2024-11-13T07:16:32-06:00 2023-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2023-01-01 510216586 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROV 4255253985 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 JIM MARTIN CHIEF ACCOUNTING OFFICER 4255253985 2024-11-07 1 1 EVA NITTA P01286320 4158948000 2024-11-04 2023 2024-10-15 13:58:12Z ERIK WEXLER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 10468008997 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. 11 11 45296 3710 4884740 2467915 73772552 76817706 9174559726 9399737050 95153161 134238956 -3278677905 167494952 6064807534 9778288664 22588902 17167349 0 0 5614734233 5865857209 0 0 2757222 4237207293 4239114171 9874530428 10122138729 -3809722894 -343850065 8832233459 8459135189 7052095655 7049765375 1780137804 1409369814 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 6250708456 17167349 9549578918 SEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WAAS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND.THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES.WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORTENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSPROVIDENCE CONTINUES TO EXECUTE ON OUR INTEGRATED STRATEGIC AND FINANCIAL PLAN, WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THE IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES AND REDUCE OUR CARBON FOOTPRINT IN THE COMMUNITIES WE SERVE. PROVIDENCE ADVANCES PROGRESS ON OUR CARBON NEGATIVE GOAL AND IN 2023 WE ESTIMATED THAT WE DECREASED EMISSIONS BY OVER 12 PERCENT COMPARED TO OUR 2019 BASELINE. IN ADDITION, OUR EFFORTS LED TO THE INTRODUCTION OF THE GREEN HOSPITALS ACT, LEGISLATION MODELED AFTER PROVIDENCE THAT WOULD PROVIDE CRITICAL FEDERAL FUNDING TO WEATHERIZE AND MODERNIZE HEALTH CARE FACILITIES. PROVIDENCE COMPLETED A COMPREHENSIVE CLIMATE RESILIENCE PLAN IN ALIGNMENT WITH OUR COMMITMENT TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES CLIMATE PLEDGE. WE CONTINUE TO REDUCE GREENHOUSE GAS EMISSIONS WITH A FOCUS ON LED LIGHTING UPGRADES, WATER CONSERVATION, MORE EFFICIENT DELIVERY OF NITROUS OXIDE GAS DURING ANESTHESIA, AND ADVANCING OUR WASTE OPTIMIZATION WORK ACROSS ALL HOSPITALS AND CLINICS.2023 PROGRAM SERVICE ACCOMPLISHMENTSPROVIDENCE IS THE LARGEST HEALTH CARE PROVIDER IN WASHINGTON WITH HOSPITALS, CLINICS, SENIOR CARE CENTERS, HOSPICE AND HOME HEALTH SERVICES IN COMMUNITIES LARGE AND SMALL ACROSS THE STATE. OUR NOT-FOR-PROFIT NETWORK INCLUDES HOSPITALS, PHYSICIANS, CLINICS, CARE CENTERS, HOSPICE AND HOME HEALTH PROGRAMS AND DIVERSE COMMUNITY SERVICES ACROSS WASHINGTON. PROVIDENCE HAS A LONG HISTORY OF SERVING ALASKA, BEGINNING WHEN THE SISTERS OF PROVIDENCE FIRST BROUGHT HEALTH CARE TO NOME IN 1902 DURING THE GOLD RUSH. THIS PIONEERING SPIRIT SET THE STANDARD FOR MODERN HEALTH CARE IN ALASKA AND FORMED THE FOUNDATION FOR PROVIDENCE'S GROWTH AS THE STATE'S LEADING HEALTH CARE PROVIDER. TODAY, PROVIDENCE SERVES ALASKANS IN SIX COMMUNITIES - ANCHORAGE, EAGLE RIVER, KODIAK ISLAND, MAT-SU, SEWARD, AND VALDEZ. PROVIDENCE ALASKA IS THE STATE'S LARGEST PRIVATE EMPLOYER WITH MORE THAN 4,000 FULL AND PART-TIME EMPLOYEES WORKING FOR THE ORGANIZATION STATEWIDE.IN 2023, 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 2023.BROTHER FRANCIS SHELTER HOMELESS RESPITEPROVIDENCE PILOTED A TWO BED HOMELESS RESPITE PROGRAM AT THE LARGEST HOMELESS SHELTER IN ANCHORAGE, ALASKA 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 ANCHORAGE (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 COST TO OPERATE THE PROGRAM ANNUALLY ($265,000 IN 2023). THE MEDICAL RESPITE PROGRAM HAS BEEN SERVING THE NEEDS OF CRITICALLY ILL INDIVIDUALS SINCE 2015, WHEN PROVIDENCE ALASKA PROVIDED A $500,000 DONATION TO CREATE RECUPERATIVE LIVING QUARTERS FOR PATIENTS EXPERIENCING HOMELESSNESS. 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. IN 2023, THE RESPITE PROGRAM PROVIDED 2,908 BED-NIGHTS (DAYS) TO 135 HOMELESS INDIVIDUALS IN NEED OF A SAFE PLACE TO CONVALESCE FOLLOWING HOSPITAL DISCHARGES FROM THE THREE LOCAL HOSPITALS, PAMC, ARH, AND ANMC.AFFORDABLE HOUSING: GUEST HOUSE:AS PART OF THE ANCHORAGE, ALASKA COMMUNITY MASS CARE EXIT STRATEGY TO ADDRESS THE DEMOBILIZATION OF COVID ERA TEMPORARY EMERGENCY SHELTER, A PUBLIC PRIVATE PARTNERSHIP FORMED TO PURCHASE AND CONVERT A LOCAL HOTEL, THE GUEST HOUSE, TO AFFORDABLE HOUSING UNITS. THE GUEST HOUSE PURCHASE IS PART OF A LARGE, MULTI-TIERED APPROACH TO ADDRESSING HOMELESSNESS AND HOUSING SHORTAGES IN ANCHORAGE. THIS HOUSING FACILITY, FUNDED IN PART BY A $500,000 GIFT FROM PROVIDENCE ALASKA, OFFERS SHELTER TO UP TO 126 INDIVIDUALS EXPERIENCING HOMELESSNESS. THE GUEST HOUSE ALSO PROVIDES ESSENTIAL RESOURCES SUCH AS INTERNET ACCESS FOR JOB SEARCHING, A FOOD PANTRY AND LAUNDRY FACILITIES. THE AIM OF THE GUEST HOUSE IS TO HELP INDIVIDUALS EXPERIENCING HOMELESSNESS RESET THEIR LIVES AND TRANSITION INTO MORE PERMANENT HOUSING.PROMOTING JUSTICE AND WELL-BEING FOR THE MOST VULNERABLEPROVIDENCE'S ABUSE INTERVENTION CENTER IN SOUTH PUGET SOUND, WASHINGTON IS A NATIONAL MODEL FOR HOW TO BEST SERVE CHILDREN WHO HAVE EXPERIENCED SEXUAL ABUSE, PHYSICAL ABUSE, EMOTIONAL NEGLECT, OR MALTREATMENT. CHILDREN ARE REFERRED TO OUR CLINIC BY LAW ENFORCEMENT PERSONNEL; SOCIAL WORKERS FROM THE STATE DEPARTMENT OF CHILDREN, YOUTH AND FAMILIES (DCYF); OR ANY MEDICAL PROFESSIONAL. OUR CLINIC SERVES FIVE COUNTIES AND COLLABORATES WITH INDIAN CHILD WELFARE AND TRIBAL COMMUNITIES.THE CLINIC RECEIVES ABOUT 600 REFERRALS EACH YEAR. APPROXIMATELY 350 OF THOSE CHILDREN RECEIVE IN-PERSON SERVICES ON AN URGENT OR EMERGENT BASIS. CHILDREN MIGHT HAVE A FORENSIC INTERVIEW (REQUESTED BY LAW ENFORCEMENT AND CONDUCTED BY A SPECIALLY TRAINED INTERVIEWER TO OBTAIN THE INFORMATION THAT WILL ASSIST IN THE INVESTIGATION AND PROSECUTION OF A CRIME), A MEDICAL INTERVIEW AND EXAMINATION, AND TRAUMA-BASED COUNSELING. OUR CLINIC HAS THREE SPECIALLY TRAINED FACILITY DOGS ASTRO, DAZE, AND COCO TO ENSURE THE CHILDREN FEEL SAFE AND CALM DURING THEIR VISIT.THE MULTI-DISCIPLINARY TEAM INCLUDES MEDICAL PERSONNEL, SPECIAL VICTIM'S PROSECUTORS, LAW ENFORCEMENT, DCYF, FORENSIC INTERVIEWERS, SOCIAL WORKERS, AND COUNSELORS. THIS MULTIDISCIPLINARY TEAM WORKS TOGETHER TO SUPPORT THE CHILD THROUGH THE ENTIRE PROCESS.THE ABUSE INTERVENTION CENTER ALSO HOUSES THE FORENSIC NURSE EXAMINER PROGRAM. THIS TEAM OF SPECIALLY TRAINED NURSES PROVIDES MEDICAL FORENSIC EXAMS IN THE EMERGENCY DEPARTMENTS AT PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS AND AT MADIGAN ARMY MEDICAL CENTER TO ADULTS AND ADOLESCENTS WHO HAVE EXPERIENCED A RECENT SEXUAL ASSAULT OR STRANGULATION.PROVIDENCE SWEDISH SOUTH PUGET SOUND RESIDENTS AND INTERDISCIPLINARY FACULTY STEADFASTLY SERVE VULNERABLE POPULATIONS, INCLUDING THOSE IN RURAL, MEDICALLY UNDERSERVED AREAS. RESIDENTS CARE FOR MORE THAN 15,000 PATIENTS ANNUALLY, THE VAST MAJORITY OF WHICH ARE UNINSURED OR UNDERINSURED AND MIGHT NOT BE ABLE TO FIND A PROVIDER OTHERWISE. 6250708456 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 2517 0 1 45296 1 1 1 1 CA IN SN TW UK 0 0 0 1 1 0 0 0 0 1 0 X 11 11 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 GUY HUDSON MD DIV. CHIEF EXEC (NORTH) THRU 9/23 63.00 2.00 X 6155606 0 39652 ERIK WEXLER PRESIDENT/CEO 51.00 14.00 X 5154374 0 461693 DEBRA CANALES FRMR KE - PSJH EVP/CAO 0.00 65.00 X 0 5026633 69939 RHONDA MEDOWS MD FRMR KE - PSJH PRES. EVP/POP. HEALTH 0.00 65.00 X 0 4437916 32662 LISA VANCE PRES. STRAT & OPS (NORTH) THRU 6/23 0.50 64.50 X 0 4329919 46816 GREG HOFFMAN EVP & CFO/TREASURER 50.00 15.00 X 3204594 0 334955 JO ANN ESCASA-HAIGH FRMR EVP/ASSISTANT TREASURER 0.00 1.00 X 0 3291797 10754 JOEL GILBERTSON DIVISION CHIEF EXEC - CENTRAL 17.00 48.00 X 2833809 0 333262 WASIF RASHEED CHIEF REV AND GROWTH OFFICER 64.50 0.50 X 2873189 0 260778 GREG TILL CHIEF PEOPLE OFFICER 65.00 0.00 X 2516781 0 520180 KEVIN BROOKS DIVISION CHIEF EXEC - NORTH 32.50 32.50 X 2158442 0 269461 ANNA NEWSOM EVP & CHIEF LEGAL OFFICER/SECRETARY 48.00 17.00 X 1917204 0 412545 ARI ROBICSEK MD CHIEF PROVIDENCE ANALYTICS OFFICER 64.50 0.50 X 2010519 0 224154 KEVIN MANEMANN DIVISIONAL CHIEF EXECUTIVE - SOUTH 51.50 3.50 X 2026390 0 13287 AMY COMPTON-PHILLIPS MD FRMR EVP/CHF CLIN. OFC. 0.00 0.50 X 0 2017976 0 HODA ASMAR EVP SYSTEM CHIEF MEDICAL OFFICER 65.00 0.00 X 1709284 0 290261 OREST HOLUBEC FRMR KE - PSJH SVP/CHF COMM/EXT AFF 0.00 65.00 X 0 1719664 229517 JEREMY ZOCH CHIEF EXECUTIVE SJO 18.00 37.00 X 1873290 0 36993 ALI SANTORE CHIEF ADMIN OFFICER 63.00 2.00 X 1635549 0 204645 TOM MAHOWALD CFO CLINICAL CARE 50.00 0.00 X 1791704 0 35324 RICHARD PARKS EXECUTIVE ADVISOR 50.00 0.00 X 1785594 0 37055 SCOTT O'BRIEN DIVISION COO - CENTRAL 13.00 42.00 X 1573113 0 208371 PK KHURANA CHIEF STRATEGY OFF. - CARE DELIVERY 54.50 0.50 X 1520575 0 237625 SARA VAEZY EVP CHIEF STRATEGY AND DIGITAL OFF. 63.00 2.00 X 1525609 0 198301 MARY CRANSTOUN SVP TOTAL RWRDS-TLNT ACQ-THRU 3/23 54.00 1.00 X 1582012 0 38522 SYLVAIN TREPANIER SVP CHIEF NURSING OFFICER 55.00 0.00 X 1331228 0 220537 ELLA GOSS REGIONAL CHIEF EXEC - AK 54.50 0.50 X 1228445 0 77197 MARYBETH FORMBY DIVISION CFO - NORTH 27.00 28.00 X 1162817 0 128697 JIM WATSON ESQ ASSISTANT SECRETARY 44.50 10.50 X 968691 0 146931 DARIN GOSS CHIEF EXEC SOUTH PUGET SOUND 54.50 0.50 X 897597 0 169895 KRISTY CARRINGTON CE NORTH PUGET SOUND 27.00 28.00 X 882258 0 173333 MIKE WATERS FRMR EVP AMBULATORY CARE NETWORK 0.00 0.00 X 1027295 0 0 MELISSA DAMM DIVISION CFO - CENTRAL 13.00 42.00 X 880981 0 117526 RYAN THOMPSON SVP CHIEF REV CYCLE OFFICER 55.00 0.00 X 849767 0 147700 PRASANNA MOHANTY COO - PCN 53.00 2.00 X 858020 0 94582 JIM MARTIN ASSISTANT TREASURER (PART YEAR) 36.00 19.00 X 828928 0 115635 PRESTON SIMMONS FRMR SVP CHIEF EXEC AK REGION 0.00 0.00 X 887015 0 0 DAVID BROWN FRMR SVP CAO AMBULATORY CARE 0.00 0.00 X 548458 0 0 JOHN WHIPPLE FRMR SECRETARY 0.00 0.00 X 541701 0 0 DARREN REDICK FRMR CHIEF EXEC PRMCE 0.00 0.00 X 469776 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 41.50 13.50 X 292875 0 30846 MARY LYONS PHD DIRECTOR 0.50 13.00 X 100085 0 0 MICHAEL MURPHY BOARD CHAIR 1.00 26.00 X 75066 0 0 CHARLES SORENSON MD DIRECTOR 0.50 13.00 X 50000 0 0 ISIAAH CRAWFORD PHD DIRECTOR 0.50 14.50 X 50000 0 0 RICHARD BLAIR DIRECTOR 0.50 13.00 X 50000 0 0 ERIC SPRUNK DIRECTOR 0.50 13.50 X 40000 0 0 MARY BETH KINGSTON DIRECTOR 0.50 13.00 X 40000 0 0 MARVIN O'QUINN DIRECTOR (PART YEAR) 0.50 12.50 X 0 0 0 SISTER CAROL PACINI LCM DIRECTOR 0.50 13.00 X 0 0 0 SISTER DIANE HEJNA CSJ RN DIRECTOR 0.50 13.00 X 0 0 0 SISTER PHYLLIS HUGHES RSM DRPH DIRECTOR 0.50 13.00 X 0 0 0 59908641 20823905 5969631 12004 1 1 0 AYA HEALTHCARE INC PO BOX 123519 DALLAS TX 753123519 STAFFING SERVICES 135463795 MICROSOFT CORPORATION PO BOX 844510 DALLAS TX 752844510 TECHNOLOGY SERVICES 102278422 HIREUP LEADERSHIP PO BOX 404678 ATLANTA GA 30384 STAFFING SERVICES 86624868 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 TECHNOLOGY SERVICES 46143635 CASS INFORMATION SYSTEMS INC 12444 POWERSCOURT DR STE 550 ST LOUIS MO 63131 TECHNOLOGY SERVICES 43027557 1462 1235002 24085214 41327187 10170303 76817706 NET PATIENT REVENUE 622110 5457604898 5457248652 356246 CORP SVCS-AFFILIATE 900099 3909650948 3909650948 JV INCOME 900099 32481204 32481204 9399737050 72590018 -662164 73252182 80188512 67600610 12587902 12587902 12587902 683350674 620867436 834300 62483238 -834300 61648938 61648938 292511 1235002 417987 -125476 -125476 PHARMACY REVENUE 456110 28361243 25870519 2490724 PHYSICIAN RECRUITING 900099 25965214 25965214 COST RECOVERIES 900099 15652341 15652341 85053728 82353794 2699934 155032526 9778288664 9549222672 4884740 147363546 X 16645711 16645711 521638 521638 52170375 30258818 21895906 15651 3634909138 2108247300 1525571365 1090473 425534263 246809873 178596730 127660 1484324960 860908477 622971186 445297 268918473 155972714 112865083 80676 26660705 15463209 11189498 7998 8777836 5091145 3684058 2633 10661863 10661863 1567155940 908950445 657735348 470147 29525328 17124690 12391780 8858 107521660 62362563 45126841 32256 335811306 194770558 140940005 100743 149062059 86455994 62561346 44719 36239776 21019070 15209834 10872 140559140 81524301 58992671 42168 458185128 265747374 192300298 137456 30609790 17753678 12846929 9183 MEDICAL SUPPLIES 845475645 845475645 LICENSES AND TAXES 66928077 38818285 28089714 20078 HOSPITAL FEE 57436320 57436320 UBI TAXES PAID 657653 657653 367845945 213350648 154384943 110354 10122138729 6250708456 3868673051 2757222 292769465 489521442 385990940 682044691 3187476 29039505 874139471 939571867 24311088 4789829 103650709 89583213 128858513 116055733 7687446419 5322901280 2615717193 2364545139 2500830564 1405718864 640588668 708841186 50082502 30538541 1212106870 1598885179 8832233459 8459135189 1527389243 1603311302 69026261 23541 5455680151 5446430532 7052095655 7049765375 X 1685089123 1300497218 95048681 108872596 1780137804 1409369814 8832233459 8459135189 X -343850065 87221219 -114139144 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 240000 1 560000 0 1 834633 1634633 0 PART II-B, LINE 1: LOBBYING ACTIVITIES, WITH THE EXCEPTION OF ADVOCACY, ARE LIMITED TO DIRECT CONTACT WITH GOVERNMENT OFFICIALS AND MAILINGS TO THE GENERAL PUBLIC AND LEGISLATORS FOR THE PURPOSE OF EXPRESSING OPINIONS ON LEGISLATIVE MATTERS. EXPENSES INCLUDE EMPLOYEE SALARIES, POSTAGE AND INCIDENTAL TRAVELING EXPENDITURES. PART II-B, LINE 1, LOBBYING ACTIVITIES: OUR 2023 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 5424955 134807 65343 99849 33769 5491487 5181112 131093 222589 79377 30462 5424955 4771547 183436 339178 72214 40835 5181112 4409252 115730 343663 64109 32989 4771547 4273843 111328 135488 81956 29451 4409252 0.00000 0.00470 0.99530 0 0 346044562 346044562 2331759954 1440459230 891300724 315170142 243185503 71984639 4349100736 3639256547 709844189 345371025 345371025 2364545139 BENEFICIAL INTEREST IN FOUNDATION 165439985 C HEALTHCARE JOINT VENTURES 543401201 C 708841186 LONG TERM ASSET EXEC 457B 436930903 LIMITED USE INVESTMENTS 264576294 INVESTMENT IN CORP SUBSIDIARIES 247505704 RIGHT OF USE OPERATING LEASES 237115607 DUE FROM AFFILIATES 179261408 OTHER ASSETS 148466922 DUE FROM THIRD-PARTY 62537015 HOSPITAL FEE RECEIVABLE 22491326 1598885179 LONG-TERM MASTER TRUST DEBT 1864527589 ACCRUED RETIREMENT COMPENSATION 1319748635 DUE TO AFFILIATES 866792807 OTHER LIABILITIES 584361753 I/C - TAX-EXEMPT BOND LIABILITIES 407324699 DUE TO THIRD-PARTY 202667872 CAPITAL LEASE OBLIGATIONS 201007177 5446430532 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 150000 SUB-SAHARAN AFRICA 0 12 GRANTMAKING 344638 NORTH AMERICA 0 0 GRANTMAKING 27000 SOUTH ASIA 0 0 INVESTMENTS 64119225 NORTH AMERICA 0 0 INVESTMENTS 9934519 EUROPE 0 0 INVESTMENTS 19498384 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICE FOREIGN TRAVEL 21270 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICE FOREIGN TRAVEL 135269 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 17112 NORTH AMERICA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 36462 SOUTH AMERICA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 28360 SOUTH ASIA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 1432627 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICE FOREIGN TRAVEL 29066 0 12 0 0 0 12 94230305 1543627 95773932 CENTRAL AMERICA AND THE CARIBBEAN MEDICAL MISSION TRIPS 150000 CHECK 0 SUB-SAHARAN AFRICA MEDICAL MISSION TRIPS 344638 CHECK 0 NORTH AMERICA MEDICAL MISSION TRIPS 27000 CHECK 0 3 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 I, LINE 3, COLUMN (F) THE AMOUNTS REPORTED IN COLUMN F WERE REPORTED USING THE ACCRUAL METHOD OF ACCOUNTING. GALA 1309689 1090674 219015 133759 36596 47120 LUNCHEON 119507 91182 28325 44586 36596 11539 3 98317 53146 45171 38402 36596 32793 1527513 1235002 292511 216747 109788 91452 417987 -125476 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 65095830 65095830 0.00640 1230074788 866800015 363274773 0.03590 578681 260185 318496 0.00000 1295749299 867060200 428689099 0.04230 15190500 2444511 12745989 0.00130 87393891 18027762 69366129 0.00690 87712776 51085847 36626929 0.00360 53683 53683 0.00000 8309761 8309761 0.00080 198660611 71558120 127102491 0.01260 1494409910 938618320 555791590 0.05490 361 361 0.00000 238558 238558 0.00000 1064 1064 0.00000 239983 239983 0.00000 0 1892788084 2436316034 -543527950 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 PROV ST LUKE'S REHAB MED CTR 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 0 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X 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 PART V, SECTION C X 1 23 1 SEE PART V, SECTION C 0 1 X 300.000000000000 350.000000000000 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 - WASHINGTON (GROUP A - 3 & 7) 0 0 1 X X X X X X X X X 23 1 1 0 1 X SEE PART V, SECTION C X 1 23 1 SEE PART V, SECTION C 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 PHS - WASHINGTON (GROUP B - 4 & 5) 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE PART V, SECTION C X 1 23 1 SEE PART V, SECTION C 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 PHS - WASHINGTON (GROUP C - 2 6 & 13) 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X 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 PHS - WASHINGTON (GROUP D - 1 & 12) 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 300.000000000000 350.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE X HTTPS://WWW.PROVIDENCE.ORG/OBP/AK/FINANCIAL-ASSISTANCE X HTTPS://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 - WASHINGTON (GROUP E - 9 & 10) 0 0 1 X X X X X X X X X 22 1 1 0 1 X SEE PART V, SECTION C X 1 23 1 SEE PART V, SECTION C 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 ST. 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. 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 BETER 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 THE PSMMC 2021 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, THE 2022-2024 PSMMC CHIP PRIORITIZED THE FOLLOWING AREAS: BEHAVIORAL HEALTH CHALLENGES AND ACCESS TO CARE, ACCESS TO HEALTH CARE SERVICES, HOMELESSNESS / LACK OF SAFE, AFFORDABLE HOUSING. REGARDING 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. REGARDING 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). REGARDING 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.IN 2023, DATA WAS NOT AVAILABLE FOR QUARTERS THREE AND FOUR SO IT WAS NOT POSSIBLE TO DETERMINE IMPACT. THE COMMUNITY PARAMEDICA PROGRAM REPORTED 430 MOBILE INTEGRATED HEALTH ENCOUNTERS FOR THE FIRST THREE QUARTERS OF 2023 WITH 101 OF THOSE CONSIDERED AVOIDABLE EMERGENCY DEPARTMENT VISITS. TO INTEGRATE BEHAVIORAL HEALTH IN PRIMARY CARE, A BEHAVIORAL HEALTH SPECIALIST AND A MENTAL HEALTH NURSE PRACTITIONER WERE HIRED AND STARTED IN 2023. PROMOTORES DE SALUD CONDUCTED HEALTH WORKSHOPS IN SPANISH FOR PEOPLE WHOSE PRIMARY LANGUAGE IS SPANISH. THEY PARTICIPATED IN RESOURCE FAIRS, AND DID DIRECT NAVIGATION, AND CASE MANAGEMENT.STRATEGIES TO INCREASE ACCESS TO HEALTH CARE SERVICES INCLUDED UTILIZING COMMUNITY HEALTH WORKERS AND PROMOTORES DE SALUD TO OUTREACH TO PEOPLE WITH LOW INCOMES, UNDERSERVED AND UNDER-RESOURCED COMMUNITIES. THERE WERE 1,283 EPIC TOUCHES AND 2,251 EVENT TOUCHES IN 2023. WHILE THE ORIGINAL SOUTHEAST WASHINGTON (SEWA) FALLS PREVENTION COMMUNITY PARTNERSHIP PROGRAM DID NOT START, WORK BEGAN ON A PHARMACY RESIDENCY PROJECT PARTNERSHIP WITH THE FIRE DEPARTMENT AND COMMUNITY PARAMEDICS; THE WORKFLOW AND PROTOCOL WERE APPROVED IN 2023, AND THE PROJECT WILL BE CONDUCTED IN 2024. THE WORK OF THE HEALTH EQUITY NURSE SERVING EARLY HEAD START FAMILIES RESULTED IN AN INCREASE IN THE PERCENTAGE OF CHILDREN IN THE PROGRAM WHO WERE ESTABLISHED WITH A PROVIDER, RECEIVING WELL-CHILD CHECKS AND IMMUNIZATIONS. THE GOAL OF 70% WAS EXCEEDED EACH QUARTER (AVERAGE 85%) OF CHILDREN COVERED BY MEDICAID WERE UP TO DATE ON WELL-CHILD CHECKS AND IMMUNIZATIONS. STRATEGIES TO ADDRESS HOMELESSNESS AND LACK OF SAFE, AFFORDABLE HOUSING INCLUDED 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. COMMUNITY BENEFIT FUNDING ($15,000) WAS AWARDED TO CATHOLIC CHARITIES FOR BEHAVIORAL HEALTH CARE FOR UNDERSERVED INDIVIDUALS AND TO BLUE MOUNTAIN HEALTH COOPERATIVE (5,000) FOR THEIR MENTAL HEALTH EMERGENCY DEPARTMENT DIVERSION PROGRAM. TO ADDRESS HOMELESSNESS AND LACK OF SAFE, AFFORDABLE HOUSING, COMMUNITY BENEFIT FUNDING WAS AWARDED TO HOPE STREET ($5,000), COMMON ROOTS HOUSING TRUST ($3,736), THE STAR PROJECT ($7,500), AND THE YWCA. PSMMC'S MISSION & COMMUNITY HEALTH COMMITTEE APPROVED $10,000 FOR THE BUILT FOR ZERO ENTRY FEE. PSMMC REPRESENTATIVES PARTICIPATED IN COUNCIL ON HOUSING MEETINGS THROUGHOUT 2023. ONGOING COMMUNICATION WITH THE WALLA WALLA COUNTY DEPARTMENT OF HEALTH ON HOUSING AND HOMELESSNESS EFFORTS OCCURRED THROUGHOUT THE YEAR. THE FIRST MEETING OF COMMUNITY PARTNERS TO DISCUSS THE NEED FOR A MEDICAL RESPITE PROGRAM WAS HELD IN NOVEMBER AND LED BY PSMMC.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: THE 2022 KODIAK CHNA IDENTIFIED #1: BEHAVIORAL HEALTH (INCLUDES BOTH MENTAL HEALTH AND SUBSTANCE USE/MISUSE), #2: ECONOMIC SECURITY/BASIC NEEDS, #3: HEALTHY BEHAVIORS/PHYSICAL HEALTH. #4: ACCESS TO HEALTHCARE AS THE FOUR TOP AREAS OF COMMUNITY NEED. PROVIDENCE WORKED TO ADDRESS SIGNIFICANT COMMUNITY NEED BOTH INTERNALLY AND THROUGH COLLABORATION AND COMMUNITY PARTNERSHIP FUNDING. BELOW ARE SOME ACCOMPLISHMENTS IN 2023:BEHAVIORAL HEALTHIN 2023 PROVIDENCE PROVIDED COMMUNITY PARTNERSHIP GRANT FUNDING TO KODIAK WOMEN'S RESOURCE AND CRISIS CENTER TO SUPPORT DIRECT ADVOCACY SERVICES AND EMERGENCY SHELTER TO VICTIMS AND THEIR FAMILIES FLEEING FROM DOMESTIC VIOLENCE AND/OR SEXUAL ASSAULT, HOSPICE AND PALLIATIVE CARE OF KODIAK TO EXPAND PALLIATIVE CARE AND BEREAVEMENT SERVICES AND TO KODIAK COMMUNITY HEALTH CENTER TO ENGAGE IN A COLLABORATION WITH THE ALASKA MENTAL HEALTH TRUST TO ASSESS THE DEMAND/NEED FOR BEHAVIORAL HEALTH SERVICES IN KODIAK. PROVIDENCE ESTABLISHED 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).ECONOMIC SECURITY / BASIC NEEDS:PROVIDENCE PARTNERED 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 AND FINALIZED CONSTRUCTION OF A 16 UNIT APARTMENT BUILDING TO SERVE AS WORKFORCE HOUSING FOR DOCTORS, NURSES, AND OTHER HIGH NEED PROVIDERS TO HELP IN RECRUITMENT AND ADDRESS WORKFORCE SHORTAGES THAT ARE EXACERBATED BY THE HOUSING SHORTAGES IN KODIAK. HEALTHY BEHAVIORS / PHYSICAL HEALTH:GIVEN 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 DID NOT ESTABLISH STRATEGIES TO ADDRESS THIS NEED IN FAVOR OF DIRECTING FINITE RESOURCES TO THE OTHER NEEDS AREAS.ACCESS TO HEALTHCARE:PROVIDENCE FINALIZED CONSTRUCTION OF A 16 UNIT (1 AND 2 BEDROOM) APARTMENT BUILDING TO SERVE AS WORKFORCE HOUSING FOR DOCTORS, NURSES, AND OTHER HIGH NEED PROVIDERS TO HELP IN RECRUITMENT AND ADDRESS WORKFORCE SHORTAGES THAT ARE EXACERBATED BY HOUSING SHORTAGES AND NEGATIVELY IMPACTING HEALTHCARE ACCESS IN KODIAK.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 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. 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 7A: PROVIDENCE ST. MARY MEDICAL CENTER (8)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: WALLA WALLA PART V, SECTION B, LINE 7A: PROVIDENCE KODIAK IS. MED. CTR. (11)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER ALASKA: KODIAK PART V, SECTION B, LINE 7A: PHS - WASHINGTON (GROUP A - 3 & 7)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: OLYMPIA AND CENTRALIA PART V, SECTION B, LINE 7A: PHS - WASHINGTON (GROUP B - 4 & 5)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: EVERETT PART V, SECTION B, LINE 7A: PHS - WASHINGTON (GROUP C - 2 & 6)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: SPOKANE PART V, SECTION B, LINE 7A: PHS - WASHINGTON (GROUP D - 1 & 12)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER ALASKA: ANCHORAGE PART V, SECTION B, LINE 7A: PHS - WASHINGTON (GROUP E - 9 & 10)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: CHEWELAH AND COLVILLE PART V, SECTION B, LINE 9: PHS - WASHINGTON (GROUP A - 3 & 7)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 25, 2024, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1). PART V, SECTION B, LINE 10A: PROVIDENCE ST. MARY MEDICAL CENTER (8)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: WALLA WALLA PART V, SECTION B, LINE 10A: PROVIDENCE KODIAK IS. MED. CTR. (11)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER ALASKA: KODIAK PART V, SECTION B, LINE 10A: PHS - WASHINGTON (GROUP A - 3 & 7)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: OLYMPIA AND CENTRALIA PART V, SECTION B, LINE 10A: PHS - WASHINGTON (GROUP B - 4 & 5)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: EVERETT PART V, SECTION B, LINE 10A: PHS - WASHINGTON (GROUP C - 2 & 6)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: SPOKANE PART V, SECTION B, LINE 10A: PHS - WASHINGTON (GROUP D - 1 & 12)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER ALASKA: ANCHORAGE PART V, SECTION B, LINE 10A: PHS - WASHINGTON (GROUP E - 9 & 10)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: CHEWELAH AND COLVILLE 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: TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, REPRESENTATIVES FROM PROVIDENCE CENTRALIA AND ST. PETER HOSPITALS, IN PARTNERSHIP WITH THE THURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICES DEPARTMENT, CONDUCTED 39 KEY INFORMANT INTERVIEWS WITH 45 INDIVIDUALS REPRESENTING 41 COMMUNITY-BASED ORGANIZATIONS, BETWEEN SEPTEMBER 2022 AND AUGUST 2023. DURING THESE INTERVIEWS, COMMUNITY MEMBERS AND NONPROFIT AND GOVERNMENT KEY INFORMANTS DISCUSSED THE ISSUES AND OPPORTUNITIES OF THE PEOPLE, NEIGHBORHOODS, AND CITIES OF THE SERVICE AREA. FOR DETAILED LIST OF STAKEHOLDERS GO TO PGS. 76-79 OF CHNA REPORT LOCATED AT:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER WASHINGTON: OLYMPIA AND CENTRALIA PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 6A: PROVIDENCE ST. PETER HOSPITAL AND PROVIDENCE CENTRALIA HOSPITAL. PHS - WASHINGTON (GROUP A - 3 & 7) PART V, SECTION B, LINE 11: AS A RESULT OF THE FINDINGS OF OUR 2023 CHNA AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES, AND HOSPITAL STRATEGIC PLAN, PROVIDENCE SWEDISH SOUTH PUGET SOUND WILL FOCUS ON THE FOLLOWING AREAS FOR ITS COMMUNITY BENEFIT EFFORTS:PRIORITY 1: BEHAVIORAL HEALTHBEHAVIORAL HEALTH, ENCOMPASSING BOTH MENTAL HEALTH AND SUBSTANCE USE/MISUSE IS THE MOST PRESSING NEED IN OUR COMMUNITIES. ACCESS TO BEHAVIORAL HEALTH CARE, MENTAL HEALTH AND SUICIDE PREVENTION, AND SUBSTANCE USE/MISUSE AND OVERDOSE PREVENTION WERE ALL IDENTIFIED AS AREAS OF CONCERN. MANY RESIDENTS HAVE EXPERIENCED SIGNIFICANT STRESS AND ISOLATION FROM THE COVID-19 PANDEMIC, RESULTING IN MORE SUICIDAL IDEATION AND UNADDRESSED MENTAL HEALTH CHALLENGES. OF PARTICULAR CONCERN IS AN INCREASE IN FENTANYL USE AND RESULTING OVERDOSES, AS WELL AS THE BROADER COMMUNITY IMPACTS OF OVERDOSE AND OVERDOSE DEATHS.ACCESS TO BEHAVIORAL HEALTH CARE ESPECIALLY DIFFICULT DUE TO A LACK OF SYSTEM CAPACITY AND PROVIDERS TO MEET THE DEMAND, LEADING TO LONG WAIT TIMES FOR BOTH MENTAL HEALTH AND SUBSTANCE USE/MISUSE TREATMENT SERVICES. SERVICES NEEDED TO IMPROVE ACCESS TO BEHAVIORAL HEALTH CARE INCLUDE RESIDENTIAL OR INPATIENT SUBSTANCE USE DISORDER (SUD) TREATMENT SERVICES; DETOX CENTERS; CRISIS RESPONSE AND STABILIZATION BEYOND THE EMERGENCY DEPARTMENT (ED); COMMUNITY-BASED MENTAL HEALTH CARE THAT IS A STEP-DOWN FROM HOSPITALIZATION; AND FOLLOW-UP CARE FOR PEOPLE AFTER BEING DISCHARGED FROM INPATIENT CARE FOR A MENTAL HEALTH CONDITION, INCLUDING MEDICATION MANAGEMENT. SPECIFIC POPULATIONS MAY EXPERIENCE UNIQUE OR ADDITIONAL BARRIERS TO ACCESSING SERVICES INCLUDING YOUNG PEOPLE, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE IDENTIFYING AS LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUEER, QUESTIONING, INTERSEX, ASEXUAL, OR OTHER IDENTITIES NOT ENCOMPASSED (LGBTQIA+), BLACK, BROWN, INDIGENOUS, AND PEOPLE OF COLOR (BBIPOC) COMMUNITIES, PEOPLE LIVING IN MORE RURAL AREAS, AND MILITARY FAMILIES.PRIORITY 2: BASIC NEEDS / ECONOMIC SECURITYECONOMIC SECURITY IS IMPORTANT FOR PEOPLE'S HEALTH AND WELL-BEING. LOW WAGES, HIGH UNEMPLOYMENT, AND A HIGH COST OF LIVING CONTRIBUTE TO ECONOMIC INSECURITY FOR MANY FAMILIES. THERE ARE INEQUITIES IN HOW RESOURCES AND EDUCATIONAL OPPORTUNITIES ARE DISTRIBUTED IN THE COMMUNITY. PEOPLE WITH LOW INCOMES MAY BE UNABLE TO AFFORD THEIR BASIC NEEDS, SUCH AS FOOD, HEALTH CARE, CAR SEATS, BABY FORMULA, ETC., PARTICULARLY WITH THE RISING COST OF LIVING. ONE EVENT OR ACCIDENT COULD BE FINANCIALLY CATASTROPHIC FOR A FAMILY. INDIVIDUALS AND FAMILIES WITH INCOMES SLIGHTLY ABOVE THE THRESHOLD FOR QUALIFYING FOR PUBLIC BENEFITS, BUT WITHOUT ENOUGH MONEY TO AFFORD THOSE BASIC NEEDS WITHOUT ASSISTANCE, ARE ESPECIALLY VULNERABLE. THIS IS CALLED THE "BENEFITS CLIFF" WHICH MEANS PUBLIC BENEFITS DROP OFF SHARPLY WITH A SMALL INCREASE IN INCOME. THERE ARE LIMITED EMPLOYMENT OPPORTUNITIES A LIVING FOR PEOPLE TO MAKE A LIVING WAGE WITHOUT HIGHER EDUCATION. INVESTING IN LOW-BARRIER EDUCATIONAL AND EMPLOYMENT OPPORTUNITIES AND IN JOB SKILLS AND TECHNICAL TRAINING COULD HELP PEOPLE INCREASE THEIR ECONOMIC SECURITY. ECONOMIC INSECURITY MAY DISPROPORTIONATELY AFFECT PEOPLE LIVING IN RURAL AREAS, AS WELL AS BBIPOC COMMUNITY MEMBERS, PEOPLE WITH BEHAVIORAL HEALTH CONDITIONS, OLDER ADULTS, AND WOMEN.ACCESS TO NUTRITIOUS, AFFORDABLE FOOD, AS WELL AS FOOD RESOURCES IS A MAJOR ISSUE FOR MANY FAMILIES AND INDIVIDUALS, ESPECIALLY IN RURAL AREAS. A LACK OF HEALTHY AND NUTRITIOUS FOOD CONTRIBUTES TO LONG-TERM HEALTH CHALLENGES, LIKE OBESITY AND DIABETES. THE NEED HAS RECENTLY INCREASED WITH CUTS TO SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS, LEADING MORE PEOPLE TO SEEK OTHER FOOD RESOURCES. FAMILIES WITH LOW INCOMES MAY BE ESPECIALLY AFFECTED BY FOOD INSECURITY, PARTICULARLY WITH THE RISING COST OF HOUSING. PEOPLE MAY HAVE TO TRAVEL LONG DISTANCES TO THE NEAREST FOOD BANK AND MAY EXPERIENCE TRANSPORTATION BARRIERS, PARTICULARLY WITH THE INCREASED COST OF FUEL. THE INTERCONNECTEDNESS OF HOUSING AND HEALTH IS KEY, AND HOUSING WAS IDENTIFIED AS A MAJOR NEED, WITH A LACK OF SAFE AND HEALTHY HOUSING AVAILABLE FOR FAMILIES AND EMPLOYEES. THE COST OF HOUSING IS THE PRIMARY BARRIER FOR PEOPLE, WITH A NEED FOR MORE AFFORDABLE HOUSING FOR PEOPLE WITH LOW INCOMES, AS WAGES HAVE NOT KEPT PACE WITH HOUSING COSTS. THERE IS ALSO A NEED FOR MORE SUPPORTIVE AND TRANSITIONAL HOUSING, PARTICULARLY FOR PEOPLE EXPERIENCING HOMELESSNESS OR HOUSING STABILITY, AND AS WELL THOSE NEEDING SUPPORT SERVICES TO REMAIN STABLY HOUSED. MORE PERMANENT SUPPORTIVE HOUSING AND EMERGENCY, SHORT-TERM, AND LONG-TERM SHELTERS. THE COMPLEXITY OF THE HOUSING SYSTEM CAN BE DIFFICULT FOR PEOPLE TO NAVIGATE AND CAN BE A BARRIER FOR PEOPLE FINDING STABLE HOUSING. SPECIFIC POPULATIONS EXPERIENCING HOUSING-RELATED CHALLENGES INCLUDE OLDER ADULTS, BBIPOC COMMUNITIES, PARTICULARLY LATINO/A/X COMMUNITY MEMBERS AND INDIGENOUS PEOPLES, LGBTQIA+ COMMUNITY MEMBERS (ESPECIALLY LGBTQIA+ YOUTH), UNACCOMPANIED MINORS, AND PEOPLE WITH BEHAVIORAL HEALTH CONDITIONS.PRIORITY 3: ACCESS TO HEALTH CAREACCESS TO BOTH PRIMARY AND SPECIALTY CARE WAS IDENTIFIED AS A TOP HEALTH CONCERN. A LACK OF PRIMARY CARE PROVIDERS (PCPS) HAS STRAINED THE HEALTH CARE SYSTEM, CONTRIBUTING TO PEOPLE USING THE EMERGENCY DEPARTMENT (ED) AS THEIR MAIN FORM OF HEALTH CARE, AND TO A PREVALENCE OF UNMANAGED CHRONIC CONDITIONS. PATIENTS WHO HAVE DIFFICULTY FINDING PRIMARY CARE, ALONG THOSE HAVING A BEHAVIORAL HEALTH CRISIS, PUT STRESS ON THE ED AND OVERWHELM CAPACITY. THERE IS A NEED FOR MORE ACCESS TO PRIMARY CARE, URGENT CARE, AND BEHAVIORAL HEALTH CRISIS SERVICES, AS WELL AS A NEED FOR INCREASED ACCESS TO SPECIALTY CARE, AS MANY PATIENTS TRAVEL OUTSIDE OF THEIR LOCAL AREA TO RECEIVE SERVICES. MORE HEALTH CARE PROVIDERS, HOME CARE AIDS AND CAREGIVERS, HOSPITAL CAPACITY, CARE COORDINATION, AND CANCER SCREENING ARE NEEDED IN THE COMMUNITY. TRANSPORTATION IS A SIGNIFICANT BARRIER TO CARE, AS ARE HOURS OF APPOINTMENTS DURING WORK TIME, A LACK OF HEALTH CARE LITERACY, TRUST IN THE MEDICAL SYSTEM, AND ACCESS TO OR COMFORT WITH TECHNOLOGY. SPECIFIC POPULATIONS MAY EXPERIENCE ADDITIONAL BARRIERS TO ACCESSING RESPONSIVE AND AFFIRMING CARE, INCLUDING PEOPLE EXPERIENCING HOMELESSNESS, BBIPOC COMMUNITY MEMBERS, LGBTQIA+ COMMUNITY MEMBERS, MIXED-STATUS FAMILIES, AND PEOPLE WITH BEHAVIORAL HEALTH CONDITIONS. STIGMA AND DISCRIMINATION AND A LACK OF PROVIDERS THAT ARE BILINGUAL AND BICULTURAL CONTRIBUTE TO THESE CHALLENGES. THERE ARE FEW RESOURCES FOR PEOPLE WHO ARE UNINSURED, UNDERINSURED, OR NOT MEDICAID-ELIGIBLE.DETAILED PLANS FOR HOW THESE IDENTIFIED HEALTH NEEDS WILL BE ADDRESSED CAN BE FOUND IN THE HOSPITALS' 2024-2026 CHIP, LOCATED AT:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS UNDER WASHINGTON: ST. PETER AND CENTRALIANEEDS 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 CENTRALIA AND ST. PETER HOSPITALS IDENTIFIED IN THE COURSE OF THE CHNA THE FOLLOWING NEEDS: RACISM AND DISCRIMINATION; DIVERSITY, EQUITY, INCLUSION, AND BELONGING; AGING ADULT HEALTH AND FALL PREVENTION. WHILE THESE NEEDS HAVE NOT BEEN PRIORITIZED FOR THE 2024-2026 CHIP, THE HOSPITALS 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 SESSIONS, KEY INFORMANT INTERVIEWS, A COMMUNITY SURVEY, AND A COMMUNITY HEALTH SUMMIT. THE KEY INFORMANT 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. KEY INFORMANTS 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 KEY INFORMANTS 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.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 DEVELOPMENT OF ITS RESPONSE 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 AN 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. IN BEHAVIORAL HEALTH URGENT CARE CLINICS, VIRTUAL SERVICES WERE OFFERED RESULTING IN 171 VIRTUAL ADDITIONAL VISITS WITH EXPANDED SERVICES TO THOSE AGES 16 AND UP. ADDITIONALLY, OVERDOSE PREVENTION TRAINING WAS CONDUCTED FOR OUTPATIENT CLINIC CAREGIVERS.C. INCREASE ACCESS TO SUBSTANCE USE TREATMENT OPTIONS. A PILOT PEER INTERVENTION WAS LAUNCHED TO LINK OVERDOSE SURVIVORS TO TREATMENT. A CERTIFIED PEER COUNSELOR WITH LIVED EXPERIENCE WAS MATCHED WITH 65 INDIVIDUALS WHO VOLUNTEERED TO PARTICIPATE. EXPANDED SERVICES ARE NOW AVAILABLE TO ADDICTED PATIENTS BECAUSE OF THE PROJECTS HAS BENEFITTED THOUSANDS IN EVERETT AND SNOHOMISH COUNTY.D. INCREASE MENTAL HEALTH SCREENINGS, INCLUDING DEPRESSION AND SUICIDE SCREENINGS, IN THE EMERGENCY DEPARTMENT, PRIMARY CARE, AND URGENT CARE SETTINGS. A TOTAL OF 158,917 MENTAL HEALTH SCREENINGS WERE CONDUCTED IN 2023.E. PROVIDE FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY PARTNERS WHO ARE FOCUSING ON INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES. AN ADDICTION MEDICINE CONFERENCE WAS PROVIDED FOR 150 COMMUNITY PHYSICIANS AND HEALTHCARE PROVIDERS. A TRAUMA INFORMED CARE WORKSHOP WAS HOSTED FOR FIRST RESPONDERS AND FAITH COMMUNITY THAT REACHED OVER 50 CARE PROFESSIONALS. PROVIDENCE ALSO SUPPORTED A COMMUNITY DRUG TAKEBACK EVENT AND PARTICIPATED IN A MENTAL HEALTH MATTERS COMMUNITY WELL-BEING EDUCATION AND RESOURCE EVENT REACHING 500 YOUTH AND FAMILIES.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. CARE MANAGEMENT ENGAGED IN A MEDICAL LEGAL PARTNERSHIP WITH NORTHWEST JUSTICE PROJECT TO SUPPORT SERVICES BEYOND HOUSING SUCH AS FOOD, TRANSPORTATION AND FINANCIAL STABILITY. THEY ALSO COLLABORATED WITH THE EVERETT GOSPEL MISSION TO SUPPORT 25 HOMELESS PERSONS, WHO ARE TOO VULNERABLE TO BE ON THE STREET, DUE TO SHORT-TERM MINOR MEDICAL ISSUES.B. COLLABORATE WITH COMMUNITY AGENCIES ON PROGRAMS AND INTERVENTIONS TO ADDRESS HOUSING INSTABILITY AND HOMELESSNESS. PROVIDENCE INTERNAL MEDICINE CLINIC AND INTERNAL MEDICINE RESIDENCY PROGRAM COLLABORATED WITH COMMUNITY PARTNERS, MERCY WATCH AND WASHINGTON STATE UNIVERSITY TO DELIVER 600 VOLUNTEER HOURS OF STREET MEDICINE AND HYGIENE KITS TO THOSE UNHOUSED. PROVIDENCE INSTITUTE FOR A HEALTHIER COMMUNITY IS PROVIDING WHOLE PERSON ASSESSMENT AND EVALUATION RESOURCES WITH A COLLABORATIVE TO IMPROVE SCHOOL ATTENDANCE FOR HOMELESS YOUTH AND FAMILIES. UNSTABLE HOUSING DECREASED FROM 49% TO 16%, SATISFACTION WITH SCHOOL ATTENDANCE INCREASED BY 32%, AND OVERALL WELL-BEING INCREASED 12%. A PARTNERSHIPS WITH AMERICAN CANCER SOCIETY PROVIDES LODGING VOUCHERS FOR TEMPORARY RESPITE AND FOR THOSE THAT DON'T HAVE SAFE, STABLE HOUSING DURING TREATMENT.C. PROVIDE FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY PARTNERS WHO ARE FOCUSING ON HOUSING INSTABILITY OR HOMELESSNESS. PROVIDENCE PROVIDED SUPPORT TO COCOON HOUSE HOMELESS SHELTER FOR SERVICES SUPPORTING STABLE HOUSING FOR YOUTH, HOSTED A CAREGIVER FOOD DRIVE BENEFITTING THE EVERETT FOOD BANK, AND COLLABORATED WITH EVERETT GOSPEL MISSION TO SUPPORT THE RESPITE PROGRAM.ACCESS TO HEALTH CARE IS IMPORTANT TO PHYSICAL, SOCIAL, AND MENTAL HEALTH. OVERCOMING OBSTACLES SUCH AS HEALTH INSURANCE COVERAGE, LOCAL CARE ACCESS, TRANSPORTATION, AND LANGUAGE BARRIERS CAN HELP TO ENSURE HEALTH CARE NEEDS ARE MET. THE GOAL IS TO IMPROVE ACCESS TO COMPREHENSIVE, HIGH-QUALITY, CULTURALLY SENSITIVE HEALTH CARE AND PREVENTIVE RESOURCES AT THE RIGHT TIME AND IN THE RIGHT CARE SETTING. STRATEGIES INCLUDE:A. DEVELOP ACCESS CENTER TO EASE THE WAY OF PATIENTS NEEDING CARE. A PILOT BEGAN TO DEVELOP AN ACCESS HUB FOR OUTPATIENT CLINIC. IN ADDITION, PROVIDENCE PROMOTED AND ENGAGED PATIENTS IN A CARE APP TO STREAMLINE SCHEDULING, APPOINTMENT MANAGEMENT, ACCESS TO HEALTH RECORDS AND VIRTUAL APPOINTMENTS.B. RECRUIT ADDITIONAL CARE PROVIDERS AND INCREASE THE AVAILABLE WORKFORCE AND INTEREST IN THE HEALTH CARE FIELD. PROVIDENCE SUPPORTED 72 MEDICAL, 8 PHARMACY RESIDENTS, AND 32 PHARMACY STUDENTS, WITH A TOTAL OF 489 STUDENTS ENGAGED IN STUDENT PROGRAMS. COLLEGE AND HIGH SCHOOL COLLABORATIONS DEVELOPED 72 SUMMER INTERNS, DIRECTLY SUPPORTING 3 SCHOOL DISTRICTS.C. PROVIDE COMMUNITY HEALTH AND WELL-BEING INFORMATION, EDUCATION, AND SUPPORT GROUPS TO ADDRESS CARE, PREVENTION, AND WELL-BEING PRACTICES. PROVIDENCE PROVIDED COMMUNITY EDUCATION AT MORE THAN 25 OUTREACH EVENTS AND/OR CLASSES, INCLUDING HEART HEALTH, STOP THE BLEED, FALL PREVENTION, AGING GRACEFULLY AND A WOMEN'S BREAST CANCER SCREENING EVENT.D. PROVIDE FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY PARTNERS WHO ARE FOCUSING ON INCREASING ACCESS TO HEALTH CARE. PROVIDENCE HOSTED A HEALTH AND WELLBEING SUMMIT AND NETWORKING EVENT THAT BROUGHT TOGETHER OVER 90 COMMUNITY PARTNERS FACILITATING COLLABORATION AND SHARED RESOURCES THAT SUPPORT ACCESS TO CARE AMONG MORE THAN 300 CARE PROFESSIONALS. 23% OF FINANCIAL DONATIONS IN 2023 FOCUSED ON ACCESS TO HEALTH CARE.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 PHYSICAL SETTING) TO IMPROVE CULTURAL INCLUSIVITY. PROVIDED CAREGIVER TRAINING SUCH AS IMPLICIT BIAS, HEALTH INEQUITIES, TRANS+ HEALTH, AND PARTICIPATED IN A DIVERSITY, EQUITY, AND INCLUSION SIMULATION. CLINICS MADE UPDATES TO SIGNAGE AND INFOGRAPHICS TO BE MORE DIVERSE, WELCOMING, AND INCLUSIVE.B. IMPLEMENT TOOLS AND BENCHMARKS TO HELP PEOPLE AND ORGANIZATIONS MEASURE IMPROVEMENTS IN WELL-BEING AND FEELING OF BELONGING IN THEIR COMMUNITY. PROVIDENCE CONDUCTED, AND PROVIDED DATA ANALYTICS, REPORTS AND EDUCATION FOR THREE COMPREHENSIVE HEALTH AND WELL-BEING SURVEY'S TO DIVERSE COMMUNITIES, REACHING OVER 1,300 PARTICIPANTS.C. CREATE BETTER CONNECTIONS TO HEALTH CARE RESOURCES, REACHING DIVERSE COMMUNITIES WHERE THEY LIVE, WORK, AND PLAY; PROVIDING HEALTH AND WELL-BEING INFORMATION THAT FOCUS ON A PARTICULAR GEOGRAPHIC AREA, WELL-BEING TOPIC, OR COMMUNITY. PROVIDENCE SUPPORTED OUTPATIENT CULTURAL HEALTH NAVIGATORS IN CLINIC OR IN OUTREACH TO IMPROVE HEALTH LITERACY AND REMOVE BARRIERS TO CARE. PROVIDED HEALTH INFORMATION TO A VARIETY OF DIVERSE COMMUNITY EVENTS SUCH AS NUBIAN JAM, LATINO EXPO, EVERETT PRIDE AND NATIONAL NIGHT OUT TO INCREASE SAFETY AND REDUCE CRIME, REACHING OVER 5000 COMMUNITY MEMBERS. HOSTED 12 COMMUNITY EQUITY PARTNERSHIP MEETINGS THAT FOCUSED ON ACCESS TO IMMUNIZATIONS, PREVENTATIVE SCREENINGS, EDUCATION AND JOB TRAINING. 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 2: PROVIDENCE SHMC & CHILDREN'S HOSPITAL, - FACILITY 6: PROVIDENCE HOLY FAMILY HOSPITAL, - FACILITY 13: PROV. ST. LUKE'S REHAB. MED. CTR. 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 PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL CENTER PROVIDE CARE TO SPOKANE COUNTY, WHICH INCLUDES A POPULATION OF APPROXIMATELY 549,690 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, PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL CENTER 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 REHABILITATION 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, PROVIDENCE HOLY FAMILY HOSPITAL AND PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL 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.COMMUNITY NEED ADDRESSED #1: HIGH HOUSING COST BURDEN/HOMELESSNESSPOPULATION SERVED: PEOPLE EXPERIENCING HOMELESSNESS AND PEOPLE UNSTABLY HOUSED LONG-TERM GOAL(S)/ VISION INCREASE THE RATE OF STABLE HOUSING AND DECREASE THE NUMBER OF PEOPLE EXPERIENCING HOMELESSNESS1. HOMELESS RESPITE PROGRAMS FOR MEN, WOMEN, AND FAMILIES EXPERIENCING HOMELESSNESS THAT EXPERIENCE AN ACUTE MEDICAL CONDITION.2. HEALTH AND JUSTICE INITIATIVE TO ADDRESS LEGAL ISSUES EFFECTING HEALTH OUTCOMES.3. ADULT FAMILY HOME PLACEMENT SUPPORT TO PROVIDE ADDITIONAL SERVICES FOR HARD TO PLACE PATIENTS.COMMUNITY NEED ADDRESSED #2: DOMESTIC VIOLENCE AND CHILD ABUSEPOPULATION SERVED: BROADER COMMUNITY WITH AN EMPHASIS ON PEOPLE WITH LOW-INCOMES AND THOSE EXPERIENCING FAMILY VIOLENCE.LONG-TERM GOAL(S)/ VISION: INCREASE THE NUMBER OF SURVIVORS OF CHILD ABUSE, SEXUAL ASSAULT, AND DOMESTIC VIOLENCE ARE CONNECTED WITH SUPPORT SERVICES, INCLUDING SAFETY PLANNING AND MENTAL HEALTH SERVICES.1. BUSINESS TOOLKIT TO PROVIDE DV RESOURCES.2. YWCA SPOKANE IDENTIFICATION OF SURVIVORS IN THE PROVIDENCE SYSTEM.3. PARTNERS WITH FAMILIES AND CHILDREN AND THEIR CHILD ADVOCACY CENTER.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.COMMUNITY NEED ADDRESSED #3: POOR MENTAL HEALTHPOPULATION SERVED: THOSE NEEDING MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT IN SPOKANE COUNTY. LONG-TERM GOAL(S)/ VISION: INCREASE ACCESS TO SERVICES FOR MENTAL HEALTH AND SUBSTANCE ABUSE THROUGH STRONG REFERRAL NETWORKS.1. BEHAVIORAL RESPONSE UNIT (BRU) IN PARTNERSHIP WITH THE FIRE DEPARTMENT AND FRONTIER BEHAVIORAL HEALTH.2. EMERGENCY ROOM SUBSTANCE USE DISORDER DIVERSION3. NAMI SPOKANE STABILITY4. COMMUNITY HEALTH WORKER FOCUSING ON PRENATAL AND POSTNATAL MENTAL HEALTH CARE FOR THE BLACK COMMUNITY.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.COMMUNITY NEED ADDRESSED #4: ACCESS TO HEALTH SERVICESPOPULATION SERVED: BROADER COMMUNITIES WITH AN EMPHASIS ON THOSE WITHOUT ACCESS TO MEDICAL, BEHAVIORAL AND SPECIALTY CARE. LONG-TERM GOAL(S)/ VISION TO EASE THE WAY FOR PEOPLE TO ACCESS THE APPROPRIATE LEVEL OF CARE AT THE RIGHT TIME.1. COVID-19 VACCINATION CLINICS2. LEGAL AND FAMILY SUPPORT THROUGH SPOKANE IMMIGRANT RIGHTS COALITION3. LGBTQ+ COMMUNITY HEALTH WORKER IN PARTNERSHIP WITH SPECTRUMACCESS 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 PROGRAMS:NO 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: PROVIDENCE ALASKA MEDICAL CENTER 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 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.THE 2021 ANCHORAGE CHNA IDENTIFIED #1: ECONOMIC SECURITY/BASIC NEEDS, # 2: BEHAVIORAL HEALTH (INCLUDES BOTH MENTAL HEALTH AND SUBSTANCE USE/MISUSE), #3: HEALTHY BEHAVIORS/PHYSICAL HEALTH. #4: ACCESS TO HEALTHCARE AS THE FOUR TOP AREAS OF COMMUNITY NEED. PROVIDENCE WORKED TO ADDRESS SIGNIFICANT COMMUNITY NEED BOTH INTERNALLY AND THROUGH COLLABORATION AND COMMUNITY PARTNERSHIP FUNDING. BELOW ARE SOME ACCOMPLISHMENTS IN 2023.ECONOMIC SECURITY / BASIC NEEDS:IN 2023 PROVIDENCE COMPLETED ITS THREE-YEAR HEALTHCARE AND HOMELESS PILOT COLLABORATION WITH THE ANCHORAGE COALITION TO END HOMELESSNESS (ACEH), COMMUNITY SOLUTIONS, AND THE INSTITUTE FOR HEALTHCARE IMPROVEMENT RESULTING ESTABLISHMENT OF HEALTHCARE INTEGRATION DIRECTOR POSITION AT ACEH TO IMPROVE THE HEALTH OUTCOMES OF THOSE EXPERIENCING HOMELESSNESS THROUGH BETTER PARTNERSHIP BETWEEN HEALTH PROVIDERS AND THE HOMELESS RESPONSE SYSTEM. IN ADDITION TO ENGAGING IN DIRECT COLLABORATION WITH COMMUNITY PARTNERS TO ADDRESS HOMELESSNESS, IN 2023 PROVIDENCE PROVIDED $3M IN COMMUNITY PARTNERSHIP GRANT FUNDING TO NINE ORGANIZATIONS THAT COMPRISE THE CORE OF THE ANCHORAGE HOMELESS PREVENTION AND RESPONSE SYSTEM. A PORTION OF THAT FUNDING WAS DIRECTED TO A COMMUNITY PARTNERSHIP EFFORT TO ACQUIRE AND CONVERT A 126 UNIT HOTEL (GUEST HOUSE) INTO AFFORDABLE HOUSING TO ADDRESS THE HOUSING OF THE HOMELESS IN THE WAKE OF THE DEMOBILIZATION OF COVID ERA TEMPORARY EMERGENCY SHELTER. PROVIDENCE CONTINUED PROJECT SEARCH, ANCHORAGE SCHOOL DISTRICT SCHOOL BUSINESS PARTNERSHIP INTERNSHIPS TO AID STUDENTS WITH DEVELOPMENTAL AND INTELLECTUAL DISABILITIES GAIN THE WORKPLACE EXPERIENCE AND SKILLS TO ACHIEVE COMPETITIVE EMPLOYMENT UPON GRADUATING HIGH SCHOOL. PROVIDENCE RAIS TRAINEE PROGRAM AND PROVIDENCE HR COLLABORATED WITH CSS REFUGEE ASSISTANCE AND IMMIGRANT SERVICES (RAIS) TO CONDUCT MULTIPLE REFUGEE AND IMMIGRANT JOB FAIRS AT THE RAIS CENTER.BEHAVIORAL HEALTH:IN 2023 PROVIDENCE PROVIDED COMMUNITY PARTNERSHIP GRANT FUNDING TO STANDING TOGETHER AGAINST RAPE SEXUAL ASSAULT RESPONSE TEAM, ALASKA CHILDREN'S TRUST PREVENTING CHILD SEXUAL ABUSE PROGRAM, AND RECOVER ALASKA TO ADDRESS THE NEED FOR SUBSTANCE USE DISORDER AND RECOVERY SERVICES. COMMUNITY PARTNERSHIP FUNDING WAS PROVIDED TO THE ALASKA NATIVE HERITAGE CENTER FOR THE DAGGEYI PROJECT WHICH CONTRIBUTES TOWARDS MENTAL HEALTH, WELLBEING, AND COMMUNITY COHESION BY FACILITATING POSITIVE SOBER EVENTS WHERE PEOPLE CAN CONNECT WITH ALASKA NATIVE CULTURES. PROVIDENCE INITIATED CONSTRUCTION OF A FIRST OF ITS KIND CRISIS STABILIZATION CENTER ('NO WRONG DOOR' CRISIS NOW MODEL) IN ANCHORAGE TO COVER GAPS IN MENTAL HEALTH CARE BY PROVIDING WALK-IN URGENT CARE AND STABILIZATION FOR PEOPLE EXPERIENCING A BEHAVIORAL HEALTH OR SUBSTANCE USE CRISIS EXPECTED TO OPEN IN 2024. PROVIDENCE CONTINUES TO PROVIDE THE ONLY PSYCHIATRIC ED IN ANCHORAGE AND CONTINUES TO SUBSIDIZE ITS BEHAVIORAL HEALTH SERVICE LINE TO ENSURE ACCESS TO BEHAVIORAL HEALTH SERVICES IN ANCHORAGE. PROVIDENCE, IN COLLABORATION WITH THE ANCHORAGE SCHOOL DISTRICT AND VOLUNTEERS OF ALASKA, ESTABLISHED THE BEHAVIORAL HEALTH INTEGRATION IN SCHOOLS PROGRAM TO PROVIDE CRISIS SERVICES FOR YOUTH IN SCHOOLS.HEALTHY BEHAVIORS / PHYSICAL HEALTH:PROVIDENCE CONTINUED ITS COMMUNITY-FACING INJURY PREVENTION PROGRAM THAT PROVIDES CHILD CAR SEATS AND CERTIFICATION TRAINING FOR CAR SEAT TECHNICIANS STATEWIDE, BIKE HELMETS AND BIKING SAFETY EDUCATION, ICE CLEATS, AND SAFE SCHOOL WALKING EDUCATION FOR THE ANCHORAGE COMMUNITY. THIS PROGRAM OFTEN SERVES AS A STATEWIDE RESOURCE FOR BEST PRACTICES, CAR SEAT TECHNICIAN TRAINING, AND INJURY PREVENTION INFORMATION.CULTURAL AND SOCIAL COMMUNITY WELLBEING:IN 2023 PROVIDENCE COLLABORATED WITH COMMUNITY PARTNERS AND PROVIDED COMMUNITY PARTNERSHIP GRANT FUNDING IN AN EFFORT TO HELP CREATE AND SUPPORT A COMMUNITY OF WELLNESS, DIVERSITY, EQUITY, AND INCLUSION. PROVIDENCE CONTINUED ITS COLLABORATION WITH AND FUNDING FOR CATHOLIC SOCIAL SERVICES REFUGEE ASSISTANCE AND IMMIGRANT SERVICES (RAIS) PROGRAM IN PROVIDING 4-6 MONTH TRAINEE PROGRAM FOR RAIS CLIENTS. PROVIDENCE PROVIDED COMMUNITY PARTNERSHIP GRANT FUNDING TO THE ALASKA BLACK CAUCUS IN SUPPORT OF ABC EQUITY CENTER RENOVATIONS. ALASKA NATIVE HERITAGE CENTER WAS THE RECIPIENT OF COMMUNITY PARTNERSHIP GRANT FUNDING IN FOR THE DAGGEYI PROJECT WHICH CONTRIBUTES TOWARDS MENTAL HEALTH, WELLBEING, AND COMMUNITY COHESION BY FACILITATING POSITIVE SOBER EVENTS WHERE PEOPLE CAN CONNECT WITH ALASKA NATIVE CULTURES. PROVIDENCE PROVIDED COMMUNITY PARTNERSHIP FUNDING TO THE ALASKA LITERACY PROGRAM'S PEER LEADER NAVIGATOR (PLN) PROGRAM WHICH IS A MULTICULTURAL, MULTILINGUAL HEALTH EDUCATION AND OUTREACH INITIATIVE.GREAT ATTENTION HAS BEEN PAID TO ESTABLISHING 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.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMALL NEEDS IDENTIFIED IN THE HOSPITAL CHNA ARE BEING ADDRESSED.FOR MORE INFORMATION PLEASE GO TO THE PROVIDENCE ALASKA MEDICAL CENTER 2022-2024 COMMUNITY HEALTH IMPROVEMENT PLAN POSTED HERE:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER ALASKA 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: AS RURAL CRITICAL ACCESS HOSPITALS IN STEVENS COUNTY, WASHINGTON, MOUNT CARMEL AND ST. JOSEPH HOSPITALS COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS THE IDENTIFIED SIGNIFICANT HEALTH NEEDS OF MENTAL HEALTH, ACCESS, SUBSTANCE USE/MISUSE, ECONOMIC SECURITY AND HOUSING INSTABILITY. EFFORTS TO ADDRESS MENTAL HEALTH INCLUDE LAUNCHING PROVIDENCE'S WORK 2 BE WELL CURRICULUM IN A LOCAL HIGH SCHOOL AND INTEGRATED BEHAVIORAL HEALTH SERVICES IN THE PRIMARY CARE SETTING. TO ADDRESS ACCESS TO HEALTH SERVICES, PROVIDENCE PARTNERS WITH EASTERN WASHINGTON UNIVERSITY HEALTH PROFESSIONS STUDENTS TO OFFER STIPENDS THAT SUPPORT TRAVEL AND HOUSING IN RURAL WASHINGTON STATE. PROVIDENCE HAS SUPPORTED STEVENS COUNTY AMBULANCE FOR SEVERAL YEARS TO EXPAND SERVICES, INCLUDING ADVANCED LIFE SUPPORT MEDICATIONS AND EQUIPMENT. FURTHER, PROVIDENCE MOUNT CARMEL HOSPITAL OFFERS THE ONLY AREA OUTPATIENT PHYSICAL THERAPY AND WOUND CARE TO PATIENTS WHO ARE LOW-INCOME OR COVERED BY MEDICAID, AS WELL AS THE ONLY MATERNITY LABOR AND DELIVERY SERVICES IN THE AREA.IN SUPPORT OF IMPROVING SUBSTANCE USE/MISUSE, PROVIDENCE WORKS WITH PARTNERS COMMUNITY-MINDED ENTERPRISES AND NEW ALLIANCE BEHAVIORAL HEALTH. PROVIDENCE'S ONGOING SUPPORT OF STEVENS COUNTY AMBULANCE HELPS TO ENSURE RAPID ACCESS TO HEALTH CARE FOR PEOPLE EXPERIENCING A SUBSTANCE USE-RELATED HEALTH CRISIS. PROVIDENCE CONTINUES TO COLLABORATE ON ADDRESSING ISSUES THAT CONTRIBUTE TO HOUSING INSTABILITY. LONGTIME ORGANIZATIONAL PARTNER CATHOLIC CHARITIES OF EASTERN WASHINGTON RECENTLY RECEIVED NEEDED PERMIT TO BUILD A 71-UNIT SUPPORTIVE HOUSING UNIT IN COLVILLE, WA. 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 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 (CONTINUATION): PHS - WASHINGTON (GROUP B - 4 & 5)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. 464 1 - ABHM - ANCHORAGE (3260 PROVIDENCE DR) 3260 PROVIDENCE DR STE C537 ANCHORAGE AK 99508 SPECIALTY CLINIC 2 - ABHM - ANCHORAGE (3760 PIPER ST) 3760 PIPER ST STE 1108 ANCHORAGE AK 99508 SPECIALTY CLINIC 3 - ABHM - PALMER 2250 S WOODWORTH LOOP STE 202 PALMER AK 99645 SPECIALTY CLINIC 4 - ACRC 3760 PIPER ST LL 139 ANCHORAGE AK 99508 SPECIALTY CLINIC 5 - AEC - EAGLE RIVER 17101 SNOWMOBILE LN STE 114 EAGLE RIVER AK 99577 SPECIALTY CLINIC 6 - AEC - HUFFMAN 1389 HUFFMAN PARK DR STE 110 ANCHORAGE AK 99515 SPECIALTY CLINIC 7 - AEC - MIDTOWN URGENT CARE 1200 W NORTHERN LIGHTS BLVD STE B ANCHORAGE AK 99503 SPECIALTY CLINIC 8 - AEC - TIKAHTNU 1118 N MULDOON RD STE 130 ANCHORAGE AK 99504 SPECIALTY CLINIC 9 - AHHC - HORIZON HOUSE 3760 PIPER ST SUITE 1061 ANCHORAGE AK 98508 SENIOR CARE 10 - AKCC 1818 E REZANOF DR KODIAK AK 99615 SPECIALTY CLINIC 11 - AKI - PROVIDENCE CHINIAK BAY ELDER HOUSE 1915 E REZANOF DRIVE KODIAK ISLAND AK 99615 SENIOR CARE 12 - AMC - ALASKA CARES 4901 A STREET STE 1030 ANCHORAGE AK 99507 SPECIALTY CLINIC 13 - AMG 3220 PROVIDENCE DR STE E3-040 ANCHORAGE AK 99508 SPECIALTY CLINIC 14 - AMG - BRAIN INJURY SERVICES 2250 S WOODWORTH LOOP STE 202 PALMER AK 99645 SPECIALTY CLINIC 15 - AMG - BRAIN INJURY SERVICES 3260 PROVIDENCE DR STE C537 ANCHORAGE AK 99508 SPECIALTY CLINIC 16 - AMG - EXTENDED CARE 920 COMPASSION CIR ANCHORAGE AK 99504 SPECIALTY CLINIC 17 - AMG - FAMILY MEDICINE CENTER 1201 E 26TH AVE ANCHORAGE AK 99508 PRIMARY CARE 18 - AMG - FETAL MEDICINE CLINIC 3831 PIPER ST STE SLL020 ANCHORAGE AK 99508 SPECIALTY CLINIC 19 - AMG - GASTROENTEROLOGY CLINIC 3340 PROVIDENCE DR STE A567 ANCHORAGE AK 99508 SPECIALTY CLINIC 20 - AMG - HEALTH PARK 3831 PIPER ST STE S220 ANCHORAGE AK 99508 PRIMARY CARE 21 - AMG - KODIAK ISLAND PALLIATIVE CARE 1915 E REZENOF DR SUITE A301 KODIAK AK 99615 SPECIALTY CLINIC 22 - AMG - MATERNAL FETAL MEDICINE 3260 PROVIDENCE DR STE C522 ANCHORAGE AK 99508 SPECIALTY CLINIC 23 - AMG - PALLIATIVE CARE CLINIC 3300 PROVIDENCE DR STE B104 ANCHORAGE AK 99508 SPECIALTY CLINIC 24 - AMG - PEDIATRIC SUB-SPECIALTY 3340 PROVIDENCE DR STE A351 ANCHORAGE AK 99508 SPECIALTY CLINIC 25 - AMG - PEDIATRIC SUB-SPEC - PULMONOLOGY 3200 PROVIDENCE DR STE D-338 ANCHORAGE AK 99508 SPECIALTY CLINIC 26 - AMG - PMG MOBILE THERAPIES 3300 PROVIDENCE DRIVE SUITE B302 ANCHORAGE AK 99508 SPECIALTY CLINIC 27 - AMG - PMG PRIMARY CARE C436 3260 PROVIDENCE DR STE C436 ANCHORAGE AK 99508 PRIMARY CARE 28 - AMG - PMG PRIMARY CARE HUFFMAN 1389 HUFFMAN PARK DR STE 202 ANCHORAGE AK 99515 PRIMARY CARE 29 - AMG - PMGA PEDIATRIC NEURODEVELOPMENT 3340 PROVIDENCE DR STE A565 ANCHORAGE AK 99508 SPECIALTY CLINIC 30 - AMG - ST ELIAS 4800 CORDOVA ST ANCHORAGE AK 99503 PRIMARY CARE 31 - AMG - TRANSITIONAL CARE CENTER 910 COMPASSION CIR ANCHORAGE AK 99504 SPECIALTY CLINIC 32 - AMG AT PROVIDENCE ALASKA MEDICAL CENTER 3200 PROVIDENCE DR ANCHORAGE AK 99508 PRIMARY CARE 33 - AMG AT PROVIDENCE KODIAK ISLAND MED CTR 1915 E REZANOF DR KODIAK AK 99615 PRIMARY CARE 34 - AMG AT PROVIDENCE SEWARD MEDICAL CENTER 417 1ST AVE SEWARD AK 99664 PRIMARY CARE 35 - AMG AT PROVIDENCE VALDEZ MEDICAL CENTER 911 MEALS AVE VALDEZ AK 99686 PRIMARY CARE 36 - APEC - EXTENDED CARE 920 COMPASSION CIR ANCHORAGE AK 99504 SPECIALTY CLINIC 37 - APEC - PROVIDENCE TRANSITIONAL CARE CTR 910 COMPASSION CIR ANCHORAGE AK 99504 SPECIALTY CLINIC 38 - APIC - ANCHORAGE 3340 PROVIDENCE DR STE 101 ANCHORAGE AK 99508 SPECIALTY CLINIC 39 - APIC - MOBILE MAMMO UNIT 3340 PROVIDENCE DR ANCHORAGE AK 99508 SPECIALTY CLINIC 40 - ART - ADOLESCENT 3210 W 62ND AVE ANCHORAGE AK 99502 SPECIALTY CLINIC 42 - OEC - NORTH PASCO 5506 ROAD 68 PASCO WA 99301 SPECIALTY CLINIC 43 - OEC - QUEENSGATE 2564 QUEENSGATE DR STE 2580 RICHLAND WA 99352 SPECIALTY CLINIC 44 - OEC - AIRWAY HEIGHTS 10258 W SUNSET HWY STE 6 SPOKANE WA 99224 SPECIALTY CLINIC 45 - OEC - BETHANY 4816 NE BETHANY BLVD PORTLAND OR 97229 SPECIALTY CLINIC 46 - OEC - CANYON LAKES 4008 W 27TH AVE STE 103 KENNEWICK WA 99337 SPECIALTY CLINIC 47 - OEC - COLLEGE PLACE 1705 SE MEADOWBROOK BLVD STE 205 COLLEGE PLACE WA 99324 SPECIALTY CLINIC 48 - OEC - CRESTON 3822 SE POWELL BLVD PORTLAND OR 97202 SPECIALTY CLINIC 49 - OEC - EAGLE RIVER 17101 SNOWMOBILE LN STE 114 EAGLE RIVER AK 99577 SPECIALTY CLINIC 50 - OEC - EVERETT BROADWAY 2205 BROADWAY EVERETT WA 98201 SPECIALTY CLINIC 51 - OEC - FISHERS LANDING 1905 SE 164TH AVE VANCOUVER WA 98683 SPECIALTY CLINIC 52 - OEC - HAPPY VALLEY 11995 SE SUNNYSIDE RD HAPPY VALLEY OR 97015 SPECIALTY CLINIC 53 - OEC - HUFFMAN 1389 HUFFMAN PARK DR STE 110 ANCHORAGE AK 99515 SPECIALTY CLINIC 54 - OEC - INDIAN TRAIL 9027 N INDIAN TRAIL RD SPOKANE WA 99208 SPECIALTY CLINIC 55 - OEC - INTERSTATE 4340 N INTERSTATE AVE PORTLAND OR 97217 SPECIALTY CLINIC 56 - OEC - KRUSE WAY 4823 MEADOWS DR STE 127 LAKE OSWEGO OR 97035 SPECIALTY CLINIC 57 - OEC - LACEY 1350 MARVIN RD NE STE D LACEY WA 98516 SPECIALTY CLINIC 58 - OEC - LAKE STEVENS 718 91ST AVE NE LAKE STEVENS WA 98258 SPECIALTY CLINIC 59 - OEC - LINCOLN HEIGHTS 2923 E 29TH AVE SPOKANE WA 99223 SPECIALTY CLINIC 60 - OEC - LOMBARD 5308 N LOMBARD ST STE 102 PORTLAND OR 97203 SPECIALTY CLINIC 61 - OEC - MIDTOWN URGENT CARE 1200 W NORTHERN LIGHTS BLVD STE B ANCHORAGE AK 99503 SPECIALTY CLINIC 62 - OEC - MILWAUKIE 14617 SE MCLOUGHLIN BLVD MILWAUKIE OR 97267 SPECIALTY CLINIC 63 - OEC - MISSOULA SOUTHGATE 3624 BROOKS ST STE 101 MISSOULA MT 59801 SPECIALTY CLINIC 64 - OEC - NEWBERG 1840 PORTLAND RD NEWBERG OR 97132 SPECIALTY CLINIC 65 - OEC - OREGON CITY 13428 COLTON PL STE 102 OREGON CITY OR 97045 SPECIALTY CLINIC 66 - OEC - ORENCO 1336 NE ORENCO STATION PKWY HILLSBORO OR 97124 SPECIALTY CLINIC 67 - OEC - PEARL 1025 NW 14TH AVE PORTLAND OR 97209 SPECIALTY CLINIC 68 - OEC - RICHLAND DOWNTOWN 1601 GEORGE WASHINGTON WAY RICHLAND WA 99354 SPECIALTY CLINIC 69 - OEC - RUBY 105 E MISSION AVE STE D SPOKANE WA 99202 SPECIALTY CLINIC 70 - OEC - TIKAHTNU 1118 N MULDOON RD STE 130 ANCHORAGE AK 99504 SPECIALTY CLINIC 71 - OEP - FULL LIFE 7829 S 180TH ST KENT WA 98032 SENIOR CARE 72 - OEP - HERITAGE HOUSE 1533 WESTERN AVE SEATTLE WA 98101 SENIOR CARE 73 - OEP - NORTHAVEN 531 NE 112TH ST SEATTLE WA 98125 SENIOR CARE 74 - OEP - REDMOND 8632 160TH AVE NE REDMOND WA 98052 SENIOR CARE 75 - OEP - SEATTLE 4515 MARTIN LUTHER KING JR WAY S STE 100 SEATTLE WA 98108 SENIOR CARE 76 - OEP - WEST SEATTLE 4831 35TH AVE SW SEATTLE WA 98126 SENIOR CARE 77 - PHHA - HOME HEALTH ALASKA 4001 DALE ST STE 101 ANCHORAGE AK 99508 HOME HEALTH 78 - PHHA - HOSPICE ALASKA 4001 DALE ST STE 101 ANCHORAGE AK 99508 HOME HEALTH 79 - PMG NW WA EVERETT PEDIATRIC THERAPY 900 PACIFIC AVE STE 130 EVERETT WA 98201 SPECIALTY CLINIC 80 - PROVIDENCE PRIMARY CARE COWLEY PARK 62 W 7TH AVE STE 320 SPOKANE WA 99204 PRIMARY CARE 81 - WAS - AT PCH 914 S SCHEUBER RD CENTRALIA WA 98531 SPECIALTY CLINIC 82 - WAS - AT PHFH 5633 N LIDGERWOOD ST SPOKANE WA 99208 SPECIALTY CLINIC 83 - WAS - AT PSHMC 101 W 8TH AVE SPOKANE WA 99204 SPECIALTY CLINIC 84 - WAS - AT PSMMC 401 W POPLAR ST WALLA WALLA WA 99362 SPECIALTY CLINIC 85 - WAS - AT WALLA WALLA CLINIC ASC 55 W TIETAN ST WALLA WALLA WA 99362 SPECIALTY CLINIC 86 - WCH - RADIANT CARE ABERDEEN 1200 BASICH BLVD ABERDEEN WA 98520 SPECIALTY CLINIC 87 - WDC - CHEWELAH 110 S 3RD STREET EAST CHEWELAH WA 99109 HOME HEALTH 88 - WEC - AIRWAY HEIGHTS 10258 W SUNSET HWY STE 6 SPOKANE WA 99224 SPECIALTY CLINIC 89 - WEC - BETHANY 4816 NW BETHANY BLVD PORTLAND OR 97229 SPECIALTY CLINIC 90 - WEC - CANYON LAKES 4008 W 27TH AVE STE 103 KENNEWICK WA 99337 SPECIALTY CLINIC 91 - WEC - COLLEGE PLACE 1705 SE MEADOWBROOK BLVD STE 2 COLLEGE PLACE WA 99324 SPECIALTY CLINIC 92 - WEC - CRESTON 3822 SE POWELL BLVD PORTLAND OR 97202 SPECIALTY CLINIC 93 - WEC - EAGLE RIVER 17101 SNOWMOBILE LN STE 114 EAGLE RIVER AK 99557 SPECIALTY CLINIC 94 - WEC - EVERETT BROADWAY 2205 BROADWAY EVERETT WA 98201 SPECIALTY CLINIC 95 - WEC - FISHERS LANDING 1905 SE 164TH AVE VANCOUVER WA 98683 SPECIALTY CLINIC 96 - WEC - HAPPY VALLEY 11995 SE SUNNYSIDE RD HAPPY VALLEY OR 97015 SPECIALTY CLINIC 97 - WEC - HOFFMAN 1389 HUFFMAN PARK DR STE 110 ANCHORAGE AK 99515 SPECIALTY CLINIC 98 - WEC - INDIAN TRAIL 9027 N INDIAN TRAIL RD SPOKANE WA 99208 SPECIALTY CLINIC 99 - WEC - INTERSTATE 4340 N INTERSTATE AVE PORTLAND OR 97217 SPECIALTY CLINIC 100 - WEC - KRUSE WAY 4823 MEADOWS RD STE 127 LAKE OSWEGO OR 97035 SPECIALTY CLINIC 101 - WEC - LACEY 1350 MARVIN RD NE STE D LACEY WA 98516 SPECIALTY CLINIC 102 - WEC - LAKE STEVENS 718 91ST AVE NE LAKE STEVENS WA 99258 SPECIALTY CLINIC 103 - WEC - LINCOLN HEIGHTS 2923 E 29TH AVE SPOKANE WA 99223 SPECIALTY CLINIC 104 - WEC - LOMBARD 5308 N LOMBARD ST STE 102 PORTLAND OR 97203 SPECIALTY CLINIC 105 - WEC - MIDTOWN URGENT CARE 1200 W NORTHERN LIGHTS BLVD STE B ANCHORAGE AK 99503 SPECIALTY CLINIC 106 - WEC - MILWAUKIE 14617 SE MCLOUGHLIN BLVD MILWAUKIE OR 97267 SPECIALTY CLINIC 107 - WEC - MISSOULA SOUTHGATE 3624 BROOK ST STE 101 MISSOULA MT 59801 SPECIALTY CLINIC 108 - WEC - NEWBERG 1840 PORTLAND RD NEWBERG OR 97132 SPECIALTY CLINIC 109 - WEC - NORTH PASCO 5506 N ROAD 68 PASCO WA 99301 SPECIALTY CLINIC 110 - WEC - OREGON CITY 13428 COLTON PL STE 102 OREGON CITY OR 97045 SPECIALTY CLINIC 111 - WEC - ORENCO 1336 NE ORENCO STATION PKWY HILLSBORO OR 97124 SPECIALTY CLINIC 112 - WEC - PEARL 1025 NW 14TH AVE PORTLAND OR 97209 SPECIALTY CLINIC 113 - WEC - QUEENSGATE 2564 QUEENSGATE DR STE 2580 RICHLAND WA 99352 SPECIALTY CLINIC 114 - WEC - RICHLAND DOWNTOWN 1601 GEORGE WASHINGTON WAY RICHLAND WA 99354 SPECIALTY CLINIC 115 - WEC - RUBY 105 E MISSION AVE STE D SPOKANE WA 99202 SPECIALTY CLINIC 116 - WEC - TIKAHTNU 1118 N MULDOON RD STE 130 ANCHORAGE AK 99504 SPECIALTY CLINIC 117 - WEV - AUTISM CENTER 900 PACIFIC AVE FL 5 EVERETT WA 98201 SPECIALTY CLINIC 118 - WEV - SLEEP MEDICINE 900 PACIFIC AVE FL 2 EVERETT WA 98201 SPECIALTY CLINIC 119 - WEV - SUBSTANCE ABUSE 2722 COLBY AVE STE 200 EVERETT WA 98201 SPECIALTY CLINIC 120 - WEV -COMPREHENSIVE BREAST CENTER 900 PACIFIC AVE SUITE 120 EVERETT WA 98201 SPECIALTY CLINIC 121 - WHHS - HOME HEALTH 1615 75TH STREET SW STE 210 EVERETT WA 98201 HOME HEALTH 122 - WHHS - HOSPICE 1615 75TH STREET SW STE 210 EVERETT WA 98203 HOME HEALTH 123 - WHHS - HOSPICE- PROV EVERETT 1700 13TH ST EVERETT WA 98201 HOME HEALTH 124 - WHSKC- HOME SERVICES KING COUNTY 2811 S 102ND ST STE 102 TUKWILA WA 98168 HOME HEALTH 125 - WHSPS - HOSPICE 2811 S 102ND ST STE 220 TUKWILA WA 98168 HOME HEALTH 126 - WMC - HOSPITAL REHAB CLINIC 298 S MAIN ST STE B12 COLVILLE WA 99114 REHAB & PHYSICAL THERAPY 127 - WMGNE 1300 E MULLAN AVE STE 900 POST FALLS ID 83854 URGENT CARE 128 - WMGNE 212 E CENTRAL AVE STE 440 SPOKANE WA 83854 PRIMARY CARE 129 - WMGNE 212 RODEO DR MOSCOW ID 83843 SPECIALTY CLINIC 130 - WMGNE 301 CEDAR ST OROFINO ID 83544 PRIMARY CARE 131 - WMGNE 415 6TH ST LEWISTON ID 93501 PRIMARY CARE 132 - WMGNE 520 N THIRD AVE SANDPOINT ID 83864 PRIMARY CARE 133 - WMGNE 700 S MAIN ST MOSCOW ID 83843 PRIMARY CARE 134 - WMGNE 701 LEWISTON ST COTTONWOOD ID 83522 PRIMARY CARE 135 - WMGNE - AUDIOLOGY CATALDO 217 W CATALDO SECOND FLOOR SPOKANE WA 99201 SPECIALTY CLINIC 136 - WMGNE - AUDIOLOGY VALLEY 13414 E MISSION AVE SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 137 - WMGNE - BREAST HEALTH 212 E CENTRAL AVE STE 335 SPOKANE WA 99208 SPECIALTY CLINIC 138 - WMGNE - BREAST HEALTH 920 N WASHINGTON SUITE 200 SPOKANE WA 99201 SPECIALTY CLINIC 139 - WMGNE - CTR FOR CONGENITAL HEART DISEASE 101 W 8TH AVE STE 4300 SPOKANE WA 99204 SPECIALTY CLINIC 140 - WMGNE - CTR FOR CONGENITAL HEART DISEASE 1025 S 2ND AVE WALLA WALLA WA 99362 SPECIALTY CLINIC 141 - WMGNE - CHILD NEUROLOGY & DEVT MEDICINE 101 W 8TH AVE STE 4200 SPOKANE WA 99204 SPECIALTY CLINIC 142 - WMGNE - COCHLEAR IMPLANT 217 W CATALDO THIRD FLOOR SPOKANE WA 99201 SPECIALTY CLINIC 143 - WMGNE - COCHLEAR IMPLANT 910 N WASHINGTON SPOKANE WA 99201 SPECIALTY CLINIC 144 - WMGNE - COLVILLE RURAL HEALTH CLINIC 1200 E COLUMBIA AVE COLVILLE WA 99114 PRIMARY CARE 145 - WMGNE - DENTAL RESIDENCY 105 W 8TH AVE STE 123C SPOKANE WA 99204 SPECIALTY CLINIC 146 - WMGNE - EAR NOSE AND THROAT 217 W CATALDO SPOKANE WA 99201 SPECIALTY CLINIC 147 - WMGNE - EAR NOSE AND THROAT NORTH 9922 N NEVADA SPOKANE WA 99218 SPECIALTY CLINIC 148 - WMGNE - EAR NOSE AND THROAT VALLEY 13414 E MISSION AVE SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 149 - WMGNE - ENT CT 217 W CATALDO SECOND FLOOR SPOKANE WA 99201 SPECIALTY CLINIC 150 - WMGNE - EPILEPSY CENTER 105 W 8TH AVE STE 318-C SPOKANE WA 99204 SPECIALTY CLINIC 151 - WMGNE - EXPRESS CARE AIRWAY HEIGHTS 10258 W SUNSET HWY SUITE 6 SPOKANE WA 99001 SPECIALTY CLINIC 152 - WMGNE - EXPRESS CARE AT WALGREENS IT 9027 N INDIAN TRAIL RD SPOKANE WA 99208 SPECIALTY CLINIC 153 - WMGNE - EXPRESS CARE AT WALGREENS LH 2923 E 29TH AVE SPOKANE WA 99223 SPECIALTY CLINIC 154 - WMGNE - EXPRESS CARE WALGREENS N PINES 12312 E SPRAGUE AVE SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 155 - WMGNE -EXPRESS CARE WALGREENS WANDERMERE 12315 N DIVISION ST SPOKANE WA 99218 SPECIALTY CLINIC 156 - WMGNE - FAMILY MEDICINE 9911 N NEVADA ST SUITE 200 SPOKANE WA 99218 PRIMARY CARE 157 - WMGNE - FAMILY MEDICINE AT PROV MED PARK 16528 E DESMET CT STE B2100 SPOKANE VALLEY WA 99216 PRIMARY CARE 158 - WMGNE - FAMILY MEDICINE CHEWELAH 100 W SOUTH AVE CHEWELAH WA 99109 PRIMARY CARE 159 - WMGNE - FAMILY MEDICINE NORTH PINES 1212 N PINES RD SPOKANE VALLEY WA 99206 PRIMARY CARE 160 - WMGNE - FATHER MALNAR MATERNITY CLINIC 101 W 8TH AVE STE 1300 SPOKANE WA 99204 SPECIALTY CLINIC 161 - WMGNE - FERRY COUNTY CLINICORTHOPEDICS 36 KLONDIKE RD REPUBLIC WA 99166 SPECIALTY CLINIC 162 - WMGNE - GARDEN HOMES CLINIC 143 GARDEN HOMES DR COLVILLE WA 99114 PRIMARY CARE 163 - WMGNE - GASTROENTEROLOGY 212 E CENTRAL AVE STE 245 SPOKANE WA 99208 SPECIALTY CLINIC 164 - WMGNE - GASTROENTEROLOGY PMP 16528 E DESMET CT STE A2200 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 165 - WMGNE - GENERAL & SPECIALTY SURGERY 217 W CATALDO THIRD FLOOR SPOKANE WA 99201 SPECIALTY CLINIC 166 - WMGNE - GENERAL & SPECIALTY SURGERY N 9922 N NEVADA SPOKANE WA 99218 SPECIALTY CLINIC 167 - WMGNE - GENERAL & SPECIALTY SURGERY VLY 13414 E MISSION AVE SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 168 - WMGNE - GENETICS CLINIC 105 W 8TH AVE STE 454E SPOKANE WA 99204 SPECIALTY CLINIC 169 - WMGNE - GRAND PEDIATRICS 1402 S GRAND BLVD SPOKANE WA 99203 SPECIALTY CLINIC 170 - WMGNE - GYNECOLOGIC ONCOLOGY CLINIC 101 W 8TH AVE STE 1400 SPOKANE WA 99204 SPECIALTY CLINIC 171 - WMGNE - GYNECOLOGIC ROBOTIC SURGERY 101 W 8TH AVE STE 1300 SPOKANE WA 99204 SPECIALTY CLINIC 172 - WMGNE - HEARING CENTERS 3022 E 57TH AVE SUITE 21 SPOKANE WA 99223 SPECIALTY CLINIC 173 - WMGNE - HIGH RISK PREGNANCY CLINIC 101 W 8TH AVE STE 1100 SPOKANE WA 99204 SPECIALTY CLINIC 174 - WMGNE - HIGH RISK PREGNANCY CLINIC ID 980 IRONWOOD DR STE 360 COEUR D ALENE ID 83814 SPECIALTY CLINIC 175 - WMGNE - HOLY FAMILY PARTIAL H&IO 235 E ROWAN AVE STE 107 SPOKANE WA 99207 SPECIALTY CLINIC 176 - WMGNE - HOUSE OF CHARITY 32 W 2ND AVE SPOKANE WA 99201 PRIMARY CARE 177 - WMGNE - INFECTIOUS DISEASE CLINIC 624 E FRONT AVE SPOKANE WA 99202 SPECIALTY CLINIC 178 - WMGNE - INLAND NEUROSURGERY AND SPINE 235 E ROWAN AVE STE 114 SPOKANE WA 99207 SPECIALTY CLINIC 179 - WMGNE - INLAND NEUROSURGERY AND SPINE AS 1200 FAIRVIEW ST W COLFAX WA 99111 SPECIALTY CLINIC 180 - WMGNE - INLAND NEUROSURGERY AND SPINE AS 825 BISHOP BLVD SE 140 P PULLMAN WA 99163 SPECIALTY CLINIC 181 - WMGNE - INLAND VASCULAR INST 122 7TH AVE STE 420 SPOKANE WA 99204 SPECIALTY CLINIC 182 - WMGNE - INLAND VASCULAR INSTITUTE NORTH 212 E CENTRAL AVE SPOKANE WA 99208 SPECIALTY CLINIC 183 - WMGNE - INLAND VASCULAR INSTITUTE SOUTH 62 W 7TH AVE STE 420 SPOKANE WA 99204 SPECIALTY CLINIC 184 - WMGNE - INSA DOWNTOWN 105 W 8TH AVE STE 200 SPOKANE WA 99204 SPECIALTY CLINIC 185 - WMGNE - INTERNAL MEDICINE 820 S MCCLELLAN ST STE 200 SPOKANE WA 99204 PRIMARY CARE 186 - WMGNE - INTERNAL MEDICINE HOSPITALISTS 105 W 8TH AVE STE 450E SPOKANE WA 99204 PRIMARY CARE 187 - WMGNE - INTERNAL MEDICINE KENDALL YARDS 546 N JEFFERSON LANE SPOKANE WA 99201 PRIMARY CARE 188 - WMGNE - KETTLE FALLS CLINIC 840 S MEYERS ST KETTLE FALLS WA 99141 PRIMARY CARE 189 - WMGNE - KIDNEY CARE AT PROV MEDICAL PARK 16528 E DESMET CT STE B2100 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 190 - WMGNE - KIDNEY DIS AND HTN 105 W 8TH AVE STE 1000 SPOKANE WA 99204 SPECIALTY CLINIC 191 - WMGNE - LAB SOUTH 29TH 2020 E 29TH LOWER LEVEL SPOKANE WA 99203 PRIMARY CARE 192 - WMGNE - MEDICAL GROUP WOMEN'S CLINIC 101 W 8TH AVE STE 1100 SPOKANE WA 99204 SPECIALTY CLINIC 193 - WMGNE - MULTIPLE SCLEROSIS CENTER 212 E CENTRAL AVE STE 440 SPOKANE WA 99208 SPECIALTY CLINIC 194 - WMGNE - NEUROLOGY NEUROSCIENCE 101 W 8TH AVE STE 7010 SPOKANE WA 99204 SPECIALTY CLINIC 195 - WMGNE - NEUROLOGY HOSPITALISTS 105 W 8TH AVE STE 318-C SPOKANE WA 99204 SPECIALTY CLINIC 196 - WMGNE - OB HOSPITALISTS 101 W 8TH AVE STE 1100 SPOKANE WA 99204 SPECIALTY CLINIC 197 - WMGNE - OBSTETRICS AND GYNECOLOGY 105 W 8TH AVE STE 6050 SPOKANE WA 99204 SPECIALTY CLINIC 198 - WMGNE - OCCUPATIONAL MEDICINE 16528 E DESMET CT STE B1600A SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 199 - WMGNE - OCCUPATIONAL MEDICINE AIRWAY H 11919 W SUNSET HWY STE D AIRWAY HEIGHTS WA 99001 SPECIALTY CLINIC 200 - WMGNE - OCCUPATIONAL MEDICINE NORTH 235 E ROWAN AVE STE 202 SPOKANE WA 99207 SPECIALTY CLINIC 201 - WMGNE - ORTHOPEDICS 100 3RD ST DAVENPORT WA 99122 SPECIALTY CLINIC 202 - WMGNE - ORTHOPEDICS 212 E CENTRAL AVE STE 245 SPOKANE WA 99208 SPECIALTY CLINIC 203 - WMGNE - ORTHOPEDICS 714 W PINES NEWPORT WA 99156 SPECIALTY CLINIC 204 - WMGNE - ORTHOPEDICS 820 S MCCLELLAN ST STE 300 SPOKANE WA 99204 SPECIALTY CLINIC 205 - WMGNE - ORTHOPEDICS DME 16528 DESMET CT SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 206 - WMGNE - ORTHOPEDICS PMP 16528 E DESMET CT STE B2200 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 207 - WMGNE - OUTPATIENT PSYCHOLOGY CLINIC 105 W 8TH AVE STE 418C SPOKANE WA 99204 SPECIALTY CLINIC 208 - WMGNE - PEDIATRIC ASSOCIATES 9911 N NEVADA ST SPOKANE WA 99218 SPECIALTY CLINIC 209 - WMGNE - PEDIATRIC DIGESTIVE HEALTH & NEP 105 W 8TH AVE STE 7060 SPOKANE WA 99204 SPECIALTY CLINIC 210 - WMGNE - PEDIATRIC ENDOCRINOLOGY DIABETES 101 W 8TH AVE STE L-1 100 SPOKANE WA 99204 SPECIALTY CLINIC 211 - WMGNE - PEDIATRIC GASTROENTEROLOGY 105 W 8TH AVE STE 7060 SPOKANE WA 99204 SPECIALTY CLINIC 212 - WMGNE - PEDIATRIC HEMATOLOGY ONCOLOGY 101 W 8TH AVE PSHMC FLR 3 SPOKANE WA 99204 SPECIALTY CLINIC 213 - WMGNE - PEDIATRIC HOSPITALISTS 101 W 8TH AVE PSHMC 3 NORTH SPOKANE WA 99204 SPECIALTY CLINIC 214 - WMGNE - PEDIATRIC NEPHROLOGY 105 W 8TH AVE STE 150E SPOKANE WA 99204 SPECIALTY CLINIC 215 - WMGNE - PEDIATRIC PULMONOLOGY & ALLERGY 105 W 8TH AVE STE 660E SPOKANE WA 99204 SPECIALTY CLINIC 216 - WMGNE - PEDIATRIC UROLOGY 101 W 8TH AVE STE 100 SPOKANE WA 99204 SPECIALTY CLINIC 217 - WMGNE - PEDIATRICS 7221 W DESCHUTES AVE KENNEWICK WA 99336 SPECIALTY CLINIC 218 - WMGNE - PEDIATRICS LIBERTY LAKE 23813 E APPLE WAY AVE LIBERTY LAKE WA 99019 SPECIALTY CLINIC 219 - WMGNE - PEDIATRICS MANITO 1919 S GRAND BLVD SPOKANE WA 99203 SPECIALTY CLINIC 220 - WMGNE - PEDIATRICS NORTHPOINTE 1111 E WESTVIEW CT SUITE B SPOKANE WA 99218 SPECIALTY CLINIC 221 - WMGNE - PHYSIATRY 16528 E DESMET CT STE A1600 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 222 - WMGNE - PMG GONZAGA DISASTER CLINIC 729 E BOONE AVE SPOKANE WA 99202 URGENT CARE 223 - WMGNE - PMG LAB - KENDALL YARDS 546 N JEFFERSON LANE SPOKANE WA 99201 PRIMARY CARE 224 - WMGNE - PMG LAB - MCB 820 S MCCLELLAN ST STE LL12 SPOKANE WA 99204 PRIMARY CARE 225 - WMGNE - PMG LAB HAWTHORNE 551 E HAWTHORNE RD SPOKANE WA 99218 PRIMARY CARE 226 - WMGNE - PMG LAB HOUSE OF CHARITY 32 W 2ND AVE SPOKANE WA 99201 PRIMARY CARE 227 - WMGNE - PMG LAB NORTH PINES 1212 N PINES RD SPOKANE WA 99206 PRIMARY CARE 228 - WMGNE - PMG LAB NORTHPOINT 9911 N NEVADA ST STE 200 SPOKANE WA 99218 PRIMARY CARE 229 - WMGNE - PMG LAB PMP 16528 DESMET CT STE B1400 SPOKANE VALLEY WA 99216 PRIMARY CARE 230 - WMGNE - PMG LAB ROWAN 9631 N NEVADA ST STE 300 SPOKANE WA 99218 PRIMARY CARE 231 - WMGNE - PMG LAB SOUTH DIVISION 421 S DIVISION ST SPOKANE WA 99202 PRIMARY CARE 232 - WMGNE - PMG LAB STHC 624 E FRONT AVE SPOKANE WA 99202 PRIMARY CARE 233 - WMGNE - PMG PALLIATIVE CARE SERVICES 101 W 8TH AVE STE 6050 SPOKANE WA 99204 SPECIALTY CLINIC 234 - WMGNE - PRIMARY CARE SOUTH 2020 E 29TH AVE LOWR LEVEL SPOKANE WA 99203 PRIMARY CARE 235 - WMGNE - PROVIDENCE CARDIOLOGY 212 E CENTRAL AVE STE 240 SPOKANE WA 99208 SPECIALTY CLINIC 236 - WMGNE - PROV CTR FOR CLEFT LIP & PALATE 412 E SPOKANE FALLS BLVD SPOKANE WA 99202 SPECIALTY CLINIC 237 - WMGNE - PROVIDENCE DIGESTIVE HEALTH 105 W 8TH AVE STE 7050 SPOKANE WA 99204 SPECIALTY CLINIC 238 - WMGNE - PROV MED ONCOLOGY & HEMATOLOGY 212 E CENTRAL AVE STE 315 SPOKANE WA 99208 SPECIALTY CLINIC 239 - WMGNE - PROV MEDICAL PARK PEDIATRICS 16528 E DESMET CT STE B1000 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 240 - WMGNE - PROV MULTIPLE SCLEROSIS CENTER 5633 N LIDGERWOOD ST STE 1800 SPOKANE WA 99208 PRIMARY CARE 241 - WMGNE - PROVIDENCE PALLIATIVE CARE 105 W 8TH AVE STE 120C SPOKANE WA 99204 SPECIALTY CLINIC 242 - WMGNE - PROV PULMONARY & SLEEP DISORDERS 105 W 8TH AVE STE 512C SPOKANE WA 99204 SPECIALTY CLINIC 243 - WMGNE - PROV SPOKANE HEART INSTITUTE 808 PORT DR CLARKSTON WA 99403 SPECIALTY CLINIC 244 - WMGNE - PROVIDENCE VEIN CENTER 1923 S GRAND BLVD SPOKANE WA 99203 SPECIALTY CLINIC 245 - WMGNE - PSYCHIATRIC CENTER 105 W 8TH AVE STE 450E SPOKANE WA 99204 SPECIALTY CLINIC 246 - WMGNE - PSYCHIATRY RESIDENCY SPOKANE 624 E FRONT AVE SPOKANE WA 99202 SPECIALTY CLINIC 247 - WMGNE -PULMONARY & SLEEP DISORDER CLINIC 9631 N NEVADA ST STE 300 SPOKANE WA 99218 SPECIALTY CLINIC 248 - WMGNE - RECONSTRUCTIVE SURGERY 820 S MCCLELLAN ST STE 118 SPOKANE WA 99204 SPECIALTY CLINIC 249 - WMGNE - RESIDENCY FAMILY MEDICINE 624 E FRONT AVE SPOKANE WA 99202 PRIMARY CARE 250 - WMGNE - SOUTH URGENT CARE 421 S DIVISION ST SPOKANE WA 99202 URGENT CARE 251 - WMGNE - SPEC KIDNEY CARE ENDOCRINOLOGY 105 W 8TH AVE STE 7010 SPOKANE WA 99204 SPECIALTY CLINIC 252 - WMGNE - SPOKANE HEART INSTITUTE 62 W 7TH STE 300C SPOKANE WA 99204 SPECIALTY CLINIC 253 - WMGNE - SPORTS MEDICINE FELLOWSHIP 624 E FRONT AVE SPOKANE WA 99202 SPECIALTY CLINIC 254 - WMGNE - SPORTS MEDICINE SOUTH 820 S MCCLELLAN ST STE 101 SPOKANE WA 99204 SPECIALTY CLINIC 255 - WMGNE - ST LUKES PHYSIATRY 711 S COWLEY ST STE 228 SPOKANE WA 99202 REHAB & PHYSICAL THERAPY 256 - WMGNE - STROKE CVB DISORDER CLINIC 105 W 8TH AVE STE 122C SPOKANE WA 99204 SPECIALTY CLINIC 257 - WMGNE - THERAPY AND BALANCE 910 N WASHINGTON SPOKANE WA 99201 SPECIALTY CLINIC 258 - WMGNE - URGENT CARE HAWTHORNE 551 E HAWTHORNE RD SPOKANE WA 99218 URGENT CARE 259 - WMGNE - URGENT CARE PMP 16528 E DESMET CT STE A1200 SPOKANE VALLEY WA 99216 URGENT CARE 260 - WMGNE - UROGYNECOLOGY 920 N WASHINGTON SPOKANE WA 99201 SPECIALTY CLINIC 261 - WMGNE - VALLEY YOUNG PEOPLE'S CLINIC 1414 N VERCLER RD STE 1 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 262 - WMGNE - VEIN CENTER PROV MEDICAL PARK 16528 E DESMET CT SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 263 - WMGNE MOUNT CARMEL HOSPITAL 982 E COLUMBIA AVE COLVILLE WA 99114 SPECIALTY CLINIC 264 - WMGNE PROVIDENCE HOLY FAMILY HOSPITAL 5633 N LIDGERWOOD ST SPOKANE WA 99208 SPECIALTY CLINIC 265 - WMGNE PROVIDENCE MOUNT CARMEL HOSPITAL 982 E COLUMBIA AVE COLVILLE WA 99114 SPECIALTY CLINIC 266 - WMGNE PROV SACRED HEART MEDICAL CTR 101 W 8TH AVE SPOKANE WA 99204 SPECIALTY CLINIC 267 - WMGNE PROVIDENCE ST JOSEPH CARE CENTER 17 E 8TH AVE SPOKANE WA 99202 SPECIALTY CLINIC 268 - WMGNE PROVIDENCE ST JOSEPHS HOSPITAL 500 E WEBSTER AVE CHEWELAH WA 99109 SPECIALTY CLINIC 269 - WMGNE ST PATRICK HOSPITAL 500 W BROADWAY ST MISSOULA MT 59802 SPECIALTY CLINIC 270 - WMGNE PSYCHIATRY 105 W 8TH AVE STE 560E SPOKANE WA 99204 SPECIALTY CLINIC 271 - WMGNW - ASSAULT & ABUSE INTERVENTION CTR 1509 CALIFORNIA ST EVERETT WA 98201 SPECIALTY CLINIC 272 - WMGNW - BEHAVIORAL HEALTH URGENT CARE 1330 ROCKEFELLER AVE STE 140 EVERETT WA 98201 SPECIALTY CLINIC 273 - WMGNW - BETHANY AT PACIFIC 916 PACIFIC AVE EVERETT WA 98201 SPECIALTY CLINIC 274 - WMGNW - BETHANY AT SILVER CREST 2131 LAKE HEIGHTS DR EVERETT WA 98208 SPECIALTY CLINIC 275 - WMGNW - BETHANY AT SILVERLAKE 2235 LAKE HEIGHTS DR EVERETT WA 98208 SPECIALTY CLINIC 276 - WMGNW -CARDIOVASCULAR & THORACIC SURGERY 1330 ROCKEFELLER AVE STE 400 EVERETT WA 98201 SPECIALTY CLINIC 277 - WMGNW - CASCADE VALLEY HOSPITAL 330 S STILLAGUAMISH AVE ARLINGTON WA 98223 SPECIALTY CLINIC 278 - WMGNW - CRANIAL SPINE & JOINT ON SMC CHC 550 17TH AVE FL 5 SEATTLE WA 98122 SPECIALTY CLINIC 279 - WMGNW - EDMONDS UROLOGY 21822 76TH AVE W EDMONDS WA 98026 SPECIALTY CLINIC 280 - WMGNW - ENDOCRINOLOGY 1330 ROCKEFELLER AVE STE 520 EVERETT WA 98201 SPECIALTY CLINIC 281 - WMGNW - EVERETT INTERNAL MEDICINE 1330 ROCKEFELLER AVE STE 210 EVERETT WA 98201 PRIMARY CARE 282 - WMGNW - EVERETT NEUROSCIENCES CENTER 1717 13TH ST STE 401 EVERETT WA 98201 SPECIALTY CLINIC 283 - WMGNW - EVERETT REHAB AND CARE CENTER 1919 112TH ST SW EVERETT WA 98204 SPECIALTY CLINIC 284 - WMGNW - EVERETT YMCA PT 4730 COLBY AVE STE 220 EVERETT WA 98203 REHAB & PHYSICAL THERAPY 285 - WMGNW - GENERAL SURGERY CLINIC 1330 ROCKEFELLER AVE STE 310 EVERETT WA 98201 SPECIALTY CLINIC 286 - WMGNW - GYNECOLOGIC ONCOLOGY 1717 13TH ST STE 210 EVERETT WA 98201 SPECIALTY CLINIC 287 - WMGNW - HARBOUR POINT WALK IN 4112 HARBOUR POINT BLVD SW STE 100 MUKILTEO WA 98275 SPECIALTY CLINIC 288 - WMGNW - LYNNWOOD CLINIC 2902 164TH ST SW STE E1 LYNNWOOD WA 98087 PRIMARY CARE 289 - WMGNW - LYNNWOOD POST ACUTE REHAB CENTER 5821 188TH ST SW LYNNWOOD WA 98037 REHAB & PHYSICAL THERAPY 290 - WMGNW - MARYSVILLE FAMILY MEDICINE 4404 80TH ST NE MARYSVILLE WA 98270 PRIMARY CARE 291 - WMGNW - MILL CREEK FAMILY MEDICINE 12800 BOTHELL EVERETT HWY 160 EVERETT WA 98208 SPECIALTY CLINIC 292 - WMGNW - MILL CREEK INTERNAL MEDICINE 12800 BOTHELL-EVERETT HWY STE 180 EVERETT WA 98208 PRIMARY CARE 293 - WMGNW - MILL CREEK WALK-IN 12800 BOTHELL EVERETT HWY STE 120 EVERETT WA 98208 URGENT CARE 294 - WMGNW - MONROE CLINIC 19200 N KELSEY ST MONROE WA 98272 SPECIALTY CLINIC 295 - WMGNW - MOUNTAIN VIEW REHAB AND CARE CTR 5925 47TH AVE NE MARYSVILLE WA 98270 REHAB & PHYSICAL THERAPY 296 - WMGNW - PAVILION FOR WOMEN & CHILDREN 900 PACIFIC AVE STE 501 EVERETT WA 98201 SPECIALTY CLINIC 297 - WMGNW - PLASTIC & RECONSTRUCTIVE SURGERY 12800 BOTHELL EVERETT HWY STE 260B EVERETT WA 98208 SPECIALTY CLINIC 298 - WMGNW - PMG MARYSVILLE CLINIC 11603 STATE AVE STE G MARYSVILLE WA 98271 PRIMARY CARE 299 - WMGNW - PMG UROLOGY 4310 COLBY AVE STE 203 EVERETT WA 98203 SPECIALTY CLINIC 300 - WMGNW - PROVIDENCE CARDIOLOGY 12800 BOTHELL EVERETT HWY STE 270 EVERETT WA 98208 SPECIALTY CLINIC 301 - WMGNW - PROVIDENCE CLEARVIEW FAMILY MED 17432 STATE ROUTE 9 SUITE 201 SNOHOMISH WA 98296 SPECIALTY CLINIC 302 - WMGNW - PROVIDENCE MILL CREEK PEDIATRICS 12800 BOTHELL-EVERETT HWY STE 190 EVERETT WA 98208 SPECIALTY CLINIC 303 - WMGNW - PROVIDENCE MILL CREEK WALKIN 12800 BOTHELL EVERETT HWY STE 110 EVERETT WA 98208 URGENT CARE 304 - WMGNW - PROV REG MEDICAL CENTER EVERETT 1700 13TH ST EVERETT WA 98201 SPECIALTY CLINIC 305 - WMGNW - REGENCY CARE CENTER AT MONROE 1355 W MAIN ST MONROE WA 98272 REHAB & PHYSICAL THERAPY 306 - WMGNW - REGIONAL MEDICAL CENTER 1321 COLBY AVE EVERETT WA 98201 SPECIALTY CLINIC 307 - WMGNW - REG MED CTR EVERETT - CANCER CTR 1717 13TH ST EVERETT WA 98201 SPECIALTY CLINIC 308 - WMGNW - SKAGIT VALLEY REG MED CENTER 1415 E KINCAID ST MOUNT VERNON WA 98274 PRIMARY CARE 309 - WMGNW - SNOHOMISH CLINIC 1830 BICKFORD AVE STE 211 SNOHOMISH WA 98290 SPECIALTY CLINIC 310 - WMGNW - SPORTS ORTHOPEDIC AND HAND 3726 BROADWAY STE 201 EVERETT WA 98201 SPECIALTY CLINIC 311 - WMGNW - STANWOOD CLINIC 7209 265TH ST NW STE 203 STANWOOD WA 98292 PRIMARY CARE 312 - WMGNW - SUNRISE VIEW CONVALESCENT CENTER 2520 MADISON ST EVERETT WA 98203 SPECIALTY CLINIC 313 - WMGNW - SWEDISH EDMONDS MEDICAL CENTER 21601 76TH AVE W EDMONDS WA 98026 SPECIALTY CLINIC 314 - WMGNW - SWEDISH MEDICAL CTR CHERRY HILL 500 17TH AVE SEATTLE WA 98122 SPECIALTY CLINIC 315 - WMGNW - SWEDISH MEDICAL CTR FIRST HILL 747 BROADWAY SEATTLE WA 98122 SPECIALTY CLINIC 316 - WMGNW - TRANSITIONAL CARE PACIFIC CAMPUS 916 PACIFIC AVE FLR 6 EVERETT WA 98201 SPECIALTY CLINIC 317 - WMGNW - VIEW RIDGE CARE CENTER 5129 HILLTOP RD EVERETT WA 98203 SPECIALTY CLINIC 318 - WMGNW - WOMENS SERVICES 16708 BOTHELL EVERETT HWY STE 201 MILL CREEK WA 98012 SPECIALTY CLINIC 319 - WMGNW - WOUND HEALING & HYPERBARIC MED 1330 ROCKEFELLER AVE STE 540 EVERETT WA 98201 SPECIALTY CLINIC 320 - WMGNW - WSU RESIDENCY INTERNAL MEDICINE 1321 COLBY AVE B400 EVERETT WA 98201 SPECIALTY CLINIC 321 - WMGSE 1017 S 2ND AVE STE 2 WALLA WALLA WA 99362 SPECIALTY CLINIC 322 - WMGSE - BROOKDALE SENIOR LIVING 1460 DALLES MILITARY RD WALLA WALLA WA 99362 SPECIALTY CLINIC 323 - WMGSE - CARDIOLOGY 55 WEST TIETAN ST WALLA WALLA WA 99362 SPECIALTY CLINIC 324 - WMGSE - CHASE MEDICAL 380 CHASE AVE WALLA WALLA WA 99362 PRIMARY CARE 325 - WMGSE - COUNTRY LANE ADULT CARE AF HOME 1840 GRAY LYNN DR WALLA WALLA WA 99362 SPECIALTY CLINIC 326 - WMGSE - DAVITA DIALYSIS 72556 COYOTE RD PENDLETON OR 97801 SPECIALTY CLINIC 327 - WMGSE - DAYTON GENERAL HOSPITAL 1012 SOUTH 3RD ST DAYTON WA 98328 SPECIALTY CLINIC 328 - WMGSE - EAGLE MEADOWS 550 EAST WHITMAN DR COLLEGE PLACE WA 99324 SPECIALTY CLINIC 329 - WMGSE - EAGLE SPRINGS MEMORY CARE 20 SOUTHEAST LARCH AVE COLLEGE PLACE WA 99324 SPECIALTY CLINIC 330 - WMGSE - ER PHYSICIANS 401 WEST POPLAR ST WALLA WALLA WA 99362 SPECIALTY CLINIC 331 - WMGSE - GASTROENTEROLOGY 1017 S 2ND AVE STE 3 SPOKANE WA 99224 SPECIALTY CLINIC 332 - WMGSE - GOOD SHEPARD MEDICAL CENTER 610 NORTHWEST 11TH ST HERMISTON OR 97838 SPECIALTY CLINIC 333 - WMGSE - IMAGING 401 WEST POPLAR ST WALLA WALLA WA 99362 SPECIALTY CLINIC 334 - WMGSE - NEUROLOGY AT KADLEC MEDICAL CTR 888 SWIFT BLVD RICHLAND WA 99352 SPECIALTY CLINIC 335 - WMGSE - NEUROSCIENCE INSTITUTE 301 WEST POPLAR ST STE 220 WALLA WALLA WA 99362 SPECIALTY CLINIC 336 - WMGSE - PARK MANOR REHABILITATION CENTER 1710 PLAZA WAY WALLA WALLA WA 99362 SPECIALTY CLINIC 337 - WMGSE - PENDLETON 1601 SOUTHEAST COURT AVE PENDLETON OR 97801 SPECIALTY CLINIC 338 - WMGSE - POPLAR MEDICAL 301 WEST POPLAR ST WALLA WALLA WA 99362 SPECIALTY CLINIC 339 - WMGSE - PROVIDENCE ENT 1017 S 2ND AVE STE 4 WALLA WALLA WA 99362 SPECIALTY CLINIC 340 - WMGSE - PROVIDENCE FAMILY & SPORTS MED 1017 S 2ND AVE STE 1 WALLA WALLA WA 99362 SPECIALTY CLINIC 341 - WMGSE - PROV FAMILY MED WALLA WALLA 1111 S 2ND AVE WALLA WALLA WA 99362 SPECIALTY CLINIC 342 - WMGSE - PROVIDENCE NEPHROLOGY 301 W POPLAR ST STE 100 WALLA WALLA WA 99362 SPECIALTY CLINIC 343 - WMGSE - PROVIDENCE PHYSICAL MED & REHAB 301 W POPLAR ST STE 210 WALLA WALLA WA 99362 SPECIALTY CLINIC 344 - WMGSE - QUALICENTER OF WALLA WALLA 135 AVERY ST WALLA WALLA WA 99362 SPECIALTY CLINIC 345 - WMGSE - RADIATION 401 WEST POPLAR ST WALLA WALLA WA 99362 SPECIALTY CLINIC 346 - WMGSE - REGENCY AT THE PARK 420 SOUTHEAST MYRA RD COLLEGE PLACE WA 99324 SPECIALTY CLINIC 347 - WMGSE - SACRED HEART MC 101 WEST 8TH AVE STE 4200 SPOKANE WA 99204 SPECIALTY CLINIC 348 - WMGSE - ST MARY MEDICAL CENTER 401 WEST POPLAR ST WALLA WALLA WA 99362 SPECIALTY CLINIC 349 - WMGSE - SWEDISH MEDICAL CENTER 747 BROADWAY SEATTLE WA 98122 SPECIALTY CLINIC 350 - WMGSE - VALLEY RESIDENTIAL SERVICES 240 BUSH ST WALLA WALLA WA 99362 SPECIALTY CLINIC 351 - WMGSE - WA ODD FELLOWS HOME 534 BOYER AVE WALLA WALLA WA 99362 SPECIALTY CLINIC 352 - WMGSE - WA STATE PENITENTIARY 1313 NORTH 13TH AVE WALLA WALLA WA 99362 SPECIALTY CLINIC 353 - WMGSE FRESENIUS DIALYSIS 1213 S MAIN ST MILTONFREEWATER OR 97862 SPECIALTY CLINIC 354 - WMGSE WALLA WALLA GENERAL HOSPITAL 1025 SOUTH 2ND AVE WALLA WALLA WA 99362 SPECIALTY CLINIC 355 - WMGSE WALLA WALLA VETERANS ADM MED CTR 77 WAINWRIGHT DR WALLA WALLA WA 99362 SPECIALTY CLINIC 356 - WMGSE WHEATLAND VIL ASSISTED LIVING 1500 CATHERINE ST WALLA WALLA WA 99362 SPECIALTY CLINIC 357 - WMGSE WHITMAN PLACE ASST LIVING 1018 WHITMAN ST WALLA WALLA WA 99362 SPECIALTY CLINIC 358 - WMGSW - CARDIAC SURGERY 525 LILLY RD NE STE 200 OLYMPIA WA 98506 PRIMARY CARE 359 - WMGSW - CARDIOLOGY ASSOCIATES - ABERDEEN 1921 SUMNER AVE ABERDEEN WA 98520 SPECIALTY CLINIC 360 - WMGSW - CARDIOLOGY ASSOCS - CENTRALIA 1800 COOKS HILL RD STE K CENTRALIA WA 98531 SPECIALTY CLINIC 361 - WMGSW - CARDIOLOGY ASSOCIATES OLYMPIA 500 LILLY RD NE STE 100 OLYMPIA WA 98506 SPECIALTY CLINIC 362 - WMGSW - CARDIOLOGY ASSOCIATES SHELTON 939 MT VIEW DR STE 120 SHELTON WA 98584 SPECIALTY CLINIC 363 - WMGSW - CARDIOLOGY ASSOCIATES YELM 201 TAHOMA BLVD STE 204 YELM WA 98597 SPECIALTY CLINIC 364 - WMGSW - CENTRALIA GENERAL SURGERY 1720 COOKS HILL RD CENTRALIA WA 98531 SPECIALTY CLINIC 365 - WMGSW - CENTRALIA HOSPITAL 914 S SCHEUBER RD CENTRALIA WA 98531 SPECIALTY CLINIC 366 - WMGSW - CENTRALIA INTERNAL MEDICINE 1010 S SCHEUBER RD STE 3/4 CENTRALIA WA 98531 PRIMARY CARE 367 - WMGSW - CENTRALIA PHYSICAL THERAPY 1900 COOKS HILL RD CENTRALIA WA 98531 REHAB & PHYSICAL THERAPY 368 - WMGSW - CENTRALIA WOMEN'S CENTER 1000 S SCHEUBER RD CENTRALIA WA 98531 SPECIALTY CLINIC 369 - WMGSW - CHEHALIS FAMILY MED & RESIDENTS 931 S MARKET BLVD CHEHALIS WA 98532 PRIMARY CARE 370 - WMGSW - CLINIC AT PANORAMA 1450 NORTHWEST LN SE STE A LACEY WA 98503 SPECIALTY CLINIC 371 - WMGSW - HARBOR REG HEALTH COMM HOSPITAL 915 ANDERSON DR ABERDEEN WA 98520 SPECIALTY CLINIC 372 - WMGSW - HAWKS PRAIRIE FAMILY MEDICINE 2555 MARVIN RD NE LACEY WA 98516 PRIMARY CARE 373 - WMGSW - HOSPITALISTS TEAM 413 LILLY RD NE OLYMPIA WA 98506 PRIMARY CARE 374 - WMGSW - MALLARD LANDING ASSISTED LIVING 813 SE CLARK AVE BATTLE GROUND WA 98604 SPECIALTY CLINIC 375 - WMGSW - MDPP BOLDT DIABETES 4800 COLLEGE ST SE LACEY WA 98503 SPECIALTY CLINIC 376 - WMGSW - MDPP CENTRALIA INTERNAL MEDICINE 1010 S SCHEUBER RD STE 3 CENTRALIA WA 98531 SPECIALTY CLINIC 377 - WMGSW - MDPP HAWKS PRARIE FAMILY MED 2555 MARVIN RD NE LACEY WA 98516 SPECIALTY CLINIC 378 - WMGSW - MDPP WEST OLYMPIA FAMILY MED 1620 COOPER POINT RD SW OLYMPIA WA 98502 SPECIALTY CLINIC 379 - WMGSW - MONTESANO HEALTH & REHAB CENTER 800 N MEDCALF LN MONTESANO WA 98563 SPECIALTY CLINIC 380 - WMGSW -MULTI SPEC CLINIC & LACEY FAM MED 4800 COLLEGE ST SE LACEY WA 98503 PRIMARY CARE 381 - WMGSW - NURO SURGERY 615 LILLY RD NE STE 220 OLYMPIA WA 98506 SPECIALTY CLINIC 382 - WMGSW -OLYMPIA INFECTIOUS DISEASE CLINIC 3525 ENSIGN RD NE STE F OLYMPIA WA 98506 SPECIALTY CLINIC 383 - WMGSW - OLYMPIA NEUROLOGY 525 LILLY RD NE STE 210 OLYMPIA WA 98506 SPECIALTY CLINIC 384 - WMGSW - OLYMPIA OBGYN 615 LILLY RD NE STE 200 OLYMPIA WA 98506 SPECIALTY CLINIC 385 - WMGSW - OLYMPIA PSYCHIATRY 525 LILLY RD NE STE 250 OLYMPIA WA 98506 SPECIALTY CLINIC 386 - WMGSW -OLYMPIA TRANSITIONAL CARE & REHAB 430 LILLY RD NE OLYMPIA WA 98506 SPECIALTY CLINIC 387 - WMGSW - ORCHARD POINTE 300 S KITSAP BLVD PORT ORCHARD WA 98366 SPECIALTY CLINIC 388 - WMGSW -PANORAMA CONVALESCENT & REHAB CTR 1600 SLEATER KINNEY RD SE LACEY WA 98503 SPECIALTY CLINIC 389 - WMGSW PRESTIGE POST-ACUTE & REH CTR CENT 917 S SCHEUBER RD CENTRALIA WA 98531 SPECIALTY CLINIC 390 - WMGSW - PUGET SOUND HEALTHCARE CENTER 4001 CAPITAL MALL DR SW OLYMPIA WA 98502 SPECIALTY CLINIC 391 - WMGSW - PULMONARY AND SLEEP MEDICINE 500 LILLY RD NE STE 204 OLYMPIA WA 98506 SPECIALTY CLINIC 392 - WMGSW -REGENCY OLYMPIA REH & NURSING CTR 1811 22ND AVE SE OLYMPIA WA 98501 SPECIALTY CLINIC 393 - WMGSW - REGIONAL CANCER CENTER - SHELTON 2026 OLYMPIC HWY N STE 203 SHELTON WA 98584 SPECIALTY CLINIC 394 - WMGSW - REG CANCER SYSTEM - ABERDEEN 954 ANDERSON RD ABERDEEN WA 98520 SPECIALTY CLINIC 395 - WMGSW - REG CANCER SYSTEM - CENTRALIA 2015 COOKS HILL RD STE 200 CENTRALIA WA 98531 SPECIALTY CLINIC 396 - WMGSW - REGIONAL CANCER SYSTEM LACEY 4525 3RD AVE SE STE 200 OLYMPIA WA 98503 SPECIALTY CLINIC 397 - WMGSW - RIVERSIDE NURSING AND REHAB 1305 ALEXANDER ST CENTRALIA WA 98531 SPECIALTY CLINIC 398 - WMGSW - ROO LAN HEALTH AND REHAB 1505 CARPENTER RD SE LACEY WA 98503 SPECIALTY CLINIC 399 - WMGSW - SHARON CARE CENTER 1509 HARRISON AVE CENTRALIA WA 98531 SPECIALTY CLINIC 400 - WMGSW - ST PETER FAMILY MEDICINE 525 LILLY RD NE OLYMPIA WA 98506 PRIMARY CARE 401 - WMGSW THE HAMPTON ALZHEIMER'S SPECIAL CC 1400 TROSPER RD SW TUMWATER WA 98512 SPECIALTY CLINIC 402 - WMGSW - THE SEQUOIA ASSISTED LIVING COMM 825 LILLY RD NE OLYMPIA WA 98506 SPECIALTY CLINIC 403 - WMGSW - UROLOGY OLYMPIA 149 LILLY RD NE OLYMPIA WA 98506 SPECIALTY CLINIC 404 - WMGSW - VASCULAR SURGERY (OLYMPIA) 128 LILLY RD NE STE 205 OLYMPIA WA 98506 SPECIALTY CLINIC 405 - WMGSW W OLYMPIA FAM MED & IMMEDIATE CARE 1620 COOPER POINT RD SW OLYMPIA WA 98502 URGENT CARE 406 - WMGSW - WOMENS HEALTH SERVICES OLYMPIA 3425 ENSIGN RD NE STE 220 OLYMPIA WA 98506 SPECIALTY CLINIC 407 - WMGSW MOTHER JOSEPH CARE CENTER 3333 ENSIGN RD NE OLYMPIA WA 98506 SPECIALTY CLINIC 408 - WMJC - PROVIDENCE MOTHER JOSEPH CARE CTR 3333 ENSIGN RD NE OLYMPIA WA 98506 SPECIALTY CLINIC 409 - WMSV - PROVIDENCE MOUNT ST VINCENT 4831 35TH AVE SW SEATTLE WA 98126 SENIOR CARE 410 - WNWHL 122 W 7TH AVE STE 232 SPOKANE WA 99204 SPECIALTY CLINIC 411 - WNWHL 1600 E JEFFERSON ST STE 600 SEATTLE WA 98122 SPECIALTY CLINIC 412 - WNWHL 2979 SQUALICUM PKWY STE 201 BELLINGHAM WA 98225 SPECIALTY CLINIC 413 - WNWHL 5633 N LIDGERWOOD ST PROV HOLY FAMILY H SPOKANE WA 99208 SPECIALTY CLINIC 414 - WNWHL 62 W 7TH AVE STE 110 SPOKANE WA 99204 SPECIALTY CLINIC 415 - WNWHL 62 W 7TH AVE STE 300 SPOKANE WA 99204 SPECIALTY CLINIC 416 - WNWHL ADVANCE HEART DISEASE & TRANSPLANT 62 W 7TH AVE STE 232 SPOKANE WA 99204 SPECIALTY CLINIC 417 - WNWHL MULTICARE TACOMA GEN ALLENMORE HOS 315 MARTIN LUTHER KING JR WAY TACOMA WA 98405 SPECIALTY CLINIC 418 - WNWHL - PROVIDENCE PULMONARY 105 W 8TH AVE STE 512C SPOKANE WA 99204 SPECIALTY CLINIC 419 - WNWHL - SPOKANE 62 W 7TH AVE STE 110 SPOKANE WA 98024 SPECIALTY CLINIC 420 - WNWHL - SPOKANE HEART INSTITUTE 62 W 7TH AVE SPOKANE WA 99204 SPECIALTY CLINIC 421 - WNWHL - ST LUKES REHAB 711 S COWLEY ST SPOKANE WA 99202 SPECIALTY CLINIC 422 - WNWHL - SWEDISH CHERRY HILL CAMPUS 500 17TH AVE SEATTLE WA 98122 SPECIALTY CLINIC 423 - WNWHL - VALLEY MEDICAL CENTER 808 PORT DRIVE CLARKSTON WA 99403 SPECIALTY CLINIC 424 - WNWHL AT DEACONESS MEDICAL CENTER 800 W 5TH AVE SPOKANE WA 99204 SPECIALTY CLINIC 425 - WNWHL AT HOLY FAMILY HOSPITAL 5633 N LIDGERWOOD ST SPOKANE WA 99208 SPECIALTY CLINIC 426 - WNWHL AT SACRED HEART MEDICAL CENTER 101 W 8TH AVE SPOKANE WA 99204 SPECIALTY CLINIC 427 - WNWHL AT SACRED HEART MEDICAL CENTER 122 W 7TH AVE SPOKANE WA 99204 SPECIALTY CLINIC 428 - WPIPS - EAST 15918 E EUCLID AVE SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 429 - WPIPS - WEST 3333 SOUTH 120TH PL STE 100 TUKWILA WA 98168 SPECIALTY CLINIC 430 - WPM - MARIANWOOD 3725 PROVIDENCE POINT DR SE ISSAQUAH WA 98029 SPECIALTY CLINIC 431 - WPT - CHEHALIS PHYSICAL THERAPY 91 SW CHEHALIS AVE STE 104 CHEHALIS WA 98532 REHAB & PHYSICAL THERAPY 432 - WPT - PHYSICAL AND AQUATIC CENTER 1809 COOKS HILL RD CENTRALIA WA 98531 REHAB & PHYSICAL THERAPY 433 - WPT - TUMWATER VALLEY PHYSICAL THERAPY 4833 TUMWATER VALLEY DR SE STE 150 TUMWATER WA 98501 REHAB & PHYSICAL THERAPY 434 - WRFM - PROV ROCHESTER FAMILY MEDICINE 18313 PAULSON ST SW STE A ROCHESTER WA 98579 PRIMARY CARE 435 - WSHH - HOME HEALTH LACEY 4200 6TH AVE SE STE 201 LACEY WA 98503 HOME HEALTH 436 - WSHH - HOSPICE SCHEUBER 1010 S SCHEUBER RD CENTRALIA WA 98531 HOME HEALTH 437 - WSHI 1200 W FAIRVIEW ST COLFAX WA 99111 SPECIALTY CLINIC 438 - WSHI 143 GARDEN HOMES DR COLVILLE WA 99114 SPECIALTY CLINIC 439 - WSHI 1600 E JEFFERSON STE 600 SEATTLE WA 98122 SPECIALTY CLINIC 440 - WSHI 16528 E DESMET CT STE B3200 SPOKANE VALLEY WA 99216 SPECIALTY CLINIC 441 - WSHI 212 E CENTRAL AVE STE 240 SPOKANE WA 99208 SPECIALTY CLINIC 442 - WSHI 2979 SQUALICUM PKWY STE 201 BELLINGHAM WA 98225 SPECIALTY CLINIC 443 - WSHI 314 MARTIN LUTHER KING JR WAY STE 202 TACOMA WA 98405 SPECIALTY CLINIC 444 - WSHI 411 FORTUYN RD GRAND COULEE WA 99133 SPECIALTY CLINIC 445 - WSHI 500 W BROADWAY ST MISSOULA MT 59802 SPECIALTY CLINIC 446 - WSHI 62 W 7TH AVE STE 232 SPOKANE WA 99204 SPECIALTY CLINIC 447 - WSHI 62 W 7TH AVE STE 300 SPOKANE WA 99204 SPECIALTY CLINIC 448 - WSHI 62 W 7TH AVE STE 450 SPOKANE WA 99204 SPECIALTY CLINIC 449 - WSHI 714 W PINE ST NEWPORT WA 99156 SPECIALTY CLINIC 450 - WSHI 821 E BROADWAY AVE STE 5 MOSES LAKE WA 98837 SPECIALTY CLINIC 451 - WSHI 825 SE BISHOP BLVD STE 140 PULLMAN WA 99163 SPECIALTY CLINIC 452 - WSHI 905 E D ST DEER PARK WA 99006 SPECIALTY CLINIC 453 - WSHI - CLARKSON 808 PORT DR CLARKSTON WA 99403 SPECIALTY CLINIC 454 - WSHSP - SPOKANE 1000 N ARGONNE RD STE 201 SPOKANE VALLEY WA 99212 HOME HEALTH 455 - WSJCC - PROVIDENCE ST JOSEPH CARE CENTER 17 E 8TH AVE SPOKANE WA 99202 SPECIALTY CLINIC 456 - WSMHH - WALLA WALLA 209 W POPLAR ST WALLA WALLA WA 99362 HOME HEALTH 457 - WSP - DIAGNOSTIC IMAGING LACEY 4800 COLLEGE ST SE STE E LACEY WA 98503 SPECIALTY CLINIC 458 - WSP - PROVIDENCE ABUSE INTERVENTION CTR 3020 WILLAMETTE DR NE LACEY WA 98516 SPECIALTY CLINIC 459 - WSP - PROV ST PETER OP PALLIATIVE CARE 3525 ENSIGN RD NE STE F LACEY WA 98506 SPECIALTY CLINIC 460 - WSP - SEXUAL ASSAULT CL PACIFIC CO CA 1216 W ROBERT BUSH DRIVE WEST PACIFIC COU SOUTH BEND WA 98586 SPECIALTY CLINIC 461 - WSP SEXUAL ASSAULT CL PACIFIC CO HHSD AF 7013 SANDRIDGE ROAD S PACIFIC COUNTY HHSD LONG BEACH WA 98586 SPECIALTY CLINIC 462 - WSP SEXUAL ASSAULT CL PCH & ER CTR 914 S SCHEUBER RD CENTRALIA WA 98531 SPECIALTY CLINIC 463 - WSP - SEXUAL ASSAULT CLINIC WSO & ER CTR 413 LILLY RD OLYMPIA WA 98506 SPECIALTY CLINIC 464 - WSP SEXUAL ASSAULT CL A ADV CTR LEWIS CO 220 WASHINGTON WAY BLDG A CENTRALIA WA 98531 SPECIALTY CLINIC 465 - WVNA - HOME HEALTH 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: ANNUAL COMMUNITY BENEFIT REPORT WEBSITEHTTPS://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 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 2023, PIHC COLLABORATED WITH COMMUNITY PARTNERS TO:- DISTRIBUTED 2096 COVID-19 MASKS TO A COMMUNITY HEALTH EQUITY PARTNERSHIP TO BE DISTRIBUTED TO LOW-INCOME FAMILIES.- PROVIDE ACCESS TO MORE THAN 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 26 COMMUNITY HEALTH EVENTS FOR DIVERSE COMMUNITIES AND PROMOTING ACCESS TO SOCIAL DETERMINANTS OF HEALTH RESOURCES THROUGH A COMMUNITY HUB.- FACILITATE "EDGE OF AMAZING" (EOA) ANNUAL COMMUNITY HEALTH SUMMIT WHICH BRINGS TOGETHER OVER 300 MEMBERS TO IDENTIFY AND DEVELOP WAYS TO IMPROVE COMMUNITY HEALTH AND WELL-BEING ACROSS SNOHOMISH COUNTY. ATTENDEES REPRESENTED 94 DIVERSE COMMUNITY SOCIAL AND HEALTH SERVICES PARTNER ORGANIZATIONS.- SURVEY THE COMMUNITY AROUND SIX DIMENSIONS OF HEALTH AND WELL-BEING, INCLUDING SECURITY AND BASIC NEEDS (HOUSING, TRANSPORTATION, FOOD, UTILITIES, JOB AND EDUCATION, PERSONAL SAFETY, MEDICAL CARE, ETC.) EMPOWERING DIVERSE COMMUNITIES TO USE DATA TO IDENTIFY AND ADDRESS GAPS IN WELL-BEING.PROVIDENCE SHMC & CHILDREN'S HOSPITAL AND PROVIDENCE 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 2023, MEMBERS OF 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, EASTERN WASHINGTON PARTNERSHIP WORKFORCE DEVELOPMENT COUNCIL, NURSING EDUCATION ADVISORY COMMITTEE, CBC/WSU NURSING ADVISORY COMMITTEE, PORT OF WALLA WALLA, AND CHAMBER EVENTS. 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 SHMC & CHILDREN'S HOSPITAL, PROVIDENCE ST. PETER HOSPITAL, PROVIDENCE HOLY FAMILY HOSPITAL, PROVIDENCE CENTRALIA HOSPITAL AND PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL CENTER.EVERY 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 TO RESPOND TO THOSE NEEDS. WE HAVE A COMMUNITY MISSION BOARD, A FOUNDATION BOARD, AS WELL AS AN INSTITUTE FOR HEALTHIER COMMUNITIES STRATEGIC OVERSIGHT COUNCIL. 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. IN ADDITION TO THE CHNA, PSMMC'S LEADER OF STRATEGY AND BUSINESS DEVELOPMENT LED THE WORK ON THE ALIGNMENT OF THE INTEGRATED MARKET PLAN WITH MISSION AND COMMUNITY NEED. MISSION, POPULATION HEALTH, AND COMMUNITY HEALTH INVESTMENT LEADERS PARTICIPATED IN THE ALIGNMENT EVALUATION. PROVIDENCE KODIAK IS. 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 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. PART VI, LINE 3: COMMUNICATION TO THE PUBLIC:PROVIDENCE HOSPITALS POST NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED 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. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS.WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS. PART VI, LINE 4: COMMUNITY INFORMATION: PROVIDENCE ST. PETER HOSPITAL AND PROVIDENCE CENTRALIA HOSPITALBASED ON THE AVAILABILITY OF DATA, GEOGRAPHIC ACCESS TO THE FACILITIES, AND OTHER HOSPITALS IN NEIGHBORING COUNTIES, LEWIS AND THURSTON COUNTIES IN SOUTHWEST WASHINGTON STATE COMPRISE THE PROVIDENCE SWEDISH SOUTH PUGET SOUND SERVICE AREA. PROVIDENCE CENTRALIA HOSPITAL IS LOCATED IN LEWIS COUNTY, IN CENTRALIA, WASHINGTON; PROVIDENCE ST. PETER HOSPITAL IS LOCATED IN THURSTON COUNTY, IN OLYMPIA, WASHINGTON.BASED ON DATA FROM THE 2022 AMERICAN COMMUNITY SURVEY AND THE 2023 COUNTY HEALTH RANKINGS:- OF 39 COUNTIES IN WASHINGTON, LEWIS COUNTY IS THE 16TH LARGEST COUNTY BY POPULATION, WITH 85,370 RESIDENTS. IT IS COMPRISED OF 2,402.8 SQUARE MILES OF LAND AND IS THE 6TH LARGEST COUNTY BY TOTAL AREA. IT IS RANKED 33RD IN THE COUNTY HEALTH RANKINGS, THE 17TH PERCENTILE IN THE STATE.- THURSTON COUNTY IS THE 6TH LARGEST BY POPULATION, WITH 298,758 RESIDENTS. IT IS COMPRISED OF 722.5 SQUARE MILES OF LAND AND IS THE 32ND LARGEST COUNTY BY TOTAL AREA. IT IS RANKED 17TH IN THE COUNTY HEALTH RANKINGS, THE 61ST PERCENTILE IN THE STATE.TO FACILITATE IDENTIFYING HEALTH DISPARITIES AND SOCIAL INEQUITIES BY PLACE, WE DESIGNATED A "HIGH NEED" SERVICE AREA AND A "BROADER" SERVICE AREA, WHICH TOGETHER MAKE UP THE SOUTH PUGET SOUND SERVICE AREA, ENCOMPASSING BOTH LEWIS AND THURSTON COUNTIES. BASED ON WORK DONE BY THE PUBLIC HEALTH ALLIANCE OF SOUTHERN CALIFORNIA AND THEIR HEALTHY PLACES INDEX (HPI) TOOL, WE IDENTIFIED THE HIGH NEED SERVICE AREA BASED ON INCOME, EDUCATION, ENGLISH PROFICIENCY, AND LIFE EXPECTANCY.FOR THIS ANALYSIS, CENSUS TRACKS WITH MORE PEOPLE BELOW 200% FEDERAL POVERTY LEVEL (FPL), MORE PEOPLE WITHOUT A HIGH SCHOOL DIPLOMA, MORE LIMITED ENGLISH HOUSEHOLDS, AND A LOWER LIFE EXPECTANCY AT BIRTH WERE IDENTIFIED AS "HIGH NEED." THE MEAN VALUE OF NEAREST NEIGHBORS WAS USED TO INSERT MISSING DATA FOR VARIABLES BY WAY OF THE NEIGHBORHOOD SUMMARY STATISTICS GEOPROCESSING TOOL IN ARCGIS PRO 3.1. ALL VARIABLES WERE WEIGHTED EQUALLY. THE CENSUS TRACTS WERE ASSIGNED A SCORE BETWEEN 0 AND 100 WHERE 0 REPRESENTS THE CENSUS TRACT WITH THE LOWEST NEED AND 100 REPRESENTS THE HIGHEST NEED, ACCORDING TO THE CRITERIA. CENSUS TRACTS THAT SCORED HIGHER THAN THE AVERAGE WERE CLASSIFIED AS A HIGH NEED SERVICE AREA AND ARE DEPICTED IN GREEN. IN THE SOUTH PUGET SOUND SERVICE AREA, 41 OF 82 CENSUS TRACTS (50%) SCORED ABOVE THE AVERAGE OF 45.1, INDICATING A HIGH NEED.WE HAVE DEVELOPED A DASHBOARD THAT MAPS EACH CHNA INDICATOR AT THE CENSUS TRACT LEVEL. THE DASHBOARD CAN BE FOUND HERE: HTTPS://EXPERIENCE.ARCGIS.COM/EXPERIENCE/A9990291518845709850F5520BDC6F93/.ABOUT ONE IN FOUR PEOPLE IN THE SOUTH PUGET SOUND SERVICE AREA IS BETWEEN THE AGES OF 35 AND 54. THIS AGE GROUP, ALONG WITH PEOPLE BETWEEN THE AGES OF 55 AND 84, ARE OVER-REPRESENTED IN THE HIGH NEED SERVICE AREA. PEOPLE AGES 18 TO 34 ARE OVER-REPRESENTED IN THE HIGH NEED SERVICE AREA.MALE AND FEMALE SEXES ARE ROUGHLY PROPORTIONAL ACROSS THE SERVICE AREAS.ALMOST 80% OF PEOPLE IN THE SOUTH PUGET SOUND SERVICE AREA IDENTIFY AS WHITE, WHICH IS SLIGHTLY OVER-REPRESENTED IN THE BROADER SERVICE AREA COMPARED TO THE SOUTH PUGET SOUND SERVICE AREA. PEOPLE IDENTIFYING AS TWO OR MORE RACES, SOME OTHER RACE, NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, BLACK OR AFRICAN AMERICAN, ASIAN, AND AMERICAN INDIAN OR ALASKA NATIVE ARE SLIGHTLY OVER-REPRESENTED IN THE HIGH NEED SERVICE AREA. INDIVIDUALS IDENTIFYING AS HISPANIC/LATINO/LATINA ARE ALSO OVER-REPRESENTED IN THE HIGH NEED SERVICE ARE COMPARED TO THE SOUTH PUGET SOUND SERVICE AREA.HOUSEHOLD MEDIAN INCOME INCLUDES THE INCOME OF THE HOUSEHOLDER AND ALL OTHER INDIVIDUALS 15 YEARS OLD AND OVER IN THE HOUSEHOLD, WHETHER THEY ARE RELATED TO THE HOUSEHOLDER OR NOT. BECAUSE MANY HOUSEHOLDS CONSIST OF ONLY ONE PERSON, AVERAGE HOUSEHOLD INCOME IS USUALLY LESS THAN AVERAGE FAMILY INCOME. LEWIS'S COUNTY'S MEDIAN HOUSEHOLD INCOME IS NEARLY $20,000 BELOW THAT OF THURSTON COUNTY, AND MORE THAN $27,000 BELOW THAT OF THE BROADER NEED AREA OF SOUTH PUGET SOUND. THURSTON COUNTY ALSO FALLS SLIGHTLY BEHIND THE STATE IN THIS MEASURE.RENTER HOUSEHOLDS EXPERIENCING SEVERE HOUSING COST BURDEN ARE HOUSEHOLDS SPENDING 50% OR MORE OF THE INCOME ON HOUSING COSTS. THE INFORMATION OFFERS AN EXCELLENT MEASURE OF HOUSING AFFORDABILITY AND EXCESSIVE SHELTER COSTS. ABOUT 21% OF RENTER HOUSEHOLDS IN BOTH WASHINGTON STATE AND LEWIS COUNTY ARE SEVERELY HOUSING-COST BURDENED, WHILE 24% RENTERS IN THURSTON COUNTY AND 25% IN THE HIGH NEED AREA OF THE SOUTH PUGET SOUND ARE EXPERIENCING THIS STRAIN.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN THE COMMUNITY INCLUDE MULTICARE CAPITAL MEDICAL CENTER AND ARBOR HEALTH.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 THE EAST, AND PUGET SOUND IN THE WEST. THE TOTAL POPULATION OF SNOHOMISH COUNTY IS 840,079. AMONG SNOHOMISH COUNTY RESIDENTS, 62.7% OF RESIDENTS ARE WHITE, 13.1% ASIAN, AND 3.5% AFRICAN AMERICAN. AMERICAN INDIAN AND ALASKA NATIVE, NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, AND SOME OTHER RACE EACH REPORT .6%. OF THE TOTAL POPULATION, 11.6% ARE HISPANIC, AND 7.2% REPORT TWO OR MORE RACES. NEARLY 22% OF THE POPULATION IS UNDER THE AGE OF 18 AND ALMOST 34% ARE 62 YEARS OF AGE OR OLDER. THE MEDIAN HOUSEHOLD INCOME IS $104,083, EXCEEDING THAT OF THE STATE OF WASHINGTON OF $90,325. 6.2% OF THE POPULATION ARE WITHOUT HEALTH INSURANCE COVERAGE AND 17.9% 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. PART VI, LINE 5: PROVIDENCE HEALTH AND SERVICES - WASHINGTON 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) A COMMUNITY MISSION BOARD COMPRISED OF EIGHT TO FIFTEEN BOARD MEMBERS WHO ARE NOT ONLY PROFESSIONALLY DIVERSE, BUT WHO CLOSELY REPRESENT THE AGE, GENDER, RACE, AND ETHNIC PROFILE OF ITS SERVICE AREA. NO MEMBER OF THE COMMUNITY MISSION BOARD WILL BE AN EMPLOYEE OF PROVIDENCE.2) OPEN MEDICAL STAFF, HEALTH PROFESSIONS EDUCATION PROGRAM THAT RESPONDS TO COMMUNITY NEED, SURPLUS FUNDS ARE USED TO ADVANCE PATIENT CARE.3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH.SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. PART VI, LINE 6: AFFILIATED HEALTHCARE SYSTEM:AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA2023 HIGHLIGHTS AND KEY INSTITUTES:INVESTING IN THE COMMUNITIES WE SERVE IS AN ESSENTIAL WAY THE PROVIDENCE FAMILY OF ORGANIZATIONS LIVES ITS MISSION AND WORKS TOWARD OUR VISION OF HEALTH FOR A BETTER WORLD. FOR GENERATIONS, PROVIDENCE MINISTRIES AND AFFILIATES HAVE SERVED AS A VITAL SAFETY NET. GUIDED BY COMMUNITY HEALTH NEEDS ASSESSMENTS, WE CONTINUE OUR LONGSTANDING COMMITMENT TO THOSE WHO ARE VULNERABLE THROUGH COMMUNITY BENEFIT AND OTHER HIGH-IMPACT INVESTMENTS. IN 2023, PROVIDENCE MINISTRIES AND AFFILIATES INVESTED NEARLY $2.1 BILLION IN COMMUNITY BENEFIT PROGRAMS, INCLUDING PROACTIVE COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND FREE, DISCOUNTED AND UNCOMPENSATED CARE. THIS SIGNIFICANT INVESTMENT IN COMMUNITY BENEFIT PROGRAMS REPRESENTS AN INCREASED FOCUS ON ADDRESSING ROOT CAUSES OF COMMUNITY HEALTH ISSUES AND PROGRAMS THAT INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES. INVESTMENTS WENT 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. AN EXAMPLE OF THIS IMPORTANT WORK CAN BE FOUND IN THE LAUNCH OF THE PROVIDENCE HEALTH EQUITY FELLOWSHIP, WHICH WAS CREATED TO BUILD CAREGIVERS' CAPACITY AND EXPERTISE THROUGH CLASSROOM LEARNING AND THE REAL-TIME APPLICATION OF HEALTH EQUITY PRINCIPLES. FELLOWS MOOJAN REZVAN AND SHELLEY SCHOEPFLIN SANDERS, M.D., HAVE DEDICATED THEIR PROJECTS TO IMPROVING THE HEALTH OUTCOMES OF SEPSIS PATIENTS. INITIAL OUTCOMES FROM BOTH PROGRAMS ARE PROMISING, WITH AVERAGE LENGTHS OF STAY AND READMISSION RATES IMPROVING. TOGETHER, CAREGIVERS AND COMMUNITY LEADERS AND ORGANIZATIONS TOUCHED THE LIVES OF THOUSANDS OF PEOPLE AND PATIENTS THROUGH THESE INVESTMENTS IN 2023. THEY ALSO HELPED TO BUILD AND STRENGTHEN COMMUNITY RESILIENCE AND THE HUMAN CONNECTION, ESPECIALLY IN TIMES OF NEED. OUR COMMITMENT TO MEETING THE DIVERSE NEEDS OF THE COMMUNITIES WE SERVE DOMESTICALLY AND ABROAD HAS NEVER BEEN STRONGER. FOR THE PAST SEVEN YEARS, PROVIDENCE HAS FUNDED HEALTH PARTNERS IN MANGOCHI DISTRICT, MALAWI TO BUILD CRITICAL HEALTH SYSTEM INFRASTRUCTURE FOR 1.5 MILLION PEOPLE. IN 2023, INVESTMENTS EXPANDED HEALTH CARE TRAINING AND WATER, SANITATION AND HYGIENE IMPROVEMENTS, INCLUDING A RELIABLE WATER SOURCE, ACCESSIBLE TOILETS AND SAFE MEDICAL WASTE DISPOSAL AT TWO CLINICS. MORE EXAMPLES OF THIS IMPORTANT WORK ARE CAPTURED THROUGHOUT PROVIDENCE'S 2023 ANNUAL REPORT TO OUR COMMUNITIES, WHICH WE INVITE CAREGIVERS, COMMUNITY PARTNERS AND OTHER STAKEHOLDERS TO READ. WE COULDN'T BE PROUDER OF THIS WORK, THESE PROGRAMS AND THEIR IMPACT.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORTTHE FOLLOWING ARE KEY EXAMPLES OF HOW WE ARE INVESTING IN ADVANCING THE HEALTH OF OUR COMMUNITIES:ST. JOSEPH FUND:ST. JOSEPH FUND (SJF) IS PROVIDENCE'S GRANTMAKING FOUNDATION. IT INVESTS IN AND FOSTERS LONG-TERM PARTNERSHIPS, ROOTED IN LOVE, WITH COMMUNITIES TO ENSURE THEY ARE LIVELY, HOPEFUL, HEALTHY, AND JUST.ITS PARTNERSHIPS ARE TAILORED TO PROVIDE EACH GROUP WITH CAPACITY-BUILDING SUPPORT SPECIFIC TO THEIR NEEDS. TOGETHER, THEY BUILD RELATIONSHIPS AND FOSTER ONGOING DIALOGUES BEYOND A GRANT TERM. EACH PARTNERSHIP ENCOURAGES THE ACCESSIBILITY OF STAFF TO GENERATE IDEAS AND INNOVATIONS.SJF INVESTS IN REGIONAL NONPROFITS AND COLLABORATIVES ACROSS ALASKA, CALIFORNIA, MONTANA, OREGON, AND WASHINGTON TO STRENGTHEN AND BUILD THE POWER OF COMMUNITIES, FOCUSING ON BUILDING COMMUNITY IN FOUR KEY AREAS:- DISASTER RESPONSE AND RESILIENCE- LIFELONG EDUCATION THAT OPENS DOORS- POSITIVE CHANGE THROUGH COMMUNITY POWER- COMMUNITY HEALING AND RESILIENCECAPACITY BUILDING IS AT THE CENTER OF SJF'S WORK. BY THAT, IT MEANS INFRASTRUCTURE DEVELOPMENT, INTERNAL ASSESSMENTS, RESEARCH, TRAINING, COHORT LEARNING, EXAMINING POLICIES AND PROCEDURES, AND MORE TO ENCOMPASS THE BUILDING BLOCKS FOR ORGANIZATIONAL POWER TO CARRY FORTH DIRECT COMMUNITY AND SOCIAL IMPACT. IT PARTNERS WITH COMMUNITY MEMBERS TO GO THE DISTANCE WITH THEM TOWARD WHOLENESS. THE SJF DOESN'T JUST FUND INITIATIVES - IT REMAINS PARTNERS LONG AFTER THE GRANT FUNDS HAVE BEEN EXPENDED. SJF LEADERS AND THOSE AT THEIR NONPROFIT PARTNERS EACH HAVE LIVED EXPERIENCE AND UNDERSTAND THE NEEDS OF UNDERSERVED COMMUNITIES. THE SJF TEAM IS MOTIVATED BY COMPASSION, KINDNESS, AND THE DESIRE TO BENEFIT OTHERS AND BELIEVES THIS LEADS TO MORE POSITIVE OUTCOMES AND CREATES A SENSE OF FULFILLMENT AND SATISFACTION.ABOVE ALL, SJF BELIEVES IN THE POWER OF THE COMMUNITY.IT CELEBRATES AND CENTERS COMMUNITY EXPERTISE AND EXPERIENCE. IT LISTENS TO THEIR WISDOM. IT UNDERSTANDS THEIR NEEDS. AND IT INVESTS IN THEIR OPPORTUNITIES. SJF ENVISIONS WORKING AND LIVING TOGETHER IN LIVELY, HOPEFUL, HEALTHY, AND JUST COMMUNITIES. THE SJF INVESTS IN LONG-TERM PARTNERSHIPS ROOTED IN LOVE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/INITIATIVES/ST-JOSEPH-FUNDINVESTING IN OUR COMMUNITIES IS AN ESSENTIAL WAY WE LIVE OUR MISSION:FOR 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.HEALTH EQUITY:CHANGE BEGINS WITH US:AT 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 RESPONSIBILITY:IN PARTNERSHIP WITH COMMUNITIES, THE PROVIDENCE FAMILY OF ORGANIZATIONS ADVOCATES FOR RESPONSIBLE, SUSTAINABLE, AND EQUITABLE POLICIES AND PRACTICES. WE REACH BEYOND THE WALLS OF HOSPITALS AND CARE FACILITIES TO WORK WITH LOCAL, STATE AND NATIONAL PARTNERS TO ADVANCE POLICIES THAT SERVE VULNERABLE POPULATIONS AND PROMOTE JUSTICE. WE ALSO PARTNER TO PROMOTE PRACTICES AND INFRASTRUCTURE THAT WILL SUSTAIN THE PLANET FOR FUTURE GENERATIONS AND TRANSFORM OUR COMMUNITIES FOR A HEALTHIER, MORE EQUITABLE WORLD.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITYENVIRONMENTAL STEWARDSHIP:THE 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. PART VI, LINE 7, REPORTS FILED WITH STATES WA,OR,CA,MT,AK,TX PART VI, LINE 4 (CONTINUED): PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITALIN 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.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 BY LOWER 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 BY LOWER 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 MEDIAN INCOME 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 (ST. ELIAS)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.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. PART VI, LINE 4 (CONTINUED): PROVIDENCE 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- $79,173PERCENT 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 THE FEDERAL 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'S 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 SIMILAR DEMOGRAPHICS AND RURAL CHARACTERISTICS.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 POPULATION 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. PART VI, LINE 4 (CONTINUED): PROVIDENCE ST. LUKE'S REHABILITATION MEDICAL CENTERIN 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 6 (CONTINUED): 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 TRUST:PROVIDENCE'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/INSTITUTE FOR SYSTEMS BIOLOGY: ON OUR JOURNEY TO CREATE HEALTHIER COMMUNITIES, WE ARE TURNING TO THE SCIENCE OF GENOMICS TO HELP INDIVIDUALS MAP A PERSONAL PATH TO WELLNESS. IT'S A UNIQUE APPROACH TO PERSONALIZED MEDICINE THAT WE CALL SCIENTIFIC WELLNESS.THE INSTITUTE FOR SYSTEMS BIOLOGY IS A NOT-FOR-PROFIT BIOMEDICAL RESEARCH ORGANIZATION THAT IS PART OF THE PROVIDENCE FAMILY. THE SCIENTISTS AND ENGINEERS AT ISB ARE WORKING TO UNLOCK THE MYSTERY OF THE GENOME TO LEARN HOW WE CAN KEEP PEOPLE HEALTHY WELL INTO THEIR 90S.THIS IS A PROACTIVE APPROACH TO MEDICINE THAT WILL HELP US SHIFT FROM A DISEASE FOCUS TO A WELLNESS FOCUS. WITH ISB, WE ARE PURSUING RESEARCH IN THE AREAS OF BREAST CANCER SURVIVORSHIP, ALZHEIMER'S, GLIOBLASTOMA AND MARKERS TO HELP US IDENTIFY AND REVERSE DISEASE AT THE EARLIEST POSSIBLE STAGES. OUR PARTNERSHIP GIVES US THE OPPORTUNITY TO BRING THESE ADVANCES TO PEOPLE IN THE COMMUNITIES WE SERVE.FOR MORE INFORMATION GO TO: HTTPS://ISBSCIENCE.ORG/ 1 CATHOLIC SOCIAL SERVICES INC 3710 E 20TH AVE ANCHORAGE AK 99508 460418272 501(C)(3) 2455000 0 OPERATIONAL SUPPORT EVERETT TRANSITIONAL CARE SERVICES FOUNDATION 916 PACIFIC AVENUE 4TH FLOOR EVERETT WA 98201 943264605 501(C)(3) 2160000 0 SPONSORSHIP ANCHORAGE COALITION TO END HOMELESSNESS PO BOX 243041 ANCHORAGE AK 99524 461156688 501(C)(3) 600000 0 COMMUNITY BENEFIT RESTRICTED GRANT COALITION TO PROTECT AMERICAS HEALTH CARE PO BOX 30211 BETHESDA MD 20824 522253225 501(C)(4) 500000 0 OPERATIONAL SUPPORT UNIVERSITY OF ALASKA 1815 BRAGAW ST STE 203 ANCHORAGE AK 99508 926000147 501(C)(3) 350000 0 SPONSORSHIP CATHOLIC CHARITIES EASTERN WA 5400 SE KELLOGG CR DR MILWAUKIE OR 97222 910569880 501(C)(3) 296525 0 COMMUNITY BENEFIT RESTRICTED GRANT SEWARD PREVENTION COALITION PO BOX 482 SEWARD AK 99664 475624328 501(C)(3) 256300 0 OPERATIONAL SUPPORT COVENANT HOUSE OF AK 755 A STREET ANCHORAGE AK 99501 133419755 501(C)(3) 250000 0 COMMUNITY BENEFIT RESTRICTED GRANT BRIGHTSIDE BENEFIT INC 55 N ARIZONA PL SUITE 200 CHANDLER AZ 85225 042182395 501(C)(3) 250000 0 COMMUNITY BENEFIT RESTRICTED GRANT SPOKANE PARKS FOUNDATION PO BOX 8127 SPOKANE WA 99023 916033504 501(C)(3) 250000 0 OPERATIONAL SUPPORT BEANS CAFE INC 1524 SHIP AVENUE ANCHORAGE AK 99501 920072522 501(C)(3) 200000 0 COMMUNITY BENEFIT RESTRICTED GRANT VOLUNTEERS OF AMERICA 1876 S SHERIDAN AVE SHERIDAN WY 82801 830280532 501(C)(3) 200000 0 COMMUNITY BENEFIT RESTRICTED GRANT AMER HEART ASSOC UNION SQUARE BUILDING 601 UNION ST SUITE 2420 SEATTLE WA 98101 135613797 501(C)(3) 150505 0 COMMUNITY BENEFIT RESTRICTED GRANT FAMILY PROMISE OF SPOKANE PO BOX 524 VALDEZ AK 99686 920083034 501(C)(3) 150000 0 OPERATIONAL SUPPORT EVERETT GOSPEL MISSION 2222 52ND STREET EVERETT WA 98203 910780146 501(C)(3) 147000 0 COMMUNITY BENEFIT RESTRICTED GRANT ALASKA PRIMARY CARE ASSOCIATION 1911 E REZANOF DR KODIAK AK 99615 920154822 501(C)(3) 140000 0 OPERATIONAL SUPPORT NW JUSTICE PROJECT 2822 COLBY AVE SUITE 400 EVERETT WA 98201 911687791 501(C)(3) 140000 0 COMMUNITY BENEFIT RESTRICTED GRANT UNITED WAY OF ANCHORAGE 701 WEST 8TH AVENUE SUITE 230 ANCHORAGE AK 99501 920027948 501(C)(3) 125000 0 COMMUNITY BENEFIT RESTRICTED GRANT SPOKANE TREATMENT AND RECOVERY PO BOX 2845 SPOKANE WA 99220 911108762 501(C)(3) 120000 0 COMMUNITY BENEFIT RESTRICTED GRANT ALASKA ADOPTION SERVICES PO BOX 77185 EAGLE RIVER AK 99577 841831744 501(C)(3) 104825 0 OPERATIONAL SUPPORT STANDING TOGETHER AGAINST RAPE INC - STAR 1057 W FIREWEED LN STE 230 ANCHORAGE AK 99503 920071466 501(C)(3) 102000 0 OPERATIONAL SUPPORT FOOD BANK OF ALASKA 2192 VIKING DRIVE ANCHORAGE AK 99501 920073175 501(C)(3) 100000 0 COMMUNITY BENEFIT RESTRICTED GRANT WORLD TELEHEALTH INITIATIVE 7402 HOLLISTER AVE SANTA BARBARA CA 93117 721203394 501(C)(3) 100000 0 COMMUNITY BENEFIT RESTRICTED GRANT SALVATION ARMY 615 SLATERS LN ALEXANDRIA VA 22314 132923701 501(C)(3) 100000 0 COMMUNITY BENEFIT RESTRICTED GRANT SPOKANE REGIONAL CHAMBER OF COMMERCE 801 W RIVERSIDE AVE 200 SPOKANE WA 99201 910418800 501(C)(6) 100000 0 SPONSORSHIP ANCHORAGE PROJECT ACCESS 801 W RIVERSIDE AVE 200 SPOKANE WA 99201 920152088 501(C)(3) 100000 0 COMMUNITY BENEFIT RESTRICTED GRANT CATHOLIC CHARITIES OF SPOKANE PO BOX 2253 SPOKANE WA 99201 910569880 501(C)(3) 100000 0 COMMUNITY BENEFIT RESTRICTED GRANT WABSWA ALLIANCE BETTER SCHOOL 18560 1ST AVE NE SHORELINE WA 91855 911698851 501(C)(3) 100000 0 COMMUNITY BENEFIT RESTRICTED GRANT AK LITERACY PROGRAM 12180 PARK AVE S135 TACOMA WA 98447 237451172 501(C)(3) 95000 0 SPONSORSHIP PROVIDENCE NE WA HUNGER COALITION 347 W 2ND AVE SUITE G COLVILLE WA 99114 721582755 501(C)(3) 90000 0 SPONSORSHIP PARTNERS WITH FAMILIES 106 W MISSION AVE SPOKANE WA 99201 680576560 501(C)(3) 90000 0 SPONSORSHIP SEWARD PREVENTION COALITION PO BOX 482 SEWARD AK 99664 475624328 501(C)(3) 75000 0 COMMUNITY BENEFIT RESTRICTED GRANT LATINOS EN SPOKANE 1502 N MONROE ST SPOKANE WA 99201 852725630 501(C)(3) 75000 0 COMMUNITY BENEFIT RESTRICTED GRANT CHAS HEALTH FOUNDATION 611 N IRON BRIDGE WAY SPOKANE WA 99202 842173788 501(C)(3) 75000 0 COMMUNITY BENEFIT RESTRICTED GRANT NAMI SPOKANE 7402 HOLLISTER AVE SANTA BARBARA CA 93117 824657634 501(C)(3) 70000 0 COMMUNITY BENEFIT RESTRICTED GRANT FRONTIER BEHAVIORAL HEALTH SPOKANE MENTAL HEALTH 104 W 5TH AVE SPOKANE WA 99204 910853801 501(C)(3) 68250 0 OPERATIONAL SUPPORT NINE STAR ENTEREDUCATION 125 WEST 5TH AVENUE ANCHORAGE AK 99501 920069154 501(C)(3) 65000 0 COMMUNITY BENEFIT RESTRICTED GRANT B'NAI B'RITH INTERNATIONAL 1120 20TH STREET NW SUITE 300 N WASHINGTON WA 20036 530179971 501(C)(3) 65000 0 SPONSORSHIP GLOBAL MENTORSHIP INITIATIVE 15600 NE 8TH ST STE B1-800 BELLEVUE WA 98008 841892894 501(C)(3) 60000 0 OPERATIONAL SUPPORT PRESCRIPTION DRUG ASSISTANCE FOUNDATION 1111 HARVARD AVE SEATTLE WA 98122 331134368 501(C)(3) 60000 0 SPONSORSHIP EASTERN WASHINGTON UNIVERSITY FOUNDATION 3000 LANDERHOLM CIR SE BELLEVUE WA 98005 911019819 501(C)(3) 59241 0 OPERATIONAL SUPPORT NEW LIFE DEVELOPMENT INC 3916 E 9TH AVE ANCHORAGE AK 99508 562356407 501(C)(3) 50000 0 COMMUNITY BENEFIT RESTRICTED GRANT RECOVER ALASKA 3201 C ST STE 111 ANCHORAGE AK 99503 934489954 501(C)(3) 50000 0 COMMUNITY BENEFIT RESTRICTED GRANT YWCA OF SPOKANE 930 N MONROE ST SPOKANE WA 99201 910565025 501(C)(3) 50000 0 COMMUNITY BENEFIT RESTRICTED GRANT EMERGENCY ASSISTANCE AND FOOD BANK OF VALDEZ INC PO BOX 848 VALDEZ AK 99686 341986012 501(C)(3) 48532 0 COMMUNITY BENEFIT RESTRICTED GRANT ECONOMIC ALLNCE SNOHOMISH CTY 808 134TH ST SW STE 101 EVERETT WA 98204 910647005 501(C)(4) 40000 0 SPONSORSHIP SEWARD AREA HOSPICE INC PO BOX 133 SEWARD AK 99664 811372841 501(C)(3) 38000 0 COMMUNITY BENEFIT RESTRICTED GRANT NORTHEAST YOUTH CENTER 3004 E QUEEN AVE SPOKANE WA 99217 710886315 501(C)(3) 37500 0 COMMUNITY BENEFIT RESTRICTED GRANT WASHINGTON ASSOCIATION OF SHERIFFS AND POLICE CHIEFS 425 N HWY COLVILLE WA 99114 910961051 501(C)(3) 35568 0 OPERATIONAL SUPPORT SOUND WELLNESS ALLIANCE NETWORK 911 MEALS AVE VALDEZ AK 99686 820942210 501(C)(3) 33778 0 COMMUNITY BENEFIT RESTRICTED GRANT VALDEZ SENIOR CITIZENS CTR 1300 E HANAGITA ST VALDEZ AK 99686 920082275 501(C)(3) 33394 0 COMMUNITY BENEFIT RESTRICTED GRANT SEAVIEW COMMUNITY SERVICES PO BOX 1045 SEAWARD AK 99664 920043803 501(C)(3) 30000 0 SPONSORSHIP TRANSITIONAL PROGRAMS FOR WOMEN 3128 N HEMLOCK ST SPOKANE WA 99205 911307272 501(C)(3) 30000 0 COMMUNITY BENEFIT RESTRICTED GRANT KODIAK ISLAND HEALTH CARE FOUNDATION 1911 REZANOF DR E KODIAK AK 99615 920146203 501(C)(3) 26633 0 COMMUNITY BENEFIT RESTRICTED GRANT BROTHER FRANCIS SHELTER PO BOX 670 KODIAK AK 99615 208594266 501(C)(3) 26633 0 OPERATIONAL SUPPORT HOSPICE AND PALLIATIVE CARE OF KODIAK INC PO BOX 8682 KODIAK AK 99615 452208200 501(C)(3) 26633 0 OPERATIONAL SUPPORT SENIOR CITIZENS OF KODIAK INC 302 ERSKINE AVE KODIAK AK 99615 237348249 501(C)(3) 25103 0 COMMUNITY BENEFIT RESTRICTED GRANT ALASKA COMMUNITY FOUNDATION 3201 C ST STE 110 ANCHORAGE AK 99503 920155067 501(C)(3) 25000 0 COMMUNITY BENEFIT RESTRICTED GRANT SISTERS OF ST JOSEPH OF ORANGE 440 S BATAVIA ST ORANGE CA 92868 951643383 501(C)(3) 25000 0 OPERATIONAL SUPPORT INNOVIA FOUNDATION 818 W RIVERSIDE AVE STE 650 SPOKANE WA 99201 910941053 501(C)(3) 25000 0 COMMUNITY BENEFIT RESTRICTED GRANT WOMENS AND CHILDRENS FREE REST 1408 N WASHINGTON ST SPOKANE WA 99201 911399742 501(C)(3) 25000 0 COMMUNITY BENEFIT RESTRICTED GRANT HISPANIC BUSINESS PROFESSIONAL ASSOCIATION FOUNDATION OF THE INLA 820 E FRANCIS AVE SPOKANE WA 99208 743200153 501(C)(3) 25000 0 COMMUNITY BENEFIT RESTRICTED GRANT TACOMA COMMUNITY HOUSE 1314 S L ST TACOMA WA 98405 910570872 501(C)(3) 25000 0 COMMUNITY BENEFIT RESTRICTED GRANT ADVOCATES FOR VICTIMS PO BOX 1859 FRISCO CO 80443 840950954 501(C)(3) 22648 0 COMMUNITY BENEFIT RESTRICTED GRANT KODIAK WOMENS RESOURCE CRISIS PO BOX 2122 KODIAK AK 99615 920070130 501(C)(3) 22500 0 COMMUNITY BENEFIT RESTRICTED GRANT KODIAK KINDNESS PROJECT PO BOX 8704 KODIAK AK 99615 834102985 501(C)(3) 22500 0 OPERATIONAL SUPPORT GATHER CHURCH 100 S ROCK ST CENTRALIA WA 98531 273731709 501(C)(3) 22500 0 COMMUNITY BENEFIT RESTRICTED GRANT COMMUNITY YOUTH SERVICES 711 STATE AVE NE OLYMPIA WA 98506 910859922 501(C)(3) 21000 0 COMMUNITY BENEFIT RESTRICTED GRANT HIP OF SPOKANE COUNTY 2001 N DIVISION ST STE 130 SPOKANE WA 99207 911764236 501(C)(3) 20000 0 COMMUNITY BENEFIT RESTRICTED GRANT FAILSAFE FOR LIFE PO BOX 28955 SPOKANE WA 99228 813525568 501(C)(3) 20000 0 COMMUNITY BENEFIT RESTRICTED GRANT WASHINGTON POISON CENTER 155 NE 100TH ST STE 100 SEATTLE WA 98125 943214597 501(C)(3) 18264 0 COMMUNITY BENEFIT RESTRICTED GRANT LUTHERAN COMMUNITY SERV NW 4040 S 188TH ST STE 300 SEATAC WA 98188 930386860 501(C)(3) 15318 0 COMMUNITY BENEFIT RESTRICTED GRANT ALASKA NATIVE HERITAGE CENTER 8800 HERITAGE CENTER DR ANCHORAGE AK 99504 920127531 501(C)(3) 15000 0 COMMUNITY BENEFIT RESTRICTED GRANT PROVIDENCE GENERAL FOUNDATION 916 PACIFIC AVE EVERETT WA 98201 911041617 501(C)(3) 15000 0 SPONSORSHIP YMCA SNOHOMISH COUNTY PO BOX 419 EVERETT WA 98206 910565561 501(C)(3) 15000 0 COMMUNITY BENEFIT RESTRICTED GRANT PEER WASHINGTONPEER SPOKANE 1520 BELLEVUE AVE STE 100 SEATTLE WA 98122 911327257 501(C)(3) 15000 0 SPONSORSHIP WALLA WALLA COMMUNITY COLLEGE 500 TAUSICK WAY WALLA WALLA WA 99362 911207033 501(C)(3) 13348 0 SPONSORSHIP FAMILY SUPPORT CTR OF S SOUND 3545 7TH AVE SW SUITE 200 OLYMPIA WA 98502 912003828 501(C)(3) 13059 0 COMMUNITY BENEFIT RESTRICTED GRANT ACCESS ALASKA INC 1217 E 10TH AVE ANCHORAGE AK 995014003 920089550 501(C)(3) 10000 0 COMMUNITY BENEFIT RESTRICTED GRANT ALASKA CHILDRENS TRUST 6591 A ST 110 ANCHORAGE AK 995181866 911765129 501(C)(3) 10000 0 COMMUNITY BENEFIT RESTRICTED GRANT KODIAK AREA NATIVE ASSOCIATION 118 TRIDENT WAY KODIAK AK 99615 920038225 501(C)(3) 10000 0 COMMUNITY BENEFIT RESTRICTED GRANT ACCORDA MUSIC THANATOLOGY INSTITUTE 1907 NE 45TH AVE PORTLAND OR 972131417 863026785 501(C)(3) 10000 0 SPONSORSHIP UNITED WAY OF SPOKANE COUNTY 920 NORTH WASHINGTON STREET SUITE 100 SPOKANE WA 99201 910606058 501(C)(3) 10000 0 COMMUNITY BENEFIT RESTRICTED GRANT VANESSA BEHAN CRISIS NURSERY 2230 EAST SPRAGUE SPOKANE WA 99202 911196575 501(C)(3) 10000 0 COMMUNITY BENEFIT RESTRICTED GRANT THE CITY GATE 170 S MADISON STREET SPOKANE WA 99201 522272180 501(C)(3) 10000 0 COMMUNITY BENEFIT RESTRICTED GRANT CAMP FIRE INLAND NORTHWEST 406N ARGONNE RD STE B SPOKANE WA 99212 910567727 501(C)(3) 10000 0 OPERATIONAL SUPPORT ALASKA BLACK CAUCUS PO BOX 20048 ANCHONGE AK 99520 920065953 501(C)(3) 7500 0 OPERATIONAL SUPPORT THE STAR PROJECT 321 WELLINGTON AVENUE WALLA WALLA WA 99362 823137281 501(C)(3) 7500 0 SPONSORSHIP YWCA WALLA WALLA 213 1ST AVE WALLA WALLA WA 99362 911613315 501(C)(3) 7500 0 SPONSORSHIP BELLEVUE COMMUNITY COLLEGE 3000 LANDERHOLM CIR SE BELLEVUE WA 98007 911196378 501(C)(3) 7500 0 COMMUNITY BENEFIT RESTRICTED GRANT ROOSEVELT ELEMENTARY PTA THURSTON COUNTY 412 LILY RD NE AND SOC SVCS OLYMPIA WA 98506 911488961 501(C)(3) 7409 0 OPERATIONAL SUPPORT LUMEN CHRISTI HIGH SCHOOL 8110 JEWEL LAKE RD ANCHORAGE AK 99502 832652406 501(C)(3) 7000 0 SPONSORSHIP PROVIDENCE PARISEAU 1801 LIND AVE SW STE 9016 RENTON WA 98057 911289932 501(C)(3) 5001 0 SPONSORSHIP 95 3 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 GUY HUDSON MD DIV. CHIEF EXEC (NORTH) THRU 9/23 990685 0 3710211 0 1454710 0 9900 0 29752 0 6195258 0 1292605 0 ERIK WEXLER PRESIDENT/CEO 1601628 0 2527326 0 1025420 0 426357 0 35336 0 5616067 0 366950 0 DEBRA CANALES FRMR KE - PSJH EVP/CAO 0 1184847 0 3373872 0 467914 0 25456 0 44483 0 5096572 0 411575 RHONDA MEDOWS MD FRMR KE - PSJH PRES. EVP/POP. HEALTH 0 586192 0 2482541 0 1369183 0 17325 0 15337 0 4470578 0 450986 LISA VANCE PRES. STRAT & OPS (NORTH) THRU 6/23 0 527810 0 2182668 0 1619441 0 29700 0 17116 0 4376735 0 489509 GREG HOFFMAN EVP & CFO/TREASURER 1088176 0 2008809 0 107609 0 297744 0 37211 0 3539549 0 80207 0 JO ANN ESCASA-HAIGH FRMR EVP/ASSISTANT TREASURER 0 44915 0 1744873 0 1502009 0 8269 0 2485 0 3302551 0 603250 JOEL GILBERTSON DIVISION CHIEF EXEC - CENTRAL 995985 0 1650000 0 187824 0 292215 0 41047 0 3167071 0 145427 0 WASIF RASHEED CHIEF REV AND GROWTH OFFICER 807433 0 1915388 0 150368 0 219646 0 41132 0 3133967 0 399324 0 GREG TILL CHIEF PEOPLE OFFICER 782020 0 1541386 0 193375 0 483583 0 36597 0 3036961 0 318252 0 KEVIN BROOKS DIVISION CHIEF EXEC - NORTH 833291 0 1205200 0 119951 0 229943 0 39518 0 2427903 0 119401 0 ANNA NEWSOM EVP & CHIEF LEGAL OFFICER/SECRETARY 853122 0 1025045 0 39037 0 407728 0 4817 0 2329749 0 36047 0 ARI ROBICSEK MD CHIEF PROVIDENCE ANALYTICS OFFICER 664834 0 1110627 0 235058 0 190489 0 33665 0 2234673 0 209879 0 KEVIN MANEMANN DIVISIONAL CHIEF EXECUTIVE - SOUTH 115132 0 1717844 0 193414 0 9900 0 3387 0 2039677 0 170754 0 AMY COMPTON-PHILLIPS MD FRMR EVP/CHF CLIN. OFC. 0 0 0 897583 0 1120393 0 0 0 0 0 2017976 0 0 HODA ASMAR EVP SYSTEM CHIEF MEDICAL OFFICER 782438 0 899443 0 27403 0 263228 0 27033 0 1999545 0 0 0 OREST HOLUBEC FRMR KE - PSJH SVP/CHF COMM/EXT AFF 0 618968 0 934894 0 165802 0 189358 0 40159 0 1949181 0 216394 JEREMY ZOCH CHIEF EXECUTIVE SJO 403819 0 713904 0 755567 0 9900 0 27093 0 1910283 0 505924 0 ALI SANTORE CHIEF ADMIN OFFICER 614822 0 966819 0 53908 0 180692 0 23953 0 1840194 0 52768 0 TOM MAHOWALD CFO CLINICAL CARE 316314 0 653085 0 822305 0 17325 0 17999 0 1827028 0 469837 0 RICHARD PARKS EXECUTIVE ADVISOR 798561 0 743521 0 243512 0 9900 0 27155 0 1822649 0 206534 0 SCOTT O'BRIEN DIVISION COO - CENTRAL 624500 0 812832 0 135781 0 192776 0 15595 0 1781484 0 104947 0 PK KHURANA CHIEF STRATEGY OFF. - CARE DELIVERY 715404 0 702317 0 102854 0 197217 0 40408 0 1758200 0 120848 0 SARA VAEZY EVP CHIEF STRATEGY AND DIGITAL OFF. 583364 0 890441 0 51804 0 164530 0 33771 0 1723910 0 93059 0 MARY CRANSTOUN SVP TOTAL RWRDS-TLNT ACQ-THRU 3/23 124556 0 607242 0 850214 0 26400 0 12122 0 1620534 0 407734 0 SYLVAIN TREPANIER SVP CHIEF NURSING OFFICER 660787 0 593855 0 76586 0 185521 0 35016 0 1551765 0 71684 0 ELLA GOSS REGIONAL CHIEF EXEC - AK 577489 0 539960 0 110996 0 33358 0 43839 0 1305642 0 83593 0 MARYBETH FORMBY DIVISION CFO - NORTH 505742 0 439398 0 217677 0 94788 0 33909 0 1291514 0 188929 0 JIM WATSON ESQ ASSISTANT SECRETARY 480026 0 399066 0 89599 0 107204 0 39727 0 1115622 0 64477 0 DARIN GOSS CHIEF EXEC SOUTH PUGET SOUND 428085 0 407759 0 61753 0 131825 0 38070 0 1067492 0 37676 0 KRISTY CARRINGTON CE NORTH PUGET SOUND 457258 0 421687 0 3313 0 134577 0 38756 0 1055591 0 22236 0 MIKE WATERS FRMR EVP AMBULATORY CARE NETWORK 0 0 283798 0 743497 0 0 0 0 0 1027295 0 0 0 MELISSA DAMM DIVISION CFO - CENTRAL 459184 0 356254 0 65543 0 103018 0 14508 0 998507 0 41956 0 RYAN THOMPSON SVP CHIEF REV CYCLE OFFICER 467426 0 125000 0 257341 0 90529 0 57171 0 997467 0 0 0 PRASANNA MOHANTY COO - PCN 467493 0 308277 0 82250 0 88505 0 6077 0 952602 0 26644 0 JIM MARTIN ASSISTANT TREASURER (PART YEAR) 435246 0 339361 0 54321 0 83489 0 32146 0 944563 0 52013 0 PRESTON SIMMONS FRMR SVP CHIEF EXEC AK REGION 0 0 200782 0 686233 0 0 0 0 0 887015 0 0 0 DAVID BROWN FRMR SVP CAO AMBULATORY CARE 0 0 111633 0 436825 0 0 0 0 0 548458 0 0 0 JOHN WHIPPLE FRMR SECRETARY 0 0 0 0 541701 0 0 0 0 0 541701 0 0 0 DARREN REDICK FRMR CHIEF EXEC PRMCE 0 0 119821 0 349955 0 0 0 0 0 469776 0 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 266681 0 24827 0 1367 0 15474 0 15372 0 323721 0 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 RELATED TO RELOCATION OF NEWLY HIRED EMPLOYEES AND CURRENT EMPLOYEES RELOCATING TO A NEW POSITION. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE ELIGIBLE EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES INCLUDE RENT (EXCLUDING AMOUNTS WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL TITLE CLEARS), NON-REFUNDABLE SECURITY DEPOSITS 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: GUY HUDSON, M.D. - $282,401 RHONDA MEDOWS, M.D. - $560,170 JO ANN ESCASA-HAIGH - $811,814 AMY COMPTON-PHILLIPS, M.D. - $1,112,800 JEREMY ZOCH - $158,766 TOM MAHOWALD - $276,000 MARY CRANSTOUN - $381,352 MIKE WATERS - $739,024 PRESTON SIMMONS - $686,234 DAVID BROWN - $436,825 JOHN WHIPPLE - $539,282 DARREN REDICK - $349,955 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: GUY HUDSON, M.D. - $1,120,375 ERIK WEXLER - $366,950 DEBRA CANALES - $411,575 RHONDA MEDOWS, M.D. - $450,986 LISA VANCE - $489,509 GREG HOFFMAN - $80,207 JO ANN ESCASA-HAIGH - $603,250 JOEL GILBERTSON - $145,427 WASIF RASHEED - $147,746 GREG TILL - $151,890 KEVIN BROOKS - $119,401 ARI ROBICSEK, M.D. - $115,169 KEVIN MANEMANN - $170,754 OREST HOLUBEC - $122,559 JEREMY ZOCH - $505,924 ALI SANTORE - $52,768 TOM MAHOWALD - $469,837 RICHARD PARKS - $206,534 SCOTT O'BRIEN - $104,947 P.K. KHURANA - $79,214 SARA VAEZY - $43,415 MARY CRANSTOUN - $407,734 SYLVAIN TREPANIER - $71,684 ELLA GOSS - $83,593 MARYBETH FORMBY - $175,644 JIM WATSON, ESQ - $64,477 DARIN GOSS - $37,676 KRISTY CARRINGTON - $2,236 MELISSA DAMM - $41,956 JIM MARTIN - $52,013 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. 4743414 MED. SVCS 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 1315120 TECH. SVCS. 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 402114 MED. SVCS 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 259679 MED. SVCS 0 SUBSTANTIAL CONTRIBUTOR SUB. CONTR. 208205 MED. SVCS 0 FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): PROVIDENCE ST. PETER AND CENTRALIA HOSPITALS RESPOND TO VULNERABLE COMMUNITIES: - ST. PETER FAMILY RESIDENCY HAS A COLLABORATIVE RELATIONSHIP WITH THE PROVIDENCE MOBILE OUTREACH PROGRAM AND WITH OLYMPIC HEALTH & RECOVERY SERVICES' HOMELESS OUTREACH AND STABILIZATION TEAM WHICH ALLOWS PRIMARY CARE PROVIDERS TO BRIDGE THE GAP BETWEEN UNHOUSED INDIVIDUALS AND THE BARRIERS THAT PREVENT THEM FROM ACCESSING TRADITIONAL CARE MODELS. - RESIDENTS PROVIDE CARE IN THE ST. PETER FAMILY MEDICINE PRENATAL CARE PROGRAM FOR ADOLESCENT PARENTS THAT INCORPORATES GROUP-BASED, RESIDENT/STUDENT-LED EDUCATION IN PREGNANCY AND NEWBORN CARE AND FACILITATION OF PEER SUPPORT FOR THIS HIGH-RISK POPULATION. - RESIDENTS ROTATE TO SUPPORT A MED FIRST CLINIC AND IDENTIFY PATIENTS FOR THE CHEHALIS FAMILY MEDICINE SUBSTANCE USE DISORDER TREATMENT CLINIC. PATIENTS THEN RECEIVE TREATMENT AT CHEHALIS FAMILY MEDICINE FOR SUBSTANCE USE/MISUSE AND ARE ALSO ENABLED TO ESTABLISH CARE WITH A PRIMARY CARE PROVIDER. RESIDENTS ALSO PARTNER WITH THE LEWIS COUNTY DRUG COURT TO HELP INDIVIDUALS WITH DRUG OFFENSES THROUGH THEIR TREATMENT PLANS. - AT THE CENTRALIA HOPE AND HEALTH FREE CLINIC, RESIDENTS ROTATE MONTHLY TO PROVIDE ACCESS TO CARE TO A HIGH NUMBER OF PATIENTS WITH UNDOCUMENTED STATUS AND MANY LANGUAGE BARRIERS. BEHAVIORAL HEALTH & RECOVERY: IN SOUTH PUGET SOUND, PROVIDENCE BEHAVIORAL HEALTH & RECOVERY PROVIDES A RANGE OF ESSENTIAL MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT SERVICES AND SUPPORT TO INDIVIDUALS ON AN OUTPATIENT BASIS, ALLOWING PATIENTS TO ATTEND GROUP THERAPY AND COUNSELING SESSIONS DURING THE DAY OR EVENING AND RETURN HOME AFTERWARD. INDIVIDUALIZED SERVICES ADDRESS A VARIETY OF SUBSTANCE USE AND MENTAL HEALTH CONCERNS. FOR ADOLESCENTS, WE FOCUS ON SUBSTANCE USE DISORDER TREATMENT. FOR ADULTS, SERVICES RANGE FROM SUBSTANCE USE DISORDER TREATMENT TO MENTAL HEALTH TREATMENT, CO-OCCURRING TREATMENT, AND TREATMENT FOR PROBLEM GAMBLING DISORDER. THIS PATIENT POPULATION IS OFTEN FORGOTTEN IN OTHER SETTINGS, INCLUDING HEALTHCARE. STAFF ARE DEDICATED TO HELPING PATIENTS IMPROVE THEIR LIVES AND, IN MANY CASES, HELP SAVE LIVES. MEDICAL RESIDENTS INCREASING ACCESS TO CARE: IN 2023, 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 NURTURED BY THE MEDICAL RESIDENTS HAVE RESULTED IN MANY CLIENTS ESTABLISHING A CONNECTION WITH THE PROVIDENCE-WSU INTERNAL MEDICINE CLINIC FOR ONGOING CARE. ABUSE SURVIVORS ARE SEEN AND HEARD IN TIME OF NEED PROVIDENCE INTERVENTION CENTER FOR ASSAULT AND ABUSE (PICAA) IS THE PRIMARY FACILITY IN SNOHOMISH COUNTY FOR MEDICAL AND FORENSIC EXAMS, THERAPY AND ADVOCACY SERVICES FOR SURVIVORS OF VIOLENCE. PICAA'S SEXUAL ASSAULT NURSES ALSO TRAVEL TO OTHER FACILITIES THROUGHOUT SNOHOMISH COUNTY, WHICH OFTEN DON'T HAVE TRAINED CLINICIANS AVAILABLE 24/7 TO PROVIDE EXAMS. PROVIDENCE PLACES A PRIORITY ON SERVING THIS VULNERABLE POPULATION IN SNOHOMISH COUNTY. IN 2023, PICAA PROVIDED 992 EXAMS, CARING FOR THOSE IMPACTED BY DOMESTIC VIOLENCE, SEXUAL ASSAULT OR WERE VICTIMS OF A CRIME. IN ADDITION, THEY PROVIDED HEALING SPACES THROUGH 28 SUPPORT GROUPS AND COMMUNITY EDUCATION/OUTREACH EVENTS THAT REACHED OVER 1,700 PARTICIPANTS. 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 2023, 307 PEOPLE FROM 94 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, 12,850 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, WITH 2,411 LOCAL COMMUNITY RESOURCE LISTINGS. THE HEALTH & WELL-BEING MONITOR COMMUNITY SURVEY TO IDENTIFY GAPS IN WELL-BEING HAD A TOTAL OF 1,359 RESPONDENTS SHARING NEEDS AROUND SUCH AS HOUSING, TRANSPORTATION, FOOD, UTILITIES, EDUCATION, AND PERSONAL SAFETY AMONG OTHERS. ACCESS TO SPECIALTY CARE IN 2023, PROVIDENCE MOUNT CARMEL IN COLVILLE AND PROVIDENCE ST. JOSEPH'S IN CHEWELAH, BOTH LOCATED IN RURAL STEVENS COUNTY IN WASHINGTON, CONTINUED THEIR PARTNERSHIP WITH NORTHEAST WASHINGTON HUNGER COALITION (NEWHC). THIS PARTNERSHIP SUPPORTS NEWHC'S WORK TO REDUCE FOOD INSECURITY AND INCREASE ACCESS TO FRESH PRODUCE FOR THIS RURAL REGION. THIS PROGRAM BECAME EVEN MORE CRITICAL IN 2023 DUE TO THE CESSATION OF FOOD DELIVERY BY A NATIONAL ORGANIZATION TO 17 RURAL PANTRIES IN THE AREA. NEWHC NEGOTIATED WITH THIS ORGANIZATION TO RECEIVE FOOD AT A CENTRALIZED LOCATION, WITH NEWHC TRANSPORTING TO THE RURAL PANTRIES. A SAFE SPACE FOR YOUNG SURVIVORS IN 2023, 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, ADVANCED REGISTERED NURSE PRACTITIONERS FUNDED BY PROVIDENCE INLAND NORTHWEST WASHINGTON COMMUNITY BENEFIT, TAKE THE KIDS UNDER THEIR CARE. IN 2023, 350 UNDUPLICATED INDIVIDUALS WERE SERVED BY THE CHILD ADVOCACY CENTER. 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 2023. THE CLINIC EMBODIES THE PROVIDENCE MISSION BY PROVIDING COMPASSIONATE SERVICE TO PEOPLE WITH UNMET HEALTH CARE NEEDS. THE PROVIDENCE COMMUNITY CLINIC OPERATES AT A FINANCIAL LOSS TO THE HOSPITAL TO ENSURE THAT CARE IS AVAILABLE TO PEOPLE WHO ARE UNINSURED/UNDER-INSURED OR EXPERIENCING CHRONIC HOMELESSNESS. THIS CLINIC CARES FOR MORE THAN 1,400 PEOPLE EVERY YEAR. TRANSITIONAL RESPITE CARE: IN 2023, PROVIDENCE CONTINUED OUR PARTNERSHIP 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. 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 59 UNDUPLICATED INDIVIDUALS, WITH 30 INDIVIDUALS GETTING INTO HOUSING UPON LEAVING THE PROGRAM. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): 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 2023, THE INITIATIVE WAS STILL THE FIRST AND ONLY MEDICAL-LEGAL-PARTNERSHIP SERVING EASTERN WASHINGTON. THE MEDICAL-LEGAL PARTNERSHIP MODEL SERVES TO ADDRESS HEALTH-HARMING CIVIL-LEGAL NEEDS. NJP PROVIDED DIRECT LEGAL SERVICES, TRAINED PARTNERS, MADE APPROPRIATE REFERRALS TO PRIVATE ATTORNEYS AND SPECIFIC TEAMS WITHIN NJP. 340 PEOPLE WERE REFERRED TO THE HJI IN 2023, WITH 101 OF THESE REFERRALS BEING RELATED TO TRIBAL LAW. 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. 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 2023, DIVERSION SERVICES WERE PROVIDED TO 964 PATIENTS, WITH 75% OF THOSE SERVED DIVERTED TO WITHDRAWAL 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. STREET MEDICINE PROGRAM: IN 2023, PROVIDENCE SUPPORTED COMMUNITY HEALTH ASSOCIATION OF SPOKANE (CHAS HEALTH) IN IMPLEMENTING A STREET MEDICINE PROGRAM TO PROVIDE CARE TO PEOPLE WHO ARE UNSHELTERED OR UNSTABLY HOUSED IN SPOKANE. THE STREET MEDICINE PROVIDERS HAVE A WEEKLY ROTATION TO COVER DOWNTOWN SHELTERS, SOCIAL SERVICE ORGANIZATIONS INCLUDING CATHOLIC CHARITIES, ADDICTION RECOVERY SERVICES, AND HUD HOUSING SITES. IN 2023, 1,656 UNDUPLICATED PEOPLE WERE SERVED BY A TEAM OF PHYSICIANS, PHYSICIAN ASSISTANTS, RN, NURSE PRACTITIONER AND MEDICAL ASSISTANTS. OF THE 1,656 PEOPLE SERVED IN 2023, 42% OF THOSE HAD NOT RECEIVED CARE FROM THE STREET MEDICINE TEAM IN THE PRIOR TWO YEARS. 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 2024. 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 140,198,497. MANAGEMENT AND GENERAL EXPENSES 101,450,533. FUNDRAISING EXPENSES 72,516. TOTAL EXPENSES 241,721,546. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 17,112,965. MANAGEMENT AND GENERAL EXPENSES 12,383,295. FUNDRAISING EXPENSES 8,852. TOTAL EXPENSES 29,505,112. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 146,848,119. MANAGEMENT AND GENERAL EXPENSES 106,262,337. FUNDRAISING EXPENSES 75,956. TOTAL EXPENSES 253,186,412. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 111,512,035. MANAGEMENT AND GENERAL EXPENSES 80,692,416. FUNDRAISING EXPENSES 57,679. TOTAL EXPENSES 192,262,130. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 440,942,874. MANAGEMENT AND GENERAL EXPENSES 319,075,387. FUNDRAISING EXPENSES 228,074. TOTAL EXPENSES 760,246,335. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 52,335,955. MANAGEMENT AND GENERAL EXPENSES 37,871,380. FUNDRAISING EXPENSES 27,070. TOTAL EXPENSES 90,234,405. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -228,168,208. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT 571,906. INVESTMENT IN CORPORATE SUBSIDIARIES 47,115,693. CHANGE IN INVESTMENT IN JOINT VENTURE 46,492,883. OTHER CHANGES IN NET ASSETS 19,848,582. 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 24580115 33274460 PROVIDENCE HEALTH & SERVICES - WASHINGTON HEALTH SERVICES ASSET MANAGEMENT LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 271698016 A/R & COLLECTIONS WA 0 -3175240 PROVIDENCE HEALTH & SERVICES - WASHINGTON LEGACY LLC PO BOX 196606 ANCHORAGE AK 99519 320252199 REAL ESTATE AK 4215203 35280811 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 PIONEER HEALTH LABS LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 812389573 HEALTHCARE WA 0 0 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDENCE ALASKA HOUSE I GP LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 882842722 SUPPORTIVE HOUSING WA 0 0 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDENCE ASSURANCE LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 208194071 INSURANCE AZ 184608987 766619120 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDENCE DOLORES HOUSE LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 825497218 SUPPORTIVE HOUSING WA 370341 5298173 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDENCE HOUSE OAKLAND GP LLC 540 23RD ST OAKLAND CA 94612 811481031 SUPPORTIVE HOUSING CA 0 0 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDENCE JOHN GABRIEL HOUSE GP LLC 8632 160TH AVE NE REDMOND WA 98052 SUPPORTIVE HOUSING WA 0 0 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDENCE JOSEPH HOUSE GP LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 273678218 SUPPORTIVE HOUSING WA 47489 8526895 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDENCE MOTHER BERNARD HOUSE 1140 4TH ST EUREKA CA 95501 880667416 SUPPORTIVE HOUSING CA 599700 12400000 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDENCE PROCUREMENT COMPANY LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 851587298 PROCUREMENT WA 0 0 PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDENCE WBT LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 931408474 HEALTHCARE WA 5000 91828638 PROVIDENCE HEALTH & SERVICES - WASHINGTON PSJ PROVIDER RECRUITMENT LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 815464580 RECRUITING WA 25965214 4284644 PROVIDENCE HEALTH & SERVICES - WASHINGTON PV MH INVESTMENT CO LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 INVESTMENTS WA 4679 9934519 PROVIDENCE HEALTH & SERVICES - WASHINGTON ST ELIAS SPECIALTY HOSPITAL LLC 4800 CORDOVA ST ANCHORAGE AK 99503 260115489 HEALTHCARE AK 41483375 12472194 PROVIDENCE HEALTH & SERVICES - WASHINGTON COLLABRIA CARE 414 SOUTH JEFFERSON STREET NAPA CA 94559 680393144 HEALTHCARE CA 501(C)(3) 10 SJHCN 1 COVENANT ACO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT CHILDREN'S PHYSICIANS GROUP 3615 19TH STREET LUBBOCK TX 79410 881290850 HEALTHCARE TX 501(C)(3) PENDING CHS 1 COVENANT HEALTH NETWORK INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 461259908 HEALTHCARE CA 501(C)(3) 12, III SJHS 1 COVENANT HEALTH PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 463516417 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS 1 COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS 1 COVENANT HOME AND COMMUNITY CARE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 920275096 HEALTHCARE TX 501(C)(3) 10 CHS 1 COVENANT HOSPITAL HOBBS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 844273963 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 822913146 HEALTHCARE TX 501(C)(3) 3 CHS 1 COVENANT MEDICAL GROUP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752743883 HEALTHCARE TX 501(C)(3) 3 CHS 1 EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANSITIONAL CARE WA 501(C)(3) 10 N/A 0 GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 201910170 SUPPORT WA 501(C)(3) 7 PHS WA 1 GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC WA 98188 273133200 HEALTHCARE WA 501(C)(3) 7 SHS 1 GRACE CLINIC OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 203856995 HEALTHCARE TX 501(C)(3) 3 LHH LLC 1 HOSPICE OF LUBBOCK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752133781 HEALTHCARE TX 501(C)(3) 10 CHS 1 INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 814260130 HEALTHCARE WA 501(C)(3) PF PHS SJHS 1 INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 912003593 HEALTHCARE WA 501(C)(3) 7 WHC 1 KADLEC AUXILIARY INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 916033089 SUPPORT WA 501(C)(3) 12, III KRMC 1 KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND WA 99352 237005501 SUPPORT WA 501(C)(3) 7 KRMC 1 KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 910655392 HEALTHCARE WA 501(C)(3) 3 WHC 1 LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330844408 IMAGING SERVICES CA 501(C)(3) 10 PHS SOCAL 1 LUBBOCK HERITAGE HOSPITAL LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 264021016 HEALTHCARE TX 501(C)(3) 3 CHS 1 LUNDBERG ASSOCIATION PROVIDENCE HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911562797 SUPPORT OR 501(C)(3) 7 PHS OR 1 METHODIST CHILDREN'S HOSPITAL 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752428911 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL LEVELLAND 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752246348 HEALTHCARE TX 501(C)(3) 3 CHS 1 METHODIST HOSPITAL PLAINVIEW 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 752426010 HEALTHCARE TX 501(C)(3) 3 CHS 1 MISSION HOSPITAL REGIONAL MEDICAL CTR 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951643360 HEALTHCARE CA 501(C)(3) 3 SJHS 1 NORTHWEST HOPE & HEALING FOUNDATION PO BOX 16069 SEATTLE WA 98116 200799737 SUPPORT WA 501(C)(3) 12, I SHS 1 OPEN DOOR VENTURES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911608508 SUPPORT WA 501(C)(3) 7 PHS WA 1 PACMED CLINICS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 562290878 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 RENTON WA 98057 954322584 SUPPORT CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311744654 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE HEALTH & SERVICES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911549796 HEALTHCARE WA 501(C)(3) 12, II PSJH 0 PROVIDENCE HEALTH & SERVICES - MONTANA 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 810231793 HEALTHCARE MT 501(C)(3) 3 PHS WA 1 PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216587 HEALTHCARE OR 501(C)(3) 3 PHS 1 PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911303277 HEALTHCARE WA 501(C)(3) 3 PMWHC 1 PROVIDENCE HEALTH ASSURANCE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 550828701 MEDICAID HEALTHCARE PROVIDER OR 501(C)(4) N/A PHP 1 PROVIDENCE HEALTH PLAN 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 930863097 HEALTHCARE OR 501(C)(4) N/A PH GROUP LLC 1 PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216589 HEALTHCARE CA 501(C)(3) 3 PHS 1 PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC 810 12TH STREET PO BOX 149 HOOD RIVER OR 97031 930921990 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY 1615 75TH ST SW SUITE 210 EVERETT WA 98203 272552749 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 2811 SOUTH 102ND NO 220 TUKWILA WA 98168 912077378 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA) 101 W 8TH AVE SPOKANE WA 99204 320014330 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION 4101 TORRANCE BLVD TORRANCE CA 90503 510224944 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE MARIANWOOD FOUNDATION 3725 PROVIDENCE POINT DRIVE SE ISSAQUAH WA 980297219 931554288 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330185031 HEALTHCARE CA 501(C)(3) 3 SJHS 1 PROVIDENCE MEDICAL INSTITUTE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330283773 HEALTHCARE CA 501(C)(3) 12, I PHS SOCAL 1 PROVIDENCE MILWAUKIE FOUNDATION 10150 SE 32ND AVE MILWAUKIE OR 97222 943079515 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE MINISTRIES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 RELIGIOUS ORG WA 501(C)(3) 1 N/A 0 PROVIDENCE MOUNT ST VINCENT FOUNDATION 4831 35TH AVE SW SEATTLE WA 981262799 911188119 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE NEWBERG HEALTH FOUNDATION 1001 PROVIDENCE DRIVE NEWBERG OR 97132 930889144 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE PETER CLAVER ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311629656 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE PLAN PARTNERS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911861964 HEALTHCARE WA 501(C)(4) N/A PHS OR 1 PROVIDENCE PORTLAND MEDICAL FOUNDATION 4805 NE GLISAN ST PORTLAND OR 972132967 931231494 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE ROSSI ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311584166 SUPPORT WA 501(C)(3) 10 PHS WA 1 PROVIDENCE SAINT JOHN'S HEALTH CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951684082 HEALTHCARE CA 501(C)(3) 3 PHS SOCAL 1 PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 814542216 HEALTHCARE CA 501(C)(3) 3 PHS SOCAL 1 PROVIDENCE SEASIDE HOSPITAL FOUNDATION 725 S WAHANNA ROAD SEASIDE OR 97138 930927320 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 912171539 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE ST FRANCIS ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 943244854 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE ST JOSEPH HEALTH 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 811244422 HEALTHCARE WA 501(C)(3) 12, III N/A 0 PROVIDENCE ST JOSEPH HEALTH FOUNDATION 4400 NE HALSEY ST STE 599 PORTLAND OR 97213 943078543 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE ST JOSEPH MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 810463482 HEALTHCARE MT 501(C)(3) 3 PHS WA 1 PROVIDENCE ST MARY FOUNDATION 401 W POPLAR STREET WALLA WALLA WA 99362 452841492 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE ST VINCENT MEDICAL FOUNDATION 9205 SW BARNES ROAD STE MT2111 PORTLAND OR 97225 930575982 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN) 413 LILLY ROAD NE OLYMPIA WA 985065166 911097056 SUPPORT WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE TRINITYCARE HOSPICE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 953264139 HEALTHCARE CA 501(C)(3) 10 PHS SOCAL 1 PROVIDENCE TRINITYCARE HOSPICE FOUNDATION 5315 TORRANCE BLVD NO B-1 TORRANCE CA 90503 330261016 HEALTHCARE CA 501(C)(3) 7 PTCH 1 PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION 1500 DIVISION STREET OREGON CITY OR 97045 931003750 HEALTHCARE OR 501(C)(3) 12, I PHS OR 1 REDWOOD MEMORIAL FOUNDATION 2700 DOBEER STREET EUREKA CA 95501 942779313 HEALTHCARE CA 501(C)(3) 7 SJHNC LLC 1 SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 954291515 HEALTHCARE CA 501(C)(3) 4 PSJHC 1 SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 956100079 SUPPORT SAINT JOHN HEALTH CENTER & JWCI CA 501(C)(3) 7 PSJHC 1 SEATTLE SCIENCE FOUNDATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 611502822 PHYSICIAN COLLABORATION WA 501(C)(3) 7 WHC 1 SISTERS OF PROVIDENCE OF MONTANA CORPORATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 262612415 SHELL CORPORATION MT 501(C)(3) 1 PHS WA 0 SISTERS OF ST JOSEPH OF ORANGE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951643383 RELIGIOUS ORG CA 501(C)(3) 1 N/A 0 SRM ALLIANCE HOSPITAL SERVICES (PVH) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 680395200 HEALTHCARE CA 501(C)(3) 3 SJHNC LLC 1 ST JOSEPH HEALTH MINISTRY 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 271666576 RELIGIOUS ORG CA 501(C)(3) 1 SSJO 0 ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 814791043 HEALTHCARE CA 501(C)(3) 3 SJHS 1 ST JOSEPH HEALTH SYSTEM 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 953589356 HEALTHCARE CA 501(C)(3) 12, I PSJH 0 ST JOSEPH HEALTH SYSTEM FOUNDATION 3345 MICHELSON DRIVE SUITE 100 IRVINE CA 92612 330143024 HEALTHCARE CA 501(C)(3) 10 SJHS 1 ST JOSEPH HOME CARE NETWORK 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 680331084 HEALTHCARE CA 501(C)(3) 10 SJHS 1 ST JOSEPH HOSPITAL OF ORANGE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951643359 HEALTHCARE CA 501(C)(3) 3 SJHS 1 ST JUDE HOSPITAL INC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951643325 HEALTHCARE CA 501(C)(3) 3 SJHS 1 ST LUKE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 943176618 SUPPORT WA 501(C)(3) 7 PHS WA 1 ST MARY MEDICAL CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 951914489 HEALTHCARE CA 501(C)(3) 3 SJHS 1 ST PATRICK HOSPITAL FOUNDATION 502 W SPRUCE STREET MISSOULA MT 59802 237056976 HEALTHCARE MT 501(C)(3) 7 PHS WA 1 ST THOMAS CHILD AND FAMILY CENTER 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 810233495 EDUCATION MT 501(C)(3) 10 PHS WA 1 SWEDISH EDMONDS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 272305304 HEALTHCARE WA 501(C)(3) 3 WHC 1 SWEDISH HEALTH SERVICES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 910433740 HEALTHCARE WA 501(C)(3) 3 WHC 1 SWEDISH MEDICAL CENTER FOUNDATION 747 BROADWAY SEATTLE WA 98122 910983214 HEALTHCARE WA 501(C)(3) 7 SHS 1 SWEDISH MJM HOLDINGS 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 273139262 HOLDING COMPANY WA 501(C)(3) 12, I SHS 1 TARZANA MEDICAL CENTER LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 833972614 HEALTHCARE CA 501(C)(3) 3 PHS SOCAL 1 THE GAMELIN ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911180824 SUPPORT WA 501(C)(3) 7 PHS WA 1 THE GAMELIN OREGON ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911214491 SUPPORT OR 501(C)(3) 10 PHS OR 1 TRI-CITIES CANCER CENTER FOUNDATION 7350 W DESCHUTES AVE BUILDING A KENNEWICK WA 99336 911739024 SUPPORT WA 501(C)(3) 7 KRMC 1 UNIVERSITY OF PROVIDENCE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 810231777 EDUCATION MT 501(C)(3) 2 PHS 1 WESTERN HEALTHCONNECT 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 454171900 HEALTHCARE WA 501(C)(3) 3 PHS W WA 1 20TH STREET SURGERY LLC 1301 20TH STREET STE 140 SANTA MONICA CA 90404 731735618 AMBULATORY SURGERY CENTER CA N/A 0 0 BRIDGEPORT MEDICAL IMAGING LLC (BMI) 4400 NE HALSEY 495 PORTLAND OR 97213 260796953 IMAGING - DIAGNOSTICS OR N/A 0 1 BROADWAY IMAGING LLC PO BOX 4587 MISSOULA MT 598064587 522405971 MEDICAL IMAGING MT N/A 0 1 CANBY MEDICAL CENTER I LLC 4800 SW MACADAM AVE STE 120 PORTLAND OR 97239 205470937 REAL ESTATE - MOB OR N/A 0 1 CENTER FOR MEDICAL IMAGING LLC (CMI) 4400 NE HALSEY 495 PORTLAND OR 97213 200477972 IMAGING - DIAGNOSTICS OR N/A 0 1 CLACKAMAS RADIATION ONCOLOGY CENTER LLC 4400 NE HALSEY 495 PORTLAND OR 97213 260381897 RADIATION ONCOLOGY OR N/A 0 1 COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY 1031 W CHAPMAN AVE 101 ORANGE CA 92868 264591502 HEALTHCARE CA N/A 0 1 COVENANT HIGH PLAINS SURGERY CENTER LLC 40 VALLEY STREAM PKWY MALVERN PA 19355 752177401 HEALTHCARE PA N/A 0 1 COVENANT PARK PHASE I VENTURE LLC 3615 19TH ST LUBBOCK TX 79410 871464045 REAL ESTATE TX N/A 0 0 CSS JV LLC 11782 SW BARNES ROAD STE 200 BLDG C PORTLAND OR 97225 263638838 AMBULATORY SURGERY CENTER OR N/A 0 0 FIRST HILL SURGERY CENTER LLC 1101 MADISON STREET STE 200 SEATTLE WA 98104 472066485 AMBULATORY SURGERY CENTER WA N/A 0 1 FULLERTON SURGICAL CENTER LP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 470927394 AMBULATORY SURGERY CENTER CA N/A 0 1 GREATER VALLEY MEDICAL BUILDING LP 501 S BUENA VISTA ST BURBANK CA 91505 954570858 REAL ESTATE - MOB CA N/A 0 1 HERITAGE INVESTMENT GROUP I LLC 500 S MAIN STREET STE 1000 ORANGE CA 92868 271000061 INVESTMENTS CA N/A 0 0 IMAGING ASSOCIATES LLC 3650 PIPER STREET STE A ANCHORAGE AK 99508 203906048 MEDICAL IMAGING AK PHS WA RELATED 5418611 15413459 0 1 0.50000 LSC REAL PROPERTY LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 474646059 REAL ESTATE TX N/A 0 1 METHODIST DIAGNOSTIC IMAGING 4005 24TH STREET LUBBOCK TX 79410 752343261 HEALTHCARE TX N/A 0 1 MISSION VIEJO PARTNERS II LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 823943675 REAL ESTATE - MOB CA N/A 0 1 NORTH OC IMAGING JV HOLDINGS LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 852444305 HEALTHCARE CA N/A 0 0 OREGON ADVANCED IMAGING LLC 881 OHARE PARKWAY MEDFORD OR 97504 450471748 MEDICAL IMAGING OR N/A 0 1 PAVILION SURGERY CENTER LLC 1140 WEST LAVETA AVE ORANGE CA 92868 814376492 AMBULATORY SURGERY CENTER CA N/A 0 0 PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC 19625 62ND AVENUE SOUTH SUITE 101 KENT WA 98032 452901632 MEDICAL EQUIPMENT WA N/A 0 1 PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC 1221 MADISON STREET SEATTLE WA 98104 203132044 MEDICAL IMAGING WA N/A 0 1 PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 812701056 INVESTMENTS WA PHS WA EXCLUDED 45501 4418604 0 1 0.03030 PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 823765555 MEDICAL AL N/A 0 0 PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 823270499 MEDICAL AL N/A 0 1 PROVIDENCE ALASKA HOUSE I OWNER LP 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 882819223 SUPPORTIVE HOUSING AK PHS WA N/A 0 0 1.00000 PROVIDENCE HOUSE OAKLAND LP 540 23RD ST OAKLAND CA 94612 811441264 SUPPORTIVE HOUSING CA N/A 0 1 PROVIDENCE IMAGING CENTER JOINT VENTURE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 920118807 MEDICAL IMAGING AK PHS WA RELATED 8068871 4279435 0 0 0.99000 PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 823190634 INVESTMENTS WA PHS WA EXCLUDED 90907632 1687184144 0 -277465 1 0.42460 PROVIDENCE SURGERY CENTER LLC 902 N ORANGE ST MISSOULA MT 59802 841401625 AMBULATORY SURGERY CENTER MT N/A 0 0 PROVIDENCEUSP SPOKANE SURGERY CENTERS LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 881149413 AMBULATORY SURGERY CENTER WA PHS WA RELATED -530185 3076491 0 0 0.50100 PROVIDENCEUSP SURGERY CTRS LLC 11550 INDIAN HILLS ROAD 160 MISSION HILLS CA 91345 200684116 AMBULATORY SURGERY CENTER CA N/A 0 0 RADIATION THERAPY INNOVATIONS LLC 1221 MADISON ST 1ST FL SEATTLE WA 98104 300553035 HEALTHCARE WA N/A 0 1 RIVERSIDE HEALTHCARE 1107 HAZELTINE BLVD 200 CHASKA MN 55318 411594648 HEALTHCARE MN N/A 0 1 ST JOSEPH PHYSICIAN VENTURES I LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 454521884 REAL ESTATE CA N/A 0 1 ST JOSEPHSATELLITE DIALYSIS CENTERS LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 814657391 HEALTHCARE CA N/A 0 0 ST JUDE SURGICAL CENTERS LLC 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 823352570 AMBULATORY SURGERY CENTER CA N/A 0 1 ST PETER-SOUTH SOUND REGIONAL MRI CENTER 3417 ENSIGN RD NE OLYMPIA WA 98506 911455338 MEDICAL IMAGING WA PHS WA RELATED 178830 4594982 0 1 0.50000 SURGERY CENTER AT TANASBOURNE LLC 11221 ROE AVE STE 300 LEAWOOD KS 66211 208187971 AMBULATORY SURGERY CENTER KS N/A 0 1 THE MADISON SPOKANE INN LLC 15 WEST ROCKWOOD BLVD SPOKANE WA 99204 841606484 HOTEL SERVICES WA PHS WA RELATED 3757311 2139735 0 1139454 1 0.50000 WON-ONC LLC 1900 COOKS HILL RD CENTRALIA WA 98531 262181194 REAL ESTATE - MOB WA PHS WA RELATED 77648 1440877 0 1 0.25000 1221 MADISON STREET OWNERS ASSOC 747 BROADWAY SEATTLE WA 98122 201954319 OWNERS' ASSOCIATION WA N/A C 0 ADVATA INC (FKA KENSCI INC) 615 2ND AVE 700 SEATTLE WA 98104 474048082 HEALTHCARE WA N/A C 0 AMERICAN UNITY GROUP LTD 90 PITTS BAY ROAD PEMBROKE BD HM08 CAPTIVE INSURANCE BD N/A C 0 AYIN HEALTH HOLDINGS INC 4400 NE HALSEY ST STE 609 ATTN ACCO PORTLAND OR 97213 833037172 HEALTHCARE DE N/A C 0 AYIN HEALTH SOLUTIONS INC 4400 NE HALSEY ST STE 609 ATTN ACCO PORTLAND OR 97213 931211733 HEALTHCARE OR N/A C 0 BOURGET HEALTH SERVICES INC 101 W 8TH AVE TAF C-9 SPOKANE WA 99204 911354431 CLINICAL/MEDICAL LAB WA N/A C 0 CARON CORPORATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 810486082 MEDICAL PHYSICIAN SERVICE MT N/A C 0 CLOUD 21 LIMITED 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 HEALTHCARE UK N/A C 0 ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA 1301 20TH ST STE 280 SANTA MONICA CA 90404 952880495 HEALTHCARE CA N/A S 0 HOSPITAL CENTRAL SERVICES ASSOCIATION 1600 M STREET NW AUBURN WA 98001 910818155 REAL ESTATE RENTAL WA SHS & PHS - WA C 3094629 7037010 0.14200 0 KENSCI ASIA PACIFIC PTE LTD 615 2ND AVE 700 SEATTLE WA 98104 HEALTHCARE SN N/A C 0 KENSCI TECH INDIA PRIVATE LIMITED 615 2ND AVE 700 SEATTLE WA 98104 HEALTHCARE IN N/A C 0 LUBBOCK METHODIST HOSP PRACTICE MGMT 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752578995 INACTIVE TX N/A C 0 LUBBOCK METHODIST HOSPITAL SVCS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 752118585 HEALTHCARE TX N/A C 0 MEDICAL SPECIALTIES MANAGERS INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 330406218 HEALTHCARE WA N/A C 0 MISSION VIEJO MEDICAL VENTURES INC 27800 MEDICAL CENTER RD 354 MISSION VIEJO CA 92691 330212905 HEALTHCARE CA N/A C 0 PHN HOLDINGS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 461814184 STRATEGIC PLANNING SERVICES CA N/A C 0 PRAIA HEALTH INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 990552297 HEALTHCARE DE PHS WA C 1.00000 0 PROVIDENCE GLOBAL CENTER LLP 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 981516461 IT SVCS IN PHS WA & PSJH C 75637468 64119225 0.99000 0 PROVIDENCE HEALTH CARE VENTURES INC 101 W 8TH AVE TAF C-9 SPOKANE WA 99204 900155714 CLINICAL/MEDICAL LAB WA PHS WA C 25451559 1.00000 0 PROVIDENCE HEALTH NETWORK 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 800886966 PREPAID HEALTHCARE CA N/A C 0 PROVIDENCE PARTNERS HOLDINGS INC 4400 NE HALSEY ST STE 609 ATTN ACCO PORTLAND OR 97213 882962549 INVESTMENT DE N/A C 0 PROVIDENCE PHYSICIAN SERVICES CO 101 W 8TH AVE TAF C-9 SPOKANE WA 99204 911216033 HEALTHCARE WA N/A C 0 PROVIDENCE ST JOSEPH HEALTH NETWORK 20555 EARL ST TORRANCE CA 90503 823771547 HEALTHCARE CA N/A C 0 PROVSOURCE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 902318536 HEALTHCARE DE PHS WA C 247625 400000 1.00000 0 ST JOSEPH HEALTH 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 462340232 HOLDING COMPANY CA N/A C 0 ST JOSEPH HEALTH SOURCE INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 461900168 HEALTHCARE CA N/A C 0 ST JOSEPH MEDICAL PLAZA ASSOCIATION 1140 W LA VETA STE 400 ORANGE CA 92868 330621539 CONDO ASSOCIATION CA N/A C 0 ST JOSEPH PROF SVCS ENTERPRSES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 330155323 HEALTHCARE CA N/A C 0 TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC) 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 842092143 HOLDING COMPANY DE N/A C 0 TEGRIA INSIGHTS GROUP HOLDINGS INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 861400769 HOLDING COMPANY WA N/A C 0 TEGRIA INSIGHTS GROUP INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 861532593 HEALTHCARE WA N/A C 0 TEGRIA PRODUCTS GROUP INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 870995138 HOLDING COMPANY DE N/A C 0 TEGRIA RCM GROUP US INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 863046450 HOLDING COMPANY DE N/A C 0 TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC) 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 844686520 HOLDING COMPANY DE N/A C 0 TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP) 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 844704409 HOLDING COMPANY DE N/A C 0 TEGRIA SERVICES GROUP-CAN INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 HEALTHCARE CA N/A C 0 TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC) 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 900872936 HEALTHCARE WI N/A C 0 TRUSANA INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 922370159 HEALTHCARE DE PHS WA C 1.00000 0 VINSERRA INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 953943315 INVESTMENT CA N/A C 0 WEIGHT LOSS INC (FKA HMR WEIGHT MANAGEMENT SERVICES CORP) 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 463598718 HEALTHCARE WA N/A C 0 1 1 1 0 0 0 0 0 0 1 1 0 1 0 1 1 1 1 1 PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA A 651293 ACCRUAL PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA C 328515 ACCRUAL SAINT JOHN'S CANCER INSTITUTE C 463161 ACCRUAL PROVIDENCE HOSPICE OF SEATTLE FOUNDATION C 1300283 ACCRUAL PROVIDENCE ST JOSEPH HEALTH FOUNDATION C 95771 ACCRUAL PROVIDENCE ALASKA FOUNDATION C 5664316 ACCRUAL PROVIDENCE INLAND NORTHWEST FOUNDATION C 5355499 ACCRUAL INSTITUTE FOR SYSTEMS BIOLOGY C 302624 ACCRUAL PROVIDENCE ST MARY FOUNDATION C 290766 ACCRUAL PROVIDENCE MOUNT ST VINCENT FOUNDATION C 1333497 ACCRUAL PROVIDENCE SOUTHWEST WASHINGTON FOUNDATION C 5519030 ACCRUAL PROVIDENCE MARIANWOOD FOUNDATION C 322889 ACCRUAL PROVIDENCE HOSPICE & HOME CARE FOUNDATION SNOHOMISH COUNTY C 2648662 ACCRUAL PROVIDENCE HEALTH & SERVICES - OREGON J 297379 ACCRUAL SWEDISH HEALTH SERVICES J 1723019 ACCRUAL PACMED CLINICS DBA PACIFIC MEDICAL CENTERS J 1094847 ACCRUAL KADLEC REGIONAL MEDICAL CENTER K 2535023 ACCRUAL PROVIDENCE HEALTH & SERVICES - MONTANA K 114973 ACCRUAL SWEDISH HEALTH SERVICES K 2576283 ACCRUAL PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA K 1738650 ACCRUAL PROVIDENCE HEALTH & SERVICES - OREGON K 11511464 ACCRUAL TARZANA MEDICAL CENTER LLC K 142666 ACCRUAL PROVIDENCE FACEY MEDICAL FOUNDATION K 656127 ACCRUAL SWEDISH HEALTH SERVICES M 352222 ACCRUAL PACMED CLINICS DBA PACIFIC MEDICAL CENTERS M 161004 ACCRUAL TARZANA MEDICAL CENTER LLC M 283931 ACCRUAL ST MARY MEDICAL CENTER M 570920 ACCRUAL KADLEC REGIONAL MEDICAL CENTER M 1020535 ACCRUAL ST JOSEPH HEALTH NORTHERN CA LLC M 3064709 ACCRUAL PROVIDENCE ST JOSEPH MEDICAL CENTER M 353917 ACCRUAL SWEDISH HEALTH SERVICES M 558505 ACCRUAL PROVIDENCE SAINT JOHNS HEALTH CENTER M 349481 ACCRUAL WESTERN HEALTH CONNECT M 154435 ACCRUAL SWEDISH EDMONDS M 211954 ACCRUAL PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA M 969870 ACCRUAL PROVIDENCE HEALTH & SERVICES - MONTANA M 382488 ACCRUAL PROVIDENCE HEALTH & SERVICES - OREGON M 9411037 ACCRUAL COVENANT HEALTH SYSTEM M 200475 ACCRUAL PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE) M 4211398 ACCRUAL PROVIDENCE TRINITYCARE HOSPICE M 163876 ACCRUAL COVENANT HOSPITAL HOBBS M 214292 ACCRUAL PROVIDENCE HEALTH & SERVICES - MONTANA O 295350 ACCRUAL PROVIDENCE MEDICAL INSTITUTE O 286833 ACCRUAL PACMED CLINICS DBA PACIFIC MEDICAL CENTERS O 84604 ACCRUAL SWEDISH HEALTH SERVICES O 12282931 ACCRUAL SWEDISH HEALTH SERVICES O 343421 ACCRUAL PROVIDENCE HEALTH & SERVICES - OREGON O 4585232 ACCRUAL SWEDISH EDMONDS O 1635134 ACCRUAL KADLEC REGIONAL MEDICAL CENTER O 1522402 ACCRUAL PROVIDENCE FACEY MEDICAL FOUNDATION O 186584 ACCRUAL PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE) O 355796 ACCRUAL SYSTEM SUPPORT SERVICES SJHS P 33721233 ACCRUAL ST JOSEPH HEALTH SYSTEM Q 160018 ACCRUAL KADLEC REGIONAL MEDICAL CENTER R 395406 ACCRUAL PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE) R 2773573 ACCRUAL PROVIDENCE HEALTH & SERVICES - OREGON R 111651 ACCRUAL KADLEC REGIONAL MEDICAL CENTER S 576540 ACCRUAL