2025-11-04T12:47:31-06:00 2024-12-31 346565596 ERNST & YOUNG US LLP 2323 VICTORY AVENUE SUITE 2000 DALLAS TX 75219 990 2024-01-01 910655392 KADLEC REGIONAL MEDICAL CENTER KADL 5099464611 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 JIM MARTIN CHIEF ACCOUNTING OFFICER 4255253985 2025-10-30 1 0 RYAN MAYOR P01650740 2149698000 2025-10-24 2024 2025-03-06 01:10:19Z ERIK WEXLER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 98057 1097641221 0 X HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/HOME X 1947 WA TO PROVIDE QUALITY HEALTH CARE TO EVERY PATIENT IN TRI-CITIES, WA. 12 12 4828 251 1285263 1173193 7721995 2377467 849370010 987168947 8244431 5494671 9823651 8909630 875160087 1003950715 684085 108173 0 0 384895411 487086008 0 0 370952 467690048 468328205 853269544 955522386 21890543 48428329 856933512 903707271 365938522 371726277 490994990 531980994 X THE MISSION OF KADLEC REGIONAL MEDICAL CENTER IS TO PROVIDE QUALITY HEALTH CARE TO EVERY PATIENT WE SERVE. 0 0 871341002 108173 994546039 SEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE HEALTH 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 125,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,014 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE AFFILIATE FAMILY INCLUDES:-PROVIDENCE ACROSS FIVE WESTERN STATES-COVENANT HEALTH IN WEST TEXAS AND NEW MEXICO-FACEY MEDICAL GROUP IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA IN 2024, PROVIDENCE MINISTRIES AND AFFILIATES PROVIDED $1.9 BILLION IN COMMUNITY BENEFIT PROGRAMS. THIS INCLUDES FREE AND DISCOUNTED CARE, UNCOMPENSATED AND SUBSIDIZED CARE, AND OTHER COMMUNITY HEALTH ACTIVITIES. ONE OF THESE VITAL PROGRAMS, MEDICAID, IS A LIFELINE FOR MILLIONS OF INDIVIDUALS, INCLUDING SENIORS, CHILDREN, PREGNANT PATIENTS, THOSE WITH DISABILITIES AND VETERANS. WE ARE GRATEFUL TO EVERYONE IN OUR COMMUNITIES WHO HAS JOINED US IN ADVOCATING FOR CONTINUED FUNDING AND EXPANSION OF THIS PROGRAM. TOGETHER, WE ARE HELPING TO ENSURE MORE PEOPLE HAVE ACCESS TO NEEDED CAREFOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORTTHROUGH OUR COMMUNITY BENEFIT PROGRAMS, WE FOCUS ON MEETING THE DIVERSE NEEDS OF THE PEOPLE WE SERVE BY WORKING TO ENSURE BASIC HEALTH NEEDS ARE MET, REMOVING BARRIERS TO CARE, BUILDING COMMUNITY RESILIENCE AND INNOVATING FOR THE FUTURE. PROVIDENCE CONTINUES TO WORK TOWARDS CARBON NEGATIVE AND IN 2024 DECREASED EMISSIONS BY 19 PERCENT COMPARED TO OUR 2019 BASELINE. OUR EFFORTS EARNED US A SYSTEM RECORD 55 ENVIRONMENTAL EXCELLENCE AWARDS FROM PRACTICE GREENHEALTH AND MADE US THE FIRST LARGE SYSTEM TO RECEIVE THE JOINT COMMISSION'S SUSTAINABLE HEALTHCARE CERTIFICATION IN 2024 FOR EACH OF OUR HOSPITALS.2024 PROGRAM SERVICE ACCOMPLISHMENTS: KADLEC REGIONAL MEDICAL CENTER (KADLEC) IS A NOT-FOR-PROFIT ORGANIZATION SERVING RESIDENTS IN SOUTHEAST WASHINGTON AND NORTHEAST OREGON. FOUNDED IN 1944, KADLEC IS AN ACUTE-CARE HOSPITAL LOCATED IN RICHLAND, WASHINGTON. THE HOSPITAL HAS 337 LICENSED BEDS AND IS APPROXIMATELY ELEVEN ACRES IN SIZE. MORE THAN 3600 EMPLOYEES WORK IN THE HOSPITAL, THE FREESTANDING EMERGENCY DEPARTMENT, AND IN PRIMARY AND SPECIALTY CARE CLINICS THROUGHOUT THE REGION. KADLEC IS PART OF THE FAMILY OF MISSION-DRIVEN ORGANIZATIONS THAT MAKE UP PROVIDENCE, SERVING COMMUNITIES ACROSS A SEVEN-STATE FOOTPRINT. MAJOR PROGRAMS AND SERVICES OFFERED TO THE COMMUNITY INCLUDE: COMPREHENSIVE, AWARD-WINNING CARDIAC CARE; CANCER CARE; NEUROSURGERY AND NEUROLOGY; ALL-DIGITAL OUTPATIENT IMAGING CENTER; PEDIATRICS, RURAL AND EMERGENCY CARE; TELEHEALTH SERVICES IN PARTNERSHIP WITH CLINICS AND HOSPITALS IN SOUTHEAST WASHINGTON AND NORTHEAST OREGON AND THE REGION'S ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT. KADLEC IS A LEVEL III TRAUMA CENTER. KADLEC DEDICATES RESOURCES TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE RESIDENTS OF THE COMMUNITIES THEY SERVE. IN 2024, KADLEC PROVIDED $71M IN COMMUNITY BENEFIT IN RESPONSE TO UNMET NEEDS AND TO IMPROVE THE HEALTH AND WELL-BEING OF BENTON AND FRANKLIN COUNTY RESIDENTS AND BEYOND. KADLEC FURTHER DEMONSTRATES ORGANIZATIONAL COMMITMENT TO COMMUNITY HEALTH THROUGH THE ALLOCATION OF STAFF TIME, FINANCIAL RESOURCES, PARTICIPATION, AND COLLABORATION TO ADDRESS COMMUNITY IDENTIFIED NEEDS. FINANCIAL ASSISTANCE PROGRAM OUR MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF EACH PERSON WE SERVE, REGARDLESS OF ABILITY TO PAY. WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. PROVIDENCE KADLEC HAS A FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN 2024, KADLEC REGIONAL MEDICAL CENTER PROVIDED $18.9M IN FREE AND DISCOUNTED CARE TO THE RESIDENTS OF RICHMOND COUNTY. THE UNPAID COST OF MEDICAID CARE AND OTHER MEANS TESTED PROGRAMS WAS $41.7M WHICH IS ALREADY PART OF THE $71M REFERENCED ABOVE. THE FOLLOWING ARE ADDITIONAL EXAMPLES OF HOW KADLEC RESPONDED TO COMMUNITY NEED IN 2024. GRACE CLINIC: IN 2024, KADLEC CONTINUED TO PARTNER WITH GRACE CLINIC TO SUPPORT THEIR WORK FILLING GAPS IN THE HEALTHCARE SYSTEM FOR UNDER-SERVED PEOPLE IN OUR COMMUNITY BY PROVIDING HEALTHCARE SERVICES TO LOW-INCOME, UNINSURED RESIDENTS OF BENTON AND FRANKLIN COUNTIES. KADLEC SUPPORTS GRACE CLINIC THROUGH COMMUNITY BENEFIT FUNDING AND VOLUNTEER INVOLVEMENT BY CAREGIVERS. IN 2024, GRACE CLINIC SERVED 8,361 PATIENTS. COMMUNITY BENEFIT FUNDING PROVIDED WAS $50,000. KADLEC'S COMMUNITY HEALTH DEPARTMENT: KADLEC'S COMMUNITY HEALTH DEPARTMENT INCLUDES A RESOURCE LENDING LIBRARY, SUPPORT GROUPS, EDUCATIONAL PROGRAMS, AND HEALTHY AGES. SUPPORT GROUPS INCLUDE THOSE FOR PEOPLE LIVING WITH NEUROLOGICAL DISORDERS AND CHRONIC CONDITIONS AND FOR FAMILY CAREGIVERS. KADLEC'S LIBRARY PROVIDES LIBRARY MATERIALS AND COMMUNITY RESOURCES FOR THOSE LIVING WITH CHRONIC CONDITIONS AND FOR FAMILY AND PROFESSIONAL CAREGIVERS. EDUCATIONAL PROGRAMS HELD IN 2024 INCLUDED PULMONARY FIBROSIS, 10 WARNING SIGNS OF ALZHEIMER'S DISEASE, FALLS PREVENTION, QPR (QUESTION, PERSUADE, REFER), UNDERSTANDING ALZHEIMER'S AND DEMENTIA, AGING IN PLACE: IT IS POSSIBLE, HEART HEALTH/CARDIAC REHAB, NAVIGATING MEDICARE, BENEFITS OF PHYSICAL ACTIVITY, 360 PERSPECTIVE ON TBI, HEALTHY LIVING FOR BRAIN & BODY: TIPS FROM THE LATEST RESEARCH (ALZHEIMER'S), WITNESS TO ADDICTION, MENTAL HEALTH FIRST AID, UNDERSTANDING & RESPONDING TO DIFFICULT BEHAVIOR (ALZHEIMER'S), SELF CARE FOR THE CAREGIVERS, STROKE AWARENESS, CYBERSECURITY, HANDS ONLY CPR, MANAGING MONEY (ALZHEIMER'S), QPR FOR CAREGIVERS, OVERCOMING WEIGHT GAIN & PREVENTABLE DISEASES, LYMPHEDEMA: WHAT YOU NEED TO KNOW, ZENTANGLE ART CLASS, 13TH ANNUAL CAREGIVER CONFERENCE, MTHFR, CAREGIVER PANEL PRESENTATION, DETANGLE HOLIDAY STRESS WITH ZENTANGLE ART, WHAT IS COGNITIVE STIMULATION?, ADVANCING THE SCIENCE (ALZHEIMER'S), MEDICARE 101, AND END OF LIFE SEMINARS. THE COMMUNITY HEALTH TRANSMITTER WAS PUBLISHED SIX TIMES IN 2024 AND HAS A REACH OF 11,500 FOR EACH EDITION WITH 7,364 BEING MAILED, 1,500 BEING DISTRIBUTED IN KADLEC CLINICS, THE HOSPITAL, AND IN THE COMMUNITY, AND 2,477 DISTRIBUTED ELECTRONICALLY. IN 2024, 18,081 PERSONS WERE SERVED BY COMMUNITY HEALTH DEPARTMENT PROGRAMS AND RESOURCES. INCLUDED IN THAT NUMBER SERVED WERE 577 PEOPLE WHO PARTICIPATED IN MEDICARE EDUCATION, CONSULTATIONS AND OPEN ENROLLMENT COMPARISONS AND APPOINTMENTS. COMMUNITY BENEFIT PROVIDED BY THE COMMUNITY HEALTH DEPARTMENT WAS $461,578. 871341002 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 109 0 1 4828 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 WA CA OR X JIM MARTIN 4255253985 1801 LIND AVE SW RENTON WA 98057 ERIK WEXLER PRESIDENT/CEO 0.50 64.50 X 0 8590356 535028 GREG HOFFMAN EVP & CFO/TREASURER 0.50 64.50 X 0 3880224 390705 ANNA NEWSOM EVP & CHIEF LEGAL OFFICER/SECRETARY 0.50 64.50 X 0 2610531 285144 MELVIN WAHL PHYSICIAN 50.00 0.00 X 1914956 0 135033 JOSHUA BALES PHYSICIAN 50.00 0.00 X 1651409 0 120866 ARASH MOTAGHI PHYSICIAN 50.00 0.00 X 1566279 0 114792 JOHN-DAVID BLACK PHYSICIAN 50.00 0.00 X 1370576 0 109220 MERSHED ALSAMARA PHYSICIAN 50.00 0.00 X 1363511 0 88815 REZA KALEEL CHIEF EXEC SE WA 54.50 0.50 X 0 954129 162844 JIM WATSON ESQ ASSISTANT SECRETARY 0.50 54.50 X 0 955923 128530 JIM MARTIN ASSISTANT TREASURER 0.50 54.50 X 0 820365 96888 JO ANN ESCASA-HAIGH FRMR EVP/ASSISTANT TREASURER 0.00 0.00 X 0 879466 0 SPENCER HARRIS CFO SERVICE AREA 55.00 0.00 X 0 350936 39377 KIRK HARPER COO KADLEC 55.00 0.00 X 331430 0 33794 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0.50 54.50 X 0 316554 18932 MARY LYONS PHD DIRECTOR 0.50 13.00 X 0 100944 0 MICHAEL MURPHY BOARD CHAIR 0.50 13.00 X 0 75168 0 RICHARD BLAIR DIRECTOR 0.50 13.00 X 0 51379 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 MARVIN O'QUINN DIRECTOR 0.50 12.50 X 0 42989 0 ERIC SPRUNK DIRECTOR 0.50 13.00 X 0 40000 0 MARY BETH KINGSTON DIRECTOR 0.50 13.00 X 0 40000 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 DONNA MARKHAM DIRECTOR 0.50 12.50 X 0 0 0 SISTER PHYLLIS HUGHES RSM DRPH DIRECTOR 0.50 13.00 X 0 0 0 8198161 19808964 2259968 967 1 1 0 PREMIER ANESTHESIA OF RICHLAND PO BOX 405815 ATLANTA GA 30384 MEDICAL SERVICES 8792886 US NURSING CORP 5700 S QUEBEC ST STE 300 GREENDWOOD VILLAGE CO 80111 STAFFING SERVICES 7160250 AYA HEALTHCARE INC PO BOX 674907 DALLAS TX 75267 STAFFING SERVICES 6738047 BOUTEN CONSTRUCTION CO 627 N NAPA ST SPOKANE WA 99202 CONSTRUCTION SERVICES 4532078 CASS INFORMATION SYSTEMS INC 12444 POWERSCOURT DR 550 SAINT LOUIS MO 63131 PAYMENT SERVICES 3484965 73 1873947 503520 2377467 NET PATIENT REVENUE 622110 966167758 966167758 PHARMACY REVENUE 456110 17359635 17359635 OTHER PATIENT REVENUE 622110 2405602 2405602 JV INCOME 621610 1235952 1235952 987168947 1632199 10429 1621770 20001499 18507843 1493656 1493656 1493656 78896949 148186 75182663 0 3714286 148186 3862472 3862472 CAFETERIA REVENUE 722514 2295697 2295697 INTERAFFILIATE REVENUE 900099 833087 833087 EDUCATION REVENUE 611600 140474 140474 4146716 4107834 38882 7415974 1003950715 993310087 1285263 6977898 108173 108173 365224 324071 40971 182 378945921 336246881 42510225 188815 20895848 18541336 2344100 10412 62091503 55095128 6965437 30938 24787512 21994493 2780668 12351 1558813 1383168 174868 777 233713 233713 73046825 64816021 8194407 36397 94012 83419 10546 47 8052106 7144807 903287 4012 331166 293851 37150 165 14964406 13278240 1678710 7456 466118 413597 52289 232 1168717 1037028 131107 582 11135672 9880921 1249202 5549 10341792 9176495 1160144 5153 569977 505753 63940 284 MEDICAL SUPPLIES 176405301 176405301 SYSTEM COST ALLOCATION 112246805 99599008 12591868 55929 HOSPITAL FEE 33755488 33755488 UBI TAXES PAID 534854 474588 60266 23422440 20783235 2627534 11671 955522386 871341002 83810432 370952 229684776 359396404 318521 432897 100408154 124414558 7330050 6951039 514700428 221379255 292601894 293321173 104806617 27754289 13100479 12864257 18715600 17482981 89967421 61089673 856933512 903707271 42400608 49229650 323537914 322496627 365938522 371726277 X 480166078 522647614 10828912 9333380 490994990 531980994 856933512 903707271 X 48428329 -2091588 -5350737 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9209 9209 0 PART II-B, LINE 1, LOBBYING ACTIVITIES: THE OTHER LOBBYING EXPENDITURES REPORTED REPRESENT THE PORTION OF DUES PAID TO ASSOCIATIONS AND ALLIANCES THAT IS ALLOCATED TO LOBBYING ACTIVITIES. PROVIDENCE'S ADVOCACY AGENDA THE PROVIDENCE FAMILY OF ORGANIZATIONS ADVOCATES FOR THE HEALTH AND WELL-BEING OF ALL, ESPECIALLY THE POOR AND VULNERABLE. GROUNDED IN OUR MISSION AND INSPIRED BY OUR BELIEF THAT HEALTH IS A HUMAN RIGHT, WE WORK WITH LAWMAKERS AND COMMUNITY PARTNERS TO REMOVE THE CAUSES OF OPPRESSION AND PROMOTE JUSTICE FOR ALL. CORE TO THIS WORK IS ADVANCING POLICIES THAT INCREASE EQUITABLE ACCESS TO HIGH-QUALITY CARE, STRENGTHEN THE HEALTH CARE WORKFORCE AND ADDRESS SOCIAL AND ENVIRONMENTAL JUSTICE. PRESERVE AFFORDABLE ACCESS TO CARE 1. SUSTAIN MEDICARE AND MEDICAID: PROTECT HEALTH CARE COVERAGE AND SUPPORT REIMBURSEMENT RATES THAT APPROPRIATELY REFLECT THE COST OF DELIVERING CARE, ESPECIALLY FOR VULNERABLE POPULATIONS. 2. REDUCE MEDICATION COSTS: INCREASE PHARMACEUTICAL PRICING TRANSPARENCY AND PROTECT THE 340B DRUG PRICING PROGRAM, WHICH PROVIDES ACCESS TO LIFE-CHANGING MEDICATIONS FOR LOW-INCOME PATIENTS. 3. INCREASE CARE ACCESSIBILITY: PROMOTE CARE DELIVERY INNOVATION, INCLUDING MAINTAINING TELEHEALTH FLEXIBILITIES AND HOSPITAL-AT-HOME PROGRAMS. 4. PROTECT THE ABILITY OF NONPROFIT HEALTH CARE TO CARE FOR ALL: PRESERVE TAX-EXEMPT STATUS TO SUPPORT COMMUNITY NEEDS AND PROMOTE SUSTAINABLE FINANCIAL ASSISTANCE PROGRAMS. IMPROVE HEALTH SYSTEM SUSTAINABILITY 1. PROMOTE COLLABORATION AND ACCOUNTABILITY WITH INSURERS: INCREASE PARTNERSHIPS BETWEEN PAYERS AND PROVIDERS TO STRENGTHEN VALUE-BASED CARE AND LESSEN THE BURDEN ON PATIENTS. 2. ENSURE SUSTAINABLE HEALTH CARE COST GROWTH: ENSURE REASONABLE COST GROWTH TARGETS DON'T PENALIZE PROVIDERS FOR COSTS OUTSIDE OUR CONTROL, LIKE LABOR AND PHARMACEUTICAL COSTS. 3. PRESERVE RURAL HEALTH CARE: ENHANCE FUNDING TO PROTECT RURAL CLINICS AND PREVENT HOSPITAL CLOSURES STRENGTHEN AND DEVELOP OUR WORKFORCE 1. GROW THE PHYSICIAN AND PROVIDER WORKFORCE: INCREASE FUNDING FOR SCHOLARSHIPS, LOAN FORGIVENESS AND RESIDENCY TRAINING PROGRAMS. 2. EXPAND THE NURSING AND CAREGIVER PIPELINE: SUPPORT RECRUITMENT, RETENTION AND ADVANCED EDUCATION FOR NURSES AND OTHER ALLIED HEALTH PROFESSIONALS. 3. REFORM THE PHYSICIAN PAYMENT SYSTEM: SUPPORT REIMBURSEMENT RATES THAT REFLECT THE INCREASED COST OF DELIVERING HIGH-QUALITY CARE. 4. REDUCE ADMINISTRATIVE BURDEN: REMOVE BARRIERS TO LICENSURE FOR HEALTH CARE WORKERS AND REDUCE THE UNNECESSARY PRIOR AUTHORIZATION AND COVERAGE DENIALS TO HELP ADDRESS BURNOUT AND SUPPORT CAREGIVERS AT THE BEDSIDE. 5. ELIMINATE VIOLENCE AGAINST CAREGIVERS: SUPPORT CONTINUED HEALTH CARE WORKPLACE SAFETY AND FUND SUPPORT PROGRAMS TO KEEP CAREGIVERS SAFE. ADVANCE CARE DELIVERY AND INNOVATION 1. IMPROVE HOSPITAL CAPACITY: DEVELOP SOLUTIONS TO REDUCE UNNECESSARY LENGTHS OF STAY AND ENSURE PATIENTS RECEIVE CARE IN THE APPROPRIATE SETTINGS, INCLUDING IMPROVING ACCESS TO POST-ACUTE CARE SERVICES. 2. INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES: IMPROVE ACCESS ALONG THE CONTINUUM OF CARE, INCLUDING TREATMENT FOR PATIENTS IN CRISIS, COMMUNITY-BASED SERVICES, AND PREVENTATIVE SERVICES. 3. ADVANCE HEALTH IT: PROTECT HEALTH SYSTEMS FROM CYBERSECURITY THREATS AND PROMOTE APPROPRIATE REGULATION OF AI IN HEALTH CARE TO ALLOW FOR INNOVATION. 4. IMPROVE COORDINATION OF CARE: BOLSTER PALLIATIVE CARE AND LONG-TERM SERVICES, INCLUDING THE PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). PROMOTE SOCIAL AND ENVIRONMENTAL JUSTICE 1. ADVANCE HEALTH EQUITY: SUPPORT POLICIES THAT SEEK TO ADDRESS INEQUITIES IN HEALTH CARE DELIVERY, ESPECIALLY FOR UNDERSERVED POPULATIONS, INCLUDING IMMIGRANTS. 2. ADDRESS SOCIAL DETERMINANTS OF HEALTH: IMPROVE ACCESS TO HOUSING, TRANSPORTATION, HEALTHY FOOD, EDUCATION, AND EMPLOYMENT. 3. IMPROVE STEWARDSHIP OF OUR ENVIRONMENT: INCREASE FUNDING AND SUPPORT POLICIES TO DECARBONIZE THE HEALTH CARE SECTOR AND ADDRESS ENVIRONMENTAL JUSTICE AND CLIMATE RESILIENCY. 15231826 15231826 311815278 90941813 220873465 5694005 4203231 1490774 175055259 126234211 48821048 6904060 6904060 293321173 RIGHT OF USE OPERATING LEASES 49245101 DUE FROM THIRD PARTY 995338 OTHER ASSETS 10601892 HOSPITAL FEE/PROVIDER TAX RECEIVABLE 70320 DUE FROM AFFILIATES 177022 61089673 I/C - TAX EXEMPT BOND LIABILITIES 241004783 ACCRUED RETIREMENT COMPENSATION 34373186 CAPITAL LEASE OBLIGATION 19109385 OTHER LIABILITIES 8651846 DUE TO THIRD PARTY 7342484 LONG-TERM MASTER TRUST DEBT 3635871 HOSPITAL FEE/PROVIDER TAX LIABILITY 8379072 322496627 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 18929631 0 18929631 0.01980 206751205 165025152 41726053 0.04370 96648 65601 31047 0.00000 225777484 165090753 60686731 0.06350 1054247 264739 789508 0.00080 7224568 1525464 5699104 0.00600 3377365 2505286 872079 0.00090 149734 0 149734 0.00020 11805914 4295489 7510425 0.00790 237583398 169386242 68197156 0.07140 0 0 0 0 0 0 0 0 0 0 198 0 198 0.00000 924 0 924 0.00000 1099 0 1099 0.00000 0 0 2221 2221 0.00000 0 334569491 387721386 -53151895 X 1 1 1 1 KADLEC REGIONAL MEDICAL CENTER 888 SWIFT BOULEVARD RICHLAND WA 99352 PROVIDENCE.ORG/LOCATIONS/KADLEC/HOME HAC.FS.161 X X X INPATIENT REHAB KADLEC REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X 1 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 SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X X 1 X 0 1 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. PART V, SECTION B, LINE 5: KADLEC REGIONAL MEDICAL CENTER TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH. THE 2022 CHNA WAS COMPLETED IN COLLABORATION WITH THE BENTON FRANKLIN HEALTH DISTRICT (BFHD), BENTON FRANKLIN COMMUNITY HEALTH ALLIANCE (BFCHA), AND PROSSER MEMORIAL HEALTH (PMH). MEMBERS OF EACH ORGANIZATION FORMED THE CHNA STEERING COMMITTEE. STEERING COMMITTEE MEMBERS COMPLETED 21 INTERVIEWS WITH 33 WORKING PARTNERS AND COMMUNITY COLLABORATORS (PARTNERS) WERE CONDUCTED. PARTNERS WERE SELECTED BY MEMBERS OF CHNA STEERING COMMITTEE BASED ON THEIR KNOWLEDGE OF THE COMMUNITY AND ENGAGEMENT IN WORK THAT DIRECTLY SERVES PEOPLE WHO ARE ECONOMICALLY POOR AND VULNERABLE. THE STEERING COMMITTEE AIMED TO ENGAGE PARTNERS FROM HOSPITALS, SOCIAL SERVICE AGENCIES, CLINICS, AND GOVERNMENT TO ENSURE A WIDE RANGE OF PERSPECTIVES. PARTNERS WERE ASKED TO RANK UNMET HEALTH-RELATED COMMUNITY NEEDS. FOR THOSE NEEDS, PARTNERS SHARED WHICH POPULATIONS ARE MOST AFFECTED, GAPS IN COMMUNITY SERVICES TO ADDRESS THE NEEDS, AND BARRIERS TO SERVICES. SEE APPENDIX 2, PGS. 74-105 CHNA FOR DETAILED INFORMATION). TEN LISTENING SESSIONS WERE COMPLETED WITH 67 COMMUNITY MEMBER PARTICIPANTS. ONE LISTENING SESSION WAS CONDUCTED IN SPANISH. (SEE APPENDIX 2 OF CHNA PG. 74 FOR DETAILED INFORMATION). PARTICIPANTS SHARED THEIR VISION FOR A HEALTHY COMMUNITY, THE HEALTH-RELATED NEEDS OF THE COMMUNITY, AND THE ASSETS THAT CURRENTLY HELP THE COMMUNITY BE HEALTHY. BENTON-FRANKLIN HEALTH DISTRICT CONTRACTED WITH ZENCITY, A WELL-RESPECTED COMMUNITY INPUT AND INSIGHTS PLATFORM, TO CONDUCT A COMMUNITY SURVEY IN ENGLISH AND SPANISH. SURVEYS WERE COMPLETED BY 657 COMMUNITY MEMBERS. (SEE APPENDIX 1 OF CHNA PGS. 53-67 FOR DETAILED INFORMATION).WORKING PARTNERS AND COMMUNITY COLLABORATORS (PARTNERS) INCLUDED (ORGANIZED BY ORGANIZATION, NAME)-ARC OF TRI-CITIES, DONNA TRACY-BENTON COUNTY DEPARTMENT OF HUMAN SERVICES, KYLE SULLIVAN-BOYS AND GIRLS CLUBS OF BENTON AND FRANKLIN COUNTIES, BRIAN ACE-COLUMBIA BASIN COLLEGE, REBEKAH WOODS, JD, PHD & DOUGLAS HUGHES, MAE-CI, CSFA, CST, CRCST-COMMUNITY HEALTH PLAN OF WASHINGTON, BLANCHE BARAJAS-PASCO FIRE DEPARTMENT/EMS, BEN SHEARER-FAMILY LEARNING CENTER, TERESA ROOSENDAAL-GREATER COLUMBIA BEHAVIORAL HEALTH, CAMERON FORDMEIR-YOUTH SUICIDE PREVENTION COALITION, CAMERON FORDMEIR-HPMC OCCUPATIONAL MEDICAL SERVICES, KAREN PHILLIPS, MD & AUDREY WRIGHT-KENNEWICK POLICE DEPARTMENT, CHRIS GUERRERO-KENNEWICK SCHOOL DISTRICT, ALYSSA ST. HILAIRE, TRACI PIERCE, ROBYN CHASTAIN-KIONA-BENTON CITY SCHOOL DISTRICT, PETE PETERSON-LOURDES HEALTH, JOAN WHITE-WAGONER-TRIOS HEALTH, JOHN SOLHEIM-NORTH FRANKLIN SCHOOL DISTRICT, JIM JACOBS-PROSSER MEMORIAL HEALTH, CRAIG MARKS & KRISTI MELLEMA-SENIOR LIFE RESOURCES NORTHWEST, GRANT BAYNES-TRI-CITIES CHAMBER OF COMMERCE, MARTIN VALADEZ-HERITAGE UNIVERSITY, MARTIN VALADEZ-TRI-CITY DEVELOPMENT COUNCIL (TRIDEC), KARL DYE-VISIT TRI-CITIES, KARL DYE-TRI-CITY UNION GOSPEL MISSION, SUSAN CAMPBELL, RN-TWO RIVERS HEALTH DISTRICT, KENNEWICK PUBLIC HOSPITAL DISTRICT, GARY LONG & WANDA BRIGGS-UNITED WAY OF BENTON AND FRANKLIN COUNTIES, DR. LOANN AYERS & PAUL KLEIN-YAKIMA VALLEY FARM WORKERS CLINICS (LOCALLY KNOWN AS MIRAMAR), MICHEAL YOUNG PART V, SECTION B, LINE 6A: PROSSER MEMORIAL HEALTH WAS A COLLABORATOR IN THE CHNA PROCESS. PART V, SECTION B, LINE 6B: KADLEC'S CHNA WAS A COLLABORATION WITH THE BENTON FRANKLIN HEALTH DISTRICT, BENTON FRANKLIN COMMUNITY HEALTH ALLIANCE, AND PROSSER MEMORIAL HEALTH. PART V, SECTION B, LINE 7A: CHNA REPORT WEBSITEHTTPS://WWW.KADLEC.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTUNDER WASHINGTON PART V, SECTION B, LINE 10A: IMPLEMENTATION STRATEGY WEBSITEHTTPS://WWW.KADLEC.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTUNDER WASHINGTON PART V, SECTION B, LINE 11: IN 2024, KADLEC REGIONAL MEDICAL CENTER ADDRESSED NEEDS IDENTIFIED IN ITS MOST RECENT CHNA WITH STRATEGIES OUTLINED IN THE 2023-2025 KADLEC CHIP. PRIORITY NEED AREAS WERE THE FOLLOWING: 1) BEHAVIORAL HEALTH, 2) ACCESS TO HEALTH, 3) HOUSING AND HOMELESSNESS, AND 4) COMMUNITY PARTNERSHIP DEVELOPMENT. PRIORITY 1: BEHAVIORAL HEALTH KADLEC AND COMPREHENSIVE HEALTHCARE COLLABORATED TO MAXIMIZE THE POTENTIAL OF DESIGNATED CRISIS RESPONDER (DCR) RESOURCES FOR BENTON AND FRANKLIN COUNTIES BY UTILIZING A CRISIS RESPONSE UNIT IN THE MAIN EMERGENCY DEPARTMENT. 2024 UPDATES INCLUDED THE WORK TO GET THE UNIT SET AND SECURED. THE VIRTUAL CRISIS UNIT WAS UTILIZED FOR TWO HOURS IN THE EMERGENCY ROOM. KADLEC PROVIDED SUPPORT FOR PATIENTS WHO HAVE EXPERIENCED PHYSICAL TRAUMA THROUGH PARTICIPATION IN THE PILOT TRAUMA SUPPORT PROGRAM. SUPPORT SERVICES INCLUDED CARE COORDINATION, DRUG/ALCOHOL SCREENING, AND BEHAVIORAL HEALTH SCREENING. THE POPULATION SERVED WAS EMERGENCY DEPARTMENT PATIENTS 18+ WHO EXPERIENCED PHYSICAL TRAUMA WITH A FOCUS ON THE HISPANIC/LATINX POPULATION LIVING IN BENTON OR FRANKLIN COUNTY. 31 PATIENTS WERE ENROLLED, 13 PATIENTS WERE CONNECTED TO PRIMARY CARE PROVIDER (PCP), 29 PATIENTS HAD INITIAL PATIENT HEALTH QUESTIONNAIRE (PHQ) SCREENING. THE TRAUMA SUPPORT PROGRAM RECEIVED INSTITUTION REVIEW BOARD (IRB) APPROVAL FOR THIS RESEARCH STUDY. KADLEC'S COMMUNITY HEALTH TEAM RECRUITED SCHOOL DISTRICTS TO IMPLEMENT STUDENT WORK2BEWELL (W2BW) CLUBS AND WORKED TO INCREASE RESOURCE SHARING BY KAMIAKIN HIGH SCHOOL AND KIONA-BENTONANDPASCO SCHOOL DISTRICTS. KADLEC SPONSORED THE REGIONAL YOUTH SUMMIT EVENT THROUGH THE WELL BEING TRUST GRANT WHILE ALSO PROMOTING W2BW RESOURCES DURING THE CONFRENCE. YOUTH AND ADULT OUTREACH WAS PROVIDED TO 300 YOUTH AND 100 ADULT ATTENDEES. SHARED W2BW INFORMATION AT MENTAL HEALTH AWARENESS DAY AT OCHOA MIDDLE SCHOOL, 900 STUDENTS WERE REACHED. SUPPORTED KAMIKAN AND SOUTHRIDGE YOUTH COALITION WITH PEER TO PEER MENTAL WELLNESS EDUCATION, 600 STUDENTS REACHED. CHIAWANA HIGH SCHOOL FINALIZED THEIR MENTAL HEALTH 2 COURSE CURRICULUM UTILIZING PROVIDENCE'S W2BW MATERIALS. STRATEGIC PLANNING CONTINUED FOR NORTH FRANKLIN SCHOOL DISTRICT W2BW MATERIAL IMPLEMENTATION AND STUDENT CLUB CREATION. W2BW CONTENT PRESENTED TO MCLOUGHLIN MIDDLE SCHOOL'S FAMILY, CAREER AND COMMUNITY LEADERS OF AMERICA (FCCLA) CLUB. THE COMMUNITY PREVENTION AND WELLNESS INIATIVES (CPWIS) SHARED W2BW RESOURCES MONTHLY GIVING EDUCATORS, PARENTS, AND YOUTH ACCESS TO W2BW RESOURCES. BENTON CITY CPWI COALITION UTILIZED W2BW MESSAGING ON THEIR SOCIAL MEDIA PLATFORMS. KADLEC COLLABORATED WITH EDUCATIONAL SERVICE DISTRICT (ESD) 123 TO TRAIN HIGH SCHOOL STUDENTS IN TEEN MENTAL HEALTH FIRST AID (TMHFA). KADLEC ASSISTED ESD123 WITH TRAINING FOR RICHLAND SCHOOL DISTRICT STAFF. KADLEC WORKED TO IMPLEMENT CATCH MY BREATH YOUTH VAPING PREVENTION PROGRAM IN MIDDLE SCHOOLS. FINLEY SCHOOL DISTRICT UTILIZED THE PROGRAM AND ADDITIONAL UPDATES INCLUDE CONTINUING PLANS TO IMPLEMENT CATCH MY BREATH IN PASCO SCHOOL DISTRICT. SCHEDULING CONTINUED FOR PRESENTATIONS IN MULTIPLE CLASSROOMS THROUGHOUT OUR AREA IN Q1 OF 2025. IN ADDITION, KADLEC'S INTEGRATED BEHAVIORAL HEALTH PROGRAM ADDED ONE PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER AND TWO LICENSED INDEPENDENT CLINICAL SOCIAL WORKERS. PRIORITY 2: ACCESS TO HEALTH KADLEC COMMUNITY HEALTH WORKERS (CHW) ENGAGED WITH COMMUNITY MEMBERS TO EDUCATE THEM THROUGH BILINGUAL/BICULTURAL OUTREACH, ENGAGEMENT, AND EDUCATION EVENTS, SERVING 613 PEOPLE IN 2024. KADLEC WORKED TO INCREASE AWARENESS OF ITS COMMUNITY RESOURCE DESK (CRD) TO REACH THE BROADER COMMUNITY WITH A FOCUS ON UNDERSERVED AND UNDER-RESOURCED POPULATIONS. A GOAL OF THE CRD IS TO INCREASE THE NUMBER OF PEOPLE WITHOUT A PRIMARY CARE PROVIDER (PCP) TO A PCP. 781 PEOPLE WERE SERVED BY THE CRD IN 2024. KADLEC WORKED TO IDENTIFY BARRIERS TO HEALTH EQUITY AND ACCESS FOR MINORS WITHOUT PARENTAL OR GUARDIAN CONSENT TO SEEK HEALTH CARE WITHOUT PARENTAL OR GUARDIAN CONSENT. AN ASSESSMENT WAS CONDUCTED AND AN ACTION PLAN IMPLEMENTED TO ENSURE STAFF UNDERSTANDING OF WASHINGTON STATE'S MATURE MINOR DOCTRINE. A PILOT PRODUCE PRESCRIPTION PROJECT WAS LAUNCHED IN SEPTEMBER OF 2024 AND HAD FIVE PARTICIPANTS ENROLLED BY THE END OF Q4. AN ACTION PLAN WAS IMPLEMENTED TO ENSURE THAT COMMUNITY MEMBERS WITH MEDICAID HAVE CONTINUOUS COVERAGE AND ACCESS TO CARE WHEN THE MEDICAID REDETERMINATION PROCESS BEGAN. THE PROCESS WAS OPERATIONALIZED TO IDENTIFY PATIENTS WITH MEDICAID AND TO PROACTIVELY EDUCATE THEM ON THE REDETERMINATION PROCESS. A PATHWAY WAS DEVELOPED FOR PATIENTS AND COMMUNITY MEMBERS WHO NEED HELP FINDING NEW COVERAGE OR NAVIGATING THE REDETERMINATION PROCESS. PRIORITY 3: HOUSING AND HOMELESSNESS KADLEC PARTICIPATED IN THE DEVELOPMENT OF THE SUBCOMMITTEE OF THE CONTINUUM OF CARE (COC) TO ADDRESS HOUSING AND HOMELESSNESS AND PARTICIPATED IN MEETINGS THROUGHOUT 2024. KADLEC CONTINUED TO COMMUNICATE WITH THE COC ABOUT BUILT FOR ZERO (BFZ) AND WITH COMMUNITY SOLUTIONS TO DETERMINE WHETHER IT WOULD BE POSSIBLE FOR BENTON AND FRANKLIN COUNTIES TO PARTICIPATE IN BUILT FOR ZERO IF THE COC WANTED TO MOVE FORWARD. KADLEC'S COMMUNITY HEALTH WORKERS (CHW) PARTICIPATED IN HOMEROOM CONNECT EVENTS TO PROVIDE RESOURCES FOR INDIVIDUALS EXPERIENCING HOMELESSNESS AT MONTHLY BREAKFASTS; 518 PEOPLE WERE SERVED IN 2024. PRIORITY 4: COMMUNITY PARTNERSHIP DEVELOPMENT COMMUNITY PARTNERSHIP DEVELOPMENT IS ONE OF THE NEED AREAS ADDRESSED IN OUR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). STRATEGIES INCLUDE PARTNERING WITH WASHINGTON STATE UNIVERSITY (WSU) ON RANGE COMMUNITY CLINIC TO ASSIST WITH SITE COORDINATION, PROVIDE CLINICAL AND ANCILLARY SUPPORT, AND WORK TO IDENTIFY FUNDING SOURCES. RANGE MOBILE HEALTH CARE CLINICS STARTED IN 2023. IN 2024, FORTY-TWO CLINIC DAYS WERE COMPLETED AND A TOTAL OF 348 PEOPLE WERE SERVED. ANOTHER STRATEGY IS TO UTILIZE DATA TO FOCUS PARTNERSHIP DEVELOPMENT ON HIGH-NEED AREAS. KADLEC FUNDED ONE QUESTION, PERSUADE, REFER FACILITATOR CERTIFICATION FOR A CHIAWANA HIGH SCHOOL TEACHER TO COMPLETE THE TRAINING. PARTICIPATED IN TIERRA VIDA NATIONAL NIGHT OUT EVENT, FINLY FAMILY FUN DAY, AND THE BACK TO SCHOOL BASH EVENT. KADLEC CONTINUES TO PARTNER WITH THE RICHLAND FIRE DEPARTMENT (RFD) TO CONNECT HIGH UTILIZERS OF EMERGENCY MEDICAL SERVICES TO COMMUNITY RESOURCES AND REFERRALS. KADLEC AND RFD CONTINUED TO MEET IN 2024 ON DATA SHARING OPPORTUNITIES AND OUTREACH TO HIGH UTILIZERS OF THE EMERGENCY DEPARTMENT. ADDITIONALLY, KADLEC SUPPORTS THE COORDINATION AND WORK OF COMMUNITY COALITIONS STRIVING TO ADVANCE THE GOALS OF THE BENTON FRANKLIN HEALHT DISTRICT CHIP. KADLEC RECEIVED THE "PARTNER OF THE YEAR" AWARD FROM KENNEWICK KEY CONNECTION AT THE JUNE 2024 KEY LEADER EVENT. IN COLLABORATION WITH BENTON FRANKLIN HEALTH DISTRICT, YARP, AND RANCH AND HOME, KADLEC DISTRIBUTED 400 FIREARM LOCK BOXES. PARTICIPATED IN SCREENAGERS AT THE KENNEWICK SCHOOL DISTRICT PROFESSIONAL DEVELOPMENT DAY AND WAS THE MAIN SPONSOR FOR THE ANNUAL TAKE STRIDES EVENT FOR YOUTH SUICIDE PREVENTION. TWO HUNDRED TWENTY SEVEN OPERATION PARENT WORKBOOKS PROVIDED TO KEY CONNECTION IN KENNEWICK FOR DISTRIBUTION. KADLEC PARTICIPATED IN COMMUNITY-BASED CLINICS WITH BENTON-FRANKLIN HEALTH DISTRICT, AND OTHER COMMUNITY PARTNERS TO SUPPORT PEDIATRIC IMMUNIZATION EVENTS. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, AND SOME NEEDS IDENTIFIED IN THE CHNA ARE THE MISSION OF OTHER ORGANIZATIONS. FOR EXAMPLE, ADDRESSING FOOD INSECURITY IS THE MISSION OF SECOND HARVEST, THE COMMUNITY ACTION COALITION, AND LOCAL FOOD BANKS. WHILE ADDRESSING FOOD INSECURITY IS NOT A DIRECT FOCUS OF THE KADLEC CHIP, FOOD INSECURITY IS ADDRESSED IN SEVERAL WAYS. KADLEC ORGANIZES AN ANNUAL FOOD DRIVE TO PROVIDE FOOD FOR THOSE IN NEED. KADLEC'S PROJECT HOMECOMING PROGRAM ADDRESSES THE NUTRITIONAL NEEDS OF PATIENTS WHO QUALIFY WHEN THEY ARE DISCHARGED FROM THE MEDICAL CENTER THROUGH A PARTNERSHIP WITH MEALS ON WHEELS. WHILE POVERTY WAS NOT A PRIORITIZED NEED IN THE 2020-2022 CHIP, KADLEC'S FINANCIAL AID PROGRAM (FAP) PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. POVERTY AND FOOD INSECURITY ARE ADDRESSED THROUGH THE COMMUNITY RESOURCE DESK BY CONNECTING COMMUNITY MEMBERS IN NEED WITH RESOURCES AND SERVICES. PART V, SECTION B, LINE 16A, FAP WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/REGIONAL-MEDICAL-CENTER/PATIENTS-AND-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/REGIONAL-MEDICAL-CENTER/PATIENTS-AND-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/REGIONAL-MEDICAL-CENTER/PATIENTS-AND-VISITORS/BILL-PAY/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 20E: THE HOSPITALS DID NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR 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. 24 1 - KC - ASSOCIATED PHYSICIANS FOR WOMEN 900 STEVENS DR STE 203 RICHLAND WA 99352 SPECIALTY CLINIC 2 - KC - EAST KENNEWICK SENIOR HEALTH CLINIC 911 S WASHINGTON ST KENNEWICK WA 99336 SENIOR CARE 3 - KC - GASTROENTEROLOGY 1270 LEE BLVD SUITE A RICHLAND WA 99352 SPECIALTY CLINIC 4 - KC - HERMISTON NEPHROLOGY 1050 W ELM AVE STE 160 HERMISTON OR 97838 SPECIALTY CLINIC 5 - KC - INLAND CARDIOLOGY 3001 ST ANTHONY WAY STE 115 PENDLETON OR 97801 SPECIALTY CLINIC 6 - KC - KADLEC BEHAVIORAL HEALTH 112 COLUMBIA POINT DR STE 101 RICHLAND WA 99352 SPECIALTY CLINIC 7 - KC - KADLEC CLINIC RICHLAND NEPHROLOGY 900 STEVENS DR 101 RICHLAND WA 99352 SPECIALTY CLINIC 8 - KC - KADLEC CLINIC THREE RIVERS PRIMARY CA 945 GOETHALS DR STE 300 RICHLAND WA 99352 PRIMARY CARE 9 - KC - KENNEWICK PRIMARY CARE 3900 S ZINTEL WAY STE 110 RICHLAND WA 99352 PRIMARY CARE 10 - KC - NORTHWEST ORTHOPEDICS AND SPORTS MEDI 1351 FOWLER ST 200 RICHLAND WA 99352 SPECIALTY CLINIC 11 - KC - NORTHWEST ORTHOPEDICS AND SPORTS MEDI 875 SWIFT BLVD STE A RICHLAND WA 99352 SPECIALTY CLINIC 12 - KC - OCCUPATIONAL MEDICINE KENNEWICK 510 N COLORADO ST STE A KENNEWICK WA 99336 SPECIALTY CLINIC 13 - KC - PERINATAL CLINIC 969 STEVENS DR STE 3A RICHLAND WA 99352 SPECIALTY CLINIC 14 - KC - RICHLAND REHAB CENTER 1745 PIKE AVE RICHLAND WA 99354 REHAB & PHYSICAL THERAPY 15 - KC - TRI-CITIES CANCER CENTER 7350 W DESCHUTES AVE BLDG A KENNEWICK WA 99336 SPECIALTY CLINIC 16 - KC - URGENT CARE CLEARWATER 4804 W CLEARWATER AVE KENNEWICK WA 99336 URGENT CARE 17 - KC - WEST KENNEWICK PRIMARY CARE 9040 W CLEARWATER AVE KENNEWICK WA 99336 PRIMARY CARE 18 - KC - WEST RICHLAND PRIMARY CARE 3950 KEENE RD WEST RICHLAND WA 99353 PRIMARY CARE 19 - KMC - AMBULATORY ENDOSCOPY CENTER LEE CAM 1270 LEE BLVD STE B RICHLAND WA 99352 SPECIALTY CLINIC 20 - KMC - AMBULATORY SURGERY CENTER SPAULDING 1351 FOWLER ST STE 100 RICHLAND WA 99352 SPECIALTY CLINIC 21 - KMC - ASSOCIATED PHYSICIANS FOR WOMEN AND 945 GOETHALS DR STE 200 RICHLAND WA 99352 SPECIALTY CLINIC 22 - KMC - FERTILITY CENTER 945 GOETHALS DR STE 210 RICHLAND WA 99352 SPECIALTY CLINIC 23 - KMC - PASCO PRIMARY CARE 9605 SANDIFUR PKWY PASCO WA 99301 PRIMARY CARE 24 - KMC - SOUTH RICHLAND PRIMARY CARE 560 GAGE BLVD STE 101 206 RICHLAND WA 99352 PRIMARY CARE PART I, LINE 3C: IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS. PART I, LINE 6A: KADLEC (AFFILIATED WITH PROVIDENCE HEALTH & SERVICES - WASHINGTON 51-0216586) PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/WASHINGTON PART I, LINE 7: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER. PART I, LINE 7G: NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. PART II, COMMUNITY BUILDING ACTIVITIES: KADLEC IS PROUD TO SUPPORT COMMUNITY BUILDING ACTIVITIES BY PARTICIPATING IN COMMUNITY COLLABORATIONS THAT ADDRESS HEALTH AND SAFETY ISSUES. IN JUNE OF 2024, KADLEC'S POPULATION HEALTH COLLABORATIVE COMMITTEE TRANSITIONED TO BECOME THE COMMUNITY AND POPULATION HEALTH COMMITTEE WITH THE PURPOSE OF ADVANCING THE HEALTH OF THE COMMUNITY. KADLEC PARTICIPATED IN THE HEALTH EQUITY AND ACCESS TEAM, THE YOUTH SUICIDE PREVENTION COALITION, CONTINUUM OF CARE (COC) MEETINGS, AND THE DEVELOPMENT OF THE SUBCOMMITTEE OF THE COC TO ADDRESS HOUSING AND HOMELESSNESS. KADLEC'S SUPERVISOR OF COMMUNITY SERVICES LED THE BENTON-FRANKLIN COMMUNITY HEALTH ALLIANCE BEHAVIORAL HEALTH COMMITTEE THROUGH APRIL AND CONTINUED TO PARTICIPATE IN THE COMMITTEE THROUGHOUT THE REMAINDER OF 2024. KADLEC'S EXECUTIVE TEAM MEMBER(S) PARTICIPATED ON THE FOLLOWING BOARDS: - ADULT DAY SERVICES OF THE TRI-CITIES, - KENNEWICK PUBLIC HOSPITAL DISTRICT, - WSU ADVISORY COUNCIL, - TRI-CITIES REGIONAL CHAMBER OF COMMERCE, - TRI-CITY DEVELOPMENT COUNCIL (TRIDEC), - TRI-CITIES HOME HEALTH MEETINGS, AND - SENIOR LIFE RESOURCES NORTHWEST BOARD MEETINGS. PART III, LINE 4: AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019. PART III, LINE 8: THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. PART III, LINE 9B: OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: NEEDS ASSESSMENT:IN ADDITION TO THE CHNA, KADLEC'S LEADER OF STRATEGY AND BUSINESS DEVELOPMENT LED THE WORK ON THE ALIGNMENT OF THE INTEGRATED MARKET PLAN WITH MISSION AND COMMUNITY NEED. MISSION, POPULATION HEALTH, AND COMMUNITY HEALTH INVESTMENT LEADERS PARTICIPATED IN THE ALIGNMENT EVALUATION. PART VI, LINE 3: COMMUNICATION TO THE PUBLIC:KADLEC POSTS NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS ADMITTING/REGISTRATION, BILLING OFFICE, EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS.EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE POLICIES CONTAINS BRIEF INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR A DISCOUNTED PAYMENT. THE NOTICES ALSO INCLUDE A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.KADLEC ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E. BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS.WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, KADLEC ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.KADLEC SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS. PART VI, LINE 4: COMMUNITY INFORMATION:BENTON AND FRANKLIN COUNTIES ARE LOCATED IN SOUTH CENTRAL WASHINGTON JUST WEST OF THE CONFLUENCE OF THE COLUMBIA AND SNAKE RIVERS. PASCO IS THE COUNTY SEAT OF FRANKLIN COUNTY WHILE PROSSER, LOCATED 30 MILES WEST, IS THE BENTON COUNTY SEAT. MANY COUNTY FACILITIES ARE LOCATED IN KENENWICK. WITH A COMBINED POPULATION OF OVER 300,000, THE AREA IS WASHINGTON'S THIRD LARGEST METRO AREA AND AMONG THE FASTEST GROWING. THE AREA'S THREE LARGEST CITIES, KENNWICK, PASO, AND RICHLAND BECAME KNOWN AS THE "TRI-CITIES NOT LONG AFTER WWII. OTHER PRINCIPAL CITIES IN BENTON COUNTY ARE WEST RICHLAND AND BENTON CITY. OUTSIDE OF PASCO, FRANKLIN COUNTY'S SMALL TOWNS SUPPORT SOME OF THE COUNTRY'S MOST PRODUCTIVE FARMLAND IRRIGATED BY THE COLUMBIA BASIN PROJECT. THEY INCLUDE ELTOPIA, BASIN CITY, MESA, CONNELL, AND KAHLOTUS. THE RICH AGRICULTURAL OPPORTUNITIES PROVIDE RESIDENTS WITH ACCESS TO FRESH AND LOCALLY GROWN FOOD. IN FACT, FOR FIVE MONTHS OF THE YEAR, THERE ARE FARMERS' MARKETS OPEN THROUGHOUT THE REGION NEARLY DAILY. ADDITIONALLY, MULTIPLE LOCAL FARMS OFFER YOU PICK AND ROADSIDE PRODUCE SALES. WITH OVER 300 DAYS OF SUNSHINE PER YEAR, MULTIPLE PAVED AND NATURAL TRAILS, AND NUMEROUS COMMUNITY PARKS, THIS REGION OFFERS OPPORTUNITIES FOR OUTDOOR RECREATION FOR ALL AGES AND ABILITY LEVELS IN A HIGH-DESERT CLIMATE. IN ADDITION TO KADLEC, HOSPITAL SYSTEMS SERVING BENTON AND FRANKLIN COUNTIES AND BEYOND INCLUDE TRIOS HEALTH, LOURDES HEALTH, AND PROSSER MEMORIAL HEALTH. FEDERALLY QUALIFIED HEALTH CENTERS SERVING THE AREA ARE MIRAMAR HEALTH CENTERS, TRI-CITIES COMMUNITY HEALTH, AND COLUMBIA BASIN HEALTH ASSOCIATION. BASED ON THE AVAILABILITY OF DATA, GEOGRAPHIC ACCESS TO THESE FACILITIES, AND OTHER HOSPITALS IN NEIGHBORING COUNTIES, BENTON AND FRANKLIN COUNTIES SERVE AS THE BOUNDARY FOR THE SERVICE AREA.THE AGE DISTRIBUTION IN BENTON AND FRANKLIN COUNTIES IS ROUGHLY SIMILAR, WITH THOSE AGED BETWEEN 25-44 AND 45-64 REPRESENTING THE LARGEST AGE GROUPS. THE MALE-TO-FEMALE RATIO IS APPROXIMATELY EQUAL IN BENTON AND FRANKLIN COUNTIES. MOST OF THE RESIDENTS IN BENTON AND FRANKLIN COUNTIES IDENTIFY AS WHITE, AT 82.1% AND 85.7%, RESPECTIVELY. THE WHITE POPULATION IS UNDER-REPRESENTED IN THE HIGH NEED SERVICE AREA, MAKING UP 70.6%, COMPARED TO 85.7% OF THE BROADER SERVICE AREA. OVER HALF (53.1%) OF THE POPULATION IN FRANKLIN COUNTY IDENTIFIES AS HISPANIC, COMPARED TO 21.7% IN BENTON COUNTY. THE HISPANIC POPULATION MAKES UP 47.7% OF THE HIGH NEED SERVICE AREA COMPARED TO 16.9% OF THE BROADER SERVICE AREA. (2019 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES). IN BENTON COUNTY, 21.7% OF THE POPULATION 5 YEARS AND OLDER SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME, WITH 8.1% OF THE POPULATION REPORTING SPEAKING ENGLISH LESS THAN "VERY WELL AND 16.7% SPEAKING SPANISH. IN FRANKLIN COUNTY, 48.5% OF THE POPULATION 5 YEARS AND OLDER SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME, WITH 23.5% OF THE POPULATION REPORTING SPEAKING ENGLISH LESS THAN "VERY WELL AND 44.6% SPEAKING SPANISH. (2021 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATE).BENTON AND FRANKLIN COUNTIES ARE DESIGNATED BY THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA) AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) HAVING SHORTAGES OF PRIMARY CARE, DENTAL, AND MENTAL HEALTH PROVIDERS MEANING THERE ARE NOT ENOUGH PROVIDERS FOR THE POPULATION SIZE, GEOGRAPHIC LOCATION, OR FACILITY TYPE.FRANKLIN COUNTY IS ALSO CONSIDERED TO BE A MEDICALLY UNDERSERVED AREA (MUA) HAVING TOO FEW PRIMARY CARE PROVIDERS, HIGH INFANT MORTALITY, HIGH POVERTY, OR A HIGH ELDERLY POPULATION. THESE DEFINITIONS AND MORE INFORMATION CAN BE FOUND ON THE WEBSITE FOR THE HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA).OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN THE TRI-CITIES AREA INCLUDE: TRIOS HEALTH, LOURDES HEALTH, PROSSER MEMORIAL HEALTH.KADLEC'S MOST SIGNIFICANT COLLABORATION IN 2024 CONTINUED TO BE WITH THE BENTON FRANKLIN HEALTH DISTRICT (BFHD). KADLEC AND BFHD MET QUARTERLY TO DISCUSS COMMUNITY HEALTH IMPROVEMENT PLAN UPDATES, KADLEC'S POPULATION HEALTH TEAM MET WITH BFHD REGULARLY TO ADVANCE SHARED GOALS. KADLEC PARTICIPATED IN THE EFFORT TO ESTABLISH THE SUBCOMMITTTEE OF THE CONTINUUM OF CARE (COC) TO ADDRESS HOUSING AND HOMELESSNESS WITH BFHD AND LOCAL HOUSING AUTHORITIES. KADLEC LEADERSHIP PARTICIPATED IN THE FOLLOWING COMMUNITY MEETINGS: WASHINGTON STATE UNIVERSITY ADVISORY COUNCIL, HEALTH EQUITY AND ACCESS TEAM, ADULT DAY SERVICES OF THE TRI-CITIES, KENNEWICK PUBLIC HOSPITAL DISTRICT, TRIDEC, TRI-CITIES HOME HEALTH, AND SENIOR LIFE RESOURCES NORTHWEST BOARD MEETINGS. KADLEC'S COMMUITY HEALTH COUNCIL (CHC) MET FIVE TIMES IN 2024. CHC PARTICIPANTS INCLUDE MEMBERS OF KADLEC'S COMMUNITY HEALTH DEPARTMENT AND CANCER CENTER, KADLEC VOLUNTEERS, LEADERS OF COMMUNITY NONPROFIT ORGANIZATIONS, HIGHER EDUCATION, BENTON FRANKLIN HEALTH DISTRICT, GREATER HEALTH NOW, ESD 123, UNITED WAY, AND A KADLEC COMMUNITY MISSION BOARD MEMBER. PRESENTATION TOPICS INCLUDED GANG ACTIVITY IN THE COMMUNITY, SENIOR LIFE RESOURCES/MEALS ON WHEELS, HEALTHY AGING IN BENTON AND FRANKLIN COUNTIES, NEW SOCIAL WORK PROGRAM AT WASHINGTON STATE UNIVERSITY TRI-CITIES, TRI-CITIES DIVERSITY AND INCLUSION COUNCIL, AND DEMENTIA FRIENDLY COMMUNITIES AND DEMENTIA FRIENDS. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:KADLEC REGIONAL MEDICAL CENTER (KADLEC) IS A NOT-FOR-PROFIT ORGANIZATION SERVING RESIDENTS IN SOUTHEAST WASHINGTON AND NORTHEAST OREGON. FOUNDED IN 1944, KADLEC IS AN ACUTE-CARE HOSPITAL LOCATED IN RICHLAND, WASHINGTON. THE HOSPITAL HAS 337 LICENSED BEDS AND IS APPROXIMATELY ELEVEN ACRES IN SIZE. MORE THAN 3600 EMPLOYEES WORK IN THE HOSPITAL, THE FREESTANDING EMERGENCY DEPARTMENT, AND IN PRIMARY AND SPECIALTY CARE CLINICS THROUGHOUT THE REGION. KADLEC IS PART OF THE FAMILY OF MISSION-DRIVEN ORGANIZATIONS THAT MAKE UP PROVIDENCE, SERVING COMMUNITIES ACROSS A SEVEN-STATE FOOTPRINT. MAJOR PROGRAMS AND SERVICES OFFERED TO THE COMMUNITY INCLUDE: COMPREHENSIVE, AWARD-WINNING CARDIAC CARE; CANCER CARE; NEUROSURGERY AND NEUROLOGY; ALL-DIGITAL OUTPATIENT IMAGING CENTER; PEDIATRICS, RURAL AND EMERGENCY CARE; TELEHEALTH SERVICES IN PARTNERSHIP WITH CLINICS AND HOSPITALS IN SOUTHEAST WASHINGTON AND NORTHEAST OREGON AND THE REGION'S ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT. KADLEC IS A LEVEL III TRAUMA CENTER.KADLEC REGIONAL MEDICAL CENTER PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. KADLEC REGIONAL MEDICAL CENTER IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) THE KADLEC COMMUNITY MISSION BOARD ACTS IN ACCORDANCE WITH THE BOARD-APPROVED CHARTER. THE COMMUNITY MISSION BOARD IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS IDENTIFIED NEEDS IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE CHNA AND CHIP REPORTS, AND OVERSEEING AND DIRECTING THE COMMUNITY BENEFIT ACTIVITIES. THE COMMUNITY MISSION BOARD IS COMPRISED OF 8-15 BOARD MEMBERS WHO ARE NOT ONLY PROFESSIONALLY DIVERSE, BUT WHO REPRESENT THE AGE, GENDER, RACE AND ETHNIC PROFILE OF THE SERVICE AREA. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE KADLEC COMMUNITY MISSION BOARD GENERALLY MEETS BIMONTHLY. NO MEMBER OF THE COMMUNITY MISSION BOARD WILL BE AN EMPLOYEE OF PROVIDENCE.2) OPEN MEDICAL STAFF, USE OF SURPLUS FUNDS TO ADVANCE CARE TO PATIENTS AND A HEALTH PROFESSIONS EDUCATION PROGRAM THE SERVES THE EDUCATIONAL NEEDS OF THE COMMUNITY.3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:FOR NEARLY 170 YEARS, PROVIDENCE HAS BEEN DEDICATED TO SUPPORTING COMMUNITIES ACROSS THE SEVEN STATES WE SERVE. WE HAVE ALWAYS BELIEVED IN THE POWER OF COLLABORATION, RECOGNIZING THAT STRONG PARTNERSHIPS ARE ESSENTIAL TO OUR VISION OF HEALTH FOR A BETTER WORLD. AS WE FOCUS ON OUR CORE OPERATIONS OF DELIVERING HIGH-QUALITY, COMPASSIONATE CARE, WE RELY ON PARTNERS IN LOCAL COMMUNITIES TO HELP US GET UPSTREAM SO WE CAN ADDRESS THE SOCIAL FACTORS THAT AFFECT HEALTH, ESPECIALLY IN COMMUNITIES EXPERIENCING HIGH LEVELS OF HEALTH DISPARITIES. AT THE HEART OF THIS COLLABORATION IS OUR COMMUNITY BENEFIT PROGRAMS. EVERY YEAR, OUR FAMILY OF ORGANIZATIONS IDENTIFIES UNMET COMMUNITY NEEDS AND RESPONDS WITH STRATEGIC CONTRIBUTIONS AND PARTNERSHIPS. THROUGH THIS WORK, WE AIM TO MEET BASIC HEALTH NEEDS, REMOVE BARRIERS TO HEALTH, BUILD RESILIENT COMMUNITIES AND FIND INNOVATIVE WAYS TO SERVE THOSE WHO ARE MOST VULNERABLE. TOGETHER, OUR 125,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,014 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. PROVIDENCE ACROSS FIVE WESTERN STATES: -ALASKA -MONTANA -OREGON -NORTHERN CALIFORNIA -SOUTHERN CALIFORNIA -WASHINGTON THE PROVIDENCE AFFILIATE FAMILY INCLUDES:-PROVIDENCE ACROSS FIVE WESTERN STATES-COVENANT HEALTH IN WEST TEXAS AND NEW MEXICO-FACEY MEDICAL GROUP IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WAIN 2024, PROVIDENCE MINISTRIES AND AFFILIATES PROVIDED $1.9 BILLION IN COMMUNITY BENEFIT PROGRAMS. THIS INCLUDES FREE AND DISCOUNTED CARE, UNCOMPENSATED AND SUBSIDIZED CARE, AND OTHER COMMUNITY HEALTH ACTIVITIES.ONE OF THESE VITAL PROGRAMS, MEDICAID, IS A LIFELINE FOR MILLIONS OF INDIVIDUALS, INCLUDING SENIORS, CHILDREN, PREGNANT PATIENTS, THOSE WITH DISABILITIES AND VETERANS. WE ARE GRATEFUL TO EVERYONE IN OUR COMMUNITIES WHO HAS JOINED US IN ADVOCATING FOR CONTINUED FUNDING AND EXPANSION OF THIS PROGRAM. TOGETHER, WE ARE HELPING TO ENSURE MORE PEOPLE HAVE ACCESS TO NEEDED CARE.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.BELOW WE HIGHLIGHT KEY EXAMPLES.THE PROVIDENCE FAMILY OF ORGANIZATIONS IS A TIRELESS ADVOCATE FOR HEALTH AND SOCIAL PROGRAMS, AND POLICIES THAT CONTRIBUTE TO THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. GROUNDED IN OUR MISSION AND BELIEF THAT EVERY PERSON IS EQUAL IN DIGNITY AND VALUE, WE ADVOCATE FOR MORE JUST AND EQUITABLE HEALTH CARE FOR ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. WE BELIEVE THAT HEALTH IS A HUMAN RIGHT AND WE PARTNER WITH LAWMAKERS TO ADVANCE POLICIES THAT BRING OUR VISION OF HEALTH FOR A BETTER WORLD TO LIFE. THROUGH A COLLABORATION WITH LIKEMINDED STAKEHOLDERS AND ASSOCIATIONS, PROVIDENCE LED LOCAL, STATE AND FEDERAL POLICY PRIORITIES TO EXPAND ACCESS AND COVERAGE TO SOME OF OUR MOST VULNERABLE IN OUR COMMUNITIES. SOME OF OUR ACHIEVEMENTS INCLUDE: - EXPANDING ACCESS TO CARE FOR UNDERSERVED POPULATIONS- PRESERVING THE MEDICAID PROGRAM- SUPPORTING OPERATIONAL AND FINANCIAL STABILITY THROUGH IMPROVED REIMBURSEMENT- ADVANCING POLICIES THAT STRENGTHEN THE HEALTHCARE WORKFORCE PIPELINE- INCREASING ACCESS TO MENTAL HEALTH SERVICESADVOCACY 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-RESPONSIBILITYWELL BEING TRUSTPROVIDENCE'S WELL BEING TRUST IS A FOUNDATION DEDICATED TO ADVANCING THE MENTAL, SOCIAL, AND SPIRITUAL HEALTH FOR ALL. WITH A BOLD MISSION, VISION AND OVERARCHING GOAL, WELL BEING TRUST IS INVESTING IN APPROACHES THAT HAVE THE POTENTIAL TO MODEL THE WAY FORWARD AND ADVANCE CLINICAL, COMMUNITY AND CULTURAL CHANGETO TRANSFORM THE HEALTH OF THE NATION AND IMPROVE WELL-BEING FOR EVERYONE. FOR MORE INFORMATION GO TO: HTTPS://WELLBEINGTRUST.ORG/ABOUT/ PART VI, LINE 7, REPORTS FILED WITH STATES WA 1 GRACE CLINIC 800 W CANAL DR KENNEWICK WA 99336 770592408 501(C)(3) 45833 0 SPONSORSHIP WASHINGTON POISON CENTER 155 NE 100TH ST SUITE 100 SEATLLE WA 98125 943214597 501(C)(3) 21500 0 SPONSORSHIP TRI-CITIES CANCER CENTER FOUNDATION 7350 W DESCHUTES AVE BUILDING A KENNEWICK WA 99336 911739024 501(C)(3) 40840 0 SPONSORSHIP 3 0 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION. 1 1 0 0 0 0 0 1 0 ERIK WEXLER PRESIDENT/CEO 0 1968391 0 6173417 0 448548 0 519036 0 15992 0 9125384 0 409440 GREG HOFFMAN EVP & CFO/TREASURER 0 1402471 0 2154592 0 323161 0 377326 0 13379 0 4270929 0 239249 ANNA NEWSOM EVP & CHIEF LEGAL OFFICER/SECRETARY 0 1053930 0 1511654 0 44947 0 284757 0 387 0 2895675 0 0 MELVIN WAHL PHYSICIAN 1609835 0 188683 0 116438 0 121907 0 13126 0 2049989 0 90816 0 JOSHUA BALES PHYSICIAN 1290105 0 158922 0 202382 0 99597 0 21269 0 1772275 0 82130 0 ARASH MOTAGHI PHYSICIAN 1299012 0 172209 0 95058 0 99491 0 15301 0 1681071 0 63464 0 JOHN-DAVID BLACK PHYSICIAN 1154028 0 133913 0 82635 0 86806 0 22414 0 1479796 0 52632 0 MERSHED ALSAMARA PHYSICIAN 1171186 0 0 0 192325 0 77994 0 10821 0 1452326 0 51449 0 REZA KALEEL CHIEF EXEC SE WA 0 486617 0 314972 0 152540 0 147610 0 15234 0 1116973 0 109341 JIM WATSON ESQ ASSISTANT SECRETARY 0 494455 0 358832 0 102636 0 110879 0 17651 0 1084453 0 77014 JIM MARTIN ASSISTANT TREASURER 0 463263 0 290109 0 66993 0 88541 0 8347 0 917253 0 64532 JO ANN ESCASA-HAIGH FRMR EVP/ASSISTANT TREASURER 0 0 0 0 0 879466 0 0 0 0 0 879466 0 0 SPENCER HARRIS CFO SERVICE AREA 0 291644 0 34651 0 24641 0 28125 0 11252 0 390313 0 0 KIRK HARPER COO KADLEC 308188 0 15183 0 8059 0 29178 0 4616 0 365224 0 5122 0 DONALD ANDERSON JR ASSISTANT SECRETARY FOR ENROLLMENT 0 287131 0 28005 0 1418 0 14332 0 4600 0 335486 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. THESE REIMBURSEMENTS ARE NOT REPORTED AS TAXABLE COMPENSATION. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THIS BENEFIT IS CONSIDERED A TAXABLE BENEFIT AND IS INCLUDED ON THE EMPLOYEE'S FORM W- 2. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE. PART I, LINE 3 DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN 2024: JO ANN ESCASA-HAIGH - $879,466 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: ERIK WEXLER - $409,440 GREG HOFFMAN - $239,249 MELVIN WAHL - $90,816 JOSHUA BALES - $82,130 ARASH MONTAGHI - $63,464 JOHN-DAVID BLACK - $52,632 MERSHED ALSAMARA - $51,449 REZA KALEEL - $109,341 JIM WATSON, ESQ - $77,014 JIM MARTIN - $64,532 KIRK HARPER - $5,122 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 III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONT): KADLEC'S COMMUNITY HEALTH WORKERS IN 2024, KADLEC'S COMMUNITY HEALTH WORKERS CONTINUED TO PARTNER WITH THE MID-COLUMBIA LIBARY PASCO BRANCH ON A MONTHLY LIBRARY-BASED HOMELESS OUTREACH PROGRAM, HOMEROOM CONNECT AND SERVED 613 PERSONS WERE SERVED. HOMEROOM CONNECT INVITES COMMUNITY PARTNERS TO SHARE RESOURCES, PROVIDE A WARM BREAKFAST, AND JOIN THEM TO OFFER A WELCOMING ENVIRONMENT TO THOSE EXPERIENCING HOMELESSNESS. KADLEC'S COMMUNITY HEALTH WORKERS EDUCATED COMMUNITY MEMBERS THROUGH 613 BILINGUAL/BICULTURAL OUTREACH, ENGAGEMENT, AND EDUCATION EVENTS. THEY SERVED 781 PEOPLE THROUGH KADLEC'S COMMUNITY RESOURCE DESK, WHICH SERVES THE BROADER COMMUNITY WITH A FOCUS ON THE UNDERSERVED AND UNDER-RESOURCED POPULATION. RANGE COMMUNITY CLINIC: KADLEC PARTNERED WITH WASHINGTON STATE UNIVERSITY ON THEIR RANGE COMMUNITY CLINIC ON WEDNESDAYS AT ST VINCENT DE PAUL IN PASCO, WASHINGTON. KADLEC ASSISTS WITH SITE COORDINATION AND PROVIDES CLINICAL AND ANCILLARY SUPPORT. IN 2024, THERE WERE 42 CLINIC DAYS AND 318 PERSONS SERVED. FOR MORE INFORMATION ON KADLEC GO TO: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/KADLEC/HOME/ABOUT-US FORM 990, PART V, LINE 15: INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATION'S SECTION 4960 TAX ANALYSIS AND REPORTING. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS WESTERN HEALTHCONNECT IS THE SOLE CORPORATE MEMBER OF KADLEC REGIONAL MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS KADLEC REGIONAL MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE KADLEC REGIONAL MEDICAL CENTER'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE KADLEC REGIONAL MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY WESTERN HEALTHCONNECT, AS THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, REVISED IN 2023, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR PROVIDENCE CHIEF RISK OFFICER, AND/OR PROVIDENCE CHIEF COMPLIANCE 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, 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 2025. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -5,243,802. OTHER CHANGES IN NET ASSETS -1,489,571. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT 1,382,636. TRI-CITY REGIONAL SURGERY CENTER LLC 1096 GOETHALS DR RICHLAND WA 99352 911728399 HEALTHCARE WA 359347 0 KRMC COLLABRIA CARE 414 SOUTH JEFFERSON STREET NAPA CA 94559 680393144 HEALTHCARE CA 501(C)(3) 10 SJHCN 1 COVENANT ACO 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 611573313 HEALTHCARE TX 501(C)(3) 12, I CHS 1 COVENANT CHILDREN'S PHYSICIANS GROUP 3615 19TH STREET LUBBOCK TX 79410 881290850 HEALTHCARE TX 501(C)(3) PENDING CHS 1 COVENANT HEALTH 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 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97213 930800140 SUPPORT OR 501(C)(3) 7 PHS OR 1 PROVIDENCE COMMUNITY HEALTH FOUNDATION 940 ROYAL AVE SUITE 410 MEDFORD OR 97504 930692907 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE DETHMAN HOUSE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 473385506 SUPPORT WA 501(C)(3) 7 N/A 0 PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 954322584 SUPPORT CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 311744654 SUPPORT WA 501(C)(3) 7 PHS WA 1 PROVIDENCE HEALTH & SERVICES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 911549796 HEALTHCARE WA 501(C)(3) 12, II PSJH 0 PROVIDENCE HEALTH & SERVICES - MONTANA 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 810231793 HEALTHCARE MT 501(C)(3) 3 PHS WA 1 PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 510216587 HEALTHCARE OR 501(C)(3) 3 PHS 1 PROVIDENCE HEALTH & SERVICES - 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102ND NO 220 TUKWILA WA 98168 912077378 HEALTHCARE WA 501(C)(3) 7 PHS W WA 1 PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA) 101 W 8TH AVE SPOKANE WA 99204 320014330 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION 4101 TORRANCE BLVD TORRANCE CA 90503 510224944 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL 1 PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE) 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330185031 HEALTHCARE CA 501(C)(3) 3 SJHS 1 PROVIDENCE MEDICAL INSTITUTE 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 330283773 HEALTHCARE CA 501(C)(3) 12, I PHS SOCAL 1 PROVIDENCE MILWAUKIE FOUNDATION 10150 SE 32ND AVE MILWAUKIE OR 97222 943079515 HEALTHCARE OR 501(C)(3) 7 PHS OR 1 PROVIDENCE MINISTRIES 1801 LIND AVENUE SW ATTN TAX DEPT RENTON WA 98057 RELIGIOUS ORG WA 501(C)(3) 1 N/A 0 PROVIDENCE MOUNT ST VINCENT FOUNDATION 4831 35TH AVE SW SEATTLE WA 981262799 911188119 HEALTHCARE WA 501(C)(3) 7 PHS WA 1 PROVIDENCE NEWBERG HEALTH 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