2024-11-12T12:45:45-06:00 2023-12-31 346565596 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 94105 990 2023-01-01 510216587 PROVIDENCE HEALTH & SERVICES - OREGON 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 5945380903 0 X OREGON.PROVIDENCE.ORG X 1986 OR SEE SCHEDULE O.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 25361 3060 74571410 402857 99314514 99868788 4194800019 4665896853 38716754 147547253 539328907 552645691 4872160194 5465958585 3796954 8366150 0 0 1980000041 2210148521 0 0 4004093 2946415060 3158892313 4930212055 5377406984 -58051861 88551601 4542273072 4585546320 808662549 642778419 3733610523 3942767901 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 4949182039 8366150 5209803459 SEE SCHEDULE O.AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY. TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES: -PROVIDENCE ACROSS SEVEN WESTERN STATES -COVENANT HEALTH IN WEST TEXAS -PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA -KADLEC IN SOUTHEAST WASHINGTON -PACIFIC MEDICAL CENTERS IN SEATTLE, WA -SWEDISH HEALTH SERVICES IN SEATTLE, WA AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND. THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES. WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDS PROVIDENCE CONTINUES TO 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 ACCOMPLISHMENTSIN 2023, PROVIDENCE OREGON CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEEDS.KEY EFFORTS FOCUSED ON ADDRESSING ACCESS TO CARE, IMPROVING BEHAVIORAL HEALTH, REDUCING AND CARING FOR CHRONIC CONDITIONS AND HEALTH-RELATED SOCIAL DETERMINANTS TO HELP PEOPLE GAIN STABLE HOUSING, NUTRITIOUS FOOD, LIVING-WAGE JOBS AND DEPENDABLE TRANSPORTATION.HELPING VULNERABLE PATIENTS GET CAREPROVIDENCE CONTINUED ITS LONGSTANDING PARTNERSHIP WITH MEDICAL TEAMS INTERNATIONAL TO PROVIDE MOBILE DENTAL SERVICES IN CLATSOP COUNTY, AIMING TO EXPAND ORAL HEALTH ACCESS EACH YEAR THROUGH OFFERING MORE CLINICS. THE MOBILITY OF MTI DENTAL CLINICS IS A KEY ELEMENT OF THE PROGRAM ALLOWING MTI TO SUCCESSFULLY PARTNER WITH PROVIDENCE, TRAVELING TO THE UNDERSERVED POPULATIONS WHO ARE HARDEST TO REACH YET NEED HELP THE MOST.PSH EXECUTIVES CONTINUE TO BE ENGAGED WITH COLUMBIA PACIFIC CCO, HELPING TO CRAFT STRATEGIES FOR QUALITY AND ACCESS TO ALL PEOPLE WITHIN THE SERVICE AREA.SUPPORTING BEHAVIORAL HEALTHPROVIDENCE CONTINUES TO OPERATE THE BETTER OUTCOMES THRU BRIDGES (BOB) PROGRAM FOCUSING ON SERVING SOME OF OUR COMMUNITY'S MOST VULNERABLE AND UNDERSERVED HOUSELESS INDIVIDUALS AND FAMILIES. BOB'S GOAL IS TO EMPOWER INDIVIDUALS ON THEIR JOURNEY TOWARD BETTER WELL-BEING BY ENGAGING WITH COMPASSION, DIGNITY AND INTEGRITY. USING OUR OWN COLLABORATIVE COMMUNITY APPROACH MODEL OF CARE, THE BOB TEAM WALKS ALONGSIDE CLIENTS TO HELP EASE THEIR WAY, LITERALLY AND FIGURATIVELY MEETING CLIENTS IN THEIR OWN ENVIRONMENT. WE ARE ALWAYS FOCUSED ON WORKING COLLABORATIVELY WITH OUR COMMUNITY PARTNERS AND DEVELOPING INCLUSIVE RELATIONSHIPS THAT SERVE ENTIRE COMMUNITIES IN WHICH WE WORK.SUPPORTING ECONOMIC SECURITY AND CAPACITY BUILDINGOVER 70 LEADERS ACROSS SECTORS CAME TOGETHER TO ADDRESS UNMET CHILDCARE NEEDS ACROSS CLATSOP COUNTY, INCLUDING PROVIDENCE WHO CONTRIBUTED $100,000 TO RETAINING AND EXPANDING CHILDCARE PROVIDERS. THE INITIATIVE AIMS TO CREATE GREATER ACCESS AND AFFORDABILITY FOR DIVERSE FAMILY INCOME LEVELS, IMPROVE CULTURALLY RESPONSIVE SERVICES, AND SUPPORT CHILDCARE PROVIDERS WITH PROFESSIONAL DEVELOPMENT. IN THE FIRST SIX MONTHS, THEY HAVE ALREADY INCREASED CAPACITY BY 36%, ADDING 137 CHILDCARE SLOTS FOR KIDS UP TO AGE 12.HEALTH RELATED SOCIAL NEEDSPROVIDENCE FUNDED HELPING HANDS RENTRY OUTREACH CENTERS, PROVIDING ASSISTANCE TOWARDS A MORE SUSTAINABLE LIFE THROUGH RESOURCES, RECOVERY AND REENTRY. THE PROGRAM IS TRAUMA INFORMED, DATA-DRIVEN, AND PERSON CENTERED. HELPING HANDS SERVES MEN, WOMEN AND CHILDREN THAT ARE HOMELESS AND READY TO MAKE A CHANGE IN THEIR LIVES.ADDITIONALLY, PROVIDENCE HAS BEEN AN ONGOING SUPPORTER OF CLATSOP COMMUNITY ACTION (CCA). CCA'S CONTINUUM OF CARE (COC) HOUSING PROGRAMS ARE SUPPORTIVE HOUSING PROGRAMS THAT ASSIST LOW-INCOME FAMILIES AND INDIVIDUALS WITH ONGOING RENT ASSISTANCE AND SUPPORTIVE SERVICES. CLATSOP COMMUNITY ACTION HAS 5 COC PROGRAMS, THAT ASSIST HOMELESS YOUTH CLIENTS, CHRONICALLY HOMELESS FAMILIES, FAMILIES WITH DISABILITIES, AND FAMILIES AND INDIVIDUALS FLEEING DOMESTIC VIOLENCE SITUATIONS. PROGRAM PARTICIPANTS WILL RECEIVE CLIENT TAILORED CASE MANAGEMENT BY CCA CASE MANAGERS, INCLUDING, BUT NOT LIMITED TO THE FOLLOWING: WRAP AROUND SERVICES, EMPLOYMENT REFERRAL AND SUPPORT, DOMESTIC VIOLENCE SUPPORT GROUPS AND REFERRAL, SNAP, TANF, GENERAL ASSISTANCE AND OTHER PROGRAMS PROVIDED BY DHS, VETERAN SERVICES, MENTAL HEALTH REFERRAL AND ENERGY ASSISTANCE.WE HAVE CONTINUED THE COMMITMENT TO THE COMMUNITY RESOURCE DESK PARTNERSHIP WITH CLATSOP COMMUNITY ACTION, CO-LOCATING STAFF ON THE PROVIDENCE SEASIDE HOSPITAL CAMPUS. THE 1.0 FTE COMMUNITY RESOURCE SPECIALIST, EMPLOYED BY CCA, PROVIDES SOCIAL SUPPORT AND SAFETY NET SERVICES THROUGH THE COMMUNITY RESOURCE DESK. THE CRD ASSISTS INDIVIDUALS AND FAMILIES WHO ARE IN NEED OF SUPPORT TO GET CONNECTED WITH COMMUNITY RESOURCES. IT IS FREE, CONFIDENTIAL AND OPEN TO ANYONE WHO APPROACHES THE DESK (STAFFED BY BILINGUAL SPANISH/ENGLISH SPEAKERS).FOR MOR INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/OREGON 4949182039 1 1 0 1 0 0 0 0 1 0 1 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 1009 0 1 25361 1 1 1 0 0 0 0 0 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 0 0 1 1 OR CA X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 ERIK WEXLER PRESIDENT/CEO 0.50 64.50 X 0 5154374 461693 LISA VANCE FRMR KE - EVP REGIONAL CE OR 0.00 65.00 X 0 4329919 46816 GREG HOFFMAN EVP & CFO/TREASURER 0.50 64.50 X 0 3204594 334955 JO ANN ESCASA-HAIGH FRMR EVP/ASSISTANT TREASURER 0.00 1.00 X 0 3291797 10754 JOEL GILBERTSON DIVISION CHIEF EXEC - CENTRAL 16.00 49.00 X 0 2833809 333262 ANNA NEWSOM EVP & CHIEF LEGAL OFFICER/SECRETARY 1.00 64.00 X 0 1917204 412545 WILLIAM OLSON CHIEF EXEC OREGON REGION 55.00 0.00 X 0 1639589 257958 SCOTT O'BRIEN DIVISION COO - CENTRAL 14.00 41.00 X 0 1573113 208371 ERIN ALLEN PHYSICIAN 50.00 0.00 X 1349089 0 164506 ERIC KIRKER PHYSICIAN 50.00 0.00 X 1161541 0 131354 KRISTA FARNHAM CE OR E DIV-PROV PORTLAND 55.00 0.00 X 0 1002781 189273 GARY OTT PHYSICIAN 50.00 0.00 X 1022631 0 112607 DANIEL OSERAN PHYSICIAN EXECUTIVE 50.00 0.00 X 1004458 0 111961 JIM WATSON ESQ ASSISTANT SECRETARY 0.50 54.50 X 0 968691 146931 JENNIFER BURROWS CE OR W DIV-PROV ST VINCENT 55.00 0.00 X 0 942597 162328 KEVIN KOOMALSINGH PHYSICIAN 50.00 0.00 X 1004429 0 78903 MELISSA DAMM DIVISION CFO - CENTRAL 14.00 41.00 X 0 880981 117526 JIM MARTIN ASSISTANT TREASURER (PART YEAR) 1.00 54.00 X 0 828928 115635 JOHN WHIPPLE FRMR SECRETARY 0.00 0.00 X 0 541701 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0.50 54.50 X 0 292875 30846 MARY LYONS PHD DIRECTOR 0.50 13.00 X 0 100085 0 MICHAEL MURPHY BOARD CHAIR 1.00 26.00 X 0 75066 0 CHARLES SORENSON MD DIRECTOR 0.50 13.00 X 0 50000 0 ISIAAH CRAWFORD PHD DIRECTOR 0.50 14.50 X 0 50000 0 RICHARD BLAIR DIRECTOR 0.50 13.00 X 0 50000 0 ERIC SPRUNK DIRECTOR 0.50 13.50 X 0 40000 0 MARY BETH KINGSTON DIRECTOR 0.50 13.00 X 0 40000 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 5542148 29808104 3428224 6818 1 1 0 OREGON EMERGENCY PHYSICIANS PC 9155 SW BARNES RD STE 420 PORTLAND OR 972256631 MEDICAL SERVICES 44077692 HIREUP LEADERSHIP PO BOX 404678 ATLANTA GA 30384 STAFFING SERVICES 39589857 AYA HEALTHCARE INC PO BOX 674907 DALLAS TX 75267 STAFFING SERVICES 39138710 CASS INFORMATION SYSTEMS INC 12444 POWERSCOURT DR STE 550 ST LOUIS MO 63131 PAYMENT SERVICES 30660882 LOCUMSMART LLC PO BOX 736389 DALLAS TX 75373 STAFFING SERVICES 18727603 548 55811935 25599642 18457211 99868788 NET PATIENT REVENUE 622110 4655877792 4648222811 7654981 JV INCOME 622110 10019061 10019061 4665896853 22866079 -12205 22878284 111816952 113408758 -1591806 -1591806 -1591806 329541601 119039023 315121292 8778158 14420309 110260865 124681174 124681174 52445001 42114110 10330891 10330891 IAF REVENUE 900099 396754484 396754484 PHARMACY REVENUE 456110 90456003 23848990 66607013 COST RECOVERIES 900099 11563228 11563228 45132891 44811270 321621 543906606 5465958585 5135219844 74571410 156298543 X 8366150 8366150 1966890319 1759383391 205540038 1966890 46535965 41626421 4863008 46536 48806743 43657631 5100305 48807 147915494 132310410 15457169 147915 3546986 3172779 370660 3547 5425189 5425189 671095428 600294861 70129472 671095 3822733 3419434 399476 3823 47551569 42534878 4969139 47552 850709 760959 88899 851 69072755 61785579 7218103 69073 8626647 7716535 901485 8627 5015338 4486220 524103 5015 101256744 90574157 10581330 101257 57074 51053 5964 57 MEDICAL SUPPLIES 1177010928 1177010928 0 0 SYSTEM COST ALLOCATION 867104353 775624844 90612405 867104 HOSPITAL FEE 179024094 179024094 0 0 UBI TAXES PAID 3487744 3119787 367957 0 15944022 14261928 1666150 15944 5377406984 4949182039 424220852 4004093 47521936 68660387 902916787 1304547378 20204530 31055710 538831734 513253660 9721117 -812534 69707991 84552500 1508017 1596300 3550264572 2588364393 973450039 961900179 998721900 717364923 594418178 637492168 941626 823923 384329217 265111726 4542273072 4585546320 362736913 264468346 7387254 13655779 260547 160807 271870 208963 438005965 364284524 808662549 642778419 X 3434464536 3612575216 299145987 330192685 3733610523 3942767901 4542273072 4585546320 X 88551601 32109290 88496487 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 1 406754 406754 0 STATEMENT 1 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 0 1 X 104849445 104849445 1741633502 1181423155 560210347 56341599 40108002 16233597 1542166740 1366833236 175333504 105273286 105273286 961900179 BENEFICIAL INTEREST IN FOUNDATION 577749379 C HEALTHCARE JOINT VENTURES 59742789 C 637492168 RIGHT OF USE OPERATING LEASES 190136007 HOSPITAL FEE/PROVIDER TAX RECEIVEABLE 42678210 DUE FROM THIRD PARTY 31663571 DUE FROM AFFILIATES 633938 265111726 4229733 CAPITAL LEASE OBLIGATIONS 136824219 TAX-EXEMPT BOND LIABILITIES 82440000 DUE TO THIRD PARTY 59653025 HOSPITAL FEE/PROVIDER TAX LIABILITY 47051750 OTHER LIABILITIES 33008706 DUE TO AFFILIATES 970427 ACCRUED RETIREMENT COMPENSATION 106664 364284524 PART IV, LINE 2B: THE ORGANIZATION IS THE CUSTODIAN OF RESIDENTS FUNDS. THE AMOUNT OF FUNDS IS REPORTED AS AN ASSET AND AS A LIABILITY. EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES FOREIGN TRAVEL 31976 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES FOREIGN TRAVEL 16291 0 0 0 0 0 0 48267 0 48267 1 0 1 1 1 0 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 44333107 44333107 0.00820 821462099 650974177 170487922 0.03170 865795206 650974177 214821029 0.03990 15106038 1813110 13292928 0.00250 31798304 8568025 23230279 0.00430 26548262 15217743 11330519 0.00210 44855451 20191801 24663650 0.00460 6934158 1011581 5922577 0.00110 125242213 46802260 78439953 0.01460 991037419 697776437 293260982 0.05450 15202 15202 0.00000 15202 15202 0.00000 0 1319922303 1644749198 -324826895 X 1 0 1 PLAZA AMBULATORY SURGERY CENTER LLC AMBULATORY SURGERY CENTER 0.46510 0.00000 0.48220 2 SURGERY CENTER AT TANASBOURNE LLC AMBULATORY SURGERY CENTER 0.73540 0.00000 0.26460 3 CSS JV LLC AMBULATORY SURGERY CENTER 0.61450 0.00000 0.38550 4 SALEM SURGERY CENTER LLC AMBULATORY SURGERY CENTER 0.04120 0.00000 0.30000 8 1 PROVIDENCE PORTLAND MEDICAL CENTER 4805 NE GLISAN ST PORTLAND OR 97213 OREGON.PROVIDENCE.ORG 14-0012 X X X X A 2 PROVIDENCE ST VINCENT MEDICAL CENTER 9205 SW BARNES RD PORTLAND OR 97225 OREGON.PROVIDENCE.ORG 14-0912 X X X X A 3 PROVIDENCE MILWAUKIE HOSPITAL 10150 SE 32ND MILWAUKIE OR 97222 OREGON.PROVIDENCE.ORG 14-1430 X X X A 4 PROVIDENCE HOOD RIVER MEM HOSPITAL 811 - 13TH STREET HOOD RIVER OR 97031 OREGON.PROVIDENCE.ORG 14-1452 X X X A 5 PROVIDENCE SEASIDE HOSPITAL 725 S WAHANNA RD SEASIDE OR 97138 OREGON.PROVIDENCE.ORG 14-1231 X X X NURSING FACILITY A 6 PROVIDENCE NEWBERG MEDICAL CENTER 1001 PROVIDENCE DRIVE NEWBERG OR 97132 OREGON.PROVIDENCE.ORG 14-1438 X X X 7 PROVIDENCE MEDFORD MEDICAL CENTER 1111 CRATER LAKE AVENUE MEDFORD OR 97504 OREGON.PROVIDENCE.ORG 14-0734 X X X 8 PROVIDENCE WILLAMETTE FALLS MED CTR 1500 DIVISION STREET OREGON CITY OR 97045 OREGON.PROVIDENCE.ORG 14-1471 X X A PROVIDENCE NEWBERG MEDICAL CENTER (6) 6 0 0 1 X X X X X X X X X 22 1 0 1 1 X SEE PART V, SECTION C 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 HTTP://WWW.PROVIDENCE.ORG/OBP/OR/FINANCIAL-ASSISTANCE X HTTP://WWW.PROVIDENCE.ORG/OBP/OR/FINANCIAL-ASSISTANCE X HTTP://WWW.PROVIDENCE.ORG/OBP/OR/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 1 PROVIDENCE MEDFORD MEDICAL CENTER (7) 7 0 0 1 X X X X X X X X X 22 1 1 0 1 X SEE PART V, SECTION C 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 HTTP://WWW.PROVIDENCE.ORG/OBP/OR/FINANCIAL-ASSISTANCE X HTTP://WWW.PROVIDENCE.ORG/OBP/OR/FINANCIAL-ASSISTANCE X HTTP://WWW.PROVIDENCE.ORG/OBP/OR/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 1 PHS - OREGON (GROUP A - 1-5 & 8) 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C 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 HTTP://WWW.PROVIDENCE.ORG/OBP/OR/FINANCIAL-ASSISTANCE X HTTP://WWW.PROVIDENCE.ORG/OBP/OR/FINANCIAL-ASSISTANCE X HTTP://WWW.PROVIDENCE.ORG/OBP/OR/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 1 PROVIDENCE NEWBERG MEDICAL CENTER (6) 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 MEDFORD MEDICAL CENTER (7) PART V, SECTION B, LINE 3J: PART V, SECTION B, LINE 3E,THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PROVIDENCE NEWBERG MEDICAL CENTER (6) PART V, SECTION B, LINE 5: THROUGH A MIXED-METHODS APPROACH AND USING QUANTITATIVE AND QUALITATIVE DATA, THE CHNA TEAM COLLECTED INFORMATION FROM THE FOLLOWING SOURCES: AMERICAN COMMUNITY SURVEY, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), COUNTY HEALTH RANKINGS & ROADMAPS, ESRI UPDATED DEMOGRAPHICS, OREGON HEALTH AUTHORITY, OREGON STUDENT WELLNESS SURVEY, AND THE U.S. CENSUS (SUCH AS PUBLIC HEALTH DATA REGARDING HEALTH BEHAVIORS, MORBIDITY AND MORTALITY, AND HOSPITAL-LEVEL DATA). WE CONDUCTED 14 LISTENING SESSIONS WITH 188 INDIVIDUALS WHO ARE FROM DIVERSE COMMUNITIES, HAVE LOWER INCOMES, AND/OR ARE MEDICALLY UNDERSERVED. WE CONDUCTED 14 STAKEHOLDER INTERVIEWS WITH 16 REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE THESE POPULATIONS, SPECIFICALLY SEEKING TO GAIN A DEEPER UNDERSTANDING OF COMMUNITY STRENGTHS AND OPPORTUNITIES. IN ADDITION, WE CONDUCTED A COMMUNITY HEALTH SURVEY IN ENGLISH AND SPANISH THAT ENGAGED 846 INDIVIDUALS. BELOW IS A SHORT LIST OF HIGHLIGHTS FROM OUR QUANTITATIVE AND QUALITATIVE DATA COLLECTION:- 2020 POINT IN TIME HOMELESS COUNT: 1,428 PEOPLE WERE COUNTED AS LIVING IN SHELTERS, IN UNSHELTERED LOCATIONS OR COUCH SURFING- 1 IN 4 COMMUNITY SURVEY RESPONDENTS SAID THEY LOST A JOB OR HOURS DUE TO COVID-19- THE TOP THREE REASONS COMMUNITY SURVEY RESPONDENTS PUT OFF OR WENT WITHOUT HEALTH CARE WERE COST, LACK OF APPOINTMENT AVAILABILITY AND COVID-19 COMPLICATIONS- 50% OF COMMUNITY SURVEY RESPONDENTS REPORTED SOME LEVEL OF WORRYING RANGING FROM "SEVERAL DAYS" TO "NEARLY EVERY DAY" DURING THE LAST TWO WEEKS (PRIOR TO TAKING THE SURVEY)- 38% OF COMMUNITY SURVEY RESPONDENTS DID NOT GET ALL THE MENTAL HEALTH SERVICES THEY NEEDED IN THE LAST YEAR.WHILE CARE WAS TAKEN TO SELECT AND GATHER DATA THAT WOULD TELL THE STORY OF THE HOSPITAL'S SERVICE AREA, IT IS IMPORTANT TO RECOGNIZE THE LIMITATIONS AND GAPS IN INFORMATION THAT NATURALLY OCCUR. PROVIDENCE MEDFORD MEDICAL CENTER (7) PART V, SECTION B, LINE 5: THROUGH A MIXED-METHODS APPROACH AND USING QUANTITATIVE AND QUALITATIVE DATA, THE CHNA TEAM COLLECTED INFORMATION FROM THE FOLLOWING SOURCES: AMERICAN COMMUNITY SURVEY, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), COUNTY HEALTH RANKINGS & ROADMAPS, ESRI UPDATED DEMOGRAPHICS, OREGON HEALTH AUTHORITY, OREGON STUDENT WELLNESS SURVEY, AND THE U.S. CENSUS (SUCH AS PUBLIC HEALTH DATA REGARDING HEALTH BEHAVIORS, MORBIDITY AND MORTALITY, AND HOSPITAL-LEVEL DATA). WE CONDUCTED FIVE LISTENING SESSIONS WITH 68 INDIVIDUALS WHO ARE FROM DIVERSE COMMUNITIES, HAVE LOWER INCOMES, AND/OR ARE MEDICALLY UNDERSERVED. WE CONDUCTED TEN STAKEHOLDER INTERVIEWS WITH 12 REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE THESE POPULATIONS INCLUDING PUBLIC HEALTH, SPECIFICALLY SEEKING TO GAIN A DEEPER UNDERSTANDING OF COMMUNITY STRENGTHS AND OPPORTUNITIES. IN ADDITION, WE CONDUCTED A COMMUNITY HEALTH SURVEY IN ENGLISH AND SPANISH THAT ENGAGED 1,237 RESIDENTS. BELOW IS A SHORT LIST OF HIGHLIGHTS FROM OUR QUANTITATIVE AND QUALITATIVE DATA COLLECTION:- STRONG COMMUNITY PARTNERSHIPS ARE PRESENT BETWEEN NONPROFITS, HEALTH CARE ORGANIZATIONS, SCHOOL DISTRICTS, FAITH-BASED ORGANIZATIONS, COMMUNITY AND CIVIC GROUPS, AND SOCIAL SUPPORT ORGANIZATIONS, ALL WORKING TOGETHER TO ADDRESS COMMUNITY NEEDS. - STAKEHOLDERS IDENTIFIED HOUSING AS A FOUNDATIONAL NEED AND DISCUSSED THE IMPORTANCE OF HOUSING FIRST, MEANING PEOPLE FIRST NEED TO BE SAFELY AND STABLY HOUSED BEFORE THEY CAN ADDRESS THEIR PHYSICAL AND BEHAVIORAL HEALTH NEEDS. - NEARLY 34% OF COMMUNITY HEALTH SURVEY RESPONDENTS REPORTED NEEDING COUNSELING OR MENTAL HEALTH SERVICES WITHIN THE LAST YEAR. - 44-48% OF 11TH GRADE STUDENTS IN JACKSON AND JOSEPHINE COUNTIES REPORTED SIGNS OF DEPRESSION IN 2020.WHILE CARE WAS TAKEN TO SELECT AND GATHER DATA THAT WOULD TELL THE STORY OF BOTH HEALTH SYSTEMS' SERVICE AREAS, IT IS IMPORTANT TO RECOGNIZE THE LIMITATIONS AND GAPS IN INFORMATION THAT NATURALLY OCCUR. PROVIDENCE MEDFORD MEDICAL CENTER (7) PART V, SECTION B, LINE 6A: ASANTE PROVIDENCE NEWBERG MEDICAL CENTER (6) PART V, SECTION B, LINE 6B: YAMHILL COUNTY PUBLIC HEALTHYAMHILL COMMUNITY CARE PROVIDENCE NEWBERG MEDICAL CENTER (6) PART V, SECTION B, LINE 11: PROVIDENCE IS WORKING BOTH INTERNALLY AND WITH COMMUNITY PARTNERS TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED. THE 2022 CHNA RESULTED IN A REVISED COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ADOPTED IN MAY 2023, WHICH IS GUIDING THE COMMUNITY BENEFIT ACTIVITIES THROUGH 2025. THE KEY IDENTIFIED NEEDS FROM THE 2022 CHNA WERE GROUPED INTO FOUR MAJOR CATEGORIES: MENTAL HEALTH AND SUBSTANCE USE DISORDER, HEALTH RELATED SOCIAL NEEDS, ECONOMIC SECURITY, AND ACCESS TO HEALTH CARE AND SERVICES. THREE CONSISTENT CROSS-CUTTING THEMES SURFACED DURING THE ASSESSMENT PROCESS: RACISM, DISCRIMINATION AND INCLUSION, CULTURALLY RESPONSIVE CARE, AND TRAUMA INFORMED CARE.ADDITIONALLY, PROVIDENCE HAS ENGAGED WITH SEVERAL COMMUNITY ORGANIZATIONS TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA AND THE SUBSEQUENT CHIP. THERE WAS AN EXTENSIVE LIST OF NEEDS AND ISSUES IDENTIFIED THROUGH THIS ASSESSMENT PROCESS AND THE ORGANIZATION IS UNABLE TO ADDRESS ALL OF THEM SUCH AS ECONOMIC SECURITY DURING THIS CYCLE DUE TO FUNDING AND RESOURCE AVAILABILITY. THERE ARE OTHER COMMUNITY ORGANIZATIONS FOCUSING ON SUCH ISSUES, AND PROVIDENCE WILL BE AN ENGAGED PARTNER IN OTHER COMMUNITY LED COLLABORATIVE EFFORTS.ACCESS TO CARESOME SPECIFIC EXAMPLES OF ACTIVITIES TAKEN IN 2023 INCLUDE THE CONTINUATION OF THE PARISH HEALTH PROMOTERS (PROMOTORES) PROGRAM, PROVIDING CULTURALLY COMPETENT TRAINING AND OUTREACH TO THE SPANISH-SPEAKING POPULATION. THE PROGRAM CONTINUED TO PARTNER WITH PROVIDENCE'S TELEHEALTH PROGRAM, INCREASING ACCESS TO PREVENTIVE AND PRIMARY CARE TO THE SPANISH SPEAKING POPULATION IN YAMHILL COUNTY. TWO DEDICATED PROMOTORES PROGRAM SPECIALISTS ARE FUNDED THROUGH COMMUNITY BENEFIT IN OUR COMMUNITY HEALTH DIVISION, PROVIDING THE PROGRAM MANAGEMENT NEEDED TO RUN THE DAY-TO-DAY OPERATIONS. PROVIDENCE SUPPORTED MULTIPLE PROMOTORES-RELATED INITIATIVES DELIVERED THROUGH SAN MARTIN DE PORRES CATHOLIC CHURCH, INCLUDING MENTAL HEALTH WORKSHOPS, LEAD PLANNING OF TELEHEALTH CLINICS, IMMIGRATION WORKSHOPS AND THE CAPACITATION/TRAINING PROGRAM OF A NEW PROMOTORES COHORT FROM YAMHILL COUNTY.THE PACIFIC UNIVERSITY WAS PROVIDED WITH TWO SEPARATE GRANTS IN 2023, ONE TO PROVIDE LATINX EMOTIONAL HEALTH TRAINING THROUGH CHARLAS AND ANOTHER TO PROMOTE THE SMILE CARE EVERYWHERE PREVENTIVE ORAL HEALTH CARE PROGRAM IN YAMHILL COUNTY. CHARLAS IN SPANISH SIMPLY MEANS TO CHAT OR TALK. THESE FORUMS ARE BEING PILOTED IN YAMHILL'S LATINX COMMUNITY TO PROVIDE A MORE OPEN DIALOGUE SURROUNDING MENTAL AND EMOTIONAL HEALTH ISSUES, LED BY THE TRUSTED PROMOTORES PRACTICING IN THE YAMHILL SERVICE AREA.PNMC DIRECTLY PROVIDED DIABETES EDUCATION CLASSES, STAFF TIME AT COMMUNITY EVENTS, SUPPORT GROUPS, VOLUNTEER PROGRAMS THROUGH COMMUNITY CONNECTIONS, CAREGIVER SUPPORT AND TRAINING PROGRAMS, MEDICATION ASSISTANCE, PATIENT SUPPORT FOR SAFE AND SECURE DISCHARGE FOR THE FIRST THIRTY DAYS IN PARTNERSHIP WITH PROJECT ACCESS NOW, AN ATHLETIC TRAINER FOR THE LOCAL HIGH SCHOOL, AND PROVIDED SPORTS PHYSICALS FOR STUDENTS WHO COULD OTHERWISE NOT AFFORD THEM. PROVIDENCE CONTINUES ITS COMMITMENT TO PROVIDE CARE FOR ALL, REGARDLESS OF ABILITY TO PAY AND CONTINUES TO PROVIDE ENROLLMENT ASSISTANCE FOR INDIVIDUALS WHO ARE NOT YET INSURED BUT WISH TO BE.HEALTH RELATED SOCIAL NEEDSPROVIDENCE DIRECTLY SUPPORTED THE NORTHWEST CHRISTIAN CHURCH FOOD INSECURITY RESPONSE PROGRAM WHICH INCLUDES THREE ASPECTS: FOOD PANTRIES, WEEKEND FOOD SUPPLIES FOR SCHOOL-AGED CHILDREN AND FAMILIES, AND HOT MEALS PROVIDED ONCE PER WEEK VIA A COMMUNITY KITCHEN. THIS PROGRAM IS GROWING WITH THE GOAL OF EXPANDING SERVICES BY AT LEAST 25%.PROVIDENCE SUPPORT COMMUNITY WELLNESS COLLECTIVE'S HARVEST HOUSE PROGRAM WHICH PROVIDES AN EMERGENCY SHELTER SEVEN DAYS PER WEEK. IN PARTNERSHIP WITH YAMHILL COMMUNITY ACTION PROGRAM, THE SHELTER OFFERS WRAP AROUND SERVICES, BEHAVIORAL HEALTH, AND PHYSICAL HEALTH SERVICES.MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICESPROVIDENCE DIRECTLY SUPPORTED THE COMMUNITY WELLNESS COLLECTIVE (CMC) TO OPERATE THEIR WELLNESS CENTER AND HARVEST HOUSE. PROVIDENCE'S INVESTMENT CONTRIBUTED TO CMC CONTINUING SERVICES FOR YOUTH WITHIN THE YOUTH OUTREACH PROGRAM AND TO EXPAND PEER GROUPS AT THE NEWBERG HIGH SCHOOL WELLNESS CENTER WHEN ANXIETIES IN THE DISTRICT WERE HIGH FOR MARGINALIZED YOUTH. THESE SERVICES WERE ESPECIALLY HELPFUL TO YOUTH EXPERIENCING HOMELESSNESS. PROVIDENCE SUPPORTED LUTHERAN COMMUNITY SERVICES' COMPARTIENDO ESPERANZA PROGRAM WHICH SERVES LATINX IMMIGRANT COMMUNITIES. IN PARTNERSHIP WITH UNIDOS BRIDGING COMMUNITY, BOTH PARTNERS WILL PROVIDE WELLNESS GROUPS FOCUSING ON EDUCATING COMMUNITY MEMBERS ON MENTAL HEALTH SERVICES, FIRST-TIME HOME OWNERSHIP RESOURCES, FINANCIAL LITERACY, AND SELF-SUFFICIENCY. IN ADDITION TO WELLNESS GROUPS, THE COLLABORATIVE WILL HOST COMMUNITY OUTREACH EVENTS TO FURTHER ENGAGE POTENTIAL PROGRAM PARTICIPANTS. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUING OUR MISSION THROUGH COMMUNITY BENEFIT GRANT-MAKING AND ONGOING PARTNERSHIPS IN OUR COMMUNITY. WHILE WE CARE FOR OUR COMMUNITY EACH DAY, WE RECOGNIZE THAT WE CANNOT ADDRESS ALL NEEDS EFFECTIVELY OR INDEPENDENTLY, AND SOME OF THE AREAS IDENTIFIED IN OUR CHNA MAY BE OUT OF SCOPE FOR US. HOWEVER, WE ARE CONFIDENT THESE NEEDS WILL ALSO BE ADDRESSED BY OTHERS IN THE COMMUNITY AND PROVIDENCE WILL DO OUR BEST TO SUPPORT WHEN POSSIBLE. WE STRONGLY BELIEVE TOGETHER WE CAN BETTER ADDRESS THE NEEDS OF OUR COMMUNITIES BY LEVERAGING OUR COLLECTIVE STRENGTHS. WE WILL ALSO CONTINUE TO EXPLORE OPPORTUNITIES FOR US TO COLLABORATE ON EFFORTS FOCUSED ON AREAS SUCH AS ECONOMIC SECURITY THAT WE ARE NOT IMMEDIATELY ADDRESSING DUE TO RESOURCE AND CAPACITY CONSTRAINTS. PROVIDENCE MEDFORD MEDICAL CENTER (7) PART V, SECTION B, LINE 11: PROVIDENCE IS WORKING BOTH INTERNALLY AND WITH COMMUNITY PARTNERS TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED. THE 2022 CHNA RESULTED IN A REVISED COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ADOPTED IN MAY 2023, WHICH IS GUIDING THE COMMUNITY BENEFIT ACTIVITIES THROUGH 2025. THE KEY IDENTIFIED NEEDS FROM THE 2022 CHNA WERE GROUPED INTO FOUR MAJOR CATEGORIES: MENTAL HEALTH AND SUBSTANCE USE DISORDER, HEALTH RELATED SOCIAL NEEDS, ECONOMIC SECURITY, AND ACCESS TO HEALTH CARE AND SERVICES. THREE CONSISTENT CROSS-CUTTING THEMES SURFACED DURING THE ASSESSMENT PROCESS: RACISM, DISCRIMINATION AND INCLUSION, CULTURALLY RESPONSIVE CARE, AND TRAUMA INFORMED CARE. HEALTH RELATED SOCIAL NEEDSIN AN ACTIVE PARTNERSHIP WITH ACCESS (COMMUNITY ACTION AGENCY IN JACKSON COUNTY), PROVIDENCE OFFERS THE COMMUNITY RESOURCE DESK (CRD) PROGRAM. THE CRD ASSISTS INDIVIDUALS AND FAMILIES WHO ARE IN NEED OF SUPPORT TO GET CONNECTED WITH COMMUNITY RESOURCES. IT IS FREE, CONFIDENTIAL AND OPEN TO ANYONE WHO APPROACHES THE DESK (STAFFED BY BILINGUAL SPANISH/ENGLISH SPEAKERS). A SEPARATE ACCESS PROGRAM FUNDED BY PROVIDENCE AIMS TO PREVENT EVICTIONS FOR FAMILIES WITH MINOR CHILDREN. AS A PROGRAM HOUSED WITHIN HOMELESSNESS PREVENTION SERVICES, THE GOAL IS FOR FAMILIES TO ACHIEVE HOUSING STABILITY THROUGH RENT ASSISTANCE FOR PEOPLE WITH ARREARS, COURT ORDERED EVICTIONS, AND OTHER HARDSHIPS.PROVIDENCE SUPPORTED COALICION FORTALEZA'S VISIONARY PROGRAM WHICH AIMS TO HELP ENSURE THAT FAMILIES CAN MEET THE FINANCIAL REQUIREMENTS OF RETURNING TO HOME OWNERSHIP. TO DO THIS, INDIVIDUAL DEVELOPMENT ACCOUNTS WILL BE USED FOR ASSET BUILDING BY PROVIDING A 5:1 MATCH SAVINGS BENEFIT. IN ADDITION, THE PROGRAM TEACHES FINANCIAL LITERACY TO HELP PARTICIPANTS MAKE INFORMED DECISIONS WITH THEIR FINANCIAL RESOURCES.ACCESS TO CAREAS IN PREVIOUS YEARS, PROVIDENCE EXECUTIVES WERE EXTENSIVELY ENGAGED WITH THE LOCAL CCO BOARDS TO CONTINUE ENSURING CARE FOR THOSE ELIGIBLE FOR MEDICAID. ADDITIONALLY, PROVIDENCE DIRECTLY PROVIDED FREE AND LOW-COST SUPPORT GROUPS AND CANCER SCREENINGS, COMMUNITY EDUCATION AROUND PHYSICAL AND OCCUPATIONAL THERAPY, ENSURING EMERGENCY DEPARTMENT PHYSICIANS WERE AVAILABLE WHEN NEEDED, SUBSIDIZED EXPENSES OF GUEST HOUSING FOR FAMILY MEMBERS, PROVIDED ATHLETIC TRAINERS AND FREE SPORTS PHYSICALS FOR STUDENTS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD THEM, PARTICIPATED AND FUNDED THE JEFFERSON HEALTH INFORMATION EXCHANGE, EXECUTIVE SUPPORT FOR AND ENGAGEMENT IN THE JEFFERSON REGIONAL HEALTH ALLIANCE, SUPPORT FOR COURT APPOINTED SPECIAL ADVOCATES, AND PROVIDED HEALTH PROFESSIONALS TRAINING (PHYSICAL AND OCCUPATIONAL THERAPY, NURSING, AND LAB TECH, AMONGST OTHERS). PROVIDENCE PROVIDES SUBSIDIZED DIABETES EDUCATION FOR PATIENTS LIVING WITH DIABETES AS WELL AS THOSE AT RISK OF DEVELOPING DIABETES (PRE-DIABETES). PROVIDENCE CONTINUES ITS COMMITMENT TO PROVIDE CARE FOR ALL, REGARDLESS OF ABILITY TO PAY AND CONTINUES TO PROVIDE ENROLLMENT ASSISTANCE FOR INDIVIDUALS WHO ARE NOT YET INSURED BUT WISH TO BE, AS WELL AS PROVIDING MEDICATION ASSISTANCE AND OTHER BASIC SUPPORT TO ALLOW FOR SAFE AND SECURE DISCHARGE FOR THE FIRST THIRTY DAYS. FURTHERMORE, PROVIDENCE IS ACTIVELY WORKING TO INTEGRATE AND IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES, INCREASE ACCESS TO PRIMARY CARE, AND IMPROVE PROTOCOLS AND PATIENT ENGAGEMENT IN MANAGING AND PREVENTING CHRONIC CONDITIONS. ADDITIONAL INFORMATION ABOUT THESE INTERNAL EFFORTS IS AVAILABLE IN THE CHNA.MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICESPROVIDENCE SUPPORTED MASLOW PROJECT TO PROVIDE MENTAL HEALTH SERVICES FOR YOUTH EXPERIENCING HOMELESSNESS. FUNDING SUPPORTIVE THERAPY THAT CONSISTS OF MILIEU, CRISIS INTERVENTION, AND TRADITIONAL THERAPY FOR MASLOW PROJECT ADOLESCENT CLIENTS. THIS IS A TREATMENT STRATEGY OF MEETING YOUTH WHERE THEY ARE AND PROVIDING BRIEF "IN THE MOMENT" INTERVENTIONS. THESE INTERVENTIONS MAY INCLUDE MODELING BEHAVIORS, MOTIVATIONAL INTERVIEWING, EMERGENCY PLAN B CONVERSATIONS, SKILLS TRAINING, AND MUCH MORE. THE ACCUMULATION OF BRIEF, SOLUTION FOCUSED INTERVENTIONS AID THE INDIVIDUAL IN BUILDING UP THEIR LAGGING SKILLS AND INCREASING THEIR OVERALL RESILIENCE.PROVIDENCE SUPPORTED THE UNITED WAY OF JACKSON COUNTY TO PROVIDE MENTAL WELLNESS SERVICES THAT INCLUDE THREE STRATEGIES: IN THIS TOGETHER (PUBLIC SERVICE SUICIDE PREVENTION AND MENTAL WELLNESS PROGRAMMING), MENTAL HEALTH FIRST AID (PARTNERSHIP WITH JACKSON COUNTY MENTAL HEALTH AND THE MEDFORD/JACKSON COUNTY CHAMBER OF COMMERCE) TO TRAIN COMMUNITY MEMBERS ON HOW TO DE-ESCALATE DIFFICULT SITUATIONS AND INTERACT SAFELY WITH PEOPLE WITH MENTAL HEALTH ISSUES, AND, COMMUNITY-WIDE ASIST TRAINING (SUICIDE PREVENTION). THESE EFFORTS ALL FOCUS ON MENTAL WELLNESS, REMOVING STIGMA, AND OFFERING TIPS ON STAYING MENTALLY HEALTHIER. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUING OUR MISSION THROUGH COMMUNITY BENEFIT GRANT-MAKING AND ONGOING PARTNERSHIPS IN OUR COMMUNITY. WHILE WE CARE FOR OUR COMMUNITY EACH DAY, WE RECOGNIZE THAT WE CANNOT ADDRESS ALL NEEDS EFFECTIVELY OR INDEPENDENTLY, AND SOME OF THE AREAS IDENTIFIED IN OUR CHNA MAY BE OUT OF SCOPE FOR US. HOWEVER, WE ARE CONFIDENT THESE NEEDS WILL ALSO BE ADDRESSED BY OTHER IN THE COMMUNITY. PMMC WILL CONTINUE TO COLLABORATE WITH LOCAL ORGANIZATIONS THAT ADDRESS COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS THESE UNMET NEEDS. WE STRONGLY BELIEVE THAT TOGETHER WE CAN BETTER ADDRESS THE NEEDS OF OUR COMMUNITIES BY LEVERAGING OUR COLLECTIVE STRENGTHS. THE FOLLOWING COMMUNITY HEALTH NEED IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AT THIS TIME DUE TO RESOURCE AND CAPACITY CONSTRAINTS: ECONOMIC SECURITY. PROVIDENCE NEWBERG MEDICAL CENTER (6) PART V, SECTION B, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE. PROVIDENCE MEDFORD MEDICAL CENTER (7) PART V, SECTION B, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: PROVIDENCE PORTLAND MEDICAL CENTER, - FACILITY 2: PROVIDENCE ST. VINCENT MEDICAL CENTER, - FACILITY 3: PROVIDENCE MILWAUKIE HOSPITAL, - FACILITY 4: PROVIDENCE HOOD RIVER MEM. HOSPITAL, - FACILITY 5: PROVIDENCE SEASIDE HOSPITAL, - FACILITY 8: PROVIDENCE WILLAMETTE FALLS MED. CTR. PHS - OREGON (GROUP A - 1-5 & 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. PHS - OREGON (GROUP A - 1-5 & 8) PART V, SECTION B, LINE 5: PROVIDENCE PORTLAND MEDICAL CENTER (PPMC), PROVIDENCE ST. VINCENT MEDICAL CENTER (PSVMC), PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER (PWFMC) AND PROVIDENCE MILWAUKIE HOSPITAL (PMH) ARE PARTICIPATING MEMBERS OF THE HEALTHY COLUMBIA WILLAMETTE COLLABORATIVE (HCWC). CONSISTING OF THIRTEEN ORGANIZATIONS, HCWC INCLUDES HOSPITAL SYSTEMS, COUNTY HEALTH DEPARTMENTS AND COORDINATED CARE ORGANIZATIONS. THE HCWC REGION COVERS CLARK COUNTY AND CLACKAMAS, MULTNOMAH, AND WASHINGTON COUNTIES IN OREGON. THIS UNIQUE PUBLIC/PRIVATE PARTNERSHIP SERVES AS A PLATFORM FOR COLLABORATION AROUND THE COMMUNITY HEALTH NEEDS ASSESSMENT. HCWC HAS BEEN CONVENING SINCE 2012 AND PRODUCED ITS FIRST COLLABORATIVE CHNA IN 2013 WITH SUBSEQUENT CYCLES IN 2016, 2019 AND 2022. THE COLLABORATIVE MODEL ALLOWS FOR A MORE COMPREHENSIVE VIEW OF COMMUNITY NEEDS, INFORMS PRIORITIES FOR HCWC MEMBER ORGANIZATION IMPROVEMENT PLANS, AND SUPPORTS A SHARED UNDERSTANDING FOR HCWC STAKEHOLDERS AND PARTNERS WHO COORDINATE ON HOW TO BEST MEET COMMUNITY HEALTH NEEDS. HCWC TOOK INTO ACCOUNT SUBSTANTIAL INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AS WELL AS PUBLIC HEALTH OFFICIALS. REPRESENTATIVES FROM EACH MEMBER ORGANIZATION MEET MONTHLY AS A LEADERSHIP GROUP AND FORMED MULTIPLE WORKGROUPS TO INCLUDE MULTIPLE DATA SOURCES AND PERSPECTIVES. HCWC USED A MIXED METHODS APPROACH FOR THE CHNA, PRIORITIZING COMMUNITY VOICE AND INPUT IN THIS ASSESSMENT (QUALITATIVE DATA), WHILE ALSO INCLUDING DATA FROM PUBLIC HEALTH SURVEYS, HOSPITALS, AND OTHER SOURCES (QUANTITATIVE DATA). HCWC USED A MODIFIED VERSION OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL TO GUIDE THE NEEDS ASSESSMENT. THE MAPP MODEL IS AN ITERATIVE PROCESS COMBINING HEALTH DATA AND COMMUNITY INPUT TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS. RESULTS WERE DISTILLED THROUGH DISCUSSIONS WITH THE COMMUNITY ACTION TEAM (CAT), IN PARTNERSHIP WITH THE OREGON EQUITY ALLIANCE, TO ENSURE THE STORIES AND INFORMATION COLLECTED AND PRESENTED IN THIS REPORT ARE ALIGNED WITH OUR COMMUNITIES' EXPERIENCES. WORKGROUPS INCLUDED COMMUNICATIONS, STAKEHOLDER ENGAGEMENT AND DATA WITH SPECIFIC PARTICIPANTS. WE CONDUCTED A COMMUNITY HEALTH SURVEY ENGAGING 508 INDIVIDUALS. ADDITIONALLY, WE CONDUCTED 38 COMMUNITY ENGAGEMENT SESSIONS, SEVEN OF WHICH WERE CONDUCTED IN A LANGUAGE OTHER THAN ENGLISH, WITH 311 INDIVIDUALS REPRESENTING THE FOLLOWING COMMUNITIES:- BLACK, INDIGENOUS, PEOPLE OF COLOR, AND AMERICAN INDIAN/ALASKA NATIVE PEOPLE - PEOPLE WHO IDENTIFY AS LGBTQIA+- PEOPLE WITH DISABILITIES- OLDER ADULTS, 65 YEARS AND OLDER - PEOPLE IMPACTED BY INCARCERATION - RURAL COMMUNITIES- UNHOUSED OR PEOPLE EXPERIENCING HOUSELESSNESS- IMMIGRANT POPULATIONS- NON-ENGLISH-SPEAKING COMMUNITIES- PEOPLE WITH SUBSTANCE USE DISORDERS- YOUTHBELOW IS A SHORT LIST OF HIGHLIGHTS FROM OUR QUANTITATIVE AND QUALITATIVE DATA COLLECTION:- PEOPLE OF COLOR AND PEOPLE WITH DISABILITIES ARE HISTORICALLY MORE LIKELY TO EXPERIENCE BARRIERS TO EMPLOYMENT. THE UNEMPLOYMENT RATE AMONG BLACK/AFRICAN AMERICANS AND PEOPLE WITH DISABILITIES WAS NEARLY TWICE AS HIGH AS THE GENERAL POPULATION IN BOTH 2019 AND 2021. - WHILE 13% OF COMMUNITY SURVEY RESPONDENTS REPORTED BEING DISCRIMINATED AGAINST BY THE HEALTH CARE SYSTEM, THIS INCREASED TO BETWEEN 20% AND 30% AMONG THE CHNA'S PRIORITY POPULATIONS. - THE CHNA'S PRIORITY POPULATIONS REPORTED DELAYING HEALTH CARE DUE TO FEAR OR DISCOMFORT AT NEARLY TWICE THE RATE OF ALL RESPONDENTS AND WERE MORE LIKELY TO REPORT LACK OF TRUST WITH THE HEALTH CARE SYSTEM.PROVIDENCE HOOD RIVER MEMORIAL HOSPITALTHE COLUMBIA GORGE REGIONAL HEALTH ASSESSMENT INCLUDED WORKING GROUP MEMBERS REPRESENTING REGIONAL HOSPITALS, PUBLIC HEALTH, FEDERALLY QUALIFIED HEALTH CENTERS AND OTHER COMMUNITY STAKEHOLDERS. THROUGH A MIXED-METHODS APPROACH, USING QUANTITATIVE AND QUALITATIVE DATA, WE COLLECTED INFORMATION FROM THE FOLLOWING SOURCES: OREGON HEALTH AUTHORITY, AMERICAN COMMUNITY SURVEY, BEHAVIORAL HEALTH RISK FACTOR SURVEILLANCE SURVEY (BRFSS), OREGON STUDENT HEALTH SURVEY, CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), COUNTY HEALTH RANKINGS & ROADMAPS, STATE AND FEDERAL COVID INFECTION, VACCINATION, HOSPITALIZATION, AND DEATH TRACKERS, U.S. CENSUS BUREAU, WASHINGTON OFFICE OF SUPERINTENDENT OF PUBLIC INSTRUCTION'S HEALTHY YOUTH SURVEY, AND RECENT COMMUNITY ASSESSMENTS SUCH AS, PUBLIC HEALTH DATA REGARDING HEALTH BEHAVIORS; MORBIDITY AND MORTALITY; AND HOSPITAL-LEVEL DATA.WE CONDUCTED EIGHT LISTENING SESSIONS WITH 66 MEMBERS OF DIVERSE LOCAL COMMUNITIES WHO HAVE LOWER INCOMES, AND/OR ARE MEDICALLY UNDERSERVED. WE ALSO CONDUCTED 11 STAKEHOLDER INTERVIEWS WITH 16 REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE THESE POPULATIONS, SPECIFICALLY SEEKING TO GAIN A DEEPER UNDERSTANDING OF COMMUNITY STRENGTHS AND OPPORTUNITIES. IN ADDITION, WE CONDUCTED AN ONLINE AND PAPER COMMUNITY HEALTH SURVEY IN ENGLISH AND SPANISH THAT ENGAGED 1,279 RESIDENTS. BELOW IS A SHORT LIST OF HIGHLIGHTS FROM OUR QUANTITATIVE AND QUALITATIVE DATA COLLECTION:- STRONG COMMUNITY PARTNERSHIPS EXIST BETWEEN NON-PROFITS, HEALTH CARE, SCHOOL DISTRICTS, FAITH-BASED ORGANIZATIONS, COMMUNITY AND CIVIC GROUPS, AND SOCIAL SUPPORT ORGANIZATIONS, ALL WORKING TOGETHER TO ADDRESS COMMUNITY NEEDS. - THE NEED FOR STABLE AND AFFORDABLE HOUSING WAS THE SINGLE HIGHEST CONCERN OF NEARLY EVERY STAKEHOLDER AND LISTENING SESSION COMPLETED DURING THIS PROCESS. INTERVIEWEES AND SURVEY RESPONDENTS EMPHASIZED THE CONNECTION BETWEEN HOUSING STABILITY AND ECONOMIC SECURITY, AS THE COST OF HOUSING IN THE GORGE CONTINUES TO INCREASE WITHOUT A CORRESPONDING INCREASE IN AVERAGE HOUSEHOLD INCOME.- 69% OF SURVEY RESPONDENTS REPORTED FEELING SOCIALLY ISOLATED OR LONELY AT LEAST SOME OF THE TIME OVER THE LAST YEAR, WITH 9% FEELING ISOLATED OR LONELY "ALL OF THE TIME." THIS HIGHLIGHTS THE PROFOUND IMPACTS THE PANDEMIC HAS HAD ON THE MENTAL HEALTH AND WELL-BEING OF COMMUNITIES IN THE GORGE. - SUICIDE IS THE LEADING CAUSE OF DEATH AMONG OREGONIANS AGED 10 TO 24, AND IS THE SECOND LEADING CAUSE OF DEATH FOR WASHINGTON TEENS AGED 15-19 YEARS OLD. 48% OF GORGE HIGH SCHOOLERS EXPERIENCE DEPRESSION, AND 24% HAVE CONSIDERED DEATH BY SUICIDE. THESE RATES ARE HIGHER THAN BOTH WASHINGTON AND OREGON STATE AVERAGES. WHILE CARE WAS TAKEN TO SELECT AND GATHER DATA THAT WOULD TELL THE STORY OF THE HOSPITAL'S SERVICE AREA, IT IS IMPORTANT TO RECOGNIZE THE LIMITATIONS AND GAPS IN INFORMATION THAT NATURALLY OCCUR. A FULL ACCOUNTING OF DATA LIMITATIONS CAN BE FOUND STARTING ON PAGE 25 OF THE CHNA REPORT. COMPLETE INFORMATION RELATED TO THE CHNA METHODS AND PROCESSES CAN BE FOUND ON PAGE 15 OF THE CHNA REPORT.PROVIDENCE SEASIDE HOSPITALTHROUGH A MIXED-METHODS APPROACH AND USING QUANTITATIVE AND QUALITATIVE DATA, THE CHNA TEAM COLLECTED INFORMATION FROM THE FOLLOWING SOURCES: AMERICAN COMMUNITY SURVEY, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), COUNTY HEALTH RANKINGS & ROADMAPS, ESRI UPDATED DEMOGRAPHICS, OREGON HEALTH AUTHORITY, OREGON STUDENT WELLNESS SURVEY, AND THE U.S. CENSUS (SUCH AS PUBLIC HEALTH DATA REGARDING HEALTH BEHAVIORS, MORBIDITY AND MORTALITY, AND HOSPITAL-LEVEL DATA). WE CONDUCTED SIX LISTENING SESSIONS WITH 36 INDIVIDUALS WHO ARE FROM DIVERSE COMMUNITIES, HAVE LOWER INCOMES, AND/OR ARE MEDICALLY UNDERSERVED. WE CONDUCTED 10 STAKEHOLDER INTERVIEWS WITH 11 REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE THESE POPULATIONS, SPECIFICALLY SEEKING TO GAIN A DEEPER UNDERSTANDING OF COMMUNITY STRENGTHS AND OPPORTUNITIES. IN ADDITION, WE CONDUCTED A COMMUNITY HEALTH SURVEY IN ENGLISH AND SPANISH THAT ENGAGED 616 INDIVIDUALS. BELOW IS A SHORT LIST OF HIGHLIGHTS FROM OUR QUANTITATIVE AND QUALITATIVE DATA COLLECTION:- 19% OF COMMUNITY HEALTH SURVEY RESPONDENTS DID NOT HAVE ACCESS TO PRIMARY CARE, AND 33% DID NOT GET ALL THE HEALTH CARE THEY NEEDED IN THE PAST YEAR. - 61% OF COMMUNITY HEALTH SURVEY RESPONDENTS DID NOT GET ALL THE COUNSELING OR MENTAL HEALTH CARE THEY NEEDED IN THE LAST YEAR. - IN 2019, CLATSOP COUNTY HAD THE HIGHEST RATE OF HOMELESSNESS IN OREGON, WITH 23 OUT OF EVERY 1,000 PEOPLE EXPERIENCING HOMELESSNESS. WHILE CARE WAS TAKEN TO SELECT AND GATHER DATA THAT WOULD TELL THE STORY OF THE HOSPITAL'S SERVICE AREA, IT IS IMPORTANT TO RECOGNIZE THE LIMITATIONS AND GAPS IN INFORMATION THAT NATURALLY OCCUR. PHS - OREGON (GROUP A - 1-5 & 8) PART V, SECTION B, LINE 6A: PROVIDENCE MILWAUKIE HOSPITAL, PROVIDENCE PORTLAND MEDICAL CENTER, PROVIDENCE ST. VINCENT MEDICAL CENTER, PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER, ADVENTIST HEALTH PORTLAND, KAISER PERMANENTE SUNNYSIDE AND WESTSIDE HOSPITALS, LEGACY HEALTH, OREGON HEALTH & SCIENCE UNIVERSITY (OHSU), AND HILLSBORO MEDICAL CENTER.PROVIDENCE HOOD RIVER MEMORIAL HOSPITALTHE COLLABORATIVE ASSESSMENT INCLUDED SEVERAL HOSPITAL PARTNERS BESIDES PHRMH: MID-COLUMBIA MEDICAL CENTER, KLICKITAT VALLEY HEALTH, AND SKYLINE HOSPITAL. ALTHOUGH NOT A HOSPITAL, ONE COMMUNITY HEALTH, A FEDERALLY QUALIFIED HEALTH CENTER, WAS A COLLABORATIVE PARTNER. AS IN THE PREVIOUS CHNA, PROVIDENCE WAS AN ACTIVE PARTICIPANT IN THAT PROCESS, AS WELL AS PRODUCING A STAND-ALONE EXECUTIVE SUMMARY SPECIFIC TO THE PHRMH SERVICE AREA.PROVIDENCE SEASIDE HOSPITALPSH WAS AN ACTIVE PARTICIPANT IN THE DEVELOPMENT OF THE 2022 NORTH COAST COMMUNITY HEALTH NEEDS ASSESSMENT. THE OTHER HOSPITAL INVOLVED WAS THE COMMUNITY MEMORIAL HOSPITAL IN ASTORIA. PHS - OREGON (GROUP A - 1-5 & 8) PART V, SECTION B, LINE 6B: CAREOREGON, CLACKAMAS COUNTY HEALTH HOUSING AND HUMAN SERVICES, CLARK COUNTY PUBLIC HEALTH, HEALTH SHARE OF OREGON, MULTNOMAH COUNTY HEALTH DEPARTMENT, TRILLIUM COMMUNITY HEALTH PLAN, AND WASHINGTON COUNTY PUBLIC HEALTH.PROVIDENCE HOOD RIVER MEMORIAL HOSPITALPROVIDENCE WAS AN ACTIVE PARTICIPANT IN DEVELOPING THE COLUMBIA GORGE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT, AS WELL AS PRODUCING A STAND-ALONE EXECUTIVE SUMMARY SPECIFIC TO THE PHRMH SERVICE AREA. THE COLLABORATIVE ASSESSMENT INCLUDED: MID-COLUMBIA MEDICAL CENTER, KLICKITAT VALLEY HEALTH, SKYLINE HEALTH, SKAMANIA COUNTY PUBLIC HEALTH DEPARTMENT, MID-COLUMBIA COMMUNITY ACTION COUNCIL, AND ONE COMMUNITY HEALTH.PROVIDENCE SEASIDE HOSPITALIN ADDITION TO PROVIDENCE SEASIDE HOSPITAL AND COMMUNITY MEMORIAL HOSPITAL, ADDITIONAL PARTICIPATING ORGANIZATIONS INCLUDED CLATSOP COUNTY HEALTH DEPARTMENT, COLUMBIA COUNTY HEALTH DEPARTMENT, AND COLUMBIA PACIFIC CCO. PHS - OREGON (GROUP A - 1-5 & 8) PART V, SECTION B, LINE 24: IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE. PART V, SECTION B, LINE 7A: PHS - OREGON (GROUP A - 1-5 & 8)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE OREGON" TAB.PART V, SECTION B, LINE 7A:PROVIDENCE NEWBERG MEDICAL CENTER (6)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE OREGON" TAB.PART V, SECTION B, LINE 7A:PROVIDENCE MEDFORD MEDICAL CENTER (7)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE OREGON" TAB. PART V, SECTION B, LINE 7B: PHS - OREGON (GROUP A - 1-5 & 8)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER OREGON: PROVIDENCE PORTLAND MEDICAL CENTERUNDER OREGON: PROVIDENCE ST. VINCENT MEDICAL CENTERUNDER OREGON: PROVIDENCE WILLAMETTE FALLS MEDICAL CENTERUNDER OREGON: PROVIDENCE MILWAUKIE HOSPITALUNDER OREGON: PROVIDENCE HOOD RIVER MEMORIAL HOSPITALUNDER OREGON: PROVIDENCE SEASIDE HOSPITALPART V, SECTION B, LINE 7B:PROVIDENCE NEWBERG MEDICAL CENTER (6)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER OREGON: PROVIDENCE NEWBERG MEDICAL CENTERPART V, SECTION B, LINE 7B:PROVIDENCE MEDFORD MEDICAL CENTER (7)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER OREGON: PROVIDENCE MEDFORD MEDICAL CENTER PART V, SECTION B, LINE 10: PHS - OREGON (GROUP A - 1-5 & 8)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER OREGON: PROVIDENCE PORTLAND MEDICAL CENTERUNDER OREGON: PROVIDENCE ST. VINCENT MEDICAL CENTERUNDER OREGON: PROVIDENCE WILLAMETTE FALLS MEDICAL CENTERUNDER OREGON: PROVIDENCE MILWAUKIE HOSPITALUNDER OREGON: PROVIDENCE HOOD RIVER MEMORIAL HOSPITALUNDER OREGON: PROVIDENCE SEASIDE HOSPITALPART V, SECTION B, LINE 10:PROVIDENCE NEWBERG MEDICAL CENTER (6)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER OREGON: PROVIDENCE NEWBERG MEDICAL CENTERPART V, SECTION B, LINE 10:PROVIDENCE MEDFORD MEDICAL CENTER (7)HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER OREGON: PROVIDENCE MEDFORD MEDICAL CENTER PART V, SECTION B, LINE 11 PROVIDENCE PORTLAND MEDICAL CENTERPROVIDENCE ST. VINCENT MEDICAL CENTERPROVIDENCE MILWAUKIE HOSPITALPROVIDENCE WILLAMETTE FALLS MEDICAL CENTERPROVIDENCE IS WORKING BOTH INTERNALLY AND WITH COMMUNITY PARTNERS TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED. THE 2022 CHNA RESULTED IN A REVISED COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ADOPTED IN MAY 2023, WHICH IS GUIDING THE COMMUNITY BENEFIT ACTIVITIES THROUGH 2025. THE KEY IDENTIFIED NEEDS FROM THE 2022 CHNA WERE GROUPED INTO FOUR MAJOR CATEGORIES: MENTAL HEALTH AND SUBSTANCE USE DISORDER, HEALTH RELATED SOCIAL NEEDS, ECONOMIC SECURITY, AND ACCESS TO HEALTH CARE AND SERVICES. THREE CONSISTENT CROSS-CUTTING THEMES SURFACED DURING THE ASSESSMENT PROCESS: RACISM, DISCRIMINATION AND INCLUSION, CULTURALLY RESPONSIVE CARE, AND TRAUMA INFORMED CARE. BELOW ARE A LIMITED SET OF EXAMPLES WHERE PROVIDENCE IS INVESTING ACROSS EACH OF THE IDENTIFIED NEEDS.MENTAL HEALTH AND SUBSTANCE USE DISORDER:PROVIDENCE CONTINUED TO SUPPORT COMMUNITY PARTNERS IN IMPLEMENTING PROGRAMS ADDRESSING MENTAL HEALTH AND SUBSTANCE USE, FOR EXAMPLE, ROSE HAVEN AND THE BLACK PARENT INITIATIVE (BPI). PROVIDENCE IS DIRECTLY PARTNERING WITH ROSE HAVEN TO DEVELOP A MENTAL HEALTH ADVOCACY PROGRAM THAT OFFERS ACCESSIBLE MENTAL HEALTH SERVICES TO WOMEN EXPERIENCING POVERTY AND INTERSECTING TRAUMAS. THE PROGRAM BRIDGES THE GAPS IN MENTAL HEALTH SERVICES TO A POPULATION CURRENTLY LACKING ACCESSIBILITY, BUILDING ON A PROVEN PROGRAM MODEL. WITH BPI, PROVIDENCE FUNDING LAUNCHED AN INTERNAL MENTAL HEALTH AND WELLNESS INITIATIVE DIRECTLY IN RESPONSE TO COMMUNITY NEEDS AND FEEDBACK. THIS FUNDING WILL HELP SUSTAIN AND EXPAND THIS IMPORTANT PROGRAMMING THAT HAS A DEMONSTRATED BENEFIT FOR THE FAMILIES SERVED.PROVIDENCE CONTINUES TO OPERATE THE BETTER OUTCOMES THROUGH BRIDGES (BOB) PROGRAM FOCUSING ON SERVING SOME OF OUR COMMUNITY'S MOST VULNERABLE AND UNDERSERVED HOUSELESS INDIVIDUALS AND FAMILIES. BOB'S GOAL IS TO EMPOWER INDIVIDUALS ON THEIR JOURNEY TOWARD BETTER WELL-BEING BY ENGAGING WITH COMPASSION, DIGNITY AND INTEGRITY. USING OUR OWN COLLABORATIVE COMMUNITY APPROACH MODEL OF CARE, THE BOB TEAM WALKS ALONGSIDE CLIENTS TO HELP EASE THEIR WAY, LITERALLY AND FIGURATIVELY MEETING CLIENTS IN THEIR OWN ENVIRONMENT. WE ARE ALWAYS FOCUSED ON WORKING COLLABORATIVELY WITH OUR COMMUNITY PARTNERS AND DEVELOPING INCLUSIVE RELATIONSHIPS THAT SERVE ENTIRE COMMUNITIES IN WHICH WE WORK.HEALTH RELATED SOCIAL NEEDS:IN AN ACTIVE PARTNERSHIP WITH IMPACT NW, PROVIDENCE CONTINUES TO CO-LOCATE STAFF THROUGH THE COMMUNITY RESOURCE DESK (CRD) PROGRAM. THE CRD ASSISTS INDIVIDUALS AND FAMILIES WHO ARE IN NEED OF SUPPORT TO GET CONNECTED WITH COMMUNITY RESOURCES SUCH AS HOUSING AND TRANSPORTATION. IT IS FREE, CONFIDENTIAL AND OPEN TO ANYONE WHO APPROACHES THE DESK (STAFFED BY BILINGUAL SPANISH/ENGLISH SPEAKERS). STARTED IN 2015 AT TWO HIGH-NEED CLINIC LOCATIONS IN EAST PORTLAND, THE PROGRAM EXPANDED TO WESTERN WASHINGTON COUNTY IN 2016 AND FURTHER TO CLACKAMAS COUNTY IN 2017 AND TO CLARK COUNTY IN 2019. IN 2023, 7,220 CLIENTS WERE SERVED. ABOUT 72% OF CLIENTS HAD MEDICAID OR MEDICARE AND 38% IDENTIFIED AS A PERSON OF COLOR.SERVING LOW-INCOME PATIENTS IN ALL EIGHT PROVIDENCE OREGON HOSPITALS, THE PATIENT SUPPORT PROGRAM (PSP) IS ANOTHER EXAMPLE OF LEVERAGING A COMMUNITY PARTNERSHIP TO ADDRESS BARRIERS TO CARE AND HELP PATIENTS SAFELY TRANSITION HOME OR PARTICIPATE IN TREATMENT WITHOUT WORRYING ABOUT BASIC NEEDS. THIS PROGRAM HAS EXPANDED TO INCLUDE PREGNANT MOMS, HEART PATIENTS, AND VULNERABLE SENIORS. IN 2023, THE TOP NEEDS WERE TRANSPORTATION, FOOD COSTS AND MEDICATION. PSP IS A COLLABORATIVE COMMUNITY PROGRAM BUT OPERATED BY A COMMUNITY PARTNER, PROJECT ACCESS NOW (PANOW).PROVIDENCE CONTINUES TO OPERATE ITS COMMUNITY TEACHING KITCHEN AND FOOD PHARMACY AT ITS WILLAMETTE FALLS MEDICAL CENTER CAMPUS FOR INDIVIDUALS DIAGNOSED WITH FOOD-RELATED CHRONIC CONDITIONS WHO MAY NOT HAVE ACCESS TO HEALTHY, AFFORDABLE FOOD, INCLUDING COOKING CLASSES, NAVIGATION SERVICES, AND DIETITIAN CONSULTATIONS. ECONOMIC SECURITY:PROVIDENCE SUPPORTED TWO ORGANIZATIONS IN THE AREA OF ECONOMIC SECURITY: SERENDIPITY CENTER AND ASSERTIVE SSI SERVICE TEAM (ASSIST). SERENDIPITY CENTER'S PROGRAM IS SUPPORTING STUDENTS WITH BEHAVIORAL HEALTH CHALLENGES OBTAIN THE SKILLS NEEDED TO ENTER THE WORKFORCE. MUCH OF THE WORKFORCE EDUCATION FOCUSES ON PRACTICAL HANDS-ON LEARNING WITH INTEGRAL PARTNERSHIPS FROM BUSINESS AND EMPLOYMENT AGENCIES. PROVIDENCE'S FUNDING FOR ASSIST SUPPORTS PEOPLE WITH SEVERE DISABILITIES WHO NEED HELP OBTAINING SOCIAL SECURITY DISABILITY BENEFITS. SECURING THIS REGULAR INCOME IMPROVES PEOPLE'S LIVES DRAMATICALLY AS THEY BECOME ELIGIBLE FOR HOUSING PROGRAMS, CAN AFFORD NUTRITIOUS FOOD, AND HAVE THE STABILITY TO ACCESS HEALTHCARE. BY NAVIGATING THE COMPLEX LANDSCAPE OF SOCIAL SECURITY DISABILITY, ASSIST IS HELPING CLIENTS BECOME MORE ECONOMICALLY SECURE. ACCESS TO CARE:PROVIDENCE PARTICIPATED IN SEVERAL COMMUNITY-BASED ACTIVITIES, INCLUDING CONTINUING COLLABORATIVE EFFORTS WITH OTHER HOSPITALS AND PROJECT ACCESS NOW AROUND HEALTHCARE OUTREACH AND ENROLLMENT FOR HEALTH INSURANCE, AND ENSURING ENGAGEMENT OF LOCAL VOLUNTEER PROVIDERS TO PROVIDE NECESSARY CARE FOR THE REMAINING UN- AND UNDERINSURED. THESE PROJECT ACCESS NOW PROGRAMS HAVE BEEN IN PLACE FOR YEARS AND CONTINUE TO EXHIBIT EXCELLENT OUTCOMES. PROVIDENCE HEALTH PLAN CONTINUED TO PARTICIPATE IN JOINT FUNDING INITIATIVES AND PROVIDED ADMINISTRATIVE SUPPORT FOR PROJECT ACCESS NOW'S PHARMACY BRIDGE PROGRAM, ASSISTING WITH PHARMACEUTICAL AND MEDICATION CLAIMS. PROJECT ACCESS NOW ALSO CONTINUED TO BE FUNDED TO ADMINISTER THE PATIENT SUPPORT PROGRAM (FORMERLY SAFE AND SECURE DISCHARGE), PREMIUM SUPPORT, AND OTHER TRI-COUNTY PROJECTS.PROVIDENCE ALSO PROVIDES PLACEMENT AND SUPERVISION FOR RESIDENCY PROGRAMS, NURSING PROGRAMS, PHYSICAL THERAPY, PHARMACY AND COMMUNITY PARAMEDIC TRAINING. ADDITIONALLY, PROVIDENCE CONTINUED ITS COMMITMENT TO THE PARISH HEALTH PROMOTER PROGRAM (PROMOTORES), WHICH PROVIDES CULTURALLY COMPETENT TRAINING AND CARE FOR SPANISH-SPEAKING COMMUNITY MEMBERS THROUGH OUTREACH AND EDUCATION, INCLUDING HOSTING TELEHEALTH EVENTS TO IMPROVE ACCESS TO PREVENTIVE CARE. PROVIDENCE CONTINUES ITS COMMITMENT TO PROVIDE CARE FOR ALL, REGARDLESS OF ABILITY TO PAY AND CONTINUES TO PROVIDE ENROLLMENT ASSISTANCE FOR INDIVIDUALS WHO ARE NOT YET INSURED BUT WISH TO BE.ORAL HEALTH CONTINUES TO BE AN AREA OF CONCENTRATION FOR OUR COMMUNITY BENEFIT FUNDING WITH A PRIMARY PARTNERSHIP WITH MEDICAL TEAMS INTERNATIONAL (MTI), FUNDING MOBILE DENTAL SERVICES FOR COMMUNITY MEMBERS WHO ARE UN- OR UNDER-INSURED. BESIDES CONTRIBUTING DIRECT FUNDING OF THE DENTAL VANS, PROVIDENCE ALSO PROVIDES A PROGRAM MANAGER AND COORDINATOR AS IN-KIND STAFF TO SUPPORT THE PROGRAM. THE MTI MOBILE DENTAL SERVICES MODEL IS ONE OF VERY FEW ORAL HEALTH OPTIONS FOR UNDERSERVED POPULATIONS AND CONTINUES TO ACT AS A CRITICAL SAFETY NET RESOURCE. ADDITIONALLY, PROVIDENCE PARTNERS WITH THE PACIFIC UNIVERSITY SCHOOL OF DENTAL HYGIENE IN ITS "SMILE CARE EVERYWHERE" CAMPAIGN TO PROMOTE PREVENTIVE ORAL HEALTH CARE IN THE UNINSURED LATINX POPULATION.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUING OUR MISSION THROUGH COMMUNITY BENEFIT GRANT-MAKING AND ENDURING COMMUNITY PARTNERSHIPS. WHILE WE STRIVE TO CARE FOR OUR COMMUNITIES EACH DAY, WE RECOGNIZE THAT WE CANNOT ADDRESS ALL NEEDS EFFECTIVELY OR INDEPENDENTLY. FOR EXAMPLE, WE SIMPLY WILL NOT HAVE ENOUGH RESOURCES TO SOLVE ECONOMIC SECURITY OR THE HOUSING CRISIS IN THE PORTLAND METRO AREA. HOWEVER, BY SELECTING SPECIFIC STRATEGIES SUCH AS NAVIGATION TO HOUSING SERVICES AND WORKING WITH OTHER FOUNDATIONS AND HEALTH SYSTEMS TO COLLABORATIVELY FUND SUPPORTIVE SERVICES, WE BELIEVE WE CAN MAKE AN IMPACT. IN ADDITION, THERE IS A NEW NEED AREA TO THE CHNA THIS CYCLE: ECONOMIC SECURITY. WE WILL DEDICATE TIME TO EXPLORE AND BUILD STRATEGIES TO ADDRESS THIS CRUCIAL NEED IN THE FIRST YEAR OF THIS CHIP CYCLE. PROVIDENCE PORTLAND MEDICAL CENTER (PPMC), PROVIDENCE ST. VINCENT MEDICAL CENTER (PSVMC), PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER (PWFMC) AND PROVIDENCE MILWAUKIE HOSPITAL (PMH) WILL CONTINUE TO COLLABORATE WITH LOCAL ORGANIZATIONS THAT ADDRESS THE AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS THESE UNMET NEEDS. WE STRONGLY BELIEVE THAT TOGETHER WE CAN BETTER ADDRESS THE NEEDS OF OUR COMMUNITIES BY LEVERAGING OUR COLLECTIVE STRENGTHS. PART V, SECTION B, LINE 11 (CONTINUATION) PROVIDENCE HOOD RIVER MEMORIAL HOSPITALPROVIDENCE IS WORKING BOTH INTERNALLY AND WITH COMMUNITY PARTNERS TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED. THE 2022 CHNA RESULTED IN A REVISED COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ADOPTED IN MAY 2023, WHICH GUIDES THE COMMUNITY BENEFIT ACTIVITIES THROUGH 2025. THE IDENTIFIED KEY NEEDS FROM THE 2022 CHNA WERE GROUPED INTO FOUR MAJOR CATEGORIES: MENTAL HEALTH AND SUBSTANCE USE DISORDER, HEALTH RELATED SOCIAL NEEDS, ECONOMIC SECURITY, AND ACCESS TO HEALTH CARE AND SERVICES. THREE CONSISTENT CROSS-CUTTING THEMES SURFACED DURING THE ASSESSMENT PROCESS: RACISM, DISCRIMINATION AND INCLUSION, CULTURALLY RESPONSIVE CARE, AND TRAUMA INFORMED CARE. SOME SPECIFIC EXAMPLES OF ACTIVITIES TAKEN IN 2022 INCLUDE CONTINUED FUNDING FOR A COMMUNITY-BASED COLLECTIVE IMPACT HEALTH SPECIALIST, WHOSE POSITION AT THE UNITED WAY OF THE COLUMBIA GORGE HAS BEEN EXCLUSIVELY SUPPORTED BY PROVIDENCE. THIS POSITION SERVES AS A GRANT-WRITER FOR COMMUNITY AT-LARGE PROJECTS ADDRESSING CHNA IDENTIFIED NEEDS, ASSISTING TO PROCURE MILLIONS IN GRANT FUNDING FOR THE GORGE REGION SINCE 2014. THIS GRANT WRITING SUPPORT MODEL WAS RECOGNIZED BY THE ROBERT WOOD JOHNSON FOUNDATION IN THE CULTURE OF HEALTH PRIZE AND HELPED TO BRING BLUE ZONES TO THE GORGE. PROVIDENCE REMAINS AN ACTIVE PARTICIPANT IN ENROLLMENT ASSISTANCE FOR HEALTH INSURANCE, PROVIDING ACCESS TO CARE REGARDLESS OF ABILITY TO PAY, INCREASING CARE FOR PATIENTS AND COMMUNITY MEMBERS EXPERIENCING DISABILITIES OR CHRONIC CONDITIONS THROUGH THE VOLUNTEERS IN ACTION PROGRAM, PALLIATIVE CARE PROGRAMS AND SPECIFIC OUTREACH TO THE LATINX COMMUNITY, MAINTAINING A RURAL HEALTH RESIDENCY PROGRAM TO INCREASE PROVIDER EDUCATION AND ACCESS TO CARE IN RURAL AREAS, DIABETES EDUCATION PROGRAMS, MEDICATIONASSISTANCE PROGRAMS, AND CONTINUES TO BE AN ACTIVE PARTNER WITH THE REGIONAL CCO, DCO, AND MENTAL HEALTH PROVIDERS.ADDITIONALLY, PROVIDENCE HAS ENGAGED WITH SEVERAL COMMUNITY ORGANIZATIONS TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA AND THE SUBSEQUENT CHIP. THERE WAS AN EXTENSIVE LIST OF NEEDS AND ISSUES IDENTIFIED THROUGH THIS ASSESSMENT PROCESS AND THE ORGANIZATION IS UNABLE TO ADDRESS ALL OF THEM DURING THIS CYCLE DUE TO FUNDING AND RESOURCE AVAILABILITY. THERE ARE OTHER COMMUNITY ORGANIZATIONS FOCUSING ON SUCH ISSUES, AND PROVIDENCE WILL BE AN ENGAGED PARTNER IN OTHER COMMUNITY LED COLLABORATIVE EFFORTS.MENTAL HEALTH AND SUBSTANCE USE DISORDERPROVIDENCE CONTINUED TO SUPPORT COMMUNITY PARTNERS IN IMPLEMENTING PROGRAMS ADDRESSING MENTAL HEALTH AND SUBSTANCE USE. PROVIDENCE SUPPORTED THE NEXT DOOR INC'S VALLE VERDE PROGRAM WHICH AIMS TO INCREASE MENTAL HEALTH AWARENESS FOR THE SPANISH SPEAKING COMMUNITY AND SUPPORT PROVIDERS TREATING THE LATINX COMMUNITY. THE APPROACH IS THREE-FOLD: DECREASE IMPACT OF NEGATIVE STIGMA ATTACHED TO MENTAL HEALTH ISSUES, INCREASE KNOWLEDGE AROUND MENTAL HEALTH TOPICS, AND SUPPORT COMMUNITY MEMBERS WITH INFORMAL COUNSELING.PROVIDENCE ALSO SUPPORTED CULTURESEED WHO WORKS WITH LOW INCOME YOUTH FROM 7TH GRADE THROUGH HIGH SCHOOL AND BEYOND, FOCUSING ON HIGH ACES SCORES, AND OFFERING LONG-TERM CONTINUITY OF CARE TO AVOID DISRUPTION OF SERVICES AND ADAPTABLE PROGRAMMING THAT FOSTERS TRUST, CONNECTION, ACCESS TO THE OUTDOORS, ECONOMIC OPPORTUNITY, AND BEHAVIORAL AND PHYSICAL HEALTH. CULTURESEED ALSO PROVIDES THE FAMILIES OF THE YOUTH WE SERVE WITH REFERRALS, SUPPORT GROUPS AND AN ACCESS FUND.HEALTH RELATED SOCIAL NEEDS SERVING LOW-INCOME PATIENTS IN ALL EIGHT PROVIDENCE OREGON HOSPITALS, THE PATIENT SUPPORT PROGRAM (PSP) IS ANOTHER EXAMPLE OF LEVERAGING A COMMUNITY PARTNERSHIP TO ADDRESS BARRIERS TO CARE AND HELP PATIENTS SAFELY TRANSITION HOME OR PARTICIPATE IN TREATMENT WITHOUT WORRYING ABOUT BASIC NEEDS. THIS PROGRAM HAS EXPANDED TO INCLUDE PREGNANT MOMS, HEART PATIENTS, AND VULNERABLE SENIORS. IN 2023, THE TOP NEEDS WERE TRANSPORTATION, FOOD COSTS AND MEDICATION. PSP IS SOLELY OPERATED BY PROJECT ACCESS NOW (PANOW).NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUING OUR MISSION THROUGH COMMUNITY BENEFIT GRANT-MAKING AND ONGOING PARTNERSHIPS IN OUR COMMUNITY. HOWEVER, DUE TO THE STRENGTH OF THE PARTNERSHIPS IN OUR COMMUNITY WE BELIEVE THESE NEEDS WILL NOT BE OVERLOOKED COMMUNITY-WIDE. WE SEE THE INTERCONNECTEDNESS OF COMMUNITY NEEDS ACROSS OUR COMMUNITY. AS PREVIOUSLY DESCRIBED, THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS BROADLY COLLABORATIVE. ALL OF THE COMMUNITY NEEDS WERE IDENTIFIED AND PRIORITIZED TOGETHER. HOWEVER, PHRMH WAS THE FIRST OF THE COHORT OF ORGANIZATIONS TO COMPLETE ITS COMMUNITY HEALTH IMPROVEMENT PLAN; THEREFORE, THE FIRST TO DECLARE THE FOCUS OF ITS INITIATIVES. THIS ACTION CLEARLY DEFINES WHICH NEEDS REMAIN UNADDRESSED, SO THAT OUR PARTNER ORGANIZATIONS CAN ALLOCATE THEIR ENERGY AND RESOURCES ACCORDINGLY. THE OTHER ORGANIZATIONS COULD THEN JOIN IN PHRMH EFFORTS OR SPREAD OUT TO ADDRESS OTHER NEEDS SURFACED THROUGH THE COLLABORATIVE CHNA. DUE TO RESOURCE AND CAPACITY CONSTRAINTS, PHRMH WILL NOT IMPLEMENT ANY PROGRAMS TO ADDRESS ECONOMIC SECURITY. HOWEVER, PHRMH WILL LOOK FOR OPPORTUNITIES IN THE FUTURE TO ADDRESS ECONOMIC SECURITY WITH LOCAL PARTNERS. PROVIDENCE SEASIDE HOSPITALPROVIDENCE IS WORKING BOTH INTERNALLY AND WITH COMMUNITY PARTNERS TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED. THE 2022 CHNA RESULTED IN A REVISED COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ADOPTED IN MAY 2023, WHICH IS GUIDING THE COMMUNITY BENEFIT ACTIVITIES THROUGH 2025. THE KEY IDENTIFIED NEEDS FROM THE 2022 CHNA WERE GROUPED INTO FOUR MAJOR CATEGORIES: MENTAL HEALTH AND SUBSTANCE USE DISORDER, HEALTH RELATED SOCIAL NEEDS, ECONOMIC SECURITY, AND ACCESS TO HEALTH CARE AND SERVICES. THREE CONSISTENT CROSS-CUTTING THEMES SURFACED DURING THE ASSESSMENT PROCESS: RACISM, DISCRIMINATION AND INCLUSION, CULTURALLY RESPONSIVE CARE, AND TRAUMA INFORMED CARE. ADDITIONALLY, PROVIDENCE HAS ENGAGED WITH SEVERAL COMMUNITY ORGANIZATIONS TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA AND THE SUBSEQUENT CHIP. THERE WAS AN EXTENSIVE LIST OF NEEDS AND ISSUES IDENTIFIED THROUGH THIS ASSESSMENT PROCESS AND THE ORGANIZATION IS UNABLE TO ADDRESS ALL OF THEM SUCH AS ECONOMIC SECURITY DURING THIS CYCLE DUE TO FUNDING AND RESOURCE AVAILABILITY. THERE ARE OTHER COMMUNITY ORGANIZATIONS FOCUSING ON SUCH ISSUES, AND PROVIDENCE WILL BE AN ENGAGED PARTNER IN OTHER COMMUNITY LED COLLABORATIVE EFFORTS.ACCESS TO CAREPROVIDENCE CONTINUED ITS LONGSTANDING PARTNERSHIP WITH MEDICAL TEAMS INTERNATIONAL TO PROVIDE MOBILE DENTAL SERVICES IN CLATSOP COUNTY, AIMING TO EXPAND ORAL HEALTH ACCESS EACH YEAR THROUGH OFFERING MORE CLINICS. THE MOBILITY OF MTI DENTAL CLINICS IS A KEY ELEMENT OF THE PROGRAM ALLOWING MTI TO SUCCESSFULLY PARTNER WITH PROVIDENCE, TRAVELING TO THE UNDERSERVED POPULATIONS WHO ARE HARDEST TO REACH YET NEED HELP THE MOST.PSH EXECUTIVES CONTINUE TO BE ENGAGED WITH COLUMBIA PACIFIC CCO, HELPING TO CRAFT STRATEGIES FOR QUALITY AND ACCESS TO ALL PEOPLE WITHIN THE SERVICE AREA. HEALTH RELATED SOCIAL NEEDSPROVIDENCE HELPED FUND HELPING HANDS RENTRY OUTREACH CENTERS THAT PROVIDE A HELPING HAND TO A SUSTAINABLE LIFE THROUGH RESOURCES, RECOVERY AND REENTRY. THE PROGRAM IS TRAUMA INFORMED, DATA-DRIVEN, AND PERSON CENTERED. HELPING HANDS SERVES MEN, WOMEN AND CHILDREN THAT ARE HOMELESS AND READY TO MAKE A CHANGE IN THEIR LIVES. PART V, SECTION B, LINE 11 (CONTINUATION) ADDITIONALLY, PROVIDENCE HAS BEEN AN ONGOING SUPPORTER OF CLATSOP COMMUNITY ACTION (CCA). CCA'S CONTINUUM OF CARE (COC) HOUSING PROGRAMS ARE SUPPORTIVE HOUSING PROGRAMS THAT ASSIST LOW-INCOME FAMILIES AND INDIVIDUALS WITH ONGOING RENT ASSISTANCE AND SUPPORTIVE SERVICES. CLATSOP COMMUNITY ACTION HAS 5 COC PROGRAMS, THAT ASSIST HOMELESS YOUTH CLIENTS, CHRONICALLY HOMELESS FAMILIES, FAMILIES WITH DISABILITIES, AND FAMILIES AND INDIVIDUALS FLEEING DOMESTIC VIOLENCE SITUATIONS. PROGRAMPARTICIPANTS WILL RECEIVE CLIENT TAILORED CASE MANAGEMENT BY CCA CASE MANAGERS, INCLUDING, BUT NOT LIMITED TO THE FOLLOWING: WRAP AROUND SERVICES, EMPLOYMENT REFERRAL AND SUPPORT, DOMESTIC VIOLENCE SUPPORT GROUPS AND REFERRAL, SNAP, TANF, GENERAL ASSISTANCE AND OTHER PROGRAMS PROVIDED BY DHS, VETERAN SERVICES, MENTAL HEALTH REFERRAL AND ENERGY ASSISTANCE.WE HAVE CONTINUED THE COMMITMENT TO THE COMMUNITY RESOURCE DESK PARTNERSHIP WITH CLATSOP COMMUNITY ACTION, CO-LOCATING STAFF ON THE PROVIDENCE SEASIDE HOSPITAL CAMPUS. THE 1.0 FTE COMMUNITY RESOURCE SPECIALIST, EMPLOYED BY CCA, PROVIDES SOCIAL SUPPORT AND SAFETY NET SERVICES THROUGH THE COMMUNITY RESOURCE DESK. THE CRD ASSISTS INDIVIDUALS AND FAMILIES WHO ARE IN NEED OF SUPPORT TO GET CONNECTEDWITH COMMUNITY RESOURCES. IT IS FREE, CONFIDENTIAL AND OPEN TO ANYONE WHO APPROACHES THE DESK (STAFFED BY BILINGUAL SPANISH/ENGLISH SPEAKERS). MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICESPROVIDENCE CONTINUES TO OPERATE THE BETTER OUTCOMES THRU BRIDGES (BOB) PROGRAM FOCUSING ON SERVING SOME OF OUR COMMUNITY'S MOST VULNERABLE AND UNDERSERVED HOUSELESS INDIVIDUALS AND FAMILIES. BOB'S GOAL IS TO EMPOWER INDIVIDUALS ON THEIR JOURNEY TOWARD BETTER WELL-BEING BY ENGAGING WITH COMPASSION, DIGNITY AND INTEGRITY. USING OUR OWN COLLABORATIVE COMMUNITY APPROACH MODEL OF CARE, THE BOB TEAM WALKS ALONGSIDE CLIENTS TO HELP EASE THEIR WAY, LITERALLY AND FIGURATIVELY MEETING CLIENTS IN THEIR OWN ENVIRONMENT. WE ARE ALWAYS FOCUSED ON WORKING COLLABORATIVELY WITH OUR COMMUNITY PARTNERS AND DEVELOPING INCLUSIVE RELATIONSHIPS THAT SERVE ENTIRE COMMUNITIES IN WHICH WE WORK.THERE ARE OTHER COMMUNITY ORGANIZATIONS FOCUSING ON ADDITIONAL ISSUES, AND PROVIDENCE IS AN ENGAGED PARTNER WITH OTHER COMMUNITY LED COLLABORATIVE EFFORTS THAT ARE WORKING TO ADDRESS OTHER NEEDS IDENTIFIED.ADDITIONALLY, PROVIDENCE HAS ENGAGED WITH SEVERAL COMMUNITY ORGANIZATIONS TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA AND THE SUBSEQUENT CHIP. THERE WAS AN EXTENSIVE LIST OF NEEDS AND ISSUES IDENTIFIED THROUGH THIS ASSESSMENT PROCESS AND THE ORGANIZATION IS UNABLE TO ADDRESS ALL OF THEM DURING THIS CYCLE DUE TO FUNDING AND RESOURCE AVAILABILITY. THERE ARE OTHER COMMUNITY ORGANIZATIONS FOCUSING ON SUCH ISSUES, AND PROVIDENCE WILL BE AN ENGAGED PARTNER IN OTHER COMMUNITY LED COLLABORATIVE EFFORTS.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUING OUR MISSION THROUGH COMMUNITY BENEFIT GRANT-MAKING AND ONGOING PARTNERSHIPS IN OUR COMMUNITY. WHILE WE CARE FOR OUR COMMUNITY EACH DAY, WE RECOGNIZE THAT WE CANNOT ADDRESS ALL NEEDS EFFECTIVELY OR INDEPENDENTLY, AND SOME OF THE AREAS IDENTIFIED IN OUR CHNA MAY BE OUT OF SCOPE FOR US. HOWEVER, WE ARE CONFIDENT THESE NEEDS WILL ALSO BE ADDRESSED BY OTHER IN THE COMMUNITY.FOR EXAMPLE, WE WILL CONTINUE TO SUPPORT ORGANIZATIONS ADDRESSING HOUSING, INCLUDING TRANSITIONAL HOUSING WITH HELPING HANDS RE-ENTRY OUTREACH AND SUPPORTIVE HOUSING WITH CLATSOP COMMUNITY ACTION, ALTHOUGH WE WILL NOT BE FOCUSING ON ALL ASPECTS OF HOUSING. COLUMBIA PACIFIC CCO HAS PLEDGED TO INVEST IN AREAS RELATED TO HOUSING, AND WE WILL CONTINUE TO LEVERAGE OUR LONG-STANDING PARTNERSHIPS, AS WELL AS OUR CLOSE RELATIONSHIP WITH THE CCO, TO DEVELOP COMMUNITY-WIDE STRATEGIES TO ADDRESS HOUSING SHORTAGES. THIS WILL ALLOW PROVIDENCE TO FOCUS ON ADDRESSING OTHER SOCIAL DETERMINANT NEEDS, SUCH AS FOOD INSECURITY, TRANSPORTATION AND SOCIAL ISOLATION. IN A SMALL COMMUNITY, SUCH AS CLATSOP COUNTY, WE RECOGNIZE THE IMPORTANCE OF NOT DUPLICATING EFFORTS IN SPECIFIC AREAS OF NEED AT THE POTENTIAL EXPENSE OF OTHERS. THUS, WE WILL CONTINUE TO COLLABORATE WITH CRITICAL PARTNERS ACROSS OUR COMMUNITY THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS UNMET NEEDS. WE STRONGLY BELIEVE THAT TOGETHER WE CAN BETTER ADDRESS THE NEEDS OF OUR COMMUNITIES BY LEVERAGING OUR COLLECTIVE STRENGTHS. WE WILL ALSO CONTINUE TO EXPLORE OPPORTUNITIES FOR US TO COLLABORATE ON EFFORTS FOCUSED ON AREAS SUCH AS ECONOMIC SECURITY WHICH WILL NOT BE ADDRESSED THIS YEAR DUE TO RESOURCE AND CAPACITY CONSTRAINTS. 369 1 - OBNC - HH PRINGLE 2520 PRINGLE RD SE SALEM OR 97302 HOME HEALTH 2 - OBNC - HOME HEALTH 570 S MAIN ST MT ANGEL OR 97362 HOME HEALTH 3 - OBNC - NURSING CENTER 540 S MAIN ST MT ANGEL OR 97362 SPECIALTY CLINIC 4 - OCH - CREDENA HEALTH PHARAMCY TANASBOURN 10670 NE CORNELL RD STE 102 HILLSBORO OR 97124 PHARMACY 5 - OCH - CREDENA HEALTH PHARMACY ANCHORAGE 3300 PROVIDENCE DR STE 101 ANCHORAGE AK 99508 PHARMACY 6 - OCH - CREDENA HEALTH PHARMACY BURBANK 501 S BUENA VISTA ST BURBANK CA 91505 PHARMACY 7 - OCH - CREDENA HEALTH PHARMACY CENTRALIA 1800 COOKS HILL RD STE P CENTRALIA WA 98531 PHARMACY 8 - OCH - CREDENA HEALTH PHARMACY CHERRY HIL 500 17TH AVE STE 180 SEATTLE WA 98122 PHARMACY 9 - OCH - CREDENA HEALTH PHARMACY COLVILLE 1200 E COLUMBIA AVE COLVILLE WA 99114 PHARMACY 10 - OCH - CREDENA HEALTH PHARMACY DURHAM 7376 SW DURHAM RD PORTLAND OR 97224 PHARMACY 11 - OCH - CREDENA HEALTH PHARMACY EVERETT 1321 COLBY AVE EVERETT WA 98201 PHARMACY 12 - OCH - CREDENA HEALTH PHARMACY FIRST HILL 747 BROADWAY STE ET-144 SEATTLE WA 98122 PHARMACY 13 - OCH - CREDENA HEALTH PHARMACY FRANZ 4805 NE GLISAN ST STE 11N321 PORTLAND OR 97213 PHARMACY 14 - OCH - CREDENA HEALTH PHARMACY FULLERTON 1950 SUNNY CREST DR STE 1200 FULLERTON CA 92835 PHARMACY 15 - OCH - CREDENA HEALTH PHARMACY LAKESHORE 50331 US HWY 93 POLSON MT 59860 PHARMACY 16 - OCH - CREDENA HEALTH PHARMACY MONROE 19200 N KELSEY ST MONROE WA 98272 PHARMACY 17 - OCH - CREDENA HEALTH PHARMACY OLYMPIA 413 LILLY RD NE OLYMPIA WA 98506 PHARMACY 18 - OCH - CREDENA HEALTH PHARMACY ORANGE 1140 W LA VETA AVE ORANGE CA 92868 PHARMACY 19 - OCH - CREDENA HEALTH PHARMACY PPMC PLAZA 5050 NE HOYT ST STE 142 PORTLAND OR 97213 PHARMACY 20 - OCH - CREDENA HEALTH PHARMACY SACRED HEA 101 W 8TH AVE STE 207653 SPOKANE WA 99204 PHARMACY 21 - OCH - CREDENA HEALTH PHARMACY ST JOSEPH 6 13TH AVE E POLSON MT 59860 PHARMACY 22 - OCH - CREDENA HEALTH PHARMACY ST VINCENT 9155 SW BARNES RD STE 102 PORTLAND OR 97225 PHARMACY 23 - OCH - CREDENA HEALTH PHARMACY TARZANA 18370 BURBANK BLVD STE 104 TARZANA CA 91356 PHARMACY 24 - OCHC 830 NE 47TH AVE PORTLAND OR 97213 SPECIALTY CLINIC 25 - OCMG - HALSEY 6410 NE HALSEY ST STE 300 PORTLAND OR 97213 SPECIALTY CLINIC 26 - OCMG - PALLIATIVE SOUTH 1111 CRATER LAKE AVE MEDFORD OR 97504 SPECIALTY CLINIC 27 - OCMG AT PPMC IP 4805 NE GLISAN ST STE 2E-03 PORTLAND OR 97213 SPECIALTY CLINIC 28 - OCMG AT PPMC OP 4805 NE GLISAN ST STE 2E-15 PORTLAND OR 97213 SPECIALTY CLINIC 29 - OCMG AT PSVMC IP 9205 SW BARNES RD STE MT2159 PORTLAND OR 97225 SPECIALTY CLINIC 30 - OCMG AT WILLAMETTE FALLS IP 1500 DIVISION ST RM 1005 PORTLAND OR 97045 SPECIALTY CLINIC 31 - OCMG CONNECTIONS WEST 3601 SW MURRAY BLVD STE 130 BEAVERTON OR 97005 SPECIALTY CLINIC 32 - OCMG -EAST PORTLAND 6350 NE HALSEY ST PORTLAND OR 97213 SPECIALTY CLINIC 33 - OEP - ADMINISTRATION 4400 NE HALSEY ST BLD 2 STE 200 PORTLAND OR 97213 SENIOR CARE 34 - OEP - BEAVERTON 10690 NE CORNELL ROAD STE 215 HILLSBORO OR 97124 SENIOR CARE 35 - OEP - CULLY 5119 NE 57TH AVE PORTLAND OR 97218 SENIOR CARE 36 - OEP - GLENDOVEER 13007 NE GLISAN ST PORTLAND OR 97230 SENIOR CARE 37 - OEP - GRESHAM 17727 E BURNSIDE ST PORTLAND OR 97233 SENIOR CARE 38 - OEP - IRVINGTON VILLAGE 420 NE MASON ST PORTLAND OR 97211 SENIOR CARE 39 - OEP - LAURELHURST 4540 NE GLISAN ST PORTLAND OR 97213 SENIOR CARE 40 - OEP - MILWAUKIE 10330 SE 32ND AVE STE 110 MILWAUKIE OR 97222 SENIOR CARE 41 - OEP - MILWAUKIE HEALING PLACE 10330 SE 32ND AVE MILWAUKIE OR 97222 SENIOR CARE 42 - OEP - NORTH COAST 1150 NORTH ROOSEVELT DRIVE STE 104 SEASIDE OR 97138 SENIOR CARE 43 - OEP - TANASBOURNE HEALTH CENTER 18530 NW CORNELL ROAD HILLSBORO OR 97124 SENIOR CARE 44 - OEP AT THE MARIE SMITH HEALTH AND SOCIAL 4616 N ALBINA PORTLAND OR 97217 SENIOR CARE 45 - OHHP - HOME HEALTH ADMINISTRATION 6410 NE HALSEY ST STE 200 PORTLAND OR 97213 HOME HEALTH 46 - OHHP - HOME HEALTH EAST 4400 NE HALSEY ST BLDG 1 STE 160 PORTLAND OR 97213 HOME HEALTH 47 - OHHP - HOME HEALTH HOOD RIVER 1630 WOODS CT HOOD RIVER OR 97031 HOME HEALTH 48 - OHHP - HOME HEALTH NORTH COAST 3605 HWY 101 N GEARHART OR 97138 HOME HEALTH 49 - OHHP - HOME HEALTH PLAZA 1510 DIVISION ST MEDICAL PLAZA 1 STE 20 OREGON CITY OR 97045 HOME HEALTH 50 - OHHP - HOME HEALTH PORTLAND 3601 SW MURRAY BLVD STE 130 BEAVERTON OR 97005 HOME HEALTH 51 - OHHP - HOME HEALTH YAMHILL 310 N VILLA RD STE 103 NEWBERG OR 97132 HOME HEALTH 52 - OHMEP - HALSEY 6410 NE HALSEY ST STE 500 PORTLAND OR 97213 SPECIALTY CLINIC 53 - OHMEP - SALEM 2508 PRINGLE RD SE SALEM OR 97302 SPECIALTY CLINIC 54 - OHMET - AN APPEARANCE CENTER 9205 SW BARNES RD PORTLAND OR 97225 SPECIALTY CLINIC 55 - OHMET - THE MARY CLARK APPEARANCE CENTER 4805 NE GLISAN ST FLR 1 PORTLAND OR 97213 SPECIALTY CLINIC 56 - OHR - ESRD 1125 MAY ST SUITE 302 HOOD RIVER OR 97031 SPECIALTY CLINIC 57 - OHSP - ADMINISTRATION 6410 NE HALSEY ST STE 300 PORTLAND OR 97213 HOME HEALTH 58 - OHSP - EAST 4400 NE HALSEY ST BLDG 1 STE 160 PORTLAND OR 97213 HOME HEALTH 59 - OHSP - HOSPICE OF THE GORGE 1630 WOODS CT HOOD RIVER OR 97031 HOME HEALTH 60 - OHSP - YAMHILL 310 N VILLA RD STE 103 NEWBERG OR 97132 HOME HEALTH 61 - OMGN 2848 NE ALAMEDA ST PORTLAND OR 97212 SPECIALTY CLINIC 62 - OMGN 3241 WILD ROSE LOOP WEST LINN OR 97068 SPECIALTY CLINIC 63 - OMGN 10151 SE SUNNYSIDE RD STE 240 CLACKAMAS OR 97015 SPECIALTY CLINIC 64 - OMGN 9135 SW BARNES RD STE 561 PORTLAND OR 97225 SPECIALTY CLINIC 65 - OMGN - ARTHRITIS CENTER 5050 NE HOYT ST STE 155 PORTLAND OR 97213 SPECIALTY CLINIC 66 - OMGN - BATTLE GROUND AT CAMAS FAMILY MED 3101 SE 192ND AVE STE 103 VANCOUVER WA 98683 URGENT CARE 67 - OMGN - BC POIC RAHS 2208 SE 182ND AVE PORTALND OR 97233 SPECIALTY CLINIC 68 - OMGN - BETHANY FAMILY MEDICINE 15640 NW LAIDLAW RD STE 102 PORTLAND OR 97229 PRIMARY CARE 69 - OMGN - BREAST CARE CLINIC WEST 9135 SW BARNES RD STE 238 PORTLAND OR 97225 SPECIALTY CLINIC 70 - OMGN - BREAST SURGERY WEST 9135 SW BARNES RD STE 238 PORTLAND OR 97225 SPECIALTY CLINIC 71 - OMGN - BRIDGEPORT 18040 SW LOWER BOONES FERRY RD STE 304 TIGARD OR 97224 PRIMARY CARE 72 - OMGN - BRIDGEPORT DERMATOLOGY 18040 SW LOWER BOONES FERRY RD STE 201 TIGARD OR 97224 SPECIALTY CLINIC 73 - OMGN - BRIDGEPORT IMMEDIATE CARE 18040 SW LOWER BOONES FERRY RD STE 100 TIGARD OR 97224 URGENT CARE 74 - OMGN - CAMAS 3101 SE 192ND AVE STE 106 VANCOUVER WA 98663 PRIMARY CARE 75 - OMGN - CAMAS THERAPY 3101 SE 192ND AVE STE 104 VANCOUVER WA 98683 REHAB & PHYSICAL THERAPY 76 - OMGN - CANBY FAMILY MEDICINE 200 S HAZEL DELL WAY STE 205 CANBY OR 97013 PRIMARY CARE 77 - OMGN - CANBY IMMEDICATE CARE 200 S HAZEL DELL WAY STE 100 CANBY OR 97013 URGENT CARE 78 - OMGN - CANBY PSYCHOLOGY 200 S HAZEL DELL WAY STE 205 CANBY OR 97013 SPECIALTY CLINIC 79 - OMGN - CASCADE FAMILY MEDICINE 5050 NE HOYT ST STE 240 PORTLAND OR 97213 PRIMARY CARE 80 - OMGN - CEDAR MILL XRAY 12400 NW CORNELL RD STE 100 PORTLAND OR 97229 SPECIALTY CLINIC 81 - OMGN - CEDAR MILLS FAMILY MEDICINE 12400 NW CORNELL RD STE 100 PORTLAND OR 97229 PRIMARY CARE 82 - OMGN - CENTER FOR ADVANCED ATRIAL FIBRIL 9205 SW BARNES RD STE 495 PORTLAND OR 97225 SPECIALTY CLINIC 83 - OMGN - CENTER FOR ADVANCED HEART DISEASE 9427 SW BARNES RD STE 495 PORTLAND OR 97225 SPECIALTY CLINIC 84 - OMGN - CENTER FOR WEIGHT MGMT-PPMC 4805 NE GLISAN ST SUITE 6N40 PORTLAND OR 97213 SPECIALTY CLINIC 85 - OMGN - CHILD AND ADOLESCENT OP PSYCHIATR 1511 DIVISION ST STE 101 OREGON CITY OR 97045 SPECIALTY CLINIC 86 - OMGN - CHILDREN'S DEV INSTITUTE AT CHILD 830 NE 47TH AVE PORTLAND OR 97213 SPECIALTY CLINIC 87 - OMGN - CHILDREN'S DEV INST AT ST VINCENT 9135 SW BARNES RD STE 561 PORTLAND OR 97225 SPECIALTY CLINIC 88 - OMGN - CHILDREN'S DEV INSTITUTE NEWBERG 310 VILLA RD STE 101 NEWBERG OR 97132 SPECIALTY CLINIC 89 - OMGN - CLACKAMAS 9290 SE SUNNYBROOK BLVD STE 120 CLACKAMAS OR 97015 PRIMARY CARE 90 - OMGN - CLACKAMAS DERMATOLOGY 10151 SE SUNNYSIDE RD STE 240 CLACKAMAS OR 97015 SPECIALTY CLINIC 91 - OMGN - COLUMBIA GORGE HEART CLINIC WHITE 211 NE SKYLINE DR WHITE SALMON WA 98672 SPECIALTY CLINIC 92 - OMGN - DERMATOLOGIC SPECIALTIES 5330 NE GLISAN ST STE 200 PORTLAND OR 97213 SPECIALTY CLINIC 93 - OMGN - EMPLOYEE CLINIC 5050 NE HOYT ST STE B48 PORTLAND OR 97213 SPECIALTY CLINIC 94 - OMGN - ENDOCRINOLOGY EAST 5211 NE GLISAN ST BLDG C PORTLAND OR 97213 SPECIALTY CLINIC 95 - OMGN - ENDOCRINOLOGY WEST 9155 SW BARNES RD STE 638 PORTLAND OR 97225 SPECIALTY CLINIC 96 - OMGN - ESTHER SHORT 700 WASHINGTON ST STE 105 VANCOUVER WA 98660 PRIMARY CARE 97 - OMGN - GATEWAY 1321 NE 99TH AVE STE 100 PORTLAND OR 97220 PRIMARY CARE 98 - OMGN - GATEWAY FAMILY MEDICINE 1321 NE 99TH AVE STE 200 PORTLAND OR 97220 SPECIALTY CLINIC 99 - OMGN - GATEWAY IMMEDIATE CARE 1321 NE 99TH AVE STE 100 PORTLAND OR 97220 SPECIALTY CLINIC 100 - OMGN - GENETIC RISK ASSESMENT WEST 9135 SW BARNES RD STE 238 PORTLAND OR 97225 SPECIALTY CLINIC 101 - OMGN - GLISAN 5330 NE GLISAN ST STE 100 PORTLAND OR 97213 PRIMARY CARE 102 - OMGN - GLISAN DERMATOLOGY 5330 NE GLISAN ST STE 200 PORTLAND OR 97213 SPECIALTY CLINIC 103 - OMGN - GORGE SPINE SPORTS MEDICINE DAL 751 MYRTLE ST THE DALLES OR 97058 SPECIALTY CLINIC 104 - OMGN - GORGE SPINE SPORTS MEDICINE HOOD 1627 WOODS COURT HOOD RIVER OR 97031 SPECIALTY CLINIC 105 - OMGN - GRESHAM 440 NW DIVISION ST GRESHAM OR 97030 PRIMARY CARE 106 - OMGN - GRESHAM X-RAY 440 NW DIVISION ST GRESHAM OR 97030 SPECIALTY CLINIC 107 - OMGN - GYNECOLOGIC ONCOLOGY WEST 9135 SW BARNES RD STE 261 PORTLAND OR 97225 SPECIALTY CLINIC 108 - OMGN - HAPPY VALLEY 16180 SE SUNNYSIDE RD STE 102 HAPPY VALLEY OR 97015 SPECIALTY CLINIC 109 - OMGN - HAPPY VALLEY IMMEDIATE CARE 16180 SE SUNNYSIDE RD STE 102 HAPPY VALLEY OR 97015 SPECIALTY CLINIC 110 - OMGN - HC E INTERVENTIONAL 5050 NE HOYT ST STE 511 PORTLAND OR 97213 SPECIALTY CLINIC 111 - OMGN - HC HEART TRANSPLANT AND VAD 9427 SW BARNES RD STE 599 PORTLAND OR 97225 SPECIALTY CLINIC 112 - OMGN - HC REEDS CROSSING 10690 NE CORNELL ROAD STE 212 HILLSBORO OR 97124 SPECIALTY CLINIC 113 - OMGN - HCHR SPRINGFIELD 960 N 16TH ST STE 304 SPRINGFIELD OR 97477 SPECIALTY CLINIC 114 - OMGN - HEART CLINIC BASECAMP 9427 SW BARNES RD STE 198 PORTLAND OR 97225 SPECIALTY CLINIC 115 - OMGN - HEART CLINIC CARDIOLOGY AT ST VIN 9427 SW BARNES RD STE 495 PORTLAND OR 97225 SPECIALTY CLINIC 116 - OMGN - HEART CLINIC CARDIOVASCULAR SURG 9427 SW BARNES RD STE 495 PORTLAND OR 97225 SPECIALTY CLINIC 117 - OMGN - HEART CLINIC EAST WHITE SALMON 65371 HIGHWAY 14 WHITE SALMON WA 98672 SPECIALTY CLINIC 118 - OMGN - HEART CLINIC GRESHAM 1859 NW CIVIC DR GRESHAM OR 97030 SPECIALTY CLINIC 119 - OMGN - HEART CLINIC HEART RHYTHM AT ST V 9427 SW BARNES RD STE 495 PORTLAND OR 97225 SPECIALTY CLINIC 120 - OMGN - HEART CLINIC HEART RHYTHM GATEWAY 1111 NE 99TH AVE STE 201 PORTLAND OR 97220 SPECIALTY CLINIC 121 - OMGN - HEART CLINIC HEART RHYTHM GRESHAM 1859 NW CIVIC DR GRESHAM OR 97030 SPECIALTY CLINIC 122 - OMGN - HEART CLINIC HEART RHYTHM WILLAME 1510 DIVISION ST STE 100 OREGON CITY OR 97045 SPECIALTY CLINIC 123 - OMGN - HEART CLINIC MCMINNVILLE 2185 NW 2ND ST STE A MCMINNVILLE OR 97128 SPECIALTY CLINIC 124 - OMGN - HEART CLINIC NEWBERG 1003 PROVIDENCE DR STE 325 NEWBERG OR 97132 SPECIALTY CLINIC 125 - OMGN - HEART CLINIC STV AT BRIDGEPORT 18040 SW LOWER BOONES FERRY RD STE 204 TIGARD OR 97224 SPECIALTY CLINIC 126 - OMGN - HEART CLINIC STV HEART RHYTHM AT 1355 EXCHANGE ST ASTORIA OR 97103 SPECIALTY CLINIC 127 - OMGN - HEART CLINIC TOC GATEWAY 1111 NE 99TH AVE STE 201 PORTLAND OR 97522 SPECIALTY CLINIC 128 - OMGN - HEART CLINIC WEST MCMINNVILLE CV 2185 NW 2ND ST STE A MCMINNVILLE OR 97128 SPECIALTY CLINIC 129 - OMGN - HEART CLINIC WILLAMETTE FALLS 1510 DIVISION ST STE 200 OREGON CITY OR 97045 SPECIALTY CLINIC 130 - OMGN - HOOD RIVER ENT WHITE SALMON 65371 HIGHWAY 14 WHITE SALMON WA 98672 SPECIALTY CLINIC 131 - OMGN - HOSPITALISTS EAST 4805 NE GLISAN ST STE BG05 PORTLAND OR 97213 PRIMARY CARE 132 - OMGN - HOSPITALISTS NEWBERG 1001 PROVIDENCE DR NEWBERG OR 97132 PRIMARY CARE 133 - OMGN - HOSPITALISTS SOUTHEAST 10150 SE 32ND AVE MILWAUKIE OR 97222 PRIMARY CARE 134 - OMGN - HOSPITALISTS WEST 9205 SW BARNES RD FLR 1 PORTLAND OR 97725 PRIMARY CARE 135 - OMGN - HOSPITALISTS WF 1500 DIVISION ST OREGON CITY OR 97045 PRIMARY CARE 136 - OMGN - INFECTIOUS DISEASE CONSULTANTS 9155 SW BARNES RD STE 638 PORTLAND OR 97255 SPECIALTY CLINIC 137 - OMGN - INFECTIOUS DISEASE CONSULTANTS EA 5050 NE HOYT ST STE 540 PORTLAND OR 97213 SPECIALTY CLINIC 138 - OMGN - INTEGRATIVE MEDICINE WEST 9135 SW BARNES RD STE 261 PORTLAND OR 97225 SPECIALTY CLINIC 139 - OMGN - KATERI PARK 3640 SE 28TH AVE PORTLAND OR 97202 SPECIALTY CLINIC 140 - OMGN - LIVER CANCER CLINIC WEST 9135 SW BARNES RD STE 261 PORTLAND OR 97202 SPECIALTY CLINIC 141 - OMGN - LIVER CANCER CLINIC WEST 9135 SW BARNES RD STE 261 PORTLAND OR 97202 SPECIALTY CLINIC 142 - OMGN - LLOYD FAMILY MEDICINE 839 NE HOLLADAY ST PORTLAND OR 97232 PRIMARY CARE 143 - OMGN - LLOYD PSYCHOLOGY 839 NE HOLLADAY ST PORTLAND OR 97232 SPECIALTY CLINIC 144 - OMGN - LUNG NODULE CLINIC WEST 9135 SW BARNES RD STE 261 PORTLAND OR 97225 SPECIALTY CLINIC 145 - OMGN - MDPP ASHLAND 1661 N HIGHWAY 99 STE 100 ASHLAND OR 97520 SPECIALTY CLINIC 146 - OMGN - MDPP BEAVERTON 12345 SW HORIZON BLVD STE 57 BEAVERTON OR 97007 SPECIALTY CLINIC 147 - OMGN - MDPP BOONES FERRY 18040 SW LOWER BOONES FERRY RD STE 304 TIGARD OR 97224 SPECIALTY CLINIC 148 - OMGN - MDPP BOWER DR 70 BOWER DR STE 220 MEDFORD OR 97501 SPECIALTY CLINIC 149 - OMGN - MDPP CANBY 200 S HAZEL DELL WAY STE 205 CANBY OR 97013 SPECIALTY CLINIC 150 - OMGN - MDPP CANNON BEACH 171 N LARCH STE 16 CANNON BEACH OR 97110 SPECIALTY CLINIC 151 - OMGN - MDPP CENTRAL POINT 870 S FRONT ST STE 200 CENTRAL POINT OR 97502 SPECIALTY CLINIC 152 - OMGN - MDPP EAGLE POINT 1332 SHASTA AVE STE A EAGLE POINT OR 97524 SPECIALTY CLINIC 153 - OMGN - MDPP FISH FOOD BANK 1130 TUCKER RD HOOD RIVER OR 97031 SPECIALTY CLINIC 154 - OMGN - MDPP GLISAN 5211 NE GLISAN ST BLDG C PORTLAND OR 97213 SPECIALTY CLINIC 155 - OMGN - MDPP HILLCREST PAARK 3225 HILLCREST PARK DR MEDFORD OR 97504 SPECIALTY CLINIC 156 - OMGN - MDPP HOOD RIVER 1151 MAY ST STE 201 HOOD RIVER OR 97031 SPECIALTY CLINIC 157 - OMGN - MDPP MEDFORD 965 ELLENDALE DR MEDFORD OR 97504 SPECIALTY CLINIC 158 - OMGN - MDPP MEDFORD PROFESSIONAL PLAZA 1698 E MCANDREWS RD MEDFORD OR 97504 SPECIALTY CLINIC 159 - OMGN - MDPP MILWAUKIE HOSPITAL 10150 SE 32ND AVE MILWAUKIE OR 97222 SPECIALTY CLINIC 160 - OMGN - MDPP MILWAUKIE HOSPITAL COMMUNITY 10202 SE 32ND AVE STE 101 MILWAUKIE OR 97222 SPECIALTY CLINIC 161 - OMGN - MDPP MOLALLA 110 CENTER AVE MOLALLA OR 97038 SPECIALTY CLINIC 162 - OMGN - MDPP MOTHER JOSEPH PLAZA 9427 SW BARNES RD PORTLAND OR 97225 SPECIALTY CLINIC 163 - OMGN - MDPP MURRAY BUSINESS CENTER 3601 SW MURRAY BLVD STE 61 BEAVERTON OR 97005 SPECIALTY CLINIC 164 - OMGN - MDPP N INTERSTATE AVE 4920 N INTERSTATE AVE PORTLAND OR 97217 SPECIALTY CLINIC 165 - OMGN - MDPP NE 99TH AVE 1321 NE 99TH AVE PORTLAND OR 97220 SPECIALTY CLINIC 166 - OMGN - MDPP NE HOYT ST 5050 NE HOYT ST STE 240 PORTLAND OR 97213 SPECIALTY CLINIC 167 - OMGN - MDPP NE HOYT ST 5050 NE HOYT ST STE 454 PORTLAND OR 97213 SPECIALTY CLINIC 168 - OMGN - MDPP NEWBERG 1003 PROVIDENCE DR STE 210 NEWBERG OR 97132 SPECIALTY CLINIC 169 - OMGN - MDPP NEWBERG MEDICAL CENTER 1001 PROVIDENCE DR NEWBERG NEWBERG OR 97132 SPECIALTY CLINIC 170 - OMGN - MDPP OREGON CITY MEDICAL BUILDING 1511 DIVISION ST OREGON CITY OREGON CITY OR 97045 SPECIALTY CLINIC 171 - OMGN - MDPP OSV 9205 SW BARNES RD PORTLAND PORTLAND OR 97225 SPECIALTY CLINIC 172 - OMGN - MDPP PHOENIX 205 N PHOENIX RD STE A PHOENIX OR 97535 SPECIALTY CLINIC 173 - OMGN - MDPP PMG BETHANY 15640 NW LAIDLAW RD PORTLAND OR 97229 SPECIALTY CLINIC 174 - OMGN - MDPP PMG GRESHAM 440 NW DIVISION ST GRESHAM OR 97030 SPECIALTY CLINIC 175 - OMGN - MDPP PMG HILLSBORO 265 SE OAK ST STE C HILLSBORO OR 97123 SPECIALTY CLINIC 176 - OMGN - MDPP PMG LLOYD 839 NE HOLLADAY ST PORTLAND OR 97232 SPECIALTY CLINIC 177 - OMGN - MDPP PMG MERCANTILE 4004 KRUSE WAY PL STE 300 LAKE OSWEGO OR 97035 SPECIALTY CLINIC 178 - OMGN - MDPP PMG ORENCO 5555 NE ELAM YOUNG PKWY HILLSBORO OR 97124 SPECIALTY CLINIC 179 - OMGN - MDPP PMG SUNNYSIDE 9290 SE SUNNYBROOK BLVD STE 120 CLACKAMAS OR 97015 SPECIALTY CLINIC 180 - OMGN - MDPP PMG TANASBOURNE 18610 NW CORNELL RD HILLSBORO OR 97124 SPECIALTY CLINIC 181 - OMGN - MDPP POP 4400 NE HALSEY ST BLDG 1-3 PORTLAND OR 97213 SPECIALTY CLINIC 182 - OMGN - MDPP PROVIDENCE OFFICE PARK 4400 NE HALSEY ST PORTLAND OR 97213 SPECIALTY CLINIC 183 - OMGN - MDPP PROVIDENCE PORTLAND MED CTR 4805 NE GLISAN ST PORTLAND OR 97213 SPECIALTY CLINIC 184 - OMGN - MDPP SCHOLLS FERRY 12442 SW SCHOLLS FERRY RD TIGARD OR 97223 SPECIALTY CLINIC 185 - OMGN - MDPP SE 32ND AVE 10330 SE 32ND AVE STE 205 MILWAUKIE OR 97222 SPECIALTY CLINIC 186 - OMGN - MDPP SE 82ND AVE 4104 SE 82ND AVE STE 250 PORTLAND OR 97266 SPECIALTY CLINIC 187 - OMGN - MDPP SEASIDE 725 S WAHANNA RD SEASIDE OR 97138 SPECIALTY CLINIC 188 - OMGN - MDPP SHERWOOD 16770 SW EDY RD SHERWOOD OR 97140 SPECIALTY CLINIC 189 - OMGN - MDPP ST VINCENT EDUCATION BUILDIN 9340 SW BARNES RD STE 200 PORTLAND OR 97225 SPECIALTY CLINIC 190 - OMGN - MDPP SUNNYSIDE 16180 SE SUNNYSIDE RD HAPPY VALLEY OR 97015 SPECIALTY CLINIC 191 - OMGN - MDPP SW 117TH AVE 417 SW 117TH AVE PORTLAND OR 97225 SPECIALTY CLINIC 192 - OMGN - MDPP SW BARNES RD 9205 SW BARNES RD STE MT-2800 PORTLAND OR 97225 SPECIALTY CLINIC 193 - OMGN - MDPP WARRENTON 171 S HIGHWAY 101 WARRENTON OR 97146 SPECIALTY CLINIC 194 - OMGN - MDPP WILLAMETTE FALLS MEDICAL CTR 1500 DIVISION ST OREGON CITY OR 97045 SPECIALTY CLINIC 195 - OMGN - MDPP WILSONVILLE 29345 SW TOWN CENTER LOOP EAST WILSONVILLE OR 97070 SPECIALTY CLINIC 196 - OMGN - MERCANTILE 4004 KRUSE WAY PL STE 300 LAKE OSWEGO OR 97035 PRIMARY CARE 197 - OMGN - MERCANTILE THERAPY 4004 KRUSE WAY PL STE 300 LAKE OSWEGO OR 97035 SPECIALTY CLINIC 198 - OMGN - MILL PLAIN FAMILY MED 315 SE STONEMILL DR STE 102 VANCOUVER WA 98684 PRIMARY CARE 199 - OMGN - MILL PLAIN WALK-IN 315 SE STONEMILL DR STE 228 VANCOUVER WA 98684 URGENT CARE 200 - OMGN - MILL PLAIN X RAY 315 SE STONEMILL DR STE 102 VANCOUVER WA 98684 SPECIALTY CLINIC 201 - OMGN - MILWAUKIE FAMILY MEDICINE 10330 SE 32ND AVE STE 205 MILWAUKIE OR 97222 PRIMARY CARE 202 - OMGN - MILWAUKIE GI CLINIC 10150 SE 32ND AVE MILWAUKIE OR 97222 SPECIALTY CLINIC 203 - OMGN - MOLALLA 110 CENTER AVE MOLALLA OR 97038 PRIMARY CARE 204 - OMGN - MOTHER AND BABY CLINIC PROVIDENCE 5050 NE HOYT ST STE 255 PORTLAND OR 97213 SPECIALTY CLINIC 205 - OMGN - NEUROLOGICAL SPECIALTIES BRIDGEPO 18040 SW LOWER BOONES FERRY RD STE 207 TIGARD OR 97224 SPECIALTY CLINIC 206 - OMGN - NEUROLOGICAL SPECIALTIES EAST 5050 NE HOYT ST STE 315 PORTLAND OR 97213 SPECIALTY CLINIC 207 - OMGN - NEUROLOGICAL SPECIALTIES PSV 9135 SW BARNES RD STE 461 PORTLAND OR 97225 SPECIALTY CLINIC 208 - OMGN - NEUROLOGICAL SPECIALTIES THE PLAZ 5050 NE HOYT ST STE 615 PORTLAND OR 97213 SPECIALTY CLINIC 209 - OMGN - NEUROLOGICAL SPECIALTIES WF 1510 DIVISION ST STE 180 OREGON CITY OR 97045 SPECIALTY CLINIC 210 - OMGN - NEWBERG FAMILY MEDICINE 1000 N PROVIDENCE DR STE 210 NEWBERG OR 97132 PRIMARY CARE 211 - OMGN - NEWBERG INTERNAL MEDICINE THERAPY 1000 N PROVIDENCE DR STE 120 NEWBERG OR 97132 PRIMARY CARE 212 - OMGN - NEWBERG SPECIALTY SVCS AT SHERWOO 16770 SW EDY RD STE 318 SHERWOOD OR 97140 SPECIALTY CLINIC 213 - OMGN - NEWBERG THERAPY 310 VILLA RD STE 101 NEWBERG OR 97132 REHAB & PHYSICAL THERAPY 214 - OMGN - NORTH PORTLAND FAMILY MEDICINE 4920 N INTERSTATE AVE PORTLAND OR 97217 PRIMARY CARE 215 - OMGN - NORTHEAST 5050 NE HOYT ST STE 540 PORTLAND OR 97213 SPECIALTY CLINIC 216 - OMGN - OB HOSPITALISTS PPMC 4805 NE GLISAN ST FAM MAT CENT UNIT 3K PORTLAND OR 97213 SPECIALTY CLINIC 217 - OMGN - OB HOSPITALISTS PSVMC 9205 SW BARNES RD FLR 3 MT3401 PORTLAND OR 97228 PRIMARY CARE 218 - OMGN - OCCUPATIONAL MEDICINE-BRIDGEPORT 18040 LOWER BOONES FERRY RD STE 100 TIGARD OR 97224 SPECIALTY CLINIC 219 - OMGN - OCCUPATIONAL MEDICINE-CLACKAMAS 9290 SE SUNNYBROOK BLVD STE 210 CLACKAMAS OR 97015 SPECIALTY CLINIC 220 - OMGN - OCCUPATIONAL MEDICINE-TANASBOURNE 18610 NW CORNELL RD STE 204 HILLSBORO OR 97124 SPECIALTY CLINIC 221 - OMGN - ONCOLOGY AND HEMATOLOGY CARE 9135 SW BARNES RD STE 238 PORTLAND OR 97225 SPECIALTY CLINIC 222 - OMGN - ONCOLOGY PALLIATIVE CARE 4805 NE GLISAN ST STE 11N PORTLAND OR 97213 SPECIALTY CLINIC 223 - OMGN - ONCOLOGY PALLIATIVE CARE CLINIC W 9135 SW BARNES RD STE 261 PORTLAND OR 97225 SPECIALTY CLINIC 224 - OMGN - ONCOLOGY PRESURGICAL 4805 NE GLISAN ST STE 11N PORTLAND OR 97213 SPECIALTY CLINIC 225 - OMGN - ONE HEALTH WELLNESS 5211 NE GLISAN ST BLDG C PORTLAND OR 97213 SPECIALTY CLINIC 226 - OMGN - ONE MEDICAL (1122 NW EVERETT ST) 1122 NW EVERETT ST PORTLAND OR 97209 SPECIALTY CLINIC 227 - OMGN - ONE MEDICAL 12180 SW SCHOLLS FERRY RD TIGARD OR 97223 PRIMARY CARE 228 - OMGN - ONE MEDICAL 2865 SW CEDAR HILLS RD BEAVERTON OR 97005 PRIMARY CARE 229 - OMGN - ONE MEDICAL (4141 N WILLIAMS) 4141 N WILLIAMS STE 9A PORTLAND OR 97217 PRIMARY CARE 230 - OMGN - ONE MEDICAL (601 SW 4TH AVE) 601 SW 4TH AVE PORTLAND OR 97204 SPECIALTY CLINIC 231 - OMGN - OR PROV HEART CLINIC HOLLYWOOD 4400 NE HALSEY ST STE 102 PORTLAND OR 97213 SPECIALTY CLINIC 232 - OMGN - ORAL HEAD AND NECK CLINIC WEST 9135 SW BARNES RD STE 261 PORTLAND OR 97225 SPECIALTY CLINIC 233 - OMGN - ORAL ONCOLOGY AND ORAL MEDICINE N 830 NE 47TH AVE PORTLAND OR 97213 SPECIALTY CLINIC 234 - OMGN - ORAL ONCOLOGY AND ORAL MEDICINE W 9135 SW BARNES RD STE 261 PORTLAND OR 97225 SPECIALTY CLINIC 235 - OMGN - ORENCO 5555 NE ELAM YOUNG PKWY HILLSBORO OR 97124 PRIMARY CARE 236 - OMGN - PCI CLACKAMAS HEMATOLOGY & ONCOLO 1500 DIVISION ST STE 220 OREGON CITY OR 97045 SPECIALTY CLINIC 237 - OMGN - PCI FRANZ BREAST CARE 4805 NE GLISAN ST STE 11N PORTLAND OR 97213 SPECIALTY CLINIC 238 - OMGN - PCI FRANZ CLINIC GYNECOLOGIC ONCO 4805 NE GLISAN ST STE 11N PORTLAND OR 97213 SPECIALTY CLINIC 239 - OMGN - PCI FRANZ DYSPLASIA 4805 NE GLISAN ST STE 11N PORTLAND OR 97213 SPECIALTY CLINIC 240 - OMGN - PCI FRANZ GENETIC RISK PPMC 4805 NE GLISAN ST STE 11N PORTLAND OR 97213 SPECIALTY CLINIC 241 - OMGN - PCI FRANZ GYNONC 4805 NE GLISAN ST STE 11N PORTLAND OR 97213 SPECIALTY CLINIC 242 - OMGN - PCI FRANZ HEAD AND NECK 4805 NE GLISAN ST STE 11N PORTLAND OR 97213 SPECIALTY CLINIC 243 - OMGN - PCI FRANZ HEMATOLOGY AND ONCOLOCY 4805 NE GLISAN ST STE 11N PORTLAND OR 97213 SPECIALTY CLINIC 244 - OMGN - PCI FRANZ LIVER CANCER 4805 NE GLISAN ST STE 11N PORTLAND OR 97213 SPECIALTY CLINIC 245 - OMGN - PCI FRANZ ORAL ONCOLOGY 4805 NE GLISAN ST STE 11N PORTLAND OR 97213 SPECIALTY CLINIC 246 - OMGN - PCI FRANZ PALLATIVE CARE 4805 NE GLISAN ST STE 11N PORTLAND OR 97213 SPECIALTY CLINIC 247 - OMGN - PCI FRANZ THORACIC SURGERY 4805 NE GLISAN ST STE 11N PORTLAND OR 97213 SPECIALTY CLINIC 248 - OMGN - PCI FRANZ THYROID CANCER 4805 NE GLISAN ST STE 11N PORTLAND OR 97213 SPECIALTY CLINIC 249 - OMGN - PCI NEWBERG HEMATOLOGY & ONCOLOGY 1000 N PROVIDENCE DR STE 310 NEWBERG OR 97132 SPECIALTY CLINIC 250 - OMGN - PCI NEWBERG PALLIATIVE CARE 1000 N PROVIDENCE DR STE 310 NEWBERG OR 97132 SPECIALTY CLINIC 251 - OMGN - PCI WILLAMETTE FALLS PALLIATIVE C 1500 DIVISON ST STE 220 OREGON CITY OR 97045 SPECIALTY CLINIC 252 - OMGN - PEDIATRIC EAR NOSE AND THROAT 9427 SW BARNES RD STE 395 PORTLAND OR 97225 SPECIALTY CLINIC 253 - OMGN - PEDIATRIC ENDOCRINOLOGY 9290 SE SUNNYBROOK BLVD STE 120 CLACKAMAS OR 97015 SPECIALTY CLINIC 254 - OMGN - PEDIATRIC ENDOCRINOLOGY 9427 SW BARNES RD STE 395 PORTLAND OR 97225 SPECIALTY CLINIC 255 - OMGN - PEDIATRIC GASTROENTEROLOGY 9427 SW BARNES RD STE 395 PORTLAND OR 97225 SPECIALTY CLINIC 256 - OMGN - PEDIATRIC GASTROENTEROLOGY EAST 9290 SE SUNNYBROOK BLVD STE 120 CLACKAMAS OR 97015 SPECIALTY CLINIC 257 - OMGN - PEDIATRIC INFECTIOUS DISEASE 9427 SW BARNES RD STE 395 PORTLAND OR 97225 SPECIALTY CLINIC 258 - OMGN - PEDIATRIC NEUROLOGY EAST 9290 SE SUNNYBROOK BLVD STE 120 CLACKAMAS OR 97015 SPECIALTY CLINIC 259 - OMGN - PEDIATRIC NEUROLOGY MJP 9427 SW BARNES RD STE 395 PORTLAND OR 97225 SPECIALTY CLINIC 260 - OMGN - PEDIATRIC ORTHOPEDICS 9135 SW BARNES RD STE 763 PORTLAND OR 97225 SPECIALTY CLINIC 261 - OMGN - PEDIATRIC SURGERY EAST 1510 NE DIVISION ST PLAZA 1 STE 100 OREGON CITY OR 97045 SPECIALTY CLINIC 262 - OMGN - PEDIATRIC SURGERY MJP 9427 SW BARNES RD STE 395 PORTLAND OR 97225 SPECIALTY CLINIC 263 - OMGN - PEDIATRIC SURGERY PLAZA 5050 NE HOYT ST STE 610 PORTLAND OR 97213 SPECIALTY CLINIC 264 - OMGN - PEDIATRIC UROLOGY 9427 SW BARNES RD STE 395 PORTLAND OR 97225 SPECIALTY CLINIC 265 - OMGN - PERIOPERATIVE CARE CLINIC EAST 5050 NE HOYT ST STE 117 PORTLAND OR 97213 SPECIALTY CLINIC 266 - OMGN - PHYSIATRY 5050 NE HOYT ST STE 611 PORTLAND OR 97213 SPECIALTY CLINIC 267 - OMGN - PHYSIATRY WESTSIDE 9135 SW BARNES RD STE 461 PORTLAND OR 97225 SPECIALTY CLINIC 268 - OMGN - PMG AT HOME 6350 NE HALSEY ST PORTLAND OR 97213 SENIOR CARE 269 - OMGN - POIC - NORTH CAMPUS 717 N KILLINGSWORTH CT PORTLAND OR 97217 SPECIALTY CLINIC 270 - OMGN - POIC LENTS BOYS AND GIRLS CLUB 9330 SE HAROLD ST PORTLAND OR 97266 SPECIALTY CLINIC 271 - OMGN - POIC RAHS EAST CAMPUS 2208 SE 182ND PORTLAND OR 97233 SPECIALTY CLINIC 272 - OMGN - PRE SURGICAL CARE CLINIC 9135 SW BARNES RD STE 861 PORTLAND OR 97225 SPECIALTY CLINIC 273 - OMGN - PROGRESS RIDGE FAMILY MEDICINE 12345 SW HORIZON BLVD STE 57 BEAVERTON OR 97007 PRIMARY CARE 274 - OMGN - PROGRESS RIDGE THERAPY 12345 SW HORIZON BLVD STE 57 BEAVERTON OR 97007 SPECIALTY CLINIC 275 - OMGN - PROVIDENCE CANCER INSTITUTE 9155 SW BARNES RD STE 238 PORTLAND OR 97225 SPECIALTY CLINIC 276 - OMGN - PROVIDENCE CANCER INSTITUTE FRANZ 4805 NE GLISAN ST STE 11N PORTLAND OR 97213 SPECIALTY CLINIC 277 - OMGN - PROVIDENCE CENTER FOR WEIGHT MANA 9427 SW BARNES RD STE 390 PORTLAND OR 97225 SPECIALTY CLINIC 278 - OMGN - PROVIDENCE DYSPLASIA CLINIC 4805 NE GLISAN ST STE 6N50 PORTLAND OR 97213 SPECIALTY CLINIC 279 - OMGN - PROVIDENCE GENETIC RISK ASSESSMEN 4805 NE GLISAN ST STE 6N50 PORTLAND OR 97213 SPECIALTY CLINIC 280 - OMGN - PROVIDENCE GEORGE FOX 1515 E PORTLAND RD NEWBERG OR 97132 SPECIALTY CLINIC 281 - OMGN - PROVIDENCE INTERVENTIONAL PHYSIAT 5050 NE HOYT ST STE 221 PORTLAND OR 97213 REHAB & PHYSICAL THERAPY 282 - OMGN - PMG OREGON NORTH - SURGERY CLINIC 5050 NE HOYT ST STE 610 PORTLAND OR 97213 SPECIALTY CLINIC 283 - OMGN - PROVIDENCE SPECIALTY SERVICES 18040 SW LOWER BOONES FERRY RD STE 207 TIGARD OR 97224 SPECIALTY CLINIC 284 - OMGN - PROVIDENCE THORACIC SURGERY 4805 NE GLISAN ST STE 6N50 PORTLAND OR 97213 SPECIALTY CLINIC 285 - OMGN - PSYCHIATRY AT SW PEDIATRICS 9427 SW BARNES RD STE 395 PORTLAND OR 97225 SPECIALTY CLINIC 286 - OMGN - PSYCHIATRY EAST 5251 NE GLISAN ST BLDG A FLR 2 PORTLAND OR 97213 SPECIALTY CLINIC 287 - OMGN - PSYCHIATRY EAST BLDG B 5228 NE HOYT ST BLDG B PORTLAND OR 97213 SPECIALTY CLINIC 288 - OMGN - PSYCHIATRY HOSPITALISTS EAST 4805 NE GLISAN ST PORTLAND PORTLAND OR 97208 PRIMARY CARE 289 - OMGN - PSYCHIATRY HOSPITALISTS WEST 9205 SW BARNES RD PORTLAND PORTLAND OR 97225 SPECIALTY CLINIC 290 - OMGN - PSYCHIATRY MILWAUKIE 10202 SE 32ND AVE STE 701 MILWAUKIE OR 97225 SPECIALTY CLINIC 291 - OMGN - PSYCHIATRY WEST 9155 SW BARNES RD STE 333 PORTLAND OR 97225 SPECIALTY CLINIC 292 - OMGN - PSYCHIATRY WEST CHILD ADOLESCENT 9155 SW BARNES RD STE 634 PORTLAND OR 97225 SPECIALTY CLINIC 293 - OMGN - REEDS CROSSING CARDIOLOGY 7305 SE CIRCUIT DR STE 220 HILLSBORO OR 97123 SPECIALTY CLINIC 294 - OMGN - REEDS CROSSING DERMATOLOGY 7305 SE CIRCUIT DR STE 230 HILLSBORO OR 97123 SPECIALTY CLINIC 295 - OMGN - REEDS CROSSING MOTHER AND BABY 7305 SE CIRCUIT DR STE 260 HILLSBORO OR 97123 SPECIALTY CLINIC 296 - OMGN - REEDS CROSSING PHYSICAL THERAPY 7305 SE CIRCUIT DR STE 140 HILLSBORO OR 97123 REHAB & PHYSICAL THERAPY 297 - OMGN - REEDS CROSSING PRIMARY CARE 7305 SE CIRCUIT DR HILLSBORO OR 97123 PRIMARY CARE 298 - OMGN - REEDS CROSSING PSYCHOLOGY 7305 SE CIRCUIT DR HILLSBORO OR 97123 SPECIALTY CLINIC 299 - OMGN - REEDS CROSSING SPORTS MEDICINE 7305 SE CIRCUIT DR STE 270 HILLSBORO OR 97123 REHAB & PHYSICAL THERAPY 300 - OMGN - REEDS CROSSING URGENT CARE 7305 SE CIRCUIT DR STE 180 HILLSBORO OR 97123 URGENT CARE 301 - OMGN - REEDS CROSSING WOMEN'S CLINIC 7305 SE CIRCUIT DR STE 260 HILLSBORO OR 97123 SPECIALTY CLINIC 302 - OMGN - SACCO 1513 SE 122ND AVE PORTLAND OR 97233 SPECIALTY CLINIC 303 - OMGN - SACRED HEART VILLA 3911 SE MILWAUKIE AVE PORTLAND OR 97202 SPECIALTY CLINIC 304 - OMGN - SCHOLLS 12442 SW SCHOLLS FERRY RD STE 100 TIGARD OR 97223 PRIMARY CARE 305 - OMGN - SCHOLLS FAMILY MEDICINE 12442 SW SCHOLLS FERRY RD STE 206 TIGARD OR 97223 PRIMARY CARE 306 - OMGN - SCHOLLS IMMEDIATE CARE 12442 SW SCHOLLS FERRY RD STE 100 TIGARD OR 97223 SPECIALTY CLINIC 307 - OMGN - SCHOLLS PEDIATRICS 12442 SW SCHOLLS FERRY RD STE 205 TIGARD OR 97223 SPECIALTY CLINIC 308 - OMGN - SHERWOOD FAMILY MEDICINE 16770 SW EDY RD STE 102 SHERWOOD OR 97140 PRIMARY CARE 309 - OMGN - SHERWOOD IMMEDIATE CARE 16770 SW EDY RD STE 102 SHERWOOD OR 97140 URGENT CARE 310 - OMGN - SHERWOOD PSYCHOLOGY 16770 SW EDY RD STE 102 SHERWOOD OR 97140 SPECIALTY CLINIC 311 - OMGN - SOUTHEAST FAMILY MEDICINE 4104 SE 82ND AVE STE 250 PORTLAND OR 97266 PRIMARY CARE 312 - OMGN - SOUTHWEST PEDIATRICS 9427 SW BARNES RD STE 395 PORTLAND OR 97225 SPECIALTY CLINIC 313 - OMGN - SPORTS CARE 909 SW 18TH AVE PORTLAND OR 97205 REHAB & PHYSICAL THERAPY 314 - OMGN - ST VINCENT 9205 SW BARNES RD MT2800 PORTLAND OR 97225 PRIMARY CARE 315 - OMGN - ST VINCENT HEART CLINICS CARDIO M 315 SE STONEMILL DR STE 220 VANCOUVER WA 98684 SPECIALTY CLINIC 316 - OMGN - SUNSET DERMATOLOGY 417 SW 117TH AVE STE 100 PORTLAND OR 97225 PRIMARY CARE 317 - OMGN - SUNSET FAMILY MEDICINE 417 SW 117TH AVE STE 200 PORTLAND OR 97225 PRIMARY CARE 318 - OMGN - SUNSET IMMEDIATE CARE 417 SW 117TH AVE STE 200 PORTLAND OR 97225 URGENT CARE 319 - OMGN - SURGERY CLINIC SE AT MILWAUKIE 10330 SE 32ND AVE STE 210 MILWAUKIE OR 97222 SPECIALTY CLINIC 320 - OMGN - SURGERY CLINIC WEST 9155 SW BARNES RD STE 318 PORTLAND OR 97225 SPECIALTY CLINIC 321 - OMGN - TANASBOURNE 10670 NE CORNELL RD STE 300 HILLSBORO OR 97124 PRIMARY CARE 322 - OMGN - TANASBOURNE IMMEDIATE CARE 10670 NE CORNELL RD STE 101 HILLSBORO OR 97124 URGENT CARE 323 - OMGN - TANASBOURNE SPORTS MEDICINE 18610 NW CORNELL RD STE 300 HILLSBORO OR 97124 SPECIALTY CLINIC 324 - OMGN - THE HIGHLAND HAVEN 435 NE 78TH AVE PORTLAND OR 97213 SPECIALTY CLINIC 325 - OMGN - THE PLAZA 5050 NE HOYT ST STE 454 PORTLAND OR 97213 PRIMARY CARE 326 - OMGN - THORACIC SURGERY WEST 9135 SW BARNES RD STE 261 PORTLAND OR 97225 SPECIALTY CLINIC 327 - OMGN - VALVE CENTER 9427 SW BARNES RD STE 593 PORTLAND OR 97225 SPECIALTY CLINIC 328 - OMGN - VANCOUVER THERAPY 222 NE PARK PLAZA DR STE 120 VANCOUVER WA 98684 REHAB & PHYSICAL THERAPY 329 - OMGN - WEST HILLS PRIMARY CARE 9135 SW BARNES RD STE 763 PORTLAND OR 97225 PRIMARY CARE 330 - OMGN - WILSONVILLE 29345 SW TOWN CENTER LOOP E STE 110 WILSONVILLE OR 97070 PRIMARY CARE 331 - OMGN - WOMENS CLINIC BRIDGEPORT 18040 SW LOWER BOONES FERRY RD STE 207 TIGARD OR 97224 SPECIALTY CLINIC 332 - OMGN - WOMEN'S CLINIC EAST PORTLAND 545 NE 47TH AVE STE 102 PORTLAND OR 97213 SPECIALTY CLINIC 333 - OMGN - WOMEN'S CLINIC MILWAUKIE 10330 SE 32ND AVE STE 305 MILWAUKIE OR 97222 SPECIALTY CLINIC 334 - OMGN - WOMEN'S CLINIC PROGRESS RIDGE 12345 SW HORIZON BLVD STE 57 BEAVERTON OR 97007 SPECIALTY CLINIC 335 - OMGN - WOMENS CLINIC PSVMC 9135 SW BARNES RD STE 761 PORTLAND OR 97225 SPECIALTY CLINIC 336 - OMGN MARYS WOODS 17550 PROVOST ST STE 201 LAKE OSWEGO OR 97034 PRIMARY CARE 337 - OMGN OCEAN BEACH HOSPITAL 174 1ST AVE N ILWACO WA 98624 SPECIALTY CLINIC 338 - OMGN- POIC NEW COLUMBIA CAMPUS 4610 N TRENTON ST PORTLAND OR 97203 SPECIALTY CLINIC 339 - OMGS - ASHLAND 1661 HWY 99 N STE 100 ASHLAND OR 97520 SPECIALTY CLINIC 340 - OMGS - ASHLAND INTERNAL MEDICINE 1661 HWY 99 N STE 100 ASHLAND OR 97520 SPECIALTY CLINIC 341 - OMGS - CARDIOLOGY 1698 E MCANDREWS RD STE 300 MEDFORD OR 97504 SPECIALTY CLINIC 342 - OMGS - CENTRAL POINT CLINIC 870 S FRONT ST STE 200 CENTRAL POINT OR 97502 SPECIALTY CLINIC 343 - OMGS - DOCTORS CLINIC PSYCHOLOGY 965 ELLENDALE DR MEDFORD OR 97504 SPECIALTY CLINIC 344 - OMGS - EAGLE POINT CLINIC 1332 S SHASTA AVE STE A EAGLE POINT OR 97524 SPECIALTY CLINIC 345 - OMGS - EAGLE POINT PEDIATRICS 10830 HWY 62 EAGLE POINT OR 97524 SPECIALTY CLINIC 346 - OMGS - GASTROENTEROLOGY 1698 E MCANDREWS RD STE 400 MEDFORD OR 97504 SPECIALTY CLINIC 347 - OMGS - GENERAL SURGERY 1698 E MCANDREWS RD STE 160 MEDFORD OR 97504 SPECIALTY CLINIC 348 - OMGS - GRANTS PASS CARDIOLOGY 1619 NW HAWTHORNE AVE STE 206 GRANTS PASS OR 97526 SPECIALTY CLINIC 349 - OMGS - HEART RHYTHM 1698 E MCANDREWS RD STE 300 MEDFORD OR 97504 SPECIALTY CLINIC 350 - OMGS - MEDFORD HOSPITALISTS 1111 CRATER LAKE AVE MEDFORD OR 97504 PRIMARY CARE 351 - OMGS - MEDFORD INFECTIOUS DISEASE 1698 E MCANDREWS RD STE 170 MEDFORD OR 97504 SPECIALTY CLINIC 352 - OMGS - MEDFORD MEDICAL CLINIC STEWART ME 70 BOWER DR MEDFORD OR 97504 URGENT CARE 353 - OMGS - MEDFORD MEDICAL CLINIC STEWART ME 70 BOWER ST STE 240 MEDFORD OR 97504 SPECIALTY CLINIC 354 - OMGS - MEDFORD PEDIATRICS 840 ROYAL AVE STE 110 MEDFORD OR 97504 SPECIALTY CLINIC 355 - OMGS - MEDFORD PEDIATRICS PSYCHOLOGY 840 ROYAL AVE STE 110 MEDFORD OR 97504 SPECIALTY CLINIC 356 - OMGS - MEDFORD PHYS 920 ROYAL AVE MEDFORD OR 97504 SPECIALTY CLINIC 357 - OMGS - MEDICAL CLINIC HILLCREST 3225 HILLCREST PARK DR MEDFORD OR 97504 SPECIALTY CLINIC 358 - OMGS - NEUROLOGY 920 ROYAL AVE MEDFORD OR 97504 SPECIALTY CLINIC 359 - OMGS - OBGYN HEALTH CLINIC 940 ROYAL AVE STE 350 MEDFORD OR 97504 SPECIALTY CLINIC 360 - OMGS - SOUTH DOCTORS CLINIC 965 ELLENDALE DR MEDFORD OR 97504 SPECIALTY CLINIC 361 - OMGS - SOUTH MEDFORD FAMILY PRACTICE 1698 E MCANDREWS RD STE 300 MEDFORD OR 97504 PRIMARY CARE 362 - OMGS - SOUTH MEDFORD PULMONOLOGY 827 SPRING ST MEDFORD OR 97504 SPECIALTY CLINIC 363 - OMGS - VASCULAR AND GENERAL SURGERY 940 ROYAL AVE STE 100 MEDFORD OR 97504 SPECIALTY CLINIC 364 - OSPS - INFUSION & SPECIALTY PHARMACY 6410 NE HALSEY ST STE 400 PORTLAND OR 97213 PHARMACY 365 - OSPS - INFUSION AND HOME MEDICAL EQUIPME 840 ROYAL AVE STE 120 MEDFORD OR 97504 PHARMACY 366 - OSPS - LONG TERM CARE PHARMACY 6410 NE HALSEY ST STE 400 PORTLAND OR 97213 PHARMACY 367 - OSS - ASTORIA HEART CLINIC 1355 EXCHANGE ST ASTORIA OR 97103 SPECIALTY CLINIC 368 - OSS - PROVIDENCE SEASIDE CLINIC 725 S WAHANNA RD SEASIDE OR 97138 PRIMARY CARE 369 - OSV - MOTHER AND BABY AT ST VINCENT MEDI 9155 SW BARNES RD STE 730 PORTLAND OR 97225 SPECIALTY CLINIC PART I, LINE 3C: IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS. PART I, LINE 6A: PROVIDENCE OREGON PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/OREGON 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 NEWBERG MEDICAL CENTER (6):WORKFORCE DEVELOPMENT:PROVIDENCE NEWBERG MEDICAL CENTER DONATED SCHOLARSHIPS TO YAMHILL SERVICE AREA (YSA)GRADUATING HIGH SCHOOL SENIORS PURSUING A CAREER IN HEALTHCARE. PROVIDENCE WORKED WITH PUBLIC SCHOOLS TO GATHER AND REVIEW APPLICATIONS AND CHOOSE RECIPIENTS FOR HEALTH CAREER SCHOLARSHIPS BASED ON NEED, LIKELIHOOD OF SUCCESS AND RECOMMENDATIONS. THIS IS ONE EXAMPLE OF WORKFORCE DEVELOPMENT THAT PROVIDENCE NEWBERG MEDICAL CENTER PROVIDED. PART III, LINE 4: AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019. PART III, LINE 8: THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. PART III, LINE 9B: OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: NEEDS ASSESSMENT:REPORTING GROUP APROVIDENCE PORTLAND MEDICAL CENTERPROVIDENCE ST. VINCENT MEDICAL CENTERPROVIDENCE MILWAUKIE HOSPITALPROVIDENCE WILLAMETTE FALLS MEDICAL CENTERAS HEALTH CARE CONTINUES TO EVOLVE AND SYSTEMS OF CARE BECOME MORE COMPLEX, PROVIDENCE IS RESPONDING WITH DEDICATION TO ITS MISSION AND A CORE STRATEGY TO CREATE HEALTHIER COMMUNITIES, TOGETHER. PARTNERING WITH MANY COMMUNITY ORGANIZATIONS, WE ARE COMMITTED TO ADDRESSING THE MOST PRESSING HEALTH NEEDS IN OUR COMMUNITY. THE HCWC CHNA ESTABLISHES THE COMMUNITY'S KEY HEALTH INDICATORS AND/OR HEALTH PRIORITY AREAS. DATA WAS AGGREGATED FROM BOTH PRIMARY AND SECONDARY SOURCES AND MANAGED BY THE DATA WORKGROUP. PRIMARY DATA IS INFORMATION THAT HAS BEEN COLLECTED SPECIFICALLY FOR THE PURPOSES OF THIS ASSESSMENT. SECONDARY DATA IS INFORMATION THAT HAS BEEN COLLECTED BY OTHERS OR FOR OTHER PURPOSES, BUT PROVIDES VALUABLE CONTEXT AND INFORMATION FOR THE ASSESSMENT.IN ADDITION, PROVIDENCE DEVELOPED THE PROVIDENCE NEED INDEX, AN INTERACTIVE DASHBOARD THAT SERVES AS A COMMUNITY DATA ANALYSIS TOOL. THE TOOL IDENTIFIES HIGH NEED CENSUS TRACTS THAT COULD BENEFIT FROM AN INFUSION OF SERVICES AND RESOURCES. A NUMBER OF VARIABLES ARE CONSIDERED INCLUDING THE POPULATION BELOW 200% FPL, PERCENT OF POPULATION WITH AT LEAST A HIGH SCHOOL EDUCATION, PERCENT OF POPULATION AGE 5 YEARS AND OVER IN LIMITED ENGLISH HOUSEHOLDS, AND LIFE EXPECTANCY AT BIRTH. THIS DASHBOARD WAS CRUCIAL DURING THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND WILL SUPPORT OUR COMMUNITY BENEFIT EFFORTS FOR THE NEXT SEVERAL YEARS.PROVIDENCE HOOD RIVER MEMORIAL HOSPITALIN THE COLUMBIA GORGE REGION, PHRMH IS A FOUNDING MEMBER OF THE COLUMBIA GORGE HEALTH COUNCIL, A PUBLIC-PRIVATE PARTNERSHIP BRINGING TOGETHER SEVENTEEN ORGANIZATIONS INCLUDING FOUR HOSPITALS, SEVEN COUNTIES, THE COORDINATED CARE ORGANIZATION, SEVERAL SOCIAL SERVICE AGENCIES AND A DENTAL PROVIDER, TO PRODUCE A SHARED REGIONAL NEEDS ASSESSMENT. THE NEEDS ASSESSMENT IS AN EVALUATION OF THE COMMUNITY'S KEY HEALTH INDICATORS. DATA WAS AGGREGATED FROM BOTH PRIMARY AND SECONDARY SOURCES AND MANAGED BY THE DATA WORKGROUP. PRIMARY DATA IS INFORMATION THAT HAS BEEN COLLECTED SPECIFICALLY FOR THE PURPOSES OF THIS ASSESSMENT. SECONDARY DATA IS INFORMATION THAT HAS BEEN COLLECTED BY OTHERS OR FOR OTHER PURPOSES BUT PROVIDES VALUABLE CONTEXT AND INFORMATION FOR THE ASSESSMENT.PHRMH SUPPORTS AND ENGAGES LOCAL COMMUNITY-BASED ORGANIZATIONS WHEN OTHER ASSESSMENTS ARE CONDUCTED. FOR EXAMPLE, PARTNER ORGANIZATIONS HAVE ASSESSED LOCAL NEEDS IN HOUSING, FOOD INSECURITY, EQUITY, AND BEHAVIORAL HEALTH. SOME ADDITIONAL ASSESSMENTS CONDUCTED INCLUDE FOCUS GROUPS WITH NATIVE POPULATIONS, THE GORGE COMMUNITY FOOD ASSESSMENT, AND THE COLUMBIA GORGH BEHAVIORAL HEALTH IMPROVEMENT PLAN.IN ADDITION, PROVIDENCE DEVELOPED THE PROVIDENCE NEED INDEX, AN INTERACTIVE DASHBOARD THAT SERVES AS A COMMUNITY DATA ANALYSIS TOOL. THE PURPOSE OF THE TOOL IS TO IDENTIFY HIGH NEED CENSUS TRACTS THAT COULD BENEFIT FROM AN INFUSION OF SERVICES AND RESOURCES. A NUMBER OF VARIABLES ARE CONSIDERED INCLUDING THE POPULATION BELOW 200% FPL, PERCENT OF POPULATION WITH AT LEAST A HIGH SCHOOL EDUCATION, PERCENT OF PULATION AGE 5 YEARS AND OVER IN LIMITED ENGLISH HOUSEHOLDS, AND LIFE EXPECTANCY AT BIRTH. THIS DASHBOARD WAS CRUCIAL DURING THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND WILL SUPPORT OUR COMMUNITY BENEFIT EFFORTS FOR THE NEXT SEVERAL YEARS.PROVIDENCE SEASIDE HOSPITALTHE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE COMMUNITY.INFORMATION FOR THIS ASSESSMENT COMES FROM BOTH PRIMARY AND SECONDARYDATA. PRIMARY DATA IS INFORMATION THAT HAS BEEN COLLECTED SPECIFICALLYFOR THE PURPOSES OF THIS ASSESSMENT. SECONDARY DATA IS INFORMATION THATHAS BEEN COLLECTED BY OTHERS OR FOR OTHER PURPOSES, BUT PROVIDES VALUABLECONTEXT AND INFORMATION FOR THE ASSESSMENT.PSH SUPPORTS AND ENGAGES LOCAL COMMUNITY-BASED ORGANIZATIONS WHEN OTHER ASSESSMENTS ARE CONDUCTED. FOR EXAMPLE, PARTNER ORGANIZATIONS HAVE ASSESSED REGIONAL NEEDS IN HOUSING AND EQUITY. IN ADDITION, PROVIDENCE DEVELOPED THE PROVIDENCE NEED INDEX, AN INTERACTIVE DASHBOARD THAT SERVES AS A COMMUNITY DATA ANALYSIS TOOL. THE PURPOSE OF THE TOOL IS TO IDENTIFY HIGH NEED CENSUS TRACTS THAT COULD BENEFIT FROM AN INFUSION OF SERVICES AND RESOURCES. A NUMBER OF VARIABLES ARE CONSIDERED INCLUDING THE POPULATION BELOW 200% FPL, PERCENT OF POPULATION WITH AT LEAST A HIGH SCHOOL EDUCATION, PERCENT OF PULATION AGE 5 YEARS AND OVER IN LIMITED ENGLISH HOUSEHOLDS, AND LIFE EXPECTANCY AT BIRTH. THIS DASHBOARD WAS CRUCIAL DURING THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND WILL SUPPORT OUR COMMUNITY BENEFIT EFFORTS FOR THE NEXT SEVERAL YEARS.PART VI, LINE 2NEEDS ASSESMENTPROVIDENCE NEWBERG MEDICAL CENTER (6)THE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE COMMUNITY.INFORMATION FOR THIS ASSESSMENT COMES FROM BOTH PRIMARY AND SECONDARYDATA. PRIMARY DATA IS INFORMATION THAT HAS BEEN COLLECTED SPECIFICALLYFOR THE PURPOSES OF THIS ASSESSMENT. SECONDARY DATA IS INFORMATION THATHAS BEEN COLLECTED BY OTHERS OR FOR OTHER PURPOSES, BUT PROVIDES VALUABLECONTEXT AND INFORMATION FOR THE ASSESSMENT.PNMC SUPPORTS AND ENGAGES LOCAL COMMUNITY-BASED ORGANIZATIONS WHEN OTHER ASSESSMENTS ARE CONDUCTED. FOR EXAMPLE, PARTNER ORGANIZATIONS HAVE ASSESSED LOCAL NEEDS IN HOUSING, FOOD INSECURITY, EQUITY, AND BEHAVIORAL HEALTH. IN ADDITION, PROVIDENCE DEVELOPED THE PROVIDENCE NEED INDEX, AN INTERACTIVE DASHBOARD THAT SERVES AS A COMMUNITY DATA ANALYSIS TOOL. THE PURPOSE OF THE TOOL IS TO IDENTIFY HIGH NEED CENSUS TRACTS THAT COULD BENEFIT FROM AN INFUSION OF SERVICES AND RESOURCES. A NUMBER OF VARIABLES ARE CONSIDERED INCLUDING THE POPULATION BELOW 200% FPL, PERCENT OF POPULATION WITH AT LEAST A HIGH SCHOOL EDUCATION, PERCENT OF PULATION AGE 5 YEARS AND OVER IN LIMITED ENGLISH HOUSEHOLDS, AND LIFE EXPECTANCY AT BIRTH. THIS DASHBOARD WAS CRUCIAL DURING THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND WILL SUPPORT OUR COMMUNITY BENEFIT EFFORTS FOR THE NEXT SEVERAL YEARS. PART VI, LINE 2NEEDS ASSESMENTPROVIDENCE MEDFORD MEDICAL CENTER (7)PMMC IS A MEMBER OF THE JRHA, A COLLABORATION OF REGIONAL COMMUNITYLEADERS LEARNING AND WORKING TOGETHER TO IMPROVE THE HEALTH CARE RESOURCESOF SOUTHERN OREGONIANS. THE COLLABORATIVE INCLUDES ALLCARE HEALTH, ASANTE,JACKSON COUNTY PUBLIC HEALTH, JACKSON CARE CONNECT, OREGON STATEUNIVERSITY EXTENSION SERVICE, PRIMARY HEALTH AND PROVIDENCE HEALTH &SERVICES. THE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE COMMUNITY.INFORMATION FOR THIS ASSESSMENT COMES FROM BOTH PRIMARY AND SECONDARYDATA. PRIMARY DATA IS INFORMATION THAT HAS BEEN COLLECTED SPECIFICALLYFOR THE PURPOSES OF THIS ASSESSMENT. SECONDARY DATA IS INFORMATION THATHAS BEEN COLLECTED BY OTHERS OR FOR OTHER PURPOSES, BUT PROVIDES VALUABLECONTEXT AND INFORMATION FOR THE ASSESSMENT.PMMC SUPPORTS AND ENGAGES LOCAL COMMUNITY-BASED ORGANIZATIONS WHEN OTHER ASSESSMENTS ARE CONDUCTED. FOR EXAMPLE, PARTNER ORGANIZATIONS HAVE ASSESSED LOCAL NEEDS IN HOUSING, FOOD INSECURITY, EQUITY, AND BEHAVIORAL HEALTH. IN ADDITION, PROVIDENCE DEVELOPED THE PROVIDENCE NEED INDEX, AN INTERACTIVE DASHBOARD THAT SERVES AS A COMMUNITY DATA ANALYSIS TOOL. THE PURPOSE OF THE TOOL IS TO IDENTIFY HIGH NEED CENSUS TRACTS THAT COULD BENEFIT FROM AN INFUSION OF SERVICES AND RESOURCES. A NUMBER OF VARIABLES ARE CONSIDERED INCLUDING THE POPULATION BELOW 200% FPL, PERCENT OF POPULATION WITH AT LEAST A HIGH SCHOOL EDUCATION, PERCENT OF PULATION AGE 5 YEARS AND OVER IN LIMITED ENGLISH HOUSEHOLDS, AND LIFE EXPECTANCY AT BIRTH. THIS DASHBOARD WAS CRUCIAL DURING THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND WILL SUPPORT OUR COMMUNITY BENEFIT EFFORTS FOR THE NEXT SEVERAL YEARS. PART VI, LINE 3: THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS 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:REPORTING GROUP APROVIDENCE PORTLAND MEDICAL CENTERPROVIDENCE ST. VINCENT MEDICAL CENTERPROVIDENCE MILWAUKIE HOSPITALPROVIDENCE WILLAMETTE FALLS MEDICAL CENTERTHE PORTLAND SERVICE AREA FOR PROVIDENCE IN OREGON INCLUDES PRIMARILY CLACKAMAS, MULTNOMAH, AND WASHINGTON COUNTIES. CLACKAMAS COUNTY:IN 2023, THE POPULATION OF CLACKAMAS COUNTY WAS JUST OVER 420,000, WHICH REPRESENTS SLIGHTLY OVER 12 PERCENT GROWTH SINCE 2010. CLACKAMAS COUNTY HAS BEEN DIVERSIFYING, WITH THE FOREIGN-BORN POPULATION INCREASING MORE THAN 8 PERCENT BETWEEN 2018 AND 2022.AMONG CLACKAMAS COUNTY RESIDENTS IN 2023, 79.1 PERCENT IDENTIFIED AS WHITE NON-HISPANIC, 9.8 PERCENT WERE HISPANIC OR LATINO, 5.9 PERCENT WERE ASIAN, NATIVE HAWAIIAN, AND OTHER PACIFIC ISLANDER, 1.4 PERCENT WERE AFRICAN AMERICAN OR BLACK, 1.1 PERCENT WERE ALASKA NATIVE OR AMERICAN INDIAN, AND 4.1 PERCENT IDENTIFIED AS TWO OR MORE RACES.FROM 2018-2022, THE MEDIAN HOUSEHOLD INCOME FOR CLACKAMAS COUNTY WAS $95,740, AND THE PER CAPITA INCOME WAS $49,340. THESE NUMBERS WERE MUCH HIGHER THAN THE STATE OF OREGON AS A WHOLE ($76,632 AND $41,805, RESPECTIVELY). CLACKAMAS COUNTY IS HOME TO SOME OF THE WEALTHIEST AREAS IN OREGON, SUCH AS LAKE OSWEGO, AS WELL AS MORE RURAL AREAS SUCH AS ESTACADA. MULTNOMAH COUNTY:IN 2023, THE POPULATION OF MULTNOMAH COUNTY WAS NEARLY 800,000, WHICH REPRESENTS ALMOST AN 8 PERCENT GROWTH SINCE 2010. MULTNOMAH COUNTY HAS BEEN DIVERSIFYING, WITH THE FOREIGN-BORN POPULATION INCREASING NEARLY 13.2 PERCENT BETWEEN 2018 AND 2022. AMONG MULTNOMAH COUNTY RESIDENTS IN 2023, 67.5 PERCENT IDENTIFIED AS WHITE NON-HISPANIC, 12.9 PERCENT WERE HISPANIC OR LATINO, 9.0 PERCENT ASIAN, NATIVE HAWAIIAN, AND OTHER PACIFIC ISLANDER, 6.2 PERCENT WERE AFRICAN AMERICAN OR BLACK, 1.5 PERCENT WERE ALASKA NATIVE OR AMERICAN INDIAN, AND 5.2 PERCENT IDENTIFIED AS TWO OR MORE RACES.FROM 2018-2022, THE MEDIAN HOUSEHOLD INCOME FOR MULTNOMAH COUNTY WAS $83,668, AND THE PER CAPITA INCOME WAS $49,713. THESE NUMBERS WERE MUCH HIGHER THAN THE STATE OF OREGON AS A WHOLE ($76,632 AND $41,805, RESPECTIVELY).WASHINGTON COUNTY:IN 2023, THE POPULATION OF WASHINGTON COUNTY WAS NEARLY 600,000, WHICH REPRESENTS NEARLY 12 PERCENT GROWTH SINCE 2010. WASHINGTON COUNTY HAS BEEN DIVERSIFYING, WITH THE FOREIGN-BORN POPULATION INCREASING NEARLY 18 PERCENT BETWEEN 2018 AND 2022.AMONG WASHINGTON COUNTY RESIDENTS IN 2023, 62.1 PERCENT IDENTIFIED AS WHITE NON-HISPANIC, 17.9 PERCENT WERE HISPANIC OR LATINO, 13.3 PERCENT ASIAN, NATIVE HAWAIIAN, AND OTHER PACIFIC ISLANDER, 2.9 PERCENT WERE AFRICAN AMERICAN OR BLACK, 1.2 PERCENT WERE ALASKA NATIVE OR AMERICAN INDIAN, AND 4.9 PERCENT IDENTIFIED AS TWO OR MORE RACES.FROM 2018-2022, THE MEDIAN HOUSEHOLD INCOME FOR WASHINGTON COUNTY WAS $100,121, AND THE PER CAPITA INCOME WAS $49,553. THESE NUMBERS WERE MUCH HIGHER THAN THE STATE OF OREGON AS A WHOLE ($76,632 AND $41,805, RESPECTIVELY).OTHER HOSPITALS IN SERVICE AREA- OREGON HEALTH & SCIENCE UNIVERSITY- ADVENTIST MEDICAL CENTER- HILLSBORO MEDICAL CENTER- KAISER SUNNYSIDE- KAISER WESTSIDE MEDICAL CENTER- LEGACY EMANUEL MEDICAL CENTER- LEGACY GOOD SAMARITAN MEDICAL CENTER- LEGACY MERIDIAN PARK MEDICAL CENTER- SHRINERS HOSPITALS FOR CHILDREN - PORTLANDPROVIDENCE HOOD RIVER MEMORIAL HOSPITALPHRMH PRIMARILY SERVES HOOD RIVER COUNTY IN OREGON. PROVIDENCE HAS THREE HOSPITALS SERVING NEIGHBORING MULTNOMAH AND CLACKAMAS COUNTIES AND FOUR ADDITIONAL HOSPITALS AROUND THE STATE. THE REGIONAL COMMUNITY HEALTH ASSESSMENT COVERED SEVEN COUNTIES ALONG THE COLUMBIA RIVER: HOOD RIVER, WASCO, SHERMAN, GILLIAM, AND WHEELER COUNTIES IN OREGON, AND SKAMANIA AND KLICKITAT COUNTIES IN WASHINGTON. THIS IS A COMBINED GEOGRAPHY OF 10,284 SQUARE MILES AND HOME TO A POPULATION OF APPROXIMATELY 91,000 INDIVIDUALS. AS OF 2021, THE TOTAL POPULATION OF HOOD RIVER COUNTY (PHRMH PRIMARY SERVICE AREA) WAS 24,057.NEARLY 34 PERCENT OF THE HOOD RIVER COUNTY POPULATION IDENTIFIES WITH HISPANIC ETHNICITY, 66 PERCENT IDENTIFY THEIR RACE AS WHITE NOT HISPANIC OR LATINO, 1.8 PERCENT ASIAN, AND 2.9 PERCENT AS TWO OR MORE RACES. IN 2022 DOLLARS, THE MEDIAN HOUSEHOLD INCOME FOR HOOD RIVER COUNTY WAS $80,254 WHICH WAS HIGHER THAN THE STATE OF OREGON AS A WHOLE AT $76,632.DATA SOURCE: U.S. CENSUS BUREAU QUICKFACTS: HOOD RIVER COUNTY, OREGONOTHER HOSPITALS IN SERVICE AREASKYLINE HOSPITALPROVIDENCE SEASIDE HOSPITALINITIALLY HOME TO THE CHINOOK, CLATSOP, AND KATHLAMET TRIBES, CLATSOP COUNTY HAS HELD AN IMPORTANT ROLE IN THE HISTORY OF OREGON AND THE PACIFIC NORTHWEST. THE COLUMBIA RIVER, WITH WASHINGTON STATE ON ITS NORTHERN BANKS AND OREGON TO ITS SOUTH, FEEDS IN TO THE PACIFIC OCEAN HERE. ASTORIA, A MAJOR PORT CITY, WAS ONCE A FUR TRADING POST AND SERVED AS LEWIS & CLARK'S END POINT TO THEIR JOURNEY ACROSS THE COUNTRY. AMERICAN FARMERS BEGAN SETTLING THE AREA IN 1840, AND SHORTLY AFTER THAT, THE TIMBER INDUSTRY BEGAN AND THE HUME BROTHERS OPENED THE FIRST OF MANY FISH CANNERIES.2023 POPULATION ESTIMATES FROM THE US CENSUS DEPARTMENT SHOW 41,102 COUNTY RESIDENTS, REPRESENTING OVER 8 PERCENT GROWTH SINCE 2010. APPROXIMATELY 25.4 PERCENT OF THE COUNTY'S POPULATION IS AT OR ABOVE AGE 65, WHICH IS CONSIDERABLY ABOVE OREGON'S AVERAGE.IN 2022 DOLLARS, THE MEDIAN HOUSEHOLD INCOME FOR CLATSOP COUNTY WAS $68,025. THIS IS CONSIDERABLY LOWER THAN THE MEDIAN INCOME FOR THE STATE OF OREGON ($76,632).DATA SOURCE: U.S. CENSUS BUREAU QUICK FACTS: CLATSOP COUNTY, OREGONOTHER HOSPITALS IN SERVICE AREAADVENTIST TILLAMOOK MEDICAL CENTERCOLUMBIA MEMORIAL HOSPITALPROVIDENCE NEWBERG MEDICAL CENTERPNMC PRIMARILY SERVES RESIDENTS OF YAMHILL COUNTY. CITIES INCLUDE SHERWOOD, NEWBERG, DUNDEE, DAYTON, AND LAFAYETTE, WITH SOME PATIENTS TRAVELING FROM MCMINNVILLE. GIVEN THE GEOGRAPHY OF THE AREA, ALL OF YAMHILL COUNTY IS CONSIDERED THE PRIMARY SERVICE AREA FOR PNMC. THE SECONDARY SERVICE AREA INCLUDES BORDERING ZIP CODES OF NEARBY WASHINGTON COUNTY.2023 POPULATION ESTIMATES FROM THE US CENSUS DEPARTMENT SHOW APPROXIMATELY 108,000 COUNTY RESIDENTS, REPRESENTING SLIGHTLY LESS THAN 10 PERCENT GROWTH SINCE 2010. APPROXIMATELY 18.9 PERCENT OF THE COUNTY'S POPULATION IS AT OR ABOVE AGE 65, WHICH IS SLIGHTLY ABOVE THE NATIONAL AVERAGE.IN 2022 DOLLARS, THE MEDIAN HOUSEHOLD INCOME FOR YAMHILL COUNTY WAS $80,125. THIS IS SLIGHTLY HIGHER THAN THE MEDIAN INCOME FOR THE STATE OF OREGON ($76,632). DATA SOURCE: U.S. CENSUS BUREAU QUICK FACTS: YAMHILL COUNTY, OREGONOTHER HOSPITALS IN SERVICE AREAWILLAMETTE VALLEY MEDICAL CENTERPROVIDENCE MEDFORD MEDICAL CENTERPMMC PRIMARILY SERVES JACKSON COUNTY IN SOUTHERN OREGON. MEDFORD IS THE PRIMARY URBAN CENTER IN AN OTHERWISE RURAL OREGON COUNTY COVERING 2,804 SQUARE MILES. THE SECONDARY SERVICE AREA INCLUDES JOSEPHINE COUNTY AND SURROUNDING AREA IS KNOWN FOR ITS AGRICULTURE, ROGUE RIVER, AND THE ANNUAL SHAKESPEARE FESTIVAL IN ASHLAND.AS OF 2023, JACKSON COUNTY IS HOME TO APPROXIMATELY 220,000 RESIDENTS. THE AREA'S MEDIAN HOUSEHOLD INCOME IN 2023 WAS $67,690 AND THE PER CAPITA INCOME WAS $36,538, LOWER THAN THE STATE OF OREGON AS A WHOLE ($76,632 AND $41,805, RESPECTIVELY). JACKSON AND JOSEPHINE COUNTIES ARE EXPERIENCING POPULATION GROWTH, ESPECIALLY AMONG THE HISPANIC/LATINO POPULATION. THE VAST MAJORITY OF JACKSON COUNTY RESIDENTS (78.4 PERCENT) IDENTIFY AS WHITE NON-HISPANIC. THE SECOND LARGEST POPULATION GROUP IN JACKSON COUNTY IS INDIVIDUALS WHO IDENTIFY AS HISPANIC/LATINO, MAKING UP 14.9 PERCENT OF THE POPULATION. COMPARED TO OREGON OVERALL, THE REGION HAS A HIGHER PROPORTION OF RESIDENTS WHO IDENTIFY AS WHITE AND THOSE WHO ARE AGED 65 AND OVER.DATA SOURCE: U.S. CENSUS BUREAU QUICKFACTS: MEDFORD CITY, OREGONOTHER HOSPITALS IN SERVICE AREAASANTE ROGUE REGIONAL MEDICAL CENTER PART VI, LINE 5: COMMUNITY HEALTH PROMOTION:AS A NOT-FOR-PROFIT CATHOLIC HEALTH CARE MINISTRY, PROVIDENCE EMBRACES ITS RESPONSIBILITY TO PROVIDE FOR THE NEEDS OF THE COMMUNITIES IT SERVES - ESPECIALLY THE POOR AND VULNERABLE. PROVIDENCE'S NOT-FOR-PROFIT, TAX-EXEMPT STATUS ENABLES PROVIDENCE TO SERVE ITS COMMUNITIES, TO SOLICIT DONATIONS THROUGH ITS FOUNDATIONS AND TO RESPOND TO COMMUNITY NEEDS THAT OTHERWISE WOULD GO UNMET.HEALTH CARE IS FUNDAMENTALLY DIFFERENT FROM MOST OTHER GOODS AND SERVICES. IT IS ABOUT THE MOST HUMAN AND INTIMATE NEEDS OF PEOPLE, THEIR FAMILIES AND COMMUNITIES. PROVIDENCE'S CORE LEADERS ARE ENGAGED ON MANY LOCAL AREA BOARDS, INCLUDING CCO LEADERSHIP, AND SOCIAL SERVICE ORGANIZATIONS. CAREGIVERS (EMPLOYEES) ARE DEEPLY COMMITTED TO THE MISSION AND MANY VOLUNTEER THEIR TIME AT NON-PROFIT AND SOCIAL SERVICE AGENCIES. IN EACH SERVICE AREA, PH&S OREGON HAS A SERVICE AREA ADVISORY COUNCIL MADE UP OF COMMUNITY LEADERS, PRIMARY CARE PROVIDERS, AND HOSPITAL LEADERSHIP. THIS ADVISORY COUNCIL HAS SEVERAL RESPONSIBILITIES, INCLUDING OVERSIGHT AND APPROVAL OF THE NEEDS ASSESSMENT, IMPROVEMENT PLANS, MISSION INTEGRATION, AND COMMUNITY BENEFIT INVESTMENTS. THE SERVICE AREA ADVISORY COUNCIL INCLUDES REPRESENTATION FROM BEHAVIORAL HEALTH PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, FIRE & RESCUE, SCHOOLS, PRIMARY CARE PROVIDERS, SPECIALTY PROVIDERS, AND PRIVATE CITIZENS. THE ADVISORY COUNCIL REPORTS TO THE OREGON COMMUNITY MINISTRY BOARD FOR PROVIDENCE HEALTH & SERVICES AND INCLUDES SEVERAL SUB-COMMITTEES. ONE SUCH SUB-COMMITTEE IS THE COMMUNITY BENEFIT SUB-COMMITTEE, WHICH MEETS SEVERAL TIMES OVER THE COURSE OF THE YEAR TO DETERMINE PRIORITY FUNDING AREAS, SOLICIT AND REVIEW APPLICATIONS FOR FUNDING FROM LOCAL NON-PROFIT ORGANIZATIONS WORKING TO ADDRESS THE NEEDS IDENTIFIED IN THE CHNA, AND MAKE FUNDING RECOMMENDATIONS TO THE FULL COUNCIL.PROVIDENCE OREGON 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 OREGON IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) A COMMUNITY ADVISORY COUNSEL REFRENCED ABOVE A SUBCOMMITTEE OF THE BOARD OF TRUSTEES.2) OPEN MEDICAL STAFF.3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, 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, SFJ 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 EQUITYIN 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-RESPONSIBILITY ENVIRONMENTAL 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 OR,CA,MT,AK,TX,WA PART VI, LINE 6 (CONTINUATION) 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.WELL BEING TRUSTPROVIDENCE'S WELL BEING TRUST IS A FOUNDATION DEDICATED TO ADVANCING THE MENTAL, SOCIAL, AND SPIRITUAL HEALTH FOR ALL. WITH A BOLD MISSION, VISION AND OVERARCHING GOAL, WELL BEING TRUST IS INVESTING IN APPROACHES THAT HAVE THE POTENTIAL TO MODEL THE WAY FORWARD AND ADVANCE CLINICAL, COMMUNITY AND CULTURAL CHANGE TO 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/HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT 1 ACCESS INC 3630 AVEIATION WAY MEDFORD OR 97504 930665396 501(C)(3) 44000 0 OPERATIONAL SUPPORT ADELANTE MUJERES 2030 MAIN ST STE A FOREST GROVE OR 97116 030473181 501(C)(3) 100000 0 OPERATIONAL SUPPORT AGE US 15900 SE 82ND DR CLACKAMAS OR 97015 831758100 501(C)(3) 52500 0 COMMUNITY BENEFIT RESTRICTED GRANT ALS NORTHWEST 825 NE MULTNOMAH ST SUITE 940 PORTLAND OR 97232 680516066 501(C)(3) 15000 0 OPERATIONAL SUPPORT ASSIST 4412 S BARBUR BLV STE 200 PORTLAND OR 97239 464080885 501(C)(3) 90000 0 OPERATIONAL SUPPORT BLACK PARENT INITIATIVE 901 NE GLISAN ST STE 250 PORTLAND OR 97232 205686374 501(C)(3) 75000 0 OPERATIONAL SUPPORT CANNON BEACH FIRE AND RESCUE ASSOC PO BOX 24 CANNON BEACH OR 97110 931298930 501(C)(3) 20530 0 OPERATIONAL SUPPORT CATHOLIC CHARITIES OR 2740 SE POWELL BLVD STE 5 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25500 0 OPERATIONAL SUPPORT LOWER COLUMBIA HISPANIC CNCL PO BOX 1029 ASTORIA OR 97103 203189709 501(C)(3) 28000 0 OPERATIONAL SUPPORT LUTHERAN COMMUNITY SERV NW 4040 S 188TH ST STE 300 SEATAC WA 98188 930386860 501(C)(3) 50000 0 OPERATIONAL SUPPORT MASLOW PROJECT PO BOX 999 MEDFORD OR 97501 270734969 501(C)(3) 45000 0 OPERATIONAL SUPPORT MEDICAL TEAMS INTERNATIONAL 14150 SW MILTON CT TIGARD OR 97224 930878944 501(C)(3) 219000 0 OPERATIONAL SUPPORT NATL MULTIPLE SCLEROSIS SOC 900 S BROADWAY STE 200 DENVER WA 80209 135661935 501(C)(3) 11000 0 OPERATIONAL SUPPORT NEXT DOOR INC 965 TUCKER RD HOOD RIVER OR 97031 930600421 501(C)(3) 114000 0 OPERATIONAL SUPPORT NORTHWEST CHRISTIAN CHURCH 2315 N VILLA RD NEWBERG OR 97132 930509798 501(C)(3) 40000 0 OPERATIONAL SUPPORT NORTHWEST REGIONAL EDUCATION SERVICE DISTRICT 5825 NE RAY CIR HILLSBORO OR 97124 936000311 100000 0 OPERATIONAL SUPPORT NW CATHOLIC COUNSELING CENTER 8383 NE SANDY BLVD STE 205 PORTLAND OR 97220 931088962 501(C)(3) 20000 0 OPERATIONAL SUPPORT OASIS CENTER OF THE ROGUE VALLEY 534 E MAIN ST MEDFORD OR 97504 823811235 501(C)(3) 75000 0 OPERATIONAL SUPPORT ONE COMMUNITY HEALTH 849 PACIFIC AVE HOOD RIVER OR 97031 930910794 501(C)(3) 10000 0 OPERATIONAL SUPPORT OREGON COMMUNITY FOUNDATION 1221 SW YAMHILL ST SUITE 100 PORTLAND OR 97205 237315673 501(C)(3) 177525 0 OPERATIONAL SUPPORT PACIFIC UNIVERSITY 2043 COLLEGE WAY BUSINESS OFFICE FOREST GROVE OR 97116 930386892 501(C)(3) 85000 0 OPERATIONAL SUPPORT PARKINSONS RESOURCE OF OR 8880 SW NIMBUS AVENUE SUITE B BEAVERTON OR 97008 930905013 501(C)(3) 10000 0 SPONSORSHIP PORTLAND OPEN BIBLE CHRUCH 3223 SE 92 ND AVE PORTLAND OR 97266 930760273 501(C)(3) 70000 0 OPERATIONAL SUPPORT PROJECT ACCESS NOW 650 NE HOLLADAY ST SUITE 1700 PORTLAND OR 97232 208928388 501(C)(3) 3771108 0 OPERATIONAL SUPPORT RAICES DE BIENESTAR 2459 SE TUALATIN VALLEY HWY PMB 104 HILLSBORO OR 97123 873645309 501(C)(3) 100000 0 OPERATIONAL SUPPORT RESTORATION HOUSE INC 208 N HOLLADAY DR SEASIDE OR 97138 931271134 501(C)(3) 5500 0 SPONSORSHIP ROSE HAVEN PO BOX 10405 PORTLAND OR 97296 205922682 501(C)(3) 200000 0 OPERATIONAL SUPPORT SERENDIPITY CENTER INC PO BOX 33350 PORTLAND OR 97292 930730861 501(C)(3) 80000 0 OPERATIONAL SUPPORT SKANNER FOUNDATION PO BOX 5455 PORTLAND OR 97228 931109980 501(C)(3) 7500 0 SPONSORSHIP TODOS JUNTOS INC 3704 SCENIC VIEW DR SE SALEM OR 97302 931308023 501(C)(3) 100000 0 OPERATIONAL SUPPORT UNIDOS BRIDGING COMMUNITY 309 NE 3RD ST STE 1 MCMINNVILLE OR 97128 300808779 501(C)(3) 55000 0 OPERATIONAL SUPPORT UNITED WAY OF COLUMBIA GORGE PO BOX 2 GEORGE HOOD RIVER COUNTRY HOOD RIVER OR 97031 936038634 501(C)(3) 76250 0 COMMUNITY BENEFIT RESTRICTED GRANT UNITED WAY OF JACKSON COUNTY 60 HAWTHORNE ST MEDFORD OR 97504 930576632 501(C)(3) 205000 0 OPERATIONAL SUPPORT URBAN LEAGUE OF PORTLAND 10 N RUSSELL ST PORTLAND OR 97227 930395590 501(C)(3) 7500 0 SPONSORSHIP VOLUNTEERS OF AMERICA - OR 3910 SE STARK ST PORTLAND OR 97214 910577129 501(C)(3) 100000 0 OPERATIONAL SUPPORT YOUNG MENS CHRISTIAN ASSOCIATION 522 WEST SIXTH ST MEDFORD OR 97501 930391645 501(C)(3) 100000 0 SPONSORSHIP 54 2 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 1 1 1 1 0 0 0 0 0 1 0 ERIK WEXLER PRESIDENT/CEO 0 1601628 0 2527326 0 1025420 0 426357 0 35336 0 5616067 0 366950 LISA VANCE FRMR KE - EVP REGIONAL CE OR 0 527810 0 2182668 0 1619441 0 29700 0 17116 0 4376735 0 489509 GREG HOFFMAN EVP & CFO/TREASURER 0 1088176 0 2008809 0 107609 0 297744 0 37211 0 3539549 0 80207 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 0 995985 0 1650000 0 187824 0 292215 0 41047 0 3167071 0 145427 ANNA NEWSOM EVP & CHIEF LEGAL OFFICER/SECRETARY 0 853122 0 1025045 0 39037 0 407728 0 4817 0 2329749 0 36047 WILLIAM OLSON CHIEF EXEC OREGON REGION 0 743603 0 681035 0 214951 0 236508 0 21450 0 1897547 0 149741 SCOTT O'BRIEN DIVISION COO - CENTRAL 0 624500 0 812832 0 135781 0 192776 0 15595 0 1781484 0 104947 ERIN ALLEN PHYSICIAN 1222161 0 0 0 126928 0 124453 0 40053 0 1513595 0 102718 0 ERIC KIRKER PHYSICIAN 1041774 0 40000 0 79767 0 97102 0 34252 0 1292895 0 51505 0 KRISTA FARNHAM CE OR E DIV-PROV PORTLAND 0 473928 0 427621 0 101232 0 153086 0 36187 0 1192054 0 99574 GARY OTT PHYSICIAN 895174 0 40000 0 87457 0 83398 0 29209 0 1135238 0 57193 0 DANIEL OSERAN PHYSICIAN EXECUTIVE 784374 0 120348 0 99736 0 81156 0 30805 0 1116419 0 62404 0 JIM WATSON ESQ ASSISTANT SECRETARY 0 480026 0 399066 0 89599 0 107204 0 39727 0 1115622 0 64477 JENNIFER BURROWS CE OR W DIV-PROV ST VINCENT 0 470775 0 419346 0 52476 0 136476 0 25852 0 1104925 0 47803 KEVIN KOOMALSINGH PHYSICIAN 952359 0 40000 0 12070 0 34957 0 43946 0 1083332 0 10690 0 MELISSA DAMM DIVISION CFO - CENTRAL 0 459184 0 356254 0 65543 0 103018 0 14508 0 998507 0 41956 JIM MARTIN ASSISTANT TREASURER (PART YEAR) 0 435246 0 339361 0 54321 0 83489 0 32146 0 944563 0 52013 JOHN WHIPPLE FRMR SECRETARY 0 0 0 0 0 541701 0 0 0 0 0 541701 0 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0 266681 0 24827 0 1367 0 15474 0 15372 0 323721 0 0 PART I, LINE 1A PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES 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. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE. PART I, LINE 3 DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: JO ANN ESCASA-HAIGH - $811,814 JOHN WHIPPLE - $539,282 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: JO ANN ESCASA-HAIGH - $603,250 LISA VANCE - $489,509 ERIK WEXLER - $366,950 WILLIAM OLSON - $149,741 JOEL GILBERTSON - $145,427 SCOTT O'BRIEN - $104,947 ERIN ALLEN - $102,718 KRISTA FARNHAM - $99,574 GREG HOFFMAN - $80,207 JIM WATSON, ESQ - $64,477 DANIEL OSERAN - $62,404 GARY OTT - $57,193 JIM MARTIN - $52,013 ERIC KIRKER - $51,505 JENNIFER BURROWS - $47,803 MELISSA DAMM - $41,956 KEVIN KOOMALSINGH - $10,690 PART I, LINE 7 NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH & SERVICES - OREGON. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH & SERVICES - OREGON HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE HEALTH & SERVICES - OREGON'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH & SERVICES - OREGON 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 GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, REVISED IN 2023, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS RECUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A RELATED TAX EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN JUNE 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 OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 250,416,383. MANAGEMENT AND GENERAL EXPENSES 29,254,904. FUNDRAISING EXPENSES 279,951. TOTAL EXPENSES 279,951,238. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 128,055,025. MANAGEMENT AND GENERAL EXPENSES 14,960,034. FUNDRAISING EXPENSES 143,158. TOTAL EXPENSES 143,158,217. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 95,634,821. MANAGEMENT AND GENERAL EXPENSES 11,172,542. FUNDRAISING EXPENSES 106,914. TOTAL EXPENSES 106,914,277. AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 89,155,450. MANAGEMENT AND GENERAL EXPENSES 10,415,589. FUNDRAISING EXPENSES 99,671. TOTAL EXPENSES 99,670,710. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 37,027,265. MANAGEMENT AND GENERAL EXPENSES 4,325,712. FUNDRAISING EXPENSES 41,394. TOTAL EXPENSES 41,394,371. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 5,917. MANAGEMENT AND GENERAL EXPENSES 691. FUNDRAISING EXPENSES 7. TOTAL EXPENSES 6,615. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 44,124,727. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT 9,563,659. OTHER CHANGES IN NET ASSETS 31,069,534. CHANGE IN INVESTMENT IN JOINT VENTURES 3,738,567. CREDENA HEALTH LLC 6348 NE HALSEY ST SUITE A PORTLAND OR 97213 473598083 PHARMACY OR 610676410 106629916 PHS - OR PROVIDENCE PADDEN PROPERTIES LLC 1235 NE 47TH AVENUE SUITE 260 PORTLAND OR 97213 REAL ESTATE OR 1 19445540 PHS - OR HIGH PERFORMING NETWORK OF OREGON LLC 4400 NE HALSEY BUILDING 2 5TH FLOOR PORTLAND OR 97213 863021975 CONSULTING OR 2353141 721982 PHS - OR SURGERY CENTER AT TANASBOURNELLC 11221 ROE AVE STE 300 LEAWOOD KS 66211 208187971 AMBULATORY SURGERY CENTER KS 0 0 PHS - OR 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 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