINE 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES. PART V, SECTION B, LINE 11 (CONTINUED): PHS - WASHINGTON (GROUP D - 1 & 12)PROVIDENCE HAS LAID THE PLANNING, DEVELOPMENT, AND IMPLIMENTATION GROUNDWORK FOR A MENTAL HEALTH CRISIS STABILIZATION CENTER WHICH IS EXPECTED TO OPEN IN EARLY 2024 AND WILL BE THE FIRST OF ITS KIND IN ALASKA WILL SERVE A CRITICAL ROLE IN COMMUNITY MENTAL HEALTH.GAPS IN COMMUNITY-BASED CRISIS RESPONSE AND BEHAVIORAL HEALTH SERVICES CAN LEAD TO INDIVIDUALS WAITING IN HOSPITALS OR JAILS FOR HOURS TO DAYS, PENDING THE AVAILABILITY OF AN APPROPRIATE TREATMENT SETTING. THE CRISIS NOW MODEL RECOGNIZES THAT NEITHER A TRADITIONAL EMERGENCY ROOM SETTING NOR A LAW ENFORCEMENT RESPONSE IS DESIGNED TO MEET THE UNIQUE NEEDS OF SOMEONE IN A BEHAVIORAL HEALTH CRISIS. THE CRISIS STABILIZATION CENTER WILL INCLUDE A BEHAVIORAL HEALTH WALK-IN CLINIC THAT OPERATES DURING THE WEEK AND WILL PROVIDE BEHAVIORAL HEALTH BASED URGENT CARE FOR ADOLESCENTS AND ADULTS. IT WILL ALSO INCLUDE A CRISIS STABILIZATION PROGRAM, DESIGNED TO ASSESS, TREAT, AND ENGAGE IN SAFETY PLANNING FOR DISCHARGE WITHIN 23 HOURS AND A CRISIS RESIDENTIAL PROGRAM THAT WILL PROVIDE TREATMENT FOR PATIENTS THAT NEED LONGER STABILIZATION.HEALTHY BEHAVIORSPHSA WORKS TO PROMOTE AND SUPPORT HEALTHY BEHAVIORS IN THE COMMUNITY THROUGH A NUMBER OF DIFFERENT PROGRAMS AND INITIATIVES. FAITH COMMUNITY NURSING PROVIDES A NURSE COORDINATOR, EDUCATOR AND RESOURCE PERSON FOR PARISHES AND CHURCHES OF ANY DENOMINATION TO INCREASE HEALTH LITERACY AND PROMOTE HEALTHY BEHAVIORS AT THE COMMUNITY LEVEL TO IMPROVE UNDERSTANDING OF HEALTH ISSUES, PREVENTION, HEALTHY BEHAVIORS AND HEALTH CARE. PROVIDENCE PROVIDES HEALTH MINISTRY OUTREACH TO INCREASE HEALTH LITERACY AND HEALTHY BEHAVIORS OF ENGLISH LEARNERS, SPECIFICALLY IMMIGRANTS AND REFUGEES. PROVIDENCE WILL CONTINUE ITS INJURY PREVENTION AND OUTREACH PROGRAM SAFE KIDS ALASKA - THE PRIMARY MISSION OF WHICH IS CHILDHOOD INJURYPREVENTION. NURSE FAMILY PARTNERSHIP WILL PROVIDE IN-HOME INTENSIVE FAMILY SERVICES TO LOW-INCOME, FIRST-TIME MOTHERS IN THE MUNICIPALITY OF ANCHORAGE TO IMPROVE PREGNANCY HEALTH AND OUTCOMES, CHILD HEALTH AND DEVELOPMENT AND MATERNAL OUTCOMES FROM PREGNANCY THROUGH THE CHILD'S SECOND YEAR. PROVIDENCE FAMILY MEDICINE CENTER WILL CONTINUE THE MEDICAID COORDINATED CARE DEMONSTRATION PROJECT, A PATIENT CENTERED MEDICAL HOME MODEL OF CARE DELIVERY, UTILIZES AN INTEGRATED DIRECT CARE TEAM (IDCT) COMPRISED OF BEHAVIORAL HEALTH, SOCIAL WORK, NURSE CASE MANAGEMENT, HOME VISITS, AND PHARMACY SERVICES ALL COORDINATED WITH THE PATIENT'S PRIMARY CARE PHYSICIAN TO INCREASE ACCESS, DECREASE INAPPROPRIATE UTILIZATION, AND IMPROVE PATIENT OUTCOMES. THE PROMOTION OF PREVENTION AND HEALTHY BEHAVIORS IS AT THE CENTER OF THIS MODEL OF CARE. THE COMMUNITY HEALTH WORKER PROGRAM WAS DEVELOPED IN 2021 AND FOUR COMMUNITYHEALTH WORKERS WERE HIRED, WHO CAME OUT OF PRIOR COHORTS OF OUR PEER NAVIGATOR PROGRAM. THEY SERVE AS COMMUNITY EDUCATORS AND LIAISON AROUND HEALTH ISSUES AND HEALTHY BEHAVIORS. PROVIDENCE ALASKA OVER $100,000 FUNDED THE ANCHORAGE LITERACY PEER LEADER PROGRAM WHICH WAS THE LEAD AGENCY IN THE COMMUNITY REACHING OUT TO MARGINALIZED COMMUNITIES TO ADDRESS VACCINE HESITANCY.SUBSTANCE USE DISORDER: CONTINUE TO ADD AMBULATORY SERVICESPSYCHIATRIC/SUBSTANCE-ABUSE DETOXIFICATION SERVICES TO THE CRISIS RECOVERY CENTER TO HELPADDRESS UNMET NEED IN THE COMMUNITY FOR DETOX SERVICES.CONTINUE TO PROVIDE AND EXPAND CHEMICAL DEPENDENCY PROGRAMS TO HELP ADDRESS THE GROWING NEED FOR SUBSTANCE ABUSE PROGRAMS IN ANCHORAGE AND ALASKA. INCREASE REMOTE AND OUT-OF-CLINIC ACCESS TO CARE BY PILOTING TWO TELE-HEALTH INITIATIVES. CONTINUE PROVIDING THIS NECESSARY COMMUNITY SERVICE TO ADDRESS EMERGENT COMMUNITY NEED FOR ACUTE PSYCHIATRIC AND SUBSTANCE ABUSE CARE, ESPECIALLY AS THERE IS NO OTHER PROVIDER DOING SO IN THE ANCHORAGE COMMUNITY. PROVIDENCE IS WORKING TO ADDRESS THE INCREASING CHALLENGES OF OPIOID USE DISORDER BY IMPLEMENTING NEW INTEGRATED CARE PATHWAYS, WORKING TO INCREASE THE NUMBER OF SUBOXONE WAIVERED PHYSICIANS IN THE COMMUNITY PROVIDING MEDICATION ASSISTED TREATMENT (MAT) AND IMPLEMENTING SCREENING, BRIEF INTERVENTION AND REFERRAL TOOL (SBIRT) IN MORE CLINICAL SETTINGS. PROVIDENCE IS ALSO EXPANDING SERVICES AT THE CRISIS RECOVERY CENTER TO INCLUDE AMBULATORY DETOX WITH GREATER PSYCHIATRIC RESOURCES TO ADDRESS INCREASED LEVELS OF ACUITY RELATED TO SUD.ACCESS TO HEALTHCARE: CONTINUE TO PROVIDE MEDICALLY NECESSARY HEALTH CARE SERVICES TO MEMBERS OF THE COMMUNITY WHO ARE UNABLE TO PAY FOR SUCH SERVICES. INCREASE THE SERVICE CAPACITY IN THE SENIOR CLINIC TO ADDRESS THE HEALTH CARE NEEDS OF THE AGING BY ADDRESSING THE SHORTAGE OF PROVIDERS ACCEPTING MEDICAID AND/OR MEDICARE IN THE COMMUNITY.CONTINUE TO PROVIDE PRIMARY CARE SERVICES AT THE ALASKA FAMILY MEDICINE RESIDENCY ON A SLIDING FEE SCALE TO REMOVE COST AS A BARRIER TO NEEDED CARE. CONTINUE SUPPORT OF THE NURSE FAMILY PARTNERSHIP PROGRAM, PROVIDING EDUCATION AND SUPPORT SERVICES TO FIRST- TIME LOW-INCOME MOTHERS TO IMPROVE MATERNAL-CHILD OUTCOMES. PROVIDENCE ALSO CONTINUES TO ADDRESS THE NEED FOR PEDIATRIC SUBSPECIALISTS TO MEET COMMUNITY NEED NOT ADDRESSED ELSEWHERE. PROVIDENCE IS COMMITTED TO CONTINUE TO PROVIDE SEXUAL AND PHYSICAL ABUSE EVALUATIONS AND FOLLOW-UP SERVICES 24/7, 365 DAYS A YEAR FOR CHILDREN, NEWBORN TO AGE 18 YEARS FOR THE STATE OF ALASKA THROUGH ALASKA CARES, THE ONLY ACCREDITED CHILDREN'S ADVOCACY CENTER (CAC) OUTPATIENT CLINIC IN ANCHORAGE.PROVIDENCE FORENSIC NURSING SERVICES PROGRAM WILL CONTINUE TO PROVIDE PHYSICAL AND SEXUAL ASSAULT EVALUATIONS AND FOLLOW-UP SERVICES 24/7, 365 DAYS A YEAR FOR VICTIMS 16 YEARS OF AGE AND OLDER.THE ALASKA MEDICAL CENTER HAS THE ONLY PRIMARY CARE RESIDENCY CLINIC THAT SERVES THE MEDICAID POPULATION OF ALASKA, AND ONE OF VERY FEW CLINICS THAT ACCEPT MEDICAID AND MEDICARE. IN ADDITION, IT IS TRAINING HEALTH CARE PROVIDERS TO SERVE MARGINALIZED COMMUNITIES. 457 1 - EXPRESS CARE AK LLC-EAGLE RIVER 17101 SNOWMOBILE LN STE 114 EAGLE RIVER AK 995777043 SPECIALTY CLINIC 2 - EXPRESS CARE AK LLC-HOFFMAN 1389 HUFFMAN PARK DR STE 110 ANCHORAGE AK 99515 SPECIALTY CLINIC 3 - EXPRESS CARE AK LLC-MIDTOWN MALL 2900 SEWARD HWY STE D ANCHORAGE AK 99503 SPECIALTY CLINIC 4 - EXPRESS CARE AK LLC-TIKAHTNU 1118 N MULDOON RD STE 130 ANCHORAGE AK 995046610 SPECIALTY CLINIC 5 - EXPRESS CARE AK LLC-MIDTOWN URGENT CARE 1200 W NORTHERN LIGHTS BLVD STE B ANCHORAGE AK 995033652 SPECIALTY CLINIC 6 - EXPRESS CARE AK LLC-WASILLA 1861 E PARKS HWY WASILLA AK 996547350 SPECIALTY CLINIC 7 - PROVIDENCE EXPRESSCARE-BETHANY 4816 NE BETHANY BLVD PORTLAND OR 972299254 SPECIALTY CLINIC 8 - PROVIDENCE EXPRESSCARE-LOMBARD 5308 N LOMBARD ST STE 102 PORTLAND OR 972034218 SPECIALTY CLINIC 9 - PROVIDENCE EXPRESSCARE-MURRAYHILL 14600 SW MURRAY SCHOOLS DR BEAVERTON OR 970079712 SPECIALTY CLINIC 10 - PROVIDENCE EXPRESSCARE-PEARL 1025 NW 14TH AVE PORTLAND OR 972092705 SPECIALTY CLINIC 11 - PROVIDENCE EXPRESSCARE -ORENCO 1336 NE ORENCO STATION PKWY HILLSBORO OR 971245408 SPECIALTY CLINIC 12 - PROVIDENCE EXPRESSCARE-FISHERS LANDING 1905 SE 164TH AVE VANCOUVER WA 986838937 SPECIALTY CLINIC 13 - PROVIDENCE EXPRESSCARE-HILLSBORO 955 SE BASELINE ST HILLSBORO OR 971234207 SPECIALTY CLINIC 14 - PROVIDENCE EXPRESSCARE-MILWAUKIE 14617 SE MCLOUGHLIN BLVD MILWAUKIE OR 97267 SPECIALTY CLINIC 15 - PROVIDENCE EXPRESSCARE-CRESTON 3822 SE POWELL BLVD PORTLAND OR 97202 SPECIALTY CLINIC 16 - PROVIDENCE EXPRESSCARE-HAPPY VALLEY 11995 SE SUNNYSIDE RD HAPPY VALLEY OR 970159312 SPECIALTY CLINIC 17 - PROVIDENCE EXPRESSCARE-INTERSTATE 4340 N INTERSTATE AVE PORTLAND OR 972173211 SPECIALTY CLINIC 18 - PROVIDENCE EXPRESSCARE-KRUSE WAY 4823 MEADOWS DR STE 127 LAKE OSWEGO OR 97035 SPECIALTY CLINIC 19 - PROVIDENCE EXPRESSCARE-NEWBERG 1840 PORTLAND RD NEWBERG OR 971321847 SPECIALTY CLINIC 20 - PROVIDENCE EXPRESSCARE-OREGON CITY 13428 COLTON PL STE 102 OREGON CITY OR 97045 SPECIALTY CLINIC 21 - EXPRESS CARE WA PC-AIRWAY HEIGHTS 10258 W SUNSET HWY STE 6 SPOKANE WA 99224 SPECIALTY CLINIC 22 - EXPRESS CARE WA PC-CANYON LAKES 4008 W 27TH AVE STE 103 KENNEWICK WA 99337 SPECIALTY CLINIC 23 - EXPRESS CARE WA PC-COLLEGE PLACE 1705 SE MEADOWBROOK BLVD STE 2 COLLEGE PLACE WA 99324 SPECIALTY CLINIC 24 - EXPRESS CARE WA PC-EVERETT BROADWAY 2205 BROADWAY EVERETT WA 98201 SPECIALTY CLINIC 25 - EXPRESS CARE WA PC-INDIAN TRAIL 9027 N INDIAN TRAIL RD SPOKANE WA 99208 SPECIALTY CLINIC 26 - EXPRESS CARE WA PC-LACEY 1350 MARVIN RD NE STE D LACEY WA 98516 SPECIALTY CLINIC 27 - EXPRESS CARE WA PC-LAKE STEVENS 718 91ST AVE NE LAKE STEVENS WA 99258 SPECIALTY CLINIC 28 - EXPRESS CARE WA PC-LINCOLN HEIGHTS 2923 E 29TH AVE SPOKANE WA 99223 SPECIALTY CLINIC 29 - EXPRESS CARE WA PC-MISSOULA SOUTHGATE 3624 BROOK ST STE 101 MISSOULA MT 598017338 SPECIALTY CLINIC 30 - EXPRESS CARE WA PC-NORTH PASCO 5506 N ROAD 68 PASCO WA 99301 SPECIALTY CLINIC 31 - EXPRESS CARE WA PC-QUEENSGATE 2564 QUEENSGATE DR STE 2580 RICHLAND WA 99352 SPECIALTY CLINIC 32 - EXPRESS CARE WA PC-RICHLAND DOWNTOWN 1601 GRORGE WASH WAY RICHLAND WA 99354 SPECIALTY CLINIC 33 - EXPRESS CARE WA PC-RUBY 105 E MISSION AVE STE D SPOKANE WA 99202 SPECIALTY CLINIC 34 - PROVIDENCE KODIAK ISLAND PALLIATIVE CARE 1915 E REZENOF DR SUITE A301 KODIAK AK 99615 SPECIALTY CLINIC 35 - PMG ALASKA-BRAIN INJURY SERVICES 2250 S WOODWORTH LOOP STE 202 PALMER AK 99645 SPECIALTY CLINIC 36 - PMG ALASKA-ST ELIAS 4800 CORDOVA ST ANCHORAGE AK 99503 PRIMARY CARE 37 - PMG ALASKA-FAMILY MEDICINE CTR 1201 E 26TH AVE ANCHORAGE AK 99508 PRIMARY CARE 38 - PMG ALASKA-TRANSITIONAL CARE CTR 910 COMPASSION CIR ANCHORAGE AK 99504 SPECIALTY CLINIC 39 - PMG ALASKA-GASTROENTEROLOGY CLINIC 3340 PROVIDENCE DR STE A567 ANCHORAGE AK 995084691 SPECIALTY CLINIC 40 - PMG ALASKA-BRAIN INJURY SERVICES 3260 PROVIDENCE DR STE C537 ANCHORAGE AK 995084661 SPECIALTY CLINIC 41 - PMG AK-PMGA PEDIATRIC NEURODEVELOPMENT 3340 PROVIDENCE DR STE A565 ANCHORAGE AK 99508 SPECIALTY CLINIC 42 - PMG ALASKA-PEDIATRIC SUB-SPECIALTY 3340 PROVIDENCE DR STE A351 ANCHORAGE AK 995084691 SPECIALTY CLINIC 43 - PMG AK-PEDIATRIC PULMONOLOGY 3200 PROVIDENCE DR STE D-338 ANCHORAGE AK 995084615 SPECIALTY CLINIC 44 - PMG ALASKA-FETAL MEDICINE CLINIC 3831 PIPER ST STE SLL020 ANCHORAGE AK 99508 SPECIALTY CLINIC 45 - PMG ALASKA-MATERNAL FETAL MEDICINE 3260 PROVIDENCE DR STE C522 ANCHORAGE AK 995084661 SPECIALTY CLINIC 46 - PMG ALASKA 3220 PROVIDENCE DR STE E3-040 ANCHORAGE AK 995084679 SPECIALTY CLINIC 47 - PMG ALASKA-EXTENDED CARE 920 COMPASSION CIR ANCHORAGE AK 995041645 SPECIALTY CLINIC 48 - PMG ALASKA-PALLIATIVE CARE CLINIC 3300 PROVIDENCE DR STE B104 ANCHORAGE AK 99508 SPECIALTY CLINIC 49 - PMG ALASKA-PMG MOBILE THERAPIES 3300 PROVIDENCE DRIVE SUITE B302 ANCHORAGE AK 99508 SPECIALTY CLINIC 50 - PMG ALASKA-PMG PRIMARY CARE C436 3260 PROVIDENCE DR STE C436 ANCHORAGE AK 995084661 SPECIALTY CLINIC 51 - PMG ALASKA-PMG PRIMARY CARE HUFFMAN 1389 HUFFMAN PARK DR STE 202 ANCHORAGE AK 99515 SPECIALTY CLINIC 52 - PMG AK AT PROVIDENCE AK MED CTR 3200 PROVIDENCE DR ANCHORAGE AK 995084615 SPECIALTY CLINIC 53 - PMG AK AT PROV KODIAK ISLAND MED CTR 1915 E REZANOF DR KODIAK AK 996156602 SPECIALTY CLINIC 54 - PMG AK AT PROV SEWARD MED CTR 417 1ST AVE SEWARD AK 99664 SPECIALTY CLINIC 55 - PMG AK AT PROV VALDEZ MED CTR 911 MEALS AVE VALDEZ AK 99686 SPECIALTY CLINIC 56 - PMG E WA-AUDIOLOGY CATALDO 217 W CATALDO SECOND FLOOR SPOKANE WA 99201 SPECIALTY CLINIC 57 - PMG E WA-COCHLEAR IMPLANT 910 N WA SPOKANE WA 99201 SPECIALTY CLINIC 58 - PMG E WA-PROV MED ONCOLOGY & HEMATOLOGY 212 E CENTRAL AVE STE 315 SPOKANE WA 99208 SPECIALTY CLINIC 59 - PMG E WA-BREAST HEALTH 212 E CENTRAL AVE STE 335 SPOKANE WA 99208 SPECIALTY CLINIC 60 - PMG E WA-PROV CARDIOLOGY 212 E CENTRAL AVE STE 240 SPOKANE WA 99208 SPECIALTY CLINIC 61 - PMG E WA-SPOKANE HEART INSTITUTE 62 W 7TH STE 300C SPOKANE WA 99204 SPECIALTY CLINIC 62 - PMG E WA-DENTAL RESIDENCY 105 W 8TH AVE STE 123C SPOKANE WA 99204 SPECIALTY CLINIC 63 - PMG E WA-EAR NOSE AND THROAT 217 W CATALDO SPOKANE WA 99201 SPECIALTY CLINIC 64 - PMG E WA-EAR NOSE AND THROAT NORTH 9922 N NEVADA SPOKANE WA 99218 SPECIALTY CLINIC 65 - PMG E WA-EAR NOSE AND THROAT VALLEY 13414 E MISSION AVE SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 66 - PMG E WA-GEN & SPECIALTY SURG 217 W CATALDO THIRD FLOOR SPOKANE WA 99201 SPECIALTY CLINIC 67 - PMG E WA-GEN & SPECIALTY SURG NORTH 9922 N NEVADA SPOKANE WA 99218 SPECIALTY CLINIC 68 - PMG E WA-GEN & SPECIALTY SURG VALLEY 13414 E MISSION AVE SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 69 - PMG E WA-HEARING CTRS 3022 E 57TH AVE SUITE 21 SPOKANE WA 99223 SPECIALTY CLINIC 70 - PMG E WA-AUDIOLOGY VALLEY 13414 E MISSION AVE SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 71 - PMG E WA PSYCHIATRY 105 W 8TH AVE STE 560E SPOKANE WA 992042302 SPECIALTY CLINIC 72 - PMG E WA-OCCUPATIONAL MEDICINE 16528 E DESMET CT STE B1600A SPOKANE VALLLEY WA 99216 SPECIALTY CLINIC 73 - PMG E WA OCCUP MEDICINE AIRWAY HEIGHTS 11919 W SUNSET HWY STE D AIRWAY HEIGHTS WA 99001 SPECIALTY CLINIC 74 - PMG E WA-ORTHOPEDICS PMP 16528 E DESMET CT STE B2200 SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 75 - PMG E WA-ST LUKES PHYSIATRY 711 S COWLEY ST STE 228 SPOKANE WA 992021383 REHAB & PHYSICAL THERAPY 76 - PMG E WA-PROV PALLIATIVE CARE 105 W 8TH AVE STE 120C SPOKANE WA 99204 SPECIALTY CLINIC 77 - PMG E WA-PEDIATRIC NEPHROLOGY 105 W 8TH AVE STE 150E SPOKANE WA 99204 SPECIALTY CLINIC 78 - PMG E WA PHYSIATRY 16528 E DESMET CT STE A1600 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 79 - PMG E WA-PRIMARY CARE COWLEY PARK 62 W 7TH AVE STE 300C SPOKANE WA 99204 PRIMARY CARE 80 - PMG E WA-ENT CT 217 W CATALDO SECOND FLOOR SPOKANE WA 99201 SPECIALTY CLINIC 81 - PMG E WA-SPORTS MEDICINE SOUTH 820 S MCCLELLAN ST STE 101 SPOKANE WA 992042456 SPECIALTY CLINIC 82 - PMG E WA-THERAPY AND BALANCE 910 N WA SPOKANE WA 99201 SPECIALTY CLINIC 83 - PMG E WA-URGENT CARE PMP 16528 E DESMET CT STE A1200 SPOKANE VALLEY WA 992163522 URGENT CARE 84 - PMG E WA-UROGYNECOLOGY 920 N WA SPOKANE WA 99201 SPECIALTY CLINIC 85 - PMG E WA-OBSTETRICS AND GYNECOLOGY 105 W 8TH AVE STE 6050 SPOKANE WA 99204 SPECIALTY CLINIC 86 - PMG E WA-HOUSE OF CHARITY 32 W 2ND AVE SPOKANE WA 99201 SPECIALTY CLINIC 87 - PMG E WA-INLAND NEUROSURG AND SPINE 235 E ROWAN AVE STE 114 SPOKANE WA 99207 SPECIALTY CLINIC 88 - PMG E WA-IVI MANITO 1923 S GRAND BLVD SPOKANE WA 99203 SPECIALTY CLINIC 89 - PMG E WA-PMG GONZAGA DISASTER CLINIC 729 E BOONE AVE SPOKANE WA 99202 SPECIALTY CLINIC 90 - PMG E WA-PMG PALLIATIVE CARE SERVICES 101 W 8TH AVE STE 6050 SPOKANE WA 99204 SPECIALTY CLINIC 91 - PMG E WA-PMG PSYCHOLOGY AND PSYCHIATRY 105 W 8TH AVE STE 560E SPOKANE WA 99204 SPECIALTY CLINIC 92 - PMG E WA-PROV CTR FOR CLEFT LIP AND PALATE 412 E SPOKANE FALLS BLVD SPOKANE WA 99202 SPECIALTY CLINIC 93 - PMG E WA-PROV MULTIPLE SCLEROSIS CTR 5633 N LIDGERWOOD ST STE 1800 SPOKANE WA 99208 SPECIALTY CLINIC 94 - PMG E WA-PROV SPOKANE HEART INSTITUTE 808 PORT DR CLARKSTON WA 994036009 SPECIALTY CLINIC 95 - PMG E WA-PROV VEIN CTR 1923 S GRAND BLVD SPOKANE WA 99203 SPECIALTY CLINIC 96 - PMG E WA-KETTLE FALLS CLINIC 840 S MEYERS ST KETTLE FALLS WA 991417005 SPECIALTY CLINIC 97 - PMG E WA-COLVILLE RURAL HEALTH CLINIC 1200 E COLUMBIA AVE COLVILLE WA 991143354 PHARMACY 98 - PMG E WA-INTERNAL MEDICINE 820 S MCCLELLAN ST STE 200 SPOKANE WA 992042456 PRIMARY CARE 99 - PMG E WA-INTERNAL MEDICINE KENDALL YARDS 546 N JEFFERSON LANE SPOKANE WA 99201 PRIMARY CARE 100 - PMG E WA-FAMILY MEDICINE 9911 N NEVADA ST SUITE 200 SPOKANE WA 99218 PRIMARY CARE 101 - PMG E WA-FAMILY MEDICINE NORTH PINES 1212 N PINES RD SPOKANE VALLEY WA 992064939 PRIMARY CARE 102 - PMG E WA-FAMILY PHYS PROV MED PARK 16528 E DESMET CT STE B3100 SPOKANE VALLEY WA 99216 PRIMARY CARE 103 - PMG E WA-FAMILY PRACTICE CLINIC 100 W SOUTH AVE CHEWELAH WA 991099684 PRIMARY CARE 104 - PMG E WA-PRIMARY CARE SOUTH 2020 E 29TH AVE LOWR LEVEL SPOKANE WA 992033917 PRIMARY CARE 105 - PMG E WA-PMG LAB-KENDALL YARDS 546 N JEFFERSON LANE SPOKANE WA 99201 PRIMARY CARE 106 - PMG E WA-PSYCHIATRIC CTR 105 W 8TH AVE STE 450E SPOKANE WA 992042302 SPECIALTY CLINIC 107 - PMG E WA-PSYCHIATRY RESIDENCY SPOKANE 624 E FRONT AVE SPOKANE WA 992022139 SPECIALTY CLINIC 108 - PMG E WA-CTR FOR CONGENITAL HEART DISEASE 101 W 8TH AVE STE 4300 SPOKANE WA 992042307 SPECIALTY CLINIC 109 - PMG E WA-CTR FOR CONGENITAL HEART DISEASE 1025 S 2ND AVE WALLA WALLA WA 993624116 SPECIALTY CLINIC 110 - PMG E WA-PROV DIGESTIVE HEALTH 105 W 8TH AVE STE 7050 SPOKANE WA 992042318 SPECIALTY CLINIC 111 - PMG E WA-ORTHOPEDICS 212 E CENTRAL AVE STE 245 SPOKANE WA 992086289 SPECIALTY CLINIC 112 - PMG E WA-ORTHOPEDICS DME 16528 DESMET CT SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 113 - EXPRESS CARE AT WALGREENS INDIAN TRAILS 9027 N INDIAN TRAIL RD SPOKANE WA 992089916 SPECIALTY CLINIC 114 - EXPRESS CARE AT WALGREENS LINCOLN HEIGHTS 2923 E 29TH AVE SPOKANE WA 992234811 SPECIALTY CLINIC 115 - PMG E WA-EXPRESS CARE WALGREENS N PINES 12312 E SPRAGUE AVE SPOKANE VALLEY WA 992160720 SPECIALTY CLINIC 116 - PMG E WA-EXPRESS CARE WALGREENS WANDERMERE 12315 N DIVISION ST SPOKANE WA 992181951 SPECIALTY CLINIC 117 - PMG E WA-EXPRESS CARE AIRWAY HEIGHTS 10258 W SUNSET HWY SUITE 6 SPOKANE WA 99001 SPECIALTY CLINIC 118 - PMG E WA-GASTROENTEROLOGY 212 E CENTRAL AVE STE 245 SPOKANE WA 992086290 SPECIALTY CLINIC 119 - PMG E WA-GASTROENTEROLOGY PMP 16528 E DESMET CT STE A2200 SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 120 - PMG E WA-GENETICS CLINIC 105 W 8TH AVE STE 454E SPOKANE WA 992042318 SPECIALTY CLINIC 121 - PMG E WA-PEDIATRIC HEMATOLOGY ONCOLOGY 101 W 8TH AVE PSHMC FLR 3 SPOKANE WA 992042307 SPECIALTY CLINIC 122 - PMG E WA-INFECTIOUS DISEASE CLINIC 624 E FRONT AVE SPOKANE WA 992022139 SPECIALTY CLINIC 123 - PMG E WA-INTERNAL MEDICINE HOSPITALISTS 105 W 8TH AVE STE 450E SPOKANE WA 992042302 SPECIALTY CLINIC 124 - PMG E WA-KIDNEY CARE AT PROV MED PARK 16528 E DESMET CT STE B2100 SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 125 - PMG E WA-KIDNEY DIS AND HTN 105 W 8TH AVE STE 1000 SPOKANE WA 992042327 SPECIALTY CLINIC 126 - PMG E WA-SPCS KIDNEY CARE ENDOCRINOLOGY 105 W 8TH AVE STE 7010 SPOKANE WA 992042327 SPECIALTY CLINIC 127 - PMG E WA-MULTIPLE SCLEROSIS CTR 212 E CENTRAL AVE STE 440 SPOKANE WA 992086290 SPECIALTY CLINIC 128 - PMG E WA-CHILD NEUROLOGY AND DEV MEDICINE 101 W 8TH AVE STE 4200 SPOKANE WA 992042307 SPECIALTY CLINIC 129 - PMG E WA-EPILEPSY CTR 105 W 8TH AVE STE 318-C SPOKANE WA 992042318 SPECIALTY CLINIC 130 - PMG E WA-INLAND NEUROSURG & SPINE ASSOC 1200 FAIRVIEW ST W COLFAX WA 99111 SPECIALTY CLINIC 131 - PMG E WA-INLAND NEUROSURG & SPINE ASSOC 825 BISHOP BLVD SE 140 P PULLMAN WA 991635517 SPECIALTY CLINIC 132 - PMG E WA-INSA DOWNTOWN 105 W 8TH AVE STE 200 SPOKANE WA 992042318 SPECIALTY CLINIC 133 - PMG E WA-NEUROLOGY NEUROSCIENCE 101 W 8TH AVE STE 7010 SPOKANE WA 99204 SPECIALTY CLINIC 134 - PMG E WA-NEUROLOGY HOSPITALISTS 105 W 8TH AVE STE 318-C SPOKANE WA 992042318 SPECIALTY CLINIC 135 - PMG E WA-STROKE CVB DISORDER CLINIC 105 W 8TH AVE STE 122C SPOKANE WA 992042302 SPECIALTY CLINIC 136 - PMG E WA-OCCUPATIONAL MEDICINE NORTH 235 E ROWAN AVE STE 202 SPOKANE WA 99207 SPECIALTY CLINIC 137 - PMG E WA-FERRY COUNTY CLINICORTHOPEDICS 36 KLONDIKE RD REPUBLIC WA 991669701 SPECIALTY CLINIC 138 - PMG E WA-ORTHOPEDICS 100 3RD ST DAVENPORT WA 99122 SPECIALTY CLINIC 139 - PMG E WA-ORTHOPEDICS 714 W PINES NEWPORT WA 991569046 SPECIALTY CLINIC 140 - PMG E WA-ORTHOPEDICS 820 S MCCLELLAN ST STE 300 SPOKANE WA 992042450 SPECIALTY CLINIC 141 - PMG E WA-SURG AND PROCEDURE CTR 16528 DESMET CT STE A2100 SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 142 - PMG E WA-GRAND PEDIATRICS 1402 S GRAND BLVD SPOKANE WA 992035001 SPECIALTY CLINIC 143 - PMG E WA-GRAND PEDIATRICS 1402 S GRAND BLVD SPOKANE WA 992035001 SPECIALTY CLINIC 144 - PMG E WA-PEDIATRIC ASSOCIATES 9911 N NEVADA ST SPOKANE WA 992181298 SPECIALTY CLINIC 145 - PMG E WA-PEDIATR DIGESTIVE HEALTH & NEPHRO 105 W 8TH AVE STE 7060 SPOKANE WA 992042302 SPECIALTY CLINIC 146 - PMG E WA-PEDIATRIC ENDOCRINOLOGY DIABETES 101 W 8TH AVE STE L-1 100 SPOKANE WA 992042307 SPECIALTY CLINIC 147 - PMG E WA-PEDIATRIC GASTROENTEROLOGY 105 W 8TH AVE STE 7060 SPOKANE WA 992042327 SPECIALTY CLINIC 148 - PMG E WA-PEDIATRIC HOSPITALISTS 101 W 8TH AVE PSHMC 3 NORTH SPOKANE WA 992042307 SPECIALTY CLINIC 149 - PMG E WA-PEDIATRIC PULMONOLOGY AND ALLERGY 105 W 8TH AVE STE 660E SPOKANE WA 992042302 SPECIALTY CLINIC 150 - PMG E WA-PEDIATRICS 7221 W DESCHUTES AVE STE D KENNEWICK WA 993367807 SPECIALTY CLINIC 151 - PMG E WA-PEDIATRICS LIBERTY LAKE 23813 E APPLE WAY AVE LIBERTY LAKE WA 99019 SPECIALTY CLINIC 152 - PMG E WA-PEDIATRICS MANITO 1919 S GRAND BLVD SPOKANE WA 992032347 SPECIALTY CLINIC 153 - PMG E WA-PEDIATRICS NORTHPOINTE 1111 E WESTVIEW CT SUITE B SPOKANE WA 992181376 SPECIALTY CLINIC 154 - PMG E WA-PROV MED PARK PEDIATRICS 16528 E DESMET CT STE B1000 SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 155 - PMG E WA-HIGH RISK PREGNANCY CLINIC 101 W 8TH AVE STE 1100 SPOKANE WA 992042307 SPECIALTY CLINIC 156 - PMG E WA-HIGH RISK PREGNANCY CLINIC ID 980 IRONWOOD DR STE 360 COEUR D ALENE ID 83814 SPECIALTY CLINIC 157 - PMG E WA-FAMILY MEDICINE AT PROV MED PARK 16528 E DESMET CT STE B2100 SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 158 - PMG E WA-RESIDENCY FAMILY MEDICINE 624 E FRONT AVE SPOKANE WA 992022139 SPECIALTY CLINIC 159 - PMG E WA-PROV PULMONARY & SLEEP DISORDERS 105 W 8TH AVE STE 512C SPOKANE WA 992042318 SPECIALTY CLINIC 160 - PMG E WA-PULMONARY & SLEEP DISORDER CLINIC 9631 N NEVADA ST STE 300 SPOKANE WA 992181193 SPECIALTY CLINIC 161 - PMG E WA-SPORTS MEDICINE STHC 624 E FRONT AVE SPOKANE WA 992022139 SPECIALTY CLINIC 162 - PMG E WA-GYNECOLOGIC ROBOTIC SURG 101 W 8TH AVE STE 1300 SPOKANE WA 992042307 SPECIALTY CLINIC 163 - PMG E WA-RECONSTRUCTIVE SURG 820 S MCCLELLAN ST STE 118 SPOKANE WA 992042446 SPECIALTY CLINIC 164 - PMG E WA-FATHER MALNAR MATERNITY CLINIC 101 W 8TH AVE STE 1300 SPOKANE WA 992042307 SPECIALTY CLINIC 165 - PMG E WA-GYNECOLOGIC ONCOLOGY CLINIC 101 W 8TH AVE STE 1400 SPOKANE WA 992042307 SPECIALTY CLINIC 166 - PMG E WA-OB HOSPITALISTS 101 W 8TH AVE STE 1100 SPOKANE WA 992042307 SPECIALTY CLINIC 167 - PMG E WA - 1300 E MULLAN AVE STE 900 POST FALLS ID 83854 SPECIALTY CLINIC 168 - PMG E WA - 212 E CENTRAL AVE STE 440 SPOKANE WA 992086290 SPECIALTY CLINIC 169 - PMG E WA - 212 RODEO DR MOSCOW ID 838439798 SPECIALTY CLINIC 170 - PMG E WA - 301 CEDAR ST OROFINO ID 83544 SPECIALTY CLINIC 171 - PMG E WA - 415 6TH ST LEWISTON ID 93501 SPECIALTY CLINIC 172 - PMG E WA - 520 N THIRD AVE SANDPOINT ID 838641507 SPECIALTY CLINIC 173 - PMG E WA - 700 S MAIN ST MOSCOW ID 83843 SPECIALTY CLINIC 174 - PMG E WA - 701 LEWISTON ST COTTONWOOD ID 83522 SPECIALTY CLINIC 175 - PMG E WA-GARDEN HOMES CLINIC 143 GARDEN HOMES DR COLVILLE WA 991149229 SPECIALTY CLINIC 176 - PMG E WA-HOLY FAMILY PARTIAL HTALZTN & INT 235 E ROWAN AVE STE 107 SPOKANE WA 992071240 SPECIALTY CLINIC 177 - PMG E WA-INLAND VASCULAR INST 122 7TH AVE STE 420 SPOKANE WA 992042330 SPECIALTY CLINIC 178 - PMG E WA-INLAND VASCULAR INSTITUTE NORTH 212 E CENTRAL AVE SPOKANE WA 992086291 SPECIALTY CLINIC 179 - PMG E WA-INLAND VASCULAR INSTITUTE SOUTH 62 W 7TH AVE STE 420 SPOKANE WA 992042330 SPECIALTY CLINIC 180 - PMG E WA-PEDIATRIC UROLOGY 101 W 8TH AVE STE 100 SPOKANE WA 99204 SPECIALTY CLINIC 181 - PMG E WA-VALLEY YOUNG PEOPLE'S CLINIC 1414 N VERCLER RD STE 1 SPOKANE VALLEY WA 992161092 SPECIALTY CLINIC 182 - PMG E WA AT MOUNT CARMEL HOSPITAL 982 E COLUMBIA AVE COLVILLE WA 991143316 SPECIALTY CLINIC 183 - PMG E WA AT PROV HOLY FAMILY HOSPITAL 5633 N LIDGERWOOD ST SPOKANE WA 99208 SPECIALTY CLINIC 184 - PMG E WA AT PROV MOUNT CARMEL HOSPITAL 982 E COLUMBIA AVE COLVILLE WA 991143316 SPECIALTY CLINIC 185 - PMG E WA AT PROV SACRED HEART MED CTR 101 W 8TH AVE SPOKANE WA 992042307 SPECIALTY CLINIC 186 - PMG E WA AT PROV ST JOSEPH CARE CTR 17 E 8TH AVE SPOKANE WA 99202 SPECIALTY CLINIC 187 - PMG E WA AT PROV ST JOSEPHS HOSPITAL 500 E WEBSTER AVE CHEWELAH WA 991099523 SPECIALTY CLINIC 188 - PMG E WA AT ST PATRICK HOSPITAL 500 W BROADWAY ST MISSOULA MT 598024008 SPECIALTY CLINIC 189 - PMG E WA-LAB SOUTH 29TH 2020 E 29TH LOWER LEVEL SPOKANE WA 99203 SPECIALTY CLINIC 190 - PMG E WA-PMG LAB-MCB 820 S MCCLELLAN ST STE LL12 SPOKANE WA 992042457 SPECIALTY CLINIC 191 - PMG E WA-PMG LAB HAWTHORNE 551 E HAWTHORNE RD SPOKANE WA 99218 SPECIALTY CLINIC 192 - PMG E WA-PMG LAB HOUSE OF CHARITY 32 W 2ND AVE SPOKANE WA 99201 SPECIALTY CLINIC 193 - PMG E WA-PMG LAB NORTH PINES 1212 N PINES RD SPOKANE WA 99206 SPECIALTY CLINIC 194 - PMG E WA-PMG LAB NORTHPOINT 9911 N NEVADA ST STE 200 SPOKANE WA 99218 SPECIALTY CLINIC 195 - PMG E WA-PMG LAB PMP 16528 DESMET CT STE B1400 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 196 - PMG E WA-PMG LAB ROWAN 9631 N NEVADA ST STE 300 SPOKANE WA 99218 SPECIALTY CLINIC 197 - PMG E WA-PMG LAB SOUTH DIVISION 421 S DIVISION ST SPOKANE WA 99202 SPECIALTY CLINIC 198 - PMG E WA-PMG LAB STHC 624 E FRONT AVE SPOKANE WA 99202 SPECIALTY CLINIC 199 - PMG E WA-SOUTH URGENT CARE 421 S DIVISION ST SPOKANE WA 992021331 URGENT CARE 200 - PMG E WA-URGENT CARE HAWTHORNE 551 E HAWTHORNE RD SPOKANE WA 992181417 URGENT CARE 201 - PMG E WA-VEIN CTR PROV MED PARK 16528 E DESMET CT SPOKANE VALLEY WA 992163522 URGENT CARE 202 - PMG NW WA-GYNECOLOGIC ONCOLOGY 1717 13TH ST STE 210 EVERETT WA 982011621 SPECIALTY CLINIC 203 - PMG NW WA STANWOOD CLINIC 7209 265TH ST NW STE 203 STANWOOD WA 982926292 PRIMARY CARE 204 - PMG NW WA-MILL CREEK FAMILY MEDICINE 12800 BOTHELL EVERETT HWY 160 EVERETT WA 982086642 PRIMARY CARE 205 - PMG NW WA-PMG MARYSVILLE CLINIC 11603 STATE AVE STE G MARYSVILLE WA 982718465 PRIMARY CARE 206 - PMG NW WA-PROV CLEARVIEW FAMILY MEDICINE 17432 STATE ROUTE 9 SE SUITE 201 SNOHOMISH WA 982968451 PRIMARY CARE 207 - PMG NW WA-WSU RESIDENCY INTERNAL MEDICINE 1321 COLBY AVE B400 EVERETT WA 982010000 SPECIALTY CLINIC 208 - PMG NW WA-WOMENS SERVICES 16708 BOTHELL EVERETT HWY STE 201 MILL CREEK WA 980126345 SPECIALTY CLINIC 209 - CRANIAL SPINE & JOINT-SWEDISH MED CTR CHE 550 17TH AVE FL 5 SEATTLE WA 981225788 SPECIALTY CLINIC 210 - PMG NW WA-SNOHOMISH CLINIC 1830 BICKFORD AVE STE 211 SNOHOMISH WA 982901751 SPECIALTY CLINIC 211 - PMG NW WA-MONROE CLINIC 19200 N KELSEY ST MONROE WA 982721431 PHARMACY 212 - PMG NW WA-MILL CREEK INTERNAL MEDICINE 12800 BOTHELL-EVERETT HWY STE 180 EVERETT WA 982080000 PRIMARY CARE 213 - PMG NW WA-MILL CREEK INTERNAL MEDICINE 12800 BOTHELL-EVERETT HWY STE 180 EVERETT WA 982080000 PRIMARY CARE 214 - PMG NW WA-ASSAULT & ABUSE INTERVENTION CTR 1509 CALIFORNIA ST EVERETT WA 982013540 SPECIALTY CLINIC 215 - PMG NW WA-BEHAVIORAL HEALTH URGENT CARE 1330 ROCKEFELLER AVE STE 140 EVERETT WA 982011682 SPECIALTY CLINIC 216 - PMG NW WA-REG MED CTR EVERETT-CANCER CTR 1717 13TH ST EVERETT WA 98201 SPECIALTY CLINIC 217 - PMG NW WA-CARDIOVASCULAR & THORACIC SURG 1330 ROCKEFELLER AVE STE 400 EVERETT WA 982011676 SPECIALTY CLINIC 218 - PMG NW WA-GEN SURG CLINIC 1330 ROCKEFELLER AVE STE 310 EVERETT WA 982011677 SPECIALTY CLINIC 219 - PMG NW WA-PROV CARDIOLOGY 12800 BOTHELL EVERETT HWY STE 270 EVERETT WA 982086644 SPECIALTY CLINIC 220 - PMG NW WA-ENDOCRINOLOGY 1330 ROCKEFELLER AVE STE 520 EVERETT WA 982011677 SPECIALTY CLINIC 221 - PMG NW WA-BETHANY AT PACIFIC 916 PACIFIC AVE EVERETT WA 982014147 SPECIALTY CLINIC 222 - PMG NW WA-EVERETT REHAB AND CARE CTR 1919 112TH ST SW EVERETT WA 98204 SPECIALTY CLINIC 223 - PMG NW WA-VIEW RIDGE CARE CTR 5129 HILLTOP RD EVERETT WA 982033163 SPECIALTY CLINIC 224 - PMG NW WA-TRANSITIONAL CARE PACIFIC CAMPUS 916 PACIFIC AVE FLR 6 EVERETT WA 982014147 SPECIALTY CLINIC 225 - PMG NW WA-PROV REG MED CTR EVERETT 1700 13TH ST EVERETT WA 982011689 SPECIALTY CLINIC 226 - PMG NW WA-CASCADE VALLEY HOSPITAL 330 S STILLAGUAMISH AVE ARLINGTON WA 98223 SPECIALTY CLINIC 227 - PMG NW WA-REG MED CTR 1321 COLBY AVE EVERETT WA 982011665 SPECIALTY CLINIC 228 - PMG NW WA-EVERETT INTERNAL MEDICINE 1330 ROCKEFELLER AVE STE 210 EVERETT WA 982011676 SPECIALTY CLINIC 229 - PMG NW WA-SKAGIT VALLEY REG MED CTR 1415 E KINCAID ST MOUNT VERNON WA 982744126 SPECIALTY CLINIC 230 - PMG NW WA-EVERETT NEUROSCIENCES CTR 1717 13TH ST STE 401 EVERETT WA 982011621 SPECIALTY CLINIC 231 - PMG NW WA-PHYSIATRY & SPORTS MED 916 PACIFIC AVE FL 2 EVERETT WA 98201 SPECIALTY CLINIC 232 - PMG NW WA-EVERETT YMCA PT 4730 COLBY AVE STE 220 EVERETT WA 98203 SPECIALTY CLINIC 233 - PMG NW WA-PROV MILL CREEK PEDIATRICS 12800 BOTHELL-EVERETT HWY STE 190 EVERETT WA 98208 SPECIALTY CLINIC 234 - PMG NW WA-SWEDISH MED CTR FIRST HILL 747 BROADWAY SEATTLE WA 981224379 SPECIALTY CLINIC 235 - PMG NW WA-LYNNWOOD CLINIC 2902 164TH ST SW STE E1 LYNNWOOD WA 98087 SPECIALTY CLINIC 236 - PMG NW WA-MARYSVILLE FAMILY MEDICINE 4404 80TH ST NE MARYSVILLE WA 982703427 SPECIALTY CLINIC 237 - PMG NW WA AT MILL CREEK COMMONS RADIOLOGY 16708 BOTHELL-EVERETT HWY MILL CREEK WA 98012 SPECIALTY CLINIC 238 - PMG NW WA-LYNNWOOD POST ACUTE REHAB CTR 5821 188TH ST SW LYNNWOOD WA 98037 SPECIALTY CLINIC 239 - PMG NW WA-MOUNTAIN VIEW REHAB AND CARE CTR 5925 47TH AVE NE MARYSVILLE WA 98270 SPECIALTY CLINIC 240 - PMG NW WA-REGENCY CARE CTR AT MONROE 1355 W MAIN ST MONROE WA 982722022 SPECIALTY CLINIC 241 - PMG NW WA-PROV SURG CTR PACIFIC CAMPUS 916 PACIFIC AVE STE 110 EVERETT WA 982014147 SPECIALTY CLINIC 242 - PMG NW WA-PLASTIC AND RECONSTRUCTIVE SURG 12800 BOTHELL EVERETT HWY STE 260B EVERETT WA 982086642 SPECIALTY CLINIC 243 - PMG NW WA-MILL CREEK WALK-IN 12800 BOTHELL EVERETT HWY STE 120 EVERETT WA 98208 SPECIALTY CLINIC 244 - PMG NW WA-PAVILION FOR WOMEN & CHILDREN 900 PACIFIC AVE STE 501 EVERETT WA 982014189 SPECIALTY CLINIC 245 - PMG NW WA-WOUND HEALING & HYPERBARIC MED 1330 ROCKEFELLER AVE STE 540 EVERETT WA 982011677 SPECIALTY CLINIC 246 - PMG NW WA-BETHANY AT SILVERLAKE 2235 LAKE HEIGHTS DR EVERETT WA 982086030 SPECIALTY CLINIC 247 - PMG NW WA-EDMONDS UROLOGY 21822 76TH AVE W EDMONDS WA 980267900 SPECIALTY CLINIC 248 - PMG NW WA-HARBOUR POINT WALK IN 4112 HARBOUR POINT BLVD SW STE 100 MUKILTEO WA 982755457 SPECIALTY CLINIC 249 - PMG NW WA-PMG UROLOGY 4310 COLBY AVE STE 203 EVERETT WA 982032338 SPECIALTY CLINIC 250 - PMG NW WA-SPORTS ORTHOPEDIC AND HAND 3726 BROADWAY STE 201 EVERETT WA 982013788 SPECIALTY CLINIC 251 - PMG NW WA-SWEDISH EDMONDS MED CTR 21601 76TH AVE W EDMONDS WA 980267507 SPECIALTY CLINIC 252 - PMG NW WA-SWEDISH MED CTR CHERRY HILL 500 17TH AVE SEATTLE WA 981225711 SPECIALTY CLINIC 253 - PMG NW WA-BETHANY AT SILVER CREST 2131 LAKE HEIGHTS DR EVERETT WA 982088315 SPECIALTY CLINIC 254 - PMG NW WA-CRANIAL SPINE & JOINT CLINIC 14692 179TH AVE SE STE 100 MONROE WA 982720000 SPECIALTY CLINIC 255 - PMG NW WA-SUNRISE VIEW CONVALESCENT CTR 2520 MADISON ST EVERETT WA 982034868 SPECIALTY CLINIC 256 - PMG NW WA-PPG MONROE WALK IN 14692 179TH AVE SE STE 500 MONROE WA 982721162 URGENT CARE 257 - DAVITA DIALYSIS 72556 COYOTE RD PENDLETON OR 97801 SPECIALTY CLINIC 258 - PMG SE WA FRESENIUS DIALYSIS 1213 S MAIN ST MILTONFREEWATERR OR 97862 SPECIALTY CLINIC 259 - PMG SE WA-PROV NEPHROLOGY 301 W POPLAR ST STE 100 WALLA WALLA WA 993622800 SPECIALTY CLINIC 260 - PMG SE WA-NEUROSCIENCE INSTITUTE 301 WEST POPLAR ST STE 220 WALLA WALLA WA 993622800 SPECIALTY CLINIC 261 - PMG SE WA-PROV ENT 1017 S 2ND AVE STE 4 WALLA WALLA WA 993624183 SPECIALTY CLINIC 262 - PMG SE WA-PROV FAMILY AND SPORTS MEDICINE 1017 S 2ND AVE STE 1 WALLA WALLA WA 993624183 SPECIALTY CLINIC 263 - PMG SE WA-PROV FAMILY MED WALLA WALLA 1111 S 2ND AVE WALLA WALLA WA 993624118 SPECIALTY CLINIC 264 - PMG SE WA-PROV PHYSICAL MEDICINE AND REHAB 301 W POPLAR ST STE 210 WALLA WALLA WA 993622800 SPECIALTY CLINIC 265 - PMG SE WA-QUALICTR OF WALLA WALLA 135 AVERY ST WALLA WALLA WA 993621669 SPECIALTY CLINIC 266 - PMG SE WA-CARDIOLOGY 55 WEST TIETAN ST WALLA WALLA WA 993624445 SPECIALTY CLINIC 267 - PMG SE WA-POPLAR MED 301 WEST POPLAR ST WALLA WALLA WA 993622858 SPECIALTY CLINIC 268 - EXPRESS CARE AT WALGREENS COLLEGE PLACE 1705 SOUTHEAST MEADOWBROOK BLVD STE 2 COLLEGE PLACE WA 99324 SPECIALTY CLINIC 269 - EXPRESS CARE AT WALGREENS WALLA WALLA 508 N WILBUR AVE WALLA WALLA WA 993621549 SPECIALTY CLINIC 270 - PMG SE WA-GASTROENTEROLOGY 1017 S 2ND AVE STE 3 SPOKANE WA 992247013 SPECIALTY CLINIC 271 - PMG SE WA-CHASE MED 380 CHASE AVE WALLA WALLA WA 993622924 SPECIALTY CLINIC 272 - PMG SE WA-NEUROLOGY AT KADLEC MED CTR 888 SWIFT BLVD RICHLAND WA 993523514 SPECIALTY CLINIC 273 - PMG SE WA-IMAGING 401 WEST POPLAR ST WALLA WALLA WA 993622846 SPECIALTY CLINIC 274 - PMG SE WA-RADIATION 401 WEST POPLAR ST WALLA WALLA WA 993622846 SPECIALTY CLINIC 275 - PROVIDENCE HEALTH AND SERVICES-WA 1017 S 2ND AVE STE 2 WALLA WALLA WA 993624183 SPECIALTY CLINIC 276 - PMG SE WA-BROOKDALE SENIOR LIVING 1460 DALLES MILITARY RD WALLA WALLA WA 993629551 SPECIALTY CLINIC 277 - PMG SE WA-ER PHYSICIANS 401 WEST POPLAR ST WALLA WALLA WA 993622846 SPECIALTY CLINIC 278 - PMG SE WA-PARK MANOR REHAB CTR 1710 PLAZA WAY WALLA WALLA WA 993624362 SPECIALTY CLINIC 279 - PMG SE WA-REGENCY AT THE PARK 420 SOUTHEAST MYRA RD COLLEGE PLACE WA 993241796 SPECIALTY CLINIC 280 - PMG SE WA-SACRED HEART MC 101 WEST 8TH AVE STE 4200 SPOKANE WA 992042307 SPECIALTY CLINIC 281 - PMG SE WA-ST MARY MED CTR 401 WEST POPLAR ST WALLA WALLA WA 993622846 SPECIALTY CLINIC 282 - PMG SE WA-SWEDISH MED CTR 747 BROADWAY SEATTLE WA 981224379 SPECIALTY CLINIC 283 - PMG SE WA-VALLEY RESIDENTIAL SERVICES 240 BUSH ST WALLA WALLA WA 993622618 SPECIALTY CLINIC 284 - PMG SE WA-COUNTRY LANE ADULT CARE ADULT FO 1840 GRAY LYNN DR WALLA WALLA WA 993629247 SPECIALTY CLINIC 285 - PMG SE WA-DAYTON GEN HOSPITAL 1012 SOUTH 3RD ST DAYTON WA 98328 SPECIALTY CLINIC 286 - PMG SE WA-EAGLE MEADOWS 550 EAST WHITMAN DR COLLEGE PLACE WA 993242121 SPECIALTY CLINIC 287 - PMG SE WA-EAGLE SPRINGS MEMORY CARE 20 SOUTHEAST LARCH AVE COLLEGE PLACE WA 993241199 SPECIALTY CLINIC 288 - PMG SE WA-GOOD SHEPARD MED CTR 610 NORTHWEST 11TH ST HERMISTON OR 97838 SPECIALTY CLINIC 289 - PMG SE WA-PENDLETON 1601 SOUTHEAST COURT AVE PENDLETON OR 97801 SPECIALTY CLINIC 290 - PMG SE WA-WA ODD FELLOWS HOME 534 BOYER AVE WALLA WALLA WA 993622047 SPECIALTY CLINIC 291 - PMG SE WA-WA STATE PENITENTIARY 1313 NORTH 13TH AVE WALLA WALLA WA 993628817 SPECIALTY CLINIC 292 - PMG SE WA WALLA WALLA GEN HOSPITAL 1025 SOUTH 2ND AVE WALLA WALLA WA 993624116 SPECIALTY CLINIC 293 - WALLA WALLA VETERANS ADMIN MED CTR 77 WAINWRIGHT DR WALLA WALLA WA 993623975 SPECIALTY CLINIC 294 - WHEATLAND VILLAGE ASSISTED LIVING 1500 CATHERINE ST WALLA WALLA WA 993624166 SPECIALTY CLINIC 295 - PMG SE WA WHITMAN PLACE ASST LIVING 1018 WHITMAN ST WALLA WALLA WA 993623400 SPECIALTY CLINIC 296 - PMG SW WA-CHEHALIS FAMILY MED & RESIDENTS 931 S MARKET BLVD CHEHALIS WA 985323423 PRIMARY CARE 297 - PMG SW WA-OLYMPIA OBGYN 615 LILLY RD NE STE 200 OLYMPIA WA 985065137 SPECIALTY CLINIC 298 - PMG SW WA-OLYMPIA PSYCHIATRY 525 LILLY RD NE STE 250 OLYMPIA WA 985065101 PRIMARY CARE 299 - PMG SW WA-HARBOR REG HEALTH COMTY HTAL 915 ANDERSON DR ABERDEEN WA 985201006 PRIMARY CARE 300 - PMG SW WA-PROV HOSPITALISTS TEAM 413 LILLY RD NE OLYMPIA WA 985065133 PRIMARY CARE 301 - PMG SW WA-CENTRALIA INTERNAL MEDICINE 1010 S SCHEUBER RD STE 3/4 CENTRALIA WA 985318892 PRIMARY CARE 302 - PMG SW WA-PROV CARDIAC SURG 525 LILLY RD NE STE 200 OLYMPIA WA 985065101 PRIMARY CARE 303 - PMG SW WA-PROV ST PETER FAMILY MEDICINE 525 LILLY RD NE OLYMPIA WA 985065101 PRIMARY CARE 304 - PMG SW WA-CARDIOLOGY ASSOCIATES-ABERDEEN 1921 SUMNER AVE ABERDEEN WA 985203606 SPECIALTY CLINIC 305 - PMG SW WA-CARDIOLOGY ASSOCIATES-CENTRALIA 1800 COOKS HILL RD STE K CENTRALIA WA 985319162 SPECIALTY CLINIC 306 - PMG SW WA-PROV CARDIOLOGY ASSOC OLYMPIA 500 LILLY RD NE STE 100 OLYMPIA WA 985065195 SPECIALTY CLINIC 307 - PMG SW WA-PROV CARDIOLOGY ASSOC SHELTON 939 MT VIEW DR STE 120 SHELTON WA 985844411 SPECIALTY CLINIC 308 - PMG SW WA-PROV CARDIOLOGY ASSOC YELM 201 TAHOMA BLVD STE 204 YELM WA 985977735 SPECIALTY CLINIC 309 - PMG SW WA-MDPP BOLDT DIABETES 4800 COLLEGE ST SE LACEY WA 985034389 SPECIALTY CLINIC 310 - PMG SW WA-MDPP CENTRALIA INTERNAL MEDICINE 1010 S SCHEUBER RD STE 3 CENTRALIA WA 985318892 SPECIALTY CLINIC 311 - PMG SW WA-MDPP HAWKS PRARIE FAMILY MED 2555 MARVIN RD NE LACEY WA 985163138 SPECIALTY CLINIC 312 - PMG SW WA-MDPP WEST OLYMPIA FAMILY MED 1620 COOPER POINT RD SW OLYMPIA WA 985025736 SPECIALTY CLINIC 313 - PMG SW WA-OLYMPIA TRANSITIONAL CARE & REHA 430 LILLY RD NE OLYMPIA WA 985065132 SPECIALTY CLINIC 314 - PMG SW WA-PROV MOTHER JOSEPH CARE CTR 3333 ENSIGN RD NE OLYMPIA WA 98506 SPECIALTY CLINIC 315 - PMG SW WA-MALLARD LANDING ASSISTED LIVING 813 SE CLARK AVE BATTLE GROUND WA 986048957 SPECIALTY CLINIC 316 - PMG SW WA-MONTESANO HEALTH AND REHAB CTR 800 N MEDCALF LN MONTESANO WA 98563 SPECIALTY CLINIC 317 - PMG SW WA-ORCHARD POINTE 300 S KITSAP BLVD PORT ORCHARD WA 983663778 SPECIALTY CLINIC 318 - PMG SW WA-PRESTIGE POST-ACUTE & REHAB CTR 917 S SCHEUBER RD CENTRALIA WA 985319027 SPECIALTY CLINIC 319 - PMG SW WA-PUGET SOUND HEALTHCARE CTR 4001 CAPITAL MALL DR SW OLYMPIA WA 985028657 SPECIALTY CLINIC 320 - PMG SW WA-REGENCY OLYMPIA REHAB & NURSING 1811 22ND AVE SE OLYMPIA WA 98501 SPECIALTY CLINIC 321 - PMG SW WA-RIVERSIDE NURSING AND REHAB 1305 ALEXANDER ST CENTRALIA WA 98531 SPECIALTY CLINIC 322 - PMG SW WA-ROO LAN HEALTH AND REHAB 1505 CARPENTER RD SE LACEY WA 985035906 SPECIALTY CLINIC 323 - PMG SW WA-SHARON CARE CTR 1509 HARRISON AVE CENTRALIA WA 985314568 SPECIALTY CLINIC 324 - PMG SW WA-HAMPTON ALZHEIMER'S SPECIAL CARE 1400 TROSPER RD SW TUMWATER WA 985128136 SPECIALTY CLINIC 325 - PMG SW WA-THE SEQUOIA ASSISTED LIVING COMT 825 LILLY RD NE OLYMPIA WA 985066936 SPECIALTY CLINIC 326 - PMG SW WA-PROV REG CANCER CTR-SHELTON 2026 OLYMPIC HWY N STE 203 SHELTON WA 98584 SPECIALTY CLINIC 327 - PMG SW WA-PROV REG CANCER SYSTEM-ABERDEEN 954 ANDERSON RD ABERDEEN WA 98520 SPECIALTY CLINIC 328 - PMG SW WA-PROV REG CANCER SYSTEM-CENTRALIA 2015 COOKS HILL RD STE 200 CENTRALIA WA 985319074 SPECIALTY CLINIC 329 - PMG SW WA-PROV REG CANCER SYSTEM LACEY 4525 3RD AVE SE STE 200 OLYMPIA WA 985031010 SPECIALTY CLINIC 330 - PMG SW WA-PROV CENTRALIA HOSPITAL 914 S SCHEUBER RD CENTRALIA WA 985319027 SPECIALTY CLINIC 331 - PMG SW WA-WEST OLYMPIA FAMILY MEDICINE & I 1620 COOPER POINT RD SW OLYMPIA WA 985025736 SPECIALTY CLINIC 332 - PMG SW WA-OLYMPIA INFECTIOUS DISEASE CLINI 3525 ENSIGN RD NE STE F OLYMPIA WA 985065065 SPECIALTY CLINIC 333 - PMG SW WA-PROV NURO SURG 615 LILLY RD NE STE 220 OLYMPIA WA 985065179 SPECIALTY CLINIC 334 - PMG SW WA-PROV OLYMPIA NEUROLOGY 525 LILLY RD NE STE 210 OLYMPIA WA 985065101 SPECIALTY CLINIC 335 - PMG SW WA-PROV CENTRALIA PHYSICAL THERAPY 1900 COOKS HILL RD CENTRALIA WA 985319073 SPECIALTY CLINIC 336 - PMG SW WA-HAWKS PRAIRIE FAMILY MEDICINE 2555 MARVIN RD NE LACEY WA 985163138 SPECIALTY CLINIC 337 - PROV MULTI SPECIALTY CLINIC & LACEY FAMILY 4800 COLLEGE ST SE LACEY WA 985034389 SPECIALTY CLINIC 338 - PROV PULMONARY AND SLEEP MEDICINE 500 LILLY RD NE STE 204 OLYMPIA WA 985065197 SPECIALTY CLINIC 339 - PMG SW WA-PROV CENTRALIA GEN SURG 1720 COOKS HILL RD CENTRALIA WA 985319071 SPECIALTY CLINIC 340 - PMG SW WA-PROV VASCULAR SURG (OLYMPIA) 128 LILLY RD NE STE 205 OLYMPIA WA 985067400 SPECIALTY CLINIC 341 - PMG SW WA-PROV CENTRALIA WOMEN'S CTR 1000 S SCHEUBER RD CENTRALIA WA 985318877 SPECIALTY CLINIC 342 - PROV WOMENS HEALTH SERVICES OLYMPIA 3425 ENSIGN RD NE STE 220 OLYMPIA WA 985065063 SPECIALTY CLINIC 343 - PMG SW WA-CLINIC AT PANORAMA 1450 NORTHWEST LN SE STE A LACEY WA 985036908 SPECIALTY CLINIC 344 - PMG SW WA-PANORAMA CONVALESCENT & REHAB CT 1600 SLEATER KINNEY RD SE LACEY WA 985032500 SPECIALTY CLINIC 345 - PMG SW WA-PROVIDENCE UROLOGY OLYMPIA 149 LILLY RD NE OLYMPIA WA 985065028 SPECIALTY CLINIC 346 - PROVIDENCE AK MED CTR-ALASKA CARES 4901 A STREET STE 1030 ANCHORAGE AK 99507 SPECIALTY CLINIC 347 - PROVIDENCE AK MED CTR -LAB SOUTH ANCHORAGE 345 W 104TH AVE STE 300 ANCHORAGE AK 995152634 SPECIALTY CLINIC 348 - PROV ANESTHESIA SERVICES AT ASC SPOKANE 16528 E DESMET CT SPOKANE WA 992163522 SPECIALTY CLINIC 349 - PROVIDENCE ANESTHESIA SERVICES AT PCH 914 S SCHEUBER RD CENTRALIA WA 985319027 SPECIALTY CLINIC 350 - PROVIDENCE ANESTHESIA SERVICES AT PHFH 5633 N LIDGERWOOD ST SPOKANE WA 992081224 SPECIALTY CLINIC 351 - PROVIDENCE ANESTHESIA SERVICES AT PSHMC 101 W 8TH AVE SPOKANE WA 992042307 SPECIALTY CLINIC 352 - PROV ANESTHESIA SERVICES-WALLA WALLA CLINI 55 W TIETAN ST WALLA WALLA WA 993624445 SPECIALTY CLINIC 353 - PROV BEHAVIORAL MEDICINE-ANCHORAGE 3260 PROVIDENCE DR STE C537 ANCHORAGE AK 995084661 SPECIALTY CLINIC 354 - PROV BEHAVIORAL MEDICINE-ANCHORAGE 3760 PIPER ST STE 1108 ANCHORAGE AK 995084683 SPECIALTY CLINIC 355 - PROVIDENCE BEHAVIORAL MEDICINE-PALMER 2250 S WOODWORTH LOOP STE 202 PALMER AK 99645 SPECIALTY CLINIC 356 - PROVIDENCE RADIANT CARE ABERDEEN 1200 BASICH BLVD ABERDEEN WA 985201035 SPECIALTY CLINIC 357 - PROVIDENCE CRISIS RECOVERY CTR 3760 PIPER ST LL 139 ANCHORAGE AK 995084665 SPECIALTY CLINIC 358 - PROVIDENCE DOMINICARE-CHEWELAH 110 S 3RD STREET EAST CHEWELAH WA 99109 HOME HEALTH 359 - PROVIDENCE ELDERPLACE-WEST SEATTLE 4831 35TH AVE SW SEATTLE WA 98126 SENIOR CARE 360 - PROVIDENCE ELDERPLACE-FULL LIFE 7829 S 180TH ST KENT WA 98032 SPECIALTY CLINIC 361 - PROVIDENCE ELDERPLACE-HERITAGE HOUSE 1533 WESTERN AVE SEATTLE WA 98101 SPECIALTY CLINIC 362 - PROVIDENCE ELDERPLACE-NORTHAVEN 531 NE 112TH ST SEATTLE WA 98125 SPECIALTY CLINIC 363 - PROVIDENCE ELDERPLACE-REDMOND 8632 160TH AVE NE REDMOND WA 98052 SPECIALTY CLINIC 364 - PROVIDENCE ELDERPLACE-SEATTLE 4515 MARTIN LUTHER KING JR WAY S STE 100 SEATTLE WA 98108 SPECIALTY CLINIC 365 - PROVIDENCE EMILLIE COURT ASSISTED LIVING 34 E 8TH AVE SPOKANE WA 992027210 SENIOR CARE 366 - PROVIDENCE EXTENDED CARE 920 COMPASSION CIR ANCHORAGE AK 995044665 SPECIALTY CLINIC 367 - PROVIDENCE TRANSITIONAL CARE CTR 910 COMPASSION CIR ANCHORAGE AK 995041645 SPECIALTY CLINIC 368 - PROVIDENCE HOME HEALTH ALASKA 4001 DALE ST STE 101 ANCHORAGE AK 995085444 HOME HEALTH 369 - PROVIDENCE HOSPICE ALASKA 4001 DALE ST STE 101 ANCHORAGE AK 995085444 HOME HEALTH 370 - PROVIDENCE HOME SERVICES KING COUNTY 2811 S 102ND ST STE 102 TUKWILA WA 98168 HOME HEALTH 371 - PROVIDENCE HORIZON HOUSE ANCHORAGE 3760 PIPER ST SUITE 1061 ANCHORAGE AK 98508 SENIOR CARE 372 - PROV HOSP & HM CARE OF SNOHOMISH CTY-HM HE 1615 75TH STREET SW STE 210 EVERETT WA 982016293 HOME HEALTH 373 - PROV HOSP & HM CARE OF SNOHOMISH CTY-HOSP 1615 75TH STREET SW STE 210 EVERETT WA 982036293 HOME HEALTH 374 - PROV HOSP & HM CARE OF SNOHOMISH CTY-HOSP 1700 13TH ST EVERETT WA 982011689 SPECIALTY CLINIC 375 - PROVIDENCE HOSPICE OF SEATTLE 2811 S 102ND ST STE 220 TUKWILA WA 981681869 HOME HEALTH 376 - PROV HOSP OF SEATTLE-TELE-PALLATIVE CARE 525 LILLY RD NE OLYMPIA WA 985065101 PRIMARY CARE 377 - PROVIDENCE HOSPICE SPOKANE 1000 N ARGONNE RD STE 201 SPOKANE VALLEY WA 99212 HOME HEALTH 378 - PROVIDENCE IMAGING CTR-ANCHORAGE 3340 PROVIDENCE DR STE 101 ANCHORAGE AK 995084691 SPECIALTY CLINIC 379 - PROVIDENCE IMAGING CTR-EAGLE RIVER 17101 SNOWMOBILE LANE STE 101 EAGLE RIVER AK 995777043 SPECIALTY CLINIC 380 - PROVIDENCE IMAGING CTR-MOBILE MAMMO UNIT 3340 PROVIDENCE DR ANCHORAGE AK 995084691 SPECIALTY CLINIC 381 - PROV INFUSION & PHARMACY SVCS-EAST 15918 E EUCLID AVE SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 382 - PROV INFUSION & PHARMACY SVCS-WEST 3333 SOUTH 120TH PL STE 100 TUKWILA WA 981685134 SPECIALTY CLINIC 383 - PROVIDENCE KODIAK ISLAND COUNSELING CTR 1818 E REZANOF DR KODIAK AK 99615 SPECIALTY CLINIC 384 - PROVIDENCE MARIANWOOD 3725 PROVIDENCE POINT DR SE ISSAQUAH WA 980297219 SPECIALTY CLINIC 385 - PROVIDENCE MOTHER JOSEPH CARE CTR 3333 ENSIGN RD NE OLYMPIA WA 985065012 SPECIALTY CLINIC 386 - PROVIDENCE MOUNT ST VINCENT 4831 35TH AVE SW SEATTLE WA 98126 SENIOR CARE 387 - ST JOSEPH HOME CARE NETWORK 1111 SONOMA AVE STE 308 SANTA ROSA CA 954054820 HOME HEALTH 388 - PROVIDENCE MOUNT CARMEL HOSPITAL-HOSPITAL 298 S MAIN ST STE B12 COLVILLE WA 99114 REHAB & PHYSICAL THERAPY 389 - PROV NW HEART & LUNG SURG ASSOC-PROV PULMO 105 W 8TH AVE STE 512C SPOKANE WA 99204 SPECIALTY CLINIC 390 - PROV NW HEART & LUNG SURG ASSOC-VALLEY MED 808 PORT DRIVE CLARKSTON WA 99403 SPECIALTY CLINIC 391 - PROV NW HEART & LUNG SURG ASSOC-SPOKANE HE 62 W 7TH AVE SPOKANE WA 99204 SPECIALTY CLINIC 392 - PROV NW HEART & LUNG SURG ASSOC-DEACONESS 800 W 5TH AVE SPOKANE WA 992042803 SPECIALTY CLINIC 393 - PROV NW HEART & LUNG SURG ASSOC-HOLY FAMIL 5633 N LIDGERWOOD ST SPOKANE WA 992081224 SPECIALTY CLINIC 394 - PROV NW HEART & LUNG SURG ASSOC-SACRED HEA 101 W 8TH AVE SPOKANE WA 992042307 SPECIALTY CLINIC 395 - PROV NW HEART & LUNG SURG ASSOC-SACRED HEA 122 W 7TH AVE SPOKANE WA 992042352 SPECIALTY CLINIC 396 - PROVIDENCE HEART AND LUNG SURG ASSOC 5633 N LIDGERWOOD ST SPOKANE WA 992081224 SPECIALTY CLINIC 397 - PROVIDENCE NW HEART & LUNG SURG ASSOC 122 W 7TH AVE STE 232 SPOKANE WA 992042354 SPECIALTY CLINIC 398 - PROVIDENCE NW HEART & LUNG SURG ASSOC 1600 E JEFFERSON ST STE 600 SEATTLE WA 981225649 SPECIALTY CLINIC 399 - PROVIDENCE NW HEART & LUNG SURG ASSOC 2979 SQUALICUM PKWY STE 201 BELLINGHAM WA 982251813 SPECIALTY CLINIC 400 - PROVIDENCE NW HEART & LUNG SURG ASSOC 122 W 7TH AVE STE 110 SPOKANE WA 99204 SPECIALTY CLINIC 401 - PROVIDENCE NW HEART & LUNG SURG ASSOC 62 W 7TH AVE STE 110 SPOKANE WA 99204 SPECIALTY CLINIC 402 - PROV NW HEART & LUNG SURG ASSOC-ADVANCE HE 62 W 7TH AVE STE 232 SPOKANE WA 99204 SPECIALTY CLINIC 403 - PROV NW HEART & LUNG SURG ASSOC-MULTICARE 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 SPECIALTY CLINIC 404 - PROV NW HEART & LUNG SURG ASSOC-ST LUKES R 711 S COWLEY ST SPOKANE WA 99202 SPECIALTY CLINIC 405 - PROV NW HEART & LUNG SURG ASSOC-SWEDISH CH 500 17TH AVE SEATTLE WA 98122 SPECIALTY CLINIC 406 - PROV NW HEART & LUNG SURG ASSOC-SPOKANE 62 W 7TH AVE STE 110 SPOKANE WA 98024 SPECIALTY CLINIC 407 - PROVIDENCE PHYSICAL THERAPY 1900 COOKS HILL RD CENTRALIA WA 985319073 SPECIALTY CLINIC 408 - PROVIDENCE PHYSICAL THERAPY 4833 TUMWATER VALLEY DR SE TUMWATER WA 985014583 SPECIALTY CLINIC 409 - PROVIDENCE PHYSICAL THERAPY 91 SW CHEHALIS AVE CHEHALIS WA 985321934 SPECIALTY CLINIC 410 - PROV PHYSICAL THERAPY-PHYSICAL & AQUATIC C 1809 COOKS HILL RD CENTRALIA WA 985319072 SPECIALTY CLINIC 411 - PROV REG MED CTR EVERETT-COMPREHENSIVE BRE 900 PACIFIC AVE SUITE 120 EVERETT WA 98201 SPECIALTY CLINIC 412 - PROV REG MED CTR EVERETT-SLEEP MEDICINE 900 PACIFIC AVE FL 2 EVERETT WA 98201 SPECIALTY CLINIC 413 - PROV REG MED CTR EVERETT-SUBSTANCE ABUSE 2722 COLBY AVE STE 200 EVERETT WA 982013527 SPECIALTY CLINIC 414 - PROV ADOLESCENT RESIDENTIAL TREATMENT PRGM 3210 W 62ND AVE ANCHORAGE AK 995022103 SPECIALTY CLINIC 415 - PROVIDENCE ROCHESTER FAMILY MEDICINE 18313 PAULSON ST SW STE A ROCHESTER WA 985799262 PRIMARY CARE 416 - PROV SACRED HEART MED CTR & CHILDREN'S HTA 101 WEST 8TH AVE SPOKANE WA 99204 SPECIALTY CLINIC 417 - PROV SOUNDHOMECARE & HOSPICE-THURSTON HM H 4200 6TH AVE SE STE 201 LACEY WA 985031042 HOME HEALTH 418 - PROV SOUNDHOMECARE & HOSPICE-THURSTON HM H 4200 6TH AVE SE STE 201 LACEY WA 985031042 HOME HEALTH 419 - PROVIDENCE SOUNDHOMECARE & HOSPICE-LEWIS H 1010 S SCHEUBER ROAD CENTRALIA WA 98531 HOME HEALTH 420 - PROVIDENCE SPOKANE HEART INSTITUTE 62 W 7TH AVE STE 300 SPOKANE WA 992042321 SPECIALTY CLINIC 421 - PROVIDENCE SPOKANE HEART INSTITUTE 16528 E DESMET CT STE B3200 SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 422 - PROVIDENCE SPOKANE HEART INSTITUTE 1200 W FAIRVIEW ST COLFAX WA 991119552 SPECIALTY CLINIC 423 - PROVIDENCE SPOKANE HEART INSTITUTE 1200 W FAIRVIEW ST COLFAX WA 991119552 SPECIALTY CLINIC 424 - PROVIDENCE SPOKANE HEART INSTITUTE 143 GARDEN HOMES DR COLVILLE WA 991149229 SPECIALTY CLINIC 425 - PROVIDENCE SPOKANE HEART INSTITUTE 143 GARDEN HOMES DR COLVILLE WA 991149229 SPECIALTY CLINIC 426 - PROVIDENCE SPOKANE HEART INSTITUTE 1600 E JEFFERSON STE 600 SEATTLE WA 98122 SPECIALTY CLINIC 427 - PROVIDENCE SPOKANE HEART INSTITUTE 1600 E JEFFERSON STE 600 SEATTLE WA 98122 SPECIALTY CLINIC 428 - PROVIDENCE SPOKANE HEART INSTITUTE 16528 E DESMET CT STE B3200 SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 429 - PROVIDENCE SPOKANE HEART INSTITUTE 16528 E DESMET CT STE B3200 SPOKANE VALLEY WA 992163522 SPECIALTY CLINIC 430 - PROVIDENCE SPOKANE HEART INSTITUTE 212 E CENTRAL AVE STE 240 SPOKANE WA 992086597 SPECIALTY CLINIC 431 - PROVIDENCE SPOKANE HEART INSTITUTE 212 E CENTRAL AVE STE 240 SPOKANE WA 992086597 SPECIALTY CLINIC 432 - PROVIDENCE SPOKANE HEART INSTITUTE 2979 SQUALICUM PKWY STE 201 BELLINGHAM WA 98225 SPECIALTY CLINIC 433 - PROVIDENCE SPOKANE HEART INSTITUTE 2979 SQUALICUM PKWY STE 201 BELLINGHAM WA 98225 SPECIALTY CLINIC 434 - PROVIDENCE SPOKANE HEART INSTITUTE 314 MARTIN LUTHER KING JR WAY STE 202 TACOMA WA 98405 SPECIALTY CLINIC 435 - PROVIDENCE SPOKANE HEART INSTITUTE 314 MARTIN LUTHER KING JR WAY STE 202 TACOMA WA 98405 SPECIALTY CLINIC 436 - PROVIDENCE SPOKANE HEART INSTITUTE 411 FORTUYN RD GRAND COULEE WA 991338718 SPECIALTY CLINIC 437 - PROVIDENCE SPOKANE HEART INSTITUTE 411 FORTUYN RD GRAND COULEE WA 991338718 SPECIALTY CLINIC 438 - PROVIDENCE SPOKANE HEART INSTITUTE 62 W 7TH AVE STE 232 SPOKANE WA 992042321 SPECIALTY CLINIC 439 - PROVIDENCE SPOKANE HEART INSTITUTE 714 W PINE ST NEWPORT WA 991569046 SPECIALTY CLINIC 440 - PROVIDENCE SPOKANE HEART INSTITUTE 821 E BROADWAY AVE STE 5 MOSES LAKE WA 988375934 SPECIALTY CLINIC 441 - PROVIDENCE SPOKANE HEART INSTITUTE 825 SE BISHOP BLVD STE 140 PULLMAN WA 991635517 SPECIALTY CLINIC 442 - PROVIDENCE SPOKANE HEART INSTITUTE 905 E D ST DEER PARK WA 99006 SPECIALTY CLINIC 443 - PTOV SPOKANE HEART INSTITUTE-CLARKSON 808 PORT DR CLARKSON WA 994036009 SPECIALTY CLINIC 444 - PROVIDENCE HEALTH AND SERVICES WA 500 W BROADWAY ST MISSOULA MT 598024008 SPECIALTY CLINIC 445 - PROVIDENCE SPOKANE HEART INSTITUTE - 500 W BROADWAY ST MISSOULA MT 598024008 SPECIALTY CLINIC 446 - PROVIDENCE ST JOSEPH CARE CTR 17 E 8TH AVE SPOKANE WA 992021201 SPECIALTY CLINIC 447 - PROVIDENCE ST MARY HOME HEALTH 209 W POPLAR ST WALLA WALLA WA 99362 HOME HEALTH 448 - PROV ST MARY MED CTR-HOME HEALTH AGENCY 209 W POPLAR ST WALLA WALLA WA 983622828 HOME HEALTH 449 - PROVIDENCE ST PETER OUTPATIENT PALLIATIVE 3525 ENSIGN RD NE STE F LACEY WA 985065065 SPECIALTY CLINIC 450 - PROVIDENCE ABUSE INTERVENTION CTR 3020 WILLAMETTE DR NE LACEY WA 985166266 SPECIALTY CLINIC 451 - SEXUAL ASSAULT CLINIC-PROV CENTRALIA HTAL 914 S SCHEUBER RD CENTRALIA WA 985319029 SPECIALTY CLINIC 452 - SEXUAL ASSAULT CLINIC-PROV ST PETER HTAL A 413 LILLY RD OLYMPIA WA 98506 SPECIALTY CLINIC 453 - SEXUAL ASSAULT CLINIC-PACIFIC CTY COURTHOU 1216 W ROBERT BUSH DRIVE WEST SOUTH BEND WA 98586 SPECIALTY CLINIC 454 - SEXUAL ASSAULT CLINIC-PACIFIC CTY HHSD ADM 7013 SANDRIDGE ROAD S LONG BEACH WA 985864703 SPECIALTY CLINIC 455 - SEXUAL ASSAULT CLINIC-YOUTH ADVOCACY CTR O 220 WA WAY BLDG A CENTRALIA WA 98531 SPECIALTY CLINIC 456 - PROVIDENCE DIAGNOSTIC IMAGING LACEY 4800 COLLEGE ST SE STE E LACEY WA 985034389 SPECIALTY CLINIC 457 - PROV VISITING NURSES ASSOCIATION HOME HEAL 1000 N ARGONNE RD SPOKANE VALLEY WA 99212 HOME HEALTH 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: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/WASHINGTON 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: PROVIDENCE REGIONAL MEDICAL CENTER COLBY & PACIFICPROVIDENCE ACTIVELY ENGAGES WITH COMMUNITY PARTNERS TO PROMOTE HEALTH AND WELL-BEING FOR THE RESIDENTS OF SPOKANE AND SNOHOMISH COUNTY. BY PARTNERING WITH OTHERS, WE ARE ABLE TO MAXIMIZE RESOURCES TO REACH THE GREATEST NUMBER OF PEOPLE.PROVIDENCE REGIONAL MEDICAL CENTER EVERETT FORMED THE PROVIDENCE INSTITUTE FOR A HEALTHIER COMMUNITY (PIHC) TO WORK TOWARDS A MORE HOLISTIC AND EQUITABLE SYSTEM WHERE LOCAL SERVICES BETTER SUPPORT ALL DIMENSIONS OF WELL-BEING FOR EVERY COMMUNITY MEMBER. THE GOAL IS TO INCREASE AWARENESS AND ACCESS TO RESOURCES AROUND SOCIAL AND ECONOMIC FACTORS LIKE FOOD SECURITY, HOUSING AND JOBS. PIHC SERVES AS A COMMUNITY HUB BRIDGING THE GAP BETWEEN TRADITIONAL MEDICAL CARE AND WHOLE HEALTH, MAKING IT EASIER FOR COMMUNITY MEMBERS TO FIND AND USE RESOURCE THEY NEED TO BE HEALTHY. IN 2022, PIHC COLLABORATED WITH COMMUNITY PARTNERS TO- DISTRIBUTE MORE THAN 22,000 COVID-19 VACCINES TEST KITS TO LOW-INCOME FAMILIES.- ADMINISTER 480 VACCINES IN THE FIRST QUARTER OF 2022- DISTRIBUTE 100 HYGIENE KITS AND 200 MASKS TO A COMMUNITY HEALTH EQUITY PARTNERSHIP- PROVIDE ACCESS TO 2,400 COMMUNITY RESOURCE LISTINGS THAT MAKE IT EASIER FOR RESIDENTS TO FIND RESOURCES THAT SUPPORT HEALTH AND HEALING, WITH A FOCUS ON FOOD ASSISTANCE, SHELTER, TRANSITIONAL HOUSING, AND JOB TRAINING.- PROMOTE AWARENESS OF KEY PRIORITY PUBLIC HEALTH MESSAGES DURING 23 COMMUNITY HEALTH EVENTS FOR DIVERSE COMMUNITIES AND PROMOTING ACCESS TO SOCIAL DETERMINANTS OF HEALTH RESOURCES THROUGH A COMMUNITY HUB.- SURVEY THE COMMUNITY AROUND SIX DIMENSIONS OF HEALTH AND WELL-BEING, INCLUDING SECURITY AND BASIC NEEDS (HOUSING, TRANSPORTATION, FOOD, UTILITIES, JOB AND EDUCAITON, PERSONAL SAFETY, MEDICAL CARE, ETC.) EMPOWERING DIVERSE COMMUNITIES TO USE DATA TO IDENTIFY AND ADDRESS GAPS IN WELL-BEING.SHMC & CHILDREN'S HOSPITAL AND HOLY FAMILY HOSPITALPROVIDENCE ACTIVELY ENGAGES WITH COMMUNITY PARTNERS TO PROMOTE HEALTH AND WELL-BEING FOR THE RESIDENTS OF SPOKANE COUNTY. BY PARTNERING WITH OTHERS, WE ARE ABLE TO MAXIMIZE RESOURCES TO REACH THE GREATEST NUMBER OF PEOPLE.PROVIDENCE ST. MARY MEDICAL CENTERIN 2022, MEMBERS OF THE PROVIDENCE ST. MARY MEDICAL CENTER LEADERSHIP PARTICIPATED IN THE FOLLOWING MEETINGS RELATED TO ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, COALITION BUILDING, AND WORKFORCE DEVELOPMENT: VITAL BOARD, YMCA BOARD, BLUE ZONES STEERING COMMITTEE, YWCA ANNUAL, EASTERN WASHINGTON PARTNERSHIP WORKFORCE DEVELOPMENT COUNCIL, NURSING EDUCATION ADVISORY COMMITTEE, AND CBC/WSU NURSING ADVISORY COMMITTEE. PART III, LINE 4: AS A RESULT OF ADOPTING ASU 2014-09 AS DESCRIBED IN NOTE 1, 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:PROVIDENCE ALASKA MEDICAL CENTER AND ALASKA SPECIALTY HOSPITAL (ST. ELIAS)IN ADDITION TO CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, ALASKA MEDICAL CENTER LEADERSHIP PARTICIPATE IN COMMUNITY BOARDS THAT ENABLE IT TO UNDERSTAND EMERGING COMMUNITY NEEDS. IN ADDITION, THE HEALTH AND WELLBEING MONITOR WILL BE DEPLOYED ANNUALLY IN LOW INCOME COMMUNITIES TO HAVE ANNUAL FEEDBACK LOOP ON COMMUNITY NEEDS IN THEIR MARGINALIZED AND UNDERSERVED COMMUNITIES.PROVIDENCE ST. PETER HOSPITAL & CENTRALIA HOSPITALEVERY THREE YEARS, PROVIDENCE CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS CONDUCTED TO DISCERN THE NEEDS OF THOSE WE SERVE AND TO CREATE PARTNERSHIPS THAT RESPOND EFFECTIVELY. WE HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS THAT SERVE ON PROVIDENCE BOARDS HELP PROVIDE A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.PROVIDENCE REGIONAL MEDICAL CENTER COLBY & PACIFICEVERY THREE YEARS, PROVIDENCE CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS CONDUCTED TO DISCERN THE NEEDS OF THOSE WE SERVE AND TO CREATE PARTNERSHIPS TORESPOND TO THOSE NEEDS. WE HAVE A COMMUNITY MISSION BOARD, A FOUNDATION BOARD, AS WELL AS AN INSTITUTE FOR HEALTHIER COMMUNITIES STRATEGIC OVERSIGHT COMMITTEE. THE CIVIC LEADERS THAT SERVE ON THESE BOARDS HELP PROVIDE A LOCAL PERSPECTIVE ON COMMUNITY NEEDS. ADDITIONALLY, PROVIDENCE CONDUCTS A COUNTY-WIDE AND COMMUNITY SPECIFIC HEALTH AND WELL-BEING SURVEY ANNUALLY TO REASSESS HOW THE MEMBERS OF THE COMMUNITY FEEL ABOUT THE COMMUNITY HEALTH STRENGTHS AND AREAS FOR IMPROVEMENTS.PROVIDENCE ST. MARY MEDICAL CENTER (PSMMC)PSMMC REPRESENTATIVES PARTICIPATE IN BLUE MOUNTAIN REGIONAL COMMUNITY HEALTH PARTNERSHIP (BMRCHP) MEETINGS, REACH OUT WALLA WALLA MEETINGS, WALLA WALLA COUNCIL ON HOUSING MEETINGS, AND HAVE AN EFFECTIVE AND COLLABORATIVE WORKING RELATIONSHIP WITH WALLA WALLA COUNTY DEPARTMENT OF HEALTH. MEMBERS OF LEADERSHIP PARTICIPATED IN THE FOLLOWING MEETINGS: VITAL BOARD, YMCA BOARD, BLUE ZONES STEERING COMMITTEE, YWCA ANNUAL, EASTERN WASHINGTON PARTNERSHIP WORKFORCE DEVELOPMENT COUNCIL, NURSING EDUCATION ADVISORY COMMITTEE, AND CBC/WSU NURSING ADVISORY COMMITTEE.PSMMC REPRESENTATIVES PARTICIPATED IN THE "WALLA WALLA BEHAVIORAL HEALTH SYSTEM ASSESSMENT AND MEETINGS THAT DESCRIBED THE FINDINGS. MEMBERS OF LEADERSHIP PARTICIPATED IN THE FOLLOWING COMMUNITY MEETINGS: VITAL BOARD, YMCA BOARD, BLUE ZONES STEERING COMMITTEE, YWCA ANNUAL, EASTERN WASHINGTON PARTNERSHIP WORKFORCE DEVELOPMENT COUNCIL, NURSING EDUCATION ADVISORY COMMITTEE, AND CBC/WSU NURSING ADVISORY COMMITTEE.KODIAK MEDICAL CENTERIN ADDITION TO CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEAR, KODIAK MEDICAL CENTER LEADERSHIP PARTICIPATE IN COMMUNITY BOARDS THAT ENABLE IT TO UNDERSTAND EMERGING COMMUNITY NEEDS. IN ADDITION, THE HEALTH AND WELLBEING MONITOR WILL BE DEPLOYED ANNUALLY IN LOW INCOME COMMUNITIES TO HAVE ANNUAL FEEDBACK LOOP ON COMMUNITY NEEDS IN THEIR MARGINALIZED AND UNDERSERVED COMMUNITIES.PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND HOLY FAMILYEVERY THREE YEARS, PROVIDENCE CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS CONDUCTED TO DISCERN THE NEEDS OF THOSE WE SERVE AND TO CREATE PARTNERSHIPS THAT RESPOND EFFECTIVELY. WE HAVE COMMUNITY AND FOUNDATION BOARDS.THE CIVIC LEADERS WHO SERVE ON PROVIDENCE BOARDS HELP PROVIDE A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.PROVIDENCE MT. CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH'S HOSPITALWE RECOGNIZE THAT CARING FOR THE POOR AND VULNERABLE IS NOT A TASK WE CAN DO ON OUR OWN. ON A ROUTINE BASIS WE CONDUCT A FORMAL COMMUNITY ASSESSMENT TO DETERMINE WHO IN OUR COMMUNITIES IS EXPERIENCING THE GREATEST NEED. THIS OUTREACH CONNECTS US TO MANY NOT-FOR-PROFITS AND SOCIAL SERVICE AGENCIES AS WELL AS CARE PROVIDERS AND THEIR CLIENTS IN THE COMMUNITIES. TO ENSURE THAT WE CONDUCT A COMPREHENSIVE ASSESSMENT, OUR PROCESS INCLUDES RESEARCH, MEETINGS, INTERVIEWS, FOCUS GROUPS AND SURVEYS.ADDITIONALLY, PROVIDENCE MINISTRIES HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS THAT SERVE ON PROVIDENCE BOARDS CONNECT OUR MISSION WITH A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.ST. LUKE'S REHABILITATION CENTEREVERY THREE YEARS, PROVIDENCE CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS CONDUCTED TO DISCERN THE NEEDS OF THOSE WE SERVE AND TO CREATE PARTNERSHIPS THAT RESPOND EFFECTIVELY. WE HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS WHO SERVE ON PROVIDENCE BOARDS HELP PROVIDE A LOCAL PERSPECTIVE ON COMMUNITY NEEDS. PART VI, LINE 3: COMMUNICATION TO THE PUBLIC:PROVIDENCE HOSPITALS POST 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.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 INFORMATION: PROVIDENCE ST. PETER HOSPITAL AND CENTRALIA HOSPITAL THE COMMUNITY SERVED BY PROVIDENCE ST. PETER AND PROVIDENCE CENTRALIA HOSPITALS, THE SOUTHWEST WASHINGTON SERVICE AREA, CONSISTS OF FIVE COUNTIES WITH A TOTAL POPULATION OF APPROXIMATELY 506,000.WITHIN THIS GEOGRAPHICAL AREA, THURSTON AND LEWIS COUNTIES ARE DESIGNATED AS THE PRIMARY SERVICE AREA FOR THE TWO HOSPITALS, WITH A POPULATION OF APPROXIMATELY 368,367 PEOPLE, AN INCREASE OF 6.3% FROM THE PRIOR ASSESSMENT. THE SECONDARY SERVICE AREA INCLUDES GRAYS ARBOR, MASON, AND PACIFIC COUNTIES.OF THE OVER 368,000 PERMANENT RESIDENTS OF THURSTON AND LEWIS COUNTIES, ROUGHLY 47% LIVE IN THE "HIGH NEED" AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FPL COMPARED TO CENSUS TRACTS ACROSS THE COUNTY. FOR REFERENCE, IN 2020, 200% FPL REPRESENTS AN ANNUAL HOUSEHOLD INCOME OF $52,400 OR LESS FOR A FAMILY OF FOUR. THESE HOUSEHOLDS ARE MORE LIKELY TO REGULARLY MAKE SPENDING TRADEOFFS REGARDING UTILITIES, RENT, GROCERIES, MEDICINE, AND OTHER BASIC EXPENSES.THE HIGH NEED SERVICE AREA CONSISTS OF A DISPROPORTIONATE AMOUNT OF RESIDENTS AGES 18 TO 34, WHILE OLDER ADULTS, AGES 65 TO 84 ARE LESS LIKELY TO LIVE IN THE HIGH NEED SERVICE AREA. LEWIS AND THURSTON COUNTIES HAVE HIGHER PERCENTAGES OF PEOPLE OVER AGE 65 THAN THE STATE. THE MALE-TO-FEMALE DISTRIBUTION IS ROUGHLY EQUAL ACROSS SOUTHWEST WASHINGTON GEOGRAPHIES.IN THE SERVICE AREA, THE MAJORITY POPULATION (80.3%) ARE WHITE. 5.9% OF SERVICE AREA RESIDENTS IDENTIFY AS TWO OR MORE RACES, 5.9% ARE ASIAN/PACIFIC ISLANDER, 3.4% ARE ANOTHER RACE, 2.9% ARE BLACK, AND 1.6% ARE AMERICAN INDIAN. IN THE HOSPITALS' SERVICE AREA, 9.77% OF THE POPULATION IS OF HISPANIC ETHNICITY. WITHIN THE HIGH NEED PORTION OF THE SERVICE AREA, 11.07% OF THE POPULATION IS OF HISPANIC ETHNICITY.INDIVIDUALS WHO IDENTIFY AS HISPANIC OR "OTHER" RACE ARE MORE LIKELY TO LIVE IN HIGH NEEDS CENSUS TRACTS THAN THEIR PEERS OF OTHER RACES. PEOPLE WHO IDENTIFY AS WHITE ARE SLIGHTLY LESS LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS, HIGHLIGHTING INEQUITIES BY RACE.THE HOSPITALS' SERVICE AREA HAS A LOWER ECONOMIC STATUS WHEN COMPARED TO THE STATE. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $66,242. OVER ONE QUARTER (29.4%) OF THE AREA IS CONSIDERED LOW-INCOME, LIVING AT 200% OF LESS OF THE FEDERAL POVERTY LEVEL (FPL). 6.7% OF AREA ADULTS ARE UNEMPLOYED AND 16.1% ACCESS SNAP (FOOD STAMP) BENEFITS. AMONG AREA RENTERS, 25.6% EXPERIENCE A SEVERE HOUSING COST BURDEN, AS THEY SPEND 50% OR MORE OF THEIR INCOME ON RENT.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN THE COMMUNITY INCLUDE MULTICARE CAPITAL MEDICAL CENTER, MASON GENERAL HOSPITAL AND FAMILY CLINICS, GRAYS HARBOR COMMUNITY HOSPITAL, WILLAPA HARBOR HOSPITAL, OCEAN BEACH.PROVIDENCE REGIONAL MEDICAL CENTER COLBY AND REGIONAL MEDICAL CENTER PACIFICTHE COMMUNITY SERVED BY THE HOSPITAL IS DEFINED BASED ON THE PRIMARY GEOGRAPHIC AREA IN WHICH THE MAJORITY OF PRMCE'S INPATIENT POPULATION RESIDES. MORE THAN 75 PERCENT OF PRMCE'S PATIENT POPULATION RESIDES IN SNOHOMISH COUNTY AND FOR THIS REASON, THE PRIMARY COMMUNITY SERVED IS SNOHOMISH COUNTY.SNOHOMISH COUNTY IS LOCATED IN NORTHWEST WASHINGTON STATE WITH BOUNDARIES EXTENDING FROM SKAGIT COUNTY IN THE NORTH, KING COUNTY IN THE SOUTH, THE CASCADE MOUNTAINS IN THEEAST, AND PUGET SOUND IN THE WEST. THE TOTAL POPULATION OF SNOHOMISH COUNTY IS 798,808.AMONG SNOHOMISH COUNTY RESIDENTS, 75% OF RESIDENTS ARE WHITE, 11% ASIAN, AND 3% AFRICAN AMERICAN. OF THE TOTAL POPULATION, 10% ARE HISPANIC, AND 6% REPORT TWO OR MORE RACES. NEARLY 25% OF THE POPULATION IS UNDER THE AGE OF 19. THE MEDIAN HOUSEHOLD INCOME IS $85,276, EXCEEDING THAT OF THE STATE OF WASHINGTON. 6% OF THE POPULATION ARE WITHOUT HEALTH INSURANCE COVERAGE AND 19% OF THE POPULATION IS CONSIDERED LOW-INCOME (BELOW 200% OF THE FEDERAL POVERTY LEVEL).OTHER HOSPITALS IN SERVICE AREAHOSPITALS LOCATED IN SNOHOMISH COUNTY, WASHINGTON, IN ADDITION TO PROVIDENCE, ARE SWEDISH EDMONDS, CASCADE VALLEY HOSPITAL, EVERGREEN HEALTH MONROE, SMOKEY POINT BEHAVIORAL HOSPITAL, AND BHC FAIRFAX HOSPITAL EVERETT.PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL, HOLY FAMILY AND ST. LUKE'S REHABILITATION INSTITUTE.IN 2019, THE POPULATION OF SPOKANE COUNTY WAS 515,251, THE POPULATION HAS INCREASED FROM 492,530 IN 2016. SENIORS MADE UP THE SMALLEST PROPORTION OF SPOKANE COUNTY'S POPULATION BUT SAW AN INCREASE OF 2% FROM 2016. OVER THE LAST DECADE THE PERCENTAGE OF SENIORS HAS INCREASED BY 4% WHILE THE PERCENTAGE UNDER THE AGE OF 18 HAS REMAINED STEADY.ACCORDING TO 2019 DATA, SPOKANE COUNTY IS PREDOMINANTLY WHITE. AMONG COUNTY RESIDENTS, 88.6% WERE WHITE, 4.4% WERE OF TWO OR MORE RACES, 2.6% WERE ASIAN, 2% WERE BLACK, 1.7% WERE AMERICAN INDIAN/ALASKA NATIVE, AND 0.6% WERE NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER. RESIDENTS OF LATINO/A ETHNICITY ACCOUNTED FOR 5.7% OF SPOKANE COUNTY'S POPULATION.DEMOGRAPHIC DATA FOR YOUTH UNDER THE AGE OF 18 SHOWS A SLIGHTLY MORE DIVERSE POPULATION WITH 82.3% WHITE AND 9.7% TWO OR MORE RACES.SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS SPENDING 50% OF MORE OF THEIR INCOME ON HOUSING COSTS.THE RELATIONSHIP BETWEEN HIGHER LEVELS OF ECONOMIC WEALTH AND OPTIMAL HEALTH, AND LOWER LEVELS OF ECONOMIC WEALTH AND POOR HEALTH, ARE WELL DOCUMENTED. INCOME IS THE INDICATOR THAT MOST DIRECTLY MEASURES MATERIAL RESOURCES AND CAN INFLUENCE HEALTH BY ITS DIRECT EFFECT ON LIVING STANDARDS; SPECIFICALLY, ACCESS TO BETTER QUALITY FOOD, HOUSING AND HEALTHCARE SERVICES.- IN 2019, THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY WAS $59,974 COMPARED TO $78,687 FOR WASHINGTON STATE. THE MEDIAN HOUSEHOLD INCOME IN SPOKANE COUNTY HAS INCREASED BY 24% SINCE 2015.- THE UNEMPLOYMENT RATE IN SPOKANE COUNTY WAS 6.3% IN 2019 COMPARED TO 4.6% STATEWIDE.HOUSING IS A BASIC HUMAN NEED. WHEN AN INDIVIDUAL IS WORRIED ABOUT MEETING THIS NEED, THEY CANNOT PURSUE OTHER AREAS OF THEIR LIFE, SUCH AS EDUCATION, WORK, AND FAMILY DEVELOPMENT. FROM A HEALTH PERSPECTIVE, THERE IS A CLEAR LINK BETWEEN HOUSING AVAILABILITY AND QUALITY, AND HEALTH. POOR-QUALITY HOUSING IS ASSOCIATED WITH MULTIPLE NEGATIVE HEALTH OUTCOMES, INCLUDING CHRONIC DISEASE, INJURY, AND POOR MENTAL HEALTH. LOW-INCOME FAMILIES AND RACIAL AND ETHNIC MINORITIES MAY BE MORE LIKELY TO LIVE IN POOR-QUALITY HOUSING AND SUFFER ADVERSE HEALTH OUTCOMES AS A RESULT. THE AVAILABILITY OF AFFORDABLE HOUSING CHOICES FOR SPOKANE COUNTY RESIDENTS IS CURRENTLY LOW. MAKING HOUSING MORE AFFORDABLE AND AVAILABLE TO ALL RESIDENTS HAS BEEN IDENTIFIED AS A TOP PRIORITY IN PREVIOUS SPOKANE COUNTY NEEDS ASSESSMENTS.COVID 19 HAS HAD A SIGNIFICANT IMPACT ON THE WORLD OVER THE PAST YEAR. IN SPOKANE COUNTY, PACIFIC ISLANDER, LATINO/A AND BLACK COMMUNITIES EXPERIENCED SIGNIFICANTLY HIGHER RATES OF CASES, DEATHS AND HOSPITALIZATIONS ASSOCIATED WITH COVID-19 THAN WHITE COMMUNITIES. AS OF AUGUST 25, 2021, SPOKANE COUNTY RECORDED 55,083 CASES AND 727 DEATHS.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN SPOKANE INCLUDE SHRINERS HOSPITALS FOR CHILDREN SPOKANE, MULTICARE DEACONESS HOSPITAL, US DEPT OF VETERANS AFFAIRS- MANN-GRANDSTAFF. PART VI, LINE 5: PROVIDENCE 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 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 HEALTHCARE SYSTEM:PROVIDENCE'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 FORFUTURE 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/FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT PART VI, LINE 7, REPORTS FILED WITH STATES WA,OR,CA,MT,AK,TX PART VI, LINE 4 (CONTINUED): PROVIDENCE ST. MARY MEDICAL CENTERPSMMC SERVICE AREA IS IN WALLA WALLA COUNTY AND SERVES WALLA WALLA, COLUMBIA, AND UMATILLA COUNTIES, WHICH INCLUDES A POPULATION OF APPROXIMATELY 144,442 PEOPLE.POPULATION AND AGEALMOST HALF OF THOSE LIVING IN WALLA WALLA COUNTY ARE AGES 18-54, WITH THE NEXT LARGEST AGE GROUP BEING THOSE 6-18, FOLLOWED BY AGES 65-84. THOSE AGES 6-54 ARE MORE LIKELY TO LIVE IN A HIGH NEED AREA, DEFINED BYLOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FEDERAL POVERTY LEVEL (FPL) COMPARED TO CENSUS TRACTS ACROSS THE COUNTIES. THE MALE-TO-FEMALE RATIO IS PROPORTIONAL WITH SLIGHTLY MORE MALES THAN FEMALES.RACE AND ETHNICITYPER THE U.S. CENSUS, 2019, AMONG WALLA WALLA COUNTY RESIDENTS, 82.5% WERE WHITE, 1.1% AMERICAN INDIAN, 1.5% ASIAN, 2.2% BLACK, 0.3% PACIFIC ISLANDER, 8.9% OTHER RACE, 3.6% TWO OR MORE RACES. AMONG COLUMBIA COUNTY RESIDENTS, 89.5% WERE WHITE, 1.5% AMERICAN INDIAN, 1.3% ASIAN, 0.9% BLACK, 0.3% PACIFIC ISLANDER, 2.5% OTHER RACE, 4.0% TWO OR MORE RACES. AMONG UMATILLA COUNTY RESIDENTS, 76.1% WERE WHITE, 3.6% AMERICAN INDIAN, 1.0% ASIAN, 1.1% BLACK, 0.2% PACIFIC ISLANDER, 14.5% OTHER RACE, 3.6% TWO OR MORE RACES.OF THE OVER 144,442 PERMANENT RESIDENTS OF WALLA WALLA, COLUMBIA, AND UMATILLA COUNTIES ROUGHLY 50% LIVE IN THE "HIGH NEED" AREA, DEFINED BYLOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FEDERAL POVERTY LEVEL (FPL) COMPARED TO CENSUS TRACTS ACROSS THE COUNTIES.INCOME AND HOUSINGTHE 2019 MEDIAN HOUSEHOLD INCOME IN WALLA WALLA COUNTY WAS $57,858 COMPARED TO 2017 RATE OF $54,157. THE MEDIANINCOME IN THE HIGH NEED SERVICE AREA IS LESS THAN HALF OF THE MEDIAN INCOME IN WALLA WALLA COUNTY AND THE BROADER SERVICE AREA. THE PERCENT OF RENTER HOUSEHOLDS WITH SEVERE HOUSING COST BURDEN IS 24.5% IN WALLA WALLA COUNTY, 33.28% IN THE HIGH NEED SERVICE AREA, AND 13.97% IN THE BROADER SERVICE AREA.HEALTH PROFESSIONS SHORTAGE AREATHE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). PSMMC IS IN A PRIMARY CARE, MENTAL, AND DENTAL HEALTH HPSA. LARGE PORTIONS OF THE SERVICE AREA ARE DESIGNATED AS SHORTAGE AREAS. OTHER DESIGNATIONS WITHIN WALLA WALLA, COLUMBIA, AND UMATILLA COUNTIES INCLUDE FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), CORRECTIONAL FACILITIES, AND LOW-INCOME, HOMELESS, AND/OR MIGRANT FARMWORKER POPULATIONS.OTHER HOSPITALS IN SERVICE AREAKADLEC REGIONAL MEDICAL CENTER IN RICHLAND, WA, ALSO SERVES RESIDENTS OF WALLA WALLA WASHINGTON.MEMBERS OF LEADERSHIP PARTICIPATED IN THE FOLLOWING COMMUNITY MEETINGS: VITAL BOARD, YMCA BOARD, BLUE ZONES STEERING COMMITTEE, YWCA ANNUAL, EASTERN WASHINGTON PARTNERSHIP WORKFORCE DEVELOPMENT COUNCIL, NURSING EDUCATION ADVISORY COMMITTEE, AND CBC/WSU NURSING ADVISORY COMMITTEE.PROVIDENCE ALASKA MEDICAL CENTER (PAMC) AND ALASKA SPECIALTY HOSPITAL THE MUNICIPALITY OF ANCHORAGE IS THE LARGEST COMMUNITY IN THE STATE OF ALASKA. IT IS LOCATED IN SOUTHCENTRAL ALASKA ALONG COOK INLET. ANCHORAGE SITS IN A BOWL WITH COOK INLET ON ONE SIDE AND CHUGACH STATE PARK ON THE OTHER. HOME TO NEARLY HALF THE STATE'S RESIDENTS, ANCHORAGE HAS A POPULATION OF ROUGHLY 300,000 AND INCLUDES THE COMMUNITIES OF ANCHORAGE, CHUGIAK, EAGLE RIVER, GIRDWOOD, AND JOINT BASE ELMENDORF-RICHARDSON. IT IS THE HUB OF ALASKA'S INFRASTRUCTURE AND BUSINESS COMMUNITY. ETHNICALLY AND CULTURALLY DIVERSE, THREE OF THE TOP 10 MOST DIVERSE CENSUS TRACTS IN THE UNITED STATES ARE WITHIN ANCHORAGE. PART VI, LINE 4 (CONTINUED): TOTAL ANCHORAGE POPULATION IS 294,356- 27.4% YOUTH (0-19 YEARS)- 37.1% ADULTS (20-44 YEARS)- 25.1% OLDER ADULTS (45-64 YEARS)- 10.5% SENIORS (65 YEARS AND OLDER)RACE AND ETHNICITY- 64.5% WHITE/CAUCASIAN - 9.8% ASIAN- 9.2% WERE HISPANIC OR LATINO- 8.8% WERE ALASKA NATIVE OR AMERICAN INDIAN- 6.0% WERE AFRICAN AMERICAN OR BLACK- 2.6% WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER- 8.2% WERE OF TWO OR MORE RACES.INCOME AND HOUSING- $82,271 MEDIAN HOUSEHOLD INCOME- 4.9% UNEMPLOYMENT- 8.1% TOTAL POPULATION BELOW POVERTY- 12.3% CHILDREN LESS THAN 18 YEARS OLD BELOW POVERTY- 5.5% HOUSEHOLDS WITH PUBLIC ASSISTANCE INCOME- 4.3% HOMELESS STUDENTS SERVED BY ANCHORAGE SCHOOL DISTRICTOTHER HOSPITALS IN SERVICE AREAIN ADDITION TO ALASKA MEDICAL CENTER AND ALASKA SPECIALTY HOSPITAL ST. ELIAS, THE OTHER HOSPITALS IN ANCHORAGE INCLUDE ALASKA NATIVE MEDICAL CENTER, ALASKA REGIONAL HOSPITAL, ALASKA VETERANS ADMINISTRATION (VA) HEALTH CARE SYSTEM, AFMS-JOINT BASE ELMENDORF-RICHARDSON-673D MEDICAL GROUP AND ALASKA AREA NATIVE HEALTH SERVICES.KODIAK IS. MEDICAL CENTERBEING THE ONLY ACUTE CARE HOSPITAL ON KODIAK ISLAND, OUR SERVICE AREA IS THE ENTIRETY OF THE KODIAK ISLAND BOROUGH AND ALL OF ITS COMMUNITIES, ENCOMPASSING THE ENTIRE POPULATION OF KODIAK ISLAND. THE BOROUGH IS SITUATED IN THE GULF OF ALASKA AND COMPRISED OF 16 MAJOR ISLANDS. KODIAK ISLAND TOTALS 3,588 SQUARE MILES AND IS THE SECOND LARGEST ISLAND IN THE UNITED STATES SECOND ONLY TO HAWAII. KODIAK ISLAND, WHICH IS MOST FAMOUS FOR ITS LARGE AND IMPRESSIVE POPULATION OF BROWN BEARS, IS ALSO RICH IN OTHER FORMS OF WILDLIFE, CULTURE, NATURAL RESOURCES AND SCENIC BEAUTY. WITH THE LARGEST FISHING PORT IN THE STATE, THE ISLAND IS THE THIRD LARGEST FISHING PORT IN THE COUNTRY. IN ADDITION, KODIAK ISLAND HOSTS THE LARGEST U.S. COAST GUARD BASE. THUS, COMMERCIAL FISHING AND THE U.S. COAST GUARD ARE THE DOMINANT INDUSTRIES FOLLOWED BY RETAIL TRADE, TRANSPORTATION, UTILITIES AND TOURISM. THE POPULATION OF KODIAK ISLAND IS 13,621 PEOPLE.BEING THE ONLY ACUTE CARE HOSPITAL ON KODIAK ISLAND, THE COMMUNITIES SERVED BY THE HOSPITAL ARE DEFINED AS THE ENTIRE ISLAND OF KODIAK INCLUSIVE OF THE FOLLOWING COMMUNITIES.- PORT LIONS- KARLUK- CITY OF KODIAK- LARSEN BAY- OLD HARBOR- OUSINKIECOMMUNITY DEMOGRAPHICS BASED ON THE US CENSUS, THE TOTAL POPULATION OF THE KODIAK ISLAND BOROUGH IS 13,621 PEOPLE. KEY DEMOGRAPHIC DATA ARE AS FOLLOWS:AGE- 27.9% YOUTH (0-19 YEARS)- 36.3% YOUNG ADULTS (20-44 YEARS)- 24.8% OLDER ADULTS (45-64 YEARS)- 11.1% SENIORS (65 YEARS AND OLDER)GENDER- 45.5% FEMALE- 54.5% MALEPOPULATION BY RACE- 49.6% WHITE- 23.8% ASIAN- 9.6% ALASKA NATIVE/AMERICAN INDIAN- 3.9% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER- 1.3% BLACK OR AFRICAN AMERICAN- 7.9% TWO OR MORE RACES- 1.0% OTHER RACEPOPULATION BY ETHNICITY- 9.1% HISPANICMEDIAN HOUSEHOLD INCOME- $79173PERCENT LIVING IN POVERTY- 7.5%AVERAGE HOUSEHOLD SIZE- 3.08HEALTH PROFESSIONS SHORTAGE AREATHE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). THE MUNICIPALITY OF ANCHORAGE SERVICE AREAS WITHIN IT THAT HAVE BEEN IDENTIFIED AS MENTAL HEALTH, PRIMARY CARE AND DENTAL HEALTH PROFESSIONS SHORTAGE AREAS.MEDICAL UNDERSERVED AREAMEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE DEFINED BY THEFEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MEDICALLY UNDERSERVED AREAS ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND WITH NATIONAL AVERAGES TO DETERMINE AN AREA'S LEVEL OF MEDICAL "UNDER SERVICE."MEDICALLY UNDERSERVED POPULATIONS ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. THE MUNICIPALITY OF ANCHORAGE IS IDENTIFIED AS A MEDICALLY UNDERSERVED AREA.OTHER HOSPITALS IN SERVICE AREAANCHORAGE, AK1) ALASKA REGIONAL HOSPITAL2)ALASKA NATIVE MEDICAL CENTERKODIAK, AKPROVIDENCE KODIAK ISLAND MEDICAL CENTER IS THE ONLY HOSPITAL ON KODIAK ISLANDPROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITALPROVIDENCE MOUNT CARMEL AND PROVIDENCE ST. JOSEPH HOSPITALS ARE SITUATED IN STEVENS COUNTY, IN THE NORTHEAST CORNER OF WASHINGTON STATE. COUNTIES TO THE EAST AND EST OF STEVENS COUNTY (PEND OREILLE AND FERRY COUNTIES, RESPECTIVELY) MAKE UP THE TRI COUNTY AREA WITH STEVENS COUNTY, SHARING SIMILARA DEMOGRAPHICS AND RURAL CHARATERISTICS.IN 2022, THE POPULATION TOTAL OF STEVENS COUNTY IS ESTIMATED TO BE 46,360, AN INCREASE OF 3.6% SINCE THE LAST CHNA WAS COMPLETED IN 2019. 79.2% OF THE POPULATION LIVES IN A RURAL AREA. PERCENTAGE POPULATION BY SEX IS SPLIT EVENLY. COMPARED TO WASHINGTON STATE, THE POPULATION OF STEVENS COUNTY IS MUCH OLDER, WITH 24.8% OF THE POPULATION BEING AGED 65+, COMPARED TO 16.2% FOR THE STATE (COUNTY HEALTH RANKINGS 2022).THE CITY OF COLVILLE IS THE STEVENS COUNTY'S SEAT AND MOST POPULOUS AREA OF STEVENS COUNTY, WITH AN ESTIMATED POPULATION OF 4,786 (US CENSUS BUREAU 2020). CHEWELAH AND KETTLE FALLS ARE THE NEXT MOST POPULOUS TOWNS, WITH POPULATIONS OF 2,645 AND 1,594 PEOPLE, RESPECTIVELY. THE SPOKANE INDIAN RESERVATION LIES ALMOST ENTIRELY WITHIN STEVENS COUNTY'S BOARDERS. THE SPOKANE TRIBE OF INDIANS GOVERNMENT OPERATIONS ARE BASED IN WELLPINIT, WITH AN ESTIMATED ENROLLED MEMBER POPULATON OF 2,900 PEOPLE.STEVENS COUNTY'S POPULATION IS GENERALLY MORE WHITE/NON-HISPANIC THAN WASHINGTON, WITH 89.1% OF STEVENS COUNTY IDENTIFIED AS WHITE, AND 96.3% AS NON-HISPANIC. 5% OF STEVENS COUNTY'S POPULATION IS AMERICAN INDIAN/ALASKA NATIVE, AND ANOTHER 3.8% OF THE COUNTY IDENTIFIES AS TOW OR MORE RACES.AT THE TIME OF THE AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATE IN 2019, STEVENS COUNTY'S MEDIAN INCOME WAS $51,850, ALMOST 30% LOWER THAN THE MEDIAN INCOME FOR WASHINGTON STATE. IN THE HIGHEST NEED SERVICE AREA OF THE COUNTY, MEDIAN INCOME IS $44,218.DESPITE THE OVERALL MUCH LOWER MEDIAN HOUSEHOLD INCOME FOR HOUSEHOLDS IN STEVENS COUNTY, THERE ARE FEWER RENTER HOUSEHOLDS COMPARED TO WASHINGTON STATE THAT EXPERIENCE A SEVERE HOUSING COST BURDEN OF SPENDING 50% OR MORE OF INCOME ON HOUSING COSTS, AT 15.4% OF STEVENS COUNTY HOUSEHOLDS COMPARED TO 21.1% OF WASHINGTON STATE HOUSEHOLDS. PLEASE NOTE THAT THESE DATA REFLECT CIRCUMSTANCES PRIOR TO THE COVID-19 PANDEMIC, WHICH CONTINUES TO HAVE SIGNIFICANT IMPACT ON HOUSING ACROSS THE UNITED STATES.HEALTH PROFESSIONS SHORTAGE AREA STEVENS COUNTYTHE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). THE MAPS BELOW DEPICT THESE SHORTAGE AREAS RELATIVE TO PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL LOCATIONS. CLICK ON THE LINK BELOW FOR FULL SIZED VERSIONS. OVERALL, STEVENS COUNTY HAS SHORTAGES IN EACH OF THESE AREAS WITH BOTH PRIMARY CARE AND MENTAL HEALTH PROVIDERS NEEDED FOR THE GENERAL POPULATION AND THE LOW-INCOME POPULATION AND DENTAL PROVIDERS ARE NEEDED FOR THE LOW-INCOME POPULATION.OTHER HOSPITALS IN SERVICE AREAPROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL ARE THE ONLY HOSPITALS IN STEVENS COUNTY. 1 A CHILDS HOPE SPOKANE 222 W MISSION AVENUE SPOKANE WA 99201 814953438 501(C)(3) 10000 0 OPERATIONAL SUPPORT ACCORDA MUSIC THANATOLOGY INSTITUTE PO BOX 530883 HENDERSON NV 89053 863026785 501(C)(3) 10000 0 DONATION ADVOCATE FOR VICTIMS PO BOX 524 VALDEZ AK 99686 920083034 501(C)(3) 32228 0 OPERATIONAL SUPPORT ALASKA ADOPTION SERVICES PO BOX 77185 EAGLE RIVER AK 99577 841831744 501(C)(3) 15000 0 OPERATIONAL SUPPORT ALASKA BLACK CAUCUS PO BOX 212051 ANCHORAGE AK 99521 920065953 501(C)(3) 10000 0 OPERATIONAL SUPPORT ALASKA COALITION ON HOUSING HOMELESSNESS PO BOX 243041 ANCHORAGE AK 99520 920137326 501(C)(3) 500000 0 COMMUNITY BENEFIT GRANT ALASKA LITERACY PROGRAM 1345 RUDAKOF CIR STE 104 ANCHORAGE AK 99508 237451172 501(C)(3) 95000 0 OPERATIONAL SUPPORT ALASKA NATIVE HERITAGE CENTER 8800 HERITAGE CENTER DR ANCHORAGE AK 99504 920127531 501(C)(3) 60417 0 OPERATIONAL SUPPORT ALLIED RESIDENTIAL CARE INC PO BOX 728 VERADALE WA 99037 862826644 501(C)(3) 373735 0 COMMUNITY BENEFIT RESTRICTED GRANT AMERICAN RED CROSS PO BOX 730040 DALLAS TX 75235 750800605 501(C)(3) 7500 0 COMMUNITY BENEFIT RESTRICTED GRANT ANCHORAGE COALITION TO END HOMELESSNESS PO BOX 243041 ANCHORAGE AK 99524 461156688 501(C)(3) 300000 0 OPERATIONAL SUPPORT ARCORA FOUNDATION LLC 400 FAIRVIEW AVE N SPOKANE WA 98109 910621480 501(C)(3) 50000 0 OPERATIONAL SUPPORT ASIAN COUNSELING AND REF SVC PO BOX 389673 SEATTLE WA 98144 721203394 501(C)(3) 100000 0 DONATIONS AND CONTRIBUTIONS BEANS CAF 1020 E 4TH AVE ANCHORAGE AK 99501 920072522 501(C)(3) 175000 0 OPERATIONAL SUPPORT BLUE MOUNTAIN HEALTH COOPERATIVE 2330 EASTGATE ST STE 105 WALLA WALLA WA 99362 931274760 501(C)(3) 20000 0 COMMUNITY BENEFIT RESTRICTED GRANT BLUE MOUNTAIN HEART TO HEART 5 W ALDER ST STE 333 WALLA WALLA WA 99362 911527239 501(C)(3) 10000 0 COMMUNITY BENEFIT RESTRICTED GRANT BROTHER FRANCIS SHELTER PO BOX 670 KODIAK AK 99615 208594266 501(C)(3) 31417 0 OPERATIONAL SUPPORT CAMPFIRE INLAND NORTHWEST 409 N ARGONNE RD STE B SPOKANE WA 99212 910567727 501(C)(3) 10000 0 OPERATIONAL SUPPORT CATHOLIC CHARITIES EASTERN WASHINGTON PO BOX 2253 SPOKANE WA 99210 942677202 501(C)(3) 410764 0 COMMUNITY BENEFIT GRANT CATHOLIC CHARITIES OF SPOKANE PO BOX 2253 SPOKANE WA 99201 910569880 501(C)(3) 460000 0 COMMUNITY BENEFIT RESTRICTED GRANT CATHOLIC RELIEF SERVICES PO BOX 17526 BALTIMORE MD 21297 135563422 501(C)(3) 120000 0 OPERATIONAL SUPPORT CATHOLIC SOCIAL SERVICES INC 3710 E 20TH AVE ANCHORAGE AK 99508 460418272 501(C)(3) 1485000 0 OPERATIONAL SUPPORT CHRISTIAN HEALTH ASSOCIATES 2401 E 42ND AVE STE 104 ANCHORAGE AK 99503 920152088 501(C)(3) 100000 0 OPERATIONAL SUPPORT COMMUNITY HEALTH ASSOCIATION 611 N IRON BRIDGE WAY SPOKANE WA 99202 571140982 501(C)(3) 62500 0 COMMUNITY BENEFIT GRANT COMPASS HEALTH PO BOX 3810 EVERETT WA 98213 911180810 501(C)(3) 50000 0 SPONSORSHIP CONNECTIONS TO CARE INC PO BOX 3523 VALDEZ AK 99686 853250900 501(C)(3) 7228 0 OPERATIONAL SUPPORT COVENANT HOUSE ALASKA 755 A ST ANCHORAGE AK 99501 133419755 501(C)(3) 250000 0 OPERATIONAL SUPPORT DAYBREAK YOUTH SERVICES 960E 3RD AVENUE SPOKANE WA 99202 911083936 501(C)(3) 50000 0 OPERATIONAL SUPPORT EMERGENCY ASSISTANCE AND FOOD BANK VALDEZ PO BOX 848 VALDEZ AK 99686 341986012 501(C)(3) 67228 0 OPERATIONAL SUPPORT EVERETT COMMUNITY COLLEGE EVERETT COMMUNITY COLLEGE MAIL STOP 12 2000 TOWER ST EVERETT WA 98201 910759103 GOVERNMENT 100000 0 OPERATIONAL SUPPORT EVERETT TRANSITIONAL CARE SERVICES (ETCS) FOUNDATION PO BOX 13700 MILL CREEK WA 98082 943264605 501(C)(3) 1200000 0 COMMUNITY BENEFIT RESTRICTED GRANT FAMILY PROMISE OF SPOKANE 904 E HARTSON AVE SPOKANE WA 99202 911707988 501(C)(3) 75000 0 OPERATIONAL SUPPORT FAMILY SUPPORT CTR OF S SOUND 3545 7TH AVE SW STE 200 OLYMPIA WA 98502 912003828 501(C)(3) 12593 0 COMMUNITY HEALTH IMPROVEMENT SERVICES FRONTIER BEHAVIOR HEALTH 107 S DIV STR SPOKANE WA 99202 910853801 501(C)(3) 75000 0 COMMUNITY BENEFIT GRANT GLOBAL MENTORSHIP INITIATIVE 15600 NE 8TH ST STE B1-800 BELLEVUE WA 98008 841892894 501(C)(3) 25000 0 OPERATIONAL SUPPORT GREATER SPOKANE INC PO BOX 822 SPOKANE WA 99210 910418800 501(C)(6) 10000 0 COMMUNITY BENEFIT RESTRICTED GRANT HOPE STREET 1887 HOME STREET WALLA WALLA WA 99362 833052347 501(C)(3) 5236 0 COMMUNITY BENEFIT RESTRICTED GRANT HOSPICE AND PALLIATIVE CARE OF KODIAK PO BOX 8682 KODIAK AK 99615 452208200 501(C)(3) 31417 0 OPERATIONAL SUPPORT INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 912003593 501(C)(3) 741940 0 OPERATIONAL SUPPORT INTERFAITH HOSPITALITY NETWORK 904 E HARTSON AVE SPOKANE WA 99202 911707988 501(C)(3) 75000 0 OPERATIONAL SUPPORT KODIAK COMMUNITY HEALTH CENTER 1911 E REZANOF DR KODIAK AK 99615 920154822 501(C)(3) 31417 0 OPERATIONAL SUPPORT KODIAK KINDNESS PROJECT PO BOX 8704 KODIAK AK 99615 834102985 501(C)(3) 31417 0 OPERATIONAL SUPPORT KODIAK WOMEN'S RESOURCE AND CRISIS CENTER 418 HILLSIDE DR KODIAK AK 99615 920070130 501(C)(3) 31417 0 OPERATIONAL SUPPORT LEADERSHIP SNOHOMISH COUNTY 8223 BROADWAY AVE EVERETT WA 98203 911215088 501(C)(3) 5400 0 SPONSORSHIP LET EVERY WOMAN KNOW - ALASKA 3851 PIPER ST STE U1185 ANCHORAGE AK 99508 461861913 501(C)(3) 25000 0 OPERATIONAL SUPPORT LIFE SUPPORT PO BOX 264 SOUTH CLE ELUM WA 98943 200413954 501(C)(3) 7500 0 COMMUNITY BENEFIT RESTRICTED GRANT LUMEN CHRISTIAN HIGH SCHOOL 8110 JEWEL LAKED RD ANCHORAGE AK 99505 562289793 501(C)(3) 7000 0 OPERATIONAL SUPPORT MEDIC ONE FOUNDATION 11747 NE 1ST STSUITE 310 BELLEVUE WA 98005 916183158 501(C)(3) 25000 0 COMMUNITY BENEFIT RESTRICTED GRANT MEDICAL TEAMS INTERNATIONAL 14150 SW MILTON ST TIGARD OR 97224 930878944 501(C)(3) 175360 0 COMMUNITY BENEFIT RESTRICTED GRANT MOUNTAIN VIEW LIONS CLUB FOUNDATION INC PO BOX 140167 ANCHORAGE AK 99514 263232853 501(C)(3) 10000 0 OPERATIONAL SUPPORT NEW HUNGER COALITION 986 S MAIN ST STE D COLVILLE WA 99114 463051292 501(C)(3) 70000 0 COMMUNITY BENEFIT GRANT NAMI SPOKANE 10 N POST ST SUITE 638 SPOKANE WA 99201 911153510 501(C)(3) 70000 0 COMMUNITY BENEFIT GRANT NATIONAL CENTER FOR HEALTHCARE LEADERSHIP 17 N STATE ST STE 1530 CHICAGO IL 60602 364483505 501(C)(3) 25000 0 COMMUNITY BENEFIT RESTRICTED GRANT NEW LIFE DEVELOPMENT INC 3916 E 9TH AVE ANCHORAGE AK 99508 203408144 501(C)(3) 50000 0 OPERATIONAL SUPPORT NINE STAR ENTERPRISES INC 730 I ST ANCHORAGE AK 99501 920069154 501(C)(3) 50000 0 OPERATIONAL SUPPORT NORTHWEST JUSTICE PROJECT 401 2ND SPOKANE WA 98104 911687791 501(C)(3) 83900 0 COMMUNITY BENEFIT GRANT OPENSQUARE HOLDINGS PO BOX 8395 PASADENA CA 91109 260902622 501(C)(3) 99881 0 OPERATIONAL SUPPORT PACIFIC NORTHWEST BALLET 301 MERCER ST SEATTLE WA 98109 910897129 501(C)(3) 40000 0 OPERATIONAL SUPPORT PARTNERS HOPE FOUNDATION PO BOX 1262 MISSOULA MT 59806 822087348 501(C)(3) 25000 0 COMMUNITY BENEFIT RESTRICTED GRANT PEER WASHINGTON DBA PEER SPOKANE 425 W 1ST AVENUE SPOKANE WA 99201 911327257 501(C)(3) 15000 0 COMMUNITY BENEFIT GRANT PLYMOUNTH HOUSING 2113 3RD AVE SEATTLE WA 98121 911122621 501(C)(3) 25000 0 COMMUNITY BENEFIT RESTRICTED GRANT PROVIDENCE ALASKA FOUNDATION PO BOX 196604 ANCHORAGE AK 99519 920093565 501(C)(3) 112672 0 SPONSORSHIP PROVIDENCE GENERAL FOUNDATION 916 PACIFIC AVE EVERETT WA 98201 911041617 501(C)(3) 12000 0 OPERATIONAL SUPPORT PROVIDENCE MOUNT SAINT VINCENT FOUNDATION 4831 35TH AVE SW SEATTLE WA 98126 911188119 501(C)(3) 10000 0 OPERATIONAL SUPPORT SAFE CROSSING FOUNDATION 4210 SW OREGON ST STE H SEATTLE WA 98116 752992774 501(C)(3) 10000 0 COMMUNITY BENEFIT RESTRICTED GRANT SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 956100079 501(C)(3) 11250000 0 OPERATIONAL SUPPORT SALVATION ARMY OF SPOKANE 222 E INDIANA AVE SPOKANE WA 99207 941156347 501(C)(3) 50000 0 COMMUNITY BENEFIT GRANT SEATTLE REPERTORY THEATRE PO BOX 900923 SEATTLE WA 98109 910756535 501(C)(3) 15000 0 OPERATIONAL SUPPORT SEED GLOBAL HEALTH 20 ASHBURTON PLACE BOSTON MA 02108 453064098 501(C)(3) 148000 0 OPERATIONAL SUPPORT SENIOR CITIZENS OF KODIAK INC 2014 MILL BAY RD KODIAK AK 99615 237348249 501(C)(3) 31417 0 OPERATIONAL SUPPORT SEVIEW COMMUNITY SERVICES PO BOX 1045 SEWARD AK 99664 920043803 501(C)(3) 64000 0 OPERATIONAL SUPPORT SEWARD AREA HOSPICE PO BOX 1331 SEWARD AK 99664 811372841 501(C)(3) 36000 0 OPERATIONAL SUPPORT SEWARD PROGRAM COALITION PO BOX 482 SEWARD AK 99664 475624328 501(C)(3) 80000 0 OPERATIONAL SUPPORT SISTERS OF ST JOSEPH OF ORANGE 480 S BATAVIA ST ORANGE CA 92868 951643383 501(C)(3) 47069 0 COMMUNITY BENEFIT RESTRICTED GRANT SOUND WELLNESS ALLIANCE NETWORK PO BOX 550 VALDEZ AK 99686 820942210 501(C)(3) 54428 0 OPERATIONAL SUPPORT SPECTRUM 1414 W 14TH AVE SPOKANE WA 99204 084815156 501(C)(3) 58530 0 COMMUNITY BENEFIT GRANT SPOKANE NEIGHBORHOOD ACTION PA 3102 WHILSTALK WAY SPOKANE WA 99224 911311127 501(C)(3) 25000 0 COMMUNITY BENEFIT GRANT SPOKANE PARKS FOUNDATION 222 W MISSION AVE STE 240 SPOKANE WA 99224 916033504 501(C)(3) 250000 0 SPONSORSHIP SPOKANE REGIONAL DOMEST VIOLENCE 421 W RIVERSIDE DRIVE STE 606 SPOKANE WA 99201 844167529 501(C)(3) 50000 0 COMMUNITY BENEFIT GRANT SPOKANE REGIONAL HEALTH DIST 1101 W COLLEGE AVE SPOKANE WA 99202 911527532 501(C)(3) 10000 0 FLAT FEE / CONTRIBUTIONS STAR STANDING TOGETHER AGAIN 1057 W FIREWEED LN STE 230 ANCHORAGE AK 99503 920071466 501(C)(3) 10000 0 OPERATIONAL SUPPORT STEVENS COUNTY AMBULANCE 425 N HWY COLVILLE WA 99114 480998959 501(C)(3) 30000 0 COMMUNITY BENEFIT RESTRICTED GRANT SULTANA NEW VENTURES LLC 161 KLEVIN ST STE 101 ANCHORAGE AK 99508 470966637 501(C)(3) 50000 0 OPERATIONAL SUPPORT TAKE UP THE CAUSE INC 3003 E NORA SPOKANE WA 99207 871338350 501(C)(3) 25000 0 COMMUNITY BENEFIT GRANT THE AK COMMUNITY FOUNDATION 3201 C ST STE110 ANCHORAGE AK 99503 920155067 501(C)(3) 500000 0 SPONSORSHIP THE CITY GATE 170 MADISON ST SPOKANE WA 99201 232179593 501(C)(3) 10000 0 COMMUNITY BENEFIT GRANT THE SALVACION ARMY A CALIFORNIA COMPANY PO BOX 101459 ANCHORAGE AK 99501 941156347 501(C)(3) 37500 0 OPERATIONAL SUPPORT THE WAY TO JUSTICE VIRLA SPENCER BOX 7661 SPOKANE WA 99202 845129426 501(C)(3) 25000 0 OPERATIONAL SUPPORT TRANSITIONS 3128 N HEMLOCKS SPOKANE WA 99205 870669128 501(C)(3) 30000 0 COMMUNITY BENEFIT GRANT VALDEZ SENIOR CITIZENS CTR PO BOX 1635 VALDEZ AK 99686 920082275 501(C)(3) 38886 0 OPERATIONAL SUPPORT VOLUNTEERS OF AMERICA PO BOX 839 SPOKANE WA 99201 910577129 501(C)(3) 150000 0 COMMUNITY BENEFIT RESTRICTED GRANT VOLUNTEERS OF AMERICA ALASKA 2600 CORDOVA ST STE 101 ANCHORAGE AK 99503 131692595 501(C)(3) 125000 0 OPERATIONAL SUPPORT VOLUNTEERS OF AMERICAEASTERN WASHINGTON AND NORTHERN IDAHA 525 WEST 2ND AVENUE SPOKANE WA 99201 237618161 501(C)(3) 50000 0 COMMUNITY BENEFIT GRANT WASHINGTON STATE OPPORTUNITY SCHOLARSHIP 210 S HUDSON ST SEATTLE WA 98134 943089631 501(C)(3) 32500 0 OPERATIONAL SUPPORT WOMENS & CHILDREN FREE RESTAURANT & COMMUNITY KITCHEN 1408 N WASHINGTON SPOKANE WA 99201 911399742 501(C)(3) 25000 0 COMMUNITY BENEFIT GRANT WORLD TELEHEALTH INITIATIVE 7402 HOLLISTER AVE SANTA BARBARA CA 93117 824657634 501(C)(3) 50000 0 COMMUNITY BENEFIT RESTRICTED GRANT YOURCAUSE LLC 6505 W PARK BLVD SUITE 306 PMB 369 PLANO TX 75093 260638742 501(C)(3) 9300 0 INCENTIVES YWCA SPOKANE 930 N MONROE ST SPOKANE WA 99201 910565025 501(C)(3) 50000 0 OPERATIONAL SUPPORT 106 1 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. X X X X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 ERIK WEXLER PRESIDENT STRAT & OPS (SOUTH) 1437860 0 2266630 0 997270 0 382614 0 17538 0 5101912 0 884974 0 DAVID YAM FORMER NEUROSURGEON 0 0 0 0 4500000 0 0 0 0 0 4500000 0 0 0 LISA VANCE PRESIDENT STRAT & OPS (NORTH) 0 1335894 0 1859037 0 383888 0 358390 0 14880 0 3952089 0 325963 AMY COMPTON-PHILLIPS MD FRMR KE - PSJH EVP/CHF CLIN. OFC. 0 706291 0 1616800 0 1479582 0 0 0 8688 0 3811361 0 1007563 DEBRA CANALES FRMR KE - PSJH EVP/CAO 0 1147661 0 1738480 0 449836 0 426885 0 45397 0 3808259 0 396202 GUY HUDSON MD DIVISION CHIEF EXEC - NORTH 1264130 0 1632076 0 286643 0 420385 0 20412 0 3623646 0 284021 0 RHONDA MEDOWS MD FRMR KE - PSJH PRES. EVP/POP. HEALTH 0 1137413 0 1525631 0 337501 0 306676 0 13529 0 3320750 0 279201 GREG HOFFMAN PRESIDENT/CEO & TREASURER 919782 0 1584583 0 115250 0 253823 0 24713 0 2898151 0 89848 0 KEVIN MANEMANN CHIEF EXECUTIVE PSJH SO CA 991006 0 1426372 0 339016 0 4575 0 34948 0 2795917 0 316806 0 WASIF RASHEED CHIEF REV AND GROWTH OFFICER 781461 0 1353839 0 202777 0 356925 0 34165 0 2729167 0 200155 0 GREG TILL CHIEF PEOPLE OFFICER 720488 0 1023117 0 283014 0 369753 0 32753 0 2429125 0 244189 0 JOEL GILBERTSON DIVISION CHIEF EXEC - CENTRAL 858041 0 1026760 0 249550 0 248529 0 15834 0 2398714 0 210446 0 JO ANN ESCASA-HAIGH EVP/ASSISTANT TREASURER 0 841148 0 989404 0 326862 0 27450 0 8365 0 2193229 0 284024 MIKE WATERS EVP AMBULATORY CARE NET - THRU 7/22 396838 0 730722 0 963029 0 0 0 1570 0 2092159 0 580363 0 DONALD ANTONUCCI CEO PROVIDENCE HEALTH PLAN 805488 0 1044679 0 2622 0 216937 0 10647 0 2080373 0 0 0 PRESTON SIMMONS SVP CE AK REGION - THRU 10/22 487924 0 362911 0 1048717 0 1199 0 36162 0 1936913 0 617941 0 DAVID BROWN SVP CAO AMBULATORY CARE - THRU 8/22 260355 0 189441 0 1436213 0 12779 0 27937 0 1926725 0 1124597 0 MIKE BUTLER FRMR PRESIDENT 0 0 0 0 0 1835706 0 7828 0 0 0 1843534 0 0 JOHN WHIPPLE SECRETARY - THRU 5/22 319672 0 277940 0 1146142 0 5571 0 5476 0 1754801 0 855652 0 RICHARD PARKS EXECUTIVE ADVISOR 797346 0 413067 0 239430 0 226359 0 8288 0 1684490 0 204451 0 OREST HOLUBEC FRMR KE - PSJH SVP/CHIEF COMM/EXT AF 0 580861 0 511919 0 234455 0 266259 0 34272 0 1627766 0 193924 TODD CZARTOSKI CHIEF MED. TECH. OFF. TH - THRU 8/22 416119 0 310929 0 812954 0 0 0 11344 0 1551346 0 562832 0 KEVIN BROOKS DIVISION COO - NORTH 691634 0 401749 0 205507 0 191139 0 21719 0 1511748 0 183712 0 SCOTT O'BRIEN DIVISION COO - CENTRAL 605546 0 510039 0 205317 0 180710 0 2266 0 1503878 0 183677 0 BRADEN BATKOFF SVP CLIN PROG SVCS OPS - THRU 5/22 175042 0 270523 0 965396 0 9150 0 5008 0 1425119 0 481546 0 SYLVAIN TREPANIER SVP CHIEF NURSING OFFICER 643130 0 395934 0 118698 0 178372 0 32516 0 1368650 0 113795 0 ALI SANTORE SVP GOVT AFFAIRS & SOCIAL RESP 521009 0 541697 0 72621 0 152019 0 5478 0 1292824 0 71481 0 AARON MARTIN FRMR KE - PSJH EVP CHF MKT/DIG INN. 0 184310 0 563795 0 503847 0 6863 0 22040 0 1280855 0 254278 MARY CRANSTOUN SVP TOTAL REWARDS - TALENT ACQ 495653 0 347000 0 167903 0 156605 0 35201 0 1202362 0 125751 0 ELLA GOSS REGIONAL CHIEF EXEC - AK 507252 0 263620 0 157478 0 162243 0 13889 0 1104482 0 132076 0 SARA VAEZY EVP CHF MKT/DIG INNO OFC (PART YEAR) 519609 0 311854 0 75411 0 189839 0 5769 0 1102482 0 74307 0 MARYBETH FORMBY DIVISION CFO - NORTH 508029 0 306000 0 95324 0 104023 0 24369 0 1037745 0 0 0 HODA ASMAR EVP SYS CHF MEDICAL OFF (PART YEAR) 685660 0 100000 0 25402 0 190846 0 26445 0 1028353 0 0 0 ANNA NEWSOM SECRETARY (PART YEAR) 535718 0 50000 0 215282 0 202914 0 22171 0 1026085 0 0 0 JIM WATSON ESQ ASSISTANT SECRETARY 466229 0 228525 0 142483 0 98225 0 26164 0 961626 0 119387 0 HELEN ANDRUS REGIONAL CFO WA AND MT 425620 0 235000 0 89570 0 89229 0 16549 0 855968 0 62305 0 DARREN REDICK FRMR KE-CHIEF EXEC PRMCE 253579 0 183320 0 316341 0 2163 0 24438 0 779841 0 118563 0 THOMAS ARNOLD GVP REAL ESTATE 699791 0 0 0 42526 0 0 0 30992 0 773309 0 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 219186 0 36718 0 1088 0 13600 0 17583 0 288175 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. 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. 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, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: AMY COMPTON-PHILLIPS, M.D. - $325,280 MIKE WATERS - $312,664 PRESTON SIMMONS - $145,165 DAVID BROWN - $142,637 MIKE BUTLER - $1,835,706 JOHN WHIPPLE - $186,674 TODD CZARTOSKI - $198,995 BRADEN BATKOFF - $389,136 DARREN REDICK - $102,897 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: ERIK WEXLER - $884,974 LISA VANCE - $325,963 AMY COMPTON-PHILLIPS, M.D. - $1,007,563 DEBRA CANALES - $396,202 GUY HUDSON, MD - $284,021 RHONDA MEDOWS, M.D. - $279,201 GREG HOFFMAN - $89,848 KEVIN MANEMANN - $316,806 WASIF RASHEED - $200,155 GREG TILL - $244,189 JOEL GILBERTSON - $210,446 JO ANN ESCASA-HAIGH - $284,024 MIKE WATERS - $580,363 PRESTON SIMMONS - $617,941 DAVID BROWN - $1,124,597 JOHN WHIPPLE - $855,652 RICHARD PARKS - $204,451 OREST HOLUBEC - $193,924 TODD CZARTOSKI -$562,832 KEVIN BROOKS - $183,712 SCOTT O'BRIEN - $183,677 BRADEN BATKOFF - $481,546 SYLVAIN TREPANIER - $113,795 ALI SANTORE - $71,481 AARON MARTIN - $254,278 MARY CRANSTOUN - $125,751 ELLA GOSS - $132,076 SARA VAEZY - $74,307 JIM WATSON, ESQ - $119,387 HELEN ANDRUS - $62,305 DARREN REDICK - $118,563 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. SUBSTANTIAL CONTRIBUTOR SUB. CONTR. MED. SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. TECH. SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. LEGAL SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. CONSTR. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. TECH SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. CONSTR. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. ACCT. SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. MED. SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. LEASE 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. STAFFING SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. CONSULTING 0 FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): MEDICAL RESPITE PROVIDENCE REGIONAL MEDICAL CENTER EVERETT AND EVERETT GOSPEL MISSION COLLABORATED TO GIVE SHORT-TERM MEDICAL RESPITE TO INDIVIDUALS WITHOUT HOMES BEING DISCHARGED FROM THE HOSPITAL EMERGENCY ROOM. PATIENTS WHO RECEIVE RESPITE CARE ARE 50% LESS LIKELY TO BE READMITTED TO A HOSPITAL WITHIN 90 DAYS AFTER DISCHARGE. THE RESPITE PROGRAM AT THE EVERETT GOSPEL MISSION ADDRESSES A CRITICAL GAP FOR OUR COMMUNITIES MOST VULNERABLE. WHEN SOMEONE EXPERIENCING HOMELESSNESS IS DISCHARGED FROM THE HOSPITAL, THEY OFTEN END UP RIGHT BACK ON THE STREET WHICH IS NO PLACE TO HEAL SO ALL TOO OFTEN THEY END UP BACK IN THE EMERGENCY ROOM. THIS SITUATION CREATES A HEAVY EMOTIONAL AND PHYSICAL BURDEN, RECOVERY AND HEALING TIMES ARE EXTENDED. THE MEDICAL RESPITE PROGRAM PROVIDES A SAFE PLACE TO HEAL, REST AND RECUPERATE WITH DIGNITY AND WHOLENESS. DEVELOPING COMMUNITY SOLUTION TO ADDRESSING SOCIAL DETERMINANTS OF HEALTH THE PROVIDENCE INSTITUTE FOR HEALTHIER COMMUNITIES (PIHC) IS A PARTNERSHIP BETWEEN PROVIDENCE, BUSINESS, GOVERNMENT, NON-PROFIT ORGANIZATIONS, AND THE PEOPLE OF SNOHOMISH COUNTY. ONE GOAL IS TO INCREASE AWARENESS AND ACCESS TO RESOURCES AROUND SOCIAL AND ECONOMIC FACTORS LIKE FOOD SECURITY, HOUSING, AND JOBS. PIHC SERVES AS A COMMUNITY HUB MAKING IT EASIER FOR COMMUNITY MEMBERS TO FIND AND USE RESOURCES THEY NEED TO BE HEALTHY. IN 2022, 215 PEOPLE FROM 78 COMMUNITY ORGANIZATIONS ATTENDED THE ANNUAL "PIHC EDGE OF AMAZING CONFERENCE" TO LEARN NEW RESEARCH AND TRENDS, AMPLIFY EFFORTS, AND INCREASE THE POSITIVE IMPACT WE CAN MAKE TOGETHER TO IMPROVE THE MOST PRESSING HEALTH NEEDS OF THE COMMUNITY. ADDITIONALLY, 28,000 PEOPLE WERE REACHED THROUGH COMMUNITY HEALTH EVENTS, PROMOTING AWARENESS OF KEY PRIORITY PUBLIC HEALTH MESSAGES, AND PROMOTING ACCESS TO SOCIAL DETERMINANTS OF HEALTH RESOURCES THROUGH THE WWW.LIVEWELLLOCAL.ORG COMMUNITY RESOURCE HUB. THE HEALTH & WELL-BEING MONITOR COMMUNITY SURVEY TO IDENTIFY GAPS IN WELL-BEING HAD A TOTAL OF 2,277 RESPONDENTS SHARING NEEDS AROUND SUCH AS HOUSING, TRANSPORTATION, FOOD, UTILITIES, EDUCATION, AND PERSONAL SAFETY AMONG OTHERS. IN PARTNERSHIP WITH THE YMCA OF SNOHOMISH COUNTY, PIHC DISTRIBTUED MORE THAN 22,000 COVID TEST KITS TO LOW-INCOME FAMILIES AT SIX YMCA BRANCHES THROUGHOUT SNOHOMISH COUNTY. ADDITONALLY, 200 MASKS, 100 HYGIENE KITS AND 480 VACCINES WERE ADMINISTERED TO BIPOC RESIDENTS THROUGH THE PIHC EQUITY PARTNERSHIP IN THE FIRST QUARTER OF 2022. ACCESS TO SPECIALTY CARE THERE IS A HUGE GAP IN ACCESS TO SPECIALTY CARE IN RURAL COMMUNITIES. SEVERAL CLINICS IN STEVENS COUNTY PROVIDE A RANGE OF SERVICES TO SUPPORT INDIVIDUAL AND COMMUNITY HEALTH. IN 2022, PROVIDENCE ST. JOSEPH HOSPITAL IN CHEWELAH PROVIDED OUTPATIENT PHYSICAL THERAPY WHILE PROVIDENCE MOUNT CARMEL IN COLVILLE PROVIDES OUTPATIENT WOUND CARE AND FAMILY MATERNITY CENTER. PROVIDING LIFE-SAVING MEDICATION AND SUPPLIES. IN 2022, PROVIDENCE PARTNERED WITH STEVEN'S COUNTY SHERIFF'S AMBULANCE BY HIRING FIELD PARAMEDICS WHO PROVIDED AN ADVANCED LEVEL OF CARE THAT WAS NEEDED IN THE COMMUNITY FOR DECADES. STEVENS AND PART OF FERRY COUNTY COMMUNITY COVERS AROUND 2,000 SQUARE MILES AND APPROXIMATELY 15,000 PLUS PEOPLE. THIS PROJECT INCREASED THE OVERALL TRAINING AND SKILLS TO PROVIDERS AND ALL FIRE AND EMS AGENCIES AROUND STEVEN'S COUNTY. THIS HELPED DECREASE RESPONSE TIMES FOR 911 CALLS AND ALLOWED THE DEPARTMENT TO INCREASE INTERFACILITY TRANSPORTS FOR ALS PATIENTS CARE FROM PROVIDENCE MOUNT CARMEL, ST. JOSEPH AND REPUBLIC HOSPITALS. WITH THE IMPLANTATION OF ALS PROVIDERS, THE WAIT TIME FOR AN INTERFACILITY TRANSPORT FOR CARDIAC, STROKE AND TRAUMA PATIENTS FROM THE EMERGENCY ROOM AND ICU HAS BEEN REDUCED FROM 4 TO 6 HOURS FOR ANOTHER AGENCY OUTSIDE OF THE AREA TO RESPOND. HIRING ADDITIONAL PARAMEDICS ALSO HELPED INCREASE THE SAFETY OF THE STAFF AND PATIENTS BY REDUCING BURNOUT WITHIN THE STAFF. A SAFE SPACE FOR YOUNG SURVIVORS IN 2022, PROVIDENCE PARTNERED WITH THE CHILDREN'S ADVOCACY CENTER IN SPOKANE TO PROVIDE A SAFE PLACE FOR CHILD AND TEEN SURVIVORS OR WITNESSES OF CHILD ABUSE, NEGLECT AND OTHER CRIMES. THIS IS THE ONLY AGENCY PROVIDING SPECIALIZED MEDICAL EXAMINATIONS, FORENSIC INTERVIEWS, MENTAL HEALTH SERVICES, CHILD LEGAL ADVOCACY AND HOLISTIC VICTIM SUPPORT SERVICES TO CHILD VICTIMS, ADULTS WITH DEVELOPMENTAL DISABILITIES AND THEIR FAMILIES UNDER ONE ROOF. LAW ENFORCEMENT OFFICERS, HEALTH CARE WORKERS AND OTHERS REFER CHILDREN TO THE CENTER. ONCE THEY ARE IN THE DOOR, TWO ADVANCED REGISTERED NURSE PRACTITIONERS FUNDED BY PROVIDENCE INLAND NORTHWEST WASHINGTON COMMUNITY BENEFIT, TAKE THE KIDS UNDER THEIR CARE. THE CENTER HAS SERVED AN INCREASING NUMBER OF CHILDREN, WITH A 50.5% RISE IN INTERVIEW RATES OVER THE LAST FOUR YEARS. IN 2022 ALONE, THE CENTER SERVED 636 KIDS. THIS IS THE HIGHEST NUMBER THE AGENCY HAS SERVED. FREE AND DISCOUNTED HEALTH CARE - PROVIDENCE COMMUNITY CLINIC SERVES THE MOST VULNERABLE COMMUNITY MEMBERS. PROVIDENCE COMMUNITY CLINIC LOCATED IN DOWNTOWN SPOKANE, WASHINGTON CONTINUED TO SERVE THE MOST VULNERABLE COMMUNITY MEMBERS IN 2022. THE CLINIC EMBODIES THE PROVIDENCE MISSION BY PROVIDING COMPASSIONATE SERVICE TO PEOPLE WITH UNMET HEALTH CARE NEEDS. PEOPLE AT THE CLINIC AND OTHER PROVIDENCE AFFILIATES RECEIVE CHARITY CARE WHICH IS FREE AND DISCOUNTED CARE FOR THOSE IN NEED, AND IT IS A PART OF PROVIDENCE'S COMMUNITY BENEFIT PROGRAM. CLINIC PATIENTS INCLUDE, BUT ARE NOT LIMITED TO, PEOPLE IN LOW SOCIO-ECONOMIC SITUATIONS WO ARE UNINSURED OR UNDER-INSURED OR EXPERIENCING CHRONIC HOMELESSNESS. THIS SMALL BUT MIGHT CLINIC CARE FOR MORE THAN 1,400 PEOPLE A YEAR. TRANSITIONAL RESPITE CARE IN 2022, PROVIDENCE PARTNERED WITH CATHOLIC CHARITIES HOUSE OF CHARITY AND VOLUNTEERS OF AMERICA- HOPE HOUSE (VOA) IN SPOKANE, WASHINGTON TO CREATE A TRANSITIONAL RESPITE CARE PROGRAM. THIS PROGRAM PROVIDES TRANSITIONAL RESPITE TO HELP PEOPLE EXPERIENCING HOMELESSNESS RECOVER FROM ACUTE MEDICAL ISSUES VIA 24/7 SHELTER, MEALS, TRANSPORTATION, AND MEDICAL SERVICES. CATHOLIC CHARITIES HOUSE OF CHARITY IMPLEMENTED AN EFFECTIVE WORKFLOW IN STAGES WITH PROVIDENCE COMMUNITY CLINIC, MEETING THE NEEDS OF THE CLINIC, HOSPITAL SOCIAL WORKERS, AND THE CLIENTS THEMSELVES. 113 INDIVIDUALS WERE SERVED IN 2022 WITH 11 HOUSED, 77 CONNECTED TO HOUSING RESOURCES UPON EXIT, 17 HAD ACCESS TO HARM REDUCTION/SUD SERVICES, CONNECTED 56 TO PRIMARY CARE PHYSICIANS AND 113 OF THE CLIENTS ATTENDED FOLLOW UP CARE WITH EXISTING PRIMARY CARE PHYSICIANS. AT VOLUNTEERS OF AMERICA HOPE HOUSE, PROVIDED RESPITE TO WOMEN WHO WOULD OTHERWISE EXIT HOSPITAL TO THE STREET OR SHELTER. DESIGNATED CASE MANAGEMENT OFFERS EVIDENCE BASED PRACTICES LIKE HARM REDUCTION AND MOTIVATIONAL INTERVIEWING. CASE MANAGEMENT'S MAIN FUNCTION IS TO ASSIST WOMEN IN FINDING HOUSING AFTER THEY EXIT THE PROGRAM. SINCE THE BEGINNING OF THE FUNDING PROVIDED FROM PROVIDENCE, VOA'S RESPITE PROGRAM PROVIDED CARED AND SERVICES TO 33 WOMEN REFERRED BY PROVIDENCE. 82% OF THESE WOMEN WERE CONNECTED TO PRIMARY CARE PROVIDERS, 61% WERE CONNECTED TO A PRIMARY CARE PHYSICIAN AND 54% WERE HOUSED. HEALTH JUSTICE INITIATIVE - A MEDICAL LEGAL PARTNERSHIP WITH A $140,000 GRANT FROM PROVIDENCE SACRED HEART MED, THE HEALTH JUSTICE INITIATIVE-MEDICAL LEGAL PARTNERSHIP ALLOWED NORTHWEST JUSTICE PROJECT (NJP) TO CONTINUE THE HEALTH JUSTICE INITIATIVE (HJI) IN SPOKANE. AS OF 2022, THE INITIATIVE WAS STILL THE FIRST AND ONLY MEDICAL-LEGAL-PARTNERSHIP SERVING EASTERN WASHINGTON. THE GOAL OF THE INITIATIVE IS TO IMPROVE HEALTH OUTCOMES BY ADDRESSING UNDERLYING CIVIL LEGAL NEEDS NEGATIVELY IMPACTING HEALTH RESULTING IN LOWER CARE COSTS AND IMPROVED OUTCOMES. NJP PROVIDED DIRECT LEGAL SERVICES, TRAINED PARTNERS, MADE APPROPRIATE REFERRALS TO PRIVATE ATTORNEYS AND SPECIFIC TEAMS WITHING NJP. THIS FACILITATED SYSTEMATIC CHANGE THAT IMPROVED COMMUNITY HEALTH. THE HEALTH JUSTICE INITIATIVE RECEIVED AND HANDLED 364 REFERRALS IN 2022 (A TEAM OF TWO ATTORNEYS AND ONE LEGAL ASSISTANT). IN ADDITION, HJI OPERATED TWO CLINICS ON THE SPOKANE INDIAN RESERVATION: GENERAL LEGAL NEEDS AT THE TRIBAL COURT AND A TRIBAL WILLS CLINIC FOR ELDER TRIBAL MEMBERS. BOTH CLINICS WERE VERY SUCCESSFUL WITH HIGH TURNOUT AND MEANINGFUL OUTCOMES. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): EMERGENCY DEPARTMENT DIVERSION SERVICES KEY FUNDING WAS PROVIDED TO SPOKANE TREATMENT AND RECOVERY SERVICES (STARS) TO PROVIDE PROVIDENCE WITH A DEDICATED EMERGENCY DEPARTMENT (ED) DIVERSION TEAM MADE UP OF CARE COORDINATORS AND BEHAVIORAL HEALTH TECHNICIANS. THIS TEAM RESPONDED WHEN INDIVIDUALS PRESENTED AT THE ED WITH NON-EMERGENT BIOMEDICAL ISSUES AND SCREENED FOR BEHAVIORAL HEALTH CONCERNS THAT WOULD BE BETTER TREATED AT A LOWER LEVEL OF CARE SPECIFIC TO MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT OR TRIAGE SERVICES. SECURE TRANSPORTATION WAS ALSO PROVIDED. IN 2022, DIVERSION SERVICES WERE PROVIDED SEVEN DAYS A WEEK WITH A TOTAL OF 928 REFERRALS. 54% (501 PEOPLE) WERE DIVERTED TO WITHDRAW MANAGEMENT AND/OR TREATMENT SERVICES. DIVERSION SERVICES ALSO INCLUDED WRAP-AROUND SERVICES WITH SCREENING, EXTENSIVE CASE MANAGEMENT, NAVIGATING BARRIERS, ADVOCACY, AND RESERVED BEDS FOR PATIENTS. PATIENT NAVIGATOR PROGRAM IN 2022 CHAS HEALTH PARTNERED WITH PROVIDENCE TO IMPLEMENT THE PATIENT NAVIGATION PROGRAM. THE GOAL OF THIS PROGRAM WAS TO SUPPORT PATIENTS DISCHARGED FROM SPOKANE'S PROVIDENCE SACRED HEART MEDICAL CENTER (SHMC) OR PROVIDENCE HOLY FAMILY (HF) EMERGENCY DEPARTMENTS, AS WELL AS PATIENTS TRANSITIONING FROM INPATIENT TO OUTPATIENT CARE. THIS HAS BEEN A SUCCESSFUL MODEL THAT HAS REDUCED INAPPROPRIATE ED UTILIZATION AND INCREASED PATIENTS' CONNECTIONS TO PRIMARY CARE. FROM 1/1/2022 TO 8/31/2022, CHAS HEALTH CARE COORDINATORS PROVIDED SERVICES TO 2,513 PATIENTS WHO PRESENTED AT BOTH HOSPITAL EMERGENCY DEPARTMENTS. THIRTY DAYS PRIOR TO THE INTERVENTION, THESE PATIENTS HAD GENERATED 5,407 ED VISITS AND ONLY 959 PRIMARY CARE PROVIDER VISITS. THE PATIENT NAVIGATOR INTERVENTION DEMONSTRATES A 62% REDUCTION IN ED VISITS AND A 51% INCREASE IN PRIMARY CARE PROVIDER VISITS OVER THE FOLLOWING 30 DAYS. FURTHERMORE, OVER A QUARTER, 26.9% OF PATIENTS WHO SUCCESSFULLY ENGAGED IN CHAS PRIMARY CARE AFTER THEIR ED COORDINATOR INTERACTION HAD EITHER NEVER VISITED A CHAS PRIMARY CARE CLINIC OR HAD NOT BEEN SEEN IN THE LAST 18 MONTHS. FOR MORE INFORMATION ABOUT PROVIDENCE WASHINGTON GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/WASHINGTON FOR MORE INFORMATION ABOUT PROVIDENCE ALASKA GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/ALASKA FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH & SERVICES - WASHINGTON. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH & SERVICES - WASHINGTON HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE HEALTH & SERVICES - WASHINGTON'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH & SERVICES - WASHINGTON BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH & SERVICES, 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 DEPARTMENT OF LEGAL AFFAIRS. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. MANAGEMENT PRESENTED THE RETURNS TO THE AUDIT AND COMPLIANCE COMMITTEE, AND DISCUSSED KEY DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. 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 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 169,535,095. MANAGEMENT AND GENERAL EXPENSES 145,097,343. FUNDRAISING EXPENSES 65,397. TOTAL EXPENSES 314,697,835. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 3,053,877. MANAGEMENT AND GENERAL EXPENSES 2,613,674. FUNDRAISING EXPENSES 1,178. TOTAL EXPENSES 5,668,729. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 167,959,943. MANAGEMENT AND GENERAL EXPENSES 143,749,242. FUNDRAISING EXPENSES 64,790. TOTAL EXPENSES 311,773,975. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 86,997,853. MANAGEMENT AND GENERAL EXPENSES 74,457,488. FUNDRAISING EXPENSES 33,559. TOTAL EXPENSES 161,488,900. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 394,115,183. MANAGEMENT AND GENERAL EXPENSES 337,305,181. FUNDRAISING EXPENSES 152,028. TOTAL EXPENSES 731,572,392. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 139,027,424. MANAGEMENT AND GENERAL EXPENSES 118,987,221. FUNDRAISING EXPENSES 53,629. TOTAL EXPENSES 258,068,274. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -540,602,515. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT -28,699,914. CHANGE IN INVESTMENT IN JOINT VENTURE 36,657,577. OTHER CHANGES IN NET ASSETS 12,794,753. NON-OPERATING LOSS ON DISAFFILIATION 3,398,319,881. INVESTMENT IN CORPORATE SUBSIDIARIES 200,365,011. ALASKA HEALTH ALLIANCE WITH PROVIDENCE 3760 PIPER ST ANCHORAGE AK 99508 871348127 HEALTHCARE WA 0 0 PROVIDENCE HEALTH & SERVICES - WASHINGTON COMMUNITY CARE ALLIANCE WITH PROVIDENCE LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 882688182 HEALTHCARE WA 0 0 PROVIDENCE HEALTH & SERVICES - WASHINGTON EXPRESS CARE LLC 800 FIFTH AVE STE 1200 SEATTLE WA 98104 831518217 HEALTHCARE WA 34211956 33087711 PROVIDENCE HEALTH & SERVICES - WASHINGTON HEALTH SERVICES ASSET MANAGEMENT LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 271698016 A/R & COLLECTIONS WA 11561 -3172023 PROVIDENCE HEALTH & SERVICES - WASHINGTON LEGACY LLC PO BOX 196606 ANCHORAGE AK 99519 320252199 REAL ESTATE AK 3035069 39667541 PROVIDENCE HEALTH & SERVICES - WASHINGTON LEGACY 2 LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 923751469 REAL ESTATE AK 0 0 PROVIDENCE HEALTH & SERVICES - WASHINGTON LIND HOLDINGS LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 INVESTMENTS WA 0 0 PROVIDENCE HEALTH & SERVICES - WASHINGTON 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HEALTHCARE WA 501(C)(3) 10 WHC 1 PH&S FOUNDATIONSFVSA & SCVSA 501 SOUTH BUENA VISTA STREET BURBANK CA 915054809 953544877 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE ALASKA FOUNDATION 3760 PIPER STREET SUITE 2021 ANCHORAGE AK 99508 920093565 HEALTHCARE AK 501(C)(3) 7 PHS WA 1 PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION 540 SOUTH MAIN ST MT ANGEL OR 97362 911940286 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE BLANCHET ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911789266 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE CHILDREN'S HEALTH FOUNDATION 4805 NE GLISAN ST STE 2N35 PORTLAND OR 97213 930800140 SUPPORT OR 501(C)(3) 7 PHS OR 1 PROVIDENCE COMMUNITY HEALTH FOUNDATION 940 ROYAL AVE SUITE 410 MEDFORD OR 97504 930692907 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE DETHMAN HOUSE 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 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